S. Jayathilake, Vathsala Jayasuriya-Illesinghe, K. Samarasinghe, H. Molligoda, R. Perera
Introduction: A Midwifery Trained Registered Nurse (MTRN) is a member of the multi-professional maternity health care team in Sri Lanka. Her contribution to the maternity care team is poorly understood, often undermined, and undefined. In the context of low- and middle-income settings where traditional midwives play a crucial role in domiciliary care, the MTRNs role as a member of the multi-professional hospital-based maternity care team has not been well-described. Objective: The study aimed to describe MTRNs' perceptions of their role in the Labor Unit within the multi-professional maternity health care team at five tertiary care hospitals in the Capitol Province of Sri Lanka. Materials and Methods: A descriptive cross-sectional study was conducted among 186 MTRNs working in labor rooms in the study setting. All MTRNs in the selected hospitals were invited and included in the sample. A postal survey was carried out using a pre-evaluated, pretested self-administered questionnaire, and descriptive statistics were derived. Results: All respondents were females, aged 27 to 60 years (mean ±SD 40 ±8.3 years). The majority (66%)was less than 45 years old. Almost all (>96%) MTRNs perceived 12 tasks of the listed tasks as their primary responsibility. Regarding other tasks, they perceived a high degree of overlap between their role and those of the doctors and midwives. Although almost all MTRNs rated the level of interprofessional collaboration from registered nurses (RNs) and doctors as average to good, nearly half (49%) of them rated support from midwives ranging from very poor to average. Conclusion: A high degree of perceived overlap between MTRNs' tasks with those of the other members of the maternity care team can cause role confusion, conflicts, and poor patient care. MTRNs' role in the Labor Unit within the multi-professional maternity health care team was controversial. Clarifying the MTRNs scope of practice will help improve interprofessional understanding of roles and responsibilities and collaboration.
{"title":"Midwifery Trained Registered Nurses' Perceptions of Their Role in the Labor Unit","authors":"S. Jayathilake, Vathsala Jayasuriya-Illesinghe, K. Samarasinghe, H. Molligoda, R. Perera","doi":"10.32598/JHNM.31.3.2078","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2078","url":null,"abstract":"Introduction: A Midwifery Trained Registered Nurse (MTRN) is a member of the multi-professional maternity health care team in Sri Lanka. Her contribution to the maternity care team is poorly understood, often undermined, and undefined. In the context of low- and middle-income settings where traditional midwives play a crucial role in domiciliary care, the MTRNs role as a member of the multi-professional hospital-based maternity care team has not been well-described. Objective: The study aimed to describe MTRNs' perceptions of their role in the Labor Unit within the multi-professional maternity health care team at five tertiary care hospitals in the Capitol Province of Sri Lanka. Materials and Methods: A descriptive cross-sectional study was conducted among 186 MTRNs working in labor rooms in the study setting. All MTRNs in the selected hospitals were invited and included in the sample. A postal survey was carried out using a pre-evaluated, pretested self-administered questionnaire, and descriptive statistics were derived. Results: All respondents were females, aged 27 to 60 years (mean ±SD 40 ±8.3 years). The majority (66%)was less than 45 years old. Almost all (>96%) MTRNs perceived 12 tasks of the listed tasks as their primary responsibility. Regarding other tasks, they perceived a high degree of overlap between their role and those of the doctors and midwives. Although almost all MTRNs rated the level of interprofessional collaboration from registered nurses (RNs) and doctors as average to good, nearly half (49%) of them rated support from midwives ranging from very poor to average. Conclusion: A high degree of perceived overlap between MTRNs' tasks with those of the other members of the maternity care team can cause role confusion, conflicts, and poor patient care. MTRNs' role in the Labor Unit within the multi-professional maternity health care team was controversial. Clarifying the MTRNs scope of practice will help improve interprofessional understanding of roles and responsibilities and collaboration.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46344180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shima Nazari, P. Afshar, Leila Sadegh Moghdada, Alireza Namazi Shabestari, A. Farhadi, N. Sadeghi
Introduction: The elderly need social support to reduce their physical and mental disabilities. Perceived social support is one of the effective factors in the lifestyle of older adults. Objective: This study aimed to determine the association between perceived social support and mental health status among older adults. Materials and Methods: This research is a cross-sectional analytical study. The study data were collected using a perceived social support (PSS) scale and general health questionnaire-12 (GHQ-12). A total of 302 eligible older adults were selected through a random sampling method from primary health centers in the north, south, east, west, and center of Tehran. The inclusion criteria were those community-dwelling older adults aged ≥60 years and with normal cognitive abilities. The collected data were analyzed using t test, ANOVA, the Pearson correlation, and multiple linear regressions. Results: The mean ±SD age of older adults was 70.01 ±6.29 years. Their mean ±SD scores of the PSS and GHQ-12 were 130.95 ±16.05 and 7.29 ±5.55, respectively. The results showed no significant relationship between demographic variables and PSS. There was a significant inverse correlation between the PSS score and the GHQ-12 score (P= 0.01, r= -0.878). The PSS explained 0.66 of the total variances of “positively phrased items” of GHQ-12 (adjusted R2= 0.66) and 0.76 of the total variances of “negatively phrased items” of GHQ-12 (adjusted R2= 0.76). Conclusion: Our findings showed that the PSS and mental health are at a desirable level in this study, and the PSS is not affected by demographic variables. The PSS is a promoting factor for mental health status among older adults.
