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Operating room technologists’ knowledge, attitude, and preparedness for disaster management of a Zahedan: Implications for nursing disaster education 手术室技师对扎黑丹灾难管理的知识、态度和准备情况:对护理灾难教育的启示
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_1337_23
Mahnaz Ghaljeh, M. Doostkami, F. Ghaljaei, Najmeh Ghiamikeshtgar, Fateme Pishdad
During the occurrence of accidents and disasters, the role of hospitals and healthcare centers is very sensitive and they are among the first units that with their quick, optimal, and timely healthcare services provision can reduce mortality and increase the number of survivors. For this purpose, this study was conducted to investigate the knowledge, attitude, and level of preparedness of operating room technologists of educational hospitals of Zahedan University of Medical Sciences in relation to disasters. The present research is a cross-sectional descriptive study that was conducted with the participation of 60 operating room technologists of Zahedan educational hospitals from January 2022 to December 2022. The sampling was performed by the census method. The data collection tool was a demographic characteristic and a researcher-made questionnaire for the assessment of attitude, knowledge, and preparation against the occurrences of accidents and disasters was completed during 2 months by referring the researcher to the hospitals. For the data analysis, descriptive statistics and analytical statistical tests were used. The data were analyzed using IBM SPSS Statistics 26. Corp., Armonk, NY, USA. The significance level was considered P < 0.05. The results showed that the average scores of attitude, preparation, and knowledge are 9.3 ± 6.1, 75.8 ± 9.9, and 5.7 ± 4.1, respectively, and the majority of operating room technologists have a favorable level towards attitude and have relatively favorable level towards preparation and knowledge during the occurrence of disasters. The average score of knowledge and attitude of operating room technologists with work history had a significant difference from each other (P < 0.05). technologists with less work experience have more knowledge and a more positive attitudedisaster. Measuring the level of knowledge, attitude, and preparedness of surgical technologists to deal with disasters as one of the ways of receiving feedback from employee training can be a useful reflection of the success of training programs in creating the necessary capabilities in various fields of disaster preparedness, and it can be a powerful tool for increasing individual and group dynamics and organizing individual learning in coping training. Furthermore, disaster education should be incorporated into the operating room curriculum, which would play a seminal role in preparing them for future disaster management. It is also suggested to investigate the impact of intelligent training on the level of knowledge, attitude, and preparation of operating room personnel regarding disasters and obstacles in this regard in future research.
在发生事故和灾难时,医院和医疗保健中心的作用非常敏感,它们是最先提供快速、最佳和及时医疗保健服务的单位,可以降低死亡率并增加幸存者人数。为此,本研究旨在调查扎黑丹医科大学教育医院手术室技术人员对灾难的认识、态度和准备程度。 本研究是一项横断面描述性研究,从 2022 年 1 月至 2022 年 12 月,扎黑丹教育医院的 60 名手术室技师参与了本研究。抽样采用普查法。数据收集工具是一份人口统计学特征和一份由研究人员制作的问卷,用于评估态度、知识和应对事故和灾难发生的准备情况。数据分析采用了描述性统计和分析性统计检验。数据使用 IBM SPSS Statistics 26 进行分析。公司进行分析。显著性水平为 P <0.05。 结果显示,态度、准备和知识的平均得分分别为(9.3±6.1)分、(75.8±9.9)分和(5.7±4.1)分,大多数手术室技师对灾难发生时的态度持肯定态度,对灾难发生时的准备和知识持相对肯定的态度。有工作经历的手术室技师在知识和态度方面的平均得分有显著差异(P<0.05),工作经历较少的技师对灾害的知识了解更多,态度也更积极。 测量手术室技师应对灾害的知识水平、态度和准备程度,作为接收员工培训反馈的方式之一,可以有效反映培训项目是否成功地培养了各领域必要的备灾能力,同时也是在应对培训中增强个人和团体活力、组织个人学习的有力工具。此外,应将灾害教育纳入手术室课程,这将为他们未来的灾害管理做好准备,发挥开创性作用。还建议在今后的研究中调查智能培训对手术室人员有关灾害的知识、态度和准备水平的影响以及这方面的障碍。
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引用次数: 0
Joint modeling of longitudinal and competing risks for assessing blood oxygen saturation and its association with survival outcomes in COVID-19 patients 为评估 COVID-19 患者血氧饱和度及其与生存结果的关系建立纵向和竞争风险联合模型
