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Fallahipour L, Nazari M, Karimi M, Zare E. Effectiveness of Educational Intervention Based on Transtheoretical Model on Physical Activity and Menopausal Symptoms. BIOMED RESEARCH INTERNATIONAL 2022; 2022:1791445. [PMID: 36560963 PMCID: PMC9767743 DOI: 10.1155/2022/1791445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 11/12/2022] [Accepted: 11/15/2022] [Indexed: 12/15/2022]
Abstract
Introduction Menopause is an inevitable part of women's lives. Physical activity as nonhormonal therapy can decrease the symptoms of menopause. This study is aimed at investigating the effect of educational intervention based on the transtheoretical model (TTM) on physical activity and menopausal symptoms of female clients of the health center in Pasargad City, Iran. Methods This quasi-experimental study was performed on 140 females admitted to health center of Pasargad City, Fars Province, Iran (intervention = 70 and control = 70). The data collection tool consisted of demographic data, menopause rating scale, international physical activities questionnaire, and TTM questionnaire (stages of change, processes of change, decision-making balance, and self-efficacy) that were completed before and two months after intervention. For intervention group, the educational program was implemented during 5 sessions of 50-55 min. Data were analyzed by SPSS 25 and by using Chi-square test, independent t-test, and paired t-test. Results After intervention, the mean scores of physical symptoms are sleep problems, muscle problems and discomfort, psychological symptoms, depression, irritability, and anxiety of intervention group decreased significantly post intervention (p < 0.001). Analysis showed that psychological symptoms, mental fatigue, somatic, and urogenital symptoms, and vaginal dryness increased 2 months after the intervention. Also, the mean score of cons, pros, decision balance, self-efficacy, consciousness raising, dramatic relief, environmental reevaluation, and self-reevaluation have significant changed in intervention group (p < 0.05). In addition, the top percent of progress can be seen in contemplation (31. 5%). Conclusion This study showed the effectiveness of educational intervention based on TTM to reduce menopausal symptoms and promote physical activity in postmenopausal women.
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Affiliation(s)
- Leila Fallahipour
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahin Nazari
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Masoud Karimi
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Elahe Zare
- Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Kim J, Jang J, Kim B, Lee KH. Effect of the PRECEDE-PROCEED model on health programs: a systematic review and meta-analysis. Syst Rev 2022; 11:213. [PMID: 36210473 PMCID: PMC9549687 DOI: 10.1186/s13643-022-02092-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 09/29/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The predisposing, reinforcing, and enabling constructs in educational diagnosis and evaluation policy, regulatory, and organizational constructs in educational and environmental development (PRECEDE-PROCEED) model has been used as a theoretical framework to guide health promotion strategies to prevent chronic diseases and improve the quality of life. However, there is a lack of evidence as to whether applying the PRECEDE-PROCEED model effectively improves health outcomes. This study aimed to systematically review intervention studies that applied the PRECEDE-PROCEED model and examine its effectiveness. METHODS: In December 2020, seven databases were systematically searched. The quality of studies was assessed using the Mixed Methods Appraisal Tool. The outcome of interest for the meta-analysis was knowledge. RESULTS In total, 26 studies were systematically reviewed. Most studies provided educational programs as the main intervention for various population groups. Symptom or disease management and health-related behavior promotion were the most common topics, and education was the most frequently used intervention method. The PRECEDE-PROCEED model was applied in the planning, implementation, and evaluation of the intervention programs. Eleven studies were included in the meta-analysis, which showed that interventions using the PRECEDE-PROCEED model significantly improved knowledge. CONCLUSIONS This study indicated that individuals are more likely to engage in health-related behaviors with better knowledge. Thus, the PRECEDE-PROCEED model can be used as the theoretical framework for health promotion interventions across population groups, and these interventions are particularly effective with regard to knowledge improvement.
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Affiliation(s)
- Junghee Kim
- Department of Nursing, Yonsei University Wonju College of Nursing, Wonju, 26426, South Korea
| | - Jaeun Jang
- Yonsei University College of Nursing, Seoul, 03722, South Korea
| | - Bora Kim
- College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, 03722, South Korea
| | - Kyung Hee Lee
- Yonsei University College of Nursing and Mo-Im Kim Nursing Research Institute, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul, 03722, South Korea.