{"title":"Association Between Perceived Social Support and Mental Health Status Among Older Adults","authors":"Shima Nazari, P. Afshar, Leila Sadegh Moghdada, Alireza Namazi Shabestari, A. Farhadi, N. Sadeghi","doi":"10.32598/JHNM.31.3.2063","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2063","url":null,"abstract":"Introduction: The elderly need social support to reduce their physical and mental disabilities. Perceived social support is one of the effective factors in the lifestyle of older adults. Objective: This study aimed to determine the association between perceived social support and mental health status among older adults. Materials and Methods: This research is a cross-sectional analytical study. The study data were collected using a perceived social support (PSS) scale and general health questionnaire-12 (GHQ-12). A total of 302 eligible older adults were selected through a random sampling method from primary health centers in the north, south, east, west, and center of Tehran. The inclusion criteria were those community-dwelling older adults aged ≥60 years and with normal cognitive abilities. The collected data were analyzed using t test, ANOVA, the Pearson correlation, and multiple linear regressions. Results: The mean ±SD age of older adults was 70.01 ±6.29 years. Their mean ±SD scores of the PSS and GHQ-12 were 130.95 ±16.05 and 7.29 ±5.55, respectively. The results showed no significant relationship between demographic variables and PSS. There was a significant inverse correlation between the PSS score and the GHQ-12 score (P= 0.01, r= -0.878). The PSS explained 0.66 of the total variances of “positively phrased items” of GHQ-12 (adjusted R2= 0.66) and 0.76 of the total variances of “negatively phrased items” of GHQ-12 (adjusted R2= 0.76). Conclusion: Our findings showed that the PSS and mental health are at a desirable level in this study, and the PSS is not affected by demographic variables. The PSS is a promoting factor for mental health status among older adults.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49610796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sedigheh Salehi, Z. Mahmoodi, Alireza Jashni Motlagh, M. Rahimzadeh, M. Ataee, S. Saeieh
Introduction: During pregnancy and postpartum, women bet more concerned and dissatisfied with their bodies. Primiparous women face more physical and mental health problems in the postpartum period. Objective:This study aimed to investigate the effect of a midwife-based counseling program on the quality of life in women with body image concerns during postpartum. Materials and Methods: This randomized controlled trial was conducted on 64 primiparous women with body image concerns who had been referred to the health centers in Alborz Province, Iran,in January 2019. The convenience sampling method was used for recruiting the study participants. Then, the samples were assigned to the intervention and control groups by random number table allocation. Next, the intervention group received a three-session counseling program.The data gathering questionnaire in this study included a Multi-Dimensional Body Self-Relation Questionnaire (MBSRQ) and a 36-item short-form quality of life questionnaire. Questionnaires were completed before, immediately after, and one month after the intervention.The obtained data were analyzed using descriptive statistics, the Chi-square test, Fisher exact test, and repeated measures test. Results:The mean ±SD age of the study participants was 26.4 ±5.4 years. Also, 94%of the samples had wanted pregnancy, 54%had a vaginal delivery,and 59.4%were overweight. There was no statistically significant difference between the control and intervention groups before the intervention regarding their demographic characteristics. The results of the analysis of variance (ANOVA) with repeated measures test indicated that the length of time affected the total scores of multi-dimensional body self-relation (P= 0.001). Also, the repeated measures ANOVA results showed that time significantly impacted the quality of life score (P= 0.001). Conclusion: The study results showed that a midwife-led counseling program could affect the score of quality of life in women with body image concerns in postpartum.
