Showing 6 results for Function
Mohammad Heidari, Sara Shahbazi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Patient handling is a dynamic process in that the consideration of its principles is a paramount importance to safety of both patients and personnel. Hence, we aimed to evaluate EMS staff’s knowledge and practice about the principles and equipment used for patient handling in Isfahan EMS centres.
Material and Methods: This descriptive-analytic study was conducted, via census method, on 80 EMS staff. The instruments were a demographic checklist and a questionnaire to assess the knowledge and practice of EMS staff about the principles and equipment for patient handling.
Results: Based on the results, 82.5% had an adequate knowledge and 76.25% appropriate level of practice. The mean of knowledge was 17.79±3.14 and that of practice was 19.275±3052. All variables were not significantly associated with both knowledge and practice (P>0.05).
Conclusion: Regardless of adequate level of knowledge and practice in the majority of EMS personnel, we recommend holding some in-service training.
Fatemeh Bahadori , Shahideh Jahanian Sadatmahalleh ,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Sexuality is a complex aspect of the human being’s life and is more than of only the sexual act. Normal sexual functioning consists of sexual activity with transition through the phases from arousal to relaxation with no problems, and with a feeling of pleasure, fulfillment and satisfaction. Rheumatic diseases may affect all aspects of life including sexual functioning. The reasons for disturbing sexual functioning are multifactorial and comprise disease-related factors as well as therapy.
Methods: Searching performed in some databases like PubMed, google scholar, Scopus, Springer and Science Direct. 22 full text articles in English from 2000 until 2019 were found
Which their topic was similar to our topicThe presence of sexual dysfunction was assessed with the questionnaire ‘Female Sexual Function Index (FSFI)’. The FSFI was self-administered and consisted of 19 questions covering six domains; desire, subjective arousal, lubrication, satisfaction, orgasm and pain. The patients’ answers were based on the 4 weeks prior to completing the questionnaire. A total score of ≤ 26 indicated sexual dysfunction.
Results: In rheumatoid arthritis and ankylosing spondylitis patients, pain and depression could be the principal factors contributing to sexual dysfunction. On the other hand, in women with Sjögren’s syndrome, systemic lupus erythematosus and systemic sclerosis sexual dysfunction is apparently most associated to vaginal discomfort or pain during intercourse. Finally, sexual dysfunction in patients with fibromyalgia could be principally associated with depression, but the characteristic symptoms of fibromyalgia (generalized pain, stiffness, fatigue and poor sleep) may contribute to the occurrence of sexual dysfunction.
Rheumatic diseases affects sexual health as a result of pain, reduced joint mobility, fatigue, depression and body image alterations. Sexual function is closely related to satisfactory quality of life. The treatment of sexual dysfunction will depend on the specific patient’s symptoms, however, there are some general recommendations including: exploring different positions, using analgesics drug, heat and muscle relaxants before sexual activity and exploring alternative methods of sexual expression.
Conclusions: Sexual dysfunction in females with rheumatic diseases is multifactorial due to chronic disease aspects, disease activity and drugs. A multidisciplinary approach is essential in order to offer preventive measures for these patients.
The investigated material provides few solutions to sexual health problems of female patients. The most commonly mentioned solution is increased information and communication between health professionals and patients. Further research is needed to understand which types of intervention can help women with rheumatic disease to improve their sexual health
The results of this studies indicated that more attention should be paid to the sexual health of women suffering from rheumatic diseases as a neglected aspect of their treatment, which requires an interdisciplinary approach to shift the care of these patients from a biomedical model to a biopsychosocial model.
Sedighe Rezaie-Chamani, Mona Rahnavardi, Shadi Sabetghadam, Sahar Mahbubinejad, Azizeh Farshbaf-Khalili, Nazanin Rezaie,
Volume 17, Issue 1 (4-2020)
Abstract
Background: Sexuality is an important and inseparable part of the life of every woman. Female sexual dysfunction (FSD) has a major influence on quality of life and can lead to personal distress and anxiety. This study aimed to determine the prevalence of sexual dysfunction and predisposing factors in women.
Methods: This cross-sectional study was carried out on 400 outpatient women aged 15-49, who had a health record in the health care centers of Rasht, Iran during 2015-2016. Samples were selected through multi-stage cluster sampling method. Data collection tool included demographics and reproductive information, the standard questionnaire of female sexual function index (FSFI). Multivariate linear regression analysis was used to determine the predictors of sexual dysfunction in SPSS 13.
Results: The mean±SD score of total FSFI was 28.14±3.82, ranging from 2 to 36. The frequency of sexual dysfunction was 34.3% in total. Multivariate linear regression analysis showed a significant correlation between FSFI and some factors including age, education level, age at menarche, frequency of sex, and knowledge on sexual function. These factors accounted for 12% of the variance in the sexual function index of women.
Conclusions: Considering the critical impact of sexual function on the health of couples, paying attention to sexual function in women and its predictors are important to help and plan prevention programs.
