mahsa sadat mousavi

Patients with chronic obstructive pulmonary disease are more at risk of facing problems related to sexual dysfunction than their peers. This study was conducted with the aim of the effectiveness of the pulmonary rehabilitation program on the sexual satisfaction and self-efficacy of men with this disease.

The present study was a randomized clinical trial. There were 40 patients with chronic obstructive pulmonary disease who met the conditions for entering the study and were divided into two intervention and control groups using a table of random numbers. Both groups completed Hudson's sexual satisfaction (1981) and vaziri's sexual self-efficacy (2017) questionnaires. For the people in the intervention group, the pulmonary rehabilitation program of Scheermesser et al. (2021) was implemented. Both questionnaires were completed immediately and one month after the end of the intervention by the participants in both groups. Data were analyzed using ANOVA and Bonferroni's post hoc test.

All samples were male and most of them were 45-50 years old. The average score of sexual satisfaction and sexual self-efficacy before the intervention was not significantly different in the two groups. In the intervention group, the sexual satisfaction and sexual self-efficacy scores immediately and one month after the intervention (p<0.001) were significantly higher than before the intervention.

In this study, pulmonary rehabilitation program improved the self-efficacy and sexual satisfaction of patients with chronic obstructive pulmonary disease. Therefore, the implementation of these programs is suggested to improve sexual activity in these patients

Marital satisfaction is one of the factors related to the mental health and occupational stress of nurses. Therefore, the present study w was conducted to examine the impact of PERSEDE model-based intervention on the marital satisfaction of female nurses working in Kashani Shahrekord Hospital.

In this semi-experimental study, two groups before and after, 50 people were selected from the female nursing staff working in Kashani Shahrekord Hospital and were divided into two groups based on the criteria for entering the intervention by accessible and simple random sampling method. The instrument used was the short form of the Enrich Marital Satisfaction Questionnaire and the personal profile questionnaire. For the intervention group, 8 weekly 2-hour sessions were held, and before, immediately and,  4 weeks after the end of the intervention, the Enrich Marital Satisfaction Questionnaire was completed by both groups. Data analysis using mean, standard deviation, variance analysis with repeated measurements, Fisher precision test, Bonferroni stalking and, Wilcoxon Test, man Whitney nonparametric tests were performed at the five percent error level using version 26 of the SPSS software.

The average score of marital satisfaction in the nurses of the intervention group before the training was 163.00±23.90, immediately after the training was 179.96±17.89 and 4 weeks after the training was equal to 179.60±18.75 and in the control group before training from 165.56±13.01, immediately after training 163.24±13.85 and 4 weeks after training was 162.32±13.12; Based on the results of the Wilcoxon test, the marital satisfaction score in the intervention group in the areas of personality, marital relationship, conflict resolution, financial management, leisure activities, sexual relations, marriage and children, relatives and friends, and religious orientation immediately And 4 weeks later, the training was significantly more than before training (p>0.001).

  Life skills training based on PERSED model had a positive effect on increasing the marital satisfaction of female nurses; Therefore, it is suggested that life skills training for married nurses based on health policy be held periodically.

Attitudes towards gender roles show people's attitudes about appropriate role activities for women and men. Many family-related factors, including parents' beliefs and behavior, can affect people's attitudes towards gender roles. As health care providers, nurses can play a role in helping to form health values ​​and behaviors at different levels. The purpose of this study was to investigate the relationship between the attitude toward parental gender roles and the quality of the parent-child relationship among nurses working at selected hospitals in Kazeroon in 2022.

This study was descriptive-correlation research conducted on 135 female nurses by convenient sampling. The data collection tool in this research was the Bam Sex Role Questionnaire -short form and including the Parent-Child Rating Scale. Statistical analysis was done using SPSS version 16 software.

The mean age of the participants was 32.62 ± 7.19 years. The mean score of attitude towardgender roles in nurses was 170.47±12.25. The average attitude score in the dimension of the femininity role was 64.06±5.14, in the dimension of the masculinity role it was 54.78±5.96, and 51.64±3.53 in the social desirability dimension. The average score of the  parent-child relationship in children of nurses was 142.19±9.74. The results showed a direct and significant relationship between the score of attitudes toward gender roles and parent-child relationship in nurses (r=187, p=0.03).

