Background and Objective: Non-adherence to self-care behaviors can deteriorate quality of life among hypertension patients. Thus, we sought to examine the association between self-care behaviors and quality of life among patients with hypertension visiting Comprehensive Health Centers in Hamadan, Iran. Materials and Methods: This descriptive, cross-sectional study was carried out in 200 hypertensive patients presenting to Comprehensive Health Centers in Hamadan, Iran, 2017. The participants were recruited using multistage sampling method. A demographic form, Self-Care Behaviors Scale, and the Quality of Life (SF-36) questionnaire were used to collect the data. Pearson correlation coefficient, t-test, and One-way analysis of variance were run to analyze the data in SPSS, version 16. Results: The self-care behavior and quality of life overall scores were respectively 63.5% and 56.6%, indicating that they were at admissible and inadmissible levels, respectively. There was a significant relationship between quality of life and gender, marital status, and body mass index (BMI; P<0.05). Also, there was a positive significant correlation between self-care behavior and three dimensions of quality of life, including physical status, emotional well-being, and bodily pain (P<0.05). Further, there was a positive significant correlation between self-care behavior and total score of quality of life (P=0.005; r=0.196). Conclusion: Considering the relationship of quality of life with well-being and self-care behaviors, we recommend designing and implementing educational programs for hypertensive patients to increase adherence to selfcare behaviors.
Background:Tramadol is an opioid analgesic indicated for the treatment of moderate and severe pains. In the case of long administration, tramadol has a potential to cause dependency, tolerance and drug abuse. Objectives: This study aimed to investigate the prevalence and factors associated with tramadol abuse among college students based on the Theory of Planned Behavior (TPB) as a theoretical framework. Patients and Methods: This descriptive-analytical study was performed on 400 college students of Hamadan universities recruited with a stratified sampling method. The data-gathering tool was a questionnaire based on the TPB constructs. Data was analyzed by logistic regression and bivariate correlations using SPSS-19 software. Results: The subjects reported 50%, 35% and 77% of maximum receivable scores of attitude, subjective norm and perceived behavior control, respectively. In total, 12.5% of participants indicated drug abuse in the past. Subjective norms and perceived behavioral control were better predictors for tramadol abuse. Conclusions: Results demonstrated the unique importance of subjective norms and perceived behavioral control when examining substance abuse among college students.
Background. Brucellosis is still a serious public health threat in developing countries, especially in Iran. Brucellosis is an endemic disease in Iran and risk factors increasing its broadcast are prevalent. This study investigated factors influencing brucellosis preventive behaviors amongst marginalized women in Hamadan city, Iran, using the health belief model (HBM). Methods. In this cross-sectional study, 289 women living in marginal areas were considered from April until May 2018. Via cluster random sampling methods, comprehensive health services where women get health care were selected. Each woman in the selected comprehensive health services was then enrolled by the simple random sampling method. Data were gathered from a face-to-face interview via a questionnaire. Results. Most women had a history of using nonpasteurized dairy products (86.2%). Most women (64.7%) boiled the milk for 3–5 minutes. 61.2% of women put the cheese in a salt-water solution. The results showed that one unit rise in the scores of knowledge, self-efficacy, and cues to action resulted in an increase in the mean score of the protective behavior by 0.189, 209, and 0.150, respectively. Conclusion. The HBM was a helpful model in predicting the influential elements in brucellosis preventive behaviors. Also, recognized effective factors should be taken into account when designing interventions.
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