Pub Date : 2020-10-01DOI: 10.32598/JGUMS.29.3.1584.1
Ameneh Khalatbari, Shohreh Ghorbanshiroudi, M. Zarbakhsh, T. Tizdast
Background: Diabetes is one of the most common diseases affecting peoplechr('39')s mental health and the body. Therefore, psychological interventions seem necessary to solve the problems caused by this disease. Objective: The present study aimed to compare the effectiveness of Compassion-focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), and commitment to self-care behavior and glycosylated hemoglobin in patients with type 2 diabetes at Tonekabon City Hospital. Materials and Methods: This clinical trial was a one-step cluster sampling study, including 200 patients who were randomly selected from all patients with type 2 diabetes in Tonekabon City Hospital and, at the same time, the scale of self-care behavior of Tobert, Glasgow, and Hamspon (2002). A total of 45 people were randomly selected and divided into three groups of 15 people, including two intervention groups and one control group, 12 compassionate therapy sessions, and 12 admission-based treatment sessions, each lasting 45 minutes. Meetings for each intervention were performed twice a week with an interval of 3 days. At the end of treatment, all three groups were retested. Results: Due to the comparison of the mean differences between the two treatment groups for self-care and glycosylated hemoglobin (5.012) (-2.145), respectively, Acceptance and Commitment Therapy was more effective than compassion-focused therapy. Conclusion: The results owed a positive trend and increased self-care behavior and balanced glycosylated hemoglobin level in the follow-up and effectiveness of both approaches and the superiority of the acceptance and commitment-based treatment approach. Therefore, this treatment can be used in different conditions to improve the lives of patients with type 2 diabetes.
背景:糖尿病是影响人们心理健康和身体的最常见疾病之一。因此，心理干预似乎有必要解决由这种疾病引起的问题。目的:本研究旨在比较以同情为中心的治疗(CFT)和接受与承诺治疗(ACT)对Tonekabon市医院2型糖尿病患者自我护理行为承诺和糖化血红蛋白的效果。材料与方法:本临床试验为一步整群抽样研究，从Tonekabon市医院所有2型糖尿病患者中随机抽取200例患者，同时采用Tobert, Glasgow, and Hamspon(2002)的自我保健行为量表。随机选择45人，分为3组，每组15人，包括2个干预组和1个对照组，12个同情治疗疗程，12个入院治疗疗程，每个疗程持续45分钟。每项干预措施的会议每周进行两次，间隔3天。在治疗结束时，所有三组都重新进行了测试。结果:比较两组自我照顾和糖化血红蛋白(5.012)(-2.145)的平均差异，接受和承诺治疗比同情治疗更有效。结论:两种治疗方法的随访结果均呈积极趋势，自我护理行为增加，糖化血红蛋白水平平衡，两种治疗方法均有效，接受和承诺为基础的治疗方法具有优势。因此，这种治疗可以在不同的条件下使用，以改善2型糖尿病患者的生活。
{"title":"Comparison of the Effectiveness of Compassion-based Therapy and Acceptance-based Therapy and Commitment to Self-care Behavior and Glycosylated Hemoglobin in Patients With Type 2 Diabetes","authors":"Ameneh Khalatbari, Shohreh Ghorbanshiroudi, M. Zarbakhsh, T. Tizdast","doi":"10.32598/JGUMS.29.3.1584.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1584.1","url":null,"abstract":"Background: Diabetes is one of the most common diseases affecting peoplechr('39')s mental health and the body. Therefore, psychological interventions seem necessary to solve the problems caused by this disease. Objective: The present study aimed to compare the effectiveness of Compassion-focused Therapy (CFT) and Acceptance and Commitment Therapy (ACT), and commitment to self-care behavior and glycosylated hemoglobin in patients with type 2 diabetes at Tonekabon City Hospital. Materials and Methods: This clinical trial was a one-step cluster sampling study, including 200 patients who were randomly selected from all patients with type 2 diabetes in Tonekabon City Hospital and, at the same time, the scale of self-care behavior of Tobert, Glasgow, and Hamspon (2002). A total of 45 people were randomly selected and divided into three groups of 15 people, including two intervention groups and one control group, 12 compassionate therapy sessions, and 12 admission-based treatment sessions, each lasting 45 minutes. Meetings for each intervention were performed twice a week with an interval of 3 days. At the end of treatment, all three groups were retested. Results: Due to the comparison of the mean differences between the two treatment groups for self-care and glycosylated hemoglobin (5.012) (-2.145), respectively, Acceptance and Commitment Therapy was more effective than compassion-focused therapy. Conclusion: The results owed a positive trend and increased self-care behavior and balanced glycosylated hemoglobin level in the follow-up and effectiveness of both approaches and the superiority of the acceptance and commitment-based treatment approach. Therefore, this treatment can be used in different conditions to improve the lives of patients with type 2 diabetes.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"30 1","pages":"34-49"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75180515","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}
