eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
7
16
10.22038/ebcj.2018.31495.1783
11102
مقاله پژوهشی اصیل کمی و کیفی
Comparison of the Effect of Pressure on Bladder-GV20 and Gallbladder-GV20 on Labor Pain Intensity among the Primiparous Women: A Randomized Clinical Trial
Elaheh Mansouri
mansourie941@mums.ac.ir
1
Masoumeh Kordi
kordim@mums.ac.ir
2
Shapour Badiee Aval
badieeash@mums.ac.ir
3
Mohammad Taghi Shakeri
shakerimt@mums.ac.ir
4
Masoumeh Mirteimouri
mirteimourim@mums.ac.ir
5
M.Sc. Student of Midwifery, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Assistant Professor, a Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Midwifery, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran
Assistant professor, Acupuncture Medicine, Faculty of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Professor, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Associate Professor, Department of Obstetrics and Gynecology, Patient Safety Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Background: The cycle of pain, fear, and anxiety may lead to prolonged labor and cesarean section. Acupressure is one of the methods for pain relief. Aim: Therefore,this study aimed to compare the effect of acupressure on bladder-GV20 and gallbladder-GV20 points on the labor pain in primiparous women. Method: This randomized clinical trial was conducted on 158 primiparous women, who referred to the Um Al-Benin Specialized Women Hospital, Mashhad, Iran in 2017. The first stage of labor included five and four pressure cycles on acupressure points in bladder and gallbladder in the intervention groups 1 and 2, respectively. In the second stage of labor one pressure cycle on the same points were completed. The control group only received the routine cares. The duration of uterine contractions was assessed by touching the uterus apex. Moreover, the pain intensity was evaluated by the visual analog scale. All the data were analyzed by the SPSS version 25 Results: The mean pain intensity in both stages of the intervention groups was significantly different from the control group and was significantly lower in the gallbladder group (P<0.001). The mean duration of contractions in the first stage was significantly different between the three groups (P<0.001). Implications for Practice: According to the findings of this study,pressure on bladder-GV20 and gallbladder-GV20 points can attenuate pain intensity in the first and second stages of labor. Moreover, this technique prolongs the duration of contractions in the first stage of labor. Consequently, this method can be recommended as a complementary approach in labor.
https://ebcj.mums.ac.ir/article_11102_00afdf58cdc327737e2d37592c6f6c93.pdf
Acupressure
GV20 point
Labor pain intensity
Primiparous
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
17
26
10.22038/ebcj.2018.31572.1785
11286
مقاله پژوهشی اصیل کمی و کیفی
Evaluating the Effect of Painting Therapy on Happiness in the Elderly
Hamid Barfarazi
barfarazih941@mums.ac.ir
1
Tayabe Pourghaznein
pourghazneint@mums.ac.ir
2
Samira Mohajer
mohajers2@mums.ac.ir
3
Seyed Reza Mazlom
mazlomr@mums.ac.ir
4
Seyed Mohsen Asgharinekah
asghari-n@nm.ac.ir
5
Students Research Committee, MSc of Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
PhD Candidate and Instructor,a Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.b Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
PhD Candidate and Instructor in Gerontological Nursing , a Nursing and midwifery care research center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Medical- Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Instructor in Medical-Surgical Nursing, a Nursing and midwifery care research center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Medical- Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Assistant Professor, Faculty of Education and Psychology, Department of Education, Ferdowsi University of Mashhad, Mashhad, Iran
Background: Reduced happiness is one of the consequences of aging. Happiness is a component of mental health that leads to life satisfaction and physical well-being. Aim: This study aimed to evaluate the effect of painting therapy on the happiness of the elderly. Method: This randomized clinical trial was conducted on 60 elderlies in 2017. The subjects were selected from two elderly care centers in Mashhad, Iran, through the convenience sampling method and randomly divided into two groups of intervention (N=30) and control (N=30). The data collection tools included a demographic characteristics form, research unit selection questionnaire, Cognitive Short Questionnaire, and Oxford Happiness Questionnaire. In addition, 12 sessions of painting therapy (three 50-60-minute sessions per week) were performed. At the end of the intervention, the Oxford Happiness Questionnaire was completed again by the subjects of both groups. In addition, data analysis was performed in SPSS, version 21. Results: In this study, the groups were homogenous in terms of demographic variables. In terms of mean happiness score before the intervention, no significant difference was observed between the intervention and control groups (55.6±2.1 vs. 57.6±5.0; P=0.06). However, after the intervention, the mean score of happiness was significantly higher in all its dimensions in the intervention group compared to the control group (P<0.001). Implications for Practice: Painting therapy can be used as an effective intervention to increase happiness in elderly care centers and nursing homes.
