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A qualitative study of COVID-19 home quarantine in public 新冠肺炎公共场所居家隔离的定性研究
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_98_21
M. Esmaeili, M. Shahmari, Akram Ghobadi
Context: The infectious disease caused by the novel coronavirus has spread all over the world for the first time. A key factor in containing infectious diseases is compliance with health recommendations such as social distancing and home quarantine. Aims: This study aimed to analyze the public perception of noncompliance with home quarantine during the coronavirus disease 2019 (COVID-19) pandemic. Settings and Design: This qualitative study was conducted in Iran (Ardabil and Kermanshah) in 2020. The research data were collected from 15 participants living in urban communities by conducting in-depth, semi-structured, and face-to-face individual interviews. Materials and Methods: The purposive sampling technique was used with maximum variation in this study. Statistical Analysis Used: Data were analysed using content analysis and MAXQD-10 software was used to manage data. Results: A total of 15 participants comprised the final sample after data saturation. They were aged 18–51 years old. Regarding the research purposes, data analyses resulted in three categories and six subcategories: uncertainty (uncertainty about the News and uncertainty about job security), the need for serious governmental interventions (supportive interventions and legal interventions), and the fear of quarantine consequences (financial livelihood consequences and physical-psychological consequences). Conclusion: Compliance with home quarantine requires the support of people and officials to contain infectious diseases. Home quarantine is not complied by the public for various reasons such as distrust, the need for supportive governmental interventions, and the fear of negative consequences. Apparently, governmental support plays a central role in solving livelihood problems.
背景:新型冠状病毒引起的传染病首次在世界各地传播。控制传染病的一个关键因素是遵守保持社交距离和居家隔离等健康建议。目的:本研究旨在分析2019冠状病毒病(新冠肺炎)大流行期间公众对不遵守居家隔离的看法。设置和设计:这项定性研究于2020年在伊朗(Ardabil和Kermanshah)进行。研究数据是通过进行深入、半结构化和面对面的个人访谈,从生活在城市社区的15名参与者中收集的。材料和方法:本研究采用最大变异的目的性抽样技术。使用的统计分析:使用内容分析对数据进行分析,并使用MAXQD-10软件对数据进行管理。结果:共有15名参与者组成了数据饱和后的最终样本。他们年龄在18-51岁之间。关于研究目的,数据分析分为三类和六个子类:不确定性(新闻的不确定性和工作保障的不确定性)、需要认真的政府干预(支持性干预和法律干预)以及对隔离后果的恐惧(经济生计后果和身体心理后果)。结论:遵守居家隔离需要民众和官员的支持,以控制传染病。由于各种原因,如不信任、需要支持性的政府干预以及担心负面后果,公众不遵守居家隔离规定。显然,政府支持在解决生计问题方面发挥着核心作用。
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引用次数: 0
Psychometric properties of the Persian COVID-19 phobia scale 波斯COVID-19恐惧症量表的心理测量特性
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_52_21
S. Barzegari, Ibrahim Arpaci, A. Hasani, A. Zabihi, R. Nazari
Context: The COVID-19 pandemic had consequences such as fear and anxiety in humans. Aims: The present study aimed to adapt the COVID-19 Phobia Scale (C19P-S) into Persian and test the psychometric properties of the adapted scale. Settings and Design: This study was conducted in Iran during December 2020. Materials and Methods: The C19P-S was used to obtain data from 600 Iranian individuals aged 16–65 years. Statistical Analysis Used: Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to evaluate the construct validity. The average variance extracted and construct reliability were used to assess the convergent validity and the maximum shared squared variance and average shared squared variance were used to assess discriminant validity. Cronbach's alpha was used to evaluate the internal consistency. Results: The results of EFA indicated that Kaiser–Meyer–Olkin value (0.831) approved sampling adequacy. The communality of Psy6 and factor loading of Soc5 were lower than 0.4; therefore, they were removed. The cumulative variance explained with 4 factors and 18 items was 69%. The results of the CFA indicated that the measurement model fits the data well (Goodness of Fit Index = 0.891, Tucker–Lewis Index = 0.901, Comparative Fit Index = 0.920, Incremental Fit Index (IFI) = 0.922, Root Mean Square Error of Approximation = 0.065, and χ2/df = 1.807), suggesting construct validity. Further, the results confirmed the convergent and discriminant validity. Cronbach's alpha coefficients of the four dimensions ranged between 0.760 and 0.878, suggesting that the Persian C19P-S is a reliable scale. Conclusions: Persian C19P-S with 4 dimensions and 18 items is reliable and valid in measuring the COVID-19 phobia among the Iranian general population.
