Roghayeh Mohammadierad; Sakineh Mohammad-Alizadeh-Charandabi; Mojgan Mirghafourvand; Fariba Fazil
Volume 20, s1 , December 2018, , Pages 1-9
Abstract
Background: Reduction of pain and anxiety during labor is necessary to prevent some of the maternal and fetal complications, as well as request for cesarean section. There is limited evidence assessing the effects of saffron and dates on the intensity of pain and anxiety. Objectives: The current study ...
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Background: Reduction of pain and anxiety during labor is necessary to prevent some of the maternal and fetal complications, as well as request for cesarean section. There is limited evidence assessing the effects of saffron and dates on the intensity of pain and anxiety. Objectives: The current study aimed at examining the effect of saffron with or without dates on the intensity of pain and anxiety during transitional and active phases of labor in primiparous females.Methods: In the current superiority trial, 96 primiparous females admitted to a hospital covered by the Iranian social security organization in Tabriz, Iran, at the onset of the active phase of labor were recruited using convenience sampling method from 10 January to 21 October 2016. They were randomly divided into three equal groups using block randomization; receiving 80 mL oral syrup of saffron (250 mg) plus date juice (65 g), saffron (250 mg) plus artificial sugar (165 mg sodium saccharin and 420 mg sodium carboxymethyl cellulose), or placebo every two hours for maximum three doses (240 mL). The intensity of pain and anxiety were assessed using 0-10 visual analogue scale every one hour.Results: Compared with the placebo, mean scores of both pain and anxiety were lower in the intervention groups. The differences were statistically significant at the saffron plus date juice group (adjusted mean difference: -0.8 (95% confidence interval (CI): -1.5 to 0.0), P = 0.022 and -1.3 (95% CI: -2.4 to -0.2), P = 0.012, respectively), but were not significant at the saffron plus artificial sugar group (-0.5 (95% CI: -1.2 to 0.2), P = 0.322 and -1.1 (95% CI: -2.2 to 0.0), P = 0.058, respectively). The differences between the two interven- tion groups were not statistically significant (-0.3 (95% CI: -1.0 to 0.4), P = 0.557 and -0.2 (95% CI: -1.3 to 0.8), P = 0.927, respectively). One woman from saffron plus date juice, three from saffron plus artificial sugar, and four from the placebo groups had emergency cesarean section. Conclusions: The current study results show that the oral syrup of saffron plus date juice could be used to reduce the intensity of pain and anxiety during labor in primiparous females. However, the results are inconclusive for the effects of saffron plus artificial sugar.
Sevda Gholizadeh Shamasbi; Parvin Dehghan; Sakineh Mohammad-Alizadeh Charandabi; Akbar Aliasgarzadeh; Mojgan Mirghafourvand
Volume 20, Issue 11 , 2018, Pages 1-9
Abstract
Background: Polycystic Ovary Syndrome (PCOS) increases the risk of cardiovascular diseases and diabetes, and obesity can acceler- ate this trend. Objectives: This study aimed at determining the effect of prebiotics on anthropometric indices in patients with this syndrome. Methods: This controlled clinical ...
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Background: Polycystic Ovary Syndrome (PCOS) increases the risk of cardiovascular diseases and diabetes, and obesity can acceler- ate this trend. Objectives: This study aimed at determining the effect of prebiotics on anthropometric indices in patients with this syndrome. Methods: This controlled clinical trial was conducted with 62 women from 18- to 45-year-old in the city of Tabriz, Iran, during years 2016 to 2017. Participants were assigned to prebiotic and control groups, using the random blocks method. The intervention group had a daily intake of 20 g of resistant Dextrin, dissolved in a glass of water for three months, and the placebo group had a daily intake of 20 g of Maltodextrin, dissolved in a glass of water for three months. Participants’ Body Mass Index (BMI), weight, waist circumference, and hip circumference were measured before, and three and six months after the intervention. Results: There was no significant difference between the groups in terms of baseline values (P > 0.05). Three months after the intervention, mean (SD) waist circumference, hip circumference, weight, and BMI was 78.11 (9.7), 100.85 (7.7), 65.31 (10.9), and 24.41 (4.2) in the prebiotic group and 86.54 (12.3), 108.72 (10.7), 73.25 (14.7), and 27.73 (5.7) in the control group, respectively. Six months afterthe intervention, mean (SD) anthropometric indices was 78.11 (7.9), 101.45 (7.2), 65.70 (10.3), and 24.54 (3.9) in the prebiotic group and 86.4 (12.6), 108.54 (10.8), 73.8 (14.7), and 27.65 (5.5) in the control group, respectively. According to the Analysis of Variance (ANOVA) test, and with controlled baseline values, all anthropometric indices were significantly lower in the prebiotic group compared to the control group at three (P < 0.001) and six months (P < 0.001).Conclusions: This study confirmed the positive and significant effects of prebiotics in reducing anthropometric indices, three and six months after the intervention in women with PCOS.
