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Probiotics industry: review of current challenges and the future roadmap 益生菌产业:当前挑战与未来路线图回顾
Q3 Nursing Pub Date : 2021-06-01 DOI: 10.52547/payesh.20.3.263
‌‌Behzad Damari, M. Tajabadi Ebrahimi, Elnaz Jafarvand
Objective (s): Deaths from non-communicable diseases have become a major concern worldwide. Functional foods such as probiotics, prebiotics and synbiotics are effective nutritional factors in controlling non-communicable diseases. The purpose of this study was to review and organize the existing situation and design the future roadmap. Methods: The present study was a qualitative study that conducted by the Society of Probiotic and Functional Foods in collaboration with the National Institute of Health Research of the Islamic Republic of Iran in 2015. The policy brief was used in design and was formulated in three parts: cognition, orientation, and establishment of system. The information was collected through three methods of scientific resource review, stakeholder focus group discussion and written questionnaire. Data were analyzed using content analysis method. Results: The number of probiotic factories was 85 and 163 probiotic products had received production licenses in the country. The annual growth of the probiotic market from 2009 to 2014 was negative (54%). The policy focus areas for the development of probiotics and functional foods were distributed in three areas: legal policy, behavioral culture and operational structure and the development of this industry depends on planning and implementation in all three areas. Conclusion: To develop the probiotic industry it is necessary to increase the knowledge of policy makers and consumer groups about probiotic products. Indeed, investment security in this area be provided and a system be deployed to monitor the development of the industry and solve its problems.
目标(s):非传染性疾病造成的死亡已成为全世界关注的一个重大问题。益生菌、益生元和合成菌等功能性食品是控制非传染性疾病的有效营养因子。本研究的目的是回顾和整理现有的情况,并设计未来的路线图。方法:本研究是由益生菌与功能食品学会与伊朗伊斯兰共和国国家卫生研究所于2015年合作进行的定性研究。政策概要在设计中使用,分为认知、定位和制度建立三个部分进行制定。通过科学资源综述、利益相关者焦点小组讨论和书面问卷调查三种方法收集信息。采用内容分析法对数据进行分析。结果:全国共有益生菌工厂85家,163种益生菌产品获得生产许可。从2009年到2014年,益生菌市场的年增长率为负(54%)。益生菌和功能食品发展的政策重点领域分布在法律政策、行为文化和运营结构三个方面,该行业的发展取决于这三个方面的规划和实施。结论:要发展益生菌产业,必须提高决策者和消费者对益生菌产品的认识。的确,应提供这一领域的投资保障,并部署一套系统来监测该行业的发展并解决其问题。
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引用次数: 1
Community participation: a key strategy in controlling of consequences of the COVID-19 pandemic 社区参与:控制COVID-19大流行后果的一项关键战略
Q3 Nursing Pub Date : 2021-06-01 DOI: 10.52547/payesh.20.3.357
محمد امین شبانی, زهرا طاهری خرامه
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引用次数: 0
Impact of Language Barriers on Patient Education: A Scoping Review 语言障碍对患者教育的影响:范围综述
Q3 Nursing Pub Date : 2021-06-01 DOI: 10.52547/payesh.20.3.301
M. Shahmari, M. Hasanpour
Objective (s): The purpose of patient education is creating positive behaviors. However, one of the biggest barriers of effective patient education and communication is differences of language between patients and health care providers. This study aimed to review the impact of language barriers on patient education worldwide. Methods: In this scoping review, papers both in Persian and English related to patient education language barriers were searched using the following databases: PubMed, Embase, Scopus, and Web of Science, ProQuest, Science