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Factors Related to Obesity Prevention Behaviors in Female High School Students in Qom, Iran Based on the Social Cognitive Theory 基于社会认知理论的伊朗库姆女高中生肥胖预防行为相关因素研究
Pub Date : 2022-12-01 DOI: 10.32598/qums.16.9.1608.1
M. Aligol, A. Zolfaghari, A. Mohammadbeigi, Z. Gharlipour
Background and Objectives: In recent years, obesity has been increased in developing countries, especially among adolescents. Various measures have not been successful to prevent it. The present study aims to investigate the factors related to obesity prevention behaviors in female high school student in Qom, Iran based on the social cognitive theory (SCT). Methods: This descriptive study was conducted on 104 high school girls who were randomly selected from two schools in Qom city. To collect data, a demographic form, the questionnaire based on the SCT constructs, fast food consumption questionnaire, unhealthy snack consumption questionnaire, food frequency questionnaire, and the international physical activity questionnaire-short form were used. Data analysis was done using analysis of variance and Pearson correlation test. Results: In terms of the SCT constructs, the mean score of awareness was 13.98 out of 24; the mean score of outcome expectations was 13.05 out of 20 (65.25%); the mean score of outcome evaluation was 47.27 out of 30 (91.56%); the mean score of observational learning was 26.08 out of 30 (55%); the mean score of reinforcement was 3.23 out of 25 (56.96%); the mean score of self-efficacy was 18.52 out of 25 (74.08%); and the mean score of self-control was 13.05 out of 25 (52.2%). The scores of the SCT constructs had a significant relationship with nutritional behaviors and physical activity. The results of analysis of variance showed that the mean scores of the constructs of outcome expectations, self-efficacy, and self-control were significantly related to the physical activity of students. Conclusion: The SCT constructs can be good predictors for obesity prevention behaviors in female high school students. Planning and implementing interventions based on these constructs can be effective in improving their lifestyle and nutritional patterns.
背景和目的:近年来,肥胖在发展中国家有所增加,尤其是在青少年中。各种预防措施都没有成功。本研究旨在基于社会认知理论(SCT),探讨伊朗库姆地区女高中生预防肥胖行为的相关因素。方法:对库姆市两所学校随机抽取的104名高中女生进行描述性研究。为了收集数据,采用了人口统计表、基于SCT结构的问卷、快餐消费问卷、不健康零食消费问卷、食物频率问卷和国际体育活动问卷-短表。数据分析采用方差分析和Pearson相关检验。结果:在SCT构念方面,意识的平均得分为13.98分(满分24分);结果预期的平均得分为13.05分(总分20分)(65.25%);结果评价平均得分为47.27分(91.56%);观察学习平均得分为26.08分(55%);强化的平均得分为3.23分(25分),占56.96%;自我效能感平均得分为18.52分(总分25分),占74.08%;自我控制的平均得分为13.05分(52.2%)。SCT构念的得分与营养行为和身体活动有显著的关系。方差分析结果显示,结果期望、自我效能和自我控制构念的平均分与学生的体育活动有显著相关。结论:SCT构念可以很好地预测女高中生的预防肥胖行为。规划和实施基于这些结构的干预措施可以有效地改善他们的生活方式和营养模式。
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引用次数: 0
Effect of Surgery in the Steep Trendelenburg Position on Blood Pressure Stability of the Elderly Candidate for Open Radical Prostatectomy: A Randomized Controlled Clinical Trial 陡位手术对老年开放性根治性前列腺切除术患者血压稳定性的影响:一项随机对照临床试验
Pub Date : 2022-12-01 DOI: 10.32598/qums.16.9.2581.2
Behzad Imani, M. Amirzargar, Hanieh Bahadori, S. Khazaie
