Correlation between intensity of fatigue with pregnancy outcome

چکیده: زمینه و هدف: خستگی یکی از شکایات شایع زنان در دوره بارداری می‌باشد. زنان حامله با توجه به عوامل جسمانی، روانی و موقعیتی خاص در معرض خستگی می‌باشند. هدف از این مطالعه، تعیین همبستگی شدت خستگی با پیامد حاملگی در مادران باردار بود. روش بررسی: در این پژوهش توصیفی - تحلیلی، تعداد 180 نفر مادر باردار مراجعه کننده به مراکز بهداشتی درمانی شهری وابسته به دانشگاه علوم پزشکی اصفهان که سن حاملگی 32 هفته و حاملگی طبیعی بدون عارضه داشته به روش چند مرحله ای انتخاب و تا بعد از زایمان هفته ای یکبار پی گیری و بررسی شدند. ابتدا پرسشنامه حاوی مشخصات دموگرافیک، سوابق مامایی، اضطرب و افسردگی و خستگی تکمیل و نمونه ها بر اساس نمرات خستگی به گروههای خستگی خفیف، متوسط و شدید تقسیم شدند. پس از زایمان، نوع زایمان، سن و وزن نوزاد به هنگام تولد در پرسشنامه ثبت گردید. همبستگی شدت خستگی با نوع زایمان (رگرسیون لجستیک)، سن و وزن نوزاد به هنگام تولد توسط آزمونهای آماری و (رگرسیون خطی) محاسبه گردید. یافته ها: بر اساس نتایج، فراوانی خستگی خفیف 77/37، خستگی متوسط 35 و خستگی شدید 22/27بود. شدت خستگی با نوع زایمان (05/0

The relationship of marital quality and sexual satisfaction with marital status in Iranian women: a Path model

Introduction :  Marriage is the most common life event in all societies. More than 90% of people in the world get married at least once in their life; there are some factors, however, that may make a marriage unstable. This study aimed to investigate the relationship  of   marital quality   and  sexual  satisfaction  with  marital status  by  using  Path  model  in  Iranian  women   who  referred to health  centers  affiliated  to  Shahid   Beheshti  University  of  Medical  Sciences Tehran, Iran in  2015.Methods: This was cross-sectional study conducted on  400 women from January to May 2015(8 months),  who were  selected  through  multistage  sampling method. Data were collected through distinct  questionnaires  demographic  characteristics ,instability marriage , marital  quality and  Larson  sexual  satisfaction   that completed  by   interview   . Descriptive   statistics,  Pearson’s  test   were  performed by SPSS V.16 and   LISREL8.80    used  for  analysis  of  data. (P<0.05)Results: The mean age of  400  participants   was 26.74 ± 3.50 years  old, and  their   mean duration of marriage was 7.90 ± 4.30 years . Marital   quality    was the most effective predictor of marital status(P<0.001).  Sexual   satisfaction    had  direct  association with marital status through direct effect of marital quality (P<0.001). Moreover, smoking (P<0.001)  and  addiction  of  spouse (P<0.08)   had    association  with  marital status  inversely. (p< 0.05).Conclusion:  Noticed  to  sexuality  and  increase quality  marital  life  and avoidance  of high risk behaviors   will help  to  stability  marriage. Declaration of Interest: None. 

Effective Factors on Sexual Quality of Life in Iranian Women: A Path Model

Introduction: Sexual affairs are one of the physiological needs affecting human health. Sexual functioning disorders can reduce individual’s capabilities and creativities. Sexual relations are in the center of women’s quality of life. This study aimed to investigate the correlation   of  sexual  violence, stress perceived, demographic  characteristic  of  women   and  high  risk  behavior  spouse    with  sexual  quality  life of  women  by  using  Path  model  in  Iranian  women   who  referred to health  centers  affiliated  to  Shahid   Beheshti  University  of  Medical  Sciences Tehran, Iran in  2015.  Methods: This   was   sectional   descriptive-correlative  study conducted on 800 women  who were  selected  through  multistage  sampling method. Data were collected through distinct  questionnaires  demographic  characteristics ,sexual quality life of  female(SQOL-F) , sexual  violence, stress perceived   and  high risk behavior  spouse   that completed  by   interview  .Software  SPPS16   and   LISREL8.80    used  for  analysis  of  data.  Results: The   results   revealed   that   among   direct   pathways, sexual violence  (β = -0.40)  was the most effective predictor of sexual  quality  of  life  women.  The age (β=-0.03 ) had an inverse association with sexual  quality  of  life  women through direct effect of sexual violence(β=0.33). Moreover, education (β=0.03) had a direct  association  with  sexual  quality  of  life  women   through  inverse  association  0f  sexual  violence (β=-0.10). Stress perceived ( β=-0.24) and  high risk behavior spouse (β=-0.30) indirectly,  effects on  sexual  quality  of  life  women. Conclusion:   Women have the rights to experience a safe and enjoyable sexual relationship. Sexual function is very complicated and is affected by many factors, including   the  personal   lifestyle  and  interpersonal relationships. It is essential  that  noticed to sexuality and  increase quality  marital  life  but    avoidance  of  high risk  behaviors    will help  to it.Keywords: Sexual  Quality, Sexual  violence, Stress perceived , High risk behavior, Women, Ira

