Publications by authors named "Hamid Haghani"

113 Publications

The correlation between emotional intelligence and self-esteem in patients with intestinal stoma: A descriptive-correlational study.

Nurs Open 2021 Feb 24. Epub 2021 Feb 24.

Biostatistics Department, Health School, Iran University of Medical Sciences, Tehran, Iran.

Aim: Patients with intestinal stoma would experience some periods of psychological disorders such as self-esteem disturbances. Self-esteem is one of the most important factors affecting the patient's mental health. It is suggested that factors such as emotional intelligence could be related to self-esteem. This study seeks to determine the correlation between emotional intelligence and self-esteem in patients with an ostomy.

Design: This was a descriptive-correlational study.

Methods: This study was conducted on 155 patients with intestinal stoma referring to the selected hospitals affiliated to Iran University of Medical Sciences and Iranian Ostomy Association in 2018. The patients were selected using convenience sampling method. The study tools included demographic characteristics form, Rosenberg self-esteem scale and Schutte emotional intelligence questionnaire. Data analysis was performed in SPSS v.16 using descriptive and inferential statistics, including variance analysis and independent t test.

Results: Participants included 79 women and 76 men with the most frequency of age between 50-70 years old. 52.26% of the cases had cancer and 45.81% of the cases had inflammatory bowel disease and other related diseases. Pearson correlation coefficient results showed a positive and significant correlation between total emotional intelligence and self-esteem (r = .56) (p = <.001).
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http://dx.doi.org/10.1002/nop2.818DOI Listing
February 2021

Impact of Coping Skills Training on the Quality of Life Among the Daughters of Mothers with Breast Cancer.

Int J Community Based Nurs Midwifery 2020 Oct;8(4):333-344

Biostatistics, School of Management and Information Technology, Iran university of Medical Sciences, Tehran, Iran.

Background: Cancer affects the quality of life (QoL) of patients and their families. The purpose of this study was to determine the effect of coping skills training on the QoL among daughters of mothers with breast cancer.

Methods: In this quasi-experimental pre-test/post-test design, data were collected from 70 participants (35 in each of the control and education groups) from January 2016 to July 2017 in Imam Khomeini and Rasole-e-Akram Hospitals in Tehran. The education group participated in a workshop and group discussion (groups of 5 to 8 participants) with the presence of a pediatric psychiatrist and two pediatric nurses, and then a follow up program was performed. The Pediatric Quality of Life Inventory version 4.0 was used in this study in two stages of pre-test (before education) and post-test (four weeks later). Data were analyzed through SPSS, version 21 using independent t-test and paired t-test for comparison of the mean scores of the two groups, with the significance level of 0.05.

Results: After the education, there were significantly improved scores of the QoL in the dimensions of physical functioning (P<0.001), emotional functioning (P<0.001), and school functioning (P<0.001) in the study group compared to the control group. The social functioning did not show a significant change (P<0.083).

Conclusion: The findings of the study confirm that coping skills training can lead to the improvement of QoL in adolescent daughters of mothers with breast cancer. Healthcare professionals must provide the mothers and daughters with information about breast cancer and instruments to handle their situation to promote the daughters' QoL.
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http://dx.doi.org/10.30476/ijcbnm.2020.83048.1132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648854PMC
October 2020

Evaluation of the effect of vitamin D3 supplementation on quantitative and qualitative parameters of spermograms and hormones in infertile men: A Randomized controlled trial.

Complement Ther Med 2020 Sep 8;53:102529. Epub 2020 Aug 8.

Halal Research Center of IRI, FDA, Tehran, Iran; Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran; Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad 9177948564, Iran; Polish Mother's Memorial Hospital Research Institute (PMMHRI), 93338 Lodz, Poland. Electronic address:

Background: 25-Hydroxy Vitamin D3 is known to have an effect on reproductive system in both genders and may change the semen parameters in men.

Objective: Our study aimed to evaluate the effect of oral vitamin D3 supplementation on spermogram quantitative and qualitative parameters in infertile men.

Materials And Methods: This study was a triple-blind randomized controlled trial involving 62 infertile men with impaired spermatogonial tests. They were randomly divided into placebo and D3-supplemented groups. Spermograms and tests for LH (Luteinizing Hormone), FSH (Follicle Stimulating Hormone), TT (Total Testosterone), FT (Free Testosterone), SHBG (Sex Hormone Bonding Globulin), FAI (Free Androgen Index) and vitamin D3 levels were performed before and after the intervention.

Results: There were no significant differences between the two groups in parameters of the spermograms or serum levels of LH, FSH, TT, and FAI. In the intervention group, SHBG was significantly decreased after intervention (p = 0.01) and there was a significant increase in FT in the placebo group (p = 0.03).

Conclusion: The intake of vitamin D3 did not change the quality and quantity of spermograms and serum levels of LH, FSH, TT, and FAI but affected FT and SHBG. Further studies are still needed to clarify the biological role of vitamin D3 on fertility particularly on male fertility. This study lays a foundation for more extensive studies on male infertility.
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http://dx.doi.org/10.1016/j.ctim.2020.102529DOI Listing
September 2020

"Determining a Health-promoting Lifestyle among Afghan Immigrants Women in Iran".

J Prim Care Community Health 2020 Jan-Dec;11:2150132720954681

Department of Biostatistics, School of Management and Information, Iran University of Medical Sciences, Tehran, Iran.

Background: Health-promoting lifestyle is an effective strategy for maintaining and controlling health, especially in immigrant women as a vulnerable group. Regarding this, the present study was conducted to determine the health promoting lifestyle and its associated factors in Afghan migrant women in Iran.

Method: This was a population based cross-sectional study in which 255 Afghan women of reproductive age. The study population was selected using the continuous sampling method from all Afghan women who referred to health centers of southwest of Tehran in 2018. The data were collected through the socio-demographic and Health Promoting Lifestyle Profile-II (HPLP-II) questionnaire.

Results: The total HPLP-II mean score of women was (124.05 ± 17.28). The lowest score was related to physical activity dimension (14.70 ± 3.78) and the highest score was related to spiritual growth (24.56 ± 5.06). Although some factors such as age, duration of education, income level, ability to speak Persian, education level of husband, and number of children significantly related factors to participant's lifestyle ( <.05), but multiple regression model showed that income level and ability to speak Persian are final statistically related factors to Afghan women health promoting lifestyle in Iran.

