Iranian Journal of Health Education and Health Promotion
Year:2021 | Volume:8 | Issue:4|Papers Count:8

Background and Objective: Hookah smoking is on the rise significantly among families, young people, and especially women and it is regarded as a new challenge for public health. This research aims to investigate the variables of attitude and perceived behavioral control in reducing smoking hookah in women over 15 years in Bandar Abbas. Materials and Methods: In this quasi-experimental study, 128 women over 15 years who had at least once hookah smoking at day were selected using a multistage stratified cluster survey design. They have classified in two groups of case and control groups (64 people per group). Data were collected using a validated and reliable questionnaire based on the theory of planned behavior constructs and demographic information. Participants filled out questionnaires before the intervention. The educational intervention was conducted for the experimental group in 4 sessions based on pre-test results. 2 months after the intervention, both groups were evaluated and filled out the questionnaire. Finally, their information was assessed using independent paired t-test, t-test, and chi-square test. Results: The results showed that there is significant difference in the attitude score and perceived behavioral control in the intervention group after the educational intervention and the educational intervention was effective (P<0. 05). In addition, the frequency of hookah smoking among women in the intervention group compared to controls has significantly decreased after the intervention (P<0. 05). Conclusion: The implementation of a curriculum based on the theory of planned behavior suggests the positive effect of the educational program on attitude and perceived behavioral control and ultimately reducing the use of hookah.

Background and Objective: Multiple issues in middle age make this stage of life critical and endanger women's mental health and increase the number of people with mental disorders. Women are more likely than men to have mental disorders, and middle-aged people are more likely to have these disorders than other age groups. The purpose of this study is to determine the effect of educational intervention based on the PRECEDE-PROCEED model on mental health of middleaged women referred to municipal health centers in Tehran. Materials and Methods: A semi-experimental study was conducted using random sampling method among72 middle-aged women of selected comprehensive health houses in the city. Data gathering tools were,the general health questionnaire (GHQ-28) and a questionnaire designed based on PRECEDE Model, the validity and reliability of which had been approved prior to the study and before and after educational intervention was completed by intervention and control groups. The data were analyzed by SPSS 19 and using the statistical, Chi-square, T-test, etc. Results: The results showed that the mean age of women was 47. 9. After the educational intervention, the mean score of the PRECEDE Model (Predisposing factors, enabling factors, reinforcing factors), and behavior Increased in the intervention group significantly compared to the control group (P<0. 001). The findings showed a significant improvement in the mean mental health score from 26. 3 to 16. 1 among women in the intervention group compared to the control group after imposing educational intervention (P<0. 05). Conclusion: The results of the present study showed that the health education program designed based on the PRECEDE PROCEED Model is effective on the mental health of the middle-aged women.

Background and Objective: Self-care behaviors during pregnancy can be effective in reducing the adverse consequences of pregnancy. The aim of this study was to investigate the effect of educational intervention based on the integrated model of health belief model with the structure of social support on self-care behaviors during pregnancy. Materials and Methods: The present study was a quasi-experimental study conducted among 90 pregnant women in the first abdomen of Iranshahr in 2017. The samples were selected by simple random sampling and divided into two groups of intervention (45 people) and control (45 people). 5 training sessions were held for the intervention group and no intervention was performed in the control group. Six months after the training intervention, the questionnaire was completed by both groups. The collected data were analyzed using SPSS software version 20 and independent t-test, paired t-test and chi-square test. Results: The results showed that the mean scores of pregnant mothers in Perceived susceptibility structures 1. 74(±, 0/17), Perceived severity 4. 55(±, 0/05), Perceived benefits 0. 63(±, 0/05), self-efficacy 3. 67(±, 0/41), social support structure 5. 13(±, 0/63) and self-care behaviors 3. 15(±, 0/38) showed a significant increase in the intervention group (p<0. 001). In the comparison of birth weight, there was a statistically significant difference between the intervention and control groups after the educational intervention (P = 0. 036). Conclusion: The combination of health belief model and social support structure can be used as a suitable framework for designing and implementing educational interventions aimed at promoting the self-care behaviors of pregnant women and birth weight.

Background and Objective: Hypertension is a common disease, often asymptomatic and treatable. Left untreated, this condition often leads to fatal complications. The aim of this study was to investigate the status of self-care and its relationship with self-efficacy of patients with hypertension in Mashhad in 2019. Materials and Methods: In this descriptive cross-sectional study, 250 patients with hypertension in Mashhad in 1398 were selected by multi-stage method from among patients referred to comprehensive health care centers. Data collection tools were a three-part questionnaire including: demographic information and a standard questionnaire of self-efficacy and self-care of blood pressure. Data were analyzed using t-test, analysis of variance, Mann-Whitney, Kruskal-Wallis, linear correlation and regression by SPSS software version 20 with a significance level of 0. 05. Results: Based on the findings, self-efficacy and self-care behaviors with scores of 40. 43 ±,10. 13 and 48. 78±, 10. 66 were relatively undesirable. There was a significant relationship between self-efficacy and self-care behaviors with job, body mass index, number of sessions of receiving blood pressure counseling, drug use, and history of illness in the father (p <0. 05). It is worth mentioning that a positive and significant correlation was observed between the general scores of self-care and self-efficacy (P = 0. 001) (rp = 0. 82). Conclusion: Due to the significant correlation between self-care behaviors and self-efficacy and because these cases are very effective in preventing and controlling blood pressure. Therefore, it is recommended that educational programs for patients with hypertension to increase adherence to self-care behaviors and improve levels. Patient self-efficacy to be designed and implemented.

