JOURNAL OF HEALTH AND CARE
Year:2019 | Volume:21 | Issue:1|Papers Count:8

Background & objectives: Despite numerous physical, psychological and social problems in hemodialysis patients, these patients also experience some positive psychological changes, called "posttraumatic growth". Posttraumatic growth is a complex concept associated with many factors, such as the characteristics of individual emotional intelligence. The purpose of this study was to determine the relationship between emotional intelligence and posttraumatic growth in hemodialysis patients in Ardabil province. Methods: This descriptive-correlational study was conducted on all hemodialysis patients referred to hospitals in Ardabil Province in 2017. The Instruments used was included demographic characteristics form, Short form of Emotional Intelligence and Posttraumatic Growth Inventory. Data analysis was performed using descriptive and inferential statistics in SPSS version 15. Results: Most of the patients were male (55% ), married (88. 8% ) and illiterate (45% ). The mean and standard deviation of posttraumatic growth and emotional intelligence were 69. 94± 12. 78 and 140. 88± 19. 47, respectively. Also, emotional intelligence was associated with posttraumatic growth (r=0. 617, p<0. 001). Conclusion: The results of the study showed that emotional intelligence had a direct correlation with post-traumatic growth. So, it can be suggested that education and promotion of emotional intelligence in hemodialysis patients can promote the development of posttraumatic growth.

Background & objectives: Although, pregnancy and delivery are natural processes in woman's life, they are stressful experiences with emotional, physical and social changes. Woman’ s response to pregnancy is affected by a variety of factors, among which pregnancy age can be considered as the most important factor with significant effects on pregnancy and delivery processes. This study was conducted to evaluate the self-care, perceived social support and perceived stress in pregnant women in high-and low-risk ages. Methods: This comparative-descriptive study was performed on 400 pregnant women referred to the midwifery clinic of Tabriz 29 Bahman hospital between 2017 and 2018. Individuals were divided into two groups: low-risk (18-35 years old) and high-risk (under 18 and over 35 years old). Data were collected using a four-part questionnaire: demographic characteristics and midwifery history, self-care questionnaire in pregnancy, perceived social support and perceived stress. Data analysis was performed using descriptive statistic and independent t-test in SPSS v21. Results: The means of self-care during pregnancy were 43. 2± 5. 1 and 42± 6. 2 in low-risk and high-risk groups, respectively. In low-risk and high-risk groups, the means of perceived social support during pregnancy were 68. 3± 11. 6 and 64. 4± 12. 4, and the average perceived stress were 37. 3± 7 and 39. 1± 9. 4, respectively. Independent t-test showed the significant relationship in self-care (p=0. 03), perceived social support (p=0. 03) and perceived stress (p=0. 008) during pregnancy, in both groups. Conclusion: The study found that pregnant women in high-risk ages experience lower selfcare, lower social support and higher stress compared to pregnant women in high-risk ages. Therefore, increasing awareness and education of pregnant women about appropriate lifestyle, increasing social support and reducing stress during pregnancy can help pregnant women to improve their quality of life and successful pregnancy outcomes especially in high-risk ages.

Background & objectives: Primary dysmenorrhea is one of the common problems of women in reproductive age, disrupting the quality of life young women, especially when accompanied with symptoms such as headache, fatigue, nausea, vomiting, diarrhea and impatience. The present study aimed to investigate the effect of Fennel on reduction of symptoms associated with pain in primary dysmenorrhea. Methods: This clinical trial study was conducted on 105 dormitory students of Ardabil Islamic Azad University with primary dysmenorrhea who consented to the study. Among them, 72 qualified individual with grade 3 primary dysmenorrhea were selected and then randomly divided into two experimental (Fennel ) and control (placebo)groups. In experimental group and at the first 3 days of the menstrual cycle, 3-5 drops of fennel, in tea or water, was administered for three consecutive cycles. The control group received distilled water-containing capsule (placebo) 4 times a day for three consecutive cycles. The data were collected by five-part questionnaire and analyzed with descriptive statistics and chi-square test in SPSS version 17. Results: The results of this study showed that there was no significant difference in the symptoms associated with pain during menstruation cycle between experimental and control groups. Conclusion: The study found that Fennel was not able to reduce the symptoms associated with pain in the primary dysmenorrhea, including headaches, fatigue, diarrhea, nausea, and vomiting. It seems that this herbal cannot be used as remedy for systemic symptoms in dysmenorrhea.

Background & objectives: Marital relationship is one of the significant dimensions of life. Having marital satisfaction plays an important role in professional status of nurses. Appreciation, sense of humor and social support are factors that can effect on marital relationship. Therefore, the aim of this study was to determine the relationships between appreciation, sense of humor and social support with nurse’ s marital satisfaction. Methods: This was a descriptive-correlational study. The statistical population was all nurses in Sari-affiliated hospitals in 2017. By multistep random sampling method, 263 nurses were selected. The study instruments were appreciation in relationships Scale, sense of humor questionnaire, perceived social support scale and marital satisfaction questionnaire. Data analysis was performed in SPSS V. 21 using coefficient Pearson correlation and multivariate regression analysis with Enter model. Results: The findings showed that there were positive correlations between appreciation (r=0. 27), sense of humor (r=0. 19) and perceived social support (r=0. 26) with nurses’ marital satisfaction and these correlations were statistically significant (p<0. 01). In a predictor model, appreciation, sense of humor and social support could predict 19. 9 percent of nurses’ marital satisfaction (R 2 =0. 199). Conclusion: The appreciation, sense of humor, and social support variables had effective roles in predicting nurses’ marital satisfaction. Hence, it is proposed that counselors, therapists and healthcare planners provide for nurses’ the necessary trainings in the area of marital satisfaction predictors.

