Fatemeh Hosseinzadeh Siboni, Abdolhosein Emami Sigaroudi, Moluk Pouralizadeh, S. Maroufizadeh
Introduction: Social competence can help adolescents achieve effective social interactions and establish and maintain successful relationships with peers and society. Objective: The purpose of this study was to determine the status of social competence and its related factors in high school students in Rasht City, Iran. Materials and Methods: In the cross-sectional analytical study, 491 high school students in Rasht were selected by multi-stage random cluster sampling. The study tool was a twopart questionnaire: the demographic characteristics of the participants and the social competence questionnaire. Descriptive statistics, 1-way analysis of variance (ANOVA), the Pearson correlation coefficient, independent t test, and multiple linear regression were used for statistical analysis. Results: Of 491 students, 65.4% were female, 63.1% were the first child of the family, and 94.3% had normal sleep amount. Also, 94.1% of students lived with their parents. Their mean social competence was at the desired level (261.7±8.31, total score: 47-329). There was a significant relationship between school grade point average (r=0.271, P=0.001), duration of Internet use (r=-0.103, P=0.022), and students’ sleep amount with social competence based on 1-way ANOVA test (P=0.005). Based on multiple linear regression analysis, a high-grade point average was associated with increased social competence (B=7.54, 95% CI; 5.43 to 9.78, P=0.001) and female gender (B=-6.71, 95% CI; -13.15 to -0.26, P=0.04), being the second child compared to the first (B=-8.19, 95% CI; -14.48 to -1.90, P=0.011), insomnia (B=-19.07, 95% CI; -36.14 to -2.01, P=0.029) and parental divorce and living with father (B=-46.47, 95% CI; -81.95 to -10.99, P=0.01) were associated with low social competence (R2=0.16). Conclusion: These results can help managers plan educational and training organizations and promote parents’ awareness to eliminate everyday barriers and develop social competence in adolescents.
{"title":"Social Competence and Its Related Factors in High School Students: A Cross-Sectional Study","authors":"Fatemeh Hosseinzadeh Siboni, Abdolhosein Emami Sigaroudi, Moluk Pouralizadeh, S. Maroufizadeh","doi":"10.32598/jhnm.33.2.2378","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2378","url":null,"abstract":"Introduction: Social competence can help adolescents achieve effective social interactions and establish and maintain successful relationships with peers and society. Objective: The purpose of this study was to determine the status of social competence and its related factors in high school students in Rasht City, Iran. Materials and Methods: In the cross-sectional analytical study, 491 high school students in Rasht were selected by multi-stage random cluster sampling. The study tool was a twopart questionnaire: the demographic characteristics of the participants and the social competence questionnaire. Descriptive statistics, 1-way analysis of variance (ANOVA), the Pearson correlation coefficient, independent t test, and multiple linear regression were used for statistical analysis. Results: Of 491 students, 65.4% were female, 63.1% were the first child of the family, and 94.3% had normal sleep amount. Also, 94.1% of students lived with their parents. Their mean social competence was at the desired level (261.7±8.31, total score: 47-329). There was a significant relationship between school grade point average (r=0.271, P=0.001), duration of Internet use (r=-0.103, P=0.022), and students’ sleep amount with social competence based on 1-way ANOVA test (P=0.005). Based on multiple linear regression analysis, a high-grade point average was associated with increased social competence (B=7.54, 95% CI; 5.43 to 9.78, P=0.001) and female gender (B=-6.71, 95% CI; -13.15 to -0.26, P=0.04), being the second child compared to the first (B=-8.19, 95% CI; -14.48 to -1.90, P=0.011), insomnia (B=-19.07, 95% CI; -36.14 to -2.01, P=0.029) and parental divorce and living with father (B=-46.47, 95% CI; -81.95 to -10.99, P=0.01) were associated with low social competence (R2=0.16). Conclusion: These results can help managers plan educational and training organizations and promote parents’ awareness to eliminate everyday barriers and develop social competence in adolescents.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48772581","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}
P. Asadi, Mohsen Esmaeili, Nazanin Noori Roodsari, E. Gheysvandi, Enayatollah Homaie Rad
Introduction: The first contact between emergency patients and medical services is carried out by emergency medical services (EMS). EMS personnel must deliver high-quality and high-speed services. This condition might cause high levels of stress and violence in the patients and their companions. Objective: In this research, we aimed to study the violent acts against pre-hospital EMS personnel in Guilan Province, Iran. Materials and Methods: This research was a cross-sectional study. A total of 110 EMS personnel working in Guilan Province in the north of Iran were selected using a random selection method between March and June 2020. A researcher-made questionnaire was used to collect the study data from the EMS personnel. The results were analyzed by the Poisson regression. Results: A total of 144 questionnaires were sent to the personnel, of these 110 were completed. The mean age of the participants was 34.89±3.65 years and all of them were male. About 61.8% of the samples experienced some kind of physical or verbal violence in the past 3 months. All cases of physical violence were perpetrated by men and half of them were done by close relatives of the patients. A significant relationship was found between the marital status of the EMS personnel and the number of physical violence they experienced (β=2.246, 95% CI; 0.058 to 4.446, P=0.032). In addition, the number of experienced physical violence was higher in those staff who worked at road EMS services compare to city or town EMS services (β=1.519,95% CI; 0.092 to 2.934, P=0.001). According to the EMS personnel, most of the attacks were answered calmly. The personnel revealed that the most important reason for not reporting physical violence was the futility of reports and the lack of guidelines for reporting violence. Conclusion: The findings of this study confirm that pre-hospital EMS are at high risk of workplace violence in Guilan Province which highly affects their health and well-being. Training EMS personnel and strengthening their communication skills are important factors in reducing violence against emergency services technicians.
