logo

Search published articles


Showing 11 results for Delshad Noghabi

Fariba Askari, Alireza Atarodi, Dr Shirin Torabi, Ali Delshad Noghabi, Leila Sadegh Moghadam, Roghayeh Rahmani,
Volume 15, Issue 4 (Vol-4 2010)
Abstract

Background and Aim: There are so many events and physiologic phenomena in human life that are very natural such as birth and death. But these natural phenomena can be affected by pathologic processes for the control of which health and treatment cares will be necessary. This study is intended in comprehension of labored women’s experience in natural cares possibilities for this physiologic phenomenon. Materials and Methods: In this study, the phenomenology method was used. The participants were selected from the first labored women who had vaginal labor without any complication in 22 Bahman Hospital, Gonabad, Iran. Sampling was done based on the research aim and the data were collected by semi-structured and open interviews with the participants who were 10 women based on data saturation. Colaizz3i seven–step stage analysis method was used to analyze the data. Results: The interview transcripts of the participants were analyzed and the significant codes were derived from them, then the codes were classified into three main themes and sub-themes groups that are: 1. Environment (noise, patient’s privacy, and environment color), 2. Assuring the labor (from laborer support and midwife skills), and 3. Routine techniques (serum therapy, bed rest, vaginal examinations, amniotomy, and fasting). Conclusion: Today, we should not only concentrate on the patients’ interests, pains, difficulties and health instead of modern tools and techniques and the affairs such as economy, efficiency and cost reduction but also regard women’s real experience for creating new methods of maternal health cares. According to the research findings, it seems necessary to consider and prepare both privacy and a safe and proper environment for labor. The women should be supported by midwifery personnel and their labor should be explained in a simple way and in a real form to them. Some unnecessary interventions such as complete bed rest, IV line, frequent vaginal examinations, early amniotomy and NPO should be avoided. It is hoped that labor experience change into a fantastic and positive experience for the mothers since this will lead to a decrease both in caesarian and its complications and will also lead to successful breastfeeding.
Dr Shahla Khosrovan, Mohammad Reza Mansourian, Dr Mojtaba Kianmehr, Hedayatollah Shams, Leila Sadegh Moghaddam, Ali Delshad Noghabi,
Volume 16, Issue 4 (2-2011)
Abstract

 Abstract

  Background and Aims: Quality in educational system deserves special importance and its purpose is the maximum use of resources. Also, evaluation plays a fundamental role in quality improvement. Therefore, this study was designed to investigate the internal evaluation of community and mental health nursing department of Gonabad university of medical sciences.

  Materials and Methods: This study was a descriptive one. The sample included faculty members, managers, students and related resources as well as the documents of community and mental health nursing department of Gonabad university of medical sciences. A non-random selection based on the objective was used for their selection. Data collection tools were a questionnaire and a checklist. Moreover, observation, inquiry and focus group discussion were used to collect data. The data were analyzed via descriptive statistics.

  Results: Evaluation resulted in 8 factors, 41 criteria and 212 markers that were studied and indicated that the total score of facilities and educational equipments were the highest (92.18%). The minimum score was allocated to educational courses, academic and nonacademic curricula (55.55%).

  Conclusion: The department should attempt to maintain and promote the items with desired status according to progress of science and technology, they also should try to improve the factors that did not get high score on internal evaluation, by careful planning. University administrators also should provide necessary resources and good conditions to improve the group and achieve the best conditions.


Dr Mahdi Moshki , Mis Zohreh Shahghasemi, Mr Ali Delshad Noghabi, Dr Alireza Moslem,
Volume 17, Issue 1 (4-2011)
Abstract

 Abstract

  Background and Aim: One of the social problems of communities is the currently increasing rate of divorce and family disintegration host building. The aim of this research is to understand the condition and factors influencing divorce and identifying some practical solutions to reduce it in Gonabad.

  Materials and Methods: This is a descriptive-analytic research. 123 divorced couples who got divorced in 1387-88 in Gonabad city were selected and completed a researcher-made questionnaire including demographic information.

