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The effect of training based on the theory of planned behavior on battery recycling in housewives in Karaj 基于计划行为理论的培训对卡拉伊地区家庭主妇电池回收的影响
Pub Date : 2020-12-01 DOI: 10.29252/JPM.7.4.47
Seyedeh Khadijeh Hosseini, Easa Mohammadi Zeidi, H. Jamali
Introduction: Household batteries, if not recycled, are one of the sources of environmental pollution.Educational intervention can change the behavior for recycling these batteries. The aim of this study was to determine the effect of education on battery recycling among housewives. Methods: In this randomized quasi-experimental study, using random sampling, 120 housewives referring to health centers in Karaj city were selected and were equally divided into intervention and control groups.The educational intervention program consisted of 10 one-hour sessions of group training about battery components and their risks, separation methods, and disposal. Data were collected before and three months after the educational intervention using a valid and reliable researcher-made questionnaire. Data were analyzed using SPSS software version 25 and Chi-square, independent t-test, paired t-test and analysis of covariance. Results: The mean age of participants was 35 ± 4. 63 years and about 70% had high school and university education. Covariance analysis showed that, after the educational intervention, there is a significant difference between the intervention and control groups in terms of knowledge, attitude, abstract norms, perceived behavioral control, and behavioral intention variables (P-value <0.05). Also, the average battery recycling behavior in housewives of the intervention group improved significantly after the educational intervention (P-Value <0.001). Conclusion: The level of knowledge, attitude, and practice for battery recycling increased after the educational intervention. Therefore, continuous training for battery recycling is recommended.
导语:家用电池,如果不回收,是环境污染源之一。教育干预可以改变回收这些电池的行为。本研究的目的是确定教育对家庭主妇电池回收的影响。方法:采用随机准实验方法,随机抽取120名在卡拉吉市卫生院就诊的家庭主妇,将其平均分为干预组和对照组。教育干预计划包括10个一小时的小组培训,内容涉及电池组件及其风险、分离方法和处置。数据收集前和三个月后的教育干预使用有效和可靠的研究人员制作的问卷。数据分析采用SPSS软件25版,采用卡方、独立t检验、配对t检验和协方差分析。结果:参与者平均年龄35±4岁。63岁,约70%受过高中和大学教育。协方差分析显示,教育干预后,干预组与对照组在知识、态度、抽象规范、感知行为控制、行为意向等变量上存在显著差异(p值<0.05)。教育干预后,干预组家庭主妇的平均电池回收行为显著改善(p值<0.001)。结论:教育干预后,患者对电池回收的知识、态度和实践水平均有所提高。因此,建议对电池回收进行持续培训。
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引用次数: 0
Level of particulate matter pollution in the indoor and outdoor air of primary schools of Bandar Abbas, Iran Abbas, Iran 伊朗阿巴斯港小学室内和室外空气中颗粒物污染水平
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.10
M. Heidari, Z. Alizadeh, K. Dindarloo
Introduction : Air pollution in primary schools is a concerning issue, because young students, as a sensitive group, are present in such enclosed environments. The aim of this study was to deterrmine the level of particulate matter pollution in indoor and outdoor air of primary schools in Bandar Abbas, Iran. Methods : In this descriptive-analytical study, during 9 sampling runs form winter to spring of 2018, the concentrations of particulate mattere with aerodynamic diameters below or equal to 10 (PM10) and 2.5 µm (PM2.5) were measured in indoor and outdoor air of 10 governmental primary schools of Bandar Abbas city using a HazDust-EPAM-5000 sampler. The PM10 and PM2.5 concentrations were analyzed by Excel software and the mean and standard deviation values of the concentrations were calculated. The correlation between the concentration of particulate matter (PM) in indoor and outdoor environments was evaluated by SPSS software using spearman test at a confidence level of 95%. Moreover, Wilcoxon test was used for comparing the mean concentrations of particulate matters in indoor and outdoor air of the schools. Results : The values of 10-min mean concentrations of PM2.5 and PM10 in indoor air of schools were 78.8±36.8 and 111.1±53.0 µg/m 3 , respectively, while these values for outdoor air were 72.3±34.9 and 100.2±47.2 µg/m 3 , respectively. The mean indoor/outdoor ratios for PM2.5 and PM10 were 1.24 and 1.23, respectively. Statistical analysis showed that there was a significant difference between the PM concentrations in indoor and outdoor of the schools. Conclusion : The PM concentration in indoor air of primary schools in Bandar Abbas was higher than that of the ambient air, which may be due to the resuspension of deposited dusts through student activities. Accordingly, more efforts are needed for frequently cleaning of the indoor environment in the primary schools.