Direct, Springer, Cochrane library, Google Scholar, MagIran, SID, Iran Doc, IranMedex and Elmnet during 2010 to 2020. The keywords included communication barriers, language barriers, communication, patient education, Bi language, language obstacle in both Persian and English. Results: In all 8900 citations were retrieved. Of these 16 studies were relevant included in this study. The results of the studies showed a clear association between limited language skills and difficulty in communicating with patients and providing effective patient education, regardless of the research settings. Conclusion: There is a close relationship between language skills and the provision of educational services to the patient. Lack of sufficient language skills prevents effective communication with patients. However, the limitations of studies that have only examined the effect of language barriers on effective patient education are evident, and there is a need for further studies on the
目标:患者教育的目的是创造积极的行为。然而,有效的患者教育和沟通的最大障碍之一是患者和卫生保健提供者之间的语言差异。本研究旨在回顾语言障碍对全球病患教育的影响。方法:在本范围综述中,检索了2010年至2020年期间与患者教育语言障碍相关的波斯语和英语论文,使用以下数据库:PubMed、Embase、Scopus、Web of Science、ProQuest、Science Direct、施普林格、Cochrane library、谷歌Scholar、MagIran、SID、Iran Doc、IranMedex和Elmnet。关键词:沟通障碍、语言障碍、沟通、患者教育、毕语、波斯语和英语语言障碍。结果:共检索到8900篇文献。其中16项相关研究纳入本研究。研究结果表明,无论在何种研究环境下,有限的语言技能与与患者沟通困难和提供有效的患者教育之间存在明显的关联。结论:语言技能与教育服务的提供有密切的关系。缺乏足够的语言技能阻碍了与患者的有效沟通。然而,仅研究语言障碍对有效患者教育的影响的研究存在明显的局限性,需要进一步研究语言障碍对患者教育的影响
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引用次数: 1
Evaluation of psychometric properties of the Persian version of the short form of Cognitive Emotion Regulation Questionnaire (CERQ-18) 波斯语版认知情绪调节简易问卷(CERQ-18)的心理测量特性评价
Q3 Nursing Pub Date : 2021-04-15 DOI: 10.52547/PAYESH.20.2.167
حمید محسن آبادی, علی فتحی آشتیانی
Objective: Cognitive emotion regulation represents an essential role in managing stressful events in people's lives. Some strategies are adaptive, while others are maladaptive and associated with various forms of psychopathology. This study aimed to investigate the factor structure and psychometric properties of the Persian version of the short form of the Cognitive Emotion Regulation Questionnaire (CERQ-18) among Staff of a Military University. Methods: This was a psychometric research. The statistical population of this study was one of the military units in Tehran. Based on the inclusion and exclusion criteria, 310 people were selected by convenience sampling method. The instruments used included the Cognitive Emotion Regulation Questionnaire (CERQ-18), the Depression, Anxiety and Stress Scale (DASS-42) and the General Job Satisfaction Scale (GJSS). Structural validity was examined by performing confirmatory factor analysis. Cronbach's alpha coefficients and test-retest were used to evaluate the reliability. The data were analyzed using SPSS-25 and AMOS-22. Results: Confirmatory factor analysis results indicated a two-factor model of this questionnaire (RMSEA=0.03; SRMR=0.02; CFI=0.98; GFI=0.94). The correlation scores of adaptive coping strategies with depression (-0.48), anxiety (-0.44), stress (0.46) and job satisfaction (0.36) were significant (p <0.01) Also, the correlation of the scores of maladaptive coping strategies with depression (0.55), anxiety (0.42), stress (0.40) and job satisfaction (-0.30) was significant (p <0.01). The reliability coefficients of Cronbach's alpha and test-retest at 4-weeks intervals for adaptive coping strategies were 0.95, 0.88 and for maladaptive coping strategies was 0.88 and 0.77, respectively, indicating satisfactory results. Conclusion: According to the findings of the present study, the short form of the Iranian version of Cognitive Emotion Regulation Questionnaire (CERQ-18) is a suitable tool with good psychometric properties to measure cognitive coping
