scholarly journals Experience of Iranian Women With Multiple Sclerosis About Urinary Dysfunctions Consequences: A Qualitative Study

2020 ◽  
Vol 3 (1) ◽  
pp. 45-52
Author(s):  
Ghazal Roshdi ◽  
◽  
Shohreh Noorizadeh Dehkordi ◽  
Mehdi Dadgoo ◽  
◽  
...  

Background and Objectives: This study aimed to identify the experiences of women with Multiple Sclerosis (MS) about urinary dysfunctions consequences. Methods: This qualitative study with the content analysis approach included 10 women with MS (age range: 29 to 59 years), who were recruited using a purposive sampling method with maximum variation. Through semi-structured in-depth interviews, the participants explained their experiences of urinary dysfunctions consequences. The obtained data were analyzed based on the content analysis method of Graneheim and Lundman. Results: The content analysis revealed three key themes: Physical consequences, psycho-emotional consequences, and economic consequences. Conclusion: Urinary dysfunctions cause widespread physical, psychological, and economic problems for women with MS. Therefore, treatment staff should address the MS patient’s concerns caused by urinary dysfunctions, in a non-threatening atmosphere, and help them to fearlessly manage their urinary problems.


Author(s):  
Nafiseh Hekmati Pour ◽  
Gholam Reza Mahmoodi-Shan ◽  
Abbas Ebadi ◽  
Nasser Behnampour

AbstractObjectivesOne of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019.MethodsThis qualitative study with content analysis approach was conducted on 14 adolescents with the age range of 14–20 years, who had been selected by purposeful sampling method. Data were collected by semi-structured interviews which were carried out between 4 March 2019 and 20 August 2019.ResultsThe interviews were transcribed immediately after the recording, and then were analyzed using direct content analysis. A total of 252 primary codes related to the adolescents’ spiritual self-care were extracted from the analysis, which determined 4 main aspects of spiritual self-care (spiritual belief, spiritual experience, social-religious activities, and spiritual growth).ConclusionsThe findings of this study showed that, spiritual self-care is a form of self-care by which a person uses his or her spiritual beliefs, teachings, and experiences as a source of control over stress and crises, and will be able to cope with problems.



2016 ◽  
Vol 5 (4) ◽  
pp. 49 ◽  
Author(s):  
Mohammad Reza Sheikhi ◽  
Masoud Fallahi Khoshknab ◽  
Farahnaz Mohammadi ◽  
Fatemeh Oskouie

Background: Nurses’ career advancement is a dynamic and unique concept which is explained in the context of working environment.Objective: This study aimed to explore the role of working environment in nurses’ career advancement from Nursing Mangers’ Perspectives.Methods: This qualitative study was conducted using content analysis method. Eighteen nursing managers from hospitals affiliated to Qazvin, Tehran, Iran and Shahid Beheshti Medical Sciences Universities participated in the study. A purposive sample of nursing mangers with rich experiences and maximum variations were selected and continued to reaching data saturation. The data were analyzed using content analysis method.Results: Participants believed that working environment have two major roles in nurses’ career advancement including motivating and restricting roles. According to nursing mangers, motivating working environment had facilitating role, while restricting working environment had blocking role in Iranian nurses’ career advancement.Conclusions: It seems that recognizing characteristics of working environment could assist nurses and nursing managers to develop conditions of working environment facilitating career advancement for nurses and decrease restrictive factors.



2021 ◽  
Vol 19 (1) ◽  
pp. 49-57
Author(s):  
Mohd. Nasir Omar ◽  
Ahmad Sunawari Long ◽  
Abdull Rahman Mahmood ◽  
Zaizul Ab Rahman