背景:2019冠状病毒病大流行给人类带来了恐惧和焦虑等后果。目的:本研究旨在将新冠病毒恐惧症量表(C19P-S)改编为波斯语,并测试改编后的量表的心理测量特性。环境和设计:本研究于2020年12月在伊朗进行。材料和方法:使用C19P-S获取600名年龄在16-65岁的伊朗人的数据。采用探索性因子分析(EFA)和验证性因子分析(CFA)评估构念效度。采用提取的平均方差和构造信度来评估收敛效度,采用最大共享方差和平均共享方差来评估判别效度。采用Cronbach’s alpha评价内部一致性。结果:EFA结果表明Kaiser-Meyer-Olkin值(0.831)认可抽样充分性。Psy6的群落性和Soc5的因子负荷均低于0.4;因此,它们被移除。4因素18项解释的累积方差为69%。CFA检验结果表明,计量模型拟合良好(拟合优度指数= 0.891,Tucker-Lewis指数= 0.901,比较拟合指数= 0.920,增量拟合指数(IFI) = 0.922,近似均方根误差= 0.065,χ2/df = 1.807),结构有效。进一步验证了收敛效度和判别效度。四个维度的Cronbach’s alpha系数在0.760 ~ 0.878之间,表明波斯C19P-S量表是一个可靠的量表。结论:波斯语C19P-S量表具有4个维度和18个项目,可用于测量伊朗普通人群的新冠病毒恐惧症。
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引用次数: 0
Factors associated with compassionate and respectful maternity care among laboring mothers during childbirth in Ethiopia 埃塞俄比亚产妇在分娩期间给予富有同情心和尊重的产妇护理的相关因素
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_127_21
Fedila Kedir, A. Gurara, D. Yami, T. Beyen
Context: One of the most important facilitating elements for increasing access to quality maternity care is compassionate and respectful maternity care (CRMC). Aims: This study assessed factors associated with CRMC among laboring mothers during childbirth in Ethiopia. Settings and Design: A cross-sectional study was employed in Adama Hospital Medical College, Ethiopia from August 01 to September 30, 2020. Materials and Methods: Three hundred and ninety-nine postpartum mothers were selected using a systematic random sampling technique through a demographic, obstetric, and respectful maternity care questionnaire. Statistical Analysis Used: Frequencies, percentages, means, and standard deviation were computed. Binary logistic regressions were carried out to identify factors associated with CRMC. Results: The overall magnitude of CRMC accounts 169 (42.4%) with (95% confidence interval [CI]; 37.3–47.4). Primary and secondary level of education (adjusted odds ratio [AOR]: 5.29, 95% CI [1.92, 14.57], P = 0.028), discussion with health-care provider (HCP) on place of delivery during antenatal care (AOR: 9.13, 95% CI (4.85, 17.18), P = 0.023), multigravida (AOR: 3.75, 95% CI [1.17, 11.99], P = 0.013), history of previous institutional delivery (AOR: 3.306, 95% CI [1.026, 10.65], P = 0.001), day time (shift) of delivery (AOR: 3.52, 95% CI [1.85, 6.72], P = 0.017) asking for consent before the procedure (AOR: 3.49, 95% CI [1.821, 6.72], P = 0.000) and two or less number of health workers during labor (AOR: 4.68, 95% CI [2.495, 8.77], P = 0.002) were significant determinants of CRMC. Conclusion: The proportion of CRMC was low. As a result, we recommend that HCPs who provide maternity care give friendly treatment, abuse-free care, timely care, and discrimination-free care as the pillars for improving the low rate of institutional delivery.
