Sexual Satisfaction and Function in Postmenopausal Women Treated with Herbal Medicines: A Review of Clinical Trials
Azin
Niazi
MSc. in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Maryam
Moradi
Assistant Professor in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: It is widely accepted that lower levels of sexual satisfaction and function are among the common problems in postmenopausal women. Several studies have examined the effect of plants containing phytoestrogens for the prevention and treatment of menopause complications. Aim: The main purpose of this study was to investigate the effect of medicinal plants on the sexual satisfaction and function of postmenopausal women. Method: Related English and Persian articles published between 2000 and December 2018 were searched through the databases of Iran Medex, PubMed, EMBASE, Scopus, and Science Direct. The articles were searched using the keyword of "menopause" through Boolean Operators of AND and OR with keywords of "sexual satisfaction", "sexual function", "herbal supplement", "Review Study in English and Persian ". Results: Of the 87 searched articles, 20 articles were ultimately analyzed with a sample size of 1555 people. Plants of Bindii, Fenugreek, Fennel, Liquorice, Pueraria Mirifica, Ginseng, Red clover, and Aphrodit had positive effects on dyspareunia, as well as sexual satisfaction and function. Date pollen did not affect sexual satisfaction; moreover, Ginkgo biloba capsule had no effect on dyspareunia and sexual satisfaction. Implications for Practice: Medicinal herbs containing phytoestrogens can be considered as a selective treatment for the improvement of dyspareunia and enhancement of the sexual satisfaction and function of postmenopausal women. However, due to the variety of herbs containing phytoestrogens, further studies are needed to determine the effective dose and effects as well as their possible complications.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
7
16
https://ebcj.mums.ac.ir/article_13345_f75a2d4a2dcdde3959d4783bb1429c64.pdf
dx.doi.org/10.22038/ebcj.2019.38679.2016
System Factors Influencing the Australian Nurses' Evidence-based Clinical Decision Making: A Systematic Review of Recent Studies
Fathimath
Shifaza
Lecturer, College of Nursing and Health Sciences, Flinders University, South Australia, Australia
author
Mohammad
Hamiduzzaman
Research Fellow, College of Medicine and Public Health, Flinders university
author
text
article
2019
eng
Background: There is growing attention to evidence-based practice in Australian clinical contexts and nursing literature. Recent research explores the dimensions of evidence-based practice; however, the implementation of evidence-based clinical decision making has been identified as a cumbersome process. Aim: This study aimed to review the literature systematically regarding the system factors and their possible impacts on the process of evidence-based practice implementation. Method: Anelectronic search on major databases, including MEDLINE, PsycINFO, PubMed, ProQuest, Google Scholar, and CINAHL was conducted from January 2018 to March 2018. A rigorous selection process focusing on the inclusion of nurses in the study population and the system factors related to their practices resulted in the selection of 18 articles. Data were extracted from the studies and grouped into categories using a thematic analysis. Results: The factors affecting the nurses' evidence-based practice were identified at the individual, team, and organizational culture levels. The individual domain included a lack of education and clinical expertise, inadequate research skills, time constraint, and low levels of confidence and autonomy in changing practices. The factors identified at the team level associated with a lack of research orientation and peer support. At the organizational culture level, poor research culture and infrastructure were identified as important factors. Implications for Practice: The findings of the system factors would help policymakers to redefine the nursing practice. Moreover, the results raise the nurse's awareness about the importance of using evidence-based practice in decision making.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
17
30
https://ebcj.mums.ac.ir/article_13414_32b8904bed43317f119cdcf702454ae2.pdf
dx.doi.org/10.22038/ebcj.2019.40598.2068
Effect of Mirror Therapy on Arteriovenous Fistula Cannulation-Related Pain Severity in Hemodialysis Patients
Zahra
Rajabzadeh Malayjerdy
MSc Student in Critical Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Seyed Reza
Mazlom
Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Javad
Malekzadeh
Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: Hemodialysis patients experience pains induced by cannulation of an arteriovenous (AV) fistula. The effect of mirror therapy on patients’ pain severity has not been investigated in individuals living with hemodialysis. Aim: The purpose of the present study was to investigate the effect of mirror therapy on AV fistula cannulation-related pain severity in hemodialysis patients. Method: This study was conducted on 30 hemodialysis patients admitted to two hospitals in Mashhad, Iran, during 2018. Pain severity was measured using the Visual Analogue Scale for pain. Results: The mean pain scores in the control session (pre-intervention phase), non-adaptive phase (immediately after looking in the mirror), and adaptive phase (ten minutes after looking in the mirror) were 4.8±1.1, 3.9±1.1, and 2.6±1.22, respectively. The results showed a statistically significant difference between the given sessions (P<0.001). Implications for Practice: Mirror therapy could be effective in reducing AV fistula cannulation-related pain severity in hemodialysis patients.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
31
37
