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Evaluation of Scientific and Research Productions of Reproductive Health Graduates for social Accountability: An Auditory Study 生殖健康专业毕业生社会责任的科研成果评价:听觉研究
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.32598/jhnm.33.1.2333
S. Hajian, Marzieh Bagherinia, F. Yazdani
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.
导言:除了需要评估和以社区为基础的教育外,一个响应社会需要的教育系统应将其部分研究分配给社会需要和优先事项。目的:本研究旨在评价伊朗生殖健康专业毕业生在社会责任领域的科研成果。材料与方法:本研究对伊朗6所助产护理学院2010年至2021年在生殖健康领域提交的所有论文进行听觉研究。本研究的第一个结果是对生殖健康专业毕业生在社会责任领域的科研成果进行评价,第二个结果是在责任、响应和责任三个层面对这些学位论文进行评价。采用标准化本土化社会责任量表对论文的社会反应性进行评价。采用描述性统计对数据进行汇总。结果:本研究共对235篇生殖健康博士学位论文进行评估。社会责任得分为34.5分(范围:30-40)。社会反应性维度得分为63.8分(范围50-70),社会责任维度得分为90分(范围70-100)。结论:该领域的学位论文在批准和实施前,有必要对其题目和目标进行定性评价。它越来越强调实现该领域的研究重点,更重要的是,这项研究的逻辑,以满足目标社区的健康需求。
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引用次数: 0
Unmet Care Needs in Breast Cancer Survivors: An Integrative Review 癌症乳腺癌幸存者未满足的护理需求:一项综合综述
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.32598/jhnm.33.1.2272
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。
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引用次数: 1
The Role of Personality Factors in Predicting Resilience and Coping Styles of Patients with Type 2 Diabetes: A Cross-sectional Study 人格因素在预测2型糖尿病患者心理弹性和应对方式中的作用:一项横断面研究
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.32598/jhnm.33.1.2274
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.
糖尿病是一种严重的、进行性的、昂贵的疾病,给患者带来了许多限制。糖尿病扰乱了一个人的心理和社会适应以及应对策略,导致患者的心理并发症。目的:本研究旨在确定人格特质在预测伊朗布什尔市2型糖尿病患者心理弹性和应对策略中的作用。材料和方法:本横断面研究在Bushehr医疗中心转诊的120例糖尿病患者中进行。他们是通过方便抽样法选择的。研究数据采用康诺-戴维森弹性量表、神经质-外向-开放性60项人格量表和应对策略问卷。此外,采用描述性统计和线性回归检验来解释数据。结果:60.8%的参与者为女性,90%以上的参与者已婚并居住在城市地区。根据研究结果,神经质与情绪导向之间存在显著的正相关(B=2.68, 95% CI;-0.666 ~ 4.701, P=0.01)和回避(B=2.60, 95% CI;-0.961至4.248,P=0.002)应对策略。结果表明,神经质可以预测2型糖尿病患者的恢复力(B=-6.186, 95% CI;-11.632 ~ -0.741, P=0.026;),模型预测弹性为9%(调整R2=0.096)。结论:根据本研究的结果,大多数2型糖尿病患者具有神经质,这可能会降低他们的适应能力。因此,由于伊朗糖尿病患者呈增加趋势,并考虑到病因因素,有必要关注这些患者的心理和人格成分,更多地了解和适应他们的身心状况。
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引用次数: 0
The effectiveness of couple-centered counseling on the anxiety and concerns of pregnant adolescents 以夫妻为中心的心理咨询对怀孕少女焦虑与担忧的影响
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.32598/jhnm.33.1.2368
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.
青少年在怀孕期间出现精神健康问题的风险较高。目的:本研究旨在探讨以夫妻为中心的心理咨询对女性青少年妊娠焦虑和担忧的影响。材料与方法:材料与方法:本准实验研究是在伊朗哈马丹市的保健中心对初诊青少年进行的。采用方便抽样法,采用随机区组设计,将90名怀孕少女分为两组(干预组45名,对照组45名)。两组均完成人口统计问卷、妊娠焦虑问卷和剑桥焦虑量表。干预组在配偶在场的情况下接受了五次咨询,此外还有常规的孕期护理。对照组仅接受常规产前护理。在咨询干预结束四周后进行后测。采用独立t检验、卡方检验、Fisher精确检验、方差分析或协方差分析比较各组妊娠相关焦虑和妊娠担忧得分。如果组间存在显著差异,则计算Cohen效应大小。结果:两组青少年及其配偶的年龄、学历、职业、婚龄、住房情况、家庭成员、经济状况差异无统计学意义。干预组妊娠担忧平均得分(10.80±4.78)显著低于对照组(22.33±4.78)(P=0.001, Cohen’s d=2.41)。干预组妊娠焦虑平均得分(35.86±8.04)显著低于对照组(57.93±8.04)(P=0.001, Cohen’s d=2.74)。结论:以夫妻为中心的心理咨询可以减少初潮青少年的焦虑和担忧。建议采用这种有效、方便和可接受的方法来维持和促进怀孕少女的心理健康。
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引用次数: 0
The effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome 福代斯幸福训练对经前综合征女性婚姻满意度和心理健康的影响
Q3 Nursing Pub Date : 2023-01-01 DOI: 10.32598/jhnm.33.1.2273
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.