The results of this study can be used in various fields of education and awareness of parents and school guardians to influence the quality of relationships, values, ​​and attitudes of children and parents and to change the public opinion of society about the positive role of women and men in construction.

Satisfaction with married life depends on various factors. Also, among the effective factors for increasing breastfeeding, we can mention the level of self-efficacy of the mother in breastfeeding. This research was conducted with the aim of the relationship between marital satisfaction and breastfeeding self-efficacy in primiparous and multiparous mothers hospitalized in Qom city in 2022.
This study was of a descriptive-correlation type, which was investigated in 81 primiparous mothers and 49 multiparous mothers selected by convenient sampling method (available). Data collection was done using an ENRICH marital satisfaction questionnaire and BSES-SF breastfeeding self-efficacy questionnaire. The data was analysis by using SPSS statistical software.
mean and standard deviation of marital satisfaction in primiparous women (2.56±1.01) and in multiparous women (2.54±1.06) and breastfeeding self-efficacy in primiparous women (2.55±0.97) and in multiparous women (2.50±1.007). There was a significant relationship between marital satisfaction and breastfeeding self-efficacy in primiparous and multiparous mothers, respectively.
The results of this research indicate that the status of breastfeeding self-efficacy and marital satisfaction of the mothers who participated in this study was lower than the average level. Also, there is a relationship between marital satisfaction and breastfeeding self-efficacy in the primiparous and multiparous mothers in Qom's selected Hospitals in2022. Therefore, this research confirms the necessity of educating and informing parents about the importance of supporting the spouse and its effect on improving the family's breastfeeding self-efficacy.

Sexuality education is an action that takes place from the early stages of human life with the aim of balanced and proportional growth of sexual instinct. The purpose of this research is to determine the challenges of sexuality education of children by the family, school and other relevant institutions.

This is a review study, using the keywords of children and family and sexulity education and schools in domestic and foreign databases such as Google Scholar, SID, Science Direct, Magiran during the years 1395-1401 and 2016 to 2022, 72 articles obtained; 17 articles related to having the inclusion criteria were examined. It should be noted that the exclusion criteria of the articles were considered to be out of time and irrelevant.

Children's education is one of the main concerns of families, educational centers and teachers. Sexuality education is one of the important aspects of education that has been neglected, so mothers, schools and teachers play an important role in teaching this matter. basic challenges such as not answering sexual questions, lack of knowledge, the desire to protect the innocence of children, access to mobile, phones, Internet and satellite and lack of access to books and suitable educational programs have been faced, but unfortunately, mothers and educational trainers do not have enough awareness and knowledge to deal with these challenges.

In general, considering that sexuality education is considered one of the most important issues in children's education and always faces many challenges, therefore, it is necessary to conduct a lot of researches in this field and create educational programs that are appropriate to culture and beliefs for children, family and teachers. Therefore, basic steps should be taken to analyze the problems and challenges and questions in today's family and society.

Telenursing is considered as a subset of telehealth care that focuses on the provision, management and coordination of care and services using telecommunication technology in the field of nursing and its goal is to improve the quality of care. One of the applications of telenursing is the education of women in the field of sexual empowerment based on sexual self-efficacy. Sexual ability and satisfaction resulting from it is considered as one of the most basic aspects of human life, and healthy sexual performance plays an important role in feeling healthy and improving the quality of life. The purpose of this research was to compare the sexual self-efficacy of women before and after the empowerment program, as well as to compare the effect of the distance and face-to-face sexual empowerment education in women who referred to the health and treatment center of the district 6 of Tehran in winter of 1400.

This quasi experimental study was conducted on 56 women who referred to the health and treatment center of district 6 of Tehran. The research units were randomly divided into two groups and the empowerment program was conducted face-to-face and remotely. The sexual self-efficacy of the two groups before and after the empowerment program was measured and compared with the sexual self-efficacy questionnaire. The reliability of the sexual self-efficacy questionnaire was confirmed using Cronbach's alpha measurement method of 0.86 and the content validity of the sexual self-efficacy questionnaire in Iran was approved.

