Showing 13 results for Oral
Mr Esmaiel Shariat, Mr Esmaiel Mohammad Nejad, Mr Jamalodin Begjani, Mr Ghasem Abootalebi,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : One of the criteria of public health assessment is oral health. DMFT index (Decayed, Missing and Filled Teeth) is considered as an indicator of oral health and periodontal diseases.We aimed at investigating the oral health status of primary school students of in Saveh,Iran.
Material and Methods: In this cross-sectional study, 810 primary school students were assigned by multistage sampling. The instruments were a demographic questionnaire and oral examination based on DMFT index, according to the world health organization criteria. The data were analyzed by SPSS version 14, using descriptive and analytical tests and (P<0.05).
Results: The Average DMFT is 7.8±3.2.The results show that 42.1% of students brush their teeth once a day,48.3% of them use mouthwash and 1.2% need an immediate dental treatment. There is significant relationship between age, gender and frequency of brushing and DMFT index(P<0.05).
Conclusion: The prevalence of dental caries among primary school students of Saveh is greater than the world health organization standards, therefore correct planning is necessary to improve the present condition.
Morteza Badeleh, Dr Mahdi Fathi, Dr Hamid Reza Aghamohammadian, Mohammad Taghi Badeleh,
Volume 10, Issue 1 (4-2013)
Abstract
Background and objective : Adolescence is a significant stage of social and psychosocial development. This particular period of crisis involves some problems, one of the most important ones is the loss of self-esteem . Hence, this study aimed at investigating the effect of group cognitive behavioral hypnotherapy on increasing adolescents' self-esteem .
Material and Methods: The research population ( n= 250) of the current study is the adolescents living in a boarding school of Taibad city, Iran, in 2012 academic year. Using convenience sampling, the subjects were selected and asked to fill out Copper Smite self-esteem Inventory, and considering the cut-off point of 23, 30 adolescences with the lowest self-esteem were randomly placed in two groups of control and experimental .The subjects of experimental group were taken part in 8 two- hour- long sessions of cognitive behavioral hypnotherapy while the ones of control group did not receive any training . At the end of this period, the subjects’ self-esteem was measured again and compared with pre-test by Ancova test, using SPSS soft ware (version 19).
Results: Ancova test analysis indicates that the self-esteem score in group cognitive behavioral hypnotherapy compared with the control group is significantly increased (p<0.01).
Conclusion : Group cognitive behavioral hypnotherapy can lead to increased self-esteem in teenagers. Further researches accompanying by periods of follow-up are recommended.
Houri Alijani , Narjes Sadat Borghei, Naser Behnampour ,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Pregnancy is considered as a critical stage in the life of a woman due to the creation of new tasks and anxieties, If we consider the fear of childbirth as one of the main causes of pregnancy anxiety, To reduce it, we need to look for other solutions, such as psychological solutions. This study was conducted with the aim of determining the effect of group-based cognitive-behavioral Educations on the fear of delivery of Primiparous mothers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
Mahsa Khodayarian, Tahmineh Farajkhoda, Azita Aryaeenezhad, Mozhgan Sharifi,
Volume 17, Issue 2 (4-2020)
Abstract
Background: Breast cancer is the most common cancer among women in Iran. Early diagnosis of breast cancer by mammography could decrease the rate of mortality and improve the survival rate. This study aimed to determine the predicting factors of mammography adherence among Iranian women based on transtheoretical model.
Methods: This cross-sectional study was done on 300 married women in Yazd in 2018. Subjects was recruited using cluster sampling. Data were gathered through researcher-made questionnaire based on trans-theoretical model. The constructs of decisional balance, self-efficacy, stages and process of change were studied. Data were analyzed using chi-square test, one-way analysis of variance, Spearman correlation coefficient and regression analysis in SPSS-16 software.
Results: The mean age of women was 47.25±6.97 years old (ranged from 40 to 70). Most of the participants (86.4%) were in inactive stages of decision-making for performing mammography and only 5.3% were in active stages. The mean score of self-efficacy among the studied women was 24.54±6.5. According to linear regression test, the validity of the predicting trans-theoretical model by all of its constructs together was 47%.
