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  • Md. Sanaul Mondal *, Kamrun Nahar
    Background
    Intimate partner violence (IPV) is a public health concern in the world, especially in the developing world. Bangladesh, a developing country, has the highest rate of IPV among the South Asian countries. We designed this study to examine survey data from a fishing community in Cox’s Bazar district in Bangladesh, aiming to investigate the factors associated with the poor mental health conditions of women who experienced IPV.
    Methods
    This study used a cross-sectional design. The target population included fishermen’s wives within the reproductive age group (15-49 years) who experienced IPV. A convenient sampling procedure selected 120 fishermen’s wives from three fishers’ villages of Cox’s Bazar district in 2022. We assessed the respondents’ mental health conditions using the Self-Reporting Questionnaire (SRQ-20). We analyzed the data using Fisher’s exact test, independent t-test, and binary logistic regression in SPSS version 26.
    Results
    The respondents reported the prevalence of physical and psychological abuse by their current intimate partners in the last year. The findings indicated that their intimate partners physically abused 69.2% of respondents and psychologically abused 86.7% of them in the past year. The majority of the respondents (80%, n=96) had poor mental health (SRQ≥7). The results from binary logistic regression models demonstrated that the poor mental health of respondents was associated with several factors, including respondents’ age (P=0.045), education (P=0.001), personal income (P=0.002), consumption of betel leaf/smokeless tobacco (P=0.032), not being a member of a non-governmental organization (NGO) (P=0.023), a husband’s gambling habit (P=0.05), a history of psychological abuse (P=0.001), and those who seek assistance during crisis times (P=0.027).
    Conclusions
    The study findings can assist policymakers and fisheries practitioners in formulating policies and programs to reduce IPV in fisheries communities, thereby ensuring that no one is left behind.
    Keywords: Violence, Mental Health, Women, Psychological Abuse, Physical Abuse
  • Fatemeh Masoudizadeh, Fariba Hafezi *, Sahar Safarzadeh, Zahra Dasht Bozorgi
    Background
    Adolescent girls often struggle with negative body image, leading to rumination and distress. The objective of this investigation was to examine the potential of self-compassion therapy (SCT) to mitigate rumination and bolster distress tolerance in adolescent girls experiencing body image concerns.
    Methods
    This experimental study comprised all adolescent girls in Ahvaz, Iran, who reported body image concerns in 2023. A sample of 30 adolescent girls was drawn using multi-stage cluster sampling and then randomly allocated to either an experimental (n=15) or a control (n=15) group. Data collection was facilitated using the Ruminative Response Scale and Distress Tolerance Scale. The experimental group participated in a ten-week structured self-compassion training (SCT) program, with one 60-minute session per week. The control group received no intervention. Analysis of covariance (ANCOVA) was employed to assess the impact of SCT on the dependent variables, using SPSS version 25.
    Results
    At pre-test, both groups reported similar levels of rumination (SCT group: M=64.53, SD=7.59; control group: M=68.26, SD=9.46) and distress tolerance (SCT group: M=31.06, SD=6.86; control group: M=32.06, SD=5.23). After the 10-week SCT intervention, the experimental group showed a significant reduction in rumination (M=36.26, SD=5.57) and a significant increase in distress tolerance (M=66.60, SD=5.02) compared with the control group (P<0.001). SCT was found to be effective in significantly reducing rumination and increasing distress tolerance in adolescent girls with body image concerns (P<0.001).
    Conclusion
    SCT has demonstrated its efficacy in mitigating rumination and enhancing distress tolerance among adolescent girls confronting body image challenges. The study findings underscored the potential of SCT as a promising intervention for this vulnerable population.
    Keywords: Self-Compassion, Rumination, Distress, Adolescent, Women
  • Tahere Amirahmadi, Hamdollah Jayervand *, Farzaneh Hooman, Rezvan Homaei
    Background
    Understanding the factors that influence divorce can help individuals and couples make informed decisions about their relationships and seek appropriate support. The study aimed to investigate the correlation between self-differentiation and emotional experiences towards the spouse and the probability of divorce among married female students.
    Methods
    This study used a descriptive-correlational design to examine the relationship between divorce probability, selfdifferentiation, and emotional experiences in married female students at Islamic Azad University of Ahvaz, Iran in 2023. A convenience sample of 304 participants was selected. Data were collected using the Divorce Probability Questionnaire (DPQ), Differentiation of Self Inventory (DSI), and Experiences of Emotions Towards Spouse Questionnaire (EETSQ). Data analysis was conducted using SPSS version 27. Correlation coefficients and regression were employed to examine the correlations between the variables.
    Results
    The results revealed a significant negative correlation between self-differentiation and the probability of divorce (r=- 35, P=0.001). Additionally, emotional experiences towards the spouse were negatively and significantly correlated with the probability of divorce (r=-33, P=0.001).
    Conclusions
    The findings suggested that self-differentiation and emotional experiences towards the spouse are significantly correlated with the probability of divorce among married female students. By understanding the importance of self-differentiation and positive emotional experiences, interventions can be developed to help couples strengthen their relationships and reduce the risk of divorce.
    Keywords: Divorce, Emotions, Women, Self-Differentiation
  • Fatemeh Sedighi *, Nazila Khoshkhatti
    Background
    Divorce is recognized as the main factor contributing to the deterioration and collapse of the basic societal institution, the family, resulting in numerous negative social consequences. The study aimed to examine the correlation between spiritual intelligence and self-compassion with the influence of social adjustment in women who have experienced divorce.
    Methods
    This descriptive-correlational study focused on all divorced women under the care of the Welfare Organization of Alborz Province, Iran who have been divorced for at least one year in 2023-2024. A total number of 361 participants were selected using convenience sampling method. The Integrated Spiritual Intelligence Scale (ISIS), Social Adaptation Self-evaluation Scale (SASS), Post-Divorce Adjustment Inventory (PDAI), and Self-Compassion Scale (SCS) were given to the participants. The data were analyzed using SmartPLS 4.1.0.9 software.
    Results
    Based on the findings of the study, Social Adaptation was positively and significantly correlated with Adjustment following divorce (β=0.035, P=0.006). Similarly, Mindfulness achieved through Social Adaptation showed a positive and significant association with adjustment after divorce (β=0.042, P=0.002). In addition, spiritual intelligence attained through social adaptation was found to have a positive and significant correlation with adjustment after divorce (β=0.064, P<0.001). Furthermore, self-judgment as a component of social adaptation exhibited a negative and significant correlation with adjustment after divorce (β=-0.049, P=0.002).
    Conclusions
    According to the results of the model fitting, all variables in various areas showed adequate levels of validity and reliability within the model. Additionally, the total impact of the model indicated significant correlations between spiritual intelligence, self-compassion, and social adjustment variables on post-divorce adjustment. The mediating impact of the social adjustment variable was also verified in this situation.
    Keywords: Adjustment, Spiritual Intelligence, Self-Compassion, Social Adjustment, Divorced, Women
  • سمانه قبادی، کیوان کاکابرایی*، محمود گودرزی
    زمینه و هدف 