The results showed that in the face-to-face and telenursing groups, the mean score of sexual self-efficacy in the post-test was significantly higher than the pre-test. based on the results of the covariance test, the mean score of women's sexual self-efficacy in the two groups was no significant difference.

Based on the results, no significant difference was observed between the two groups in terms of the effectiveness of the two methods of face-to-face and telenursing programs. Therefore, considering the difficulties and cost of face-to-face education, telenursing, is recommended as an effective, cheap, simple and attractive method for the clients.

This study investigated the relationship between parents’ attitudes toward gender roles and the social isolation of female adolescents in Iran in 2021.

This descriptive study of a correlational type and its statistical population included all female adolescents studying in secondary schools in the city of Isfahan in 2021, out of whom 133 were selected by convenience sampling. They answered the following questionnaires: the Homami et al Questionnaire on Attitudes toward Gender Roles in Family Life and the Modarresi Yazdi et al Social Isolation Questionnaire. Research data were analyzed through the independent t test, a one-way analysis of variance (ANOVA), the Kruskal-Wallis test, and the Spearman correlation coefficient using SPSS-12 software.

An analysis of the present data showed that the mean score of social isolation was significantly lower in students whose parents had a justice-seeking attitude in the domain of parental roles than in students whose parents had a feminist attitude in this domain (P = 0.005, t = -2.876). The mean scores of social isolation in the dimensions: of loneliness (P = 0.040, t = -2.073) and social despair (P = 0.036, t = -2.124) were also significantly lower in students whose parents had a justice-seeking attitude in the domain of parental roles than in students whose parents had a feminist attitude in this domain. The mean score of social isolation was significantly higher in students whose parents had a feminist attitude in the domain of general marital roles than in students whose parents had a justice-seeking or masculinist attitude. The mean score of loneliness was significantly higher in students whose parents had a feminist attitude in this domain than in students whose parents had a justice-seeking attitude. But no significant difference was observed between students whose parents had a feminist attitude and those with a masculinist attitude.

Parents’ attitudes and behavior in gender behaviors are essential factors in mental health, especially social isolation in female adolescents. When parents’ attitudes towards their children’s gender roles are justice-seeking; they can better communicate with their children, so their children feel less lonely and socially isolated. 

Healthy sexual performance leads to well-being with a high quality of life. The present study aimed to compare BETTER and PLISSIT approaches in the treatment of common sexual dysfunction among women referred to selected treatment centers in Isfahan, Iran in 2022.

This quasi-experimental study was conducted on 60 women with common sexual dysfunction (30 in the BETTER group and 30 in the PLISSIT group) who met the inclusion criteria, using a convenient sampling method. The female Sexual Function Index (FSFI) was the data collection tool. The members of the two groups individually participated in face-to-face counseling sessions. A follow-up test and completion of the questionnaires were performed one month and six months after the intervention. Data were analyzed using SPSS software (version 12).

No significant difference was observed in the overall level of sexual function between the two groups before the intervention (P<0.05). However, one month and six months after the intervention, this level was significantly higher in the BETTER group than that in the PLISSIT group (P<0.05). The scores of sexual desire, sexual arousal, orgasm, and sexual satisfaction were significantly higher in the BETTER group one and six months after the intervention compared to those before the intervention, and the score of painful intercourse was significantly lower than that before the intervention.

The present study indicated that education and counseling in the form of a BETTER model can have better results on sexual function.

Hospitalization in the neonatal intensive care unit is a psychological crisis for the family. However, reminiscence has positive effects on the improvement of mental health. In this regard, this study aimed to investigate the effects of reminiscence writing on distress tolerance and spiritual health of mothers with hospitalized newborns.

This quasi-experimental study was performed on 40 mothers of newborns admitted to the intensive care unit of Shahid Beheshti Hospital in Isfahan, Iran from February 2021 to August 2022. The research samples were divided into two experimental and control groups. During the hospitalization of the newborns in the hospital, the mothers in the intervention group recorded their daily memories with their newborns in a notebook for half an hour every day for 6 days. Data collection tools were demographic questionnaires, Distress Tolerance Scale by Simmons and Gaher, and the Spiritual Well-Being Questionnaire by Polotzin and Ellison which were completed by mothers in both groups. At the descriptive level, the mean and standard deviation values as well as frequency distribution tables were used. Moreover, at the inferential level, Chi-square, Fisher's exact, independent t-test, and Mann-Whitney tests were employed.