Masoumeh Haghighat; Mojgan Mirghafourvand; Sakineh Mohammad-Alizadeh-Charandabi; Jamileh Malakouti; Mirmohsen Erfani
Volume 20, Issue 4 , 2018, Pages 1-9
Abstract
Background: Considering the undesirable consequences of stress and anxiety in pregnancy and the role of midwives in providing emotional support for pregnant women, it is essential to utilize non-medical therapies, such as spiritual counseling. Objectives: The present study aimed to determine the effect ...
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Background: Considering the undesirable consequences of stress and anxiety in pregnancy and the role of midwives in providing emotional support for pregnant women, it is essential to utilize non-medical therapies, such as spiritual counseling. Objectives: The present study aimed to determine the effect of spiritual counseling on stress and anxiety in pregnant women. Methods: This randomized controlled clinical trial recruited 112 pregnant women presenting to the health centers in Maragheh, Iran, in 2016 - 17. The participants were assigned to two 56-member groups of control and intervention with a randomized block design. A socio-demographic questionnaire, the perceived stress scale, and the Spielberger state-trait anxiety inventory (STAI) were completed before and four weeks after the intervention through interviews with participants. Results: 55 participants in the counseling group and 56 in the control group were followed up and analyzed until the end of the study. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 35.4 (± 4.5), 48.5 (± 4.8), and 47.4 (± 4.6) in the coun- seling group and 34.8 (± 3.6), 47.8 (± 4.1), and 49.0 (± 4.1) in the control group before the intervention, respectively. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 34.8 (± 3.5), 48.0 (± 4.5), and 44.7 (± 4.0) in the counseling group and 37.8 (± 3.7), 49.7 (± 4.2), and 46.0 (± 3.8) in the control group four weeks after the intervention, respectively. According to ANCOVA for controlling the baseline scores after the intervention, the mean scores of perceived stress (adjusted mean difference = -3.4; 95% con- fidence interval = -2.3 to -4.4; P < 0.001) and state anxiety (-2.1; -3.6 to -5.5; P < 0.001) were significantly lower in the counseling group, while the two groups had no significant difference in terms of the mean scores of trait anxiety after the intervention. Conclusions: Spiritual counseling can control perceived stress and state anxiety of pregnant women. Therefore, spiritual counsel- ing is recommended as a complementary and effective intervention in managing the psychological problems of pregnant mothers.
Farnaz Faroughi; Sakineh Mohammad-Alizadeh Charandabi; Yousef Javadzadeh; Mojgan Mirghafourvand
Volume 20, Issue 7 , 2018, Pages 1-9
Abstract
Background: Women with borderline gestational diabetes mellitus (BGDM) have a higher risk of complications in comparison with normal women. Objectives: The aim of this study was to determine the effects of garlic pill on fasting blood sugar (FBS) and relapse of prediabetes symptoms (primary outcomes), ...
