Mahsa Khodayarian, Tahmineh Farajkhoda, Azita Aryaeenezhad, Mozhgan Sharifi,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Breast cancer is the most common cancer among women in Iran. Early diagnosis of breast cancer by mammography could decrease the rate of mortality and improve the survival rate. This study aimed to determine the predicting factors of mammography adherence among Iranian women based on transtheoretical model.
Methods: This cross-sectional study was done on 300 married women in Yazd in 2018. Subjects was recruited using cluster sampling. Data were gathered through researcher-made questionnaire based on trans-theoretical model. The constructs of decisional balance, self-efficacy, stages and process of change were studied. Data were analyzed using chi-square test, one-way analysis of variance, Spearman correlation coefficient and regression analysis in SPSS-16 software.
Results: The mean age of women was 47.25±6.97 years old (ranged from 40 to 70). Most of the participants (86.4%) were in inactive stages of decision-making for performing mammography and only 5.3% were in active stages. The mean score of self-efficacy among the studied women was 24.54±6.5. According to linear regression test, the validity of the predicting trans-theoretical model by all of its constructs together was 47%.
Conclusions: Results of the present study showed that most of the women were at inactive stages of decision-making for mammography behavior and, based on the results, to improve the stages of the behavior, their self-efficacy should be improved.
Asieh.sadat Baniaghil, Shohreh Ghasemi, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Communication skills are of top priority for health care provider's professional traits and communication is an essential part of the midwifery care. Many studies of midwifery and midwifery students' communication skills are poor and average. This study aimed to evaluate the effects of communication skills training through the Calgary Cambridge model on communication skill among midwifery students.
Methods: This randomized controlled field trial was conducted in 2018. Thirty midwifery students were recruited using conventional sampling method from Golestan University of Medical Sciences, Gorgan, Iran. Then subjects was assigned into two experimental and control groups by stratified random allocation method. Initially, their communication skill was assessed using Queendom scale. Participants in the experimental group received communication skills training based on Calgary-Cambridge model in four four-hour sessions held twice weekly. The control group did not receive any intervention. Communication skill in both control and experimental groups was re-assessed respectively four weeks after pretest. Data were analyzed using the Mann-Whitney U test, the independent-sample t test and the paired-sample test in SPSS-16 software.
Results: The pretest mean scores of communication skill in the experimental and the control groups were respectively 122.43±9.40 and 122.29±7.81, with no significant between-group difference. At post-test, the mean score of communication skill in the experimental and the control groups was respectively 122±8.06 and 120±8.08 and the between-group difference was not significant (P=0.51).
Conclusion: Communication skills training through Calgary-Cambridge model is not effective in significantly improving midwifery students’ communication skill. Therefore, to improve communication skills, this model is insufficient and may need to be modified, or it is necessary to add more intervention to this model.
Behnaz Enjezab, Behnaz Rahbarnia, Mahshid Bookaie, Ali Dehghani,
Volume 18, Issue 1 (5-2021)
Abstract
Background: Lifestyle modification is an important factor in promoting the health of middle-aged women. Therefore, this study aimed to determine the effect of telephone counseling on the nutritional status and physical activity of middle-aged women in Yazd, Iran.
Methods: This randomized controlled clinical trial was done on 50 middle-aged women during September to February 2017. Eligible women was recruited from religious places and then were randomly assigned into two intervention and control groups. The participants in the intervention group received the counseling program in 8 calls for 20-30 minutes twice per week. The control group received no intervention. Data were gathered using a health promoting life-style questionnaire for middle-aged women in three time points; before intervention, immediately, and one month after the intervention. Data were analyzed in SPSS 16 software using Chi-square, repeated measures ANOVA and independent t-test. A significance level was considered P<0.05.
Results: There was no significant difference between the two groups in terms of nutritional status and physical activity (PA) before the intervention, but there was significant difference between them immediately and one month after the intervention. Also adjusting the baseline values, repeated measures ANOVA test showed a significantly premiere mean of nutritional status in telephone counseling compared to the control group (P<0.001).
