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Showing 12 results for Counseling
Tayebe Ziaei , Marzieh Gorzin , Masumeh Rezai , Nasser Behnampour ,
Volume 15, Issue 2 (7-2018)
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.
Azadeh Arasteh, Rhoghieh Kharaghani,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Unplanned pregnancy challenges maternal adaptation process, which can disrupt Maternal Fetal Attachment and increase maternal and infant physical and mental symptoms determining the effectiveness of Cognitive Counseling on Maternal Fetal Attachment of women with unplanned pregnancy.
Methods: The study was a randomized controlled trial in health care centers in Zanjan, Iran in 2018. Among the mothers with inclusion criteria, 54 mothers were selected with convenience sampling and were divided into intervention (27 person) and control (27 person) groups with blocked randomization (combine two and four person block). The inclusion criteria comprised having unplanned pregnancy, satisfaction to participate in the study, lack of obstetric complications, psychological disease and medication use, gestational age less than 14 weeks, lack of known psychological disease, being married and living with their husbands, having an alive mother, lack of narcotic substance abuse in women or their husbands, and at least attaining secondary education. Exclusion criteria included the unwillingness to continue the cooperation in the study, non-participation in two or more than two sessions, occurrence of any pregnancy complications or disease, occurrence of any stressor event or accident during the study and incompleteness of the questionnaires. The intervention group received eight sessions 90-60 minute (one session per week) under cognitive group counseling based on pregnancy adaptation stages. The control group received usual care. Furthermore, this group received intervention, pamphlets, and training packages at the end of the study. Data collection tool included demographic checklists, Cranley’s Maternal Fetal Attachment questionnaire, completed at baseline, immediately after intervention, and one month after the last session by self-report method. The data of this study were analyzed by appropriate statistical tests by SPSS v.16 software.
Results: At baseline, Maternal Fetal Attachment scores did not show significant differences between the two groups (intervention group 56±6.28 and control group 57.70±3.39). Regarding post-test (intervention group 84(2) and control group 55(4.50)) and regarding the one-month follow-up period (intervention group 84(3.50) and control group 57(4.75)), median (inter quartile range) of Maternal Fetal Attachment scores were significantly higher in the intervention group than the control group (P<0.001).
Conclusions: Cognitive counseling in mothers with unplanned pregnancy improves maternal fetal attachment. Therefore, it is recommended that the maternal fetal attachment should enhance in unplanned pregnancies, followed by the child's psychological health, and educational and counseling measures. This intervention can be recommended as a striking solution that can be applied by trained midwives in developing countries.
Zeinab Hamzehgardeshi, Zohreh Shahhosseini, Farzaneh Babapour,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background:Attachment is a lasting psychological relationship between two people which is formed in the first two years of one's life. It has two types of secure and insecure attachment. The insecure type is separated into anxiety-ambivalent and avoidant, each causing problems for children and their families. Counseling families with attachment problems will lead to higher levels of secure attachment in their children, so these families need to be more aware of effective counseling approaches to correct their children's insecure attachment. Therefore, the aim of this study is to review children's attachments and the impact of counseling approaches on them.
Methods: This review study utilized Persian keywords attachment, child and counseling at SID and Magiran databases, and English equivalent verbs extracted from Mesh-PubMed, including Parent-Child Relation, Counseling Child, and Attachment, in the database. Searches from Web of Science, Science direct, Medline-PubMed, Scopous, and Google scholar search engine from 2010 to 2019 between February and March 2018. By eliminating duplicates using End Note software and then screening at title level, abstract and full text finally 7 English and 6 Persian articles were entered and evaluated using Jadad Scale.
Results: Between 13 articles, 9 were quasi-experimental and 4 were clinical trials. Four common treatment approaches for families with attachment problems have been found . The first approach is psychoeducation, which focuses on enhancing parent/caretaker knowledge and includes positive behavior management techniques, assisting the parent-child relationship, and improving child conflict. The second approach, parent and child psychotherapy, aims to overcome negative interpersonal patterns in children. The third approach is group education to parents /caretaker to encourage consistent behaviors at home, school, and community; and the fourth is group play therapy for early school-age children to change their insecure attachment to secure attachment.
Conclusion: Identifying children with attachment problems and then using counseling approaches can improve insecure attachment and increase secure attachment.
Zohreh Shahhosseini , Zeinab Hamzehgardeshi , Souri Soleimani ,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Endometriosis refers to the presence of endometrial tissue (endocrine glands and stroma) outside of the uterine cavity. The prevalence of this disease is approximately 10% of women in the general population. Since there is no definitive treatment for endometriosis, medical and surgical treatment often reduces more symptoms and it prevents the progression of the disease while each of them encompasses a special side effect. CAM treatments (Complementary and Alternative Medicine) are non-pharmacologic interventions that reduce pain and mood disorder and also help to improve women's quality of life through mind and body interventions. The aim of this study was to address non-pharmacological interventions in endometriosis pain management.
