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1.
Osong Public Health and Research Perspectives ; (6): 253-262, 2019.
Article in English | WPRIM | ID: wpr-760705

ABSTRACT

OBJECTIVES: Health education programs are one of the most important strategies for controlling cutaneous leishmaniasis (CL) in endemic areas such as Neshabur city. This study aimed to develop and evaluate a comprehensive health education program to improve preventive behaviors for CL. METHODS: This was an interventional study conducted on 136 high school students in Neishabur city. Data collection instruments included a demographic questionnaire and a researcher-made questionnaire based on the “Health Belief Model” and “Beliefs, Attitudes, Subjective Norms and Enabling Factors Model” constructs. The control and intervention groups completed the questionnaires before and 2 months after the intervention. The intervention was conducted in 6, 1-hour educational sessions for the intervention group students and 2, 1-hour sessions for school administrators, teachers, and students’ parents. RESULTS: There was no significant difference between the 2 groups in the pre-intervention phase. However, in the post-intervention phase, there were significant differences between the 2 groups for mean scores of knowledge, perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, attitude, subjective norms, behavioral intention, enabling factors, and behavior associated with CL. CONCLUSION: Health education program based on the “Health Belief Model” and the “Beliefs, Attitudes, Subjective Norms and Enabling Factors Model” model constructs may be a comprehensive and effective educational program to improve preventive behaviors against CL in students.


Subject(s)
Humans , Administrative Personnel , Causality , Cues , Data Collection , Education , Health Education , Intention , Iran , Leishmaniasis, Cutaneous , Parents
2.
Journal of Sabzevar University of Medical Sciences. 2014; 21 (1): 53-60
in Persian | IMEMR | ID: emr-181227

ABSTRACT

Background: The aim of this study was to investigate the effects of two types of quran voice, Majlisi or Tartil on IgA, IgM, IgG, C3, C4 and White Blood Cell count.


Methods and Materials: this study was conducted on 60 volunteer students in sabzevar university of Medical sciences. Subjects were divided randomly into 2 groups. In the first group, participants heard to Majlisi voice and in the second group, subjects heard to Tartil voice of Quran for 20 minutes. Blood sampling were done before and after Quran hearing. IgA, IgM, IgG, C3 and C4 were measured by SRID and kit method and white blood cell count was done by cell counter. Data were analyzed using SPSS16 software and U Mann – Whitney and Kruskal Wallis tests.


Results: Hearing the Majlisi voice significantly increased the IgG [p=0.032], C3 [p=0.049] and C4 [p=0.004], but it did not change other factors. Hearing the Tartil voice rose significantly gust the IgG [p=0.008] and C3 [p=0.001].


Conclusion: The results of this study shows that hearing to both types of Quran voice [Majlisi or Tartil] can go up the immune system factors and inhance this to encountering some stressful and critical situations.

3.
Journal of Sabzevar University of Medical Sciences. 2014; 21 (3): 492-450
in Persian | IMEMR | ID: emr-181276

ABSTRACT

Background and Aim: Cardiovascular diseases are major factor in reducing the amount of sleep and increased nighttime wakefulness. Due to the many complications resulting from medication, non-pharmacological methods that can improve the quality of sleep in patients with chronic heart disease, seems to be reasonable. This study aimed to assess the effect of the Benson relaxation technique on quality of sleep in patients with chronic heart disease.


Materials and Methods: The study design is a randomized clinical trial. The study population comprised 60 patients with chronic heart disease referring to Vasei hospital in Sabzevar that randomly divided into control group [n =30] and intervention group [n =30]. The intervention Group did Benson relaxation exercises for 20 minutes twice a day over a month. Tools for data collection Consists of; demographic form and Pittsburgh Sleep Quality Index that in two times before and after the intervention were completed. Data with Mann-Whitney test, Chi-square, Fisher exact, Wilcoxon tests and Analysis of Covariance and using SPSS statistical software version 11.5 and with significance level p?0/05 were analyzed.


Results: The mean +/- SD quality of sleep in the intervention group before making a gentle Benson relaxation was; 10/33 +/- 4/41 that after the intervention was decreased to 7/5 +/- 4/01. Analysis of the data in average sleep quality of participants in the intervention group before and after the intervention showed significant differences [P< 0/001].


Conclusion: Benson relaxation has desired effect on sleep quality of patients with chronic heart diseases, so it can be used as a complementary therapy to improve sleep quality in these patients.

4.
Journal of Sabzevar University of Medical Sciences. 2014; 20 (5): 696-705
in Persian | IMEMR | ID: emr-181321

ABSTRACT

Background and Purpose: Appendicitis is the most common cause of acute abdomen in the world, and like other surgical procedures, the postoperative pain is one of the most common problems. Nowadays people tend to use non-drug methods and alternative medicine for reducing the effects of drug side effects. Reflexology is one of these treatments which can reduce pain and stress by applying pressure on a specialized area of the hands, feet and ears. The aim of this study was to determine the effect of Reflexology massage on pain relief after appendectomy surgery.