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Background: Women with borderline gestational diabetes mellitus (BGDM) have a higher risk of complications in comparison with normal women. Objectives: The aim of this study was to determine the effects of garlic pill on fasting blood sugar (FBS) and relapse of prediabetes symptoms (primary outcomes), as well as blood pressure, neonatal anthropometric indices, and mode of delivery (secondary out- comes) in prediabetic pregnant women.Methods: This triple-blind, randomized clinical trial was conducted on 49 women with prediabetes at 24 to 28 weeks of gestation in Tabriz, Iran, during 2015 - 16. The participants were assigned to the intervention (n, 26) and control (n, 23) groups using block randomization. The intervention group received a 400-mg garlic pill per day, while the control group received a placebo pill per day for eight weeks. Four and eight weeks following the intervention, FBS and blood pressure were measured. The newborns’ an- thropometric indices and mode of delivery were also recorded after delivery.Results: The mean FBS level in the garlic group decreased from 106.6 (11.1) mg/dL before the intervention to 83.6 (6.3) mg/dL at four weeks after the intervention and 79.4 (6.1) mg/dL at eight weeks after the intervention (adjusted mean difference, -3.7). The garlic pill also led to a significant decrease in prediabetes symptoms at four weeks after the intervention (P < 0.001) and diastolic blood pressure at four and eight weeks after the intervention (P = 0.041), compared to the control group. No significant difference was observed between the groups in terms of systolic blood pressure at four and eight weeks after the intervention, anthropometric indices, or mode of delivery.Conclusions: The results revealed that garlic pill could reduce FBS level, prediabetes symptoms, and diastolic blood pressure. How- ever, further research with a larger sample size is required for more accurate results.
Leila Abdollahi; Mojgan Mirghafourvand; Jalil Babapour Kheyradin; Mozhdeh Mohammadi
Volume 20, Issue 3 , 2018, Pages 1-8
Abstract
Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that can cause mental and psychological man- ifestations such as depression in addition to medical aspects like obesity. Objectives: The aim of this study was to evaluate the effect of cognitive-behavioral therapy on body mass ...
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Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder that can cause mental and psychological man- ifestations such as depression in addition to medical aspects like obesity. Objectives: The aim of this study was to evaluate the effect of cognitive-behavioral therapy on body mass index (BMI) and depression in women with PCOS. Methods: This randomized controlled trial was conducted on 74 women in Saqez-Iran, 2017. Participants were assigned into two groups of intervention and control through blocked randomization. The intervention group received cognitive-behavioral therapy in 8 sessions of 45 to 60 minutes. Beck’s depression questionnaire was completed, and body mass index (BMI) was calculated before and four weeks after the end of the intervention. ANCOVA test was used to analyze the data. Results: There was no significant difference between the two groups in terms of socio-demographic characteristics (P > 0.05). After the intervention, the mean (SD) of depression score in the intervention group was 4.5 (3.9) and in the control group 16.5 (8.6). Based on the ANCOVA test and with adjusting the baseline values, the mean depression score of the intervention group significantly was lower than the control group (adjusted mean difference: -13.8; confidence interval 95% = -10.9 to -16.7; P < 0.001). In addition, after the intervention, the mean (SD) of BMI in the intervention group was 27.3 (5.4), and in the control group it was 29.4 (5.5). The intervention group was significantly lower than the control group, based on the ANCOVA test with adjusting the baseline values (-0.6; -0.2 to -0.9; P < 0.001). Conclusions: Cognitive-behavioral therapy is effective in improving depression and decreasing BMI in women with PCOS. There- fore, it is recommended to use this therapeutic approach to improve the physical and psychological health of these women.
Pari Rahi; Mojgan Mirghafourvand; Sakineh Mohammad-Alizadeh-Charandabi,; Yousef Javadzadeh
Volume 19, Issue 10 , October 2017, , Pages 1-8
Abstract
Objectives: To compare the effects of mefenamic acid versus quince on menorrhagia and quality of life.Methods: This randomized controlled trial was conducted on women with menorrhagia. The participants were allocated into 2 groups through block randomization. The first group (n, 72) received quince pills, ...
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Objectives: To compare the effects of mefenamic acid versus quince on menorrhagia and quality of life.Methods: This randomized controlled trial was conducted on women with menorrhagia. The participants were allocated into 2 groups through block randomization. The first group (n, 72) received quince pills, while the second group (n, 74) used mefenamic acid pills for 3 consecutive cycles. The participants completed the pictorial blood loss assessment chart (PBAC) before and during the intervention. Moreover, the short-form health survey (SF-36) was completed before and 3 months after the intervention.Results: The mean PBAC scores decreased significantly in both groups. The mean PBAC score in the quince group decreased from 173.6 (SD, 53.8) before the intervention to 116.7 (51.7), 86.4 (43.1), and 68.9 (36.4), respectively in the first, second, and third months after the intervention. The mean PBAC scores in the mefenamic acid group was 176.8 (54.3) at baseline and 106.6 (50.40), 81.6 (38.7), and 63.8 (33.8), respectively in the first, second, and third months after the intervention. There was no significant difference between the groups in terms of the mean PBAC score (P = 0.183). Similarly, after the intervention, there was no significant difference between the groups in terms of physical health (P = 0.476) and mental health (P = 0.572) components of quality of life.Conclusions: Quince pills were as effective as mefenamic acid pills in reducing the intensity of menstrual bleeding. Therefore, they seem to be a proper alternative for mefenamic acid.
