Maryam Koochakzai - Academia.edu (original) (raw)

Papers by Maryam Koochakzai

World Journal of Peri & Neonatology, 2020

Background: In recent decades, extended spectrum beta-lactamase (ESBL) generating bacteria have i... more Background: In recent decades, extended spectrum beta-lactamase (ESBL) generating bacteria have increased universally. Among the most important causative agents of nosocomial infections throughout the world, Escherichia coli as main ESBL-producing bacteria are so highly regarded. Trends in the treatment of infections by such bacteria have led to a global concern. Methods: All strains were cultured and identified by the Clinical Microbiology Laboratory and were recovered from blood and urine cultures. In-vitro presence of ESBL was confirmed with Clinical and Laboratory Standard Institute double disc and PCR for CTX-M1, CTM-M2, CTX-M3 method. Results: The results of this study showed that Escherichia coli samples were resistant to AN (42.85%), GM (28.57%), AM (35.71%), AMC (35.71%), CZ (35.71%), and AZM (50%) antibiotics. While the most susceptible to antibiotic was ampicillin (64.28%), the least resistance to antibiotics was gentamicin. Conclusion: The current situation of mult...

World Journal of Peri & Neonatology, 2020

Background: The aim of this study was to determine the relationship between ages above 35 years o... more Background: The aim of this study was to determine the relationship between ages above 35 years old and gestational diabetes mellitus in Zabol. Methods: This study was conducted in Zabol city during 2016-2017. Analyzing the data to check the validity of the hypothesis in any type of research is of particular importance and is performed nowadays in most research studies based on the data gathered from the subjects under study. Data analysis is one of the main and most important parts of any research. Raw data is analyzed using statistical software. Results: The results of this study showed that according to the gestational diabetes mellitus score of 150 mothers, about gestational diabetes, 11 cases (7.3%) had gestational diabetes, and 132 (92.7%) others have not experienced gestational diabetes. Generally, according to the average score (1.92), there is no gestational diabetes in mothers. Conclusion: The most important risk factors for gestational diabetes are age-obesity and f...

Scientific journal of Kurdistan University of Medical Sciences, Nov 10, 2018

Background and Aim: Pain is a common phenomenon of the labor process and use of nonpharmacologica... more Background and Aim: Pain is a common phenomenon of the labor process and use of nonpharmacological and complementary therapies to reduce labor pain has been on the rise. The aim of this study was to compare the effect of aromatherapy with rose extract and lavender on the pain in the active phase of labor in primipara women. Material and Methods: This clinical trial included 60 primiparous women referring to the maternity hospital of Amiral-Mo'menin in 1395. The women were divided into three groups. Aroma therapy with lavender and rose extracts was started at cervical dilatations of 5 to 4 cm, and repeated every 15 minutes. We used distilled water for the control group. The severity of pain was measured at cervical dilatations of 4-5, 6-7, 8-10 cm. We used an individual and a midwifery questionnaire, a check list of examination and a McGill pain questionnaire. Using spss 21 software, data were analyzed by descriptive and analytical statistics (ANOVA with repeated observations, one-way ANOVA, covariance, chi-square, Kruskal-Wallis test). Results: There were no significant differences among the three groups in relation to the mean pain intensity before the intervention (P = 0.603). The severity of pain decreased significantly in the lavender and rose groups (P = 0.001) compared to that in the control group after the intervention (P = 0.001), and pain reduction in the lavender group was more than that in the rose group. Conclusion: Aromatherapy with lavender resulted in a more significant reduction in labor pain compared to that with rose essential oil.