Methods: This study was a review that for compile this article, at first search was done in Google Scholar database and more specifically in Persian databases such as Scientific Information Database (SID), Magiran, Iranmedex and English databases like PubMed, Springer, Scopus, Web of Science, Science Direct with key words such as endometriosis, chronic pelvic pain, hypnotisis, cognitive behavioral therapy and massage and articles related with the topic of this article were searched from 2000 to 2017. A total of 400 articles were searched that in abstract screening stage 122 articles were deleted due to being duplicate and 256 articles were deleted due to the lack of relevance with the objectives of the study and finally after reviewing the full text of articles, 22 articles were used for writing this study.
Results: The results of reviewing studies regarding the non-pharmacological treatments methods for endometriosis were organized in 6 main categories. 1. Moxibustion, a traditional Chinese medicine that involves of moxa at specific points of the body, 2. Medicinal herbs such as Astragalus, Ginkgo and Ginseng, 3. Massage therapy, 4. Psychological interventions such as cognitive-behavioral therapy, 5. Acupuncture, such as ear and body acupuncture, 6. Chinese Enema.
Conclusions: It seems that non-pharmacological treatments reduce the pain score in patients with endometriosis. These treatments can be proposed as common methods to treat patients with painful conditions of reproductive system including endometriosis. However, further studies on this issue should be conducted with larger samples with specified pain conditions.
Seyede Mahshid Seyed Hoshiyar, Elham Khoori , Mahin Tatari , Tayebe Ziaei,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Menopause is a physiologic and natural period in women’s lives. Available solutions to improve quality of life include counseling interventions. Thus, present study has been performed with the purpose of evaluating the effects of self -awareness-based counseling on quality of life of postmenopausal women in Gorgan during 2018.
Methods: The present study is a clinical trial including two groups of pretest and posttest. Stratified sampling was performed by appropriate allocation of the selection and straw poll and 52 postmenopausal women placed in two groups of control and intervention. In order to prevent probable exchange of information between the two groups, at first the control group filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, and after 6 and 10 weeks. The intervention group, also, filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, after 6 sessions of self-awareness counseling and one month after termination of the sessions. Finally, the data were analyzed by SPSS16 software and Anova analysis testing method with repeated measures.
Results: There was a significant statistical difference in mean score of quality of life in menopause and its various dimensions in the intervention group during three times studied. However, there was no statistical difference in the control group. In the intergroup comparisons of the two groups, a significant statistical difference was observed in mean score of quality of life and its various dimensions except for psychosocial dimension.
Conclusions: Self-awareness-based counseling will cause in improvement of life quality. Therefore, self-awareness-counseling should be used in healthcare centers to promote postmenopausal women’s quality of life.
Methods: The present study is a clinical trial including two groups of pretest and posttest. Stratified sampling was performed by appropriate allocation of the selection and straw poll and 52 postmenopausal women placed in two groups of control and intervention. In order to prevent probable exchange of information between the two groups, at first the control group filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, and after 6 and 10 weeks. The intervention group, also, filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, after 6 sessions of self-awareness counseling and one month after termination of the sessions. Finally, the data were analyzed by SPSS16 software and Anova analysis testing method with repeated measures.
Results: There was a significant statistical difference in mean score of quality of life in menopause and its various dimensions in the intervention group during three times studied. However, there was no statistical difference in the control group. In the intergroup comparisons of the two groups, a significant statistical difference was observed in mean score of quality of life and its various dimensions except for psychosocial dimension.
Conclusions: Self-awareness-based counseling will cause in improvement of life quality. Therefore, self-awareness-counseling should be used in healthcare centers to promote postmenopausal women’s quality of life.
Razieh Karrabi , Maryam Farjamfar, Foroughossadat Mortazavi, Ali Mohammad Nazari, Shahrbanoo Goli,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Pregnancy is one of the enjoyable and evolutionary aspects of women’s lives. In addition to being enjoyable, pregnancy is usually stressful. Counseling is one of the most appropriate interventions for decreasing worries and anxiety. Solution-focused counseling is a short-term treatment which focuses on positive and healthy aspects of liferather than problems and illnesses. In this regard, instead of focusing on shortcomings and disabilities, the therapist focuses on resources and abilities of the clients. This study was conducted to determine the effect of solution-focused counseling group therapy on pregnant women’s worries.
Methods: This clinical trial was performed on 108 pregnant women who met the inclusion criteria: mothers aged 15-45, first pregnancy, gestational age of 6 to 19 weeks, reading literacy and worry score ≥ 55, from May to September 1397. The study was conducted at Sabzevar University of Medical Sciences and Reyhaneh Beheshti Obstetrics Consultation Center.
The subjects were randomly assigned to 4 blocks in two groups namely intervention group (5 sessions of solution- focused consultation) and control group regarding prenatal care (individual and psychological health education, sex, nutrition, breastfeeding, etc ...). Demographic and obstetric information were completed before the intervention. Concerns of pregnant women were evaluated before, after, and two months after the intervention with the Farsi Cambridge Worry Scale. This scale measures pregnant women's concerns about social medical status, socioeconomic status, maternal and neonatal health, childbirth, and relationship with spouse and others. There were graded scales on a 6-point Likert scale including: “not worried” (0) to “I am deeply concerned about” (6). The data were analyzed using t-test, chisquare, and repeated measure analysis of variance through SPSS software version 22. A P value less than 0.05 was considered as statistically significant.
