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The Incidence of Lung Cancer and Smoking in Iran, Turkey, England, and the USA: A Comparative Study 伊朗、土耳其、英国和美国肺癌发病率与吸烟的比较研究
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.763.4
Samira Sheikh, Mohsen Poursadeghian, Marzieh Rohaninasab, Javad Vatani, Elham Akhlaghi Pirposhteh, Sadegh Ahmadi-Mazhin, Ali Salehi Sahlabadi, Maliheh Eshaghzadeh, Amir Hassan Dehghan Nayeri, Alireza Khammar
Objectives: Lung cancer is the deadliest and the costliest cancer in the world. In this study, we compared the situation of this disease in several countries by considering the most important risk factor of lung cancer (smoking). Methods: This is a comparative study, a comprehensive one which was done on lung cancer rates in four countries: Iran, Turkey, England, and the USA, during the past twenty years (2002-2021). Age-standardized rate (ASR) index and the percentage of smokers were extracted from available information in the World Health Organization (WHO) databases, The Organization for Economic Co-operation and Development (OECD) Health Statistics 2021, and other valid related articles. After comparison, control procedures were examined. Results: England, with an ASR of 46, has the highest rate of lung cancer, and Iran, with an ASR of 21, has the lowest rate. Turkey has the highest percentage of smokers (29.3%), and the lowest percentage belongs to Iran (20%). Regarding the increasing trend of the ASR index, lung cancer in Iran and Turkey has had an upward trend, and England and the United States have a downward trend. Taxes on cigarettes are a significant factor in smoking reduction. Among these 4 countries, the lowest cigarette tax belongs to Iran (4.83%). Discussion: The result of this study shows that the incidence of lung cancer in Iran is rising, so following successful countries in imposing cigarette taxes can be an effective step to reduce smoking. Training programs, cultural improvement, and new diagnostic methods can also be useful in reducing lung cancer ASR.
目的:肺癌是世界上最致命和最昂贵的癌症。在本研究中,我们通过考虑肺癌最重要的危险因素(吸烟),比较了几个国家的这种疾病的情况。方法:这是一项比较研究,是一项综合研究,在过去20年(2002-2021)期间,对四个国家:伊朗、土耳其、英国和美国的肺癌发病率进行了比较。年龄标准化率(ASR)指数和吸烟者百分比是从世界卫生组织(世卫组织)数据库、经济合作与发展组织(经合组织)《2021年卫生统计》和其他有效相关文章中的现有信息中提取的。对照后,检查对照程序。结果:英国肺癌发病率最高,ASR为46;伊朗最低,ASR为21。土耳其的吸烟者比例最高(29.3%),最低的是伊朗(20%)。从ASR指数的上升趋势来看,伊朗和土耳其的肺癌呈上升趋势,英国和美国呈下降趋势。对香烟征税是减少吸烟的一个重要因素。在这4个国家中,卷烟税最低的是伊朗(4.83%)。讨论:这项研究的结果表明,伊朗的肺癌发病率正在上升,因此,效仿成功的国家征收卷烟税可能是减少吸烟的有效步骤。培训计划、文化改进和新的诊断方法也有助于减少肺癌ASR。
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引用次数: 0
Prolonged Oral Motor Stimulation Treatment was Effective for Breastfeeding Achievement in Full Term Infants With Feeding Problems 延长口腔运动刺激治疗对有喂养问题的足月婴儿的母乳喂养效果显著
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1754.1
Shamim Ghazi, Raheleh Faramarzi, Abbas Boskabadi, Brenda Lessen Knoll, Hamideh Ghaemi, Ali Taghipour, Davood Sobhani-Rad
Objectives: Feeding problems can occur in early-term infants born at 37 weeks. Early-term and full-term infants may benefit from oral motor therapy to attain successful breastfeeding. The present study aims to determine the impact of the 5-minute premature infant oral motor intervention (PIOMI) and the 15-minute oral stimulation program (15-minute oral stimulation program) on 37 to 41 weeks infants in attaining successful breastfeeding. Methods: This clinical trial was conducted on early-term and full-term infants in the neonatal intensive care units (NICUs) of two hospitals in Mashhad City, Iran. They were randomly divided into two intervention groups (5-minute PIOMI or 15-minute oral stimulation program) and one control group (17 infants in each group). These three groups were then compared to each other after the intervention by pediatricians and speech and language specialists regarding their breastfeeding. All statistical analysis was performed using R software, version 4.0.2, and the significance level was set at 0.05. Results: Infants in both intervention groups attained different levels of breastfeeding compared to pre-intervention. This outcome could be due to our interventions or natural growth and development (P<0.05). However, the longer the infants’ oral motor therapy time was, the more likely they were to breastfeed successfully. The 15-minute oral stimulation program group had a significantly higher number of male infants attaining breastfeeding after treatment than the control and PIOMI groups (P=0.03). Discussion: The PIOMI has been confirmed as an effective early intervention for small preterm infants as young as 29 weeks, and the short 5-minute therapy time is accepted in the preterm infant population. The program affects the brain’s plasticity and improves neurosensory and motor skill development for feeding. The current study indicates that PIOMI remains effective versus the control group in the full-term babies. However, the longer 15-minute oral stimulation program, is more effective in full-term infants. This finding shows that full-term infants can endure and benefit from longer than 5 minutes per day of oral motor therapy.
