Preventive Care in Nursing and Midwifery Journal
Year:2017 | Volume:7 | Issue:3|Papers Count:6

Background: Reproductive variables may play an important role on the correlation between irrational parenthood cognition (IPC) and destructive behaviors of infertile couple.Objectives: The aim of this study was to determine the correlation between IPC and destructive behaviors by reproductive variables in primary infertile women.Methods: The study was descriptive-analytic.183 cases of primary infertile women living in Zanjan-Iran and attended to the Infertility Clinic in Ayatollah Mousavi Hospital were investigated from 2015 to the end of 2016. The instrument included a three-part questionnaire of individual and reproductive information, IPC, and the destructive behaviors of marital relationship based on Glaser's choice theory. Data were analyzed by SPSS software using descriptive and Pearson correlation test (P<0.05).Results: There was a significant direct correlation between IPC and destructive behaviors of marital relationship in infertile women (r=0.47, p<0.001). Based on reproductive variables, the highest correlation was observed in the subgroups of less than 10 years elapsed from the diagnosis of infertility, less than 10 years from the onset of infertility treatment, and the expectation of pregnancy under 10 years, a history of twice unsuccessful in vitro fertilization, a tendency to pregnancy due to the pressure of the others and the cause of the unknown infertility (P<0.05). Correlation between IPC and all components of destructive behaviors was significant (p<0.001).Conclusion: Identifying infertile women with high IPC and destructive behaviors is important to educate regarding life skills and provide counseling services.

Background: Nowadays, burnout is known as an important phenomenon. A review of related literature shows that self-awareness and mindfulness play important roles in predicting this phenomenon.Objectives: The present study was conducted to determine the best predictor of the intensity of burnout between the concepts of self-awareness or mindfulness.Methods: In this predictive correlational study. The nurses working in hospitals located in Kerman, Iran in 2017. were selected using the convenience sampling method (n=100) and answered Self-awareness, Mindfulness, and burnout questionnaires. Both descriptive (mean, standard deviation) and inferential statistics (Pearson correlation coefficient and multiple regression) were used to analyze the data with SPSS version 16 soft were.Results: There was no significant correlation between self-awareness and burnout intensity (P≥.05); however, the relationship between mindfulness and all subscales of burnout was significant and negative (r=-.39, P≤.01). Moreover, 21% of burnout intensity variance was explained by mindfulness. The self-awareness variable was not found to play a role in predicting burnout intensity.Conclusion: Given the greater and more important role of mindfulness in predicting burnout intensity, it is recommended that training programs and mindfulness interventions prevent and reduce the negative effects of burnout during nurses' work hours.

Background: Infertility is a serious medical problem with effects on quality of life Various factors such as social-demographic factors, cognitive perceptions and coping strategies can affect emotional reactions to infertility and its treatment.Objectives: This study aims to identify Fertility quality of life (Fertiqol) of infertile couples and the role of coping strategies, duration and cause of infertility.Methods: In this predictive correlational study 180 infertile Iranian patients (90 couples) referred to the Valie-Asr Reproductive health Research Center in 2015 were selected according to convenience sampling method and completed the following questionnaires: demographic questionnaire, Fertility quality of life (Fertiqol) and coping styles for infertility. Data were analyzes using Pearson’s correlation coefficient, multiple regression analysis with SPSS sofware version 18.Results: The results showed that Fertiqol with meaning-based coping strategies have a significant positive relationship (r=0.42) and have a significant negative relationship (r=-0.41) with active avoidance coping strategies. These strategies together accounted for 30.6 percent of the variance of fertility quality of life.Conclusion: As more use of Meaning-based coping strategies and less active avoidant coping strategy and less duration of infertility are associated with improving the quality of life of infertile couples. Hence, offering psychological services and conducting educational interventions for effective coping strategies along with biologic treatments for infertile couples is emphasized.