Results: The mean score of women’s worries before the beginning of the study in the intervention and control group were (58.9 ± 5.9) and (58.8 ± 4.37) respectively. After intervention, these values were 34/6 ± 3.13 and 57.7 ± 8.78. Two months after the study, these values were 31.1 ± 10.1 and 54.6 ± 10.9 respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships significantly reduced after the intervention and two months later. Women’s worries regarding socioeconomic issues did not significantly reduce after the intervention and two month later in comparison with the control group )p = 0/563).
Conclusions: A solution- focused consultation is an effective way to reduce pregnant women's concerns about maternal, maternal health, delivery, and family relationships and can be used in conjunction with pregnancy care.
Methods: This clinical trial was performed on 108 pregnant women who met the inclusion criteria: mothers aged 15-45, first pregnancy, gestational age of 6 to 19 weeks, reading literacy and worry score ≥ 55, from May to September 1397. The study was conducted at Sabzevar University of Medical Sciences and Reyhaneh Beheshti Obstetrics Consultation Center.
The subjects were randomly assigned to 4 blocks in two groups namely intervention group (5 sessions of solution- focused consultation) and control group regarding prenatal care (individual and psychological health education, sex, nutrition, breastfeeding, etc ...). Demographic and obstetric information were completed before the intervention. Concerns of pregnant women were evaluated before, after, and two months after the intervention with the Farsi Cambridge Worry Scale. This scale measures pregnant women's concerns about social medical status, socioeconomic status, maternal and neonatal health, childbirth, and relationship with spouse and others. There were graded scales on a 6-point Likert scale including: “not worried” (0) to “I am deeply concerned about” (6). The data were analyzed using t-test, chisquare, and repeated measure analysis of variance through SPSS software version 22. A P value less than 0.05 was considered as statistically significant.
Results: The mean score of women’s worries before the beginning of the study in the intervention and control group were (58.9 ± 5.9) and (58.8 ± 4.37) respectively. After intervention, these values were 34/6 ± 3.13 and 57.7 ± 8.78. Two months after the study, these values were 31.1 ± 10.1 and 54.6 ± 10.9 respectively. The analysis of variance with repeated measurements showed that pregnant women’s concerns about childbirth, fetal health, maternal health, and family relationships significantly reduced after the intervention and two months later. Women’s worries regarding socioeconomic issues did not significantly reduce after the intervention and two month later in comparison with the control group )p = 0/563).
Conclusions: A solution- focused consultation is an effective way to reduce pregnant women's concerns about maternal, maternal health, delivery, and family relationships and can be used in conjunction with pregnancy care.
Aniseh Pourrasmi Mamaghani, Mohammadhiwa Abdekhoda, Parvin Bastani Alamdari, Masoud Mohammadi,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: The rate of cesarean delivery in Iran is four times higher than the standard defined by the World Health Organization. Information counseling is a method for providing accurate information and helping primiparous women to make evidence-based decisions. This research was conducted to determine the effect of information counseling on decision making process of delivery.
Methods: This was a before and after clinical trial in which 120 pregnant women in the 28thweek of the pregnancy with no indication of cesarean sections (CS) and a health record were included. Sample size was calculated using cluster sampling and the formula n= (〖(Z_(α⁄(2- Z_(β ) )) )^2 δ〗^2 )/d^2 . The sample size was approximately 63 individuals. To correct the effect of cluster sampling, the calculated sample volume was multiplied by a factor of 1.4. To further validate the data, the number reached 120. Data gathering tool was a questionnaire designed based on reviewing previous studies and considering the purpose of the study whose validity and reliability were measured. The questionnaires were given to the women in two stages at week 28 and week 36. The interventions were in the form of packages containing brochures and information booklet on the benefits and disadvantages of natural childbirth and cesarean section in addition to training sessions taught by a midwifery specialist. Pros and cons of vaginal and cesarean modes of delivery were presented by training sessions. Women's preferential delivery mode were measured by a pre- and post- questionnaires and follow-up. After data collection, the analysis was performed at two levels of descriptive and inferential statistics. Finally, data were analyzed by SPSS16using t-test.
Results: The findings showed that the main indicators for determining the type of delivery, including awareness about delivery, making decision for delivery mode, understanding the risks of delivery mode, and self-efficacy were significantly associated with educational intervention and counseling (P<0.01). In the pre-intervention phase, 66.7% of women had normal delivery and 33.3% had cesarean section. After intervention, with a significant increase in choosing normal delivery, 78.4% chose natural childbirth and 15.3% chose cesarean section as the best option for delivery. Follow-up results after educational intervention showed that 44.2% of participants in this study performed normal delivery and 50% cesarean section. 8.5% were excluded from the study for certain reasons. After reviewing the results, it was found that encouraging physicians’ team to cesarean section was the main and primary cause of cesarean.
