Showing 24 results for Satisfaction
Mr Ghanbar Rouhi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Ali Akbar Abdollahi,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Human resources are the most valuable sources of an organization. Nurses, because of special nature of their job, are influenced by various stressors affecting on their job satisfaction and organizational commitment. The aim of this study was to compare Nurses’ job satisfaction and their organizational commitment in intensive care and general wards of Golestan University of medical sciences.
Material and Methods: In this descriptive & analytical study, 389 Nurses were selected via census sampling in 1387. The instrument were job satisfaction questionnaire reliabled by alpha chronbach and meyer organizational commitment scale.To analyze the data, we used Pearson correlation coefficient, independent test, regression and one way anova in spss 16 soft ware environment.
Results: Participants were between 22-55 years. Their mean age was 32.6 ± 7.4 and most of them (72.7%) were female. Intensive care and emergency wards’ Nurses had the lowest organizational commitment and job satisfaction, respectively. There was a significant relationship between job satisfaction and organizational commitment in studied wards (P<0.05).
Conclusion : Whereas job satisfaction can predict organizational commitment of Nurses, it is essential for administrators to consider factors such as salary, participation in decision making, job security, and job enrichment and so on to promote quality of services
Mis Tahmineh Salehian, Mis Faranak Safdari Dah Cheshmeh, Mis Arezoo Pirak,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Patients’ satisfaction is an important criterion which can be a good scale to measure and evaluate medical services quality, and can give us some information about fulfillment of patients’ needs expectations and wishes .We conducted this study to investigate the patients’ satisfaction from medical and nursing services.
Material and Methods: In this descriptive and cross- sectional study, the data was collected by a questionnaire including two sections of demographic data and satisfaction level from medical and Nursing services.The subjects are 200 patients selected by easy sampling method, at the time of discharge from hospital. Satisfaction level was measured by likert scale. The data was analyzed using descriptive statistics and chi-square.
Results: The findings show that the patients are satisfied (41%), almost satisfied (21.5%) and unsatisfied (37.5%) from medical services. About satisfaction from nursing services, 57% of the patients were satisfied, 16.5% of them almost and 26.5% rarely satisfied. There was significant relation between variables such as sex, age, education degree and having insurance and satisfaction from medical and nursing services.
Conclusion : The highest percentage of unsatisfied patients was related to lack of giving information by physicians about the disease and Nursing interventions measures. Interaction behavior between medical staff and patient has an effective impact on patients’ recovery and increase patients’ satisfaction therefore, the necessary measures should be taken to improve communication between patient and physician.
Mr Hamid Asayesh, Mr Moslem Hesam, Mr Mostafa Ghorbani, Mr Alireza Shariati, Mr Hossein Nasiri,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : Because of special life condition, martyrs and veterans students have unique status in comparison with other university students. The aim of this study was determination of relationship of perceived social support, mental health, and life satisfaction in martyrs and veterans students of state universities in Gorgan,Iran.
Material and Methods: In this descriptive and analytical study, 102 martyrs and veterans students were selected via census sampling. Demographic data sheet, perceived social support scale, general health questionnaire (GHQ-12) and satisfaction with life scale were used. Descriptive statistics, liner regression analysis, spearman correlation coefficient and Mann-Whitney test in spss 16 software environment were used for data analysis(P<0.05).
Results: According to GHQ-12, 21.4 percent of participants have unfavorite mental health (score less than 14). Findings show perceived social support is correlated with 23 percent of mental health changes (P=0.032) and 42 percent of life satisfaction changes (P=0.000). There is no significant relationship between perceived social support from friends and significant others and mental health and life satisfaction (P>0.05). There is significant correlation between mental health and life satisfaction (r= -0.534, P=0.000).
Conclusion: According to our findings, availability of perceived social support from family leads to promotion of mental health and life satisfaction of students.