Background and Objectives: The stability of blood pressure and maintaining the cerebral perfusion pressure are of particular importance in anesthesia of the elderly. There is scant clinical trials on the advantages of the steep Trendelenburg position in prostatectomy. This study aims to evaluate the effect of surgery in the steep Trendelenburg position on blood pressure stability of the elderly candidate for open radical prostatectomy surgery. Methods: This randomized controlled clinical trial was conducted at Shahid Beheshti Hospital in Hamadan, Iran, in 2022. Sixty older adults candidates for elective open radical prostatectomy were selected by a convenience sampling method and randomly allocated to the steep Trendelenburg position and supine position groups. Patients in the first group were in a 15° steep Trendelenburg position before surgery. Patients in the second position group remained in the supine position during surgery. The mean systolic and diastolic blood pressures were assessed after anesthesia, after positioning, and during surgery at 30-min intervals. The data were analyzed in SPSS software, vertion 22 using independent t-test and repeated measures ANOVA. Results: The mean age of the patients was 60.9±4.2 years, and their mean body mass index was 24.7±3.5 kg/m2. There was no significant difference in the mean systolic and diastolic blood pressures between the two groups (P>0.05). The results of repeated measures ANOVA showed that the differences in the mean systolic and diastolic blood pressures were statistically significant among the evaluation times (P<0.001). Conclusion: The steep Trendelenburg position maintains the blood pressure of the elderly under open radical prostatectomy.
背景与目的:老年人麻醉中血压的稳定和脑灌注压的维持尤为重要。关于陡峭的Trendelenburg位在前列腺切除术中的优势的临床试验很少。本研究旨在评估陡峭Trendelenburg体位对老年开放性根治性前列腺切除术患者血压稳定性的影响。方法:该随机对照临床试验于2022年在伊朗哈马丹的Shahid Beheshti医院进行。采用方便抽样法选取60例择期开放性根治性前列腺切除术的老年患者,随机分为陡位和仰卧位两组。第一组患者术前均为15°陡的Trendelenburg位。第二体位组患者术中保持仰卧位。麻醉后、体位后和手术中每隔30分钟测量一次平均收缩压和舒张压。数据分析采用SPSS软件第22版,采用独立t检验和重复测量方差分析。结果:患者平均年龄为60.9±4.2岁,平均体重指数为24.7±3.5 kg/m2。两组患者平均收缩压、舒张压比较差异无统计学意义(P>0.05)。重复测量方差分析结果显示,各评估时间的平均收缩压和舒张压差异有统计学意义(P<0.001)。结论:陡峭的Trendelenburg体位可维持开放性前列腺根治术中老年人的血压。
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引用次数: 0
Effectiveness of Atorvastatin in Reducing Inflammatory Markers and Hospitalization Period in Adults With COVID-19: A Randomized Clinical Trial 阿托伐他汀降低COVID-19成人炎症标志物和住院时间的有效性:一项随机临床试验
Pub Date : 2022-12-01 DOI: 10.32598/qums.16.9.2683.2
Reihane Tabaraii, A. Asghari, Leila Jafari, M. Vahedian, M. Bagherzadeh, Jamshid Vafaee Manesh
Background and Objectives: Statins, which are primarily used for controlling blood cholesterol levels, have a well-known role in inhibiting the inflammatory process and reducing mortality rate of infectious diseases. This study aims to evaluate the effect of atorvastatin along with standard treatment protocol in hospitalized adults with COVID-19. Methods: This randomized controlled clinical trial was conducted on adults hospitalized due to COVID-19 infection at Shahid Beheshti Hospital in Qom, Iran from April to September 2020. They were randomly divided into groups of treatment (n=37, receiving atorvastatin 40 mg daily for 30 days plus standard treatment protocol) and control (n=37, receiving standard treatment protocol alone). The data were analyzed in SPSS v.22 software using chi-square, paired t-test, and ANOVA. P<0.05 was statistically significant. Results: The CRP level in the atorvastatin-treated group decreased significantly such that there was a significant difference between the two groups after 30 days (P=0.01). There was no significant difference in Spo2 level on the discharge day. The length of hospitalization in the atorvastatin-treated group was significantly reduced compared to the control group (P<0.05). Conclusion: The use of atorvastatin as an adjunctive treatment method, can significantly reduce the length of hospitalization and CRP level after 30 days in hospitalized patients.
