N. Rezaee, Haniyeh Afhami, Shahin-Dokht Navvabi-Rigi
Background: Spontaneous abortion (SA) is a common pregnancy complication with challenging prediction and prevention for healthcare providers. It can lead to stress, anxiety, depression, and grief for parents. Self-talk (ST) is a communication skill with a significant role in the relationship of events and emotions and can facilitate the management of most emotional and behavioral disorders. However, there is limited information about its effects on women with SA. Objectives: The aim of this study was to assess the effects of positive ST on anxiety and grief among women with SA. Methods: This quasi-experimental study was conducted in 2021 using a two-group pre-test-post-test design. Eighty women with SA were randomly selected from a teaching hospital in Zahedan, Iran, and were alternately allocated to an intervention group and a control group on a weekly basis. Participants in the intervention group received education about positive ST in eight 20-minute sessions held twice weekly. Data were collected before and 2 months after the intervention using a demographic questionnaire, the Hospital Anxiety and Depression Scale, and the Perinatal Grief Scale. The SPSS v. 16.0 software was used to analyze the data at a significance level of < 0.05 using the Shapiro-Wilk, paired-sample and independent-sample t tests, and chi-square test. Results: The age mean of the participants was 26.40 ± 5.63 years in the intervention group and 24.45 ± 5.11 years in the control group. The groups did not significantly differ from each other respecting baseline demographic and clinical characteristics (P > 0.05). The mean scores of anxiety (control: 4.57 ± 1.98, intervention: 2.60 ± 1.59) and grief (control: 64.85 ± 22.68, intervention: 50.97 ± 16.522) significantly decreased in both groups (P = 0.001, P = 0.003), and the amount of decrease in the intervention group was significantly more than the control group (P < 0.05). Accordingly, the pre-test mean scores of anxiety (P = 0.74) and grief (P = 0.95) did not show significant between-group differences, and the post-test mean scores of anxiety (P < 0.001) and grief (P = 0.004) in the intervention group were significantly less than the control group. Conclusions: Positive ST is effective in significantly reducing anxiety and grief among women with SA. Nurses and psychologists can use positive ST to reduce post-SA psychological complications among afflicted women.
背景：自然流产（SA自然流产（SA）是一种常见的妊娠并发症，其预测和预防对医疗服务提供者来说具有挑战性。它可能会给父母带来压力、焦虑、抑郁和悲伤。自我对话（ST）是一种沟通技巧，在事件和情绪的关系中发挥着重要作用，可促进大多数情绪和行为障碍的管理。然而，有关其对患有自闭症的妇女的影响的信息却很有限。研究目的本研究旨在评估积极 ST 对 SA 女性焦虑和悲伤的影响。研究方法这项准实验研究于 2021 年进行，采用两组前测-后测设计。研究人员从伊朗扎黑丹的一家教学医院随机抽取了 80 名患有自闭症的妇女，每周交替分配到干预组和对照组。干预组的参与者在每周两次、每次八节、每次 20 分钟的课程中接受有关积极 ST 的教育。在干预前和干预后两个月，使用人口统计学问卷、医院焦虑抑郁量表和围产期悲伤量表收集数据。在显著性水平小于 0.05 时，使用 SPSS v. 16.0 软件对数据进行 Shapiro-Wilk、配对样本和独立样本 t 检验以及卡方检验。结果干预组参与者的平均年龄为（26.40±5.63）岁，对照组参与者的平均年龄为（24.45±5.11）岁。两组在基线人口统计学和临床特征方面无明显差异（P>0.05）。两组的焦虑（对照组：4.57±1.98，干预组：2.60±1.59）和悲伤（对照组：64.85±22.68，干预组：50.97±16.522）的平均得分均显著下降（P = 0.001，P = 0.003），且干预组的下降幅度明显高于对照组（P < 0.05）。相应地，干预组的焦虑（P = 0.74）和悲伤（P = 0.95）的测试前平均得分在组间无明显差异，干预组的焦虑（P < 0.001）和悲伤（P = 0.004）的测试后平均得分明显低于对照组。结论积极 ST 能有效减轻 SA 妇女的焦虑和悲伤。护士和心理学家可以利用积极 ST 来减少患 SA 后妇女的心理并发症。