{"title":"Effect of Midwife-Led Counseling on the Quality of Life of Women With Body Image Concerns During Postpartum","authors":"Sedigheh Salehi, Z. Mahmoodi, Alireza Jashni Motlagh, M. Rahimzadeh, M. Ataee, S. Saeieh","doi":"10.32598/JHNM.31.3.2064","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2064","url":null,"abstract":"Introduction: During pregnancy and postpartum, women bet more concerned and dissatisfied with their bodies. Primiparous women face more physical and mental health problems in the postpartum period. Objective:This study aimed to investigate the effect of a midwife-based counseling program on the quality of life in women with body image concerns during postpartum. Materials and Methods: This randomized controlled trial was conducted on 64 primiparous women with body image concerns who had been referred to the health centers in Alborz Province, Iran,in January 2019. The convenience sampling method was used for recruiting the study participants. Then, the samples were assigned to the intervention and control groups by random number table allocation. Next, the intervention group received a three-session counseling program.The data gathering questionnaire in this study included a Multi-Dimensional Body Self-Relation Questionnaire (MBSRQ) and a 36-item short-form quality of life questionnaire. Questionnaires were completed before, immediately after, and one month after the intervention.The obtained data were analyzed using descriptive statistics, the Chi-square test, Fisher exact test, and repeated measures test. Results:The mean ±SD age of the study participants was 26.4 ±5.4 years. Also, 94%of the samples had wanted pregnancy, 54%had a vaginal delivery,and 59.4%were overweight. There was no statistically significant difference between the control and intervention groups before the intervention regarding their demographic characteristics. The results of the analysis of variance (ANOVA) with repeated measures test indicated that the length of time affected the total scores of multi-dimensional body self-relation (P= 0.001). Also, the repeated measures ANOVA results showed that time significantly impacted the quality of life score (P= 0.001). Conclusion: The study results showed that a midwife-led counseling program could affect the score of quality of life in women with body image concerns in postpartum.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45302035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sedigheh Shariat Moghani, M. Ebrahimzadeh, A. Safari, J. Jamali
Introduction: Women are subject to extensive changes during menopause. Life crises such as menopause can affect women's health and is a turning point in their lives. The husbands are the most important and closest people who can support their wives in this evolutionary crisis with their correct understanding of the situation. Objective: This study aimed to determine the effectiveness of husbands' awareness of the physical and psychological experiences of postmenopausal women. Materials and Methods: This randomized clinical trial study was performed on 150 married postmenopausal women in Kashmar City, Iran, in 2019. The husbands of the intervention group received three sessions (60 minutes) of the menopause training program with one-week intervals. The spouses of both groups received routine care at the health center. The questionnaire of psychological and physical experiences of postmenopausal women and measuring men's awareness of menopause in both groups was completed before the intervention and one month after the intervention. The collected data were analyzed using descriptive statistics and inferential statistics of the Chi-square, paired t test, independent t test, and analysis of covariance. Results: The mean ±SD age of women in the intervention group was 51.13 ±2.68 years, and their mean ±SD menopausal age was 49.09 ±2.60 years. The mean ±SD score of menopausal experiences before the intervention was 144.99 ±38.09 in the intervention group and 143.47 ±28.48 in the control group and 105.53 (35.41) in the intervention group, and 118.82 (82.21) in the control group. The statistical test showed that the mean score of menopausal experiences and the range of adaptation after the intervention and also between the two groups have statistically significant differences with each other (P = 0.001). Conclusion: Menopause has adverse physical and psychological symptoms. An intervention program to increase the awareness of men during menopause reduces negative menopausal experiences in women.
{"title":"The Effectiveness of Husbands' Awareness of Menopausal Complications on Physical Psychological Experiences of Postmenopausal Women","authors":"Sedigheh Shariat Moghani, M. Ebrahimzadeh, A. Safari, J. Jamali","doi":"10.32598/JHNM.31.3.2070","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2070","url":null,"abstract":"Introduction: Women are subject to extensive changes during menopause. Life crises such as menopause can affect women's health and is a turning point in their lives. The husbands are the most important and closest people who can support their wives in this evolutionary crisis with their correct understanding of the situation. Objective: This study aimed to determine the effectiveness of husbands' awareness of the physical and psychological experiences of postmenopausal women. Materials and Methods: This randomized clinical trial study was performed on 150 married postmenopausal women in Kashmar City, Iran, in 2019. The husbands of the intervention group received three sessions (60 minutes) of the menopause training program with one-week intervals. The spouses of both groups received routine care at the health center. The questionnaire of psychological and physical experiences of postmenopausal women and measuring men's awareness of menopause in both groups was completed before the intervention and one month after the intervention. The collected data were analyzed using descriptive statistics