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Showing 8 results for Amerian

Marzieh Faghani Aghoozi, Sanaz Fayazi, Malihe Amerian, Amir Hamta, Najmeh Tehranian, Fahimeh Ramezani Tehrani,
Volume 7, Issue 4 (10-2018)

Background: Worldwide, half of women suffer from nausea and vomiting in early pregnancy which generally continues to the 20th week of pregnancy. Although pathogeneses of nausea and vomiting of pregnancy as well as hyperemesis gravid arum are still unknown, some believe that  nausea and vomiting of pregnancy is likely related to maternal serum leptin level.
Objectives: This study aimed to examine the relationship between leptin and pregnancy nausea and vomiting.
Methods: In this case-control study, 45 pregnant women at first and second trimesters were selected through convenient sampling. Mothers’ blood samples were taken in the 6th, 12th, 15th, and 20th weeks of pregnancy. The participants were devised into healthy, without nausea, (24) and with nausea and vomiting groups (21). The relationship among the variables was analyzed using independent t-test, Pearson correlation, regression tests, and Lambda statistic (P value <0.05).
Results: The mean age of the participants was 27.47±5.55 years, and Body Mass Index (BMI) was found to be 5.458±26.57. There was no significant difference between groups in this regard. Based on results, changes in maternal serum leptin had significant correlation with nausea and vomiting of pregnancy (p<0.04), meaning that the mean of leptin changes in patients with nausea and vomiting was significantly lower. Moreover, serum leptin at first and second trimesters of pregnancy did not have significant correlation with nausea and vomiting (p=0.5 and 0.3, respectively).
Conclusion: With regard to leptin peak level at second trimester of pregnancy, leptin changes at first and second trimesters can be a good index to predict the nausea and vomiting of pregnancy. Thus, further domestic studies are required in this respect.
Marzieh Faghani Aghoozi, Najmeh Tehranian, Malihe Amerian, Sanaz Fayazi, Fahimeh Ramezani Tehrani, Amir Hamta, Shahrbanoo Salehin,
Volume 8, Issue 1 (6-2018)

Background: It seems that in vaginal delivery, serum leptin level increases as a cortisol-dependent factor due to the stress of the embryo. Studies have shown that if the level of serum leptin is low, the risk of chronic metabolic diseases, cardiovascular diseases, hypertension, and obesity in the mother and the baby will increase.
Objectives: The aim of this study was to determine the relationship between serum leptin levels in pregnancy and the type of delivery.
Methods: This study was a descriptive-analytic study which adopted a longitudinal approach to examine 45 mothers in the first and second trimester of pregnancy in Tehran in 2015. The participants were selected by means of cluster random sampling. After obtaining consent from the mothers, their blood samples were collected at 6-12 and 15-20 weeks of pregnancy and their serum leptin levels were determined. The mothers’ examination continued after their delivery. Finally, the mothers were divided into two groups including the vaginal delivery group (24 participants) and the cesarean group (21 participants). Independent-Samples t-test, Pearson test, regression test, and Lambda test were used to analyze the data. SPSS was employed to carry out analyses at P value<0/05 level.
Results: The mean values of the serum leptin level in the first trimester and second trimester were higher in the normal delivery group in comparison with the cesarean group. Nonetheless, there was not a significant relationship between the serum leptin level and the type of delivery despite the fact that there was a statistically significant relationship between the type of delivery and the changes in leptin levels during pregnancy and these changes were reported more frequently in the normal delivery group in comparison with in the cesarean group (P value=0.021).
Conclusion: Based on the results of this study, leptin level changes during pregnancy can have a predictive role in the mothers’ type of delivery. However, further studies with larger samples are required to confirm the extent and type of this role.

Zeinab Hamzehgardeshi, Zohreh Shahhosseini, Mina Malari, Mehdi Pourasghar, Jamshid Yazdani Charati, Malihe Amerian, Zahra Amirkhanzadeh Barandouzi,
Volume 8, Issue 1 (6-2018)

