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عضویت

فهرست مطالب zahra behboodi moghadam

  • Narges Zamani, Hassan Rezaee Jamaoei*, Zahra Behboodi Moghadam, Mahdi Moshki, Hamidreza Peikari
    Background and Objective

    Women with diabetes often have concerns regarding their reproductive health and sexual well-being. These concerns represent all the important issues that affect the health of the reproductive system and its function, which can also affect the general and social health of the person. Therefore, the present study aimed to explain the reproductive health concerns of women with type 1 diabetes under treatment at Hami and Khazarian Clinic in Hamadan, Iran.

    Materials and Methods

    The present research was conducted using the exploratory qualitative method. An in-depth unstructured interview was carried out with 17 married women aged 20-45 years with type 1 diabetes, and the data collected was analyzed using the constant comparison method.

    Results

    The main themes obtained were sexual performance and satisfaction with six subcategories, including physical, psychological, social, reproductive, supportive, and informational, as well as the marital dimension (sexual performance, marital satisfaction).

    Conclusion

    Since diabetes at younger ages is spreading rapidly and this problem affects the quality of marital and sexual life, the need to identify the perceived priorities of reproductive health concerns and design necessary interventions is felt.

    Keywords: Health Concerns, Diabetes, Sexual Performance, Marital Satisfaction}
  • زهرا بهبودی مقدم، معصومه نمازی*، شیما حقانی، زهرا ملااسماعیلی
    مقدمه

    شیوع گسترده بیماری کرونا در دنیا موجب شد که طیف وسیعی از افراد به دلیل ترس از ابتلا به بیماری از مراجعه به مراکز بهداشتی-درمانی خودداری نمایند. لذا مطالعه حاضر با هدف بررسی شیوع و عوامل مرتبط با اجتناب زنان سنین باروری از مراقبت های بهداشتی در طی پاندمی کووید 19 انجام شد.

    مواد و روش کار

    پژوهش حاضر یک مطالعه مقطعی (توصیفی) بود که در سال 1401 در شهر تهران بر روی 250 نفر از زنان واقع در سنین باروری انجام شد. نمونه گیری به روش در دسترس و از بین زنانی که در مراکز بهداشتی - درمانی تحت پوشش دانشگاه علوم پزشکی تهران دارای پرونده بودند، انجام شد. معیارهای ورود به مطالعه شامل متاهل بودن، سن45-15 سال، توانایی خواندن و نوشتن، توانایی استفاده از رسانه های مجازی و معیارخروج شامل عدم پاسخگویی کامل به سوالات پرسشنامه ها بود. ابزار جمع آوری اطلاعات شامل پرسشنامه اطلاعات جمعیت شناختی و پرسشنامه DASS-21 بودند.

    یافته ها

     شیوع کلی اجتناب از مراقبت های بهداشتی در طی پاندمی کووید، 17/36٪ بوده است که میزان اجتناب از مراجعه به پزشک(27/6٪) ، اعمال جراحی (14٪)، انجام پاپ اسمیر(14/8٪)، انجام سونوگرافی و ماموگرافی (18٪) و انجام تست های آزمایشگاهی (12/4٪) بود. عوامل مرتبط با اجتناب از مراقبت های بهداشتی شامل سطح تحصیلات پایین تر افراد و همسرانشان، وضعیت سلامتی نامطلوب، دارا بودن سابقه نازایی، سابقه ابتلا به بیماری های مزمن، دارابودن سطوح بالاتر استرس، اضطراب و افسردگی و نگرانی بالا از ابتلا به کرونا بودند.

    نتیجه گیری

    در این مطالعه 17/36٪ از زنان ایرانی در طی پاندمی کووید از مراقبت های بهداشتی اجتناب کرده بودند که بیشترین میزان، مربوط به اجتناب از مراجعه به پزشک بود. این نتایج لزوم آموزش همگانی به خصوص برای افراد در معرض خطر را برای مراجعه بموقع به مراکز بهداشتی  به منظور جلوگیری از بروز پیامدهای ناگوار نشان می دهد.

    کلید واژگان: مراقبت بهداشتی, پاندمی, کووید19, زنان}
    Zahra Behboodi Moghadam, Masoumeh Namazi*, Shima Haghani, Zahra Mollaesmaeili

    Objective (s): 

    The widespread prevalence of corona disease in the world caused a wide range of people to avoid referring to healthcare centers due to the fear of the disease. Therefore, the present study was conducted to investigate the prevalence and factors related to healthcare avoidance among women of reproductive age during the COVID-19 pandemic

    Methods

    This was performed on 250 women of reproductive age in Tehran city in 2022. Available sampling was done among women who had documents in health care centers of Tehran University of Medical Sciences. Inclusion criteria included being married, age 15-45 years, ability to read and write, ability to use virtual media, and exclusion criteria included failure to fully answer the questionnaires. Data collection tools included a demographic information questionnaire and a DASS-21 questionnaire.

