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Effectiveness of Play Therapy on Anxiety and Shyness in Elementary School Students 游戏治疗对小学生焦虑和害羞的影响
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.249.1
Sima Bashash, L. Moghtader, Mohammad Pourshaban
Background: Play therapy is a structured approach based on therapy theories that establish children’s learning and communication processes. Objectives: The purpose of this research was to investigate the effectiveness of play therapy on anxiety and shyness of elementary school children. Materials & Methods: This pre-test post-test with a control group design was conducted on students of both sexes studying at Rezvan Khutbehsarai Elementary School in the academic year 2020-2021, in Talesh, North of Iran. Students who had a high score on anxiety and shyness test were selected by purposive sampling method and then randomly allocated into experimental and control groups. Anxiety and shyness were assessed using Spence Children’s Anxiety Scale and Children’s Shyness Questionnaire. Cognitive-behavioral play therapy intervention was performed during ten sessions. Data were analyzed using analysis of covariance. Results: Play therapy significantly decreased the mean score of shyness and anxiety in the experimental group. The adjusted post-test mean score of anxiety (52.13, SD= 3.775) and shyness (77.88, SD= 5.947) in the experimental group was significantly lower than the adjusted post-test mean score of anxiety (61.42, SD= 3.671) and shyness in the control group (94.11, SD= 4.332). Conclusion: The finding showed effectiveness of cognitive behavioral therapy in reducing anxiety and shyness in elementary school students. Parents should be motivated to learn concepts such as the need for play, types of games, and the role of play in repairing the parent-child relationship.
背景:游戏治疗是一种基于治疗理论的结构化方法,它建立了儿童的学习和沟通过程。目的:探讨游戏治疗对小学生焦虑和害羞的影响。材料与方法:在伊朗北部Talesh的Rezvan Khutbehsarai小学,在2020-2021学年,对在校的男女学生进行了对照组设计的前测后测。采用目的抽样的方法,选取焦虑羞怯测试得分较高的学生,随机分为实验组和对照组。采用Spence儿童焦虑量表和儿童羞怯问卷对焦虑和羞怯进行评估。认知行为游戏治疗干预共进行10次。数据分析采用协方差分析。结果:游戏治疗显著降低了实验组儿童羞怯和焦虑的平均得分。实验组焦虑(52.13,SD= 3.775)和害羞(77.88,SD= 5.947)的调整后均分显著低于对照组焦虑(61.42,SD= 3.671)和害羞(94.11,SD= 4.332)的调整后均分。结论:认知行为疗法对减轻小学生焦虑和害羞有一定的效果。父母应该被激励去学习一些概念,比如游戏的必要性、游戏的类型以及游戏在修复亲子关系中的作用。
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引用次数: 0
Relationship Between Shift Work and Cardiovascular disease Risk Factors in Workers Referred to Occupational Medicine Center of Gonabad University of Medical Sciences 戈那巴德医科大学职业医学中心转诊工人轮班工作与心血管疾病危险因素的关系
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.432.1
Maryam Moaven Saeidi, M. Saheban Maleki, Behnam Mazlum
Background: There are many well-known biologic and anthropometric risk factor for Developing Cardiovascular Diseases (CVD). Shift Work (SW) may be associated with CVD risk factors. Objectives: This study was performed to investigate the relationship of shift work and some of CVD risk factors. Materials & Methods: This analytical cross-sectional study was done in Occupational Medicine Center of Gonabad University of Medical Sciences from April to December in 2021. A total of 743 workers who referred for periodic health examination were selected by simple random sampling. Those workers with at least one year of work experience who had Satisfaction for participation were included to the study. Having congenital heart disease, heart failure, kidney disease, Taking drugs that increase blood pressure, blood lipid and sugar and pregnant women were excluded. Demographic data, Physical examination and Blood cholesterol, triglyceride and glucose measures were collected. Data analysis was performed using Mann–Whitney U test, student t-test, Chi-Square and Multivariate Linear Regression model with SPSS software version 21 at a significant level of 0.05. Results: Of total, 73.4% were men and 47.3% were shift workers. The Mean±Standard Deviation of age was 33.9±5.07 among shift workers, and 36.32±5.81 among Day-time workers. There was significant independent association between shift work and triglyceride (B=7.5, 95%CI=1.02,1.21, P=0.03) and cholesterol (B=7.2, 95%CI=1.12,1.22, P=0.028) values. Conclusion: The results of the present study showed that the concentration of blood triglycerides and cholesterol is higher in shift workers than day-time workers. Therefore, particular follow-up of shift workers should be recommended for screening and preventing cardiovascular risk factors