{"title":"The Effects of Positive Self-Talk on Anxiety and Grief Among Women with Spontaneous Abortion: A Quasi-Experimental Study","authors":"N. Rezaee, Haniyeh Afhami, Shahin-Dokht Navvabi-Rigi","doi":"10.5812/semj-140347","DOIUrl":"https://doi.org/10.5812/semj-140347","url":null,"abstract":"Background: Spontaneous abortion (SA) is a common pregnancy complication with challenging prediction and prevention for healthcare providers. It can lead to stress, anxiety, depression, and grief for parents. Self-talk (ST) is a communication skill with a significant role in the relationship of events and emotions and can facilitate the management of most emotional and behavioral disorders. However, there is limited information about its effects on women with SA. Objectives: The aim of this study was to assess the effects of positive ST on anxiety and grief among women with SA. Methods: This quasi-experimental study was conducted in 2021 using a two-group pre-test-post-test design. Eighty women with SA were randomly selected from a teaching hospital in Zahedan, Iran, and were alternately allocated to an intervention group and a control group on a weekly basis. Participants in the intervention group received education about positive ST in eight 20-minute sessions held twice weekly. Data were collected before and 2 months after the intervention using a demographic questionnaire, the Hospital Anxiety and Depression Scale, and the Perinatal Grief Scale. The SPSS v. 16.0 software was used to analyze the data at a significance level of < 0.05 using the Shapiro-Wilk, paired-sample and independent-sample t tests, and chi-square test. Results: The age mean of the participants was 26.40 ± 5.63 years in the intervention group and 24.45 ± 5.11 years in the control group. The groups did not significantly differ from each other respecting baseline demographic and clinical characteristics (P > 0.05). The mean scores of anxiety (control: 4.57 ± 1.98, intervention: 2.60 ± 1.59) and grief (control: 64.85 ± 22.68, intervention: 50.97 ± 16.522) significantly decreased in both groups (P = 0.001, P = 0.003), and the amount of decrease in the intervention group was significantly more than the control group (P < 0.05). Accordingly, the pre-test mean scores of anxiety (P = 0.74) and grief (P = 0.95) did not show significant between-group differences, and the post-test mean scores of anxiety (P < 0.001) and grief (P = 0.004) in the intervention group were significantly less than the control group. Conclusions: Positive ST is effective in significantly reducing anxiety and grief among women with SA. Nurses and psychologists can use positive ST to reduce post-SA psychological complications among afflicted women.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"43 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965359","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}
N. Akiash, Amanollah Heidari, Amir Moradi, Abdullah Sarami, Somayeh Abbaspour
Introduction: Tuberculosis (TB) is a chronic granulomatous disease, ranking as the second cause of death by infectious agents in 2021. Tuberculosis affects millions worldwide, with valvular TB being a rare manifestation, accounting for less than 1% of extrapulmonary TB cases. Valvular TB is often diagnosed through imaging and laboratory evaluations, and the treatment involves prolonged antibiotic therapy and might require surgical intervention for damaged cardiac valves. Case Presentation: A 60-year-old female patient with diabetes mellitus and rheumatoid arthritis was referred for a cardiac assessment prior to hand wound debridement surgery. Transthoracic echocardiography (TTE) revealed a mass on the mitral valve, and subsequent transesophageal echocardiography (TEE) confirmed a large, mobile mass with abscess-like density. A blood culture study was negative for infective endocarditis, and a biopsy of the wound revealed necrotizing granuloma positive for Mycobacterium tuberculosis. Anti-TB medication was initiated, resulting in a significant improvement in the valve mass. No cardiac complications were reported during the follow-up. Conclusions: In suspected cardiac TB patients with a high risk of surgery or patients reluctant to undergo an operation, quadruple chemotherapy can serve as a diagnostic and therapeutic tool.