{"title":"Violence Against Pre-hospital Emergency Medical Service Personnel in Guilan Province, Iran: A Cross-Sectional Study","authors":"P. Asadi, Mohsen Esmaeili, Nazanin Noori Roodsari, E. Gheysvandi, Enayatollah Homaie Rad","doi":"10.32598/jhnm.33.2.2277","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2277","url":null,"abstract":"Introduction: The first contact between emergency patients and medical services is carried out by emergency medical services (EMS). EMS personnel must deliver high-quality and high-speed services. This condition might cause high levels of stress and violence in the patients and their companions. Objective: In this research, we aimed to study the violent acts against pre-hospital EMS personnel in Guilan Province, Iran. Materials and Methods: This research was a cross-sectional study. A total of 110 EMS personnel working in Guilan Province in the north of Iran were selected using a random selection method between March and June 2020. A researcher-made questionnaire was used to collect the study data from the EMS personnel. The results were analyzed by the Poisson regression. Results: A total of 144 questionnaires were sent to the personnel, of these 110 were completed. The mean age of the participants was 34.89±3.65 years and all of them were male. About 61.8% of the samples experienced some kind of physical or verbal violence in the past 3 months. All cases of physical violence were perpetrated by men and half of them were done by close relatives of the patients. A significant relationship was found between the marital status of the EMS personnel and the number of physical violence they experienced (β=2.246, 95% CI; 0.058 to 4.446, P=0.032). In addition, the number of experienced physical violence was higher in those staff who worked at road EMS services compare to city or town EMS services (β=1.519,95% CI; 0.092 to 2.934, P=0.001). According to the EMS personnel, most of the attacks were answered calmly. The personnel revealed that the most important reason for not reporting physical violence was the futility of reports and the lack of guidelines for reporting violence. Conclusion: The findings of this study confirm that pre-hospital EMS are at high risk of workplace violence in Guilan Province which highly affects their health and well-being. Training EMS personnel and strengthening their communication skills are important factors in reducing violence against emergency services technicians.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48007953","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}
K. Ahmadi Angali, M. Azhdari, M. Cheraghi, P. Shahri, S. Salmanzadeh, Fatemeh Borazjani
Introduction: Elevated pre-gestational body mass index (obese/overweight) and improper gestational weight gain are important risk factors for predicting adverse pregnancy outcomes. Objective: We aimed to identify the association between pre-pregnancy body mass index (BMI) and gestational weight gain on birth outcomes. Materials and Methods: Data from this retrospective cohort study were extracted from 1457 (out of 1800) pair health records belonging to the pregnant mother and infants at Ahvaz Iran health care centers from 2010 to 2018. Ten public health care centers were randomly selected from the headquarters west and east of Ahvaz City. The samples were selected based on the inclusion criteria. They divided into different groups based on BMI (underweight, normal, overweight, and obese) and gestational weight gain (GWG) groups (inadequate and excessive versus adequate). Pregnancy outcome was analyzed according to the GWG during pregnancy for each BMI group through multivariable multinomial logistic regression. Relationships between maternal BMI, GWG, and offspring weight were examined. The analysis of covariance (ANCOVA) was used with adjusting the baseline values. The risks for adverse birth weight outcomes in women with different pre-pregnancy BMIs and GWGs were tested using the multivariable multinomial logistic regression analysis. Results: The Mean±SD of maternal age was 28.36±5.60 years. The Mean±SD birth weight was 3271.37±486.57 g. About 4.5%, 89.3%, and 6.2% of newborns were low birth weight, normal weight, and macrosomia, respectively. Also, 46.4% of women had weight gain above the guidelines. The increased risk for large for gestational age in overweight mothers (odds ratio [OR] =3.18, 95%CI; 0.45-7.29, P=0.007) and an increased risk for small for gestational age in those mothers with gestational weight gain below the guidelines (OR=2.9, 95%CI; 1.16- 7.45, P=0.02). An increased risk of large for gestational age, low birth weight, and macrosomia were observed in overweight mothers with gestational weight gain out of the guidelines. An increased association was found between the maternal pre-pregnancy BMI and fasting blood sugar in 24 to 28 weeks of gestation. Hence, hyperglycemia is related to the incidence of macrosomia (OR=3.58, 95%CI; 1.70-7.66, P=0.0001). Conclusion: Managing maternal weight with respect to reproductive health care is required for all women in childbearing age (before and during pregnancy) to reduce the adverse pregnancy outcome.