    Results

    The overall prevalence of healthcare avoidance during the COVID pandemic was 17.36%, which contains: the rate of avoiding going to the doctor (27.6%), surgery (14%), Pap smear (14.8%), ultrasound and mammography (18%) and laboratory tests (12.4%). Factors related to healthcare avoidance included lower level of education among women and their spouses, unfavorable health status, history of infertility, history of chronic diseases, higher levels of stress, anxiety, and depression, and being worried about contracting the coronavirus.
    Overall 17.36% of Iranian women had avoided visiting health care during the covid pandemic, and the highest rate was related to avoiding visiting physicians. These findings suggest the need for public education, especially people at risk, to timely visit health centers in order to prevent adverse consequences.

    Keywords: Healthcare, Pandemic, COVID-19, Women}
  • Marzieh Azizi, Elham Ebrahimi, Zahra Behboodi Moghadam, Zohreh Shahhosseini, Behjat Khorsandi, Maryam Modarres*

    Reproductive-aged breast cancer (BC) survivors have different ideas regarding the experience of motherhood after cancer treatment. Some BC survivors considered motherhood a miracle of God, an unexpected pleasant event, and an incredible opportunity to return to everyday life before a cancer diagnosis. Against these positive aspects of motherhood, the transition to motherhood responsibilities accompanied by the fear of cancer recurrence and becoming an ill mother are some challenges among survivors. Also, fear of losing the ability to breastfeed due to mastectomy, fear of not devoting enough energy to care for the newborn, and meeting the infant or other child’s needs were the most common challenges of BC survivors after childbirth. Motherhood in BC survivors is associated with negative attitudes and fear toward death and breastfeeding. To increase the happiness and psychological well-being among these women regarding motherhood, considering the multidimensional supportive program and survivorship care after treatment regarding fertility issues lead to converting motherhood as an opportunity and hope for these women after experiencing a complicated treatment process.

    Keywords: Breast cancer, Survivors, Motherhood}
  • Mahnaz Atapour, Akram Sadat Sadat Hoseini, Shahrzad Ghiyasvandian *, Zahra Behboodi Moghadam
    Background

    Patients with diabetes-related visual impairment (DRVI) have expectations of the health system and nurses, which can have positive consequences if met.

    Objectives

    This study aimed to investigate the consequences of meeting the health expectations of patients with DRVI.

    Methods

    This qualitative study was conducted using the content analysis approach from November 2020 - May 2021. The participants were ten patients with DRVI, two nurses, and one member of the patient’s family. Data collection was done using semistructured, in-depth, and face-to-face interviews. Purposive sampling was done until data saturation. A total of 23 interviews were conducted with 13 participants. The conventional content analysis proposed by Graneheim andLundmanwas used for data analysis. MicrosoftWord 2016 and MAXQDA 2010 software were used to transcribe the interviews and manage and analyze the data.

    Results

    Data analysis led to the extraction of the main category of "improving access to comprehensive care" and four categories, including "receiving preventive care," "access to home care," "safety promotion," and "increasing health literacy."

    Conclusions

    The results of this studyshowedthat including patients’ views can effectively improve the healthcare process. In order to ensure the satisfaction of patients with DRVI, healthcare professionals, particularly nurses, should examine the expectations of patients with DRVI to provide quality and patient-centered care that is based on their individual needs.

    Keywords: Patient-Centered Care, Health, Expectations, Visual Impairment, Diabetes Mellitus, Qualitative Research}
  • Leila Asadi, Zahra Behboodi-Moghadam, Mahboobeh Shirazi, Fateme Moshirenia, Behjat Khorsandi *
    Background & Objective

    Understanding the reproductive and sexual needs of pregnant women seems to be crucial in increasing the effectiveness of services and addressing their needs and expectations. Therefore, the aim of this study was to explain the needs and concerns of reproductive and sexual health of pregnant women during the COVID-19 pandemic.

    Materials & Methods

    This is a qualitative study with a content analysis approach. In this probe, 16 interviews were accomplished with 15 pregnant women who had been referred to pregnancy care centers. Data analysis was performed predicated on the content analysis approach using MAXQDA software version 12.

    Results

    Based on 17 interviews conducted with pregnant women during the COVID-19 pandemic, pregnant women were found to be suffering from mental disorders, fears, disrupting prenatal care, and sexual problems.

    Conclusion

    Reproductive and sexual health of pregnant women in the Covid-19 epidemic should not be neglected and considered in health planning.

    Keywords: Pregnancy, COVID-19, Sexual Health, Reproductive Health, Women}
  • Solmaz Heydari Fard, Zahra Behboodi Moghadam, Mahsa Khoshnam Rad*
    Introduction

    An expectant mother’s experience of normal vaginal delivery significantly impacts her health. One of the determinants of a positive experience is to enjoy constant support during labor.

    Objective

    This study was conducted to understand the mother’s childbirth experience with the support of a doula during labor and delivery.

    Materials and Methods

    This research was a qualitative study with a content analysis approach. A total of 16 pregnant women that gave birth with the assistance of doulas in a hospital in Zanjan City, Iran, were included in this qualitative study with a content analysis approach. Purposive sampling was used to select the participants in 2019. The study data were collected through in-depth, semi-structured interviews with mothers, then transcribed and coded. All interviews were conducted in one session, so 16 interviews were obtained. Data analysis was done using the method proposed by Graneheim and Lundman.

