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

Papers by Maryam Niknami

Journal of Holistic Nursing and Midwifery

The world's elderly population is increasing; along with this growth, their health problems gain ... more The world's elderly population is increasing; along with this growth, their health problems gain importance. Meanwhile, healthy lifestyle is a valuable resource for reducing the incidence of health problems and their consequences. It can enhance recovery, deal with life stressors and improve the quality of life. Objective: The present study aimed to assess the lifestyle of elderly people and factors related to it in individuals who were referred to the pension fund in Rasht city. Materials and Methods: This was a cross-sectional study in which 384 members of the pension fund in Rasht city participated. The data collection tools included the demographic questionnaire, the lifestyle questionnaire, including 5 domains of lifestyle and the medical outcomes study-social support survey (MOS-SSS). Data was collected through interviews and then analyzed using the descriptive and inferential statistics, ANOVA, t-test, Spearman's correlation coefficient and regression model. Results: As many as 65.6% of the sample was men and 34.4% women in the age group of 60-65 years. The mean score of lifestyle was 123.82. The results indicated a statistically significant relationship between the lifestyle of elderly people and the absence of chronic illnesses (p=0.022), education level (p=0.006) and housing status (p=0.022). Regression analysis showed that housing, income and social support conditions are factors associated with lifestyle (R² = 0.15, p=0.0001). Conclusion: It was found that the level of education and social support is among the effective factors influencing lifestyle of elderly people. As the lifestyle of most individuals was at a moderate level, it is necessary to conduct training programs of healthy lifestyle for the elderly seriously.

Applied Nursing Research, 2015

This study aimed to assess quality of life (QOL) and its determinants in Iranian postmenopausal w... more This study aimed to assess quality of life (QOL) and its determinants in Iranian postmenopausal women. This population-based cross-sectional survey was conducted using cluster sampling design. The samples consisted of postmenopausal women aged 40-60 years with total household in Rasht city (north Iran) as the sample frame. Quality of life was assessed by Menopause-Specific QOL (MENQOL) Questionnaire. Mean domain scores and factors related to the higher score of each domain were determined. Findings showed that the mean scores for each domain were: vasomotor: 2.14±1.49; psycho-social: 1.56±0.85; physical: 1.91±0.52 and sexual: 1.37±1.05. Comparing the median of the studied domains, physical domain had the worst score in menopausal women. Pain in joint and muscle, one item of physical domain, had the highest score. The univariate analysis demonstrated that women aged 60-65 (p&amp;amp;amp;lt;0.0001), women with postmenopausal stage 5 or more years (p&amp;amp;amp;lt;0.0001), married women (p&amp;amp;amp;lt;0.05), women holding higher education degree (p&amp;amp;amp;lt;0.05), employed women (p&amp;amp;amp;lt;0.05), women with a body mass index (BMI) &amp;amp;amp;lt;18.5kg/m(2) (p&amp;amp;amp;lt;0.05) and women who do physical activity (p&amp;amp;amp;lt;0.05) showed better QOL. Based on Logistic Regression model, the predictive factors of normal QOL in menopause status were: age, husband education, score of Charlson Comorbidity Index (CCI) and BMI. Our findings suggest that menopause-related symptoms had negative impact on QOL. Confirmation by further research is needed.

Iranian Journal of Nursing and Midwifery Research, 2015

Several studies have reported that medical sciences students are usually dealing with severe stre... more Several studies have reported that medical sciences students are usually dealing with severe stress. However, no study is available on ways of coping in medical sciences students in Iran. As socio-cultural factors may affect the students&amp;#39; responses toward stress, this study aimed to investigate the stressors and ways of coping among students of Guilan University of Medical Sciences (GUMS). A cross-sectional study was conducted on 487 randomly selected students in GUMS in 2012. The student stress scale and Lazarus ways of coping scale were used for data collection. Descriptive statistics were calculated. Also, Chi-square and Fisher&amp;#39;s exact tests, Kruskal-Wallis and Mann-Whitney U tests, and logistic regression analysis were utilized for data analysis. cross-sectional study was conducted on 487 randomly selected students in GUMS in 2012. The student stress scale and Lazarus ways of coping scale were used for data collection. Descriptive statistics were calculated. Also, Chi-square and Fisher&amp;#39;s exact tests, Kruskal-Wallis and Mann-Whitney U tests, and logistic regression analysis were utilized for data analysis. In the majority of students (61.4%), interpersonal factors were the dominant stressor. Most of the students used problem-focused ways of coping (79.7%). Chi-square test showed a significant relationship between gender and ways of coping (P = 0.03). Interpersonal sources of stress were the most common stressors among the medical sciences students. Establishing workshops on communication skills and effective counseling system are suggested.

Objective: The objective of the present study is to determine the relationship between domestic v... more Objective: The objective of the present study is to determine the relationship between domestic
violence during pregnancy with its consequences on pregnant women referring to public maternity
hospitals of Rasht City, Iran.
Materials and Methods: This research was a cross-sectional study of the descriptive analytical
type, conducted on 402 pregnant women who referred to the state-owned maternity hospitals
of Rasht City for childbirth in 2014. In this research, the study samples were collected through
the convenient sampling method. Data collection tools were a questionnaire comprising of three
parts; demographic information, WHO domestic violence during pregnancy questionnaire, and
consequences in pregnancy, which were completed through interview with mothers. Finally, the
obtained data were analyzed, through descriptive and inferential statistics conducted through the
Chi-square test and multiple logistic regression.
Results: Findings showed that 48.5% of pregnant women during their pregnancy had been
subjected to domestic violence (the majority was emotional violence with 45.5% prevalence) by
their spouses, and all aspects of violence have been reported with mild intensity. On determining
the association between the experience of domestic violence during pregnancy and its effects
on pregnancy, the Chi-square statistical test revealed statistically significant relationship between
domestic violence and delivery method i.e., cesarean section (P=0.0001), vaginal bleeding
(P=0.001), preterm labor (P=0.041), premature rupture of embryonic membranes (P=0.044) and
low birth weight of neonates (˂2500 g) (P<0.0001). In the final model, of the main variables of the
research, the emotional violence (OR=1.064, 95% CI=1.007-1.125, P=0.026) was the predictor of
maternal and neonatal complications.
Conclusion: Approximately, half of the women under the study were subject of domestic violence
during their pregnancy, and considering its connection with the risk of maternal and neonatal
complications, it is recommended that the proper

Journal of Holistic Nursing and Midwifery

Applied Nursing Research, 2015

Iranian Journal of Nursing and Midwifery Research, 2015