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Clients' perception toward quality of postnatal care in the Gaza Strip, Palestine: A direction for health policy change"
Introduction: Most maternal and neonatal deaths occur during the postnatal period.
Therefore, the quality of care provided by healthcare professionals at this critical time is
crucial in reducing complications, morbidity, and mortality rates.
Objective: The present study aimed to determine the perceptions of Palestinian women
living in the Gaza Strip considering the quality of care they received in the early postpartum
period.
Materials and Methods: An analytical cross-sectional study was conducted using a self
administered questionnaire developed by the researchers. A total of 200 pregnant women
were selected by convenience sampling method from 4 governmental hospitals in the
Gaza Strip, Palestine providing postnatal care. Descriptive statistics, including frequency,
mean, and standard deviations, were used to describe the variables. Analysis of Variance
(ANOVA) and Independent Samples t-test was used to compare the collected mean scores.
Results: The study participants rated the postnatal services they received as high-quality
care. High mean scores were achieved for all study domains. The “quality of postnatal care
provided by midwives” received the highest Mean±SD score of 4.16±0.60, followed by the
domain “quality of postnatal baby care” with a Mean±SD score of 3.89±0.85. The other two
domains of “quality of provided health education” and “quality of provided communication
and psychological support” received the lowest mean scores of 3.81 with standard deviations
of 0.90 and 0.80, respectively. Patient-perceived postnatal care quality was not affected by
many variables, such as age, parity, and gravidity. It was only affected by the subjects’ level of
education (P=0.001) and the place of delivery (P=0.017).
Conclusion: The obtained results posed a challenge for healthcare policymakers and
professionals working in maternity departments. A new policy and leadership directions
are required in this critical and vulnerable clinical area. To improve the quality of postnatal
care, health policymakers must collaborate with midwifery staff. It is important to identify
and eliminate any barriers that impede the provision of better care. This will be reflected by
reducing maternal and neonatal morbidity and mortality rates and reducing the number of
hospitalization days.
Quality of postnatal care, Assessment, Women
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Areefa
SM Alkasseh
Associate Professor, Faculty of Nursing, Department of Midwifery, Islamic University of Gaza, Gaza, Palestine
0000-0003-2698-1065
No
Samar
Mwaafy
Registered Nurse, Al-Helal Al-Imraty Hospital, Rafah, Gaza, Palestine
0000-0001-9369-8177
No
Nasser
Abu-El-Noor
Associate Professor, Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine
naselnoor@iugaza.edu.ps
0000-0002-4420-1491
Yes
Mysoon
Abu-El-Noor
Associate Professor, Faculty of Nursing, Islamic University of Gaza, Gaza, Palestine
0000-0002-7254-5857
No
en
Junk Food Consumption among High School Students in Iran: The Role of Food Advertising
Introduction: Adolescence is one of the most important periods of human development.
Nutrition plays an important role in health and prevention of disease during this period. Food
advertising influences food purchase and food consumption among children and adolescents.
Most of these advertisements are about the foods high in fat, salt and sugar. High exposure
to these kinds of advertisements increases the tendency towards consuming junk foods in
adolescents.
Objective: This study aimed to determine the junk food consumption by the exposure to junk
food advertisements among high school students.
Materials and Methods: this analytical study with cross-sectional design, 341 students
from public high schools in Rasht, north ofIran were selected by cluster random sampling
method. Data were collected by a valid and reliable researcher-made questionnaire. The
questionnaire was a self-report designed by the researcher which had two parts adapted
from similar studies. The first part records demographic characteristics of students, and
the second part assess the source and frequency of exposure to fast food/junk food
advertisement and the frequency of fast food/junk food Consumption Data Analysis was
performed using Kruskal-Wallis test at a significance level of 0.05.
Results: Most of the subjects (52.2%) were female and in the 11th grade (37.2%). In terms
of the frequency of exposure to junk food advertisement, 37.2%, 33. 4% and 15.3% of
subjects reported “from time to time”, “quite often” and “very often”, respectively. Regarding
the source of exposure tojunk food advertisement, 51.9% were exposed to more than one
advertising source. The Kruskal-Wallis test results showed a significant difference in junk
food consumption frequency based on the frequency of exposure to food advertisement
(P=0.0001).
