فهرست مطالب

Modern Care Journal - Volume:16 Issue: 1, Jan 2019

Modern Care Journal
Volume:16 Issue: 1, Jan 2019

  • تاریخ انتشار: 1397/11/12
  • تعداد عناوین: 6
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  • Fatemeh Taheri , Ahmad Nasiri *, Saber Mohammadzade Rezaii Page 1
    Background
    Asthma is one of the most common chronic conditions of the respiratory system. Besides its physical health problems, asthma negatively affects quality of life. Psychological interventions, such as motivational interviewing, have significant roles in improving patient outcomes. As a client-centered psychological intervention, motivational interviewing may enhance motivation for behavior modification. The present study aimed to evaluate the effects of motivational interviewing on asthma control among adolescents with asthma.
    Methods
    This randomized controlled clinical trial was conducted in 2017 on 64 adolescents with asthma who referred to the clinic and the pediatric ward of Valiasr (PBUH) hospital in Birjand. They were conveniently selected and randomly allocated to either a control or an intervention group. Participants in the intervention group were provided with motivational interviewing in five 60–80-minute sessions. All participants filled out the Asthma Control Questionnaire before, one week, and three months after the intervention. Repeated Measures ANOVA test as well as independent-sample t-test and Chi-square test were used to analyze the data at a significance level of 0.05.
    Results
    Before the intervention, there was no significant difference between the groups’ demographic characteristics and mean score of asthma control (P > 0.05).However, one week and three months after the intervention, the mean score of asthma control in the intervention group were significantly less than the control group (P < 0.001), indicating better asthma control in the intervention group.
    Conclusions
    Motivational interviewing significantly improves asthma control among adolescents with asthma. Thus, it can be used to improve asthma control and patient outcomes among these adolescents.
    Keywords: Asthma, Adolescents, Motivational Interviewing
  • Zohreh Azarkar *, Gholam Reza Sharifzadeh , Mojtaba Sharifi Esfahani , Nahid Ghanbarzadeh Page 2
    Background
    Hepatitis E is one of the major health concerns in most developing countries. Hepatitis E is associated with high mortality rate among pregnant women. Yet, there is limited information about its prevalence among the women of reproductive age in Birjand, Iran.
    Objectives
    The aim of this study is sought to assess the seroprevalence and the risk factors of hepatitis E among the women of reproductive age in Birjand.
    Methods
    This descriptive-analytical study was conducted on 360 women aged 17 - 45 years who were conveniently recruited from the Women’s Clinic of ValiasrHospital, Birjand, Iran. Data collection tool was a researcher-made questionnaire with items on participants’ demographic characteristics, medical history, pregnancy profile, and source of drinking water. A five-milliliter blood sample was obtained from each participant and the titer of anti-HEV IgG was measured through the enzyme-linked immunosorbent assay (ELISA). Data were analyzed using the SPSS software (v. 16.0) through conducting the independent-sample t test at a significance level of less than 0.05.
    Results
    This study was conducted on 360 women with an age mean of 31.1 ± 7.0. Most participants were non-pregnant (70.8%). The titer of anti-hepatitis E immunoglobulin G was positive in 42 cases (11.7%). The prevalence of anti-HEV IgG seropositivity had no significant relationships with pregnancy and marital status, while it had significant relationships with the place of residence (OR= 4.73)and the source of drinking water(P < 0.001). Moreover, anti-hepatitis E immunoglobulin G seropositivity was significantly lower among participants with university degree (P = 0.004) and significantly higher among older participants (P = 0.018).
    Conclusions
    By the research finding the seroprevalence of hepatitis E is higher among women with lower educational level, women who drink untreated water, and women who live in rural areas. Health education and promotion may help reduce the prevalence of hepatitis E, particularly in rural areas.
    Keywords: Hepatitis E, Seroepidemiology, Women, Reproduction
  • Esmat Jafarbegloo , Somayeh Momenyan , Imaneh Khaki * Page 3
    Background
    The prevalence of sexual dysfunction among women increases with menopause. Thus, menopausal women may get worried about marital dissatisfaction due to sexual dysfunction.
    Objectives
    The purpose of this study was to investigate the relationship between sexual function and marital satisfaction among postmenopausal women.
    Methods
    This correlational study was carried out on 119 postmenopausal women conveniently recruited from two healthcare centers in Qom, Iran. Data were collected using a demographic questionnaire, the Female Sexual Function Index, and ENRICH Marital Satisfaction Questionnaire. The SPSS software (v. 18.0) was used to test the correlations among study variables through Pearson’s correlation analysis at a significance level of less than 0.05.
    Results