https://ebcj.mums.ac.ir/article_13274_facd03f0c06999fd237bf78b966bbaf3.pdf
dx.doi.org/10.22038/ebcj.2019.35641.1918
Investigating the Effects of Education Based on the Information-Motivation-Behavioral Skills Model on Sexual Self-Efficacy in Women with High-Risk Sexual Behaviors
Marzieh
Hassanshahi Raviz
MSc Student of Midwifery Counseling, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Raheleh
Babazadeh
Assistant professor in Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
kolsoom
Akbarnataj Bisheh
Assistant Professor of Nursing, Faculty of Medical Sciences, Islamic Azad University, Sari Branch, Sari, Iran
author
Habibollah
Esmaily
Professor of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Lower levels of sexual self-efficacy increase high-risk sexual behaviors in prostitutes. In this respect, an educational intervention program based on the Information-Motivation-Behavioral Skills (IMB) model can enhance sexual self-efficacy. Therefore, this study investigated the effects of IMB education on sexual self-efficacy in women. To this end, a clinical trial was conducted on women with high-risk sexual behaviors in Mashhad, Iran (n=84). The study instrument included a questionnaire containing IMB constructs and sexual self-efficacy. The data were analyzed in SPSS software (version 25). There was no significant difference between the groups regarding the mean±SD of sexual self-efficacy before the intervention. However, Friedman test results showed a significant difference between the given phases (P<0.001); however, intra-group comparison results were not significant in the control group (P=0.56). It was recommended to utilize this educational intervention program to increase levels of sexual self-efficacy among women.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
38
43
https://ebcj.mums.ac.ir/article_13311_079314991a45a8e49efc594ae5ef4189.pdf
dx.doi.org/10.22038/ebcj.2019.37349.1968
Effect of Self-Care Education Designed Based on Bandura’s Self-efficacy Model on Patients with Hypertension: A Randomized Clinical Trial
Fatemeh
Farazian
MSN in Community Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Zahra
Emami Moghadam
Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Fatemeh
Heshmati Nabavi
Associate Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamidreza
Behnam Vashani
Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: Self-care in patients with hypertension can be improved through education and implementation of learning theories. Aim: The present study aimed to determine the effect of educating self-care in patients with hypertension through the implementation of Bandura’s self-efficacy model. Method: A randomized controlled clinical trial was conducted on 60 patients with hypertension who visited a randomly selected group of health centers in Mashhad, Iran, during 2017. The intervention group participated in a self-efficacy training program designed based on the self-efficacy theory in the form of four 45-minute weekly sessions. The control group received the routine treatment provided by community health centers. Self-care was measured with the questionnaire of self-care in patients with hypertension at three stages of before the intervention, immediately after the intervention, and one month later. Data were analyzed in SPSS (version 16) software using repeated measures ANOVA. Results: The mean ages were reported at 62.0±6.9 and 59.3±9.2 in the intervention and control groups, respectively. The repeated measures ANOVA showed significant differences between the two groups after the intervention in terms of adherence to medication regimen (P=0.004), engagement in physical activity (P=0.002), adherence to weight management goals (P=0.006). Significant differences were observed between the two groups in terms of their total self-care score immediately after the intervention and one month later (P=0.002). Implications for Practice: The use of Bandura’s self-efficacy theory can improve the self-care in patients with hypertension. Therefore, it is recommended to conduct further studies to examine the long-term effects of training programs based on this theory on the self-care behaviors of patients with hypertension.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
44
52
https://ebcj.mums.ac.ir/article_13309_a84b7a5dc9b33079d0c27c6d918d3f52.pdf
dx.doi.org/10.22038/ebcj.2019.36466.1944
Effect of an Educational Intervention Program Based on Bandura's Self-efficacy Theory on Self-care, Self-efficacy, and Blood Sugar Levels in Mothers with Pre-diabetes during Pregnancy
Atefeh
Eshghi Motlagh
MSc Student of Midwifery Counseling, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Raheleh
Babazadeh
Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Farideh
Akhlaghi
Professor of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Habibolah
Esmaily
Professor of Bio-statistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: Sense of self-efficacy prepares an appropriate framework for self-care behaviors. Aim: This study aimed at investigating the effect of an educational intervention program based on Bandura’s Self-Efficacy Theory (SET) on self-care, self-efficacy, and blood sugar levels in mothers with pre-diabetes during pregnancy. Method: This randomized two-group clinical trial was conducted on 100 pregnant women with pre-diabetes in Shirvan, Iran, during 2018. The intervention group received educational training according to the constructs of Bandura’s SET. On the other hand, the control group was provided with routine care. The data were collected using Diabetes Self-Care Activities and the standardized and adjusted Diabetes Self-Efficacy Questionnaires, as well as an automatic biochemistry analyzer, and a blood glucose monitoring device. The data were analyzed in SPSS software (version 22) through paired sample t-test, Mann-Whitney U test, and Wilcoxon signed-rank test. Results: The mean ages of the participants in the intervention and control groups were 28.9±7.1 and 29.3±6.2 years, respectively. According to the Mann-Whitney U test results, the intervention group obtained higher scores regarding self-care behaviors and sense of self-efficacy (41.8±13.5, 99.3±16.2), compared to the control group (22.8±5.0, 99.3±16.2, P˂0.001). The mean fasting blood sugar level in the intervention group (75.8±6.7) was significantly lower than that in the control group (85.4±9.7, P˂0.001). Implications for Practice: The promotion of self-care behaviors and self-efficacy strategies in mothers with pre-diabetes during pregnancy could prevent gestational diabetes and reduce the severity of its complications.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