Journal of Birjand University of Medical Sciences, 2018

Background and Aim: Preeclampsia is one of the most important complications of pregnancy which co... more Background and Aim: Preeclampsia is one of the most important complications of pregnancy which complicates 5-8 percent of all pregnancies and is associated with increased maternal and fetal complications. This study aimed to determine the prevalence of preeclampsia and its fetal and maternal complications in pregnant women referring to the maternity ward of the Zabol-based Amiralmomenin Hospital. Materials and Methods: This is a retrospective, descriptive study conducted on the files of 2000 pregnant women referred to Amiralmomenin Hospital in Zabol. The data collection tools consisted of a two-part form that covered demographic and obstetric data as well as maternal and fetal complications of preeclampsia. Data were presented in descriptive statistics. Results: The prevalence of preeclampsia in Zabol was 6.5%. The frequency of the major maternal complications include liver dysfunction 13.1%, renal disorders 3.1%, transfusion 4.6%, thrombocytopenia 2.3%, visual impairment 2.3%, stillbirth 0.8% and HELLP syndrome 0.8%. Fetal complications involve prematurity 29.2%, amniotic fluid meconial 12.3%, and Apgar score below 7 at birth 7.7%. Conclusion: Given the prevalence of preeclampsia and its complications for the mother and the fetus, proper care during pregnancy should be provided in order for early detection and prevention of adverse effects.

The spread of chronic diseases is increasing due to the changing lifestyle in the growing human s... more The spread of chronic diseases is increasing due to the changing lifestyle in the growing human societies. Understanding and having knowledge of the causes of diseases, which are referred to as health literacy, can be useful in reducing the incidence of chronic diseases, such as chronic kidney disease (CKD). The level of health literacy in chronic diseases such as CKD can play a significant role in reducing the complications of the disease and preventing its progression. Among effective ways to enhance the level of health literacy in patients include creation of an educational program related to their needs, which can have a significant effect on the process and the level of these patients' satisfaction from the treatment as well as encouraging them towards it.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018

Background: There are vast differences in prevalence rates of urinary tract infection (UTI) repor... more Background: There are vast differences in prevalence rates of urinary tract infection (UTI) reported among malnourished children globally. We conducted a systematic review and meta-analysis to provide estimates of pooled prevalence of UTI among these children and combined UTI risk in comparison with their well-nourished counterparts. Methods: We systematically searched electronic databases (MEDLINE, EMBASE, ISI Web of Science and African Journals Online; date of the last search: 22 December 2018) for studies reporting either the prevalence of UTI in malnourished children or parallel healthy controls. Eligible primary studies were observational studies of children in English Language reporting UTI prevalence with background malnutrition or with enough data to compute these estimates, as well as studies which reported at the same time UTI prevalence in healthy controls. We synthesized published prevalence rates or associations (odds ratios [OR]) between malnutrition and UTI and their 95% confidence intervals (CI) using random effects meta-regression and explored potential heterogeneity determinants using meta-regression analysis. This review is registered with PROSPERO, number-CRD42018084765. Results: We included 26 cross-sectional and 8 case-control studies reporting on UTI prevalence in malnourished children, and in malnourished children vs. healthy controls, respectively. The pooled prevalence of UTI in 3294 malnourished children was 17% (95% CI, 13, 21%). Heterogeneity was high (I 2 = 87.6%; Tau 2 = 0.06) as studies varied in their sample size, degree of malnutrition, and study period. Multivariate meta-regression model, including these factors, explained 34.6% of the between-study variance. Pooled OR of UTI in association with malnutrition in 2051 children (1052 malnourished children vs. 999 controls) was 2.34 (95% CI, 1.15, 3.34), with lower between-study heterogeneity (I 2 = 53.6%; Tau 2 = 0.47). Conclusions: UTI is more prevalent in malnourished children than in their well-nourished counterparts. Screening and treatment for UTI should be incorporated in the management protocol of malnourished children to improve disease outcomes.

La Prensa Medica, 2018

Medical errors area significant challenge in the health systems of world, especially in developin... more Medical errors area significant challenge in the health systems of world, especially in developing countries. Medical errors are actions or decisions that are not compatible with the health care standards. Medical errors are divided into 4 categories: Carelessness, Negligence, Lack of Skill, and Non-Compliance with Governmental Regulations. Medication errors are one of the serious challenges facing the health system. Their correct definitions and correct categorization can help to create a proper understanding of the health system which, despite its high level of awareness, can be a serious problem to reduce the rate of medical errors and reduces mortality as a result of these medication errors.