    باتوجه به نیازهای روانشناختی افراد نابارور به خصوص زنان نابارور، کمبود تحقیقات دقیق درزمینه روانشناسی ناباروری و همچنین نیاز به یافتن یک روش کوتاه مدت و کم هزینه بیش ازپیش لزوم انجام پژوهش هایی در این زمینه به خصوص در کشور ایران را تایید می کند. ازآنجاکه ناباروری و نگرش جامعه نسبت به آن زنان را با آشفتگی های هیجانی متعددی مواجه می سازد و باتوجه به اهمیت تنظیم شناختی هیجان در وضعیت روانشناختی زنان نابارور و انجام نشدن مداخله مقابله ای با تنیدگی ناباروری درزمینه ارتباط متغیرهای پیش گفت در جامعه زنان نابارور، هدف از انجام این پژوهش ارزیابی اثربخشی بسته آموزشی مقابله ای شناختی-رفتاری با تنیدگی ناباروری بر تنظیم شناختی هیجان در زنان نابارور بود.

    روش بررسی

    پژوهش حاضر باتوجه به هدف کاربردی و شیوه اجرا نیمه آزمایشی، از نوع طرح پیش آزمون، پس آزمون و پیگیری 2 ماهه با گروه کنترل بود. جامعه آماری این پژوهش، زنان نابارور مراجعه کننده به مراکز ناباروری و مطب متخصصان زنان و درمان ناباروری شهر کرمانشاه در سال 1401 بود. 40 نفر از زنان نابارور که واجد شرایط شرکت در پژوهش بودند با استفاده از روش نمونه گیری در دسترس انتخاب و در دو گروه (آزمایش و کنترل) به صورت تصادفی ساده جایگزین شدند که ملاک ورود به پژوهش، تشخیص ناباروری براساس نظر متخصص زنان و ناباروری و دریافت درمان دارویی از سوی پزشک متخصص بود. در این پژوهش از پرسش نامه استرس ناباروری نیوتن و همکاران و مقیاس تنظیم شناختی هیجان (CERQ؛ گارنفسکی و کرایج) به کارگرفته شده است. در این پژوهش تجزیه وتحلیل داده های به دست آمده با استفاده از نرم افزار SPSS نسخه 24، آزمون آنالیز واریانس اندازه گیری مکرر و بررسی پیش فرض های آن استفاده شد. 

    یافته ها 

    بررسی اثربخشی بسته آموزشی بر تنظیم شناختی هیجان زنان نابارور نشان داد بین سه مرحله پیش آزمون، پس آزمون و پیگیری در تنظیم شناختی هیجان تفاوت وجود دارد (05/P<0) و این تفاوت معنی دار تا مرحله پیگیری نیز تداوم داشته است (05/P<0).

    نتیجه گیری

    بسته آموزشی مقابله ای شناختی- رفتاری با تنیدگی ناباروری زنان نابارور می تواند بر تنظیم شناختی هیجان زنان نابارور اثربخش باشد و می توان از این برنامه برای کاهش تنیدگی زنان نابارور بهره گرفت.

    کلید واژگان: مقابله شناختی- رفتاری, تنیدگی ناباروری, تنظیم شناختی هیجان, ناباروری, زنان
    Samaneh Ghobadi, Keivan Kakabraee*, Mahmoud Goudarzi
    Background & Aims

    Considering the psychological needs of infertile women, the important role of cognitive emotion regulation in their psychological state, and the lack of an intervention to deal with infertility stress in Iran, this study aims to evaluate the effectiveness of cognitive-behavioral infertility stress coping training on the cognitive emotion regulation of infertile women.

    Materials & Methods

    This is a quasi-experimental study with a pre-test/post-test/two-month follow-up design. The study population consists of infertile women who referred to infertility treatment centers and visited specialists in Kermanshah, Iran, in 2021. Using a convenience sampling method, 40 women were selected and were divided into two groups (intervention and control). They completed Newton’s fertility problem inventory and Garnefski and Kraaij’s cognitive emotion regulation questionnaire (CERQ). The collected data were analyzed in SPSS software, version 24 using repeated measures analysis of variance.

    Results

    There were significant differences in the CERQ scores in the intervention group between the three stages of pre-test, post-test, and follow-up (P<0.05). The significant effect was maintained in the follow-up stage (P<0.05).

    Conclusion

    The cognitive-behavioral infertility stress-coping training program is effective in improving the cognitive emotion regulation of infertile women. Therefore, this program can be used to reduce the stress of infertile women in Iran.

    Keywords: Cognitive-Behavioral Coping, Stress, Cognitive Emotion Regulation, Infertility, Women
  • مرضیه ترابی، معصومه خیرخواه*، شیما حقانی، زهرا خشاوی
    زمینه و هدف

    افراد با تاب آوری بالا تحمل درد و رنج برای آن ها آسان است و کمتر در معرض استرس قرار می گیرند. این مطالعه با هدف بررسی تاثیر تکنیک رهاسازی هیجانی (EFT) بر استرس و تاب آوری زنان نابارور انجام شد.