Conclusions: Results of the present study showed that most of the women were at inactive stages of decision-making for mammography behavior and, based on the results, to improve the stages of the behavior, their self-efficacy should be improved.
Shiva Pejmankhah, Sheyda Pezhmankhah ,
Volume 19, Issue 1 (1-2022)
Abstract
Abstract
Background: While institutional constraints make the teacher has not able to implement his moral decision, leading to a conflict between the right moral decision and his professional conduct, alternatively he will suffer from a negative feeling and psychological imbalance that emphasized moral distress. Moral distress occurs not only in clinical settings but also in academic area. The purpose of this study was to explain the experience of faculty member in the field of nursing in regards to the consequences of moral distress impact on their activities in the work environment.
Methods: This qualitative study was applied during a period of 11 months in in Nursing and Midwifery schools in Tehran, Iran in 2017. 13 faculty member in the field of nursing were selected through purposive sampling method. Data was gathered using in-depth semi-structured interviews with main question in term of the consequences of moral distress in working environment. Conventional qualitative content analysis was used for analyzing the data.
Results: The analysis of the data in this study led to emerge four main categories and eight subcategories based on the experience of faculty member in the field of nursing about the consequences of moral distress. The main categories included; the ineffective training, organizational silence, decreased sense of professional development and job burnout and the subcategories included decreased teaching quality, ineffective communication in the educational space, silent protest, damage to team performance, threat to professional identity, stagnation of professional growth, psychological reactions, and physical reactions.
Conclusion: The consequences of moral distress in faculty member in the field of nursing lead to make some barriers to desirable educational activities, such as a lack of a sense of accomplishment, a tendency toward negative moods in the workplace which causes damage of their performance or others professonal problems for provide learning. Therefore use of specific management and organizational strategies to control the consequences of moral distress in faculty member have been recommended.
Leila Barati, Sajjad Khatami, Mitra Valizadeh, Homeira Khoddam,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Available evidence on the efficacy of sweet solutions for reducing pain in infants is insufficient. This study aimed to assess the effects of 10% oral dextrose on the pain of infants during venipuncture.
Methods: This randomized controlled clinical trial was done on 60 infants undergoing venipuncture. Eligible infants were randomly assigned into an intervention and control group. Two minutes before venipuncture, 2 ml of 10% oral dextrose solution and 2 ml of water were given to the intervention and control groups, respectively. The infants' pain intensity during the procedure was measured by two independent experts based on the Face, Legs, Activity, Cry, and CONSOL ability Behavioral Pain Scale. Data were analyzed using independent t-test and ANOVA tests. A P-value of ≤0.05 was considered statistically significant.
Results: The mean (±standard deviation) age of infants in the intervention and control groups were 6.37 (2.96) and 9.03 (3.10) months, respectively (P0.05). In addition, the standardized mean difference in pain score between the two groups was -0.2 (95% confidence interval: -0.30 to 0.71). Despite a significant difference (P=0.003) in the pain score between females and males, the effect of intervention after gender effect correction was not statistically significant.
Conclusion: Using 2 ml of 10% oral dextrose 2 minutes before venipuncture has a weak and non-significant effect on the pain of infants. Based on the effect size and 95% confidence interval, conducting further trials with a larger study population is recommended.
Mahdis Chegini, Khadije Hajizade, Azize Farshbaf, Fateme Lalooha, Mahnaz Shahnazi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Food intake and metabolism might play central roles in causing and treating menstrual disorders. Vitamin D may lead to the improvement of folliculogenesis through anti-Mullerian hormone (AMH). This study aimed to compare the effect of vitamin D intake with that of the combined oral contraceptive (COC) capsules on ovulatory dysfunction.
