Introduction: An educational system that responds to the needs of society, besides needs assessment and community-based education, should allocate part of its research to society’s needs and priorities. Objective: This study aims to evaluate the scientific and research products of reproductive health graduates in the field of social accountability in Iran. Materials and Methods: The present study was conducted as an auditory study on all submitted dissertations in the field of reproductive health from 6 schools of midwifery nursing in Iran from 2010 to 2021. The first outcome of this study was the evaluation of scientific and research products of reproductive health graduates in the field of social accountability and the second one was the evaluation of these dissertations in three levels of responsibility, responsiveness, and accountability. The standardized and localized social accountability scale was used to evaluate the social responsiveness of the dissertations. Descriptive statistics were used to summarize the data. Results: In this study, 235 PhD reproductive health dissertations were assessed. The obtained score for social accountability was 34.5 (range: 30-40). Regarding social responsiveness, the obtained score was 63.8 (range: 50-70), and regarding the social responsibility dimension, the obtained score was 90 (range: 70-100). Conclusion: It is necessary to qualitatively evaluate the titles and objectives of the dissertations in this field before their approval and implementation. It is increasingly emphasized to achieve the research priorities of the field and, more importantly, the logic of this research to meet the health needs of the target community.
{"title":"Evaluation of Scientific and Research Productions of Reproductive Health Graduates for social Accountability: An Auditory Study","authors":"S. Hajian, Marzieh Bagherinia, F. Yazdani","doi":"10.32598/jhnm.33.1.2333","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2333","url":null,"abstract":"Introduction: An educational system that responds to the needs of society, besides needs assessment and community-based education, should allocate part of its research to society’s needs and priorities. Objective: This study aims to evaluate the scientific and research products of reproductive health graduates in the field of social accountability in Iran. Materials and Methods: The present study was conducted as an auditory study on all submitted dissertations in the field of reproductive health from 6 schools of midwifery nursing in Iran from 2010 to 2021. The first outcome of this study was the evaluation of scientific and research products of reproductive health graduates in the field of social accountability and the second one was the evaluation of these dissertations in three levels of responsibility, responsiveness, and accountability. The standardized and localized social accountability scale was used to evaluate the social responsiveness of the dissertations. Descriptive statistics were used to summarize the data. Results: In this study, 235 PhD reproductive health dissertations were assessed. The obtained score for social accountability was 34.5 (range: 30-40). Regarding social responsiveness, the obtained score was 63.8 (range: 50-70), and regarding the social responsibility dimension, the obtained score was 90 (range: 70-100). Conclusion: It is necessary to qualitatively evaluate the titles and objectives of the dissertations in this field before their approval and implementation. It is increasingly emphasized to achieve the research priorities of the field and, more importantly, the logic of this research to meet the health needs of the target community.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42544682","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}
Rasoul Tabari-Khomeiran, F. Ahmadi, Fateme Jafaraghaee, Marzieh Jahani Sayad Noveiri, N. Mirfarhadi
Introduction: Understanding the unmet care needs of breast cancer survivors is one of the important aspects of healthcare service. Objective: This study aimed to identify the unmet needs of breast cancer survivors. Materials and Methods: This research is an integrative review of evidence-based studies from five electronic databases (Web of Science, PubMed, Science Direct, Scopus, and Google Scholar), which was conducted with no time limit until December 2020. Eligible articles were critically reviewed and scored using the mixed methods appraisal tool (MMAT). Results: A total of 28 articles were reviewed, including 7 qualitative, 19 quantitative, and 2 mixed methods studies. “Survival care needs” are referred to information needs, unmet communication needs, and management of disease symptoms and complications. The “unperceived support needs” are referred to six themes of self-change, hurting hope, uncertain faith, unmet occupational needs, impaired sexual function, and forgotten social support. Conclusion: As the survival rate of breast cancer increases, developing flexible strategies for long-term and changing unmet needs of these patients should be a priority for health policymakers to promote care for breast cancer patients.