    روش بررسی 

    این مطالعه نیمه آزمایشی از نیمه بهمن سال 1401 تا نیمه مرداد سال 1402 بر روی 98زن دارای مشکلات ناباروری مراجعه کننده به دو کلینیک دولتی و خصوصی شهر بندرعباس با تخصیص 1:1 در دو گروه آزمایش و کنترل انجام شد. شرکت کنندگان گروه آزمایش 4جلسه آموزش با فاصله 1 هفته دریافت کردند. پرسش نامه جمعیت شناختی، استرس ناباروری و تاب آوری کانر و دیویدسون قبل و پس از اتمام مداخله تکمیل شد. تجزیه وتحلیل داده ها با نرم افزار SPSS نسخه 16 و استفاده از آزمون های تی مستقل و تی زوجی انجام شد.

    یافته ها 

    میانگین استرس قبل و بعد از مداخله به ترتیب در گروه آزمون 34/06±168/06 و26/02±134/59 درگروه کنترل31/08± 155/26 و31/28±156/83 بود. بعد از مداخله استرس در گروه آزمون کمتر از کنترل بود (0/001>P). میانگین نمره تاب آوری قبل و بعد از مداخله به ترتیب در گروه آزمایش 20/13±26/64 و 9/63±82/97 و در گروه کنترل 30/13±83/71 و 12/95±71/049 بود که نشان دهنده افزایش تاب آوری در گروه آزمایش نسبت به کنترل می باشد (0/001>P).

    نتیجه گیری 

    تکنیک رهاسازی هیجانی می تواند سبب کاهش سطح استرس زنان دارای مشکلات ناباروری و افزایش سطح تاب آوری آنان شود. کادر درمان می تواند این راهکار ارزان، بی خطر و آسان را به زنان نابارور جهت تاب آوری بیشتر و کاهش استرس توصیه کند.

    کلید واژگان: استرس, تاب آوری, زنان, ناباروری
    Marzieh Torabi, Masoomeh Kheirkhah*, Shima Haghani, Zahra Khashavy
    Background & Aims 

    People with high resilience can easily tolerate pain and have less stress. This study aims to investigate the effect of the emotional freedom technique (EFT) on the stress and resilience of infertile women.

    Materials & Methods

    This quasi-experimental study was conducted from February to August 2023 on 98 women with infertility problems referred to two public and private clinics in Bandar Abbas, South of Iran. They were randomly allocated into two intervention and control groups on a 1:1 basis. Participants in the intervention group received the EFT at 4 training sessions with a 1-week interval. A sociodemographic form, Newton’s fertility problem inventory (FPI), and the Connor-Davidson resilience scale (CD-RISC) were completed before and after the intervention. Data analysis was performed in SPSS software, version 16 and independent and paired t-tests were used.

    Results

    The mean score of FPI before and after the intervention were 168.06±34.06 and 134.59±26.02 in the intervention group, and 155.26±31.08 and 156.83±31.28 in the control group, respectively. After the intervention, the FPI score in the intervention group was significantly lower (P<0.001). The mean CD-RISC score before and after the intervention was 26.64±20.13 and 82.97±9.63 in the intervention group and 83.71±30.33 and 71.04±12.95 in the control group, respectively, indicating a significant increase in the resilience of the intervention group compared to the control (P<0.001). 

    Conclusion

    The EFT can reduce the stress of infertile women and increase their resilience. This cost-effective, safe, and easy method can be recommended by the medical staff to infertile women for better resilience and stress reduction.

    Keywords: Stress, Resilience, Women, Infertility
  • Maryam Ilati *, Zohreh Sadeghi Afjeh, Mansooreh Shahriary Ahmadi
    Background
    Body dysmorphic disorder is a psychological condition in which an individual is convinced that there is an imperfection in their physical appearance, causing them significant distress and prompting repetitive actions. 
    Objectives
    The current study aimed to predict body deformity symptoms in women visiting beauty clinics by analyzing cognitive avoidance and self-differentiation.  
    Methods
    The study was conducted based on a correlational descriptive approach. The statistical population included females who attended beauty clinics in District 3 of Tehran in 2023. Convenient sampling was utilized as the sampling method. The required data were gathered using the Differentiation of Self Inventory-Short Form and Revised Yale-Brown Obsessive-Compulsive Scale. The data analysis technique involved Pearson's correlation coefficient and multiple regression. The collected data were analyzed in IBM SPSS version 26.  
    Results
    The findings showed a clear negative relationship between the total self-differentiation score (r=-0.47) and its elements, such as personal identity (r=-0.19), relationships with others (r=-0.39), and emotional reactivity (r=-0.37), and symptoms of body deformity in women seeking beauty treatments. 
    Conclusion
    According to the research results, it can be inferred that cognitive avoidance and self-differentiation play a crucial role in alleviating symptoms of body deformity among women undergoing beauty treatments. Therefore, this information can be used as a basis for developing therapeutic and educational initiatives aimed at addressing these concerns.
    Keywords: Body Deformity Symptoms, Cognitive Avoidance, Self-Differentiation, Women
  • Jamshid Arasteh, Mandana Saniee *, Ani Mirzakhanian, Hedyeh Sadat Mirtorabi

    The modern world and the world of technology claim order and regularity in several aspects of life. However, the disruption of the balance in the global power structure, the existing disorder, and the ringing of the bell of war by the violent people make the daily life of human societies a system of disorder and chaos. The media plays an effective and significant role both in formulating and developing women's legal literature in international relations and global communications and the development of the women’s health system. This study has criticized the performance of the media from the viewpoint of providing the right to women's health by analyzing and describing the news published about women in the recent wars. The evidence suggests that female combatants experience war in the same way as male ones, but the experience after the war has not been pleasant for them and has brought many psychological consequences for them, and their emotional health has been affected. The media's approach to the role, position, and contribution of women during the recent war indicates the impact of the power institution and authoritarian structures, which is necessary for the media, health, and legal system of the country, to develop a legal-media system for empowering female combatants and not limiting their right to health in times of war and peace considering the ethnic, cultural, religious commonalities.

    Keywords: Armed Conflicts, Communications Media, Right To Health, Social Responsibility, Women
  • Fatemeh Ahmadi Tabar, Esmat Hasanpour *
    Background

    The study's goal was to find out how well acceptance and commitment-based treatment worked for women going through divorce who were afraid of being negatively evaluated and experiencing anxiety.

