فهرست مطالب

Health Education and Health Promotion
Volume:9 Issue: 2, Spring 2021

  • تاریخ انتشار: 1400/03/20
  • تعداد عناوین: 10
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  • S.H. Saadat, M. Shahrezagamasaei, B. Hatef, Sh. Shahyad* Pages 99-104
    Aims

    During the outbreak of COVID-19, the Militaries are still fighting against the virus alongside health care workers, so knowing the mental status of the military leads to identify their real needs and increase the performance of militaries. Therefore, the present study aimed to compare COVID-19 anxiety, health anxiety, and cognitive emotion regulation strategies between militaries and civilians during the outbreak of COVID-19.

    Instrument & Methods

    This descriptive-analytical and cross-sectional study was conducted on military and civilian men living in Malayer, Hamedan, on September 1-6, 2020, coinciding with the prevalence of COVID-19. The researcher-made demographic information questionnaire, COVID-19 anxiety, health anxiety questionnaires, and cognitive emotion regulation strategies were completed by 204 people (102 militaries, 102 civilians). In order to prevent the spread of COVID-19, the convenience sampling method and internet implementation were used. Data were analyzed by descriptive statistics, independent t-test, and chi-square using SPSS 24 software.

    Findings

    The results showed that civilians had a longer history of infection to Covid-19 and history of Covid-19 in their relatives than militaries and there was no significant difference between militaries and civilians in terms of having suspicious symptoms and history of close contact with individuals with Covid-19 disease (p>0.05). Also, there was a significant and strong relationship between the job and COVID-19 anxiety (χ2=90.7; p=0.0001) and type of job and health anxiety (χ2=79.4; p=0.0001), and the militaries in term of COVID-19 and health anxiety were in a more inappropriate state. About half of the militaries (41.2%) had severe COVID-19 anxiety, and one-third of them (31.4%) had severe health anxiety. The militaries had a lower average than civilians in all aspects of adaptive and maladaptive cognitive emotion regulation strategies (p<0.05).

    Conclusion

    The level of health anxiety and anxiety of COVID-19 in the militaries is higher than in the normal population.

    Keywords: Health Anxiety, Emotion Regulation Strategies, Military, Civilian, COVID-19
  • Sh. Papi, Z. Karimi, F. Saadat Talab, F. Hosseini, H. Afrouzeh, M. Yousefi, S. Norouzi * Pages 105-110
    Aims

    With age, a person faces many threats, such as developing chronic diseases. Health literacy plays a crucial role in the prevention and treatment of these diseases. Therefore, the present study was conducted to determine the relationship between health literacy and multi-infection based on gender differences in the elderly.

    Instrument & Methods

    This cross-sectional study was performed on the elderly population over 60 years in Comprehensive Health Center and Health Post at Malekan City, East Azerbaijan Province, Iran, in 2018. Four hundred eighty-seven people were sampled by the stratified random sampling method. Demographic and standard health literacy questionnaires were used to collect data. Data were analyzed using an independent t-test, chi-square, and linear regression model by SPSS 26 software.

    Findings

    The mean participants’ age was 64.9±6.5 years. The health literacy level of 63.86% of the participants was insufficient, and only 1.23% of the subjects had excellent health literacy. The rate of multi-infection in women was significantly higher than in men.

    Conclusion

    The level of health literacy and multi-infection rate in women is higher than in men.

    Keywords: Heart Scan Health Literacy, Multi-infection, Gender Differences, Elderly
  • M. Bagheri, Sh. Niknami*, F. Rahmati Najarkolaei Pages 111-117
    Aims

    Communication skills refers to a personchr('39')s ability to convey information to others effectively and efficiently, which can be learned and can be strengthened through practice and training. The purpose of the current study was to determine the effects of communication skills training on the lifestyle of the elderly.

    Materials & Methods

    This quasi-experimental study was conducted on 140 elderly and their caregiver in Khorzugh, Isfahan province, in 2018. A stratified random sampling method was used. Data collection tools were demographic information, the Interpersonal-Communication Skills Test, and the Health-Promoting Lifestyle Profile II. In the test group of the elderly, a 180min intervention with a 2-month follow-up was performed. Mann-Whitney, Kolmogorov–Smirnov, Wilcoxon, and Spearman tests were used and analyzed in SPSS 25.

    Findings

    Most of the group of caregivers and elderly were women, housewives, and married. The mean scores of the communication skills and lifestyles before and after 2-months of the intervention had a significant difference between the experimental and control groups of the elderly (p<0.001). Nevertheless, Comparing the mean score of the spiritual growth between the two groups of test and control elderly before and after 2-months, the intervention showed no significant differences (p>0.05). The total score of communication skills in both experimental and control groups of the caregivers two months after the training intervention was significantly different (p<0.001).