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Rivera-Ochoa FS, González-Herrera IV, Zacarías-Flores M, Correa-Muñoz E, Mendoza-Núñez VM, Sánchez-Rodríguez MA. Relationship between Self-Perception of Aging and Quality of Life in the Different Stages of Reproductive Aging in Mexican Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116839. [PMID: 35682423 PMCID: PMC9180910 DOI: 10.3390/ijerph19116839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 05/16/2022] [Accepted: 05/23/2022] [Indexed: 02/04/2023]
Abstract
Biological aging has an abrupt beginning in women, changing their body and perceptions, which are not accepted easily because the actual stereotypes are focused on youth and anti-aging. Our interest was to explore what the self-perception of aging (SPA) is in middle-aged women throughout the reproductive aging stages and their association with the quality of life. A cross-sectional study was conducted with 240 women (40−69 years) living in Mexico City, who were separated according to their reproductive aging stage. An electronic version of the Spanish version of the Self-rated Attitudes Towards Old Age (SATO) and the WHO Quality of Life-Bref (WHOQoL) was applied to these women and was sent by WhatsApp or email. Seventeen women of the total sample (7%) had a negative self-perception of aging. There is an association between SATO and WHOQoL (r = −0.273, p < 0.0001), but in the menopausal transition stage, the association is strong in the psychological subscale, and after menopause, early and late postmenopausal women show a better association in the social subscale. Negative SPA impacts the WHOQoL psychological dimension and not the total WHOQoL score. Our findings suggest an association between SPA and quality of life in different reproductive aging stages.
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Affiliation(s)
- Frida Sara Rivera-Ochoa
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Ixel Venecia González-Herrera
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Mariano Zacarías-Flores
- Division of Obstetrics and Gynecology, Hospital Gustavo Baz Prada, Institute of Health of the State of Mexico, Nezahualcóyotl, Estado de Mexico CP 57300, Mexico;
| | - Elsa Correa-Muñoz
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Víctor Manuel Mendoza-Núñez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
| | - Martha A. Sánchez-Rodríguez
- Research Unit on Gerontology, FES Zaragoza, National Autonomous University of Mexico, Av. Guelatao No. 66, Col. Ejército de Oriente, Iztapalapa, Ciudad de Mexico CP 09230, Mexico; (F.S.R.-O.); (I.V.G.-H.); (E.C.-M.); (V.M.M.-N.)
- Correspondence: ; Tel.: +52-555623-0700 (ext. 83210)
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Afiyah RK, Hasina SN, Sari RY, Umamah F, Rusdianingseh R, Rohmawati R, Wahyuni CU, Prasetyo B, Qomaruddin MB. Husband’s and Health Workers Support Increase Self-acceptance After Hysterectomy. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: There have been many studies on the importance of various interventions to increase self-acceptance after hysterectomy, but in general none of the above studies have explained the importance of husband and health workers' support in increasing self-acceptance after hysterectomy. This study aims to analyze the correlation between husband's support and health workers with self-acceptance after hysterectomyMethods: The data measured were the support of husbands and health workers as well as self-acceptance obtained from women after hysterectomy through the SAS-EB (Self-Acceptance - Scale for Persons with Early Blindness) questionnaire to measure self-acceptance and a questionnaire containing support to measure support from husbands and health workers. Statistical analysis used was Chi Square to analyze the support of husbands and health workers with self-acceptance after hysterectomyResult: This study found the importance of husband's support, especially support from health workers. The most important support from health workers is the provision of information about hysterectomy including care before and after hysterectomyConclusion: In general, this study proves that husband's and health workers support increase self-acceptance after hysterectomy
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Lu Q, Wang B, Zhang R, Wang J, Sun F, Zou G. Relationship Between Emotional Intelligence, Self-Acceptance, and Positive Coping Styles Among Chinese Psychiatric Nurses in Shandong. Front Psychol 2022; 13:837917. [PMID: 35369270 PMCID: PMC8971775 DOI: 10.3389/fpsyg.2022.837917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/24/2022] [Indexed: 02/03/2023] Open