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_246_23
Z. Geraili, Karimollah HajianTilaki, M. Bayani, Seyed R. Hosseini, S. Khafri, S. Ebrahimpour, M. Javanian, A. Babazadeh, M. Shokri
The objective of the present study is to evaluate the association between longitudinal and survival outcomes in the presence of competing risk events. To illustrate the application of joint modeling in clinical research, we assessed the blood oxygen saturation (SPO2) and its association with survival outcomes in coronavirus disease (COVID-19). In this prospective cohort study, we followed 300 COVID-19 patients, who were diagnosed with severe COVID-19 in the Rohani Hospital in Babol, the north of Iran from October 22, 2020 to March 5, 2021, where death was the event of interest, surviving was the competing risk event and SPO2 was the longitudinal outcome. Joint modeling analyses were compared to separate analyses for these data. The estimation of the association parameter in the joint modeling verified the association between longitudinal outcome SPO2 with survival outcome of death (Hazard Ratio (HR) = 0.33, P = 0.001) and the competing risk outcome of surviving (HR = 4.18, P < 0.001). Based on the joint modeling, longitudinal outcome (SPO2) decreased in hypertension patients (β = -0.28, P = 0.581) and increased in those with a high level of SPO2 on admission (β = 0.75, P = 0.03). Also, in the survival submodel in the joint model, the risk of death survival outcome increased in patients with diabetes comorbidity (HR = 4.38, P = 0.026). The association between longitudinal measurements of SPO2 and survival outcomes of COVID-19 confirms that SPO2 is an important indicator in this disease. Thus, the application of this joint model can provide useful clinical evidence in the different areas of medical sciences.
本研究的目的是在存在竞争风险事件的情况下评估纵向结果与生存结果之间的关联。为了说明联合建模在临床研究中的应用,我们评估了冠状病毒病(COVID-19)患者的血氧饱和度(SPO2)及其与生存结果之间的关联。 在这项前瞻性队列研究中,我们从 2020 年 10 月 22 日至 2021 年 3 月 5 日对伊朗北部巴博勒的罗哈尼医院确诊为重症 COVID-19 的 300 名 COVID-19 患者进行了随访,其中死亡为关注事件,存活为竞争风险事件,SPO2 为纵向结果。对这些数据进行了联合建模分析与单独分析的比较。 联合建模中关联参数的估算验证了纵向结果 SPO2 与生存结果死亡(危险比 (HR) = 0.33,P = 0.001)和竞争风险结果存活(HR = 4.18,P < 0.001)之间的关联。根据联合模型,高血压患者的纵向结局(SPO2)降低(β = -0.28,P = 0.581),而入院时 SPO2 水平高的患者的纵向结局(SPO2)升高(β = 0.75,P = 0.03)。此外,在联合模型的生存子模型中,糖尿病合并症患者的死亡生存风险增加(HR = 4.38,P = 0.026)。 COVID-19的SPO2纵向测量值与生存结果之间的关联证实,SPO2是该疾病的一个重要指标。因此,该联合模型的应用可为医学科学的不同领域提供有用的临床证据。
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引用次数: 0
Tele-psychotherapy for individuals with obsessive-compulsive disorder during the COVID-19 outbreak: A qualitative study 在 COVID-19 爆发期间为强迫症患者提供远程心理治疗:定性研究
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_372_23
Batul Tadayon Chaharshughi, Razieh Izadi, A. Naghavi
One way of delivering psychological services is tele-psychotherapy, which has attracted significant attention as a viable approach. This study aimed to identify important variables in the application of tele-counseling and psychotherapy for the treatment of patients with obsessive-compulsive disorder (OCD) in Isfahan, Iran. This research employed an exploratory qualitative methodology. The participants of this study consisted of all the clients with OCD and all the psychotherapists in the city of Isfahan. Purposive sampling was employed, and following a series of semi-structured interviews with 35 individuals with OCD and 11 counselors in this area, the sample size reached a saturation point. The data was analyzed by Braun and Clark’s thematic analysis method. Based on the findings of Braun and Clark’s analysis, three primary themes emerged concerning tele-counseling: opportunities, requirements, and challenges. According to the feedback received from therapists and clients, remote services could offer promising prospects to both groups by providing accessible locations and flexible time management. However, to get the full benefits of teletherapy, therapists should consider certain factors to enhance the therapeutic alliance. Moreover, there are challenges that need to be addressed.