La Prensa Medica, 2018

Breast cancer is the second most common cancer in the world and the most common form of cancer am... more Breast cancer is the second most common cancer in the world and the most common form of cancer among women; it accounts for 18% of all cancers in women. Yoga is helping cancer patients to perform their daily and normal activities, achieve relaxation, lower stress, and improve their quality of life. Although this technique cannot cure cancer, it can provide better feelings and better vision for suffering patients. The present research was conducted in order to study the effect of yoga techniques on the quality of life of women with breast cancer.Method: The present study was conducted by searching keywords, such as yoga, quality of life, breast cancer, and cancer, in various Persian and English databases, including magiran, SID, Google scholars, science direct, and PubMed. Initial search provided several studies on the quality of life of patients with breast cancer and the effect of yoga on the quality of life of different patients, especially cancer patients; then studies that did not have much relevance to the subject matter of the present research were excluded and relative studies were included.Findings: Yoga can increase the overall health of the body and, consequently, the quality of life of the individual through increasing the power of adaptation of psychic, nervous, immune, cognitive, automated nervous system modifications, physical and body stability and immune system modification. Relaxation and releaseof meditation helps to improve the health of the individual, leads to a better feeling in the individual, and thereby improves the quality of life in patients by stabilizing the autonomic nervous system and controlling emotions in yoga.Conclusion: Given that none of the analyzed studies reported any complications for yoga and since yoga is a technique that can be easily applied anywhere, it is highly recommended to train women with breast cancer and other diseases how to implement this technique in order to improve their quality of life and increase their satisfaction.

Complementary Therapies in Clinical Practice, 2018

Background and purpose: Aromatherapy, a CAM therapy, is a natural way of treating the mind, body ... more Background and purpose: Aromatherapy, a CAM therapy, is a natural way of treating the mind, body and soul of individuals. The purpose of this study was to systematically review the literature to determine the effect of aromatherapy on hemodialysis complications. Methods: In this systematic review, international (PubMed, Google Scholar, Web of Science, CINHAL, EMBASE and Scopus) and national databases (SID and Magiran) were searched from inception of the databases to 30 December 2017. Results: The results showed that aromatherapy reduced some of the complications of hemodialysis, including anxiety, fatigue, pruritus, pain of arteriovenous fistula puncture, sleep quality, depression, stress and headache. In one case, it improved the quality of life of hemodialysis patients. Conclusion: Considering the complications and heavy costs of managing complications in patients undergoing hemodialysis, it appears that aromatherapy can be used as an inexpensive, fast-acting and effective treatment to reduce complications in hemodialysis patients.

Journal of Cancer Education, 2018

The current study evaluated the oncology nurse's knowledge, attitude, related factors of cancer-r... more The current study evaluated the oncology nurse's knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses' knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff's knowledge of pain (n = 2). The important clinical recommendations for improving nurses' levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.

Breast Cancer Research and Treatment, 2018

Background: Thalassemia is the most common genetic disorder in Iran. High treatment costs, the us... more Background: Thalassemia is the most common genetic disorder in Iran. High treatment costs, the use of iron chelators, comorbidities and periodic visits affect the quality of life in these patients. The present study was conducted to assess the quality of life, according to the Short healthy survey (SF-36), in Iranian patients with thalassemia major. Materials and Methods: In this meta-analysis, search was done in national and international databases, including SID, MagIran, Google Scholar, Web of Science, Medline (via PubMed), and Scopus until March 2018. The searched papers were screened and summarized by two independent reviewers. Based on the heterogeneity among the studies, the data were analyzed using the random effects model. Data were analyzed using STATA version 14.0. Results: Data from 18 studies, including 2,897 patients (age group 12-45 years old); were entered in the final analysis. The mean mental component scale in patients with thalassemia major (57.30; 95% confidence interval: 50.31-64.30) was lower than the mean physical component scale (62.77, 95% CI: 52.63-70.91). The mental component scale increased significantly between 2009 and 2017 (as the year of publication increased) (P = 0.043). The highest (74.77), and lowest (60.94) subscale scores of quality of life were related to physical functioning and general health, respectively. Conclusion Patients with thalassemia major have a relatively low quality of life. Providing strategies for improving the quality of life in this group of patients (particularly in terms of mental components) seems necessary.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018