{"title":"The Association Between Pre-Pregnancy Body Mass Index and Gestational Weight Gain on Pregnancy Outcomes: A Retrospective Cohort Study","authors":"K. Ahmadi Angali, M. Azhdari, M. Cheraghi, P. Shahri, S. Salmanzadeh, Fatemeh Borazjani","doi":"10.32598/jhnm.33.2.2290","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2290","url":null,"abstract":"Introduction: Elevated pre-gestational body mass index (obese/overweight) and improper gestational weight gain are important risk factors for predicting adverse pregnancy outcomes. Objective: We aimed to identify the association between pre-pregnancy body mass index (BMI) and gestational weight gain on birth outcomes. Materials and Methods: Data from this retrospective cohort study were extracted from 1457 (out of 1800) pair health records belonging to the pregnant mother and infants at Ahvaz Iran health care centers from 2010 to 2018. Ten public health care centers were randomly selected from the headquarters west and east of Ahvaz City. The samples were selected based on the inclusion criteria. They divided into different groups based on BMI (underweight, normal, overweight, and obese) and gestational weight gain (GWG) groups (inadequate and excessive versus adequate). Pregnancy outcome was analyzed according to the GWG during pregnancy for each BMI group through multivariable multinomial logistic regression. Relationships between maternal BMI, GWG, and offspring weight were examined. The analysis of covariance (ANCOVA) was used with adjusting the baseline values. The risks for adverse birth weight outcomes in women with different pre-pregnancy BMIs and GWGs were tested using the multivariable multinomial logistic regression analysis. Results: The Mean±SD of maternal age was 28.36±5.60 years. The Mean±SD birth weight was 3271.37±486.57 g. About 4.5%, 89.3%, and 6.2% of newborns were low birth weight, normal weight, and macrosomia, respectively. Also, 46.4% of women had weight gain above the guidelines. The increased risk for large for gestational age in overweight mothers (odds ratio [OR] =3.18, 95%CI; 0.45-7.29, P=0.007) and an increased risk for small for gestational age in those mothers with gestational weight gain below the guidelines (OR=2.9, 95%CI; 1.16- 7.45, P=0.02). An increased risk of large for gestational age, low birth weight, and macrosomia were observed in overweight mothers with gestational weight gain out of the guidelines. An increased association was found between the maternal pre-pregnancy BMI and fasting blood sugar in 24 to 28 weeks of gestation. Hence, hyperglycemia is related to the incidence of macrosomia (OR=3.58, 95%CI; 1.70-7.66, P=0.0001). Conclusion: Managing maternal weight with respect to reproductive health care is required for all women in childbearing age (before and during pregnancy) to reduce the adverse pregnancy outcome.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45128556","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}
Mohammad Goudarzi Rad, Maryam Esmaeili, M. Hoseini, A. Hamta, M. Zakerimoghadam
Introduction: Auditory stimulation is a treatment method for sensory deprivation of comatose patients, which helps wake up the patient by activating the choroid plexuses in the brain. Objective: This study aims to determine the effect of auditory stimulation with occupational noise on the consciousness level of comatose patients with traumatic brain injury (TBI). Materials and Methods: This clinical trial was conducted on 50 comatose patients with TBI hospitalized in intensive care units of one of the hospitals in Qom City, Iran. They were randomly assigned to two groups of control (n=25) and intervention (n=25) using the block randomization method. The intervention group received auditory stimulation with occupational voice for 10 days in the morning and evening shifts, each for 15-20 minutes. The consciousness level of patients was evaluated before and after stimulation using the Glasgow Coma Scale (GCS). The obtained data were analyzed using descriptive statistics, the Chi-square test, the independent t test, and the generalized estimating equations model. Results: The Mean±SD ages of the patients were 35.92±14.68 years in the intervention group and 33.32±13.74 years in the control group. No significant difference was observed between the two groups regarding demographic or disease-related variables. The Mean±SD scores of GCS before the stimulation were 5.28±1.81 in the control group and 5.12±1.90 in the intervention group. This difference was not statistically significant. The mean ± SD scores of GCS after the stimulation were 6.60±3.25 in the control group and 8.80±4.05 in the intervention group. This difference was statistically significant (P=0.038). The level of consciousness in the intervention group increased more than in the control group in the 10 th day of study. Conclusion: Auditory stimulation with occupational noise can increase the consciousness level of comatose patients with TBI. Auditory stimulation can raise the consciousness level of these patients hospitalized in intensive care units.
