J. Ganji, Effat Merghati-Khoei, Raziyeh Maasoumi, A. Keramat, M. Emamian
Context: Parents' competence has the most important role in the education of healthy sexual behavior to children under age 12 years. Aims: This study was conducted to evaluate the knowledge and competence of parents in response to their children's sexual behavior. Setting and Design: This population-based survey was conducted in Mazandaran Province, the province in the northern region of Iran, from October to January 2015. Materials and Methods: In this cross-sectional study, 600 parents were selected by a cluster random sampling technique. To assess parents' sexual knowledge and competence, the “Children's Sexual Behavior Questionnaire (CSBQ)” was used to collect data. Mothers and fathers completed the questionnaire separately. Statistical Analysis Used: Descriptive statistics and multiple linear regressions were used for data analysis. Results: Of the total 600 participants (mothers or fathers), 41.3% were fathers. The mean age of fathers and mothers was 34.12 ± 6.32 and 32.24 ± 85.5, respectively. The majority of the parents (66.7%) had an average level of knowledge in response to their children's sexual behavior, whereas only 5% of the parents had appropriate competence in response to sexual behavior of their children. There was a positive association between parents' competence in response to children's sexual behavior and their education (P < 0.001, β = 0.13), and a significant inverse association was observed between parents' competence and their economic status (P = 0.02, β = −0.18). Conclusion: In groups with low education, skill-building training courses are essential. Furthermore, appropriate interventions should be designed for groups with high economic status who do not have a high competence.
{"title":"Knowledge and attitude and practice of parents in response to their children's sexual behavior","authors":"J. Ganji, Effat Merghati-Khoei, Raziyeh Maasoumi, A. Keramat, M. Emamian","doi":"10.4103/jnms.jnms_45_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_45_20","url":null,"abstract":"Context: Parents' competence has the most important role in the education of healthy sexual behavior to children under age 12 years. Aims: This study was conducted to evaluate the knowledge and competence of parents in response to their children's sexual behavior. Setting and Design: This population-based survey was conducted in Mazandaran Province, the province in the northern region of Iran, from October to January 2015. Materials and Methods: In this cross-sectional study, 600 parents were selected by a cluster random sampling technique. To assess parents' sexual knowledge and competence, the “Children's Sexual Behavior Questionnaire (CSBQ)” was used to collect data. Mothers and fathers completed the questionnaire separately. Statistical Analysis Used: Descriptive statistics and multiple linear regressions were used for data analysis. Results: Of the total 600 participants (mothers or fathers), 41.3% were fathers. The mean age of fathers and mothers was 34.12 ± 6.32 and 32.24 ± 85.5, respectively. The majority of the parents (66.7%) had an average level of knowledge in response to their children's sexual behavior, whereas only 5% of the parents had appropriate competence in response to sexual behavior of their children. There was a positive association between parents' competence in response to children's sexual behavior and their education (P < 0.001, β = 0.13), and a significant inverse association was observed between parents' competence and their economic status (P = 0.02, β = −0.18). Conclusion: In groups with low education, skill-building training courses are essential. Furthermore, appropriate interventions should be designed for groups with high economic status who do not have a high competence.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"9 1","pages":"45 - 51"},"PeriodicalIF":0.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44700304","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}
Maryam Ansari Majd, A. Naghibi, Farideh Khalajabadi-Farahani, M. Moosazadeh, S. Khani
Context: Childbearing is the most important determinants of population fluctuations. Childbearing decision-making is one of the most important issues in couple's life. Aim: This study was done to determine the effect of transtheoretical model-based education on reproductive age woman's decision-making toward childbearing. Setting and Design: This quasi-experimental study was done in nine urban community health centers in Amol city in Iran in 2017. Materials and Methods: In this study, we used multistage random sampling method was conducted among 75 reproductive age women (38 in the intervention group and 37 in the control group). Education in intervention group conducted in five sessions (specific content for precontemplation, contemplation, and preparation group) and continued in weekly online sessions (for 6 months). Control group got education according to routine program from health centers. All participants evaluated by demographic and decision-making questionnaires (based on transtheoretical model) before, 3, and 6 months after education. Statistical Analysis Used: Mean, standard deviation, frequency, t-test, repeated measures ANOVA, Mann–Whitney U, and Generalized Estimation Equation Test used. Results: The mean (standard deviation) of childbearing decision-making scores in education and control groups were as following: in the preeducation, 99.00 (16.60), 97.07 (13.34), 3 months later 109.34 (17.81), 98.44 (15.60), and 6 months after education 107.06 (16.73), 94.59 (15.24), respectively. Repeated measurement showed a significant difference in woman's decision-making toward childbearing within and between the education and control group by time (P = 0.001). Conclusion: The educational program based on the transtheoretical model had a positive effect on reproductive age women's decision-making toward childbearing.