Conclusion: The results of the study showed that telephone counseling significantly improved the lifestyle of the middle-aged women. Also, recommended that health care providers use of telephone counseling that effective and efficient tool for promoting women's health.
Tayebe Ziaei , Somayeh Gholipour, Ahmad Danesh,
Volume 18, Issue 1 (5-2021)
Abstract
Background: Women experience psychological problems during pregnancy affecting their quality of life. Since weakness in life skills, including communication skills (CS), is a factor of reducing the quality of life, we conducted a study to determine the effect of group counseling based on communication skills on the quality of life in pregnant women in Gorgan.
Methods: The parallel randomized field study trial carried out in 2016 on 72 pregnant women who referred to the health centers in Gorgan, Iran. The pregnant women at the gestational age of 14-18 weeks were recruited in convenience sampling method, and then randomly assigned in to the intervention and control groups using the block randomization method. The data collection tool included the quality of life questionnaire (SF-36) that was completed by both groups before the intervention. The samples of the intervention group received 6 sessions of group counseling based on communication skills for a one-hour session per week. A week after the sessions, the questionnaires were completed again by both groups. We analyzed the data in SPSS-16 using the independent t-test, Mann-Whitney test, Wilcoxon test, Paired t-test, and Chi-square test.
Results: The mean of women's age was 28.4±4.3 years in the intervention group, and was 26.8±4.5 years in the control group, and the mean age of their husbands were 33.14±5.3 and 31.22± 4.8 in the intervention and control groups, respectively. There was statistically significant difference between the intervention (60±15.2) and control (49±13.4) groups after the intervention in total quality of life (P=0.002). The results indicated that the mean scores of quality of life of women in the intervention group versus the control group after the intervention had statistically significant differences in all areas except for the "physical function" (65.3±17.4 vs. 61.5±20.1, P=0.4) and "role limitation due to physical problems" (50±36.8 vs. 45.1±27.3, P=0.56).
Conclusion: The health centers need to be taught about the communication skills in line with physical training during pregnancy by midwives and midwifery counselors.
Noushin Gordani , Tayebe Ziaei , Fatemeh Naghi Nasab Ardehaei, Naser Behnampour , Saeideh Gharahjeh ,
Volume 18, Issue 1 (5-2021)
Abstract
Background: General and sexual self-concept are affected by various life problems, including infertility. Mood regulation skill also promotes physical and psychological health by affecting people's knowledge, values and attitudes.
The aim of present study was to determine the effect of mood regulation skill training on general and sexual self-concept of infertile women.
Methods: This clinical trial was performed on 34 infertile women referred to Gorgan Infertility Center in 2018 that were selected using convenience sampling method and randomly assigned to intervention and control groups through block allocation. The mood regulation training program was administered to the intervention group during four 90-minute sessions once a week. Both intervention and control groups completed Rogers Self-Concept and Snell Sexual Self-Concept Questionnaires before and immediately and one month after the intervention. The data were analyzed in SPSS version 16, using repeated variance analysis and Bonferroni adjusted test.
Results: The results showed that before the intervention, the mean score of general self-concept in the intervention group was 9.41, and the positive, negative and situational sexual self-concept were 123.76, 12.18 and 43.18, respectively, and one month after the intervention, general self-concept was 6.21, positive sexual self-concept was 139.29, negative was 5.71 and situational was 54.24. Repeated analysis of variance showed that the intervention had a positive effect on the general and sexual self-concept of infertile women one month after the intervention and this effect was statistically significant (P<0.05).
Conclusion: Mood regulation training has a positive effect on general and sexual self-concept of infertile women and can be used in service centers.
Mahshid Seyed Hoshiyar, Tayebe Ziaei, Mahin Tatari, Elham Khoori ,
Volume 18, Issue 2 (7-2021)
Abstract
Background: Counseling interventions are among the available strategies to improve the menopausal quality of life and self-awareness counseling is effective in improving adaptation, self-confidence and quality of life. Therefore, the present study aimed to examine effects of self-awareness counseling on quality of life of menopausal women in Gorgan, Iran.