背景:增加获得高质量产科护理的最重要的促进因素之一是富有同情心和尊重的产科护理(CRMC)。目的:本研究评估了埃塞俄比亚分娩期间产妇CRMC的相关因素。背景和设计:2020年8月1日至9月30日,在埃塞俄比亚Adama医院医学院进行横断面研究。材料与方法:采用系统随机抽样技术,通过人口统计学、产科和尊重产科护理问卷,选择399名产后母亲。统计分析方法:计算频率、百分比、平均值和标准差。采用二元logistic回归来确定与CRMC相关的因素。结果:CRMC的总量级占169(42.4%),95%可信区间[CI];37.3 - -47.4)。小学和中学教育程度(调整优势比[AOR]: 5.29, 95% CI [1.92, 14.57], P = 0.028),产前保健期间与卫生保健提供者(HCP)讨论分娩地点(AOR: 9.13, 95% CI (4.85, 17.18), P = 0.023),多胎(AOR: 3.75, 95% CI [1.17, 11.99], P = 0.013),以前的机构分娩史(AOR: 3.306, 95% CI [1.026, 10.65], P = 0.001),分娩时间(AOR:3.52, 95% CI [1.85, 6.72], P = 0.017),术前征求同意(AOR: 3.49, 95% CI [1.821, 6.72], P = 0.000)和分娩时卫生工作者人数不超过2人(AOR: 4.68, 95% CI [2.495, 8.77], P = 0.002)是CRMC的重要决定因素。结论:CRMC比例较低。因此,我们建议提供产科护理的医护人员提供友好治疗、无虐待护理、及时护理和无歧视护理,作为改善机构分娩率低的支柱。
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引用次数: 0
The effects of yoga-based breathing techniques and meditation on outpatients' symptoms of COVID-19 and anxiety scores 瑜伽呼吸技术和冥想对门诊患者COVID-19症状和焦虑评分的影响
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_173_21
Z. Ghorashi, Mahdiehsadat Hosseini Poor, Zahra Molamomanaei
Context: Decreasing the outpatients' symptoms of COVID-19 is essential. For relieving symptoms, some complementary approaches are suggested. Aims: This study aimed to evaluate the effects of yoga-based breathing techniques and meditation on outpatients' symptoms of COVID-19 and anxiety scores. Setting and Design: This interventional study was conducted on 110 women with positive results of polymerase chain reaction (PCR) test for SARS-COV2 virus referred to PCR testing centers in Rafsanjan city, Iran, in 2021. Materials and Methods: The participants were assigned into intervention (n = 53) and control (n = 57) groups by simple randomization according to a computer-generated assignment list. In this study, the intervention group practiced 20-min yoga-based breathing techniques and 20-min meditation daily for a 6-day period, control group did not receive any contact till 6th day. The symptoms' severity and headache, myalgia, and anxiety scores were evaluated on the 1st and 6th days via call interview by demographic and disease symptoms' checklist and the Spielberger State–Trait Anxiety Inventory. Statistical Analysis Used: The obtained data were then reported as descriptive statistics and were analyzed using Fisher's exact test, Chi-square test, Wilcoxon signed-rank test, t-test, McNemar's test, Mann–Whitney U-test, and multivariate analysis of covariance. Results: At six days after intervention, the group that practiced yoga-based breathing techniques and meditation had lower scores of headache (P < 0.001), myalgia (P < 0.001), and anxiety (P < 0.001) and lower severity of cough (P < 0.001), dyspnea (P = 0.019), and weakness (P = 0.006) than the control group. Conclusion: It appears that yoga-based breathing techniques (pranayama) and meditation could be considered effective and easy complementary therapies in COVID-19 patients for reducing the symptom severity and anxiety level.