Shirin Hasanpour; Elaheh Ouladsahebmadarek; Mohammad Bagher Hosseini; Mojgan Mirghafourvand; Seifollah Heidarabadi; Mohamad Asghari Jafarabadi
Volume 19, Issue 9 , September 2017, , Pages 1-11
Abstract
Background: Technological advances in neonatal care have increased the survival rate of preterm infants, but they have not been able to reduce the risk of the multiple complications developing in them.Objectives: To determine the short-term effects of developmental care on preterm infants.Methods: The ...
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Background: Technological advances in neonatal care have increased the survival rate of preterm infants, but they have not been able to reduce the risk of the multiple complications developing in them.Objectives: To determine the short-term effects of developmental care on preterm infants.Methods: The present quasi-experimental study was conducted on 105 preterm infants (three groups of 35) born in Al-Zahra hospital of Tabriz, Iran, from September 2013 to November 2015. The sampling method was convenience, based on study’s eligibility criteria. The control group received no developmental care. Intervention group 1 received developmental care at the neonatal intensive care unit and the neonatal ward, and intervention group 2 received developmental care from birth in the delivery and operating rooms and continued to receive it at the NICU and the neonatal ward. Short-term neonatal outcomes were analyzed with descriptive and inferential statistics.Results: The overall duration of hospital stay was significantly shorter in intervention group 2 compared to the control group (mean difference: - 13.6; confidence interval: -24.8 to -2.4; P = 0.013) and intervention group 1 (-12.5; -23.7 to-1.3; P = 0.024), and the duration of NICU stay was also shorter in intervention group 2 compared to the control group (-12.4; -22.2 to -2.5; P = 0.009). The incidence of sepsis was significantly lower in intervention groups 1 and 2 compared to the control group, and the incidence of prematurity anemia and the need for blood transfusion were also significantly lower in intervention group 2 compared to intervention group 1 and the control group (P < 0.05). No significant differences were observed between the groups in terms of neonatal growth parameters at full term corrected age.Conclusions: The results obtained showed that developmental care for preterm infants, especially when initiated as early as in the delivery and operating room, can improve certain short-term neonatal outcomes.
Mina Sabbaghan; Jamileh Malakouti; Mojgan Mirghafourvand; Sevil Hakimi; Fatemeh Ranjbar
Volume 19, Issue 9 , September 2017, , Pages 1-8
Abstract
Background: More than half of sexual problems, which cause destruction of life and marital relations is due to insufficient knowledge and wrong health beliefs regarding sexuality. Genital self-image plays an important role in sexual health, genital appearance, and sexual function.Objectives: This study ...
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Background: More than half of sexual problems, which cause destruction of life and marital relations is due to insufficient knowledge and wrong health beliefs regarding sexuality. Genital self-image plays an important role in sexual health, genital appearance, and sexual function.Objectives: This study aimed to determine the effect of training package on genital self-image and sexual function in health centers of Qazvin, Iran.Methods: In this randomized clinical control trial, 124 Iranian women, between the ages of 18 - 40 years, from Qazvin, were randomized into 2 groups, training and control. The intervention group received 3 training sessions weekly for 1 hour daily. Female Sexual Function Index (FSFI) and the genital self-image scale were completed before and 4 weeks after the end of intervention in both groups. P < 0.05 was considered as significant.Results: Between 2 groups, in terms of socio-demographic characteristics, there was no significant difference (P > 0.05). The mean (SD) score of genital self-image in the intervention group before and after intervention was 72.0 (11.4) and 75.7 (11.7), respectively. The mean (SD) score of genital self-image in the control group before and after intervention was 72.9 (12.3) and 75.7 (10.9), respectively. According to the ANCOVA test, there was no significant difference between groups at 4 weeks after intervention in terms of sexual function (mean differences: 0.8; confidence interval 95%: -0.6 to 2.3; P = 0.257) and genital self-image (mean differences: 0.5; confidence interval 95%: -3.3 to 4.4; P = 0.808).Conclusions: The results showed that training has no effect on the genital self-image and sexual function in women. The systematic planned training could be designed for those suffering from body image disorders and sexual dysfunction in order to promote their sexual function and body image.
