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Evaluation of the incidence of errors and related factors in the use of blood glucose control medications in an elderly population with type 2 diabetes 老年2型糖尿病患者使用血糖控制药物的错误发生率及相关因素评估
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_135_20
Ali Darvishipoor Kakhki, Mostafa Ghazvinian, M. Pazokian, Mahsa Haji Mohammad Hoseini
Context: The pace of population aging is increasing around the world. Medication errors are more common among the elderly for a variety of reasons and can lead to serious complications. Aims: The aim of this study was to determine the incidence of errors and related factors in the use of blood glucose control medications in a diabetic elderly population in Qom, Iran. Setting and Design: This descriptive, correlational study was conducted on the elderly with type II diabetes, who were referred to the diabetes centers of Qom. The sample size was measured to be 200, based on the available sampling method. Materials and Methods: Data were collected using a demographic questionnaire, as well as a researcher-made Medication errors questionnaire. Statistical Analysis Used: SPSS version 20 was used to analyze the data. Results: Overall, 69% of the samples were female, and the mean age of the participants was 63.59 ± 4.84 years. The incidence of medication errors was 69% among older patients. There was a significant relationship between medication error and polypharmacy (P < 0.001), comorbidities (P < 0.025), duration of diabetes (P < 0.026), and use of aids (P < 0.038). Forgetfulness (26.33%) and lack of drug information (12.61%) were the most common causes of medication errors in patients. Conclusion: The results showed that the incidence of medication errors, which was influenced by various factors, was high among the elderly. Therefore, to prevent and reduce the incidence of medication misuse, proper measures should be taken.
背景:世界各地的人口老龄化速度正在加快。由于各种原因,药物错误在老年人中更为常见,并可能导致严重并发症。目的:本研究的目的是确定伊朗库姆市糖尿病老年人群使用血糖控制药物的错误发生率和相关因素。设置和设计:这项描述性的相关研究是对患有II型糖尿病的老年人进行的,他们被转介到Qom的糖尿病中心。根据现有的采样方法,样本量测得为200。材料和方法:使用人口统计学问卷以及研究人员制作的药物错误问卷收集数据。使用统计分析:使用SPSS 20版对数据进行分析。结果:总体而言,69%的样本为女性,参与者的平均年龄为63.59±4.84岁。老年患者用药失误的发生率为69%。用药错误与多药治疗(P<0.001)、合并症(P<0.025)、糖尿病持续时间(P<0.026)和艾滋病使用(P<0.038)之间存在显著关系。遗忘(26.33%)和缺乏药物信息(12.61%)是患者用药错误的最常见原因。结论:受多种因素影响,老年人用药失误发生率较高。因此,为了预防和减少药物滥用的发生,应该采取适当的措施。
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引用次数: 1
Influential factors in job retention and organizational commitment among the nurses working in COVID-19 outbreak 新冠肺炎疫情中护士工作保留和组织承诺的影响因素
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_166_20
Masoud Shayestehazar, S. Heydarian, M. Gharib, S. Ghaffari, Soroosh Fateh, Abolfazl Ghadiri, M. Rezapour
Context: Enormous workrelated pressure following COVID19 pandemic might lead to a decline in persistence and commitment to the organization among nurses. Aims: This study aimed to determine factors influencing job retention and organizational commitment among Iranian nurses working during COVID19 pandemic. Setting and Design: This descriptivecorrelational study was performed between April and May 2020 in Imam Khomeini educational hospital, Sari, Iran. Materials and Methods: All nurses worked in COVID19 wards were invited to participate in our study, of whom 172 accepted to participate in the present study. The inclusion criteria were nurses working in the COVID19 wards of Imam Khomeini Hospital and willingness to participate in the study. Data were gathered through three questionnaires: demographic characteristics, Anticipated Turnover Scale, and Allen organizational commitment. Effect of age, gender, level of education, marital status, work shifts, and work experience were evaluated with both variables. Statistical Analysis Used: The collected data were analyzed in SPSS software (version 16) using statistical tests such as Pearson's correlation, independent sample ttest, oneway ANOVA, and linear regression analysis. Results: The mean ± standard deviation of job retention and organizational commitment were 37.70 ± 3.35 and 75.96 ± 8.37, respectively. Job retention and organizational commitment were positively and significantly correlated with each other (P < 0.001, r = 0.33). Of evaluated factors, the only factor that had a positive and significant relationship with job retention (P = 0.04, F = 1.22) and organizational commitment was working experience (P = 0.04, F = 2.89).