Mis Katayoon Jalaliaria, Mr Hamid Asayesh, Mis Maliheh Sedehi, Mis Maryam Ghanbari,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective : Adolescence is a critical period of life accompanied by a high prevalence of anxiety disorders, which can be reduced by acquiring some special skills. The aim of present study was to investigate the effect of anxiety management skills on Students’ Life Satisfaction in one of the Girls’ High schools in Gorgan, 2010.
Material and Methods : We conducted this pre-experimental study on 60 girl’s students , from a high school in Gorgan, selected via convenience sampling.We asked the subjects to fill out the demographic data sheet and Dinner life satisfaction questionnaire, and divided them randomly in two groups of intervention and control. For intervention group, a class of anxiety management was performed.To compare the means, we used independent t- test and paired t- test.
Results: The results show that there is significant difference between the life satisfaction of before and that of after education(P=0.028), but it is not true for control group.
Conclusion: Learning anxiety management skills can increase the rate of life satisfaction in Adolescents therefore, it can help them to overcome many social problems.
Keywords: Ttraining, Skill, Anxiety, Satisfaction of life, Students
Mis Leila Rafiee Vardanjani, Mis Fariba Nobakht, Mis Faranak Safdari Dahcheshmeh, Mis Neda Parvin,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective: Mother’s satisfaction of childbirth is considered as an important criterion of maternal care quality and it has an effect on mental health of family and community, and Mother's mood is significant in the outcome of labor. The parturient supported by significant others has less anxiety, experience of safe childbirth and adequate satisfaction . Thus, we aimed at assessing the effect of the presence of an attendant on satisfaction, anxiety and labor pain of primiparae referring to Hajar Hospital in Shahre Kurd, 2010.
Material and Methods: This pre-experimental study was conducted on 60 primiparous women, referring to Hajar Hospital in Shahre Kurd (2010), who were divided into equal experimental and control groups. The parturients of both groups received common cares, while those of experimental group were allowed to be with an attendant. Using a check list, we assessed the level of anxiety, labor pain, newborn's first- minute apgar , the onset of breastfeeding and childbirth satisfaction from beginning to end of labor, and analyzed the data by SPSS-16 software, using t-tests and Chi-square.
Results: Our findings show that the support given by an attendant during childbirth significantly decrease the level of anxiety, early start of breastfeeding and increased mother's satisfaction of childbirth(p<0/05). There is no significant difference between two groups on length of active phase, duration of second phase of childbirth and apgar of the first minute.
Conclusion: According to results, we conclude that being an attendant near parturient can bring about childbirth satisfaction , decreased anxiety, and early start of breastfeeding.
Key words: Attendant, Delivery process , Anxiety, Satisfaction
Mr Hamid Hojjati, Mis Golnaz Koochaki, Mis Akram Sanagoo,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective : Ageing is a sensitive period of life, and attention to the needs and an issue of this stage is a social necessity. The loneliness caused by lack of social relationship impacts on physical health, quality of life and life satisfaction of the elderly. Because of importance of this problem, we aimed at determining the relationship between loneliness and life satisfaction in elder people.
Material and Methods : In study descriptive-correlational study, 100 senior citizens living in Gorgan and Gonbad were selected via purposive sampling. We collected the data by loneliness and life satisfaction questionnaires and analyzed by descriptive statistics, Wilcoxon test, and Spearman correlation coefficient.
Results: The mean and SD (14±6) of loneliness are high and of life satisfaction are average (24±7). Based on spearman, the correlation between loneliness and life satisfaction is significant (p<0.01, r= 0.6). Also, there is significant difference between life satisfaction and education al level (p<0.01 ( .
Conclusion: In line with this study clarified the effect of loneliness on life satisfaction, we recommend having continual contact with the elderly to recognize their social relationships and beliefs, family and health staff training about aging to enhance the perceptive interactions and designing some educational, therapeutic and rehabilitation programs.
Keywords: Loneliness ، Life satisfaction ، Elderly
Dr Akram Sanagoo, Moslem Hesam,
Volume 9, Issue 2 (1-2013)
Abstract
Background and objective : The academic under-achievement is one of the problems in educational systems of all countries, which is accompanied by several emotional, psychological, familial and social consequences. The aim of this study was to assess the academic satisfaction and the factors associated with under-achievement in students of Golestan University of Medical Sciences, 2008-2010.