    Methods

    Women considering divorce who sought help from family counseling facilities in Kerman City during the first three months of 2013 were the subjects of this semi-experimental pre-test-post-test study, which included a control group. The samples were split into two groups of 15 individuals at random. In an experiment, eight 60-minute mindfulness training sessions were given to one group. For the control group, no particular treatment approach was offered. A post-test was administered to both groups following the conclusion of the treatment period. The Fear of Negative Evaluation Questionnaire (BFNES) and Wells Anxiety were among the instruments utilized. For analysis, multivariate analysis of variance and covariance were employed.

    Results

    According to the findings, women going through a divorce who received treatment based on acceptance and commitment experienced less anxiety and fear of negative evaluation; the linear combination of anxiety and fear of negative evaluation was affected by this treatment by 0.903. Anxiety was reduced by 0.807%, and fear of a negative evaluation was reduced by 0.685% with acceptance and commitment-based therapy.

    Conclusion

    Psychologists should use the acceptance and commitment-based therapy approach along with other treatment approaches to help women going through divorce feel less anxious and afraid of being negatively evaluated. Research indicates that this approach may be extremely effective.

    Keywords: Acceptance, Commitment Therapy, Anxiety, Divorce, Women
  • سراج الدین محمودیانی*، رقیه خسروی، جاناتان پارکر، نازنین آقایی
    زمینه و هدف

    علی رغم اهمیت بهداشت باروری و استفاده از روش های پیشگیری از بارداری، اهمیت آنها در بهداشت و رفاه عمومی مردم هنوز به طور کامل در کشورهای در حال توسعه درک نشده است. انتظار می رود تغییرات قابل توجه در سیاست ایران در زمینه تنظیم خانواده، همراه با بروز کووید-19، بر روش های پیشگیری از بارداری به کار گرفته شده در کشور تاثیر گذاشته باشد.

    روش کار

    این مطالعه مقطعی با استفاده از روش پیمایشی کمی بر روی 1200 زن متاهل در سن باروری شهر شیراز در سال 1399 انجام شد. نمونه گیری ترکیبی از روش های طبقه بندی چند مرحله ای و تصادفی سیستماتیک بود. داده ها با استفاده از پرسشنامه ساختاریافته و محقق ساخته جمع آوری شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار SPSS و با استفاده از آزمون های مجذور کای و رگرسیون لجستیک چندگانه انجام شد.

    نتایج

    بر اساس یافته ها، پیش بینی کننده های اصلی استفاده از روش های پیشگیری از بارداری شامل سن زنان، باروری واقعی، باروری ایده آل، سطح تحصیلات زوج ها و وضعیت اشتغال زوج ها بود. شانس استفاده از روش های سنتی در پی همه گیری کووید-19 افزایش یافت.

    نتیجه گیری

    با توجه به گرایش قابل توجه زنان به استفاده از روش های پیشگیری سنتی، بخصوص در دوران شیوع همه گیری ها، آموزش مسائل مرتبط با این روش ها به زنان ضرورت می یابد. از آنجایی که روش های سنتی می تواند بارداری ناخواسته را به دنبال داشته باشد بنابراین آموزش روش های پیشگیری برای زنان باید در سیاست های جمعیتی گنجانده شود.

    کلید واژگان: زنان, باروری, روش های پیشیگری از بارداری
    Serajeddin Mahmoudiani*, Roghayeh Khosravi, Jonathan Parker, Nazanin Aghaei
    Background and Aim

    Despite the importance of reproductive health and the utilization of contraceptive methods, their significance in public health and well-being is not yet fully understood in developing countries. It is expected that significant changes in Iran's family planning policy, coupled with the emergence of Covid-19, have influenced the contraceptive methods employed in the country.

    Materials and Methods

    This research was a cross-sectional study including 1200 married women of reproductive age using a quantitative survey method in Shiraz city, Iran in 2019. Sampling was done using a combination of multi-stage and systematic random classification methods. Data collection was done through a researcher-made structured questionnaire and analyzed using the SPSS software, the statistical tests being chi-square tests and multiple logistic regression.

    Results

    The main predictors of using contraceptive methods included women's age, actual fertility, ideal fertility, education level of the couple, and the employment status of the couple. After the Covid-19 pandemic there was an increase in the likelihood of utilizing traditional contraceptive methods.

    Conclusion

    Based on the findings of this study, considering the notable preference among women for traditional contraceptive methods, particularly during epidemics, it is imperative to educate them about the problems associated with these methods. As traditional contraceptive methods can result in unintended pregnancies, educating women about these methods should be integrated into population policies.

    Keywords: Women, Fertility, Contraceptives Methods
  • Elahe Rajaee, Nazanin Abdi, Teamur Aghamolaei, Hossein Farshidi, Shokrollah Mohseni, Zahra Hosseini*
    Background

    Evidence shows that environmental and social factors may influence people’s behavior and their choice to smoke hookah. This study determines the effective factors in hookah consumption behavior and designs an educational intervention program based on social cognitive theory to reduce hookah consumption among women in Bandar Abbas City, Hormozgan Province, Iran.

    Materials and Methods

    This semi-experimental study was conducted with two groups (intervention group and control group) using the framework of social cognition theory in women with over 15 years of hookah consumption. The sample size for each group was estimated at 120 people. They were randomly selected within 2 stages from four comprehensive health service centers (2 intervention centers and 2 control centers) in Bandar Abbas City, Iran. The tool for data collection was a researcher-made questionnaire, which was validated. The educational intervention was conducted in six face-to-face and six non-face-to-face sessions in 2 months with a three-month follow-up. One of the primary outcomes of this study was the reduction of hookah use, and the secondary outcomes included quitting hookah and changes in the determinants of hookah consumption.

    Conclusion

    The results of this study provided information about the determinants of hookah use in women, thereby helping policymakers, government, society, health professionals, and families to take necessary measures to reduce or quit smoking

    Keywords: Water Pipe, Women, Social Cognitive Theory, Hookah
  • مهدیه باتقوا، سید ناصر حجازی*، محمدعلی چیت ساز
    مقدمه

    سقط جنین، مقوله ای پیچیده در حوزه سلامت باروری است، که به دلیل ماهیت بحث برانگیز آن کمتر بدان توجه شده است. هدف پژوهش حاضر واکاوی سقط جنین در بین زنان شهر اصفهان بود.