背景:减轻门诊患者新冠肺炎症状至关重要。为了缓解症状,建议采取一些补充方法。目的:本研究旨在评估瑜伽呼吸技术和冥想对门诊患者COVID-19症状和焦虑评分的影响。背景和设计:本干预性研究对2021年伊朗拉夫桑詹市PCR检测中心的110名SARS-COV2病毒聚合酶链反应(PCR)检测阳性的妇女进行。材料与方法:根据计算机生成的分配表,采用简单随机法将参与者分为干预组(n = 53)和对照组(n = 57)。在本研究中,干预组每天练习20分钟的瑜伽呼吸技巧和20分钟的冥想,为期6天,对照组直到第6天才进行任何接触。在第1天和第6天通过电话访谈,采用人口统计学和疾病症状检查表和Spielberger状态-特质焦虑量表评估症状严重程度和头痛、肌痛、焦虑评分。统计分析方法:将获得的数据以描述性统计方式进行报告,并采用Fisher精确检验、卡方检验、Wilcoxon符号秩检验、t检验、McNemar检验、Mann-Whitney u检验和多变量协方差分析进行分析。结果:干预后6天,练习瑜伽呼吸技巧和冥想的组头痛(P < 0.001)、肌痛(P < 0.001)和焦虑(P < 0.001)得分较低,咳嗽(P < 0.001)、呼吸困难(P = 0.019)和虚弱(P = 0.006)的严重程度较对照组低。结论:基于瑜伽的呼吸技术(调息)和冥想可以被认为是COVID-19患者有效和简单的补充疗法,可以减轻症状严重程度和焦虑水平。
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引用次数: 1
Nurses' experience regarding professional ethics in Iran: A qualitative study 伊朗护士职业道德经验:一项质性研究
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_59_21
Leyla Alilu, N. Parizad, H. Habibzadeh, Audrey Cund, Gholamreza Esmhoseini
Context: Professional ethics are less understood in the literature and refer to the complex decision-making processes made by nurses as they deliver care. Aims: This study aimed to add new information to the growing body of evidence around professional ethics and explore the experiences of Iranian nurses who work in the hospital setting. Setting and Design: This is a qualitative study that was carried out from January 2017 to August 2017, utilizing conventional content analysis. Materials and Methods: In this qualitative study, data were collected using semi-structured interviews. Twenty-eight participants with various occupational backgrounds and positions were interviewed. All participants work in educational hospitals in the North West of Iran. Data were analyzed using the conventional content analysis. Statistical Analysis Used: Statistical methods were not used in this study. Results: One overarching category and three sub-categories emerged during data analysis. The overarching category was “the road to professional ethics,” which was supported by the following sub-categories: ethical development, spirituality and values development, and promoting ethical competencies. Conclusions: Professional ethics are difficult to separate, which may be why it is less understood in the empirical literature. Multiple factors contribute professional ethics, and these ethical principles motivate nurses to provide safe care. Professional ethics in nurses' performance can help managers in the recruitment and ongoing supervision of nurses to improve their professional performance.
背景:文献中对职业道德的理解较少,指的是护士在提供护理时做出的复杂决策过程。目的:本研究旨在为越来越多的职业道德证据添加新的信息,并探索在医院工作的伊朗护士的经历。设置和设计:这是一项定性研究,于2017年1月至2017年8月进行,采用传统的内容分析。材料和方法:在这项定性研究中,使用半结构化访谈收集数据。对28名具有不同职业背景和职位的参与者进行了访谈。所有参与者都在伊朗西北部的教育医院工作。使用常规内容分析对数据进行分析。使用的统计分析:本研究未使用统计方法。结果:在数据分析过程中出现了一个总体类别和三个子类别。总体类别是“职业道德之路”,由以下子类别支持:道德发展、精神和价值观发展以及促进道德能力。结论:职业道德很难分离,这可能是为什么在实证文献中对其理解较少的原因。多种因素促成了职业道德,这些道德原则激励护士提供安全的护理。护士绩效中的职业道德可以帮助管理人员在招聘和持续监督护士时提高他们的职业绩效。
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引用次数: 0
The paradox of family care for patients with schizophrenia: A qualitative study 精神分裂症患者家庭护理的悖论:一项定性研究
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_112_21
Z. Ebrahimpour mouziraji, G. Mahmoodi-Shan, K. Yazdi, M. Modanloo
Context: Schizophrenia is a severe mental disorder in which the individual's relationship with the reality is interrupted. Families can play an important role in the improvement of this disorder and help reduce its recurrence and ensure its better control and the patient's return to the society. Aims: This study was conducted to explore the experiences of family caregivers of patients with schizophrenia. Setting and Design: This study used the qualitative content analysis method proposed by Elo and Kyngäs. The study was carried out from 2019 to 2021 in the psychiatric wards of 5 Azar Hospital in Gorgan, Northern Iran. Materials and Methods: A total of 16 family caregivers of patients with schizophrenia were examined. The participants were selected by purposive sampling. Sampling continued until data saturation was reached. Semistructured interviews were held to collect data. The data were analyzed with the support of MAXQDA 10 software. Statistical Analysis Used: data were analyzed using conventional content analysis according to the technique described by Elo and Kyngäs. Their technique involves open coding, coding sheets, grouping, categorization, and abstraction. Results: Two main themes were extracted from the data, including “family's committed and compassionate care for the patients' integrity” and “inadequacy of care,” with a total of seven subcategories. Conclusion: Providing care to a family member with schizophrenia is a task with several contradictory dimensions. Due to the chronic nature of the disorder, most family caregivers experience a kind of paradox in areas such as providing comprehensive care, protection, support, and inadequacy of care.