https://ebcj.mums.ac.ir/article_11286_8037b067d0ddc880921e42ca4387efa7.pdf
Elderly
Happiness
Painting therapy
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
27
34
10.22038/ebcj.2018.31076.1772
11184
مقاله پژوهشی اصیل کمی و کیفی
Cross-Cultural Adaptation and Psychometric Evaluation of the Pap Smear Belief Questionnaire in Iranian Women
Marzieh Saei Ghare Naz
saeigarenaz@gmail.com
1
Abbas Ebadi
ebadi1347@yahoo.com
2
Taybeh Darooneh
tdarooneh@yahoo.com
3
Farzaneh Rashidi Fakari
rashidiff@yahoo.com
4
Farahnaz Kholosi Badr
msphd20@yahoo.com
5
Vida Ghasemi
vidaghasemi89@gmail.com
6
Giti Ozgoli
g.ozgoli@gmail.com
7
PhD Student of Reproductive Health, Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Professor, Behavioral Sciences Research Center, Life style institute, Faculty of Nursing , Baqiyatallah University of Medical Sciences, Tehran, Iran
MSc, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
PhD Student of Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
BS, North Tehran Health Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
PhD Student of Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Assistant Professor of Reproductive Health, Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Background: Beliefs of women play a very important role in efficacy of screening for cervical cancer. Therefore, it is necessary to investigate their points of view using appropriate tools with suitable validity and reliability. It seems that the Pap Smear Belief Questionnaire (PSBQ) can assess the attitudes and beliefs of women towards screening for Pap smear. Aim: This study aimed to evaluate cross-cultural adaptation of beliefs regarding cervical cancer screening in Iranian women. Method: In the present study, the cross-cultural adaptation was investigated in 318 married participants. Following the translation and re-translation processes of PSBQ, approval by author, and obtaining the views of the experts as well as participants, the face and content validities of questionnaire were determined qualitatively. Moreover, the construct validity was affirmed by exploratory and confirmatory factor analysis. The tool reliability was analyzed by internal consistency and test-retest methods. Results: The construct validity of the questionnaire had four subscales (exam-related factors, benefits, barriers, and vulnerability). Cronbach's alpha was obtained as 0.93 and the intracluster correlation coefficient was 0.98, indicating the reliability of the Persian version of this questionnaire. Implications for Practice: The Persian version of PSBQ had an acceptable validity and reliability among the Iranian female population. This reliable instrument can be used to assess the existing status, in addition to study the effectiveness of breast cancer screening beliefs.
https://ebcj.mums.ac.ir/article_11184_c5ad2c47751c4fee84e96a7c78d3c0d2.pdf
Cervical Cancer
Pap smear
PSBQ adaptation
Psychometric
Screening beliefs
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
35
45
10.22038/ebcj.2018.29148.1723
11587
مقاله پژوهشی اصیل کمی و کیفی
Comparison of the Effects of Using Self-regulation Theory and self-care Education on Medical Adherence in Patients Receiving Peritoneal Kidney Dialysis
Narges Sadeghi Zarmehri
sadeghizn921@mums.ac.ir
1
Farzaneh Hassanzadeh
fhassanzadeh@mums.ac.ir
2
Nahid Aghebati
nahid.aghebati@gmail.com
3
Farzaneh Sharifipour
sharifipourf@mums.ac.ir
4
M.Sc. Student of Nursing, Department of Medical Surgical Patient Care, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Instructor of Nursing, Department of Medical Surgical Patient Care, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Assistant Professor, a Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Medical - Surgical Nursing, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran
Associate Professor, Medical Department, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Background: Medical adherence is critical to peritoneal dialysis (PD) success. Accordingly, the self-regulation approach plays a crucial role in disease management and treatment progress through the formation of an organized pattern of beliefs in patients. Aim: The purpose of this study was to compare the effects of self-regulation theory (SRT) and self-care training on medical adherence in patients on PD. Method: This randomized clinical trial was conducted on 60 patients receiving PD admitted to Imam Reza and Ghaem Dialysis Centers in, Mashhad, Iran, 2017. They were assigned into two groups of SRT and self-care training using a drawing method. Both groups received SRT or self-care training in two 25-30-min sessions during 2 weeks. Medical adherence was measured by the End-Stage Renal Disease Adherence Questionnaire at the pre-intervention phase, as well as 3 and 6 weeks later. Data analysis was performed using repeated measures analysis of variance in SPSS software, version 25. Results: Both groups were homogeneous considering demographic variables. The mean scores of medical adherence at the pre-intervention phase and 3 and 6 weeks later in the SRT group was 99.0±16.0, 83.9±14.9, and 80.8±15.0, respectively. These values were 87.4±8.6, 79.4±7.6, and 78.3±7.1 in the self-care training group, respectively. There was a significant difference between the groups regarding these (P<0.001). Implications for Practice: Both SRT and self-care training could improve medical adherence in patients receiving PD.