Background: Physiological and psychological impacts of pregnancy may relate to anxiety symptoms in nulliparous women. An effective communication between couples can have protective effects against anxiety in this period.
Objectives: The present study intended to assess the relationship between communication skills and the anxiety during pregnancy in nulliparous women.
Methods: This study adhered to a descriptive cross-sectional design. In this study, 100 nulliparous women of 18 to 40 years old were selected through a two-stage cluster sampling in Health Centers of Sari, Iran (2014-2015). We used the Spielbergerchr('39')s questionnaire to measure pregnancy anxiety and Queendomchr('39')s questionnaire to assess coupleschr('39') communication skills. Statistical-descriptive methods and Pearson correlation coefficient were used to analyze the data.
Results: The mean age of the women participating in the study was 27.15±4.69. The results showed that there was a negative significant correlation between communication skills and state (r=-0.45, p<0.01) and trait anxiety (r=-0.51, p<0.01). However, there was no significant relationship between one of the subscales of communication skills (assertiveness) and state and trait anxiety.
Conclusion: This study indicated a negative correlation between communication skills and pregnancy anxiety. Strong communication skills could diminish pregnancy anxiety and eventually lead to higher psychological health.
Mina Malary, Mahmood Moosazadeh, Iman Moghaddasifar, Malihe Imeni, Marzieh Faghani Aghoozi , Shadi Sabetghadam, Malihe Amerian,
Volume 8, Issue 4 (3-2019)

Background: Euthanasia has been the most controversial topic for more than 3,000 years and is among important issues in medical ethics in today’s world, having something to do with the value system of human life.
Objectives: The aim of this study was conducted in Nasibeh Nursing and Midwifery Faculty of the city of Sari in 2016 to investigate attitudes of the senior students of nursing and midwifery towards euthanasia.
Methods: This descriptive study involved 200 senior college nursing and midwifery students (119 nursing and 81 midwifery students) of Nasibeh Nursing and Midwifery Faculty in the city of Sari, who participated on census sampling. The attitude of nurses and midwives was investigated through the Euthanasia Attitude Scale (EAS). To analyze the data, the distribution values, mean and SD were gained through descriptive statistics. To assess significant relationship between attitude to euthanasia and the integrated variables and the classified variables, Pearson linear correlation and Chi Square tests were used, respectively. Significant difference was considered with the P value less than 0.05.
Results: Mean total score of attitudes towards euthanasia was 58.43±12.80 and on the whole, 19.5% of the students had negative attitude, 69.5% had neutral attitude and 11% had positive attitude towards euthanasia. There was no significant relationship between the scores of the nursing and midwifery students’ attitude towards euthanasia and only the gender variable had significant relationship with scores of different classes of attitude towards euthanasia (p<0.05). Compared to the female students, male students were more positive towards euthanasia. Furthermore, reversed significant relationship was observed between age and the score of attitudes towards euthanasia (p<0.05).
Conclusion: There are many factors that can affect attitude of individuals on euthanasia. Results of presence student showed that though majority of the participants were neutral towards euthanasia, such factors as age and sex of individuals were among variables related to attitude towards euthanasia
Malihe Amerian, Serveh Mohammadi, Sanaz Fayazi, Marziye Faghani Aghoozi, Mina Malari,
Volume 9, Issue 1 (6-2019)

Background: Childbearing behavior refers to a family decision-making process among couples.
Objectives: The purpose of this narrative review is to summarize the determinants of decision-making process in the first childbearing of the couples.
Methods: The present narrative review study was conducted from 2000 to November 2017. We searched English and Persian articles on the databases of Request, CINAHL, Ovid, PubMed, and Medline using free-text words such as “related factor” and “time of the first child” and the keywords including “decision making”, “childbearing”, “factor influencing child bearing”, and “couples”. The inclusion criteria were the quantities studies regarding the determinants of decision-making process in the first childbearing or various related dimensions.
Results: The findings revealed four effective categories including individual, familiar, economic, and social factors. Each of these categories contained a wide range of age, age of marriage, quality of life, marital satisfaction, couples compromise, occupation, family income, educational level, and social support, which may overlap with each other probably due to the complexity of reasons for delayed childbearing.
Conclusion: Various factors may affect the process of family decision-making for the first childbearing among couples. Healthcare providers and policymakers should adopt an appropriate strategy to improve the socioeconomic and familial status of the couples to help them reach the desired number of children at a right time.
Marzieh Faghani Aghoozi, Mohaddeseh Karimi Khoshal, Sanaz Fayazi, Shahnaz Tork Zahrani, Malihe Amerian,
Volume 9, Issue 1 (6-2019)