and inferential statistics of the Chi-square, paired t test, independent t test, and analysis of covariance. Results: The mean ±SD age of women in the intervention group was 51.13 ±2.68 years, and their mean ±SD menopausal age was 49.09 ±2.60 years. The mean ±SD score of menopausal experiences before the intervention was 144.99 ±38.09 in the intervention group and 143.47 ±28.48 in the control group and 105.53 (35.41) in the intervention group, and 118.82 (82.21) in the control group. The statistical test showed that the mean score of menopausal experiences and the range of adaptation after the intervention and also between the two groups have statistically significant differences with each other (P = 0.001). Conclusion: Menopause has adverse physical and psychological symptoms. An intervention program to increase the awareness of men during menopause reduces negative menopausal experiences in women.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48413740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marjan Rahmani, A. Salari, M. Moghadamnia, S. Omidi, M. Shirzad-Siboni, Majid Pourshaikhian
Introduction: Coronary angiography is often associated with complications such as hemorrhage and hematoma that should be considered and be minimized. Objective: This study aimed to determine the effect of Zinc oxide scallop-shell powder as a topical hemostatic agent (composed mainly of calcium) on complications after coronary angiography. These complications include hemostasis time, low back pain, hemorrhage, hematoma, the necessity of sandbags, and patient ambulation. Materials and Methods: The current research was a blind, parallel, randomized clinical trial done on 150 patients under coronary angiography. They were randomly divided into three equal groups of A (control), B (case 1), and C (case 2). In group A, hemostasis was done with manual compression, use of ChitoHem powder, putting sandbag for 4-6 h in a supine position, and getting out of bed after 24 h. In group B, instead of ChitoHem powder, we used Zinc oxide scallop-shell powder. In group C, hemostasis was done with manual compression, Zinc oxide scallop-shell powder, putting sandbag for 1 h in a supine position, and getting out of bed after 2 h. The duration of hemostasis, bleeding, and hematoma after hemostasis and the severity of low back pain were investigated at 8 point intervals during 24 h. Data analysis was done using descriptive statistics indicators and Kolmogorov-Smirnov, ANOVA, Chi Square, Fisher exact test and Kruskal-Wallis tests. Results: The mean ±SD ages of groups of A, B, and C were 60.08 ±11.32, 60.22 ±10.30, and 61.69 (10.61), respectively, which was not statistically different. Furthermore, there was no significant difference between these three groups regarding their demographic information. There were statistically significant differences between groups about the amount of low back pain at the second, third, and fourth hours after angiography (P= 0.001). There was a significant difference in the amount of bleeding between the three groups (P=0.017). The difference in time of hemostasis in the three groups was not statistically significant. Conclusion: The Zinc oxide scallop-shell powder reduces catheter site bleeding after coronary angiography and bed rest time and ultimately the severity of low back pain. Performing a similar study is recommended.
{"title":"The Effect of Zinc Oxide Scallop-Shell Powder and Complications After Coronary Angiography","authors":"Marjan Rahmani, A. Salari, M. Moghadamnia, S. Omidi, M. Shirzad-Siboni, Majid Pourshaikhian","doi":"10.32598/JHNM.31.3.2104","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2104","url":null,"abstract":"Introduction: Coronary angiography is often associated with complications such as hemorrhage and hematoma that should be considered and be minimized. Objective: This study aimed to determine the effect of Zinc oxide scallop-shell powder as a topical hemostatic agent (composed mainly of calcium) on complications after coronary angiography. These complications include hemostasis time, low back pain, hemorrhage, hematoma, the necessity of sandbags, and patient ambulation. Materials and Methods: The current research was a blind, parallel, randomized clinical trial done on 150 patients under coronary angiography. They were randomly divided into three equal groups of A (control), B (case 1), and C (case 2). In group A, hemostasis was done with manual compression, use of ChitoHem powder, putting sandbag for 4-6 h in a supine position, and getting out of bed after 24 h. In group B, instead of ChitoHem powder, we used Zinc oxide scallop-shell powder. In group C, hemostasis was done with manual compression, Zinc oxide scallop-shell powder, putting sandbag for 1 h in a supine position, and getting out of bed after 2 h. The duration of hemostasis, bleeding, and hematoma after hemostasis and the severity of low back pain were investigated at 8 point intervals during 24 h. Data analysis was done using descriptive statistics indicators and Kolmogorov-Smirnov, ANOVA, Chi Square, Fisher exact test and Kruskal-Wallis tests. Results: The mean ±SD ages of groups of A, B, and C were 60.08 ±11.32, 60.22 ±10.30, and 61.69 (10.61), respectively, which was not statistically different. Furthermore, there was no significant difference between these three groups regarding their demographic information. There were statistically significant differences between groups about the amount of low back pain at the second, third, and fourth hours after angiography (P= 0.001). There was a significant difference in the amount of bleeding between the three groups (P=0.017). The difference in time of hemostasis in the three groups was not statistically significant. Conclusion: The Zinc oxide scallop-shell powder reduces catheter site bleeding after coronary angiography and bed rest time and ultimately the severity of low back pain. Performing a similar study is recommended.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46019818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. M. Jirdehi, A. Monfared, F. M. Ghanaei, E. K. Leili
