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Comparing the Effectiveness of Art Therapy based on Painting with Childbirth Preparation Classes on Psychological Distress of Pregnant Women 绘画艺术疗法与分娩准备班对孕妇心理困扰的效果比较
Pub Date : 2023-04-01 DOI: 10.32598/cjhr.8.2.447.2
Latifeh Sharifpour, Razieh Abdi Salaleh, Rezvaneh Kouzehgran, Alireza Meftahi, Boshra Shapari
Background: Psychological distress is very common during pregnancy and threatens the health of both the mother and fetus. Non-pharmacological treatments are of priority to reduce the psychological distress of pregnant women. Objectives: This study aimed to determine and compare the effectiveness of art therapy based on painting and childbirth preparation classes on the psychological distress of pregnant women in the third trimester of pregnancy. Materials & Methods: The present study was a quasi-experimental pretest-posttest design with a control group. The statistical population consisted of all pregnant women in the third trimester who were referred to health and treatment centers of Kerman in 2020, among whom 51 were selected by convenience sampling method and randomly assigned into three groups of art therapy based on painting, childbirth preparation classes, and a control group (n=17 in each group). Data were collected using Kessler psychological distress scale in two periods before and after the interventions. Art therapy based on a painting was performed in 12 sessions of 90 minutes weekly for the first experimental group for a month and a half. Childbirth preparation classes were performed in eight 90-minute weekly sessions for the second experimental group for two months. The control group received no intervention. Data were analyzed using univariate analysis of covariance and Bonferroni posthoc test. Results: The mean (Standard deviation) of psychological distress in the art therapy based on the painting group decreased from 23.47 (0.89) in the pre-test to 8 (0.71) in the post-test (P<0.001). In the childbirth preparation class group, it decreased from 23 ±0.51 in the pre-test to 17.10 ±1. 01 in the post-test (P< 0.001). It showed that art therapy based on painting was found more effective in comparison with childbirth preparation classes (P< 0.05). While there was no difference in the psychological distress of the control group in the pre-test and post-test. Conclusions: Both interventions reduced the psychological distress of pregnant women in the third trimester. In comparison with the two interventions, art therapy based on painting was more effective in reducing psychological distress.
背景:心理困扰是妊娠期非常常见的问题,威胁着母胎的健康。非药物治疗是减少孕妇心理困扰的优先选择。目的:本研究旨在确定并比较绘画艺术疗法与分娩准备课程对妊娠晚期孕妇心理困扰的效果。材料与方法:本研究采用准实验前测后测设计,并设对照组。统计人群为2020年到克尔曼健康治疗中心转诊的所有孕晚期孕妇,采用方便抽样法抽取51例,随机分为绘画艺术治疗组、分娩准备班组和对照组3组(每组17例)。采用Kessler心理困扰量表收集干预前后两期的数据。第一组以绘画为基础进行艺术治疗,每周进行12次,每次90分钟,持续一个半月。第二个实验组每周上8节90分钟的分娩准备课,持续两个月。对照组不进行干预。数据分析采用单因素协方差分析和Bonferroni后验检验。结果:以绘画为基础的艺术治疗组心理困扰均值(标准差)由前测的23.47(0.89)降至后测的8(0.71),差异有统计学意义(P<0.001)。分娩准备班组由前测时的23±0.51降至17.10±1。P< 0.001)。以绘画为基础的艺术治疗比分娩准备班更有效(P< 0.05)。而对照组的心理困扰在测试前和测试后没有差异。结论:两种干预措施均可减少妊娠晚期孕妇的心理困扰。与两种干预措施相比,以绘画为基础的艺术疗法在减少心理困扰方面更有效。
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引用次数: 0
The Effectiveness of Strengths-Based Treatments for Impulsivity and Self-control in Adolescents with Binge-Eating Disorders 基于力量的治疗对青少年暴食症患者冲动和自我控制的效果
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.407.1
Sabah Abazar fard, Lale Javidan, Alireza Meftahi, Taraneh Dabiri, Z. Solgi