{"title":"Effect of Auditory Stimulation with Occupational Noise on the Consciousness Level of Comatose Patients with Traumatic Brain Injury: A Clinical Trial Study","authors":"Mohammad Goudarzi Rad, Maryam Esmaeili, M. Hoseini, A. Hamta, M. Zakerimoghadam","doi":"10.32598/jhnm.33.2.2292","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2292","url":null,"abstract":"Introduction: Auditory stimulation is a treatment method for sensory deprivation of comatose patients, which helps wake up the patient by activating the choroid plexuses in the brain. Objective: This study aims to determine the effect of auditory stimulation with occupational noise on the consciousness level of comatose patients with traumatic brain injury (TBI). Materials and Methods: This clinical trial was conducted on 50 comatose patients with TBI hospitalized in intensive care units of one of the hospitals in Qom City, Iran. They were randomly assigned to two groups of control (n=25) and intervention (n=25) using the block randomization method. The intervention group received auditory stimulation with occupational voice for 10 days in the morning and evening shifts, each for 15-20 minutes. The consciousness level of patients was evaluated before and after stimulation using the Glasgow Coma Scale (GCS). The obtained data were analyzed using descriptive statistics, the Chi-square test, the independent t test, and the generalized estimating equations model. Results: The Mean±SD ages of the patients were 35.92±14.68 years in the intervention group and 33.32±13.74 years in the control group. No significant difference was observed between the two groups regarding demographic or disease-related variables. The Mean±SD scores of GCS before the stimulation were 5.28±1.81 in the control group and 5.12±1.90 in the intervention group. This difference was not statistically significant. The mean ± SD scores of GCS after the stimulation were 6.60±3.25 in the control group and 8.80±4.05 in the intervention group. This difference was statistically significant (P=0.038). The level of consciousness in the intervention group increased more than in the control group in the 10 th day of study. Conclusion: Auditory stimulation with occupational noise can increase the consciousness level of comatose patients with TBI. Auditory stimulation can raise the consciousness level of these patients hospitalized in intensive care units.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42790002","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: The most important diagnostic indicator of Acute Coronary Syndrome (ACS) is typical clinical symptoms, like chest pain, but many patients may experience nonspecific (atypical) symptoms. Understanding these symptoms and their associated factors results in early diagnosis and more appropriate treatments. Objective: We aimed to determine atypical clinical symptoms and their predictors in patients with Acute Coronary Syndrome. Materials and Methods: This cross-sectional study was conducted on 1167 patients with ACS hospitalized at a specialized hospital in Rasht City, Iran, between December 2019 and October 2020. The research samples were selected by a consecutive sampling method. Data were collected through a researcher-made questionnaire by interview, in which sociodemographic characteristics, risk factors, disease-related factors, and symptoms of patients with ACS were collected. Data analysis was done by descriptive statistics and multiple logistic regression by the backward LR (likelihood ratio) method. The significance level was set as P<0.05. Results: In this study, 56.3% of the patients were male. The Mean±SD age of the patients was 60.9±11.1 years. About 28.1% of the patients experienced atypical clinical symptoms. The most common atypical symptoms were shortness of breath (29.4%), back pain (18.3%), and left shoulder pain (12.7%). The predictors of atypical symptoms were age (OR=0.98, 95% CI; 0.975 - 0.999, P=0.047), alcohol use (OR=1.86, 95% CI; 1.047 - 3.303, P=0.034), brain diseases (OR=2.36, 95% CI; 1.463 - 3.811, P=0.001), blood diseases (OR=1.45, 95% CI; 1.059 - 2.002, P=0.021), and gastroesophageal reflux (OR=1.31, 95% CI; 1.006 - 1.719, P=0.045) Conclusion: Since more than a quarter of ACS patients have unusual symptoms, detecting these symptoms and related factors can help in early diagnosis and conduct more appropriate medical treatment.
