Nezal Azh - Academia.edu (original) (raw)

Papers by Nezal Azh

Journal of Gerontology, 2018

Introduction: Older adults prefer to live at home in later life, but current life condition oblig... more Introduction: Older adults prefer to live at home in later life, but current life condition obliged them to live at nursing homes. However, literatures showed that living in nursring homes leads to dissatisfaction, loneliness and poor quality of life. Therefore, it is necessary to perform some interventions to improve the quality of life of older adults in nursing home and increase its acceptability. The aim of this study was to investigate the effect of social and recreational interventions on the quality of life of the older adults living at nursing homes in Qazvin and comparing it with the quality of life of community-dwelling older adults. Method: This was a quasi-experimental study. The sample size was 37 older adults' residents of nursing homes and 36 older adults living in the community, which were selected through convenience and randomized sampling, respectively. Data were collected using the WHOQOL-36 before and three months after the intervention. Intervention was an amusement program, Inner city tour and a trip outside the city and regular visiting by an internal specialist. Data was analyzed by SPSS21 using independent t-test and paired t-test.

Journal of hayat, Apr 10, 2007

Zahedan Journal of Research in Medical Sciences, 2012

International journal of epidemiology and health sciences, Jan 8, 2023

Journal of Qualitative Research in Health Sciences, 2021

Introduction: Midwifery is a profession characterized by physical and psychological stressors. It... more Introduction: Midwifery is a profession characterized by physical and psychological stressors. It is mostly practiced by women. Midwifery is one of the essential elements of community health. Besides, midwives’ health and performance are important in their self-care, improve service delivery, and encourage other women to engage in health-promoting behaviors. Analyzing factors affecting self-care by exploring midwives’ experiences can be a step towards improving their health and ultimately community health. Methods: The present study was conducted using a qualitative approach. The data were collected through 22 semi-structured individual interviews with midwives working in hospitals or health centers. Sampling was continued until data saturation. The collected data were analyzed using a conventional content analysis approach and simultaneously with sampling. The four criteria proposed by Lincoln and Guba were used to establish rigor in this study and validate the findings. Results: T...

The Practising Midwife

The management of labour pain, despite much research in its regard, remains a complex and difficu... more The management of labour pain, despite much research in its regard, remains a complex and difficult subject. Mindfulness-based cognitive therapy is addressed as a relatively new method of managing acute pain; however, it is less often used in midwifery. Therefore, the present study was carried out to evaluate the effectiveness of mindfulness-based interventions on labour pain. METHODS: This is a clinical trial study in which 158 women, who referred to childbirth preparation classes, were allocated to two groups using simple randomisation. The intervention group was trained in mindfulness techniques during eight sessions by a trained midwife. Women in the control group received routine pregnancy care. On the day of delivery, the pain intensity and the immediate pregnancy outcomes in both groups were assessed. Data were collected using the Visual Analogue Scale and the delivery checklist. Collected data were then analysed using SPSS (a software package used for statistical analysis) a...

Introduction: Stress during pregnancy can be associated with adverse outcomes including preterm b... more Introduction: Stress during pregnancy can be associated with adverse outcomes including preterm birth and intrauterine growth retardation. This study was performed with aim to evaluate the relationship between maternal stress and pregnancy outcomes in pregnant women referring to health centers in Qazvin. Methods: This longitude prospective study was performed on 239 pregnant women with singleton pregnancy at 24-28 gestational weeks referred to Qazvin health centers in 2018. The subjects of exposed group obtained score > 23, while non-exposed group obtained score < 23 from Cohen's perceived stress questionnaire. The outcomes were preterm birth (before 37 weeks) and neonatal outcomes. Mothers were followed up until delivery, then checklist was completed at the time of birth. Data were analyzed by SPSS software (version 24) and t-test, Chi-square and logistic regression. P<0.05 was considered statistically significant. Results: There was significant relationship between pr...

Introduction: Nausea and vomiting is of the common complain during pregnancy. Herbal medicine is ... more Introduction: Nausea and vomiting is of the common complain during pregnancy. Herbal medicine is among the traditional treatments. This study was performed with aim to compare the effects of chamomile, Ginger and vitamin B6 on treatment of nausea and vomiting in pregnancy. Methods: This randomized clinical trial was performed on 105 pregnant women with gestational nausea and vomiting in Qazvin Health Centers in 2016-2017. The subjects were randomly assigned to three groups (intervention 1,2,3) (n=35 in each group). The intervention groups received oral capsule of chamomile, ginger and vitamin B6 for four days, three times a day. Rhodes index was used to assess nausea and vomiting before and 1 week after intervention. Data were analyzed by SPSS software (version 23) and t-test, Chi-square, Kruskal–Wallis and Wilcoxon. P 0.05). Whereas, after the intervention, it showed significant decrease in three groups (P=0.001), but there was no significant difference between three groups in term...

Journal of midwifery and reproductive health, 2019

Background & aim: Given the importance of developing mother-friendly hospitals (MFHs) in order to... more Background & aim: Given the importance of developing mother-friendly hospitals (MFHs) in order to promote normal delivery and respect mothers’ rights, the present study was conducted to evauate the implementation of MFH steps in the hospitals of Qazvin, Iran. Methods: This cross-sectional study was conducted in all Qazvin hospitals (five public and four private hospitals) in Iran in 2017. The standard MFH checklist was used for data collection. The checklist included 10 steps and 110 items related to the places, equipments, facilities, records, hospital statistical data. MFH checklist was completed through observation, assessment of medical records and interview with 210 clients and staff. Expected level of MFH was considered at 80% in all steps. The data were analyzed by SPSS software (version 24). Results: Two hospitals obtained accepted scores at all steps. However, the achievement rates in steps 1 (i.e., current perinatal care), 3 (i.e., emergency services), 5 (i.e., preparation...