Methods: In this clinical trial, we examined 52 menopause women referred to health centers of Gorgan, Iran in 2018. Data collection tools included a demographic characteristics form and the menopause-specific quality of life questionnaire. First, the control group completed the data collection tools at the beginning of the study and 6 and 10 weeks after the first session. Then the intervention group completed the tools at base line and participated in six 45-60-minute self-awareness-based group counseling sessions, once a week. After that, they were completed questionnaire, immediately and a month after the end of the intervention. Data were expressed as mean ± standard deviation.
Results: In the intervention group, the baseline mean scores of menopausal quality of life and its vasomotor, physical, psychosocial and sexual domains were 55.69±19.47, 5.30±4.57, 30.26±12.24, 12.15±6.64 and 7.96±5.34, respectively. A month after the intervention, the mean scores of menopausal quality of life (30.42±19.64) and its vasomotor (2.65±2.33), physical (16.38±8.64), psychosocial (7.19±4.63) and sexual (4.19±3.42) domains increased significantly in the intervention group (p=0.001). In between group comparison, except for the psychosocial domain, the mean scores of quality of life and its various domains showed a statistically significant difference in one month after the intervention (P=0.001).
Conclusion: The menopausal quality of life and its various domains improved one month after the end of self-awareness counseling. Therefore, we recommend offering self-awareness counseling in health centers for improving the quality of life of menopausal women.
Tayebe Ziaei , Noushin Gordani , Elham Khoori , Mahin Tatari , Saeideh Gharahjeh ,
Volume 18, Issue 2 (7-2021)
Abstract
Background: General self-concept refers to a set of feelings and perceptions toward oneself, and sexual self-concept is defined as individual's perception of his/her sexual feelings and actions. These two concepts are affected by various life problems, including infertility. The present study aimed to determine correlation of general self-concept and sexual self-concept in infertile women.
Methods: The descriptive correlational study was carried out on all infertile women who visited the Gorgan Infertility Center in 2018. Overall, 105 eligible infertile women were included in the study via convenience sampling. Data were collected using Persian versions of the Rogers self-concept questionnaire and the Snell sexual self-concept questionnaire. Data were analyzed using the Pearson and Spearman's correlation tests in SPSS 16 and at significance of 0.05.
Results: Mean age of subjects was 28.88±5.14 years (range: 17 and 40 years). Based on the findings, 19% of the participants had normal general self-concept, 31.4% had moderate self-concept, and 49.5% had weak self-concept. Mean scores of positive sexual self-concept, negative self-concept and situational sexual self-concept were 118.9±24.85, 13.33±8.94 and 41.98±10.53, respectively. There was no correlation between general self-concept and different dimensions of sexual self-concept of the infertile women.
Conclusion: Due to the lack of correlation between general self-concept and sexual self-concept in infertile women, it is suggested to conduct evaluations and interventions on the general and sexual self-concepts of the participants separately.
Ika Murtiyarini, Ajeng Galuh Wuryandari, Yuli Suryanti,
Volume 18, Issue 2 (7-2021)
Abstract
Background: Anemia during pregnancy may lead to serious maternal and fetal complications such as miscarriage, preterm birth and post-partum hemorrhage. This study aimed to determine effects of ferrous fumarate supplementation alone and combined with date consumption on hemoglobin levels in women in the third trimester of pregnancy.
Methods: This quasi-experimental study was done on all pregnant women in third-trimester of pregnancy who were referred to the Puteri Ayu Public Health Center in Jambi, Indonesia in 2019. Overall, 60 participants were enrolled via convenience sampling. The subjects were divided into two groups of ferrous fumarate supplementation alone (n=30) and ferrous fumarate supplementation combined with date consumption (n=30). Data were analyzed using the paired t-test and independent t-test at 95% confidence interval.
Results: Ferrous fumarate supplementation significantly increased hemoglobin levels in the subjects (P=0.000). However, the combined use of ferrous fumarate and dates was more effective in increasing hemoglobin levels in the subjects (P=0.000).
Conclusion: Our results suggest that consumption of dates alone or combined with ferrous fumarate supplementation could be recommended to pregnant women in order to prevent or control anemia during pregnancy.