    روش کار

    روش پژوهش کیفی و از روش تحلیل مضمون استفاده شد. جامعه آماری پزشکان متخصص مامایی شهر اصفهان در سال 1403، و حجم نمونه در بخش کیفی 10 نفر مصاحبه در حد اشباع که به روش نمونه گیری هدفمند انتخاب شدند. ابزار اندازه گیری در بخش کیفی مصاحبه نیمه ساختارمند بود. جهت تجزیه و تحلیل اطلاعات در بخش کیفی از تحلیل مضمون استفاده شد.

    نتایج

    یافته ها نشان داد، کدهای باز استخراج شده براساس پاسخ ‎های مشترک مصاحبه شوندگان در طراحی مدل واکاوی سقط جنین در بین زنان بر اساس چهار حوزه اصلی (کدگذاری انتخابی) شامل: «علل فردی»، «علل خانوادگی»، «علل اجتماعی» و «علل فرهنگی» به دست آمده است.

    نتیجه گیری

    بنابراین، نتیجه می گیریم که تصمیم گیری در مواجهه با بارداری برنامه ریزی نشده، مدام بر گریز از تهدید و آسیب استوار است و رویکرد راهبرد انتخابی زنان، براساس نوع و شدت تهدیدات متناقض درک شده متفاوت است.

    کلید واژگان: سقط جنین, زنان, علل خانوادگی, علل اجتماعی, پزشکان متخصص مامایی
    Mahdiyeh Bataghvae, Seyyd Naser Hejazi *, Mohammadali Chitsaz
    Introduction

    Abortion is a complex category in the field of reproductive health that has received less attention due to its controversial nature. The aim of the present study was to investigate abortion among women in Isfahan city.

    Method

    Qualitative research method and thematic analysis method were used. The statistical community of midwifery doctors in Isfahan city in 2024, and the sample size in the qualitative section was 10 interviewees at the saturation level who were selected by purposive sampling. The measurement tool in the qualitative part of the interview was semi-structured. Thematic analysis was used to analyze the data in the qualitative part.

    Results

    The findings showed that the open codes extracted based on the common responses of the interviewees in the design of the analysis model of abortion among women based on four main areas (selective coding) including: "individual causes", "family causes", "causes "social" and "cultural causes" have been obtained.

    Conclusion

    Therefore, we conclude that decision-making in the face of unplanned pregnancy is always based on avoiding threats and harm, and the approach of women's selection strategy is different based on the type and intensity of perceived conflicting threats.

    Keywords: Abortion, Women, Family Causes, Social Causes, Midwifery Doctors
  • مریم پوربختیار، محتشم غفاری، سکینه رخشنده رو*
    مقدمه

    همسر آزاری یک معضل مهم سلامت عمومی است که به طور گسترده ای زنان را تحت تاثیر قرار می دهد. شناسایی میزان گستردگی این مشکل در جوامع مختلف و عوامل مرتبط با آن ضروری است. مطالعه حاضر با هدف بررسی همسرآزاری و عوامل مرتبط با آن انجام شده است.

    مواد و روش کار

    در این مطالعه که به صورت توصیفی- تحلیلی (مقطعی) انجام گرفت، تعداد 388 نفر از زنان متاهل سنین باروری شهرستان پردیس استان تهران در سال 1402 به روش نمونه گیری تصادفی ساده انتخاب شدند. داده ها با استفاده از یک پرسشنامه مطلوب که شامل دو بخش عوامل اجتماعی - جمعیت شناختی و حل تعارض بود، جمع آوری گردید.تجزیه و تحلیل داده ها با استفاده از تحلیل رگرسیون خطی مدل همزمان و با استفاده از نرم افزار 16SPSS انجام شد.

    یافته ها

    شیوع خشونت جسمی 35/8%، آسیب جدی 19/6%، روانی 67/8%، جنسی 28/6% و شیوع کلی همسرآزاری 71/9% بوده است. اگرچه، تحصیلات زنان و همسرانشان، شغل همسر، وضعیت اقتصادی، محل زندگی، نسبت فامیلی با همسر، سن ازدواج و سابقه بیماری با همسرآزاری و مولفه های آن ارتباط معنی دار داشت، اما تنها شغل همسر 19% و محل سکونت 12% تغییرات همسرآزاری را به طور معنی دار پیش بینی می کنند.

    نتیجه گیری

    یافته های پژوهش حاضر نشان داد که همسرآزاری و انواع آن در زنان شهرستان پردیس شیوع بالایی دارد و همسرآزاری و مولفه های آن با برخی عوامل جمعیت شناختی اجتماعی به ویژه وضعیت اقتصادی ارتباط داشت و افزایش آگاهی و اطلاعات در این زمینه می تواند در پیشگیری و مدیریت این پدیده موثر باشد.

    کلید واژگان: همسرآزاری, خشونت, زنان
    Maryam Pourbakhtiar, Mohtasham Ghaffari, Sakineh Rakhshanderou*
    Objective (s)

    Intimate partner violence is an important public health issue that widely affects women. This study aimed to investigate intimate partner violence and its related factors.

    Methods

    This was a descriptive study of a random sample of married women of reproductive age in Pardis, Tehran province, Iran in 2023.  The data was collected using a validated demographic questionnaire and a conflict resolution questionnaire. Data were analyzed using independent t-tests, one-way analysis of variance and LSD post hoc test using SPSS 16 software.

    Results

    In total 388 women were studied. The prevalence of physical violence was 35.8%, serious injury 19.6%, psychological 67.8%, sexual 28.6% and the overall prevalence was 71.6%. Although, education of women and their husbands, husband's occupation, economic status, place of residence, family relationship with husband, age of marriage and history of illness had a significant relationship with spousal abuse and its components (p<0.05), only husband's occupation 19% and place of residence significantly predicted 12% of spousal abuse changes.

    Conclusion

    The findings of the present study showed that spousal abuse and its types are highly prevalent in women and spousal abuse and its components were related to some socio-demographic factors, especially economic status.

    Keywords: Intimate Partner Violence, Women
  • شهره بهروز*، علیرضا ابراهیمی، احسان موسی فرخانی
    زمینه و هدف

    سرطان پستان از مهمترین سرطان های زنان است. باتوجه به اهمیت برنامه ریزی صحیح به منظورحفظ و ارتقاء سلامت جسمی، روحی و روانی جمعیت آسیب پذیر زنان، مطالعه حاضر با هدف بررسی مطالعات کارآزمایی بالینی انجام شده در زمینه تاثیرات خنده در ارتقاء سلامت زنان مبتلا به سرطان پستان انجام شد.