引言:小学的空气污染是一个令人担忧的问题,因为年轻学生作为一个敏感群体,生活在这样的封闭环境中。本研究的目的是确定伊朗阿巴斯港小学室内外空气中的颗粒物污染水平。方法:在这项描述性分析研究中,在2018年冬季至春季的9次采样中,使用HazDust-EPAM-5000采样器测量了阿巴斯港市10所公立小学室内外空气中空气动力学直径小于或等于10(PM10)和2.5µm(PM2.5)的颗粒物浓度。通过Excel软件对PM10和PM2.5浓度进行分析,并计算出浓度的平均值和标准偏差值。室内外环境中颗粒物(PM)浓度之间的相关性通过SPSS软件使用spearman检验进行评估,置信水平为95%。此外,Wilcoxon检验用于比较学校室内和室外空气中颗粒物的平均浓度。结果:学校室内空气中PM2.5和PM10的10分钟平均浓度分别为78.8±36.8和111.1±53.0µg/m3,室外空气中的10分钟均值分别为72.3±34.9和100.2±47.2µg/m3。PM2.5和PM10的室内外平均比值分别为1.24和1.23。统计分析表明,学校室内外PM浓度存在显著差异。结论:阿巴斯港小学室内空气中PM浓度高于环境空气,这可能是由于学生活动中沉积的粉尘重新悬浮所致。因此,需要更多的努力来经常清洁小学的室内环境。
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引用次数: 0
Modeling of electro-oxidation process in saline wastewater treatment 含盐废水处理中电氧化过程的建模
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.2.40
K. Dindarloo, H. Jamali
Introduction : Biological treatment of wastewater containing high dissolved solids, because of the high concentration of salt, is not possible. A method for treating this type of wastewater is electro-oxidation process. The aim of this study was application of response surface methodology to optimize the saline wastewater treatment using electro-oxidation process. Methods : This experimental study was conducted in a pilot scale. The samples were prepared synthetically at the required level of saline wastewater.The independent variables were reaction time, pH, electrolyte concentration, and cell voltage. The process performance was evaluated based on COD and TOC removal efficiencies. The determination of the number of experiments, statistical analysis and modeling of laboratory data, and optimization of COD and TOC removal were performed using the central composite design and surface response method. Results : The results showed that the removal efficiencies of COD and TOC at the optimum conditions of pH=8, reaction time= 34 min, salt concentration= 23.5 gr/l, and voltage= 7 V were 88.48% and 69% respectively. In these conditions, the desirability of the model was 1. Conclusion : Electro-oxidation was an effective process for COD and TOC removal, but not enough to produce effluents which meet the environmental standards. Therefore, this process is proposed for pretreatment of saline waste water. In addition, central composite design and response surface methodology were appropriate to optimize the variables affecting COD and TOC removal process using electro-oxidation.