经前综合征有几种生理和心理并发症。由于健康的家庭关系和正常的婚姻互动受到妇女身心健康的影响,这方面的任何障碍都会降低婚姻满意度,从而危及精神健康和家庭的生存。目的:探讨福代斯幸福训练对经前综合征妇女婚姻满意度和心理健康的影响。材料与方法:本随机对照试验于2018-2019年进行。采用方便抽样的方法,选取经前综合征女性40例,随机分为实验组(n=20)和对照组(n=20)。实验组以10人为一组,每周接受6次福代斯幸福训练计划。两组的婚姻满意度和心理健康水平分别在培训前、培训后和培训后45天三次通过充实和培养关系问题、沟通和幸福(充实)婚姻满意度问卷和戈德堡心理健康问卷进行测量。采用卡方检验、Fisher精确检验、独立t检验和重复测量方差分析对所得数据进行分析。结果:实验组和对照组的平均±SD年龄分别为32.45±7.33岁和33.10±6.25岁。实验组心理健康总分(43.95±4.38、41.20±5.73、40.25±5.88)与对照组相比有下降趋势(P<0.05),而婚姻满意度总分(81.90±7.18、86.35±8.16、86.80±7.96)有上升趋势(P<0.05)。然而,在对照组中没有观察到明显的变化。时间显著影响样本心理健康(P=0.002)和婚姻满意度(P=0.001)的平均变化。时间群体效应对两个变量也显示出显著的变化(心理健康的偏方差=0.174,婚姻满意度=0.165);研究样本的平均心理健康和婚姻满意度随时间的变化在实验组和对照组之间存在差异;两个变量的平均得分在三个时间点有变化。结论:本研究结果表明,福代斯幸福训练能有效提高经前综合征女性的婚姻满意度和心理健康水平。因此,建议采用这种训练方案,使女性在心理上适应经前综合征的情绪和生理变化。
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引用次数: 0
Factors Associated with Medication Adherence in Coronary Artery Patients 冠状动脉患者药物依从性的相关因素
Q3 Nursing Pub Date : 2022-09-01 DOI: 10.32598/jhnm.32.4.2270
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.
药物依从性在预防心血管疾病恶化中起着重要作用。一些与药物依从性相关的因素仍然未知。目的:本研究旨在确定冠状动脉疾病患者药物依从性的相关因素。材料与方法:采用连续抽样方法对367例心血管患者进行横断面分析研究。这些患者于2019年1月至2020年6月被转诊到伊朗拉什特市的专业心脏病诊所。采用数据收集表和心脏焦虑、焦虑抑郁和压力、药物依从性问卷。所得数据采用卡方检验、Fisher精确检验、Kolmogorov-Smirnov检验、Mann-Whitney U检验和logistic回归模型进行分析。认为显著性水平小于0.05。结果:男性居多(61.85%)。样本平均±SD年龄为59.9±10.9岁。约20.7%的患者有高依从性,78.75%的患者有中等依从性。与药物依从性相关的因素包括就业或退休(or =4.0, 95%CI;1 ~ 16.6, P=0.054),收入水平(OR= 5.1, 95%CI;1.6-16.6, P=0.007),补充保险(OR= 0.217, 95%CI;0.07 ~ 0.66, P=0.007)、独居(OR= 10.187, 95%CI;1.980 ~ 52.404, P=0.005)、与配偶及子女同住(OR= 3.776, 95%CI;1.580-9.023, P=0.054)、高脂血症史(OR= 3.2, 95%CI;1.2 ~ 8.4, P=0.019)、支架植入史(OR= 2.9 95%CI;1.2-7, P=0.016),抑郁(OR=0.74, 95%CI;0.66 ~ 0.83, P=0.0001),焦虑(OR= 1.3, 95%CI;1.1 ~ 1.4, P=0.0001),回避(OR=0.69, 95%CI;0.56 ~ 0.86, P=0.0001),注意(OR= 1.5, 95%CI;1.2 ~ 1.8, P=0.0001),药物复杂性(OR= 2.7, 95%CI;1 - 6.8, P = 0.04)。结论:根据确定的相关因素,通过改善相关因素和随访护理方案,有可能减轻焦虑和抑郁症状。因此,心血管患者可以通过预防再入院、心脏事件和死亡率得到帮助。
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引用次数: 0
Female Healthcare Providers' Experiences of Childbearing: A Content Analysis Based on the Social Capital Theory 基于社会资本理论的女性保健人员生育经历的内容分析
Q3 Nursing Pub Date : 2022-09-01 DOI: 10.32598/jhnm.32.4.2243
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.