Mojgan Mirghafourvand; Sakineh Mohammad -Alizadeh-Charandabi; Mohammad Asghari Jafarabadi; Azam Mohammadi; Sedigheh Soltanpour
Volume 19, Issue 5 , May 2017, , Pages 1-9
Abstract
Background: The functional status questionnaire is aimed as a self-administered functional assessment of the mothers’ performance in the postpartum period based on five different areas, including baby care, personal care, household, social and community, and occupational activities.Objectives: ...
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Background: The functional status questionnaire is aimed as a self-administered functional assessment of the mothers’ performance in the postpartum period based on five different areas, including baby care, personal care, household, social and community, and occupational activities.Objectives: The aim of this study was to evaluate the psychometric properties of the functional status questionnaire for assessing Iranian women in the postpartum period.Methods: In this cross-sectional, methodological study, 200 Iranian women were selected randomly via a two-stage cluster sampling method at the end of the postpartum 6th week from healthcare centers in six areas of Tehran (the capital of Iran). The translation validity of the questionnaire was confirmed by forward and backward translation. Content-related validity was determined in two qualitative and quantitative sections, respectively, by evaluating the experts’ opinions and calculating of content validity ratio (CVR) and content validity index (CVI), while the face validity was evaluated by a sample of 30 mothers in the postpartum period. To determine the construct validity, exploratory factor analysis was used. The reliability was determined in terms of reproducibility via the intra-class correlation coefficient (ICC) by test-retest and internal consistency (Cronbach’s alpha).Results: The CVI and CVR as the indices for content validity were 0.88 and 0.82, respectively. Further, the reliability was good, both in terms of reproducibility (ICC = 0.96) and internal consistency (α= 0.73). The construct validity was also supported by the exploratory factor analysis for all four areas of functional status. The Kaiser-Meyer-Olkin (KMO) index of household, social and community, baby care, and personal care activities subscales was calculated as 0.85, 0.85, 0.56, and 0.50, respectively. The total variance (%) for household activities, social and community, baby care, and personal care was 56.86, 53.94, 38.07, and 43.39. All items with a minimum and maximum factor loading of 0.2 and 0.96 are placed at the right factor.Conclusions: The findings support the instrument’s validity and reliability. Therefore, it is recommended to be used for both clinical and research purposes.
Samieh Ghana; Sevil Hakimi; Mojgan Mirghafourvand; Fatemeh Abbasalizadeh; Nasser Behnampour
Volume 19, Issue 4 , April 2017, , Pages 1-8
Abstract
Background: Wound complications and pain are major causes of morbidity after cesarean section (CS). Although medications are safe for use by mothers after CS, many females prefer non-pharmaceutical methods. An abdominal binder is a complementary therapy, commonly used post-major abdominal surgery.Objectives: ...
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Background: Wound complications and pain are major causes of morbidity after cesarean section (CS). Although medications are safe for use by mothers after CS, many females prefer non-pharmaceutical methods. An abdominal binder is a complementary therapy, commonly used post-major abdominal surgery.Objectives: There is limited evidence about the effect of abdominal binders. The aim of this study was to investigate the effects of an abdominal binder on wound healing and consumed pain medication.Methods: This randomized controlled trial included 178 females, who had undergone non-emergency CS at 1 of the 3 hospitals in Gonbad-e Kavus, and Golestan, northeast of Iran. In the intervention group, patients were administered abdominal binders, in addition to routine care. The binder was used for 2 days after the patient was admitted to the surgery ward. The control group received routine care. We used the demographic data questionnaire, questionnaire for cataloguing analgesic medications taken by participants (each 6 hours after CS), and Redness, Edema, Ecchymosis, Discharge, Approximation of wound edges (REEDA) scale for assessment of wound healing. The participants provided their written consent for participation in this study.Results: The mean (SD) age of the participants was 26.3 (5) years. Mean (SD) REEDA score was 0.4 (0.5) in the intervention group and 0.5 (0.8) in the control group. The median (quartile 25-75) REEDA score was 0 (0-1) in both groups. Mean REEDA scores did not differ significantly between the 2 groups (P = 0.724). Significant differences were observed in the approximation of wound edges in the intervention group 5 days post-CS (P = 0.007). Administered analgesic medications did not differ significantly between the 2 groups (at 6 hours in suppository, and 6 and 24 hours post-intervention in intramuscular of injection narcotics). Significantly fewer analgesic medications were administered in the intervention group when compared with the control group (P = 0.001). Satisfaction did not differ significantly between the 2 groups (P= 0.443).Conclusions: In this study, the abdominal binder was effective in pain medication consumption at some intervals. However, it had no healing effect on CS scars.