生物处理含有高溶解固体的废水,因为高浓度的盐,是不可能的。处理这类废水的一种方法是电氧化法。本研究的目的是应用响应面法优化电氧化法处理含盐废水。方法:采用中试方法进行实验研究。样品是在要求的含盐废水水平下合成的。自变量为反应时间、pH、电解质浓度和电池电压。通过COD和TOC去除率对工艺性能进行评价。采用中心复合设计和表面响应法确定实验次数,对实验数据进行统计分析和建模,并对COD和TOC的去除效果进行优化。结果:在pH=8、反应时间= 34 min、盐浓度= 23.5 gr/l、电压= 7 V条件下,COD和TOC的去除率分别为88.48%和69%。在这些条件下,模型的可取性为1。结论:电氧化法是去除COD和TOC的有效工艺,但不足以产生符合环境标准的出水。因此,提出了该工艺对含盐废水进行预处理。此外,中心复合设计和响应面法可以优化电氧化法去除COD和TOC过程的影响因素。
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引用次数: 0
Causes and rate of death in population covered by Birjand University of Medical Sciences 伯兰德医学大学所涵盖人口的死因和死亡率
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.71
R. Abdollahzadeh, Roghayeh Mehrapour, Taktam Shafiei, R. Farabi, Soodabeh Kafaei
Introduction : The death index and cause of mortality are considered as tools for measuring access to health service and assessing the efficiency of health systems in the contemporary communities. The aim of this study was to investigate the rate and causes of mortality in the population covered by Birjand University of Medical Sciences. Methods: This descriptive-analytical study was performed in Birjand, Iran. All recorded cases of mortality in this region during 2018 were included in the study. The data were obtained from death recording system. The SPSS software was applied to analyze the data. In this regard, the descriptive statistics and analytical tests were used. The significant level was set at 0.05. Results: The results indicated that 3699 cases of death had been recorded in the studied population in 2018. The raw mortality rate in the study region was found to be 4.79 cases in one thousand individuals. The average age of death in the population was 66.74 years old. This was 64.73 years in males and 69.08 years in females. Data analysis showed that cardiovascular (40.38%), cancer (13.52%), and respiratory (12.98%) diseases accounted for the highest number of mortality. Conclusion: Three common causes of mortality were found to be cardiovascular, cancer, and respiratory diseases. The appropriate interventions in life style and food habits and controlling risk factors such as smoking, fatness, and stress could help to prevent many premature deaths.
引言:死亡指数和死因被认为是衡量当代社区获得卫生服务和评估卫生系统效率的工具。本研究的目的是调查Birjand医学科学大学覆盖人群的死亡率和死因。方法:这项描述性分析研究在伊朗Birjand进行。该研究包括了2018年该地区所有记录的死亡病例。数据来自死亡记录系统。应用SPSS软件对数据进行分析。在这方面,使用了描述性统计和分析检验。显著水平设定为0.05。结果:结果表明,2018年研究人群中记录了3699例死亡病例。研究地区的原始死亡率为每千人4.79例。人口的平均死亡年龄为66.74岁。男性为64.73岁,女性为69.08岁。数据分析显示,心血管疾病(40.38%)、癌症疾病(13.52%)和呼吸系统疾病(12.98%)的死亡率最高。结论:心血管疾病、癌症和呼吸系统疾病是三种常见的死亡原因。对生活方式和饮食习惯进行适当干预,控制吸烟、肥胖和压力等风险因素,有助于防止许多过早死亡。
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引用次数: 0
Driving behavior of motorcyclists and its related factors in Sarbaz city 萨尔巴兹市摩托车驾驶员驾驶行为及其影响因素
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.2.31
Khoda Morad Soufi, Madineh Shahnavazi, Farhad Dadgar, Sakineh Narouee
Introduction: Traffic accidents are one of the most important problems in the field of public health which account for a large economic burden to different communities. This study was conducted to investigate the driving behavior of motorcyclists and its related factors. Methods: This descriptive-analytical study was performed retrospectively on 234 motorcyclists who were selected by available sampling method from Sarbaz city. To collect data, a motorcycle riding behavior questionnaire (48-MRBQ), a general health questionnaire (GHQ-28), and a 10-item emotion measurement questionnaire were used. Data were analyzed using SPSS software and descriptive and inferential statistics. Results: The mean age of the participants was 26.7 ±7.09. According to the results, 36.1% of the participants had a history of motorcycle accident during the last 12 months. The mean score of driving behavior, mental health, and excitement of the participants were 96.79, 54.200, and 21.33, respectively. Traffic error score with an average of 23.90±0.8 and major depression score with an average of 17.47±4.07 were the highest scores among the dimensions of driving behavior and mental health, respectively. Motorcyclists' driving behavior scores had significant relationship with cigarette, alcohol, cannabis, methadone, and heroin use over the past year (p<0.05). There was a statistically significant correlation between driving behavior score and mental health (P<0.05). Conclusion: It is necessary to improve the level of public knowledge, especially motorcyclists, about correct driving behaviors. In addition, serious and continuous implementation of traffic rules and regulations is essential.