背景与目的:他汀类药物主要用于控制血胆固醇水平,在抑制炎症过程和降低传染病死亡率方面具有众所周知的作用。本研究旨在评估阿托伐他汀联合标准治疗方案对住院成人COVID-19的效果。方法:选取2020年4 - 9月在伊朗库姆市Shahid Beheshti医院因COVID-19感染住院的成人为研究对象,进行随机对照临床试验。随机分为治疗组(n=37,接受阿托伐他汀40 mg /天,连续30天加标准治疗方案)和对照组(n=37,单独接受标准治疗方案)。数据在SPSS v.22软件中使用卡方、配对t检验和方差分析进行分析。P<0.05差异有统计学意义。结果:阿托伐他汀治疗组CRP水平明显降低,30 d后两组比较差异有统计学意义(P=0.01)。各排放日Spo2水平无显著差异。与对照组相比,阿托伐他汀治疗组住院时间明显缩短(P<0.05)。结论:采用阿托伐他汀作为辅助治疗方法,可显著降低患者住院时间及30 d后CRP水平。
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引用次数: 0
Knowledge and Attitude of Students in Rafsanjan University of Medical Sciences Regarding Health Measures in Emergency Situations 拉夫桑詹医科大学学生关于紧急情况下卫生措施的知识和态度
Pub Date : 2022-12-01 DOI: 10.32598/qums.16.9.2368.5
Seyedeh Shirin Lotfipur Rafsanjani, M. Masoomi, Y. Abadi, Hadi Eslami, M. Nasirzadeh
Background and Objectives: Evaluating knowledge and attitude towards healthy behaviors can help develop educational programs and identify the weakness of people in the field of health information in emergency situations. This study aims to determine the knowledge and attitude of students in Rafsanjan University of Medical Sciences (RUMS) regarding health measures in emergency situations. Methods: This descriptive study was conducted on 425 students of RUMS who were selected using stratified quota sampling method in 2021. The data collection tool was a questionnaire adapted from the study by Vosoughi Nayyeri et al. (2013). After collecting the data, they were analyzed in SPSS software , vertion 18 using independent t-test, one-way ANOVA, and Pearson’s correlation test. The significance level was set at 0.05. Results: The mean scores of knowledge and attitude was 5.2±1.6 (out of 10) and 34.9±2.9 (out of 50), respectively. There was a significant correlation between students’ knowledge and age (r=0.114, P<0.01) and between their attitude and age (r=0.146, P<0.01) such that, with the increase of age, their knowledge and attitude increased. Conclusion: The RUMS students’ knowledge and attitude about health measures in emergency situations are at a moderate level. To improve their knowledge and attitude, educational courses can be held in this regard.
