Pub Date : 2019-04-01DOI: 10.22038/EBCJ.2019.36153.1936
Sima Saeedi Aval Nooghabi, M. Moradi, M. Kordi, Masoumeh Mirteimouri, M. Shakeri
Fear of childbirth is an important and prevalent problem during pregnancy and delivery. Self-efficacy of childbirth is one of the factors playing an important role in the fear of delivery. This study aimed to determine the relationship between the fear and self-efficacy of childbirth during labor in primipara women. This descriptive and analytical study was conducted on 100 primipara women in Ommolbanin Hospital, Mashhad, Iran, during 2017. Data were analyzed in SPSS software using descriptive statistics and Pearsonâ��s correlation coefficient. According to the results, the mean scores of fear and self-efficacy of delivery were reported to be 48.9±14.2 and 220.5±54.9, respectively. In addition, there was a reverse association between the scores of fear of childbirth and self-efficacy of delivery using Pearsonâ��s results (r=-0.44, P<0.001). Therefore, it is recommended that interventions be carried out to decrease the fear of childbirth.  Â
{"title":"Assessment of the Relationship between Fear and Self-efficacy of Childbirth during Labor in Primipara Women","authors":"Sima Saeedi Aval Nooghabi, M. Moradi, M. Kordi, Masoumeh Mirteimouri, M. Shakeri","doi":"10.22038/EBCJ.2019.36153.1936","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.36153.1936","url":null,"abstract":"Fear of childbirth is an important and prevalent problem during pregnancy and delivery. Self-efficacy of childbirth is one of the factors playing an important role in the fear of delivery. This study aimed to determine the relationship between the fear and self-efficacy of childbirth during labor in primipara women. This descriptive and analytical study was conducted on 100 primipara women in Ommolbanin Hospital, Mashhad, Iran, during 2017. Data were analyzed in SPSS software using descriptive statistics and Pearsonâ��s correlation coefficient. According to the results, the mean scores of fear and self-efficacy of delivery were reported to be 48.9±14.2 and 220.5±54.9, respectively. In addition, there was a reverse association between the scores of fear of childbirth and self-efficacy of delivery using Pearsonâ��s results (r=-0.44, P<0.001). Therefore, it is recommended that interventions be carried out to decrease the fear of childbirth.  Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"60 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83727893","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.35254.1899
Nazpari Ashouri, M. Kordi, M. Shakeri, F. Tara
Background: Postpartum hemorrhage (PPH) is considered as one of the major causes of maternal mortality worldwide. The most effective risk factors have been suggested in various studies on risk nomogram for the prediction of PPH. Aim: This study aimed to determine the diagnostic value of the risk nomogram for the prediction of PPH. Method: This study was performed prospectively using diagnostic methods on 600 women admitted to Omolbanin Hospital, Mashhad, Iran, from May to October 2017. The researcher measured and recorded the loss of blood volume in mothers using plastic blood collection bags and pads within 4 h after delivery. Subsequently, risk nomogram was completed for each study sample and the probability score for PPH was calculated by the researcher’s assistants. The obtained data were analyzed in SPSS software (Version 25). Ultimately, the receiver operating characteristic (ROC) curve of risk nomogram was plotted in this study. Results: The PPH occurred in 33.3% (n=200) of deliveries in this study. The area under the ROC curve was estimated at 81.2%. The point of 0.1 with 85.5% sensitivity and 51.5% specificity was also selected as the proposed cut-off point for this nomogram. Implications for practice: According to the results, the risk nomogram was considered as an appropriate method for the prediction of PPH. Therefore, it was recommended as a simple and noninvasive approach in childbirth for the prediction of PPH.