目的:喂养问题可发生在37周出生的早产婴儿。早期和足月婴儿可能受益于口腔运动疗法,以获得成功的母乳喂养。本研究旨在确定5分钟早产儿口腔运动干预(PIOMI)和15分钟口腔刺激计划(15分钟口腔刺激计划)对37至41周婴儿成功母乳喂养的影响。方法:本临床试验在伊朗马什哈德市两家医院的新生儿重症监护病房(NICUs)的早足月婴儿和足月婴儿中进行。随机分为两个干预组(5分钟PIOMI或15分钟口腔刺激计划)和一个对照组(每组17名婴儿)。在儿科医生和语言专家就母乳喂养问题进行干预后,这三组孩子相互比较。采用R软件4.0.2版进行统计分析,显著性水平设为0.05。结果:与干预前相比,两个干预组的婴儿获得了不同的母乳喂养水平。这一结果可能是由于我们的干预或自然生长发育(P<0.05)。然而,婴儿的口腔运动治疗时间越长,他们越有可能母乳喂养成功。15分钟口服刺激方案组治疗后获得母乳喂养的男婴数量显著高于对照组和PIOMI组(P=0.03)。讨论:PIOMI已被证实是一种有效的早期干预方法,适用于29周的小早产儿,5分钟的治疗时间在早产儿群体中是可以接受的。该计划影响大脑的可塑性,提高神经感觉和运动技能的发展。目前的研究表明,与对照组相比,PIOMI在足月婴儿中仍然有效。然而,较长的15分钟的口腔刺激计划,对足月婴儿更有效。这一发现表明,足月婴儿可以忍受并受益于每天超过5分钟的口腔运动治疗。
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引用次数: 0
Immediate Effect of Mirror Therapy Using Pegboard Training on Hand Function and Muscle Activities in Individuals With Asymmetrical Hand Function 镜疗钉板训练对手功能不对称患者手部功能及肌肉活动的即时影响
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1759.1
Wantanee Yodchaisarn, Duangporn Suriyaamarit, Chadayu Udom
Objectives: A proper function of hands is critical for doing daily activities and work, especially when using electronic devices. This study determined the effect of mirror therapy on individuals with asymmetrical hand function. Methods: Forty-two men with asymmetrical hand function were recruited. All participants were randomly divided into sham control (n=21) and mirror therapy (n=21) groups. Both groups were tested before and after training using the 9-hole peg test (9HPT). The sham control group received pegboard training, and the mirror therapy group received mirror therapy using the pegboard. During training, hand muscle activities were recorded using surface electromyography. The obtained data were analyzed using the t-test and Mann-Whitney U test. Results: Non-dominant hand function on the 9HPT showed significant improvement in the mirror therapy group compared with the sham control group (P=0.021). The asymmetric hand function was also improved in the mirror therapy group. Muscle activities of the non-dominant hand were not significantly different between groups. Discussion: Mirror therapy using the pegboard had an immediate effect on improving non-dominant hand function. This finding has implications for possible preventive strategies against common hand problems and improving the efficient use of both hands.