Introduction: During the postnatal period, mothers face different challenges such as learning how... more Introduction: During the postnatal period, mothers face different challenges such as learning how to care for their infants and how to fulfill their own parental roles. Aim: To evaluate the effects of postnatal home-based education on primiparous women's perceived self-efficacy in neonatal care. Materials and Methods: This quasi-experimental study was done on 100 primiparous women who referred to healthcare centers in Zahedan, Iran, to receive routine postnatal care services. Women were conveniently recruited and randomly allocated to an experimental (n=50) and a control (n=50) group. A demographic questionnaire and Reece's Parent Expectations Survey were used for data collection both before and six weeks after the intervention. Women in the experimental group received routine postnatal care services as well as postnatal home-based neonatal care education in three sessions. However, women in the control group solely received routine postnatal care services. The SPSS software (v. 20.0) was used and for analysis of covariance, paired and independent-sample t, Chisquare tests were used. Results: Mean age in the experimental and the control groups were 22.82±4.56 and 21.02±5.20 years respectively. After the intervention, the average increase in the score of perceived self-efficacy in the experimental group (44.84±13.50) was significantly greater than the control group (10.90±8.45; p < 0.0001). Conclusion: Postnatal home-based education improves primiparous women's perceived self-efficacy in neonatal care. Home-based educational programs are recommended for the improvement of maternal and infantile outcomes in postnatal period.

International Journal of Women's Health and Reproduction Sciences, 2016

Objectives: Planned interventions can facilitate the maternal role for primiparous women by reduc... more Objectives: Planned interventions can facilitate the maternal role for primiparous women by reducing postpartum stress. The present study aims to determine the effect of home-based supportive-educational counseling on primigravidas' postpartum stress. Materials and Methods: In this quasi-experimental study, 100 primigravidas, who had routinely referred to health centers from May to June 2016 for postpartum care on the third to fifth day after delivery, were selected and randomly assigned into two intervention (n = 50) and control (n = 50) groups. The Hung Postpartum Stress Scale (HPSS) was used for data collection. The intervention group underwent three supportive-educational sessions at home and the control group underwent usual postpartum care and trainings. Postpartum stress in both groups was evaluated at the end of sixth week after delivery. The gathered data were analyzed using statistical tests including independent t test, paired-sample t test, chi-square, and analysis of covariance (ANCOVA). Results: The mean score of postpartum stress as well as scores of three subscales of maternal role attainment, negative body changes and lack of social support after implementing home-based supportive-educational intervention in the intervention group were significantly lower than the control group (P = 0.0001). Conclusion: Given that home-based supportive-educational intervention has a significant and positive effect on postpartum stress reduction; therefore, visiting at home and providing supportive-educational counseling are recommended for postpartum programs.

World Journal of Peri & Neonatology, 2020

Background: In recent decades, extended spectrum beta-lactamase (ESBL) generating bacteria have i... more Background: In recent decades, extended spectrum beta-lactamase (ESBL) generating bacteria have increased universally. Among the most important causative agents of nosocomial infections throughout the world, Escherichia coli as main ESBL-producing bacteria are so highly regarded. Trends in the treatment of infections by such bacteria have led to a global concern. Methods: All strains were cultured and identified by the Clinical Microbiology Laboratory and were recovered from blood and urine cultures. In-vitro presence of ESBL was confirmed with Clinical and Laboratory Standard Institute double disc and PCR for CTX-M1, CTM-M2, CTX-M3 method. Results: The results of this study showed that Escherichia coli samples were resistant to AN (42.85%), GM (28.57%), AM (35.71%), AMC (35.71%), CZ (35.71%), and AZM (50%) antibiotics. While the most susceptible to antibiotic was ampicillin (64.28%), the least resistance to antibiotics was gentamicin. Conclusion: The current situation of mult...