精神分裂症是一种严重的精神障碍,患者与现实的关系被中断。家庭可以在这种疾病的改善中发挥重要作用,帮助减少其复发,确保其得到更好的控制和患者重返社会。目的:本研究旨在探讨精神分裂症患者的家庭照顾者体验。设定与设计:本研究采用Elo和Kyngäs提出的定性内容分析方法。该研究于2019年至2021年在伊朗北部戈尔根第5阿扎尔医院的精神病病房进行。材料与方法:对16名精神分裂症患者的家庭照顾者进行调查。参与者采用有目的抽样的方法进行选择。继续采样,直到达到数据饱和。进行半结构化访谈以收集数据。在MAXQDA 10软件的支持下对数据进行分析。使用:根据Elo和Kyngäs描述的技术,使用常规的内容分析对数据进行分析。他们的技术包括开放编码、编码表、分组、分类和抽象。结果:从数据中提取出两个主要主题,包括“家庭对患者完整性的承诺和同情护理”和“护理不足”,共7个子类别。结论:照顾精神分裂症家庭成员是一项具有多重矛盾维度的任务。由于这种疾病的慢性性质,大多数家庭照顾者在提供全面护理、保护、支持和护理不足等方面经历了一种悖论。
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引用次数: 1
The association between online self-regulated learning and E-learning acceptance among medical sciences students during the COVID-19 pandemic 新冠肺炎大流行期间医学专业学生在线自主学习与接受电子学习之间的关联
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_97_22
M. Kamali, M. Bagheri-Nesami
Context: Self-regulated learning is a process by which learners choose goals for themselves and then try to regulate, control and manage their cognition, motivation, and behavior. The COVID-19 pandemic faced students to numerous educational challenges. Rapid transition of the traditional classroom to the virtual environment affected E-learning acceptance of the students in the age of the COVID-19 pandemic. Aim: The present study aimed to determine the relationship between online self-regulated learning and E-learning acceptance among Mazandaran University of medical sciences during the COVID-19 pandemic. Settings and Design: This descriptive-analytical study was conducted on 234 Mazandaran University of medical sciences students. Materials and Methods: The nonprobability quota sampling method was used for data collection. Inclusion criterion was experience E-learning at least one semester in the age of COVID-19 pandemic. Internship medical sciences students were excluded. The online questionnaire consisted of three parts: Sociodemographic questionnaire, online self-regulated learning and E-learning acceptance. Statistical Analysis Used: Descriptive statistics, one-way ANOVA, Pearson test, and univariate and multivariate linear regression model were utilized. Results: According to the univariate linear regression model, E-learning acceptance explored 19.8% variance of the online self-regulated learning. The multivariate linear regression showed age, gender, marital status, medical students, another job and E-learning acceptance explored 47.1% variance of the online self-regulated learning. Conclusion: The results showed that E-learning acceptance was correlated with online self-regulated learning. The faculty members and university managers can use strategies to enhance the E-learning acceptance to improve online self-regulated learning and facilitate barriers in the age of mandatory online learning.
情境:自主学习是学习者为自己选择目标,然后试图调节、控制和管理自己的认知、动机和行为的过程。新冠肺炎大流行使学生面临诸多教育挑战。传统课堂向虚拟环境的快速转变影响了新冠肺炎大流行时期学生对电子学习的接受。目的:本研究旨在确定新冠肺炎大流行期间马赞德兰医科大学在线自我调节学习与电子学习接受之间的关系。设置和设计:这项描述性分析研究对234名马赞德兰医科大学的学生进行。材料与方法:采用不概率配额抽样法进行数据采集。纳入标准是在新冠肺炎大流行的年龄至少一个学期的经验电子学习。实习医学生被排除在外。在线问卷由三部分组成:社会形态问卷、在线自主学习问卷和电子学习接受度问卷。使用统计分析:使用描述性统计、单因素方差分析、皮尔逊检验以及单变量和多变量线性回归模型。结果:根据单变量线性回归模型,在线自我调节学习对电子学习的接受度探索了19.8%的方差。多元线性回归显示年龄、性别、婚姻状况、医学生、另一份工作和电子学习接受度对在线自主学习的方差为47.1%。结论:研究结果表明,网络学习的接受程度与网络自主学习相关。教师和大学管理人员可以使用策略来提高对电子学习的接受度,以改善在线自我调节学习,并在强制在线学习时代消除障碍。
{"title":"The association between online self-regulated learning and E-learning acceptance among medical sciences students during the COVID-19 pandemic","authors":"M. Kamali, M. Bagheri-Nesami","doi":"10.4103/jnms.jnms_97_22","DOIUrl":"https://doi.org/10.4103/jnms.jnms_97_22","url":null,"abstract":"Context: Self-regulated learning is a process by which learners choose goals for themselves and then try to regulate, control and manage their cognition, motivation, and behavior. The COVID-19 pandemic faced students to numerous educational challenges. Rapid transition of the traditional