目的:手部的正常功能对日常活动和工作至关重要,特别是在使用电子设备时。本研究确定了镜像疗法对手部功能不对称个体的影响。方法:招募42名手部功能不对称的男性。所有参与者随机分为假对照组(n=21)和镜像治疗组(n=21)。两组在训练前后分别采用9孔钉测试(9HPT)进行测试。假对照组采用钉钉板训练,镜像治疗组采用钉钉板进行镜像治疗。在训练过程中,用表面肌电图记录手部肌肉活动。所得数据采用t检验和Mann-Whitney U检验进行分析。结果:与假手术对照组相比,镜像治疗组9HPT非优势手功能明显改善(P=0.021)。镜像治疗组的手部不对称功能也得到改善。非优势手的肌肉活动在两组间无显著差异。讨论:使用钉板的镜像疗法对改善非优势手功能有立竿见影的效果。这一发现为预防常见手部问题和提高双手的有效使用提供了可能的策略。
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引用次数: 0
Comparing Microsoft Kinect and Observational Gait Analysis in Assessing Gait Parameters of Apparently Healthy Adults 比较微软Kinect和观察步态分析评估步态参数的表面健康成人
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.2.1733.2
Chidozie Emmanuel Mbada, Emmanuel Oluwatosin Abata, Omoniyi Ayokunle Ojapinwa, Saturday Nicholas Oghumu, Adekola Ademogoyegun, Francis Fatoye
Objectives: Although the Microsoft Kinect has compelling potential for gait analysis in medicine, data available to compare it with observational gait analysis (OGA) is scarce. This study compared the Microsoft Kinect and the OGA in assessing the gait parameters of apparently healthy adults. Methods: Ninety-seven apparently healthy young male adults participated in this comparative study. First, the participant’s age, height, weight, and body mass index were obtained. Afterward, gait parameters involving the number of steps, cadence, stride length, and step length were assessed concurrently following OGA standard procedures and the Microsoft Kinect during a 6-m walk down the hallway. The obtained data were analyzed using descriptive and inferential statistics. The significance level was set at P<0.05. Results: The Mean±SD walk time, steps, cadence, velocity, and stride length were 8.07±1.39 s, 14.0±2.96 counts, 72.9±11.9 steps/min, 0.8±0.13 m/s, and 0.77±0.13m, respectively. Step length was significantly higher (P<0.05) with Microsoft Kinect than OGA, whereas stride length and walk speed values were significantly (P<0.05) lower with Microsoft Kinect. A moderate but significant (P=0.001) positive correlation existed between Microsoft Kinect and OGA regarding walk speed. In contrast, regarding the step length, a weak but significant (P<0.05) positive correlation was found between Microsoft Kinect and OGA. Discussion: Step length values of Microsoft Kinect were significantly higher than OGA values, whereas stride length and walk speed values of Microsoft Kinect were significantly lower than OGA values. Walk speed and step length measured by Microsoft Kinect and OGA were positively correlated.
目的:尽管微软Kinect在医学步态分析方面具有令人信服的潜力,但将其与观察性步态分析(OGA)进行比较的数据很少。这项研究比较了微软Kinect和OGA在评估明显健康成年人的步态参数方面的差异。方法:97名表面健康的年轻成年男性参与了这项比较研究。首先,获得参与者的年龄、身高、体重和身体质量指数。随后,步态参数包括步数、节奏、步幅和步长,同时按照OGA标准程序和微软Kinect在走廊上走6米时进行评估。所得数据采用描述性统计和推理统计进行分析。显著性水平设为P<0.05。结果:平均±SD步行时间、步数、步速、步幅分别为8.07±1.39 s、14.0±2.96次、72.9±11.9步/min、0.8±0.13 m/s、0.77±0.13m。Microsoft Kinect组的步长显著高于OGA组(P<0.05),而步长和步行速度显著低于OGA组(P<0.05)。微软Kinect与OGA在行走速度方面存在中度但显著的正相关(P=0.001)。相比之下,在步长方面,微软Kinect与OGA之间存在微弱但显著的正相关(P<0.05)。讨论:Microsoft Kinect的步长值显著高于OGA值,而Microsoft Kinect的步长和步行速度值显著低于OGA值。由微软Kinect测量的步行速度和步长与OGA呈正相关。
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引用次数: 0
Assessing the Effects of Acceptance-commitment and Psychodrama Therapies in Nurses With Social Anxiety Disorder 接受-承诺与心理剧治疗在护士社交焦虑障碍中的效果评估
Q4 Medicine Pub Date : 2023-06-01 DOI: 10.32598/irj.21.1.763.3
Malihe Kabusi, Seyed Ali Razavi Nasab, Elham Saber, Reyhaneh Ivanbagha, Behzad Khedri, Zahra Khezerlou, Tayebeh Ilaghinezhad Bardsiri, Zahra Shafiei, Maryam Ebrahimpour Roodposhti, Anahita Zandi, Hamid Hoseyni, Abbas Ghodrati Torbati, Maliheh Eshaghzadeh, Samaneh Eshaghzadeh
Objectives: Social anxiety disorder (SAD) is one the most prevalent psychiatric disorders and generates severe negative effects on patients' mental, individual, and social health. Decreased responsibility, absenteeism, and poor life quality can be the consequences of this disorder. Considering the effective empirical background of both therapeutic approaches in reducing social anxiety symptoms and the lack of research on combining both interventions to reduce anxiety, this study was performed to determine the effects of acceptance-commitment therapy (ACT) and psychodrama therapy on nurses' social anxiety. Methods: This randomized trial research was conducted at Torbat Heydarieh University