Abdolhussein Shakurnia, Ata Ghadiri, Maedeh Hamidi, Niloofar Jelodar,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Human papillomavirus (HPV) is one of the most important causes of cervical cancer. It is essential to evaluate the knowledge and attitude of people about HPV infection in the community, especially among midwifery students who will act as health professionals in the society. This study aimed to determine the knowledge and attitude of midwifery students toward HPV infection and cervical cancer.
Methods: This cross-sectional study was done on midwifery students at Jundishapur University of Medical Sciences in Ahvaz (Iran) in 2019. 141 midwifery students were recruited through census. The knowledge and attitude of 112 eligible midwifery students toward HPV infection were assessed using a self-administered questionnaire. The validity and reliability of the questionnaire were confirmed. Data were analyzed in SPSS16 using the chi-square test and the Pearson’s correlation coefficient at statistical significance of 0.05.
Results: Mean age of midwifery students was 21.6±2.4 years. Of 112 students, only 38 (33%) had desirable knowledge about HPV infection. The majority of students (77.7%) had a positive attitude towards HPV infection. The knowledge and attitude of midwifery students in different academic years did not differ significantly (P>0.05).
Conclusion: There is insufficient knowledge about HPV infection and cervical cancer prevention among midwifery students at the Jundishapur University of Medical Sciences in Ahvaz. Therefore, it is recommended to incorporate HPV-related educational programs in order to increase students' awareness.
Abbasiah Abbasiah, Asrial Asrial, Damris Muhammad, Ummi Kalsum,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Public awareness and knowledge about tuberculosis (TB) are still limited, which increases the risk of TB spread among vulnerable individuals. This systematic review aimed to identify effectiveness of self-screening in reducing TB transmission among family members of TB patients.
Methods: This systematic review was carried out on articles published between 2008 and 2021. The articles were retrieved from various databases including Scopus, Wiley Online Library, Cochrane Library, PubMed, and Google Scholar using the following keywords: Self-screening OR screening OR early detection AND TB OR pulmonary TB AND vulnerable OR susceptible AND group OR people OR high-risk Group. All quantitative studies on household or community based self-screening for TB were included in the study.
Results: Nine eligible articles were subjected to qualitative analysis. Early detection of TB transmission could be done through tuberculosis counselling and household screening, including self-screening for TB household contacts.
Conclusion: The management of self-screening of household contacts of TB patients is very important for reducing TB spread.
Nurmisih Nurmisih, Titik Hindriati, Imelda Imelda, Rosmaria Rosmaria, Ristina Harianja,
Volume 19, Issue 1 (1-2022)
Abstract
Background: The number of human immunodeficiency virus (HIV)-positive cases is increasing every year. This will in turn increase the risk of mother-to-child transmission of HIV. Despite the efforts made and counseling from health workers, only a small proportion of pregnant women adhere to HIV screening and retests in the city of Jambi, Indonesia. This study aimed to determine factors associated with adherence of pregnant women to HIV screening at the Putri Ayu public health center, Jambi City, Indonesia.
Methods: This cross-sectional study was done on 93 pregnant women who received antenatal care services at the Putri Ayu health center in Jambi City, Indonesia, from February to August 2020. The subjects were selected via a proportional quota sampling method. Data were collected using a 4-part questionnaire on demographic characteristics, vulnerability perception, knowledge of HIV, and adherence to HIV screening. The collected data were analyzed using the chi-square test and logistic regression analysis. A P-value of less than 0.05 was considered statistically significant.
Results: The majority of subjects were young (66.3%), unemployed (59.8%) and with low education level (71.7%). Only 33.7% of the respondents had good adherence to HIV screening. Of these individuals, 22.8% had good knowledge of HIV, 28.3% were adults, 40.2% were employed, and 28.3% had high education level. Adherence to HIV screening had significant association with knowledge (P=0.0001), age (P=0.0001), perceptions of vulnerability (P=0.017), occupation status (P=0.017), and education level (P=0.020).
Conclusion: Based on the results, knowledge, perception, age, education level, and occupation of pregnant women significantly affect their adherence to HIV screening at the Putri Ayu Health Center, Jambi City.