背景:2019冠状病毒病大流行后,巨大的工作压力可能会导致护士对组织的坚持和承诺下降。目的:本研究旨在确定影响新冠肺炎疫情期间工作的伊朗护士的工作保留和组织承诺的因素。设置和设计:这项描述性相关研究于2020年4月至5月在伊朗萨里伊玛目霍梅尼教育医院进行。材料和方法:所有在COVID19病房工作的护士都被邀请参加我们的研究,其中172人接受了本研究。纳入标准为伊玛目霍梅尼医院COVID19病房的护士以及参与研究的意愿。数据是通过三个问卷收集的:人口统计特征、预期离职量表和艾伦组织承诺。年龄、性别、教育水平、婚姻状况、工作轮班和工作经历对这两个变量的影响进行了评估。使用的统计分析:收集的数据在SPSS软件(版本16)中使用统计检验进行分析,如Pearson相关性、独立样本ttest、单向方差分析和线性回归分析。结果:工作保留和组织承诺的平均值±标准差分别为37.70±3.35和75.96±8.37。工作保留率和组织承诺呈正相关(P<0.001,r=0.33)。在评估的因素中,唯一与工作保留率(P=0.04,F=1.22)和组织承诺有正相关的因素是工作经验(P=0.04,F=2.89)。
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引用次数: 2
The relationship between emotional labor, job stress and job satisfaction in midwifery 情绪劳动、工作压力与助产工作满意度的关系
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_51_21
Selda Yoruk, A. Acikgoz
Context: Midwives provide intensive emotional labor for women and their families during periods of emotional changes, such as pregnancy and childbirth. Aims: The relationship between midwives' job stress, job satisfaction, and emotional labor was investigated. Setting and Design: This cross-sectional study included 198 midwives from public hospital in Turkey in 2019 Material and Methods: In this study, 198 participants were selected through simple random sampling. The data collection tools used were a sociodemographic questionnaire, the Emotional Labor Scale, the Perceived Stress Scale, and the Minnesota Job Satisfaction Scale. Statistical Analysis Used: Descriptive data are presented as mean, standard deviation, number, and percentage. In the statistical analysis of the data, an independent sample t-test, multiple regression analysis, and Pearson correlation analysis were used. Results: In the multiple regression analysis, there was a significantly negative correlation (β: −0.144, P = 0.025) between the surface acting subscale of emotional labor and job satisfaction, a positive correlation with deep acting (β: 0.148, P = 0.038), a positive correlation with emotional effort (β: 0.371, P < 0.025), a negative and significant relationship with a lack of staff (β: −0.227, P < 0.001) and a positive correlation with the number of patients (β: 0.244, P < 0.001). In addition, there was a positive and significant relationship with deep acting, a positive and significant relationship with perceived stress (β: 0.146, P = 0.036), a positive and significant relationship with surface acting (β: 0.246, P = 0.001) and a positive and significant relationship with emotional effort (β: 0.358, P < 0.001). There was a statistically significant positive correlation between the emotional effort and deep acting (β: 0.415, P = 0.001) and surface acting (β: 0.317, P = 0.001) scores. Conclusions: It was found that the emotional labor subscales affect each other, and a positive correlation between surface acting, deep acting, and emotional effort was found. A slightly positive and significant correlation between emotional effort and job satisfaction was found. A positive correlation was found between surface acting and perceived stress.