53
64
https://ebcj.mums.ac.ir/article_13310_10676c3a40ec6024f4ed04a7a2bb4159.pdf
dx.doi.org/10.22038/ebcj.2019.37173.1959
Effect of Implementing Family-centered Empowerment Model on the Quality of Life in School-age Children Diagnosed with Rheumatoid Arthritis
Nahid
Pilevar
MSc Student in Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Monir
Ramezani
Assistant Professor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Abdolreza
Malek
Assistant Professor, Department of Pediatrics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamidreza
Behnam Vashani
Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: Rheumatoid arthritis is the most prevalent chronic rheumatologic disease of children. The quality of life (QOL) in these individuals is affected by physical pain, discomfort, treatment complications, and frequent absences from school leading to academic failure. No research similar to the present investigation was performed in this area. Aim: We aimed to evaluate the problems of children with rheumatoid arthritis. Moreover, we assessed the effect of family-centered empowerment on the QOL of these children. Method: This randomized clinical trial was performed on 60 children aged 8-12 years diagnosed with rheumatoid arthritis in Akbar Pediatrics Hospital, Mashhad, Iran in 2018. The subjects were divided into test and control groups. The four stages of family-centered empowerment model, namely improvement of knowledge, self-efficacy, self-esteem, and assessment were executed for the test group. After a month, the inventory of pediatric quality of life was completed again. Data analysis was performed by Mann-Whitney U test, independent t-test, and paired t-test using SPSS version 16. Results: No significant difference was observed between the groups regarding age (P=0.351). In addition, the post-intervention QOL of the test group was significantly higher than the control group (P=0.004). There was a significant difference between the pre- and post-intervention QOL in the test group (P < 0.001). Implications for Practice: This study indicated the effect of family-centered empowerment model on the physical, emotional, educational, and social dimensions of QOL of children aged 8-12 years diagnosed with rheumatoid arthritis. As a result, this model is recommended to empower the children with this disease or other chronic diseases and their caregivers.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
65
73
https://ebcj.mums.ac.ir/article_13425_cafbb2bf13f23157f0ddd70f641f59e6.pdf
dx.doi.org/10.22038/ebcj.2019.39702.2046
Effect of an Educational Video Game for Diabetes Self-management on Adherence to a Self-care Regimen in Children with Type 1 Diabetes
Ebrahim
Rafeezadeh
MSc Student in Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Nosrat
Ghaemi
Associate Professor, Pediatric Endocrine and Metabolism, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamid
Heidarian Miri
Assistant professor of Epidemiology, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Aramesh
Rezaeian
Instructor, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2019
eng
Background: Type 1 diabetes is known as the most common endocrine disorder in children which requires strict adherence to self-care regimen. Accordingly, children’s exposure to educational video games can be a strategy for promoting adherence to such regimens.
Aim: The main purpose of this study was to investigate the effect of an educational video game for diabetes self-management on adherence to self-care regimens in children with type 1 diabetes.
Method: This two-group randomized clinical trial was conducted on 68 children aged 8-12 years affected with type 1 diabetes and admitted to Akbar Children’s Hospital in Mashhad, Iran, during 2018. A self-care package for children with type 1 diabetes was extracted using a review method. The intervention group played the designed interactive video game. Data were analyzed in SPSS software (version 16) through independent t-test and Mann Whitney U test.
Results: Both study groups were homogeneous in terms of demographic characteristics. Based on the results of independent t-test, no significant difference was observed between the intervention (77.5±10.1) and control groups (78.7±7.4) regarding mean self-care scores before intervention (P=0.57). However, mean self-care score in the intervention group (82.9±7.8) was significantly higher than that in control group (77.3±7.7) after the intervention (P=0.57). Intra-group comparisons also confirmed the above-mentioned findings.
Implications for Practice: The designed educational video game could significantly improve children’s self-care scores. Given that Internet-based video games can be manipulated and quickly updated, it was suggested to compare online and offline video games in future studies.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
9
v.
2
no.
2019
74
83
https://ebcj.mums.ac.ir/article_13508_4b3752dbeeb8997274ac240dd176a7b8.pdf
dx.doi.org/10.22038/ebcj.2019.40293.2058