远程心理治疗是提供心理服务的一种方式,作为一种可行的方法已引起了广泛关注。本研究旨在确定伊朗伊斯法罕应用远程咨询和心理疗法治疗强迫症(OCD)患者的重要变量。 本研究采用了探索性定性方法。本研究的参与者包括伊斯法罕市的所有强迫症患者和所有心理治疗师。在对该地区的 35 名强迫症患者和 11 名心理咨询师进行了一系列半结构化访谈后,样本量达到了饱和点。采用布劳恩和克拉克的主题分析法对数据进行了分析。 根据布劳恩和克拉克的分析结果,有关远程心理咨询的三个主要专题浮现出来:机遇、要求和挑战。 根据从治疗师和客户那里得到的反馈,远程服务通过提供方便的地点和灵活的时间管理,可以为这两个群体带来光明的前景。然而,要充分发挥远程治疗的优势,治疗师应考虑某些因素,以加强治疗联盟。此外,还有一些挑战需要应对。
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引用次数: 0
Study of mindset among learners and educators in an Indian medical school—A questionnaire-based survey 印度医学院学习者和教育者的心态研究--基于问卷的调查
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_1661_22
Sujatha Rajaragupathy, Sumitra Govindarajan, Deepika Ponnusamy
Mindset varies along a spectrum of two extremes- fixed and growth. Individuals with growth mindset embrace new challenges readily and believe that intelligence is malleable. Mindset theory has gained focus as a principal underpinning value of health professions education, as it is aligned with the goals of competency-based education. The study aims to assess the mindset of health professional educators and learners. A cross-sectional questionnaire-based survey was conducted in a private medical college in South India. A pre-validated modified version of Dweck’s (2000) Implicit Theories of Intelligence Questionnaire was administered to the study participants. Participants responded to 10 items using a four-point Likert scale, rating the degree to which they agreed or disagreed with each statement. The quantitative data were expressed in means and percentages. A total of192 students and 25 faculty participated in the study. Among students, 45.8% (n = 88) had strong growth mindset, 42.1% (n = 81) had growth mindset with some fixed ideas, 10.9% (n = 21) had fixed mindset with some growth ideas, and 1% (n = 2) had strong fixed mindset. Among faculty 4% (n = 1) had fixed mindset with growth ideas, 44% (n = 11) had growth mindset with fixed ideas, and 52% (n = 13) had strong growth mindset. In this study, educators and learners of a medical school were found to have predominantly growth mindset. Fostering growth mindset among stakeholders of health professions education is essential for effective teaching and learning in competency-based education.