背景:助产士在怀孕和分娩等情绪变化时期为妇女及其家人提供密集的情绪劳动。目的:探讨助产士的工作压力、工作满意度与情绪劳动的关系。背景和设计:这项横断面研究包括2019年土耳其公立医院的198名助产士。材料和方法:在这项研究中,198名参与者通过简单随机抽样选出。使用的数据收集工具是社会人口学问卷、情绪劳动量表、感知压力量表和明尼苏达州工作满意度量表。使用的统计分析:描述性数据以平均值、标准差、数字和百分比表示。在数据的统计分析中,使用了独立样本t检验、多元回归分析和Pearson相关分析。结果:在多元回归分析中,情绪劳动的表面作用分量表与工作满意度呈显著负相关(β:-0.144,P=0.025),与深度作用呈正相关(β:0.148,P=0.038),与情绪努力呈正相关(α:0.371,<0.025),与员工缺乏呈负显著关系(β:-0.227,P<0.001),与患者人数呈正相关(β:0.244,P=0.001)。此外,与深度行动呈正显著关系,与感知压力呈正显著关系(α:0.146,P=0.036),与表面作用呈正相关(β:0.246,P=0.001),与情绪努力呈正相关(α:0.358,P<0.001)。结论:情感劳动分量表相互影响,表面行为、深层行为与情感努力呈正相关。研究发现,情绪努力与工作满意度之间存在轻微的正相关关系。表面作用与感知压力呈正相关。
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引用次数: 1
Exploring health-care providers understanding and experiences of providing patient-centered care in hospitalized patients based on patient's bill of rights: A qualitative study 基于患者权利法案探讨医疗保健提供者对住院患者提供以患者为中心的护理的理解和经验:一项定性研究
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_38_21
Mohammad Asadi Abu Kheili, Ghaahraman Mahmoudi, Jamshid Yazdani Charati
Context: Patient-centered care is associated with a higher rate of patients' satisfaction, better outcomes as well as more cost-effective care. On the other hand, the aim of the patient's bill of rights is to ensure that patients are adequately cared for which in turn increase the quality of medical care. Aims: This study aimed at explaining the experiences of health-care providers about providing patient-centered care in hospitalized patients based on patient's bill of rights. Setting and Design: This qualitative study was conducted in 2018 using content analysis approach. Participants were 21 clinical nurses, nurse managers, and other health-care managers who worked in Iranian hospitals. Materials and Methods: Data were collected purposefully using in-depth semi structured interviews and continued until data saturation. Interviews were recorded, immediately transcribed, and analyzed using Graneheim and Lundman's conventional content analysis. Statistical Analysis Used: Frequency table was applied for Describing data by using. statistical analysis was done by SPSS software version 26. Results: Data analysis resulted in the extraction of three main themes (value-based care, accountability in providing information, and providing suitable amenities) and five categories (providing sensitive care, providing ethical care, professional support, in seeking of information, and responding to informational needs)., Conclusions: The findings of the present study showed that health-care providers have satisfactory understanding and experience in providing patient-centered care in hospitalized patients, based on the patient's bill of rights. Understanding patient-centered care barriers, especially by health-care providers, can secure the patient's legal rights and provide a better and more quality service for patients and their families.
背景:以患者为中心的护理与更高的患者满意度、更好的结果以及更具成本效益的护理相关。另一方面,病人权利法案的目的是确保病人得到充分照顾,从而提高医疗服务的质量。目的:本研究旨在解释医疗保健提供者根据患者权利法案为住院患者提供以患者为中心的护理的经验。设置和设计:这项定性研究于2018年采用内容分析方法进行。参与者包括21名在伊朗医院工作的临床护士、护士经理和其他医疗保健经理。材料和方法:有目的地使用深度半结构化访谈收集数据,并持续到数据饱和。采访被记录下来,立即转录,并使用Graneheim和Lundman的传统内容分析进行分析。使用的统计分析:使用频率表来描述数据。采用SPSS软件26版进行统计分析。结果:数据分析得出了三个主题(基于价值的护理、提供信息的责任制和提供适当的便利设施)和五个类别(提供敏感护理、提供道德护理、专业支持、寻求信息和回应信息需求)。,结论:本研究结果表明,医疗保健提供者在根据患者权利法案为住院患者提供以患者为中心的护理方面有着令人满意的理解和经验。了解以患者为中心的护理障碍,尤其是医疗保健提供者的障碍,可以确保患者的合法权利,并为患者及其家人提供更好、更优质的服务。
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引用次数: 1
Development and psychometric evaluation of the contraceptive attitude questionnaire 避孕态度问卷的编制及心理测量评价
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_147_20
Sidika Aksu, M. Aksoy, Esra Gurcuoglu, A. Erenel