Conclusion: High exposure to junk food advertisement can be associated with high
consumption of junk foods and subsequently having chronic diseases in adulthood. Therefore,
it is necessary to control the food advertising and provide a legal framework for supervising it.
Adolescents, Advertisements, Nutrition
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Saeid
Moradi Latreyi
Nuring (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
0000-0003-2151-736X
No
Leila
Mirhadyan
PhD. Candidate in Educational Administration, Social Determinants of Health Research Center (SDHRC), Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Lm30075@yahoo.com
0000-0003-4067-7131
Yes
Afsaneh
Pasha
Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-2464-851X
No
Ehsan
Kazemnezhad Leili
Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-9195-9094
No
en
The Relationship Between Psychosocial Status and Adherence to Treatment Regimen in Adolescents With Thalassemia
Introduction: Adherence to the treatment regimen is among the key principles in chronic
diseases, like thalassemia. The difficult treatment of these patients and the significant
biopsychosocial changes that occur during adolescence may lead to numerous psychosocial
changes. Such issuesmay affect their adherence to the treatment regimen.
Objective: The current study aimedto determine the relationship between psychosocial
status and adherence to the treatment regimen in adolescents with thalassemia referring to
hospitals in Rasht City, Iran.
Materials and Methods: Cross-sectional study was conducted on 66 adolescents with
thalassemia. The study samples included patients aged 11-21 years, referring to two
hospitals in Rasht City, Iran, in 2017. They were selected using the census methods. Data
collection tools included a demographic form and Pediatric Symptom Checklist-Youth
Report (PSC-Y). The compliance rate was measured by evaluating their adherence to
follow-up visits, average results of the last three ferritin tests, and iron chelator use. The
collected data were analyzed using descriptive statistics and the Chi-squared test, Fisher’s
exact test, and regression analysis.
Results: Fifty percent of patients reported psychosocial problems and most of them had good
adherence to follow-up visits (74.2%); however, their adherence to ferritin tests (47%) and
iron chelator use (45.5%) was poor. Regression analysis results suggested that the effect of
psychosocial status on adherence to follow-up visits (P<0.05, OR=0.8, 95% CI; 0.628-1), ferritin
test (P<0.05, OR=0.213, 95% CI; 0.044-1), and iron chelator use (P<0.001, OR=0.852, 95% CI;
0.772-0.94) was significant.
Conclusion: Adolescents with thalassemia fail to adhere to treatment regimen fully; therefore,
appropriate interventions are required to improve their psychosocial status
Psychosocialstatus, Treatment regimen, Adolescents
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Maryam
Ghorbanpoor
Pediatric Nursing (MSN), 17 Shahrivar Hospital, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-9144-7910
No
Mahshid
Mirzaie
Instructor, Department of Nursing, Ph.D Candidate, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
mirzaie@gums.ac.ir
0000-0003-0132-1757
Yes
Seyedeh Noshaz
Mirhaghjou
Instructor, Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-7690-8707
No
Zahra
Atrkar Roshan
Assistant Professor, Department of Bio-Statistics, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-1267-2133
No
en
Comparing the Prevalence of Depression in Postmenopausal Women With and Without Urinary Incontinence
Introduction: Urinary incontinence is a common disorder that often affects the elderly. The
prevalence of depression in people with urinary incontinence varies from 20-40%.
Objective: This study aimed to investigate and compare the prevalence of depression in
postmenopausal women with and without urinary incontinence.
Materials and Methods: This comparative study with cross-sectional design was, conducted
on 284 postmenopausal women in two groups of with and without urinary incontinence
(controls). After recording their demographic characteristics, they all completed the Beck
Depression Inventory-II (BDI-II). Chi-square, Mann-Whitney U test and logistic regression
were used to assess depression score and severity of depression.
Results: The mean age of participants was 57.62±9.62. The mean score of depression in
women with urinary incontinence was higher than in the control group (8.85±7.35 vs.
6.11±5.03), and this difference was significant (P=0.001). According to the Chi-square test, the
probability of depression in women with urinary incontinence was two-fold higher than that
of controls (21.3% vs. 9.86%). Using logistic regression and controlling the effects of socio
demographic variables, the odds of depression in women with urinary incontinence were 2.5
times higher than the control group (P=0.01).