Background: Adolescence is an important and vital period in the human lifespan. Adolescent girls’ health is affected by special cultural and social factors; investing in their health requires careful planning and effective intervention. For any planning, accurate knowledge of their needs is necessary. Objective: This study aims to assess the healthcare needs of adolescent girls in Iran. Materials and Methods: This descriptive cross-sectional study was conducted on 850 female students who were studying in first- and second-grade high schools in Rasht, Iran. They were selected using a multistage cluster sampling technique. In this study, a demographic form and the Female Adolescents Health Needs Questionnaire (FAHNQ) were used for data collection. The collected data were analyzed in SPSS V. 21 software using descriptive statistics. Results: According to the participants, the top priority healthcare need was related to the emotional need (23.47±12.22%), followed by social (21.02±11.68%), educational (18.63±16.01%), physical (15.12±10.34%) and spiritual needs (13.86±11.99%). Conclusion: The decision-makers in the health sector should pay more attention to the emotional needs of adolescent girls to promote their primary health.
背景:青春期是人类一生中重要而关键的时期。少女的健康受到特殊的文化和社会因素的影响;投资于他们的健康需要仔细规划和有效干预。对于任何计划，准确了解他们的需求是必要的。目的:本研究旨在评估伊朗少女的保健需求。材料与方法:本描述性横断面研究对850名在伊朗Rasht读一、二年级的女学生进行了研究。他们是使用多阶段聚类抽样技术选择的。本研究采用人口统计表格和《女性青少年健康需求问卷》(FAHNQ)进行数据收集。收集的数据在SPSS V. 21软件中进行描述性统计分析。结果:被调查者认为最重要的医疗需求是情感需求(23.47±12.22%)，其次是社交需求(21.02±11.68%)、教育需求(18.63±16.01%)、身体需求(15.12±10.34%)和精神需求(13.86±11.99%)。结论:卫生部门决策者应重视少女的情感需求，促进少女的初级健康。
{"title":"Prioritizing the Healthcare Needs of Adolescent Girls in Iran","authors":"Sepideh Panjalipour, Zahra Bostani Khalesi, Sedigheh Rezaei Chamani, Ehsan Kazemnejad Leili","doi":"10.32598/JGUMS.29.3.1526.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1526.1","url":null,"abstract":"Background: Adolescence is an important and vital period in the human lifespan. Adolescent girls’ health is affected by special cultural and social factors; investing in their health requires careful planning and effective intervention. For any planning, accurate knowledge of their needs is necessary. Objective: This study aims to assess the healthcare needs of adolescent girls in Iran. Materials and Methods: This descriptive cross-sectional study was conducted on 850 female students who were studying in first- and second-grade high schools in Rasht, Iran. They were selected using a multistage cluster sampling technique. In this study, a demographic form and the Female Adolescents Health Needs Questionnaire (FAHNQ) were used for data collection. The collected data were analyzed in SPSS V. 21 software using descriptive statistics. Results: According to the participants, the top priority healthcare need was related to the emotional need (23.47±12.22%), followed by social (21.02±11.68%), educational (18.63±16.01%), physical (15.12±10.34%) and spiritual needs (13.86±11.99%). Conclusion: The decision-makers in the health sector should pay more attention to the emotional needs of adolescent girls to promote their primary health.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"115 1","pages":"58-71"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80628752","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}
Pub Date : 2020-10-01DOI: 10.32598/JGUMS.29.3.1422.1
Gh R Mokhtari, S. Esmaeili, Mahsa Mahsa Zeinali Moghaddam, A. Ghanbari
Background: Several studies have reported that cigarette smoking affects sperm parameters, especially semen quality, but their results are contradictory. Objective: This retrospective study aims to evaluate the relationship of sperm parameters with smoking in men with idiopathic infertility. Materials and Methods: This retrospective study was conducted on 1744 infertile men with at least one year of idiopathic infertility. They were divided into two groups of smokers (n=379) and non-smokers (n=1365) according to their smoking habits and based on their inclusion and exclusion criteria. The semen analysis was extracted from subjects’ medical records, and the collected data were analyzed in SPSS V. 19 software. Results: Smoking significantly reduced semen volume in smokers (2.88±1.50 mL) compared to non-smokers (3.28±1.77 mL) (P=0.002). There was a significant decrease in sperm motility in smokers (36.1±21.9%) compared to non-smokers (34.4±19.6%) (P=0.009). However, the association of smoking with sperm motility between men with normal and abnormal semen volumes was not statistically significant, and there was no significant difference in sperm count and morphology between infertile smokers and non-smokers (P>0.05). Conclusion: Smoking causes a significant reduction in semen volume, but has no significant effect on sperm count, morphology, and motility in men with abnormal and normal semen volume.
