Nursing
fateme biabani; Gholamhossein MahmudiRad; Hadi hassanhkani; Azad Rahmani
Volume 29, Issue 6 , January and February 2023, , Pages 769-784
Abstract
Introduction: Peritoneal dialysis is a convenient and cost-effective way to replace kidney function in patients with kidney failure. Nevertheless, in Iran, a very small percentage of patients with kidney failure use peritoneal dialysis, the reasons for which are less known. This study is to explain the ...
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Introduction: Peritoneal dialysis is a convenient and cost-effective way to replace kidney function in patients with kidney failure. Nevertheless, in Iran, a very small percentage of patients with kidney failure use peritoneal dialysis, the reasons for which are less known. This study is to explain the experiences of Iranian patients undergoing peritoneal dialysis regarding the decision to choose a kidney replacement treatment method.
Materials and Methods: 18 peritoneal dialysis patients living in four provinces of Iran participated in this qualitative study.
Results: The analysis of the text of the interviews led to the emergence of four main categories: the first category, under the title "Compulsion to choose", includes two sub-categories: "Lack of alternatives" and "Indifference to the patient's preferences", the second category is titled "Insufficient health literacy". It includes two subcategories of information poverty and limited access to reliable information, the "culture ruling the treatment system" category, which itself includes two subgroups of preference for the physician’s opinion and disregard for the patient's bill of rights, and finally the social support category, which includes family support, treatment staff assistance and the support was procedural.
Conclusion: Considering all the factors, the culture of the region and the treatment of the patient and if needed by his family, considering the chronic nature of the disease and the constant involvement of the patient's family in this process, providing sufficient and reliable information and creating access.
Aging
Seyedeh Mahboubeh Hosseini Zare; Abolghasem Pourreza; Parvaneh Esfahani; Kianoush Abdi
Volume 29, Issue 1 , May and June 2022, , Pages 88-100
Abstract
Abstract: Objective: Since participation in leisure activities improves the physical and mental health of the elderly, in this study, the leisure patterns of the elderly are explained and analyzed to reveal the problems, needs and barriers of leisure for policy makers.Materials & Methods: This qualitative ...
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Abstract: Objective: Since participation in leisure activities improves the physical and mental health of the elderly, in this study, the leisure patterns of the elderly are explained and analyzed to reveal the problems, needs and barriers of leisure for policy makers.Materials & Methods: This qualitative study was conducted by using conventional content analysis. 21 elderly people over 60 years old were selected based on purposive sampling with maximum diversity and data were collected through semi-structured interviews and continued till data saturation was occurred in 2019. In order to evaluate the accuracy of the data, four criteria of acceptability, reliability, transmission capability and the capability of the proposed approval of Goba and Lincoln were used.Results: three main themes of the study were included of leisure activities, barriers to participation in leisure activities and factors affecting leisure. The eight main categories of "recreation", "sport", "social interaction", "rest", "artistic activity", "cultural activity", "media" and "religious beliefs" were extracted from the data analysis. The most common leisure activities for the elderly were watching television, hiking, going to parks and mosques. The most important barriers to non-participation in leisure activities were economic problems, disability and lack of access.Conclusion: Due to the most common leisure activities in the elderly and barriers to non-participation in leisure activities, the provision of recreational, educational and religious programs by responsible institutions and organizations and their availability can provide welfare and health of the elderly.
Epidemiology and Statistics
Somayyeh Nadi Ravandi
Volume 24, Issue 4 , July and August 2017, , Pages 257-263
Abstract
Background: Research synthesis studies are a way to retrieve, review, synthesize, analyze and integrate the original research results. This study introduces a variety of methods such studies and then has investigated the status of published articles in PubMed. Material and method: In first part, researcher ...
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Background: Research synthesis studies are a way to retrieve, review, synthesize, analyze and integrate the original research results. This study introduces a variety of methods such studies and then has investigated the status of published articles in PubMed. Material and method: In first part, researcher used library method and then investigated the status of the production of articles in PubMed and analyzed extracted data with excel software. Results: The results showed that all research synthesis studies have been growing in recent years and researchers have recognized their importance. Conclusion: Due to the increasing size and number of specialized information, awareness and use of the results of research synthesis studies can be very effective in evidence-based clinical decision making. Given that most studies in Iran are systematic review and meta-analysis studies, paper can provide new look to synthesis studies.
Naseh Esmaeili; Mohammad Alizadeh; Ali Tarighat Esfanjani
Volume 23, Issue 3 , July and August 2016, , Pages 516-525
Abstract
Background Metabolic syndrome is associated with increased risk of cardiovascular disease and type 2 diabetes. Lifestyle changes, especially with regard to diet, have an important role in prevention and treatment of this syndrome. This study was designed to identify barriers related to nutritional attitudes ...
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Background Metabolic syndrome is associated with increased risk of cardiovascular disease and type 2 diabetes. Lifestyle changes, especially with regard to diet, have an important role in prevention and treatment of this syndrome. This study was designed to identify barriers related to nutritional attitudes changes among patients with metabolic syndrome.Materials & Methods This is a qualitative study in which 6 semi-structured focus group discussions were conducted at outpatient department of main general hospital of Mahabad from April to June 2013. A total of 36 married men and women with different levels of education aged 20-50 years with metabolic syndrome, diagnosed based on International Diabetes Federation criteria, were chosen by purposeful sampling method. Focus group discussions data were audio recorded and transcribed. Thematic analysis method was used for the analysis of the study data.Results Based on data analysis, barriers related to nutritional attitudes changes among patients with metabolic syndrome identified and classified in main themes were as follows: metabolic syndrome components relationship to nutrition, fats and oils, salt, dairy products, cereals, sugary drinks and sweets, meat, and finally meals and snacks.Conclusion Study results showed barriers related to nutritional attitudes in patients with metabolic syndrome could facilitate the designing of nutrition education programs and use in preventing metabolic syndrome consequences.