of Medical Sciences in 2017 with a pre-test-post-test design. A total of 48 nurses with SAD who were referred to the university counseling center were chosen at random and entered into 4 equal groups (12 subjects) (an intervention group and 3 control groups). The intervention group received a combination of psychodrama and ACT therapies in twelve 90-minute treatment sessions (2 meetings every week). The control groups were provided with psychodrama therapy, ACT, and no treatment. The study data were collected by Connor's social anxiety questionnaire (2000). The collected data were analyzed by analyses of variance and covariance. Results: A decrease was observed in the social anxiety scores in the four groups of the study after psychological therapies. The Mean±SD of the social anxiety score in the treatment group based on psychodrama was 64.75±13.37 before the study period and 49.08±6.71 after that. While in the ACT group, it was 59.65±12.21 and 42.66±8.05 before and after the study, respectively, and in the group provided with a combination of both therapies, it was 62.75±13.49 before the study period and 35.75±7.19 after that. A lack of significant difference (P=0.86) could be detected in the mean anxiety score in the group of control. However, the social anxiety score of the group with a combination of both therapies significantly decreased (P<0.001) compared to other studied control groups. Discussion: The data analysis showed that a combination of ACT and psychodrama therapies significantly reduced the social anxiety of nurses.
目的:社交焦虑障碍(Social anxiety disorder, SAD)是最常见的精神障碍之一,对患者的心理健康、个体健康和社会健康产生严重的负面影响。责任减少、缺勤和生活质量差可能是这种疾病的后果。考虑到两种治疗方法在减轻社交焦虑症状方面的有效经验背景,以及两种干预联合减轻焦虑的研究缺乏,本研究旨在确定接受-承诺治疗(ACT)和心理剧治疗对护士社交焦虑的影响。方法:该随机试验研究于2017年在Torbat Heydarieh医学科学大学进行,采用前-后-测试设计。随机选取48名转介至大学心理咨询中心的SAD护士,分为4个平等组(12名受试者)(干预组和3个对照组)。干预组接受心理剧和ACT联合治疗,共12次,每次90分钟(每周2次)。对照组给予心理剧治疗,ACT治疗,不治疗。研究数据收集自Connor的社交焦虑问卷(2000)。对收集的资料进行方差分析和协方差分析。结果:四组患者在接受心理治疗后,社交焦虑得分均有所下降。治疗组基于心理剧的社交焦虑评分在研究前为64.75±13.37,研究后为49.08±6.71。ACT组研究前后分别为59.65±12.21和42.66±8.05,联合治疗组研究前后分别为62.75±13.49和35.75±7.19。对照组的平均焦虑评分差异无统计学意义(P=0.86)。然而,与其他研究对照组相比,两种治疗组合组的社交焦虑评分显著降低(P<0.001)。讨论:数据分析表明,ACT与心理剧疗法相结合可显著降低护士的社交焦虑。
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引用次数: 0
A Comparative Study of Rehabilitation Information Systems in 8 Countries: A Literature Review 八国康复资讯系统之比较研究:文献回顾
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.32598/irj.21.1.1766.1
Seyyedeh Fatemeh Mousavi Baigi, M. Sarbaz, D. Sobhani-Rad, Khalil Kimiafar
Objectives: This study aims to comparatively review the rehabilitation information systems in 8 countries: Canada, the United States, the United Kingdom, Sweden, Australia, Malaysia, Russia, and Iran. Methods: A comprehensive review of published studies without a time limit was explored by searching the keywords, titles, and abstracts. Studies were obtained from the Web of Science, Scopus, PubMed, and Embase databases on May 2, 2021. We also did a Google search engine to explore rehabilitation information system websites in each country. The inclusion criteria included all English and Persian articles in the field of rehabilitation information registration systems or minimum data sets and the availability of complete text of the articles. A total of 13151 related studies were extracted and finally 25 main articles and 6 websites were selected. A similar standard checklist was used to extract and compare the findings. The data items in this checklist included reference, country, registry name, established year, founder, scope, standard classification systems (coding system), data elements, and subcategories of data elements of the registry. Results: The literature review revealed that the United States has international rehabilitation outcomes in three areas of inpatient, outpatient, and pediatric rehabilitation that collect data from around the world. Australia has a national clinical registry for outpatient and inpatient rehabilitation outcomes for adults and children. Canada, with its national rehabilitation reporting system, gathers only adult inpatient rehabilitation information. In sweden, the Swedish Rehabilitation Medical Register includes rehabilitation activities in both inpatient and outpatient care. Rehabilitation in Malaysia