جستجوی مقالات مرتبط با کلیدواژه « عدم پذیرش » در نشریات گروه « پزشکی »

Aims:

 Despite various government measures, control of COVID-19 requires immediate action, including vaccine production. Given the role of vaccine acceptance factors in future planning, this study aimed to unfold the determinants of COVID-19 vaccine acceptance in Gonabad.

Methods & Materials:

 This descriptive-analytical study was performed on 292 people in Gonabad city, Iran, in 2021. The random multi-stage sampling method was used to select two groups of samples: Vaccinated and unvaccinated. The data collection tool consisted of a demographic checklist and a researcher-made questionnaire on the reasons for accepting or rejecting the COVID-19 vaccination. Data were collected by telephone and analyzed by SPSS software, version 23 using mean, standard deviation, and the Chi-square test at a significance level of less than 0.05.

Findings:

 Most of the research participants were women (51%). The Mean±SD age of the vaccinated and non-vaccinated groups was 57.55±12.24 and 55.38±41.1 years, respectively. Two factors of living with people at risk (88.5%) and respect for the rights of others (80.9%) were the most important reasons for accepting and worrying about the side effects of the vaccine (63%). Worrying about the content and lack of knowledge about the effectiveness of the vaccine (45.3%) were mentioned as the most important reasons for not accepting the COVID-19 vaccination.

Conclusion:

 Considering the importance of two factors, including the concern about the side effects of the COVID-19 vaccine and concern about the content and ineffectiveness of COVID-19 vaccine in rejecting COVID-19 vaccine, increasing public awareness and knowledge about the effectiveness of vaccines in the country seems necessary to plan and invest on a large scale in the country through reliable sources as well as efforts to reduce the fear of the consequences of vaccination.

Introduction & Objective: Caesarean section is the most common method of termination of pregnancy. In this case, the choice of a low-risk, desirable, and affordable anesthetic technique for mother and baby is important. Based on valid studies, the preferred method for cesarean section is spinal anesthesia. However, the results of studies conducted in Iran have confirmed the high use of general anesthetic technique for performing cesarean section. Therefore, the aim of this study was to investigate the causes of non-acceptance of spinal episode in cesarean section by pregnant women. This descriptive cross-sectional study was performed on all pregnant women referred to al-Zahra hospital in Rasht, Iran, in 2017, for elective cesarean section. After obtaining informed consent from the subjects, a questionnaire consisting of demographic characteristics and questions about the reasons for not choosing the method of spinal anesthesia was conducted as a face-to-face interview with a trained technician. Finally, the data were analyzed using SPSS 21 software and appropriate statistical methods. In this study, 386 pregnant women with a mean age of 30.09 ± 6.31 years and mean pregnancy rate of 2 ± 0.7 years were studied. Anxiety from back pain, seeing and hearing in the operating room needle stick pain" were the most common causes of non-acceptance of spinal anesthesia. Also, statistical significance was found between the education level of pregnant women and anxiety of the back pain" (P 0.0001), “seeing and hearing in the operating room" (P = 0.014), headache "(P = 0.009). A statistical relationship between anxiety about back pain", " anxiety for paralysis", " anxiety to see and hear in the operating room", ", headache, needle insertion pain" and pain during surgery"(P = 0.0001 in all cases). Also, there was a statistically significant correlation between the history of spinal anesthesia in pregnant women and "anxiety of back pain, paralysis and headache" was observed (P = 0.42, 0.027 and 0.03, respectively). Anxiety from back pain, seeing and hearing in the operating room and needle stick pain" were the most common causes of spinal anesthesia refusal. Enough attention and attempt to relief pregnant women in preoperative visits are recommended. In addition future multicenter studies involving private wards should be planned