{"title":"Mitral Valve Mass in a Patient with Positive Tuberculosis Wound Pathology: Successful Medical Management and Regression of Cardiac Mass","authors":"N. Akiash, Amanollah Heidari, Amir Moradi, Abdullah Sarami, Somayeh Abbaspour","doi":"10.5812/semj-142690","DOIUrl":"https://doi.org/10.5812/semj-142690","url":null,"abstract":"Introduction: Tuberculosis (TB) is a chronic granulomatous disease, ranking as the second cause of death by infectious agents in 2021. Tuberculosis affects millions worldwide, with valvular TB being a rare manifestation, accounting for less than 1% of extrapulmonary TB cases. Valvular TB is often diagnosed through imaging and laboratory evaluations, and the treatment involves prolonged antibiotic therapy and might require surgical intervention for damaged cardiac valves. Case Presentation: A 60-year-old female patient with diabetes mellitus and rheumatoid arthritis was referred for a cardiac assessment prior to hand wound debridement surgery. Transthoracic echocardiography (TTE) revealed a mass on the mitral valve, and subsequent transesophageal echocardiography (TEE) confirmed a large, mobile mass with abscess-like density. A blood culture study was negative for infective endocarditis, and a biopsy of the wound revealed necrotizing granuloma positive for Mycobacterium tuberculosis. Anti-TB medication was initiated, resulting in a significant improvement in the valve mass. No cardiac complications were reported during the follow-up. Conclusions: In suspected cardiac TB patients with a high risk of surgery or patients reluctant to undergo an operation, quadruple chemotherapy can serve as a diagnostic and therapeutic tool.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"43 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139965292","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}
{"title":"Infusion of GIK (Glucose-Insulin-Potassium) for Treatment of Acute Aluminium Phosphide (Rice Tablet) Poisoning: A Case Report","authors":"Behzad Boushehri, Paniz Boushehri, Khashayar Farshid","doi":"10.5812/semj-141059","DOIUrl":"https://doi.org/10.5812/semj-141059","url":null,"abstract":"<jats:p />","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"19 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139386433","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}
{"title":"Mobile Learning in Medical Education: It’s Time to Consider Solutions for Ethical Challenges During Post-COVID","authors":"Nasrin Khajeali, Masomeh Kalantarion, M. Amini","doi":"10.5812/semj-139101","DOIUrl":"https://doi.org/10.5812/semj-139101","url":null,"abstract":"<jats:p />","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"363 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177172","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: Critical insecticide poisoning is a primary health emergency that causes notable illness and mortality. Insecticide poisoning is accountable for 14 - 20% of universal suicides and nearly 110,000 - 168,000 deaths annually. Objectives: This study aimed to assess socio-demographic features to recognize aspects linked to diagnosis definition and consecutive outcomes of acute poisoning in a tertiary hospital center in Tirana, Albania. Methods: This was explanatory observational research, considering patient records of all poisoning-linked admissions of individuals aged 10 years or older admitted to the emergency department at the University Hospital Center in Tirana, Albania. The data was gathered from January 2018 to December 2019. Results: We assessed 200 patients' medical records. Among them, we compiled 157 patients' medical records with comprehensive evidence in the ultimate study. The predominant age group was 21 to 30 years, involving 22.3% of the participants. The mean age of contributors was 34.2 years (SD 12.3). We noticed that 52.87% were female. Regarding the birthplace, 76 (48.4%) individuals were from middle Albania. Most participants, 108 (68.8 %), lived in rural areas. The diagnosis of poisoning was 56.69% from phostoxin and phosphoro-organics, followed by 11.46% from multi-drug intoxication. Conclusions: Our study reveals serious concerns that need attention from managers and policymakers, such as superior vigilance among the public concerning the significance of quick transfer to hospitals for poisoning cases, accelerating the relocation of severe patients to tertiary care hospitals, and the arrangement of specific poison divisions in secondary and tertiary care centers.