Background: There are various educational programs based on theoretical frameworks for binge-eating disorders. However, there is no evidence for Strengths-Based approach targeting low inhibitory control and impulsivity of the patients. Objectives: This experimental study explored the effect of a Strengths-Based clinical teaching course on impulsivity and self-control of adolescents with binge-eating disorder. Materials & Methods: The study was a quasi-experimental design with pre-test and posttest evaluations on adolescents with binge-eating disorders in clinical psychology in Kermanshah. A total of 26 adolescents with binge-eating disorders were randomly assigned to the experimental (n=13) and control (n=13) groups. Then, they were asked to fill out a questionnaire about Barrat’s impulsivity scale and Tangney’s Self-Control Scale. The experimental group was taught methods and techniques of strengths-based strategies for eight 90-minute sessions followed by training sessions of strengths-based skills once a week for 2 months, whereas the control group received no psychological training during this time. After these sessions, both groups were given post-test evaluations. Data were compared using multivariate and univariate analysis of variance. Results: The age range of participants was 14-18 years. The mean post-test score showed that impulsivity was significantly decreased and self-control was significantly increased in the experimental group. The result of univariate analysis of variance indicate that the two groups differed significantly on impulsivity (F=15.91, P=0.001,ηp2=0.59) and self-control (F=17.25, P=0.001, ηp2=0.62). Conclusion: Using a strength approach offers effective self-control and impulsivity to adolescents with binge-eating disorders.
背景:有各种基于暴食症理论框架的教育项目。然而,没有证据表明基于优势的方法针对低抑制性控制和冲动性患者。目的:探讨基于优势的临床教学课程对青少年暴食症患者冲动与自我控制能力的影响。材料与方法:本研究采用准实验设计,对克尔曼沙地区青少年暴食症患者的临床心理学进行前测和后测评价。共有26名患有暴食症的青少年被随机分为实验组(n=13)和对照组(n=13)。然后,他们被要求填写一份关于Barrat冲动量表和Tangney自我控制量表的问卷。实验组接受了8次90分钟的优势策略训练,随后进行了为期2个月的优势技能训练,每周1次。而对照组在此期间没有接受任何心理训练。在这些测试之后,两组都进行了测试后的评估。数据比较采用多变量和单变量方差分析。结果:参与者年龄在14 ~ 18岁之间。后测平均分显示,实验组的冲动性显著降低,自我控制能力显著提高。单因素方差分析结果显示,两组在冲动性(F=15.91, P=0.001,ηp2=0.59)和自制力(F=17.25, P=0.001,ηp2= 0.62)上存在显著差异。结论:力量法对青少年暴食症患者的自我控制和冲动性有较好的效果。
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引用次数: 0
The Relationship between Academic Support and Well-Being in Students through Mediation of Resilience 心理弹性对学生学业支持与幸福感的影响
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.446.1
Ebrahim Mahmoodimehr, F. Hafezi, S. Bakhtiarpour, R. Johari Fard
Background: Resilience is considered as one of the normal structures and concepts in positive psychology to better adjust to stressful situations and achieve well-being. Objectives: The present study aimed to investigate the mediating role of resilience in the relationship between academic support and academic well-being in students. Materials & Methods: This was a descriptive cross-sectional study using structural equation modeling (SEM). The statistical population comprised all high school studentsof Khorramabad city in the school year 2020-21, among which, 353 students were selected through multistage cluster random sampling. The research instruments included Academic Support Scale, Academic Well-Being Questionnaire, and Academic Resilience Inventory. Data were analyzed using the SEM technique. Results: There was a positive relationship between academic support and academic well-being (β=0.33; P<0.001) in the students. There was a direct relationship between academic resilience and academic well-being in the students (β=0.55; P<0.001). There was also a positive relationship between academic support and academic resilience in the students (β=0.23; P<0.001). Academic resilience had a mediating role in the relationship between academic support and academic well-being in high school students (P<0.001). Conclusion: Accordingly, the model had a good fit to the data. School principals and teachers should improve students’ well-being by increasing academic support and resilience.