背景:心血管疾病(CVD)的发生有许多众所周知的生物学和人体测量学危险因素。轮班工作(SW)可能与心血管疾病的危险因素有关。目的:本研究旨在探讨轮班工作与心血管疾病危险因素的关系。材料与方法:本分析性横断面研究于2021年4 - 12月在Gonabad医科大学职业医学中心完成。通过简单随机抽样,共选取743名提交定期健康检查的工人。具有一年以上工作经验且对参与满意度较高的员工被纳入研究。排除患有先天性心脏病、心力衰竭、肾脏疾病、服用升高血压、血脂和血糖的药物以及孕妇。收集人口统计资料、体格检查和血胆固醇、甘油三酯和葡萄糖测量。数据分析采用Mann-Whitney U检验、学生t检验、卡方和多元线性回归模型,采用SPSS软件21版,显著水平为0.05。结果:男性占73.4%,轮班工人占47.3%。轮班工人年龄的均值±标准差为33.9±5.07,白班工人年龄的均值±标准差为36.32±5.81。倒班与甘油三酯(B=7.5, 95%CI=1.02,1.21, P=0.03)和胆固醇(B=7.2, 95%CI=1.12,1.22, P=0.028)值之间存在显著的独立关联。结论:倒班工人血甘油三酯和胆固醇浓度高于白班工人。因此,应建议对轮班工人进行特别随访,以筛查和预防心血管危险因素
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引用次数: 0
Sequential Observation of Antibody Response Pattern at 3 and 6 Months Following ChAdOx1 nCoV-19 Vaccination Among Health Care Workers-A Prospective Single Cohort Study 医护人员接种ChAdOx1 nCoV-19疫苗后3个月和6个月抗体反应模式的顺序观察——一项前瞻性单队列研究
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.448.1
P. Jose, R. Bhaskaran, Sree Raj, Priyanka Rajmohan, A. Rafi, Unnikrishnan Uttumadathil Gopinathan, Joe Thomas, Susheela Jacob Innah, L. Raphael, C. Valsan, P. Kuttichira
Background: The duration of the immune response induced by ChAdOx1 nCoV-19 vaccination in a real-world setting is unknown. Objectives: This study is aimed to estimate the 6-month trend of SARS-CoV-2 antibody titer after Covishield vaccination among Health Care workers (HCW) and their associated factors. Materials & Methods: A prospective single cohort study of health care workers was done in a tertiary care-teaching institute of central Kerala from January 2021 to October 2021. HCWs who have given pre-vaccination serum sample for SARS-CoV-2 antibody estimation and negative for SARS-CoV-2 antibody were included. They were followed up and their blood samples to check for antibody levels were taken 28 days after first dose, 2 weeks after second dose, and 3 and 6 months after first dose of ChAdOx1 nCoV-19 vaccine. Samples taken from 102 HCW were sent for SARS-CoV-2 IgG antibody testing. Results: Mean age of the study participants was 39.3 (age range:19 - 71) yrs. and 71.6% were females. Antibody levels of participants at 3rd month ranged from 0.28 S/C to 21.2 S/C with a mean of 8.01. Only 34 (33.3%) HCW had IgG antibody levels >9.5 S/C. Mean antibody level further declined to 6.09 S/C at 6th month. Only 19 (28.4%) had antibody levels more than 9.5 S/C at 6th month. HCW with aged less than 50 years and those who had COVID disease during the study period had a significantly higher level of IgG antibody titres. Quantitative results were reported as signal to cut-off (S/C) value. Conclusion: The study found that after vaccination with Covishield vaccine IgG levels peaked at 14 days following second dose of vaccine, then getting decreased in the third month and further in sixth month confirming the need for a booster dose. COVID antibody levels were significantly higher in COVID infected HCW and in young age participants
背景:在现实环境中,ChAdOx1 nCoV-19疫苗接种诱导的免疫反应持续时间尚不清楚。目的:本研究旨在评估医护人员接种Covishield疫苗后6个月SARS-CoV-2抗体滴度的变化趋势及其相关因素。材料与方法:2021年1月至2021年10月,在喀拉拉邦中部的一家三级保健教学机构对卫生保健工作者进行了一项前瞻性单队列研究。纳入接种前提供SARS-CoV-2抗体测定血清样本且SARS-CoV-2抗体阴性的卫生工作者。在首次接种ChAdOx1 nCoV-19疫苗后28天、第二次接种后2周、第一次接种后3个月和6个月,对他们进行随访并采集血液样本以检测抗体水平。从102名HCW采集的样本被送去进行SARS-CoV-2 IgG抗体检测。结果:研究参与者的平均年龄为39.3岁(年龄范围:19 - 71岁)。71.6%为女性。受试者在第3个月的抗体水平从0.28 S/C到21.2 S/C不等,平均为8.01。仅有34例(33.3%)HCW抗体水平>9.5 S/C。6个月时,平均抗体水平进一步下降至6.09 S/C。6个月时抗体水平大于9.5 S/C的仅有19例(28.4%)。年龄小于50岁的HCW患者和研究期间感染COVID的HCW患者IgG抗体滴度显著高于其他人群。定量结果以信号截止(S/C)值报告。结论:研究发现,接种Covishield疫苗后,IgG水平在第二次接种后14天达到峰值,然后在第3个月和第6个月进一步下降,确认需要加强剂量。COVID抗体水平在COVID感染的HCW和年轻参与者中显着升高
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引用次数: 0
The Relationship of Mental Health and Resilience with Posttraumatic Growth through the Mediating of Defensive Styles in the COVID-19 Survivors COVID-19幸存者心理健康、心理弹性与创伤后成长的关系:防御方式的中介作用
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.427.1
Elnaz Deldadeh Mehraban, A. Farhangi, S. Abolghasemi
