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Showing 13 results for Family

Asieh Sadad Baniaghil,
Volume 0, Issue 0 (2-2008)
Abstract

Background and objectives: Health education is a communicative activity that can be used to make people accept hehaviors effective on healthy life. This study aimed at comparing group education and the current method of olucation on family planning
 Material and Methods: In This pre-experimental study, the researcher sclected randomly four health centers out of 23. Then 120 women aged 15-45 were divided randomly into two groups of case and control. She instructed the case group in education classcs (10-15 members) taken for two hours. The control group was given individual education. The material of education was the same in both youns. After 3-6 mnonth, their family planning practice was recorded and analyzed by statistical tests such as chi-square.
Resu ts: The results in case group show that %60 (up to 3 months) and 256 (up to 6 months) of the subjects use a reliable contraceptive method after education. But in control group 3% and 7% of the samples, respectively. The difference between the two groups is significant (p=0/000).
Conclusion: Active group education is an effective way of casily accepting of family planning,
Mr Moradali Zarei Pour, Mr Hasan Eftekharardabili, Mr Kamal Azam, Mr Ehsan Movahed,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective : Mental health of adolescents largely depends on family welfare. In secondary school period, most of teenagers’ talents can emerge and at the end of this time, they acquire social skills and independent identity.­ We aimed at evaluating the mental health and its relationship with family welfare in pre-university students in Salmas city.

  Material and Methods : The subjects of this cross-sectional study were 160 pre-university students selected via stratified random sampling, based on gender. We collected the data by standard GHQ-28 and research-made family welfare questionnaires, and analyzed by chi square and logistic regression, using SPSS software.

  Results: Based on the results, 48.9% of girls and 35.7% of boys are suspected to have mental disorder. The percentage of mental disorder among Students whose family welfare are excellent, intermediate and poor is 22.2%, 48.8% and 61.1%, respectively. Using chi square, there is significant relation between variables such as living with parents, maternal education, parental cohabitation, number of family members and all aspects of family welfare and mental health (p<0.05). By performing logistic regression, using Backward method, significant relationship is shown between mental health and variables such as gender, maternal education, parental cohabitation, leisure activities , economic status and family facilities (p<0.05).

  Conclusion: The relationship found between mental health and family welfare is needed to have appropriate policies of government and family, in the form of welfare and leisure activities, to improve adolescents’ well-being.

  Keywords: Mental health, Family welfare, Adolescent, GHQ-28 Questionnaire


Neda Sanaie, Soraya Nejati, Dr Mitra Zolfaghari, Dr Fatemeh Alhani, Dr Anooshiravan Kazemnejad,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Coronary Bypass Graft Surgery (CBG) is one of the therapeutic approaches having the leading effects on the function of the patients. Because of paramount importance of self-efficacy and self-esteem, we aimed to evaluate the effectiveness of family-centered empowerment on the self- efficacy and self-esteem of the patients undergoing coronary bypass surgery.
 Material and Methods: This case control clinical trial was conducted on 102 patients with elective heart surgery and 102 of their active family members in 2011.‌ The patients were selected via convenience sampling and randomly assign ed to experimental and control group. After measuring the self-efficacy and self-esteem, family-centered empowerment care, including individual training, group discussion, film and active participation,‌ was performed in experimental and just routine care in control group. Using PASW statistics-18, we analyzed the data.
Results: The results showed that the two groups were the same considering population variables and the mean scores of self-efficacy and self-esteem. The level of self-efficacy and self-esteem in case group were significantly higher than those of controls (P<0.000). After intervention, the mean score of self-efficacy and self-esteem were increased (P<0.0000).
Conclusion:‌In regard with the results,‌ family-centered ‌empowerment care ‌in patients undergoing CBG is practically feasible , and it can be helpful in improving self-efficacy and self- esteem.
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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.

Dr Masoud Fallahi Khoshknab , Mahdi Farzadmehr, Dr Mohammd Ali Hosseini, Dr Hamid Reza Khankeh, Zahra Noorabadi,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.

Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.

Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).

Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.


Amin Haghgoo , Mohammad Zoladl, Khairollah Nooryan , Shirali Kharamin, Soleiman Afrooghi,
Volume 15, Issue 1 (2-2018)
Abstract

Background: Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
Methods: In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014.  The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p< 0.05).
Results: The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P< 0.05).
Conclusion: Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.
Sedigheh Hasani Moghadam, Jila Ganji,
Volume 17, Issue 0 (4-2020)
Abstract