背景:弹性被认为是积极心理学中的一个正常结构和概念,可以更好地适应压力环境,实现幸福。目的:本研究旨在探讨心理弹性在学生学业支持与学业幸福感之间的中介作用。材料与方法:这是一项使用结构方程模型(SEM)的描述性横断面研究。统计人群为2020-21学年霍拉马巴德市所有高中学生,其中通过多阶段整群随机抽样抽取353名学生。研究工具包括学业支持量表、学业幸福感问卷和学业弹性量表。采用扫描电镜技术对数据进行分析。结果:学业支持与学业幸福感呈显著正相关(β=0.33;P<0.001)。学生学业弹性与学业幸福感有直接关系(β=0.55;P < 0.001)。学生学业支持与学业弹性也存在显著正相关(β=0.23;P < 0.001)。高中学生学业弹性在学业支持与学业幸福感之间具有中介作用(P<0.001)。结论:该模型与数据拟合较好。学校校长和教师应该通过增加学术支持和适应能力来改善学生的福祉。
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引用次数: 0
The Effectiveness of Cognitive-Behavioral Therapy based on Mindfulness of Psychological Distress and Tolerance of Ambiguity on COVID-19 Obsession Disorder 基于心理困扰正念和模糊容忍的认知行为疗法对COVID-19强迫症的疗效观察
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.362.1
F. B. Sheykhangafshe, H. Farahani, A. Fathi-Ashtiani
Background: A high incidence of obsessive behaviors has been reported during the COVID-19 pandemic. Objective: This study was carried out to estimate the effectiveness of cognitive-behavioral therapy based on mindfulness of psychological distress and tolerance of ambiguity in patients with COVID-19 obsession . Materials and Methods: The present pretest-posttest study with a control group design was conducted on patients with COVID-19 obsession in 2021. The required information was collected using the COVID-19 obsession scale, a short form of psychological distress, and a tolerance of ambiguity questionnaire. The experimental group obtained ten 90-minute classes of cognitive-behavioral therapy based on mindfulness. The adjusted post-test scores were compared using an analysis of covariance. Results: The mean age of participants in the experimental and control group was 31.84 (standard deviation (SD)=4.68) and 34.09 (SD=7.05) years, respectively. Cognitive-behavioral therapy based on mindfulness significantly reduced anxiety (F=41.99, P=0.001, η2=0.63), depression (F=27.19, P=0.001, η2=0.53), stress (F=26.92, P=0.001, η2=0.52), and increases tolerance of ambiguity (F=31.63, P=0.001, η2=0.57), in patients with COVID-19 obsession disorder. Conclusion: The findings indicated that cognitive-behavioral therapy based on mindfulness appreciably improves the mental health of sufferers with COVID-19 obsession. Considering the long-term effects of COVID-19, psychology and counseling facilities should take measures to become aware of and treat vulnerable groups.