with no data sharing and integration is still in its infancy. The rehabilitation information system in the UK only includes specialized rehabilitation services. In Iran, the Welfare Organization registers and collects (inpatient, outpatient, and home care) rehabilitation and financial data of the disabled with the “payment” system. In Russia, only some studies have proposed the launch of a rehabilitation information system. Discussion: The results of this literature review demonstrate that the most comprehensive rehabilitation information systems first belonged to the United States, and then to Australia, Canada, Sweden, the United Kingdom, and Iran in descending order. Meanwhile, a rehabilitation information system is being developed in Malaysia. However, Russia has not yet developed a comprehensive rehabilitation information system.
目的:比较分析加拿大、美国、英国、瑞典、澳大利亚、马来西亚、俄罗斯、伊朗等8个国家的康复信息系统。方法:通过检索关键词、题目和摘要,对已发表的无时间限制的研究进行综合综述。研究于2021年5月2日从Web of Science、Scopus、PubMed和Embase数据库获得。我们还做了一个谷歌搜索引擎来探索每个国家的康复信息系统网站。纳入标准包括康复信息登记系统或最低数据集领域的所有英文和波斯语文章以及文章全文的可得性。共提取相关研究13151篇,最终筛选出25篇主要文章和6个网站。使用类似的标准检查表来提取和比较结果。该清单中的数据项包括注册表的参考、国家、注册表名称、建立年份、创始人、范围、标准分类系统(编码系统)、数据元素和数据元素的子类别。结果:文献综述显示,通过收集来自世界各地的数据,美国在住院、门诊和儿科康复三个领域具有国际康复效果。澳大利亚对成人和儿童的门诊和住院康复结果进行了全国临床登记。加拿大的国家康复报告系统只收集成人住院患者的康复信息。在瑞典,瑞典康复医疗登记册包括住院和门诊康复活动。在没有数据共享和整合的情况下,马来西亚的康复仍处于起步阶段。英国的康复信息系统只包括专门的康复服务。在伊朗,福利组织通过“支付”系统登记和收集残疾人的康复和财务数据(住院、门诊和家庭护理)。在俄罗斯,只有一些研究报告建议建立一个康复信息系统。讨论:本文献综述的结果表明,最全面的康复信息系统首先属于美国,其次是澳大利亚、加拿大、瑞典、英国和伊朗。与此同时,马来西亚正在发展一个康复信息系统。然而,俄罗斯尚未开发出全面的康复信息系统。
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引用次数: 3
The Relationship Between Sensory Processing Patterns and Participation in Childhood Leisure and Play Activities: A Systematic Review and Meta-analysis 感官加工模式与儿童休闲和游戏活动参与的关系:系统综述和荟萃分析
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.32598/irj.21.1.1277.2
Navid Mirzakhani Araghi, Zahra Pashazadeh Azari, Mehdi Alizadeh Zarei, A. Akbarzadeh Baghban, Shafagh Saei, Hamid Reza Yousefi Nodeh, A. Farshbafkhalili, E. Mahmoudi
Objectives: Sensory processing patterns can be related to children's preferences for various activities. Still, our understanding of how different sensory processing patterns are related to children's participation in leisure activities is fairly limited. Therefore, this study aimed to investigate the association between sensory processing patterns and children's participation in leisure activities. Methods: In this systematic review, the PRISMA (The Preferred Reporting Items For Systematic Reviews And Meta-Analyses) Guidelines were followed. We searched PubMed, Google Scholar, Springer, ProQuest, Scopus, Cochrane Library, Medline, OT Seeker, SID, and Healio databases using the following keywords: “Participation”, “leisure”, “play”, “sensory processing”, “sensory integration”, “sensorimotor”, “sensory”, and “children”. A total of 5040 articles were found, of which 5027 were eliminated after the review, and finally, 13 articles were included in the study based on the inclusion criteria; 6 of them entered the meta-analysis process. The meta-analysis was performed using CMA software. Results: The meta-analysis of 6 studies illustrated a significant correlation between the energy level and desire to participate in leisure activities, the auditory-visual sensitivity and willingness to participate in leisure activities, the sensory processing patterns and the intensity of involvement in leisure activities, the general sensory processing and desire to participate in leisure activities, the sensory processing patterns and desire to participate in informal activities, the olfactory sensitivity and desire to participate in leisure activities, the auditory filtering and desire to participate in leisure activities, the sensory processing patterns and enjoyment of participation in leisure activities, and finally sensory processing patterns and desire to participate in recreational activities. Discussion: The evidence in articles on sensory processing patterns and participation in play and leisure activities is inadequate. The only conclusion drawn from all patterns of sensory processing is the significant relationship between these patterns and the preference to participate in recreational activities (which is just one of the several leisure activities).
