Comparison of the quality of life in pregnant women with and without restless legs syndrome

Comparison of quality of life in pregnant women with and without restless legs syndrome Abstract Background & Objective: restless legs syndrome is a movement disorder that characterized by an intensive desire to shake legs at rest. Restless legs syndrome is highly prevalent among pregnant women and may reduce quality of life. This study was conducted to compare quality of life in women with restless legs syndrome with pregnant women without restless legs syndrome. Materials & Methods: in this cross-sectional-comparative study, 150 pregnant women (75 with restless legs syndrome and 75 healthy women) was selected with conceived sampling in Saqqez. Data were collected using Restless Legs Syndrome screening questionnaire and quality of life SF-36 questionnaire. The data was analyzed by PASW software and descriptive statistics, independent t test and Chi square. P value less than 0.05 was considered statistically significant Results: the results showed that the women with restless legs syndrome in the field of role physical (p=0.001), body pain (p=0.0001), general health (p=0.0001), social function (p=0.04), mental health (p=0.006), vitality (p=0.03), and emotional role (p=0.01) were significantly lower than women without restless legs syndrome. Conclusion: Quality of life in women with restless legs syndrome was lower than in healthy pregnant women

Knowledge of Type II Diabetic Patients About Their Diabetes: A Systematic Review and Meta-Analysis

Introduction: Knowledge is the critical component to counter the harmful side-effects of chronic diseases. Diabetic patients can manage their disease based on their diabetes knowledge and following good self-care behavior. Various studies about patients' knowledge of diabetes show different results. The purpose of this study is to estimate the overall knowledge score of Iranian patients about diabetes. Methods: In the current study, ten papers published by September 2018 were identified without time limitation. A literature search for the papers was conducted using the keywords: Iran, diabetes, knowledge, and their combinations. The necessary data were extracted and analyzed through meta-analysis using the random-effects model. The I2 statistic was used to measure the heterogeneity among the studies. The data were analyzed using Stata software (Version 11). Results: The pooled estimate of the knowledge score of type II diabetes patients about their diabetes was 64% (95% CI: 52%-76%). According to the meta-regression results, there was no relationship between the knowledge score with age (P = 0.487), duration of disease (P = 0.406), and the sample size (P = 0.146). The patients' knowledge score had experienced an uptrend between 2004 and 2017, the years at which the oldest and the most recent articles were published (P = 0.06). Conclusions: Iranian patients' knowledge about their diabetes was at an average level. Education, along with medication, can significantly reduce short and long-term complications of diabetes

Health-related quality of life in Iranian patients with type 2 diabetes : an updated meta-analysis

Diabetes is the most common metabolic causes of increased mortality rate due to multiple complications of this disease. Diabetes, thus, influences patients' quality of life due to its resultant physical disabilities and mental health problems. This study aimed to investigate health-related quality of life among Iranian patients with type 2 diabetes. In this meta-analysis study, a search was conducted with the keywords Quality of Life, Health-Related Quality of Life, QoL, HRQoL, Shortform questionnaire 36, SF-36, Diabetes and Iran in the national and international databases such as SID, MagIran, ISI/Web of Science, PubMed [including Medline], and Scopus between 2011 and 2018. Based on the heterogeneity of data, the random effects model was used. Data was analyzed using the Stata software version 14. Overall, 17 studies were eligible, with a total sample size of 5472 patients, showed that the mean score of the physical dimension in patients with type 2 diabetes (53.5, 95% CI: 43.1-63.9) was less than the mean of mental dimension score (54.5, 95% CI: 47-61.9). By increasing the age of samples, the mean of the HRQoL score of the Iranian patients with type 2 diabetes was significantly decreased (p = 0.015). The highest and lowest scores for the quality of life subscales were social function and general health, respectively. Patients with type 2 diabetes have a moderate quality of life. Providing solutions to improve the quality of life of this group of patients especially in the physical aspect is required

Exploring the factors affecting the motivation for learning from the perspective of public health students: A qualitative study

Objective. Despite the significant role of motivation in achieving success among public health students, students often do not demonstrate adequate motivation for learning and education. This study was performed to determine factors affecting the motivation for learning from the perspective of public health students via content analysis approach. Methods. This qualitative study was conducted at Kurdistan University of Medical Sciences in Sanandaj, Iran in 2017. 15 students were included in the study by using purposive sampling. Data were collected through personal interviews, group discussions, and field notes, and they were analyzed through conventional content analysis. Several parameters were taken into account to support the accuracy and the strength of the data: acceptability, confirmability, and transferability. Results. Five categories were derived from the data analysis, including “University Policy”, “Health Status”, “Teacher’s Role”, “Student-Related Factors” and “University Facilities”. Attention to the health status and its priority in the opinion of people, authorities, and educational system were the most important factors involved in the students’ motivation for learning. Conclusions. To increase motivation for learning, students have diverse needs that should be met. Attention to the components of motivation for learning not only enhances academic achievement but also promotes the formation of health behaviors in the society