Background & objectives: Violence against women is a serious threat to health and human rights. It seem that the level of violence in infertile women to be more than other women. The aim of this study was to determine the relationship between infertility and sexual violence in infertile women referred to Alzahra hospital in Rasht. Methods: The analytical-cross sectional study was conducted in 400 women (200 infertile women and 200 fertile women) who were referred to Al-Zahra hospital in Rasht, Iran. Samples were selected through convenience sampling from patient referring to clinics of infertility and women. Data were collected by sexual violence questionnaire retrieved from WHO Domestic violence questionnaire. Data were analyzed using descriptive statistics, independent t-test, chi-square test and logistic regression in SPSS software version 18. Results: Sexual violence was 60% in the case group and 35. 5% in the control group, which was significantly higher in the infertile group (p<0. 0001). In the logistic model, there was a significant relationship between sexual violence with the duration of marriage, female education, husband's job and infertility (p<0. 001). Also there was a significant relationship between husband addiction and sexual violence at the level of p<0. 05. Conclusion: The study found that infertile women are suffered from sexual violence more significantly. Given that, factors such as the level of women education and occupation and the addiction of spouse can also be a predisposing factor for violence, it is necessary to include plans for empowering women in field of violence, preventing addiction and raising awareness about sexual violence in the community.

Background & objectives: Limiting the network of personal communications and inadequacies in the physical and social dimensions leads to stress perception which may have significant effects on the quality of life of the elderly. So, coping with the challenges of this phenomenon and the using appropriate strategies to improve the physical, mental and social health of the elderly is important. Therefore, the aim of this study was to develope a model of distress tolerance and perceived stress for investigating the elderly quality of life. Methods: The present study was a correlational study which used a modeling method. The sample size was 377 elderly people over 60 years of age living in Tehran in 2018. They were selected by available sampling method and were evaluated using WHOQOL-BREF, distress tolerance scale (DTS ) and perceived stress scale (PSS-14). The data were evaluated using path analysis by statistical softwares SPSS-20 and AMOS-20. Results: Results showed that there was a significant negative correlation between perceived stress and quality of life in the elderly (p<0. 01). Also, There was a significant positive correlation between distress tolerance and quality of life in the elderly (p<0. 01). Furthermore, the findings confirmed the role of perceived stress connecting distress tolerance to quality of life of elderly. Conclusion: According to our findings, we can suggest that the training to increase distress tolerance and performing interventions to empower the elderly against stress would be an appropriate way to improve the elderly quality of life. Also, this can prevent the psychiatric disease and social problems of the elderly.

Background & objectives: Breast cancer diagnosis presents significant distress for both patients and their partners. Decrease in quality of life and disruption of marital communication patterns are among the problems experienced by patients and their spouses following breast cancer diagnosis. Psychological interventions can be effective in reducing the problems related to cancer. Therefore, the aim of this study was to determine the effectiveness of Gottman cognitive-systemic based intervention training on quality of life and relationship patterns in women with breast cancer and in their partners. Methods: This was a semi-experimental study with pre-test, post-test and control group. The subjects who entered the study were randomly divided into two experimental and control groups. Both groups responded to quality of life questionnaires of cancer patients and world health organization and also Gottman’ s distance and isolation Questionnaire. Then, the experimental group participated in Gottman cognitive-systemic intervention training for eight sessions of two hours. After ending the training, post-test was performed and after three months, follow up test was performed on both experimental and control groups. Data were analysed using independent t-test and covariance. Results: Data analysis indicated that mean and standard deviation of relationship pattern (21. 20± 6. 6) and quality of life (67. 22± 11. 79) in the experimental group after training were significantly different compared to the mean and standard deviation for relationship pattern (45. 20± 8. 85)and quality of life (50. 89± 12. 08) in control group. Conclusion: The results showed that cognitive-systemic intervention could be useful in improving cancer-related problems for patients and their partners. Also, this finding can helpful for health and family professionals who are in touch with patients and their families.

Background & objectives: Peripheral diabetic neuropathy is one of the most commonly diagnosed microvascular complications of diabetes, which due to impairment in the deep sensory performance, decreases in balance and strength and muscular endurance. The purpose of this study was to investigate the effect of two types of combined training on physical performance and body composition in type 2 diabetic women with peripheral neuropathy. Methods: In this quasi-experimental study, 33 women with diabetic neuropathy were divided into three groups (two experimental groups and one control ). Training groups performed combined aerobic-resistance exercises for 12 weeks, 3 times a week with specific volume and intensity. The program of training group 1 was resistance training with 2-3 sets, 10-12 repetitions for each exercise in 4-5 station and aerobic interval with 70-55% maximum heart rate for 30 to 45 minutes. For group 2, the exercises were similar to the first group, with this difference that the resistance training was performed for 8 to 10 station and the aerobic training for 15 to 22 minutes. The control group did not participate in any training program. Before and after interventions, physical function, body composition and blood samples were measured in all subjects. The data were analyzed via repeated measurements of ANOVA and Bonferroni post hoc test with a significant level of p<0. 05. Results: The results showed the significant improvement in balance after 12 weeks of training in experimental group 2 compared to 1 and control groups (p<0. 05). Also, the maximum power, muscular endurance of the lower limbs and maximum oxygen consumption in experimental groups 1 and 2 were significantly higher than control group (p<0. 05). However, there was no significant difference between the blood parameters (fasting blood glucose, HbA1C, insulin, insulin resistance ), body mass index, weight, waist circumference and body fat percentage (p<0. 05). Conclusion: Combined training with two different volumes can improve physical function and body composition in diabetic neuropathic patients. However, the combined training with the dominant resistance showed more impact. Therefore, in order to improve the performance indicators, it is recommended for diabetic neuropathy patients, to use combined programs with dominant resistance training, if they have no limitation.