Exploring the Perceptions and Experiences of Women with Gestational Diabetes Regarding Their Sexual Function: A Qualitative Study

Background & aim: Gestational diabetes is is associated with some degree of sexual dysfunction in women. Therefore, this study aimed to explore the perceptions and experiences of women with gestational diabetes regarding their sexual function.Methods: This study was a qualitative research using the conventional content analysis approach and was conducted from April to December 2020 in Mazandaran Province, Iran. The participants included 15 women with gestational diabetes, six key individuals, and two husbands of women with gestational diabetes who were selected using a purposive sampling. The data were collected through in-depth semi-structured interviews. The content analysis approach was used based on the Graneheim and Lundman (2004) method. Guba and Lincoln's criteria including credibility, transferability, confirmability, and dependability were applied to achieve trustworthiness. MAXQDA10 software was used for data management.Results: Data analysis illustrated four themes: "sexual problems in women with gestational diabetes", "worries and problems caused by gestational diabetes", "non-comprehensive services", and " need to empower the individuals and significant others ". Conclusion: Worries and problems caused by gestational diabetes that develop in women who receive inappropriate and non-comprehensive services can affect their sexual function. Therefore the supportive role of health care providers and significant others are necessary to empower the patients to overcome their sexual problems

Women's Perception of Their Husbands' Treatment of Erectile Dysfunction

Introduction: Given the prevalence of erectile dysfunction (ED) and its impact on couples, and lack of treatment seeking, this study has been conducted to investigate men's treatment interventions for ED from their spouses’ view point. Method: This is a qualitative study. Purposeful sampling was performed among women in health centers affiliated to Shahid Beheshti University of Medical Sciences, and a family health center and continued until data saturation. In addition, 16 in-depth unstructured interviews were performed. Conventional qualitative content analysis and constant comparison were performed simultaneous to collecting data. The inclusion criterion of the study was at least 6 months experience of erectile dysfunction of the husband. Results: Disregard for treatment was one of the main themes and was formed from the integration of the categories of decrease in sexual relationship attractiveness, masculine attitude, and disability in having sex. Confusion in treatment was the other theme which was formed from integration of the categories of the wife’s view of erectile dysfunctions, couple intervention treatment, and treatment expectation. Conclusion: Dominance of men, and women’s passive reaction or incorrect behavior is an effective factor in lack of treatment seeking. Counseling with the partner, on the interaction method with spouse, improves the treatment seeking process for men. Keywords: Erectile dysfunction, Sexual dysfunction, Couples, Sexual relationship, Qualitative researc

Translation and Psychometric Assessment of the Persian Version of Patient Trust in Midwifery Care Scale

Background: Patients’ trust in their physicians can affect therapeutic outcomes. Measurement of patient’s trust levels is a helpful approach for policymakers in healthcare systems. Aim: The present study was targeted toward the translation and psychometric assessment of patients’ trust in midwifery care questionnaire. Method: This cross-sectional study was conducted on 210 female patients referring to the midwifery offices of Tehran, Iran, in 2017. After the translation and back translation of the original version of patient’s trust questionnaire, exploratory and confirmatory factor analyses were performed to measure the structural validity and reliability (through Cronbach's alpha coefficient and intra-class correlation) of the instrument. Results: Measurement of the questionnaire validity by exploratory factor analysis revealed three factors with the eigenvalues of > 1. The three extracted factors accounted for 73.24% of total variance. The goodness of fit indices revealed that the fitness of the three-factor model was at a desirable level, rendering a χ2/degree of freedom of 2.34, comparative fit index of 0.96, and root mean square error of approximation of 0.07. The reliability of the scale was confirmed with a Cronbach's alpha coefficient of 0.81 and intra-cluster correlation of 0.96. Implications for Practice: The patients’ trust questionnaire, measuring the extent of patient’s trust in midwifery offices in Tehran, is a proper tool, enjoying appropriate validity and reliability. The results of the study also showed that the Persian version of the tool can be used to measure the trust rate of the patients referring to the midwifery offices in Iran

Comparison of Religious Orientation and Reproductive Performance of Employed and Unemployed Women