Introduction: Anxiety is one of the common problems among patients before undergoing invasive diagnostic techniques. One of these diagnostic techniques is gastrointestinal endoscopy. Aromatherapy is one of the complementary therapies to reduce anxiety. Objective: This study aimed to determine the effect of aromatherapy with Damask rose on the anxiety of the patients before undergoing endoscopy. Materials and methods: This study is a clinical trial performed on patients referred to the Endoscopy Department of one of the educational and therapeutic centers in Rasht City, Iran, in 2019. The study sample was 70 patients divided into the intervention and control groups. After giving the informed consent form, the samples completed the demographic information questionnaire and Spielberger anxiety questionnaire. The intervention group received aromatherapy with 10% Damask rose essential oil, and the control group received aromatherapy with a placebo for 30 minutes. The anxiety questionnaire was completed again 30 minutes after aromatherapy. The data were analyzed using descriptive and inferential statistics (the paired t test, Chi-square, independent t test, and covariance test). Results: Results showed that the mean ± SD age of participants was 41.05 ±13.15 years in the intervention (ranged 22-65 years) and 45.82 ±16.81 years in the control groups. Most participants were female (57.1%). After the intervention, the mean score of anxiety in the aromatherapy group (39.88±11.51) was lower than that in the control group with placebo (49.94±12.30), which was statistically significant (P=0.001). Because of significant differences in hospitalization history between the two study groups before the intervention, the covariance test was performed. The results showed no interaction between aromatherapy and hospitalization history. So it seems that the hospitalization variable did not affect post-intervention anxiety. Conclusions: This study showed that aromatherapy with Damask rose essential oil was effective on pre-endoscopic anxiety of the patients. Since complementary medicine is increasingly practiced in nursing care, Damask rose aromatherapy, because of its low cost, safety and simplicity, can be used as a complementary measure to reduce anxiety in patients before endoscopy. However, more studies with intervention, control, and routine groups are needed to confirm the effectiveness of aromatherapy in endoscopy.
{"title":"Damask Rose Aromatherapy and the Anxiety of Endoscopic Candidate Patients: A Clinical Trial","authors":"M. M. Jirdehi, A. Monfared, F. M. Ghanaei, E. K. Leili","doi":"10.32598/JHNM.31.3.2126","DOIUrl":"https://doi.org/10.32598/JHNM.31.3.2126","url":null,"abstract":"Introduction: Anxiety is one of the common problems among patients before undergoing invasive diagnostic techniques. One of these diagnostic techniques is gastrointestinal endoscopy. Aromatherapy is one of the complementary therapies to reduce anxiety. Objective: This study aimed to determine the effect of aromatherapy with Damask rose on the anxiety of the patients before undergoing endoscopy. Materials and methods: This study is a clinical trial performed on patients referred to the Endoscopy Department of one of the educational and therapeutic centers in Rasht City, Iran, in 2019. The study sample was 70 patients divided into the intervention and control groups. After giving the informed consent form, the samples completed the demographic information questionnaire and Spielberger anxiety questionnaire. The intervention group received aromatherapy with 10% Damask rose essential oil, and the control group received aromatherapy with a placebo for 30 minutes. The anxiety questionnaire was completed again 30 minutes after aromatherapy. The data were analyzed using descriptive and inferential statistics (the paired t test, Chi-square, independent t test, and covariance test). Results: Results showed that the mean ± SD age of participants was 41.05 ±13.15 years in the intervention (ranged 22-65 years) and 45.82 ±16.81 years in the control groups. Most participants were female (57.1%). After the intervention, the mean score of anxiety in the aromatherapy group (39.88±11.51) was lower than that in the control group with placebo (49.94±12.30), which was statistically significant (P=0.001). Because of significant differences in hospitalization history between the two study groups before the intervention, the covariance test was performed. The results showed no interaction between aromatherapy and hospitalization history. So it seems that the hospitalization variable did not affect post-intervention anxiety. Conclusions: This study showed that aromatherapy with Damask rose essential oil was effective on pre-endoscopic anxiety of the patients. Since complementary medicine is increasingly practiced in nursing care, Damask rose aromatherapy, because of its low cost, safety and simplicity, can be used as a complementary measure to reduce anxiety in patients before endoscopy. However, more studies with intervention, control, and routine groups are needed to confirm the effectiveness of aromatherapy in endoscopy.