Conclusion: Familiarization of the individual with the Persian language and the promotion of employment status should be considered due to the low socio-economic level and the fact that most women participating in the study are housewives.
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http://dx.doi.org/10.1177/2150132720954681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7502998PMC
September 2020

Correlation between self-efficacy and self-esteem in patients with an intestinal stoma.

Br J Nurs 2020 Sep;29(16):S22-S29

Assistant Professor, Biostatistics Department, School of Health, Iran University of Medical Sciences, Tehran, Iran.

Background: Patients with an intestinal stoma experience psychological difficulties, including disturbances in self-efficacy and self-esteem. There is evidence that they are interdependent.

Aim: This study aimed to determine the correlation between self-efficacy and self-esteem in patients with an intestinal stoma.

Methods: A descriptive-correlational study was conducted with 155 patients with an intestinal stoma. Participants were selected using convenience sampling. Data were collected using demographic questions, the stoma self-efficacy scale and the Rosenberg self-esteem scale, and analysed using descriptive and analytical statistics.

Findings: Seventy-nine men and 76 women took part; the 50-70 years age group had the highest proportion of participants. Regarding diagnosis, 52.26% had cancer and 45.81% had inflammatory bowel disease or related conditions. Pearson's correlation coefficient indicated a positive, significant correlation between total self-efficacy and its dimensions with self-esteem (<0.001; r=0.54).

Conclusion: Self-efficacy is positively correlated with self-esteem in patients with an intestinal stoma. It is recommended that educational interventions are planned and implemented to boost self-esteem and self-efficacy in these patients.
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http://dx.doi.org/10.12968/bjon.2020.29.16.S22DOI Listing
September 2020

Impact of an Educational Program on Nurses' Performance in Providing Peripherally Inserted Central Catheter Care for Neonates.

J Infus Nurs 2020 Sep/Oct;43(5):275-282

Department of Pediatric and Neonatal Intensive Care Nursing (Ms Emamgholi and Dr Khanjari) and Department of Biostatistics, School of Management and Information Technology (Dr Haghani), Iran University of Medical Sciences (Ms Emamgholi and Drs Khanjari and Haghani), Tehran, Iran. Somayeh Emamgholi, MSN, is a registered nurse with a master's degree in neonatal intensive care. She has extensive experience in the neonatal intensive care (NICU) and with peripherally inserted central catheter (PICC) insertions. Sedigheh Khanjari, PhD, RN, is an associate professor in the Nursing and Midwifery School at Iran University of Medical Sciences. Her research focus is on the quality of life, family caregivers, neonates, and children. Hamid Haghani, PhD, has 35 years' experience in medical statistics.

All nurses who care for neonates with peripherally inserted central catheters require enhanced awareness of the current practice guidelines and standards. This study evaluated the impact of an educational program on nurses' performance from May 2016 to July 2017 at 4 hospitals in Tehran, Iran. The performance of 80 nurses was observed and scored 3 times before the intervention. Four weeks after the last training session, their performance was observed with the same researcher, and the checklist was completed 3 times in different working shifts. Four 35- to 45-minute training sessions were completed with a 4-week follow-up. Results of the study indicated that training courses should be held every 6 months, including permanent or periodic feedback.
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http://dx.doi.org/10.1097/NAN.0000000000000387DOI Listing
September 2020

The effects of a temporal processing-based auditory training program on the auditory skills of elderly users of hearing aids: a study protocol for a randomized clinical trial.

F1000Res 2020 22;9:425. Epub 2020 May 22.

Department of Biostatistics, School of Management and Information Technology, Iran University of Medical Sciences, Tehran, Iran.

: One of the most important effects of age-related declines in neural processing speed is the impairment of temporal resolution, which leads to difficulty hearing in noisy environments. Since the central auditory system is highly plastic, by designing and implementing a temporal processing-based auditory training program, we can help the elderly improve their listening skills and speech understanding in noisy environments. In the first phase of this research, based on the theoretical framework of temporal processing, an auditory training solution was developed as a software program. In the second phase, which will be described in the present study, the effects of the designed program on the listening skills of the elderly users of hearing aids (age: 60-75 years) will be studied in the control and intervention groups. In the intervention group, the auditory training program will be implemented for three months (36 sessions), and the results of central tests (GIN, DPT, QuickSIN) and the electrophysiological speech-ABR test will be compared in both groups before, immediately and one month after the intervention. : Since temporal processing is not sufficient in auditory training programs for the elderly with hearing impairments, implementation of a temporal processing-based auditory training program can reduce hearing problems in noisy environments among elderly users of hearing aids. This study was registered as a clinical trial in the Iranian Registry of Clinical Trials ( IRCT20190921044838N1) on December 25, 2019.
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http://dx.doi.org/10.12688/f1000research.22757.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7308962PMC
March 2021

Vision-Related Quality of Life after Corneal Transplantation.

J Curr Ophthalmol 2020 Apr-Jun;32(2):154-158. Epub 2020 Apr 30.

Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: To determine the vision-related quality of life (VR-QoL) and its dimensions in corneal transplant recipients.

Methods: This cross-sectional study was carried out on 100 patients who underwent penetrating keratoplasty. Data collection tools included a demographic questionnaire, satisfaction questionnaire, and Persian version of the 39-item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ 39).

Results: The composite score of VR-QoL in corneal transplant recipients was 54.39 ± 9.22 (32.9-71.01). The highest mean score among subscales was related to color vision (74.75 ± 27.63) and the lowest related to dependency (31.06 ± 31.02). The results showed that there is a reverse correlation between VR-QoL with both age ( = -0.364; < 0.001) and the numbers of years after the transplantation ( = -0.362; < 0.001). However, there was a correlation between satisfaction and VR-QoL ( = 0.679; < 0.001). Furthermore, the results showed that there is a significant difference in VR-QoL between men and women ( < 0.001) and also a significant difference in VR-QoL between unilateral and bilateral graft recipients ( < 0.001).