Context: Individual attitudes are a factor that affects the use of contraceptive methods. It is known that positive or negative attitudes affect the use of contraceptives. Aims: This study aimed to develop an intelligible tool which can measure attitudes toward contraceptive methods that the healthcare personnel in Turkey can easily apply. Setting and Design: This study is a methodological research. A simple random sampling method was used. The sampling of the study was made up of 300 women and men aged 15 and over who were referred to the two family healthcare centers. An information form and the final primary version of Contraceptive Attitude Scale consisting of 35 attitude items were used for data collection. Materials and Methods: This study was conducted in two phases. Developing the items of the contraceptive attitude questionnaire (CAQ) was conducted in Phase I using the deductive method. In phase 2, the psychometric properties of the questionnaire were evaluated. Statistical Analysis Used: Content validity ratio, content validity index, Kaiser-Meyer-Olkin coefficient, Bartlett's test of Sphericity, Pearson Product-Moment Correlation Coefficient, and Cronbach's alpha reliability coefficient were used. Furthermore, fit indices were calculated (Root Mean Square Error of Approximation [RMSEA], normed fit index [NFI], comparative fit index [CFI] non-NFI [NNFI], adjusted goodness of fit index [AGFI], goodness of fit index [GFI]). Results: After the exploratory factor analyses, it was determined that the 25 items in the questionnaire were grouped under three factors. The internal consistency coefficient was found to be 0.90, 0.89, 0.84, and 0.77 for CAQ, Factor 1, 2, and 3, respectively. In the confirmatory factor analyses, it was determined that the Chi-square value of CAQ was significant and that the data were sufficient for the model (χ2 = 1080.90, df = 272, χ2 /df = 3.97, P = 0.000). Of the fit indices in CFA, the following values were found: RMSEA = 0.059, NFI = 0.95, NNFI = 0.97, CFI = 0.98, AGFI = 0.73, and GFI = 0.78. Conclusion: The CAQ was determined to be a valid and reliable measurement tool in Turkey. The questionnaire is suitable for use to protect and improve the reproductive health of women and men as it determines attitudes toward the use of contraceptive methods.
背景:个人态度是影响避孕方法使用的一个因素。众所周知,积极或消极的态度会影响避孕药具的使用。目的:这项研究旨在开发一种易于理解的工具,可以测量土耳其医护人员对避孕方法的态度,这些方法可以很容易地应用。设置与设计:本研究是一项方法论研究。采用了一种简单的随机抽样方法。这项研究的样本由300名15岁及以上的女性和男性组成,他们被转诊到这两个家庭医疗中心。采用信息表和由35个态度项目组成的避孕态度量表的最终初级版本进行数据收集。材料和方法:本研究分两个阶段进行。避孕态度问卷(CAQ)的项目开发在第一阶段采用演绎法进行。在第二阶段,对问卷的心理测量特性进行了评估。使用统计分析:使用内容有效性比、内容有效性指数、Kaiser-Meyer-Olkin系数、Bartlett球度检验、Pearson乘积矩相关系数和Cronbachα信度系数。此外,还计算了拟合指数(近似均方根误差[RMSEA]、赋范拟合指数[NFI]、比较拟合指数[CFI]非NFI[NNFI]、调整后的拟合优度指数[AGFI]、拟合优度指标[GFI])。结果:经过探索性因素分析,确定问卷中的25个项目分为三个因素。CAQ、因子1、因子2和因子3的内部一致性系数分别为0.90、0.89、0.84和0.77。在验证性因素分析中,确定CAQ的卡方值是显著的,并且数据对于模型是足够的(χ2=1080.90,df=272,χ2/df=3.97,P=0.000)。在CFA的拟合指数中,发现以下值:RMSEA=0.059,NFI=0.95,NNFI=0.97,CFI=0.98,AGFI=0.73,GFI=0.78。结论:CAQ在土耳其是一种有效可靠的测量工具。该调查表适用于保护和改善妇女和男子的生殖健康,因为它确定了人们对使用避孕方法的态度。
{"title":"Development and psychometric evaluation of the contraceptive attitude questionnaire","authors":"Sidika Aksu, M. Aksoy, Esra Gurcuoglu, A. Erenel","doi":"10.4103/jnms.jnms_147_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_147_20","url":null,"abstract":"Context: Individual attitudes are a factor that affects the use of contraceptive methods. It is known that positive or negative attitudes affect the use of contraceptives. Aims: This study aimed to develop an intelligible tool which can measure attitudes toward contraceptive methods that the healthcare personnel in Turkey can easily apply. Setting and Design: This study is a methodological research. A simple random sampling method was used. The sampling of the study was made up of 300 women and men aged 15 and over who were referred to the two family healthcare centers. An information form and the final