Conclusions: The implementation of information counseling has a great effect on encouraging women to change their decision patterns and self-making decision for VD maternity and reducing CD. However, in practice, certain factors, especially the constant recommendation of physicians’ team to CD as a programmable and convenient delivery, undermine the role of these interventions.
Methods: This was a before and after clinical trial in which 120 pregnant women in the 28thweek of the pregnancy with no indication of cesarean sections (CS) and a health record were included. Sample size was calculated using cluster sampling and the formula n= (〖(Z_(α⁄(2- Z_(β ) )) )^2 δ〗^2 )/d^2 . The sample size was approximately 63 individuals. To correct the effect of cluster sampling, the calculated sample volume was multiplied by a factor of 1.4. To further validate the data, the number reached 120. Data gathering tool was a questionnaire designed based on reviewing previous studies and considering the purpose of the study whose validity and reliability were measured. The questionnaires were given to the women in two stages at week 28 and week 36. The interventions were in the form of packages containing brochures and information booklet on the benefits and disadvantages of natural childbirth and cesarean section in addition to training sessions taught by a midwifery specialist. Pros and cons of vaginal and cesarean modes of delivery were presented by training sessions. Women's preferential delivery mode were measured by a pre- and post- questionnaires and follow-up. After data collection, the analysis was performed at two levels of descriptive and inferential statistics. Finally, data were analyzed by SPSS16using t-test.
Results: The findings showed that the main indicators for determining the type of delivery, including awareness about delivery, making decision for delivery mode, understanding the risks of delivery mode, and self-efficacy were significantly associated with educational intervention and counseling (P<0.01). In the pre-intervention phase, 66.7% of women had normal delivery and 33.3% had cesarean section. After intervention, with a significant increase in choosing normal delivery, 78.4% chose natural childbirth and 15.3% chose cesarean section as the best option for delivery. Follow-up results after educational intervention showed that 44.2% of participants in this study performed normal delivery and 50% cesarean section. 8.5% were excluded from the study for certain reasons. After reviewing the results, it was found that encouraging physicians’ team to cesarean section was the main and primary cause of cesarean.
Conclusions: The implementation of information counseling has a great effect on encouraging women to change their decision patterns and self-making decision for VD maternity and reducing CD. However, in practice, certain factors, especially the constant recommendation of physicians’ team to CD as a programmable and convenient delivery, undermine the role of these interventions.
Zara Ordoniavval , Soheila Rabiei Poor, Tahereh Behroozilak, Marzieh Areffi,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: For many people, infertility is a major critical factor in psychological stress that can cause many negative psychological reactions, so the present study were doing to investigate the effect of collaborative counseling (model on reproductive health) on stress of adopting a childless lifestyle in Infertile women .
Methods: This study was licensed under Umsu.rec.1393.185 dated 20/8/1393 from the Ethics Committee of Urmia University of Medical Sciences and was registered under clinical trial database IRCT2014112220045N1.
In this study, 50 infertile women aged 20-45 years with at least one year infertility referring to Kosar infertility clinic of Urmia city were selected by convenience sampling method and randomly divided into two control groups and intervention Inclusion criteria were:
Be Iranian.
Reside in Urmia.
Be 20-45 years old.
Be literate.
Her husband has no other spouse.
Don't have adopted children.
Not currently suffering from neurodegenerative diseases and not using nerve medications.
Not be part of health or treatment personnel or graduates of medical sciences, psychology or counseling.
In the past six months, she has not had a stressful (deaths of first-degree relatives, accident, bankruptcy, severe illness or illness).
Not suffering from medical conditions (heart, lung, diabetes, hypothyroidism, epilepsy).
The tool of the study was the Newton Infertility Stress Questionnaire, which included a 46-item multidimensional questionnaire developed by Christopher Nutten in 1999 at the Canadian Health Sciences Center and used to measure specific infertility stress in infertile individuals. The questionnaire was administered in five subscales including 10 questions of social stress, 8 questions of sexual stress, 10 questions of communication stress, 10 questions of parenting, and 8 questions of acceptance of a childless life. The total stress score is obtained by summing the scores of the five subscales. The answers are arranged in a Likert manner, with 6 points ranging from strongly disagree to strongly disagree, with scores ranging from 1 to 6. -30-31-32-33-34-35-36-37-43 Do the reverse. The minimum score for this test is 46 and maximum is 276. An increase in the score of this test indicates an increase in the perceived stress of infertility in infertile persons. The validity and reliability of the Newton Infertility Stress Questionnaire in Iran has been assessed by Alizadeh (2005). In this study only the sexual dimension results are mentioned. Due to the long duration of the intervention (approximately 3 months) and the probability of the research units being linked to the control and intervention groups to prevent dissemination of information between the research units, the executive task was divided into two parts, the first phase was assigned to the control group and the researcher contacted by telephone. Individuals were required to complete a pre-test with the Newton Infertility Stress Questionnaire at each clinic or physician's office, and the questionnaire was completed again two weeks later.