背景与目的:评估健康行为的知识和态度可以帮助制定教育计划,并确定人们在紧急情况下健康信息领域的弱点。本研究旨在确定拉夫桑詹医科大学(RUMS)学生对紧急情况下卫生措施的知识和态度。方法:采用分层定额抽样的方法,对2021年度的425名北京师范大学学生进行描述性研究。数据收集工具是改编自Vosoughi Nayyeri等人(2013)研究的问卷。收集数据后,使用SPSS软件第18版进行独立t检验、单因素方差分析和Pearson相关检验。显著性水平设为0.05。结果:知识和态度的平均得分分别为5.2±1.6分(10分满分)和34.9±2.9分(50分满分)。学生的知识与年龄呈显著相关(r=0.114, P<0.01),态度与年龄呈显著相关(r=0.146, P<0.01),随着年龄的增加,学生的知识和态度也随之增加。结论:我院学生对应急卫生措施的知识和态度处于中等水平。为了提高他们的知识和态度,可以举办这方面的教育课程。
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引用次数: 0
Comparing the Memory Performance of Iranian Veterans With and Without Post-Traumatic Stress Disorder 比较伊朗退伍军人创伤后应激障碍与非创伤后应激障碍的记忆表现
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.2504.1
A. Pirkhaefi
Background and Objectives The physical and mental health of war veterans depends on paying attention to their psychological problems. This study aims to compare the memory performance of disabled Iranian veterans with and without post-traumatic stress disorder (PTSD). Methods This is a retrospective cohort study conducted in 2016-2017. Participants were 30 veterans with PTSD and 30 veterans without this disorder in Iran who had records in the Foundation of Martyr and Veterans Affair. The diagnosis of PTSD or its absence was previously made by a psychiatrist and approved by the medical commission of the Foundation of Martyr and Veteran Affairs. The sampling method was done using a purposive method and was done based on the inclusion criteria. The data collection tool was the Wechsler memory scale (WMS). Data analysis was performed using multivariate analysis of variance. Results There was a significant difference between the two groups in all WMS subscales (general information, orientation, mental control, logical memory, digit span, visual memory, associate learning). Conclusion Memory performance of disabled Iranian veterans with and without PTSD is different in all dimensions.
背景与目的退伍军人的身心健康有赖于对其心理问题的重视。本研究旨在比较伊朗伤残退伍军人有无创伤后应激障碍(PTSD)的记忆表现。方法2016-2017年进行回顾性队列研究。参与者是30名患有创伤后应激障碍的退伍军人和30名在伊朗没有这种疾病的退伍军人,他们在烈士基金会和退伍军人事务中有记录。创伤后应激障碍的诊断以前是由精神科医生作出的,并得到烈士和退伍军人事务基金会医疗委员会的批准。抽样方法采用目的性方法,并根据纳入标准进行。数据采集工具为韦氏记忆量表(WMS)。数据分析采用多变量方差分析。结果两组在一般信息、定向、精神控制、逻辑记忆、数字广度、视觉记忆、联想学习等各分量表上均有显著性差异。结论伊朗伤残退伍军人伴与不伴创伤后应激障碍的记忆表现在各维度均有差异。
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引用次数: 0
Antimicrobial Activity of Zinc Oxide Nanoparticles Synthesized Using Bunium Persicum Plant Extract 麝香植物提取物合成氧化锌纳米颗粒的抗菌活性研究
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.2600.1
Maryam Bakhti, F. Baghbani-Arani, Parisa Shishesaz, Masoumeh Mahdavi-Ourtakand
Background and Objectives: Zinc oxide nanoparticles as a new generation of antimicrobial substances, are of interest in medicine and food industry. This study aims to investigate the antimicrobial effect of zinc oxide nanoparticles synthesized by using Bunium persicum plant extract. Methods: In this study, the biosynthesis of zinc oxide nanoparticles by Bunium persicum extract was performed by zinc acetate precursor. The structure and morphology of the synthesized nanoparticles were characterized by field emission scanning electron microscopy, Fourier transform infrared spectroscopy, X-ray diffraction, and Zetasizer. Then, the antimicrobial effects of synthesized nanoparticles against some gram-positive and gram-negative bacteria were assessed by the disk diffusion and broth microdilution methods. Results: The synthesized zinc oxide nanoparticles had spherical to polygonal shapes with an average size of 100 nm. The minimum inhibitory concentration of nanoparticles against the study bacteria was in range of 3.125 to 25 μg/mL. Conclusion: The extract of Bunium persicum plant can be a good candidate for the green synthesis of zinc oxide nanoparticles with significant antibacterial effects.