Materials and Methods: This critical trial study has performed in the emergency department of the Imam Reza Hospital, in Mashhad in 1392. Pain level and analgesic intake of 105 patients were compared in three groups before, immediately, one, six and 24 hours after treatment. In intervention group a specific area in the right leg and Shenman part of the ear was pressed for ten and one minute respectively. In the control group the pressure was applied on the back of left foot and right earlobe. Patients in the control group received only routine care. The results were evaluated at 95% confidence level. Data analysis was performed with SPSS 21 software.


The results: The difference of mean pain level at baseline was not statistically significant in the different groups [P=0/430], but after the reflexology message there was a significant difference between the amount of pain in intervention group compared with two other groups [P

Conclusion: Reflexology is an effective method for pain relief of patients after appendectomy surgery and it is recommended nurses to apply this method for reducing pain of these patients.

5.
Journal of Sabzevar University of Medical Sciences. 2014; 20 (5): 738-746
in Persian | IMEMR | ID: emr-181326

ABSTRACT

Backgound: Neonatal respiratory distress is a main cause of preterm neonatal mortality. Surfactant is one of its standard treatments. The current study was conducted to compare clinical effects of different kinds of surfactant in the treatment of respiratory distress of preterm neonates admitted to NICU of Sabzevar.


Materials and Methods: This cross-sectional study was conducted on the preterm neonates admitted to NICU of Shahid Mobini Hospital of Sabzevar University of Medical Sciences, in 2009-2010. Sample size was 115 neonates at 95% confidence interval. Inclusion criteria were neonates with respiratory distress and 26-37 weeks gestional age who had been treated with surfactant. Exclusion criteria were neonates with 5-min Apgar score less than 7, neonates with major congenital anomalies, or neonates whose mothers received steroids before giving birth. The data were gathered by questionnaire to assess clinical effects of different kinds of surfactant in the treatment of preterm neonatal respiratory distress. The questionnaire was confirmed by content validity and inter-rater reliability [r=0.9]. The data were analysed in SPSS software version 20 using descriptive statistics and non-parametric tests including ANOVA and multiple comparisons, kruskalwalis and chi-square.


Results: 41 neonates were allocated in a group with birth weight less than 1500 g and 74 neonates in a group equal or grater than 1500 g. According to the statistical tests, intubation duration in neonates less than 1500 g who received Newfactan was significantly more than the two other drugs [P=0.01]. Duration of CPAP in Curosurf group was more than Survanta and Newfactan groups with a significant difference. Time of starting feeding was lesser in neonates who had recieved Survanta than Newfactan. In neonates less than 1500 g, none of the variables had a significant difference after surfactant therapy.


Conclusion: This study showed that Survanta has a better efficacy than Newfactan and Curosurf. But in regard to the importance of applying this drug, and the controversy of results obtained from studies, it is recommended to perform further studies about this issue.

6.
Journal of Sabzevar University of Medical Sciences. 2014; 20 (5): 757-765
in Persian | IMEMR | ID: emr-181328

ABSTRACT

Background and aims: Many patients with chronic renal failure are fatigue due to disease process and long-term treatment with hemodialysis. Because of very different side effects of medication, using complementary methods seems to be reasonable way to reduce fatigue in hemodialysis patients. This study aimed to effect of Benson relaxation on fatigue in hemodialysis patients.


Materials and methods: The present research is an experimental controlled trial study conducted on 65 hemodialysis patients selected from Vasei Sabzevar Educational hospital in 2013. Patients were selected using convenience sampling method according to inclusion and exclusion criteria and then were divided randomly into two groups[33 patients] in experimental and [32 patients] in control group. The experimental group received Benson relaxation for 15 minute, twice a day during one month. control group received no intervention. Datacollecting instruments included demographic information form and Brief Fatigue Inventory [BFI] questionnaire were completed before, 2 and 4 weeks after intervention. Data were analyzed by means of SPSS-11/5 and SAS 9.1 statistical software using descriptive statistics, T test, Chi-square, Mann-Whitney Test and generalized estimation equations.


Results: Mean score of fatigue in the experimental group was 6/97 +/- 0/84, 5/25 +/- 1/07and 3/92 +/- 1/11 before intervention, after two weeks and four weeks later, respectively. Analysis of the data revealed a significant difference between the mean score of fatigue of before and after intervention in the experimental group[P<0/01].


Conclusion: Benson relaxation can be considered as a costeffective, simple and secure way to decrease the fatigue in the Hemodialysis patients.

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