引言:交通事故是公共卫生领域最重要的问题之一,给不同社区带来了巨大的经济负担。本研究旨在调查摩托车驾驶员的驾驶行为及其相关因素。方法:对234名来自萨尔巴兹市的摩托车手进行了回顾性描述性分析研究。为了收集数据,使用了摩托车骑行行为问卷(48-MRBQ)、一般健康问卷(GHQ-28)和10项情绪测量问卷。使用SPSS软件和描述性和推断统计学对数据进行分析。结果:参与者的平均年龄为26.7±7.09岁。根据调查结果,36.1%的参与者在过去12个月内有摩托车事故史。参与者的驾驶行为、心理健康和兴奋的平均得分分别为96.79、54.200和21.33。在驾驶行为和心理健康维度中,交通失误得分平均为23.90±0.8,严重抑郁得分平均为17.47±4.07,分别为最高得分。摩托车驾驶员驾驶行为得分与近一年吸烟、饮酒、吸食大麻、吸食美沙酮、吸食海洛因有显著相关性(p<0.05),与心理健康有显著相关(p<0.05)。此外,认真和持续执行交通规则和条例至关重要。
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引用次数: 0
Positive predictive value (PPV) of non-invasive prenatal testing (NIPT) for chromosomal abnormalities in pregnant women candidates for invasive methods 非侵入性产前检测(NIPT)对孕妇染色体异常的阳性预测价值(PPV)
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.61
Elham Kazemi Jahromi, E. Salehi, S. Namazi, Mahsa Mohammadi Maram, Maryam Azizi Kutenaee, Fertility Obstetrics Fellowship in Ivf
Introduction : Recently, in prenatal screening, the non-invasive method of using free fetal DNA has attracted a lot of attention. However, there is a little data on the positive predictive value (PPV) of the test. Therefore, the present study was conducted to examine the PPV of the test. Method : In this retrospective descriptive-analytical study, 104 pregnant women who voluntarily underwent Cell Free DNA Testing due to aneuploidy-based ultrasound findings, trisomy pregnancy history, abnormal results of the first or second or combined trimester screening test were included in the study. The tests were performed in a private pathobiology laboratory in Bandar Abbas between July 2016 and March 2017 . Data were collected using a standardized questionnaire and analyzed using SPSS vre. 21 software and Ki-square and independent t- tests. Results : The data obtained from the Cell Free DNA test in pregnant women showed one case of trisomy 13, three cases of trisomy 21 and one case of monosomy X. After performing the final diagnostic test using amniocentesis, the positive predictive value of the test was 100% for trisomy 13, 21 , and monosomy X. However, it was not possible to examine trisomy 18 due to the lack of cases with this abnormality in the tests. Conclusion: The findings showed high positive predictive value (PPV) of non-invasive Cell Free DNA testing for trisomy 13, 21 and monosomy X. Therefore, it seems that this test can be suggested as a non-invasive method in screening of chromosomal abnormalities in pregnant women .
