SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
Predicting Health Volunteers’ Physical Activity regarding the Theory of Planned Behavior and the Stages of Change Structure
1
9
EN
Mansoure
Alipour-Anbarani
0000-0002-9563-7383
Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
alipoor.he@gmail.com
Mohammad
Vahedian Shahroudi
0000-0002-5402-1646
Associate Professor, Department of Health Education and Health Promotion, Social Determinants of Health research center, Mashhad University of Medical Sciences, Mashhad, Iran.
vahedianm@mums.ac.ir
Hamed
Tabesh
0000-0003-3081-0488
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
tabeshh@mums.ac.ir
Masumeh
Noori
Mashhad University of Medical Sciences, Mashhad, Iran.
Ali
Taghipour
0000-0001-7594-0097
Professor, Department of Epidemiology, Social Determinants of Health research center, Mashhad University of Medical Sciences, Mashhad, Iran.
taghipoura@mums.ac.ir
10.22034/meb.2021.303846.1026
<strong><em>Background: </em></strong>Physical activity promotes mental health, life satisfaction, and quality of life and reduces the symptoms of depression and anxiety. Accordingly, the present study aimed to investigate predictors of physical activity of health volunteers regarding the theory of planned behavior and the stages of change model.
<strong><em>Materials and Methods: </em></strong>In this cross-sectional study, 262 women health volunteers were selected using the simple random sampling method. The required data was collected using a questionnaire with acceptable validity and reliability, which encompassed three sections addressing demographic information, planned behavior theory, and stages of change structure. Moreover, International Physical Activity Questionnaires (IPAQ) were used to assess the participants’ physical activity. The data analysis was performed using descriptive statistics and Chi-square test, Spearman correlation, and general linear model (GLM) in SPSS software (version 16.0).
<strong><em>Results: </em></strong>In the present study, the participants’ mean age was 40.9 ±88.66 years. There was a direct and significant correlation between attitude, subjective norms, and perceived behavioral control (PBC) with physical activity (p˂0.05). However, there was no significant correlation between behavioral intention and physical activity (p˃0.05). Moreover, all constructs of the theory of planned behavior (TPB), and the stages of change (SOC) could predict physical activity (p˂0.05); however, the most powerful construct was PBC.
<strong><em>Conclusion: </em></strong>The findings indicated that effective physical activity outcomes can be achieved based on TPB and the SOC model and with a specific focus on the PBC improvement.
health volunteers,stages of change,Theory of Planned Behavior,physical activity
https://www.medicaleducation-bulletin.ir/article_136577.html
https://www.medicaleducation-bulletin.ir/article_136577_3dc321268aaeb0b9de8d53a2df9afe93.pdf
SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
Evaluating the Awareness of Patients’ Rights Based on the Charter of Patients' Rights in Medical Staff of Mashhad University of Medical Sciences in Mashhad, Iran
11
23
EN
Mohammad Ali
Kiani
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
kianima@mums.ac.ir
Gholamali
Maamouri
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
maamourigh@mums.ac.ir
Masumeh
Noori
Mashhad University of Medical Sciences, Mashhad, Iran.
Elham
Roudi
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Lida
Jarahi
Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
jarahil@mums.ac.ir
Hamidreza
Kianifar
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
kianifarh@mums.ac.ir
Mohsen
Zakerian
School of Traditional Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
zakerianm961@mums.ac.ir
10.22034/meb.2021.293831.1010
<strong><em>Background: </em></strong>Patient rights are fundamental in defining the standards for ensuring the quality of clinical services. The present study aimed to evaluate the awareness of patients’ rights based on the Charter of Patients' Rights and Responsibilities in the medical staff of Mashhad University of Medical Sciences in Mashhad, Iran.
<strong><em>Materials and Methods: </em></strong>This cross-sectional study was conducted on 47 medical staff in teaching hospitals of Mashhad University of Medical Sciences, Mashhad, Iran, by the convenience sampling method and by the average mean of a quantitative trait in a community. Data were collected using a two-part questionnaire of demographic information and patients’ rights awareness. Data were analyzed using SPSS software (version 16.0).