目的:认知情绪调节在人们生活中的压力事件管理中发挥着重要作用。一些策略是适应性的,而另一些则是不适应的,并与各种形式的精神病理有关。本研究旨在探讨某军事大学教职员工认知情绪调节问卷(CERQ-18)波斯语简式的因素结构和心理测量特征。方法:采用心理测量法。这项研究的统计人口是德黑兰的一个军事单位。根据纳入和排除标准,采用方便抽样法选取310人。使用的工具包括认知情绪调节问卷(CERQ-18)、抑郁、焦虑和压力量表(DASS-42)和一般工作满意度量表(GJSS)。采用验证性因子分析检验结构效度。采用Cronbach’s alpha系数和重测法评估信度。采用SPSS-25和AMOS-22对数据进行分析。结果:验证性因子分析结果显示本问卷具有双因素模型(RMSEA=0.03;SRMR = 0.02;CFI = 0.98;GFI = 0.94)。适应性应对策略与抑郁(-0.48)、焦虑(-0.44)、压力(0.46)、工作满意度(0.36)的相关得分均显著(p <0.01);适应不良应对策略与抑郁(0.55)、焦虑(0.42)、压力(0.40)、工作满意度(-0.30)的相关得分均显著(p <0.01)。适应性应对策略的Cronbach’s alpha信度系数和4周重测信度系数分别为0.95、0.88,非适应性应对策略的Cronbach’s alpha信度系数和重测信度系数分别为0.88和0.77,结果令人满意。结论:根据本研究结果,伊朗版认知情绪调节问卷(CERQ-18)是一种适合的工具,具有良好的心理测量特性
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引用次数: 2
The effect of exercise and complete decongestive therapy on edema volume and shoulder range of motion in patients with breast cancer related lymphedema: A randomized clinical trial 运动和完全缓解充血治疗对乳腺癌症相关淋巴水肿患者水肿体积和肩部活动范围的影响:一项随机临床试验
Q3 Nursing Pub Date : 2021-02-15 DOI: 10.29252/PAYESH.20.1.59
Roghayeh Mokhtari Hesari, Roghayeh Poozesh Jadidi, Zahra Shaikhi Mobarakeh, K. azali alamdari
Objective (s): Secondary lymphedema is known as a common complication after breast cancer treatment. Exercise is considered as a valuable intervention in these patients. The aim of this study was to investigate the effect of exercise on reducing edema volume and improving shoulder range of motion in breast cancer patients with lymphedema. Methods: Thirty patients with lymphedema were included in this randomized double-blind study. Fifteen patients were randomly assigned to the exercise plus complete decongestive therapy (exercise + CDT) group and the rest was allocated to the control group (CDT only). In exercise group, patients received a Pilates exercise program with a routine CDT. Variables of edema volume and shoulder range of motion were measured in five different times including before treatment, on 7, 14 ,21, and 42-day of the treatment. Repeated measures analysis of variance was used. Results: The mean age (SD) of patients in the study was 56.3 (6.1) years. Before treatment, there was no significant difference between the two groups in terms of clinical and demographic variables. Although there was no statistically significant difference between the two groups, an improvement in shoulder range of motion and edema volume were observed in two groups over time. Based on the results, the effect of complete decongestive therapy alone and in combination with exercise (Pilates) on edema volume and shoulder range of motion were statistically significant as indicated by within group comparison during the study period (p<0.05). Conclusion: The exercise can improve the shoulder range of motion and also can lead to less pain and volume in patients suffering from breast cancer related lymphedema. Although there was no significant difference between the two groups in terms of improvement in shoulder range of motion or edema volume, no adverse effect of Pilates was noticed.
