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Showing 11 results for Bayat

Elmira Hassanpour, Nadereh Naderi Ravesh, Zahra Safavi Bayat, Malihe Nasiri, Kianoush Niroumand Zandi,
Volume 4, Issue 1 (9-2014)
Abstract

Background and Objectives: Considering the importance of thinking styles in individualschr('39') decision making, this study was conducted to investigate the correlation between thinking styles with clinical decision making among nurses working in educational hospitals affiliated to Tabriz University of Medical Sciences. Materials and Methods: In this descriptive–correlational study, 196 nurses were recruited using random sampling method. Data were collected using the Thinking Styles Inventory and a researcher structured questionnaire. Data were analyzed using the Pearson correlation test and multiple regression analysis. Results: The results showed that hierarchical thinking had the most significant relationship with the clinical decision making (p<0.001 r=0.427). Conservative and internal thinking styles showed significant negative relationships with the clinical decision making (p<0.05 r=-0.201, r=-0.149, respectively). According to the multiple logistic regression analysis, type 1 thinking styles predicted better clinical decision makings and type 2 thinking styles were associated with low scores of clinical decision making. Nevertheless the relation intensity obtained from the test was poor (R2=0.171 p<0.001). Conclusion: Considering significant relationship between thinking styles with clinical decision making, further studies are recommended.


Safoura Yadollahi, Tahere Ashktorab, Farid Zayeri, Zahra Safavibayat,
Volume 5, Issue 1 (9-2015)
Abstract

Background and Objectives: Epilepsy is a chronic condition results in seizure and leads to debilitating conditions in patients. Epilepsy self-management behaviors include activities to manage the disease. The aim of this study was to assess self-management behaviors and its correlation with seizure frequency in patients with epilepsy. Materials and Methods: In this correlation study, 120 patients with epilepsy were selected from Iran Epilepsy Association using convenience sampling method. Data were collected using a demographic checklist, Dilorio´s epilepsy self-management behaviors scale and a checklist to record the number of seizures. Data were analyzed in the SPSS-16 using the correlation coefficient. Results: The mean score of the self-management behaviors was 118.05±21.54. The highest score was in the area of seizure management (79.9) and the lowest score was in the area of drug management (57.56). There was a significant relationship between the epilepsy self-management behaviors and the frequency of seizures in patients with epilepsy (r=-0.3 P<0.001). Conclusion: The frequency of self-management behaviors was moderate. In patients with higher self-management behaviors score, seizures frequency was found to be lower.


Sedigheh Amir Ali Akbari, Atousa Dabirioskoei, Malihe Nasiri, Fatemeh Bayat,
Volume 8, Issue 1 (6-2018)
Abstract

Background: Lead exposure is one of the global health problems, especially among pregnant women.
Objectives: In this regard, the present study aimed to investigate the correlation between blood lead and blood indicators in healthy pregnant women.
Methods: This correlational study was conducted on 80 pregnant women hospitalized in Ayatollah Mousavi Hospital in Zanjan during 2015. After receiving informed consent, 3.5 mL of their blood samples were taken for measuring the blood lead and indicators. Then, Symex was used to analyze hematologic indicators, followed by utilizing potentiometric method and Ion3 to measure blood lead level. Finally, data were analyzed by SPSS software, (version 22) applying Pearson correlation coefficient and linear regression. A P-value of less than 0.05 was considered statistically significant.
Results: The mean blood lead of the subjects was 6.24±1.74 μg/dL. Based on the results, a significant correlation was found between blood lead and hemoglobin (Hb: r=-0.39, P<0.001), mean corpuscular volume (MCV: r=-0.26, P=0.02), mean corpuscular hemoglobin (MCH: r=0.27, P=0.013), mean corpuscular hemoglobin concentration (MCHC: r=-0.327, P=0.003), and platelet number (Plt: r=0.359, P= 0.001). However, no significant correlation was observed between blood lead and other platelet and blood indicators.
Conclusion: Overall, blood lead affects blood indicators. Therefore, it is suggested to plan and implement strategies to reduce exposure to lead in the environment, especially for pregnant women.
Akbar Pourrahimi, Aida Sheykhlar, Mahnaz Keshvarz Afshar, Mohammad Abdi, Ali Aghajanloo, Sana Mohammadi, Fatemeh Bayat,
Volume 8, Issue 2 (9-2018)
Abstract