The distress tolerance and the spiritual health scores of the mothers in the intervention group before the intervention were 45.03±5.57 and 39.63±18.16, respectively, which were increased to 56.95±12.32 and 68.60±30.07 after the intervention, respectively. After the intervention, the scores of distress tolerance and spiritual health in the intervention group were significantly higher than those in the control.

Reminiscence in mothers of newborns admitted to the neonatal intensive care unit can positively affect the anxiety and spiritual health of mothers.

Communication is a special skill to acquire high human values. Lack of this skill creates a serious crisis in the family foundation and doubles the necessity of special behavioral-psychological interventions. The aim of this study was to determine the effectiveness of communication skills training on marital satisfaction of female students of Isfahan University of Medical Sciences, Isfahan, Iran.

The research method was quasi-experimental with pre-test, post-test, and follow-up period with a control group. The statistical population included all female students of School of Medicine, Isfahan University of Medical Sciences, from which 30 people were selected by convenience sampling method and were randomly divided into experimental and control groups. The experimental group underwent communication skills training for ten sessions twice a week and the control group did not receive any intervention. The data were obtained using the Enrich Marital Satisfaction Scale (EMS) (1989). Finally, repeated measures analysis of variance (ANOVA) and SPSS software were used to analyze the data.

In the experimental group, the mean and standard deviation (SD) of marital satisfaction increased from 126.20 ± 8.76 before the intervention to 155.60 ± 9.47 after the intervention and to 162.60 ± 9.26 in the follow-up stage. Moreover, in the control group, the mean and SD of female marital satisfaction decreased from 126.26 ± 10.64 before the intervention to 124.46 ± 10.89 after the intervention and to 121.40 ± 8.74 during the follow-up period (P < 0.01). The difference in the experimental group in all three stages was statistically significant, except for the post-test and follow-up stages, which was not statistically significant (P > 0.01)

Communication skills training with respect to relative values in the face of couples' absolute perceptions reduces the amount of impulsive behaviors and increases the couple's intellectual problem-solving skills, and with this process, the couple's marital satisfaction increases and this effect will remain over time. As a result, this training strategy is recommended for all family specialists and counselors.

One of the most important medical rights that requires the observance of all people, especially medical staff, is the privacy of the patient. The aim of this study was to determine the relationship between privacy and preoperative anxiety in pregnant women undergoing elective caesarean section in the operating room.

This study was a descriptive cross-sectional study in which 105 pregnant women underwent elective cesarean section in the operating room wards of selected hospitals in Arak, Iran, who were included in the study by convenient sampling. Data collection tools were demographic information questionnaire, patient privacy questionnaire, and preoperative anxiety Spielberger's questionnaire, whose validity and reliability were confirmed. Data analysis was performed using descriptive statistics as well as Pearson's correlation, Fisher's exact, and chi-square tests at the inferential level using SPSS software version 12.

Pearson's correlation coefficient analysis did not show any significant relationship between respect for patient privacy and overt anxiety of patients (p=0.736). Also, there was no significant relationship between patient privacy and patients' covert anxiety (p=0.172). In total, the privacy of the patients was at a good level and the anxiety levels of the patients were at an average level.

Considering the desired level of respect for patients' privacy and the average level of anxiety as well as the lack of significant correlation between these indicators, it is suggested to conduct similar studies with a larger sample size. Due to the observance of good privacy in the present study, the average anxiety level of the patients could be attributed to other underlying factors.