Background: During the COVID-19 pandemic, the number of people suffering from psychological disorders has increased all over the world. Objectives: The present study aimed to investigate the relationship of mental health and resilience with Posttraumatic Growth (PTG) through mediating of defensive styles in the COVID-19 survivors. Materials & Methods: This was a descriptive cross-sectional study using Structural Equation Modeling (SEM). The research population included all COVID-19 recovered patients in Gorgan, Iran. Using convenience sampling method, 300 patients who recovered from COVID-19 were selected. The research instruments included the Posttraumatic Growth Inventory, Connor- Davidson Resilience Scale, the General Health Questionnaire, and Defense Style Questionnaire. The participants were given questionnaires online. Results: The results of SEM suggested that the proposed model fits the data. The direct paths from PTG, mental health, and resilience to the developed defensive styles were positive and significant (P<0.01). In addition, the relationship between mental health and resilience with PTG was positive and significant (P<0.01). The relationship between PTG, mental health, and resilience with the immature and neurotic defensive styles was negative and significant (P<0.01). Conclusion: The findings revealed that mental health, resilience, and developed defensive styles had a tremendous impact on the increase of PTG in COVID-19 patients. Accordingly, they can be used to reduce the psychological problems caused by the COVID-19 pandemic.
背景:在2019冠状病毒病大流行期间,全世界患有心理障碍的人数有所增加。目的:本研究旨在通过中介防御方式探讨COVID-19幸存者心理健康和心理弹性与创伤后成长(PTG)的关系。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。研究人群包括伊朗戈尔根的所有COVID-19康复患者。采用方便抽样法,选取新冠肺炎康复患者300例。研究工具包括创伤后成长量表、康诺-戴维森弹性量表、一般健康问卷和防卫风格问卷。参与者在网上收到问卷。结果:扫描电镜结果表明,所建模型与数据拟合良好。PTG、心理健康、心理弹性与防卫风格形成的直接关系显著正相关(P<0.01)。此外,心理健康与心理弹性与PTG呈显著正相关(P<0.01)。PTG、心理健康和弹性与未成熟防御风格和神经质防御风格呈显著负相关(P<0.01)。结论:心理健康、应变能力和防御方式的发展对COVID-19患者PTG的增加有巨大影响。因此,它们可以用来减少新冠肺炎大流行带来的心理问题。
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引用次数: 0
The Effect of Internet-Based Intervention on Lifestyle and Healthy Nutrition Habits of Women in North of Iran: A Field-Based Trial Study 互联网干预对伊朗北部妇女生活方式和健康营养习惯的影响:一项基于实地的试验研究
Pub Date : 2022-10-01 DOI: 10.32598/cjhr.7.4.90.3
F. Bakhshi, D. Shojaeizadeh, R. Sadeghi, S. Nedjat, M. Taghdisi, G. Laverack
Background: A healthy lifestyle based on healthy eating habits and appropriate physical activity during different periods of life, bring healthy old age to women through preventing overweight or maintaining a healthy weight Objectives: This study was aimed to determine the effect of Internet-based intervention on the lifestyle and healthy eating habits of women in northern Iran. Materials & Methods: The present field-trial study was conducted on 268 women who were members of Population of Mental Health Assistants from November 2014 to May 2015. The educational intervention was carried out through a website containing information on healthy lifestyle, nutrition, and cooking methods of various healthy foods. The participants of the intervention group were also received their special diet. All participants were evaluated after 3 and 6 months in terms of changes in weight, BMI, systolic and diastolic blood pressure, and nutritional habits. Their lifestyle were measured using the standard questionnaire of Health- Promoting Lifestyle Profile-II (HPLP-II). Data was analyzed using repeated measure analysis of variance. Results: The average age (Standard Deviation (SD)) of the intervention and comparison group was 38.7 (10.8) and 36.9 (10.8) years, respectively. After six months, the average BMI of the intervention group decreased from 27.4 (SD=5.3) to 26.3 (SD=5.7) kg/m2 (P<0.001). Systolic and diastolic blood pressure of both groups showed a significant decrease (P<0.001). Nutrition (F1,266=62.09, P=0.001, η2=0.19) followed by health responsibility (F1,255=30.4, P= 0.001, η2= 0.11) were the most important dimensions of HPLP-II affected by intervention. Conclusion: The Internet-based educational intervention program, using a bottom-up approach, has a favorable effect on the improvement of the lifestyle and weight loss of the participants. The findings of the present study showed the possibility of using the new e-health technology in order to promote healthy lifestyle and eating habits in women.