Background: reproductive health is having physical, mental and social health not being sick or disable, in all related systems of reproduction, function and its process. This study aims to investigate the effective factors on using reproductive health services and their outcomes.
Methods: this was a narrative review and the keywords, including reproductive health, family health, services, health promotion, barriers and effective factors outcome, were determined basing on Mesh and searching the papers in Google, PubMed, Science Direct, SID and Scholar, published since 1990 to 2019. The criteria to participate in this study included the papers examined the effective barriers on using  reproductive health services and their outcomes; the criteria of putting unrelated papers aside were basing on the subject. Finally 39 papers were chosen from 85 ones (26 English and 13 Persian papers) to write the review.
Results: our findings in this paper were related to the effective barriers on using reproductive health services and their outcomes and divided into four groups. the effective barriers on using reproductive health services included poverty, violence, migration, injustice , inequality and their outcomes as the outcomes of poverty (access to modern family planning services, difference between fertility in urban and rural population due to in equality in access to contraception methods , differences in level of women’s knowledge about reproduction issues in poor and rich communities , increasing infertility, unsafe abortion and increasing  sexually transmitted diseases ), violence including some scopes like mental health (depression, sleep disorder, Posttraumatic Stress Disorder and suicide), reproductive health (unintended pregnancy, unsafe abortion, Complications of pregnancy, sexual disorders and   sexually transmitted diseases like HIV), risky behaviors (unprotected sex, multiple sex partners and sexual violence ), tragic outcomes (death caused by pregnancy complications, rape, unsafe apportion, killing newborn infant and suicide) and social outcomes (unintended pregnancy, leaving school, losing relationships and rejection by family and friends ), migration (increasing undesirable outcomes of pregnancy like low birth weight, sexually transmitted diseases, induced abortion and decreasing access to health services ) , injustice and inequality (reduced access to family planning services by poor communities comparing to rich ones and increasing fertility, increasing unintended pregnancy, short intervals between pregnancies and increasing family members ).
 Conclusions: according to the important role of reproductive health in human and communities, training people is necessary, not only for medical reasons but also as a basis in strength of marital life. Lack of information or incorrect data can increase family and marital problems so the effective factors and barriers should be determined and met.
Leila Mirhadyan, Saeid Moradi Latreyi, Afsaneh Pasha, Ehsan Kazem Nejad Leili,
Volume 17, Issue 1 (4-2020)
Abstract

Background: Junk food consumption is an unhealthy adolescent nutritional habit that is affected by family structure, peer groups, and socioeconomic status. The present study was conducted to determine the association between junk food consumption and personal, familial, and social characteristics considering high school students in Rasht, Iran.
Methods: This cross-sectional study was conducted on 341 students in their second year of high school in Rasht, Iran in 2017. They were selected using a two-stage cluster random sampling. Data was collected using a checklist. Data was analyzed in SPSS 16 using Mann-Whitney and Kruskal-Wallis tests at a significance level of 0.05.
Results: Sweet snacks were consumed the most (27.3%). Frequency of junk food consumption was significantly higher in students whose fathers had a university degree (P=0.037) and those with monthly family income of more than 2 million Rials. (P=0.004).
Conclusions: The results indicate that students whose fathers have a higher education and income level have more tendencies toward junk food consumption; hence, it is worth considering the relevant factors in order to improve the adolescents' health.
 
Dr Leila Sayadi, Ms Faranak Masoumi Fard,
Volume 19, Issue 2 (9-2022)
Abstract

Background: Hospitalization of coronavirus disease 2019 (COVID-19) patients can lead to burden of care and cause health problems for family members of the patients. The aim of this study was to investigate the relationship between burden of care and mental health of family members of hospitalized patients with COVID-19.
Methods: This cross-sectional correlation study was conducted from November 2021 to February 2022. The study population consisted 84 family members of COVID-19 patients who were hospitalized in Shariati Hospital affiliated with Tehran University of Medical Sciences. The subjects were selected via consecutive sampling. Data collection was done using a demographic information form, the Depression Anxiety Stress Scales-21, the Zarit Burden Interview, and the 12-item General Health Questionnaire. Data were analyzed using SPSS 16 and at significance level of 0.05.
Results: More than half of the participants (51.22%) experienced mild to moderate level of care burden, while 17.07% of them experienced moderate to severe level of care burden. The mean score of mental health in the participants was 16.925±1.953. By adjusting the demographic variables and the Depression Anxiety Stress Scales-21, the level of stress of family members led to more burden of care (coefficient beta= 0.608, 95% confidence interval= 0.451-1.556, P=0.001).
Conclusion: Paying attention to the issue of stress in the family members of hospitalized patients with COVID-19 and supporting these individuals can help to provide better care to the patients and reduce health challenges.
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.