    Conclusion

    An educational intervention based on communication skills training effectively improves the communication skills and lifestyles of the elderly.

    Keywords: Elderly, Caregiver, Communication Skills, Lifestyle
  • Z. Ghazanfari*, M. Esmaeilikia, M.S. Abedzade, E. Gholami-Parizad Pages 119-125
    Aims

    Dental caries in preschool children continues to be an important health problem in most countries. This study aimed to determine the effect of education to mothers based on the health belief model on decreasing the dental plaque index of 3–6 years old children.

    Materials & Methods

    This experimental study was conducted on 88 mothers and their 3–6-years old children (NTotal=176) referred to the Health Care Center No. 1 in Ilam in 2015. Participants were randomly selected using a random number and randomly assigned to either intervention or control groups on a 1:1 ratio basis. A three-part questionnaire was used. Three training sessions were given to the intervention group; each lasted for one hour once a week. At one-month follow-up, the post-test questionnaires were administered to both groups. A trained dentist assessed the oral health status of children using O’Leary plaque index with a dental mirror and a probe in broad daylight. SPSS 26 was used for data analysis, and the chi-square and T-test were applied to compare the data.

    Findings

    The mean ages of mothers and their children were 31.28±5.63 years and 4.5±1.56 years, respectively. Despite the similarity of groups at the beginning of the study (p>0.05), significant differences were found between groups in follow-up (p≤0.001) and between before intervention and follow-up in the intervention group (p≤0.001) in all health belief model constructs, oral health practice, and the plaque index.

    Conclusion

    Providing mothers with oral health education for their children can promote their beliefs and behavior relating to brushing their children’s teeth, and decreasing the plaque index.

    Keywords: Preschool Children, Oral Health, Dental Plaque Index, Health Belief Model, Educational Early Intervention
  • F. Zareharofteh, M. Eslami* Pages 127-134
    Aims

    The purpose of this study was to explain pedestrianschr('39') perception of the factors affecting the use of bridges according to the theory of planned behavior.

    Participants & Methods

    This qualitative study included 25 participants who were knowledgeable about pedestrian bridge use, and it was conducted in Yazd, Iran, from April to October 2018. Semi-structured interviews were used to extract the perceptions of behavioral, control, and normative beliefs of pedestrians. After transcribing the interviews, a directed content analysis was performed. Data analysis was performed by researchers with existing logic and MAXQDA 12 software. Finally, the beliefs of the pedestrian were extracted, and their outstanding beliefs were determined according to their frequencies.

    Findings

    18 subcategories, 42 integrated codes, and 331 codes were identified. "Less stress and more relaxation" were identified as the most important advantage, and "high energy consumption and traversing long distances" were identified as the main disadvantage of pedestrian bridge use. The most frequent verifies were family members, and the main disapproving community was familiars, sick and disabled people, and family, respectively. "Unsafe and non-standard equipment and facilities" was introduced as the most important factor making it difficult to use the bridge, and the most effective facilitator was "providing amenities such as escalators".

    Conclusion

    To increase using bridges by pedestrians, we require focusing on feeling more relaxed as the main advantage, family members as the main verifier, friends and peers as the most frequent disapprover, creating standard and safe facilities, and installing escalators the pedestrian bridges.

    Keywords: Beliefs, Theory of Planned Behavior, Bridge, Pedestrian, Qualitative Study
  • S.S. Mashhadi, S.N. Hosseinkhani*, M. Heidari, R. Norouzadeh Pages 135-140
    Aims

    Hospitalization in the cardiac care unit often imposes many physical and psychological tensions on the family. This study aimed to determine the effect of information support on depression of family caregivers of patients admitted to the cardiac intensive care unit.

    Materials & Methods

    This quasi-experimental study was performed on family caregivers of patients admitted to the cardiac care unit of Sevom Shaban Hospital of Damavand city, Iran, 2020. Participants included 60 family caregivers who were assigned to intervention and control groups. Family caregivers in the intervention group received information support through a training booklet, and the control group received the same routine information. Data collections were conducted by a demographic data sheet and anxiety and depression questionnaire (HADS). The data were then analyzed using SPSS 18 software.

    Findings

    The two family groups (intervention and control) showed different levels of depression after the information support intervention (p=0.02). Wilcoxonchr('39')s signed-rank test showed that the mean depression of family caregivers after the intervention was 4.63±2.67 compared to the mean depression of 6.50±3.01 in the control group (p<0.05).

    Conclusion

    During the patientchr('39')s stay in the cardiac care unit, nurses can alleviate family depression by providing information support.

    Keywords: Family Caregiver, Depression, Anxiety
  • Samira Olyani, Monavvar Afzal Aghaei, Mahdi Talebi, Nooshin Peyman* Pages 141-146
    Aims

    The COVID -19 pandemic could be considered as a significant public health crisis.  In this study, we aimed to assess the rate of depressive symptoms and its related risk factors among the older adults during the COVID -19 outbreak.