    روش بررسی

    در این مرورسیستماتیک، به منظور دستیابی به مقالات مرتبط از پایگاه داده های فارسی و انگلیسی SID،Magiran ، Cochrane PubMed ، Scopus و Science direct استفاده شد. برای جستجوی مقالات از کلیدواژه های شوخی درمانی، خنده درمانی، سرطان پستان، Humor therapy، Laughter therapy و Breast Cancer با همه ترکیبات احتمالی کلمات، استفاده شد. تمامی مقالات در فاصله-زمانی بهمن 1386 تا بهمن 1401 مورد ارزیابی قرار گرفتند. جهت ارزیابی کیفیت مقالات از معیار جداد استفاده شد.

    یافته ها

    از میان 975 مقاله در جستجوی اولیه، 525 مقاله به علت تکراری بودن عنوان و 442 مقاله به دلایلی مانند عدم اختصاص شوخی درمانی در سرطان پستان و عدم اجرای برنامه مداخله ای شوخی و خنده حذف شدند و در نهایت تعداد هشت مقاله که نمره جداد بالاتر از سه کسب نمودند، وارد مرور سیستماتیک شدند. نتایج مطالعات نشان داد که خنده درمانی در بهبود کیفیت زندگی، بهبود ابعاد مختلف سلامت روان، کاهش احساسات منفی، تقویت احساسات مثبت و خستگی نقش موثری داشته است، درحالی که بر درماتیت ناشی از رادیوتراپی و فعالیت سلول های ایمنی و سطح سرمی کورتیزول تاثیر غیرمعناداری داشته است.

    نتیجه گیری

    باتوجه به تاثیر مثبت خنده درمانی، توصیه می شود مدیران پرستاری و روان شناسان، از این مداخله آسان، مفرح، بدون عارضه و در دسترس در راستای بهبود وضعیت سلامت جسمی و روانی و عاطفی زنان مبتلا به سرطان پستان استفاده کنند.

    کلید واژگان: سرطان پستان, شوخی درمانی, خنده درمانی, شوخ طبعی به عنوان موضوع, زنان
    Shohre Behrouz*, Alireza Ebrahimi, Ehsanmoosa Farkhani
    Background

    Breast cancer is one of the most important cancers in women. Considering the importance of design for improving physical and mental health, quality of life of vulnerable women, the present study aims to design of humor and laughter programs in women with breast cancer and its effects in promoting their health.

    Methods

    In this systematic review, in order to access relevant articles used from Persian and English databases SID, Magiran, Cochrane Library, MEDLINE/PubMed, Scopus and Science direct, and the key words "Humor therapy", "Laughter therapy", "Breast Cancer", "Wit and Humor as Topic" and "Breast Neoplasms" using logical operators (AND, OR, NOT) were used. All articles were evaluated between January 2008 and January 2023. To assess the quality of the articles, the "Jadad" scale was used.

    Results

    Among the 975 articles in the initial search, 525 articles are due to the repetition of the title and 442 articles due to other reasons such as not assigning humor therapy in breast cancer, not implementing the joke and laughter intervention program, the language of the article not being related to English or Farsi, and not Conducting clinical trials were excluded, and finally eight articles that scored higher than 3 were included in the systematic review. The results of the studies showed that laughter therapy had an effective role in improving the quality of life, improving various aspects of mental health, reducing negative emotions such as anxiety, stress, depression, pain intensity, fatigue and strengthening positive emotions such as self-esteem, mood. while There has been a non-significant decrease in the dermatitis caused by radiotherapy and the activity of immune cells and the serum level of cortisol.

    Conclusion

    Considering the positive effect of laughter therapy in reducing the negative emotions of patients, it is recommended that nursing managers and psychologists use this easy, fun, uncomplicated and accessible intervention to improve the physical, mental and emotional health of women with breast cancer.

    Keywords: Breast Neoplasms, Humor Therapy, Laughter Therapy, Wit, Humor As Topic, Women
  • عزت الله قدم پور، سینا غلامی*، فاطمه باوزین، الهام امیدی مقدم
    زمینه و هدف

    نوجوانان دختر اقدام کننده به خودکشی شیمیایی در مقابله با تنیدگی ها، مشکلات زیادی دارند. پژوهش حاضر با هدف تعیین اثربخشی درمان روان پویشی فشرده با رویکرد تعدیل کننده اضطراب بر راهبردهای مقابله با تنیدگی ادراک شده و سبک های تصمیم گیری در دختران نوجوان اقدام کننده به خودکشی به وسیله مواد شیمیایی انجام شد.

    مواد و روش ها

    پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری تمامی دختران نوجوان اقدام کننده به خودکشی شیمیایی بودند که در سال 1402 در اورژانس مسمومیت مرکز آموزشی درمانی شهدای عشایر شهر خرم آباد بستری شده بودند. از این میان 30 نفر به صورت در دسترس انتخاب و به صورت تصادفی ساده در گروه آزمایش و گواه (هر گروه 15 نفر) گمارده شدند. ابزارهای پژوهش پرسش نامه های راهبردهای تنیدگی ادراک شده Jalovis (1984) و سبک های تصمیم گیری Scott و Bruce (1985) و پروتکل درمانی روان پویشی فشرده و کوتاه مدت با رویکرد تعدیل کننده اضطراب McCullough (1997) بودند. داده ها با استفاده از آزمون کوواریانس چند متغیره تجزیه و تحلیل شدند.

    یافته ها

    درمان روان پویشی فشرده با رویکرد تعدیل کننده اضطراب بر راهبردهای مقابله با تنیدگی ادراک شده و سبک های تصمیم گیری در دختران نوجوان اقدام کننده به خودکشی بوسیله مواد شیمیایی تاثیر معنی داری داشت (54/0=Eta، 001/0P<). این اثربخشی در ابعاد راهبردهای مقابله و سبک های تصمیم گیری نیز مشاهده شد (45/0<Eta، 001/0P<).