Dewi Nopiska, Ruwayda Ruwayda, M.dody Izhar,
Volume 19, Issue 1 (1-2022)
Abstract
Background: Early marriage affects both the children who are married and their future offspring, and might lead to intergenerational poverty. This study aimed to determine effects of using the Youth Health application and flipcharts on adolescents’ knowledge about early marriage.
Methods: This quasi-experiment study with a pretest-posttest design was done on 60 adolescents from the Penyengat Olak Health Center, Muaro Jambi Regency (Indonesia) from March to May 2021. The subjects were recruited through convenience sampling method and then allocated into intervention (n=30) and control (n=30) groups. The subjects in the intervention group received an educational program about early marriage using the Youth Health application, while the control group received flipcharts developed by the Ministry of Health with the same educational content. Knowledge of adolescents was assessed using a 20-item questionnaire before and three days after the intervention. A total score of less than 10 and more than 10 indicated poor and good knowledge, respectively. Data were analyzed with SPSS (version 16) using the Wilcoxon test and Mann-Whitney t-test. P-values less than 0.05 were considered statistically significant.
Results: At baseline, 18 subjects (60%) in the intervention group and 17 subjects (56%) in the control group had good knowledge of early marriage. After the intervention, 24 subjects (80%) in the intervention group and 20 subjects (66%) in the control group had good knowledge of early marriage. The mean score of adolescents’ knowledge about early marriage increased from 15.7±2.5 to 17.3±2.1 in the intervention group (P=0.001). The mean score of adolescents’ knowledge about early marriage also increased from 15.7±2.4 to 16.7±2.4 in the control group (P=0.001). Moreover, there was no significant difference in the adolescents’ knowledge about early marriage between the two groups (P=0.78).
Conclusion: Providing education in from of Youth Health application and flipcharts can equally increase adolescents’ knowledge about early marriage.
Dr Bhartendra Sharma, Dr Ramkumar Garg,
Volume 19, Issue 2 (9-2022)
Abstract
No Abstract
Asieh.sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Fear of childbirth can affect the health of the mother and the baby, which can be associated with unfavorable consequences. This study was conducted to determine effects of an emotion regulation training based on the Gross model on the fear of childbirth in primigravida women.
Methods: This randomized field trial was conducted on 62 primigravida women with a gestational age of 28-32 weeks, who were referred to comprehensive healthcare centers in Gorgan (Iran) from April to November 2019. Subjects were selected using simple random sampling. The subjects were randomly divided into a control group (n=31) and an intervention group (n=29) based on their mean score of fear of childbirth at pretest. The Gross model-based emotion regulation training was held in 8 sessions of 120 minutes, twice a week, for women in the intervention group in three groups. The control group received routine training programs. Data were collected using the Persian version of the 14-item fear of childbirth questionnaire, at baseline and one month after the intervention. Statistical analysis of data was carried out in SPSS software (version 16) and at significance level of 0.05.
Results: The demographic characteristics of the subjects did not differ significantly between the two groups. After the training intervention, the mean score of fear of childbirth in the intervention group (26.55±5.44) was significantly lower than that in the control group (34.48±7.32) (P=0.0001).
Conclusion: Based on the results, we suggest providing the Gross model-based emotion regulation training in health care centers in order to reduce the fear of childbirth in primigravida women.
Ezgi Şahi̇n, Saadet Yazici,
Volume 19, Issue 2 (9-2022)
Abstract
Background: The research was carried out to examine the effect of a parenting preparation course given to midwifery students during an academic semester on the preferred mode of delivery, fear of childbirth, and traumatic birth perception.
Methods: This was a quasi-experimental study with a pretest-posttest design that included 47 second-year students enrolled in the parenting preparation course. Students took the parenthood preparation course, 2 hours a week, for 14 weeks. Data were collected using a descriptive information form, the pre-pregnancy fear of birth scale, and the perception of traumatic birth scale. Paired t-test and chi-square test were used to evaluate intragroup and intergroup differences. The data were analyzed using SPSS 22.0 software at a statistical significance of 0.05.