Conclusion: Depression and urinary incontinence in postmenopausal women are seemed to
be related to each other. It is recommended that depression be screened in postmenopausal
women with urinary incontinence
Depression, Menopause, Urinary incontinence
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Mandana
Mansour Ghanaie
Associate Professor, Department of Obstetrics & Gynecology, Reproductive Health Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
0000-0003-1503-3502
No
Elaheh
Abdolahi
Assistant Professor, Department of Psychiatry, Kavosh Cognitive Behaviour Sciences and Addiction Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-2554-5213
No
Ehsan
Kazemnezhad Leili
Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran
kazem_eh@yahoo.com
0000-0002-9195-9094
Yes
Roghayeh
Hojat Ansari
General Practitioner, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
0000-0001-5032-6453
No
Seyed Mohammad
Asgari Galebin
General Practitioner, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-6464-197X
No
en
The Relationship Between Self-Management and Quality of Life and Visual Function in Glaucoma Patients
Introduction: Self-management positively contributes to the Quality of Life of many patients
with chronic diseases.
Objective: The present study aimed to investigate the relationship between self-management
and the quality of life and visual performance among patients with glaucoma.
Materials and Methods: The current cross-sectional and comparative study was conducted
at the glaucoma clinic of the Eye Hospital in Tabriz City, Iran. Through simple random
sampling method, the quality of life, visual function, and self-management of 120 patients
were compared using the Glaucoma Quality of Life (GQOL-15), National Eye Institute
Visual Functioning (NEI-VFQ), and Patient Activating Measure (PAM) questionnaires. The
study participants’ demographic data were analyzed using frequency, percentage, mean,
and standard deviation. Student Samples t-test and Pearson’s correlational coefficient
were conducted to compare mean scores and determine the study variables’ relations.
Results: The total Mean±SD scores for the quality of life, self-management, and visual
performance of the studied patients were 33.88±12.73, 65.06±12.69, and 81.36±14.01,
respectively. There was a significant relationship between self-management and the quality
of life and visual performance of the patients (P=0.001).
Conclusion: There was a significant linear relationship between self-management and
the quality of life and visual performance of the studied patients; thus, considering self
management strategies in patient education plans for nursing curriculums and hospitals’
education programs are suggested.
Glaucoma, Quality of Life (QoL), Self-management,Visual activity
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Hadi
Hassankhani
Professor, Department of Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
0000-0002-6710-5582
No
Hamidreza
Haririan
Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
houman.haririan@gmail.com
0000-0002-5714-8669
Yes
Fatemeh
Heidarnejad
MsN, RN, Nikookari Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
0000-0003-1188-6356
No
en
Death Anxiety and Its Predictors Among Older Adults
Introduction: Death anxiety can negatively affect recovery among older patients.
Objective: study aimed to assess death anxiety and its predictors among older adults during
and after hospitalization.
Materials and Methods: This cross-sectional study was conducted in 2017 on 241
hospitalized patients aged ≥60 years. The study subjects were consecutively recruited from
a hospital in Kashan City, Iran. The required data were collected in the first and the third
hospitalization days (T1 and T2) and the seventh day after hospital discharge (T3) using
the Mini-Mental State Examination, a Death Anxiety Contributing Factors questionnaire,
the Templer Death Anxiety Scale, the Life Satisfaction Index-Z Scale, and the Spiritual
Well-Being Scale. For the statistical evaluation, repeated measures Analysis of Variance
(ANOVA), the stepwise multiple linear regression, and the rank regression analyses were
used.
Results: The Mean±SD score of death anxiety at T1–T3 was 6.74±3.81, 7.38±3.64, and
6.18±3.60, respectively. Death anxiety at T2 was significantly greater than T1 and T3
(P=0.0001). Approximately 17.7% of the total variance of death anxiety at T1 was explained
by the number of hospitalizations, satisfaction with hospital staff’s performance, and spiritual
well-being. The significant predictors of death anxiety at T2 were marital status, satisfaction
with hospital staff’s performance, children’s gender, satisfaction with bed arrangement, age,
and the number of hospitalizations, which explained 32.1% of the total variance. Moreover,
15.4% of the variance at T3 was explained by satisfaction with bed arrangement and receiving
education at hospital discharge.