{"title":"Exploring Poisoning at the Emergency Department at the University Hospital of Medicine in Albania","authors":"Shtiza Diamant, S. Enkelejda","doi":"10.5812/semj-139954","DOIUrl":"https://doi.org/10.5812/semj-139954","url":null,"abstract":"Background: Critical insecticide poisoning is a primary health emergency that causes notable illness and mortality. Insecticide poisoning is accountable for 14 - 20% of universal suicides and nearly 110,000 - 168,000 deaths annually. Objectives: This study aimed to assess socio-demographic features to recognize aspects linked to diagnosis definition and consecutive outcomes of acute poisoning in a tertiary hospital center in Tirana, Albania. Methods: This was explanatory observational research, considering patient records of all poisoning-linked admissions of individuals aged 10 years or older admitted to the emergency department at the University Hospital Center in Tirana, Albania. The data was gathered from January 2018 to December 2019. Results: We assessed 200 patients' medical records. Among them, we compiled 157 patients' medical records with comprehensive evidence in the ultimate study. The predominant age group was 21 to 30 years, involving 22.3% of the participants. The mean age of contributors was 34.2 years (SD 12.3). We noticed that 52.87% were female. Regarding the birthplace, 76 (48.4%) individuals were from middle Albania. Most participants, 108 (68.8 %), lived in rural areas. The diagnosis of poisoning was 56.69% from phostoxin and phosphoro-organics, followed by 11.46% from multi-drug intoxication. Conclusions: Our study reveals serious concerns that need attention from managers and policymakers, such as superior vigilance among the public concerning the significance of quick transfer to hospitals for poisoning cases, accelerating the relocation of severe patients to tertiary care hospitals, and the arrangement of specific poison divisions in secondary and tertiary care centers.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"103 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177744","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: Domestic violence against women is one of the most important issues in the field of women's problems. Identification of the demographic and social characteristics of risk and protective factors can be effective in managing this problem. Objectives: The purpose of this study was to investigate the demographic and social variables that affect the rate of different types of domestic violence against women. Methods: The present study was done using a quantitative method and survey technique. In so doing, 379 married women of reproductive age in Sadra City were surveyed. This survey used the multi-stage cluster sampling method and standard questionnaire. SPSS version 20 was used to analyze the collected data. Results: Most respondents (53.6%) were between 30 and 39 years old, and the age of the majority of their wives (48%) was in the same age range. Economic violence was significantly lower among the upper-middle class (P = 0.010), middle class (P = 0.000), and lower middle class (P = 0.002) compared to the lower class. This type of violence is less common among Arabs (P = 0.001) and more prevalent among Turks (P = 0.034) than among Persian speakers. Women whose husbands were illiterate (P = 0.005), had only completed middle school (P = 0.002) or held a diploma (P = 0.040) experienced more psychological violence compared to women whose husbands had a university education. Psychological violence is more prevalent among lower-class women compared to women from the middle class (P = 0.002), upper-middle class (P = 0.020), and lower-middle class (P = 0.003). Physical violence is more common among Persian women compared to Arab women (P = 0.003) but less common compared to Turkish women (P = 0.019). Sexual violence is less common among Persian women compared to Arab women (P = 0.003). Conclusions: This study highlighted the prevalence of various forms of domestic violence. Socio-demographic factors significantly influenced these occurrences. Multifaceted strategies involving education, awareness, and support for vulnerable women were essential to combat domestic violence.
{"title":"Investigating the Extent and Social-Demographic Determinants of Domestic Violence Against Women","authors":"Roghayeh Khosravi, S. Mahmoudiani, Manzar Abedi","doi":"10.5812/semj-139559","DOIUrl":"https://doi.org/10.5812/semj-139559","url":null,"abstract":"Background: Domestic violence against women is one of the most important issues in the field of women's problems. Identification of the demographic and social characteristics of risk and protective factors can be effective in managing this problem. Objectives: The purpose of this study was to investigate the demographic and social variables that affect the rate of different types of domestic violence against women. Methods: The present study was done using a quantitative method and survey technique. In so doing, 379 married women of reproductive age in Sadra City were surveyed. This survey used the multi-stage cluster sampling method and standard questionnaire. SPSS version 20 was used to analyze the collected data. Results: Most respondents (53.6%) were between 30 and 39 years old, and the age of the majority of their wives (48%) was in the same age range. Economic violence was significantly lower among the upper-middle class (P = 0.010), middle class (P = 0.000), and lower middle class (P = 0.002) compared to the lower