primary version of Contraceptive Attitude Scale consisting of 35 attitude items were used for data collection. Materials and Methods: This study was conducted in two phases. Developing the items of the contraceptive attitude questionnaire (CAQ) was conducted in Phase I using the deductive method. In phase 2, the psychometric properties of the questionnaire were evaluated. Statistical Analysis Used: Content validity ratio, content validity index, Kaiser-Meyer-Olkin coefficient, Bartlett's test of Sphericity, Pearson Product-Moment Correlation Coefficient, and Cronbach's alpha reliability coefficient were used. Furthermore, fit indices were calculated (Root Mean Square Error of Approximation [RMSEA], normed fit index [NFI], comparative fit index [CFI] non-NFI [NNFI], adjusted goodness of fit index [AGFI], goodness of fit index [GFI]). Results: After the exploratory factor analyses, it was determined that the 25 items in the questionnaire were grouped under three factors. The internal consistency coefficient was found to be 0.90, 0.89, 0.84, and 0.77 for CAQ, Factor 1, 2, and 3, respectively. In the confirmatory factor analyses, it was determined that the Chi-square value of CAQ was significant and that the data were sufficient for the model (χ2 = 1080.90, df = 272, χ2 /df = 3.97, P = 0.000). Of the fit indices in CFA, the following values were found: RMSEA = 0.059, NFI = 0.95, NNFI = 0.97, CFI = 0.98, AGFI = 0.73, and GFI = 0.78. Conclusion: The CAQ was determined to be a valid and reliable measurement tool in Turkey. The questionnaire is suitable for use to protect and improve the reproductive health of women and men as it determines attitudes toward the use of contraceptive methods.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"9 1","pages":"16 - 23"},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48385828","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
The evaluation of ethics education in midwifery undergraduate programs in Turkey 土耳其助产学本科课程伦理教育评价
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_138_20
Suzi Ozdemir, Rahime Aydin Er
Context: Ethics education in midwifery leads to professionalism and good clinical practice. Lack of standards related to ethical education cause differences in implementation. Aims: This study aims to collect comprehensive data about ethics education in undergraduate midwifery programs in Turkey. Settings and Design: In the cross-sectional descriptive study, the sample of study was consisted of faculty members who gave ethics education in midwifery schools and undergraduate final year midwifery students in 29 universities in Turkey between 2017 and 2018. Materials and Methods: This study was conducted on 17 faculty members and 1138 midwifery students recruited by simple random sampling. Data collection forms consisted of demographic characteristics and questionnaire of knowledge and opinions about the ethics courses. Statistical Analysis Used: Descriptive statistics including mean, standard deviation, frequencies and percentages, and Chi-square were used. Results: It was observed that ethics education was given as a 2-h theoretical course in all midwifery undergraduate schools, and ethics course was compulsory in 87.5% of them. There was statistically significant difference between the views of faculty members and students about necessity of ethics education (P = 0.000), sufficiency of content (P = 0.002), and the expertise of educators (P = 0.000). Conclusions: According to the opinion of participants, there are lacks in ethics education for midwifery students in Turkey. Regarding the difference between opinions of faculty members and students, contents and the aims of the ethics education should be co-determined by the ethics experts, the midwifery teachers, and the midwives.