Background: The highest prevalence of depression is observed in the elderly, and the cultural difference in each region causes a difference in the incidence of this disorder.
Objectives: Therefore, this study aimed to investigate the prevalence of depression and its associated demographic factors in the elderly with electronic health records in Zanjan during 2018.
Methods: A total of 400 elderly people with electronic health records participated in this descriptive cross-sectional study, who were selected by the cluster random sampling method from 18 urban community health centers of Zanjan. The data were collected using a demographic questionnaire and the geriatric depression scale(. Finally, data entered the SPSS software and analyzed utilizing descriptive statistics, as well as Chi-square, ANOVA, and logistic regression tests.
Results: The mean age of the elderly was 77.7±5.56 and 68.5% of them had some degrees of depression, including mild (40.5%), moderate (19.2%), and severe (8.8%) depression. Mild depression was more prevalent among younger adults while moderate to severe depression was common in older adults over 75. The results revealed that depression had a significant relationship with age and educational level while not having any significant relationship with sex, marital status, and the dwelling place.
Conclusion: Considering the high prevalence of depression among the elderly in Zanjan, health managers re suggested to prioritize educational programs and social support for this group of individuals and monitor the performance of supportive institutions such as insurance in this regrad. Eventually, they are recommended to pay attention to the geographical and cultural diversity of different regions of the country to reduce the elderly’s depression level.
 
Samaneh Youseflu, Farahnaz Rostami, Majid Yousefi Afrashteh , Zeynab Bayat, Leila Rastegari,
Volume 8, Issue 4 (3-2019)
Abstract

Background: Postpartum is considered as one of the most vulnerable and stressful periods for women. Changes in physical appearance after pregnancy and childbirth could result in attitudinal changes of women towards their body and subsequently disorders in women’s sexual behavior.
Objectives: Regarding the effect of pregnancy and childbirth on sexual function and the body image of women, this study aims to assess the effect of body image satisfaction on sexual function of Iranian women referring to Health Care Center of Zanjan city after child birth.
Methods: This cross-sectional study was conducted on 420 mothers who had referred to health care centers affiliated to Zanjan University of Medical Sciences between 2018-19. A checklist including questions about demographic and reproductive information, Female Sexual Function Index (FSFI) and the Multidimensional Body–Self Relations Questionnaire (MBSRQ) were filled up for all of the participants. The data were analyzed by SPSS 16 software through using the Pearson correlation coefficient.
Results: A positive relationship was observed between body image satisfaction and sexual function (SF) of women (r=0.23, p<0.001). The participating women’s BMI (r=0.27, p<0.001), marriage duration (r=0.11, p<0.05) and their age (r=0.28, p<0.001) were associated with their body image satisfaction. The levels of body image satisfaction showed significant difference between women with and without sexual dysfunction (p=0.008).
Conclusion: Women experience changes in SF and body image during the postpartum period. Changes in women’s SF can leave negative impact on women’s family relationship. Therefore, in that period, women need breastfeeding and nutritional support as well as psychosocial support with regards to their body image. As a strategy, health care providers are recommended to pay more attention to women’s mental and sexual issues while offering postpartum routine checks.
 

Soudabeh Niroomand, Fatemeh Razavinia, Zeynab Bayat, Mahsa Jafari, Farahnaz Rostami, Samaneh Youseflu,
Volume 9, Issue 1 (6-2019)
Abstract

Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems.
Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period.
Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.
Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers’ education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level.
Conclusion: The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence womenchr('39')s anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community
Samaneh Youseflu, Mahnaz Keshavarz Afshar, Mina Mousavi, Zahra Moradi, Mojdeh Banaei, Fatemeh Bayat,
Volume 9, Issue 3 (11-2019)
Abstract