{"title":"Diagnostic Value of Risk Nomogram for the Prediction of Postpartum Hemorrhage Following Vaginal Delivery","authors":"Nazpari Ashouri, M. Kordi, M. Shakeri, F. Tara","doi":"10.22038/EBCJ.2019.35254.1899","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.35254.1899","url":null,"abstract":"Background: Postpartum hemorrhage (PPH) is considered as one of the major causes of maternal mortality worldwide. The most effective risk factors have been suggested in various studies on risk nomogram for the prediction of PPH. \u0000Aim: This study aimed to determine the diagnostic value of the risk nomogram for the prediction of PPH. \u0000Method: This study was performed prospectively using diagnostic methods on 600 women admitted to Omolbanin Hospital, Mashhad, Iran, from May to October 2017. The researcher measured and recorded the loss of blood volume in mothers using plastic blood collection bags and pads within 4 h after delivery. Subsequently, risk nomogram was completed for each study sample and the probability score for PPH was calculated by the researcher’s assistants. The obtained data were analyzed in SPSS software (Version 25). Ultimately, the receiver operating characteristic (ROC) curve of risk nomogram was plotted in this study. \u0000Results: The PPH occurred in 33.3% (n=200) of deliveries in this study. The area under the ROC curve was estimated at 81.2%. The point of 0.1 with 85.5% sensitivity and 51.5% specificity was also selected as the proposed cut-off point for this nomogram. \u0000Implications for practice: According to the results, the risk nomogram was considered as an appropriate method for the prediction of PPH. Therefore, it was recommended as a simple and noninvasive approach in childbirth for the prediction of PPH.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"12 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77158783","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.34342.1872
M. Khajeh, T. Sadeghi, M. Ramezani, Raheleh Derafshi
Background: Baby colic is one of the most common digestive problems in infants. Due to its several and unknown causes, colic treatment depends on the parent's individual and social education and support. Aim: This study aimed to determine the effect of mothers' educational supportive care program on the pain intensity and crying caused by colic in infants aged 1-5 months. Method: This study was conducted based on a randomized controlled clinical trial. This study included 88 infants with colic who were referred to a specialized pediatric clinic at a public hospital in eastern Iran. The patients were randomly divided into the intervention and control groups. The educational supportive care program was implemented for eight days and the infant crying duration and frequency were recorded each day. On the other hand, the control group received the clinic routine care. Subsequently, the data were analyzed in SPSS software (Version 21). Results: The two groups were homogeneous in terms of demographic variables (P<0.05). According to the results of the paired t-test, the infant pain intensity in the intervention and control groups was 0.7±1.7 and 0.7±1.7, respectively (P<0.001). Moreover, the duration of the crying caused by colic pain based on the Wilcoxon test was 6.2±22.8 and 6.2±8.9 min in the intervention and control groups, respectively (P<0.001). Implications for Practice: Individual education and provision of an educational supportive care program can affect infants' pain and cry. Therefore, it is suggested that further studies provide a group and peer educational supportive care program.
背景:婴儿肠绞痛是婴儿最常见的消化系统疾病之一。由于其几种未知的原因，疝气的治疗取决于父母的个人和社会教育和支持。目的:本研究旨在探讨母亲教育支持护理对1 ~ 5月龄婴儿肠绞痛疼痛强度及哭闹的影响。方法:采用随机对照临床试验。这项研究包括88名绞痛婴儿，他们被转诊到伊朗东部一家公立医院的专门儿科诊所。将患者随机分为干预组和对照组。教育支持护理方案实施8天，每天记录婴儿哭闹持续时间和频率。另一方面，对照组接受临床常规护理。随后，用SPSS软件(Version 21)对数据进行分析。结果:两组在人口学变量方面均为均匀性(P<0.05)。配对t检验结果显示，干预组和对照组婴儿疼痛强度分别为0.7±1.7和0.7±1.7，差异有统计学意义(P<0.001)。此外，根据Wilcoxon检验，干预组和对照组因绞痛引起的哭泣持续时间分别为6.2±22.8 min和6.2±8.9 min (P<0.001)。对实践的启示:个别教育和提供教育支持护理计划可以影响婴儿的疼痛和哭泣。因此，建议进一步的研究提供团体和同伴教育支持关怀计划。
{"title":"Effect of Mothers' Educational Supportive Care Program on Pain Intensity and Crying Duration Caused by Colic Pain in Infants Aged 1-5 Months","authors":"M. Khajeh, T. Sadeghi, M. Ramezani, Raheleh Derafshi","doi":"10.22038/EBCJ.2019.34342.1872","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.34342.1872","url":null,"abstract":"Background: Baby colic is one of the most common digestive problems in infants. Due to its several and unknown causes, colic treatment depends on the parent's individual and social education and support. Aim: This study aimed to determine the effect of mothers' educational supportive care program on the pain intensity and crying caused by colic in infants aged 1-5 months. Method: This study was conducted based on a randomized controlled clinical trial. This study included 88 infants with colic who were referred to a specialized pediatric clinic at a public hospital in eastern Iran. The patients were randomly divided into the intervention and control groups. The educational supportive care program was implemented for eight days and the infant crying duration and frequency were recorded each day. On the other hand, the control group received the clinic routine care. Subsequently, the data were analyzed in SPSS software (Version 21). Results: The two groups were homogeneous in terms of demographic variables (P<0.05). According to the results of the paired t-test, the infant pain intensity in the intervention and control groups was 0.7±1.7 and 0.7±1.7, respectively (P<0.001). Moreover, the duration of the crying caused by colic pain based on the Wilcoxon test was 6.2±22.8 and 6.2±8.9 min in the intervention and control groups, respectively (P<0.001). Implications for Practice: Individual education and provision of an educational supportive care program can affect infants' pain and cry. Therefore, it is suggested that further studies provide a group and peer educational supportive care program.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"61 1","pages":"7-15"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80083620","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 : 2019-01-01DOI: 10.22038/EBCJ.2019.36060.1928