背景:助产学中的伦理教育引导专业精神和良好的临床实践。缺乏与道德教育相关的标准导致了执行方面的差异。目的:本研究旨在收集土耳其本科生助产专业道德教育的全面数据。设置和设计:在横断面描述性研究中,研究样本由2017年至2018年间在土耳其29所大学的助产学校进行道德教育的教职员工和本科生组成。材料和方法:本研究采用简单随机抽样方法,对17名教职工和1138名助产专业学生进行调查。数据收集表包括人口统计学特征和关于道德课程的知识和意见问卷。使用的统计分析:使用描述性统计,包括平均值、标准差、频率和百分比以及卡方。结果:所有助产专业本科学校均将伦理教育作为2小时的理论课程进行,其中87.5%的学校为必修课。教职工和学生对伦理教育的必要性(P=0.000)、内容的充分性(P=0.002)和教育工作者的专业知识(P=0.000。鉴于师生意见的差异,伦理教育的内容和目的应由伦理专家、助产师和助产士共同决定。
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引用次数: 0
The role of social capital on unwillingness toward childbearing in reproductive-aged women 社会资本在育龄妇女不愿生育中的作用
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_81_20
Afsaneh Yahyanejad, Z. Hamzehgardeshi, S. Mousavinasab, M. Azizi, Z. Shahhosseini
Context: Although Middle-east is a region with high population growth, but in some countries such as Iran, the population growth significantly decreased rapidly. Social capital is an important factor in formatting the positive willingness of childbearing among couples. Social capital referred to resources that individuals access them through the personal relationships. Aims: This study aimed to investigate the role of social capital on unwillingness toward childbearing in reproductive-aged women referred to Babol Health Care Centers in 2018. Setting and Design: A cross-sectional study in Babol Health Centers, Iran, in 2018. Materials and Methods: Three hundred reproductive-aged women 18–39 years with maximum of two children were recruited through a systematic sampling method. Demographic fertility characteristics form, Miller's childbearing motivation questionnaire, Onyx, and Bullen social capital questionnaire were used for the data collection. Statistical Analysis Used: Descriptive statistics such as frequency, mean ± standard deviation, the Pearson correlation coefficient, and multiple regression were used for the data analysis. Results: The most reasons of unwillingness for childbearing included “worrying about the health and safety of my child,” (83%) “being responsible for a needy and demanding baby,” (78.8%) and “worrying whether I am raising my child the right way.” (77%) Unwillingness to childbearing was associated with the factors such as social capital (β = −0.259, P = 0.001), being employed (β = 0.207, P = 0.001), and well self-evaluation of socioeconomic status (β = −0.187, P = 0.004). Conclusions: Improving the current conditions of childbearing in the Iranian society requires the involvement of policy-makers in the various domains and levels of decision-making at the family, community, and macrolevels.
背景:尽管中东是一个人口增长率高的地区,但在伊朗等一些国家,人口增长率显著下降。社会资本是形成夫妻积极生育意愿的重要因素。社会资本是指个人通过个人关系获得的资源。目的:本研究旨在调查社会资本在2018年转诊至Babol卫生保健中心的育龄妇女不愿生育方面的作用。设置和设计:2018年在伊朗巴波尔健康中心进行的一项横断面研究。材料和方法:通过系统抽样方法招募了300名18-39岁、最多有两个孩子的育龄妇女。采用人口生育特征表、Miller生育动机问卷、Onyx和Bullen社会资本问卷进行数据收集。使用的统计分析:数据分析使用描述性统计,如频率、平均值±标准差、Pearson相关系数和多元回归。结果:不愿意生育的主要原因包括“担心孩子的健康和安全”、(83%)“对有需要和有要求的婴儿负责”、(78.8%)和“担心我是否以正确的方式抚养孩子”。(77%)不愿意生育与社会资本等因素有关(β=-0.259,P=0.001),就业(β=0.207,P=0.001),以及对社会经济地位的良好自我评价(β=-0.187,P=0.004)。结论:改善伊朗社会当前的生育条件需要决策者参与家庭、社区和宏观层面的各个领域和级别的决策。
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引用次数: 1
Effect of caring intervention on preeclampsia in pregnant women with metabolic syndrome: A randomized controlled trial 护理干预对代谢综合征孕妇先兆子痫的影响:一项随机对照试验
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_49_21
Farideh Mohsenzadeh-ledari, Z. Taghizadeh, Z. Motaghi, A. Keramat, M. Moosazadeh, S. Yazdani, A. Najafi, Mayam Ghorbani
Context: There are many studies on the health effects of dietary advice and physical activity in pregnancy, with only a few describing the effects of the simultaneous use of a combined intervention on preeclampsia in pregnant women with metabolic syndrome (MetS). Aims: This study was designed to examine the effects of motivational interviews, dietary advice, and physical activity on the incidence and symptoms of preeclampsia in pregnant women with MetS. Setting and Design: This randomized, single-blind, controlled clinical trial was performed in two hospitals in Babol, Iran, in 2018. Materials and Methods: The participants included 120 pregnant women with a gestational age of 15–20 weeks with the diagnosis of MetS. The patients were block randomization allocated to two groups of 60 mothers. From the 20th week of pregnancy edema, blood pressure, proteinuria, and preeclampsia were evaluated and compared between the two groups. The intervention group had one motivational interview, two consultation sessions, and three training sessions for physical activity. The tools used for data collection included demographic fertility characteristics, anthropometric measurements, and a biochemical pregnancy outcomes checklist. Statistical Analyses Used: The data were analyzed using descriptive statistics, independent t-test, ANOVA and logistic regression. Results: The intervention group showed a significant decrease in edema (20.4% and 47.3%), proteinuria (5.6% and 30.9%), BP ≥140/90 mmHg (3.7% and 14.5%), and preeclampsia (1.9% and 12%) compared to the control group. Conclusion: Dietary recommendations and physical activity by pregnant women with MetS in prenatal care can be safe and practical interventions to avoid preeclampsia.