目的:感觉加工模式可能与儿童对各种活动的偏好有关。尽管如此,我们对不同的感官处理模式如何与儿童参与休闲活动有关的理解还是相当有限的。因此,本研究旨在探讨感官加工模式与儿童参与休闲活动之间的关系。方法:在本系统综述中,遵循PRISMA(系统综述和荟萃分析的首选报告项目)指南。我们使用以下关键词搜索PubMed、Google Scholar、Springer、ProQuest、Scopus、Cochrane Library、Medline、OT Seeker、SID和Healio数据库:“参与”、“休闲”、“玩耍”、“感觉处理”、“感官整合”、“感觉运动”、“感知”和“儿童”。共发现5040篇文章,其中5027篇在审查后被删除,最终根据纳入标准将13篇文章纳入研究;其中6人进入荟萃分析过程。使用CMA软件进行荟萃分析。结果:对6项研究的荟萃分析表明,能量水平和参与休闲活动的欲望、听觉视觉敏感性和参加休闲活动的意愿、感官处理模式和参与休闲的强度之间存在显著相关性,一般的感官加工和参与休闲活动的欲望,感官加工模式和参与非正式活动的欲望、嗅觉敏感性和参与休闲行为的欲望、听觉过滤和参与休闲的欲望、感官加工模式与参与休闲的享受,最后是感官加工模式和参与娱乐活动的愿望。讨论:文章中关于感官加工模式和参与游戏和休闲活动的证据不足。从所有感官加工模式中得出的唯一结论是,这些模式与参与娱乐活动的偏好之间存在显著关系(娱乐活动只是几种休闲活动之一)。
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引用次数: 1
The Relationship of Cognitive Flexibility and Self-compassion With Depression and Anxiety Among Healthcare Staff During the COVID-19 Pandemic 新冠肺炎大流行期间医护人员认知灵活性、自我同情与抑郁、焦虑的关系
Q4 Medicine Pub Date : 2023-05-01 DOI: 10.32598/irj.21.1.69.4
Ashkan Babaei, F. Momeni, Mohsen Vahedi, Mohammad Davoudi
Objectives: The COVID-19 outbreak has considerably affected various aspects of our lives and different groups of society. In this regard, healthcare staff is more affected by the pressure of heavy workloads and daily exposure to suspected COVID-19 cases. This study aimed to investigate depression and anxiety as two basic factors of mental health among healthcare workers and the role of self-compassion and cognitive flexibility during the pandemic. Methods: A multi-center cross-sectional study was conducted. Healthcare workers were the target group, and the samples were collected through the online groups from healthcare staff of coronavirus hospitalized centers in Tehran. A convenience sampling method was used in this study. The general anxiety disorder-7 scale, patient health questionnaire, cognitive flexibility inventory, and self-compassion short-form scale were used online for data collection. Totally 551 respondents were entered into the analysis process of the current study. Results: A total of 437 respondents (79.3%) had mild to severe anxiety symptoms, and 447(81.1%) had mild to severe depressive symptoms. Cognitive flexibility had a significant negative relationship with anxiety and depression (r=-0.40, r=-0.37, respectively, P<0.001). Similarly, the relationship between self-compassion and anxiety and depression was significantly negative (r=-0.48, r=-0. 47, respectively, P<0.001). Discussion: This study demonstrates the positive effects of cognitive flexibility and self-compassion on healthcare staff during COVID-19.