引言:近年来,在产前筛查中,使用游离胎儿DNA的无创方法引起了很多关注。然而,关于测试的阳性预测值(PPV)的数据很少。因此,本研究旨在检验试验的PPV。方法:在这项回顾性描述性分析研究中,104名孕妇因基于非整倍体的超声检查结果、三体妊娠史、第一次或第二次或妊娠联合筛查的异常结果而自愿接受了无细胞DNA检测。这些测试于2016年7月至2017年3月在阿巴斯港的一家私人病理生物学实验室进行。使用标准化问卷收集数据,并使用SPSS vre进行分析。21软件和Ki平方和独立t检验。结果:从孕妇的无细胞DNA测试中获得的数据显示1例13三体、3例21三体和1例单体X。在使用羊水穿刺进行最终诊断测试后,该测试对13三体、21三体和单体X的阳性预测值为100%。然而,由于在测试中缺乏这种异常的病例,所以不可能检查出18三体。结论:无创无细胞DNA检测对13、21三体和单体X染色体具有较高的阳性预测价值。因此,该检测可作为筛查孕妇染色体异常的一种无创方法。
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引用次数: 0
Risk assessment of musculoskeletal disorders from a macro-argonomic perspective using the relative stress index 从宏观经济学角度用相对压力指数评估肌肉骨骼疾病的风险
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.52
J. K. Sangdeh, Seyedeh Arefeh Sepehrtaj, Mostafa Mirzaesmaeili, Fatemeh Sadat sepehrtaj
Introduction : Relative stress index (RSI) is one of the macro-ergonomic risk assessment tools which is capable to identify and analyze risk factors associated with the musculoskeletal disorders. The aim of this study was to evaluate the risk of musculoskeletal disorders from a macro-ergonomic perspective in workers of an oil refinery company using the relative stress index . Methods : This descriptive-analytical study conducted on all of 172 employees working in 13 different job groups in an oil refinery company. Data were collected by interviews and completing a checklist. Then the RSI and the risk of musculoskeletal disorders were calculated for all jobs. Finally, data were analyzed using SPSS version 22 software and descriptive statistics and ANOVA test. Results : The mean of participants' age was 38±7.3. The results of RSI assessment showed that three occupational groups including welders (RSI=1.63±1/1), metalworkers (RSI=2.01±1.7), and cutters (RSI=2.12±61.6) were in the red or danger zone, five occupational groups were in the yellow or medium danger zone, and five occupational groups were in the green or low risk zone. In addition, there was a significant relationship between the average of RSI and posture, environment, and manual material handling scores (P-Value<0.05). Conclusion : Based on the findings of this study, posture, manual material handling, and the environment are the main risk factors of musculoskeletal disorders in oil refinery industries. Therefore, designing for a desired posture, promoting the work environment, and reducing the manual material handing can help to prevent musculoskeletal disorders in oil refinsry ondustries.
相对应激指数(RSI)是一种宏观人体工程学风险评估工具,能够识别和分析与肌肉骨骼疾病相关的危险因素。本研究的目的是利用相对压力指数,从宏观人体工程学角度评估某炼油厂工人肌肉骨骼疾病的风险。方法:对某炼油公司13个不同工种的172名员工进行描述性分析研究。通过访谈和填写清单收集数据。然后计算所有工作的RSI和肌肉骨骼疾病的风险。最后,采用SPSS 22软件进行数据分析,采用描述性统计和方差分析检验。结果:参与者平均年龄为38±7.3岁。RSI评价结果显示,焊工(RSI=1.63±1/1)、金属工(RSI=2.01±1.7)、切割工(RSI=2.12±61.6)3个职业组处于红色或危险区,5个职业组处于黄色或中等危险区,5个职业组处于绿色或低危险区。此外,RSI的平均值与姿势、环境和手工物料搬运得分有显著相关(p值<0.05)。结论:根据本研究结果,姿势、体力搬运和环境是炼油厂工人肌肉骨骼疾病的主要危险因素。因此,设计一个理想的姿势,促进工作环境,减少手工材料处理可以帮助预防肌肉骨骼疾病在炼油工业。
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引用次数: 0
The structural model for prediction of perceived social support based on mindfulness in patients with Ulcerative Colitis 溃疡性结肠炎患者基于正念的感知社会支持预测的结构模型
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.85
Alireza Maneshi Azghandi, Sara Pashang, Soheila Khodaverdian
Introduction: Considering the high prevalence of chronic inflammatory bowel diseases (IBDs), their high economic costs, and severe negative effects on the patients, the present study was conducted to investigate the structural model for prediction of perceived social support based on mindfulness in patients with ulcerative colitis. Method: This study was conducted in the form of a descriptive-correlational study using structural equation modeling. The statistical population of this study consisted of 720 patients with ulcerative colitis referred to gastrointestinal clinics in districts 4 and 7 of Tehran in the second half of February and the first half of March 2020, from which 270 cases were selected according to purposive sampling method. Among them, 261 patients completed questionnaires and were included in the study. The research instruments were Zimet's Perceived Social Support questionnaire, Freiburg Mindfulness Inventory- short form, and Garnovsky Cognitive Emotion Regulation questionnaire. The structural equation analysis method was applied to analyze the data. For this aim, SPSS and Amos softwares were employed. Results: The results showed that mindfulness was positively associated with perceived social support and cognitive emotion regulation in patients with ulcerative colitis. There was also a positive relationship between the cognitive emotion regulation and the perceived social support in these patients. In addition, mediated by the cognitive emotion regulation, mindfulness was associated with the social support in patients, and the assumed model was found to have a good fit. Conclusion: Since social support, with the mediating role of cognitive emotion regulation, was inversely associated with mindfulness in patients with ulcerative colitis, paying attention to these variables could help researchers and therapists to design more efficient therapies.