Abstract
Background Nurses are facing increasing pressure due to the progressing of society, broadening of nursing service connotation, and increasing of the masses’ demand for medical treatment. Psychiatric nurses face suicides, violence, and lost along with other accidents involving patients with mental disorders under higher psychological pressure. A coping style, which is affected by individual emotions and cognition, is an essential psychological resource that allows individuals to regulate stress. The purpose of this study was to investigate the correlation between self-acceptance and the positive coping style of psychiatric nurses, and investigate the mediating role of emotional intelligence. Methods A total of 813 psychiatric nurses from six natural regions in Shandong Province were investigated using the Self-Acceptance Questionnaire (SAQ), Emotional Intelligence Scale (EIS), Simplified Coping Style Questionnaire (SCSQ), and self-compiled general information questionnaire. Results The total EIS score of psychiatric nurses was 3.848 ± 0.459. The highest score was for others’ emotional management (4.071 ± 0.548) and the lowest was for emotion perception (3.684 ± 0.483). EIS and positive coping style were statistically significant based on age, work experience, professional title, education level, and gender (p < 0.05, p < 0.01). Self-acceptance was statistically significant only for professional titles (F = 3.258, p = 0.021). Self-acceptance and emotional intelligence were positively correlated with positive coping style (r = 0.361, p < 0.01; r = 0.492, p < 0.01, respectively). The factors were also positively correlated with each other (r = 0.316, p < 0.01). Self-emotion management, others’ emotional management, emotion perception, self-acceptance, and education level jointly predicted positive coping styles (R2 = 0.305, F = 60.476, p = 0.000). Emotional intelligence partially mediated the relationship between self-acceptance and positive coping styles, with a mediating effect of 16.3%. Conclusion Emotional intelligence and self-acceptance can promote positive coping styles and improve psychiatric nurses’ mental health.
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Affiliation(s)
- Qinghua Lu
- Department of Nursing, Shandong Mental Health Center, Jinan, China
| | - Bin Wang
- Department of Psychology, Shandong Provincial Hospital, Jinan, China
- *Correspondence: Bin Wang,
| | - Rui Zhang
- School of Nursing, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China
| | - Juan Wang
- School of Public Health, Weifang Medical University, Weifang, China
| | - Feifei Sun
- Department of Psychology, Shandong Mental Health Center, Jinan, China
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Afiyah RK, Umbul Wahyuni C, Prasetyo B, Qomaruddin MB, Yunita Sari R, Faizah I, Rusdianingseh R, Nisa F, Rahman FS. Self-acceptance Affects Attitudes in Caring for Sexual Function after Hysterectomy. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: A comprehensive understanding of several approaches, both pharmacological and non-pharmacological, is needed to reduce sexual function problems after hysterectomy. As one example, the research of Rawland et al. (2015) and that study found that cognitive, affective, motivational, behavioral, self-efficacy, and sexual acceptance responses could potentially play an important roles in the assessment of appropriate care. However, in general, there is no research that explains that self-acceptance can affect attitudes.
AIM: This study aims to analyze the correlation between self-acceptance with attitudes toward caring for sexual function after hysterectomy.
METHODS: The data measured were self-acceptance and attitudes toward treatment of sexual function after hysterectomy which was obtained from post-hysterectomy women. Data on self-acceptance using the Self-acceptance – Scale for Persons with Early Blindness (SAS-EB) questionnaire and data on attitudes toward caring for sexual function were made by researchers using references from the theory planned of behavior (TPB) (Alshawish et al., 2020). Statistical analysis used was Chi-square to analyze self-acceptance with attitudes to caring for sexual function after hysterectomy.
RESULTS: This study found the importance of self-acceptance in determining attitudes toward caring for sexual function after hysterectomy. A person’s positive attitude will affect behavior to treat sexual function after hysterectomy.
CONCLUSION: In general, this study proves that self-acceptance is related to attitudes to caring for sexual function after hysterectomy.
