ارزیابی نقادانه شواهد پژوهشی در زمینه نگرش زنان ایرانی نسبت به یائسگی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 دانشیار گروه مامایی، مرکز تحقیقات ایمنی بیمار، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: کیفیت مطلوب یک مقاله پژوهشی، شرط اصلی استفاده از آن در فرآیند مراقبت مبتنی بر شواهد است، لذا مطالعه حاضر با هدف بررسی و تحلیل نقادانه مطالعات منتشر شده در مورد نگرش زنان ایرانی نسبت به یائسگی انجام شد.
روش کار: در این ارزیابی نقادانه، بانک ‌های اطلاعاتی Science Direct، Scopus، PubMed، Google Scholar و همچنین بانک‌ های اطلاعاتی فارسی از جمله Magiran و SID از سال 1990 تا ژانویه 2015 با کلیدواژه‌های "یائسگی"، "نگرش"، "زنان ایرانی"، "ایران" و یا ترکیبی از این کلمات، جستجو شدند و 19 مقاله که نگرش زنان ایرانی نسبت به یائسگی در آن‌ها بررسی شده بود، مورد تحلیل نقادانه قرار گرفت. ارزیابی کیفیت مقالات توسط چک لیست CASP انجام و آیتم ‌های آن در چهار حیطه طبقه ‌بندی شد. کیفیت کلی مقالات نیز در سه حیطه خوب، متوسط و ضعیف طبقه ‌بندی شد.
یافته‌ها: کیفیت 10 مقاله (63/52%) در سطح خوب و 9 مقاله (36/47%) در سطح متوسط بود. حیطه مشخصات مشارکت‌کنندگان با 40% نمره و حیطه طراحی مطالعه با 31/86% از نمره قابل اکتساب کم‌ترین و بیش‌ترین امتیاز را داشتند. در 2 مقاله (52/10%) از پرسشنامه‌ های استاندارد استفاده شده بود و تنها 11 مقاله (89/57%) نحوه ارزیابی روایی و پایایی پرسشنامه‌ ها را ذکر کرده بودند.
نتیجه‌گیری: کیفیت مقالات منتشر شده در زمینه نگرش زنان نسبت به یائسگی مطلوب نمی‌باشد. پیشنهاد می‌شود نویسندگان و داوران مجلات از دستورالعمل‌های استاندارد نگارش مقالات پیروی کنند. به علاوه نیاز است که دوره‌های آموزشی برای آشنایی با این دستورالعمل‌ها برگزار شود.

کلیدواژه‌ها

عنوان مقاله [English]

A Critical Appraisal of Research Evidence on Iranian Women’s Attitude towards Menopause

نویسندگان [English]

  • Narjes Bahri 1
  • Robab Latifnejad Roudsari 2
1 PhD Student in Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Associate Professor, Department of Midwifery, Patient's Safety Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Good quality is the main requirement of a research article to be used in the process of evidence-based care. Therefore, the present study was performed with aim to critically evaluate and analyze the published articles on Iranian women’s attitude towards menopause.
Methods: In this critical appraisal, the databases including Science Direct, Scopus, PubMed, Google Scholar, as well as Persian databases of Magiran, and SID were searched from 1990to January 2015 using the keywords of “menopause”, “attitude”, “Iranian women”, and “Iran” or combinations of these words. 19 original articles which examined Iranian women’s attitude towards menopause were critically analyzed. CASP checklist was used to check the quality of the articles, and its items were categorized into four domains. Total quality of the articles was also divided into three categories of high, moderate and low. 
Results: Among the articles, 10 articles (52.63%) had high quality, and 9 (47.36%) had moderate quality. The domain of participants' characteristics with 40% of the obtainable score, and study design with 86.31% of the obtainable score had the lowest and highest scores, respectively. The standardized questionnaires were used only in 2 articles (10.52%), and only 11 articles (57.89%) had mentioned the method of measuring the reliability and validity of the questionnaires.
Conclusion: The quality of published articles on women’s attitude towards menopause was not satisfactory. It is recommended that authors and journal reviewers to follow the standard guidelines for scientific writing. Also, training courses is required to be held in order to familiarize the researchers with these guidelines.

کلیدواژه‌ها [English]