https://ebcj.mums.ac.ir/article_11587_23369bded9c7ddf80d3465b5552a10c4.pdf
Medical adherence
Peritoneal dialysis
Self-care training
Self-regulation theory
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
46
56
10.22038/ebcj.2018.32995.1835
11514
مقاله پژوهشی اصیل کمی و کیفی
Effects of a School-Based Interventional Program on Smoking Refusal Self-efficacy in Adolescent Females
Zienab Rafiee
f.rafiee285@gmail.com
1
Abdolghader Assarroudi
assara911@mums.ac.ir
2
Masoud Zare
zaremd@mums.ac.ir
3
Hamid Heidarian Miri
heidarianh@mums.ac.ir
4
Atefe Behboudifar
behboudifara1@mums.ac.ir
5
Fatemeh Heshmati Nabavi
heshmatinf@mums.ac.ir
6
MSc Student of Nursing, Department of Community Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Assistant Professor, Iranian Research Center on Healthy Aging, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
Instructor, Department of Community Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Assistant professor of Epidemiology, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
MSc in Nursing, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Assistant Professor, Evidence-Based Care Research Center, Department of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
smoking. Self-efficacy can be assumed as the best predictor of smoking behavior in adolescents. Aim: The present study aimed to investigate the effects of a school-based interventional program on smoking refusal self-efficacy in adolescent females. Method: This randomized controlled trial was conducted on 53 adolescent females in 2017. The participants were randomly divided into two groups of intervention (n=27) and control (n=26). The intervention group was provided with a smoking prevention program implemented five sessions a week in their school classrooms. On the other hand, the control group received the routine interventions. A researcher-made Smoking Refusal Self-Efficacy Questionnaire was completed before and one month after the intervention. Statistical analysis was performed in SPSS software (version 20.0) using Fisher’s exact test, t-test, and Mann-Whitney U test. Results: According to the results, 9 (34.6%) and 7 (25.9%) individuals in the control and intervention groups had smoking fathers, respectively. The two study groups were homogeneous in terms of smoking refusal self-efficacy before the intervention. Following the intervention, the mean self-efficacy scores in the intervention and control groups were estimated as 111.55±13.1 and 93.53±25.02, respectively. There was a significant difference between the two groups regarding this variable after the intervention (P=0.02). Implications for Practice: The school-based interventional program for smoking prevention in accordance with social skills training could effectively increase the level of smoking refusal self-efficacy in adolescent females.
https://ebcj.mums.ac.ir/article_11514_35dba6373fedf9f019b000af203ef8af.pdf
Adolescents
Intervention program
Females
Refusal
Self-efficacy
Smoking prevention
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
57
63
10.22038/ebcj.2018.32347.1817
11677
مقاله پژوهشی اصیل کمی و کیفی
Effect of Breast Oketani-massage on Neonatal Weight Gain: A Randomized Controlled Clinical Trial
Mahsa Dehghani
dehghanik@mums.ac.ir
1
Raheleh Babazadeh
babazadehr@mums.ac.ir
2
Talat Khadivzadeh
khadivzadeht@mums.ac.ir
3
Seyeheh Azam Pourhoseini
pourhoseinisa@mums.ac.ir
4
Habibollah Esmaeili
esmailih@mums.ac.ir
5
Gonabad University of Medical Sciences, Gonabad, Iran
Assistant Professor, a Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Midwifery, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran
Assistant Professor, a Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. b Department of Midwifery, School of Nursing and Midwifery, Mashhad University Medical of Medical Sciences, Mashhad, Iran
Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Professor in Biostatistics, Department of Statistics and Epidemiology, Management and Research Center for Social Factors Affecting Health, Mashhad University of Medical Sciences, Mashhad, Iran
Background: The most important factor affecting weight gain after birth is the type and mode of neonatal feeding. The most suitable nutrition is exclusive breastfeeding. However, breastfeeding can be accompanied with some difficulties, such as breast engorgement, which results in neonatal feeding complications. Breast Oketani-massage therapy is proposed as a treatment for breast engorgement. Aim: This study aimed to determine the effect of breast Oketani-massage therapy on neonatal weight gain among lactating women with breast engorgement. Method: This randomized controlled clinical trial was conducted on 100 postpartum (i.e., on the first five days of childbirth) women admitted to the Midwifery Clinic and Gynecology and Obstetric Department of Imam Reza Hospital, Mashhad, Iran, due to breast engorgement from August to November 2016. The subjects were divided into two groups, namely Oketani massage and routine care training, through random block allocation. The data were collected regarding neonatal weight gain before and after the intervention and analyzed in SPSS (version 20) using repeated measures ANOVA. Results: The results revealed no significant difference between the two groups in terms of neonatal weight gain on within days 1-5 day before the intervention (P=0.17). However, a statically significant difference was observed between the two groups in this regard 14 and 28 days post-intervention (P<0.001). Implications for Practice: This study showed that breast Oketani-massage in comparison to the routine care increased the neonatal weight gain among lactating women with breast engorgement.