Conclusions: The corneal transplant has the highest impact on color vision and the lowest on dependency. Moreover, the results of this study provide a comprehensive picture for the state of vision and overall health status of patients for health-care providers to enhance the patient care.
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http://dx.doi.org/10.4103/JOCO.JOCO_98_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337028PMC
April 2020

A Dose-Effect Study of Cisplatin Ototoxicity in Albino Guinea Pigs.

Iran J Otorhinolaryngol 2020 May;32(110):155-161

Neuroscience Research Center and Department of Physiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Introduction: Cisplatin is one of the most commonly used antineoplastic drugs; nonetheless, its ototoxic dose-limiting side effects have remained a significant challenge in clinical practice. The recognition of the exact template of hearing loss induced by multiple low doses of cisplatin could be of great help in managing the treatment process. The present study aimed to investigate the effects of multiple doses of this drug on the auditory system.

Material And Methods: The present study was performed using an experimental guinea pig model in four groups as follows:1- 0.9% sodium chloride solution, 2- total dose of 7.5 mg/kg Cisplatin, 3- total dose of 10 mg/kg Cisplatin, and 4- total dose of 12.5 mg/kg cisplatin. The drugs were injected as 2.5 mg/kg/daily IP access in all groups. The auditory brainstem response (ABR) test was performed before the treatment and after every injection on a daily basis up to 72 h after the last injection.

Results: There was dose-dependent significant hearing loss in all evaluated frequencies in three cisplatin groups. The general template of induced hearing loss during experimental days was almost the same in groups Cis7.5 and Cis10. In Cis 12.5 group, there was a jump in the threshold shift on the 5th day of the experiment and an upward trend in the function.

Conclusion: As evidenced by the obtained results, the monitoring of hearing loss after every injection in patients who receive the drug and detecting the exact dose-dependent pattern of the induced hearing loss is of great help in controlling its undesirable destructive side effects on the auditory system.
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http://dx.doi.org/10.22038/ijorl.2019.41914.2368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302528PMC
May 2020

The relationship between health life style and spermogram Indicators among infertile men: preliminary data.

BMC Res Notes 2020 Jun 9;13(1):278. Epub 2020 Jun 9.

School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Objective: Inappropriate life style has destructive effects on sperm quality and, male fertility, so that lifestyle modification may improve spermogram indexes preliminary data. This study aimed to determine the relationship between health life style and spermogram Indicators among infertile men. This analytical descriptive cross-sectional study was conducted on 199 infertile men. The data were collected through the socio-demographic and Health Promoting Lifestyle Profile questionnaires Descriptive statistics independent t-test and Pearson correlation were used to analyze the data through SPSS.

Results: The mean (standard deviation) of total score of the health promoting lifestyle was (2.39 ± 0.39). The highest mean score was in Health Responsibility subscale (2.51 ± 0.52) and the lowest mean score was in the nutrition subscale (2.24 ± 0.44). Stress management showed significantly correlated with sperm morphology (p = 0.025). Also, spiritual growth with the Sperm concentration (p < 0.001), and sperm motility (p = 0.004) were statistically correlated, and health responsibility dimensions were statistically correlated with the Sperm concentration (p = 0.003) and sperm motility (p = 0.002). Considering that the mean of total score of the health promoting lifestyle and its correlation with some of spermogram indicators shows a need for improving lifestyle in infertile men who referred to infertility clinics.
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http://dx.doi.org/10.1186/s13104-020-05102-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285520PMC
June 2020

The effect of gentle human touch during endotracheal suctioning on procedural pain response in preterm infant admitted to neonatal intensive care units: a randomized controlled crossover study.

J Matern Fetal Neonatal Med 2020 Apr 21:1-7. Epub 2020 Apr 21.

Department of Neonatal Intensive Care Nursing, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.

Neonates in the neonatal intensive care unit are frequently subjected to painful procedures. Non-pharmacological pain control techniques are useful for reducing procedural pain. Touch as one of the aspects of developmental care used to reduce neonatal pain. The purpose of this study was to determine the effect of gentle human touch during endotracheal suctioning on procedural pain response in preterm neonates. This was a clinical trial study with a crossover design. The study was conducted in a level III NICU in a hospital, affiliated to Iran University of Medical Sciences. Thirty-four neonates were enrolled in this study based on inclusion criteria. The samples were randomly received a sequence of suctioning with/without or suctioning without/with gentle human touch. Preterm Infant Pain Profile (PIPP) was used to collect the data. SPSS version 22 for Windows (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. 85.3% of neonates experienced moderate and 8.8% severe pain during suctioning without intervention, and only 64.7% of them experienced moderate and 2.9% severe pain during suctioning with intervention. The results of the paired -test show that there is a statistically significant difference between the mean scores of pain in nonintervention and intervention cases ( < .002), and the mean pain score substantially reduced in cases with intervention.: Results from this study showed that the pain due to suctioning procedure is considerably reduced by applying Gentle Human Touch. And nurses can use this method as one of the non-pharmacological methods of pain management.
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http://dx.doi.org/10.1080/14767058.2020.1755649DOI Listing
April 2020

Effect of role-playing on learning outcome of nursing students based on the Kirkpatrick evaluation model.

J Educ Health Promot 2019 24;8:197. Epub 2019 Oct 24.

Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Background: Evaluation of educational courses is important for estimating the achievement of learning goals and identifying the best way to learn. The present study is an attempt to assess the effectiveness of education through role-playing on the learning outcomes in nursing students based on the Kirkpatrick's evaluation model.

Materials And Methods: A quasi-experimental study was conducted with participation of 74 nursing students at Iran University of Medical Sciences in 2016-17. The participants were selected through census and were randomly allocated to control ( = 35) and experimental ( = 39) groups. The common method of education was implemented for the control group, and the experimental group experienced role-playing educational method. In the next semester, each student was assigned to educate two patients at the hospital. The knowledge level of the participants at the end of the semester and patients' satisfaction with the educations by students in the next semester were measured as the outcomes of learning. Kirkpatrick's model was used to assess the learning outcomes.