背景与目的:氧化锌纳米颗粒作为新一代抗菌物质,在医药和食品工业中受到广泛关注。本研究旨在研究以仙桃植物提取物为原料合成氧化锌纳米颗粒的抑菌效果。方法:以乙酸锌为前驱体,采用生物合成法制备仙子提取物纳米氧化锌。利用场发射扫描电镜、傅里叶变换红外光谱、x射线衍射和Zetasizer对合成的纳米粒子的结构和形貌进行了表征。然后,采用圆盘扩散法和肉汤微量稀释法对合成的纳米颗粒对革兰氏阳性菌和革兰氏阴性菌的抑菌效果进行了评价。结果:合成的氧化锌纳米颗粒为球形至多边形,平均粒径为100 nm。纳米颗粒对细菌的最小抑制浓度为3.125 ~ 25 μg/mL。结论:荷叶仙子提取物可作为绿色合成氧化锌纳米颗粒的良好候选物,具有显著的抗菌作用。
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引用次数: 0
A Rare Case of Cherubism In a 23-Year-Old Man 一名23岁男子罕见的小天使症
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.1719.2
A. Heidary, M. Akhavankarbasi, Yasaman Sabaghzadgan, Ehsan Babaie
Background and Objectives: Cherubism is a rare hereditary autosomal dominant fibro-osseous disease that is characterized by painless, bilateral, symmetric swelling in the jaw with multilocular radiolucent lesions in the maxilla, mandible, or both, and give the patient a typical “cherubic” appearance. It occurs in children, especially boys, aged 2-5 years. The aim of this study was to report a case of cherubism at an uncommon age that did not improve with age. Case Presentation: The patient was a 23-year-old man complaining of bilateral jaw pain along with swelling and multiple bilateral radiolucent lesions with a previous history of childhood cherubism. In the examination, bilateral and symmetric swelling of the face, especially in the maxilla region, with eyes raised to heaven were evident. The pain was more in the vicinity of the condyle. No abnormal manifestations were observed by the intraoral examination. In the radiographic view, multiple bilateral and symmetric lucent lesions were observed on trunk and mandible, continued to the neck of the condyle. Conclusion: Despite the common manifestations and age in patients, cherubism can show different manifestations; lack of attention to the patient’s history can lead to misdiagnosis by the pathologist and unnecessary treatments. Due to being a self-limiting condition, non-invasive treatments are preferred; however, surgical management is sometimes required for cosmetic reasons.
背景和目的:小天使病是一种罕见的常染色体显性遗传性纤维骨性疾病,其特征是颌骨无痛、双侧对称肿胀,并在上颌骨、下颌骨或两侧有多室放射性病变,患者表现为典型的“小天使”外观。它发生在2-5岁的儿童中,尤其是男孩。本研究的目的是报告一个不寻常年龄的小天使症,并没有随着年龄的增长而改善。病例介绍:患者23岁,男,主诉双侧下颚疼痛伴肿胀及双侧多发透光病灶,既往有儿童小天使病史。在检查中,两侧对称的面部肿胀,特别是在上颌骨区域,眼睛向上抬起明显。疼痛主要发生在髁突附近。口腔内检查未见异常表现。x线片上,躯干和下颌骨可见多发双侧对称透明病灶,并延续至髁突颈部。结论:小天使病虽有常见的表现和年龄,但表现各异;缺乏对患者病史的关注可能导致病理学家的误诊和不必要的治疗。由于是一种自限性疾病,首选非侵入性治疗;然而,出于美观的原因,有时需要手术治疗。
{"title":"A Rare Case of Cherubism In a 23-Year-Old Man","authors":"A. Heidary, M. Akhavankarbasi, Yasaman Sabaghzadgan, Ehsan Babaie","doi":"10.32598/qums.16.5.1719.2","DOIUrl":"https://doi.org/10.32598/qums.16.5.1719.2","url":null,"abstract":"Background and Objectives: Cherubism is a rare hereditary autosomal dominant fibro-osseous disease that is characterized by painless, bilateral, symmetric swelling in the jaw with multilocular radiolucent lesions in the maxilla, mandible, or both, and give the patient a typical “cherubic” appearance. It occurs in children, especially boys, aged 2-5 years. The aim of this study was to report a case of cherubism at an uncommon age that did not improve with age. Case Presentation: The patient was a 23-year-old man complaining of bilateral jaw pain along with swelling and multiple bilateral radiolucent lesions with a previous history of childhood cherubism. In the examination, bilateral and symmetric swelling of the face, especially in the maxilla region, with eyes raised to heaven were evident. The pain was more in the vicinity of the condyle. No abnormal manifestations were observed by the intraoral examination. In the radiographic view, multiple bilateral and symmetric lucent lesions were observed on trunk and mandible, continued to the neck of the condyle. Conclusion: Despite the common manifestations and age in patients, cherubism can show different manifestations; lack of attention to the patient’s history can lead to misdiagnosis by the pathologist and unnecessary treatments. Due to being a self-limiting condition, non-invasive treatments are preferred; however, surgical management is sometimes required for cosmetic reasons.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75344431","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