目标:新冠肺炎疫情对我们生活的各个方面和社会的不同群体产生了重大影响。在这方面,医护人员更容易受到繁重工作量和每日接触新冠肺炎疑似病例的压力的影响。本研究旨在调查抑郁和焦虑作为医护人员心理健康的两个基本因素,以及在疫情期间自我同情和认知灵活性的作用。方法:采用多中心横断面研究。医护人员是目标群体,样本是通过在线小组从德黑兰冠状病毒住院中心的医护人员那里收集的。本研究采用了一种方便的抽样方法。使用一般焦虑障碍-7量表、患者健康问卷、认知灵活性量表和自我同情简表进行在线数据收集。共有551名受访者参与了本研究的分析过程。结果:共有437名受访者(79.3%)有轻度至重度焦虑症状,447人(81.1%)有轻度到重度抑郁症状。认知灵活性与焦虑、抑郁呈显著负相关(r=-0.40,r=-0.37,P<0.001),自我同情与焦虑、抑郁症呈显著负相关性(r=-0.48,r=-0)。讨论:本研究证明了新冠肺炎期间认知灵活性和自我陪伴对医护人员的积极影响。
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引用次数: 0
Comparison of the Effect of Eight Weeks of Core Stability Training and Kegel on Diastasis Rectus Abdominis in Multiparous Women 8周核心稳定性训练与凯格尔运动对产妇腹直肌转移的效果比较
Q4 Medicine Pub Date : 2023-03-06 DOI: 10.32598/irj.20.4.1185.4
Mina Safaee, A. Barati, H. Naderifar
Objectives: Due to the importance of postpartum maternal health and the effect of pregnancy on the increase of recti diastasis rectus abdominis (DRA), this study aimed to compare the effect of eight weeks of core and Kegel exercise with emphasis on correcting the respiratory pattern on DRA in multiparous women. Methods: This is a semi-experimental study that was conducted on 45 pregnant women who had given birth six weeks ago selected according to the inclusion criteria. Individuals were divided into three selected training groups, including central area, Kegel, and control. The covariance analysis was used for intergroup comparison and a correlated t-test was used for comparison within a group. The statistical analysis was done by SPSS software, version 27. Results: The results of this study showed the effect of both training programs on reducing the distance between the recti-abdominal muscles (P<0.001). No significant difference was reported between the two training groups in this regard. Also, there was a significant difference in terms of pain between the two training groups and the control group (P<0.05), but there was no significant difference between the two training groups (P>0.045). Discussion: Due to the reduction of pain and DRA, it seems that using the two training programs can lead to desirable results for the people and represents the importance of using the exercises in the postpartum period.
目的:考虑到产后产妇健康的重要性以及妊娠对腹直肌(DRA)增加的影响,本研究旨在比较8周的核心运动和以纠正呼吸模式为重点的凯格尔运动对多产妇女DRA的影响。方法:这是一项半实验研究,根据纳入标准选择45名6周前分娩的孕妇。个体被分为三个选定的训练组,包括中央区域训练组、凯格尔训练组和对照组。组间比较采用协方差分析,组内比较采用相关t检验。采用SPSS软件27版进行统计分析。结果:本研究结果显示了两种训练方案对减少直腹肌之间距离的影响(P0.045)。讨论:由于疼痛和DRA的减少,似乎使用这两种训练方案可以为人们带来理想的结果,并代表了在产后期间使用锻炼的重要性。
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引用次数: 1
Impact of Short Message System Education on Blood Sugar Control and Treatment Adherence in Patients With Type 2 Diabetes 短信系统教育对2型糖尿病患者血糖控制及治疗依从性的影响
Q4 Medicine Pub Date : 2023-03-06 DOI: 10.32598/irj.20.4.1631.2
Reza Roozbehani, Amir Ali Fatemi, Z. Zamani, B. Khedri, Kolsoom Arefkia, Malihe Kabusi, Zahra Shafiei, Seyed‐Ali Razavinasab, Tayebeh Ilaghinezhad Bardsiri, M. Eshaghzadeh, Shiva Hosseini Foladi, Reyhaneh Ivanbagha
Objectives: Considering the need of diabetic patients for accessing the care system and the role of modern media in health education and culture, we aimed to determine the effectiveness of educating via mobile SMS in controlling blood sugar. Moreover, the adherence to drug treatment of patients with type 2 diabetes was assessed. Methods: This quasi-experimental study was conducted in Isfahan City, Iran in 2018. A total of 100 diabetic patients participated in the case (intervention) and control groups. The control group underwent conventional therapies and training. SMS training was applied for the intervention group in addition to the conventional therapies. Collecting the information and data to assess adherence to patients’ treatment was done using a researcher-made 18-item questionnaire. Analyzing data was performed in SPSS software, version 20 through the employment of the independent t test, paired t test, and multivariate analysis of covariance. Results: Based on the independent t test results, no significant difference was detected between the two study groups at any time points (P>0.05) in terms of the mean fasting blood sugar. However, by analysis of covariance and adjusting the fasting blood sugar level before the intervention in the studied groups, the mean fasting blood sugar was recognized to be significantly lower in the intervention group compared to the control group in the second month (P=0.048) and the third month after the intervention (P=0.008). Discussion: There is an association between SMS education and fasting blood sugar control and adherence to treatment in the studied patients. In the field of health care education, it is possible to use patient communication techniques and short message services to control follow-up and monitor interventions.