简介:了解癌症幸存者未满足的护理需求是医疗保健服务的重要方面之一。目的:本研究旨在确定癌症幸存者未满足的需求。材料和方法:这项研究是对五个电子数据库(Web of Science、PubMed、Science Direct、Scopus和Google Scholar)的循证研究的综合综述,该研究在2020年12月之前没有时间限制。使用混合方法评估工具(MMAT)对符合条件的文章进行批判性审查和评分。结果:共回顾了28篇文章,包括7篇定性研究、19篇定量研究和2篇混合方法研究。“生存护理需求”是指信息需求、未满足的沟通需求以及疾病症状和并发症的管理。“未感知的支持需求”指的是六个主题,即自我改变、伤害希望、不确定的信仰、未满足的职业需求、性功能受损和被遗忘的社会支持。结论:随着癌症生存率的提高,制定灵活的长期策略并改变这些患者未满足的需求应成为卫生政策制定者促进对癌症乳腺癌患者护理的优先事项。
{"title":"Unmet Care Needs in Breast Cancer Survivors: An Integrative Review","authors":"Rasoul Tabari-Khomeiran, F. Ahmadi, Fateme Jafaraghaee, Marzieh Jahani Sayad Noveiri, N. Mirfarhadi","doi":"10.32598/jhnm.33.1.2272","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2272","url":null,"abstract":"Introduction: Understanding the unmet care needs of breast cancer survivors is one of the important aspects of healthcare service. Objective: This study aimed to identify the unmet needs of breast cancer survivors. Materials and Methods: This research is an integrative review of evidence-based studies from five electronic databases (Web of Science, PubMed, Science Direct, Scopus, and Google Scholar), which was conducted with no time limit until December 2020. Eligible articles were critically reviewed and scored using the mixed methods appraisal tool (MMAT). Results: A total of 28 articles were reviewed, including 7 qualitative, 19 quantitative, and 2 mixed methods studies. “Survival care needs” are referred to information needs, unmet communication needs, and management of disease symptoms and complications. The “unperceived support needs” are referred to six themes of self-change, hurting hope, uncertain faith, unmet occupational needs, impaired sexual function, and forgotten social support. Conclusion: As the survival rate of breast cancer increases, developing flexible strategies for long-term and changing unmet needs of these patients should be a priority for health policymakers to promote care for breast cancer patients.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45507487","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. Nemati, H. Vahedparast, Yaghob Rashedi, K. Mirzaei, M. Bahreini
Introduction: Diabetes is a serious, progressive, and costly disease that creates many limitations for its patient. Diabetes disrupts a person’s psychological and social adjustment and coping strategies, resulting in psychological complications for the patients. Objective: This study aims to determine the role of personality traits in predicting resilience and coping strategies of patients with type 2 diabetes living in Bushehr City, Iran. Materials and Methods: This cross-sectional study was performed on 120 patients with diabetes who were referred to healthcare centers in Bushehr. They were selected through the convenience sampling method. The study data were collected using the Connor-Davidson Resilience Scale, 60-item Neuroticism-Extraversion-Openness Personality Inventory, and Coping Strategies Questionnaire. In addition, descriptive statistics and linear regression tests were employed to interpret the data. Results: About 60.8% of the participants were female, and more than 90% were married and lived in urban areas. Based on the study’s results, there is a significant positive association between neuroticism and emotion-oriented (B=2.68, 95% CI; -0.666 to 4.701, P=0.01) and avoidance (B=2.60, 95% CI; -0.961 to 4.248, P=0.002) coping strategies. The results illustrated that neuroticism predicted resilience in patients with type 2 diabetes (B=-6.186, 95% CI; -11.632 to -0.741, P=0.026;), and the model predicted 9% of resilience (Adjusted R2=0.096). Conclusion: According to the results of the present study, most patients with type 2 diabetes had neuroticism, which could decrease their resilience. Therefore, due to the increasing trend of diabetic patients in Iran, and considering the etiological factors, it is necessary to pay attention to the psychological and personality components of these patients to know and adapt more to their physical and mental conditions.
{"title":"The Role of Personality Factors in Predicting Resilience and Coping Styles of Patients with Type 2 Diabetes: A Cross-sectional Study","authors":"R. Nemati, H. Vahedparast, Yaghob Rashedi, K. Mirzaei, M. Bahreini","doi":"10.32598/jhnm.33.1.2274","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2274","url":null,"abstract":"Introduction: Diabetes is a serious, progressive, and costly disease that creates many limitations for its patient. Diabetes disrupts a person’s psychological and social adjustment and coping strategies, resulting in psychological complications for the patients. Objective: This study aims to determine the role of personality traits in predicting resilience and coping strategies of patients with type 2 diabetes living in Bushehr City, Iran. Materials and Methods: This cross-sectional study was performed on 120 patients with diabetes who were referred to healthcare centers in Bushehr. They were selected through the convenience sampling method. The study data were collected using the Connor-Davidson Resilience Scale, 60-item Neuroticism-Extraversion-Openness Personality Inventory, and Coping Strategies Questionnaire. In addition, descriptive statistics and linear regression tests were employed to interpret the data. Results: About 60.8% of the participants were female, and more than 90% were married and lived in urban areas. Based on the study’s results, there is a significant positive association between neuroticism and emotion-oriented (B=2.68, 95% CI; -0.666 to 4.701, P=0.01) and avoidance (B=2.60, 95% CI; -0.961 to 4.248, P=0.002) coping strategies. The results illustrated that neuroticism predicted resilience in patients with type 2 diabetes (B=-6.186, 95% CI; -11.632 to -0.741, P=0.026;), and the model predicted 9% of resilience (Adjusted R2=0.096). Conclusion: According to the results of the present study, most patients with type 2 diabetes had neuroticism, which could decrease their resilience. Therefore, due to the increasing trend of diabetic patients in Iran, and considering the etiological factors, it is necessary to pay attention to the psychological and personality components of these patients to know and adapt more to their physical and mental conditions.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44776198","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}