目的:继发性淋巴水肿是癌症治疗后常见的并发症。运动被认为是对这些患者有价值的干预措施。本研究旨在探讨运动对癌症淋巴水肿患者减少水肿体积和改善肩部活动范围的影响。方法:30例淋巴水肿患者纳入本随机双盲研究。15名患者被随机分配到运动加完全缓解充血治疗(运动+CDT)组,其余患者被分配到对照组(仅CDT)。在运动组中,患者接受普拉提运动计划和常规CDT。在五个不同的时间测量水肿体积和肩部活动范围的变量,包括治疗前、治疗的第7、14、21和42天。采用重复测量方差分析。结果:研究中患者的平均年龄(SD)为56.3(6.1)岁。在治疗前,两组在临床和人口统计学变量方面没有显著差异。尽管两组之间没有统计学上的显著差异,但随着时间的推移,两组的肩部活动范围和水肿量都有所改善。基于这些结果,研究期间,组内比较显示,单纯和运动(普拉提)联合完全缓解充血治疗对水肿量和肩部活动范围的影响具有统计学意义(p<0.05)相关淋巴水肿。尽管两组在肩部活动范围或水肿量的改善方面没有显著差异,但普拉提没有发现任何不良影响。
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引用次数: 1
Identifying Effective Factors for Improvement In-Service Training of Managers of Health Vocational Education and Training Centers; A Qualitative Study 卫生职业教育培训中心管理人员在职培训有效因素探析定性研究
Q3 Nursing Pub Date : 2021-02-15 DOI: 10.29252/PAYESH.20.1.15
S. Alavi, Mohammad Hoseeinpour, Y. Mehralizadeh
Objective (s): The present study aimed to identify the effective factors on improvement of in-service training of managers of health vocational education and training centers. Methods: This qualitative study was performed using semi-structured interviews with 16 faculty members and managers of Academic Center for Education, Culture and Research (ACECR). Thematic analysis method was used for data analysis. Results: The findings indicated that the improvement of in-service training of managers of vocational health education and training centers are influenced by educational factors, managerial factors and technological factors. Conclusion: Due to the expansion of ACECR affiliated Health Vocational Education and Training Centers, improvement of In-Service Training of Managers of educational centers needs more attention in this organization. The results of this study can be used as suitable solutions to improve in-service training of manager of vocational health education and training Centers.
目的:探讨提高卫生职业教育培训中心管理人员在职培训水平的影响因素。方法:采用半结构化访谈法,对16名教育文化研究学术中心(ACECR)的教职员和管理人员进行定性研究。数据分析采用主题分析法。结果:职业健康教育培训中心管理人员在职培训水平的提高受教育因素、管理因素和技术因素的影响。结论:随着ACECR下属卫生职业教育培训中心规模的不断扩大,该组织对教育中心管理人员在职培训的改进需要引起更多的重视。本研究结果可作为改善职业健康教育培训中心管理人员在职培训的适当解决方案。
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引用次数: 0
Analysis of Factors Affecting the Adoption of Health Technologies: Modification of the UTAUT2 model 影响卫生技术采用的因素分析:UTAUT2模型的修正
Q3 Nursing Pub Date : 2021-02-15 DOI: 10.29252/PAYESH.20.1.31
Shayganmehr, G. Malekzadeh, Mariusz Trojanowski
Analysis of Factors Affecting the Adoption of Health Technologies: Modification of the
影响卫生技术采用的因素分析:修订
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引用次数: 0
Designing health promoting lifestyle educational content using photovoice qualitative approach in pre-diabetic people: A community-based participatory research 基于社区的参与性研究:利用光声定性方法设计糖尿病前期人群促进健康的生活方式教育内容
Q3 Nursing Pub Date : 2021-02-01 DOI: 10.29252/PAYESH.20.1.49
Majed Meripour, M. Khafaie, H. Mohamadian
Designing health promoting lifestyle educational content using photovoice qualitative approach in pre-diabetic people: A community-based participatory research Majed Meripour 1 , Morteza Khafaie 1 , Hashem mohamadian 1 1. Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Received: 24 February 2020 Accepted for publication: 15 November 2020 [EPub a head of print-10 January 2021] Payesh: 2021; 20 (1):49-57 Objective (s): Diabetes and its chronic complications is one of the major public health issues worldwide. The present study aimed to use photovoice in pre-diabetic people to design health promoting lifestyle educational content. :. Methods: This community-based participatory research was performed on 40 pre-diabetic participants in Hoveizeh health centers, Khozestan Province, Iran in 2018. Photovoice was used to better understand pre-diabetic adults about their experiences. Focus groups and semi-structured interviews were used for data collection. All data were recorded and analyzed through content analysis based on narratives. Results: Data analysis revealed four main themes including daily living needs ,neglect of the disease ,education and provision of health care, lack of support to adapt physical environment. Conclusion: In designing educational content, it is necessary to place more emphasis on the four main themes extracted from the experiences of pre-diabetic people in order to provide more comprehensive services by health care personnel.