Zohre Kohansal, N. Motamed, S. N. Boushehri, M. Ravanipour
Parents' awareness and performance plays a key role in food safety of the children. This study aimed to investigate the relationship between parents’ awareness and performance regarding food security with anthropometric indices in school-age children from Bushehr, Iran, during 2017. Data in this descriptive-analytical study was collected from 402 parents using questionnaires on awareness and performance as well as an anthropometric indices. According to the results, 313 parents had a good level of Food security awareness. Cereal consumption was insufficient in 70.4% of the children. 37.4% of the children were overweight or severely obese. Parents awareness and their performance revealed no significant relationship with children height and weight indices (P<0.05). However, there was a significant relationship between awareness level and BMI-for-age index (OR=0.44; P=0.02). The overconsumption of dairy in overweight children (OR=0.51; P=0.03) and insufficient consumption of vegetables in obese or severe obese children were significant (OR=1.04; P=0.03). The over- or insufficient consumption of food raises the probability of parents’ unawareness about the standards of food serving for children.
{"title":"The Relationship between the Awareness and Performance of Parents Regarding Food Security with Anthropometric Indices among School-age Children in Bushehr, Iran, during 2017","authors":"Zohre Kohansal, N. Motamed, S. N. Boushehri, M. Ravanipour","doi":"10.22038/EBCJ.2019.36060.1928","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.36060.1928","url":null,"abstract":"Parents' awareness and performance plays a key role in food safety of the children. This study aimed to investigate the relationship between parents’ awareness and performance regarding food security with anthropometric indices in school-age children from Bushehr, Iran, during 2017. Data in this descriptive-analytical study was collected from 402 parents using questionnaires on awareness and performance as well as an anthropometric indices. According to the results, 313 parents had a good level of Food security awareness. Cereal consumption was insufficient in 70.4% of the children. 37.4% of the children were overweight or severely obese. Parents awareness and their performance revealed no significant relationship with children height and weight indices (P<0.05). However, there was a significant relationship between awareness level and BMI-for-age index (OR=0.44; P=0.02). The overconsumption of dairy in overweight children (OR=0.51; P=0.03) and insufficient consumption of vegetables in obese or severe obese children were significant (OR=1.04; P=0.03). The over- or insufficient consumption of food raises the probability of parents’ unawareness about the standards of food serving for children.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"72 1","pages":"75-80"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87983449","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 : 2019-01-01DOI: 10.22038/EBCJ.2018.34642.1883
Maryam Samimi Kalat, M. Ramezani, F. Nabavi, A. Saki
Background: To make the best use of written information in education pamphlets, suitability criteria developed for instructional materials. Moreover, client satisfaction with the quality of written materials provided in hospitals for patients needs to be taken into account. Aim: Therefore, the present study aimed to assess the suitability of patient education pamphlets and patient satisfaction among teaching hospitals in Mashhad, Iran. Method: A total number of 542 patient education pamphlets developed in 11 teaching hospitals in Mashhad was collected via a census method and their suitability was investigated using Suitability Assessment of Materials (SAM) instrument. Subsequently, satisfaction with education pamphlets among 2820 hospitalized patients was evaluated using a questionnaire designed based on SAM instrument. The association between the suitability of the given pamphlets and patient satisfaction was also determined. Descriptive statistics and the Chi-square test were used to analyze the findings. Results: The results revealed that 33.3% and 66.7% of the given pamphlets fell into the superior and adequate categories in terms of suitability, respectively. With regard to the satisfaction level, 0.7%, 26.4%, and 72.9 % of the patients were poorly, fairly, and completely satisfied with the pamphlets, respectively. Moreover, the pamphlets rated the higher suitability by patients obtained the higher satisfaction scores. Implications for Practice: The results of this study indicated a need for reconsiderations in some suitability factors for the pamphlets. In this respect, the factors of cultural appropriateness as well as layout and typography rated as acceptable.