Couples' satisfaction is one of the main factors in determining the Of the mutual life and solving of marital conflict resolution, however, in relation to other effective structures, it is less considered. The aim of this study was to determine the effectiveness of communication skills training on marital satisfaction and Reducing of the marital conflict in female students of the University of Medical Sciences. The research method was quasi experimental with pre-test-post-test design including  a control group  . The statistical population of the study Consisted of  the total number of female students of the University of Medical Sciences 25-40 years old, from which 30 women were selected by convenience sampling method and were randomly divided into experimental and control groups. Pre-test, post-test and follow-up data were obtained for each participant using Inrich Marital Satisfaction and Sanaei,s Marital Conflict Questionnaires. The experimental group underwent communication skills training for ten sessions twice a week and the control group did not receive any intervention. Data were analyzed by Repetead measure ANOVA with SPSS software version 23, In the experimental group, the mean (standard deviation) of marital satisfaction increased from 126.20 (8.76) before the intervention to 155.60 (9.47) after the intervention and to 162.60 (9.26) in the follow-up. Follow-up increased, also in the control group, the mean (standard deviation) of women's marital satisfaction increased from 126.26 (10.64) before the intervention to 12.446 (10.89) after the intervention and to (84.8) 121/40 decreased during the follow-up(P<0.01). The difference in the experimental group in all three stages was statistically significant, except for the post-test and follow-up, which was not statistically significant (P <0.01). In the experimental group, the mean (standard deviation) of marital conflict decreased from 136.06 (5.86) before the intervention to 110.86 (6.17) after the intervention and to 102 (5) in the follow-up. Also in the control group, the mean (standard deviation) of female marital conflict from 137.33 (4.83) before the reduce to to 135.46 (4.53) after the intervention and decreased to 134.60 (6.70) in the Follow-up, which was statistically significant (P<0.01). The study showed that communication skills training could reduce marital conflict and increase the level of marital satisfaction of women in the post-test and follow-up stages.

Conflicting couples due to lack of marital communication skills experience many problems in the level of sexual function and quality of marital life. The question is, is there a relationship between the effectiveness of communication and marital skills on marital conflict and the sexual performance of female students?

The design of this quasi-experimental study was pre-test, post-test and follow-up with a control group. The statistical population of this study consisted of all women students with marital problems in Isfahan in 2020. The research sample consisted of 45 female students who were selected by voluntary sampling method and randomly assigned to three experimental and control groups. The study was collected using the Marital Conflict Questionnaire of Sanai et al. (1998). The instruments are: Sanaei's Marital Conflict Questionnaire (1998) and the standard questionnaire of Rosen, Brown, Heiman, Metson, Shabsig et al. (2000). Data were analyzed using repeated measures analysis of variance.

Communication and marital skills were effective in increasing sexual function and reducing marital conflicts in the experimental group compared to the control group, and a significant difference was found between the two educational strategies in the post-test and follow-up stages (P < 0.01).

Communication and marital skills lead to increased sexual function and reduced marital conflict in women, and family therapists can use this educational method to improve the marital relationship of Iranian couples.

The family is an integral part of the health care team. Focusing on family-centered care in neonatal intensive care units (NICUs) involves using strategies to support families by supporting parental involvement in NICUs. Accordingly, the present study aimed to examine the strategic elements of family-centered care in NICUs.

The present study was conducted using conventional qualitative content analysis based on Graneheim and Lundman’s approach and purposive sampling. This study was conducted in NICUs of Isfahan hospitals in 2018. The data were collected through unstructured face-to-face interviews with 15 participants including parents and NICU staff.  The collected data were encoded and analyzed through Microsoft Word Office and OneNote 2010.

The analysis of the data revealed 3 main themes and 7 subthemes related to the strategic elements of family-centered care. The extracted themes (and subthemes) were: (1) Family and care (family involvement in the care process, the interaction between the medical staff and the family), (2) Parental characteristics in care (the mother as the core element of care, the father’s role in care), (3) Family needs (the need of the family for information, the importance of family preparation, the family’s need for spiritual support).

The present study revealed the key elements of the structure of family-centered care from the perspective of families and medical staff. The findings of this study also highlighted the role of the family in caring for patients and meeting their needs. Accordingly, measures should be taken to improve the quality of family-centered care by taking into account the strengths of this strategy.

The effect of motherschr('39') group discussion on the level of knowledge and practice of adolescent girls about puberty health in public high schools in Ghaemieh in 2019.

The present study was a quasi-experimental interventional study with a pre-test-post-test design with the control group. In this study, two schools were randomly selected and 40 students from each school were selected as a sample. Group discussion sessions with the mothers participated in a circular manner were held during 4 sessions for each intervention group once a week for 40 minutes for a month. In this study, the standard questionnaire of Alizadeh Cherandabi et al (2014) was used to measure the knowledge and performance of the students. T-test was used to compare the mean scores of variables before and after the intervention. All statistical operations were performed by SPSS Version 16 software and the significance level was considered P <0.05.