<strong><em>Results: </em></strong>The mean age of subjects was 36.3+ 8.3 years. Staff awareness of patient rights was sufficient in 66% of research units. The highest level of respect for patient rights was related to respect for patient privacy and the principle of confidentiality, which evaluate by 78.7% of participants. The lowest level of observing patient rights was related to providing adequate information to patients, which was desirable in 59.6% of the research units. There was no significant relationship between demographic characteristics (age, gender, education level, and jobs) and awareness of patients' rights (P>0.05).
<strong><em>Conclusion: </em></strong>Although the awareness of patients' rights in most of the medical staff was found desirable, the awareness regarding providing necessary and sufficient information to patients needs to be improved. It is, therefore, suggested that a more stringent regulatory policy be implemented based on the Charter of Patients' Rights, and develop training programs to improve staff awareness in this area.
awareness,Iran,patients,Patients' Rights,Medical staff
https://www.medicaleducation-bulletin.ir/article_133151.html
https://www.medicaleducation-bulletin.ir/article_133151_dcb52149520e0375079938a1eea06f9e.pdf
SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
Comparison of Postoperative Pain between Pethidine and Paracetamol Recipients with Tibial Fractures Undergoing Nailing Surgery in Bahonar Hospital in Kerman, Iran
25
35
EN
Farzaneh
Fazeli
0000-0002-4841-2325
Anesthesiologist, Assistant Professor of Intensive Care, North Khorasan University of Medical Sciences, Bojnord, Iran.
fazeli_farzaneh@yahoo.com
Mohammad Reza
Safdari
0000-0002-8939-7125
Assistant Professor of Orthopedics, North Khorasan University of Medical Sciences, Bojnord, Iran.
safdari57@yahoo.com
Mahdieh
Jafari
0000-0002-1416-196X
Anesthesiologist, Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
jafarimh@mums.ac.ir
Reza
Ahmadi
0000-0003-4921-976X
Assistant Professor of Emergency Medicine, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical sciences, Mashhad, Iran.
ahmadi_ums@yahoo.com
Samaneh
Nazari
0000-0003-3166-8380
PhD Student of Neuroscience, School of Advanced Technologies in Medical Sciences, Mazandaran University of Medical Science, Sari, Iran.
snazari70@yahoo.com
Afshin
Ahmadzadeh Heshmati
Department of Orthopedic, Kerman University of Medical Sciences, Kerman, Iran.
aahorthoped@yahoo.com
Ali
Rokni
Orthopedic Resident, Department of Orthopedic, Kerman University of Medical Sciences, Kerman, Iran.
alirokni698795@gmail.com
10.22034/meb.2021.297560.1020
<strong><em>Background </em></strong><br />The aim of the present study was to compare the postoperative pain intensity between pethidine and paracetamol (acetaminophen) recipients with tibial fractures who underwent nailing surgery.<br /><strong><em>Materials and Methods: </em></strong>This study is a double-blind clinical trial conducted on candidates (in the age range of 18-50 year-old) of orthopedic tibia fracture surgery referred to Shahid Bahonar Hospital in Kerman, Iran, in 2019. Samples were selected by the convenience sampling method and randomly assigned to paracetamol and pethidine groups. Spinal anesthesia and 0.05 bupivacaine were used for all patients. The pethidine group (1 mg/kg body weight), and the paracetamol group (15 mg/kg body weight) were injected half an hour before 6, 12, and 24 hours after surgery under local anesthesia. The mean postoperative pain intensity in terms of VAS scores at 6, 12, and 24 hours after surgery was compared between the two groups. The collected data were analyzed using SPSS ver. 19.<br /><strong><em>Results: </em></strong>A total of 96 patients participated in the study. The results of the independent t-test showed a statistically significant difference between the mean pain intensity of patients in paracetamol (65.47 ± 9.88), and pethidine (69.97 ± 11.65) recipients six hours after surgery (P=0.044). There was also a statistically significant difference between the paracetamol (45.37 ± 8.63) and pethidine (49.95 ± 9.93) recipients in terms of the mean pain intensity (P=0.018). There was no statistically significant difference between the two groups in terms of demographic characteristics, i.e. age, weight, height, gender, and smoking.<br /><strong><em>Conclusion: </em></strong>Based on the results, paracetamol is more effective than pethidine in relieving postoperative pain in patients with tibial fractures.