{"title":"The effect of transtheoretical model-based education on reproductive age woman's decision making toward childbearing","authors":"Maryam Ansari Majd, A. Naghibi, Farideh Khalajabadi-Farahani, M. Moosazadeh, S. Khani","doi":"10.4103/jnms.jnms_51_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_51_20","url":null,"abstract":"Context: Childbearing is the most important determinants of population fluctuations. Childbearing decision-making is one of the most important issues in couple's life. Aim: This study was done to determine the effect of transtheoretical model-based education on reproductive age woman's decision-making toward childbearing. Setting and Design: This quasi-experimental study was done in nine urban community health centers in Amol city in Iran in 2017. Materials and Methods: In this study, we used multistage random sampling method was conducted among 75 reproductive age women (38 in the intervention group and 37 in the control group). Education in intervention group conducted in five sessions (specific content for precontemplation, contemplation, and preparation group) and continued in weekly online sessions (for 6 months). Control group got education according to routine program from health centers. All participants evaluated by demographic and decision-making questionnaires (based on transtheoretical model) before, 3, and 6 months after education. Statistical Analysis Used: Mean, standard deviation, frequency, t-test, repeated measures ANOVA, Mann–Whitney U, and Generalized Estimation Equation Test used. Results: The mean (standard deviation) of childbearing decision-making scores in education and control groups were as following: in the preeducation, 99.00 (16.60), 97.07 (13.34), 3 months later 109.34 (17.81), 98.44 (15.60), and 6 months after education 107.06 (16.73), 94.59 (15.24), respectively. Repeated measurement showed a significant difference in woman's decision-making toward childbearing within and between the education and control group by time (P = 0.001). Conclusion: The educational program based on the transtheoretical model had a positive effect on reproductive age women's decision-making toward childbearing.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"238 - 245"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48004554","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}
Pub Date : 2021-10-01DOI: 10.4103/jnms.jnms_175_20
Neriman Keles
Context: Training in breastfeeding counseling has positive effects on breastfeeding knowledge and attitudes of health professionals. Aims: This study aims to determine the breastfeeding knowledge and attitudes of midwifery students who received breastfeeding counseling training. Settings and Design: This study was carried out as a pretest-posttest semi-experimental study with a single group of students in the Midwifery Department of University of Health Science, Istanbul, Turkey, between February and May 2019. Materials and Methods: The sample consisted of all students (58 students) who agreed to participate in the study in the 2nd year of studies in the Midwifery Department. At first, all students were trained about breastfeeding counseling by the researcher. Then, the students were divided into 14 groups and the educational content was shared through peer-assisted learning for 2 h/week during 14 weeks. A “Personal Information Form,” “Breastfeeding Knowledge Evaluation Form,” and the Iowa Infant Feeding Attitudes Scale (IIFAS) were used as data collection tools. Statistical Analysis Used: Data were analyzed using descriptive statistics, a dependent-groups t-test, and a McNemar's test. Results: The students' knowledge of the benefits of colostrum, breast milk, and breastfeeding in maternal health increased after the training (P < 0.05). A significant difference was found between the mean scores of the students on the IIFAS before (65.6 ± 9.7) and after (69.7 ± 7.8) the training (P = 0.008). Conclusion: Breastfeeding counseling training improves students' understanding of basic physiological processes related to breastfeeding and as well as knowledge of and attitudes toward breastfeeding.