Journal of Gerontology, 2018

Introduction: Older adults prefer to live at home in later life, but current life condition oblig... more Introduction: Older adults prefer to live at home in later life, but current life condition obliged them to live at nursing homes. However, literatures showed that living in nursring homes leads to dissatisfaction, loneliness and poor quality of life. Therefore, it is necessary to perform some interventions to improve the quality of life of older adults in nursing home and increase its acceptability. The aim of this study was to investigate the effect of social and recreational interventions on the quality of life of the older adults living at nursing homes in Qazvin and comparing it with the quality of life of community-dwelling older adults. Method: This was a quasi-experimental study. The sample size was 37 older adults' residents of nursing homes and 36 older adults living in the community, which were selected through convenience and randomized sampling, respectively. Data were collected using the WHOQOL-36 before and three months after the intervention. Intervention was an amusement program, Inner city tour and a trip outside the city and regular visiting by an internal specialist. Data was analyzed by SPSS21 using independent t-test and paired t-test.

Journal of hayat, Apr 10, 2007

Zahedan Journal of Research in Medical Sciences, 2012

International journal of epidemiology and health sciences, Jan 8, 2023

Journal of Qualitative Research in Health Sciences, 2021

Introduction: Midwifery is a profession characterized by physical and psychological stressors. It... more Introduction: Midwifery is a profession characterized by physical and psychological stressors. It is mostly practiced by women. Midwifery is one of the essential elements of community health. Besides, midwives’ health and performance are important in their self-care, improve service delivery, and encourage other women to engage in health-promoting behaviors. Analyzing factors affecting self-care by exploring midwives’ experiences can be a step towards improving their health and ultimately community health. Methods: The present study was conducted using a qualitative approach. The data were collected through 22 semi-structured individual interviews with midwives working in hospitals or health centers. Sampling was continued until data saturation. The collected data were analyzed using a conventional content analysis approach and simultaneously with sampling. The four criteria proposed by Lincoln and Guba were used to establish rigor in this study and validate the findings. Results: T...

The Practising Midwife

The management of labour pain, despite much research in its regard, remains a complex and difficu... more The management of labour pain, despite much research in its regard, remains a complex and difficult subject. Mindfulness-based cognitive therapy is addressed as a relatively new method of managing acute pain; however, it is less often used in midwifery. Therefore, the present study was carried out to evaluate the effectiveness of mindfulness-based interventions on labour pain. METHODS: This is a clinical trial study in which 158 women, who referred to childbirth preparation classes, were allocated to two groups using simple randomisation. The intervention group was trained in mindfulness techniques during eight sessions by a trained midwife. Women in the control group received routine pregnancy care. On the day of delivery, the pain intensity and the immediate pregnancy outcomes in both groups were assessed. Data were collected using the Visual Analogue Scale and the delivery checklist. Collected data were then analysed using SPSS (a software package used for statistical analysis) a...

Introduction: Stress during pregnancy can be associated with adverse outcomes including preterm b... more Introduction: Stress during pregnancy can be associated with adverse outcomes including preterm birth and intrauterine growth retardation. This study was performed with aim to evaluate the relationship between maternal stress and pregnancy outcomes in pregnant women referring to health centers in Qazvin. Methods: This longitude prospective study was performed on 239 pregnant women with singleton pregnancy at 24-28 gestational weeks referred to Qazvin health centers in 2018. The subjects of exposed group obtained score > 23, while non-exposed group obtained score < 23 from Cohen's perceived stress questionnaire. The outcomes were preterm birth (before 37 weeks) and neonatal outcomes. Mothers were followed up until delivery, then checklist was completed at the time of birth. Data were analyzed by SPSS software (version 24) and t-test, Chi-square and logistic regression. P<0.05 was considered statistically significant. Results: There was significant relationship between pr...

Introduction: Nausea and vomiting is of the common complain during pregnancy. Herbal medicine is ... more Introduction: Nausea and vomiting is of the common complain during pregnancy. Herbal medicine is among the traditional treatments. This study was performed with aim to compare the effects of chamomile, Ginger and vitamin B6 on treatment of nausea and vomiting in pregnancy. Methods: This randomized clinical trial was performed on 105 pregnant women with gestational nausea and vomiting in Qazvin Health Centers in 2016-2017. The subjects were randomly assigned to three groups (intervention 1,2,3) (n=35 in each group). The intervention groups received oral capsule of chamomile, ginger and vitamin B6 for four days, three times a day. Rhodes index was used to assess nausea and vomiting before and 1 week after intervention. Data were analyzed by SPSS software (version 23) and t-test, Chi-square, Kruskal–Wallis and Wilcoxon. P 0.05). Whereas, after the intervention, it showed significant decrease in three groups (P=0.001), but there was no significant difference between three groups in term...

Journal of midwifery and reproductive health, 2019

Background & aim: Given the importance of developing mother-friendly hospitals (MFHs) in order to... more Background & aim: Given the importance of developing mother-friendly hospitals (MFHs) in order to promote normal delivery and respect mothers’ rights, the present study was conducted to evauate the implementation of MFH steps in the hospitals of Qazvin, Iran. Methods: This cross-sectional study was conducted in all Qazvin hospitals (five public and four private hospitals) in Iran in 2017. The standard MFH checklist was used for data collection. The checklist included 10 steps and 110 items related to the places, equipments, facilities, records, hospital statistical data. MFH checklist was completed through observation, assessment of medical records and interview with 210 clients and staff. Expected level of MFH was considered at 80% in all steps. The data were analyzed by SPSS software (version 24). Results: Two hospitals obtained accepted scores at all steps. However, the achievement rates in steps 1 (i.e., current perinatal care), 3 (i.e., emergency services), 5 (i.e., preparation...