Results: The mean age of the students was 20.13±0.67 years. The mean score of pre-pregnancy fear of childbirth was 40.46±9.37 in the pretest and 23.61±6.79 in the posttest. In addition, the mean score of traumatic childbirth perception decreased from 77.34±25.15 in the pretest to 39.44±13.78 in the posttest. The number of students who preferred cesarean section decreased significantly, while the number of students who preferred vaginal delivery increased after the preparation course.
Conclusion: Parenting preparation classes can contribute to the reduction of fear of childbirth and the perception of traumatic childbirth in women.
Narjes Sadat Borghei, Fatemeh Seifi, Naser Behnampour, Fatemeh Raeesian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Sexual function is particularly important aspect of pregnant women’s lives that can affect mental health and family cohesion. The present study aimed to determine the effect of sex education on sexual function of primigravid pregnant women.
Methods: This randomized clinical trial study with four parallel groups (two intervention and two control groups) was conducted on 100 primigravid women in 2019. The Two intervention groups (n=50) received three sessions of sex education, once a week and two control groups (n=50) didn't received sex education. The Female Sexual Function Index was completed at the beginning of the study and after eight weeks. Data were analyzed with SPSS (version 18) and One-way analysis of variance (ANOVA), paired t-test, Fisher's exact test were used for analysis and significance was set at 0.05.
Results: The Given that the mean sexual function in the groups before the intervention was significantly different (P=0.0004), the Mean difference rate of change (Mean DRC) was used for inter-group comparisons. Mean DRC of sexual function in the first intervention group (sex education and prenatal education) was 0.173±0.563 (17% increase) and the second intervention group (only sex education), was 0.106±0.209 (10% increase). However, Mean DRC of sexual function decreased significantly in the two control groups (-0.0364±0.205) (-0.009±0.132) (P<0.05).
Conclusion: The results confirm the positive effects of sex education on sexual function during pregnancy. In addition, combination of sex education with conventional prenatal education can have a greater impact on the overall sexual function than each intervention separately.
Soheila Nooriani, Sonia Oveisi, Ahad Alizadeh, Forouzan Olfati,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Improving patient safety is a common international priority because errors and other forms of unnecessary damage to the process of patient care and treatment are global problems. Training programs such as web-based programs enhance the patient safety culture in staff. This study was carried out to evaluate the impact of virtual collaborative learning with mobile devices on patient safety culture among the staff of a maternity center.
Methods: This study was conducted on staff working in Kowsar Hospital of Qazvin in 2019 with a pretest-posttest design. Sixty-three eligible participants were recruited using convenience sampling. The educational contents were shared on a website. Data were collected online using the hospital Survey on Patient Safety Culture questionnaire. Educational intervention sessions were held once a week, for 8 weeks. The paired t-test and chi-square test were used for statistical analysis. The significance level was set at 0.05.
Results: The mean score of safety culture increased significantly from 141.19±16 to 147.93±14.05 after the intervention (P<0.001). Error reporting at the center also increased significantly after the intervention (P<0.001).
Conclusion: This research showed that the collaborative method using mobile learning can be effective for the promotion of patient safety culture among the maternity center staff.
Tayebe Ziaei, Shiva Karimi, Mahin Tatari,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Sexual self-concept is an individual's perception of his/her sexual feelings and actions, which can be affected by chronic diseases, including diabetes. As a biological and psychological crisis, diabetes can cause mood changes. The present study was conducted to determine the effects of virtual emotion regulation training on the positive and negative sexual self-concept of diabetic married women.
Methods: An interventional study was conducted on women with type 2 diabetes covered by the comprehensive health service centers of Gorgan (Iran) in 2019. Overall, 36 eligible diabetic women were enrolled via available sampling. The subjects were assigned to an intervention group (n=19) and a control group (n=17) through four-block allocation and random selection without placement. Virtual emotion regulation training was held during 4 sessions, once a week, for the intervention group. Both groups completed the Persian version of Beck’s Depression Inventory and Snell’s Multidimensional Sexual Self-Concept Questionnaire at baseline, immediately after the last virtual training session, and one month after the last training session. Data were analyzed using ANOVA and Bonferroni's post hoc test at a significance level of 0.05.