Roya Sanginabadi, F. Kazemi, A. Tiznobaik, Farzaneh Soltani
Introduction: Adolescents are at higher risk for mental health problems during pregnancy. Objective: The present study was designed to investigate the impact of couple-centered counseling on pregnancy anxiety and concerns in female adolescents. Materials and Methods: Materials and Methods: The present quasi-experimental study was conducted on primigravida adolescents referring to health centers in Hamadan City, Iran. Using the convenience sampling method, 90 pregnant adolescents were assigned to two groups (intervention group=45, control group=45) using a randomized block design. Both groups completed the demographic questionnaire, pregnancy-related anxiety questionnaire, and Cambridge worry scale. The intervention group received five counseling sessions with the presence of their spouses, in addition to routine pregnancy care. The control group only received routine prenatal care. Posttest was taken four weeks after finishing the consulting intervention. The groups were compared in terms of pregnancy-related anxiety and pregnancy worry scores using the independent t-test, the Chi-square test, the Fisher exact test, and the analysis of variance or covariance. In case of a significant difference between the groups, Cohen’s d effect size was calculated. Results: There was no significant difference between the two groups regarding age, education, and occupation of adolescents and their spouses, duration of the marriage, housing situation, family members, and economic situation. The mean scores of pregnancy concerns in the intervention group (10.80±4.78) were significantly (P=0.001, Cohen’s d=2.41) lower than the control group (22.33±4.78). The mean scores of pregnancy anxiety in the intervention group (35.86±8.04) were significantly (P=0.001, Cohen’s d=2.74) lower than the control group (57.93±8.04). Conclusion: Couple-centered counseling can reduce the anxiety and concerns of primigravid adolescents. It is recommended to use this effective, accessible, and acceptable approach to maintain and promote the mental health of pregnant adolescents.
{"title":"The effectiveness of couple-centered counseling on the anxiety and concerns of pregnant adolescents","authors":"Roya Sanginabadi, F. Kazemi, A. Tiznobaik, Farzaneh Soltani","doi":"10.32598/jhnm.33.1.2368","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2368","url":null,"abstract":"Introduction: Adolescents are at higher risk for mental health problems during pregnancy. Objective: The present study was designed to investigate the impact of couple-centered counseling on pregnancy anxiety and concerns in female adolescents. Materials and Methods: Materials and Methods: The present quasi-experimental study was conducted on primigravida adolescents referring to health centers in Hamadan City, Iran. Using the convenience sampling method, 90 pregnant adolescents were assigned to two groups (intervention group=45, control group=45) using a randomized block design. Both groups completed the demographic questionnaire, pregnancy-related anxiety questionnaire, and Cambridge worry scale. The intervention group received five counseling sessions with the presence of their spouses, in addition to routine pregnancy care. The control group only received routine prenatal care. Posttest was taken four weeks after finishing the consulting intervention. The groups were compared in terms of pregnancy-related anxiety and pregnancy worry scores using the independent t-test, the Chi-square test, the Fisher exact test, and the analysis of variance or covariance. In case of a significant difference between the groups, Cohen’s d effect size was calculated. Results: There was no significant difference between the two groups regarding age, education, and occupation of adolescents and their spouses, duration of the marriage, housing situation, family members, and economic situation. The mean scores of pregnancy concerns in the intervention group (10.80±4.78) were significantly (P=0.001, Cohen’s d=2.41) lower than the control group (22.33±4.78). The mean scores of pregnancy anxiety in the intervention group (35.86±8.04) were significantly (P=0.001, Cohen’s d=2.74) lower than the control group (57.93±8.04). Conclusion: Couple-centered counseling can reduce the anxiety and concerns of primigravid adolescents. It is recommended to use this effective, accessible, and acceptable approach to maintain and promote the mental health of pregnant adolescents.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48515540","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}
Fereshteh Abdolrahmi, M. Kaboudi, Hamid Kamerzarin, B. Kaboudi, P.a Mohammadi, M. Horriat