{"title":"Atypical Symptoms of Acute Coronary Syndrome and Their Predictors","authors":"Masoumeh Rezvani, M. Moghadamnia, Ehsan Kazemnejad Leili, Majid Pourshaikhian, Hojjat Houshyari Khah","doi":"10.32598/jhnm.33.2.2423","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2423","url":null,"abstract":"Introduction: The most important diagnostic indicator of Acute Coronary Syndrome (ACS) is typical clinical symptoms, like chest pain, but many patients may experience nonspecific (atypical) symptoms. Understanding these symptoms and their associated factors results in early diagnosis and more appropriate treatments. Objective: We aimed to determine atypical clinical symptoms and their predictors in patients with Acute Coronary Syndrome. Materials and Methods: This cross-sectional study was conducted on 1167 patients with ACS hospitalized at a specialized hospital in Rasht City, Iran, between December 2019 and October 2020. The research samples were selected by a consecutive sampling method. Data were collected through a researcher-made questionnaire by interview, in which sociodemographic characteristics, risk factors, disease-related factors, and symptoms of patients with ACS were collected. Data analysis was done by descriptive statistics and multiple logistic regression by the backward LR (likelihood ratio) method. The significance level was set as P<0.05. Results: In this study, 56.3% of the patients were male. The Mean±SD age of the patients was 60.9±11.1 years. About 28.1% of the patients experienced atypical clinical symptoms. The most common atypical symptoms were shortness of breath (29.4%), back pain (18.3%), and left shoulder pain (12.7%). The predictors of atypical symptoms were age (OR=0.98, 95% CI; 0.975 - 0.999, P=0.047), alcohol use (OR=1.86, 95% CI; 1.047 - 3.303, P=0.034), brain diseases (OR=2.36, 95% CI; 1.463 - 3.811, P=0.001), blood diseases (OR=1.45, 95% CI; 1.059 - 2.002, P=0.021), and gastroesophageal reflux (OR=1.31, 95% CI; 1.006 - 1.719, P=0.045) Conclusion: Since more than a quarter of ACS patients have unusual symptoms, detecting these symptoms and related factors can help in early diagnosis and conduct more appropriate medical treatment.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42906452","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}
ntroduction: An expectant mother’s experience of normal vaginal delivery significantly impacts her health. One of the determinants of a positive experience is to enjoy constant support during labor. Objective: This study was conducted to understand the mother’s childbirth experience with the support of a doula during labor and delivery. Materials and Methods: This research was a qualitative study with a content analysis approach. A total of 16 pregnant women that gave birth with the assistance of doulas in a hospital in Zanjan City, Iran, were included in this qualitative study with a content analysis approach. Purposive sampling was used to select the participants in 2019. The study data were collected through in-depth, semi-structured interviews with mothers, then transcribed and coded. All interviews were conducted in one session, so 16 interviews were obtained. Data analysis was done using the method proposed by Graneheim and Lundman. Results: The participants were 18-35 years old (27.5±6.7 years). Three women had a primary school education, 7 had a high school diploma, and 6 had a university education. Four women were employed, and the rest were homemakers. After data analysis, 4 main categories and 8 subcategories were extracted. Main categories and subcategories include comprehensive support (physical support, mental support), assisting in materializing the motherhood dream (inducing calm in the mother, being released from pain and suffering), internal reinforcement (self-esteem, pain acceptance), and mother-centered care (doula as a different supportive, bidirectional relationship). Conclusion: Pregnant mothers’ satisfaction with delivery is affected by their experience. According to the results, all mothers were satisfied with doula support during delivery. The doula’s presence made childbirth a positive and satisfactory experience. The doula guided mothers from fear, pain, and ignorance to happiness and satisfaction. It is necessary to familiarize expectant mothers with the doula and the services they provide and facilitate their presence in labor and delivery rooms.
