@article { author = {Gholamzadeh, Hesam and Ilkhani, Mahnaz and Ameri, Ahmad and Shakeri, Nezhat}, title = {Effect of Reflexology on the Side Effects of Chemotherapy in Cancer Patients: An Integrative Review}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {7-13}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2018.34389.1874}, abstract = {Background: The global cancer incidence and the number of survivors are increasing. Therefore, it is necessary to pay more attention to the side effects of treatment. Aim: The aim of this study was to assess the effect of reflexology on the side effects of chemotherapy in cancer patients. Method: For finding the related articles, the researchers searched several databases including PubMed & ProQuest and valid websites including ScienceDirect, Google Scholar, Scientific Information Database, and Magiran. The key terms of “reflexology, cancer, and chemotherapy” individually and combined together were searched in Parisian and English, and the studies performed from 2009 to 2018 were extracted. Due to the lack of sufficient studies carried out into the outcome of reflexology on chemotherapy, both Persian and English articles were used. Results: A total of 57 studies were extracted from the databases and valid websites; five of which met the inclusion criteria. All selected studies were clinical trials. Implications for Practice: Reflexology can be used as a non-pharmacologic nursing intervention to alleviate the side effects of chemotherapy and improve the quality of life of cancer patients.}, keywords = {Cancer,chemotherapy,Reflexology}, url = {https://ebcj.mums.ac.ir/article_11815.html}, eprint = {https://ebcj.mums.ac.ir/article_11815_b6e80a9057a0eadc1d2c1ab60d92f94f.pdf} } @article { author = {Pourghaznein, Tayebe and Manzari, Zahra Sadat and Heydari, Abbas and Mousavi Bazaz, Mojtaba}, title = {Basic Needs of Mothers with Children Undergoing Hemodialysis: A Meta-synthesis of Qualitative Studies}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {14-25}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2018.31975.1797}, abstract = {Background: Mothers of children undergoing hemodialysis encounter severe changes in their daily lives. It is of utmost importance to raise the awareness of treatment teams about the needs of these specific groups of mothers and different problems they may experience. The reason is that it can help health care professionals to support the mothers to fulfill their roles as the primary caregivers of such children. Aim: This study aimed to identify basic needs in mothers of children undergoing hemodialysis. Method: This meta-synthesis review of qualitative studies investigating the needs and experience of mothers whose children had kidney disease and published from January 1997 to October 2017. The articles were searched in four databases, including Web of Science, EMBASE, PubMed, and ProQuest. The search process was accomplished using the keywords “chronic kidney disease,” “hemodialysis,” “children,” “mothers,” “parents,” “caregivers,” “needs,” “experiences,” “perspectives,” and “perceptions”. Finally, 7 articles were chosen out of 567 papers and theses. The MAXQDA software was used to facilitate data management. Results: The systematic review of the qualitative studies revealed three main themes, including the need for child care management skills, the need to maintain family cohesion, and the need for emotional–psychological support. Implications for Practice: Mothers of children under hemodialysis should be considered as nursing clients. Accordingly, a multidisciplinary team can empower mothers to take care of the children under hemodialysis and preserve family coherence, as well as supporting them emotionally and psychologically.    }, keywords = {Care needs,Children,chronic kidney disease,hemodialysis,mothers,Systematic review}, url = {https://ebcj.mums.ac.ir/article_12015.html}, eprint = {https://ebcj.mums.ac.ir/article_12015_177eaff194569ba5daa63dda41200fb2.pdf} } @article { author = {Saei Ghare Naz, Marzieh and Sayehmiri, Fatemeh and Kiani, Faezeh and Ozgoli, Giti}, title = {A Systematic Review and Meta-analysis on the Average Age of Menopause among Iranian Women}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {26-34}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2018.32369.1820}, abstract = {Background: Menopause age is a determinant of health status and the risks for future