Results: The mean score of students, at the second level of Kirkpatrick's model, in the experimental group (63.85 ± 13.88) was significantly higher than that of the control group (46.41 ± 16.22, < 0.001). The mean score of patients' satisfaction with patient educational performance, at the fourth level of the model, in the experimental group (73.26 ± 3.47) was significantly higher than that of the control group (47.32 ± 6.83, < 0.001).

Conclusions: The evaluation by the Kirkpatrick's model showed that use of role-playing method improved learning outcome of nursing students.
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http://dx.doi.org/10.4103/jehp.jehp_138_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852299PMC
October 2019

The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns.

Burns 2020 02 16;46(1):164-171. Epub 2019 Dec 16.

Department of Traditional Medicine, School of Health, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Regarding the importance of anxiety management and improvement of the quality of sleep in patients with burn injuries, this study aimed to determine the effect of aromatherapy massage (using aromatic oils of lavender and chamomile) on the anxiety and sleep quality of the patients with burn injuries.

Method: In a quasi-experimental study, 105 patients with burns were recruited by convenience sampling method and then assigned into three groups (control, placebo massage, and combined aromatic oil massage). The study intervention was performed 20min before bedtime in three sessions, within a week. The control group was only under daily routine care. The study data were collected using the Persian version of Spielberg's anxiety scale and the Pittsburgh Sleep Quality Inventory. Descriptive and inferential statistical tests were used to analyze the data in SPSS version 20.

Results: The results showed a significant difference among the three groups in terms of anxiety score (P<0.001) and in terms of sleep quality after the intervention (P=0.027).

Conclusion: Since the aromatherapy massage as a non-pharmacological and simple method can improve the anxiety and quality of sleep in patients with burns, it is suggested that nurses and burn medical care team apply it to reduce burn patients' anxiety and promote their sleep quality. Applying massage alone also reduces anxiety in burn survivors.
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http://dx.doi.org/10.1016/j.burns.2019.02.017DOI Listing
February 2020

Effects of Dysphagia Therapy on Swallowing Dysfunction after Total Thyroidectomy.

Iran J Otorhinolaryngol 2019 Nov;31(107):329-334

Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences , Tehran, Iran .

Introduction: Swallowing disorder or dysphagia is a common complication after conventional total thyroidectomy. Traditional dysphagia therapy (TDT) has long been a routine rehabilitation program for patients with dysphagia; however, there is no evidence to support the efficacy of this approach in patients with post-thyroidectomy dysphagia. Regarding this, the purpose of the current study was to explore the effectiveness of TDT in swallowing dysfunction in patients suffering from post-thyroidectomy dysphagia.

Materials And Methods: This pilot clinical trial was conducted on 21 patients with post-thyroidectomy dysphagia. The study population was randomly assigned into two groups of TDT and control. The patients in the TDT group received 18 treatment sessions for 6 weeks, 3 times a week. The Swallowing Impairment Score (SIS-6), Functional Oral Intake Scale (FOIS), and Persian Dysphagia Handicap Index (P-DHI) were the outcome measures. The outcome variables were assessed at the baseline, at the end of the treatment, and after a 6-week follow-up. The main effects of time and group and their interaction effect on SIS-6 and P-DHI scores were examined using repeated measures ANOVA. In addition, the intergroup comparison in terms of the FOIS score was analyzed using the Mann-Whitney U test. The Cohen's d effect size was also measured to ascertain the effects of the treatment.

Results: According to the results, the TDT group showed a significant improvement in the SIS-6, FOIS and P-DHI scores over time (P<0.001). The results also revealed that the interaction effect of time and group was significant on SIS-6 and P-DHI scores (P<0.001). In addition, effect sizes on SIS-6, FOIS, and P-DHI scores were large in the TDT group.

Conclusion: This study suggested that TDT could improve the swallowing dysfunction in the patients suffering from post-thyroidectomy dysphagia. As the results indicated, the improvements persisted 6 weeks after the end of TDT.
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http://dx.doi.org/10.22038/ijorl.2019.36233.2193DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914318PMC
November 2019

Sound-Field Speech Evoked Auditory Brainstem Response in Cochlear-Implant Recipients.

J Audiol Otol 2020 Apr 20;24(2):71-78. Epub 2019 Dec 20.

Department of Medical Physics and Biomedical Engineering, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Background And Objectives: Currently limited information is available on speech stimuli processing at the subcortical level in the recipients of cochlear implant (CI). Speech processing in the brainstem level is measured using speech-auditory brainstem response (S-ABR). The purpose of the present study was to measure the S-ABR components in the sound-field presentation in CI recipients, and compare with normal hearing (NH) children. Subjects and.

Methods: In this descriptive-analytical study, participants were divided in two groups: patients with CIs; and NH group. The CI group consisted of 20 prelingual hearing impairment children (mean age=8.90 ± 0.79 years), with ipsilateral CIs (right side). The control group consisted of 20 healthy NH children, with comparable age and sex distribution. The S-ABR was evoked by the 40-ms synthesized /da/ syllable stimulus that was indicated in the sound-field presentation.

Results: Sound-field S-ABR measured in the CI recipients indicated statistically significant delayed latencies, than in the NH group. In addition, these results demonstrated that the frequency following response peak amplitude was significantly higher in CI recipients, than in the NH counterparts (p<0.05). Finally, the neural phase locking were significantly lower in CI recipients (p<0.05).

Conclusions: The findings of sound-field S-ABR demonstrated that CI recipients have neural encoding deficits in temporal and spectral domains at the brainstem level; therefore, the sound-field S-ABR can be considered an efficient clinical procedure to assess the speech process in CI recipients.
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http://dx.doi.org/10.7874/jao.2019.00353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141996PMC
April 2020

The Relationship between Auditory Sensory Gating and Cognitive Functions on Auditory and Visual Modalities in Primary School Children.

Iran J Child Neurol 2019 ;13(4):53-65

Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Objectives: Considering the common neurological origins, there is a relationship between the sensory gating and cognitive functions. However, there is no adequate information on this issue. In this study, auditory event-related potentials and the sensory gating performance were assessed in P50, N100 and P200 waves. Besides, their relationship with cognitive performance in auditory and visual modalities was investigated.