  Results: In this study, 81 divorced woman and 42 divorced men were surveyed, 50% of the divorces were in affiance time, 60.7% in the early years of marriage or being together as couple, 63.3% in urban areas and 36.7% in rural areas. 54.1% of the divorces were through women's request and 14.2% on the part of men, 31.7% with the couples' agreement. 76.9% of the couples had a diploma or degree below. The marriage age of 45.2% of the couples was under 20 years. 65.4% of the couples had a familiarity with their spouse during marriage.75.2% of them had not conducted enough investigation and surreys on their spouse and his/her family. To study different social, economical, cultural and personal factors, the most important related factors to divorce were: men's addiction, low familiarity of couples with each other, lack of life skills, low age of marriage, urbanization, misunderstanding, mental or physical diseases of the spouse, unemployment, family or other interference from the spouse's family or other people, mandatory marriage, shortage of relationship and sexual skills and hypocrisy . There was also a significant difference in the rate of divorce from location (p=0.0019), the history of familiarity with the spouse (p=0.0013), education (p=0.0000), research and evaluation conducted on a spouse (p=0.0012), physical and mental abuse (p=0.0000), and misunderstanding (p=0.0001) points of view .

  Conclusion: Because of the role of different factors in divorce, preventive strategies and reduction of divorce should be much considered before marriage.


Pegman Bagheri, Ali Delshad Noghabi, Mahdi Moshki,
Volume 20, Issue 1 (4-2014)
Abstract

Aims: Effects of fasting on diabetic patients has been considered more in recent years. This study was done to investigate the changes in body weight, blood pressure and biochemical parameters in fasting people. Methods: In July and August (Ramadan) 2012, 75 diabetic patients from Kenareh village, Iran, were selected by census method and finally the results of 60 patients were enrolled. 15 days before Ramadan, triglyceride, fasting blood glucose, systolic and diastolic blood pressure in the sitting position, weight, height, body mass index and age of samples were calculated and recorded. At this stage, all samples in terms of the occurrence of any possible complications related to the fasting i.e. hypoglycemia, hyperglycemia and diabetic ketoacidosis were also examined. Correlation of each parameter was evaluated with age using Pearson correlation test and with gender using two-sample T-test. Results: During Ramadan, weight, systolic blood pressure, triglycerides, blood sugar and body mass index of samples were significantly decreased but diastolic blood pressure did not have significant decrease. After Ramadan, 4.9% of subjects suffered from hypoglycemia, 23.8% from hyperglycemia and 1.9% from diabetic ketoacidosis. Conclusion: Changes in serum biochemical parameters in patients with type II diabetes as a result of fasting, reduces diabetes risk factors i.e. serum glucose concentration, triglyceride, and BMI.
Arash Hamzei, Mahdi Basiri Mogadam , Mahdi Esmaeili, Ali Delshad Noghabi ,
Volume 21, Issue 1 (Spring 2015)
Abstract

Aims: Endotracheal intubation is an invasive technique which is associated with severe cardiovascular complications. This study aimed to compare the effects of lidocaine 10% spray on the laryngoscope blade with intravenous lidocaine on cardiovascular responses to laryngoscopy and intubation in elective surgical patients. Materials & Methods: In this clinical trial that is performed in 2013, 90 candidates of elective surgery in Gonobad City, Iran hospitals were randomly divided to three groups control (no drugs were used), intravenous lidocaine (three minutes before laryngoscopy) and lidocaine 10% (just before laryngoscopy). Heart rate and systolic blood pressure, diastolic blood pressure and mean arterial blood pressure were recorded immediately before, immediately after, and 1, 3 and 5min after laryngoscopy. Data were analyzed using SPSS 20 by repeated ANOVA and Tukey post hoc tests. Findings: There were significant differences in systolic, diastolic and mean arterial blood pressure between control group and each intravenous lidocaine and lidocaine 10% groups after laryngoscopy (p<0.001). There was no significant difference in any of the three variables between intravenous and spray groups. No significant difference was found between the three groups in heart rate (p=0.16). Conclusion: Compared with intravenous lidocaine administration, lidocaine 10% spray on the laryngoscope blade lead to better stability in blood pressure after laryngoscopy, but has no effect on the heart rate.


Maryam Eshghizadeh, Ali Delshad Noghabi2, Saeede Arabsalehi, Farhad Rahmani,
Volume 21, Issue 4 (Special Issue 2015)
Abstract

Aims: The birth of an infant requiring cares in the neonatal intensive care unit (NICU) is one of the stressful sources in life. The aim of this study was to determine the stressful sources in mothers of infants in NICU. 