     Methods

    This cross-sectional study was conducted on 400 of the older adults (age 60+ years). In this study depression and some factors like: level of education, family structure and underlying disease were assessed. The Persian version of the WHO-5 index was used. Data were analyzed by SPSS software version 20 using descriptive statistics, chi-square and logistic regression tests at a significant level of 0.05.

     Findings

    According to the results of this study, the prevalence of moderate depressive symptoms was (33%). Although, most of the participants had mild depressive symptoms (38.2%); Moreover, There was a significant relationship between depression with family structure (P <0.001) and underlying disease (P <0.001).

     Conclusion

    Based on the results, rate of depressive symptoms among the older adults was high. The policy makers and health professionals need to provide psychological interventions to decrease the psychological damages caused by the outbreak crisis.

    Keywords: Elderly, COVID-19, Depression
  • Zohreh Meshkati* Pages 147-152
    Background

    Balance is one of the key components of most physical activities. To control balance and choose a balance strategy, vision plays a crucial role in processing visual inputs.

    Aim

    The present study aimed to design and implement game-like exercises protocol and determine its effectiveness on the static and dynamic balance of children with visual impairment.

    Material and Methods

    It was a quasi-experimental research with pretest-posttest and control group design. A total of 35 visually impaired children referring to the counselling centers were selected using purposeful convenience sampling method. After matching, the samples were assigned into an experimental group (n=18) and a control group (n=17). The experimental group received 24-60min-training sessions. The required data was gathered using the Stork Balance Stand and Timed Up and Go (TUG) tests for visually impaired children. The collected data was analysed using an analysis of covariance (ANCOVA).

    Results

    The obtained results showed a significant difference in the means of the static balance test (p<0.01) and the dynamic balance test (p<0.01) between subjects of the experimental and control groups.

    Conclusion

    Considering the effectiveness of the game-like exercises on improving the balance of children with visual impairment, these games are suggested be daily implemented at home.

    Keywords: Training protocol, Visual impairment, Game, Perceptual-motor, Balance
  • Mitra Molaeinezhad, Carl Eduard Scheidt, Hamid Afshar, Shayesteh Jahanfar, Fatemeh Sohran, Mina Salehi, Farzad Goli* Pages 153-164
    Introduction

    Experienced bodily sensation with basic emotions seems to be a universal phenomenon, but cross-cultural differences are expected.

    Material and methods

    A cross-sectional study designed to determine the topographic map of changes across six basic emotions  and anxiety in 220 Iranians aged 16 -55 years .The Persian pencil and paper version of the emBODY application was used and validated during the study. The results were analyzed by SPSS software version 20 using generalized linear models (GLM) to determine the relationship between gender and emotion sensation in 5 main body areas and three main facial parts.

     Results

    The findings supported implicit detection of all basic emotions by participants. Anxiety was the most common reported and anger, fear, sadness, joy, surprise and disgust, respectively were identified basic emotions in both sexes. GLMs were significant (P <0.05) for bodily sensation changes in head and neck, upper body, upper and lower limbs, and all three main facial parts. Results also showed a significant gender difference in lower limbs (P <0.05).

     Discussion 

    The results suggested the consistency of distinct emotion- triggered bodily sensation maps of Iranians with universal patterns.  Implication of the findings for quantification and documentation of the emotion-related similarities and differences of Iranians with the international communities are discussed.

    Keywords: Emotion, Cross- Cultural, Culture, Bodily Senses, Gender Difference
  • Zahra Motlagh, Azita Mombani, Tayebeh Rakhshani*, Banafshe Bijani, Hamid Tavakoli Ghouchani Pages 165-170

    Nowadays cesarean increased in most countries in the world such as Iran while cesarean is considered as a major surgery and it is often associated with very dangerous complications, like other major surgeries. The purpose of this study was determining effect of education in choosing the type of delivery in primiparous pregnant women.

    Materials & Methods

    This randomized controlled trial conducted on 190 primiparous pregnant women applicant cesarean in third trimester of pregnancy, referred to health centers in Ramhormoz, Iran in 2018 (95 experimental group and 95 control group). The educational  program about cesarean include of 4 sections of 1.5 hours in the form of group education. The study outcomes included knowledge and attitude and were measured at the onset and at two months post-intervention. Data was analyzed by using SPSS 19.0.

    Findings

    After intervention; the mean score of knowledge in the experimental group was significantly higher than the control group . The mean score of attitudes about cesarean after intervention in the experimental group  was significantly lower than in the control group .

    Conclusion

    Educational intervention used was effective in enhancing knowledge and attitude of pregnant women in choosing the type of delivery

    Keywords: Education, Delivery, Cesarean, pregnant women