{"title":"The effects of training in breastfeeding counseling on breastfeeding knowledge and attitudes of midwifery students","authors":"Neriman Keles","doi":"10.4103/jnms.jnms_175_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_175_20","url":null,"abstract":"Context: Training in breastfeeding counseling has positive effects on breastfeeding knowledge and attitudes of health professionals. Aims: This study aims to determine the breastfeeding knowledge and attitudes of midwifery students who received breastfeeding counseling training. Settings and Design: This study was carried out as a pretest-posttest semi-experimental study with a single group of students in the Midwifery Department of University of Health Science, Istanbul, Turkey, between February and May 2019. Materials and Methods: The sample consisted of all students (58 students) who agreed to participate in the study in the 2nd year of studies in the Midwifery Department. At first, all students were trained about breastfeeding counseling by the researcher. Then, the students were divided into 14 groups and the educational content was shared through peer-assisted learning for 2 h/week during 14 weeks. A “Personal Information Form,” “Breastfeeding Knowledge Evaluation Form,” and the Iowa Infant Feeding Attitudes Scale (IIFAS) were used as data collection tools. Statistical Analysis Used: Data were analyzed using descriptive statistics, a dependent-groups t-test, and a McNemar's test. Results: The students' knowledge of the benefits of colostrum, breast milk, and breastfeeding in maternal health increased after the training (P < 0.05). A significant difference was found between the mean scores of the students on the IIFAS before (65.6 ± 9.7) and after (69.7 ± 7.8) the training (P = 0.008). Conclusion: Breastfeeding counseling training improves students' understanding of basic physiological processes related to breastfeeding and as well as knowledge of and attitudes toward breastfeeding.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"274 - 279"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41437065","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}
Pub Date : 2021-10-01DOI: 10.4103/jnms.jnms_128_20
S. Khanjari, H. Haghani, Maryam Khoshghadm, H. Asayesh
Context: Pain associated with needle procedures is very common among children and causes discomfort among them. Aim: The purpose of this study is to evaluate the effectiveness of combined external cold and vibration during immunization on pain and anxiety levels in children. Setting and Design: This study was a randomized clinical trial in the Abdullahi Comprehensive Health Services Center in Qom, Iran, in 2019. Materials and Methods: One hundred and five eligible children were allocated into experimental (external cold and Buzzy), placebo (off Buzzy device without cold), and control groups (no intervention). Simultaneous external cold and vibration (with Buzzy device) and appalling off Buzzy device were used in the experimental and placebo groups, respectively. Children in the control group had received routine care during immunization. The pain and anxiety levels of the children were measured using the Wong–Baker FACES Scale and Children's Emotional Manifestation Scale. Statistical Analysis Used: Data were analyzed using Chi-square, one-way ANOVA, ANCOVA, and Scheffe post hoc analysis. Results: Pain during immunization in the experimental group (3.71 ± 1.61) was significantly lower than the placebo (5.25 ± 1.37) and control groups (4.45 ± 4.45). The difference between before and after anxiety level was not significant in the three study groups (P < 0.001). Conclusion: The simultaneous external cold and vibration (with Buzzy device) can be used as an effective intervention in pain reduction during intramuscular vaccine injection in children.