思维模式有固定思维模式和成长思维模式两个极端。具有成长型思维模式的人乐于接受新的挑战,并相信智力是可塑的。心态理论与能力本位教育的目标相一致,因此作为卫生专业教育的主要支撑价值而备受关注。本研究旨在评估卫生专业教育者和学习者的心态。 在南印度的一所私立医学院进行了一项横向问卷调查。研究人员对 Dweck(2000 年)的内隐智力理论问卷进行了预验证。参与者使用李克特四点量表对 10 个项目进行了回答,并对他们同意或不同意每个陈述的程度进行了评分。定量数据以平均数和百分比表示。 共有 192 名学生和 25 名教师参与了研究。在学生中,45.8%(n = 88)具有强烈的成长型思维模式,42.1%(n = 81)具有成长型思维模式并带有一些固定观念,10.9%(n = 21)具有固定思维模式并带有一些成长观念,1%(n = 2)具有强烈的固定思维模式。在教师中,4%(n = 1)拥有固定型思维模式和成长型思维模式,44%(n = 11)拥有成长型思维模式和固定型思维模式,52%(n = 13)拥有强烈的成长型思维模式。 本研究发现,医学院的教育者和学习者主要具有成长型思维模式。在卫生专业教育的利益相关者中培养成长型思维对于基于能力的教育中的有效教学至关重要。
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引用次数: 0
Determinants of health literacy and its impact on glycemic control among women with gestational diabetes mellitus in a tertiary care hospital, Puducherry – A cross-sectional analytical study 普杜切里一家三级医院妊娠糖尿病妇女健康素养的决定因素及其对血糖控制的影响--一项横断面分析研究
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_762_23
Naveenkumar Veerasetty, J. Venkatachalam, Murali Subbaiah, Kalaiselvy Arikrishnan, Bhanushree Soni
Health literacy is vital during pregnancy, as maternal health knowledge and behavior have a significant impact on the health of both mother and child. Hence, this study aimed to assess the health literacy status of pregnant women diagnosed with gestational diabetes mellitus (GDM), as well as its associated factors and impact on glycemic control. The facility-based Cross-sectional analytical study was conducted among 200 pregnant women with GDM in a tertiary care hospital. The eligible participants were consecutively selected for the study. The study was conducted from September 2022 to March 2023. A validated semi-structured questionnaire, the Health Literacy Questionnaire (HLQ) for GDM, was used to measure health literacy status. Stata V.17 software was used for data analysis. Out of 200 pregnant women with GDM, the mean (SD) age of the participants is 29.5 (±5.5) years. It was observed that 164 (82%) of the participants had adequate health literacy, whereas 36 (18%) had inadequate health literacy about Gestational Diabetes. Adequate health literacy (HL) was observed among 88.5% of women with controlled blood sugar and 55.1% of women with uncontrolled blood sugar. Results of multivariate logistic regression analysis revealed that pregnant mothers’ educational status (PR: 1.8; 95% CI: 1.2-2.5) and glycemic control (PR: 1.4; 95% CI (1.2-1.7) were associated with adequate HL. In conclusion, this study supports the association between adequate HL and glycemic control in pregnant women with GDM. Addressing this gap is essential for healthcare officials and planners to implement programs that promote women’s HL during pregnancy, with a focus on low-educated groups.
孕期健康素养至关重要,因为孕产妇的健康知识和行为会对母婴健康产生重大影响。因此,本研究旨在评估确诊为妊娠糖尿病(GDM)的孕妇的健康素养状况及其相关因素和对血糖控制的影响。 这项以医院为基础的横断面分析研究在一家三级医院的 200 名 GDM 孕妇中进行。研究连续选取了符合条件的参与者。研究时间为 2022 年 9 月至 2023 年 3 月。研究采用经过验证的半结构式问卷--GDM 孕妇健康素养问卷(HLQ)来测量孕妇的健康素养状况。数据分析使用 Stata V.17 软件。 在 200 名患有 GDM 的孕妇中,参与者的平均年龄(SD)为 29.5(±5.5)岁。据观察,164 名参与者(82%)对妊娠糖尿病有足够的健康知识,而 36 名参与者(18%)对妊娠糖尿病没有足够的健康知识。88.5%的血糖得到控制的妇女和55.1%的血糖未得到控制的妇女具有足够的健康知识(HL)。多变量逻辑回归分析结果显示,孕妈妈的教育状况(PR:1.8;95% CI:1.2-2.5)和血糖控制情况(PR:1.4;95% CI:1.2-1.7)与适当的健康知识水平有关。 总之,本研究支持适当的 HL 与 GDM 孕妇血糖控制之间的关联。解决这一差距对于医疗保健官员和规划者实施促进孕期妇女 HL 的计划至关重要,重点关注低学历群体。
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引用次数: 0
Barriers to financial access of disabled people to health services in rural areas: A case study of Iran 农村地区残疾人获得医疗服务的经济障碍:伊朗案例研究
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_63_23
L. Shams, T. Nasiri, Tahere Darvish, S. Hosseini-Shokouh, Mohammad Meskarpour Amiri