Methods: This study was conducted on 60 eligible women referred to Kowsar Qazvin Hospital with a complaint of abnormal uterine bleeding (AUB). They had a history of excessive, long, and irregular bleeding. The participants in the control and intervention groups received 1 oral LD capsule and a combination of vitamin D and LD capsules on a daily basis for 3 months, respectively. The menstrual bleeding volume, the number of menstrual days, and the menstrual cycle length were evaluated before, during, and after the intervention. The Mann-Whitney U test, Friedman test, independent t test, and Cochran Q test were used in SPSS version 24 for data analysis. P values less than 0.05 were considered statistically significant.
Results: The menstrual bleeding intensity decreased significantly in the intervention group (vitamin D–LD capsule; P = 0.001). Over time, both intervention and control groups showed a significant improvement in the number of menstrual days and menstrual cycle length, resulting in a more normal menstrual cycle. However, these 2 parameters remained more natural in the intervention group, a finding which did not indicate any significant differences.
Conclusion: Vitamin D can be used along with LD capsules as a supplementary treatment to lessen menstrual bleeding intensity.
Vida Azarkish, Mohammad Saeed Mirzaee, Mohammad Malekzadeh, Asadolah Mosavi, Mr Mohammad Latif Rastian,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Adhering to nursing professional ethics codes and being familiar with these codes enables nurses to make sound ethical decisions in challenging circumstances. Recognizing the significance of awareness regarding professional ethics codes and their continuous growth, this study was conducted to determine and compare the influence of classroom-based and short message service (SMS) training on the ethical sensitivity of nursing students.
Methods: This study employed a quasi-experimental design and was conducted in 1401 at Yasuj University of Medical Sciences in Iran. The participants included 120 nursing students who were selected using convenience sampling based on criteria such as enrollment in the bachelor's nursing program, ability to communicate effectively, willingness to participate in the study, and scoring 50 or lower on the ethical sensitivity questionnaire. The samples were randomly assigned to three groups: intervention 1, intervention 2, and control. After obtaining the necessary ethical approvals, data were collected using the Lützen Ethical Sensitivity Questionnaire. Data were collected immediately before and one month after the completion of interventions. The intervention group received a blended teaching approach, which included concept mapping, small group discussions, and role-playing sessions conducted twice a week for one month. Data analysis was performed using descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential statistical methods (paired t-test, chi-square test, and ANOVA) using SPSS software version 21.
Results: There was a significant difference in the mean age of students among the three groups, flipped classroom, short message service, and control (p = 0.047). However, no significant difference was observed in terms of gender distribution among the three groups (p = 0.291). Prior to the intervention, there was no statistically significant difference in the overall mean score of ethical sensitivity among the three groups (p < 0.05). However, after the intervention, a significant difference was observed (p < 0.05). Post-hoc comparisons revealed a significant difference in the ethical sensitivity scores of students among the flipped classroom, short message service, and control groups (p = 0.001).
Conclusion: Based on the effectiveness of both the flipped classroom and short message service methods in enhancing the ethical sensitivity of nursing students, it is recommended to incorporate these educational approaches into the nursing curriculum for planning and implementation.
Andri Nugraha, Iin Patimah, Engkus Kusnadi, Wikky Fawwaz Al Maki ,
Volume 21, Issue 3 (10-2024)
Abstract
Background: The learning styles and personality traits of millennial nursing students are different from those of previous generations, presenting a challenge in teaching as these differences affect academic motivation, knowledge, and clinical skills. Alternative models of teaching that are more interactive, technology-based, practical, and observational are needed. This study aimed to examine the effectiveness of virtual reality head-mounted display (VRHMD) on academic motivation and skills of millennial nursing students in teaching prevention and control of catheter-associated urinary tract infections (CAUTIs).
Methods: This quasi-experimental study employed a nonequivalent control group pretest-posttest design and involved 64 nursing students who participated in the research. They were randomly divided into two groups using purposive sampling. The intervention group used VRHMD method, while the control group followed the routine method (the practice laboratory using mannequins). In this study, the inclusion criteria consisted of bachelor's and associate degree nursing students in their third semester who completed the course of fundamental nursing practicum and were able to operate VR devices. They performed a 20-minute exercise three times. After the complete practice, data were collected using Academic Motivation Scale (AMS)-Short Indonesian Language Version questionnaire to measure Academic Motivation and the assessment of clinical skills to prevent CAUTIs questionnaire to measure clinical skills. The assessment was done immediately before the intervention and immediately after the intervention. Data were analyzed using independent T-test and Chi-square test.