{"title":"The effect of combined external cold and vibration during immunization on pain and anxiety levels in children","authors":"S. Khanjari, H. Haghani, Maryam Khoshghadm, H. Asayesh","doi":"10.4103/jnms.jnms_128_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_128_20","url":null,"abstract":"Context: Pain associated with needle procedures is very common among children and causes discomfort among them. Aim: The purpose of this study is to evaluate the effectiveness of combined external cold and vibration during immunization on pain and anxiety levels in children. Setting and Design: This study was a randomized clinical trial in the Abdullahi Comprehensive Health Services Center in Qom, Iran, in 2019. Materials and Methods: One hundred and five eligible children were allocated into experimental (external cold and Buzzy), placebo (off Buzzy device without cold), and control groups (no intervention). Simultaneous external cold and vibration (with Buzzy device) and appalling off Buzzy device were used in the experimental and placebo groups, respectively. Children in the control group had received routine care during immunization. The pain and anxiety levels of the children were measured using the Wong–Baker FACES Scale and Children's Emotional Manifestation Scale. Statistical Analysis Used: Data were analyzed using Chi-square, one-way ANOVA, ANCOVA, and Scheffe post hoc analysis. Results: Pain during immunization in the experimental group (3.71 ± 1.61) was significantly lower than the placebo (5.25 ± 1.37) and control groups (4.45 ± 4.45). The difference between before and after anxiety level was not significant in the three study groups (P < 0.001). Conclusion: The simultaneous external cold and vibration (with Buzzy device) can be used as an effective intervention in pain reduction during intramuscular vaccine injection in children.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"231 - 237"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43706088","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}
Context: Due to the wide prevalence of coronavirus disease 2019 (COVID-19) in Iran, there is a great deal of pressure on nurses who are taking care of patients with COVID-19. Aims: This study aims to investigate the spiritual needs of nurses caring for patients with COVID in Imam Khomeini Hospital in Sari. Settings and Design: This descriptive–correlational research method based on structural equations modeling was conducted at Mazandaran University of Medical sciences. Materials and Methods: The statistical population of the study included all nurses working in the corona ward of Imam Khomeini Hospital in Sari. One hundred out of 140 nurses were randomly selected using Krejcie Morgan formula as the sample size. The Spiritual Needs Questionnaire designed by Büssing et al. was used to assess the spiritual needs of nurses. Statistical Analysis Used: SPSS and PLS 3 software were used at the significance level of ≤0/05 for the analysis of regression equations. Results: The results of the study demonstrated that there is a significant relationship between spiritual needs and its subfactors in nurses caring for COVID-19 patients in Imam Khomeini Hospital in Sari which is based on the path coefficient between nurses “spiritual needs and religious needs (0.752), the need for inner peace (0.699), existentialism needs (0.539), and actively giving needs (0.586).” Furthermore, the PLS 3 of the research was 0.691 which indicated that the structure of the model is well suited to the data. Conclusion: This research led to make a model showing the relationship between spiritual needs and religious needs, the need for inner peace, the existentialism needs, and the actively giving needs in COVID-19 ward.
{"title":"The spiritual needs of nurses caring for patients with COVID-19 disease","authors":"S. Hosseini, Mostafa Behzad Khamesloo, Rahmatollah Marzband, Hassan Amouzad Mehdirji, Mehri Behzad Khamesloo","doi":"10.4103/jnms.jnms_171_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_171_20","url":null,"abstract":"Context: Due to the wide prevalence of coronavirus disease 2019 (COVID-19) in Iran, there is a great deal of pressure on nurses who are taking care of patients with COVID-19. Aims: This study aims to investigate the spiritual needs of nurses caring for patients with COVID in Imam Khomeini Hospital in Sari. Settings and Design: This descriptive–correlational research method based on structural equations modeling was conducted at Mazandaran University of Medical sciences. Materials and Methods: The statistical population of the study included all nurses working in the corona ward of Imam Khomeini Hospital in Sari. One hundred out of 140 nurses were randomly selected using Krejcie Morgan formula as the sample size. The Spiritual Needs Questionnaire designed by Büssing et al. was used to assess the spiritual needs of nurses. Statistical Analysis Used: SPSS and PLS 3 software were used at the significance level of ≤0/05 for the analysis of regression equations. Results: The results of the study demonstrated that there is a significant relationship between spiritual needs and its subfactors in nurses caring for COVID-19 patients in Imam Khomeini Hospital in Sari which is based on the path coefficient between nurses “spiritual needs and religious needs (0.752), the need for inner peace (0.699), existentialism needs (0.539), and actively giving needs (0.586).” Furthermore, the PLS 3 of the research was 0.691 which indicated that the structure of the model is well suited to the data. Conclusion: This research led to make a model showing the relationship between spiritual needs and religious needs, the need for inner peace, the existentialism needs, and the actively giving needs in COVID-19 ward.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"294 - 300"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42963080","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}