Abstract Introduction: In Iran the growing concern over low reproductive rates has led to alterations in demographic policies over recent years. The literature is indicated of different effects of women’s employed and religiosity on their reproductive performance. Present study aimed to Comprise religious orientation and reproductive performance of employed and non-employed women. Methods: This cross sectional study was conducted on 360 unemployed and employed women in healthcare centers affiliated to Shahid Beheshti University of Medical Sciences and in schools of selected districts of Ministry of Education in Tehran, 2015. Three questionnaires including: demographic characteristics, religious orientation and reproductive performance were utilized for data collection. Results: The Mean ± SD number of children for unemployed women was 1.29±0.75, for women working at schools 1.68±0.71 and those working in healthcare centers was 1.08± 0.84 (P=0.001). The mean ideal number of children for women working at schools was significantly higher than that of unemployed women and employed women in healthcare centers and hospitals (P=0.001). The level of gender preference for a male child in the housewife group 21.7% (39) was higher than that of the employed groups and the majority of employed women in Ministry of Health 61.1%(55) and Ministry of Education 70%(63) had no gender preferences. Intention for childbearing in unemployed women 43.3% (78) was higher than in the employed ones. Religious orientation had significant and positive correlation with the number of children (P = 0.01, r = 0.13). Conclusions: Women’s employed is associated with their religious orientation and reproductive performance. This research took steps to identify the factors affecting the success of demographic policies

The Role of Children in Women’s Marital Satisfaction in Tehran, 2016

  Introduction: One of the important factors affecting women’s satisfaction with their marital life and the stability of family foundation is children. Several studies on the impact of the number and gender of children on marital satisfaction have shown conflicting results. This study is intended to explore the role of children on women’s marital satisfaction. Methods: This cross-sectional study was conducted on 264 married women living in Tehran. Data collection tool was a two-part questionnaire containing demographic information and the modified version of Enrich marital satisfaction scale. Data analyzed by SPSS software, version 17. Indeed, Chi-square, Mann-Whitney and Kolmogorov- Smirnov tests and linear regression were employed. Significance level was taken 0.05. Results: The results suggested that mean ± standard deviation [1] of marital satisfaction score for all research units was 37.28 ± 6.24. Generally, the average score of marital satisfaction for women without any children was higher compared to those with one or two children. Moreover, women whose first child was a girl had a higher average score in marital satisfaction than those whose first child was a boy. According to the results of multiple linear regression model, a significant predictor of women’s marital satisfaction was the gender of the first baby (P = 0.01). Conclusions: The results demonstrated that generally women with no child had higher marital satisfaction and the gender of the child in our research community played a determinant role in their marital satisfaction. Analytical studies in which the intervening variables are controlled are recommended

Examining Religious Attitudes and Reproductive Behavior among Women Visiting Health Centers of Shahid Beheshti University of Medical Sciences

For downloading the full-text of this article please click here.Background and Objective: Reproductive behavior is one of the crucial factors in population fluctuations. Decrease in fertility rate in Iran with the increasing median age in recent years, along with the aging population and shrinking young workforce are among major challenges of the future. Given the significance of the subject, this study aimed to determine the relationship between religious attitudes and reproductive behavior of women who visited health centers of Shahid Beheshti University of Medical Sciences in Tehran 2016.Method: This cross-sectional study included all women who went to health centers of Shahid Beheshti University of Medical Sciences. 200 of these women with inclusion criteria were selected via convenience sampling. A three-part questionnaire was used to collect data containing demographic information, religious attitudes, and reproductive behavior .To analyze the data, descriptive and analytical statistics were utilized. In this study, all the ethical issues were considered. Moreover, the authors declare no conflict of interest.Results: The results showed that the mean ±SD age of participants was 29.24±1.6 The mean ±SD number family size, number of children, age at marriage, duration of marriage, the time between the age at marriage and the first pregnancy were 3.16 ±0.79, 1.8±0.78 ,8.5±5.9 years; 24.74±24.79 months; and 21.02±4.47 years, respectively. The results also demonstrated that the level of religious attitudes was good in majority of samples (67.5%). Analysis of variance indicated a significant relationship between different levels of religious attitude and reproductive behavior.Conclusion: The findings of this study further corroborate the importance of religion in the reproductive behavior of people. It is recommended that when running educational programs, counseling be done in order to promote reproductive behavior. Besides, special attention should be given to the religious beliefs of individuals to foster these two important factors.For downloading the full-text of this article please click here