{"title":"Explaining the Childbirth Experience with the Support of a Doula in an Iranian Setting: A Qualitative Study","authors":"Solmaz Heydari Fard, Z. Moghadam, M. Khoshnam Rad","doi":"10.32598/jhnm.33.2.2328","DOIUrl":"https://doi.org/10.32598/jhnm.33.2.2328","url":null,"abstract":"ntroduction: An expectant mother’s experience of normal vaginal delivery significantly impacts her health. One of the determinants of a positive experience is to enjoy constant support during labor. Objective: This study was conducted to understand the mother’s childbirth experience with the support of a doula during labor and delivery. Materials and Methods: This research was a qualitative study with a content analysis approach. A total of 16 pregnant women that gave birth with the assistance of doulas in a hospital in Zanjan City, Iran, were included in this qualitative study with a content analysis approach. Purposive sampling was used to select the participants in 2019. The study data were collected through in-depth, semi-structured interviews with mothers, then transcribed and coded. All interviews were conducted in one session, so 16 interviews were obtained. Data analysis was done using the method proposed by Graneheim and Lundman. Results: The participants were 18-35 years old (27.5±6.7 years). Three women had a primary school education, 7 had a high school diploma, and 6 had a university education. Four women were employed, and the rest were homemakers. After data analysis, 4 main categories and 8 subcategories were extracted. Main categories and subcategories include comprehensive support (physical support, mental support), assisting in materializing the motherhood dream (inducing calm in the mother, being released from pain and suffering), internal reinforcement (self-esteem, pain acceptance), and mother-centered care (doula as a different supportive, bidirectional relationship). Conclusion: Pregnant mothers’ satisfaction with delivery is affected by their experience. According to the results, all mothers were satisfied with doula support during delivery. The doula’s presence made childbirth a positive and satisfactory experience. The doula guided mothers from fear, pain, and ignorance to happiness and satisfaction. It is necessary to familiarize expectant mothers with the doula and the services they provide and facilitate their presence in labor and delivery rooms.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42309194","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}
F. Mohandespour, Razieh Maasoumi, H. Pourmand, Sayed Najmedin Amir Shahkarami, F. Daemi
Introduction: Sexual education programs are necessary for adolescents. According to the literature, adolescents find theater-based interventions more acceptable and memorable than traditional didactic teaching methods. Objective: This study aims to summarize all the available primary research with theater-based interventions for sexual health education to adolescents. Materials and Methods: In this systematic review, studies were searched in the databases of Web of Science, PubMed, Scopus, ScienceDirect, ProQuest, Magiran, SID, and IranDoc, which were written in English or Farsi from 2011 to 2021. Quantitative and mix-method studies with a theater-based intervention for sexual education were selected. Results: All of the 7 selected studies determined the impact of theater-based sex education on sexual activity and sexually transmitted diseases, and four studies on “psychological issues related to sexual health “or “healthy relationship” or “sexual violence.” The outcomes of the studies included increasing knowledge and self-efficacy and improving attitudes regarding sexual health, the intended age of first sex, and less risky behavior in condom usage. Also, two studies determined the appropriate method for theater-based sex education for adolescents. Conclusion: Theater is an attractive and effective method of sexual education for adolescents. It is recommended that further interventional theater-based studies on adolescents should not only emphasize the biological aspects of reproduction but also focus on acquiring healthy behaviors.
导言:对青少年进行性教育是必要的。根据文献，青少年发现以戏剧为基础的干预比传统的教学方法更容易接受和记忆。目的:本研究旨在总结现有的以戏剧为基础的青少年性健康教育干预的初步研究。材料与方法:本系统综述检索了Web of Science、PubMed、Scopus、ScienceDirect、ProQuest、Magiran、SID和IranDoc等数据库中2011 - 2021年的英文或波斯语文献。本研究选择了以剧院为基础的性教育干预的定量和混合方法研究。结果:选定的7项研究均确定了以戏剧为基础的性教育对性活动和性传播疾病的影响，以及4项关于“与性健康有关的心理问题”或“健康关系”或“性暴力”的研究。这些研究的结果包括提高知识和自我效能，改善对性健康的态度，第一次性行为的预期年龄，以及减少使用避孕套的风险行为。此外，两项研究确定了以戏剧为基础的青少年性教育的适当方法。结论:戏剧是青少年性教育的有效手段。建议进一步以戏剧为基础的青少年干预研究不仅应强调生殖的生物学方面，而且应注重获得健康的行为。
{"title":"The Impact of Theatre-Based Interventions for Sexual Health Education to Adolescents: A Systematic Review","authors":"F. Mohandespour, Razieh Maasoumi, H. Pourmand, Sayed Najmedin Amir Shahkarami, F. Daemi","doi":"10.32598/jhnm.33.1.2342","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2342","url":null,"abstract":"Introduction: Sexual education programs are necessary for adolescents. According to the literature, adolescents find theater-based interventions more acceptable and memorable than traditional didactic teaching methods. Objective: This study aims to summarize all the available primary research with theater-based interventions for sexual health education to adolescents. Materials and Methods: In this systematic review, studies were searched in the databases of Web of Science, PubMed, Scopus, ScienceDirect, ProQuest, Magiran, SID, and IranDoc, which