Material and Methods: This descriptive-analytic study was conducted on 1393 students selected via census in 2008-2010. Of these, 80 students had under-achievement criteria were selected. The demographic data and the data related to education and academic satisfaction were gathered by a valid and reliable questionnaire (α=0.87) and analyzed by using descriptive statistics and Chi-square.
Results: The students are between 19-39 years. the highest under-achievements are relatedto medical (45.3%), nursing (17.3%) and environmental health students(10.7%).Their academic satisfaction is reported good (20%), moderate (8%) and weak(72%).There is significant relation between academic satisfaction and the variables such as their father s occupation(P=0.019), family support(P=0.01) and the communication with counselor (P=0.01).
Conclusion: Based on the results, it seems that family support and optimal teacher-student relationship along with facilities and educational opportunities can be effective in improving the educational status and promoting the educational satisfaction.
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Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Fulfilling the needs of ICU patients' families plays a significant role in their satisfaction. Since having information is one of the most important needs, we aimed to investigate the effectiveness of family-center support in satisfaction of information among families of patients undergone open heart surgery.
Material and Methods: In this clinical trial, 64 family member caregivers of patients undergone open heart surgery in Amiralmomenin hospital, Golestan province, were selected via convenience sampling and divided into intervention and control groups. In intervention group, the informational support including ICU orientation tours, educational sessions and educational pamphlets was given while in control group just routine information. The satisfaction of information in caregivers was measured by a researcher-made questionnaire in the day of discharge from ICU and data was analyzed using independent T-test.
Results: The mean satisfaction in intervention and control groups was 82. 3±8.66 and 53.2±11.13, respectively. The difference was statistically meaningful (P<0.0001).
Conclusion: Informational support could increase satisfaction of information in the families of the patients undergoing open heart surgery.
Mahtab Salimi, Dr Hamid Reza Arasteh, Dr Ali Reza Kia Manesh , Dr Parivash Jafari,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Successful transformation needs successful equipment and university should maintain it’s authority, credit, competency and necessity of it’s entity by planning organizational culture is an independent variable in organizational studies and Planning Process. The organizational culture in nursing colleges on job satisfaction of faculty members and effectiveness leadership can be effective factor to give more ability to nursing students. In the base of this fact, This study peid attention to assessment of organizational culture components and job satisfaction of faculty members and leadership effectiveness in nursing colleges.
Material and Methods: This description study is accomplished on 230 members of full time nursing faculty in Islamic Azalea University, with the use of group sampling method. Cameron and Quinn (2006) organizational culture assessment questionnaire is used for culture assessment and specter Jss criteria (1997) of job satisfaction are used for job satisfaction assessment and realized leadership questionnaire is used for leadership effectiveness assessment. In processing of discovering factor, with the use of main parameters study method, the factor structure of questionnaire was reviewed.
Results: The results of discovering and confirming process show that reviewed parameters in organizational culture questionnaire, job satisfaction, and leadership effectiveness have a high explainatory power and with consider of emphatic agent process and resulted Barazandegy Criteria, This questionnaire have a high potential to assess organizational culture, and job Satisfaction of faculty members and leadership effectiveness.
Conclusion: We can used the results of this research in order to plan the effective leadership development of nursing collage management.
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Dr Borzoo Amirpour, Ali Zakie, Dr Maryam Kalhornia Golkar ,
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Alexithymia is a personality trait associated with difficulties in emotion recognition, regulation and emotional processing. However, in the field of health and care, emotions and affects play an important role in the relationship between specialists and patients, and in general, life satisfaction. This study aimed at determining the relationship between balanced emotional empathy and life satisfaction and Alexithymia in Nurses, midwives and operating room technicians.