背景:关于饮食建议和孕期体育活动对健康的影响,有很多研究,只有少数研究描述了同时使用联合干预措施对代谢综合征孕妇先兆子痫的影响。目的:本研究旨在检验动机访谈、饮食建议和体育活动对MetS孕妇先兆子痫发病率和症状的影响。设置和设计:这项随机、单盲、对照的临床试验于2018年在伊朗巴波尔的两家医院进行。材料和方法:参与者包括120名孕龄为15-20周、诊断为代谢综合征的孕妇。患者被分为两组,每组60名母亲。从妊娠20周开始,对两组患者的水肿、血压、蛋白尿和先兆子痫进行评估和比较。干预组进行了一次动机访谈、两次咨询和三次体育活动训练。用于数据收集的工具包括人口生育特征、人体测量和生化妊娠结果检查表。使用的统计分析:使用描述性统计、独立t检验、方差分析和逻辑回归对数据进行分析。结果:与对照组相比,干预组的水肿(20.4%和47.3%)、蛋白尿(5.6%和30.9%)、血压≥140/90mmHg(3.7%和14.5%)和先兆子痫(1.9%和12%)显著降低。结论:MetS孕妇在产前护理中的饮食建议和体育活动是避免先兆子痫的安全实用的干预措施。
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引用次数: 0
The relationship between breastfeeding success and maternal personality traits 母乳喂养成功与母亲个性特征的关系
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_20_21
Pınar Serçekuş, Y. Ozan, Kerziban Yenal
Context: Studies demonstrate that it is essential to identify mothers at risk of weaning their babies too early and support their process of breastfeeding in the postpartum period. The impact of maternal personality traits on breastfeeding is not sufficiently well understood. Aims: The objective of this study was to investigate the relationship between breastfeeding success and maternal personality traits. Setting and Design: The research was a descriptive, correlational study and was conducted in the maternity ward of a university hospital located in the East of Turkey between September 2018 and March 2019. Materials and Methods: The convenience sampling method was used in the study and the sample consisted of 208 primiparous women within the first 48 h postpartum. Four forms were used in the collection of data. These were as follows: a demographic information form, a breastfeeding questionnaire, the ten-item personality inventory, and the LATCH breastfeeding assessment tool. Statistical Analysis Used: The data were analyzed using the descriptive statistics (mean, standard deviation, and frequency). The mean scores for the LATCH Breastfeeding Assessment Tool were compared according to mothers' personality traits using Kruskal–Wallis variance analysis. In post hoc analysis, multiple comparison was performed using the Tamhane t2-test. Results: The mean score on the LATCH breastfeeding assessment tool was found to be 5.45 ± 1.44. A statistically significant difference was found between the mean LATCH Breastfeeding assessment success score according to the women's personality traits (KW: 21.929, P < 0.000). The highest and lowest LACTH scores were seen in people with the extraversion (6.2 ± 1.2) and agreeableness (5.0 ± 1.2) personality traits. Conclusions: It was determined that the women's personality traits affected their breastfeeding success and that extraverted individuals had higher breastfeeding success scores.