{"title":"Investigation the Suitability of Patient Education Pamphlets and Patient Satisfaction among Teaching Hospitals in 2015","authors":"Maryam Samimi Kalat, M. Ramezani, F. Nabavi, A. Saki","doi":"10.22038/EBCJ.2018.34642.1883","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.34642.1883","url":null,"abstract":"Background: To make the best use of written information in education pamphlets, suitability criteria developed for instructional materials. Moreover, client satisfaction with the quality of written materials provided in hospitals for patients needs to be taken into account. Aim: Therefore, the present study aimed to assess the suitability of patient education pamphlets and patient satisfaction among teaching hospitals in Mashhad, Iran. Method: A total number of 542 patient education pamphlets developed in 11 teaching hospitals in Mashhad was collected via a census method and their suitability was investigated using Suitability Assessment of Materials (SAM) instrument. Subsequently, satisfaction with education pamphlets among 2820 hospitalized patients was evaluated using a questionnaire designed based on SAM instrument. The association between the suitability of the given pamphlets and patient satisfaction was also determined. Descriptive statistics and the Chi-square test were used to analyze the findings. Results: The results revealed that 33.3% and 66.7% of the given pamphlets fell into the superior and adequate categories in terms of suitability, respectively. With regard to the satisfaction level, 0.7%, 26.4%, and 72.9 % of the patients were poorly, fairly, and completely satisfied with the pamphlets, respectively. Moreover, the pamphlets rated the higher suitability by patients obtained the higher satisfaction scores. Implications for Practice: The results of this study indicated a need for reconsiderations in some suitability factors for the pamphlets. In this respect, the factors of cultural appropriateness as well as layout and typography rated as acceptable.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"84 1","pages":"45-51"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90159594","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 : 2019-01-01DOI: 10.22038/EBCJ.2019.35168.1894
S. Abdolahian, G. Ozgoli, A. Ebadi, N. Kariman
Background: Patients’ trust in their physicians can affect therapeutic outcomes. Measurement of patient’s trust levels is a helpful approach for policymakers in healthcare systems. Aim: The present study was targeted toward the translation and psychometric assessment of patients’ trust in midwifery care questionnaire. Method: This cross-sectional study was conducted on 210 female patients referring to the midwifery offices of Tehran, Iran, in 2017. After the translation and back translation of the original version of patient’s trust questionnaire, exploratory and confirmatory factor analyses were performed to measure the structural validity and reliability (through Cronbach's alpha coefficient and intra-class correlation) of the instrument. Results: Measurement of the questionnaire validity by exploratory factor analysis revealed three factors with the eigenvalues of > 1. The three extracted factors accounted for 73.24% of total variance. The goodness of fit indices revealed that the fitness of the three-factor model was at a desirable level, rendering a χ2/degree of freedom of 2.34, comparative fit index of 0.96, and root mean square error of approximation of 0.07. The reliability of the scale was confirmed with a Cronbach's alpha coefficient of 0.81 and intra-cluster correlation of 0.96. Implications for Practice: The patients’ trust questionnaire, measuring the extent of patient’s trust in midwifery offices in Tehran, is a proper tool, enjoying appropriate validity and reliability. The results of the study also showed that the Persian version of the tool can be used to measure the trust rate of the patients referring to the midwifery offices in Iran.