Background: There is no substitute to mother breastfeeding; on the one hand, mothers need all-out support, especially in the first days after delivery, which is one of the effective factors for women’s success in breastfeeding.
Objectives: The aim of this study is to investigate the relationship between social support and early termination of breastfeeding.
Methods: This retrospective study examined the degree of social support for mothers embarking on early termination of breastfeeding. It covered a group of 235 individuals (150 individuals in the control group and 85 in the experimental group) as its participants. The data were collected through three separate questionnaires: The Multidimensional Scale of Perceived Social Support Questionnaire, the demographic questionnaire and the researcher-made questionnaire of evaluation of breastfeeding. The T-test, Mann-Whitney, chi-square and logistic regression tests were used for analysis by SPSS 16.
Results: The results revealed that compared to mothers in the experimental group, unwanted pregnancies (p=0.001) and caesarian section deliveries (p=0.007) were significantly more observed in the control group mothers. Those characterized by termination of breastfeeding received (about 22 times) weaker social support compared to the breastfeeding mothers (p<0.001, OR~22). Furthermore, the first breastfeeding upon birth was less (about 0.211 times) observed among the experimental group mothers than the group of mothers characterized by breastfeeding (p=0.006, OR~0.211).
Conclusion: Husband encouragement and support and high social support are highly effective in successful breastfeeding and in this line, all-out support for mother, including support by family and society, seem very necessary.
Shahnaz Torkzahrani, Sanaz Fayazi, Marzieh Faghani Aghoozi, Malihe Amerian, Serveh Mohamadi, Mohadese Karimi Khoshal,
Volume 10, Issue 1 (4-2020)

Background: Domestic violence as a social factor has a significant role in the duration and quality of breastfeeding.
Objectives: This study aims to determine association of domestic violence and early suppression of lactation in Mothers Referring to Health Centers in Lahijan- Iran.
Methods: The present study is a retrospective case-control study. Participants included 235 mothers, 150 breastfeeding mothers and 85 mothers discontinued breastfeeding. Sampling was carried out by convenience and quota method in five urban health centers of Lahijan. The study tools were demographic information, domestic violence, and a researcher-made questionnaire to assess status of breastfeeding. Data were analyzed using Chi-square, t-test, Mann-Whitney test, and logistic regression by SPSS 16 software (P-value <0.05).
Results: The average age of mothers was calculated to be about 27.97 years. According to the results of this study, mothers in the lactation group (group1) (93.33%) started breastfeeding more than esl group (group 2) (67.06%) (P<0.001). There was no statistically significant difference between the two groups in terms of unwanted pregnancy rate, cesarean section, and motherschr('39') academic education (P-value> 0.05). The rate of psychological and physical violence in the group 1 was significantly higher than the group 1 and the chance of physical violence in group 2 was significantly (about 10 times) higher than the group1 (10, OR 001/0= P).
Conclusion: It seems that physical and psychological domestic violence is directly associated with early suppression of lactation, so screening of domestic violence and appropriate interventions are recommended be considered in maternal care programs.
Fatemeh Sadat Izadi-Avanji , Anahita Takbiri Boroujeni, Malihe Imeni, Hamid Reza Gilasi, Malihe Amerian,
Volume 10, Issue 1 (4-2020)

Background: Marital satisfaction is a crucial component of emotional stability of couples and plays a vital role in the function of family and society. Therefore, investigating the causes and factors affecting this category is of particular importance.
Objectives: The present study aims to compare marital life satisfaction in the elderly and non-elderly people and related factors in 2012.
Methods: A descriptive cross-sectional study was performed on 257 men and women covered by healthcare centers of Kashan University of Medical Sciences in 2012. The instruments used included the ENRICH marital satisfaction inventory and the demographic characteristics questionnaire. Data were analyzed using SPSS-16 and descriptive and analytical statistics (chi-square, independent t-test, one-way analysis of variance, and Tukey post-hoc test). (P-value<0.05).
Results: The results revealed that marital satisfaction in the non-elderly group (11.370±511.50) was significantly higher than the elderly group (10.296±901.55) (P<0.05). Examining the factors related to the level of marital satisfaction, it was found that the components of income level, occupation, and level of education in both groups were directly related to the marital satisfaction score. The number of children in the non-elderly group is inversely and in the elderly group was directly related to marital satisfaction (P<0.05).
Conclusion: It seems necessary to make decisions to improve the factors related to marital satisfaction in the elderly as the elderly population is growing. Moreover, to achieve the standard levels of health, it is necessary to pay attention to all aspects of health in different age groups.

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