Materials & Methods: Nineteen normal primary school students (14 boys) were tested in Tehran, Iran from 2017 to 2018. In the auditory modality, the Persian version of the non-word repetition test and monaural selective auditory attention test (mSAAT) were used for assessment of the working memory and selective attention, respectively. In order to evaluate the visual working memory and visual selective attention, Rey-Osterrieth complex figure, selective and divided attention test were used, respectively. A 32-channel EEG system was used for electrophysiological assessment.

Results: The P50 sensory gating was negatively correlated with the visual selective attention (=0.034, r=-0.49) and N100 sensory gating was negatively correlated with the auditory working memory (=0.043, r=-0.48) as well as visual selective attention (=0.039, r=-0.47). For P200, there was a significant negative relationship with auditory selective attention in the right ear (=0.034, r=-0.49).

Conclusion: Sensory gating in children is not a modality-specific phenomenon. Sensory gating in a modality could be associated with cognitive functions in other modalities.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789093PMC
January 2019

Self-efficacy of the First-degree Relatives of Patients with Breast Cancer in the Prevention of Cancer: Using the Health Belief Model.

J Cancer Educ 2020 10;35(5):977-982

Nursing and Midwifery Care Research Center. Department of Reproductive Health Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Breast cancer is the most common type of cancer in women. The best method to fight this disease is early diagnosis. The aim of this study was to investigate the effect of education based on the health belief model on self-efficacy of the first-degree relatives of patients with breast cancer. This randomized clinical trial was conducted in Tehran in 2016 on 80 first-degree relatives of patients with breast cancer. After purposive sampling, the subjects were assigned to interventions and control groups using the randomized block design. The data collection tool was a questionnaire including questions about demographic data, health belief model, and self-efficacy. The educational intervention was held during four 90-min sessions. The questionnaires were completed before and 8 weeks after the intervention in both groups. The data were analyzed using the SPSS16 software. The educational intervention led to a significant increase in susceptibility (d = 1.17, 95%CI 0.69, 1.66), seriousness (d = 1.11, 95%CI 0.62, 1.59), benefits (d = 1.58, 95%CI 1.06, 2.09), and significant decrease in perceived barriers (d = - 0.73, 95%CI 0.27, 1.19) scores in the intervention group. The self-efficacy score in the intervention group was increased from 7.58 to 9.20, which was statistically significant (d = 1.72, 95%CI 1.19, 2.25). However, in the control group, there was no significant difference in self-efficacy score before and after the intervention (p = 0.45). The present study confirmed the effectiveness of the health belief model in promoting self-efficacy of the first-degree relatives of patients with breast cancer. Therefore, it is recommended that this education program is implemented for women, especially the first-degree relatives of patients with breast cancer.
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http://dx.doi.org/10.1007/s13187-019-01551-0DOI Listing
October 2020

The Effects of Multimedia-Based Puberty Health Education on Male Students' Self-Esteem in the Middle School.

Int J Community Based Nurs Midwifery 2019 Apr;7(2):109-117

Department of Biostatistics, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Background: Adolescents, as a large group of the world population, face many physical and psychological changes in their puberty period. They struggle with adjusting to the intensive changes that can lead to the development of low self-esteem. This study was conducted to determine the effect of multimedia-based puberty health education on male students' self-esteem in the middle school.

Methods: It is a quasi-experimental study by using multi-stage sampling method which was done on 118 boys from two middle schools in Ilam (an Iranian city) from November 2017 to April 2018. Students were divided into two intervention (N=58) and control (N=60) groups. Then, the intervention group students were trained using a multimedia application. Data were gathered using a demographic questionnaire and Rosenberg's Self-Esteem Scale completed by students in three phases including before, immediately after, and three months after the end of the educational program. The collected data were analyzed using independent t-test, Chi-square, Fisher's exact test, post hoc test, and repeated measures ANOVA. Statistical analysis was performed using SPSS 16, and P<0.05 was considered significant.

Results: Mean and standard deviation of the self-esteem scores in the intervention and control groups were 28.37±3.58 and 27.89±3.82 before the education, 32.17±3.12 and 27.50±3.56 immediately after the education, and 33.83±3.32 as well as 27.32±4.37 three months later, respectively. Mean self-esteem scores were significantly different post-intervention (P<0.001) and three months later (P<0.001) between the two groups.

Conclusion: Education on puberty health assisted by multimedia application can increase self-esteem in adolescent boys.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456763PMC
April 2019

The effect of family-centered education on the quality of life of adolescents with spinal cord injuries.

J Family Med Prim Care 2019 Feb;8(2):711-716

Department of Biostatistics, School of Management and Medical Informatics, Iran University of Medical Sciences, Tehran, Iran.

Background And Purpose: Spinal injury is a destructive complication creating huge changes in the teen health and lifestyle, depending on its extent and severity. Although most of the complications of this disease are treatable, they impose huge costs on the healthcare system, the patient, and his family. The present study was conducted to investigate the effect of family-centered education on the quality of life and self-esteem of adolescents with spinal cord injuries.

Method: The present study is a quasi-experimental study. Adolescents (108 old) with spinal cord injuries entered the present study through stratified sampling with appropriate allocation. The participants were compared in two groups of experimental and control. The data was collected using demographic information questionnaire as well as Ferrans and Powers' quality of life index in spinal cord injury. Four weeks after the intervention, the research questionnaires were completed once more by the adolescents of both groups. Data analysis was conducted by using T-square test, independent -test, Fisher's exact test, and analysis of variance.

Finding: According to results, quality of life mean score of adolescents with spinal cord injuries was 23.05 ± 122.65 before the intervention. It became 22.64 ± 148.15 after the intervention. With respect to importance, quality of life mean score of these adolescents changed from 20.83 ± 164.07 to 21.62 ± 174.99.

Conclusion: Given the effect of family-centered education on the quality of life in adolescents with spinal cord injuries, it seems essential to create necessary grounds for training families having adolescents with spinal cord injuries by nurses to improve their quality of life as well as conducting researches on their problems.
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http://dx.doi.org/10.4103/jfmpc.jfmpc_305_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436315PMC
February 2019

The comparison of the comodulation masking release (CMR) in individuals with and without chronic tinnitus.