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41488174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Child abuse as a public health problem has adverse consequences for children’s physical and mental health. Even mothers may be responsible for child abuse, so it is essential to identify high-risk cases and take preventive measures. Objective: This study aimed to determine the potential risk of child abuse and its predictors of risk among mothers with children under 5 years old referred to comprehensive health service centers in Rasht City, Iran, in 2019. Materials and Methods: This is a cross-sectional study conducted on 450 mothers of children under 5 years old referred to the comprehensive health service centers in Rasht. The study data were collected by Adult-Adolescent Parenting Inventory form (AAPI-2 form A). The obtained data were analyzed using descriptive statistics, stepwise multiple linear regression, and the Friedman test to investigate the relationship between subscales. Results: The samples were mothers with a mean±SD age of 30.6±5.2 years. Mostly had diploma (41.78%), were housewife (79.33%) and all of them were married. The total mean±SD of score obtained for the child abuse risk was 3.18±0.56. Most mothers (87.31%) had moderate to severe level of child abuse risk. Based on multiple linear regression test, education (β=0.161, 95%CI; 0.076-0.247, P =0.001), being an employee (β=0.223, 95%CI; 0.059-0.387, P=0.008), family income (β=0.092, 95% CI; 0.006-0.179, P=0.037), spouse’s education (β=0.128, 95% CI; 0.046-0.209, P=0.002), and addiction status of spouse (β=0.236, 95% CI; 0.006-0.466, P=0.044) were predictors of child abuse risk among the studied variables, respectively. Conclusion: The results showed that most samples had a moderate risk of child abuse. It reveals the necessity to assess the attitudes of mothers about parenting, which predicts the potential of child abuse to some extent and can provide a basis of educational interventions for mothers to prevent child abuse.
{"title":"Risk of Child Abuse and Its Predictors in Mothers with Children Under 5 Years Old","authors":"Homa Tohidi Noroodi, L. Mirhadyan, Homa Mosaffa Khomami, Ehsan Kazemnezhad Leili4","doi":"10.32598/JHNM.31.2.1050","DOIUrl":"https://doi.org/10.32598/JHNM.31.2.1050","url":null,"abstract":"Introduction: Child abuse as a public health problem has adverse consequences for children’s physical and mental health. Even mothers may be responsible for child abuse, so it is essential to identify high-risk cases and take preventive measures. Objective: This study aimed to determine the potential risk of child abuse and its predictors of risk among mothers with children under 5 years old referred to comprehensive health service centers in Rasht City, Iran, in 2019. Materials and Methods: This is a cross-sectional study conducted on 450 mothers of children under 5 years old referred to the comprehensive health service centers in Rasht. The study data were collected by Adult-Adolescent Parenting Inventory form (AAPI-2 form A). The obtained data were analyzed using descriptive statistics, stepwise multiple linear regression, and the Friedman test to investigate the relationship between subscales. Results: The samples were mothers with a mean±SD age of 30.6±5.2 years. Mostly had diploma (41.78%), were housewife (79.33%) and all of them were married. The total mean±SD of score obtained for the child abuse risk was 3.18±0.56. Most mothers (87.31%) had moderate to severe level of child abuse risk. Based on multiple linear regression test, education (β=0.161, 95%CI; 0.076-0.247, P =0.001), being an employee (β=0.223, 95%CI; 0.059-0.387, P=0.008), family income (β=0.092, 95% CI; 0.006-0.179, P=0.037), spouse’s education (β=0.128, 95% CI; 0.046-0.209, P=0.002), and addiction status of spouse (β=0.236, 95% CI; 0.006-0.466, P=0.044) were predictors of child abuse risk among the studied variables, respectively. Conclusion: The results showed that most samples had a moderate risk of child abuse. It reveals the necessity to assess the attitudes of mothers about parenting, which predicts the potential of child abuse to some extent and can provide a basis of educational interventions for mothers to prevent child abuse.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":"31 1","pages":"104-113"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46798934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasaman Moghaddam, M. Moradi, M. Shahroodi, Vahid Ghavami, I. Mashhad
Introduction: Rapid decline of the total fertility rate in Iran in recent decades has caused serious demographic challenges to the country. One important reason for this decrease is single-child behavior adopted by Iranian families. Objective: The present study was conducted to assess the effectiveness of education based on the Theory of Planned Behavior (TPB) on childbearing intention in single-child women. Materials and Methods: This randomized field trial with the pretest-posttest design was done on 72 single-child women presenting to health centers in Mashhad City, Iran, in the intervention (37 persons) and control (35 persons) groups from August 2019 to February 2020. Research tools included a demographic and obstetric questionnaire and a researcher-made childbearing intention questionnaire based on TPB. The intervention group received three 110-min sessions of education, which was based on TPB. The control group received routine health center care. The study data were analyzed by using the Kolmogorov-Smirnov, Shapiro-Wilk, Independent t-test, Mann-Whitney U test, repeated measures Analysis of Variance (ANOVA), Freidman test, post hoc tests of Bonferroni and Dunn, the Spearman rank correlation coefficient, and the Generalized Estimating Equation (GEE) model. Results: The mean±SD age of the participants were 32.6±4.7 and 32.9±4.7 years in the intervention and control groups, respectively, and most of the women had university-level education in both groups. Changes in childbearing intention from the pre-intervention stage were significantly higher in the intervention group than the control group immediately (P=0.001) and then one month after the intervention (P=0.001). The results of the GEE model showed that the childbearing intention was significantly higher in the intervention group (β=0.68, 95% CI; 0.449-0.911, P=0.001,), and there was a significant positive relationship between attitude and childbearing (β=0.023, 95% CI; 0.013-0.033, P=0.001). Conclusion: Education based on the theory of planned behavior increased childbearing intention in single-child women in this study, so this educational program is advised for promoting childbearing.