背景:健康的生活方式基于健康的饮食习惯和适当的身体活动,在不同的生命阶段,通过预防超重或保持健康的体重,为妇女带来健康的老年。目的:本研究旨在确定基于互联网的干预对伊朗北部妇女的生活方式和健康饮食习惯的影响。材料与方法:本研究于2014年11月至2015年5月对心理健康助理人群中的268名女性进行了实地试验研究。教育干预是通过一个网站进行的,该网站载有关于健康生活方式、营养和各种健康食品烹饪方法的信息。干预组的参与者也接受了他们的特殊饮食。在3个月和6个月后,对所有参与者的体重、BMI、收缩压和舒张压以及营养习惯的变化进行了评估。采用健康促进生活方式标准问卷(HPLP-II)对其生活方式进行测量。数据分析采用重复测量方差分析。结果:干预组和对照组的平均年龄(SD)分别为38.7(10.8)岁和36.9(10.8)岁。6个月后,干预组的平均BMI由27.4 (SD=5.3)降至26.3 (SD=5.7) kg/m2 (P<0.001)。两组患者收缩压、舒张压均显著降低(P<0.001)。营养(f1266 =62.09, P=0.001, η2=0.19)是干预对HPLP-II影响最大的维度,其次是健康责任(f1255 =30.4, P=0.001, η2= 0.11)。结论:基于互联网的教育干预方案,采用自下而上的方式,对参与者生活方式的改善和减肥有良好的效果。本研究的结果表明,利用新的电子保健技术促进妇女健康的生活方式和饮食习惯是可能的。
{"title":"The Effect of Internet-Based Intervention on Lifestyle and Healthy Nutrition Habits of Women in North of Iran: A Field-Based Trial Study","authors":"F. Bakhshi, D. Shojaeizadeh, R. Sadeghi, S. Nedjat, M. Taghdisi, G. Laverack","doi":"10.32598/cjhr.7.4.90.3","DOIUrl":"https://doi.org/10.32598/cjhr.7.4.90.3","url":null,"abstract":"Background: A healthy lifestyle based on healthy eating habits and appropriate physical activity during different periods of life, bring healthy old age to women through preventing overweight or maintaining a healthy weight Objectives: This study was aimed to determine the effect of Internet-based intervention on the lifestyle and healthy eating habits of women in northern Iran. Materials & Methods: The present field-trial study was conducted on 268 women who were members of Population of Mental Health Assistants from November 2014 to May 2015. The educational intervention was carried out through a website containing information on healthy lifestyle, nutrition, and cooking methods of various healthy foods. The participants of the intervention group were also received their special diet. All participants were evaluated after 3 and 6 months in terms of changes in weight, BMI, systolic and diastolic blood pressure, and nutritional habits. Their lifestyle were measured using the standard questionnaire of Health- Promoting Lifestyle Profile-II (HPLP-II). Data was analyzed using repeated measure analysis of variance. Results: The average age (Standard Deviation (SD)) of the intervention and comparison group was 38.7 (10.8) and 36.9 (10.8) years, respectively. After six months, the average BMI of the intervention group decreased from 27.4 (SD=5.3) to 26.3 (SD=5.7) kg/m2 (P<0.001). Systolic and diastolic blood pressure of both groups showed a significant decrease (P<0.001). Nutrition (F1,266=62.09, P=0.001, η2=0.19) followed by health responsibility (F1,255=30.4, P= 0.001, η2= 0.11) were the most important dimensions of HPLP-II affected by intervention. Conclusion: The Internet-based educational intervention program, using a bottom-up approach, has a favorable effect on the improvement of the lifestyle and weight loss of the participants. The findings of the present study showed the possibility of using the new e-health technology in order to promote healthy lifestyle and eating habits in women.","PeriodicalId":112656,"journal":{"name":"Caspian Journal of Health Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128906416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Playing Video Games, General Health and Academic Performance of Fasa Mid-Schools Boy Students Fasa中学男生电子游戏、健康与学习成绩的关系
Pub Date : 2022-07-01 DOI: 10.32598/cjhr.7.3.1
Z. Khiyali, A. Fereidouni, Saeedeh Jafarzadeh, A. Dehghan, Esmaeil Teymoori
Background: Nowadays, children and teenagers are heavily influenced by video games. Excessive video games may affect children's physical and mental health as well as academic performance. Objectives: The present study aimed at determining the correlation between playing video games and general health as well as academic performance of Fasa mid-schools boy students at Iranian secondary school level. Materials & Methods: This cross-sectional study was carried out on 150 boy students at secondary school level in Fasa, Fars Province, Iran. The subjects were selected through multistage cluster random sampling method. The data were collected using a three-part questionnaire including demographic information, information about how to use video games. and General Health Questionnaire (GHQ). The collected data were analyzed by using SPSS22, descriptive