The results of independent t-test showed that before the intervention, the mean scores of knowledge and practice about puberty health were not significantly different between the two groups (P> 0.05). The intervention was significantly higher than the control group (P <0.05).

The analysis of the findings of this study confirmed the effectiveness of education through group discussion in promoting the knowledge and practice of adolescent girls about physical puberty health.  Therefore, officials, health educators and school counselors are advised to hold regular training sessions as a group discussion for mothers of teenage girls

The prevalence of sexual disorders is high among women with multiple sclerosis in the world. Sexual dysfunction is considered as one of the effective psychological factors on self-concept sexual function. The present study was conducted to evaluate the relation between sexual self-concept and sexual distress in women with multiple sclerosis.

The present descriptive correlational study was conducted on 115 married women with multiple sclerosis who were selected using convenient sampling method. Study population for the present study contained all the married women with multiple sclerosis who referred to ShahidSadoughi Hospital of Yazd in 2017. Data gathering tools were multi-dimensional sexual self-concept questionnaire and revised female sexual distress scale by DeRogatis. Achieved data were analyzed using independent t-test, Mann-Whitney, Kruskal-Wallis and Pearson and Spearman correlation coefficients.

Results showed that the mean scores of positive, negative, situational sexual self-concept were respectively 94.62 ± 30.30, 29.57 ± 10.89, and 36.91 ± 12.58 and the mean score of sexual distress was 13.82 ± 13.18. Furthermore, a reverse significant relation existed between the positive sexual self-concept of the married women and their sexual distress (p < 0.05) and a direct significant relation existed between the negative sexual self-concept and sexual distress (p < 0.05); but no significant relation was found between situational sexual self-concept and sexual distress (p > 0.05).

Results of the present study showed that married women with multiple sclerosis who had a positive sexual self-concept would experience less sexual distress. Therefore, sexual self-concept could be a predictor of sexual distress in women.

Dysmenorrhea is a common complain among young females students that impairs their educational performance, and their quality of life. Considering the importance of drinking enough water for health, the present study was conducted to assess the modifying role of water intake on quality of life of university students suffering from primary dysmenorrhea.

This Quasi-experimental research was conducted on 70 university students suffering from primary dysmenorrhea and had less than 1600 ml water intake per day. They were asked to modify their water intake based on a proposed protocol for two menstrual periods. Health related quality of life was examined by the 36-item short-form health survey questionnaire (SF-36) before and after intervention.  Using Wilcoxon signed-rank test quality of life was compared before and after modifying water intake.

Among physical and mental health summary measures of the SF-36, an inverse significant difference was observed between physical functioning, bodily pain, general health, role-emotional and mental health between and after intervention.

There was a significant difference between quality of life of university students who changed their water intake and suffered from primary dysmenorrhea indicating the modifying role of drinking water as a non-pharmacological intervention for primary dysmenorrhea.

Candidiasis vulvoginitis is the second prevalent infection of the vagina; azole topical drugs are the most common methods of treatment. Due to the frequent recurrence of the disease, many women desire to use herbal therapy. Propolis is among these therapies which it's anti-fungal property has been proved. This study was carried out to compare the effect of Propolis vaginal cream with clotrimazole on the treatment results of candidiasis vulvoginitis in reproductive aged women. This clinical trial was conducted on 100 ladies at fertility age for a period of 8 months. From the viewpoint of clinical complaints and laboratory culture, all the patients were diagnosed to be afflicted and underwent treatment in two groups of 50 individuals each with clotrimazole and Propolis randomly. The results were compared after 10 days of therapy and reculturing. The itching and cheesy leukorrhea was recovered in 92.0% and 68.0% of the patients treated with clotrimazole and Propolis, respectively with a significant statistically diference. Propolis had a weak effect on the improvement of the patient's complaints as compared to clotimazole. From the viewpoint of the reduction of colony, no significant statistical difference was observed. That is, in reducing the colony, Propolis had the same effect as that of clotrimazole. Considering the same effect of both drugs in reducing the colony, Propolis can be used as a complimentary treatment besides the main therapy.