  • Article
  • Attitude
  • Critical appraisal
  • Iranian women
  • Menopause

مراجع

  1. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. Knowledge translation of research findings. Implementat Sci 2012; 7:50.
  2. Reviriego E, Cidoncha MA, Asua J, Gagnon MP, Mateos M, Gárate L, et al. Online training course on critical appraisal for nurses: adaptation and assessment. BMC Med Educ 2014; 14:136.
  3. Hedges JR. The knowledge translation paradigm: historical, philosophical, and practice perspectives. Acad Emerg Med 2007; 14(11):924-7.
  4. Elsabbagh M, Yusuf A, Prasanna S, Shikako-Thomas K, Ruff CA, Fehlings MG. Community engagement and knowledge translation: progress and challenge in autism research. Autism 2014; 18(7):771-81.
  5. Altman DG. Poor-quality medical research: what can journals do? JAMA 2002; 287(21):2765-7.
  6. Asefzadeh S. Critical analysis of studies in medical science. Pejouhesh 2005; 29(3):195-201. (Persian).
  7. Graham ID, Tetroe J, KT Theories Research Group. Some theoretical underpinnings of knowledge translation. Acad Emerg Med 2007; 14(11):936-41.
  8. Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg 2014; 12(12):1500-24.
  9. Eskrootchi R, Beydokhti H, Ali Bayge M, Hosseini F. Levels of clinical evidence in published articles in Iranian Scientific Medical Journals (1994-2008). J Birjand Univ Med Sci 2011; 18(2):117-25.
  10. Rees E, Sinha Y, Chitnis A, Archer J, Fotheringham V, Renwick S. Peer-teaching of evidence-based medicine. Clin Teach 2014; 11(4):259-63.
  11. Gohari MR, Salehi M, Vahabi N, Bazrafshan A. Analysis of medical sciences articles structure quality during 2002 to 2008. Payavard Salamat 2012; 6(1):79-88.
  12. Pachana NA, Helmes E, Gudgeon S. An Australian fact on ageing quiz. Australas J Ageing 2013; 32(2):117-21.
  13. Bahri N, Latifnejad Roudsari R, Hashemi MA. Menopause research studies through passage of time: shifting from biomedical to holistic approaches. Iran J Obstet Gynecol Infertil 2015; 18(154):19-34. (Persian).
  14. Bahri N, Afiat M, Aghamohamadian HR, Delshad Noughabi A, Bahri N. Investigating the relationship between severity of menopausal symptoms and depression, anxiety and other menopausal symptoms. Iran J Obstet Gynecol Infertil 2013; 16(43):14-20. (Persian).
  15. Ayers B, Forshaw M, Hunter MS. The impact of attitudes towards the menopause on women's symptom experience: a systematic review. Maturitas 2010; 65(1):28-36.
  16. Nosek M, Kennedy HP, Beyene Y, Taylor D, Gilliss C, Lee K. The effects of perceived stress and attitudes toward menopause and aging on symptoms of menopause. J Midwifery Womens Health 2010; 55(4):328-34.
  17. Thurston RC, Sowers MR, Chang Y, Sternfeld B, Gold EB, Johnston JM, et al. Adiposity and reporting of vasomotor symptoms among midlife women: the study of women’s health across the nation. Am J Epidemiol 2008; 167(1):78–85.
  18. Hunter MS, Rendall M. Bio-psycho-socio-cultural perspectives on menopause. Best Pract Res Clin Obstet Gynaecol 2007; 21(2):261–74.
  19. 11 questions to help you make sense of descriptive/cross-sectional studies. How to use this appraisal tool. Available at: URL: www.reache.files.wordpress.com/2010/03/cross-sectional-appraisal-tool.pdf; 2015.
  20. Tao P, Coates R, Maycock B. Investigating marital relationship in infertility: a systematic review of quantitative studies. J Reprod Infertil 2012; 13(2):71-80.
  21. Seyedialavi G, Houshmand P, Shakeri MT, Tashakori A. Evaluation of knowledge, attitude and practice about menopause among women living in Mashhad. Med J Mashhad Univ Med Sci 1998, 41(59-60):13-22. (Persian).
  22. Eftekhari Tavakoli S, Valai N. Knowledge and insight to menopause in 40-45 years old females referring to hospitals of Shahid Beheshti university of medical sciences in 1377. KAUMS J (FEYZ) 1999; 3(2):57-63.
  23. Bakhtiari A, Faramarzi M, Pasha H. A KAP study in health system employees for symptoms and prevention of menopausal adverse effects. J Babol Univ Med Sci 2000; 2(5):31-8.
  24. Shojaeizadeh DA, Gashtaee M. Assessing the rlationship between knowledge, attitude and healthy behaviour among menopaused women in Tehran in 2000. Iran J Pub Health 2002; 31(1-2):19-20.
  25. Kamali P, Pazandeh F, Esmaeili S, Kariman NS. Knowledge, attitude and practice of menopause women regarding menopause in Kermanshah city, 2001. J Faculty Nurs Midwifery Shaheed Beheshti Univ Med Sci Health Ser 2003; 13(43):11-7. (Persian).
  26. Ghandchiler N, Khamene S, Shahamfar J, Jafari Shobieri M. Attitude of women about menopause and related its factors. Med J Tabriz Univ Med Sci Health Ser 2003, 25(4):54-7.