Prevalence of Depression, Anxiety, Stress, and Fear of COVID-19 Among the Students of the University of Bojnord in Iran 伊朗博伊诺德大学学生抑郁、焦虑、压力和对COVID-19恐惧的患病率
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.2637.1
K. Alavi
Background and Objectives: A significant increase in mental problems among students have been reported during the coronavirus disease 2019 (COVID-19) pandemic. The present study aims to investigate the prevalence of depression, anxiety, stress, and fear of COVID-19 and the relationships between them among college students, approximately two years after the onset of the pandemic in Iran. Methods: In this descriptive study, 148 students were recruited from the University of Bojnord using a convenience sampling method. The depression, anxiety stress scale (DASS) and the Fear of COVID-19 Scale were used to collect data. Descriptive statistics, t-test, and Pearson correlation test were used to analyze the data. Results: The results show that 15.5% of students had depression, 12.8% had anxiety, and 14.2% had stress and fear of COVID-19 symptoms. The mean score of DASS in this study was not significantly different from the scores reported in the beginning of pandemic. The fear of COVID-19 had no significant relationship with depression, anxiety, and stress. Conclusion: The levels of depression, anxiety and stress two years after the COVID-19 pandemic do not differ from their levels at the beginning of the pandemic among college students, but the fear of COVID-19 level is significantly lower. Acceleration of the vaccination and the increase of awareness about the disease might be reasons for improvement in the psychological status of students.
背景与目的:据报道,在2019冠状病毒病(COVID-19)大流行期间,学生心理问题显著增加。本研究旨在调查在伊朗大流行爆发大约两年后,大学生对COVID-19的抑郁、焦虑、压力和恐惧的患病率及其之间的关系。方法:采用方便抽样的方法,对博伊诺德大学的148名学生进行描述性研究。采用抑郁焦虑压力量表(DASS)和COVID-19恐惧量表收集数据。采用描述性统计、t检验和Pearson相关检验对数据进行分析。结果:15.5%的学生有抑郁症状,12.8%的学生有焦虑症状,14.2%的学生有压力和恐惧症状。本研究中DASS的平均得分与大流行开始时报告的得分无显著差异。对COVID-19的恐惧与抑郁、焦虑和压力没有显著关系。结论:新冠肺炎疫情发生2年后大学生抑郁、焦虑和压力水平与疫情发生前无显著差异,但对新冠肺炎的恐惧水平显著降低。加快疫苗接种和提高对疾病的认识可能是学生心理状况改善的原因。
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引用次数: 0
Predicting the Immune System Performance Based on Stress Coping Strategies and Defense Mechanisms in Women With Breast Cancer 基于压力应对策略和防御机制的乳腺癌女性免疫系统性能预测
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.2656.1
S. Kousha, F. Lotfi Kashani, S. Vaziri, N. Nafisi
Background and Objectives: Breast cancer, as the most common cancer, is the cause of death in many women around the world. This study aims to predict the immune system performance based on stress coping methods and defense mechanisms in women with breast cancer. Methods: The study population includs all women with breast cancer in Tehran and Guilan provinces of Iran in 2019, from whom 250 were selected by a purposive sampling method. Data were collected using the warning signs of immunodeficiency list, the Defense Style Questionnaire, and the Multidimensional Coping Inventory. The collected data were analyzed using Pearson correlation test and multiple regression analysis in SPSS software, version 22. Results: The results of regression analysis showed that the emotion-focused coping as well as mature, neurotic, and immature defense mechanisms could significantly predict the immune system performance (P<0.05). Together, these variables were able to explain 28% of the variance in the immune performance. Conclusion: In women with breast cancer, the immune system function can be predicted by their used defense mechanisms and stress coping strategies.