Background and Objective: Cardiovascular disease, as a chronic and debilitating physical condition, is one of the most common causes of death. The aim of this study was to investigate the mediating role of lifestyle in the relationship between coping strategies and quality of life in cardiovascular patients. Materials and Methods: The present study was descriptive-correlational and cross-sectional studies. The statistical population of the present study includes all cardiovascular patients in Tehran in 2019, of which 303 people were selected as the sample by the purposeful sampling method. Data collection tools included a Ways of Copying Questionnaire, a Health-Promoting Lifestyle Profile, and a Quality-of-Life Scale. Pearson correlation coefficient and path analysis with Amos software were used to analyze the data. Results: The results showed that lifestyle also played a mediating role in relation to quality of life coping strategies (P <0. 01). Lifestyle can explain 28% of the variance of physical health, 43% of mental health and 20% of social relationships. The problemfocused strategy was able to explain 11% of the variance of physical health and 24% of social relationships. The emotion-focused strategy was able to explain 90% of the variance of mental health and 26% of the variance of environmental health. Conclusion: According to the results, in cardiovascular patients, coping strategies can change the quality of life by influencing lifestyle. In other words, in these patients, problem-focused coping strategies through healthy lifestyle improvements can lead to improved quality of life.

Background and Objective: Iran will become the oldest country in the foreseeable future according to Iran's statistical center report. Improvement of physical activity level between elderly is one of the most effective factors in correcting people's life style and helps in successful aging. Using the leading countries experience as appropriate pattern could consider as one of the backgrounds of macro planning for elderly physical activity developments. We tried in this survey to extract and conceptualize valuable points that are useful in area of aging crisis management for country's health and sports department future planning. Materials and Methods: 23 valid and strategic documents and documents of elderly physical activity development planning of successful countries and valid and relevant international organization analyzed Which were uploaded and published in a reputable database between 2001 and 2019,They were crawled by Google Scholar and Google search engines and were validated in reputable databases such as ISI and Scopus or uploaded to government and official websites. Using the qualitative method of content analysis and the network of themes by the method of Brown and Clark (2006) until the theoretical saturation was analyzed. Manually and researcher-centered the Key, organized and basic themes conceptualized during 4 coherent phases of analysis and search for themes for this purpose and finally, their thematic network was drawn. Results: The results of data codification during three phases and summarization of extracted key themes caused detection of 32 coherent themes and 5 basis themes including basic and structural components, software components, hardware components, social and cultural components and operational components, in addition to thematic network. Conclusion: It is recommended that, country's health and sports department managers and authorities codify and perform useful strategic and operational plans for encountering to aging crisis and citizen successful aging by using this collection of extracted themes.

Background and Objective: Foresight of a new way of thinking that can challenge the originality of zero-one logic in the experimental sciences and modern medicine. This logic, by focusing on patient-health orientation and insisting on forecasting, leads health organizations and institutions to be passive in the face of future events. This study has been written with the aim of foresight with a backcasting approach and helping to build the future of the health system with a focus on health at the national level and based on the Islamic-Iranian lifestyle. Materials and Methods: In this research, using the Laprospective school approach and using the process governing the software, the software analyzes the goals and actions of the actors as well as the relationship between the goals and the actors through in-depth interviews with 25 health system experts. Results: Among the future goals of the country's health system, the goal of Organization and University Wisdom base as an infrastructure goal has the lowest net distance from other goals and among the actors of the Ministry of Health, Treatment and Medical Education, family physicians and non-governmental organizations has the highest Were important. Conclusion: The current structure of the health system due to the patient-healthoriented approach is not responsible for dealing with the new generation of diseases due to lifestyle changes. Therefore, the Ministry of Health, Treatment and Medical Education needs to change the current paradigm governing the health system due to its duty to be the stewardship of the health system.

Background and Objective: Decision making as a basis of management is like a nervous system of an organization and crisis is effective in decision making processes. This study aimed to analysing available researches about decision making in crisis in media organizations. Materials and Methods: This systematic review was implemented from March to June 2020. English language publications (2000-2019) were filtered in databases of Willey, Elsevier, ISI, Pubmed, SCOPUS and Google Scholar search engine by combination of following Keywords: "Decision making"AND"Media"AND"Crisis"in title, abstract and keywords. Results: After searching 6155 papers and removing repeated and unrelated ones, finally 14 papers were selected for deep analysis according to items identified. Results of this systematic review indicated that following factors are effective in descion making in crisis: "Attention to time of content production, Agile organizations, Decision-making models, Method of news coverage continuation, Effects of place on crisis management ", "Creating the trust, Recording experiences before during and after the crisis, Shortage of human resources in crisis, Interactive nature of social medias, Attention to panoramic dimension of the crisis, Time of the crisis, using tools of social medias and attention to new media trends". Conclusion: In health crisis (Corona Pandemic) Convincing use of communicational message by media organizations with the goal of effecting in belief, attitude and health behaviors of society is necessary. Meanwhile designing a big and panoramic picture of all related dimentions of media and health and attention to “, Media litracy”,and “, Health litracy”,of media managers besides designing and implementing researches based on descion making methods development in crisis and also benefit of other countirs experiences will leads to effective descion making in health system.