statistics, correlation coefficient, t-test, and Chi-square test. P<0.05 was considered as statistically significant. Results: Findings revealed that there was a significant direct correlation between the amount of video game use and overall general health (r=0.25, P=0.03); a significant inverse relationship was also found between the amount of video game use and academic performance of the students in first (r=-0.41, P=0.002), second (r=-0.30, P=0.02) and third grade (r=-0.42, P=0.02) of mid school students. There was no significant difference in the general health between the two types of game played. There was also a significant relationship between students' academic performance categories and the type of video game (P<0.001). Conclusion: Based on the findings, it can be concluded that video games can play a crucial role in the general health and academic performance of students. Thus, it is vital that parents pay more attention to the duration of playing and type of games their children play.
背景:如今,儿童和青少年深受电子游戏的影响。过度的电子游戏可能会影响孩子的身心健康以及学习成绩。目的:本研究旨在确定伊朗Fasa中学男生玩电子游戏与总体健康状况和学习成绩之间的相关性。材料与方法:本横断面研究在伊朗法尔斯省法萨的150名初中男生中进行。研究对象采用多阶段整群随机抽样方法。数据是通过三部分调查问卷收集的,包括人口统计信息,如何使用电子游戏的信息。和一般健康问卷(GHQ)。收集的资料采用SPSS22、描述性统计、相关系数、t检验和卡方检验进行分析。P<0.05为差异有统计学意义。结果显示,电子游戏使用时间与整体健康状况之间存在显著的直接相关性(r=0.25, P=0.03);中学一年级(r=-0.41, P=0.002)、二年级(r=-0.30, P=0.02)、三年级(r=-0.42, P=0.02)学生的学习成绩与电子游戏使用次数呈显著负相关。两种类型游戏的总体健康值没有显著差异。学生的学业表现类别与电子游戏类型之间也存在显著关系(P<0.001)。结论:基于这些发现,我们可以得出结论,电子游戏对学生的整体健康和学习成绩起着至关重要的作用。因此,父母应该更加关注孩子玩游戏的时长和游戏的类型。
{"title":"Association Between Playing Video Games, General Health and Academic Performance of Fasa Mid-Schools Boy Students","authors":"Z. Khiyali, A. Fereidouni, Saeedeh Jafarzadeh, A. Dehghan, Esmaeil Teymoori","doi":"10.32598/cjhr.7.3.1","DOIUrl":"https://doi.org/10.32598/cjhr.7.3.1","url":null,"abstract":"Background: Nowadays, children and teenagers are heavily influenced by video games. Excessive video games may affect children's physical and mental health as well as academic performance. Objectives: The present study aimed at determining the correlation between playing video games and general health as well as academic performance of Fasa mid-schools boy students at Iranian secondary school level. Materials & Methods: This cross-sectional study was carried out on 150 boy students at secondary school level in Fasa, Fars Province, Iran. The subjects were selected through multistage cluster random sampling method. The data were collected using a three-part questionnaire including demographic information, information about how to use video games. and General Health Questionnaire (GHQ). The collected data were analyzed by using SPSS22, descriptive statistics, correlation coefficient, t-test, and Chi-square test. P<0.05 was considered as statistically significant. Results: Findings revealed that there was a significant direct correlation between the amount of video game use and overall general health (r=0.25, P=0.03); a significant inverse relationship was also found between the amount of video game use and academic performance of the students in first (r=-0.41, P=0.002), second (r=-0.30, P=0.02) and third grade (r=-0.42, P=0.02) of mid school students. There was no significant difference in the general health between the two types of game played. There was also a significant relationship between students' academic performance categories and the type of video game (P<0.001). Conclusion: Based on the findings, it can be concluded that video games can play a crucial role in the general health and academic performance of students. Thus, it is vital that parents pay more attention to the duration of playing and type of games their children play.","PeriodicalId":112656,"journal":{"name":"Caspian Journal of Health Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117088180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The significance of coronavirus disease 2019 in dentistry: A scoping review 2019冠状病毒病在牙科中的意义:范围综述
Pub Date : 2022-07-01 DOI: 10.32598/cjhr.7.3.433.1.2
Nikou Masoudi Rad, M. Rabiei, M. Samami