{"title":"Effectiveness of the Education Based on the Theory of Planned Behavior on Childbearing Intention in Single-child Women","authors":"Yasaman Moghaddam, M. Moradi, M. Shahroodi, Vahid Ghavami, I. Mashhad","doi":"10.32598/JHNM.31.2.2135","DOIUrl":"https://doi.org/10.32598/JHNM.31.2.2135","url":null,"abstract":"Introduction: Rapid decline of the total fertility rate in Iran in recent decades has caused serious demographic challenges to the country. One important reason for this decrease is single-child behavior adopted by Iranian families. Objective: The present study was conducted to assess the effectiveness of education based on the Theory of Planned Behavior (TPB) on childbearing intention in single-child women. Materials and Methods: This randomized field trial with the pretest-posttest design was done on 72 single-child women presenting to health centers in Mashhad City, Iran, in the intervention (37 persons) and control (35 persons) groups from August 2019 to February 2020. Research tools included a demographic and obstetric questionnaire and a researcher-made childbearing intention questionnaire based on TPB. The intervention group received three 110-min sessions of education, which was based on TPB. The control group received routine health center care. The study data were analyzed by using the Kolmogorov-Smirnov, Shapiro-Wilk, Independent t-test, Mann-Whitney U test, repeated measures Analysis of Variance (ANOVA), Freidman test, post hoc tests of Bonferroni and Dunn, the Spearman rank correlation coefficient, and the Generalized Estimating Equation (GEE) model. Results: The mean±SD age of the participants were 32.6±4.7 and 32.9±4.7 years in the intervention and control groups, respectively, and most of the women had university-level education in both groups. Changes in childbearing intention from the pre-intervention stage were significantly higher in the intervention group than the control group immediately (P=0.001) and then one month after the intervention (P=0.001). The results of the GEE model showed that the childbearing intention was significantly higher in the intervention group (β=0.68, 95% CI; 0.449-0.911, P=0.001,), and there was a significant positive relationship between attitude and childbearing (β=0.023, 95% CI; 0.013-0.033, P=0.001). Conclusion: Education based on the theory of planned behavior increased childbearing intention in single-child women in this study, so this educational program is advised for promoting childbearing.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":"31 1","pages":"135-145"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44437870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sayareh Hajipoor, S. Pakseresht, M. Niknami, Z. Atrkar Roshan, Sima Nikandish
Introduction: Postpartum depression is a common and severe problem that has adverse effects on maternal and family health. Social support is one of the determinants of health, and in recent years has received increasing attention, and its overlook is a significant risk factor for postpartum depression. Objective: This study aimed to determine the relationship between social support and postpartum depression in women referring to comprehensive health centers in Rasht City, Iran. Materials and Methods: The present study is a cross-sectional, analytical study performed on 300 mothers referred to the comprehensive health service centers in Rasht 2-4 weeks after their deliveries. They were selected by cluster sampling method, which was done systematically within each cluster. The study data were collected using a three-part questionnaire of demographic characteristics, Edinburgh Postpartum Depression Scale (EPDS), and Hopkins social support. The obtained data were analyzed using descriptive and inferential statistics (t-test, Friedman, Mann-Whitney, Kruskal-Wallis, Spearman correlation coefficient, and rank logistic regression). Results: The results showed that the mean±SD age of the study mothers was 29±5.3 years. About 63.7% of mothers had low postpartum depression, and their mean±SD total score of social support was 64.03±16.92. The most support received from the spauses and parents. There was a statistically significant relationship between social support received by mothers after childbirth with education level (P=0.003), job (P=0.001), spauses’ job (P=0.001), income (P=0.001), residence status (P=0.043), number of deliveries (P=0.05) and pregnancy desire (P=0.047) and there was a significant inverse correlation between depression score and social support score by spauses (P=0.004, r=-0.167), parents (P=0.002, r=-0.176) and total social support score (P=0.024, r =-0.130). After adjusting for individual social variables, the effect of social support score on the part of the spauses (P=0.001), parents (P=0.006), friends, and relatives (P=0.033) continued to be associated with the severity of depression. Also, the number of deliveries (P=0.05) and h spauses’ jobs (self-employed) were significant compared to the unemployed ones (P=0.049). Conclusion: The results showed a significant and inverse relationship between social support and symptoms of postpartum depression. Although these results show the most support from spauses and parents, the amount of support received in the area of spauses’ parents, friends, and relatives were low. It is necessary to draw the attention of midwives and health care providers to mothers and inform them about the importance of social support and its prominent role in reducing postpartum depression.