  27. Khademi S, Cooke MS. Comparing the attitudes of urban and rural Iranian women toward menopause. Maturitas 2003; 46(2):113-21.
  28. Rostami A, Ghofranipour F, Ramezanzadeh F, Kazemnejad A. The effect of health education on knowledge, attitude and quality of life during menopausal period. Daneshvar Peseshki 2003; 11(49):19-23. (Persian).
  29. Shafiee F, Ameri A, Fesharaki M, Ebadifard AF, Asar DR. Effect of training on level of knowledge and attitude of female health workers on menopause and its related problems. J Guilan Univ Med Sci 2006; 14(56):67-73.
  30. Ghebe N, Shojaeezade D, Azam K. The effect of education about menopause on knowledge and attitued of health liaisons in north of Tehran. Toloo e Behdasht 2005; 4(4):18-26. (Persian).
  31. Hasan PA, Abbasi Z. Effect of education on middle-aged women’s knowledge and attitude towards menopause in Mashhad. J Birjand Univ Med Sci 2006; 13(2):48-54.
  32. Mansoorian M, Behnampour N, Kargar M, Rahimzadeh H. The effect of education on knowledge and attitued among health liaisons about menopause in Gorgan, 1385. J Res Develop Nurs Midwifery 2008; 4(1):27-30. (Persian).
  33. Hedayati H, Ovaisy M, Maleki Moghadam M, Kiani S, Nakhaee M, Ghasempour V. Study of the knowledge and attitude of women about menopause. Modern Care J 2009; 5(1):5-9.
  34. Ghaderi E, Ghazanfarpour M, Kaviani M. Evaluation of menopausal women's attitudes towards menopause in Shiraz. Pak J Med Sci 2010; 26(3):698-703.
  35. Mohammadi Zeidi E, Pakpour A, Mohammadi Zeidi B. The impact of educational interventions based on individual empowerment model on knowledge, attitude, self-efficacy, self esteem and quality of life of postmenopausal women. Iran J Nurs 2013; 26(81):21-31.
  36. Taherpour M, Sefidi F. The effectiveness of education on the knowledge and attitude towards menopause symptoms and complications in postmenopausal women. Zanjan Univ Med Sce J 2013; 21(84):92-101.
  37. Noroozi E, Dolatabadi NK, Eslami AA, Hassanzadeh A, Davari S. Knowledge and attitude toward menopause phenomenon among women aged 40–45 years. J Edu Health Promot 2013; 2:25.
  38. Ghorbani R, Nassaji M, Shahbazi A, Tabar SB, Rahaei F. Attitudes toward menopause among middle-aged women in Semnan, Iran. J Egypt Public Health Assoc 2014; 89(1):42-5.
  39. Zargar Shoushtari S, Yazdizadeh H, Makvandi S, Teymouri Bakhsh S. Attitude of 40-60 years old women of Ahvaz city towards menopause and its relationship with demographic factors. Jundishapur Sci Med J 2014; 13(3):292-300. (Persian).
  40. Kuo YH. Extrapolation of correlation between 2 variables in 4 general medical journals. JAMA 2002; 287(21):2815-7.
  41. Wager E, Middleton P. Technical editing of research reports in biomedical journals. Cochrane Database Syst Rev 2008; 4:MR000002.
  42. Talachi H, Orak RJ, Ravaghi H, Amanollahi A. Assessment of the quality of methodology reporting in the randomized trials. J Health Aaminist 2012; 15(48):81-92.
  43. Moniri S, Jafari F. The quality of papers of Iranian scholars in the field of medical sciences: an impact survey. Faslnameh-Ketab 2011; 22(2):110-20.
  44. Valaei N, Kosaryan M, Nasiri E, Mossavi SF. Methodological evaluation of the papers published in the journal of Mazandaran university of medical sciences, number 1-47, summer 2005. J Mazandaran Univ Med Sci 2006; 16(52):131-40.
  45. Tabatabaee SH, Fazalzadeh O. Assessing the principle of scientific writing in published articles in Shiraz university of medical sciences, Iran. Iran J Epidemiol 2009; 5(2):28-34.
  46. Lempesi E, Koletsi D, Fleming PS, Pandis N. The reporting quality of randomized controlled trials in orthodontics. J Evid Based Dent Pract 2014; 14(2):46-52.
  47. Akbarein H, Bahonar A, Nekouei Jahromi OA, Sharifi H. Evaluation of published articles in the journal of the faculty of veterinary medicine, university of Tehran between 2000 and 2009. Iran J Epidemiol 2011; 7(1):1-6.
  48. Neugarten BL, Wood V, Kraines RJ, Loomis B. Women’s attitudes toward the menopause. Vita Hum Int Z Lebensalterforsch 1963; 6:140-51.
  49. Bowles C. Measure of attitude toward menopause using the semantic differential model. Nurs Res 1986; 35(2):81-5.
  50. Kosaryan M, Rabiei K. The critical appraisal of the papers published in the Iranian Journal of Psychiatry and Behavioral Sciences, 2007-2010. Iran J Psych Behav Sci 2013; 7(2):77-82.
  51. Ayatollahi SM, Jafari P, Ghaem H. An evaluation of the quality of published clinical trials in Iranian medical journals during 2001-04. J Babol Univ Med Sci 2005; 7(4):64-70.
مجله زنان، مامایی و نازایی ایران
دوره 18، شماره 178 - شماره پیاپی 178
هفته چهارم دی ماه 1394
دی 1394
صفحه 1-11

فایل ها

هم رسانی

ارجاع به این مقاله

آمار