{"title":"Translation and Psychometric Assessment of the Persian Version of Patient Trust in Midwifery Care Scale","authors":"S. Abdolahian, G. Ozgoli, A. Ebadi, N. Kariman","doi":"10.22038/EBCJ.2019.35168.1894","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.35168.1894","url":null,"abstract":"Background: Patients’ trust in their physicians can affect therapeutic outcomes. Measurement of patient’s trust levels is a helpful approach for policymakers in healthcare systems. Aim: The present study was targeted toward the translation and psychometric assessment of patients’ trust in midwifery care questionnaire. Method: This cross-sectional study was conducted on 210 female patients referring to the midwifery offices of Tehran, Iran, in 2017. After the translation and back translation of the original version of patient’s trust questionnaire, exploratory and confirmatory factor analyses were performed to measure the structural validity and reliability (through Cronbach's alpha coefficient and intra-class correlation) of the instrument. Results: Measurement of the questionnaire validity by exploratory factor analysis revealed three factors with the eigenvalues of > 1. The three extracted factors accounted for 73.24% of total variance. The goodness of fit indices revealed that the fitness of the three-factor model was at a desirable level, rendering a χ2/degree of freedom of 2.34, comparative fit index of 0.96, and root mean square error of approximation of 0.07. The reliability of the scale was confirmed with a Cronbach's alpha coefficient of 0.81 and intra-cluster correlation of 0.96. Implications for Practice: The patients’ trust questionnaire, measuring the extent of patient’s trust in midwifery offices in Tehran, is a proper tool, enjoying appropriate validity and reliability. The results of the study also showed that the Persian version of the tool can be used to measure the trust rate of the patients referring to the midwifery offices in Iran.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"1 1","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82353415","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 : 2019-01-01DOI: 10.22038/EBCJ.2018.32369.1820
M. Naz, Fatemeh Sayehmiri, Faeze Kiani, G. Ozgoli
Background: Menopause age is a determinant of health status and the risks for future diseases. Aim: The current study aimed to determine the average age of menopause among Iranian women in a meta-analysis. Method: This systematic review and meta-analysis was performed in August 2017. The articles were searched in Persian databases, including Iran Medex, SID, and Magiran, as well as international databases, including Scopus, PubMed, and Web of Knowledge, without any time limitation. The search process was accomplished using the following keywords: “Menopause” OR “Menopause age” OR “Age of menopause” OR “Menopause age and Iran”. Begg’s and Egger tests were used to identify publication bias. Data analysis was performed in Stata statistical software (version 14) using random effect model. Results: The search process resulted in the inclusion of 28 articles with a total of 40,042 subjects published during 1998-2017. The mean age of menopause was evaluated as 48.57 years (CI: 47.96- 49.18). Analysis of subgroups indicated that the mean ages of menopause were evaluated as 47.21 (CI: 46.94-47.48), 48.43 (CI: 47.76-49.10), 47.53 (CI: 47.17-47.88), 47.80 (CI: 47.49-48.11), and 47.83 (CI: 47.34-48.32) in smoking women (based on nine studies), non-smoking women, women with normal body mass index (based on eight studies), overweight women (based on seven studies), and obese women (based on six studies), respectively. The minimum mean age was 47.97 years, which belonged to the north region. Implications for Practice: The results suggested that the average age of menopause is still within a normal range despite its rise with a normal slope. It seems that the changes in the women’s lifestyle have affected the menopause age. Consequently, special attention should be paid to some factors confounding menopause age among Iranian women to promote their health and reduce the health problems related to menopause.