    Results

    The participants were 18-35 years old (27.5±6.7 years). Three women had a primary school education, 7 had a high school diploma, and 6 had a university education. Four women were employed, and the rest were homemakers. After data analysis, 4 main categories and 8 subcategories were extracted. Main categories and subcategories include comprehensive support (physical support, mental support), assisting in materializing the motherhood dream (inducing calm in the mother, being released from pain and suffering), internal reinforcement (self-esteem, pain acceptance), and mother-centered care (doula as a different supportive, bidirectional relationship).

    Conclusion

    Pregnant mothers’ satisfaction with delivery is affected by their experience. According to the results, all mothers were satisfied with doula support during delivery. The doula’s presence made childbirth a positive and satisfactory experience. The doula guided mothers from fear, pain, and ignorance to happiness and satisfaction. It is necessary to familiarize expectant mothers with the doula and the services they provide and facilitate their presence in labor and delivery rooms.

    Keywords: Doula, Accompanying midwife, Vaginal birth, Labor, Qualitative research}
  • Nahid Maleki-Saghooni, Zeynab Avazzadeh, Fatemeh Zahra Karimi *, Zahra Behboodi Moghadam
    Background

    Burnout syndrome comprises three dimensions, namely emotional exhaustion, depersonalization, and decreased personal accomplishment. Regarding the difficulties in the midwifery profession, midwives are at risk of burnout.

    Objectives

    This study aimed to determine the intensity and frequency of burnout and its related factors in midwives working in healthcare centers of Tehran, Iran.

    Methods

    In this cross-sectional study, 300 midwives were selected by the cluster-random method. Data collection tools were demographic and Maslach burnout questionnaires. The data analysis was performed in SPSS software (version 16).

    Results

    The mean scores of burnout frequency and intensity in midwives were 54.31±14.54 and 62.71±17.46, respectively. Among the three dimensions of occupational burnout, the highest frequency (50%) and intensity (59.3%) were related to decreased personal accomplishment. Occupational burnout and its dimensions had a significant relationship with the variables of high workload, unwillingness to do their job, work shifts, and service department (P<0.05).

    Conclusion

    High workload, unwillingness to do the midwifery job, and long consecutive or night shifts in the hospital increase the rate of occupational burnout among midwives. In addition to the loss of capital and reduction of productivity, occupational burnout can reduce the quality of midwifery care and decrease the satisfaction of clients. It is suggested that by using the results of this study, appropriate measures be taken to reduce the burnout of midwives.Keywords: Health services centers, Iran, Midwives, Occupational burnout

    Keywords: Job Burnout, Health Services Centers, Midwives, Iran}
  • Somayeh Moukhah, Behzad Ghorbani, Zahra Behboodi Moghadam, Simin Zafardoust, Azadeh Haji Parvaneh, Elham Alinaghi, Rasoul Moukhah
    Background

    Premature ovarian insufficiency (POI) occurs in women before the age of 40. Although the outcomes of POI in women include its adverse effects on general health, sexual-reproductive health, and finally reduced quality of life. One of the first adverse consequences is a threat to female identity of the patients. The purpose of the present study was to investigate the perception and experience of women with POI about female identity.

    Methods

    In this qualitative study, interviews were conducted with 15 women having POI. Data included participants' recorded voices that were analyzed using conventional content analysis.

    Results

    After content analysis of the interviews with a focus on the perception and experience of women with POI about female identity, four categories emerged; they included the failure in realization of motherhood dream, the importance of menstruation, construction of female identity, and attempts to normalize the situation.

    Conclusion

    After analyzing the emerged categories obtained by interviewing with POI women, it seems that physicians need to pay special attention to the distortion of the female identity of these patients and educate the medical team about the importance of the effect of treatment on improving their emotional health.

    Keywords: Female identity, Primary ovarian insufficiency, Qualitative research}
  • Azam Mohammadi, Zahra Behboodi Moghadam, Fatemeh Ghelichkhani, Farzane Alidost, Somayyeh Naghizadeh, Zeinab Haghparast, Marzieh Azizi
    BACKGROUND

    Augmented reality (AR) is capable of facilitating constructive learning through the provision of a learner‑centered environment, making for more flexible learning and providing a more distinct experience of learning. AR technology has a significant influence on the teaching approach provided to students with learning disabilities, particularly on their level of self‑regulation, and this premise is what motivated the present study.

    MATERIALS AND METHODS

    The research is a quasi‑experimental study that adopted a pre‑ and post‑test control group design, involving 24 students who have disabilities. The students were divided into AR group and control group, and data were then exposed to the descriptive statistics and paired sample t test.

    RESULTS

    The results showed that AR technology has a significant effect on the enhancement of the self‑regulation of students with learning disabilities.

    CONCLUSION

    The study indicated a significant effect of AR app on the self-regulation skills of students. The study, therefore, encouraged decision academicians to implement technology approaches in the disability setting.

    Keywords: Augmented reality, disabilities, learning, self‑regulation}
  • Foruzan Sharifipour, Mojgan Javadnoori, Zahra Behboodi Moghadam, Mahin Najafian, Bahman Cheraghian, Zahra Abbaspoor*
    Background

    Poor and insufficient social support to the mother in the post-partum period impairs the effective functioning of her new role as a mother, and it is an important risk factor for the maternal depression and stress after childbirth. Thus, interventions to improve social support to mothers in their postpartum period are required. The present review aimed to investigate the effectiveness of the existing interventions aimed at improving social support among postpartum women.