在糖尿病前期人群中使用摄影语音定性方法设计促进健康的生活方式教育内容:基于社区的参与性研究Majed Meripour 1,Morteza Khafaie 1,Hashem mohamadian 1 1.伊朗阿瓦兹,阿瓦兹Jundishapur医学科学大学卫生学院接收日期:2020年2月24日接受出版日期:2020月15日[EPub印刷负责人-2021年1月10日]Payesh:2021;20(1):49-57目的:糖尿病及其慢性并发症是世界范围内的主要公共卫生问题之一。本研究旨在利用photovoice在糖尿病前期人群中设计促进健康的生活方式教育内容。方法:这项基于社区的参与性研究于2018年在伊朗霍齐斯坦省霍韦泽健康中心对40名糖尿病前期参与者进行。Photovoice被用来更好地了解糖尿病前期成年人的经历。数据收集采用了焦点小组和半结构化访谈。所有数据均通过基于叙述的内容分析进行记录和分析。结果:数据分析揭示了四个主要主题,包括日常生活需求、忽视疾病、教育和提供医疗保健、缺乏适应物理环境的支持。结论:在设计教育内容时,有必要更加重视从糖尿病前期患者的经历中提取的四个主题,以便卫生保健人员提供更全面的服务。
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引用次数: 1
The relationship between religiosity and moral foundations with substance abuse tendency in 15 to 18-years female students in Tehran 德黑兰15-18岁女生的宗教信仰和道德基础与药物滥用倾向的关系
Q3 Nursing Pub Date : 2021-02-01 DOI: 10.29252/PAYESH.20.1.119
mahdiyeh shooshtari rezvanii, Naser Aghababaei
Objective (s): Addiction (substance addiction) is considered as one of the health issues which can influence physical, emotional and social aspects of people’s life and impose psychosocial problems for their families and communities. Accordingly, this study aimed to investigate the relationship between religiosity and ethical foundations with substance abuse tendency among young female students in Tehran, Iran. Methods: This cross-sectional study was performed on a sample of female students aged 15 to 18 years in Tehran, Iran. Statistical population consisted of 241 girls who were selected with systematic non-probability sampling and available in the first semester of academic year in 2019-2020 and respond to three questionnaires including the Ethical Foundations Scale and the Addiction Tendency Scale and the Religiosity Scale. Spearman correlation coefficient and regression were used to analyze the data using SPSS software. Results: The results obtained from the analysis showed that religiosity and moral foundations with substance abuse tendency significant were correlated (p<0.01). In addition, the findings showed that religiosity and moral foundations predicted a total of 17% of changes to substance abuse among girls. Furthermore, among subscales of the religiosity, the outcome of being a Muslim (r = 0.35) and among the subscales of moral foundations, loyalty to a group (= 0.28) had the most significant
目标(s):成瘾(物质成瘾)被认为是健康问题之一,可影响人们生活的身体、情感和社会方面,并给其家庭和社区带来社会心理问题。本研究旨在探讨伊朗德黑兰年轻女大学生宗教信仰、伦理基础与药物滥用倾向的关系。方法:这项横断面研究是在伊朗德黑兰15至18岁的女学生样本上进行的。统计人群为2019-2020学年第一学期采用系统非概率抽样方法抽取的241名女生,分别填写《道德基础量表》、《成瘾倾向量表》和《宗教虔诚量表》三份问卷。采用SPSS软件对数据进行Spearman相关系数和回归分析。结果:宗教信仰程度、道德基础与药物滥用倾向呈显著相关(p<0.01)。此外,研究结果表明,宗教信仰和道德基础预测了女孩滥用药物的17%的变化。此外,在宗教信仰的子量表中,成为穆斯林的结果(r = 0.35)和道德基础的子量表中,对群体的忠诚(r = 0.28)的结果最显著
