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Relationship between resilience with illness behavior in dialysis patients 透析患者心理弹性与疾病行为的关系
Pub Date : 2019-04-01 DOI: 10.29252/JRH.9.3.203
Zinat Goldanimoghadam, B. Asghari, F. M. Manee
Dialysis patients are classified as special cases.These patients have to face various physiological changes and lots of psychological stress. This research aimed to study the relationship between resilience with illness behavior in dialysis patients. The study population consisted of all dialysis patients who have referred to the diemoalysis unit (78 participants); all of them have taken census for sampling due to the low number of statistical. Data collection tools was the Connor-Davidson resilience scale and Pilowsky & Spence’s illness behavior questionnaire. There is a negative relationship significant between resilience with hypochondriasis, affective disorder, and denial of disease. The modified coefficient for the dependent variable of hypochondriasis is equal to 21; for affective control, affective disorder, denial of disease was 21.4, 22.4, and 29.5 respectively. These coefficients indicate that how amount of dependent variables are expressed by independent variables. According to the results, it is necessary that that psychological aspects of patients should be focused in the treatment of diseases.
透析患者被归类为特殊病例。这些患者必须面对各种生理变化和巨大的心理压力。本研究旨在探讨透析患者心理韧性与疾病行为的关系。研究人群包括所有到透析单位就诊的透析患者(78名参与者);由于统计人数少,均采取普查抽样。数据收集工具为Connor-Davidson弹性量表和Pilowsky & Spence疾病行为问卷。心理韧性与疑病症、情感障碍和否认疾病之间存在显著的负相关。因变量疑病症的修正系数为21;情感控制、情感障碍、否认疾病分别为21.4分、22.4分和29.5分。这些系数表示自变量表示因变量的数量。根据研究结果,有必要在疾病的治疗中重点关注患者的心理方面。
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引用次数: 1
Development and validation of Islamic quality of life questionnaire 伊斯兰教生活质量问卷的编制与验证
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.97
Atefeh Nezhadmohammad Nameghi, Masumeh Esmaeili, A. Borjali, Fariborz Bagheri, A. Shafiabadi
The quality of life is mainly measured by multiple conceptual frameworks which neglect the cultural-religious context of the societies. Hence, there is not a unique instrument to assess life quality. The present study strives to develop and validate a quality of life questionnaire in light of Javadi Amoli’s view. In this study, the researcher-made questionnaire has been answered by 400 bachelor students. Javadi Amoli’s books have been consulted for developing the questionnaire. The validity of the questionnaire has been confirmed by content validity, face validity and, construct validity (using factor analysis and measuring correlation of identified components with total questionnaire). After ensuring content validity and consulting Bartlett's test and Kaiser-Mayer-Olkin index, factor analysis has been performed using principal component analysis and varimax rotation. The results oriented toward four dimensions as God, others, self, and nature which explained 36.5% of the variance. The reliability of the questionnaire has been measured using split-half method and Cronbach's alpha, and reported as 0.63 and 0.89, respectively. The reliability of the extracted dimensions has been 0.87, 0.88, 0.80, and 0.81, respectively. Accordingly, findings of the present research acknowledges the questionnaire to be purposeful and efficient.
生活质量主要通过多种概念框架来衡量,而这些概念框架忽视了社会的文化-宗教背景。因此,没有一种独特的工具来评估生活质量。本研究力求根据Javadi Amoli的观点,开发并验证一份生活质量问卷。在本研究中,研究者制作了问卷,对400名本科生进行了问卷调查。调查问卷的编制参考了Javadi Amoli的书。问卷的效度通过内容效度、面效度和结构效度(采用因子分析和测量识别成分与总问卷的相关性)来证实。在确保内容效度并参考Bartlett检验和Kaiser-Mayer-Olkin指数后,采用主成分分析和变量旋转进行因子分析。结果指向四个维度,即上帝、他人、自我和自然,这解释了36.5%的差异。问卷的信度采用分半法和Cronbach’s alpha进行测量,分别为0.63和0.89。提取维度的信度分别为0.87、0.88、0.80和0.81。因此,本研究的结果承认问卷是有目的和有效的。
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引用次数: 0
The role of spirituality in feelings of suffering and quality of life in self-introduced addicts 精神在自我介绍的成瘾者的痛苦感受和生活质量中的作用
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.104
A. A. P. Motlagh, Z. Nikmanesh, Ehsan Liaghat, Mojahed Hematian
Many researches are seeking evidence and ways in which spirituality can improve the feeling of suffering and quality of life in drug abuse addicts. This study was aimed to investigate the role of spirituality in feelings of suffering and quality of life in self-introduced addicts referring to addiction treatment centers. The statistical population consisted all of self-introduced addicts referring to addiction treatment centers in Yasuj city. 120 participants were selected by convenience sampling. Following instruments were used for data collection; spirituality questionnaire, scale of experience and perception of suffering and the world health organization quality of life questionnaire. The results showed that there was a significant negative correlation between spirituality and feelings of suffering. There was a significant positive correlation between spirituality and quality of life. Stepwise regression results showed that the best predictors of spiritual/existential suffering were selfawareness and spiritual activities. Also, the component of selfawareness was the best predictor of physical health, psychological health, environmental health and quality of life and social relations. Therefore, reinforcement of spirituality in addicts and encouraging them to perform the related activities can reduce the feeling of pain among them and improve their quality of lives.