were written in English or Farsi from 2011 to 2021. Quantitative and mix-method studies with a theater-based intervention for sexual education were selected. Results: All of the 7 selected studies determined the impact of theater-based sex education on sexual activity and sexually transmitted diseases, and four studies on “psychological issues related to sexual health “or “healthy relationship” or “sexual violence.” The outcomes of the studies included increasing knowledge and self-efficacy and improving attitudes regarding sexual health, the intended age of first sex, and less risky behavior in condom usage. Also, two studies determined the appropriate method for theater-based sex education for adolescents. Conclusion: Theater is an attractive and effective method of sexual education for adolescents. It is recommended that further interventional theater-based studies on adolescents should not only emphasize the biological aspects of reproduction but also focus on acquiring healthy behaviors.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42336257","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}
R. Abobaker, Majed Sulaiman Alamri, Bader Jamaan Alshaery, A. Hamdan-Mansour
Introduction: Employing innovative teaching strategies is urgently needed for nursing education systems. Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy on nursing students’ academic achievement and opinions. Materials and Methods: This research is a randomized controlled trial. The study sample consisted of 160 nursing students randomly selected and assigned to the intervention (80 students in 8 groups of 10 students each) and the control group (80 students in another 8 groups of 10 students each). The study data were collected at two time points after the intervention. A self-administered questionnaire was used to collect data about students’ academic achievement and opinions regarding the jigsaw cooperative learning strategy (only for the intervention group). The Chi-squared test and repeated measure analysis of variance (ANOVA) were used for data analysis. Results: The mean age of the experimental group was 20.8±0.74 years, while that of the control groups was 20.7±0.81 years. There is a significant difference in mean scores of academic achievements between the control and intervention groups (P=0.001) over time based on repeated measure ANOVA, and a significant difference between the two groups over time group effect by using repeated measure ANOVA (P=0.001). The paired t-test showed a significant difference between students’ academic performance in time I and time II (P<0.05). In the control group, the descriptive statistics show that students’ academic achievement (time I) was slightly higher in the posttest (time I) and dropped slightly in time II. The paired t-test showed a nonsignificant difference between students’ academic performance in time II and time I. Conclusion: The results indicated the substantial need for using novel nursing education models in nursing education to enhance learning outcomes in training settings.
{"title":"Impact of Jigsaw Cooperative Learning Strategy on academic achievement and opinion among Nursing Students","authors":"R. Abobaker, Majed Sulaiman Alamri, Bader Jamaan Alshaery, A. Hamdan-Mansour","doi":"10.32598/jhnm.33.1.2344","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2344","url":null,"abstract":"Introduction: Employing innovative teaching strategies is urgently needed for nursing education systems. Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy on nursing students’ academic achievement and opinions. Materials and Methods: This research is a randomized controlled trial. The study sample consisted of 160 nursing students randomly selected and assigned to the intervention (80 students in 8 groups of 10 students each) and the control group (80 students in another 8 groups of 10 students each). The study data were collected at two time points after the intervention. A self-administered questionnaire was used to collect data about students’ academic achievement and opinions regarding the jigsaw cooperative learning strategy (only for the intervention group). The Chi-squared test and repeated measure analysis of variance (ANOVA) were used for data analysis. Results: The mean age of the experimental group was 20.8±0.74 years, while that of the control groups was 20.7±0.81 years. There is a significant difference in mean scores of academic achievements between the control and intervention groups (P=0.001) over time based on repeated measure ANOVA, and a significant difference between the two groups over time group effect by using repeated measure ANOVA (P=0.001). The paired t-test showed a significant difference between students’ academic performance in time I and time II (P<0.05). In the control group, the descriptive statistics show that students’ academic achievement (time I) was slightly higher in the posttest (time I) and dropped slightly in time II. The paired t-test showed a nonsignificant difference between students’ academic performance in time II and time I. Conclusion: The results indicated the substantial need for using novel nursing education models in nursing education to enhance learning outcomes in training settings.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42203789","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}
Hadis Biranvand, M. Birjandi, F. Goudarzi, Heshmatolah Heydari
Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.