Pain,Pethidine,Paracetamol,Tibial Fractures,Nailing surgery
https://www.medicaleducation-bulletin.ir/article_134470.html
https://www.medicaleducation-bulletin.ir/article_134470_c82b4e5cc65430e1db3f314239329962.pdf
SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
Explaining Perceptions and Experiences of Midwives and General Practitioners of the Barriers Facing their Sexual Conversations with Postmenopausal Women: A Study of the Mediating Role of Subjective Norms
37
44
EN
Talat
Khadivzadeh
0000-0002-7422-65
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
khadivzadeht@mums.ac.ir
Robab
Latifnejad Roudsari
0000-0002-1438-88
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
latifnejadr@mums.ac.ir
Masumeh
Ghazanfarpour
0000-0003-4639-3711
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
masumeh.ghazanfarpour@yahoo.com
10.22034/meb.2021.296719.1019
<strong><em>Background: </em></strong>The number of domestic studies to identify subjective norms for improving the quality of sexual education programs is limited. The aim of the present study is to explain the perceptions and experiences of midwives and general practitioners of subjective norms affecting the sexual conversation with postmenopausal women.
<strong><em>Materials and Methods: </em></strong>This is a qualitative study. A combination of Graneheim & Lundman and Hsieh & Shannon methods was used for data analysis. A total of 14 midwives and 13 general practitioners were selected by purposive sampling. Data collection was performed using in-depth semi-structured individual and face-to-face interviews. The data were analyzed using MAXQDA (version 10).
<strong><em>Results: </em></strong>At first, 183 initial codes were extracted from the 27 interviews with midwives and general practitioners. The similar codes were then merged and finally, 25 codes were emerged in three categories and eight subcategories during the inductive process. Data related to subjective norms were placed in three main categories: "expectation of understanding religious and cultural sensitivities (by family and society)", "expectation of providing services based on respect for privacy and the principle of confidentiality", and "expectation of scientific and professional performance".
<strong><em>Conclusion: </em></strong>Midwives and general practitioners did not hold sexual conversations under the influence of various legal or natural persons in the society such as menopausal clients themselves, patients' spouses, professional/organizational rules and regulations, university security officers, colleagues, family, judicial authorities, and superiors.
Barriers,Conversation,midwives,Sexual,Subjective Norms
https://www.medicaleducation-bulletin.ir/article_134139.html
https://www.medicaleducation-bulletin.ir/article_134139_ca97fb28fa46a079cec98b6921a6e08d.pdf
SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
The Effectiveness of Ginger in Controlling Chemotherapy-induced Nausea and Vomiting; A Review
45
52
EN
Sara
Saadat
0000-0001-9802-1667
Pediatric Nephrologist, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
dr.sarasaadat90@gmail.com
Mahdieh
Sharifzadeh Kermani
0000-0002-3917-8215
Assistant professor of Anesthesiology, Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.
msharifzade78@gmail.com
Reyhane
Rezvani Khorashadi
Pediatrician, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
reyhanerezvani4@gmail.com
Mohaddeseh
Badpeyma
0000-0001-8150-8997
Student Research Committee, Department of Clinical Nutrition, Nutrition Research Center, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
badpeyma90@yahoo.com
Samaneh
Ghorbani
BSN, Bachelor of Science in Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
ghorbanis1@mums.ac.ir
Zari
Dolatabadi
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
zaridolat90@gmail.com
Maryam
Sabaghian
Master of Biophysics, North Khorasan University of Medical Sciences, Bojnurd, Iran.
maryam.sabaghian@gmail.com
Shahrzad
Moeinaddini
Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.
shahrzad_mo@yahoo.com
10.22034/meb.2021.294165.1013
<strong><em>Background </em></strong>
Chemotherapy is considered as the main part of systemic cancer treatment. Chemotherapy is associated with adverse effects such as nausea, vomiting, and diarrhea. This study was carried out to evaluate the effectiveness of oral administration of ginger in controlling chemotherapy-induced nausea and vomiting (CINV).
<strong><em>Materials and Methods: </em></strong>This review was conducted with a systematic search of electronic resources in English, including Medline, Scopus, Web of Science, Cochrane Library, and EMBASE with no time limit from inception up to March, 2019 to find research articles related to the effect of ginger on chemotherapy-induced nausea and vomiting using the following keywords: (Nausea OR Vomiting) AND (Ginger OR Herbal OR Matricaria Chamomilla) AND (Chemotherapy OR Iran OR Iranian).