Material and Methods: This cross-sectional study was undertaken on 300 Nurses, midwives and operating room technicians selected via stratified random sampling in Kermanshah and Hamadan provinces, 2012.the instruments were Emotional Empathy Scale of Mehrabian & Epstein, Life Satisfaction Scale of Diener et al and Toronto alexithymia scale. Using SPSS-18, the data was analyzed by analysis of variance (ANOVA), Pearson correlation and simple linear regression.
Results: The results indicated that the mean score of alexithymia in midwives (62.19±11.66), life satisfaction in nurses (50.4±85.13) and emotional empathy in nurses (40.12 ± 95.100) was higher. The results showed that both life satisfaction (r=-0.13, P<0.05) and balanced emotional empathy (r=-0.16) had negative significant correlation with alexithymia (p<0.05). Based on regression analysis, life satisfaction (&beta =-0.18) and balanced emotional empathy (&beta =-0.15) were the negative significant predictors of alexithymia.
Conclusion: Given the results, we recommend considering the role of empathy in healthcare settings and the enhancement of life satisfaction among hospital staff.
Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.
Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.
Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.
Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.
Mina Amiri, Hamid Alavi Majd ,
Volume 14, Issue 1 (11-2017)
Abstract
Background: Health system is seeking to provide health services for people by creating the desirable culture and climate, in which, human resources are ready to provide the effective and high quality services. This study aimed to investigate the relationship between organizational culture and job satisfaction of midwives therapeutic, teaching and health centers of Karaj.
Methods: in this cross-sectional study, 200 midwives working in selected training, health and treatment centers of Alborz University of Medical Sciences were randomly chosen. The instruments were Robbins 'self-report organizational culture questionnaire and Herzberg job satisfaction questionnaire. The data was analyzed by Friedman test and Pearson's correlation coefficient.
Results: Most midwives showed average organizational culture and job satisfaction. Pearson correlation coefficient showed a significant and direct relationship between organizational culture and job satisfaction (P>0.001 and r=0.71). Organizational identity and job status had the highest scores of organizational culture and job satisfaction, respectively.
Conclusion: The results show that there is a positive correlation between organizational culture and midwives' job satisfaction. Thus, the desirable organizational culture results in job satisfaction, desirable performance and high efficiency. Organizational culture and the degree of moral stress in working place can affect job satisfaction and desertion ; therefore, making every effort to improve the organizational culture can increase the efficiency of the employees.
Tayebe Ziaei , Marzieh Gorzin , Masumeh Rezai , Nasser Behnampour ,
Volume 15, Issue 2 (7-2018)
Abstract
Introduction: Sexual satisfaction is an important indicator of sexual health and is strongly associated with satisfaction of interpersonal relationships. Self-awareness refers to pay attention to the thoughts, feelings, and it is the introduction of interpersonal relationships. Due to this relationship,a study was conducted to determine the impact of individual counseling based on self-awareness skills on sexual satisfaction in women of reproductive age of Gorgan, Iran.
Methods: An interventional study was conducted as a field trial on 76 women of reproductive age referred to Gorgan health centers in the fall of 1395. The samples were availablility selected and randomly divided into intervention and control groups. In the first step, the Hudson Sexual Satisfaction Persian Questionnaire were completed by all women. Then,the women in the intervention group were consulted with six sessions of individual counseling based on self-awareness skills intervention. One month after counseling, both post-tests were performed in both groups. Variables with T-student and Mann - Whitney using SPSS 16 software were analyzed.
Results: There was no statistically significant difference between mean score of sexual satisfaction before intervention between two controls (103.21 ± 10.15) and intervention groups (102.36 ± 10.00). But, there was a statistically significant difference between mean score of sexual satisfaction after intervention; 103.39 ± 10.04 for the control group and 112.1 ± 7.97 for the intervention group (P-Value<0.0001).
Conclusion: The results show that to increase sexual satisfaction promoting the awareness about sexual issues is not the only solution, but also promoting the self-awareness skills via recognizing their positive and negative characteristics is necessary. Hence, healthcare providers can use individual counseling based on self-awareness skills to increase sexual satisfaction.
