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Showing 9 results for Khoori

Elham Khoori , Katayoun Jalaliaria ,
Volume 14, Issue 2 (9-2017)
Abstract

Background: Youths and adolescents are considered as valuable assets of any society. The preservation and promotion of health in this population is an issue of significant importance from the social and economic dimensions. Globalization has resulted in the emergence of several health risks for this age set. Sexual curiosity and sexual experiences are some of these dangers, which can cause irreparable damages if neglected. Regarding this, the present narrative review was conducted to identify the guidelines from different parts of the world for the preservation and promotion of sexual and fertility health among the Iranian adolescents and youths. The integration of these strategies can provide appropriate solutions conforming to the Iranian culture.
Methods: This narrative review was conducted on the articles and sources published within 1958-2015. The search was performed using the valid international databases, including Pubmed, Google Scholar, Google, WHO, ProQuest, and the Persian databases, such as Iranmedex and SID. In addition, we performed library research to obtain the papers investigating the issue of interest. The keywords used during the searching process entailed: “Reproduction Health”, “Youth”, “Adolescents”, and “Sexual Health”. In this review, out of 85 evaluated sources, 53 articles, books, thesis, and websites were selected.
 Results: As the reviewed studies indicated, the lack of knowledge, an unclear horizon of the future, and inaccessibility to reproductive health services threaten the health of the youths and adolescents. Therefore, the provision of sex education by parents, schools, or peers can have a significant impact on the promotion of sexual health in this population. Moreover, screening and identifying the adolescents and youths at risk and educating the necessary skills to this age set can prevent the occurrence of high-risk sexual behaviors. Similar to other countries but with a lower prevalence rate, there are some problems in sexual and fertility health of the youths and adolescents in Iran. Therefore, it is recommended to teach the sexual health promotion techniques to this population according to their religion and culture.
Elham Khoori , Fatemeh Zarekia , Shahram Mohammadkhani , Azizeh Ghaseminejad, Navisa Sadat Seyedghasemi ,
Volume 15, Issue 1 (2-2018)
Abstract