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Weidner K, Bittner A, Beutel M, Goeckenjan M, Brähler E, Garthus-Niegel S. The role of stress and self-efficacy in somatic and psychological symptoms during the climacteric period - Is there a specific association? Maturitas 2020; 136:1-6. [PMID: 32386660 DOI: 10.1016/j.maturitas.2020.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Revised: 01/20/2020] [Accepted: 03/09/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES To investigate the influence and specificity of sociodemographic and psychological factors on the perception of symptoms associated with menopause. STUDY DESIGN Data are based on a nationwide cross-sectional survey study in Germany. A representative sample of 1350 females aged 14-95 years was examined. Sociodemographic factors, perceived stress, and self-efficacy were assessed. Women were divided into three age groups (young women ≤ 44 years; perimenopausal women 45-60 years; older women ≥ 61 years), and the Menopause Rating Scale (MRS) was used over the entire life span. MAIN OUTCOME MEASURES Total score on the Menopause Rating Scale (MRS) and hot flushes/sweating assessed via the MRS. RESULTS The MRS total score increased with age. Both MRS total score and hot flushes were positively associated with perceived stress in all three age groups. The MRS total score was negatively associated with self-efficacy; for hot flushes, this association could be shown for perimenopausal women only. Furthermore, interaction effects between perceived stress and self-efficacy were found: in perimenopausal and older women, the association between perceived stress and the MRS total score was stronger the lower self-efficacy was. This interaction effect was not observed in younger women. No interaction effect was found in any age group for hot flushes. CONCLUSIONS Our data indicate that self-efficacy influences the severity of symptoms measured with the MRS. Interventions aimed to reduce stress and strengthen self-efficacy could lead to a lower symptom burden in perimenopausal women.
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Affiliation(s)
- Kerstin Weidner
- Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Dresden, Germany
| | - Antje Bittner
- Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Dresden, Germany.
| | - Manfred Beutel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany
| | - Maren Goeckenjan
- Department of Gynecology and Obstetrics, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Dresden, Germany
| | - Elmar Brähler
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany; Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Unit, Department of Psychosomatic Medicine and Psychotherapy, Leipzig University Medical Center, Leipzig, Germany
| | - Susan Garthus-Niegel
- Department of Psychotherapy and Psychosomatic Medicine, University Hospital Carl Gustav Carus, Technische Universitaet Dresden, Dresden, Germany; Department of Child Health and Development, Norwegian Institute of Public Health, Oslo, Norway
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Milam LA, Cohen GL, Mueller C, Salles A. The Relationship Between Self-Efficacy and Well-Being Among Surgical Residents. JOURNAL OF SURGICAL EDUCATION 2019; 76:321-328. [PMID: 30245061 PMCID: PMC6380924 DOI: 10.1016/j.jsurg.2018.07.028] [Citation(s) in RCA: 36] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 07/11/2018] [Accepted: 07/30/2018] [Indexed: 05/12/2023]
Abstract
OBJECTIVE Residency is a challenging time in the lives of physicians. In this study, we examined the relationship between general self-efficacy, defined as the belief in one's own capabilities in a variety of situations, and burnout and psychological well-being in a sample of surgical residents. DESIGN In the context of a larger study, a cross-sectional survey was administered to residents. The survey included measures of general self-efficacy, the emotional exhaustion and personal accomplishment domains of burnout, and general psychological well-being. We examined correlations between self-efficacy and these well-being outcomes and used multivariable linear regression models that controlled for age, gender, postgraduate year, ethnicity, and the interaction between gender and self-efficacy. SETTING We surveyed residents at Stanford Health Care, a tertiary care center, between the fall of 2010 and the spring of 2013. PARTICIPANTS One hundred and seventy nine residents from 9 surgical subspecialties responded to the survey for a response rate of 76%. RESULTS Residents reported high levels of self-efficacy, and over a third reported high emotional exhaustion. Eighty-nine percent of residents had average or high personal accomplishment. In adjusted regression analyses, general self-efficacy was negatively predictive of emotional exhaustion (B = -0.43, p = 0.0127) and positively predictive of personal accomplishment (B = 0.33, p = 0.0185) and general psychological well-being (B = 0.34, p = 0.0010). There was no interaction between gender and general self-efficacy in regression analyses (ps ≥ 0.6776). CONCLUSIONS Among other factors, self-efficacy appears to be significantly predictive of resident well-being. High self-efficacy suggests that residents feel prepared and capable. Interventions to improve residents' general self-efficacy should be explored as a possible mechanism to improve well-being.
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Affiliation(s)
- Laurel A Milam
- Washington University in St. Louis, Department of Surgery, St. Louis, Missouri
| | - Geoffrey L Cohen
- Stanford University, Department of Psychology, Stanford, California
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