World Journal of Peri & Neonatology, 2020

Background: The aim of this study was to determine the relationship between ages above 35 years o... more Background: The aim of this study was to determine the relationship between ages above 35 years old and gestational diabetes mellitus in Zabol. Methods: This study was conducted in Zabol city during 2016-2017. Analyzing the data to check the validity of the hypothesis in any type of research is of particular importance and is performed nowadays in most research studies based on the data gathered from the subjects under study. Data analysis is one of the main and most important parts of any research. Raw data is analyzed using statistical software. Results: The results of this study showed that according to the gestational diabetes mellitus score of 150 mothers, about gestational diabetes, 11 cases (7.3%) had gestational diabetes, and 132 (92.7%) others have not experienced gestational diabetes. Generally, according to the average score (1.92), there is no gestational diabetes in mothers. Conclusion: The most important risk factors for gestational diabetes are age-obesity and f...

Scientific journal of Kurdistan University of Medical Sciences, Nov 10, 2018

Background and Aim: Pain is a common phenomenon of the labor process and use of nonpharmacologica... more Background and Aim: Pain is a common phenomenon of the labor process and use of nonpharmacological and complementary therapies to reduce labor pain has been on the rise. The aim of this study was to compare the effect of aromatherapy with rose extract and lavender on the pain in the active phase of labor in primipara women. Material and Methods: This clinical trial included 60 primiparous women referring to the maternity hospital of Amiral-Mo'menin in 1395. The women were divided into three groups. Aroma therapy with lavender and rose extracts was started at cervical dilatations of 5 to 4 cm, and repeated every 15 minutes. We used distilled water for the control group. The severity of pain was measured at cervical dilatations of 4-5, 6-7, 8-10 cm. We used an individual and a midwifery questionnaire, a check list of examination and a McGill pain questionnaire. Using spss 21 software, data were analyzed by descriptive and analytical statistics (ANOVA with repeated observations, one-way ANOVA, covariance, chi-square, Kruskal-Wallis test). Results: There were no significant differences among the three groups in relation to the mean pain intensity before the intervention (P = 0.603). The severity of pain decreased significantly in the lavender and rose groups (P = 0.001) compared to that in the control group after the intervention (P = 0.001), and pain reduction in the lavender group was more than that in the rose group. Conclusion: Aromatherapy with lavender resulted in a more significant reduction in labor pain compared to that with rose essential oil.

Journal of Birjand University of Medical Sciences, 2018

Background and Aim: Preeclampsia is one of the most important complications of pregnancy which co... more Background and Aim: Preeclampsia is one of the most important complications of pregnancy which complicates 5-8 percent of all pregnancies and is associated with increased maternal and fetal complications. This study aimed to determine the prevalence of preeclampsia and its fetal and maternal complications in pregnant women referring to the maternity ward of the Zabol-based Amiralmomenin Hospital. Materials and Methods: This is a retrospective, descriptive study conducted on the files of 2000 pregnant women referred to Amiralmomenin Hospital in Zabol. The data collection tools consisted of a two-part form that covered demographic and obstetric data as well as maternal and fetal complications of preeclampsia. Data were presented in descriptive statistics. Results: The prevalence of preeclampsia in Zabol was 6.5%. The frequency of the major maternal complications include liver dysfunction 13.1%, renal disorders 3.1%, transfusion 4.6%, thrombocytopenia 2.3%, visual impairment 2.3%, stillbirth 0.8% and HELLP syndrome 0.8%. Fetal complications involve prematurity 29.2%, amniotic fluid meconial 12.3%, and Apgar score below 7 at birth 7.7%. Conclusion: Given the prevalence of preeclampsia and its complications for the mother and the fetus, proper care during pregnancy should be provided in order for early detection and prevention of adverse effects.