Introduction: Premenstrual syndrome has several physical and psychological complications. Since healthy family relationships and normal marital interactions are affected by a woman's physical and mental health, any disorder in this area decreases marital satisfaction and consequently endangers the mental health and survival of the family. Objective: This study aimed to determine the effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome. Materials and Methods: This randomized controlled trial was performed in 2018-2019. A total of 40 women with the premenstrual syndrome were selected by convenience sampling and randomly divided into experimental (n=20) and control (n=20) groups. The experimental group received six sessions of the Fordyce happiness training program at weekly intervals in groups of 10. In both groups, the level of marital satisfaction and mental health was measured by Enriching and Nurturing Relationship Issues‚ Communication‚ and Happiness (ENRICH) marital satisfaction questionnaire, and the Goldberg Mental Health questionnaire three times: before, immediately after, and 45 days after the training sessions. The Chi-square test, Fisher exact test, independent t test, and repeated measures analysis of variance were conducted to analyze the obtained data. Results: The Mean±SD ages of the experimental and control groups were 32.45±7.33 and 33.10±6.25 years, respectively. The mean scores of mental health in the experimental group compared to the control group in the pretest, post-test, and follow-up (43.95±4.38, 41.20±5.73, 40.25±5.88) had a decreasing trend (P<0.05) but the mean scores of marital satisfactions in the experimental group (81.90±7.18, 86.35±8.16, 86.80±7.96, respectively) increased (P<0.05). However, no significant change was observed in the control group. Time significantly affects the mean changes in mental health (P=0.002) and marital satisfaction (P=0.001) in the samples. The time-group effect also shows a significant change for both variables (partial eta-squared for mental health=0.174 and marital satisfaction=0.165); the changes in the mean mental health and marital satisfaction of the research samples over time are different between the experimental and control groups; there are changes in the mean score of the two variables in three time points. Conclusion: The findings of the present study showed that Fordyce happiness training is effective in improving the level of marital satisfaction and mental health of women with premenstrual syndrome. Therefore, it is suggested that this training program is used to adapt women psychologically to the mood and physical changes of premenstrual syndrome.
{"title":"The effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome","authors":"Fereshteh Abdolrahmi, M. Kaboudi, Hamid Kamerzarin, B. Kaboudi, P.a Mohammadi, M. Horriat","doi":"10.32598/jhnm.33.1.2273","DOIUrl":"https://doi.org/10.32598/jhnm.33.1.2273","url":null,"abstract":"Introduction: Premenstrual syndrome has several physical and psychological complications. Since healthy family relationships and normal marital interactions are affected by a woman's physical and mental health, any disorder in this area decreases marital satisfaction and consequently endangers the mental health and survival of the family. Objective: This study aimed to determine the effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome. Materials and Methods: This randomized controlled trial was performed in 2018-2019. A total of 40 women with the premenstrual syndrome were selected by convenience sampling and randomly divided into experimental (n=20) and control (n=20) groups. The experimental group received six sessions of the Fordyce happiness training program at weekly intervals in groups of 10. In both groups, the level of marital satisfaction and mental health was measured by Enriching and Nurturing Relationship Issues‚ Communication‚ and Happiness (ENRICH) marital satisfaction questionnaire, and the Goldberg Mental Health questionnaire three times: before, immediately after, and 45 days after the training sessions. The Chi-square test, Fisher exact test, independent t test, and repeated measures analysis of variance were conducted to analyze the obtained data. Results: The Mean±SD ages of the experimental and control groups were 32.45±7.33 and 33.10±6.25 years, respectively. The mean scores of mental health in the experimental group compared to the control group in the pretest, post-test, and follow-up (43.95±4.38, 41.20±5.73, 40.25±5.88) had a decreasing trend (P<0.05) but the mean scores of marital satisfactions in the experimental group (81.90±7.18, 86.35±8.16, 86.80±7.96, respectively) increased (P<0.05). However, no significant change was observed in the control group. Time significantly affects the mean changes in mental health (P=0.002) and marital satisfaction (P=0.001) in the samples. The time-group effect also shows a significant change for both variables (partial eta-squared for mental health=0.174 and marital satisfaction=0.165); the changes in the mean mental health and marital satisfaction of the research samples over time are different between the experimental and control groups; there are changes in the mean score of the two variables in three time points. Conclusion: The findings of the present study showed that Fordyce happiness training is effective in improving the level of marital satisfaction and mental health of women with premenstrual syndrome. Therefore, it is suggested that this training program is used to adapt women psychologically to the mood and physical changes of premenstrual syndrome.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47829820","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}
Shiva Mashouf Rad, Mohammad Taghi Moghadamnia, E. Kazemnezhad leili, Nazila Javadi pashaki