Background: The emergence of coronavirus disease 2019 (COVID-19) pandemic had a significant impact on dental profession, and COVID-19 prevention and control have been the topic of numerous investigations. Objectives: This study aimed to review and present the most effective strategies for prevention and control of COVID-19 before, during, and after dental procedures in the pandemic and post-pandemic era. Materials and methods: This scoping review was conducted according to the five stages of conduct proposed by Arksey and O’Malley. The latest findings available in most accredited databases and scientific websites including Science Direct, Scopus, PubMed, and Google Scholar, and the guidelines recommended by the World Health Organization and Center for Disease Control and Prevention were searched using the following MeSH terms: “COVID-19”, “Dentistry”, “Infection Control”, and “SARS-CoV-2”. Irrelevant articles, duplicates, and those not meeting the eligibility criteria were excluded. The remaining 24 eligible articles were reviewed. Results: After data analysis, an efficient protocol for dental procedures during the COVID-19 pandemic was tabulated, which included emergency treatments only, preoperative rinsing of an effective mouthwash, patient triage, principles of personal protection for patients and the staff, aerosol elimination from the office, efficient disinfection of the environment, and specific measures for different dental procedures. Conclusion: Dental clinicians can play a pivotal role in prevention of COVID-19 transmission by precise adherence to the protocols, updating their knowledge, and educating patients prior to their visit. Accordingly, they can fulfill their professional responsibility in treatment of emergency cases and other patients. Despite the ongoing global vaccinations against the COVID-19, genetic mutations that occur in the viral genome over time can still challenge the future of dental profession.
背景:2019冠状病毒病(COVID-19)大流行的出现对牙科行业产生了重大影响,COVID-19的预防和控制一直是众多调查的主题。目的:本研究旨在回顾和介绍大流行时期和大流行后牙科手术之前、期间和之后预防和控制COVID-19的最有效策略。材料和方法:根据Arksey和O 'Malley提出的五个阶段的行为进行了范围审查。使用以下MeSH术语:“COVID-19”、“Dentistry”、“Infection Control”和“SARS-CoV-2”搜索大多数经认可的数据库和科学网站(包括Science Direct、Scopus、PubMed和Google Scholar)中的最新发现,以及世界卫生组织和美国疾病控制与预防中心推荐的指南。不相关、重复和不符合入选标准的文章被排除在外。对其余24篇符合条件的文章进行了审查。结果:通过数据分析,制定了2019冠状病毒病大流行期间牙科手术的有效方案,包括仅紧急治疗、术前有效漱口水冲洗、患者分诊、患者和工作人员个人防护原则、办公室气溶胶消除、环境有效消毒以及不同牙科手术的具体措施。结论:牙科临床医生可以通过严格遵守协议、更新知识并在就诊前对患者进行教育,在预防COVID-19传播方面发挥关键作用。因此,他们可以履行他们的专业责任,治疗急诊病例和其他病人。尽管全球正在进行针对COVID-19的疫苗接种,但随着时间的推移,病毒基因组中发生的基因突变仍可能对牙科行业的未来构成挑战。
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引用次数: 0
Prediction of Symptoms of Psychosomatic Disorders in University Students Based on Perfectionism Mediated by Smartphone Addiction 基于智能手机成瘾介导的完美主义对大学生心身障碍症状的预测
Pub Date : 2022-07-01 DOI: 10.32598/cjhr.7.3.421.1.7
Zahra Feizollahi, H. Asadzadeh, Sayed Rohollah Mousavi
Background: Among the main consequences of smartphone addiction are negative psychological effects, physical conditions, and psychosomatic disorders. This study aimed to investigate the relationship between perfectionism and symptoms of psychosomatic disorders mediated by smartphone addiction in university students. Materials & Methods: The study was a descriptive correlation performed employing path analysis. The statistical population consisted of all students of the Islamic Azad University- Ahvaz Branch in the academic year 2020-2021, of whom 254 students were selected as the sample through convenience sampling. The data were collected using DSM-5 Somatic Syndrome Disorder Scale, Smartphone Addiction Scale (SAS), and Ahvaz Perfectionism Scale (APS). The evaluation of the proposed research model was performed using the path analysis method through AMOS-23. Results: The results showed that there was a direct relationship between perfectionism and smartphone addiction (β= 0.30, P= 0.001) and also a significant relationship between smartphone addiction and symptoms of psychosomatic disorders (β= 0.28, P= 0.001) in the university students. Moreover, the relationship between perfectionism and symptoms of psychosomatic disorders was completely mediated by smartphone addiction (β= 0.22, P= 0.001). Conclusion: According to the results, the proposed model had a good fit. Therefore, training the youth in the correct use of smartphones can reduce the effects of perfectionism on symptoms of psychosomatic disorders.