Experimental group consisted of 10 group counseling sessions with one week interval including: infertility counseling session on infertility, treatment and correction of false beliefs and presentation of necessary strategies group counseling session on stress control, problem solving skills and control of infertility irrational thoughts, sexual health . Two weeks after the intervention, the Newton Infertility Stress Questionnaire was again completed for the intervention group and the data were analyzed by SPSS software using version 22 software.
Results: Before the intervention, the mean scores of adoption without children in the intervention group (37.24 ± 6.63) and in the control group (34.35 ± 5.28) were not statistically significant. But after intervention, the mean scores of intervention group (30.05 ± 8.38) and control group (36.39 ± 4.78), respectively. Independent t-test results showed that there was a significant difference between the two groups after intervention. (p=0/0003).
Conclusions: The results of the present study showed that there was a significant difference between the mean scores of stress-free lifestyle before and after the intervention and the intervention resulted in a decrease in stress-free lifestyle acceptance in the study unit.
Methods: This study was licensed under Umsu.rec.1393.185 dated 20/8/1393 from the Ethics Committee of Urmia University of Medical Sciences and was registered under clinical trial database IRCT2014112220045N1.
In this study, 50 infertile women aged 20-45 years with at least one year infertility referring to Kosar infertility clinic of Urmia city were selected by convenience sampling method and randomly divided into two control groups and intervention Inclusion criteria were:
Be Iranian.
Reside in Urmia.
Be 20-45 years old.
Be literate.
Her husband has no other spouse.
Don't have adopted children.
Not currently suffering from neurodegenerative diseases and not using nerve medications.
Not be part of health or treatment personnel or graduates of medical sciences, psychology or counseling.
In the past six months, she has not had a stressful (deaths of first-degree relatives, accident, bankruptcy, severe illness or illness).
Not suffering from medical conditions (heart, lung, diabetes, hypothyroidism, epilepsy).
The tool of the study was the Newton Infertility Stress Questionnaire, which included a 46-item multidimensional questionnaire developed by Christopher Nutten in 1999 at the Canadian Health Sciences Center and used to measure specific infertility stress in infertile individuals. The questionnaire was administered in five subscales including 10 questions of social stress, 8 questions of sexual stress, 10 questions of communication stress, 10 questions of parenting, and 8 questions of acceptance of a childless life. The total stress score is obtained by summing the scores of the five subscales. The answers are arranged in a Likert manner, with 6 points ranging from strongly disagree to strongly disagree, with scores ranging from 1 to 6. -30-31-32-33-34-35-36-37-43 Do the reverse. The minimum score for this test is 46 and maximum is 276. An increase in the score of this test indicates an increase in the perceived stress of infertility in infertile persons. The validity and reliability of the Newton Infertility Stress Questionnaire in Iran has been assessed by Alizadeh (2005). In this study only the sexual dimension results are mentioned. Due to the long duration of the intervention (approximately 3 months) and the probability of the research units being linked to the control and intervention groups to prevent dissemination of information between the research units, the executive task was divided into two parts, the first phase was assigned to the control group and the researcher contacted by telephone. Individuals were required to complete a pre-test with the Newton Infertility Stress Questionnaire at each clinic or physician's office, and the questionnaire was completed again two weeks later.
Experimental group consisted of 10 group counseling sessions with one week interval including: infertility counseling session on infertility, treatment and correction of false beliefs and presentation of necessary strategies group counseling session on stress control, problem solving skills and control of infertility irrational thoughts, sexual health . Two weeks after the intervention, the Newton Infertility Stress Questionnaire was again completed for the intervention group and the data were analyzed by SPSS software using version 22 software.
Results: Before the intervention, the mean scores of adoption without children in the intervention group (37.24 ± 6.63) and in the control group (34.35 ± 5.28) were not statistically significant. But after intervention, the mean scores of intervention group (30.05 ± 8.38) and control group (36.39 ± 4.78), respectively. Independent t-test results showed that there was a significant difference between the two groups after intervention. (p=0/0003).
Conclusions: The results of the present study showed that there was a significant difference between the mean scores of stress-free lifestyle before and after the intervention and the intervention resulted in a decrease in stress-free lifestyle acceptance in the study unit.
Zara Ordoniavval , Soheila Rabiei Poor, Atefeh Yas,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: For many people infertility is a major crisis and cause of psychological stress that can affect emotional stress and many negative psychological reactions including depression, anxiety, worry, anger, shame, jealousy, loneliness, despair and despair, self-esteem. Emotional imbalance, feelings of sexual inadequacy, sexual dysfunction and decreased sexual satisfaction. The relationship between stress and infertility is usually "bilateral and exacerbates each other. Infertility couples who consider themselves to be infertile blame themselves and this situation increases mental stress and thus aggravates the problem, the aim of this study was to investigate the effect of collaborative counseling on sexual stress in infertile women.
Methods: This study was licensed under Umsu.rec.1393.185 dated 20/8/1393 from the Ethics Committee of Urmia University of Medical Sciences and was registered under clinical trial database IRCT2014112220045N1.