    Methods

    In this systematic review, PubMed, Scopus, Science Direct, Cochrane Library, Web of Science, EMBASE, Google Scholar, IranDoc, IranMedex, MagIran and SID were searched until January 2022. Full-text articles on the social support outcome, published in English or Persian, which used the design of randomized controlled trials (RCTs) or comparison groups and involved postpartum or pregnant women as participants were included. The quality of the studies was assessed based on the seven criteria offered by Cochrane guidelines.

    Results

    Our review included 10 studies involving 3328 women. According to our results, the following interventions were successful in increasing social support compared to the controlled conditions: counseling with men in the prenatal period, interventions based on interpersonal psychotherapy (IPT), advanced practice nurse (APN), internet support, and home visiting in the postpartum period.

    Conclusion

    These interventions could be provided to mothers during their prenatal or postpartum care. However, which one of these interventions is the most effective in improving social support among postpartum mothers was not identified in the present study.

    Keywords: Intervention education, Social support, Postpartum period, Systematic review}
  • بیتا اسلامی، رامش عمرانی پور، بهاره حسامی فر، زهرا بهبودی مقدم، امیرمحسن جلائی فر*
    زمینه و هدف

    سرطان پستان شایعترین سرطان در خانمهاست و درمان آن شامل جراحیهای مختلفی می باشد. پرسشنامه های Breast-Q ابزار جدیدی برای گزارش پیامدهای جراحی های مختلف پستان توسط بیماران می باشند. هدف از این مطالعه، ایجاد نسخه فارسی پرسشنامه های Breast-Q و ارزیابی روایی و پایایی نسخه فارسی پرسشنامه بازسازی پستان می باشد.

    روش بررسی

    این مطالعه به صورت مقطعی می باشد و جامعه آماری این پژوهش به صورت نمونه گیری آسان از خانم های مراجعه کننده به کلینیک سرپایی انستیتو کانسر بیمارستان امام خمینی در فاصله شهریور 1396 تا مهرماه 1398 و با سابقه سرطان و جراحی های مختلف پستان، انتخاب شده اند. پس از اخذ اجازه از سازندگان پرسشنامه و ترجمه پرسشنامه ها به فارسی، روایی صوری و محتوایی و پایایی ماژول بازسازی پستان انجام گردید. در نهایت پرسشنامه جدید در 20 نفر از خانم هایی که حداقل شش ماه از بازسازی آنها به روش TRAM flap گذشته بود، به صورت پایلوت ارزیابی شد.

    یافته ها

    پس از تهیه نسخه فارسی پرسشنامه ها ، طی فرآیند روایی صوری و محتوایی پرسشنامه بازسازی پستان که شامل 116 گویه بود با 72 گویه و با کسب امتیاز ضریب تاثیر بالای 5/1 برای تمامی گویه ها ، و نمره  CVR و CVI مطلوب استخراج گردید. پایایی درونی ابزار با محاسبه آلفای کرونباخ 94/0 تایید گردید. نتایج نشان داد که کیفیت زندگی افراد به لحاظ روانی و جنسی و رضایتمندی از پستان پایین است.

    نتیجه گیری

    با توجه به محدودیت پرسشنامه های اختصاصی برای پروسیجرهای مختلف جراحی پستان، پرسشنامه های Breast-Q جهت بررسی کیفیت زندگی و رضایتمندی بیماران بسیار سودمند می باشند. از آنجایی که ترجمه پرسشنامه، روا و پایا شده است، می تواند در تحقیقات آینده سایر محققین مورد استفاده قرار گیرد.

    کلید واژگان: سرطان پستان, کیفیت زندگی, رضایتمندی, روایی و پایایی}
    Bita Eslami, Ramesh Omranipour, Bahare Hesamifar, Zahra Behboodi Moghadam, Amirmohsen Jalaeefar*
    Background

    Breast cancer is the most common cancer in women and its treatment includes various surgeries. Breast-Q is a new patient-reported outcome instrument for breast surgery and it should be validated appropriately for clinical research. This study aimed to develop the Persian version of the Breast-Q and validate the reconstruction module to evaluate the quality of life and satisfaction of Iranian women with a previous history of breast reconstruction.

    Methods

    This study was descriptive and analytical cross-sectional. The study population consisted of women with a previous history of breast cancer and various breast surgeries referred to the outpatient clinic of Cancer Institute, Imam Khomeini Hospital from September 2017 to October 2019, using convenience sampling. After obtaining permission from the MAPI institute and translating all questionnaires into Persian, the validity, and reliability of the breast reconstruction module were evaluated. To confirm face validity, a questionnaire was given to patients to judge each item. To confirm the content validity of the questionnaire, two qualitative and quantitative methods were used. Content validity ratio (CVR) was calculated based on the expert opinion (Lawshe formula). Waltz & Bausell’s method was used to examine the content validity index (CVI). Finally, a new version of the questionnaire was assessed in 20 women who had undergone TRAM flap breast reconstruction at least 6 months ago.

    Results

    After translation of the questionnaire into Persian, and face and content validation process, the 116 items of the first questionnaire converted to 72 with an acceptable impact score greater than 1.5 and CVR and CVI. The internal validity of the breast reconstruction module was approved by Cronbachchr('39')s alpha value of 0.94.