Pub Date : 2021-10-01DOI: 10.4103/jnms.jnms_151_20
Hoda Ahmari Tehran, M. Gaeeni, M. Rezaei, A. Khoramirad, Ahmad Parizad
Context: Clinical education is an integral part of nursing education and also it is considered as the heart of professional education. Internship is a part of nursing education program which provides internship students with suitable opportunities to enhance their skills in applying the theoretical knowledge in the clinical placement. Aims: The objectives of this study were to (1) gain a deep understanding of the experiences and perspectives of nursing students and clinical instructors and (2) explain challenges of clinical education in nursing. Setting and Design: This study was a qualitative content analysis conducted in Qom University of Medical Sciences. Materials and Methods: The study participants included 25 senior nursing students in 7th and 8th semesters and 8 nursing instructors. Purposive sampling was conducted until data saturation was reached. Data were collected using semi-structured interviews. Statistical Analysis Used: MAXQDA version 10 was used to store the interview data and codes and “qualitative content analysis with an inductive approach” was used to analyze the data. Results: Data analysis revealed two themes and nine categories which were as follows: “lack of effective clinical education facilitators” (demands for diverse clinical learning methods, setting professional values, and focus on autonomy-based education) and “barriers to effective clinical education” (experiential learning by working in the ward, factors undermining scientific learning, focus on routine-oriented work, ineffective educational planning, nurse mentors' superficial knowledge, and communication barriers). Conclusion: Clinical training as facilitators of learning in the clinical environment requires the participation of faculty, clinical instructors, students, and medical staff. Moreover, the paper has addressed the potential problems which are related to the nursing students, instructors, and clinical setting.
{"title":"The challenges of clinical education in nursing: A qualitative analysis of nursing students and clinical instructors' perspectives","authors":"Hoda Ahmari Tehran, M. Gaeeni, M. Rezaei, A. Khoramirad, Ahmad Parizad","doi":"10.4103/jnms.jnms_151_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_151_20","url":null,"abstract":"Context: Clinical education is an integral part of nursing education and also it is considered as the heart of professional education. Internship is a part of nursing education program which provides internship students with suitable opportunities to enhance their skills in applying the theoretical knowledge in the clinical placement. Aims: The objectives of this study were to (1) gain a deep understanding of the experiences and perspectives of nursing students and clinical instructors and (2) explain challenges of clinical education in nursing. Setting and Design: This study was a qualitative content analysis conducted in Qom University of Medical Sciences. Materials and Methods: The study participants included 25 senior nursing students in 7th and 8th semesters and 8 nursing instructors. Purposive sampling was conducted until data saturation was reached. Data were collected using semi-structured interviews. Statistical Analysis Used: MAXQDA version 10 was used to store the interview data and codes and “qualitative content analysis with an inductive approach” was used to analyze the data. Results: Data analysis revealed two themes and nine categories which were as follows: “lack of effective clinical education facilitators” (demands for diverse clinical learning methods, setting professional values, and focus on autonomy-based education) and “barriers to effective clinical education” (experiential learning by working in the ward, factors undermining scientific learning, focus on routine-oriented work, ineffective educational planning, nurse mentors' superficial knowledge, and communication barriers). Conclusion: Clinical training as facilitators of learning in the clinical environment requires the participation of faculty, clinical instructors, students, and medical staff. Moreover, the paper has addressed the potential problems which are related to the nursing students, instructors, and clinical setting.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"260 - 267"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47459301","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}
Context: Type 2 diabetes mellitus (T2DM) is a common metabolic disorder. Self-care plays a crucial role in the management of diabetes. Self esteem can affect diabetes management. Aim: This study was conducted to determine the contribution of self esteem and diabetes self-care behaviors to the eating attitudes of patients with T2DM. Setting and Design: This study was conducted in a University Hospital between November 2019 and March 2020. Materials and Methods: The sample of this cross-sectional and descriptive study was composed of 150 patients with T2DM. Descriptive Characteristics Form, Coopersmith self esteem Inventory, and Eating Attitude Test were used to collect data. Statistical Analysis: SPSS 25 software was used along with descriptive and inferential statistics in data analysis. Results: It was found that the self esteem mean score of the patients with T2DM was 63.60 (±15.92), 26% of them had an impaired eating attitude, and there was no statistically significant correlation between eating attitude and self esteem of patients with T2DM (P > 0.05). Conclusions: It was concluded that high self esteem, and self-esteem of patients with T2DM were not associated with eating attitude.