Results: The mean levels of academic motivation in the experimental group during the pre-test and post-test were 73.53 ± 3.100 and 84.09 ± 3.286. Moreover, VRHMD led to higher academic motivation in students compared to those who utilized traditional methods. This difference was statistically significant (p=0.004).
Conclusion: According to the findings of the present study, VRHMD is effective in improving the skills and academic motivation levels of millennial nursing students. This method is recommended as a teaching method for millennial nursing students.
Masoumeh Abbasi Shavazi , Manoj Sharma, Tayebeh Mokhtari Sorkhani ,
Volume 21, Issue 3 (10-2024)
Abstract
The total fertility rate has declined in certain countries, dropping below the replacement level. The attitudes and desires of some families regarding having children have also shifted. To cultivate positive societal views on childbearing, there is a need for updated educational initiatives, such as a multi-theory model. Although the multi-theory model has been used in various contexts to facilitate health behavior change, with its effectiveness validated in predicting and influencing behaviors, there has been no documented use of this model in the context of fertility, either in Iran or globally. Developing fertility encouragement programs requires cultural sensitivity and attention to accepted social norms and customs, which can enhance program efficacy. We believe the Multi-Theory Model can be effective and useful in encouraging couples to increase fertility.
Faride Majdi , Azizeh Farshbaf-Khalili , Mohammadreza Mirzayi , Parvin Hakimi , Khadije Hajizadeh, Mahnaz Shahnazi ,
Volume 22, Issue 2 (6-2025)
Abstract
Background: Polycystic Ovary Syndrome (PCOS) is one of the most significant reproductive and endocrine disorders in women. This study aims to assess the impact of nettle extract on both clinical and paraclinical symptoms in women with PCOS.
Methods: This Triple-Blind Randomized Controlled Clinical Trial involved 60 women (n = 30 per group) aged 18 to 45, all diagnosed with PCOS based on definitive diagnostic criteria in Tabriz, Iran. Participants were randomly assigned in a 1:1 ratio using block sizes of 4 and 6 into two groups: an intervention group (receiving 500 mg of oral nettle extract containing flavonoids, tannins, and sterols daily for three months) and a control group (receiving combined oral contraceptives [COCs] for three months). Independent t-test and ANCOVA test were used in SPSS version 24 for data analysis. A p-value of <0.05 was considered statistically significant.
Results: The study showed that after the intervention, there were no statistically significant differences between the nettle extract group and the control group regarding mean levels of dehydroepiandrosterone sulfate (P=0.197), total testosterone (P=0.24), follicle-stimulating hormone (FSH) (P=0.549), luteinizing hormone (LH) (P=0.398), hirsutism score (P=0.149), or duration of menstrual bleeding (P=0.982), based on ANCOVA adjusted for baseline values, education level, and number of pregnancies. However, the two groups exhibited statistically significant differences in fasting blood glucose levels (P=0.020), intervals between menstrual bleeding (days) (P=0.031), and menstrual bleeding intensity (P = 0.008).
Conclusion: The findings indicate that nettle extract is as effective as low-dose oral contraceptive pills in reducing levels of dehydroepiandrosterone, total testosterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH), as well as in decreasing hirsutism scores and the duration of menstrual bleeding. Midwives can use nettle extract, which is a cheap, easy, and non-invasive method to improve PCO symptoms.
Mohammad Sajjad Mousavi , Fatemeh Keshavarz , Zeinab Mirzaei , Zahra Yosefpour , Mohammad Malekzadeh , Mohammad Latif Rastian ,
Volume 22, Issue 3 (9-2025)
Abstract
Background: Nurses, as one of the key pillars of the healthcare system, constantly face complex ethical challenges that can impact the quality of care provided and their mental well-being. Enhancing critical thinking skills in this group may help them analyze ethical issues more effectively and make better decisions, ultimately reducing moral distress. Therefore, this study aimed to determine the relationship between critical thinking and moral distress in nurses.