Introduction: Medication adherence plays an important role in preventing the worsening of cardiovascular disease. Some factors associated with medication adherence are still unknown. Objective: This study aimed to determine the factors related to medication adherence in patients with coronary artery disease. Materials and Methods: A cross-sectional analytical study was performed on 367 cardiovascular patients by consecutive sampling. The patients were referred to the specialized cardiology clinic in Rasht City, Iran, from January 2019 to June 2020. A data collection form and questionnaires of cardiac anxiety, anxiety depression and stress, and medication adherence were used. The obtained data were analyzed by the Chi-square test, Fisher exact test, Kolmogorov-Smirnov test, Mann-Whitney U test, and logistic regression model. The significance level was considered less than 0.05. Results: Most samples were men (61.85%). The mean ± SD age of the samples was 59.9 ± 10.9 years. About 20.7% had high adherence, and 78.75% had moderate adherence. Factors related to medication adherence included employment or being retired (OR=4.0, 95%CI; 1-16.6, P=0.054), income level (OR= 5.1, 95%CI; 1.6-16.6, P=0.007), supplemental insurance (OR= 0.217, 95%CI; 0.07-0.66, P=0.007), living alone (OR= 10.187, 95%CI;1.980-52.404, P=0.005), living with spouse and children (OR= 3.776, 95%CI; 1.580-9.023, P=0.054), history of hyperlipidemia (OR= 3.2, 95%CI; 1.2-8.4, P=0.019), history of stent implantation (OR= 2.9 95%CI; 1.2-7, P=0.016), depression (OR=0.74, 95%CI; 0.66-0.83, P=0.0001), anxiety (OR= 1.3, 95%CI; 1.1-1.4, P=0.0001), avoidance (OR=0.69, 95%CI; 0.56-0.86, P=0.0001), attention (OR= 1.5, 95%CI; 1.2-1.8, P=0.0001), and medication complexity (OR= 2.7, 95%CI; 1-6.8, P=0.04). Conclusion: According to the identified related factors, it may be possible to decline anxiety and depression symptoms by improving the related factors and follow-up of care programs. As a result, cardiovascular patients are helped by preventing readmission, cardiac event, and mortality.
{"title":"Factors Associated with Medication Adherence in Coronary Artery Patients","authors":"Shiva Mashouf Rad, Mohammad Taghi Moghadamnia, E. Kazemnezhad leili, Nazila Javadi pashaki","doi":"10.32598/jhnm.32.4.2270","DOIUrl":"https://doi.org/10.32598/jhnm.32.4.2270","url":null,"abstract":"Introduction: Medication adherence plays an important role in preventing the worsening of cardiovascular disease. Some factors associated with medication adherence are still unknown. Objective: This study aimed to determine the factors related to medication adherence in patients with coronary artery disease. Materials and Methods: A cross-sectional analytical study was performed on 367 cardiovascular patients by consecutive sampling. The patients were referred to the specialized cardiology clinic in Rasht City, Iran, from January 2019 to June 2020. A data collection form and questionnaires of cardiac anxiety, anxiety depression and stress, and medication adherence were used. The obtained data were analyzed by the Chi-square test, Fisher exact test, Kolmogorov-Smirnov test, Mann-Whitney U test, and logistic regression model. The significance level was considered less than 0.05. Results: Most samples were men (61.85%). The mean ± SD age of the samples was 59.9 ± 10.9 years. About 20.7% had high adherence, and 78.75% had moderate adherence. Factors related to medication adherence included employment or being retired (OR=4.0, 95%CI; 1-16.6, P=0.054), income level (OR= 5.1, 95%CI; 1.6-16.6, P=0.007), supplemental insurance (OR= 0.217, 95%CI; 0.07-0.66, P=0.007), living alone (OR= 10.187, 95%CI;1.980-52.404, P=0.005), living with spouse and children (OR= 3.776, 95%CI; 1.580-9.023, P=0.054), history of hyperlipidemia (OR= 3.2, 95%CI; 1.2-8.4, P=0.019), history of stent implantation (OR= 2.9 95%CI; 1.2-7, P=0.016), depression (OR=0.74, 95%CI; 0.66-0.83, P=0.0001), anxiety (OR= 1.3, 95%CI; 1.1-1.4, P=0.0001), avoidance (OR=0.69, 95%CI; 0.56-0.86, P=0.0001), attention (OR= 1.5, 95%CI; 1.2-1.8, P=0.0001), and medication complexity (OR= 2.7, 95%CI; 1-6.8, P=0.04). Conclusion: According to the identified related factors, it may be possible to decline anxiety and depression symptoms by improving the related factors and follow-up of care programs. As a result, cardiovascular patients are helped by preventing readmission, cardiac event, and mortality.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47686594","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. Firouzbakht, A. Ebadi, Mohammad Esmaeil Riahi, Aram Trigar, M. Nikpour
Introduction: Social capital has potential effects on reproductive health and childbearing behaviors. However, there is limited information about its relationship with childbearing. Objective: This study aimed to explore female healthcare providers' experiences of childbearing based on the social capital theory. Materials and Methods: This qualitative study was conducted from July 2018 to February 2019 on 15 female healthcare workers in healthcare centers in Babol City, Iran. The participants were purposively recruited with maximum variation respecting their age, work experience, educational level, and occupation. The study data were collected through 15 semi-structured interviews and analyzed using directed qualitative content analysis. Results: The participants were female healthcare providers working in hospitals or healthcare centers of the University of Medical Science. Their mean±SD age and work experience were 35±8.25 and 10±7.5 years, respectively. The extracted codes during data analysis were grouped into three predetermined main categories, namely structural social capital (social learning and conformation to social norms), cognitive social capital (social beliefs and values with three subcategories, namely religious beliefs, gender preference, and social stigma), and relational social capital (support and trust). The most critical factors affecting participants' childbearing behaviors were trust in their support systems and conformation to social norms. Conclusion: The different dimensions of social capital can affect childbearing behaviors. Therefore, social capital should be considered when designing population and reproductive health policies.