许多研究正在寻找证据和方法,以证明精神可以改善吸毒成瘾者的痛苦感和生活质量。本研究旨在探讨灵性在自我介绍的成瘾者转介成瘾治疗中心的痛苦感受和生活质量中的作用。统计人群包括所有在安津市戒毒中心自我介绍的瘾君子。采用方便抽样法抽取120名参与者。以下仪器用于数据收集:灵性问卷、痛苦体验和感知量表以及世界卫生组织生活质量问卷。结果显示,灵性与痛苦感之间存在显著的负相关。精神状态与生活质量之间存在显著的正相关。逐步回归结果显示,自我意识和精神活动是精神/存在性痛苦的最佳预测因子。此外,自我意识是身体健康、心理健康、环境健康、生活质量和社会关系的最佳预测因子。因此,加强成瘾者的精神性,鼓励他们进行相关活动,可以减少他们的痛苦感,提高他们的生活质量。
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引用次数: 1
Relationship between happiness and homesickness among students: structural equation modeling 学生幸福感与思乡的关系:结构方程模型
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.181
Mohammad Akbari Booreng
Happiness is an important factor influencing the individual’s mental health. This is especially important for university students which lead to their academic achievement. The present study aimed to investigate the relationship between happiness and homesickness. It was descriptive-correlational. 250 university students was selected by using Morgan’s table and random stratified sampling method. The Oxford happiness and the utrecht homesickness questionnaires has been used for data collection. The findings of the study revealed that the measurement model had acceptable validity and reliability. In the second stage, the results revealed that the model fit was adequate. Therefore, homesickness predicted happiness of the students. In the analysis of path coefficients, the results revealed that all the paths were confirmed except for missing friends and adjustment difficulties. The results also confirmed that homesickness differs based on the place of residence of the students and in terms of gender, no difference was found between girls and boys participants. Therefore based on the results of this study, homesickness can predict the students' happiness.
幸福是影响个体心理健康的重要因素。这对大学生来说尤其重要,因为这关系到他们的学业成就。本研究旨在探讨幸福感与乡愁的关系。它是描述性相关的。采用摩根表法和随机分层抽样法,选取250名大学生。牛津幸福和乌得勒支乡愁问卷被用于数据收集。研究结果表明,测量模型具有可接受的效度和信度。在第二阶段,结果表明模型拟合是足够的。因此,乡愁预示着学生的幸福。在路径系数的分析中,结果显示,除了想念朋友和调整困难之外,所有路径都得到了确认。研究结果还证实,思乡病因学生的居住地和性别而异,在女孩和男孩参与者之间没有发现差异。因此,基于本研究的结果,乡愁可以预测学生的幸福感。
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引用次数: 2
The need to pay attention to differences in health literacy and knowledge in health education interventions 在卫生教育干预措施中需要注意卫生素养和知识的差异
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.95
R. Panahi, Nahid Aghaeian, M. Pishvaei, S. Niknami
Dear Chief in Editor The Health Literacy (HL) is an individual and social capacity for access, understanding, evaluation of information and health services, and optimal utilization of it for health promotion [1]. Today, HL has been recognized as an important and vital indicator of the results and costs of health care the need for the effective health care system, has a good level of health literacy [2]. According to studies by the United States Health Care Strategies, people with low levels of HL are less likely to understand the written and spoken information provided by health professionals and act according to instructions, and therefore the have a poorer health status, hospitalization rates and referrals to the doctor are higher, they act poorly in self-care skills, have less preventive care, and thus incur more medical