引言:社会资本对生殖健康和生育行为具有潜在影响。然而,关于它与生育的关系的信息有限。目的:运用社会资本理论,探讨女性保健人员的生育经历。材料和方法:这项定性研究于2018年7月至2019年2月对伊朗巴波尔市医疗中心的15名女性医护人员进行。参与者被有意招募,在年龄、工作经验、教育水平和职业方面存在最大差异。研究数据通过15次半结构化访谈收集,并使用定向定性内容分析进行分析。结果:参与者是在医科大学医院或医疗保健中心工作的女性医疗保健提供者。他们的平均±SD年龄和工作经验分别为35±8.25和10±7.5岁。数据分析过程中提取的代码被分为三个预先确定的主要类别,即结构社会资本(社会学习和对社会规范的认同)、认知社会资本(有三个子类别的社会信仰和价值观,即宗教信仰、性别偏好和社会污名)和关系社会资本(支持和信任)。影响参与者生育行为的最关键因素是对其支持系统的信任和对社会规范的认同。结论:社会资本的不同维度会影响生育行为。因此,在制定人口和生殖健康政策时应考虑社会资本。
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引用次数: 1
The Effectiveness of Adlerian Group Counseling Approach on Mother's Distress and Self-care During Pregnancy: A Randomized Controlled Trial Adlerian团体咨询方法对妊娠期母亲痛苦和自我照顾的有效性:一项随机对照试验
Q3 Nursing Pub Date : 2022-09-01 DOI: 10.32598/jhnm.32.4.2220
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.
引言:痛苦是孕妇表现出的最明显的行为状态,会直接或间接增加产前并发症的风险。目的:本研究旨在确定阿氏团体咨询方法对母亲在怀孕期间的痛苦和自我护理的有效性。材料和方法:这项随机对照试验于2018年3月至2019年12月在伊朗卡拉杰市七个社区卫生中心对79名符合条件的孕妇进行。符合条件的妇女被分为干预组(n=40)和对照组(n=39),采用分组随机化方法。干预组(胎龄22-32周)接受阿氏团体咨询,而对照组接受常规个体咨询。研究数据采用产前自我护理质量问卷和产前痛苦问卷在三个时间点收集;基线、干预后和常规咨询后一个月。研究数据采用卡方检验、Fisher精确检验、独立t检验以及重复测量方差分析进行分析。结果:干预组和对照组的平均±SD年龄分别为23.39±2.85岁和23.39±2.75岁。在干预之后,重复测量方差分析结果显示,干预组和对照组在产前痛苦的平均得分(P=0.0001)和自我护理的四个领域(身体健康、行为评估、健康关系和社会健康)的变化方面存在统计学上的显著差异(P=0.001)有效改善了孕期的产前困扰和自我护理。
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引用次数: 0
The Relationship Between Self-treatment of Genital Infection and Ectopic Pregnancy 生殖器感染的自我治疗与异位妊娠的关系
Q3 Nursing Pub Date : 2022-09-01 DOI: 10.32598/jhnm.32.4.2226
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.
外阴感染是宫外孕发生的重要因素之一。生殖器感染的自我治疗是一种常见做法,导致传染病、微生物耐药性和患者无法康复。目的:探讨生殖道感染自我治疗与异位妊娠的关系。材料与方法:本病例对照研究于2018年对373名女性进行了研究。样本包括180名正常孕妇(对照组)和193名有生殖器感染史的异位妊娠妇女(病例组)。采用方便的抽样方法选择样品。研究数据是通过一份调查问卷收集的,其中包含人口统计问题和36个关于生殖器感染的自我治疗、药物类型和使用自我药物的原因的问题。采用描述性统计、卡方检验和logistic回归模型对所得数据进行分析。结果:本研究纳入373名符合条件的受试者。异位妊娠妇女(病例组)的平均±SD年龄为33.37±4岁,正常妊娠妇女(对照组)的平均±SD年龄为33.21±3.18岁。35岁以上妇女异位妊娠的发生率高于正常妊娠妇女。对照组和病例组使用自我药疗消除阴道感染的比例分别为76.7%和48.9%。使用传统方法(冰或小苏打清洗阴道)的女性占64.39%,所占比例最高;使用化学方法(阴道冲洗)的女性占115人,所占比例最高,占35.6%。自我用药与宫外孕的高发生率独立相关(OR = 2.227, 95%CI;1.316-3.769, p= 0.003)。结论:本研究结果表明,阴道感染的自我药物治疗可能是异位妊娠的一个危险因素。因此,应教育社会避免生殖器感染的自我药疗。
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引用次数: 0
Using Medicinal Plants among Patients with Cardiovascular Diseases and Their Related Factors: A Cross-Sectional Study 心血管疾病患者使用药用植物及其相关因素的横断面研究
Q3 Nursing Pub Date : 2022-09-01 DOI: 10.32598/jhnm.32.4.2271
M. Gholami, Z. Tagharrobi, K. Sharifi, Z. Sooki
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}
引用次数: 0
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Journal of Holistic Nursing and Midwifery
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