Farhad Mahbobkhah, Yusef Beigzadeh,
Volume 15, Issue 2 (7-2018)
Abstract
Background and objectives: According to the current situation, entrepreneurship and innovation are essential for organizations seeking to survive and work. So Presentation of the Structural Model of Psychological Characteristics of Nurses' Entrepreneurship Based on the Power Resources of Managers and the Mediating Role of Job Satisfaction at Miandoab city hospitals.
Methods: this correlation study was conducted through a survey. The statistical population of this study included all nurses of Fateme Hospital and Abbasi Miandoab Hospital in 2017. A statistical sample of Cochran formula was selected from 152 nurses by stratified random sampling from the statistical population. Data were collected by Hinkin and shriykhm questionnaire(1989) and questionnaires measuring psychological characteristics were entrepreneurial nurses, Whose validity and reliability were confirmed by relevant tests. In order to analyze the data, structural equation modeling based on partial Maximum squares was used.
Results: The results showed that power resources of managers has a positive and negative effects on nurses entrepreneurship
() and a positive influence on job satisfaction of nurses
) It also was found that job satisfaction effects positively on nurses entrepreneurship
). Therefore, according to the findings, the role of mediating job satisfaction on the relationship between managers' power and entrepreneurship characteristics of nurses was confirmed.
Conclusion: According to the results, Hospital managers can by used from the findings of this study, use of power resources and increase job satisfaction among nurses has caused and strengthen entrepreneurial behavior and entrepreneurial spirit of its nurses And consequently guarantee the success and prosperity of the organization.
Shahla Biglar , Abolhassan Rafiee , Maryam Puryaghoob, Fariba Sharafi , Fatemeh Moghaddam, Zahra Nisari,
Volume 16, Issue 2 (11-2019)
Abstract
Background: The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).
Methods: The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.
Results: The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).
Conclusions: According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.
Roghayeh Haji Gholikhani, Fatemeh Seifi, Mohammad Sadegh Montazeri, Naser Behnampour,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Drug addiction is one of the most significant psychosocial disorders. According to studies, considering the increasing prevalence of this problem, Education, with Creating Supportive environment to reduce Sustained injuries the family members with an Addict Is felt More than ever. Thus a study was conducted to determine the effectiveness of communication skills training on marital satisfaction in Wives of Men are in Drugs Withdrawal Period in Gorgan.
Methods: This randomized controlled field trial was performed on 40 patients. The Code of Ethics is IR.GOUMS.REC.1397.068. Samples were included in the study with a set of criteria (leaving husbands addicted men, ages 45-18, can read and write, at least one year of living together, single-wives ...). The intervention group was trained in communication skills at the nearest holistic health center of their residence, for 8 sessions (5 to 10 people). The control group received no intervention. Immediately after the end of the eighth session and one month thereafter, both groups completed the Persian Enrich Marital Satisfaction Questionnaire. The data were analyzed using SPSS 16 software and parametric t-test for two independent groups and paired t-test for comparison before and after the intervention and Mann-Whitney test.
Results: The results of this study showed that the mean and standard deviation of quantitative data (age, income, and duration of marriage…) were not significantly different between intervention and control groups (P> 0.05). Also, the results of the comparison of all qualitative data (education, ethnicity, occupation, the type of drug used before Withdrawal Period…) were homogeneous in the intervention and control groups (P> 0.05). The mean and standard deviation of marital satisfaction were significantly different in the intervention group, before (100/11 ± 25/24), immediately after (125/75 ± 12/35) and one month thereafter (114/18 ± 5/63) counseling (P <0/0007). However, the difference of mean and standard deviation of marital satisfaction were not significant in the control group, before (98/65 ± 14/41), immediately after (95/35 ±15/51) and one month thereafter (93/15 ± 16/35) counseling (P> 0.05).
Conclusions: According to the results of the study, Communication Skills Training can improved the Marital Satisfaction in Wives of Men are in Drugs Withdrawal Period in most subscales.Therefore, and further studies are suggested to increase the skills of families of addicts.who are leaving.