    Conclusion

    Considering the limitation of the specific questionnaires for various breast surgery procedures, the Breast-Q questionnaire can be an efficient tool for the evaluation of the quality of life and satisfaction in patients. Since the translation of the questionnaire has become valid and reliable, it can be used for future research by other researchers.

    Keywords: breast cancer, quality of life, satisfaction, validity, reliability}
  • Zeinab Tavakol, Zahra Behboodi Moghadam, Alireza Nikbakht Nasrabadi
    BACKGROUND

    Marital satisfaction is a complex of feelings, which includes pleasure, satisfaction, and pleasure experienced by the husband or wife in all aspects of marriage, and it is an important part of individual health, especially mental health. This qualitative study was conducted to understand marital satisfaction using grounded theory on couples.

    MATERIALS AND METHODS

    This qualitative study was implemented using grounded theory based on Corbin and Strauss, 2008, to investigate the process of marital satisfaction formation among couples from 2014 to 2016. The sampling was started as purposeful and continued as theoretical. The data were obtained using semi‑structured interviews. 28 interviews were taken from 25 participants; MAXQDA software was used to facilitate the organization of classes and subclasses.

    RESULTS

    The central variable of this study was called “toward a relaxing evolution.” On that account, the main classes included “supportive companionship” and “responsible love,” and variables of “personality traits,” “interactive relationships,” “economic status,” “passage of time,” and “present resources in society” provided the basis for the formation of marital satisfaction.

    CONCLUSION

    To achieve marital satisfaction, couples should set their family’s ultimate goal toward achieving a relaxing evolution for the entire family, and they should accompany each other in order to achieve that goal. This sometimes requires sacrifice and forgiveness to achieve the ultimate goal of the family.

    Keywords: Couples, grounded theory, marital satisfaction, marriage}
  • Salut Muhidin, Zahra Behboodi Moghadam, Maryam Vizheh*
    Introduction

    The emergence and fast spread of 2019 novel coronavirus (2019-nCoV ) threatens the world asa new public health crisis. This study aimed to clarify the impact of novel coronavirus disease (COVID-19) onpregnant patients and maternal and neonatal outcomes.

    Methods

    A comprehensive literature search was con-ducted in databases including PubMed, Scopus, Embase, ProQuest, and Science Direct. All studies includingoriginal data; case reports, case series, descriptive and observational studies, and randomized controlled trialswere searched from December 2019 until 19 March 2020.

    Results

    The search identified 1472 results and 939abstracts were screened. 928 articles were excluded because studies did not include pregnant women. Full textsof eleven relevant studies were reviewed and finally nine studies were included in this study. The characteris-tics of 89 pregnant women and their neonates were studied. Results revealed that low-grade fever and coughwere the principal symptoms in all patients. The main reported laboratory findings were lymphopenia, elevatedC-Reactive Protein (CRP), Amino alanine transferase (ALT), and Aspartate amino transferase (AST). In all symp-tomatic cases, chest Computerized Tomography (CT) scans were abnormal. Fetal distress, premature ruptureof membranes and preterm labor were the main prenatal complications. Two women needed intensive careunit admission and mechanical ventilation, one of whom developed multi-organ dysfunction and was on Extra-corporeal Membrane Oxygenation (ECMO). No case of maternal death was reported up to the time the studieswere published. 79 mothers delivered their babies by cesarean section and five women had a vaginal delivery.No fetal infection through intrauterine vertical transmission was reported.

    Conclusions

    Available data showedthat pregnant patients in late pregnancy had clinical manifestations similar to non-pregnant adults. It appearsthat the risk of fetal distress, preterm delivery and prelabor rupture of membranes (PROM) rises with the onsetof COVID-19 in the third trimester of pregnancy. There is also no evidence of intrauterine and transplacentaltransmission of COVID-19 to the fetus in the third trimester of pregnancies.

    Keywords: COVID-19, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), pregnancy outcome, infectiousdisease transmission, vertical, infant, newborn, systematic review}
  • Maryam Bagheri, Mina Jafarabadi, Seyedeh Fatemeh Rahimparvar, AhmadAli Nourbala, Zahra Behboodi Moghadam*
    Objective

    Women with premature ovarian insufficiency, menopause, gonadal dysgenesis, and genetic disorders as well as those with a history of recurrent in vitro fertilization failure may benefit from the assisted fertility techniques. These women experience concerns that directly affect their married life especially in egg donation treatment. This study was conducted to investigate the reproductive health concerns of infertile women who were candidates for egg donation.

    Materials and methods

    This qualitative content analysis was conducted in 17 infertile women who were referred to Imam Khomeini Hospital Infertility Clinic from July 2018 to March 2019. The participants were selected through purposeful sampling. Data were collected through individual in-depth semi-structured interviews. A conventional qualitative content analysis approach was adopted for data analysis using the MAXQDA12 software.

    Results

    The results of data analysis showed five themes, including threatened married life, lack of supportive situation, religious beliefs, psychosocial damage, and damaged feminine identity.

    Conclusion

    Infertility is usually accompanied by a great psychological sadness referred to as "stress of infertility". Assisted reproductive techniques (ART) are also a source of stress for patients; therefore, it has a significant impact on the marital relationship and mental health of infertile women. Hence, there is a need for psychological support from the treatment team to reduce woman reproductive health concerns.