Instrument & Methods: In the descriptive study, all mothers of infants hospitalized in NICU of Hajar Hospital in Shahr-e-Kord were studied in 2011. The subjects (n=110) were selected by census method. Data was collected by family information form and Miles and Funk’s parent stress questionnaire.  Data was analyzed by SPSS 18 software using Spearman and Kruskal-Wallis correlation analyses noticing data abnormality.

Findings: There were no significant correlation between educational level, type of child birth, mother’s job, and residence place and mothers’ stressors (p>0.05). There were significant and reverse correlations between environmental stressor and birth weight of infant (p=0.025; r=-0.213), mother’s age (p=0.034; r=-0.203), and income (p=0.002; r=-0.292). There was no significant correlation between relation stressor and any demographic characteristics. There were significant correlations between the status of home resident and environmental (p=0.031), face (p=0.008), and relation (p=0.0001) stressors.

Conclusion: The mothers describe their own experiences of NICU as stressful. In addition, the environmental stressors affect such experiences in the highest level.


Ali Alami, Zahra Moradi, Ali Delshad Noghabi, Arash Hamzei,
Volume 22, Issue 2 (Spring 2016)
Abstract

Aims: To reduce discomfort and anxiety, providing true sedation for the patients hospitalized in ICU is very important. Therefore, the staff of ICU needs tools to measure effective sedation in the patients. The aim of this study was to assess the sedation status in the patients hospitalized in ICU via Sedation-Agitation Scale (SAS) and to compare the findings with Visual Analog Scale (VAS).

Instrument & Methods: In this correlational study in 2015, 106 patients hospitalized in the intensive care units of Qaem Hospital of Mashhad, Iran, were selected via quota sampling method and studied. Sedation status of the patients was assessed by the validated Persian version of SAS and VAS. Data was analyzed by SPSS 20 software and Spearman’s correlation coefficient test.

Findings: There was a positive and significant correlation between SAS and VAS (p<0.001; r=0.824). The highest scoring of SAS, which was 6, was equivalent to score 3 in VAS. In general, the higher the score of SAS, the higher the score of VAS was. 

Conclusion: SAS and VAS are in a high correlation to assess sedation. Therefore, SAS can be used as a valid tool in the treatment sector.


R. Ghobadi Mohebi , T. Baloochi Baidikhti , M. Basiri Moghadam , A. Delshad Noghabi ,
Volume 23, Issue 4 (Autumn 2017)
Abstract

Aims: Newborns are more sensitive to pain than adults and are more susceptible to the long-term complications of pain. So, it is necessary to use procedures for reducing pain in newborns. The aim of this study was to determine the effect of local heat on the pain intensity of heel-blood sampling in the term newborns.
Material & Methods: In this randomized controlled clinical trial study, in 2012, 63 healthy 3 to 5-day newborns who were referred to Shahid Delkhah Health Center in Ferdows were selected by random sampling method and randomly divided into 3 groups (21 people in each group): test (heat), placebo (sound) and control. The pain intensity of newborns before, during and after heel-blood sampling was evaluated. The data collection tools were demographic questionnaire and Neonatal Infant Pain Scale (NIPS). Data were analyzed by SPSS 14.5 software and chi-square test, one-way ANOVA, Tukey's post hoc test, and ANOVA with repeated observations.
Finding: The mean pain intensity in the three groups was not significantly different before intervention (p=0.86), but the mean pain intensity was lower in the test group than in the other two groups (p=0.006). After heel-blood sampling, the mean pain intensity was the least in the test group and was the most in the control group (p<0.001).
Conclusion: Local heat during and after heel blood sampling decreases pain intensity in the term newborns.
 