Masoomeh Kheirkhah , Raze Hakimi ,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Lack of information in marital relationships can be an important factor in sexual dysfunction and dissatisfaction. Many marital problems are caused by dissatisfaction with sex. The lack of awareness in this area is due to marriage in adolescence age and regarding sex as a taboo in religious, cultural and social matters. In such cases, it may be appropriate to take advantage of modern teaching methods. Due to the increase in technology, the present study was designed and conducted to determine the role of multimedia education on sexual satisfaction in Afghan refugees’ adolescent women.
Methods: The present study is a quasi-experimental educational intervention in which Afghan adolescent women referred to selected charity centers in Mashhad were selected as the intervention (n = 34) and control (n = 34) using sortation method. Sampling was convenience and women with inclusion criteria brought in the study. Inclusion criteria were Afghan adolescents aged 10-24 years, having ability to communicate in Persian (reading and writing), formal marriage, first marriage and single marriage, residing in Mashhad, Marriage duration of at least one year, no formal and comprehensive sex education, no underlying medical conditions (diabetes, thyroid dysfunction, liver and kidney disease), non-addicted and non-psychiatric couples, lack of stress experiences in the last 3 months, no pregnancy, abortion, or delivery in the last 3 months, living with spouse in a shared home at the time of research, having sex with spouse, accessing a computer or CD player, and knowing how to use these devices or having access to the person helping the participant to use them. First, the participants completed the demographic characteristics Questionnaire and Sexual Satisfaction Questionnaire. The second questionnaire had 25 questions (13 negative and 12 positive answers) which were answered by likert scale of 1 to 7. The overall scores` range was from 25 to 175 and it categorized sexual satisfaction in three level: low level (score between 25 and 67), moderate level (score between 67 and 100) and high level (score above 100). To assess the validity of the questionnaire, face validity was approved by a survey of 6 midwifery experts and then the content validity was evaluated by 14 experts to assess the simplicity, clarity, necessity, relevance and importance. The results of the data analysis indicated that all the questions were simple and clear. The index for the whole instrument was 0.91, indicating that the instrument was content valid. By calculating the CVR index for each item, the lowest value was 0.57, and according to the Lauvche table, the allowable value for this index was 0.51, and all the questions were sufficiently valid. Test-retest method was used to evaluate the reliability of the tool. The questionnaires were given to 20 members of the study population who were not present in the study sample and after two weeks the questionnaires were again completed by the subjects; correlation coefficients were 0.79. The intervention program consisted of 4 sessions (every session was 60-minute) and 4 CDs provided to the intervention group every week to be observed during the week. Delivering subsequent educational content to participants was based on the researcher's assurance of viewing previous educational content and it was proved by asking a few questions about those contents. All educational contents were first collected by the researcher from various books about sexual subject and finally approved by a qualified professor in this field from the viewpoint of psychology. Control group participants received routine charity programs. The sexual satisfaction questionnaire was completed again at the end of training (4 weeks) and 8 weeks after the beginning of the study. After checking the data normality for data analysis and descriptive statistics such as adjusting frequency distribution tables, calculating numerical indices and inferential statistics of chi-square, independent t-test, paired t-test, One-way analysis of variance was used.
Results: The mean ± SD of the intervention group age was 22.88 ±1.200 and for the control group was 22.44 ± 1.637. 15 and 12 participants in the intervention and control group, respectively, had undergraduate education. 20 and 22 participants had high school diploma or higher. Before the intervention, sexual satisfaction was not significantly different between two groups (P = 0.729), while it increased significantly at week 4 (P = 0.013) namely 8 weeks after the intervention (P <0.001). In the intervention group, the mean of sexual satisfaction was 130.11 ± 24.54 which subsequently increased to 140.50 ±20.51 after intervention and 148.35 ± 18.88 8 weeks after intervention which in turn indicates the persistence of information. There was also an increase in scores of participants. In the control group, the mean sexual satisfaction was 128.82 ± 19.88 in the first week, 128.26 ± 19.57 in the fourth week and 128.41 ±19.65 in the 8th week which showed no significant difference.