{"title":"Female Healthcare Providers' Experiences of Childbearing: A Content Analysis Based on the Social Capital Theory","authors":"M. Firouzbakht, A. Ebadi, Mohammad Esmaeil Riahi, Aram Trigar, M. Nikpour","doi":"10.32598/jhnm.32.4.2243","DOIUrl":"https://doi.org/10.32598/jhnm.32.4.2243","url":null,"abstract":"Introduction: Social capital has potential effects on reproductive health and childbearing behaviors. However, there is limited information about its relationship with childbearing. Objective: This study aimed to explore female healthcare providers' experiences of childbearing based on the social capital theory. Materials and Methods: This qualitative study was conducted from July 2018 to February 2019 on 15 female healthcare workers in healthcare centers in Babol City, Iran. The participants were purposively recruited with maximum variation respecting their age, work experience, educational level, and occupation. The study data were collected through 15 semi-structured interviews and analyzed using directed qualitative content analysis. Results: The participants were female healthcare providers working in hospitals or healthcare centers of the University of Medical Science. Their mean±SD age and work experience were 35±8.25 and 10±7.5 years, respectively. The extracted codes during data analysis were grouped into three predetermined main categories, namely structural social capital (social learning and conformation to social norms), cognitive social capital (social beliefs and values with three subcategories, namely religious beliefs, gender preference, and social stigma), and relational social capital (support and trust). The most critical factors affecting participants' childbearing behaviors were trust in their support systems and conformation to social norms. Conclusion: The different dimensions of social capital can affect childbearing behaviors. Therefore, social capital should be considered when designing population and reproductive health policies.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44445566","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}
A. Gholami, Z. M. Tourzani, K. Kabir, M. Yazdkhasti
Introduction: Distress is the most perceived behavioral state manifested by pregnant women and can directly or indirectly increase the risk of experiencing prenatal complications. Objective: The present study was conducted to determine the effectiveness of the Adlerian group counseling approach on a mother's distress and self-care during pregnancy. Materials and Methods: This randomized controlled trial was conducted on 79 eligible pregnant women referred to seven community health centers in Karaj City, Iran, from March 2018 to December 2019. The eligible women were assigned to the intervention (n=40) and control (n=39) groups using the block randomization method. The intervention group (gestational age of 22-32 weeks) received the Adlerian group counseling approach, while the control group received routine individual counseling. The study data were collected using the quality of prenatal self-care questionnaire and prenatal distress questionnaire at three time points; baseline, after, and one month after the intervention or routine counseling. The study data were analyzed by the Chi-squared test, Fisher exact test, and independent t test, as well as repeated measures analysis of variance. Results: The mean ± SD ages of the intervention and the control groups were 23.39±2.85 and 23.39±2.85 years, respectively. After the intervention, the results of repeated measures analysis of variance showed a statistically significant difference between the intervention and control groups regarding the changes in the mean scores of prenatal distresses (P=0.0001) and four domains (physical health, behavioral assessment, healthy relationships, and social health) of self-care (P=0.0001). Conclusion: The Adlerian group counseling approach effectively improved prenatal distress and self-care during pregnancy.
