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Fatemeh Ghasemi, Nasrin Bahraminejad, Masoumeh Namadian, Ramezan Fallah,
Volume 8, Issue 3 (12-2018)

Background: Womenchr('39')s lifestyle affects their health and having a healthy lifestyle reduces the risk of developing non-communicable diseases. Evidence suggests that disadvantaged women are more subject to the risk of non- communicable diseases such as type 2 diabetes.
Objectives: This study aimed to investigate the lifestyle of disadvantaged women at the risk of type 2 diabetes under the support of social welfare center of Zanjan city in 2018.
Methods: This cross-sectional study was performed on 287 women aged 65-35 and under the support of social welfare centers of Zanjan who were selected by Poisson random sampling. Data collection tools included a three-part questionnaire including demographic and background characteristics, an international physical activity questionnaire (IPAQ), and a Mini Nutrition Assessment questionnaire (MNA), filled out by a researcher at the social welfare center. Data were analyzed using descriptive-analytic statistical tests (mean index, standard deviation and one-factor analysis of variance, Kolmogorov-Smirnov) by applying SPSS software version 24.
Results: The minimum and maximum age of women were 35 and 61 years, respectively, with a mean of 41.6(±9). The minimum and maximum body mass indexes were 16.2 and 42, respectively, with a mean of 26.1±4.3. In terms of education, the majority of women (42%) had Quranic-elementary education and concerning the income, 76% had insufficient income. As to the marital status, the majority of participants (69%) were widowed or divorced. According to the quantitative criterion of physical activity questionnaire (IPAQ), more than half of the women (60%) had low to moderate physical activity and according to the quality criterion of WHO physical activity, 89% of women had unfavorable physical activity. In terms of nutritional status, more than half of the women (50.5%) had poor nutrition.
Conclusion: The findings of the study indicated that the majority of women were undesirable in terms of physical activity and healthy nutrition. Therefore, interventional research is needed to find appropriate educational models to improve diabetes preventive behaviors in this population group.
Mahdiye Khodabandelo, Masoumeh Namadian,
Volume 10, Issue 1 (4-2020)

Background: Social well-being is one of the main health dimensions that needs to be assessed.
Objectives: As there are few studies on the social well-being dimensions, the current study aimed to determine the social well-being of women of reproductive age and the related factors in Zanjan, Iran.
Methods: This cross-sectional study was conducted on 382 women of reproductive age (10-49 years), referred to the Health Centers of Zanjan, Iran. Samples were selected using the stratified cluster sampling method, according to the socioeconomic status. Data were collected, using the Keyes social well-being questionnaire as a tool with good validity and reliability. Data were analyzed through SPSS software using descriptive and analytical tests (Kruskal-Wallis, Pearson Correlation, and Multiple regressions). The statistical significance level was considered as p<0.05.
Result: In total, 382 women were assessed, and their social well-being total mean score was 64.7±6.5. The domains of Social contribution (16.8) and Social integration (10.8) had the highest and the lowest mean score, respectively. Those women and their husbands’ who had a higher educational level (p<0.001, P=0.03) and were employed (P=0.003, p=0,004) were more likely to have better social well-being. A significant association was found between the social well-being and socio-economic level (P<0.001). No significant association was found among age groups and marital status with social well-being. The educational level and sufficient income were found significant as independent variables associated with social well-being in the multiple linear Regression models.Conclusion: The majority of women had a moderate level of social well-being. When planning for improving social well-being, education and income should be considered. Further research to improve the dimensions of social well-being in women in reproductive age is recommended.
Fatemeh Bahramy, Masoumeh Namadian, Mehran Nezamdiba, Zeinab Ghahremani,
Volume 10, Issue 1 (4-2020)

Background: Diabetes is one of the major health issues worldwide and a challenge for health care providers.
Objectives: The aim of this study was to determine the status of psychological adjustment and associated factors in patients with type 2 diabetes in Zanjan University of Medical Sciences.
Methods: This descriptive cross-sectional study was carried out on 350 patients with type 2 diabetes referred to Vally-e-Asr Medical Center in Zanjan and Special Endocrinology Clinic in 2019. These patients were included in the study by the Poisson distribution method. Demographic and clinical factors questionnaires and valid Diabetes Adjustment Assessment Scale (DAAS) were used in this study. Data analysis was conducted using SPSS22 software. Also, Pearson correlation coefficient, independent t-tests, and analysis of variance were applied.
Results: The mean of total adjustment in this study was 162.79± 18.06. The highest mean of adjustment was related to advanced self-management (4.15± 0.84) and the lowest mean of adjustment was about the initial imaging of illness (3.23± 0.67). Patientschr('39') adjustment had a statistically significant relationship with hospitalization history, family history of diabetes, HbA1C level, history of physical, psychological, and social problems caused by diabetes, place of residence, marital status, education, occupation, age, duration of illness, and income.
Conclusion: In this study, patients had an acceptable adjustment. Because adjustment varies among individuals and is influenced by demographic, clinical, and social factors, it is recommended that diabetic caregivers include individual-oriented diabetes education and promotion of adjustment to the disease in their program.

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