class. This type of violence is less common among Arabs (P = 0.001) and more prevalent among Turks (P = 0.034) than among Persian speakers. Women whose husbands were illiterate (P = 0.005), had only completed middle school (P = 0.002) or held a diploma (P = 0.040) experienced more psychological violence compared to women whose husbands had a university education. Psychological violence is more prevalent among lower-class women compared to women from the middle class (P = 0.002), upper-middle class (P = 0.020), and lower-middle class (P = 0.003). Physical violence is more common among Persian women compared to Arab women (P = 0.003) but less common compared to Turkish women (P = 0.019). Sexual violence is less common among Persian women compared to Arab women (P = 0.003). Conclusions: This study highlighted the prevalence of various forms of domestic violence. Socio-demographic factors significantly influenced these occurrences. Multifaceted strategies involving education, awareness, and support for vulnerable women were essential to combat domestic violence.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"142 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139179566","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}
Azamossadat Hosseini, Roya Shakiba, N. Ramezanghorbani, F. Asadi
Background: The well-being of both the mother and her baby can be influenced by the quality of the care they receive during pregnancy, childbirth, and postpartum. It’s crucial to ascertain the quality of the healthcare provided in order to improve it. Therefore, utilizing a maternity dashboard is vital to measure key performance indicators (KPIs), improve the quality of care, and ensure high-quality care. Objectives: To identify and determine effective KPIs for developing a maternity dashboard. Methods: This qualitative applied research was conducted in two stages to identify and determine KPIs for developing a maternity dashboard in Iran. In the first stage, a literature review was performed, followed by a qualitative comparative analysis of maternity dashboards in various countries to extract KPIs. In the second stage, 48 KPIs were identified and validated by a panel of experts using the Delphi technique. These KPIs were classified into 6 categories and finalized by the expert panel. Data analysis was conducted using content analysis and descriptive statistics. Results: In the initial phase of the Delphi technique, all experts confirmed three main categories of KPIs required for developing the maternity dashboard: (1) clinical activity, (2) fetal and neonatal complications, and (3) postnatal. In the second stage, an expert panel reviewed the indicators, leading to the identification of six groups of essential KPIs, including clinical activity, antenatal care, childbirth, maternal complications, fetal and neonatal complications, and postnatal care, upon which 100% consensus was reached by experts. Conclusions: Maternity dashboards are vital instruments for delivering effective maternity care. These dashboards can provide valuable and practical information through KPIs, which serve as criteria for evaluating performance.
{"title":"Identifying and Determining Effective Key Performance Indicators in the Development of Maternity Dashboard","authors":"Azamossadat Hosseini, Roya Shakiba, N. Ramezanghorbani, F. Asadi","doi":"10.5812/semj-138799","DOIUrl":"https://doi.org/10.5812/semj-138799","url":null,"abstract":"Background: The well-being of both the mother and her baby can be influenced by the quality of the care they receive during pregnancy, childbirth, and postpartum. It’s crucial to ascertain the quality of the healthcare provided in order to improve it. Therefore, utilizing a maternity dashboard is vital to measure key performance indicators (KPIs), improve the quality of care, and ensure high-quality care. Objectives: To identify and determine effective KPIs for developing a maternity dashboard. Methods: This qualitative applied research was conducted in two stages to identify and determine KPIs for developing a maternity dashboard in Iran. In the first stage, a literature review was performed, followed by a qualitative comparative analysis of maternity dashboards in various countries to extract KPIs. In the second stage, 48 KPIs were identified and validated by a panel of experts using the Delphi technique. These KPIs were classified into 6 categories and finalized by the expert panel. Data analysis was conducted using content analysis and descriptive statistics. Results: In the initial phase of the Delphi technique, all experts confirmed three main categories of KPIs required for developing the maternity dashboard: (1) clinical activity, (2) fetal and neonatal complications, and (3) postnatal. In the second stage, an expert panel reviewed the indicators, leading to the identification of six groups of essential KPIs, including clinical activity, antenatal care, childbirth, maternal complications, fetal and neonatal complications, and postnatal care, upon which 100% consensus was reached by experts. Conclusions: Maternity dashboards are vital instruments for delivering effective maternity care. These dashboards can provide valuable and practical information through KPIs, which serve as criteria for evaluating performance.","PeriodicalId":507014,"journal":{"name":"Shiraz E-Medical Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139236290","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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