{"title":"The Effectiveness of Adlerian Group Counseling Approach on Mother's Distress and Self-care During Pregnancy: A Randomized Controlled Trial","authors":"A. Gholami, Z. M. Tourzani, K. Kabir, M. Yazdkhasti","doi":"10.32598/jhnm.32.4.2220","DOIUrl":"https://doi.org/10.32598/jhnm.32.4.2220","url":null,"abstract":"Introduction: Distress is the most perceived behavioral state manifested by pregnant women and can directly or indirectly increase the risk of experiencing prenatal complications. Objective: The present study was conducted to determine the effectiveness of the Adlerian group counseling approach on a mother's distress and self-care during pregnancy. Materials and Methods: This randomized controlled trial was conducted on 79 eligible pregnant women referred to seven community health centers in Karaj City, Iran, from March 2018 to December 2019. The eligible women were assigned to the intervention (n=40) and control (n=39) groups using the block randomization method. The intervention group (gestational age of 22-32 weeks) received the Adlerian group counseling approach, while the control group received routine individual counseling. The study data were collected using the quality of prenatal self-care questionnaire and prenatal distress questionnaire at three time points; baseline, after, and one month after the intervention or routine counseling. The study data were analyzed by the Chi-squared test, Fisher exact test, and independent t test, as well as repeated measures analysis of variance. Results: The mean ± SD ages of the intervention and the control groups were 23.39±2.85 and 23.39±2.85 years, respectively. After the intervention, the results of repeated measures analysis of variance showed a statistically significant difference between the intervention and control groups regarding the changes in the mean scores of prenatal distresses (P=0.0001) and four domains (physical health, behavioral assessment, healthy relationships, and social health) of self-care (P=0.0001). Conclusion: The Adlerian group counseling approach effectively improved prenatal distress and self-care during pregnancy.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43424796","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}
S. Parvinroo, S. Sharami, Ariadokht Ardeshiri, M. Shakiba, Soodabeh Ebrahimi
Introduction: One of the contributing factors in ectopic pregnancy is genital infection. The self-treatment of genital infections is a common practice that results in infectious diseases, microbial resistance, and no patient recovery. Objective: This study aimed to determine the relationship between the self-treatment of genital infection and ectopic pregnancy. Materials and Methods: This case-control study was performed on 373 women in 2018. Samples included 180 normal pregnant women (the control group) and 193 women with ectopic pregnancies with histories of genital infections (the case group). The samples were selected by a convenient sampling method. The study data were collected by a researcher-made questionnaire containing demographic questions and 36 questions about self-treatment of genital infections, drug type, and reasons to use self-medication. Descriptive statistics, the Chi-square test, and the logistic regression model were used to analyze the obtained data. Results: In the present study, 373 eligible people were included. The mean ± SD age of women with ectopic pregnancies (the case group) was 33.37 ± 4 years and of women with normal pregnancy (the control group) was 33.21 ± 3.18 years. The frequency of ectopic pregnancy in women over 35 years was higher than that in women with normal pregnancies. The frequency of individuals who used self-medication to eliminate the vaginal infection in the control group and the case group were 76.7% and 48.9%, respectively. The frequency of individuals who used traditional methods (washing the vagina with ice or baking soda was 64.39% with the highest percentage), and 115 women (35.6%) used chemical methods (vaginal douching with the highest percentage). Self-medication was independently associated with higher odds of ectopic pregnancy (OR = 2.227, 95%CI; 1.316-3.769, p= 0.003). Conclusion: The results of this study show that self-medication for vaginal infections can be a risk factor for ectopic pregnancy. Therefore, the community should be educated to avoid the self-medication of genital infections.
{"title":"The Relationship Between Self-treatment of Genital Infection and Ectopic Pregnancy","authors":"S. Parvinroo, S. Sharami, Ariadokht Ardeshiri, M. Shakiba, Soodabeh Ebrahimi","doi":"10.32598/jhnm.32.4.2226","DOIUrl":"https://doi.org/10.32598/jhnm.32.4.2226","url":null,"abstract":"Introduction: One of the contributing factors in ectopic pregnancy is genital infection. The self-treatment of genital infections is a common practice that results in infectious diseases, microbial resistance, and no patient recovery. Objective: This study aimed to determine the relationship between the self-treatment of genital infection and ectopic pregnancy. Materials and Methods: This case-control study was performed on 373 women in 2018. Samples included 180 normal pregnant women (the control group) and 193 women with ectopic pregnancies with histories of genital infections (the case group). The samples were selected by