expenses [1]. There is a relationship between HL and knowledge [2]. HL, as well as knowledge, is a cognitive variable and low HL is a specific conceptual interpretation of poor knowledge [2]. Also, HL plays a role in completing the knowledge of individuals [3]. In health education and health promotion, knowledge has been used as an important variable in many interventions. The lack of adequate knowledge in individuals can be just one of the main reasons for not having a health behavior; in other words, increasing knowledge is a necessary but inadequate step for changing health behavior. Also, in various studies, knowledge has become an important factor in predicting behaviors [4]. Given the relationship between HL and knowledge and their Journal of Research & Health Social Development & Health Promotion Research Center Vol. 9, No.2, Mar & Apr 2019 Pages: 9596 DOI: 10.29252/jrh.9.2.95 Letter to Editor
健康素养(Health Literacy, HL)是个人和社会获取、理解、评估信息和卫生服务,并将其最佳利用以促进健康的能力[1]。如今,HL已被公认为衡量医疗保健效果和成本的重要而至关重要的指标,需要有效的医疗保健体系,具有良好的健康素养水平[2]。根据美国Health Care Strategies的研究,HL水平低的人很难理解卫生专业人员提供的书面和口头信息,也很难按照指示行事,因此他们的健康状况较差,住院率和转诊率较高,自我保健技能较差,预防性保健较少,从而产生更多的医疗费用[1]。HL与知识之间存在一定的关系[2]。HL和知识一样,都是一个认知变量,低HL是知识贫乏的具体概念解释[2]。此外,HL在完成个体的知识方面也起着一定的作用[3]。在健康教育和健康促进方面,知识已被用作许多干预措施的重要变量。个人缺乏足够的知识可能只是没有健康行为的主要原因之一;换句话说,增加知识是改变健康行为的必要但不充分的步骤。在各种研究中,知识也成为预测行为的重要因素[4]。鉴于HL与知识之间的关系及其研究与健康社会发展与健康促进研究中心第9卷,第2期,2019年3月和4月页:9596 DOI: 10.29252/jrh.9.2.95致编辑信
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引用次数: 3
The experience of pregnancy in women with high body mass: a hermeneutical/phenomenological study 高体重妇女怀孕的经验:一项解释学/现象学研究
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.147
S. Shahbazzadegan
Overweight is one of the most common health problems and risk factors for many prenatal illnesses. The proportion of pregnant women with high body mass would be increased by increasing body mass in society. The purpose of this study was to explain the pregnancy experience in women with high body mass index. An interpretive phenomenological approach was used to conduct this study. Participants included ten pregnant women with high body mass index who were interviewed. All interviews were recorded and transcribed after permission from the participants in order to explain the phenomenon under study and the data were analyzed by using the Van Manen method in MAXQDA version-10 software to emerge their themes and their basic patterns. Out of the 857 extracted primary codes, the experience of women with high birth weight was summarized in the main theme of "Pregnancy concurrent with concern". This theme comprised the following subthemes: "sense of risk", "lack of care facilities for mothers with high body mass index", "obesity as a stigma", and "lack of specialized care". This Hermeneutic phenomenology study showed that pregnant women with high body mass are a vulnerable group. Their pregnancy concurrent with more concern requires more care and support. Service providers, in particular midwives, nurses, and doctors, should be aware of their attitudes and behaviors toward this group of clients and avoid any stereotypical and harassing care behaviors.