Miskawayh (d.1030), through his famous book on ethics, Tahdhib al-Akhlaq (The Refinement of Character), has separated ethics from other disciplines, offering a very thorough analytical system of Islamic ethics. His Tahdhib al-Akhlaq was thus occupying a prominent place in this particular branch of Islamic ethical literature. It is scarcely an exaggeration to say that most of the later works that deal with this subject such as those by al-Ghazali, al-Tusi and al-Dawwani, use it as their main authority and some of them are even based on it. Thus, the objective of this qualitative study, which applies conceptual content analysis method, is to make a critical analysis of such an influential works on ethics in Islam with the purpose of elucidating its views concerning happiness, as well as the ways by which man may achieve a noble state of character, so as to attain such a great goal. To this end, the present study confines itself to discussing the concept of happiness and to finding out the answer to those particular questions regarding its nature such are, what is meant by happiness, or what does happiness consist of? Why is happiness the end to be achieved by man and for which sake he was created? Is happiness attainable in this life or the next? Who is the happy man? and so forth. The result of this study shows that the thought of Aristotle and other philosophers enable Miskawayh to philosophise about moral happiness and how Islamic faiths brings about the development of that legacy.



BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yaser Moradi ◽  
Rahim Baghaei ◽  
keyvan Hosseingholipour ◽  
Farzin Mollazadeh

Abstract Background The exponential spread of COVID-19 has caused a huge threat to public health worldwide. Providing care for patients with COVID-19 is a stressful experience for ICU nurses, which can affect their protective reactions. The present study was conducted to explore the protective reactions of ICU nurses providing care for patients with COVID-19. Methods This qualitative descriptive study was conducted to discover the protective reactions of nurses providing care for patients with COVID-19. A total of 14 ICU nurses were selected by purposive sampling. Data were collected using individual semi-structured face-to-face interviews. All interviews were recorded, and then codes and themes were extracted using content analysis method. Finding Seventeen subcategories, six categories and two themes were extracted from the analysis of data. These themes include “Unbalanced self-protective reactions” and “Responsible self-protective reactions”. Conclusion During the COVID-19 epidemic and crisis, ICU nurses exhibit different self-protective reactions when providing care for patients with COVID-19, which include unbalanced and responsible reactions. Nursing managers can mitigate these unbalanced reactions by identifying them and their roots. Identifying the protective reactions of ICU nurses in providing care for patients with COVID-19 could assist in developing the necessary interventions to promote positive reactions and reduce unbalanced reactions by finding their root causes.



2021 ◽  
Vol 22 (3) ◽  
pp. 378-393
Author(s):  
Sara Bachari ◽  
◽  
Ghazaleh Mandani ◽  
Roya Ghasemzadeh ◽  
Shadab Shahali ◽  
...  

Objective: Chronic Multiple Sclerosis (MS) often occurs in middle-aged people, who are supposed to take their most important roles in the family and community and thus affect their self-advocacy. This study aimed to identify the barriers to self-advocacy in women with MS. Materials & Methods: This study was conducted using a qualitative content analysis method. The participants were 10 female members of the MS Association of Khuzestan Province of Iran aged 30-40 years with different educational levels, marital status, and occupations. They were selected using a purposive sampling method. The study data were collected through semi-structured interviews and continued until data saturation from June to November 2019. The content analysis was performed using Lundman and Graneheim’s qualitative content analysis method with an inductive approach conducted continuously and simultaneously with data collection. To evaluate the validity and reliability of qualitative data, we used Lincoln and Guba criteria (credibility, dependability, conformability, and transferability). Results: The data analysis revealed 900 codes, 21 subcategories, and 6 themes of family barriers, medical barriers, job-related barriers, environmental barriers, sociocultural barriers, and psychological barriers. Conclusion: Women with MS face a variety of barriers to self-advocacy; most of them are related to family, environment, and society, in addition to personal barriers. Social support and the availability of sufficient and appropriate information about MS can play an important role in confronting these women with mentioned barriers and realizing their self-advocacy.