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引用次数: 0
The Effectiveness of Acceptance and Commitment-based Parenting education on Children's Anxiety and the Parenting Stress of Mothers 接纳与承诺型父母教育对儿童焦虑和母亲养育压力的影响
Q3 Nursing Pub Date : 2021-02-01 DOI: 10.29252/PAYESH.20.1.91
Kowsar Tardast, A. Amanelahi, G. Rajabi, Khaled Aslani, K. Shiralinia
The Effectiveness of Acceptance and Commitment-based Parenting education on Children's Anxiety and the Parenting Stress of Mothers Kowsar Tardast 1 , Abbas Amanelahi 1 , Gholamreza Rajabi 1 , Khaled Aslani 1 , Khdije Shiralinia 1 1. Shahid Chamran University of Ahvaz, Ahvaz, Iran Received: 5 July 2020 Accepted for publication: 20 February 2021 [EPub a head of print-1 March 2021] Payesh: 2021; 20 (1):91-107 Objective (s): The present study aimed to evaluate the effect of acceptance and commitment-based parenting education on children's anxiety and parenting stress of mothers. Methods: Non-congruent multiple baseline experimental single-case studies were used as the method in the current study. Three anxious children and their mothers were selected through purposeful sampling in Ahvaz, Iran. The effectiveness of acceptance-and-commitment-based parenting education protocol was carried out in three phases (baseline assessment, 12 session treatment, and 1-month follow-up) by using the Spence Children's Anxiety Scale-Parent Form and the Parenting Stress Index– Short Form). The data were analyzed by visual mapping, reliable change index and recovery percentage formula. The direction changes, PND, and POD were the most important variables of visual analysis of trend changes. Results: The mothers and children's reliable change indices were significant in all the instances except for the second mother and child. The subjects' recovery percentage showed that the results of the reliable change indices and recovery percentages are
接纳与承诺型父母教育对母亲子女焦虑和养育压力的影响[j] . Kowsar Tardast 1, Abbas Amanelahi 1, Gholamreza Rajabi 1, Khaled Aslani 1, Khdije Shiralinia 11。Shahid Chamran University of Ahvaz, Ahvaz, Iran收稿日期:2020年7月5日录用日期:2021年2月20日[EPub a head of print- 2021年3月1日]20(1):91-107目的:探讨接纳型和承诺型父母教育对母亲子女焦虑和父母压力的影响。方法:本研究采用非一致多基线实验单例研究方法。在伊朗阿瓦士,通过有目的的抽样选择了三名焦虑的儿童和他们的母亲。采用Spence儿童焦虑量表-家长表格和父母压力指数-短表格,分三个阶段(基线评估、12次治疗和1个月的随访)对基于接受和承诺的父母教育方案的有效性进行了研究。采用可视化制图、可靠变化指数和回收率公式对数据进行分析。方向变化、PND和POD是趋势变化目视分析中最重要的变量。结果:除第二次母婴外,其余病例的母婴可靠度变化指标均显著。受试者的恢复百分比表明,可靠变化指数和恢复百分比的结果为
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引用次数: 1
期刊
Payesh
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