The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran

سابقه و اهداف: با توجه به کاهش باروری که به­دنبال کاهش تمایل به فرزند­آوری رخ می­دهد و همچنین اهمیّت توجه به میزان باروری و افزایش زنان شاغل طی سالیان اخیر، در شرایط کنونی ایران، مطالعه­ی حاضر با هدف تعیین ارتباط جهت­گیری مذهبی با قصد فرزندآوری و تعداد موجود و مطلوب فرزندان، از نظر زنان شاغل در مرکزهای منتخب شهر تهران انجام شد. مواد و روش‌ها: در این مطالعه­ی مقطعی، 200 زن شاغل دارای شرایط لازم (به­دلیل اینکه بیش از دو سوم زنان شاغل، در وزارت آموزش­و­پرورش و مرکزهای تابع وزارت بهداشت مشغول به­ کار هستند)، از بیمارستان­های وابسته به دانشگاه علوم پزشکی شهید بهشتی و مرکزهای منتخب آموزش­و­پرورش، به­صورت در دسترس انتخاب شدند. داده­ها با استفاده از پرسشنامه­ی حاوی اطلاعات دموگرافیک، سؤال­های تعیین­کننده­ی جهت­گیری مذهبی، سؤال­های رفتار باروری (شامل سؤال­های مربوط به قصد فرزندآوری و تعداد فرزند موجود و مطلوب) جمع­آوری شد. برای تجزیه و تحلیل داده­ها از آمارهای توصیفی و تحلیلی همبستگی استفاده شد. علاوه­براین، سطح معنی­داری نیز 05/0 در نظر گرفته شد. این پژوهش  تمام موارد اخلاقی مرتبط را رعایت کرده است. یافته‌ها: در این مطالعه، میانگین و انحراف معیار سنی واحـدهای پـژوهش 11/8 ± 55/37 سال بود و 57 درصد شرکت­‌کنندگان دارای یک فرزند و یا بدون فرزند بودند. بیشتر واحدهای پژوهش (5/60 درصد) دارای جهت­‌گیری مذهبی عالی بودند. میانگین و انحراف معیار تعداد موجود و تعداد مطلوب فرزند، به­ترتیب 81/0 ± 31/1 و 79/0 ± 03/2 بود و 21 درصد شرکت­‌کنندگان نیز قصد فرزندآوری در آینده را داشتند. بر اساس آزمون همبستگی، بین تعداد موجود و مطلوب فرزند با نمره­ی جهت­‌گیری مذهبی، همبستگی آماری معناداری وجود داشت (05/0p<،14/0=r)؛ اما بین قصد فرزندآوری و جهت­گیری مذهبی، همبستگی معناداری وجود نداشت (05/0p>). نتیجه‌گیری: نتایج این مطالعه نشان داد که جهت­گیری مذهبی از عامل­‌‍های تأثیرگذار بر تعداد مطلوب و موجود فرزندان زنان شاغل است. بر این اساس، توجه به امور فرهنگی مبتنی بر تربیت دینی در خانواده و نیز برنامه­ریزی­ها و سیاست­گذاری­های جمعیتی توصیه می­شود.   استناد مقاله به این صورت است: Saei Gharenaz M, Ozgoli G, Hajizadeh F, Sheikhan Z, Nasiri M, Jannesari Sh. The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran. J Res Relig Health.2017;3(1): 79- 90.Background and Objectives: Given the significant importance of fertility and increase of working women in current situation of Iran, this study aimed to determine the relationship between religious orientations with the willingness to childbearing and actual and ideal number of children in employed women in Tehran. Materials & Methods: In this cross-sectional study, 200 women employed in health centers and centers of education affiliated to Shahid Beheshti University of Medical Sciences in Tehran were selected by convenience sampling because more than two-thirds of working women in Iran work in the Ministry of Education and the Ministry of Health. In this study, women were selected inclusion criteria. Data collection instrument was a questionnaire containing demographic, religious orientation and reproductive behavior questions. Data analysis were performed using descriptive statistics and correlation analysis. In addition, significant level was considered 0.05. In this study, all relevant ethical issues were considered. Results: In this study, the mean±SD age of subjects was 37.55±8.11 years. 57% of participants had a child or without children. The majority of samples (60.5%) have an excellent religious orientation. Mean±SD of the actual number and ideal number of children were 1.31±0.81 and 2.03±0 .79, respectively and 21% of participants were willing to bear children in the future. There was a significant statistical correlation between the actual number and ideal number of children with religious orientation (p <0.05, r=0.14), but there was no significant correlation between religious orientation and intend to childbearing (p>0.05). Conclusion:The results showed that religious orientation is cultural factors affecting the real and ideal number of children among employed women. Therefore, it is recommended to consider the cultural affairs based on the religious education in the family and planning and population policy.   Please cite this article as: Saei Gharenaz M, Ozgoli G, Hajizadeh F, Sheikhan Z, Nasiri M, Jannesari Sh. The relationship between religious orientation with intention of desired fertility and actual and desirable number of children in working women of Tehran, Iran. J Res Relig Health.2017;3(1):79- 90