背景:在新冠肺炎大流行期间,有报道称强迫行为高发。目的:评估基于心理困扰正念和模糊耐受性的认知行为疗法对COVID-19强迫症患者的疗效。材料与方法:本研究采用前测后测法,采用对照组设计,研究对象为2021年COVID-19困扰患者。使用COVID-19困扰量表(一种简短的心理困扰形式)和模糊容忍度问卷收集所需信息。实验组接受了10节90分钟的基于正念的认知行为疗法课程。使用协方差分析比较调整后的测试分数。结果:实验组和对照组的平均年龄分别为31.84(标准差(SD)=4.68)和34.09 (SD=7.05)岁。基于正念的认知行为疗法显著降低了COVID-19强迫症患者的焦虑(F=41.99, P=0.001, η2=0.63)、抑郁(F=27.19, P=0.001, η2=0.53)、压力(F=26.92, P=0.001, η2=0.52)和对模糊的容忍度(F=31.63, P=0.001, η2=0.57)。结论:研究结果表明,基于正念的认知行为疗法可显著改善COVID-19强迫症患者的心理健康状况。考虑到新冠肺炎的长期影响,心理咨询机构应采取措施,了解和治疗弱势群体。
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引用次数: 0
The Mediating Role of Difficulty in Emotional Regulation in the Relationship between Self-compassion and Anxiety among University Students 情绪调节困难在大学生自我同情与焦虑关系中的中介作用
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.463.1
Mojtaba Mirzaei Neyestani, Sogand Ghafarian Nemati Sales, Mahsa Khodakarami, S. Salehi, S. Ahmadi, Zeynab Javaheri, Atena Bagherzadeh
Background: The results of previous studies indicated that increasing self-compassion is associated with increased ability to regulate emotion. Objective: The aim of this study was to investigate the mediating role of difficulty in emotional regulation in the relationship between self-compassion and anxiety among university students. Materials & Methods: The current cross-sectional study was performed on male and female undergraduate, graduate and doctoral students in Tehran from January to September 2022. After obtaining official permission, 208 students from Amir Kabir University, Shahid Beheshti University, Islamic Azad University, North branch, Central branch, Research Science branch and Rodehen branch were selected using a convenience sampling method. Self-compassion scale of Neff, difficulty in emotion regulation of Graz and Roemer, and Beck anxiety scale were used to collect data. Data were then analyzed using structural equation modeling. Results: The mean age of participants was 27.63 (standard deviation= 9.13), 143 were female and 145 were single. the direct effect of self-compassion on anxiety is not significant (β =0.261, P = 0.109), but the indirect effect of self-compassion on anxiety with mediating role in difficulty of emotional regulation is significant (β = -0.674, P = 0.001). Thus, self-compassion reduces anxiety by reducing the difficulty in emotional regulation. The results also show that self-compassion alone explains 17% of the variance of anxiety. Self-compassion and difficulty in emotional regulation account for 34% of the variance of anxiety. Conclusion: The findings revealed that difficulty in emotional regulation plays a full mediating role in the relationship between self-compassion and anxiety. This study highlights the role of self-compassion and difficulty in emotional regulation in reducing anxiety, But to use self-compassion-based education and emotional regulation in anxiety management, more research is needed to examine their effect in the form of empirical research.
背景:以往的研究结果表明,自我同情的增加与情绪调节能力的提高有关。目的:探讨情绪调节困难在大学生自我同情与焦虑关系中的中介作用。材料与方法:本横断面研究于2022年1月至9月在德黑兰对男女本科生、研究生和博士生进行。在获得官方许可后,采用方便抽样法从Amir Kabir大学、Shahid Beheshti大学、伊斯兰阿扎德大学、北部分校、中央分校、研究科学分校和罗德赫恩分校选取208名学生。采用Neff自我同情量表、Graz和Roemer情绪调节困难量表和Beck焦虑量表收集数据。然后使用结构方程模型对数据进行分析。结果:参与者平均年龄27.63岁(标准差= 9.13),女性143人,单身145人。自我同情对焦虑的直接影响不显著(β =0.261, P = 0.109),但自我同情对焦虑的间接影响及其在情绪调节困难中的中介作用显著(β = -0.674, P = 0.001)。因此,自我同情通过降低情绪调节的难度来减少焦虑。研究结果还显示,仅自我同情就能解释17%的焦虑变异。自我同情和情绪调节困难占焦虑方差的34%。结论:情绪调节困难在自我同情与焦虑的关系中起完全中介作用。本研究强调了自我同情和情绪调节困难在降低焦虑中的作用,但要将自我同情教育和情绪调节应用于焦虑管理,还需要更多的实证研究来检验它们的效果。
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引用次数: 2
Self-harming Behaviors and suicide probability in delinquent adolescent girls: The role of emotion dysregulation and modeling the self-harming of peers 青少年不良少女自我伤害行为与自杀概率:情绪失调的作用及同伴自我伤害的模型
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.440.1
Maryam Akbari-Motlaq, Saied Teymuri, Mohammadjavad Asghari-ebrahimabadi, Behrouz Mahram
Background: Adolescents may be exposed to several mental health related difficulties due to lack of complete cognitive maturity. Objective: This study investigated the mediation of emotion dysregulation and modeling of peers in relation between self-harming behaviors and suicide probability in adolescent. Material& Methods: In a descriptive study, we investigated juvenile delinquents of Correction and Rehabilitation Center of Mashhad during 2021. A total of 148 individuals were selected and evaluated using the self-harm motivation scale, Ottawa self-harming inventory, regulation problems scale and peer self-harm modeling scale. Data were analyzed using structural equation modeling in SmartPLS-3 software. Results: The mean age of participants was 16.21 (standard deviation=2.42). There was significant direct effect of self-harming behaviors on suicide probability (β=0.86 , P= 0.001 ). The significant indirect effect of self-harming behaviors on suicide probability through emotional dysregulation (β= 0.36, P= 0.001 ) was stronger than indirect effect mediated by peers modeling (β=0.17 , P= 0.04 ). The model account for 87 % of total variance of suicide probability. Conclusion: Based on the findings of the study, it can be concluded that emotion dysregulation and peers modeling play a role in increasing suicide probability and should be considered in preventing harmful behaviors in adolescents.