Hedieh Azizi , Hamideh Mancheri , Najmeh Shahini , Akram Sanagoo , Mahin Tatari ,
Volume 20, Issue 1 (4-2023)
Abstract

Background: The prevalence of the coronavirus has had various psychological effects on families with patients suffering from COVID-19, including depression. Depression can also affect the physical health of family members. This study was conducted with the aim of comparing the level of depression and its relationship with physical health among families with and without COVID-19 patients in comprehensive health centers.
Methods: This case-control study was conducted in 2022 in comprehensive health centers in Gorgan (Iran) among 98 families with and without COVID-19 patients, using simple random sampling. The data collection tools included the Beck Depression Inventory and the PHQ physical health questionnaire. The data were analyzed using descriptive statistics and tests such as the Mann-Whitney U test, Chi-square test, and Spearman's correlation test at a significance level of 0.05.
Results: The study revealed that the mean scores of depression and physical health in family members with COVID-19 patients were 11.56±7.50 and 7.60±4.32, respectively, while in families without COVID-19 patients, they were 8.01±4.67 and 3.98±3.43, respectively. The odds of depression (OR=5.11, p=0.001) and physical symptoms (OR=4.68, p=0.002) were higher in families with COVID-19 patients compared to those without. The findings also showed a direct and significant linear correlation between depression and physical health in both groups (p<0.001, r=0.44).
Conclusion: These findings increase the awareness of health managers about the prevalence of depression and physical health disorders among families with COVID-19 patients and can help provide economic, social, and psychological support programs for these families.


Hediye Karakoç , Huriye Altinkaynak , Cenner Nur Bircan ,
Volume 23, Issue 1 (5-2026)
Abstract

Background: Although societal change and evolving family roles shape generational identities, limited research has investigated whether these shifts are reflected in psychosocial adaptation during pregnancy. This study compared marital adjustment, pregnancy acceptance, and maternal role adaptation between pregnant women from Generation Y and Generation Z.
Methods: This cross-sectional study was conducted between November 30, 2022, and February 29, 2023, among 347 married pregnant women in Türkiye (Generation Y: n = 170; Generation Z: n = 177). Participants were recruited from pregnancy-related social media platforms using non-probability convenience sampling. Inclusion criteria were birth between 1980 and 2015, being married and pregnant, being literate, and providing consent to participate. Data were collected online using the Prenatal Self-Evaluation Questionnaire and the Marital Adjustment Test. Independent-samples t-tests, chi-square tests, and multiple linear regression analyses were performed using IBM SPSS Statistics version 27.0 (IBM Corp., Armonk, NY, USA).
Results: In bivariate analyses, marital adjustment scores were higher among Generation Y participants (p = 0.026). However, this association was no longer statistically significant after adjustment for age, duration of marriage, number of pregnancies, employment status, and planned pregnancy (β = -0.148, p = 0.122). No significant generational differences were observed in pregnancy acceptance or maternal role adaptation (p > 0.05).
Conclusion: Initial comparisons suggested a generational difference in marital adjustment; however, this difference was attenuated after adjustment for sociodemographic and reproductive characteristics and was no longer statistically significant. No statistically significant differences were observed between generations in pregnancy acceptance or maternal role adaptation. Because the overall regression model was not statistically significant, adjusted findings should be interpreted cautiously.

Isaí Medina-Fernández , Donovan Casas-Patiño , Alejandra Rodríguez-Torres , Josué Medina-Fernández , Karla Patricia Valdés-García , Ana Laura Carrillo-Cervantes ,
Volume 23, Issue 1 (5-2026)
Abstract

Background: Aging is a complex and multidimensional process characterized by biological, psychological, and social changes that may increase vulnerability among older adults. Suicide in later life is recognized as a multifactorial public health issue influenced by several psychosocial factors, including attitudes toward death, vulnerability to abuse, and family functioning. Therefore, this study aimed to investigate the extent to which attitudes toward death, vulnerability to abuse, and family functioning predict suicide risk among older adults.
Methods: An analytical cross-sectional study was conducted in 2025 comprising 260 older adults from Coahuila State. Participants were selected via non-probability convenience sampling. Data were collected using a sociodemographic questionnaire, the Plutchik Suicide Risk Scale, the Revised Profile of Attitudes toward Death (PAM-R), the Vulnerability to Abuse Screening Scale (VASS), and the Family APGAR. Statistical analysis included descriptive statistics, Spearman’s correlation analysis, and multiple linear regression using SPSS version 25.
Results: A total of 260 older adults with a mean age of [69.25±6.80 years] years participated in the study. The majority of the cohort were female, married, and had completed secondary education. The prevalence of suicide risk was 13.8%, and vulnerability to abuse was identified in 10% of participants. An ambivalent attitude toward death was observed, and 33.9% of the sample exhibited moderate to severe family dysfunction. The regression model explained 17.4% of the variance in suicide risk (Adjusted R² = 0.174, F = 13.457, p < 0.001), with family functioning (β = - 0.350, p < 0.001) identified as the strongest and only significant predictor.
Conclusion: The risk of suicide in older adults is a multifactorial phenomenon in which family functioning plays a central protective role. These findings highlight the importance of preventive strategies in collective health, focused on strengthening families and early detection of psychosocial risk factors.


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