{"title":"The Relationship Between Social Support and Postpartum Depression","authors":"Sayareh Hajipoor, S. Pakseresht, M. Niknami, Z. Atrkar Roshan, Sima Nikandish","doi":"10.32598/JHNM.31.2.1099","DOIUrl":"https://doi.org/10.32598/JHNM.31.2.1099","url":null,"abstract":"Introduction: Postpartum depression is a common and severe problem that has adverse effects on maternal and family health. Social support is one of the determinants of health, and in recent years has received increasing attention, and its overlook is a significant risk factor for postpartum depression. Objective: This study aimed to determine the relationship between social support and postpartum depression in women referring to comprehensive health centers in Rasht City, Iran. Materials and Methods: The present study is a cross-sectional, analytical study performed on 300 mothers referred to the comprehensive health service centers in Rasht 2-4 weeks after their deliveries. They were selected by cluster sampling method, which was done systematically within each cluster. The study data were collected using a three-part questionnaire of demographic characteristics, Edinburgh Postpartum Depression Scale (EPDS), and Hopkins social support. The obtained data were analyzed using descriptive and inferential statistics (t-test, Friedman, Mann-Whitney, Kruskal-Wallis, Spearman correlation coefficient, and rank logistic regression). Results: The results showed that the mean±SD age of the study mothers was 29±5.3 years. About 63.7% of mothers had low postpartum depression, and their mean±SD total score of social support was 64.03±16.92. The most support received from the spauses and parents. There was a statistically significant relationship between social support received by mothers after childbirth with education level (P=0.003), job (P=0.001), spauses’ job (P=0.001), income (P=0.001), residence status (P=0.043), number of deliveries (P=0.05) and pregnancy desire (P=0.047) and there was a significant inverse correlation between depression score and social support score by spauses (P=0.004, r=-0.167), parents (P=0.002, r=-0.176) and total social support score (P=0.024, r =-0.130). After adjusting for individual social variables, the effect of social support score on the part of the spauses (P=0.001), parents (P=0.006), friends, and relatives (P=0.033) continued to be associated with the severity of depression. Also, the number of deliveries (P=0.05) and h spauses’ jobs (self-employed) were significant compared to the unemployed ones (P=0.049). Conclusion: The results showed a significant and inverse relationship between social support and symptoms of postpartum depression. Although these results show the most support from spauses and parents, the amount of support received in the area of spauses’ parents, friends, and relatives were low. It is necessary to draw the attention of midwives and health care providers to mothers and inform them about the importance of social support and its prominent role in reducing postpartum depression.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":"31 1","pages":"93-103"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47095473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
* Corresponding Author: Shohreh Ghorbanshiroodi, PhD. Address: Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. Tel: +98 (911) 7605272 E-mail: researchclinic94@gmail.com Introduction: Choosing an emotional partner is an important occasion that profoundly affects various aspects of life; however, many relationships fail, and people face a vicious cycle of unhealthy and harmful relationships.
{"title":"Explaining the Concept of Re-experiencing Abusive Relationships","authors":"Z. Mirpour, Mohammad Rahmani, S. Ghorbanshiroodi","doi":"10.32598/JHNM.31.2.2094","DOIUrl":"https://doi.org/10.32598/JHNM.31.2.2094","url":null,"abstract":"* Corresponding Author: Shohreh Ghorbanshiroodi, PhD. Address: Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. Tel: +98 (911) 7605272 E-mail: researchclinic94@gmail.com Introduction: Choosing an emotional partner is an important occasion that profoundly affects various aspects of life; however, many relationships fail, and people face a vicious cycle of unhealthy and harmful relationships.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":"31 1","pages":"124-134"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44034838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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