背景:由于缺乏完全的认知成熟,青少年可能面临一些与心理健康相关的困难。目的:探讨情绪失调和同伴模式在青少年自残行为与自杀概率之间的中介作用。材料与方法:在一项描述性研究中,我们调查了2021年在马什哈德矫正和改造中心的少年犯。采用自残动机量表、渥太华自残量表、规范问题量表和同伴自残建模量表对148名被试进行评估。数据分析采用SmartPLS-3软件结构方程建模。结果:参与者的平均年龄为16.21岁(标准差为2.42)。自残行为对自杀概率有显著的直接影响(β=0.86, P= 0.001)。自我伤害行为通过情绪失调对自杀概率的间接影响(β= 0.36, P= 0.001)强于同伴建模介导的间接影响(β=0.17, P= 0.04)。该模型占自杀概率总方差的87%。结论:基于本研究结果,情绪失调和同伴建模在青少年自杀概率增加中起作用,应在青少年有害行为预防中加以考虑。
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引用次数: 0
The Checklist and Distribution of Sand Flies (Diptera: Psychodidae) of Guilan Province and Their Medical Importance With a Taxonomic Note on the Name Sergentomyia murgabiensis sintoni 桂兰地区沙蝇(双翅目:沙蝇科)的分布及医学意义——兼论murgabiensis sintoni的分类
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.473.1
S. Azari-Hamidian, B. Norouzi, Hannaneh Maleki
Background: Different forms of leishmaniasis are important infectious diseases in Iran. While Rudbar County of Guilan Province has been introduced as a cutaneous leishmaniasis focus, there are few published data about the phlebotomine sand flies (Diptera: Psychodidae, Phlebotominae) of the province and their medical importance. Objectives: The present study is going to provide a review of sand fly-borne infections in Guilan Province and a checklist of sand flies of the province. Also, a note is presented on the name Sergentomyia murgabiensis sintoni. Materials & Methods: Using the main databases such as Web of Science, PubMed, Scopus, Google Scholar, Scientific Information Database (SID), IranMedex and Magiran which were searched up to September 2022 and reviewing the literature, the available data about the sand fly-borne diseases of Iran and Guilan Province were extracted and analyzed. Results: In total, 11 species representing two genera of sand flies, Phlebotomus and Sergentomyia, are found in Guilan Province. The checklist and distribution of sand flies of the province have been provided. All species of the genus Phlebotomus in the province are proven or suspected vectors of leishmaniasis. Sand fly-borne leishmaniasis (cutaneous and visceral), sand fly fever and lizard leishmaniasis, which are among the endemic infections of the province, are discussed. Also, a taxonomic note is presented on the name Sergentomyia murgabiensis sintoni. Conclusion: The prevalence of suspected or proven vectors of sand fly-borne diseases in Guilan Province is noteworthy. The study of the ecology of sand flies and detecting the exact vectors and reservoirs of leishmaniasis and phlebotomine fever by serological or molecular- specific tests in the province are recommended. Moreover, additional samplings of sand flies from localities, where have not been studied, are necessary.