{"title":"A Systematic Review and Meta-analysis on the Average Age of Menopause among Iranian Women","authors":"M. Naz, Fatemeh Sayehmiri, Faeze Kiani, G. Ozgoli","doi":"10.22038/EBCJ.2018.32369.1820","DOIUrl":"https://doi.org/10.22038/EBCJ.2018.32369.1820","url":null,"abstract":"Background: Menopause age is a determinant of health status and the risks for future diseases. Aim: The current study aimed to determine the average age of menopause among Iranian women in a meta-analysis. Method: This systematic review and meta-analysis was performed in August 2017. The articles were searched in Persian databases, including Iran Medex, SID, and Magiran, as well as international databases, including Scopus, PubMed, and Web of Knowledge, without any time limitation. The search process was accomplished using the following keywords: “Menopause” OR “Menopause age” OR “Age of menopause” OR “Menopause age and Iran”. Begg’s and Egger tests were used to identify publication bias. Data analysis was performed in Stata statistical software (version 14) using random effect model. Results: The search process resulted in the inclusion of 28 articles with a total of 40,042 subjects published during 1998-2017. The mean age of menopause was evaluated as 48.57 years (CI: 47.96- 49.18). Analysis of subgroups indicated that the mean ages of menopause were evaluated as 47.21 (CI: 46.94-47.48), 48.43 (CI: 47.76-49.10), 47.53 (CI: 47.17-47.88), 47.80 (CI: 47.49-48.11), and 47.83 (CI: 47.34-48.32) in smoking women (based on nine studies), non-smoking women, women with normal body mass index (based on eight studies), overweight women (based on seven studies), and obese women (based on six studies), respectively. The minimum mean age was 47.97 years, which belonged to the north region. Implications for Practice: The results suggested that the average age of menopause is still within a normal range despite its rise with a normal slope. It seems that the changes in the women’s lifestyle have affected the menopause age. Consequently, special attention should be paid to some factors confounding menopause age among Iranian women to promote their health and reduce the health problems related to menopause.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"15 1","pages":"26-34"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75169811","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 : 2019-01-01DOI: 10.22038/EBCJ.2018.31975.1797
T. Pourghaznein, Z. Manzari, A. Heydari, M. M. Bazaz
Background: Mothers of children undergoing hemodialysis encounter severe changes in their daily lives. It is of utmost importance to raise the awareness of treatment teams about the needs of these specific groups of mothers and different problems they may experience. The reason is that it can help health care professionals to support the mothers to fulfill their roles as the primary caregivers of such children. Aim: This study aimed to identify basic needs in mothers of children undergoing hemodialysis. Method: This meta-synthesis review of qualitative studies investigating the needs and experience of mothers whose children had kidney disease and published from January 1997 to October 2017. The articles were searched in four databases, including Web of Science, EMBASE, PubMed, and ProQuest. The search process was accomplished using the keywords “chronic kidney disease,” “hemodialysis,” “children,” “mothers,” “parents,” “caregivers,” “needs,” “experiences,” “perspectives,” and “perceptions”. Finally, 7 articles were chosen out of 567 papers and theses. The MAXQDA software was used to facilitate data management. Results: The systematic review of the qualitative studies revealed three main themes, including the need for child care management skills, the need to maintain family cohesion, and the need for emotional–psychological support. Implications for Practice: Mothers of children under hemodialysis should be considered as nursing clients. Accordingly, a multidisciplinary team can empower mothers to take care of the children under hemodialysis and preserve family coherence, as well as supporting them emotionally and psychologically.
背景:接受血液透析的儿童的母亲在日常生活中会遇到严重的变化。提高治疗团队对这些特定母亲群体的需求和她们可能遇到的不同问题的认识至关重要。原因是，它可以帮助保健专业人员支持母亲履行其作为这些儿童的主要照顾者的作用。目的:本研究旨在确定接受血液透析的儿童母亲的基本需求。方法:对1997年1月至2017年10月发表的调查患有肾病的孩子的母亲的需求和经历的定性研究进行meta综合综述。文章在Web of Science、EMBASE、PubMed和ProQuest四个数据库中检索。搜索过程使用关键字“慢性肾脏疾病”、“血液透析”、“儿童”、“母亲”、“父母”、“看护人”、“需求”、“经历”、“观点”和“感知”完成。最终从567篇论文和论文中选出7篇。采用MAXQDA软件进行数据管理。结果:对定性研究的系统回顾揭示了三个主要主题，包括对儿童保育管理技能的需求，对保持家庭凝聚力的需求以及对情感心理支持的需求。对实践的启示:血液透析儿童的母亲应被视为护理客户。因此，一个多学科小组可以使母亲有能力照顾接受血液透析的儿童，保持家庭的凝聚力，并在情感和心理上支持他们。
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Pub Date : 2019-01-01DOI: 10.22038/EBCJ.2018.34389.1874
Hesam Gholamzadeh, Mahnaz Ilkhani, A. Ameri, N. Shakeri
Background: The global cancer incidence and the number of survivors are increasing. Therefore, it is necessary to pay more attention to the side effects of treatment. Aim: The aim of this study was to assess the effect of reflexology on the side effects of chemotherapy in cancer patients. Method: For finding the related articles, the researchers searched several databases including PubMed & ProQuest and valid websites including ScienceDirect, Google Scholar, Scientific Information Database, and Magiran. The key terms of “reflexology, cancer, and chemotherapy” individually and combined together were searched in Parisian and English, and the studies performed from 2009 to 2018 were extracted. Due to the lack of sufficient studies carried out into the outcome of reflexology on chemotherapy, both Persian and English articles were used. Results: A total of 57 studies were extracted from the databases and valid websites; five of which met the inclusion criteria. All selected studies were clinical trials. Implications for Practice: Reflexology can be used as a non-pharmacologic nursing intervention to alleviate the side effects of chemotherapy and improve the quality of life of cancer patients.
