Background: Sexual satisfaction is a desired feeling that one experiences during sexual interaction and is affected by several factors. Objectives: This study was conducted to examine the sexual satisfaction and its correlates among married women. Patients and Methods: This cross-sectional study comprised 306 married women in their reproductive age, selected by convenience sampling method, and referred to the four health centers affiliated to Tehran University of Medical Sciences in 2012, the participants completed a researcher-made questionnaire. Statistical analysis was carried out using independent samples T-test, Chi-square and logistic regression through SPSS version 16. Results: The mean score of the sexual satisfaction was 77.97 ± 1.38. Based on the mean, women were divided into two groups: sexually satisfied and dissatisfied. The Two groups matched in terms of age (P = 0.35), age of the husbands (P= 0.26), income status (P = 0.43), number of children (P = 0.44) and contraceptive methods (P = 0.13). Participants' educational level, menstrual status, marital duration, sexual function, husband's educational status and emotional bound were entered into the logistic regression model. Emotional bound had a significant effect on sexual satisfaction (P = 0.04, OR = 1.54, CI = 1.01 -2.36). Conclusions: Emotional bound as a considerable trait is associated with women's sexual satisfaction. It is recommended that health care providers pay more attention to this point at the time of health care delivery and also to emphasize the renovation of interpersonal relationship.
Considering the necessity of providing required education to newly married couples, the present study aimed at investigating the impact of reality therapy-based choice theory training on marital intimacy and sexual satisfaction of newly married women in Ardabil city, Iran. Methods: This research is a Randomized clinical trial. Totally 5 out of 14 medical centers were selected by simple, random sampling method in Ardabil city, Iran. Once the required permissions, questionnaires and research ethics were obtained and the target population was determined, researchers provided the women visiting the medical centers with Intimacy Scale and Sexual Satisfaction Questionnaire. Then, 70 individuals who underscored the cut point were included in the research. Thompson and Walker Intimacy Scale and Sexual Satisfaction Questionnaire were two research tools in this contribution. Data were analyzed using repeated measure analysis of variance with SPSS 22 software. Results: Results of the repeated measures analysis of variance demonstrated that there was no significant difference between experimental and control groups in sexual satisfaction and marital intimacy in pre-test stage. In post-test and follow-up stages, there was a significant difference between the two groups in sexual satisfaction and marital intimacy (P<0.001). Conclusion: Therefore, according to the findings of this study and its comparison with the existing research literature in this field, it can be concluded that the theory of selection theory helps newlyweds by improving the relationship between couples and increasing the infertility of couples so that they can be real without feeling controlled and controlled.
Background and Objectives Due to the high rate of inhalers’ incorrect use by the elderly, this study aims to evaluate the effect of teaching the use of inhalers to a family caregiver on its correct use by the elderly patients. Subjects and Methods This is a parallel-group randomized clinical trial on 80 older people with a lung disease aged >60 years who use the inhaler incorrectly and their family caregivers. Participants were randomly assigned to group A (education) and group B (control) using a block randomization method (4×4 blocks). In group A, teaching of the correct use of inhaler was provided to the caregivers of the elderly orally and practically in one session, while in group B, training was provided only to the elderly. Three weeks later, the two groups were evaluated using a researcher-made inhaler use checklist. Results There was no significant difference in the use of inhaler before and after the intervention in group A (2.58±1.26) and B (2.55±1.22) (P<0.05). Pearson correlation test results showed a significant decrease in the correct use of inhaler with the increase of patients’ age (r=-0.24). Conclusion Further studies on the use of family members in elderly patients care, various educational programs by health care providers, and periodic evaluation of the performance of the elderly regarding the use of inhalers are recommended.
Background: In this study, we aimed to examine the relationship between kidney patients’ COVID-19 status and their symptoms, laboratory values, and ICU admission status. We also evaluated the association between COVID-19-positive kidney patients’ age, gender, smoking status, history of underlying diseases and urea and creatinine levels, and their ICU admission status and mortality. Finally, we analyzed the differences in laboratory values in kidney patients with and without a history of diabetes or cardiovascular disease. Methods: In this cross-sectional study, 253 patients with a history of kidney disease were included. COVID-19 was diagnosed by positive RT-qPCR. Symptoms, laboratory findings, and outcomes were extracted from the patients’ records and statistically investigated. Results: Fever, chills, myalgia, arthralgia, cough, anorexia, nausea, fatigue, headache, mental status deterioration, and smoking were more common in COVID-19-positive kidney patients compared to COVID-19-negative ones. White blood cells (WBC), platelets, and urea were lower and hemoglobin and hematocrit were higher in the former group. WBC, urea, and blood sugar (BS) levels were higher in kidney patients with a history of cardiovascular disease compared to kidney patients without such a history. Low-density lipoprotein cholesterol (LDL) was lower in the former group. Hemoglobin and hematocrit were lower in diabetic kidney patients compared to non-diabetic kidney patients. BS, triglycerides, and erythrocyte sedimentation rate (ESR) were higher in the former group. History of underlying diseases and abnormal creatinine was associated with increased ICU admission and age ≥ 50, male gender and abnormal creatinine were associated with increased mortality in COVID-19-positive kidney patients. Conclusions: Smoking cessation should be encouraged in kidney patients. Fever, chills, myalgia, arthralgia, cough, anorexia, nausea, fatigue, headache, and mental status deterioration in kidney patients can indicate COVID-19 infection. Monitoring WBC and platelet counts in COVID-19-positive kidney patients, WBC, urea, and BS in kidney patients with a history of cardiovascular disease, and ESR, triglycerides, and hemoglobin in diabetic kidney patients can prove beneficial in their management. Age, gender, history of underlying diseases, and creatinine levels can be important prognostic markers in COVID-19-positive kidney patients.
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