Conclusions: Due to the nature of sex education which is associated with shame, using multimedia method was more effective and cost-effective. This method also does not need face-to-face visits and improved the sexual satisfaction of adolescent Afghan refugee women therefore it can be used in sex education for Afghan couples.
Zhila Khaniabad , Hasan Amiri, Keyvan Kakabraee ,
Volume 18, Issue 1 (5-2021)
Abstract
Background: The Iran-Iraq War has left many consequences on veterans and their families over the years and it has potentially affected the veterans' quality of life. The present study aimed to determine the mediating role of marital satisfaction and perceived social support in the relationship between spiritual attitudes and quality of life in psychiatric veterans in Kermanshah province, Iran.
Methods: The present cross-sectional study had a structural equation modeling performed on all psychiatric veterans under the protection of Martyr and Veterans Affairs of Kermanshah province in 2018. We used the simple random sampling method, and selected 10 to 15 samples for each parameter according to the rule of thumb; hence, the sample size was 280. We collected data using The World Health Organization Quality of Life-BREF (WHOQOL-BREF), the Spiritual Attitude Scale, and the Multidimensional Scale of Perceived Social Support. Furthermore, we utilized the bootstrap method to evaluate the significance of indirect relationships (paths) and mediation effects. We performed all analyses of the structural equations using AMOS 22.
Results: The results indicated that the direct effects, and factor loadings of indicators on the latent variables of the model were significant at an alpha level of 0.05. Direct coefficients of spiritual attitude on marital satisfaction (β =0.45, P= 0.001) and spiritual attitude on perceived social support (β =0.14,P= 0.05) were positive and significant. Spiritual attitude had a positive and significant effect on the quality of life through marital satisfaction and perceived social support (β =0.22, P= 0.001).
Conclusion: The results showed that spiritual attitudes increased the veterans' quality of life through mediating variables, namely marital satisfaction and perceived social support.
Tanaz Mehrab-Mohseni, Shahzad Pashaeypoor, Shima Nazari, Farshad Sharifi,
Volume 20, Issue 1 (4-2023)
Abstract
Background: Self-care is an indicator of power and independence among older adults. Family can increase older adults’ motivation and desire for engagement in self-care activities. This study aimed to determine the effects of self-care education based on the family-centered empowerment model (FCEM) on functional independence and life satisfaction among community-dwelling older adults.
Methods: This randomized clinical trial was conducted on 126 community-dwelling older adults from local sociocultural centers in 2021. They purposively recruited and randomly allocated to control (n = 63) and intervention (n = 63) groups. The intervention group received FCEM-based self-care education in six 1.5-hour weekly sessions. The education focused on the physical, psychoemotional, social, and spiritual aspects of self-care and was based on the 4 steps of FCEM: perceived threat, problem-solving, educational participation, and evaluation. Katz Index of Independence in Activities of Daily Living (Katz ADL Index) and Zest Life Satisfaction Index were respectively used for independence and satisfaction assessments before and 8 weeks after the study intervention. The data were analyzed using SPSS version 16 and through the Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon, and chi-square tests.
Results: The mean age was 67.57 ± 4.62 years in the intervention group and 67.08 ± 4.62 years in the control group. There were no significant differences between the intervention and control groups respecting the pretest mean scores of life satisfaction (16.54 ± 4.46 vs 16.68 ± 4.23; P = 0.963) and functional independence (4.78 ± 1.15 vs 5.11 ± 1.00; P = 0.107). The posttest mean score of functional independence was also insignificant (5.52 ± 0.692 vs 5.24 ± 0.911; P = 0.92) between the 2 groups. However, the Mann-Whitney U test showed that the posttest mean score of life satisfaction was significantly greater in the intervention group than in the control group (18.95 ± 4.36 vs 16.13 ± 4.41; P = 0.001).
Conclusion: FCEM-based self-care education effectively improves life satisfaction among community-dwelling older adults.