Background: The success of therapeutic results of assisted reproductive techniques is related to several factors, including the extent of female anxiety. The aim of this study was to determine the effect of training problem solving skills on the anxiety of female candidates for intrauterine insemination in Moheb Yas Hospital in Tehran (2015).
Methods: This experimental study was a two-group design (intervention and control) of pre-test and post-test type. The data collection tool was a sociodemographic form and Beck Anxiety Inventory. The samples comprised of 49 female candidates for assisted reproductive technique of intrauterine insemination, with the least Anxiety Score of eight from Beck Anxiety Inventory.  Based on this inventory, participants were homogenized in terms of different levels of anxiety and were randomly assigned into intervention and control groups. For intervention group, the problem-solving skills were trained for three sessions of 2-2.5 hours. Then, Beck's Anxiety Inventory was filled in both intervention and control groups, one day and 9 weeks after the end of the intervention. The data was analyzed in SPSS version 16, using the descriptive and analytical statistics (Mann-Whitney, Wilcoxon, and Paired t-test).
Results: There was no significant difference in the anxiety score among the two intervention and control groups before intervention, whereas the anxiety score indicated a significant difference between the two groups (P=0.001) one day and 9 weeks after the end of the intervention. Training problem-solving skills significantly reduced the anxiety of the intervention group one day after the intervention, and the decrease also remained stable at 9 weeks after the end of the intervention (p = 0.001).
Conclusion: By training problem-solving skills, we can reduce the anxiety among female candidates for intrauterine insemination.
Sahar Arab, Elham Khoori , Nasser Behnampour, Tayebe Ziaei ,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: Health concerns are common issues during adolescence due to the wide range of changes and challenges in this period. As a major population of many countries, including Iran, adolescents need some opportunities to express their thoughts and concerns. Identifying the worrisome subjects among this population group can help us in providing appropriate health education and consultations. Considering that in the majority of studies, adolescent girls express higher concerns compared to boys and since they are more mentally vulnerable than boys, the study aimed to determine health concerns of adolescent’s high school girls from their personal perspectives in Gorgan."
Methods: This study was a quantitative content analysis based on responses of high school female students in private and public schools in Gorgan. The sample size of this study) at least 500 people (was based on the population ratio of high school girls in the public and private schools. As a result, three public and two private schools were randomly chosen. From each grade in the schools, one class was randomly selected. Assenting to take part in the study, adolescents high school girls were asked to fill an anonymous sheet containing demographic information with an open question at the bottom of the sheet in the form of: “Dear adolescent please write down all the concerns you have in your daily lives in the assigned space below”; Finally, 548 sheets were collected and analyzed.
Results: The findings showed that 3 categories including “Self” (%93.8) with 11 subcategories including “education”, “Occupation”, ”Future life”, “Health”, “Marriage”, ”Nutrition”, “Religions”, “Exercise and Recreational activities”, “Appearance“, “Puberty“, and “Risky behavior, “Significant Others“(%44.8) with 3 subcategories including “Family”, “Peers”, and “School staff”, and finally “Peripheral system”(%21.2) with 4 subcategories including “Society“, “School”, “Environment”, and “Cyberspace” as the main adolescents were found as health concern sources.
Conclusions: Based on the findings of the present study, it can be stated that Iranian adolescents experience an atmosphere full of educational, career, family, social, and the future concerns. Thus, modifying the educational system and job creation should be seriously considered by the policy makers to reduce adolescents' health concerns. In this regard, periodical evaluation of health concerns in high schools are recommended. In fact, our findings can give adolescents a stronger voice to increase policy maker’s awareness regarding the adolescents` concerns.
Tayebe Ziaei, Fatemeh Mansourian, Elham Khoori, Mahin Tatari,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: Sexual self-concept is a cognitive evaluation which refers to a person's perception of tendencies and self-sexuality and may be affected by factors such as chronic illnesses. Therefore, this study was conducted to compare sexual self-concept in married diabetic women with married non-diabetic women.
Methods: This Analytical cross-sectional study was performed on 200 married diabetic women and 200 non-diabetic women referred to healthcare centers of Gorgan. Inclusion criteria were: high school education or more, Iranian nationality, living with their spouses for the past 4 weeks, and getting married once. Exclusion criteria were: history of adverse events in the past three months, identified physical, psychological and sexual problems, having psychiatric disorders diagnosis by a psychiatrist, current couple's drug and alcohol addiction, pregnancy, menopause, infertility, and lactation. Samples were selected by systematic random sampling. Data were collected using Farsi Multidimensional Sexual Self-Concept Questionnaire and were analyzed by SPSS16 software using Mann-Whitney nonparametric test.
Results: The results showed that the mean of positive sexual self-concept (103/2 ± 25/59) and the mean score of situational sexual self-concept (33/6± 11/3) in diabetic women were significantly lower than the mean scores of similar areas in non-diabetic women who showed positive sexual self-concept as 111.41 ±24/59 and situational sexual self-concept as 38/2 ± 11/04. Furthermore, the mean score of negative sexual self-concept (27/9 ± 8/5) in diabetic women was significantly higher than the mean scores of similar areas in non-diabetic women (24/9 ± 7/09).
 Conclusions: Diabetes is known as an effective factor on women's sexual issues such as sexual self-concept. According to the results of this study, it seems that some interventions must be designed to improve the positive and situational sexual self-concept and to reduce negative sexual self-concept.
Seyede Mahshid Seyed Hoshiyar, Elham Khoori , Mahin Tatari , Tayebe Ziaei,
Volume 17, Issue 0 (Supplementary 2020)
Abstract

Background: Menopause is a physiologic and natural period in women’s lives. Available solutions to improve quality of life include counseling interventions. Thus, present study has been performed with the purpose of evaluating the effects of self -awareness-based counseling on quality of life of postmenopausal women in Gorgan during 2018. 
Methods: The present study is a clinical trial including two groups of pretest and posttest. Stratified sampling was performed by appropriate allocation of the selection and straw poll and 52 postmenopausal women placed in two groups of control and intervention. In order to prevent probable exchange of information between the two groups, at first the control group filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, and after 6 and 10 weeks. The intervention group, also, filled in the demographic specification form and menopausal quality of life questionnaire at the beginning of the study, after 6 sessions of self-awareness counseling and one month after termination of the sessions. Finally, the data were analyzed by SPSS16 software and Anova analysis testing method with repeated measures.
Results: There was a significant statistical difference in mean score of quality of life in menopause and its various dimensions in the intervention group during three times studied. However, there was no statistical difference in the control group. In the intergroup comparisons of the two groups, a significant statistical difference was observed in mean score of quality of life and its various dimensions except for psychosocial dimension.
Conclusions: Self-awareness-based counseling will cause in improvement of life quality. Therefore, self-awareness-counseling should be used in healthcare centers to promote postmenopausal women’s quality of life.