M. Mohsenikhah, R. Esmaili, J. Tavakolizadeh, M. Khavasi, M. Jaras, A. Delshad Noghabi,
Volume 24, Issue 1 (Winter 2018)
Abstract

Aims: Diabetes is the most prevalent metabolic disease in human being. Self-care is the most important way of preventing complications. This study aimed at investigating the effects of peer-education on quality of life in adult patients with type 2 diabetes.
Materials & Methods: This semi experimental study was conducted at a diabetes clinic affiliated to Gonabad University of medical sciences, Iran in 2017 among 80 patients with type 2 diabetes. Patients were selected based on available sampling method, and they were randomly divided into two groups, namely intervention and control (40 patients each group). The data of all patients were collected by demographic and disease information questionnaire and diabetic patient quality of life (QOL) questionnaire. The present study was carried out in three main steps: In the first step (before intervention), peers were trained by the researcher during four sessions. In the second step (intervention), quality of life of patients was assessed before training; then, patients in intervention group were trained and instructed during three sessions; the control group received the usual instruction, too. In the third step (one month later), quality of life of patients in both groups was assessed. The data were analyzed by SPSS statistics software Version 20, using Chi-square, Fisher, independent t test, paired t test, Mann-Whitney U, and Wilcoxon.
Findings: The mean scores of quality of life in intervention group did not have any significant difference with control group before instruction (p>0.05). After instruction, the mean scores of quality of life in the intervention group compared with the control group increased significantly (p<0.001).
Conclusion: Peer education improves quality of life in adult patients with type 2 diabetes.
 


Mitra Jaras, Mohammad Reza Mansoorian, Ali Delshad Noghabi, Hossein Nezami,
Volume 26, Issue 1 (Winter 2019)
Abstract

Aims: This study aimed to compare the effects of self-care education using focus group discussion and teach-back method on the lifestyle promotion of pregnant women.
Methods & Materials: In this randomized field trial, participants were 90 pregnant women referred to the community health centers in Gonabad, Iran with no history of physical and psychological problems that can affect their self-care. They were randomly selected from among the three health centers and divided into three groups of focus group discussion, teach-back, and control. The data collection tools were a demographic form, and Walker’s Health-Promoting Lifestyle Profile (HPLP) questionnaire completed before and one month after the intervention. The collected data were analyzed in SPSS v. 20 software using independent t-test, paired t-test and ANOVA. The P-value <0.05 was set as the significance level.
Findings: There was no significant difference between the three groups in terms of educational level (P=0.029), occupation (P=0.090), income (P=0.099), and gestational age (P=0.741), and they were homogeneous. After intervention, all aspects of health-promoting lifestyle (except stress management) in two groups of teach-back (P<0.001) and focus group discussion (P<0.001) were significantly improved compared to the control group (P=0.66). In comparing the two educational methods, focus group discussion had a more significant impact on the lifestyle than the teach-back method.
Conclusion: Focus group discussion method is recommended for the self-care education of pregnant women.

Fatemeh Mohammadzadeh, Ali Delshad Noghabi, Javad Bazeli, Hamidreza Karimi, Hossein Aalami,
Volume 27, Issue 2 (Spring 2021)
Abstract

Aims: The emergence of COVID-19 disease has created significant stress and anxiety for health care workers. This study aimed to investigate the stressors and coping strategies in the staff of Allameh Bohlool Hospital in Gonabad City, Iran, during the outbreak of the COVID-19 disease.
Methods & Materials: This cross-sectional study was performed on 252 employees of Allameh Bohlool Hospital in Gonabad from March 2020 to April 2020. Study tools included a brief form of coping styles (Brief-COPE) and a researcher-made questionnaire of stressors due to the emergence of COVID-19 among health care workers. The obtained data were analyzed using linear regression and ordinal regression models at the significance level of 0.05.
Findings: About 74.2%, 69.4%, 52.7%, 52.7%, and 99.2% of the hospital staff had moderate to high stress in the domains of internal, family-social, workplace-related, infection control, and government measures, respectively. The degree of using adaptive and maladaptive coping styles used by staff were 52.0% and 23.8% at the moderate to the high level, respectively. Maladaptive coping styles had a positive and significant relationship with stress intensity so that for each unit increase in maladaptive coping score, the odds of experiencing higher levels of stress increased 1.24 to 1.45 times (P<0.001). Also, the odds of experiencing higher levels of stress in those who had sports activities was 24% to 76% lower (P=0.003).
Conclusion: The findings of the present study indicated a high level of stress among hospital staff. Also, the use of maladaptive coping styles and sports activities had a significant positive and negative relationship with stress intensity, respectively. Therefore, designing effective interventions focusing on reducing maladaptive coping patterns among hospital staff and encouraging people to engage in sports activities can help manage stress as much as possible due to the outbreak of COVID-19 disease.

Page 1 from 1