فهرست مطالب s.s. tavafian

Chronic back pain is a prevalent health problem in nursing job. The aim of this study was to determine the effect of interventional education based on psychological factors among nurses suffering from chronic low back pain.
This study is a quasi-experimental research. The population of this study consisted of 84 nurses suffering from chronic back pain and working in Valiasser hospital in Tehran.The recruited nurses were randomly assigned into two groups of intervention and control (each 42 individuals). Three scales of pain assessment, mental health and quality of life were used to collect data at beginning of the study and three months after educational. Data were analyzed using descriptive and inferential statistics.
Totally 82 nurses (each group with 42 nurses) with mean age of 32 and 31.5 years in intervention and control group took part in the study. Two groups were not significantly different before intervention (P> 0/05). After the intervention in comparison with before, the mean scores of vitality were improved from 64/64 to 77/26, mental health from 70/28 to 80/95, role limitations due to emotional problems from 64/28 to 87/30 and social performance from 69/64 to 85/11 indicating a significant effect of education (P According to the findings of this study educational interventions based on psychological factors could improve back pain and increase mental health in nurses.

Health locus of control is defined as the extent of one’s belief that his/her health is controlled by internal or external factors. The aim of this study was determining the health locus of control and its relation with the health-promoting behaviors among people over 15 in Bandar Abbas, Iran.

This cross-sectional study was conducted in 2012. To collect data, Form A of Wallston questionnaire and health-promoting lifestyle profile II (HPLP II) were used. Out of 830 questionnaires, 687 were completed. Multiple regression analysis was used to predict health-promoting behaviors through health locus of control dimensions.

The mean age of participants was 34.3 (SD=12.1) and 49.8% of them were male. There was a significant difference between internal health locus of control, chance, and powerful others (p<0.001). The Least and the most mean scores belonged to chance (21.35) and both powerful others (30.31) and internal health locus of control (30.32), respectively. Based on regression analysis, internal locus of control (β =0.23, p<0.001) and powerful others (β =0.29, p<0.001) significantly predict health-promoting behaviors.

The findings suggest that to improve health behaviors of the individuals, internal control and significant others should be focused in educational intervention programs.

Despite the fact that cervical cancer is highly preventable, it still continues to occur, even among women who have access to cancer screening and treatment services. This study aimed to determine the effect of health education program based on Health Belief Model on the performance pap smear test. This random clinical trial was carried out on 120 women in Zarandieh. Data were collected using a valid and reliable questionnaire based on Health Belief Model which was completed by the participants. After the analysis of pre-test results, the educational program was designed and the experimental group participated in 3 educational sessions during one week. Two months after the intervention, a post-test was performed and analyzed using t-test، t-paired and x2. Our findings indicated that mean scores of HBM Model constructs (self-efficacy, susceptibility, severity, benefit and barriers perceived) were significantly increased in the experimental group compared to the controls after the intervention. Also, performance of pap smear test increased significantly among the experimental group as compared to the controls after the intervention (P<0. 01) (before intervention 30%, after intervention 53. 9% in the experimental group). Health education programs are recommended to use the theories and models of changing of individual's behavior in organization levels for to Help Plan Effective Programs as the uptake of cervical cancer screening (Pap smear).

Abstract: Diabetes mellitus) type 2) is an important health problem throughout the world. This study aimed at evaluat ing the effect of a designed educational program on the lifestyle of the patients suffering from type 2 diabetes mellitus. Ninety eligible diabetic patients aged 30-60 years old were recruited and then willingly assigned to two groups of clinic group (n= 45) who received only routine medication/ education underwent their leading physician in diabetes soci ety and intervention group (n= 45) who received routine medication/education plus 2 two- hour educational sessions regard ing healthy lifestyle to control and prevent diabetes. A five- part questionnaire was used for data collection at baseline and 1- month follow up. Collected data were analyzed by SPSS software. The educational program caused a significant increase in the knowledge (P< 0.001), attitude (P< 0.01) and practice (P< 0.01) of intervention group towards healthy behaviors regarding nutrition, physi cal activity and self care. It was concluded that our designed educational program could improve the lifestyle of the patients suffering from type 2 diabetes mellitus.

Abstract: It is widely believed that pain has a profound effect on health related quality of life. This study was conducted to assess quality of life in patients suffering from different density of chronic low back pain. The sample consisted of 101 patients with chronic low back pain attending to the Rheumatology Research Center of Tehran University of Medical Sciences between July and September 2003. All patients were female, married, aged 18 years or over and underwent rheumatologic clinical examination. Data were collected by face-to-face interviews using the Iranian version of the Short Form Health Survey (SF-36). Relative to mean score of bodily pain, patients were divided into 2 groups: severe pain group (group 1) and mild pain group (group 2). Then, quality of life scores was compared between these two groups. Independent sample t-test was applied and the results showed that there were significant differences between quality of life scores among people with different intensity of low back pain in all dimensions but the role emotional and social functioning scales. The findings from this study confirm that quality of life in patients with low back pain depending on its intensity may vary.

Patients with chronic low back pain (LBP) hold various knowledge, perceptions and beliefs about their pain which are based on prior learning and social conditions. Since LBP is a bio- psycho-social phenomenon and there are not any reports about awareness and attitude of Iranian patients’ views regarding it, this descriptive study was employed to earn this information P to apply its results in health education planning. For data gathering, deeply interviewing with 24 patients were performed. Volunteer patients were from Rheumatology Research Center of Tehran University of Medical Science from July 1st to Sep 1st 2003 who had inclusive criteria such as: 18 years old or more, suffering from LBP more than 90 d and not having experience of surgical operation in last two years. Interviews were individually held at rheumatic disease center which was convenient to the participants and were being continued to earn data saturation regarding patient’s knowledge, perception and belief about LBP. The findings showed that the most popular risky behavior for LBP was hard manual activities, also this study revealed that knowledge of the patients about LBP and its risk factors was little and LBP was not understood by the majority of patients (74%).Only a few people (11%) believed risk factors and risky behaviors could deteriorate it. From this study it can be concluded that health educators should emphasize on perception and attitude of the patients regarding LBP for changing behavior and complying of recommended body mechanics.