classroom to the virtual environment affected E-learning acceptance of the students in the age of the COVID-19 pandemic. Aim: The present study aimed to determine the relationship between online self-regulated learning and E-learning acceptance among Mazandaran University of medical sciences during the COVID-19 pandemic. Settings and Design: This descriptive-analytical study was conducted on 234 Mazandaran University of medical sciences students. Materials and Methods: The nonprobability quota sampling method was used for data collection. Inclusion criterion was experience E-learning at least one semester in the age of COVID-19 pandemic. Internship medical sciences students were excluded. The online questionnaire consisted of three parts: Sociodemographic questionnaire, online self-regulated learning and E-learning acceptance. Statistical Analysis Used: Descriptive statistics, one-way ANOVA, Pearson test, and univariate and multivariate linear regression model were utilized. Results: According to the univariate linear regression model, E-learning acceptance explored 19.8% variance of the online self-regulated learning. The multivariate linear regression showed age, gender, marital status, medical students, another job and E-learning acceptance explored 47.1% variance of the online self-regulated learning. Conclusion: The results showed that E-learning acceptance was correlated with online self-regulated learning. The faculty members and university managers can use strategies to enhance the E-learning acceptance to improve online self-regulated learning and facilitate barriers in the age of mandatory online learning.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"9 1","pages":"219 - 223"},"PeriodicalIF":0.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46396620","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: 5
The relationship between oral health literacy and oral health among nursing students in Chengalpattu district, India: A correlational study 印度Chengalpattu区护生口腔健康素养与口腔健康的相关性研究
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_97_21
K. Indrapriyadharshini, S. Vishnuprasad, J. Mahesh
Context: Better health literacy develops the competencies of the individual to assimilate, comprehend and adapt to healthy practices and reduce risk behaviors. Oral health literacy has also proved to be critical in reducing oral health disparities and in promoting oral health. Aim: The study aimed to assess the oral health literacy level and its impact on oral health status among dental nurses. Setting and Design: A cross-sectional study was conducted among 170 nursing students at private nursing college between September 2019 and December 2019. Materials and Methods: Oral health literacy (OHL) was assessed using the Rapid Estimate of Adult Literacy in Dentistry (REALD-30) and dental caries were assessed by decayed, missing, and filled teeth (DMFT) index Statistical Analysis Used: The data were analyzed using descriptive statistics, Kruskal–Wallis test, and multiple linear regression analysis. Results: Among the participants, the IV-year students showed a higher rate of rinsing after meals (77.3%), brushing frequency twice a day (36.4%). A steady increase in the mean OHL scores was observed with an increase in the level of education. Significant association was found between REALD-30 (OHL) and dental caries (b = -0.151, P-value = .049). Conclusion: The current study result demonstrates the correlation between oral health literacy and dental caries. To achieve better outcomes, there is a need to involve inter-professional primary health care providers, such as nurses to raise awareness and promote oral health by incorporating additional cross-cutting actions in training programs aimed at health care, disease prevention, and health promotion.