People with disabilities (PWDs) account for a significant percentage of the world’s population, with a higher prevalence in less developed countries. Access to healthcare services is the main component of health systems performance, with lower access for PWDs living in rural areas. The current study aimed to investigate PWD’s access to healthcare services in rural areas of Iran and, secondly, factors that contribute to this issue. Following a cross-sectional design, the current descriptive-analytical study is performed in the north of Iran. Using the quota sampling technique, 471 PWDs were recruited. Data were collected using a valid and reliable questionnaire, covering three dimensions of access, by face-to-face interview. Data analysis was administered using central tendency indicators and multiple regression by SPSS version 17. Statistical significance was considered when the P value <0.05. The mean score of PWD’s access to healthcare services for dimensions of utilization, availability, and affordability was 8.91 (±6.86), 14.54 (±2.3), and 51.91 (±8.78), indicating very low, low, and moderate levels of access. All three regression models were significant (P < 0.05), and variables of gender, age, marital status, education level, residence status, the income of the household head, receiving financial aid, and house area showed a significant effect (P < 0.05). This study demonstrated the seriousness of paying attention to PWD’s financial access to healthcare services, particularly in rural areas of Iran. Hence, policymakers should better focus on this problem, mainly regarding accessibility and utilization and factors that result in inequalities.
残疾人(PWDs)在世界人口中占很大比例,在欠发达国家的发病率更高。获得医疗保健服务是医疗系统绩效的主要组成部分,而生活在农村地区的残疾人获得医疗保健服务的机会较少。本研究旨在调查伊朗农村地区残疾人获得医疗保健服务的情况,其次是造成这一问题的因素。 本研究采用横断面设计,在伊朗北部进行描述性分析研究。采用配额抽样技术,共招募了 471 名残疾人。通过面对面访谈,使用有效可靠的调查问卷收集数据,问卷涵盖了获取信息的三个方面。数据分析采用 SPSS 17 版的中心倾向指标和多元回归法。当 P 值小于 0.05 时,统计结果具有显著性。 残疾人在使用、可获得性和可负担性三个维度上获得医疗服务的平均得分分别为 8.91(±6.86)分、14.54(±2.3)分和 51.91(±8.78)分,表明他们获得医疗服务的水平很低、很低和中等。三个回归模型均有显著影响(P < 0.05),性别、年龄、婚姻状况、教育程度、居住状况、户主收入、接受资助和房屋面积等变量均有显著影响(P < 0.05)。 这项研究表明,关注残疾人获得医疗保健服务的经济状况是非常重要的,尤其是在伊朗的农村地区。因此,政策制定者应更好地关注这一问题,主要是关于可及性和利用率以及导致不平等的因素。
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引用次数: 0
Bibliometric study of the scientific productivity of the COVID-19 impact on constructs affecting happiness in university students 关于 COVID-19 对影响大学生幸福感的构建因素的影响的科学生产力的文献计量学研究
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_615_23
María Bedoya-Gonzales, Yudi Yucra-Mamani, Walker Aragón-Cruz, Katia Barrientos-Paredes, Percy Gómez-Bailón, Sonia Laura-Chauca, J. Fuentes-Lopez, Claudia Flores-Gutiérrez, Marco Cossio-Bolaños, Rossana Gómez-Campos
COVID-19 has caused a wide range of psychological problems, such as panic disorders, anxiety, and depression. Knowing what others have researched on, what constructs they have focused on, will (a) summarize published information, (b) help identify research gaps, and (c) encourage future research that addresses these gaps. The aim of the study was to analyze the bibliometric indicators of scientific productivity of the impact of COVID-19 on constructs affecting undergraduate happiness. A bibliometric study was conducted. The PubMed database was used. Data summarized were: authors, year of publication, journal name, country, language of publication, and subtopic addressed. A total of 16 English-language studies were identified between April 2022 and December 2022. There were 12 countries that have published on the impact of COVID-19 on constructs affecting college students’ happiness. Most of the studies were developed in the United States (n = 4, 25%) and China (n = 2, 12.5%). Thirteen journals publishing these topics were detected. The subtopics considered were organized into nine categories (e.g., a: Psychological impact, b: Adverse childhood experiences, c: Stress, d: Personality traits, e: Perception of the educational environment, f: Spiritual health, g: Distress, h: Uncertainty and socioemotional learning, i: Satisfaction with life). This study suggests that the number of countries and scientific journals that have published on the impact of COVID-19 on constructs affecting college students’ happiness is small. In addition, the most discussed subtopics during the pandemic were related to constructs such as psychological impact and stress affecting college students’ happiness.