Neurosci Lett 2019 06 9;704:195-200. Epub 2019 Apr 9.

Enphil of Iran University of Medical Sciences, Department of Audiology, School of Rehabilitation Sciences, Tehran, Iran. Electronic address:

In comodulation masking release (CMR), the auditory signal threshold improves when maskers far from the frequency of the target signal are coherently amplitude-modulated. Studies show that inhibitory function may play a role in CMR. In individuals who have tinnitus, decreasing inhibitory functioning in auditory central nervous system has been documented. Therefore, in this study, the purpose was to evaluate CMR in individuals suffering from tinnitus and compare CMR findings with those who do not have tinnitus. Seventeen normal-hearing individuals (without tinnitus) and 13 individuals having unilateral tonal tinnitus (4000 or 6000 Hz) with normal or near to normal hearing participated in this study. All participants were 20 to 50 years of age and underwent comodulated (CM), unmodulated (UM), and reference (RF) threshold measurements and then the CMRs (CMR and Across Frequency CMR; AF-CMR) were calculated. An ANOVA showed that the CM thresholds were statistically different between groups, while the RF and UM thresholds were not statistically different. CMR (CMR & AF-CMR) function was higher in those without tinnitus compared to unilateral tinnitus sufferers. Due to the inhibitory role of the auditory central nervous system in CMR, it appears that tinnitus and CMR both may be influenced by inhibitory function.
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http://dx.doi.org/10.1016/j.neulet.2019.04.018DOI Listing
June 2019

Comparison of Single and Combined Effects of Nature Sounds and Foot Sole Reflexology Massage on the Level of Consciousness in Traumatic Comatose Patients: A Randomized Controlled Clinical Trial.

Holist Nurs Pract 2019 May/Jun;33(3):177-186

Department of Critical Care Nursing (Ms Bahonar and Dr Najafi Ghezeljeh) and Statistic and Mathematics Department (Dr Haghani), Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran; and School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Dr Najafi Ghezeljeh).

Consciousness disturbances are the most common posttraumatic complications. The purpose of this study was to compare the single and combined effects of nature sounds and foot sole reflexology massage on level of consciousness in traumatic comatose patients. This randomized controlled clinical trial was conducted in 2 teaching hospitals in an urban area of Iran. Samples were 120 traumatic comatose patients who were randomly assigned into control, nature sounds, foot reflexology massage, and nature sounds plus foot sole reflexology massage groups. Patients in all groups received routine care. Interventions were performed twice a day for 2 weeks, each time for 30 minutes. The patients' level of consciousness was assessed using the Glasgow Coma Scale before, 1 week, and 2 weeks after the intervention. The groups had no significant differences in the mean scores of the consciousness level before, 1 week after, and the last day of the intervention. Also, there was a significant difference in the number of patients who regained full consciousness (P = .001) in the intervention groups compared with the control group. Significant differences in the number of days of consciousness were reported in at least one of the groups compared with other groups (P = .001). This difference was significant in the control group compared with the foot reflexology massage group (P = .032), as well as the nature sounds plus foot sole reflexology massage group (P = .001). Single or combined interventions can increase the level of consciousness in comatose patients and reduce the duration of coma.
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http://dx.doi.org/10.1097/HNP.0000000000000326DOI Listing
September 2019

Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: A randomized clinical trial.

Burns 2019 08 2;45(5):1205-1214. Epub 2019 Apr 2.

Statistic and Mathematics Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Burn injuries are often accompanied by painful and distressing consequences, which can lead to long-term psychological issues. The most common form of anxiety in burn patients is pain anxiety. It is described as the feeling of fear and pain prediction caused by painful procedures.

Aim: To compare the effects of inhalation aromatherapy using damask rose aroma and the Benson relaxation technique on pain anxiety in burn patients.

Methods: This randomized clinical trial was conducted on 132 patients hospitalized in Motahari Burn Hospital from October 2017 to March 2018. The subjects were selected using a sequential sampling method. Next, they were randomly allocated by the Permuted block randomization method into four groups of rose aroma (5 drops of 40% rose aroma), the Benson relaxation technique, combined rose aroma-Benson relaxation and control. The interventions were performed for three consecutive days and once a day for 20 min, and each session lasted from 45 to 30 min before the daily dressing change. Data was collected using the Persian version of burn specific pain anxiety scale (BSPAS). Data was analyzed using descriptive and inferential statistics via the SPSS software version 16.

Results: Immediately after the intervention, on the first, second and third days, significant differences in pain anxiety among four groups were reported. On the first day, the Scheffé ad hoc test indicated statistically significant differences in pain anxiety between all groups (p < 0.001), except rose aroma-plus-Benson relaxation and rose aroma groups (p = 0.15). On the second and third days, there were significant differences between the groups in pain anxiety (p < 0.001). Furthermore, after wound dressing, on the first, second and third days, statistically significant differences in pain anxiety among four groups were reported. On the first day, the Scheffé ad hoc test revealed statistically significant differences in pain anxiety between all groups (p < 0.001). On the second and third days, there were statistically significant differences in pain anxiety between the groups (p < 0.001), except the rose aroma and Benson relaxation groups. Immediately after the intervention, the maximum effect size was on the first day in the group of rose aroma-plus-Benson relaxation and the lowest effect size was on the first day in the Benson relaxation group. However, after wound dressing, the maximum effect size was on the third day in the rose aroma-pus-Benson relaxation group and the lowest effect size was on the first day in the Benson relaxation group.

Conclusion: The combination of the rose aroma and Benson relaxation has a synergistic effect and has more effects in the reduction of pain anxiety in burn patients than a single intervention. Health care providers can provide these interventions simultaneously and help reduce pain anxiety in burn patients before conducting painful interventions.
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http://dx.doi.org/10.1016/j.burns.2019.03.001DOI Listing
August 2019

The Relationship Between Job Stress, Personality Traits and the Emotional Intelligence of Midwives Working in Health Centers of Lorestan University of Medical Sciences in 2017.

J Med Life 2018 Oct-Dec;11(4):365-370

Department of Nursing Management, Nursing Care Research Center (NCRC), Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran.