    The total score of marital satisfaction had no significant correlations with the scores of sexual function and its different dimensions (P > 0.05).
    Conclusions
    This study suggests that sexual dysfunction does no significantly affect marital satisfaction among postmenopausal women. Thus, it seems that postmenopausal women need not to be worried about marital conflicts due to sexual dysfunction. Yet, they need counseling services in order to understand the effects of sexual dysfunction on different aspects of life. Further studies are needed to determine factors contributing to marital satisfaction among postmenopausal women.
    Keywords: Physiological Sexual Dysfunction, Sexual Behavior, Marital Status, Marriage, Personal Satisfaction
  • Arash Ghorbani Abdi Saedabad , Reyhane Rezaie , Seyed Yoosef Javad Moosavi , Gholamraza Anani Sarab , Mohammad Malekaneh , Reyhaneh Houshyar * Page 4
    Background
    Inflammatory biomarkers such as insulin-like growth factor 1 (IGF-1), interleukin 6 (IL-6), and heat-shock proteins 27 (HSP-27) and 60 (HSP-60) may contribute to the development of type II diabetes mellitus. This study aimed to compare these inflammatory biomarkers among individuals with and without type II diabetes mellitus.
    Methods
    This case-control study was conducted on fifty patients with type II diabetes mellitus and fifty individuals without it. None of the participants suffered from inflammatory diseases like rheumatoid arthritis and systemic lupus erythematosus. Patients in the diabetic group were matched with individuals in the non-diabetic group respecting their age and gender. Serum levels of IGF-1, IL-6, HSP-27, and HSP-60 were measured through enzyme-linked immunosorbent assay kits. Data were analyzed using the SPSS software (v. 15.0).
    Results
    The mean serum levels of IGF-1, IL-6, HSP-27, and HSP-60 in the diabetic group were significantly greater than the non-diabetic group (P < 0.05).
    Conclusions
    This study shows that IGF-1, IL-6, HSP-27, and HSP-60 inflammatory markers play roles in the development of type II diabetes mellitus.
    Keywords: Diabetes Mellitus Type 2, Insulin-Like Growth Factor 1, Interleukin-6, Heat-Shock Proteins, Inflammation
  • Sommaye Namdari , Ahmad Nasiri *, Samaneh Nakhaee , Fatemeh Taheri Page 5
    Background
    Nurses need to perform different roles and fulfill different responsibilities. Thus, they experience great levels of strain, which result in conflicts between their family and work. Such conflicts may negatively affect their professional performance.
    Objectives
    The aim of this study was to explore the effects of nurses’ family-work conflict on patient care quality.
    Methods
    This qualitative study was conducted using the content analysis approach. Fifteen nurses (ten females and five males) were purposively selected. In-depth unstructured interviews were held for data collection. The data were analyzed through Graneheim and Lundman’s content analysis approach.
    Results
    The effects of nurses’ work-family conflict on patient care quality fell in three main themes, namely reduced mental ability for care provision, low care-providing morale, and damages to professional communications. Each of these themes had two subthemes, which were respectively poor concentration on care provision, impreciseness in care provision, poor job motivation, job dissatisfaction, challenges in establishing relationships with patients, and problems in establishing relationships with other hospital staff.
    Conclusions
    Family-work conflict negatively affects patient care quality. Thus, appropriate strategies were needed for its prevention and management. These strategies may include job enrichment, job rotation, and in-service continuing education about stress management, time management, and conflict management.
    Keywords: Family-Work Conflict, Nursing, Healthcare Quality, Patient Care, Qualitative Research
  • Sayed Mohammad Musavi Mirzaee , Ayob Akbari * Page 6
    Introduction
    As a rare cause of abdominal pain, abdominal epilepsy is relatively common among children and very rare among adults. Its manifestations are mainly gastrointestinal. This report aimed to introduce a young girl with flank pain, nausea, and fever who was diagnosed with abdominal epilepsy.
    Case Presentation
    The case was a nineteen-year-old girl who referred to hospital with flank pain, nausea, and fever. She was initially admitted to the infection disease service, diagnosed with pyelonephritis, and received antibiotics. Gastroenterology and neurology consultations were also requested due to respectively abdominal pain and long-term use of neuroleptics. Because of short-term abdominal pains which recurred every few days since twelve years ago and were occasionally associated with confusion, the diagnosis of abdominal epilepsy was considered in neurologic assessments. Further assessment through electroencephalography confirmed the diagnosis of abdominal epilepsy. Finally, treatment with anticonvulsants relieved abdominal pain and the patient was discharged.
    Conclusions
    Local convulsion may occasionally be manifested by periodical recurrent abdominal pain. Thus, patients with vague recurrent abdominal pain should be assessed for abdominal epilepsy.
    Keywords: Abdominal Pain, Temporal Lobe Epilepsy, Electroencephalography