Results: The mean score of positive sexual self-concept of patients after the last training session was 133.68 ± 18.91in the intervention and 131.17 ± 18.86 in the control group. The mean score of positive sexual self-concept of patients one month after the training was 10± 9.51in the intervention group and 15.17 ± 11.92in the control group. The mean score of negative sexual self-concept of patients after the last training session was 10.42± 10.04 in the intervention and 14.52± 14.39 in the control group. The interaction effects of time and group on the positive sexual self-concept did not differ significantly (P=0.316). The group effect was also not statistically significant (P=0.58). The interaction effects of time and group on the negative sexual self-concept were significant (P=0.023), and the group effect was not statistically significant (P₌0.47).
Conclusion: The significant interaction of time and group on negative sexual self-concept indicates that the negative sexual self-concept in diabetic women has been affected by the intervention. Given the significant effects of virtual emotion regulation training on the management of negative emotions, this type of intervention can be beneficial for improving the health of diabetic women.
Mahdis Chegini, Khadije Hajizade, Azize Farshbaf, Fateme Lalooha, Mahnaz Shahnazi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Food intake and metabolism might play central roles in causing and treating menstrual disorders. Vitamin D may lead to the improvement of folliculogenesis through anti-Mullerian hormone (AMH). This study aimed to compare the effect of vitamin D intake with that of the combined oral contraceptive (COC) capsules on ovulatory dysfunction.
Methods: This study was conducted on 60 eligible women referred to Kowsar Qazvin Hospital with a complaint of abnormal uterine bleeding (AUB). They had a history of excessive, long, and irregular bleeding. The participants in the control and intervention groups received 1 oral LD capsule and a combination of vitamin D and LD capsules on a daily basis for 3 months, respectively. The menstrual bleeding volume, the number of menstrual days, and the menstrual cycle length were evaluated before, during, and after the intervention. The Mann-Whitney U test, Friedman test, independent t test, and Cochran Q test were used in SPSS version 24 for data analysis. P values less than 0.05 were considered statistically significant.
Results: The menstrual bleeding intensity decreased significantly in the intervention group (vitamin D–LD capsule; P = 0.001). Over time, both intervention and control groups showed a significant improvement in the number of menstrual days and menstrual cycle length, resulting in a more normal menstrual cycle. However, these 2 parameters remained more natural in the intervention group, a finding which did not indicate any significant differences.
Conclusion: Vitamin D can be used along with LD capsules as a supplementary treatment to lessen menstrual bleeding intensity.
Mryam Yaseen Yaseen , Fatema Mohammed Azo , Magroom Esmail Seniar , Hamdia Mirkhan Ahmed, Mahabat Hassan Saeed, Wahida Abdullah Ibraheem , Pshtiwan Dhahir Majeed ,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Satisfactory knowledge about menopause is important for women to overcome related challenges. Women with greater knowledge about menopause are more likely to effectively manage its symptoms and navigate this life stage more successfully. This study aimed to determine the level of knowledge of Kurdish women about menopause, as well as to find its association with menopausal status and sociodemographic and obstetrical characteristics.
Methods: This cross-sectional study was conducted on perimenopausal (161) and menopausal women (751) who were recruited through non-probability convenient sampling in Kurdistan Region, Iraq, from April to June 2022. For the purpose of the study, a questionnaire was developed that included questions on demographic characteristics, obstetric and menstrual history, and knowledge about menopause. The data were analyzed by frequency, percentage, and chi-square test using SPSS version 25. Ordered logistic regression analysis was performed to determine the effect of demographic and obstetrical factors on some dependent’s variables of knowledge.
Results: The mean age of menopausal and perimenopausal women was 54.81 ± 5.590 and 46.99±5.688 years, respectively. The participants had more knowledge about the concept and less about the health risks of menopause. On average, menopausal women were more knowledgeable about the definition of menopause compared with perimenopausal women; the difference was highly significant. Overall, the knowledge score indicated that 44% had fair knowledge, 37.6% had poor knowledge, and 18.4% had good knowledge about menopause.
Conclusion: Although many women view menopause as a positive life event, it is important to provide them with adequate education, so they can better understand the natural process of menopause to lead a healthy life.