目的:考虑到糖尿病患者进入护理系统的需求以及现代媒体在健康教育和文化中的作用,我们旨在确定通过移动短信进行教育在控制血糖方面的有效性。此外,还评估了2型糖尿病患者对药物治疗的依从性。方法:这项准实验研究于2018年在伊朗伊斯法罕市进行。共有100名糖尿病患者参加了病例组(干预组)和对照组。对照组接受常规治疗和训练。除了常规治疗外,干预组还应用SMS训练。使用研究人员制作的18项问卷收集信息和数据,以评估患者对治疗的依从性。数据分析采用SPSS 20版软件,采用独立t检验、配对t检验和协方差多变量分析。结果:根据独立t检验结果,两个研究组在任何时间点的平均空腹血糖均无显著差异(P>0.05)。但通过协方差分析和干预前调整研究组的空腹血糖水平,在干预后的第二个月(P=0.048)和第三个月(P=0.008),干预组的平均空腹血糖显著低于对照组。讨论:SMS教育与研究患者的空腹血糖控制和坚持治疗之间存在关联。在卫生保健教育领域,可以使用患者沟通技术和短信服务来控制后续行动和监测干预措施。
{"title":"Impact of Short Message System Education on Blood Sugar Control and Treatment Adherence in Patients With Type 2 Diabetes","authors":"Reza Roozbehani, Amir Ali Fatemi, Z. Zamani, B. Khedri, Kolsoom Arefkia, Malihe Kabusi, Zahra Shafiei, Seyed‐Ali Razavinasab, Tayebeh Ilaghinezhad Bardsiri, M. Eshaghzadeh, Shiva Hosseini Foladi, Reyhaneh Ivanbagha","doi":"10.32598/irj.20.4.1631.2","DOIUrl":"https://doi.org/10.32598/irj.20.4.1631.2","url":null,"abstract":"Objectives: Considering the need of diabetic patients for accessing the care system and the role of modern media in health education and culture, we aimed to determine the effectiveness of educating via mobile SMS in controlling blood sugar. Moreover, the adherence to drug treatment of patients with type 2 diabetes was assessed. Methods: This quasi-experimental study was conducted in Isfahan City, Iran in 2018. A total of 100 diabetic patients participated in the case (intervention) and control groups. The control group underwent conventional therapies and training. SMS training was applied for the intervention group in addition to the conventional therapies. Collecting the information and data to assess adherence to patients’ treatment was done using a researcher-made 18-item questionnaire. Analyzing data was performed in SPSS software, version 20 through the employment of the independent t test, paired t test, and multivariate analysis of covariance. Results: Based on the independent t test results, no significant difference was detected between the two study groups at any time points (P>0.05) in terms of the mean fasting blood sugar. However, by analysis of covariance and adjusting the fasting blood sugar level before the intervention in the studied groups, the mean fasting blood sugar was recognized to be significantly lower in the intervention group compared to the control group in the second month (P=0.048) and the third month after the intervention (P=0.008). Discussion: There is an association between SMS education and fasting blood sugar control and adherence to treatment in the studied patients. In the field of health care education, it is possible to use patient communication techniques and short message services to control follow-up and monitor interventions.","PeriodicalId":37644,"journal":{"name":"Iranian Rehabilitation Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47384230","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
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Iranian Rehabilitation Journal
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