Job stress is one of the major threats to health and it is associated with many diseases and family problems. Midwives experience high job stress due to the management of delivery emergencies. Personality traits and emotional intelligence can be helpful in confronting environmental pressures and selecting the strategy of coping with useful stress. Thus, the current research was conducted to evaluate the relationship between job stress, personality traits and emotional intelligence in midwives of Lorestan health care centers. This research was a cross-sectional and correlational study. Midwives working in all cities of the Lorestan province were randomly selected and they completed the job stress, emotional intelligence and personality traits questionnaires. Data were analyzed using SPSS 16 software and a significance level of p <0.05 was considered. The results of the research showed that mean and standard deviation of job stress, emotional intelligence and personality trait midwives were 94.36 ± 12.98, 11.87 ± 14.30, and 135.51 ± 15.73 respectively. The results showed a negative relationship between intelligence and job stress (r= -0/274, p=0.0001) and no significant relationship was found between personality traits and job stress (r = -0.288, p=0.079). A negative correlation was found between emotional intelligence and job stress, so emotional intelligence can reduce midwives' workplace stress.
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http://dx.doi.org/10.25122/jml-2018-0022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6418320PMC
May 2019

The effects of familiarization with loading, weight and size of loading on neuromuscular responses during sudden upper limb loading in chronic low back pain patients.

J Back Musculoskelet Rehabil 2019 ;32(6):847-855

Mahak Society to Support Children with Cancer, Tehran, Iran.

Background: Changes in the motor control of the spine were found in patients with chronic low back pain (CLBP). Sudden loading of the spine is supposed to be the cause of about 12% of lower back injuries. However, some aspects of this problem, such as alterations in the sensory-motor control of the spine, remain questionable.

Objective: To investigate the effects of familiarization with loading, weight and size of loading on neuromuscular responses during sudden upper limb loading in CLBP patients.

Methods: In this quasi-experimental study surface electromyography of the erector spinae (ES) and transverses abdominis/internal oblique (TrA/IO) and external oblique (EOA) muscles were recorded in 7 men and 13 women with CLBP and 20 asymptomatic subjects (10 men and 10 women) aged 18-45 years from the general community familiarization. Moreover, investigating control of the posture measurements of the center of pressure (COP) and vertical ground reaction force (GRF) or Fz were recorded using a force plate. Data were analyzed using paired t-test and independent t-test with the significance level of 0.05.

Results: Data analyses were performed using SPSS version 18. Some electromyography and force plate variables were significantly different for different conditions in each group and between the asymptomatic and low back pain groups (p⩽ 0.05).

Conclusion: Several motor control changes were observed in the CLBP patients. These patients showed decreased trunk muscle activity as well as too early and too delayed responses compared to asymptomatic subjects.
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http://dx.doi.org/10.3233/BMR-181236DOI Listing
March 2020

The Effect of Oral Intake of Honey Syrup on the Pain Intensity of Active Phase of Parturition of nulliparous women: A Randomized clinical trial.

Caspian J Intern Med 2019 ;10(1):98-101

Department of Biostatistics, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Background: Labor is a natural pain despite the fact that the severity of the pain and response to it differ in various people, but most women refer to labor as an unpleasant experience of their lives. The present study was carried out to determine the effect of honey on the severity of labor in primigravida women.

Methods: In this study, 80 healthy volunteer primigravida women were entered to the research as randomized clinical trial (40 subjects in each group) after studying and signing consent form and they were randomly divided into two intervention honey group and control group. The data gathering tool comprised four main parts of the personal profile questionnaire, controls performance in the labor, records fluid intake rate and pain intensity using a 0-10 cm ruler.

Results: The mean of pain intensity in the honey syrup intervention group was significant.

Conclusion: Honey syrup consumption without side effects significantly affected the severity of labor.
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http://dx.doi.org/10.22088/cjim.10.1.98DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386333PMC
January 2019

Health care-associated infection surveillance system in Iran: Reporting and accuracy.

Am J Infect Control 2019 08 7;47(8):951-955. Epub 2019 Feb 7.

Department of Health in Emergency and Disaster, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Background: Valid data are a crucial aspect of infection prevention and control programs. The aim of this study was to examine the accuracy of routine reporting in the Iranian Nosocomial Infection Surveillance System in intensive care units.

Methods: A blinded retrospective review of general intensive care unit medical records was performed with a standard case-finding form. Infection control nurses (ICNs) were also interviewed to explore possible reasons for differences.

Results: The results of 951 events in 856 medical records were assessed. Sensitivity, specificity, and positive and negative predictive values of routine surveillance were 27.5%, 97.2%, 69%, and 85.3%, respectively. The results indicate 82.2%, 68.4%, 62.7%, and 57.3% under-reporting of surgical site infections, urinary tract infections, bloodstream infections, and pneumonia, respectively. Over-reporting of approximately 8%-15% was detected in 4 types of health care-associated infections (HAIs). Misinterpretation of HAI definition, high ICN workload, and inactivity of infection control link nurses were the main causes of inaccurate reporting.

Conclusions: Under and over-reporting of HAIs are main challenges of HAIs reporting in Iran. Developing guidelines, empowering ICNs through specialized training and activating infection control link nurses are necessary to achieve more accurate data in the Iranian Nosocomial Infection Surveillance System.
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http://dx.doi.org/10.1016/j.ajic.2018.12.028DOI Listing
August 2019

Comparison of the effects of nature sounds and reflexology on hemodynamic indices among traumatic comatose patients: A randomized controlled clinical trial.

J Complement Integr Med 2019 Feb 6;16(3). Epub 2019 Feb 6.

Statistic and Mathematics Department, Iran University of Medical Sciences, Rashid Yasemi St., Valiasr St., 1996713883 Tehran, Iran.