背景和目的:乳腺癌作为最常见的癌症,是世界上许多妇女死亡的原因。本研究旨在基于应激应对方法和防御机制预测乳腺癌女性免疫系统的表现。方法:研究人群为2019年伊朗德黑兰和桂兰两省所有乳腺癌女性,采用目的抽样方法抽取250例。采用免疫缺陷预警信号表、防御风格问卷和多维应对量表收集数据。收集的数据在SPSS软件22版中使用Pearson相关检验和多元回归分析。结果:回归分析结果显示,情绪聚焦型应对和成熟型、神经质型和不成熟型防御机制对免疫系统性能有显著预测作用(P<0.05)。总之,这些变量能够解释28%的免疫表现差异。结论:乳腺癌患者的免疫系统功能可以通过其使用的防御机制和应激应对策略来预测。
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引用次数: 0
The Reasons for Refusing Kidney Transplantation Among Iranian Patients Undergoing Peritoneal Dialysis 伊朗腹膜透析患者拒绝肾移植的原因分析
Pub Date : 2022-08-01 DOI: 10.32598/qums.16.5.2630.1
F. Biabani, GH Mahmudirad, H. Hassankhani, A. Rahmani
Background and Objectives: Kidney transplantation is the safest way to treat chronic renal failure, but for many reasons many patients are reluctant to have a kidney transplant. Identifying these factors can facilitate the transplant process and improve the quality of life of patients undergoing dialysis. Therefore, this study aims to investigate the reasons for refusing kidney transplantation among Iranian patients undergoing peritoneal dialysis (PD). Methods: In this qualitative study, 18 patients with PD were selected from four provinces of Iran using a purposive sampling method. The data were collected by semi-structured interviews and the content were analyzed by a conventional content analysis. Results: Results led to the identification of three main categories: Difficult process, unacceptability of outcome, and familiarization with PD. According to patients, kidney transplantation is a long-term procedure that causes financial stress and physical and social problems and there is a risk of transplant rejection. On the other hand, patients were accustomed to performing PD and considered it a part of their life. Conclusion: Iranian patients undergoing PD have many reasons to refuse kidney transplantation. Full coverage of kidney transplants by the insurance organization, reduction of transplantation time, and provision of medical and psychological counseling can reduce these barriers to accepting kidney transplants by patients.
背景与目的:肾移植是治疗慢性肾功能衰竭最安全的方法,但由于种种原因,许多患者不愿进行肾移植。识别这些因素可以促进移植过程,提高透析患者的生活质量。因此,本研究旨在探讨伊朗腹膜透析(PD)患者拒绝肾移植的原因。方法:采用目的抽样的方法,从伊朗4个省选取18例PD患者进行定性研究。数据采用半结构化访谈法收集,内容采用常规内容分析法分析。结果:结果确定了三个主要类别:过程困难,结果不可接受,熟悉PD。据患者说,肾移植是一个长期的过程,会造成经济压力、身体和社会问题,并且有移植排斥的风险。另一方面,患者习惯了PD,并认为这是他们生活的一部分。结论:伊朗PD患者有多种原因拒绝肾移植。保险机构对肾移植的全面覆盖、减少移植时间以及提供医疗和心理咨询可以减少患者接受肾移植的这些障碍。
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引用次数: 0
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Qom Univ Med Sci J
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