引言:考虑到慢性炎症性肠病(IBD)的高患病率、高经济成本和对患者的严重负面影响,本研究旨在研究溃疡性结肠炎患者基于正念的感知社会支持预测的结构模型。方法:本研究采用结构方程模型,以描述性相关研究的形式进行。本研究的统计人群包括2020年2月下半月和3月上半月在德黑兰4区和7区胃肠道诊所就诊的720名溃疡性结肠炎患者,根据有目的的抽样方法从中选择了270例。其中,261名患者完成了问卷调查并被纳入研究。研究工具为Zimet的感知社会支持问卷、Freiburg正念量表-简式和Garnovsky认知情绪调节问卷。采用结构方程分析方法对数据进行分析。为此,我们使用了SPSS和Amos软件。结果:结果显示,溃疡性结肠炎患者的正念与感知社会支持和认知情绪调节呈正相关。这些患者的认知情绪调节与感知到的社会支持之间也存在正相关。此外,在认知情绪调节的介导下,正念与患者的社会支持有关,并且假设的模型被发现具有很好的拟合性。结论:由于社会支持在认知情绪调节的中介作用下,与溃疡性结肠炎患者的正念呈负相关,关注这些变量可以帮助研究人员和治疗师设计更有效的治疗方法。
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引用次数: 1
Health-promoting behaviors in women in Fasa city Fasa市妇女的健康促进行为
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.19
Z. Maleki, M. Vali, F. Mobasheri
Methods: This descriptive-analytical study was performed on 143 women referring to health centers. Samples were selected using cluster sampling method. The data collection tool was the HPLP-II (Health Promotion Lifestyle Profile II) standard questionnaire. Data were analyzed with SPSS-21 software using descriptive statistics, independent t-test, Pearson correlation coeffitient, and ANOVA test. Results : The mean age of the participants was 29.81±8.61 years and the average score of HPLP-II questionnaire was 18.64±3.49. The mean score of the subscales including promotion of health in lifestyle, health responsibility, physical activity, nutrition, spiritual growth, interpersonal relationship, and stress control were 2.5±0.6, 7±0.5, 1.9±0.6, 3.0±0.4, 3.0±0.5, 2.9±0.5, and 2.6±0.5, respectively. There was a significant relationship between the physical activity subscale and women’s occupation (P-Value≤0.001). The relationships between the spiritual growth and interpersonal relationship subscales and the educational level were also significant (P-Values=0.038 and 0.011, respectively). Conclusion : The results of this study showed that the highest and the lowest average scores were for the spiritual growth and physical activity subscales, respectively. Regarding the importance of physical activity in women’s health, motivational approaches should be used to increase their physical activity.