背景:智能手机成瘾的主要后果包括负面的心理影响、身体状况和心身疾病。本研究旨在探讨完美主义与大学生智能手机成瘾介导的心身障碍症状之间的关系。材料与方法:采用通径分析进行描述性相关分析。统计人群为伊斯兰阿扎德大学-阿瓦士分校2020-2021学年的所有学生,通过方便抽样的方式选取254名学生作为样本。数据采用DSM-5躯体综合征障碍量表、智能手机成瘾量表(SAS)和Ahvaz完美主义量表(APS)收集。通过AMOS-23应用通径分析法对研究模型进行评价。结果:大学生完美主义与智能手机成瘾有直接关系(β= 0.30, P= 0.001),智能手机成瘾与心身障碍症状有显著关系(β= 0.28, P= 0.001)。此外,完美主义与心身障碍的关系完全由智能手机成瘾介导(β= 0.22, P= 0.001)。结论:模型拟合效果良好。因此,培训青少年正确使用智能手机可以减少完美主义对心身障碍症状的影响。
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引用次数: 5
Stigma, Anxiety, Depression, and Quality of Life Among Patients With Hepatitis C in Iran 伊朗丙型肝炎患者的耻辱感、焦虑、抑郁和生活质量
Pub Date : 2022-07-01 DOI: 10.32598/cjhr.7.3.401.1
M. Movahedi, Shiva Moshirpanahi, Y. Mokhayeri, M. Almasian, Fatemeh Bastami
Background: Hepatitis C is one of the most challenging viral infections worldwide. Patients with hepatitis C may experience some disease-related stigma. Objectives: The aim of this study was to evaluate perceived stigma and its role in predicting anxiety, depression, and quality of life among patients with hepatitis C. Materials & Methods: This cross-sectional analytic study was conducted in behavioral counseling centers of three cities, i.e., Khorramabad, Boroujerd and Noorabad, located in the western part of Iran, from May to August 2019. Stratified multistage sampling was used to select 144 patients diagnosed with hepatitis C. The WHOQOL-BREF Scale, Stigma Impact Scale (SIS), Beck Depression Inventory, Second Edition (BDI-II), and Beck Anxiety Inventory, Second Edition (BAI) were used to collect the data. Univariate and multivariate linear regression models were used to estimate the association of covariates on stigma and quality of life. The Stata 16 software was used to analyze the data at the significance level of 0.05. Results: The mean perceived stigma was 66.805 ± 1.291 with social rejection and social isolation achieving the highest scores (23.409 ± 0.551, 20.208 ± 0.437). In the multivariate regression model, depression (B=0.7, 95%; CI: 0.5, 0.89) and anxiety (B=0.21, 95%; CI: 0.02, 0.41) had direct significant associations with stigma independent of age, sex, marital status, and occupation. Depression (B=-0.27, 95%; CI:-0.47, -0.07), anxiety (B=-0.33, 95%; CI: -0.5, -0.16), and stigma (B=-0.41, 95%; CI: -0.56, -0.26) were inversely associated with patients’ quality of life. Conclusion: This study found a high perceived stigma score among HCV patients. Depression and anxiety were significantly associated with stigma. The quality of life of HCV patients were inversely associated with depression, anxiety, and stigma scores.