In this study, 50 infertile women aged 20-45 years with at least one year infertility referring to Kosar infertility clinic of Urmia city were selected by convenience sampling method and randomly divided into two control groups and intervention Inclusion criteria were:
Be Iranian.
Reside in Urmia.
Be 20-45 years old.
Be literate.
Her husband has no other spouse.
Don't have adopted children.
Not currently suffering from neurodegenerative diseases and not using nerve medications.
Not be part of health or treatment personnel or graduates of medical sciences, psychology or counseling.
In the past six months, she has not had a stressful (deaths of first-degree relatives, accident, bankruptcy, severe illness or illness).
Not suffering from medical conditions (heart, lung, diabetes, hypothyroidism, epilepsy).
The tool of the study was the Newton Infertility Stress Questionnaire, which included a 46-item multidimensional questionnaire developed by Christopher Nutten in 1999 at the Canadian Health Sciences Center and used to measure specific infertility stress in infertile individuals. The questionnaire was administered in five subscales including 10 questions of social stress, 8 questions of sexual stress, 10 questions of communication stress, 10 questions of parenting, and 8 questions of acceptance of a childless life. The total stress score is obtained by summing the scores of the five subscales. The answers are arranged in a Likert manner, with 6 points ranging from strongly disagree to strongly disagree, with scores ranging from 1 to 6. -30-31-32-33-34-35-36-37-43 Do the reverse. The minimum score for this test is 46 and maximum is 276. An increase in the score of this test indicates an increase in the perceived stress of infertility in infertile persons. The validity and reliability of the Newton Infertility Stress Questionnaire in Iran has been assessed by Alizadeh (2005). In this study only the sexual dimension results are mentioned. Due to the long duration of the intervention (approximately 3 months) and the probability of the research units being linked to the control and intervention groups to prevent dissemination of information between the research units, the executive task was divided into two parts, the first phase was assigned to the control group and the researcher contacted by telephone. Individuals were required to complete a pre-test with the Newton Infertility Stress Questionnaire at each clinic or physician's office, and the questionnaire was completed again two weeks later.
Experimental group consisted of 10 group counseling sessions with one week interval including: infertility counseling session on infertility, treatment and correction of false beliefs and presentation of necessary strategies group counseling session on stress control, problem solving skills and control of infertility irrational thoughts, sexual health . Two weeks after the intervention, the Newton Infertility Stress Questionnaire was again completed for the intervention group and the data were analyzed by SPSS software using version 22 software.
Results: Before the intervention, the mean scores of sexual stress dimension in the intervention group (26.52 ± 8.29) and in the control group (23.87 ± 8.08) were not statistically significant. But after intervention the mean scores of intervention group (20.67 ± 6.20) and control group were (78.7 ± 7.45). Independent t-test results showed that there was a significant difference between the two groups after intervention. (P = 0.01).
Conclusions: According to the results of the study, counseling-based intervention has been effective in improving sexual stress in infertile women.
Methods: This study was licensed under Umsu.rec.1393.185 dated 20/8/1393 from the Ethics Committee of Urmia University of Medical Sciences and was registered under clinical trial database IRCT2014112220045N1.
In this study, 50 infertile women aged 20-45 years with at least one year infertility referring to Kosar infertility clinic of Urmia city were selected by convenience sampling method and randomly divided into two control groups and intervention Inclusion criteria were:
Be Iranian.
Reside in Urmia.
Be 20-45 years old.
Be literate.
Her husband has no other spouse.
Don't have adopted children.
Not currently suffering from neurodegenerative diseases and not using nerve medications.
Not be part of health or treatment personnel or graduates of medical sciences, psychology or counseling.
In the past six months, she has not had a stressful (deaths of first-degree relatives, accident, bankruptcy, severe illness or illness).
Not suffering from medical conditions (heart, lung, diabetes, hypothyroidism, epilepsy).
The tool of the study was the Newton Infertility Stress Questionnaire, which included a 46-item multidimensional questionnaire developed by Christopher Nutten in 1999 at the Canadian Health Sciences Center and used to measure specific infertility stress in infertile individuals. The questionnaire was administered in five subscales including 10 questions of social stress, 8 questions of sexual stress, 10 questions of communication stress, 10 questions of parenting, and 8 questions of acceptance of a childless life. The total stress score is obtained by summing the scores of the five subscales. The answers are arranged in a Likert manner, with 6 points ranging from strongly disagree to strongly disagree, with scores ranging from 1 to 6. -30-31-32-33-34-35-36-37-43 Do the reverse. The minimum score for this test is 46 and maximum is 276. An increase in the score of this test indicates an increase in the perceived stress of infertility in infertile persons. The validity and reliability of the Newton Infertility Stress Questionnaire in Iran has been assessed by Alizadeh (2005). In this study only the sexual dimension results are mentioned. Due to the long duration of the intervention (approximately 3 months) and the probability of the research units being linked to the control and intervention groups to prevent dissemination of information between the research units, the executive task was divided into two parts, the first phase was assigned to the control group and the researcher contacted by telephone. Individuals were required to complete a pre-test with the Newton Infertility Stress Questionnaire at each clinic or physician's office, and the questionnaire was completed again two weeks later.