Narjes Sadat Borghei, Fatemeh Seifi, Naser Behnampour, Fatemeh Raeesian,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Sexual function is particularly important aspect of pregnant women’s lives that can affect mental health and family cohesion. The present study aimed to determine the effect of sex education on sexual function of primigravid pregnant women.
Methods: This randomized clinical trial study with four parallel groups (two intervention and two control groups) was conducted on 100 primigravid women in 2019. The Two intervention groups (n=50) received three sessions of sex education, once a week and two control groups (n=50) didn't received sex education. The Female Sexual Function Index was completed at the beginning of the study and after eight weeks. Data were analyzed with SPSS (version 18) and One-way analysis of variance (ANOVA), paired t-test, Fisher's exact test were used for analysis and significance was set at 0.05.
Results: The Given that the mean sexual function in the groups before the intervention was significantly different (P=0.0004), the Mean difference rate of change (Mean DRC) was used for inter-group comparisons. Mean DRC of sexual function in the first intervention group (sex education and prenatal education) was 0.173±0.563 (17% increase) and the second intervention group (only sex education), was 0.106±0.209 (10% increase). However, Mean DRC of sexual function decreased significantly in the two control groups (-0.0364±0.205) (-0.009±0.132) (P<0.05).
Conclusion: The results confirm the positive effects of sex education on sexual function during pregnancy. In addition, combination of sex education with conventional prenatal education can have a greater impact on the overall sexual function than each intervention separately.
Tanaz Mehrab-Mohseni, Shahzad Pashaeypoor, Shima Nazari, Farshad Sharifi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Self-care is an indicator of power and independence among older adults. Family can increase older adults’ motivation and desire for engagement in self-care activities. This study aimed to determine the effects of self-care education based on the family-centered empowerment model (FCEM) on functional independence and life satisfaction among community-dwelling older adults.
Methods: This randomized clinical trial was conducted on 126 community-dwelling older adults from local sociocultural centers in 2021. They purposively recruited and randomly allocated to control (n = 63) and intervention (n = 63) groups. The intervention group received FCEM-based self-care education in six 1.5-hour weekly sessions. The education focused on the physical, psychoemotional, social, and spiritual aspects of self-care and was based on the 4 steps of FCEM: perceived threat, problem-solving, educational participation, and evaluation. Katz Index of Independence in Activities of Daily Living (Katz ADL Index) and Zest Life Satisfaction Index were respectively used for independence and satisfaction assessments before and 8 weeks after the study intervention. The data were analyzed using SPSS version 16 and through the Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon, and chi-square tests.
Results: The mean age was 67.57 ± 4.62 years in the intervention group and 67.08 ± 4.62 years in the control group. There were no significant differences between the intervention and control groups respecting the pretest mean scores of life satisfaction (16.54 ± 4.46 vs 16.68 ± 4.23; P = 0.963) and functional independence (4.78 ± 1.15 vs 5.11 ± 1.00; P = 0.107). The posttest mean score of functional independence was also insignificant (5.52 ± 0.692 vs 5.24 ± 0.911; P = 0.92) between the 2 groups. However, the Mann-Whitney U test showed that the posttest mean score of life satisfaction was significantly greater in the intervention group than in the control group (18.95 ± 4.36 vs 16.13 ± 4.41; P = 0.001).
Conclusion: FCEM-based self-care education effectively improves life satisfaction among community-dwelling older adults.
Manizhe Otaghi, Mohamadreza Bastami, Yousef Veisani, Hamid Taghinejad, Alireza Vasiee, Arman Azadi,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Despite receiving training on caring for burn wounds in the undergraduate nursing program, nursing students do not acquire enough knowledge and skills in wound dressing and debridement. This research was carried out to determine the effect of a training package on the nursing interns’ knowledge and executive functions regarding the dressing and mechanical debridement of burn wounds.
Methods: This quasi-experimental study was conducted on 60 nursing internship students in their 7th semester in Ilam, Iran, in 2023. A convenience sampling method was used, and participants were randomly assigned to groups using dice-throwing for simple randomization. Over six weeks, the intervention group received training on dressing burn wounds through a learning package, virtual gamification, a simulator, and clinical and real exercises. The control group received routine content through oral education by the same lecturer. Knowledge and executive function in mechanical debridement of burn wounds were assessed using the KMDBWT and EFMDBWT tools before and two weeks after the intervention. Data were analyzed with a standard error of 0.05 using Kolmogorov-Smirnov, independent t, paired t, chi-square, and analysis of covariance tests by SPSS V.16.
Results: Before the intervention, no significant difference was observed between the mean and standard error of the control and intervention groups' knowledge and executive performance scores. However, after the intervention, the knowledge scores significantly increased in the intervention group (16.35 ± 0.288) compared to the control group (10.00 ± 0.356) (P=0.001). Moreover, after the intervention, the executive function scores in the intervention group (105.00 ± 0.939) were significantly increased compared to the control group (56.81 ± 0.738) (P=0.001).
Conclusion: The burn wound dressing and mechanical debridement training increased nursing students' knowledge and executive function. Hence, this educational package is recommended as a supplementary teaching resource.