方法:采用描述性分析方法,对143名到保健中心就诊的妇女进行研究。采用整群抽样方法选取样本。数据收集工具为HPLP-II(健康促进生活方式概况II)标准问卷。采用SPSS-21软件对数据进行描述性统计、独立t检验、Pearson相关系数和方差分析。结果:参与者平均年龄为29.81±8.61岁,HPLP-II问卷平均得分为18.64±3.49分。生活方式促进健康、健康责任促进健康、身体活动促进健康、营养促进健康、精神成长促进健康、人际关系促进健康、压力控制促进健康等各分量表的平均得分分别为2.5±0.6、7±0.5、1.9±0.6、3.0±0.4、3.0±0.5、2.9±0.5和2.6±0.5。体力活动分量表与女性职业存在显著相关(p值≤0.001)。精神成长和人际关系分量表与受教育程度之间的关系也显著(p值分别为0.038和0.011)。结论:本研究结果显示,精神成长和身体活动两个分量表的平均分分别最高和最低。关于体育活动对妇女健康的重要性,应采用激励方法增加她们的体育活动。
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引用次数: 2
Telemedicine services for women with gestational diabetes mellitus during the COVID-19 pandemic: A review study COVID-19大流行期间妊娠期糖尿病妇女的远程医疗服务:综述研究
Pub Date : 2020-08-01 DOI: 10.29252/jpm.7.3.30
F. Moradi, A. Ghadiri-anari, B. Enjezab
Introduction: The outbreak of the emerging COVID-19 virus is a public health emergency. According to the latest studies, women with gestational diabetes mellitus are at a greater risk for this virus. Due to the need for quarantine and the limitation of physical contact in the current situation and the need for women with gestational diabetes mellitus to receive repeated services, this review study aimed to assess the use of telemedicine services for women with gestational diabetes mellitus during COVID-19 pandemic. Data sources: The PubMed, Google Scholar, Scopus, Science Direct, Wiley Online Library, and Springer databases were investigated with the keywords of COVID-19 and gestational diabetes mellitus in combination with the telemedicine and articles over the past 10 years were analyzed. Selection methods for study: In the electronic searches, 61 articles and 5 English and Persian guidelines were retrieved. Then, older and repetitive articles were removed, and after reviewing the title and abstract of studies, 6 English articles and 3 guidelines were analyzed. Combine content and results: According to the results of the studies, face-to-face visits should be accompanied by ultrasound appointments. Postpartum diabetes screening should be delayed for 3-6 months. Compared to routine care, telemedicine services were associated with reduced polyhydramnios, premature rupture of membranes, preterm labor, emergency cesarean section, and neonatal asphyxia in women with gestational diabetes mellitus. Conclusion: The use of telemedicine services for women with gestational diabetes in the context of the outbreak of coronavirus is an appropriate and cost-effective way to prevent the COVID-19 and to reduce the risks of gestational diabetes; it also reduces the anxiety in the women.
简介:新出现的新冠肺炎病毒的爆发是突发公共卫生事件。根据最新研究,患有妊娠期糖尿病的女性感染这种病毒的风险更大。由于目前情况下隔离的需要和身体接触的限制,以及妊娠期糖尿病患者需要接受重复服务,本综述研究旨在评估新冠肺炎大流行期间妊娠期糖尿病女性远程医疗服务的使用情况。数据来源:PubMed、Google Scholar、Scopus、Science Direct、Wiley Online Library和Springer数据库以新冠肺炎和妊娠期糖尿病为关键词,结合远程医疗进行调查,并分析了过去10年的文章。选择研究方法:在电子检索中,检索到61篇文章和5篇英语和波斯语指南。然后,删除旧的和重复的文章,在回顾研究的标题和摘要后,分析了6篇英文文章和3篇指南。结合内容和结果:根据研究结果,面对面就诊应伴有超声波预约。产后糖尿病筛查应推迟3-6个月。与常规护理相比,远程医疗服务可减少妊娠期糖尿病妇女的羊水过多、胎膜早破、早产、紧急剖宫产和新生儿窒息。结论:在冠状病毒爆发的背景下,为患有妊娠期糖尿病的妇女提供远程医疗服务是预防新冠肺炎和降低妊娠期糖尿病风险的合适且具有成本效益的方法;它也减少了女性的焦虑。
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引用次数: 0
期刊
Journal of preventive medicine
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