Experimental group consisted of 10 group counseling sessions with one week interval including: infertility counseling session on infertility, treatment and correction of false beliefs and presentation of necessary strategies group counseling session on stress control, problem solving skills and control of infertility irrational thoughts, sexual health . Two weeks after the intervention, the Newton Infertility Stress Questionnaire was again completed for the intervention group and the data were analyzed by SPSS software using version 22 software.
Results: Before the intervention, the mean scores of sexual stress dimension in the intervention group (26.52 ± 8.29) and in the control group (23.87 ± 8.08) were not statistically significant. But after intervention the mean scores of intervention group (20.67 ± 6.20) and control group were (78.7 ± 7.45). Independent t-test results showed that there was a significant difference between the two groups after intervention. (P = 0.01).
Conclusions: According to the results of the study, counseling-based intervention has been effective in improving sexual stress in infertile women.
Behnaz Enjezab, Behnaz Rahbarnia, Mahshid Bookaie, Ali Dehghani,
Volume 18, Issue 1 (5-2021)
Volume 18, Issue 1 (5-2021)
Abstract
Background: Lifestyle modification is an important factor in promoting the health of middle-aged women. Therefore, this study aimed to determine the effect of telephone counseling on the nutritional status and physical activity of middle-aged women in Yazd, Iran.
Methods: This randomized controlled clinical trial was done on 50 middle-aged women during September to February 2017. Eligible women was recruited from religious places and then were randomly assigned into two intervention and control groups. The participants in the intervention group received the counseling program in 8 calls for 20-30 minutes twice per week. The control group received no intervention. Data were gathered using a health promoting life-style questionnaire for middle-aged women in three time points; before intervention, immediately, and one month after the intervention. Data were analyzed in SPSS 16 software using Chi-square, repeated measures ANOVA and independent t-test. A significance level was considered P<0.05.
Results: There was no significant difference between the two groups in terms of nutritional status and physical activity (PA) before the intervention, but there was significant difference between them immediately and one month after the intervention. Also adjusting the baseline values, repeated measures ANOVA test showed a significantly premiere mean of nutritional status in telephone counseling compared to the control group (P<0.001).
Conclusion: The results of the study showed that telephone counseling significantly improved the lifestyle of the middle-aged women. Also, recommended that health care providers use of telephone counseling that effective and efficient tool for promoting women's health.
Methods: This randomized controlled clinical trial was done on 50 middle-aged women during September to February 2017. Eligible women was recruited from religious places and then were randomly assigned into two intervention and control groups. The participants in the intervention group received the counseling program in 8 calls for 20-30 minutes twice per week. The control group received no intervention. Data were gathered using a health promoting life-style questionnaire for middle-aged women in three time points; before intervention, immediately, and one month after the intervention. Data were analyzed in SPSS 16 software using Chi-square, repeated measures ANOVA and independent t-test. A significance level was considered P<0.05.
Results: There was no significant difference between the two groups in terms of nutritional status and physical activity (PA) before the intervention, but there was significant difference between them immediately and one month after the intervention. Also adjusting the baseline values, repeated measures ANOVA test showed a significantly premiere mean of nutritional status in telephone counseling compared to the control group (P<0.001).
Conclusion: The results of the study showed that telephone counseling significantly improved the lifestyle of the middle-aged women. Also, recommended that health care providers use of telephone counseling that effective and efficient tool for promoting women's health.
Tayebe Ziaei , Somayeh Gholipour, Ahmad Danesh,
Volume 18, Issue 1 (5-2021)
Volume 18, Issue 1 (5-2021)
Abstract
Background: Women experience psychological problems during pregnancy affecting their quality of life. Since weakness in life skills, including communication skills (CS), is a factor of reducing the quality of life, we conducted a study to determine the effect of group counseling based on communication skills on the quality of life in pregnant women in Gorgan.
Methods: The parallel randomized field study trial carried out in 2016 on 72 pregnant women who referred to the health centers in Gorgan, Iran. The pregnant women at the gestational age of 14-18 weeks were recruited in convenience sampling method, and then randomly assigned in to the intervention and control groups using the block randomization method. The data collection tool included the quality of life questionnaire (SF-36) that was completed by both groups before the intervention. The samples of the intervention group received 6 sessions of group counseling based on communication skills for a one-hour session per week. A week after the sessions, the questionnaires were completed again by both groups. We analyzed the data in SPSS-16 using the independent t-test, Mann-Whitney test, Wilcoxon test, Paired t-test, and Chi-square test.
Results: The mean of women's age was 28.4±4.3 years in the intervention group, and was 26.8±4.5 years in the control group, and the mean age of their husbands were 33.14±5.3 and 31.22± 4.8 in the intervention and control groups, respectively. There was statistically significant difference between the intervention (60±15.2) and control (49±13.4) groups after the intervention in total quality of life (P=0.002). The results indicated that the mean scores of quality of life of women in the intervention group versus the control group after the intervention had statistically significant differences in all areas except for the "physical function" (65.3±17.4 vs. 61.5±20.1, P=0.4) and "role limitation due to physical problems" (50±36.8 vs. 45.1±27.3, P=0.56).