Background: Two main factors of success and failure of individuals in all different stages of life are considered to be self-esteem and body image.Objectives: The present study aimed at examining self-esteem and body image concern among students of Islamic Azad University of Abhar based on demographic variables.Methods: This study was a cross-sectional study conducted in 2015, and participants consisted of 154 male and female students at Islamic Azad University of Abhar-Iran. Stratified random sampling method was used, and samples were chosen from different fields of study. Data were collected using two standard questionnaires, that is, Body Image Concern Inventory (BICI) and Rosenberg Self-esteem Scale (RSES).Data analysis was carried out through SPSS software version 16, descriptive statistics, Chi-square, independent t-test, and ANOVA.Results: Regarding body image concern, 27.3% of the participants were found to be asymptomatic, and 45.5% of them were found to have symptoms. In addition, 27.3% of the participants were recognized to have a severe disorder. The participants’ scores regarding body image concern were found to be significantly different according to age, marital status, field of study, and education level (P<0.05). With respect to selfesteem, 35.1% of the participants were found to have low self-esteem, 32.4% had moderate self-esteem, and 32.5% enjoyed high self-esteem. Furthermore, the participant’ self-esteem scores significantly varied in terms of age, marital status, field of study, and education level (P<0.05).Conclusion: The participant students’ Body image concern was found to be high, and their self-esteem was low. It is recommended that university officials and decision-makers in mental health area enhance students’self-esteem and body image as two important factors and make plans considering demographic factors.

Background: Breast cancer is one of the most important malignancies in both developed and developing countries.Objectives: To reduce the burden of this disease, the prediction of individuals at risk and implementation of efficient preventive interventions can be effective. The present study was aimed at investigating five-year and lifetime risks of the breast cancer in a rural community in Zanjan province, Iran.Methods: A total of 435 subjects aged 35 years old were randomly selected using systematic randomization in a rural community in Zanjan. The participation rate was 92.4% (402 women). Data collection instrument was a questionnaire in which all associated variables of Gail model and demographic information were included. The data were analyzed using SPSS software version 18, and mean cancer risks were reported.Results: Family history of breast cancer and history of breast biopsy were found to be positive in 3.5% and 0.3% of participants, respectively. Out of all participants, 84.3% were under 60 years old and 13.2% were illiterate. Five-year and lifetime mean risks were fund to be 0.74% and 7.6%, respectively. About 2% of the participants had a higher cancer risk>1.66%.Conclusion: The findings demonstrated that based on the Gail model, the lifetime risk of the participants will be one out of 13 women. Given the lower estimations of Gail model in the prediction of breast cancer, we suggest general population interventions and high-risk strategies be implemented to decrease problems associated with the breast cancer in the future.

Background: As a chronic disease, heart failure (HF) is a growing problem that not only impacts patients but also their family members and friends. Self-care is the main part of HF treatment. Despite the significance of determining variables involved in self-care, the relationships of self-efficacy, illness perception, and social support with self-care and the predictive roles of these variables in the treatment of HF have not been investigated.Objectives: The present study was aimed at exploring the predictive roles of self-efficacy, illness perception, and social support in self-care of patients with heart failure.Methods: In this predictive correlation study, 149 patients with HF were selected through convenience sampling from Tabriz Research Treatment Centre of Heart in 2016. To collect data, a demographic information questionnaire, self-care behaviour scale, general self-efficacy (GSE), brief illness perception questionnaire (Brief-IPQ), and social support scale were used. To analyse data, SPSS software version 16, descriptive statistics, Pearson correlation coefficient, and multiple stepwise regression analyses were employed.Results: Out of 149 subjects, 102 (68%) participants were male, and 47 (32%) of them were female. The mean and standard deviation of samples’ age were (64.40±10.32) ranging from 37 to 88 years. Most of participants were married (82%). The mean scores were as follows: Self-care (40.66±13.16), self-efficacy (45.81±22.03), illness perception (56.05±18.24), and social support (49.09±6.74). Data analysis demonstrated significant correlations between illness perception and self-care (p<0.001, r=0.649), selfefficacy and self-care (p<0.001, r=-0.678), social support and self-care (p<0.001, r=-0.518), and age and self-care (p<0.001, r=-0.506). The standardized coefficient of illness perception was (b =0.274), social support was (β=-0.237), self-efficacy was (b=-0.230), and age was (b =-0.211). In addition, 56% of self-care variance is explained by age, social support, self-efficacy, and illness perception.Conclusion: All of the investigated variables were found to have a predictive role in self-care. Illness perception was recognized as the most effective factor in predicting self-care. Hence, illness perception can be used to explain 27% of self-care ability of patients with HF.