背景:全球癌症发病率和幸存者人数正在增加。因此，有必要更加注意治疗的副作用。目的:本研究的目的是评估反射疗法对癌症患者化疗副作用的影响。方法:检索PubMed & ProQuest等数据库和ScienceDirect、Google Scholar、Scientific Information Database、Magiran等有效网站，查找相关文章。用巴黎语和英语分别搜索了“反射疗法、癌症和化疗”的关键术语，并将它们组合在一起，提取了2009年至2018年进行的研究。由于缺乏足够的研究对化疗的反射疗法的结果，波斯语和英语文章都被使用。结果:从数据库和有效网站共提取57篇研究;其中5项符合纳入标准。所有入选的研究均为临床试验。对实践的启示:反射疗法可以作为一种非药物护理干预，减轻化疗的副作用，提高癌症患者的生活质量。
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Pub Date : 2019-01-01DOI: 10.22038/EBCJ.2018.31717.1791
F. J. Marvi, M. Kordi, F. R. Talab, S. Mazlom
Background: Quality of sleep disorder is a common problem during pregnancy. Training based on continuous care model and telehealth has improved the quality of health care and may also ameliorate quality of sleep. Aim: The present study was conducted to compare the effects of training on the quality of sleep in pregnant women on the basis of continuous care model and telehealth. Method: This three-group clinical trial was performed in 2017 on 91 pregnant women visiting health centers in Mashhad, Iran. Orientation, sensitization, control and evaluation were carried out in the continuous care group, and four DVDs were watched by mothers in the telehealth group over the course of four weeks along with eight weeks of follow-up, and the routine care of health centers was administered for the control group. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was completed at the end of weeks 8 and 12 after the start of the study. Data were analyzed in SPSS version 24 using Kruskal-Wallis statistical test. Results: The three groups were homogeneous in terms of demographic variables (P<0.05). The Kruskal-Wallis test results showed that the mean quality of sleep score before the intervention was homogeneous among the three groups (P=0.42), but it was significantly different (P<0.001) immediately after the intervention in the three groups of continuous care (4.4±1.7), telehealth (4.4±1.4), and control (9.0±3.7), and there was a significant difference four weeks post-intervention in the three groups of continuous care (3.5±2.1), telehealth (5.3±1.8), and control (10.7±3.1) (P<0.001). Implications for Practice: Training based on the continuous care model and telehealth can improve the quality of sleep in pregnant women. Considering that telehealth is a simpler and easier method, it can be used to boost the quality of sleep in pregnant women.
背景:睡眠质量障碍是妊娠期常见的问题。基于持续护理模式和远程保健的培训提高了保健质量，也可能改善睡眠质量。目的:比较基于持续护理模式和远程医疗的训练对孕妇睡眠质量的影响。方法:于2017年对91名在伊朗马什哈德卫生中心就诊的孕妇进行三组临床试验。在连续护理组进行定向、致敏、控制和评估，远程医疗组的母亲在四周的时间里观看四张dvd，并进行八周的随访，对照组进行卫生中心的常规护理。匹兹堡睡眠质量指数(PSQI)问卷在研究开始后的第8周和第12周结束时完成。数据分析采用SPSS version 24，采用Kruskal-Wallis统计检验。结果:三组在人口学变量方面具有同质性(P<0.05)。Kruskal-Wallis检验结果显示，干预前三组患者的平均睡眠质量评分均较均一(P=0.42)，干预后连续护理组(4.4±1.7)、远程医疗组(4.4±1.4)、对照组(9.0±3.7)的睡眠质量评分差异有统计学意义(P<0.001)，干预后4周连续护理组(3.5±2.1)、远程医疗组(5.3±1.8)、对照组(10.7±3.1)的睡眠质量评分差异有统计学意义(P<0.001)。实践启示:基于持续护理模式和远程医疗的培训可以改善孕妇的睡眠质量。考虑到远程医疗是一种更简单、更容易的方法，它可以用来提高孕妇的睡眠质量。
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