Research articles
Mohammad Reza Yeganeh; Moluk Pouralizadeh; Abbas Ebadi
Volume 19, Issue 11 , November 2024, Pages 1-8
Abstract
Background: There are different tools for assessing evidence-based practice in nursing in Iran, however, there are some limitations in each of them, and they do not examine EBP comprehensively.Objectives: The purpose of this study was to evaluate the validity and reliability of the Persian version of ...
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Background: There are different tools for assessing evidence-based practice in nursing in Iran, however, there are some limitations in each of them, and they do not examine EBP comprehensively.Objectives: The purpose of this study was to evaluate the validity and reliability of the Persian version of EBPQ.Methods: This study was a methodological research on 300 nurses working in Guilan province (Iran). A cluster sampling was done. After a forward-backward translation, the questionnaire was translated into Persian and its psychometric evaluation was done.Results: CVIs for all items were ≥ 0.8 and CVRs were ≥ 0.63. All of the impact scores were > 1.5. Cronbach’s alpha of the scale was 0.92. The ICC test was 0.96 and significant (P < 0.001). In exploratory factor analysis, KMO was 0.84 and Bartlett’s test was significant (P < 0.001). Confirmatory factor analysis showed an acceptable fit model.Conclusions: This study introduces the evidence-based practice questionnaire (EBPQ) as a valid and reliable tool to assess the status of evidence-based practice among nurses in Iran.
Letter to Editor
Fereshteh Nouri; Arman Zargaran; Mohsen Naseri
Volume 19, Issue 11 , November 2024, Pages 1-2
Abstract
Current medicine is the last ring of a long chain of progress of medical sciences in various civilizations during history. Among them, Persia was one of the oldest civilizations in history, and dates back to about 10000 years ago (1).
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Current medicine is the last ring of a long chain of progress of medical sciences in various civilizations during history. Among them, Persia was one of the oldest civilizations in history, and dates back to about 10000 years ago (1).
Research articles
Vahideh Karimlou; Sakineh Mohammad-Alizadeh Charandabi; Jamileh Malakouti; Mojgan Mirghafourvand
Volume 19, Issue 11 , November 2024, Pages 1-9
Abstract
Background: Attention to women’s health is considered a health priority in every country. One of the factors that promote women’s general health is self-efficacy.Objectives: The present study was conducted to determine the effect of counseling on the self-efficacy of middle-aged women.Methods: ...
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Background: Attention to women’s health is considered a health priority in every country. One of the factors that promote women’s general health is self-efficacy.Objectives: The present study was conducted to determine the effect of counseling on the self-efficacy of middle-aged women.Methods: The present randomized controlled clinical trial was conducted on 102 middle-aged women (51 women in each group) and was covered by health centers in Tabriz in 2015 - 16. Participants were randomly assigned into two groups (one group received counseling and another did not) using the block randomization stratified based on age (40 to 50 and 50 to 60) in block sizes of 4 and 6. The intervention group received counseling on health promotion over three 45-minute sessions. Sherer et al’s general self-efficacy scale was completed in both groups before the intervention, and four and eight weeks after the intervention. Data were analyzed using independent t-test and repeated measures ANOVA.Results: Before the intervention, no significant difference was observed between the two groups in terms of self-efficacy. Four and eight weeks after intervention, mean (SD) of self-efficacy scores were 69.0 (11.4) and 71.7 (11.1) respectively in the counseling group and 65.7 (13.2) and 64.9 (11.3) respectively in the control group. After the intervention, and with adjusting the baseline values, repeated measures ANOVA test showed a significantly higher mean self-efficacy score in the counseling group compared to the control group (Adjusted mean difference = 5.3; 95% confidence interval = 2.1 to 8.5; P < 0.001).Conclusions: Counseling in middle-aged women can lead to improved self-efficacy, resulting in improved health in this age group.
Review articles
Yin Ying; Hongchun Li; Jiye Jin; Xuliang Lu; Pinpin Feng; Yunfeng Sun
Volume 19, Issue 11 , November 2024, Pages 1-10
Abstract
Background: Numerous studies have shown that long- term treatment with anticonvulsants may be an important risk factor for the onset of atherosclerosis, or worsening of its symptoms.Context: The present study aimed at investigating the relationship between carbamazepine (CBZ) monotherapy and plasma homocysteine ...
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Background: Numerous studies have shown that long- term treatment with anticonvulsants may be an important risk factor for the onset of atherosclerosis, or worsening of its symptoms.Context: The present study aimed at investigating the relationship between carbamazepine (CBZ) monotherapy and plasma homocysteine (Hcy) levels in patients with epilepsy.Evidence Acquisition: Studies concerning homocysteine levels in carbamazepine monotherapy patients with epilepsy, which were published in VIP, Wanfang, CNKI, Cochrance Library, PubMed, Web of Science, and EMBASE, were included in March 2016. The quality of the controlled clinical trials (CCT) selected for this study was assessed using the Newcastle-Ottawa scale (NOS), and the relevant data of the included studies were extracted through RevMan5.2 software.Results: In this meta-analysis, 22 eligible studies were enrolled including 9 Chinese and 13 English studies. The study included a total of 1604 cases including 575 cases of patient group and 1029 control group cases. Results of the meta-analysis showed that plasma homocysteine level in patients with epilepsy with long- term treatment of CBZ was significantly higher than that in the healthy control group [SMD = 1.55, 95% CI: [1.09, 2.01], P < 0.00001]. Moreover, there was significant heterogeneity in the estimates according to I2 test (P < 0.00001; I2 = 93%). Further subgroup analysis showed that no significant difference was present when the study participants were grouped by region and age, however, the risk of heterogeneity in the West Asian group (I2 = 58%, P = 0.07) was diminished when compared with overall groups (I2 = 93%, P < 0.00001). The results of sensitivity analysis by Stata12.0 showed good stability. The funnel plot method and Begg method were used to detect publication bias, and the results showed a substantiallysymmetrical funnel plot, Pr > |Z|= 0.091 > 0.05 (no statistical significance), suggesting no significant publication bias in the study. Loss factor of safety (Nfs) 0.05 equaled 7269.16 (P = 0.05), meaning that addition of about 7269 negative results were required to overthrow the conclusion of this study.Conclusions: The seizures significantly increased plasma homocysteine levels in the patients, thus it is appropriate to add folic acid, vitamin B12, and vitamin B6 to reduce the seizures. Moreover, homocysteine may be beneficial for those patients with epilepsy who take carbamazepine.