COVID-19 引发了一系列心理问题,如恐慌症、焦虑症和抑郁症。了解其他人研究了什么,他们关注了哪些结构,将(a)总结已发表的信息,(b)帮助确定研究差距,以及(c)鼓励未来针对这些差距进行研究。本研究的目的是分析 COVID-19 对影响大学生幸福感的建构影响的科学生产力文献计量指标。我们进行了一项文献计量学研究。研究使用了 PubMed 数据库。汇总的数据包括:作者、发表年份、期刊名称、国家、发表语言和涉及的副标题。在 2022 年 4 月至 2022 年 12 月期间,共发现了 16 项英文研究。有 12 个国家发表了关于 COVID-19 对影响大学生幸福感的构建因素的影响的研究。大多数研究是在美国(4 项,占 25%)和中国(2 项,占 12.5%)进行的。共发现 13 种发表这些主题的期刊。所考虑的子课题分为九类(例如:a: 心理影响;b: 童年不良经历;c:压力,d:人格特质,e:对教育环境的看法,f: 精神健康,g: 痛苦,h:不确定性和社会情感学习,i. 对生活的满意度):生活满意度)。这项研究表明,就 COVID-19 对影响大学生幸福感的构建因素的影响发表研究的国家和科学期刊数量较少。此外,大流行病期间讨论最多的副标题与影响大学生幸福感的心理影响和压力等建构相关。
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引用次数: 0
Negative expectations (nocebo phenomenon) in clinical interventions: A scoping review 临床干预中的消极预期(诺斯波现象):范围综述
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_269_23
Hamid Nasiri-Dehsorkhi, Shahram Vaziri, Ahmad Esmaillzadeh, Peyman Adibi
Unpredictable, undesirable, and confusing reactions in the face of psychological or medical interventions make the clinical presentation more complicated and may represent clinically unexplained symptoms and also disturbed the doctor–patients relationship and decrease patients’ benefits of treatment. It seems that negative expectations from the treatment (nocebo phenomenon) can explain such reactions. The aim of the current study is a scoping review and investigate different aspects of the nocebo phenomenon (negative expectations) in clinical interventions. This paper follows a scoping review of the existence, importance, and multidimensions of the nocebo phenomenon in medical and psychological interventions. Data sources include literature databases (ProQuest, PubMed, Google Scholar, and Scopus) reviewed from inception dates to 2023, and the terms negative expectations, nocebo effect, placebo effect, negative placebo, and clinical interventions were searched. The review of the available articles showed that negative expectations play an important role in the process and effectiveness of clinical interventions. Negative expectations (here named nocebo effect) can significantly interfere with rapport and treatment processes. Some underlying components of the nocebo effect include negative expectancies, conditioning, social learning, memory, cognitive distortions, meaning, motivation, somatic focus, negative reinforcements, personality, anxiety, and neurophysiological factors such as CCK, dopamine, and cortisol are proposed for development and presence of nocebo phenomenon in clinical practice. Negative expectations with its biopsychosocial aspects play an important and amazing role in disorganizing medical and psychological interventions. Using appropriate methods to reduce nocebo effects in therapeutic interventions may increase treatment compliance and adherence and increase the effectiveness of interventions.