diseases. Aim: The current study aimed to determine the average age of menopause among Iranian women in a meta-analysis. Method: This systematic review and meta-analysis was performed in August 2017. The articles were searched in Persian databases, including Iran Medex, SID, and Magiran, as well as international databases, including Scopus, PubMed, and Web of Knowledge, without any time limitation. The search process was accomplished using the following keywords: “Menopause” OR “Menopause age” OR “Age of menopause” OR “Menopause age and Iran”. Begg’s and Egger tests were used to identify publication bias. Data analysis was performed in Stata statistical software (version 14) using random effect model. Results: The search process resulted in the inclusion of 28 articles with a total of 40,042 subjects published during 1998-2017. The mean age of menopause was evaluated as 48.57 years (CI: 47.96- 49.18). Analysis of subgroups indicated that the mean ages of menopause were evaluated as 47.21 (CI: 46.94-47.48), 48.43 (CI: 47.76-49.10), 47.53 (CI: 47.17-47.88), 47.80 (CI: 47.49-48.11), and 47.83 (CI: 47.34-48.32) in smoking women (based on nine studies), non-smoking women, women with normal body mass index (based on eight studies), overweight women (based on seven studies), and obese women (based on six studies), respectively. The minimum mean age was 47.97 years, which belonged to the north region. Implications for Practice: The results suggested that the average age of menopause is still within a normal range despite its rise with a normal slope. It seems that the changes in the women’s lifestyle have affected the menopause age. Consequently, special attention should be paid to some factors confounding menopause age among Iranian women to promote their health and reduce the health problems related to menopause.}, keywords = {Iran,Menopause,Meta-analysis,Women}, url = {https://ebcj.mums.ac.ir/article_12038.html}, eprint = {https://ebcj.mums.ac.ir/article_12038_33dd92b570b58416f55f217f5d2246c9.pdf} } @article { author = {Jalal Marvi, Fatemeh and Kordi, Masoumeh and Rezaei Talab, Fariborz and Mazlom, Seyed Reza}, title = {Comparing the Effects of Training Based on Continuous Care Model and Telehealth on Quality of Sleep in Pregnant Women}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {35-44}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2018.31717.1791}, abstract = {Background: Quality of sleep disorder is a common problem during pregnancy. Training based on continuous care model and telehealth has improved the quality of health care and may also ameliorate quality of sleep. Aim: The present study was conducted to compare the effects of training on the quality of sleep in pregnant women on the basis of continuous care model and telehealth. Method: This three-group clinical trial was performed in 2017 on 91 pregnant women visiting health centers in Mashhad, Iran. Orientation, sensitization, control and evaluation were carried out in the continuous care group, and four DVDs were watched by mothers in the telehealth group over the course of four weeks along with eight weeks of follow-up, and the routine care of health centers was administered for the control group. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was completed at the end of weeks 8 and 12 after the start of the study. Data were analyzed in SPSS version 24 using Kruskal-Wallis statistical test. Results: The three groups were homogeneous in terms of demographic variables (P<0.05). The Kruskal-Wallis test results showed that the mean quality of sleep score before the intervention was homogeneous among the three groups (P=0.42), but it was significantly different (P<0.001) immediately after the intervention in the three groups of continuous care (4.4±1.7), telehealth (4.4±1.4), and control (9.0±3.7), and there was a significant difference four weeks post-intervention in the three groups of continuous care (3.5±2.1), telehealth (5.3±1.8), and control (10.7±3.1) (P<0.001). Implications for Practice: Training based on the continuous care model and telehealth can improve the quality of sleep in pregnant women. Considering that telehealth is a simpler and easier method, it can be used to boost the quality of sleep in pregnant women.  }, keywords = {Continuous Care Model,Pregnant Women,Quality of sleep,Store and forward,Telehealth,Training}, url = {https://ebcj.mums.ac.ir/article_11591.html}, eprint = {https://ebcj.mums.ac.ir/article_11591_62af3df1e4ea9857c1a256e67cca3dd3.pdf} } @article { author = {Samimi Kalat, Maryam and Ramezani, Monir and Heshmati Nabavi, Fatemeh and Saki, Azadeh}, title = {Investigation the Suitability of Patient Education Pamphlets and Patient Satisfaction among Teaching Hospitals in 2015}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {45-51}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2018.34642.1883}, abstract = {Background: To make the best use of written information in education pamphlets, suitability criteria developed for instructional materials. Moreover, client satisfaction with the quality of written materials provided in hospitals for patients needs to be taken into account. Aim: Therefore, the present study aimed to assess the suitability of patient education pamphlets and patient satisfaction among teaching hospitals in Mashhad, Iran. Method: A total number of 542 patient education pamphlets developed in 11 teaching hospitals in Mashhad was collected via a census method and their suitability was investigated using Suitability Assessment of Materials (SAM) instrument. Subsequently, satisfaction with education pamphlets among 2820 hospitalized patients was evaluated using a questionnaire designed based on SAM instrument. The association between the suitability of the given pamphlets and patient satisfaction was also determined. Descriptive statistics and the Chi-square test were used to analyze the findings. Results: The results revealed that 33.3% and 66.7% of the given pamphlets fell into the superior and adequate categories in terms of suitability, respectively. With regard to the satisfaction level, 0.7%, 26.4%, and 72.9 % of the patients were poorly, fairly, and completely satisfied with the pamphlets, respectively. Moreover, the pamphlets rated the higher suitability by patients obtained the higher satisfaction scores. Implications for Practice: The results of this study indicated a need for reconsiderations in some suitability factors for the pamphlets. In this respect, the factors of cultural appropriateness as well as layout and typography rated as acceptable.}, keywords = {amphlet,Patient Education,Patient Satisfaction}, url = {https://ebcj.mums.ac.ir/article_12092.html}, eprint = {https://ebcj.mums.ac.ir/article_12092_b300cb2b03ed7925a75ec3f656e8c687.pdf} } @article { author = {Abdolahian, Somayeh and Ozgoli, Giti and Ebadi, Abbas and Kariman, Nourossadat}, title = {Translation and Psychometric Assessment of the Persian Version of Patient Trust in Midwifery Care Scale}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {52-60}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.35168.1894}, abstract = {Background: Patients’ trust in their physicians can affect therapeutic outcomes. Measurement of patient’s trust levels is a helpful approach for policymakers in healthcare systems. Aim: The present study was targeted toward the translation and psychometric assessment of patients’ trust in midwifery care questionnaire. Method: This cross-sectional study was conducted on 210 female patients referring to the midwifery offices of Tehran, Iran, in 2017. After the translation and back translation of the original version of patient’s trust questionnaire, exploratory and confirmatory factor analyses were performed to measure the structural validity and reliability (through Cronbach's alpha coefficient and intra-class correlation) of the instrument. Results: Measurement of the questionnaire validity by exploratory factor analysis revealed three factors with the eigenvalues of > 1. The three extracted factors accounted for 73.24% of total variance. The goodness of fit indices revealed that the fitness of the three-factor model was at a desirable level, rendering a χ2/degree of freedom of 2.34, comparative fit index of 0.96, and root mean square error of approximation of 0.07. The reliability of the scale was confirmed with a Cronbach's alpha coefficient of 0.81 and intra-cluster correlation of 0.96. Implications for Practice: The patients’ trust questionnaire, measuring the extent of patient’s trust in midwifery offices in Tehran, is a proper tool, enjoying appropriate validity and reliability. The results of the study also showed that the Persian version of the tool can be used to measure the trust rate of the patients referring to the midwifery offices in Iran.