背景:丙型肝炎是全球最具挑战性的病毒性感染之一。丙型肝炎患者可能会经历一些与疾病相关的耻辱。目的:本研究旨在评估感知耻辱感及其在预测c型肝炎患者焦虑、抑郁和生活质量中的作用。材料与方法:本横断面分析研究于2019年5月至8月在伊朗西部霍拉马巴德、博鲁杰德和诺拉巴德三个城市的行为咨询中心进行。采用分层多阶段抽样方法,选取144例丙型肝炎患者,采用WHOQOL-BREF量表、病耻感影响量表(SIS)、Beck抑郁量表第二版(BDI-II)和Beck焦虑量表第二版(BAI)进行数据采集。使用单变量和多变量线性回归模型来估计病耻感和生活质量的协变量的相关性。采用Stata 16软件进行数据分析,显著性水平为0.05。结果:耻感均值为66.805±1.291,其中社会排斥和社会孤立得分最高,分别为23.409±0.551、20.208±0.437;在多元回归模型中,抑郁症(B=0.7, 95%;CI: 0.5, 0.89)和焦虑(B=0.21, 95%;CI: 0.02, 0.41)与病耻感有直接显著相关,与年龄、性别、婚姻状况和职业无关。抑郁症(B=-0.27, 95%;CI:-0.47, -0.07),焦虑(B=-0.33, 95%;CI: -0.5, -0.16)和柱头(B=-0.41, 95%;CI: -0.56, -0.26)与患者生活质量呈负相关。结论:本研究发现HCV患者存在较高的感知污名得分。抑郁和焦虑与病耻感显著相关。HCV患者的生活质量与抑郁、焦虑和污名得分呈负相关。
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引用次数: 0
Quantitative and Qualitative Assessment of Safety Status in a Medical Centre: Experience from Implementing Standard Safety System 医疗中心安全状况的定量与定性评估:实施标准安全体系的经验
Pub Date : 2022-07-01 DOI: 10.32598/cjhr.7.3.195.1
Javad Vatani, S. Yousefzadeh, Shiva Mohammadjani Kumeleh, F. Mehrabian, A. Davoudi-kiakalayeh
Background: An accident is an unforeseen occurrence that happens in all organs, including medical centers, due to unsafe conditions and practices which cause damage and sometimes irreparable injuries. Establishing safety system in the medical center seek to prevent harm to both patients and health care professionals. Objectives: The aim of this study was to assess safety status in a medical center before and after implementing standard safety system. Materials & Methods: This case-study was carried out among the staff of a hospital in Guilan province, Iran in 2018-2019. The information was collected through observation and interview with staff and checking the observance of instructions and safety tips. Then, the possibility of needle stick injury was identified by calculating accident indices. human errors were assessed using risk assessment using Systematic human error reduction and prediction approach (SHERPA). Results: A total of 9 departments of a selected hospital were studied and the accident and human errors were identified. The recurrence rate of the accident in 2019 compared to 2018 had a decreasing rate from 11.36 to 4.09 (safe_T_score=-3.14). Risk assessment using SHERPA method in the gynecology ward revealed 4 important types of errors in this department. Conclusion: There was considerable reduction in frequency and severity of needle stick injuries after establishment of safety system in the hospital. The SHERPA method, detailed the task errors and specific remedial measure to correct the task. The results of this study can be helpful for medical staff, managers, employers, and safety experts in identifying and preventing the causes of the accident.
背景:事故是发生在包括医疗中心在内的所有器官的不可预见的事件,由于不安全的条件和做法而造成损害,有时甚至是不可挽回的伤害。在医疗中心建立安全体系,以防止对患者和医护人员的伤害。目的:本研究旨在评估某医疗中心实施标准安全制度前后的安全状况。材料与方法:本案例研究于2018-2019年在伊朗桂兰省某医院的工作人员中进行。这些资料是通过观察和与员工面谈,以及检查员工是否遵守指示和安全提示收集的。然后,通过计算事故指数,确定针刺伤的可能性。采用系统人为错误减少和预测方法(SHERPA)进行风险评估。结果:选取某医院9个科室进行调查,确定了事故和人为失误。与2018年相比,2019年的事故复发率从11.36下降到4.09 (safe_T_score=-3.14)。利用SHERPA法对妇科病房进行风险评估,发现该科室存在4种重要的错误类型。结论:医院建立安全制度后,针刺伤的发生频率和严重程度均有明显降低。SHERPA方法,详细说明了任务的错误和具体的补救措施,以纠正任务。本研究的结果可为医护人员、管理人员、雇主及安全专家识别及预防事故原因提供参考。
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引用次数: 0
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Caspian Journal of Health Research
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