2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Atefeh Homayuni ◽  
Zahra Hosseini ◽  
Sedigheh Abedini

Abstract Background Stress can be regarded as one of the consequences of Multiple Sclerosis (MS) and a factor in exacerbating or recurring the symptoms resulting from the disease. This study aimed to explain the stress coping behaviors in patients with MS based on the PRECEDE model. Methods This study is a qualitative directed content analysis research based on the PRECEDE model. Data were obtained through in-depth semi-structured interviews with 26 patients with MS, who were selected using a purposive sampling and maximum diversity in terms of gender, age, education, marital status, and employment. Data collection continued until the saturation occurred. Simultaneously, collected data were analyzed using a qualitative directed content analysis method. Results Data analysis led to the identification of 11 sub-categories. Of these, 10 sub-categories were assigned to three categories of predisposing factors (awareness, attitude, self-efficacy, and perceived severity), enabling factors (existence of resources, access to resources, skills of using resources, and educational preferences), and reinforcing factors (social support, important others and behavioral consequences). The social comparison category was a new category identified from the analysis of interviews. Conclusions Based on the results, individual, environmental and social factors play a role in the stress of these patients. Designing programs that lead to their empowerment and improvements in the environmental and social conditions can be effective in controlling stress in these patients. Based on the results, planners can adopt the most appropriate strategies to change these determinants, help reduce stress, and promote the psychological standard of living in these patients.



2020 ◽  
Vol 17 (1) ◽  
pp. 73
Author(s):  
Iffatin Nur ◽  
Muhammad Ngizzul Muttaqin

Up to this contemporary era, the concept of maṣlaḥah developed by several leading Moslem scholars seems to be rather theocentric in a way that it is transfixed on the maṣlaḥah considerations contained in the texts (naṣṣ). This means that the concept of maṣlaḥah has so far been shadowed in the textual confinement so that the resulting maṣlaḥah becomes an old-fashioned, stagnant, and less-able concept for responding to the times’ challenges. This study aims to open up discourses and opportunities for the development and reformulation of maṣlaḥah in the current contemporary era. This qualitative study is library research. The data used were obtained from book literatures, journals, and other writings related to maṣlaḥah and were analyzed using a content analysis method. The discussion was done by describing the historical data of previous thoughts on maṣlaḥah from the process of textual confinement to logic determination which was then formulated with the reality of today's modern era life. The results of this study indicate that: 1) from its historical aspect, the reformulation of maṣlaḥah is one which has so far only been assessed in the perspective of Shāri' (the Law Maker), hence, it is necessary to reformulate it in the perspective of mujtahīd by referring to maṣlaḥah associated with the issues’ reality context, 2) there is a need to incorporate the concept of ethics and humanity into the structure of maṣlaḥah, and 3) there present a necessity to formulate a collective-based ijtihād in probing of maṣlaḥah to create a scientific maṣlaḥah-based ijtihād methodology.Hingga pada era kontemporer sekarang ini, konsep maṣlaḥah yang dikembangkan oleh beberapa tokoh ilmuwan Muslim tampak lebih bersifat teosentris yang terpaku pada pertimbangan maṣlaḥah yang terdapat pada teks (naṣṣ). Artinya, konsep maṣlaḥah selama ini masih terbayang-bayang dalam kungkungan teks sehingga maṣlaḥah yang dihasilkan menjadi konsep yang jumud, stagnan, dan kurang bisa merespon tantangan zaman. Penelitian ini berusaha membuka wacana dan peluang terhadap perkembangan dan reformulasi maṣlaḥah pada era kontemporer saat ini. Penelitian ini adalah sebuah studi pustaka (library research) yang dilakukan dengan metode kualitatif. Data yang dipakai berasal dari literatur buku, jurnal, dan tulisan-tulisan lain yang berkaitan dengan maṣlaḥah dan dianalisa menggunakan metode content analysis. Pembahasan dilakukan dengan mendeskripsikan data sejarah pemikiran maṣlaḥah dari proses kungkungan teks hingga determinasi akal yang kemudian diformulasikan dengan realitas kehidupan era modern saat ini. Temuan penelitian ini menunjukkan bahwa: 1) reformulasi maṣlaḥah dari aspek sejarah adalah maṣlaḥah yang selama ini hanya dinilai dalam perspektif Syari’, karena itu perlu mereformulasinya dalam perspektif mujtahid dengan mengacu kepada maṣlaḥah yang dikaitkan dengan konteks realitas permasalahan, 2) perlu untuk memasukkan konsep etika dan kemanusiaan dalam struktur maṣlaḥah, dan 3) perlu untuk mereformulasikan ijtihād berbasis kolektif dalam pengambilan maṣlaḥah guna menciptakan metodologi ijtihād berbasis maṣlaḥah yang ilmiah.