Background: Adolescent pregnancy is considered a high-risk pregnancy and is considered as a common phenomenon in Iran.
Objectives: This study aimed to compare neonatal and maternal outcomes in adolescent mothers with those of adult pregnancy.
Methods: This cross-sectional comparative study was conducted between September 2018 and March 2019 in the Referral Hospital of Ayatollah Mosavi of Zanjan, Iran. Data were collected using the convenience sampling method. Overall, 133 and 696 out of 1340 participated women were teenage and adult women within the age range of 20-30 years, respectively. The Chi-squared and logistic regression tests were used to compare the neonatal and obstetric consequences of the pregnancy of the two age groups. Finally, SPSS25 was used for data analysis, and a P<0.05 was considered statistically significant.
Results: Prevalence of adolescent pregnancy was found to be 9.92%. Adolescents had an increased risk of induced vaginal delivery (IVD) (OR=1.43, (OR: Odds ratio) 95% CI 1.07-4.23(CI: Confidence interval)), (P=0.01), dystocia (OR=3.23, 95% CI (2.27-17.22), (P=0.004)), and episiotomy ((OR=3.63), 95% CI (2.44-7.31), (P=0.001)). None of the neonatal consequences showed any significant difference between the two groups (P>0.05).
Conclusion: In our society, adolescent pregnancy is accompanied by dire consequences for the mother, but not for the neonate. Thus, it is recommended that health workers discourage adolescent pregnancy through appropriate services and education, and in cases where pregnancy has already occurred, support the woman through offering health services in order to prevent or minimize the risks or complications of pregnancy at such early age.

Sanaz Fayazi, Mina Mousavi, Zahra Moradi, Mahnaz Keshavarz Afshar, Mojdeh Banaei, Fatemeh Bayat,
Volume 9, Issue 3 (11-2019)
Abstract

Background: The study of the prevalence, reasons, and various outcomes of pre-eclampsia in any region is of special importance in determining the prevention and medication strategies in that area.
Objectives: This study focuses on the prevalence and outcomes of pre-eclampsia and related factors in the referral Hospital of Ayatollah Mosavi in Zanjan Province.
Methods: This cross-sectional and analytical study was conducted on all the pregnant women who delivered their babies in Ayatollah Mosavi Hospital in Zanjan from September 2018 and March 2019. From among 1340 mothers in this study, 63 patients were considered as the sample based on the aim of this study, and 63 participants were selected by means of systematic randomized sampling and were placed in the control group. The data were collected using a researcher-made checklist. Analyses of the data were done using Mann–Whitney U test, Chi-square test, and Fisherchr('39')s exact test (p<0.05).
Results: This study proved that the majority of the mothers fell within the age range group of 20-35 (74.6%) characterized by multipar (66.6%). The results showed that the prevalence of pre-eclampsia in Zanjan Province was 5.5 percent. Based on the data, the pre-term and caesarean deliveries by mothers afflicted with pre-eclampsia were found to be 2.5 and 2.86 times, respectively (p<0.05). Furthermore, the experimental group babies needed the NICU care, which was 6.9 percent more than those of the control group (p<0.001).
Conclusion: Due to the high prevalence of pre-eclampsia in Zanjan Province and the unfavorable outcomes such as preterm delivery, caesarean, and baby’s need for admission in the NISC, it seems that the medication and prevention strategies in the province should be under more review and investigation.
Fatemeh Bayat, Mina Mousavi, Zahra Moradi, Mahnaz Keshavarz Afshar, Hadis Shahrahmani, Parvin Mohebbi,
Volume 9, Issue 4 (1-2020)
Abstract