Somayeh Jamalivand; Sakineh Mohammad-Alizadeh Charandabi; Mojgan Mirghafourvand
Volume 19, Issue 4 , April 2017, , Pages 1-9
Abstract
Background: The use of a training booklet and electronic software has a special place due to lack of time and space constraints.Objectives: This study aimed to compare the effect of electronic software and training booklet on maternal self-esteem and awareness regarding newborn care in nulliparous women.Methods: ...
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Background: The use of a training booklet and electronic software has a special place due to lack of time and space constraints.Objectives: This study aimed to compare the effect of electronic software and training booklet on maternal self-esteem and awareness regarding newborn care in nulliparous women.Methods: This randomized controlled clinical trial was conducted on 126 pregnant women with a gestational age of 36 - 38 weeks in health care centers in the city of Miandoab, Iran from February 2015 until April 2016. Using a randomized block design, participants were assigned into 2 groups (42 mothers receiving electronic software and 42 mothers receiving training booklet) and control group (42 mothers receiving postpartum routine training). An oral training session was held for participants in both intervention groups. Then, a training booklet or electronic software was provided to them. Maternal self-esteem and awareness regarding newborn care questionnaires were completed by participants in the 3 groups at the start of the intervention and 4 weeks after the childbirth.Results: After controlling the baseline values, the mean score of self-confidence in the training booklet group (adjusted mean difference = 5.6; 95% confidence interval = 1.2 to 10.0; P = 0.012) was significantly higher compared with the control group. Furthermore, the mean score of awareness regarding newborn care in the training booklet group (1.5; 0.6 to 2.3; P < 0.001) and the electronic software group (2.0; 1.2 to 2.9; P < 0.001) was significantly higher compared with the control group. There was no statistically significant difference between the 2 groups after the intervention in terms of level of awareness and self-confidence.Conclusions: The results showed a significant effect of electronic software and training booklet in raising awareness about newborn care and self-confidence. Therefore, these methods are advisable to mothers.
Havin Zandinava; Fahimeh Sehhatti Shafaei; Sakineh Mohammad-Alizadeh Charandabi; Ghanbari Homayi; Mojgan Mirghafourvand
Volume 19, Issue 4 , April 2017, , Pages 1-9
Abstract
Background: Gestational diabetes is a particular disorder during pregnancy which can cause complications for mother and fetus. One reason for the limited success in the treatment of diabetes is the lack of patient participation in the process of treatment. Selfcare education is an important principle ...
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Background: Gestational diabetes is a particular disorder during pregnancy which can cause complications for mother and fetus. One reason for the limited success in the treatment of diabetes is the lack of patient participation in the process of treatment. Selfcare education is an important principle in the treatment of diabetes that can enhance the quality of life.Objectives: This study aimed to determine the effect of educational package on self-care behavior, quality of life, FBS (Fasting Blood Sugar), and GTT (Glucose Tolerance Test) among women with gestational diabetes.Methods: This randomized controlled clinical trial was performed on 92 pregnant women with gestational diabetes (n = 46 in each group) referring to diabetes clinic of Tohid hospital in Sanandaj, Iran. The educational program was designed in four sessions (one session per week) for the intervention group and included routine prenatal care along with education on self-care through lecture and question and answer. The participants also received educational booklet at the end of the first session. The control group received only routine prenatal care. Before and four weeks after the intervention, self-care and quality of life questionnaires were completed by the participants in both groups, and fasting blood glucose and GTT were measured.Results: After adjusting for the baseline score, the mean score of self-care behaviors was significantly higher in the intervention group than the control group four weeks after the intervention [adjusted mean difference: 19.5; 95% confidence interval: 14.4 to 24.6; P < 0.001]. Also, by adjusting for the baseline values, there was a statistically significant difference in the mean level of blood glucose at the time points of one hour after GTT [-21.6; -32.1 TO -11.1; P < 0.001] and two hours after GTT [-17.3; -23.0 to -11.6; P < 0.001]. No statistically significant difference was seen in the FBS (P = 0.443) and quality of life (P = 0.264) four weeks after the intervention.Conclusions: Self-care education can improve self-care behavior in women with gestational diabetes and it is also effective in impaired glucose tolerance.