意识低下患者的家属在支持患者方面具有重要作用，应具备必要的患者护理能力。目的:探讨以家庭为中心的干预对重症监护病人家属自我效能感的影响。材料与方法:本研究是一项随机临床试验，采用前测后测设计，于2019-2020年在伊朗霍拉姆阿巴德市医院的重症监护病房进行。采用方便抽样法选取患者家属70人，按分层随机分组法分为干预组(n=28)和对照组(n=28)。研究数据通过自我效能感问卷和医院焦虑抑郁量表收集。干预是采用以家庭为中心的模式进行的。收集的资料采用卡方检验、独立t检验和配对t检验进行统计分析。同时，采用广义线性模型比较两个研究组在调整人口统计学、焦虑和抑郁变量后的自我效能得分变化。结果:资料分析显示，患者以男性为主(53.8%)，平均年龄38.15±8.68岁。结果显示，干预组与对照组在自我效能、焦虑和抑郁的平均得分上有显著差异(P=0.001)。干预显著提高了护理者自我效能感的均值±SD(40.14±14.35,P=0.001)。结果显示，干预组的自我效能平均得分比对照组的照顾者自我效能得分高36分(95% CI;20.6 - -51.4, P = 0.028)。结论:意识低下患者家属参与重症监护患者的护理对患者的自我效能感有有效的影响。
{"title":"Effect of family-centered interventions on self-efficacy of family of patients with low consciousness admitted the intensive care units : A randomized controlled trial","authors":"Hadis Biranvand, M. Birjandi, F. Goudarzi, Heshmatolah Heydari","doi":"10.32598/jhnm.33.1.2401","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2401","url":null,"abstract":"Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53.8%) with a mean age of 38.15±8.68 years. The results showed a significant difference in the mean scores of self-efficacy, anxiety, and depression between the intervention and control groups (P=0.001). The intervention significantly increased the Mean±SD of caregivers’ self-efficacy (40.14±14.35, P=0.001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’ self-efficacy of the control group (95% CI; 20.6-51.4, P=0.028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42941787","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}
Alemeh Sultani, Z. Mirhosseini, Sedighe Rastaghi, M. Rad
Introduction: Poor sleep quality is a common problem among hemodialysis patients. Aromatherapy has few complications and is an effective approach to this problem. Objective: The present study aimed to assess the effect of aromatherapy with jasmine essential oil on the sleep quality of hemodialysis patients. Materials and Methods: This double-group clinical trial was conducted on 54 patients undergoing hemodialysis with poor sleep quality living in Sabzevar City, Iran, in 2021. The patients were divided into the intervention and control groups (21 in the intervention and 25 in control group) using the random allocation method with permuted blocks. The study data were collected using a demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI), completed at the beginning of the study. The patients in the intervention group inhaled a piece of cotton smeared with jasmine essential oil every night for one month. The concentration of jasmine extract was 70%, the duration of inhalation was about 7 hours, and the distance between the place of cotton soaked in jasmine and the patient’s nose was 30 cm. Afterwards, the PSQI was completed again. Data analysis was performed using descriptive indices, the Chi-square test, the independent t-test, paired t-test, the Fisher exact test, and univariate analysis of variance. P Values less than 0.05 were considered significant. Results: The patients were 18-70 years old. Comparing demographic data between the two study groups showed no significant difference in terms of age, gender, marital status, employment status, and education. In the intervention group, the Mean±SD of sleep quality decreased from 9.90±2.70 to 6.16±2.15 after aroma therapy. In the control group, the score decreased from 8.48±2.98 to 8.16±2.68. The analysis of variance for overall sleep quality after the intervention by modulating the effect of overall sleep quality before the intervention showed a significant difference among the groups in terms of overall sleep quality after the intervention (the effect size=0.24, P=0.001). Conclusion: According to the results, aromatherapy with jasmine essential oil could enhance the sleep quality and sleep duration of the patient’s undergoing hemodialysis.
{"title":"Effects of Aromatherapy with Jasmine Essential Oil on the Sleep Quality of Hemodialysis Patients","authors":"Alemeh Sultani, Z. Mirhosseini, Sedighe Rastaghi, M. Rad","doi":"10.32598/jhnm.33.1.2383","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2383","url":null,"abstract":"Introduction: Poor sleep quality is a common problem among hemodialysis patients. Aromatherapy has few complications and is an effective approach to this problem. Objective: The present study aimed to assess the effect of aromatherapy with jasmine essential oil on the sleep quality of hemodialysis patients. Materials and Methods: This double-group clinical trial was conducted on 54 patients undergoing hemodialysis with poor sleep quality living in Sabzevar City, Iran, in 2021. The patients were divided into the intervention and control groups (21 in the intervention and 25 in control group) using the random allocation method with permuted blocks. The study data were collected using a demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI), completed at the beginning of the study. The patients in the intervention group inhaled a piece of cotton smeared with jasmine essential oil every night for one month. The concentration of jasmine extract was 70%, the duration of inhalation was about 7 hours, and the distance between the place of cotton soaked in jasmine and the patient’s nose was 30 cm. Afterwards, the PSQI was completed again. Data analysis was performed using descriptive indices, the Chi-square test, the independent t-test, paired t-test, the Fisher exact test, and univariate analysis of variance. P Values less than 0.05 were considered significant. Results: The patients were 18-70 years old. Comparing demographic data between the two study groups showed no significant difference in terms of age, gender, marital status, employment status, and education. In the intervention group, the Mean±SD of sleep quality decreased from 9.90±2.70 to 6.16±2.15 after aroma therapy. In the control group, the score decreased from 8.48±2.98 to 8.16±2.68. The analysis of variance for overall sleep quality after the intervention by modulating the effect of overall sleep quality before the intervention showed a significant difference among the groups in terms of overall sleep quality after the intervention (the effect size=0.24, P=0.001). Conclusion: According to the results, aromatherapy with jasmine essential oil could enhance the sleep quality and sleep duration of the patient’s undergoing hemodialysis.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46250182","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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