超重是最常见的健康问题之一,也是许多产前疾病的风险因素。高体重孕妇的比例会随着社会体重的增加而增加。本研究的目的是解释高体重指数妇女的怀孕经历。本研究采用解释性现象学方法。参与者包括10名身体质量指数较高的孕妇。为了解释所研究的现象,在获得参与者的许可后,对所有访谈进行记录和转录,并使用MAXQDA version-10软件中的Van Manen方法对数据进行分析,以得出其主题和基本模式。在抽取的857个主要代码中,高出生体重妇女的经验总结为“怀孕与关注同时发生”的主题。这一主题包括以下分主题:“风险意识”、“缺乏对高体重指数母亲的护理设施”、“肥胖是一种耻辱”和“缺乏专门护理”。本解释学现象学研究表明,高体重孕妇是一个弱势群体。她们的怀孕伴随着更多的关心,需要更多的关心和支持。服务提供者,特别是助产士、护士和医生,应该意识到他们对这群客户的态度和行为,避免任何刻板印象和骚扰护理行为。
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引用次数: 1
Predictors of intention to quit smoking among hospital male personnel 医院男性工作人员戒烟意向的预测因素
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.140
Sajjad Narimani, R. Farmanbar, E. Leyli
Smoking is the most preventable cause of premature death in the world and its disadvantages impose heavy financial burden on the health system. Among the behavioral models of health education, the most applicable one in smoking cessation is Transtheoretical Model (TTM). This study aimed to detect the predictors of smoking cessation among hospital male personnel. The participants were 200 current and former smokers Personnel working at four hospitals. The instruments included decisional balance scale, self-efficacy scale, processes of change scale (behavioral and experiential), and stages of change which were completed by self-report. Descriptive statistics analysis showed that 66.5% of participants were located in the earlier stages of change. Bivariate spearman correlations showed that self-efficacy, processes of change and decisional balance were significantly correlated with the stage of change. Besides, ordinal regression revealed that experiential processes of change, self-efficacy and behavioral processes were the strongest predictors for the change stages of smoke cessation. The current study revealed that the readiness to quit smoking is significantly predicted by the mechanisms of self-efficacy and the process of change such as environment reevaluation, stimulus control and counter conditioning, which can lead to positive progress in the change stages of smoke cessation. The findings of this study showed that using TTM for smoking cessation would be very effective in improving readiness to quit smoking among hospitals personnel.
吸烟是世界上最可预防的过早死亡原因,其缺点给卫生系统带来沉重的财政负担。在健康教育的行为模式中,最适用于戒烟的是跨理论模式(Transtheoretical Model, TTM)。本研究旨在探讨医院男性工作人员戒烟的预测因素。参与者是在四家医院工作的200名现在和以前的吸烟者。研究工具包括决策平衡量表、自我效能量表、改变过程量表(行为和经验)以及由自我报告完成的改变阶段量表。描述性统计分析显示,66.5%的参与者处于变化的早期阶段。双变量spearman相关表明,自我效能感、变革过程和决策平衡与变革阶段显著相关。此外,有序回归结果显示,改变的经验过程、自我效能感和行为过程是戒烟变化阶段的最强预测因子。本研究发现,自我效能感机制和环境重估、刺激控制、反条件反射等变化过程对戒烟意愿有显著的预测作用,并能在戒烟的变化阶段取得积极进展。本研究结果表明,使用TTM戒烟将非常有效地提高医院工作人员戒烟的准备程度。
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引用次数: 2
Addicted people’s experiences of the consequences of substance abuse on their lives: a phenomenology study 成瘾者对药物滥用对其生活影响的体验:一项现象学研究
Pub Date : 2019-02-10 DOI: 10.29252/JRH.9.2.112
Abbas Rahmati, Fahimeh Zeraat Herfeh, S. O. Hosseini
Addiction is one of the biggest predicaments in today’s world which inflicts negative consequences upon individuals and communities. The aim of the present study was to examine the consequences of substance abuse on the life of women and men during recovery. The study was conducted with a qualitative approach using phenomenological method. Forty Participants recovering from addiction (20 women and 20 men) were selected through criterion sampling out of drug addiction treatment centers across the city of Kerman, Iran. Data were collected using semistructured interviews. Data collection was continued to achieve data saturation. Following data analysis, 149 codes and 16 subthemes were identified. We also finalized two major themes, individual consequences and individual-familial consequences. The findings further highlighted the negative consequences of addiction in men and women populations. Highlighting these consequences can help inform individuals and the society about the hazards of drugs. Furthermore, officials in charge of education and prevention of addiction across the nation can obtain knowledge out of these findings.