{"title":"The contribution of self esteem and self-care behaviors to the eating attitudes: A correlational study in type 2 diabetes patients","authors":"Tulay Usenmez, H. Sürücü, Meltem Sungur","doi":"10.4103/jnms.jnms_14_21","DOIUrl":"https://doi.org/10.4103/jnms.jnms_14_21","url":null,"abstract":"Context: Type 2 diabetes mellitus (T2DM) is a common metabolic disorder. Self-care plays a crucial role in the management of diabetes. Self esteem can affect diabetes management. Aim: This study was conducted to determine the contribution of self esteem and diabetes self-care behaviors to the eating attitudes of patients with T2DM. Setting and Design: This study was conducted in a University Hospital between November 2019 and March 2020. Materials and Methods: The sample of this cross-sectional and descriptive study was composed of 150 patients with T2DM. Descriptive Characteristics Form, Coopersmith self esteem Inventory, and Eating Attitude Test were used to collect data. Statistical Analysis: SPSS 25 software was used along with descriptive and inferential statistics in data analysis. Results: It was found that the self esteem mean score of the patients with T2DM was 63.60 (±15.92), 26% of them had an impaired eating attitude, and there was no statistically significant correlation between eating attitude and self esteem of patients with T2DM (P > 0.05). Conclusions: It was concluded that high self esteem, and self-esteem of patients with T2DM were not associated with eating attitude.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"280 - 287"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49344074","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}
Context: Ambulation improves blood flow, wound healing and reduces postoperative complications. Aims: To assess the effectiveness of early ambulation on the level of anxiety, co-operation and to correlate the anxiety level with co-operation among postoperative patients in the experimental and control group. Settings and Design: Pre- and post-test control group design was adapted for the present study. The participants were selected based on simple random assignment technique using the lottery method from the selected hospital at Puducherry. Materials and Methods: A total of 120 participants were selected for the study, 60 patients were allotted for the experimental group and initiated early ambulation. After 15 h of postoperative period, the patient was ambulated for two times a day for a distance of 30–40 feet, continuously for 5 postoperative days. Sixty samples were allotted for the control group who receives regular postoperative instructions. Modified STAI-Y-1 scale is used to measure the level of anxiety and observation checklist was used to monitor the co-operation for postoperative care before the initiation of early ambulation as pretest and after 5 postoperative days as posttest. Statistical Analysis Used: The data were analyzed using SPSS v. 16 (Chicago, Illinois, USA), statistical tests including frequency, percentage, and Chi-square. Results: Both the groups had severe anxiety levels (100%) and were noncooperative to postoperative care in the pretest. In posttest, the majority (85%) of the client shows mild anxiety, 15% shows no anxiety and most (88%) of the clients were fully cooperative for postoperative care in the experimental group. Whereas in the control group, 90% of the clients shows severe anxiety and were noncooperative. Conclusions: Early ambulation is very effective in reducing postoperative anxiety, thereby the patient was very cooperative for care. Therefore, nurses can teach the importance of early ambulation to patients with laparatomy surgeries