Domestic violence among Iranian women: a systematic review and meta-analysis

Abstract Context: Violence against women, or domestic violence, is both a physical and mental health issue that is rampant in many societies. It undermines the personal health of those involved by inflicting physical, sexual, and psychological damage. The purpose of the present systematic review and meta-analysis is to assess the prevalence of domestic violence in Iranian society

A systematic review and meta-analysis of health literacy in the Iranian population : findings and implications

Context: Health literacy includes social and cognitive skills determining individuals’ motivation to obtain and understand health information, thus empowers them to promote healthy behaviors. The exact level of health literacy in the Iranian population is unknown, as different Iranian studies have reported different health literacy rates in the Iranian population. Objectives: Therefore, this study aimed to investigate health literacy in the Iranian population by systematically combining and analyzing findings from the previous studies. Data Sources: A total of 26 articles in Persian and in English, published up to December 2017 were reviewed. Searching for articles with the keywords prevalence, abundance, health literacy, and Iran was conducted in the following national and international databases: Scientific Information Database (SID), Medline, Magiran,Web of Science, ScienceDirect, Google Scholar, PubMed, and Scopus. The data were analyzed using the meta-analysis method and a random effects model. The heterogeneity among the studies was examined using the I2 statistic. All the analyses were performed using the STATA 12 software. Results: The highest levels of health literacy were for the region 1 of Iran, including the following provinces: Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and Gom (46.7% with 95% CI: 25.7 - 67.7). Moreover, pregnant women (37.4% with 95% CI: 27 - 53.3) had the highest level of health literacy. In contrast, older people (60.2% with 95% CI: 43.7 - 76.8) and patients with diabetes (55.4% with 95% CI: 35.6 - 75.2) had the lowest health literacy levels. Conclusions: The lowest health literacy level was in older people and patients with diabetes. Therefore, it seems necessary to provide education for communitiesandgroups with inadequate health literacy levels, especially older peopleandpatients with chronic diseases to improve their health

Examination of the relationship of knowledge of diabetes, attitude toward diabetes, and health literacy with diabetes management self-efficacy using hierarchical multiple regression modeling

Background. Self-efficacy in diabetes management can empower patients and result in their more active participation in the treatment process. In addition, a patient’s behavior is influenced by their knowledge of and attitude toward their illness. Therefore, the goal of the present study was to examine the association of knowledge of diabetes, attitude toward diabetes, and health literacy with diabetes management self-efficacy in patients with type 2 diabetes.Methods. This descriptive-correlational study was conducted in 2019. The sample included 115 patients with diabetes (59 women and 56 men) attending diabetes centers of Sanandaj, Kurdistan, Iran, who were selected using a convenience sampling method. The Brief Diabetes Knowledge Test (DKT), the Diabetes Attitude Scale (DAS), the Health Literacy for Iranian Adults (HELIA) scale, and the Diabetes Management Self-Efficacy Scale (DMSES) were used to gather data. The data was analyzed using descriptive statistics, Pearson correlation coefficient, and stepwise regression analysis. All the analyses were perfumed using SPSS, version 16. The significance level was set at 0.05 for all the tests.Results. The mean age of participants was 46.61 ± 13.73 years. Health literacy (r = 0.585) and attitude (r = 0.396) were significantly correlated with self-efficacy (P = 0.001). According to the results of stepwise regression analysis, 34.3% and 36.6% of the variance of self-efficacy was explained by health literacy alone and health literacy together with attitude, respectively. One standard deviation change in health literacy and attitude was associated with 0.51 and 0.71 standard deviation change in self-efficacy, respectively.Conclusion. Health literacy and attitude toward diabetes are positively associated with self-efficacy in diabetes management, and improving these variables can improve self-efficacy in patients with type 2 diabetes

Effect of vitamin D on Helicobacter pylori infection and eradication: An updated systematic review and meta‐analysis