Background Traumatic comatose patients may experience disturbances in hemodynamic indices due to the nature of their disorder. This study aimed to compare the effects of nature sounds and reflexology on hemodynamic indices in traumatic comatose patients. Methods This randomized clinical trial using a factorial design was conducted on 120 traumatic comatose patients in two teaching hospitals in two urban areas of Iran. The patients were selected using a sequential sampling method and assigned into randomized quadruple blocks as control, nature sounds, reflexology and nature sounds-reflexology (combined) groups. The interventions were performed twice daily in two consecutive days lasting 30 min each time. The hemodynamic indices were measured before, and immediately, 30 min, and 2 h after the intervention using calibrated monitors. Descriptive and inferential statistics, including one-way ANOVA, Scheffe ad hoc, repeated measure ANOVA, Bonferroni ad hoc Chi-square test and Fisher's exact tests were used for data analysis via the SPSS software V.16. Results Significant differences were reported in terms of the mean arterial pressure between the control and reflexology groups (p=0.002), and the combined group (p=0.008) immediately after the interventions. The combined group showed statistically differences in systolic blood pressure compared to the nature sounds (p=0.007) and control (p=0.015) groups 30 min after the interventions. The nature sounds group showed differences in the pulse rate from the reflexology (p=0.048) and control (p=0.015) groups 30 min after the interventions in the second day. Conclusions While the immediate effects of the interventions on induction of the feeling of relaxation and tranquility, and reduction of hemodynamic indices were reported, they diminished over time. Nature sounds and reflexology as low-cost and relaxing tranquilizing methods can be used for the reduction of tension and improvement of hemodynamic indices among traumatic comatose patients.
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http://dx.doi.org/10.1515/jcim-2018-0106DOI Listing
February 2019

The severity of hypogonadism symptoms and its risk factors among male employees of Tehran University of Medical Sciences.

Aging Male 2019 Jan 16:1-7. Epub 2019 Jan 16.

e Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences , Tehran , Iran.

Objectives: The current study was conducted to examine the severity of hypogonadism symptoms and their risk factors among the male employees of Tehran University of Medical Sciences (TUMS).

Methods: This cross-sectional study was conducted on 80 male employees aged 40-60 years, with hypogonadism, at TUMS. The participants were selected through census sampling. The data collection tools included the demographic questionnaire and the Aging Male Symptoms (AMS) questionnaire. The participants first completed the demographic questionnaire and then the AMS questionnaire. SPSS statistical software version 22 (Chicago, IL) was used to analyze the data, and one-way ANOVA tests, Pearson's correlation coefficient, and stepwise multivariate logistic regression were applied.

Results: Based on our findings, the mean overall score of hypogonadism symptoms was 41.71 ± 9.20. Based on Pearson's correlation coefficient results, there was a statistically significant association between the severity of hypogonadism symptoms and age (p < .001). Furthermore, there were significant associations between the economic status, cigarette consumption and hours of sleep and the severity of hypogonadism symptoms (p < .001).

Conclusions: The current study's results showed that certain factors can affect hypogonadism in males. Thus, it is important to reduce the severity of hypogonadism symptoms and to modify the factors related to this phenomenon.
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http://dx.doi.org/10.1080/13685538.2018.1534095DOI Listing
January 2019

The effect of blended training on the quality of life of children with nephrotic syndrome.

J Family Med Prim Care 2018 Sep-Oct;7(5):921-926

Department of Biostatistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Background: Nephrotic syndrome is a common nephrology disorder in children that can affect the quality of health of children and adolescents significantly. Training children with nephrotic syndrome with special emphasis on the use of blended training can provide new opportunities for improving the quality of life of these subjects. The present study was conducted in order to investigate the effect of blended training on quality of life in children with nephrotic syndrome.

Materials And Methods: The present non-randomized clinical trial was carried out, in a time period from January 2012 to June 2013, on 76 children aged 8-12 years with nephrotic syndrome; the subjects were through continuous sampling. The intervention group subjects were selected from the Ali Asghar and Pediatric Medical Centers and the control group subjects were selected from the Mofid Hospital of Tehran. The control group received only previous routine interventions, but the intervention group, in addition to previous routine interventions, received part of the training for nephrotic syndrome. The Pediatric Quality of Life Inventory™ 4.0 (generic core scales) questionnaire was implemented in the present study. Collected data were analyzed by the SPSS 21; -test and paired -test were used to compare the mean scores of the two groups.

Results: There was no significant difference between the two groups in terms of quality of life before intervention; but, the quality of life of the intervention group increased to the control group after intervention (-value < 0.001).

Conclusion: Blended training can improve the quality of life of children with chronic diseases. Therefore, it is recommended to carry out educational intervention for parents of these children in order to increase their coping skills.
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http://dx.doi.org/10.4103/jfmpc.jfmpc_176_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259550PMC
January 2019

The impact of calendula ointment on cesarean wound healing: A randomized controlled clinical trial.

J Family Med Prim Care 2018 Sep-Oct;7(5):893-897

Department of Statistics, Tehran University of Medical Sciences, Tehran, Iran.

Background: Cesarean is one of the most common surgical interventions. Wound complications are one of the most common morbidities following cesarean section. Calendula promotes wound healing and might be effective in shortening the duration of wound healing. Limited researches have been done regarding the healing of this plant as the effect of this ointment on cesarean wound healing has not been studied. Therefore, the purpose of this study was to examine the impact of calendula on cesarean wound healing in primiparous females.

Methods: This clinical trial involves 72 qualified primiparous females with surgical childbirth admitted in the Akbar-Abadi Educational Hospital. They were randomly categorized into two groups of experimental ( = 1) and control ( = 2) groups. The females in experimental group used calendula ointment every 12 h and the control group used hospital routine for 10 days. Wound healing was assessed on the 3, 6, 9 days postcesarean using the REEDA scale (REEDA stands for redness, edema, ecchymosis, discharge, and approximation), which had criteria including redness, edema, ecchymosis, discharge, and approximation. The data were collected by demographic questionnaire and redness, edema were used Chi-square test and independent T-test for data analysis.

Results: Seventy-two females were included in the study. Thirty-six cases in the drug group and 36 cases in control group were studied. The age of patients in the two groups did not differ significantly (27/17 ± 4/72, 28/97 ± 4/99 years, respectively; = 0/276). Moreover, there was no significant difference between studied groups regarding the education level of patients and their husbands, the mother's job and the economic situation.

Conclusion: According to the results, using calendula ointment considerably increases the speed of cesarean wound healing so it can be used for quickening the cesarean healing.
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http://dx.doi.org/10.4103/jfmpc.jfmpc_121_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259546PMC
January 2019