}, keywords = {Midwifery,patient,Psychometrics,trust}, url = {https://ebcj.mums.ac.ir/article_12181.html}, eprint = {https://ebcj.mums.ac.ir/article_12181_ed9015a87c2e7c83820a9277004eb75b.pdf} } @article { author = {Tohidast, Seyed Abolfazl and Ghelichi, Leila and Kamali, Mohammad and Ebadi, Abbas and Amiri Shavaki, Yoones and Shafaroodi, Narges and Mansuri, Banafshe}, title = {Development and Psychometric Evaluation of Speech and Language Pathology Evidence-Based Practice Questionnaire (SLP-EBPQ)}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {61-74}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.33473.1850}, abstract = {Background: To date, there is no specific instrument to measure evidence-based practice (EBP) in Speech and Language Pathology (SLP). Therefore, it is essential to design a valid and reliable instrument in the EBP field for SLP. Aim: To develop a speech and language pathology evidence-based practice questionnaire (SLP-EBPQ) for the Iranian context and evaluate its psychometric properties. Method: This study was performed in two stages, first development of the instrument based on the literature review and semi-structured interviews with 14 speech and language pathologists and second the evaluation of the psychometric properties. Content validity of the instrument was assessed by SLP experts who were experienced in the field of EBP. Furthermore, exploratory factor analysis (EFA) and comparison of the recognized groups were conducted to determine the initial construct validity of the SLP-EBPQ. The reliability of the questionnaire was determined using internal consistency and test-retest reliability. A total of 280 speech and language pathologists completed SLP-EBPQ to evaluate construct validity and internal consistency. Furthermore, 30 speech and language pathologists completed the SLP-EBPQ after 2 weeks for test-retest reliability. Results: The developed instrument was a questionnaire with 77 items. The results of EFA demonstrated that the SLP-EBPQ contained nine factors with appropriate internal consistency (α=0.635-0.885). Moreover, the Intra-class Correlation coefficient of the factors was (r=0.814-0.966) in the test-retest reliability. Implications for Practice: The SLP-EBPQ is a valid and reliable instrument and can be applied to evaluate EBP among speech and language pathologists for educational, clinical, or research purposes.}, keywords = {Evidence-based practice,Psychometric Properties,Questionnaire,Speech and Language Pathology}, url = {https://ebcj.mums.ac.ir/article_12190.html}, eprint = {https://ebcj.mums.ac.ir/article_12190_99692ff7e769b3650b8d3cf3dd848186.pdf} } @article { author = {Kohansal, Zohre and Motamed, Niloofar and Najafpour Boushehri, Saeid and Ravanipour, Maryam}, title = {The Relationship between the Awareness and Performance of Parents Regarding Food Security with Anthropometric Indices among School-age Children in Bushehr, Iran, during 2017}, journal = {Evidence Based Care}, volume = {8}, number = {4}, pages = {75-80}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.36060.1928}, abstract = {Parents' awareness and performance plays a key role in food safety of the children. This study aimed to investigate the relationship between parents’ awareness and performance regarding food security with anthropometric indices in school-age children from Bushehr, Iran, during 2017. Data in this descriptive-analytical study was collected from 402 parents using questionnaires on awareness and performance as well as an anthropometric indices. According to the results, 313 parents had a good level of Food security awareness. Cereal consumption was insufficient in 70.4% of the children. 37.4% of the children were overweight or severely obese. Parents awareness and their performance revealed no significant relationship with children height and weight indices (P<0.05). However, there was a significant relationship between awareness level and BMI-for-age index (OR=0.44; P=0.02). The overconsumption of dairy in overweight children (OR=0.51; P=0.03) and insufficient consumption of vegetables in obese or severe obese children were significant (OR=1.04; P=0.03). The over- or insufficient consumption of food raises the probability of parents’ unawareness about the standards of food serving for children. }, keywords = {Awareness,Children,Food security,Performance}, url = {https://ebcj.mums.ac.ir/article_12182.html}, eprint = {https://ebcj.mums.ac.ir/article_12182_c37175397fcd8579ddc10941f0fa7357.pdf} }