The spread of chronic diseases is increasing due to the changing lifestyle in the growing human s... more The spread of chronic diseases is increasing due to the changing lifestyle in the growing human societies. Understanding and having knowledge of the causes of diseases, which are referred to as health literacy, can be useful in reducing the incidence of chronic diseases, such as chronic kidney disease (CKD). The level of health literacy in chronic diseases such as CKD can play a significant role in reducing the complications of the disease and preventing its progression. Among effective ways to enhance the level of health literacy in patients include creation of an educational program related to their needs, which can have a significant effect on the process and the level of these patients' satisfaction from the treatment as well as encouraging them towards it.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018

Background: There are vast differences in prevalence rates of urinary tract infection (UTI) repor... more Background: There are vast differences in prevalence rates of urinary tract infection (UTI) reported among malnourished children globally. We conducted a systematic review and meta-analysis to provide estimates of pooled prevalence of UTI among these children and combined UTI risk in comparison with their well-nourished counterparts. Methods: We systematically searched electronic databases (MEDLINE, EMBASE, ISI Web of Science and African Journals Online; date of the last search: 22 December 2018) for studies reporting either the prevalence of UTI in malnourished children or parallel healthy controls. Eligible primary studies were observational studies of children in English Language reporting UTI prevalence with background malnutrition or with enough data to compute these estimates, as well as studies which reported at the same time UTI prevalence in healthy controls. We synthesized published prevalence rates or associations (odds ratios [OR]) between malnutrition and UTI and their 95% confidence intervals (CI) using random effects meta-regression and explored potential heterogeneity determinants using meta-regression analysis. This review is registered with PROSPERO, number-CRD42018084765. Results: We included 26 cross-sectional and 8 case-control studies reporting on UTI prevalence in malnourished children, and in malnourished children vs. healthy controls, respectively. The pooled prevalence of UTI in 3294 malnourished children was 17% (95% CI, 13, 21%). Heterogeneity was high (I 2 = 87.6%; Tau 2 = 0.06) as studies varied in their sample size, degree of malnutrition, and study period. Multivariate meta-regression model, including these factors, explained 34.6% of the between-study variance. Pooled OR of UTI in association with malnutrition in 2051 children (1052 malnourished children vs. 999 controls) was 2.34 (95% CI, 1.15, 3.34), with lower between-study heterogeneity (I 2 = 53.6%; Tau 2 = 0.47). Conclusions: UTI is more prevalent in malnourished children than in their well-nourished counterparts. Screening and treatment for UTI should be incorporated in the management protocol of malnourished children to improve disease outcomes.

La Prensa Medica, 2018

Medical errors area significant challenge in the health systems of world, especially in developin... more Medical errors area significant challenge in the health systems of world, especially in developing countries. Medical errors are actions or decisions that are not compatible with the health care standards. Medical errors are divided into 4 categories: Carelessness, Negligence, Lack of Skill, and Non-Compliance with Governmental Regulations. Medication errors are one of the serious challenges facing the health system. Their correct definitions and correct categorization can help to create a proper understanding of the health system which, despite its high level of awareness, can be a serious problem to reduce the rate of medical errors and reduces mortality as a result of these medication errors.