https://ebcj.mums.ac.ir/article_11677_1e217848417c02aefaa598f178858234.pdf
Breast
Engorgement
Infant
Oketani-massage
Weight gains
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
64
74
10.22038/ebcj.2018.31619.1788
11672
مقاله مرور سیستماتیک
Evaluation of the Quality of Cancer-Related Fatigue Clinical Practice Guidelines
Shahin Salarvand
shsalarvand@lums.ac.ir
1
Simin Hemati
hemati@med.mui.ac.ir
2
Payman Adibi
adib@mui.ac.ir
3
Fariba Taleghani
shsalarvand@nm.mui.ac.ir
4
Reza Ghanei Gheshlagh
rezaghanei30@yahoo.com
5
Assistant Professor, Social Determinant of Health Research Center, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran
Associate Professor, Department of Radiation Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Professor, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Assistant Professor, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran
Background: Improvement of the quality ofcancer-related fatigue clinical practice guidelines (CPGs) is an important issue in oncology. Aim: This study aimed to determine the methodological quality of CPGs about cancer-related fatigue management using the AGREE II instrument. Method: This study involved a systematic search, followed by a descriptive study, to evaluate the methodological quality of CPGs about CRF using the AGREE II instrument in 2018. A comprehensive search was conducted on different websites and databases to find the eligible published guidelines from the observation time to Jan 2018. After screening the guidelines based on eligibility criteria, the selected CPGs were assessed by five independent appraisers by means of the updated AGREE II instrument developed in 2013. Results: According to the results, applicability and editorial independence domains had obtained low quality scores. However, the scores of the rest of the domains were indicative of a favorable quality level. Implications for Practice: It is essential to improve the quality of CRF CPGs and design high-quality CPGs especially in terms of applicability and editorial independence domains.
https://ebcj.mums.ac.ir/article_11672_7ed702ab0466876e87af46a566e9cc5e.pdf
Cancer-related fatigue
Clinical practice guidelines
Quality
eng
Mashhad University of Medical Sciences
Evidence Based Care
2008-2487
2008-370X
2018-10-01
8
3
75
80
10.22038/ebcj.2018.32263.1808
11608
گزارش کوتاه
Impact of Relaxation Training and Exercise on Quality of Life in Post-myocardial Infarction Patients: A Randomized Clinical Trial
Mehdi Mahmoodi
mahmoodim31@yahoo.com
1
Gholam Reza Mahmoodi-Shan
mahmoodigh@yahoo.com
2
Mohammad Zaman Kamkar
kamkar72@yahoo.com
3
Naser Behnampour
behnampour@yahoo.com
4
Mozhdeh Dabirian
dr.dabirian@gmail.com
5
MSc, Mazandaran University of Medical Sciences, Sari, Iran
Assistant Professor, Nursing Research Center, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
Assistant Professor, Department of Psychology, Golestan University of Medical Sciences, Gorgan, Iran
Assistant Professor, Department of Biostatistics, Health Management and Social Development Research, Golestan University of Medical Sciences, Gorgan, Iran
Assistant Professor, Department of Cardiology, Fatemeh Al Zahra Education Hospital, Mazandaran University of Medical Sciences, Mazandaran, Iran
Myocardial infarction (MI) decreases patients’ quality of life (QOL). The present study aimed to investigate the effect of relaxation training and exercise on QOL in post-MI patients. This single-blind, randomized, clinical trial was conducted on 64 post-MI patients at Fatemeh Zahra Hospital in Sari, Iran, in 2013. The study population was divided into two groups of intervention and control. The intervention group received training and was followed-up for 8 weeks at home. The data were collected using MacNew QOL Questionnaire. Data analysis was performed in SPSS (version 16) using t-test. There were significant differences between the intervention and control groups regarding the mean scores of the three QOL domains. Total QOL showed a significant difference after relaxation program (P≤0.001). Relaxation exercises resulted in the improvement of QOL in post-MI patients. Therefore, nurses are recommended to train these exercises to patients to practice at home.
https://ebcj.mums.ac.ir/article_11608_4d708309cc747d6b965bc11c86054562.pdf
Education
Myocardial infarction
Quality of life
Relaxation