Background: Various studies that have examined the association between Helicobacter pylori (H pylori) and vitamin D (25-hydroxyvitamin D [25(OH)D]) have reported different and sometimes controversial results.Objectives: Therefore, this systematic review and meta-analysis was performed to investigate the relationship between vitamin D and H pylori infection and its eradication.Methods: Observational studies published in English were searched in PubMed, Scopus, and ISI databases until 1 August 2021. The standardized mean difference (SMD) was used to evaluate the probability ratio of H pylori infection and its eradication in the group with low vitamin D levels and the control group. Pooled estimation was calculated by random effects model. Heterogeneity was assessed by Cochran's Q test and I2 index.Results: Twelve studies were analyzed in this meta-analysis, and the results showed that the level of 25(OH)D in H pylori‐positive patients was significantly lower than those without infection (SMD= -0.66 ng/mL, 95% CI: -0.99, -0.33, P<0.001). Also, the level of 25(OH)D in H pylori successful eradication individuals was significantly higher than those with unsuccessful eradication (SMD=1.53 ng/mL, 95%CI: 1.34-1.71, P<0.001).Conclusion: There is a significant relationship between vitamin D levels and H pylori infection and its eradication. Therefore, it is necessary to pay attention to the vitamin D level in treating H pylori infection

The effect of corrective exercises on musculoskeletal disorders of Khoramabad workers

زمینه و هدف: با توجه به لزوم شناخت اختلالات اسکلتی- عضلانی در کارگران به منظور ارتقاء سلامت آنان به عنوان بخش عظیمی از سرمایه کاری کشور و کمبود مطالعه در زمینه ارائه راهکار برای بهبود این اختلالات، مطالعه حاضر با هدف ارزیابی تأثیر تمرینات ورزشی اصلاحی بر اختلالات اسکلتی عضلانی کارگران در شهر خرم&zwnj;آباد در سال 1391، انجام شد. روش بررسی: مطالعه حاضر پژوهشی نیمه تجربی است، جامعه آماری مورد مطالعه کارگران مرد مرکز صنعتی شماره 1 و 2 شهر خرم&zwnj; آباد بود. 320 نفر در ارزیابی اولیه مورد بررسی قرار گرفتند که 196 نفر با توجه به معیارهای ورود به مطالعه، شرایط مطالعه را داشته و به پرسشنامه پاسخ دادند. ابزار پژوهش پرسشنامه استاندارد بررسی اختلالات اسکلتی- عضلانی نوردیک بود. برنامه اصلاح اختلالات با توجه به موارد شناسایی شده (113 مورد) توسط کارشناس تربیت بدنی اجرا شد. تمرینات اصلاحی به صورت کششی و تقویتی در 24 جلسه به مدت 8 هفته انجام شد. یافته&zwnj;ها: 113 نفر سابقه درد و ناراحتی در اندام و اعضاء اسکلتی عضلانی خود داشتند و هیچ&zwnj;گونه سابقه قبلی بیماری نداشتند. 58 کارگران حداقل در یکی از نواحی نه&zwnj; گانه مورد بررسی بدن دچار اختلالات اسکلتی- عضلانی بودند که بیشترین شیوع در ناحیه کمر (6/31)، گردن (8/19) شانه (5/29) و زانو (8/17) بود. پس از مداخله کاهش معنی &zwnj;داری (05/0˂P) در مشکلات تمامی نواحی نه &zwnj;گانه دیده شد. نتیجه&zwnj;گیری: تمرینات اصلاحی باعث کاهش درد و مشکلات اسکلتی- عضلانی کارگران می&zwnj;شود

Translation and validation of the Farsi version of the pain management self-efficacy questionnaire

Introduction: Pain management is a complex process that is managed through a multi-disciplinary team in which nurses have a significant role. The present study aimed at translating and examining the psychometric properties of the Pain Management Self-Efficacy Questionnaire (PMSEQ) among Iranian nurses. Methods: This was a cross-sectional, methodological study conducted in 2019 among nurses working in two teaching hospitals in Sanandaj (Tohid and Kosar). The participants were selected using a convenience sampling method. Responsiveness; interpretability; and face, content, and construct validities were examined using exploratory and confirmatory factor analyses. In addition, internal consistency and stability were examined using the Cronbach’s alpha, test-retest, respectively. Results: Overall, 410 nurses (210 for the EFA and 200 for the CFA) were included in the sample. In the exploratory factor analysis, two factors of Comprehensive pain assessment and Pain management with eigenvalues of 6.36 and 1.91, respectively, were extracted. The two factors together explained 56.64% of the variance of nurses’ pain management self-efficacy. The confirmatory factor analysis indicated that the model had a moderate fit to the data ((RMSEA: 0.12; NFI: 0.84; NNFI: 0.86; CFI: 0.88; IFI: 0.88; RFI: 0.81; GFI: 0.76; AGFI: 0.69; PGFI: 0.59; RMR: 0.09; Standardized RMR: 0.09). Total questionnaire and the two factors (i.e. Comprehensive pain assessment and Pain management) had internal consistency coefficients of 0.891, 0.876, and 0.803, respectively. Conclusion: The Farsi version of PMSEQ had good internal consistency and reliability, as well as content and construct validity, and can be used in future studies