La Prensa Medica, 2018

Breast cancer is the second most common cancer in the world and the most common form of cancer am... more Breast cancer is the second most common cancer in the world and the most common form of cancer among women; it accounts for 18% of all cancers in women. Yoga is helping cancer patients to perform their daily and normal activities, achieve relaxation, lower stress, and improve their quality of life. Although this technique cannot cure cancer, it can provide better feelings and better vision for suffering patients. The present research was conducted in order to study the effect of yoga techniques on the quality of life of women with breast cancer.Method: The present study was conducted by searching keywords, such as yoga, quality of life, breast cancer, and cancer, in various Persian and English databases, including magiran, SID, Google scholars, science direct, and PubMed. Initial search provided several studies on the quality of life of patients with breast cancer and the effect of yoga on the quality of life of different patients, especially cancer patients; then studies that did not have much relevance to the subject matter of the present research were excluded and relative studies were included.Findings: Yoga can increase the overall health of the body and, consequently, the quality of life of the individual through increasing the power of adaptation of psychic, nervous, immune, cognitive, automated nervous system modifications, physical and body stability and immune system modification. Relaxation and releaseof meditation helps to improve the health of the individual, leads to a better feeling in the individual, and thereby improves the quality of life in patients by stabilizing the autonomic nervous system and controlling emotions in yoga.Conclusion: Given that none of the analyzed studies reported any complications for yoga and since yoga is a technique that can be easily applied anywhere, it is highly recommended to train women with breast cancer and other diseases how to implement this technique in order to improve their quality of life and increase their satisfaction.

Complementary Therapies in Clinical Practice, 2018

Background and purpose: Aromatherapy, a CAM therapy, is a natural way of treating the mind, body ... more Background and purpose: Aromatherapy, a CAM therapy, is a natural way of treating the mind, body and soul of individuals. The purpose of this study was to systematically review the literature to determine the effect of aromatherapy on hemodialysis complications. Methods: In this systematic review, international (PubMed, Google Scholar, Web of Science, CINHAL, EMBASE and Scopus) and national databases (SID and Magiran) were searched from inception of the databases to 30 December 2017. Results: The results showed that aromatherapy reduced some of the complications of hemodialysis, including anxiety, fatigue, pruritus, pain of arteriovenous fistula puncture, sleep quality, depression, stress and headache. In one case, it improved the quality of life of hemodialysis patients. Conclusion: Considering the complications and heavy costs of managing complications in patients undergoing hemodialysis, it appears that aromatherapy can be used as an inexpensive, fast-acting and effective treatment to reduce complications in hemodialysis patients.

Journal of Cancer Education, 2018

The current study evaluated the oncology nurse's knowledge, attitude, related factors of cancer-r... more The current study evaluated the oncology nurse's knowledge, attitude, related factors of cancer-related pain management (CPM), and clinical recommendations for improving knowledge and attitude. In this systematic review, international databases (PubMed, EMBASE, Web of science (WOS), Science Direct, and Scopus) were searched for relevant studies published in English language from March 30, 2000 to March 30, 2018. The quality of the studies was evaluated using the Hoy instrument. Out of 888 initial studies, 12 studies performed on 3574 participants were included in the final stage of the review. Based on the results, most studies indicated that nurses had a poor (n = 4) or moderate (n = 4) knowledge of CPM. The lowest and the highest knowledge levels were 28.5% and 75%, respectively. According to most studies, nurses had a fair (average) (n = 4) or negative (n = 3) attitude toward CPM. The important factors related to the nurses' knowledge of CPM included previous pain-related education programs (n = 7) and having work experience with cancer patients (n = 4). The most important barrier was the deficit in staff's knowledge of pain (n = 2). The important clinical recommendations for improving nurses' levels of knowledge included the implementation of educational programs (n = 9), training programs (n = 3) on CPM and including CPM topics in nursing curricula (n = 5). This systematic review showed that most nurses had poor knowledge of CPM and a fair attitude toward CPM, indicating the importance of considering the barriers to knowledge, strengthening the positive relevant factors, and using clinical recommendations based on clinical guidelines such as including CPM topics in nursing curricula and implementing educational programs on CPM to improve the knowledge, attitude, and skills of oncology nurses. The results of the present study could be used by policymakers to provide care for cancer patients and manage their pain.