背景:更好的健康素养培养了个人吸收、理解和适应健康实践以及减少风险行为的能力。口腔健康知识也被证明对减少口腔健康差距和促进口腔健康至关重要。目的:本研究旨在评估牙科护士的口腔健康素养水平及其对口腔健康状况的影响。设置和设计:2019年9月至2019年12月,在私立护理学院的170名护理专业学生中进行了一项横断面研究。材料和方法:口腔健康素养(OHL)采用成人牙科素养快速评估法(REALD-30)进行评估,龋齿采用龋齿、缺牙和补牙指数(DMFT)进行评估。统计分析采用描述性统计、Kruskal–Wallis检验和多元线性回归分析对数据进行分析。结果:在参与者中,四年级学生表现出更高的饭后漱口率(77.3%)和每天刷牙两次的频率(36.4%)。随着教育水平的提高,平均OHL得分稳步上升。REALD-30(OHL)与龋齿之间存在显著相关性(b=-0.151,P值=.049)。结论:目前的研究结果表明口腔健康素养与龋齿之间具有相关性。为了取得更好的结果,需要让跨专业的初级卫生保健提供者(如护士)参与进来,通过在旨在卫生保健、疾病预防和健康促进的培训计划中纳入额外的交叉行动来提高认识和促进口腔健康。
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引用次数: 0
Association between Porphyromonas gingivalis bacteria in infra-gingival plaque and premature labor with low birth weight 龈下菌斑中牙龈卟啉单胞菌与低出生体重早产的关系
IF 0.7 Q4 NURSING Pub Date : 2022-07-01 DOI: 10.4103/jnms.jnms_93_21
A. Maboudi, A. Ahmadi, Mohadeseh Heidari, A. Rafiei, Z. Rahmani, M. Moosazadeh, R. Valadan, M. Kardan, A. Shiva
Context: There are some discrepancies regarding the association between periodontal disease and preterm in the literature. Considering all periodontal pathogens, Porphyromonas gingivalis (Pg) is the most invasive bacterium in connective tissues, and the impact of its presence in the diverse microbial community of periodontal pathogens with a lower frequency is much greater than expected. Aim: This study investigated the association of Pg in infra-gingival plaque of preterm and low birth weight (PTLBW) mothers. Setting and Design: This descriptive correlational study was conducted on 89 women, who were referred to Imam Khomeini Hospital in Sari, Iran, in 2017. Materials and Methods: The samples were assigned by purposive method with 30 mothers had PTLBW newborns and 59 mothers had normal term and normal birth weight (NTNBW) neonates. The probing depth, bleeding on probing clinical attachment levels, plaque index, and gingival index were measured. A sample from the periodontal pocket was collected to distinguish the Pg in subgingival plaque by polymerase chain reaction. Statistical Analysis Used: The data were analyzed using descriptive statistics and the Mann–Whitney U and Chi-square test. Results: According to the periodontal indexes, 37.3% and 26.7% of the mothers in the NTNBW and PTLBW were diagnosed with periodontitis, respectively. Furthermore, Pg was detected in 30% and 20.3% of the cases in the PTLBW of NTLBW mothers. The amount of Pg in infra-gingival plaque was significantly higher in the PTLBW mothers than in the NTNBW (P = 0.016). Conclusion: The results indicated that the quantity of Pg could be considered a risk factor for PTLBW delivery.
背景:文献中关于牙周病和早产之间的关系存在一些差异。考虑到所有牙周病原体,牙龈卟啉单胞菌(Pg)是结缔组织中侵袭性最强的细菌,其以较低的频率存在于牙周病原体的不同微生物群落中的影响远大于预期。目的:本研究调查了早产和低出生体重(PTLBW)母亲牙龈下菌斑中Pg的相关性。设置和设计:这项描述性相关研究对89名女性进行,她们于2017年被转诊至伊朗萨里的伊玛目霍梅尼医院。材料和方法:采用有针对性的方法对30名患有PTLBW新生儿的母亲和59名足月和正常出生体重(NTNBW)新生儿的母亲进行分组。测量探查深度、探查临床附着物水平上的出血量、牙菌斑指数和牙龈指数。从牙周袋中采集样本,通过聚合酶链式反应来区分龈下斑块中的Pg。使用的统计分析:使用描述性统计和Mann-Whitney U和卡方检验对数据进行分析。结果:根据牙周指标,NTNBW和PTLBW的母亲分别有37.3%和26.7%被诊断为牙周炎。此外,在NTLBW母亲的PTLBW中,分别有30%和20.3%的病例检测到Pg。PTLBW母亲龈下菌斑中Pg含量显著高于NTNBW母亲(P=0.016)。结论:Pg含量可能是PTLBW分娩的危险因素。
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引用次数: 0
Stress of conscience and affecting factors in midwives in the delivery room 产房助产士良心压力及影响因素分析
IF 0.7 Q4 NURSING Pub Date : 2022-04-01 DOI: 10.4103/jnms.jnms_134_21
Pervin Sahiner, S. Aksoy
Context: Midwives who perform the act of child delivery, which is one of the most sensitive and private occasions for women, can face the stress of conscience when they fail to perform their duties in this process for any reason or cannot decide what to do. There is very little information about the stress of conscience levels of delivery room midwives. Aim: This study aims to determine the stress of conscience and related factors in midwives who deliver a baby actively in the delivery room. Settings and Design: This descriptive and cross-sectional study was performed in April 2021 at six public hospitals in Kocaeli, Turkey. Materials and Methods: The study was conducted with 67 midwives who worked in delivery rooms through the census method. The data were collected using a “Demographic Information Form” and the “Stress of Conscience Questionnaire.” Statistical Analysis Used: Descriptive statistics, including frequency, mean, and standard deviation, and analytic statistics, including Mann–Whitney U- and Kruskal–Wallis tests, were used. Results: Among the participants, 61.2% stated that they experienced a guilty conscience while working in the delivery room, and they stated that the biggest (28.4%) reason for a guilty conscience was problems related to mother–infant health. The ethics training of the midwives was a factor that increased their stress of conscience scale internal factors subscale scores (P = 0.01). In addition, being married was a factor that increased their internal factor subscale scores (P = 0.008), and having worked in the delivery room for more than 6 years was a factor that increased their external factor subscale scores (P = 0.02). Conclusions: The results of the present study, the married midwives, those who had worked in the delivery room for longer than 6 years, and those who had received ethics training were found to have high stress of conscience levels. Sharing the results of such studies with managers can be a guide in solving problems.