Background: Gestational diabetes is one of the most common complications of pregnancy that has several effects on mother and baby.
Objectives: The aim of this study was to examine the prevalence as well as maternal and neonatal outcomes in women with gestational diabetes.
Methods: This descriptive comparative study was carried out on all pregnant women who underwent 75 g glucose test and referred to Ayatollah Mousavi Hospital in Zanjan for delivery from September to March 2018. Data was collected according to the clientchr('39')s biography obtained by the gynecologist and also the available evidence of gestational diabetes. Data was analyzed by SPSS 25 software.
Results: The prevalence of gestational diabetes in the present study was 4.7%. The mean age in the group with gestational diabetes was 30.65± 6.9 years, which was statistically significant compared to the mean age of healthy mothers (27.93± 6.4) (P= 0.01). There was a statistically significant difference in the type of delivery between the two groups (P<0.001) as the delivery method was cesarean section in 70.6% of patients with gestational diabetes. Evaluation of pregnancy and neonatal outcomes between the two groups in terms of the need for induction (15.8% vs. 47.4%), cases of episiotomy (22.8% vs. 43.9%), cesarean delivery (63.2% vs. 26.3%) and the need for hospitalization of the infant in NICU (26.3% vs. 7%) indicated a statistically significant difference (P= 0.01).
Conclusion: This study did not result in a significant difference in maternal and neonatal complications, except for the need for NICU hospitalization and delivery.
Samaneh Youseflu, Zeynab Bayat, Faezeh Amiri, Parvin Mohebbi,
Volume 10, Issue 1 (4-2020)
Abstract

Background: Mothers in the postpartum period experiences a change in sleep pattern and loss of sleep duration. In the meantime, factors can cause irregular sleep patterns and decreased sleep quality.
Objectives: The aim of this study was investigating the factors of fertility, anxiety and physical activity on the sleep quality of the lactating women visiting healthcare centers in Zanjan, Iran.
Methods: This descriptive cross-sectional study was carried out from 2018 to 2019 on 380 women aged 14-45 years referred Ayatollah Mousavi Hospital in Zanjan and its affiliated clinics who were maximally 6 months postpartum and selected by convenience sampling method. The measuring tools used in this study included Petersburg Sleep Quality Questionnaire, Beck Anxiety Inventory, and a checklist containing demographic-fertility. Data were analyzed through SPSS software using descriptive and analytical tests (t-test, Mann-Whitney, and Chi-square). The statistical significance level was considered as p<0.05.
Results: in this study 45.8% (n= 174) of the participants suffered from mild anxiety and 13.2% (n= 50) of them from moderate anxiety. The mean score of their sleep quality was 4.70± 3.06. The effect of physical activity (p-value= 0.006) and anxiety level (p-value= 0.002) on womenchr('39')s sleep quality was statistically significant.
Conclusion: The results of the present study confirm the positive effect of regular physical activity and the negative effects of anxiety on sleep quality of the breastfeeding mothers.
Fatemeh Bayat, Monireh Rezaee Moradali, Sahar Roozbahani, Shabnam Towfighi, Maryam Shami,
Volume 10, Issue 2 (8-2020)
Abstract

Background: Hypothyroidism is common during pregnancy. This disorder is associated with adverse maternal and neonatal outcomes.
Objectives: The study of the prevalence and different consequences of hypothyroidism in pregnancy in each region is the special importance in determining prevention and management strategies. Therefore, the aim of this study was to determine the prevalence of hypothyroidism and pregnancy outcomes in women referred to Ayatollah Mousavi Hospital in Zanjan.
Methods: This cross-sectional-analytical study was performed on all pregnant women who gave birth in Ayatollah Mousavi Hospital in Zanjan in 2018-2019. Data were collected through census and using Chi-square, Fisherchr('39')s exact and independent t-tests and with SPSS software version 22, pregnancy outcomes between the two groups were calculated.
Results: The prevalence of hypothyroidism in pregnant women in the present study was estimated at 8.59%. Hypothyroidism was found to double the chance of gestational diabetes (p<0.02) (CI=1.1-3.8). The rate of cesarean delivery was significantly higher in patients (p<0.001). The rate of fetal heart rate drop, placental abruption, and placental adhesion was higher in the affected group, but this difference was not significant (p>0.05). There was no significant difference between the two groups in terms of preeclampsia, preterm delivery, first minute Apgar score, height, weight and head circumference of the newborn (p>0.05).
Conclusion: Considering the adverse maternal and neonatal outcomes of hypothyroidism, it seems that more clinical studies in this field are needed to manage and evaluate the outcomes in pregnant women with hypothyroidism

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