Conclusion: Older adults suffer from moderate death anxiety during and after their
hospitalization due to various factors. Managing death anxiety contributing factors is
necessary to alleviate it among older adults
Death anxiety, Hospitalization, Older adulthood
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Zahra
Zahedi Bidgol
Nursing (MSN), Trauma Nursing Research Center, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran.
0000-0003-3305-8826
No
Zahra
Tagharrobi
Assistant Professor, Department of Nursing, Trauma Nursing Research Centre, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
0000-0003-1704-7510
No
Zahra
Sooki
Assistant Professor, Department of Midwifery (Reproductive Health), Trauma Nursing Research Centre, Schoolof Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
0000-0003-3895-7409
No
Khadijeh
Sharifi
Assistant Professor, Department of Midwifery (Reproductive Health), Trauma Nursing Research Centre, Schoolof Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
sharifi81k@yahoo.com
0000-0002-7531-5440
Yes
en
Students' Perspective on Factors Influencing Premarital Sexual Intercourse
Introduction: Early initiation of sex increases the risks of unprotected sex, multiple partners,
and sexually transmitted infections. The effective factors of premarital sexual intercourse
have not been widely studied.
Objective: This study aimed at identifying environmental factors influencing premarital
sexual intercoursefromthe Iranian youths’ perspective.
Materials and Methods: Using a qualitative content analysis method, we carried out on
students of the Payame Noor University of Shiraz, Iran. A total of 30 single male and
female students were selected using a purposive sampling method. Semi-structured
interviews were used to collect data. The obtained data were analyzed via thematic
analysis. Participation in the study was voluntary with informed consent.
Results: Seven teen subjects were male, and 13 were female. Analysis of the transcripts
yielded 5 main categories: Culture, Cocio-economic status, Family, Media, and Friends, and
Peers. The sub-categories were acculturation, cultural norms, economic problems, heavy
dowry, availability of unhealthy options, family support, family values and norms, control and
supervision, parent-child relationship, satellite, Internet, friends,and peer pressure, and lack
of resistance to peer and friends’ influence.
Conclusion:The educational programs and interventions should emphasize the role of cultural
factors and family support and monitoring by families to help correct sexual orientation and
healthy behaviors among adolescents. Furthermore, training programs should consider the
negative impacts of western media and the effects of peer pressure on the formation and
correction of premarital sexual behavior
remarital sexual behavior, Youth, Qualitative research
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Mohtasham
Ghaffari
Professor, Department of Public Health, School of Health, ShahidBeheshti University of Medical Sciences, Tehran, Iran
0000-0003-1756-5297
No
Sakineh
Rakhshanderou
Assistant Professor, Department of Public Health, School of Health, ShahidBeheshti University of Medical Sciences, Tehran, Iran
0000-0001-6373-2303
No
Zabihollah
Gharlipour
Associate Professor, Department of Health Education and Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran
gharlipourz@yahoo.com.
0000-0003-4018-2438
Yes
Farideh
Khalajabadi Farahani
Associate Professor, Department of Population, Health and Family Planning, Population Studies and Research Centre in Asia and the Pacific, Tehran, Iran
0000-0003-4030-9216
No
Tahereh
Ramezani
PhD Candidatein Gerontology, Department of Aging, University of Social Welfare and RehabilitationSciences,Tehran, Iran
0000-0003-2974-0160
No
Fatemeh
Izadkhah
MSc Student in Health Education ;Promotion, Department of Health Education and Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran
0000-0002-9626-8698
No
en
Assessing the Disaster Readiness of Nurses in Hospitals
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Maryam
Jamaili
Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
No
Farideh
Hasavari
Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
f.hasavari@gmail.com
0000-0003-2426-5807
Yes
Farahnaz
Jokar
Assistant Professor, Digestive and Liver Diseases Research Center of Guilan, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
0000-0001-8432-8879
No
Ehsan
Kazemnezhad Leili
Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran
0000-0002-9195-9094
No