2019 ◽  
Vol 36 ◽  
Author(s):  
Maria Ignez Carneiro de Azevedo LIMEIRA ◽  
Terezinha FÉRES-CARNEIRO

Abstract The present study, part of a larger investigation on remarriage with the ex-spouse, aims to examine the effects of personal values on the reconstruction of a marital relationship with the former spouse. A qualitative study was carried out, where 12 individuals of 12 different couples from Rio de Janeiro’s middle classes population, were interviewed - heterosexuals, married to the ex-spouse, with children. The content analysis method was used to analyze the results, and the personal values category and its subcategories, marriage conception and religious beliefs were discussed. Findings indicate that personal values are part of the foundation that underpins the chosen direction for the reconstruction of these relationships. As they followed the paths they chose, the spouses, aware of what they valued most and the investments, reported to feel pleasant sensations, as peace, harmony and security that facilitated this process consolidation.



2021 ◽  
Author(s):  
Maryam Shabany ◽  
Saeideh Ayoubi ◽  
Abdorreza NaserMoghadasi ◽  
Sharareh Eskandarieh

Abstract Introduction: Multiple Sclerosis (MS) and Neuro-Myelitis Optica spectrum disorder (NMOSD) are an autoimmune condition. Both of them have unexpected and acute relapses. The aim of this qualitative study was explaining the individual problems experienced of women affected by NMOSD and MS.Method: Sixteen NMOSD patients and eighteen MS patients completed a face to face deep semi-structured interview. Participants were recruited from the MS ward in Sina hospital. After typed the interview, the data were analyzed using conventional content analysis, as recommended by Graneheim and Lundman (2005). Data analysis is managed with MAXQDA2018 software.Results: In this study, a common theme for both disease groups was identified as "challenges arising from personal problems". The categories are named after each other and have many similarities, which in the NMOSD group include four categories including: "From uncertainty to the perception of threat", "Living with limitations", "Active coping until normalization" and "Facilitators of personal problems" appeared. In the group of patients with MS, five categories emerged: "perceived threat", living at a bottleneck, trying to deal with negative experiences, "facilitators of personal problems" and "problems related to physical rehabilitation".Conclusion: This qualitative study showed that the individual problems of the two groups of NMOSD and MS patients are somewhat similar. Also in the present study, people with MS need longer-term rehabilitation care than people with NMOSD, which should be considered and examined, a need that was less seen in people with NMOSD. The unpredictability of attacks in NMOSD and MS can have a profound effect on the daily lives of these people. Therefore, educating patients and staff about how to manage life in such diseases can be an important help to improve patient's health.



2022 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Elieh Abasi ◽  
Narjes Sadat Borghei ◽  
Maryam Farjamfar ◽  
Shahrbanoo Goli ◽  
Afsaneh Keramat

Background: The involvement of husbands during pregnancy within the Iranian culture is one of the challenging topics. In this context, efforts to encourage male involvement in the maternal health issues can strengthen family bonds and consequently improve the relationships between men and women in societies. Objectives: This qualitative study aimed to elucidate the involvement of husbands in maternal-fetal attachment (MFA). Methods: Using a qualitative approach and conventional content analysis, 11 pregnant women referring to the health care centers in Sari, Iran were interviewed from March 2020 to February 2021. The participants met the maximum diversity criteria in terms of age, level of education, occupation, and socioeconomic status. Deep and unstructured interviews were utilized to obtain the research data. All the interviews were then transcribed verbatim and analyzed using the qualitative content analysis method developed by Graneheim and Lundman in MAXQDA Software. Results: A total of 350 codes emerged from the data. We identified a main theme entitled ‘husband support’, which included four categories and 11 sub-categories. The main categories were: (1) empathic response, (2) emotional support, (3) continued support, and (4) attention to fetus. Conclusions: Interventions to enhance husband support could increase MFA. Planning to promote male participation in pregnancy process is essential to promote maternal and child health.



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