背景:不同形式的利什曼病是伊朗重要的传染病。虽然贵州省鲁德巴县已被介绍为皮肤利什曼病的重灾区,但关于该省白蛉(双翅目:白蛉科)及其医学重要性的公开资料很少。目的:对桂兰省沙蝇感染情况进行综述,并编制全省沙蝇名录。此外,还介绍了一种名为murgabiensis sintoni的注释。材料与方法:利用Web of Science、PubMed、Scopus、Google Scholar、科学信息数据库(SID)、IranMedex、Magiran等主要数据库检索至2022年9月,并查阅文献,提取伊朗和桂兰两省现有沙蝇传播疾病资料并进行分析。结果:贵州省共发现白蛉和沙蝇2属11种。提供了我省沙蝇的名录和分布情况。该省所有白蛉属物种均已证实或疑似为利什曼病媒介。讨论了该省地方性感染中的沙蝇传播利什曼病(皮肤和内脏)、沙蝇热和蜥蜴利什曼病。此外,对名称murgabiensis sintoni提出了分类说明。结论:桂兰省疑似或已证实的沙蝇传播疾病媒介流行情况值得关注。建议开展沙蝇生态研究,并通过血清学或分子特异性检测确定利什曼病和白蛉热的确切病媒和宿主。此外,有必要从尚未研究过的地方对沙蝇进行额外取样。
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引用次数: 1
The application of Protection Motivation Theory in predicting AIDS prevention behaviors in drug addicts living in addiction treatment camps 保护动机理论在戒毒所吸毒人员艾滋病预防行为预测中的应用
Pub Date : 2023-01-01 DOI: 10.32598/cjhr.8.1.470.1
Sadegh Zhalegholi, P. Kasmaei, F. Bakhshi, E. Fattahi, M. Jadgal, F. Mehrabian, N. Rouhani-Tonekaboni
Background: Today, addiction, especially injectable addiction, is the most important risk factor for viral diseases transmitted through blood, such as AIDS, hepatitis C and B. Objectives: The present study was conducted with the aim of determining the predictive factors of AIDS prevention behaviors based on the protection motivation theory (PMT) in drug addicts living in addiction treatment camps in city of Rasht, North of Iran. Materials & Methods: This cross-sectional-descriptive study was conducted on 320 drug-dependent patients living in addiction treatment camps in Rasht city. The samples were selected by simple random sampling method. The required data was collected through a questionnaire and then analyzed using multivariate linear regression model. Results: There was a very weak significant correlation between the HIV prevention behaviors and constructs of PMT including perceived self-efficacy (r=0.20), knowledge (r=0.16), reward (r=0.15), perceived response cost (r=0.14), perceived response efficiency, and fear (r=0.11). The PMT model accounted for 7% of variation in HIV prevention behaviors. Though, the model explained 38% of variance of protection motivation. Conclusion: The PMT model could not predict HIV prevention behaviors. There are many other factors such as low intention that may interfere for adopting the desired behaviors. So, it is suggested to explore a wider range of psychosocial factors in future research.