a convenient sampling method. The study data were collected by a researcher-made questionnaire containing demographic questions and 36 questions about self-treatment of genital infections, drug type, and reasons to use self-medication. Descriptive statistics, the Chi-square test, and the logistic regression model were used to analyze the obtained data. Results: In the present study, 373 eligible people were included. The mean ± SD age of women with ectopic pregnancies (the case group) was 33.37 ± 4 years and of women with normal pregnancy (the control group) was 33.21 ± 3.18 years. The frequency of ectopic pregnancy in women over 35 years was higher than that in women with normal pregnancies. The frequency of individuals who used self-medication to eliminate the vaginal infection in the control group and the case group were 76.7% and 48.9%, respectively. The frequency of individuals who used traditional methods (washing the vagina with ice or baking soda was 64.39% with the highest percentage), and 115 women (35.6%) used chemical methods (vaginal douching with the highest percentage). Self-medication was independently associated with higher odds of ectopic pregnancy (OR = 2.227, 95%CI; 1.316-3.769, p= 0.003). Conclusion: The results of this study show that self-medication for vaginal infections can be a risk factor for ectopic pregnancy. Therefore, the community should be educated to avoid the self-medication of genital infections.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46395777","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 use of medicinal plants (MP) is increasing among the general population and patients with cardiovascular diseases (CVD). Simultaneous use of MP and cardiac medications can cause drug interactions and serious complications. Objective: This study aimed to determine the frequency of MP use and its related factors among patients with CVD. Materials and Methods: This cross-sectional study was conducted on 200 patients with CVD in 2018. The patients were consecutively recruited from the cardiac care clinic in an Educational and Medical Center in Kashan City, Iran. The study data were collected using an MP use questionnaire, the related factors of the MP use questionnaire, and the belief and attitudes about herbal medicine inventory. For data analysis, the logistic regression analysis was performed. Results: The mean ± SD age of the participants was 56.91±10.64 years. Their mean ± SD time passed from CVD diagnosis was 8.30±9.07 years. The frequency of MP use over the past year was 90.5% (95% CI; 86.4%–94.6%). The significant related factors of MP use were female gender (OR = 4.80, 95% CI; 1.43–16.1, P = 0.011), positive family history of MP use (OR = 8.84, 95% CI; 2.62–29.86, P = 0.0001), and knowledge about herbal medicine (OR = 1.93, 95% CI; 1.13–3.30, P = 0.017). Conclusion: MP use is highly prevalent among patients with CVD. MP-related counseling services should be provided to patients with CVD.
药用植物(MP)在普通人群和心血管疾病(CVD)患者中的使用正在增加。同时使用MP和心脏药物可引起药物相互作用和严重的并发症。目的:本研究旨在了解心血管疾病患者MP的使用频率及其相关因素。材料与方法:本横断面研究于2018年对200例CVD患者进行。这些患者是从伊朗卡尚市教育和医疗中心的心脏护理诊所连续招募的。采用中草药使用问卷、中草药使用问卷的相关因素、中草药库存的信念和态度收集研究数据。数据分析采用logistic回归分析。结果:参与者的平均±SD年龄为56.91±10.64岁。他们从CVD诊断的平均±SD时间为8.30±9.07年。在过去一年中,MP的使用频率为90.5% (95% CI;86.4% - -94.6%)。MP使用的显著相关因素为女性(OR = 4.80, 95% CI;1.43-16.1, P = 0.011),阳性MP家族史(OR = 8.84, 95% CI;2.62-29.86, P = 0.0001),对草药的了解程度(OR = 1.93, 95% CI;1.13-3.30, p = 0.017)。结论:MP的使用在心血管疾病患者中非常普遍。应向心血管疾病患者提供mp相关咨询服务。
{"title":"Using Medicinal Plants among Patients with Cardiovascular Diseases and Their Related Factors: A Cross-Sectional Study","authors":"M. Gholami, Z. Tagharrobi, K. Sharifi, Z. Sooki","doi":"10.32598/jhnm.32.4.2271","DOIUrl":"https://doi.org/10.32598/jhnm.32.4.2271","url":null,"abstract":"Introduction: The use of medicinal plants (MP) is increasing among the general population and patients with cardiovascular diseases (CVD). Simultaneous use of MP and cardiac medications can cause drug interactions and serious complications. Objective: This study aimed to determine the frequency of MP use and its related factors among patients with CVD. Materials and Methods: This cross-sectional study was conducted on 200 patients with CVD in 2018. The patients were consecutively recruited from the cardiac care clinic in an Educational and Medical Center in Kashan City, Iran. The study data were collected using an MP use questionnaire, the related factors of the MP use questionnaire, and the belief and attitudes about herbal medicine inventory. For data analysis, the logistic regression analysis was performed. Results: The mean ± SD age of the participants was 56.91±10.64 years. Their mean ± SD time passed from CVD diagnosis was 8.30±9.07 years. The frequency of MP use over the past year was 90.5% (95% CI; 86.4%–94.6%). The significant related factors of MP use were female gender (OR = 4.80, 95% CI; 1.43–16.1, P = 0.011), positive family history of MP use (OR = 8.84, 95% CI; 2.62–29.86, P = 0.0001), and knowledge about herbal medicine (OR = 1.93, 95% CI; 1.13–3.30, P = 0.017). Conclusion: MP use is highly prevalent among patients with CVD. MP-related counseling services should be provided to patients with CVD.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48910779","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}