面对心理或医疗干预措施时出现的不可预知、不理想和令人困惑的反应会使临床表现更加复杂,可能代表临床上无法解释的症状,也会扰乱医患关系,降低患者的治疗收益。看来,对治疗的负面预期(nocebo 现象)可以解释这种反应。本研究的目的是对临床干预中的负期望现象(nocebo phenomenon)的不同方面进行综述和调查。本文对医疗和心理干预中的预兆现象的存在性、重要性和多维性进行了范围性综述。数据来源包括从开始日期到 2023 年的文献数据库(ProQuest、PubMed、Google Scholar 和 Scopus),并检索了消极期望、失眠效应、安慰剂效应、消极安慰剂和临床干预等术语。对现有文章的审查表明,消极期望在临床干预的过程和效果中发挥着重要作用。消极期望(此处命名为安慰剂效应)会严重干扰关系和治疗过程。负期望效应的一些基本成分包括负期望、条件反射、社会学习、记忆、认知扭曲、意义、动机、躯体焦点、负强化、人格、焦虑以及神经生理因素(如 CCK、多巴胺和皮质醇),这些因素被认为是负期望现象在临床实践中发展和存在的原因。消极期望及其生物心理社会方面在扰乱医疗和心理干预方面发挥着重要而惊人的作用。使用适当的方法减少治疗干预中的前功尽弃效应,可以提高治疗的依从性和坚持性,并提高干预的有效性。
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引用次数: 0
Explanation of the sociological patterns of organ donation: An analytical study 器官捐献的社会学模式解析:分析研究
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_457_23
Hedayatallah Lalehgani, S. Babaee, Ahmad Reza Yazdannick, N. Alimohammadi, Behnam Saneie, Pantea Ramezannejad
In many countries, the consent of family members is required for organ donation from brain-dead patients who are potential candidates for organ donation. In this regard, knowing the factors affecting family members’ decision for organ donation can help improve the conditions. This qualitative study aimed to identify the factors affecting family members’ decision-making regarding donation of brain-dead patients’ organs. This research applied qualitative research by focusing on the content analysis approach. The study started from April 2021 in Al-Zahra Hospital in Isfahan and Ayatollah Kashani in Shahrekord and continued until data saturation was reached (September 1401). Participants were assigned to one of three groups: brain-dead patients’ family members who consented to organ donation, brain-dead patients’ family members who declined to consent to organ donation, and people involved in the organ donation process. The sample was selected using the purposive sampling method. The data were collected using unstructured interviews and the field survey method. In this study, a qualitative content analysis with a contractual approach was used to analyze the data. The analysis of the collected data using different methods yielded 11 main categories, including 1) unresponsive healthcare system, 2) inadequate support from government systems, 3) weakness of social work organizations, 4) fear of being stigmatized, 5) cultural values, 6) symbolization, 7) perpetuation and the society’s attitude, 8) development of personality system and generalism, 9) human values, 10) spiritual maturity, and 11) belief-religious challenges, leading finally to three themes, including 1) structural and functional weakness of systems, 2) sociocultural factors, and 3) worldview. The findings of the present research were able to identify the roots and social factors affecting Iranian families’ decisions regarding the consent or nonconsent of brain-dead patient members. Health system administrators and organ donation committees in medical sciences universities in Iran can try to solve the shortage of donated organs by using the specific social aspects introduced in this study. It is also recommended to design effective models for more satisfaction of family members for brain death patient organ donation in healthcare based on the underlying concepts of this study.