Breast Cancer Research and Treatment, 2018

Background: Thalassemia is the most common genetic disorder in Iran. High treatment costs, the us... more Background: Thalassemia is the most common genetic disorder in Iran. High treatment costs, the use of iron chelators, comorbidities and periodic visits affect the quality of life in these patients. The present study was conducted to assess the quality of life, according to the Short healthy survey (SF-36), in Iranian patients with thalassemia major. Materials and Methods: In this meta-analysis, search was done in national and international databases, including SID, MagIran, Google Scholar, Web of Science, Medline (via PubMed), and Scopus until March 2018. The searched papers were screened and summarized by two independent reviewers. Based on the heterogeneity among the studies, the data were analyzed using the random effects model. Data were analyzed using STATA version 14.0. Results: Data from 18 studies, including 2,897 patients (age group 12-45 years old); were entered in the final analysis. The mean mental component scale in patients with thalassemia major (57.30; 95% confidence interval: 50.31-64.30) was lower than the mean physical component scale (62.77, 95% CI: 52.63-70.91). The mental component scale increased significantly between 2009 and 2017 (as the year of publication increased) (P = 0.043). The highest (74.77), and lowest (60.94) subscale scores of quality of life were related to physical functioning and general health, respectively. Conclusion Patients with thalassemia major have a relatively low quality of life. Providing strategies for improving the quality of life in this group of patients (particularly in terms of mental components) seems necessary.

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018

Introduction: During the postnatal period, mothers face different challenges such as learning how... more Introduction: During the postnatal period, mothers face different challenges such as learning how to care for their infants and how to fulfill their own parental roles. Aim: To evaluate the effects of postnatal home-based education on primiparous women's perceived self-efficacy in neonatal care. Materials and Methods: This quasi-experimental study was done on 100 primiparous women who referred to healthcare centers in Zahedan, Iran, to receive routine postnatal care services. Women were conveniently recruited and randomly allocated to an experimental (n=50) and a control (n=50) group. A demographic questionnaire and Reece's Parent Expectations Survey were used for data collection both before and six weeks after the intervention. Women in the experimental group received routine postnatal care services as well as postnatal home-based neonatal care education in three sessions. However, women in the control group solely received routine postnatal care services. The SPSS software (v. 20.0) was used and for analysis of covariance, paired and independent-sample t, Chisquare tests were used. Results: Mean age in the experimental and the control groups were 22.82±4.56 and 21.02±5.20 years respectively. After the intervention, the average increase in the score of perceived self-efficacy in the experimental group (44.84±13.50) was significantly greater than the control group (10.90±8.45; p < 0.0001). Conclusion: Postnatal home-based education improves primiparous women's perceived self-efficacy in neonatal care. Home-based educational programs are recommended for the improvement of maternal and infantile outcomes in postnatal period.

International Journal of Women's Health and Reproduction Sciences, 2016

Objectives: Planned interventions can facilitate the maternal role for primiparous women by reduc... more Objectives: Planned interventions can facilitate the maternal role for primiparous women by reducing postpartum stress. The present study aims to determine the effect of home-based supportive-educational counseling on primigravidas' postpartum stress. Materials and Methods: In this quasi-experimental study, 100 primigravidas, who had routinely referred to health centers from May to June 2016 for postpartum care on the third to fifth day after delivery, were selected and randomly assigned into two intervention (n = 50) and control (n = 50) groups. The Hung Postpartum Stress Scale (HPSS) was used for data collection. The intervention group underwent three supportive-educational sessions at home and the control group underwent usual postpartum care and trainings. Postpartum stress in both groups was evaluated at the end of sixth week after delivery. The gathered data were analyzed using statistical tests including independent t test, paired-sample t test, chi-square, and analysis of covariance (ANCOVA). Results: The mean score of postpartum stress as well as scores of three subscales of maternal role attainment, negative body changes and lack of social support after implementing home-based supportive-educational intervention in the intervention group were significantly lower than the control group (P = 0.0001). Conclusion: Given that home-based supportive-educational intervention has a significant and positive effect on postpartum stress reduction; therefore, visiting at home and providing supportive-educational counseling are recommended for postpartum programs.