    Keywords: Infertility, Egg Receiver, Egg Donation, Concern, Reproductive Health, Qualitative Study}
  • Afrouz Mardi*, Zahra Behboodi Moghadam, Faezeh Ghafoori, Soheila Refahi
    Introduction

    The world's population is aging and the issue of sexual activity in elderly people is still a taboo in many cultures. The purpose of this study was to examine the sexual activity, interest and satisfaction in older women attended the Health Care Centers in the city of Ardabil-Northern Iran.

    Method

    This Cross-sectional study was conducted on 380 married women over 60 years old who had been selected by convenient sampling method. Data were gathered anonymously by three questionnaires (Goldberg general health, FSFI and demographic information Questionnaires) and analyzed using SPSS software.

    Results

    This study indicated that the mean age of participants was 71±6.8 years, 60% of the studied women had sexual activity and about half of them had interest in sex. Sexually active women were significantly younger (p<0.05) and more educated (p<0.001) than sexually inactive women. The participants’ sexual activity, interest in sex, emotional intimacy and sexual satisfaction with their husbands were significantly affected by the presence of children at home regardless of whether they are single or married (p<0.05)..

    Conclusion

    This study approved that despite misconceptions, older age and sexuality do not contradict each other and high education and having a private environment facilitate the intimate relationships and elevate their sexual satisfaction. The result of this study could help health care providers to provide appropriate and effective sexual healthcare services to older women.

    Keywords: Sexual Activity, Sexual Interest, Satisfaction, Older Women, Iran}
  • Khadijeh Sarayloo*, Zahra Behboodi Moghadam, Mohsen Saffari, Habibollah Esmaily, Khadijeh Mirzaii Najmabadi
    INTRODUCTION

    It is essential to provide key information and support to every woman regarding pregnancy and childbirth to enable all women to make a fully informed decision regarding their choice of reproduction. The study aimed to find the impact of an educational program based on the Theory of Planned Behavior (TPB) on health promotion and childbearing of minor thalassemia couples. SUBJECTS AND

    METHODS

    This study was quasi‑experimental. A total of 70 women with minor thalassemia held in Minudasht health center were classified into two groups: study and control. The study group received the educational program based on TPB, and the control group only received the routine program. The data were collected using the TPB‑based questionnaire at baseline and 3 months after the intervention. They were analyzed by Chi‑square, Student’s t‑test, Wilcoxon test, and regression analysis through SPSS version 16.

    RESULTS

    The mean (standard deviation) ages of the participants in the control and study group were 30.69 (6.20) and 31.08 (6.66), respectively. There were significant differences between the two groups (study vs. control) in terms of perceived behavioral control, intention, attitude, or childbearing behavior (P < 0.001). The change in fertility behaviors had a significant increase in the study group (62.8%) compared to the control group (2.9%) (P < 0.001).

    CONCLUSION

    Based on the results, the TPB is an effective model to explain fertility intentions and behaviors in Iranian women with minor thalassemia; however, further researches are needed to generalize our findings to other people including healthy women.

    Keywords: Childbearing, health promotion, minor thalassemia, randomized controlled trial, Theory of PlannedBehavior}
  • Khadijeh Sarayloo, Zahra Behboodi Moghadam, Khadijeh Mirzaii Najmabadi*, Sharon Elizabeth Millen, Mohsen Saffari
    Background

    It is essential to provide key information and support to every woman regarding pregnancy and childbirth to enable all women to make a fully informed decision regarding their choice to reproduce. Of particular importance; however, is that women who suffer from a specific condition that increases risks associated with reproduction, to receive specific information regarding such risks and health complications regarding pregnancy and childbirth. This study aims to explore the feelings, experiences, and needs of women with minor thalassemia in relation to childbearing.

    Materials and Methods

    This sample comprised of 12 Iranian women with minor thalassemia who attended to local health centers in Minudasht, Golestan province, from October 2017 to January 2018. The purposeful sampling technique was employed. The data were collected through deep semi-structured interviews, analyzed using conventional content analysis and processed by using the Graneheim and Lundman method.

    Results

    The findings were based on the participants’ experiences of pregnancy and fertility. Three major themes emerged; ‘Emotional and Physical Experience,’ ‘Satisfaction’ and ‘Social and Cultural Issues.’ The most common problem identified was the impact of emotional problems and difficulties regarding the negative implications of thalassemia on reproduction as well as the views and perceptions of family members and those within the community.

    Conclusion

    From the findings, it is evident that thalassemia imposes a heavy psychosocial burden on those women who suffer from the condition. Local health centers in areas most affected by thalassemia would be considered the most suitable venues to introduce key health educational interventions.

    Keywords: Thalassemia, Pregnancy, Qualitative Research, Iran}
  • Ameneh Khayeri, Zohreh Mahmood, Mitra Rahimzadeh, Leili Salehi, Zahra Behboodi Moghadam, Sara Esmaelzadeh Saeieh*
    Objectives

    Maternal nutritional behavior before and during pregnancy contributes significantly to improving the outcomes of pregnancy and the health of the newborns after birth. In addition, the theory of planned behavior (TPB) is a proper model for use during pre-pregnancy and pregnancy. Therefore, the present study evaluated the effect of TPB education on nutritional behaviors of overweight and obese women before pregnancy.