背景:一些研究报道了吸烟影响精子参数，特别是精液质量，但结果是相互矛盾的。目的:本回顾性研究旨在评价男性特发性不育症患者精子参数与吸烟的关系。材料与方法:本研究对1744例至少1年的特发性不育症男性进行回顾性研究。根据吸烟习惯和纳入、排除标准，将他们分为吸烟(n=379)和不吸烟(n=1365)两组。精液分析从受试者的病历中提取，收集的数据在SPSS V. 19软件中进行分析。结果:吸烟者的精液体积(2.88±1.50 mL)明显低于非吸烟者(3.28±1.77 mL) (P=0.002)。吸烟者精子活力(36.1±21.9%)明显低于非吸烟者(34.4±19.6%)(P=0.009)。而在精液量正常与异常的男性中，吸烟对精子活力的影响无统计学意义，在不育吸烟者与不吸烟者中，精子数量和形态差异无统计学意义(P>0.05)。结论:吸烟导致精液量明显减少，但对精液量异常和正常男性的精子数量、形态和活力无显著影响。
{"title":"Effect of Cigarette Smoking on Sperm Parameters in Men With Idiopathic Infertility","authors":"Gh R Mokhtari, S. Esmaeili, Mahsa Mahsa Zeinali Moghaddam, A. Ghanbari","doi":"10.32598/JGUMS.29.3.1422.1","DOIUrl":"https://doi.org/10.32598/JGUMS.29.3.1422.1","url":null,"abstract":"Background: Several studies have reported that cigarette smoking affects sperm parameters, especially semen quality, but their results are contradictory. Objective: This retrospective study aims to evaluate the relationship of sperm parameters with smoking in men with idiopathic infertility. Materials and Methods: This retrospective study was conducted on 1744 infertile men with at least one year of idiopathic infertility. They were divided into two groups of smokers (n=379) and non-smokers (n=1365) according to their smoking habits and based on their inclusion and exclusion criteria. The semen analysis was extracted from subjects’ medical records, and the collected data were analyzed in SPSS V. 19 software. Results: Smoking significantly reduced semen volume in smokers (2.88±1.50 mL) compared to non-smokers (3.28±1.77 mL) (P=0.002). There was a significant decrease in sperm motility in smokers (36.1±21.9%) compared to non-smokers (34.4±19.6%) (P=0.009). However, the association of smoking with sperm motility between men with normal and abnormal semen volumes was not statistically significant, and there was no significant difference in sperm count and morphology between infertile smokers and non-smokers (P>0.05). Conclusion: Smoking causes a significant reduction in semen volume, but has no significant effect on sperm count, morphology, and motility in men with abnormal and normal semen volume.","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"465 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83017006","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}
Pub Date : 2004-03-01DOI: 10.1016/s1359-6349(04)90782-3
E. Hashemi, Ali Montazeri, M. Akbari, M. Najafi, S. Haghighat, A. Kaviani
{"title":"Role of Tumor Markers in Breast Cancer Recurrence","authors":"E. Hashemi, Ali Montazeri, M. Akbari, M. Najafi, S. Haghighat, A. Kaviani","doi":"10.1016/s1359-6349(04)90782-3","DOIUrl":"https://doi.org/10.1016/s1359-6349(04)90782-3","url":null,"abstract":"","PeriodicalId":15994,"journal":{"name":"Journal of Guilan University of Medical Sciences","volume":"20 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82565091","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}
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