Methods: This cross-sectional study involved the selection of 342 nurses from educational hospitals affiliated with Yasuj University of Medical Sciences in Iran in 2024, utilizing a systematic probability sampling method. Participants were required to have a minimum of one year of clinical experience and to be currently employed in hospital departments, ensuring a relevant background for the study. Data collection was conducted using the California Critical Thinking Skills Test – Form B and the modified 18-item Hamric Moral Distress Scale. The findings were analyzed employing both descriptive and inferential statistical tests, including the Kolmogorov–Smirnov test for normality, Pearson correlation, and multiple linear regression, which were used to examine relationships between variables utilizing SPSS version 27.
Results: The mean age of participants was 43.33 ± 10.7 years; 221 individuals (64.40%) were female, and 127 persons (37.10%) had 1 to 5 years of work experience. Nurses had an average critical thinking score of 21.25 ± 8.64 and a moral distress score of 116.08 ± 50.82. A significant negative correlation was found between critical thinking and moral distress scores (r = -0.66, p = 0.001). A multiple regression model significantly predicted moral distress, explaining 63% of its variance (R² = 0.628, F = 29.787, p = 0.001). Six predictors were significant. Overall critical thinking was the strongest negative predictor (β = -0.396, p = 0.001, 90% CI [-2.65, -1.69]). The analysis, inference, and induction components were also significant negative predictors. In contrast, the deduction component (β = 0.197, p = 0.029, 90% CI [0.24, 4.39]) and place of residence (β = 0.072, p = 0.037, 90% CI [1.01, 32.60]) were positive predictors of moral distress.
Conclusion: The findings suggest that as critical thinking skills improve, moral distress tends to decrease among nurses. Therefore, it is recommended to implement educational programs aimed at enhancing critical thinking skills in nursing practice, which could potentially alleviate feelings of moral distress.
Elaheh Sadeghloo, Asieh Sadat Baniaghil , Gholamreza Roshandel , Maryam Ghelichli , Fatemeh Mehravar , Alireza Firozbakhsh ,
Volume 22, Issue 4 (12-2025)
Abstract
Background: Patients with oral and/or laryngeal carcinoma face challenges that can persistently impair their quality of life (QoL) even after treatment. This study aimed to investigate QoL impairment in patients with oral and laryngeal squamous cell carcinoma receiving treatment.
Methods: This descriptive cross-sectional study was conducted on 54 individuals with oral and laryngeal cancer through census sampling in 2022. Patients over 18 years old who had received treatment were included. Individuals experiencing recurrences or relapses and those receiving neoadjuvant therapy were excluded. The list of names and phone numbers of participants was obtained from the database of the Liver and Digestive Research Centre in Golestan Province, Iran. The study utilized the Persian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Head and Neck 35, which the participants completed during phone interviews. Point prevalence (per 100,000) was reported with 95% confidence intervals, and QoL data were summarized as mean ± standard deviation (SD) and median (interquartile range, IQR).
Results: The point prevalence of oral and laryngeal squamous cell carcinoma in Golestan Province was 15.15 per 100,000, with significant variation across counties, ranging from 5.80 to 26.01. The mean QoL score for the participants was 68.20 ± 29.58. Overall, 38.9% of the participants reported normal QoL, while 22.2% and 38.9% reported mild and moderate impairment, respectively. Subdomains related to weight loss and feeling ill showed a severe decline in QoL. Meanwhile, issues such as dry mouth, sticky saliva, social contacts, swallowing, pain, taste/smell, social eating, teeth problems, and speech were associated with moderate QoL impairment.
Conclusion: The findings show that the QoL among individuals with a history of oral and laryngeal cancer was below the threshold. Most participants experienced mild to moderate QoL impairments. These results highlight the need for targeted interventions focused on improving QoL for affected individuals based on their symptoms and signs.