背景:分娩是女性最敏感和最私密的场合之一,当助产士因任何原因未能履行职责或无法决定该做什么时,她们可能会面临良心压力。关于产房助产士良心压力水平的信息很少。目的:本研究旨在确定积极在产房分娩的助产士的良心压力及其相关因素。设置和设计:这项描述性和横断面研究于2021年4月在土耳其科卡埃利的六家公立医院进行。材料和方法:本研究采用普查方法,对67名在产房工作的助产士进行了调查。使用“人口统计信息表”和“良心压力问卷”收集数据。使用统计分析:使用描述性统计,包括频率、平均值和标准差,以及分析统计,包括Mann–Whitney U和Kruskal–Wallis检验。结果:在参与者中,61.2%的人表示他们在产房工作时感到内疚,他们表示内疚的最大原因(28.4%)是与母婴健康有关的问题。助产士的道德培训是增加其良心压力量表内因子分量表得分的因素(P=0.01),结论:本研究发现,已婚助产士、在产房工作超过6年的助产士和接受过伦理培训的助产士的良心压力水平较高。与管理者分享这些研究的结果可以成为解决问题的指南。
{"title":"Stress of conscience and affecting factors in midwives in the delivery room","authors":"Pervin Sahiner, S. Aksoy","doi":"10.4103/jnms.jnms_134_21","DOIUrl":"https://doi.org/10.4103/jnms.jnms_134_21","url":null,"abstract":"Context: Midwives who perform the act of child delivery, which is one of the most sensitive and private occasions for women, can face the stress of conscience when they fail to perform their duties in this process for any reason or cannot decide what to do. There is very little information about the stress of conscience levels of delivery room midwives. Aim: This study aims to determine the stress of conscience and related factors in midwives who deliver a baby actively in the delivery room. Settings and Design: This descriptive and cross-sectional study was performed in April 2021 at six public hospitals in Kocaeli, Turkey. Materials and Methods: The study was conducted with 67 midwives who worked in delivery rooms through the census method. The data were collected using a “Demographic Information Form” and the “Stress of Conscience Questionnaire.” Statistical Analysis Used: Descriptive statistics, including frequency, mean, and standard deviation, and analytic statistics, including Mann–Whitney U- and Kruskal–Wallis tests, were used. Results: Among the participants, 61.2% stated that they experienced a guilty conscience while working in the delivery room, and they stated that the biggest (28.4%) reason for a guilty conscience was problems related to mother–infant health. The ethics training of the midwives was a factor that increased their stress of conscience scale internal factors subscale scores (P = 0.01). In addition, being married was a factor that increased their internal factor subscale scores (P = 0.008), and having worked in the delivery room for more than 6 years was a factor that increased their external factor subscale scores (P = 0.02). Conclusions: The results of the present study, the married midwives, those who had worked in the delivery room for longer than 6 years, and those who had received ethics training were found to have high stress of conscience levels. Sharing the results of such studies with managers can be a guide in solving problems.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"9 1","pages":"146 - 151"},"PeriodicalIF":0.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43030347","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 Nursing and Midwifery Sciences
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