背景:今天,成瘾,特别是注射成瘾,是艾滋病、丙型肝炎和乙型肝炎等病毒性疾病通过血液传播的最重要的危险因素。目的:本研究基于保护动机理论(PMT)在伊朗北部拉什特市戒毒所生活的吸毒者中确定艾滋病预防行为的预测因素。材料与方法:本研究采用横断面描述性研究方法,对320名生活在拉什特市戒毒所的药物依赖患者进行研究。采用简单随机抽样法选取样本。通过问卷调查收集所需数据,然后使用多元线性回归模型进行分析。结果:HIV预防行为与PMT的知觉自我效能(r=0.20)、知识(r=0.16)、奖励(r=0.15)、知觉反应成本(r=0.14)、知觉反应效率、恐惧(r=0.11)等构念存在极弱的显著相关。PMT模型占艾滋病毒预防行为变异的7%。然而,该模型解释了38%的保护动机方差。结论:PMT模型不能预测HIV预防行为。还有许多其他因素,如低意图,可能会干扰采取期望的行为。因此,建议在未来的研究中探索更广泛的社会心理因素。
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引用次数: 0
Correlation Between Affective Status and Self-care Behaviors in Patients with Heart Failure 心衰患者情感状态与自我护理行为的相关性研究
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.352.2
Leila Rouhi Balasi, A. Salari, A. Ashouri, Azam Nourisaeed, Zahra Ahmadnia, F. Moaddab, F. Zaersabet
Background: Poor self-care in patients with Heart Failure (HF) is directly associated with the patient’s general health getting deteriorated and hospitalized. Objectives: One of the factors influencing compliance with self-care behaviors is mood status. The aim of this study was to determine the relationship between affective status with self-care behaviors in patients with HF. Materials & Methods: In this analytical cross-sectional study, 372 HF outpatients referring to a specialized heart clinic have been included using convenient sampling method. Study tools had 4 parts including demographic and social factors, the European Heart Failure Self-care Behaviors scale, and positive and negative affect scales. The collected data were analyzed using multivariate linear regression model. Results: The multivariate model adjusted for patient’s education, suffering from chronic obstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113, Standard Error (SE) =0.056, P=0.046) and negative affect (β=0.341, SE=0.053, P<0.001) were significantly related to self-care behaviors, but anhedonia did not have any significant relation with self-care behaviors (β= -0.105, SE=0.097, P=0.280). The separate models accounted for 8 to 11% of the variance in the self-care behaviors. Conclusion: The result of current study indicates that patients’ mood statue including positive and negative affect are significant contributors of self-care behaviors. So, it is recommended that in addition to the patient’s physical condition, the rehabilitation program of the heart failure patients should incorporate their psychological and mental status
背景:心力衰竭(HF)患者自我护理不良与患者整体健康状况恶化和住院直接相关。目的:情绪状态是影响自我护理行为依从性的因素之一。本研究旨在探讨心衰患者情感状态与自我照顾行为之间的关系。材料与方法:在本分析性横断面研究中,采用方便抽样方法纳入了372例心衰门诊患者。研究工具包括人口统计学和社会因素、欧洲心力衰竭自我护理行为量表、积极和消极影响量表等4个部分。收集的数据采用多元线性回归模型进行分析。结果:经患者受教育程度、是否患有慢性阻塞性肺疾病、心力衰竭持续时间等因素调整后的多因素模型显示,积极情绪(β=0.113,标准误差(SE) =0.056, P=0.046)和消极情绪(β=0.341, SE=0.053, P<0.001)与自我保健行为显著相关,而享乐缺乏与自我保健行为无显著相关(β= -0.105, SE=0.097, P=0.280)。独立的模型解释了8%到11%的自我照顾行为差异。结论:本研究结果表明,患者的情绪状态(包括积极情绪和消极情绪)是影响自我照顾行为的重要因素。因此,建议心力衰竭患者的康复方案除了考虑患者的身体状况外,还应考虑患者的心理和精神状态
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引用次数: 0
Do pregnant mothers need to intake zinc supplementation during the COVID-19 pandemic? 在COVID-19大流行期间,孕妇需要补充锌吗?
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.452.1
M. Nazari
Zinc is an essential trace element for the healthy life of mothers during pregnancy. Besides, it plays a critical role during infancy. Zinc deficiency during pregnancy is a common problem all over the world. The immune system needs sufficient zinc for protective effects, especially during COVID-19 infection. Therefore, the author provided a special viewpoint to pay attention to zinc deficiency.
锌是母亲孕期健康生活所必需的微量元素。此外,它在婴儿期起着至关重要的作用。孕期缺锌是全世界普遍存在的问题。免疫系统需要足够的锌来发挥保护作用,特别是在COVID-19感染期间。因此,作者提出了重视锌缺乏症的特殊观点。
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引用次数: 0
期刊
Caspian Journal of Health Research
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