在许多国家,有可能成为器官捐献候选者的脑死亡患者的器官捐献必须征得家属的同意。因此,了解影响家属作出器官捐献决定的因素,有助于改善捐献条件。本定性研究旨在找出影响家属决定捐赠脑死亡患者器官的因素。 本研究采用内容分析法进行定性研究。研究于 2021 年 4 月在伊斯法罕的 Al-Zahra 医院和 Shahrekord 的 Ayatollah Kashani 开始,一直持续到数据达到饱和为止(1401 年 9 月)。参与者被分配到三组中的一组:同意器官捐献的脑死亡患者家属、拒绝同意器官捐献的脑死亡患者家属以及参与器官捐献过程的人员。样本采用目的抽样法选出。数据收集采用非结构化访谈和实地调查法。本研究采用定性内容分析和契约方法对数据进行分析。 使用不同方法对收集到的数据进行分析后,得出了 11 个主要类别,包括 1) 医疗系统反应迟钝;2) 政府系统支持不足;3) 社会工作组织薄弱;4) 害怕被污名化;5) 文化价值观;6) 符号化、7) 长期存在和社会态度,8) 人格体系和通才主义的发展,9) 人的价值,10) 精神成熟度,11) 信仰-宗教挑战,最终形成三个主题,包括 1) 体系结构和功能缺陷,2) 社会文化因素,3) 世界观。 本研究的结果能够确定影响伊朗家庭就脑死亡患者成员同意或不同意做出决定的根源和社会因素。伊朗卫生系统管理者和医科大学器官捐献委员会可以尝试利用本研究中介绍的特定社会方面来解决捐献器官短缺的问题。此外,还建议根据本研究的基本概念设计有效模式,以提高家庭成员对脑死亡患者器官捐赠医疗保健的满意度。
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引用次数: 0
Postpartum depression and its relationship with the positive and negative perfectionism 产后抑郁及其与积极和消极完美主义的关系
IF 1.4 Q2 Social Sciences Pub Date : 2024-03-01 DOI: 10.4103/jehp.jehp_162_23
Hanieh Rahimi, Fatemeh Sadat Mousavi, Seyyedeh Adeleh Rahmanian, Zohre Khalajinia, Farideh Khavari
Depression is a common mental disorder after childbirth, which has serious consequences for the mother, baby, and family. A wide range of causes, including some personality traits of mothers, are involved in its etiology. Therefore, this study was conducted aiming to determine the factors related to postpartum depression (PPD) and its relationship with positive and negative perfectionism in Qom, Iran. This cross-sectional analytical study was conducted on 162 mothers who had been referred to health centers in Qom during 6–8 weeks after normal vaginal delivery (NVD) in 2020. After randomly classifying the health centers, the convenience sampling method was carried out. Data collection tools included social–individual information form, Edinburg Postnatal Depression Scale (EPDS), and Positive and Negative Perfectionism Questionnaire of Terry-Short. The data were analyzed using the Chi-square and Pearson correlation tests and multivariate logistic regression analysis. The prevalence of PPD in this study was 29.6%. The results showed that with the increase in the negative dimension of perfectionism, the chance of PPD in people increases by 14% (OR = 1.14, CI = 1.06–1.21), while there was no significant correlation between the positive dimension of perfectionism and PPD (r = 0.006, P > 0.05). Furthermore, the chance of PPD was higher in student mothers, mothers who had a history of PPD, and unintended pregnancy. Moreover, some factors such as multigravidity, breastfeeding, and not worrying about body image reduce the chance of occurrence. Since mothers’ negative perfectionism is associated with PPD, it is recommended to identify perfectionist individuals during pregnancy and after delivery and provide counseling service to them.
抑郁症是产后常见的精神障碍,对母亲、婴儿和家庭都有严重的影响。其病因多种多样,包括母亲的一些人格特质。因此,本研究旨在确定伊朗库姆市产后抑郁症(PPD)的相关因素及其与积极和消极完美主义的关系。 这项横断面分析研究的对象是 2020 年正常阴道分娩(NVD)后 6-8 周内转诊到库姆市医疗中心的 162 名产妇。在对医疗中心进行随机分类后,采用了方便抽样法。数据收集工具包括社会个体信息表、爱丁堡产后抑郁量表(EPDS)和 Terry-Short 的积极和消极完美主义问卷。数据分析采用了卡方检验、皮尔逊相关检验和多变量逻辑回归分析。 本研究中,PPD 的患病率为 29.6%。结果显示,随着完美主义消极维度的增加,人们患 PPD 的几率增加了 14%(OR = 1.14,CI = 1.06-1.21),而完美主义积极维度与 PPD 之间没有显著相关性(r = 0.006,P > 0.05)。此外,学生母亲、有过 PPD 病史的母亲和意外怀孕的母亲患 PPD 的几率更高。此外,一些因素,如多胎妊娠、母乳喂养、不担心身体形象等,也会降低发生 PPD 的几率。 由于母亲的消极完美主义与 PPD 有关,因此建议在孕期和产后识别完美主义者,并为她们提供咨询服务。
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引用次数: 0
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Journal of Education and Health Promotion
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