背景:研究表明,识别有过早断奶风险的母亲并支持她们在产后的母乳喂养过程至关重要。母亲性格特征对母乳喂养的影响还没有得到充分的了解。目的:本研究旨在探讨母乳喂养成功与母亲个性特征之间的关系。设置和设计:这项研究是一项描述性的相关研究,于2018年9月至2019年3月在土耳其东部一所大学医院的产科病房进行。材料与方法:本研究采用方便抽样法,共抽取208名产后48小时内的初产妇。在收集数据时使用了四种形式。这些内容如下:人口统计信息表、母乳喂养问卷、十项人格问卷和LATCH母乳喂养评估工具。使用的统计分析:使用描述性统计(平均值、标准差和频率)对数据进行分析。LATCH母乳喂养评估工具的平均得分根据母亲的性格特征使用Kruskal–Wallis方差分析进行比较。在事后分析中,使用Tamhane t2测试进行多重比较。结果:LATCH母乳喂养评估工具的平均得分为5.45±1.44。LATCH母乳喂养评估的平均成功分数根据女性的性格特征差异有统计学意义(KW:21.929,P<0.000)。LACTH得分最高和最低的是外向型(6.2±1.2)和宜人性(5.0±1.2)性格特征的人。结论:研究表明,女性的个性特征影响了她们的母乳喂养成功率,外向型个体的母乳喂养得分较高。
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引用次数: 0
The effect of eye mask and selected music on the level of anxiety and hemodynamic parameters in patients undergoing cardiac angiography 眼罩和精选音乐对心脏血管造影患者焦虑水平和血流动力学参数的影响
IF 0.7 Q4 NURSING Pub Date : 2022-01-01 DOI: 10.4103/jnms.jnms_84_21
Sanaz Esfandiari, S. Shorofi, B. Shabankhani, S. Golshani, P. Arbon, H. Jafari
Context: Anxiety is common among patients undergoing coronary angiography. Aims: The aim of this study was to examine the comparative effects of eye masks and music on anxiety levels and hemodynamic indices of patients undergoing coronary angiography. Setting and Design: This is a single-blind randomized clinical trial conducted on 300 patients undergoing coronary angiography. Materials and Methods: Patients were recruited using convenience sampling and then randomly allocated to one of the four groups. Ten minutes before the coronary angiography, baseline anxiety levels were measured using the state-trait anxiety inventory. Patients' hemodynamic indices were also measured and recorded immediately before they entered the cath-lab operating room, as soon as, they were in bed in the cath-lab operating room, 5 min after the start of coronary angiography, and immediately and 20 min after the completion of coronary angiography. Anxiety levels were measured again 20 min after coronary angiography. Statistical Analysis Used: All statistical analyses were conducted using SPSS 22 Software. Mean and SD indices were used. The normality of both overt and covert anxiety variables was confirmed using Kolmogorov–Smirnov test. The presence of intervening variables was examined using analysis of variance, the final analysis was performed using analysis of covariance. For all analyses, a P < 0.05 was considered to be statistically significant. Results: The mean scores on overt and covert anxiety decreased after intervention. A statistically significant difference was observed among the four groups on overt and covert anxiety (P < 0.001). Compared to before coronary angiography (P < 0.001) and routine care only group (P < 0.001), hemodynamic indices had a decreasing trend during coronary angiography in the intervention groups. Conclusion: The results of the present study revealed that nonverbal, relaxing, and classical music significantly reduced anxiety and hemodynamic indices of patients undergoing coronary angiography. Future studies should examine the effectiveness of other music genres on anxiety and hemodynamic indices in patients undergoing coronary angiography.
背景:焦虑在接受冠状动脉造影的患者中很常见。目的:本研究的目的是检验眼罩和音乐对冠状动脉造影患者焦虑水平和血液动力学指标的比较影响。设置和设计:这是一项对300名接受冠状动脉造影的患者进行的单盲随机临床试验。材料和方法:采用方便抽样的方法招募患者,然后将其随机分配到四组中的一组。冠状动脉造影术前10分钟,使用状态特征焦虑量表测量基线焦虑水平。在患者进入导管实验室手术室前、在导管实验室手术室内卧床后、冠状动脉造影开始后5分钟以及冠状动脉造影完成后20分钟,还测量并记录了患者的血液动力学指标。冠状动脉造影术后20分钟再次测量焦虑水平。使用的统计分析:所有统计分析均使用SPSS 22软件进行。使用平均值和SD指数。使用Kolmogorov–Smirnov检验证实了显性和隐性焦虑变量的正常性。使用方差分析检查干预变量的存在,使用协方差分析进行最终分析。对于所有分析,P<0.05被认为具有统计学意义。结果:干预后患者的显性焦虑和隐性焦虑的平均得分均有所下降。与冠状动脉造影前(P<0.001)和仅常规护理组(P<0.01)相比,干预组在冠状动脉造影期间的血液动力学指标有下降趋势。结论:本研究结果显示,非语言、放松和古典音乐显著降低了接受冠状动脉造影的患者的焦虑和血液动力学指标。未来的研究应该检查其他音乐流派对冠状动脉造影患者焦虑和血液动力学指标的有效性。
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引用次数: 1
期刊
Journal of Nursing and Midwifery Sciences
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