    Materials and Methods

    This randomized controlled trial was conducted on 100 overweight and obese women who attended a nutrition unit in Khansar during April-August 2017. A convenient sampling method was used and the samples were randomly divided into intervention and control groups. The intervention group participated in five nutritional training sessions based on the TPB in addition to routine care. Data were collected with TPB and nutritional behaviors questionnaires before, after, and 2 months after education. Finally, the Student’s t test, Fisher exact test, as well as Mann-Whitney U test, chi-square and repeated-measure tests were utilized for data analysis.

    Results

    Based on the result of the repeated measure test, the overall score of the TPB changed (P=0.002) over time and a significant difference was observed between the 2 groups (P=0.002). In addition, the result of the repeated measure test indicated that the length of time affects the nutritional behavior score (P=0.000) and there was a significant difference between the 2 groups in this regard (P=0.000).

    Conclusions

    Considering the effect of training, based on the TPB, on nutritional behavior, the content of this training is suggested to be included in the pre-pregnancy program.

    Keywords: Obesity, Overweight, Before pregnancy, Theory of planned behavior}
  • Fatima Muhammad Ibrahim, Shamsa Abdulmanan, Abdul Rahman Al Awar, Nahid Dehghan Nayeri, Moamar Al, Jefout, Fahimeh Ranjbar, Zahra Behboodi Moghadam*
    Objectives
    The aim of this study was to evaluate the perception and experience of recurrent pregnancy loss through the perspective of women in the United Arab Emirates (UAE).
    Materials and Methods
    This qualitative study was conducted in 2017 and 12 women with recurrent miscarriage were interviewed, using purposive sampling method, in the Medical and Health Clinic of the Department of Obstetrics and Gynecology under the supervision of the UAE Medical University. Transcribed interviews were analyzed using conventional content analysis.
    Results
    Data analysis led to the extraction of three main themes, including endless pregnancy, thirst for support and affirmation, and religious beliefs.
    Conclusions
    Overall, the experience of recurrent miscarriage means endless pregnancy from Arab women’s perspective, which awakened a thirst for support and affirmation. In this regard, the utilization of religious beliefs greatly reduced their pain. Therefore, knowing the dangers and consequences of recurrent miscarriages in Arab women, adopting preventative measures, and improving the quality of care in these vulnerable women require special attention.
    Keywords: Recurrent miscarriage, Perception, Experience, United Arab Emirates, Qualitative study}
  • Zeinab Tavakol, Alireza Nikbakht Nasrabadi, Zahra Behboodi Moghadam, Hamid Salehiniya*
    BACKGROUND

    The aim of this qualitative study was to explore if the presence of a child in the family was an opportunity or threat to the marital life.

    METHODS

    In this common qualitative content analysis, semi‑structured interviews with 20 participants were conducted. All of the interviews were recorded and then transcribed. The data were categorized, and the main themes and sub‑themes were extracted.

    RESULTS

    Twenty transcription were analysed. The data analysis led to the development of the first theme of “feeling evolution” with the category of “flourishing the motherhood sense,” and the second theme of “strengthening the marital life” with the two categories of “the marital life stabilization” and “efforts for a common goal.”

    CONCLUSIONS

    The presence of the child can lead to the feeling of development and stabilizing the marital life. Furthermore, the presence of the child can facilitate or hinder marital satisfaction. Given the challenges due to a lack of preparation of parents for childbirth, consultation and support by family members or the society can help with adaptation with this life period and increasing the positive effects of the presence of the child on parents’ relationships and marital satisfaction.