Conclusion: The health centers need to be taught about the communication skills in line with physical training during pregnancy by midwives and midwifery counselors.
Methods: The parallel randomized field study trial carried out in 2016 on 72 pregnant women who referred to the health centers in Gorgan, Iran. The pregnant women at the gestational age of 14-18 weeks were recruited in convenience sampling method, and then randomly assigned in to the intervention and control groups using the block randomization method. The data collection tool included the quality of life questionnaire (SF-36) that was completed by both groups before the intervention. The samples of the intervention group received 6 sessions of group counseling based on communication skills for a one-hour session per week. A week after the sessions, the questionnaires were completed again by both groups. We analyzed the data in SPSS-16 using the independent t-test, Mann-Whitney test, Wilcoxon test, Paired t-test, and Chi-square test.
Results: The mean of women's age was 28.4±4.3 years in the intervention group, and was 26.8±4.5 years in the control group, and the mean age of their husbands were 33.14±5.3 and 31.22± 4.8 in the intervention and control groups, respectively. There was statistically significant difference between the intervention (60±15.2) and control (49±13.4) groups after the intervention in total quality of life (P=0.002). The results indicated that the mean scores of quality of life of women in the intervention group versus the control group after the intervention had statistically significant differences in all areas except for the "physical function" (65.3±17.4 vs. 61.5±20.1, P=0.4) and "role limitation due to physical problems" (50±36.8 vs. 45.1±27.3, P=0.56).
Conclusion: The health centers need to be taught about the communication skills in line with physical training during pregnancy by midwives and midwifery counselors.
Mahshid Seyed Hoshiyar, Tayebe Ziaei, Mahin Tatari, Elham Khoori ,
Volume 18, Issue 2 (7-2021)
Volume 18, Issue 2 (7-2021)
Abstract
Background: Counseling interventions are among the available strategies to improve the menopausal quality of life and self-awareness counseling is effective in improving adaptation, self-confidence and quality of life. Therefore, the present study aimed to examine effects of self-awareness counseling on quality of life of menopausal women in Gorgan, Iran.
Methods: In this clinical trial, we examined 52 menopause women referred to health centers of Gorgan, Iran in 2018. Data collection tools included a demographic characteristics form and the menopause-specific quality of life questionnaire. First, the control group completed the data collection tools at the beginning of the study and 6 and 10 weeks after the first session. Then the intervention group completed the tools at base line and participated in six 45-60-minute self-awareness-based group counseling sessions, once a week. After that, they were completed questionnaire, immediately and a month after the end of the intervention. Data were expressed as mean ± standard deviation.
Results: In the intervention group, the baseline mean scores of menopausal quality of life and its vasomotor, physical, psychosocial and sexual domains were 55.69±19.47, 5.30±4.57, 30.26±12.24, 12.15±6.64 and 7.96±5.34, respectively. A month after the intervention, the mean scores of menopausal quality of life (30.42±19.64) and its vasomotor (2.65±2.33), physical (16.38±8.64), psychosocial (7.19±4.63) and sexual (4.19±3.42) domains increased significantly in the intervention group (p=0.001). In between group comparison, except for the psychosocial domain, the mean scores of quality of life and its various domains showed a statistically significant difference in one month after the intervention (P=0.001).
Conclusion: The menopausal quality of life and its various domains improved one month after the end of self-awareness counseling. Therefore, we recommend offering self-awareness counseling in health centers for improving the quality of life of menopausal women.
Methods: In this clinical trial, we examined 52 menopause women referred to health centers of Gorgan, Iran in 2018. Data collection tools included a demographic characteristics form and the menopause-specific quality of life questionnaire. First, the control group completed the data collection tools at the beginning of the study and 6 and 10 weeks after the first session. Then the intervention group completed the tools at base line and participated in six 45-60-minute self-awareness-based group counseling sessions, once a week. After that, they were completed questionnaire, immediately and a month after the end of the intervention. Data were expressed as mean ± standard deviation.
Results: In the intervention group, the baseline mean scores of menopausal quality of life and its vasomotor, physical, psychosocial and sexual domains were 55.69±19.47, 5.30±4.57, 30.26±12.24, 12.15±6.64 and 7.96±5.34, respectively. A month after the intervention, the mean scores of menopausal quality of life (30.42±19.64) and its vasomotor (2.65±2.33), physical (16.38±8.64), psychosocial (7.19±4.63) and sexual (4.19±3.42) domains increased significantly in the intervention group (p=0.001). In between group comparison, except for the psychosocial domain, the mean scores of quality of life and its various domains showed a statistically significant difference in one month after the intervention (P=0.001).
Conclusion: The menopausal quality of life and its various domains improved one month after the end of self-awareness counseling. Therefore, we recommend offering self-awareness counseling in health centers for improving the quality of life of menopausal women.
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