成瘾是当今世界最大的困境之一,它对个人和社区造成负面影响。本研究的目的是检查药物滥用对康复期间妇女和男子生活的影响。本研究采用现象学方法进行定性研究。通过标准抽样从伊朗克尔曼市的戒毒治疗中心中选择了40名从成瘾中康复的参与者(20名女性和20名男性)。数据收集采用半结构化访谈。继续收集数据,达到数据饱和。经过数据分析,确定了149个代码和16个次级主题。我们还确定了两个主要主题,个人后果和个人-家庭后果。研究结果进一步强调了成瘾对男性和女性人群的负面影响。强调这些后果有助于使个人和社会了解毒品的危害。此外,全国负责教育和预防成瘾的官员可以从这些发现中获得知识。
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引用次数: 0
Alexithymia as a moderator of the relation between self-care and psychological distress 述情障碍在自我照顾与心理困扰关系中的调节作用
Pub Date : 2019-02-10 DOI: 10.29252/jrh.9.2.187
M. Abassi, F. Rezaei
Alexithymia is considered as important contributor in the psychological distress. This study examined the moderator role of alexithymia in the relationship between self-care and psychological distress in 217 elementary school teachers. Alexithymia, self-care and psychological distress has been assessed in 217 teachers (108 females and 109 males). Participants were asked to complete 4 including socio-demographic questionnaire, toronto alexithymia scale, health-promoting lifestyle profile II, and the depression, anxiety, and stress scales. Results revealed that there is a significant relationship between self-care, alexithymia and psychological distress. Alexithymia was also a moderator in the relationship between self-care and psychological distress. The findings supported the hypothesis that higher levels of alexithymia would be associated with higher levels of psychological distress, and that lower levels of alexithymia would be associated with lower levels of psychological distress. Alexithymia helped explain the self-care and psychological distress link in adults.
述情障碍被认为是造成心理困扰的重要因素。摘要本研究探讨述情障碍在217名小学教师自我照顾与心理困扰关系中的调节作用。对217名教师(女108名,男109名)的述情障碍、自我照顾和心理困扰进行了评估。问卷内容包括社会人口调查问卷、多伦多述情障碍量表、促进健康生活方式量表、抑郁、焦虑和压力量表。结果显示,自我照顾、述情障碍与心理困扰之间存在显著相关。述情障碍也是自我照顾和心理困扰之间关系的调节因素。研究结果支持了一种假设,即较高程度的述情障碍与较高程度的心理困扰有关,而较低程度的述情障碍与较低程度的心理困扰有关。述情障碍有助于解释成年人的自我照顾和心理困扰之间的联系。
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引用次数: 0
Effect of family-based intervention program on parenting skills of mothers and clinical symptoms of children with behavioral disorder 家庭干预对母亲教养技巧及行为障碍患儿临床症状的影响
Pub Date : 2019-02-01 DOI: 10.29252/JRH.9.2.156
S. Ghasemzadeh, G. Afrooz, A. beh-pajooh, M. Shokoohi-yekta
Behavioral disorders are one of the most common psychological issues of childhood and adolescence. The aim of the present study was to examine the effect of family-based intervention program on parenting skills of mothers and clinical symptoms of children with behavioral disorder. The study was quasi-experimental research. The population all students with behavioral disorders who were studying the first to six grades in this study, sixthy students and along with their parents were selected as the main sample of the research. The research tools included Baumrind's parental style inventory and clinical symptoms checklist. The intra-family relationships promotion program was held as eight group sessions for parents, an individual family session, two phonecall sessions and an enforcement session. The research findings indicated that the family-based intervention program could improve mothers' authoritative parenting skills and also could reduce clinical symptoms of children and the results were stabled for a three-month follow-up. Therefore, family and child counselors can use this family-based intervention program to increase parenting skills of mothers and reduction clinical symptoms of children with behavioral disorder.
行为障碍是儿童和青少年最常见的心理问题之一。本研究旨在探讨以家庭为基础的干预方案对母亲教养技巧和行为障碍儿童临床症状的影响。这项研究是准实验研究。本研究选取一至六年级的行为障碍学生为研究对象,其中60名学生及其父母作为研究的主要样本。研究工具包括鲍姆林德父母风格量表和临床症状检查表。家庭内部关系促进方案以8个家长小组会议、1个单独家庭会议、2个电话会议和1个执行会议的形式举行。研究结果表明,以家庭为基础的干预方案可以提高母亲的权威育儿技能,也可以减少儿童的临床症状,并且结果在三个月的随访中保持稳定。因此,家庭和儿童咨询师可以使用这种以家庭为基础的干预方案来提高母亲的育儿技能,减少行为障碍儿童的临床症状。
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引用次数: 1
期刊
International Journal of Medical Research and Health Sciences
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