    Keywords: Iran, marital satisfaction, opportunity, presence of child, qualitative study, threat}
  • Fatemeh Abdi*, Zahra Behboodi Moghadam, Mansoureh Yazdkhasti, Tayebeh Darooneh, Sahar Rostami
    Context
     Thrombophilia is an inherited or acquired predisposition in developing thrombosis. The two common thrombophilia polymorphisms are factor V Leiden (FVL) and factor II/ prothrombin G20210A (PT) gene mutations which can contribute to negative pregnancy outcomes such as miscarriage, in-vitro fertilization (IVF) failure, preeclampsia, intrauterine growth restriction (IUGR), placental abruption, stillbirth, and pregnancy-associated venous thromboembolism. This review study sought to describe the effects of FVL and PT mutations on pregnancy complications. Evidence Acquisition: In this review study, a comprehensive search was performed on Iranian and international databases including MEDLINE, PubMed, Scopus, Web of Sciences, Proquest and Google Scholar for articles published during 1996-2018. Out of 220 reviewed articles, 80 papers were ultimately selected.
    Results
    According to these 80 selected papers, the possible relations of PT and FVL with recurrent pregnancy loss (RPL) have been widely evaluated. Several studies indicated higher risk of recurrent early miscarriages, implantation failure and fetal loss after IVF among women with FVL and PT mutations.
    Conclusion
    Observational studies have suggested the benefits of screening patients for thrombophilic polymorphisms in identification of women with higher risk of developing thromboembolic events and other related pregnancy complications. Based on such screening programs, prophylactic therapy can be limited to a selected group of women who truly need it.
    Keywords: Thrombophilia_Factor V Leiden_Hyperprothrombinemia_Mutation_Pregnancy Complications}
  • Maryam Keshavarz, Mohammad Shariati, Abbas Ebadi, Zahra Behboodi Moghadam*
    Objectives
    Due to the importance of marriage in providing the society structure, foundation for family formation, and continuity of the generation, as well as considering the decline of marriage rate in Iran, this study was designed to explore desire and attitude to marriage among Iranian youth.
    Materials and Methods
    Participants were 22 unmarried Iranian youth who were selected by purposive and snowball sampling from the capital of Iran, Tehran. Interviews were carefully recorded and concurrent with data collection, analysis was done using directed content analysis technique. After securing the data saturation, interviews were finished and data were categorized.
    Results
    A total of 4 main categories and 12 sub-categories were derived from the results of the current study in terms of attitude to marriage among Iranian youth. Main categories included sense of excellence, achievement of calm, achieving stability, and the necessity of marriage.
    Conclusions
    The concept of marriage from the viewpoint of Iranian youth is an essential element that can help to create a sense of stability, achieve calm in life, and ultimately achieve excellence. On the whole, the attitude to marriage was positive among unmarried Iranian youth, but marriage rate was definitely falling in Iran. Identification of the factors affecting marriage rate can be addressed in future national research.
    Keywords: Desire, Attitude, Marriage, Iranian youth}
  • Samira Shahbazzadegan, Mahmood Shamshiri, Shahrzad Ghiasvandian, Zahra Behboodi Moghadam *
  • زهرا بهبودی مقدم، مهناز کشاورز افشار *، اکبر پوررحیمی، زیبا تقی زاده، پوران مختاری زنجانی، علی منتظری
    مقدمه
    دوره نفاس، به 6 هفته اول پس از زایمان اطلاق می شود. این دوره برای مادران بسیار استرس زا می باشد و زنان با تغییرات زیادی از جمله تغییرات کیفیت خواب مواجه می شوند. مطالعه حاضر با هدف بررسی کیفیت خواب زنان در دوره نفاس و عوامل مرتبط با آن انجام شد.
    روش کار
    این مطالعه مقطعی در سال 1393 بر روی 200 مادر در دوره نفاس که به مراکز بهداشتی درمانی شهرستان زنجان مراجعه کرده بودند؛ انجام شد. داده ها با استفاده از پرسشنامه کیفیت خواب پیترزبورگ، شاخص افسردگی پس از زایمان ادینبرگ و پرسشنامه جمعیت شناختی گردآوری شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 16) و آزمون های کای دو، ضریب همبستگی پیرسون و اسپیرمن انجام شد. میزان p کمتر از 05/0 معنی دار در نظر گرفته شد.
    یافته ها
    میانگین کیفیت خواب در دوره نفاس 31/2±74/7 بود و 125 نفر (5/62%) از زنان در این دوره، از کیفیت پایین خواب رنج می بردند. دفعات بیدار شدن به علت گریه شیرخوار (41/0=r، 001/0>p) و تغذیه شیرخوار (46/0=r، 001/0>p) از مهم ترین عواملی بودند که با اختلالات خواب همبستگی معناداری داشتند، همچنین افسردگی مادر با کیفیت پایین خواب همبستگی معناداری را نشان داد (16/0=r، 03/0=p). از بین مشخصه های جمعیت شناسی، تحصیلات مادر (37/0-=r، 004/0=p)، شغل همسران (03/0=p)، سن (28/0=r، 02/0=p) و اشتغال مادران (03/0=p) همبستگی معناداری با اختلال خواب نشان دادند.
    نتیجه گیری
    با توجه به پایین بودن کیفیت خواب در دوران نفاس، وجود برنامه هایی جهت پیشگیری، تشخیص و کمک به درمان اختلالات خواب علاوه بر مراقبت های معمول نفاس ضروری به نظر می رسد.
    کلید واژگان: افسردگی, کیفیت خواب, نفاس}
    Zahra Behboodi Moghadam, Mahnaz Keshavarz Afshar *, Akbar Pourrahimi, Ziba Taghizadeh, Pouran Mokhtari Zanjani, Ali Montazeri
    Introduction
    The postpartum period refers to the first six weeks after delivery, which is associated with significant stress and sleep disorders in women. The present study aimed to evaluate postpartum sleep quality and the influential factors in women.
    Methods
    This cross-sectional study was conducted on 200 women in the postpartum period referring to the health centers in Zanjan, Iran in 2014. Data collection tools were demographic questionnaires, Pittsburgh Sleep Quality Index (PSQI), and Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed in SPSS version 16 using the Chi-square test, Pearson’s correlation-coefficient, and Spearman’s correlation-coefficient. P-value of less than 0.05 was considered significant.
    Results
    Mean score of postpartum sleep quality was 7.74±2.31, and 62.5% of the women had low sleep quality during this period. Frequency of waking due to infant’s crying (r=0.41; P
    Conclusion
    Considering the poor sleep quality in the women, it is recommended that proper interventions be provided for the prevention and diagnosis of postpartum sleep disorders in addition to the routine care procedures.
    Keywords: Sleep Quality, Postpartum, Depression}
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سامانه نویسندگان
  • دکتر زهرا بهبودی مقدم
    بهبودی مقدم، زهرا
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