Mahshid Seyed Hoshiyar, Tayebe Ziaei, Mahin Tatari, Elham Khoori ,
Volume 18, Issue 2 (7-2021)
Abstract

Background: Counseling interventions are among the available strategies to improve the menopausal quality of life and self-awareness counseling is effective in improving adaptation, self-confidence and quality of life. Therefore, the present study aimed to examine effects of self-awareness counseling on quality of life of menopausal women in Gorgan, Iran.
Methods: In this clinical trial, we examined 52 menopause women referred to health centers of Gorgan, Iran in 2018. Data collection tools included a demographic characteristics form and the menopause-specific quality of life questionnaire. First, the control group completed the data collection tools at the beginning of the study and 6 and 10 weeks after the first session. Then the intervention group completed the tools at base line and participated in six 45-60-minute self-awareness-based group counseling sessions, once a week. After that, they were completed questionnaire, immediately and a month after the end of the intervention. Data were expressed as mean ± standard deviation.
Results: In the intervention group, the baseline mean scores of menopausal quality of life and its vasomotor, physical, psychosocial and sexual domains were 55.69±19.47, 5.30±4.57, 30.26±12.24, 12.15±6.64 and 7.96±5.34, respectively. A month after the intervention, the mean scores of menopausal quality of life (30.42±19.64) and its vasomotor (2.65±2.33), physical (16.38±8.64), psychosocial (7.19±4.63) and sexual (4.19±3.42) domains increased significantly in the intervention group (p=0.001). In between group comparison, except for the psychosocial domain, the mean scores of quality of life and its various domains showed a statistically significant difference in one month after the intervention (P=0.001).
Conclusion: The menopausal quality of life and its various domains improved one month after the end of self-awareness counseling. Therefore, we recommend offering self-awareness counseling in health centers for improving the quality of life of menopausal women.

Tayebe Ziaei , Noushin Gordani , Elham Khoori , Mahin Tatari , Saeideh Gharahjeh ,
Volume 18, Issue 2 (7-2021)
Abstract

Background: General self-concept refers to a set of feelings and perceptions toward oneself, and sexual self-concept is defined as individual's perception of his/her sexual feelings and actions. These two concepts are affected by various life problems, including infertility. The present study aimed to determine correlation of general self-concept and sexual self-concept in infertile women.
Methods: The descriptive correlational study was carried out on all infertile women who visited the Gorgan Infertility Center in 2018. Overall, 105 eligible infertile women were included in the study via convenience sampling. Data were collected using Persian versions of the Rogers self-concept questionnaire and the Snell sexual self-concept questionnaire. Data were analyzed using the Pearson and Spearman's correlation tests in SPSS 16 and at significance of 0.05.
Results: Mean age of subjects was 28.88±5.14 years (range: 17 and 40 years). Based on the findings, 19% of the participants had normal general self-concept, 31.4% had moderate self-concept, and 49.5% had weak self-concept. Mean scores of positive sexual self-concept, negative self-concept and situational sexual self-concept were 118.9±24.85, 13.33±8.94 and 41.98±10.53, respectively. There was no correlation between general self-concept and different dimensions of sexual self-concept of the infertile women.
Conclusion: Due to the lack of correlation between general self-concept and sexual self-concept in infertile women, it is suggested to conduct evaluations and interventions on the general and sexual self-concepts of the participants separately.

Azam Hokmabadi, Elham Khoori , Mahin Tatari, Sandy K. Wurtele ,
Volume 19, Issue 2 (9-2022)
Abstract

Abstract:
Background: Parents play important roles in protecting their children from child sexual abuse (CSA). In Iran, mothers have been shown to effectively improve and maintain female children’s protective behaviors and knowledge regarding CSA. This study aimed to determine the effect of personal safety education for mothers in Gorgan (northeastern Iran) on their sons’ knowledge and skills for the prevention of CSA.
Methods: This clinical trial was conducted in 2019 on 46 preschool-aged boys and their mothers. Eligible subjects were recruited by systematic random sampling from two health centers in Gorgan. Boys were pretested using Persian versions of the Personal Safety Questionnaire and ’What If’ Situations Test and then randomly assigned to either an education group (mother-taught program) or a control group. Mothers assigned to the education group participated in a 2-hour training session and were given the Body Safety Training workbook to teach their sons during the following week. Two days after the training by their mothers, boys in both groups were post tested and also followed up one month later. Data were analyzed in SPSS software (version 16) by using repeated-measures ANOVA, general estimation equation, Mann-Whitney U test, and Fisher’s exact test.
Results: Children taught by their mothers demonstrated significant increases in the mean scores of knowledge (P=0.001), total safety skills (P<0.001), and appropriate-touch recognition (P=0.005). These increases were maintained at the one-month follow-up. Children in both groups recognized almost all inappropriate-touch requests correctly at all three time periods (P=0.99).
Conclusion: Educated mothers effectively taught their young sons skills and knowledge to protect from CSA, and these gains were maintained for one month. Although all participants were able to recognize inappropriate-touch requests, boys did not recognize that requests to touch the genitals are appropriate for health or hygiene purposes until they were educated by their mothers. In Iran, parents teach children that any touching or looking at their private parts by anyone is forbidden.
 

Tayebe Ziaei , Elham Khoori , Judith N Lasker ,
Volume 20, Issue 2 (10-2023)
Abstract

Letter to the Editor

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