Sousan Valizadeh; Maliheh Assdollahi; Mojgan Mirghafourvand; Atousa Afsari
Volume 19, Issue 2 , February 2017, , Pages 1-10
Abstract
Background: Puberty and changes resulting from it are one of the most important events of everybody’s life. Mothers play a central role in raising the level of knowledge, managing family health and improving hygienic behaviors of their daughters.Objectives: The current study aimed to compare the ...
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Background: Puberty and changes resulting from it are one of the most important events of everybody’s life. Mothers play a central role in raising the level of knowledge, managing family health and improving hygienic behaviors of their daughters.Objectives: The current study aimed to compare the effects of educating mothers and their daughters on the knowledge and practices toward puberty hygiene in adolescent girls in Tabriz, Iran, 2014.Patients and Methods: This randomized controlled trial was conducted on 364 adolescent students of 12 randomly selected high schools who had experienced menstruation. The students were first matched by the practice scores they received in the pretest and then divided randomly and equally into three groups: educating the mothers, educating the girls, and the non-intervention group. The questionnaires regarding knowledge and practices in the pre- and post-intervention stages (with an interval of two months between them) were completed. The general linear model, in which the baseline values were controlled, was employed to compare the scores of the three groups after the intervention.Results: There were no significant differences between the three groups concerning the scores received on knowledge and practiceprior to the intervention (P > 0.05). After the intervention, by controlling the scores received before the intervention, the mean score on knowledge in the two groups of educating the mothers (adjusted difference: 0.7; confidence interval (CI) 95%: 0.0 - 1.3) and educating the girls (0.8; 0.2 - 1.5) were significantly higher compared to those of the control group. With respect to improvement in the scores received on practice, no significant differences were found between the three groups.Conclusions: Results of the current study indicate that it is possible to use the method of educating the mothers and transferring knowledge from them to their daughters as a substitute for direct education of the girls in order to raise the level of their knowledge on puberty hygiene
Mojgan Mirghafourvand; Sakineh Mohammad Alizadeh Charandabi; Sevil Hakimi; Laleh Khodaie; Mina Galeshi
Volume 19, Issue 2 , February 2017, , Pages 1-8
Abstract
Background: Mothers are vulnerable to mental disorders, such as depression and anxiety, in the 6-week postpartum period after delivery.Objectives: This study was performed to determine the potential effect of orange peel essential oil on postpartum depression and anxiety.Patients and Methods: This double-blind ...
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Background: Mothers are vulnerable to mental disorders, such as depression and anxiety, in the 6-week postpartum period after delivery.Objectives: This study was performed to determine the potential effect of orange peel essential oil on postpartum depression and anxiety.Patients and Methods: This double-blind randomized controlled clinical trial consisted of 96 postpartum women. Qualified samples were assigned to intervention and control groups using randomized blocking. The intervention group drank a glass of water containing 10 drops of orange peel essential oil, and the control group drank a glass a water containing 10 drops of placebo, 3 times a day, after each meal for 8 weeks. The subjects completed depression and anxiety questionnaires before and after the intervention. A general linear model was used to analyze the data.Results: There was no statistically significant difference between the groups in terms of sociodemographic characteristics and depression and anxiety scores before and after the intervention (P > 0.05). At the end of the 8th week, the mean depression score (standard deviation [SD]) was 6.7 (4.7) in the orange peel essential oil group and 6.7 (4.9) in the placebo group (P = 0.956). The mean state anxiety score was 47.6 (3.8) in the orange peel essential oil group and 48.4 (4.1) in the placebo group (P = 0.197). The mean trait anxiety score was 45.6 (3.5) in the orange peel essential oil group and 45.9 (3.8) in the placebo group (P = 0.726).Conclusions: Orange peel essential oil did not reduce postpartum depression and anxiety.