    نتیجه گیری

    مطالعه حاضر نشان داد درمان روان پویشی فشرده با رویکرد تعدیل کننده اضطراب منجر به استفاده از راهبردهای سازگارانه مقابله با تنیدگی و بهبود توانایی تصمیم گیری در دختران نوجوان اقدام کننده به خودکشی بوسیله مواد شیمیایی شده است.

    کلید واژگان: درمان روان پویشی فشرده, مقیاس تنیدگی ادراک شده, تصمیم گیری, اقدام به خودکشی, زنان​​​​​​​
    Ezatolah Ghadampour, Sina Gholami*, Fateme Bavazin, Elham Omidi Moghadam
    Background and Objectives

    Teenage girls who attempt chemical suicide have great difficulty coping with tensions and making constructive decisions. The purpose of this study was to determine the effectiveness of intensive psychodynamic therapy with an anxiety modulating approach on coping strategies with perceived tension and decision-making styles in teenage girls attempting suicide by chemicals.

    Materials and Methods

    The current research was a semi-experimental type of pretest-posttest with a control group. The statistical population included all teenage girls who tried to commit chemical suicide who were admitted to the Poisoning Emergency of the Nomadic Martyrs Training and Treatment Center in Khorramabad City in 2023. Out of these, 30 people were selected by convenience sampling and randomly assigned into the experimental and control groups (15 people in each group). The research tools were Jalovis's Perceived Stress Strategies Questionnaire (1984), Scott & Bruce's Decision Making Styles Questionnaire (1985), and McCullough's Short-Term Intensive Psychodynamic Therapy with an Anxiety Modulating Approach Protocol (1997). Data were analyzed using multivariate covariance test.

    Results

    Intensive psychodynamic therapy with an anxiety modulating approach had a significant effect on coping strategies with perceived tension and decision-making styles in adolescent girls attempting chemical suicide (Eta=0.54, p<0.001). This effectiveness was also observed in the dimensions of coping strategies and decision-making styles (Eta>0.45, p<0.001).

    Conclusion

    The current study showed that intensive psychodynamic therapy with an anxiety modulating approach has led to the use of adaptive coping strategies and improved decision-making ability in adolescent girls attempting chemical suicide.

    Keywords: Intensive Psychodynamic Therapy, Perceived Stress Scale, Decision-Making, Suicide Attempt, Women
  • Mehran Naghibeiranvand, Nasim Allahverdi*, Simin Valinejad, Zahra Rezaei
    Background and Purpose

    Drug addiction, as one of the most important health, mental, and social problems, causes people to conduct dangerous behaviors. Different population groups are predisposed to drug addiction. This study aimed to compare the predisposing factors of women and men to drug addiction.

    Materials and Methods

    The present study was a comparative descriptive study in which 350 drug addicts referred to addiction treatment centers in Tehran City, Iran, participated. They were selected using the convenience sampling method. The data collection tool was a questionnaire of demographic characteristics and a researcher-made questionnaire of factors predisposing to addiction, which included 62 questions in 5 dimensions. Data were analyzed using SPSS software, version 22. Descriptive statistics were used to describe the data, and inferential statistical tests (t-test, Fisher exact test, chi-square test) were used to analyze them. A significance level of 0.05 was considered significant.

    Results

    The Mean±SD female and male addicts’ ages were 29.62±7.5 and 33.08±7.9 years, respectively. The most common cause of addiction to drugs in both groups was psychological factors. Among the problems in the family, both groups stated that they had a lot of strictness, laxity, tension, and violent behavior in the family, which was statistically significant (P<0.005).

    Conclusion

    Di-oblems in society. Our results will increase managers’ and planners’ awareness of implementing policies and preventive and control measures for addiction to prevent its consequences.

    Keywords: Addiction, Women, Men, Drugs
  • Somayeh Seifi, Shahnaz Kohan, Zahra Boroumandfar
    Background

    Currently, fertility and childbearing rates in Iran are below the replacement level (1.2 children), and Iranian families have a low propensity to have children. The COVID‑19 pandemic will also have a negative impact on the decision of couples to have children. The present study was conducted with the aim of investigating the effectiveness of an educational program on women’s childbearing intention under the conditions of the COVID‑19 pandemic.

    Materials and Methods

    This study was a clinical trial with a pretest–posttest design, conducted on 80 women (control group = 40 and intervention group = 40) in comprehensive health centers in 2019. The educational program was delivered to the intervention group in 3 sessions. The data collection tools included the Attitudes to Fertility and Childbearing Scale (AFCS), Demographic Information Questionnaire, and researcher‑made fertility intention questionnaire. Data were analyzed using t‑test, Mann–Whitney, Chi‑square test, ANOVA, Bonferroni post hoc test, and Wilcoxon test.

    Results

    The women in the intervention group were in the age range of 18 to 44 years and in the control group were in the age range of 19 to 44 years. The results showed that the mean scores of attitude toward fertility and intention to have children after training were significantly different between the two groups. However, after the training, it was significantly higher in the intervention group than in the control group (F1,67 = 1037, p < 0.001).

    Conclusions

    It seems that the implementation of the use of theoretical models can be effective in the informed decision of families, especially women, for childbearing.

    Keywords: Attitude, Childbearing, COVID‑19, Intention, Reproductive Behavior, Women
  • Nasrin Rezaee, Mahnaz Ghaljeh
    Background

    Middle age serves as a crucial transitional phase between youth and old age in women’s health, making it a critical period for women. Accordingly, this study aimed to explore the experiences of life changes among middle-aged women.

    Materials and Methods

    This study was conducted using qualitative content analysis from September to December 2022 in Zahedan. The participants included 10 middle-aged women selected via purposive sampling. Data were collected through individual face-to-face interviews, and all interviews were subsequently transcribed and analyzed. Categories representing the beginning, middle, and end of the narratives were extracted. First, thematic similarities were identified, leading to the emergence of subcategories. Then, the related subcategories were reviewed and placed into the same category.

    Results

    At the beginning of the narratives, the identified subcategories included perception of middle age, gaining experience, and behavior change. In the middle of the narratives, understanding the developmental stages and gaining experience in managing life were extracted as the subcategories. At the end of the narratives, maturity was identified as the main category.

    Conclusions

    The findings from this study revealed that development occurs through the accumulation of experience. Although this study did not explore development in contextual terms, addressing and identifying the challenges of middle age in their context may facilitate quicker development. Furthermore, recognizing and investigating physical problems associated with middle age could lead to more timely treatment.

