Jorjani Biomedicine Journal

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Background & Objective: Myocardial infarction is one of the most common coronary artery diseases. One of the educational needs of patients, is how to perform sexual activities. Unfortunately, this issue is not being taught to patients, leading to problems in patients and their partners. This study was aimed to determine the effect of sex education on patients and their spouses› satisfaction after myocardial infarction. Method: This Quasi-experimental, non-randomized study was performed on 60 patients with myocardial infarction and their spouses in the city of Yazd whom were divided into two groups of experimental and control (60 in each group),in the year 1392. The main method of this study was the education and preparation of nurses and then educating patients by trained nurses and to assess sexual satisfaction based on the standard Larson›s questionnaire. The data were then statistically analyzed using SPSS version 16 using paired, independent t-test. Results: The average sexual satisfaction of patients in the experimental group before the intervention was 81.93 ± 12.47 and after the intervention 82.50 ± 12.57 While in the control group before the intervention the average satisfaction was 83.10 ± 17.36 and after 6 weeks 75.30 ± 15.42. Also the mean sexual satisfaction of partners in the test group before and after the intervention was 81.30 ± 12.47 and 82.07 ± 12.28 respectively. In the control group before the intervention, the average score was 82.50 ± 17.21 and after intervention it was 74.57 ± 15.30. There was significant difference between patients and spouses› sexual satisfaction scores in the experimental and control groups before and after the intervention (P=0.001). Conclusion: Sex education increased the sexual satisfaction among the tested group. Therefore, it is suggested to include programs in order to prepare nurses in terms of sex education of patients and their spouses in cardiac intensive wards.

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Background and Objectives: Damages caused by accidents are accounted as a major cause of death for children under 5 years old. To design preventive programs, health education theories could be employed. This study aimed to determine the effect of educational intervention based on health belief model on the damage caused by accidents in children less than 5 years in 1392 in Qorveh city.

Methods: The present randomized field trial study was conducted on 120 mothers with children less than 5 years who were supported by four different health centers. These centers were randomly divided into two groups of intervention and control. The effect of intervention was investigated using a standardized questionnaire including 85 items of health belief model structures. The questionnaires were completed using interviews by trained interviewers. Statistical analysis was done using SPSS 19.0, independent and two-tailed samples t-test.

Results: We found that there were positive and significant differences in terms of knowledge, intensity, perceived barriers and self-efficacy between two groups after intervention (P<0.05). Average differences before and after the intervention and the average scores were significantly different in all cases (P<0.05). There was a significant difference regarding the mild injuries among children under five years between the two groups after intervention (P=0.023).

Conclusion: Our results showed that education on the basis of health belief model, as one of the theories of health education, has positive effects on the promotion of safety knowledge, attitude change and improving the function of mothers over damaged children lower than 5 years and consequently the promotion of health and safety among children.

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Background and Objectives: Family-centered empowerment model is one of the patterns in the area of empowering patients in modification of risky behaviors. According to extensive health and economic consequences of brucellosis in the community, we decided to evaluate the effect of this pattern in risk behavior modification in patients with brucellosis.

Methods: The current study was a quasi-experimental study that was performed on 76 individuals with brucellosis in Chalderan County, 2013. All of the patients were allocated in intervention and control groups using stratified randomiztion. Data was collected using a standardized researcher-made questionnaire based on family-centered empowerment model in five structures including knowledge, attitudes, self-efficacy, self-esteem and behavior in two phases. The first stage was before the educational intervention and the second stage was performed two months after the intervention. To analyze data statistically, descriptive statistics and paired and independent t tests with the significance level of 0.05 were used.

Results: Mean and standard deviation of the patients' ages was 37.9 ± 14.7. Paired t-test results showed that the mean scores of knowledge (p<0.001), attitudes (p<0.001), self efficacy (p<0.001), self-esteem (p<0.001) and behavior (p<0.001) were significantly increased within the intervention group. However, the changes were not significant in the mean scores of knowledge (p=0.293), attitudes (p=0.106), self efficacy (p=0.225), self-esteem (p=0.105) and behavior (p=0.303) in the control group. According to the results of independent t-test, the mean scores increased considerably in all structures within the intervention group in comparison to the control group after the educational intervention (p<0.05).

Conclusion: Regular interventional programs and applying educational theories could be an effective method  in high risk behavior modification in patients with brucellosis. Therefore, such  programs should be implemented in a wide range.