<strong><em>Results: </em></strong>Thirteen studies conducted on the effectiveness of ginger in controlling chemotherapy-induced nausea and vomiting (CINV) were found and reviewed. Inconsistent results were reported about the effects of ginger on chemotherapy-induced nausea and vomiting. Nine studies have shown beneficial effects, while four studies did not report any significant difference with the control group. According to one study, ginger is as effective as metoclopramide in controlling chemotherapy-induced vomiting and nausea.
<strong><em>Conclusion: </em></strong>The present study recommends the use of ginger as a non-pharmacological and uncomplicated method to reduce postoperative nausea and vomiting.
effect,ginger,Chemotherapy,Nausea,Vomiting
https://www.medicaleducation-bulletin.ir/article_133239.html
https://www.medicaleducation-bulletin.ir/article_133239_6efc10536aa4e0822d90b30ade89585f.pdf
SinaWeb
Medical Education Bulletin
2783-1809
1
1
2020
01
01
Comparison of Different Concentrations of Epinephrine on Hemodynamic Changes and Bleeding after Rhinoplasty in Patients under General Anesthesia
53
63
EN
Mahdieh
Sharifzadeh Kermani
0000-0002-3917-8215
Assistant professor of Anesthesiology, Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran.
msharifzade78@gmail.com
Ayeh
Shamsadini
0000-0001-5269-7514
Otorhinolaryngologist, Clinical Research Development Unit ,Shafa Hospital,Kerman University of medical Science, Kerman ,Iran.
ayehshamsadini@gmail.com
Farzaneh
Fazeli
0000-0002-4841-2325
Anesthesiologist, Assistant Professor of Intensive Care, North Khorasan University of Medical Sciences, Bojnord, Iran
fazeli_farzaneh@yahoo.com
Mohadeseh
Ahmadi
General physician, Kerman University of medical science, Kerman, Iran
mohadeseh7265@gmail.com
Azam
Dehghani
0000-0001-6053-1020
Clinical Research Unit,Afzalipour Hospital,Kerman, Iran
a.dehghani63@yahoo.com
Shirin
Salajegheh
0000-0001-6924-1425
Department of Anesthesiology, Shafa Hospital,Kerman university of medical sciences,Kerman ,Iran.
shirin.135353@gmail.com
10.22034/meb.2021.298264.1021
<strong><em>Background</em></strong> The present study was conducted to compare the effects of two different concentrations of epinephrine on hemodynamic changes and bleeding volume in patients undergoing rhinoplasty under general anesthesia.
<strong><em>Materials and Methods: </em></strong>This double-blind randomized clinical trial was conducted on 60<strong> </strong>patients undergoing rhinoplasty in affiliated with Kerman University of Medical Sciences in Kerman, Iran, in 2019. The patients were equally divided into two groups administered with lidocaine/epinephrine injection at either dose of 1:100,000 (Group A) or 1:200,000 (Group B). Heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were compared between the two groups. In addition, bleeding and hemodynamic changes were recorded at different time points.
<strong><em>Results: </em></strong>About 90% of the patients were female, and gender distribution was comparable between the two groups (P=0.72). According to the results, the two groups were comparable in terms of demographic variables and the duration of the operation. Group A was found to have a lower level of bleeding (83.16 mL) compared to group B (108.07 mL); however, this difference was not statistically significant (P>0.05). In addition, there was no significant difference between the two groups in heart rate, SBP, DBP, and MAP at different time points (P>0.05).
<strong><em>Conclusion: </em></strong>The results of this study were indicative of the similar effect of the different doses of lidocaine: epinephrine (1:100,000 and 1:200,000) on the level of bleeding, SBP, DBP, and heart rate during rhinoplasty. Moreover, there was no difference between the results of the qualitative and quantitative assessment of bleeding in patients receiving epinephrine at different dosages.
Bleeding, Epinephrine,hemorrhage,Hemodynamic changes,rhinoplasty
https://www.medicaleducation-bulletin.ir/article_135353.html
https://www.medicaleducation-bulletin.ir/article_135353_db6027e3f644db9f04a45c4410a4e9b1.pdf