    Keywords: Middle‑Aged, Narrative Inquiry, Women
  • Farzaneh Saadatmand, Marjan Beigi, Zahra Heidari, Mitra Savabi Esfahani
    Background

    Maintaining and promoting sexual health in older women requires paying attention to and meeting their sexual health‑related needs. This study aimed to determine older women’s perceived sexual health needs through a systematic review.

    Materials and Methods

    In this systematic review, studies conducted from the beginning of 2000 to August 28, 2022, were searched in Databases, Scopus, Web of Science, SID, Pub Med, and Google Scholar as a research engine. To access all English articles, keywords such as sexual health, sexual performance, sexual intercourse, sexual, need, demand, and women and their possible combinations were used using “AND” and “OR” operators. This research was implemented based on the criteria of the PRISMA checklist. The articles were evaluated using the STROBE and COREQ checklists. The thematic synthesis method was used to synthesize the data.

    Results

    The sexual health needs of older women were categorized into four groups: restoration of violated sexual rights, elimination of age discrimination (ageism), promotion of sexual health literacy, and providing sexual health services.

    Conclusions

    The sexual needs of older women have been neglected due to prevailing social structures of many countries, stigma, gender discrimination, and lack of sexual health literacy. In addition to the need for social and emotional support to adapt to the conditions of old age, these women need to achieve sexual rights, improve sexual health literacy, and receive health services.

    Keywords: Needs, Older People, Sexual Health, Women
  • مقدمه

    اضطراب عملکرد جنسی در درمان های ناباروری رایج است. مداخلات روانشناختی گزینه هایی برای زوج های مبتلا به ناباروری هستند که داروهای روان پزشکی را تحمل نمی کنند یا  تمایل به استفاده از روان درمانی در کنار دارو درمانی دارند.

    هدف

    این مطالعه با هدف مقایسه اثربخشی زوج درمانی بهبود رابطه (RECT) با حساسیت زدایی سیستماتیک (SD) بر اضطراب جنسی انجام شد.

    مواد و روش ها

    یک کارآزمایی بالینی تصادفی موازی در سال 1400 بر 68 زن مبتلا به ناباروری در شهرکرد انجام شد. آنها به طور تصادفی به 8 جلسه  دریافت کننده مداخله آنلاین هفتگی RECT یا SD (کنترل) اختصاص یافتند. متغیر پیامد اصلی اضطراب عملکرد جنسی از طریق پرسشنامه دیویس در ابتدا، بعد از مداخله (هفته 8) و در پیگیری (هفته 12) ارزیابی شد. رضایت همسر متغیر پیامد ثانویه (هفته های 8 و 12، از طریق مقیاس دیداری) ارزیابی شد. داده های 29 زن در هر گروه آنالیز شد.

    نتایج

    مقایسه درون گروهی RECT و SD کاهش معنی داری در خط پایه اضطراب جنسی در مقایسه با هفته 12 نشان داد، (001/0 = p، RECT)،     (001/0 = p، SD). تفاوت معنی داری بین دو گروه RECT و SD در شروع مطالعه نسبت به هفته 12 مشاهده نشد (149/0 = p). اثر متقابل گروه زمانی رضایت همسر تفاوت معنی داری را بین RECT و SD نشان داد (010/0 = p).

    نتیجه گیری

    هر دو RECT و SD تقریبا به یک اندازه در کاهش اضطراب جنسی موثر بودند. RECT (متمرکز بر رابطه زوج) با توانمندسازی در مهارت های ده گانه بین فردی و SD (فرد محور)، با یاد دادن گام به گام که چگونه می توان پاسخ جنگ یا گریز را با پاسخ آرام سازی جایگزین نمود، به زنان کمک می کند تا رفتارهای سازگارانه تری را در اضطراب جنسی انجام دهند. RECT رضایت همسر را به طور قابل توجهی در مقایسه با SD افزایش داد که نشان می دهد مردان نیاز به مشارکت در ایجاد تغییرات مثبت در رابطه دارند. نتایج می تواند توسط درمانگران و سیاست گذاران سلامت مورد استفاده قرار گیرد.

    کلید واژگان: مداخله روانشناسی, سلامت جنسی, ناباروری, زنان, کارآزمایی بالینی تصادفی
    Maryam Afzal Dehkordi, Tahmineh Farajkhoda*, Mahdi Khanabadi, Farimah Shamsi
    Background

    Sexual performance anxiety is common among infertility treatments. Psychological interventions are options for couples who do not tolerate psychiatric medications or like psychotherapy with pharmacotherapy.

    Objective

    This study aimed to compare the effectiveness of relationship enhancement couple therapy program (RECT) vs. systematic desensitization (SD) on sexual anxiety.

    Materials and Methods

    A parallel randomized clinical trial was conducted on 68 women with infertility in Shahrekord, Iran, in January 2022. They were randomly allocated to 8 weekly online interventions RECT or SD (control). The main outcome variable, sexual performance anxiety, was assessed via Davis's questionnaire at baseline, completion of the intervention (week 8), and follow-up (week 12). The secondary outcome variable spouse's satisfaction was assessed (weeks 8 and 12, via visual analog scale). Data from 29 women were analyzed in each group.

    Results

    Intra-group comparison RECT and SD showed a significant decrease of sexual anxiety baseline compared to week 12 (p = 0.001, 0.001 for RECT and SD, respectively). No significant difference was observed between the 2 groups in baseline compared to week 12 (RECT vs. SD, p = 0.149). Time-group interaction of spouse's satisfaction showed a significant difference between RECT and SD (p = 0.010).

    Conclusion

    Both RECT and SD were almost equally effective in decreasing sexual anxiety. RECT (couple relationship-centered) by empowering 10 interpersonal skills, and SD (personal-oriented) by learning step-by-step how fight-or-flight response is replaced by relaxation response, helping women perform more adaptive behaviors regarding sexual anxiety. RECT increased spouse satisfaction significantly compared to SD, indicating that males need to participate in positive relationship changes. The results may be applied by therapists and health policymakers.

    Keywords: Psychological Interventions, Sexual Health, Infertility, Women, Randomized Clinical Trial
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