背景:下床活动促进血液流动，伤口愈合，减少术后并发症。目的:评价实验组和对照组术后患者早期下床活动对焦虑、合作水平的影响，并探讨焦虑水平与合作水平的关系。设置与设计:本研究采用试验前和试验后对照组设计。参与者是基于简单的随机分配技术，使用抽奖法从选定的医院中选择的。材料与方法:本研究共选取120例受试者，其中60例为实验组，进行早期下床活动。术后15 h，患者每天步行2次，步行30-40英尺，连续5天。60个样本被分配给对照组，对照组接受常规的术后指导。采用改良的STAI-Y-1量表测量患者的焦虑水平，采用观察表监测患者在开始早期下床前和术后5 d后的术后护理配合情况。使用统计分析:使用SPSS v. 16 (Chicago, Illinois, USA)对数据进行分析，统计检验包括频率、百分比和卡方。结果:两组患者均有严重的焦虑水平(100%)，且在测试前对术后护理不配合。术后测试中，实验组患者大部分(85%)表现为轻度焦虑，15%表现为无焦虑，大部分(88%)患者完全配合术后护理。而在对照组中，90%的来访者表现出严重的焦虑和不合作。结论:早期下床可有效减轻术后焦虑，患者配合护理。因此，护士可以教导早期下床对腹腔镜手术患者的重要性
{"title":"Effectiveness of early ambulation on postoperative anxiety and co-operation among laparotomy surgical patients","authors":"V. Sruthikamal, J. Jasmine, U. Venkatesan","doi":"10.4103/jnms.jnms_71_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_71_20","url":null,"abstract":"Context: Ambulation improves blood flow, wound healing and reduces postoperative complications. Aims: To assess the effectiveness of early ambulation on the level of anxiety, co-operation and to correlate the anxiety level with co-operation among postoperative patients in the experimental and control group. Settings and Design: Pre- and post-test control group design was adapted for the present study. The participants were selected based on simple random assignment technique using the lottery method from the selected hospital at Puducherry. Materials and Methods: A total of 120 participants were selected for the study, 60 patients were allotted for the experimental group and initiated early ambulation. After 15 h of postoperative period, the patient was ambulated for two times a day for a distance of 30–40 feet, continuously for 5 postoperative days. Sixty samples were allotted for the control group who receives regular postoperative instructions. Modified STAI-Y-1 scale is used to measure the level of anxiety and observation checklist was used to monitor the co-operation for postoperative care before the initiation of early ambulation as pretest and after 5 postoperative days as posttest. Statistical Analysis Used: The data were analyzed using SPSS v. 16 (Chicago, Illinois, USA), statistical tests including frequency, percentage, and Chi-square. Results: Both the groups had severe anxiety levels (100%) and were noncooperative to postoperative care in the pretest. In posttest, the majority (85%) of the client shows mild anxiety, 15% shows no anxiety and most (88%) of the clients were fully cooperative for postoperative care in the experimental group. Whereas in the control group, 90% of the clients shows severe anxiety and were noncooperative. Conclusions: Early ambulation is very effective in reducing postoperative anxiety, thereby the patient was very cooperative for care. Therefore, nurses can teach the importance of early ambulation to patients with laparatomy surgeries","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"225 - 230"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44857646","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}
Context: It seems that more students' engagement in the e-learning environment leads to the use of more self-regulated techniques in them; finally, they achieved more success. Aim: This study aimed to determine the relationship between information and communications technology (ICT) engagement with online self-regulated in nursing students of Mazandaran University of Medical Sciences. Setting and Design: This research is a correlational study. The study population included all undergraduate nursing students in the 2nd to 6th semesters of Mazandaran University of Medical Sciences. Materials and Methods: The sampling was done by accessible method according to the inclusion criteria. The sample size was estimated 272 students. In this study, in addition to examining the demographic characteristics, two standard questionnaires were used, which include: (a) ICT engagement questionnaire and (b) the online self-regulated learning questionnaire. Statistical Analysis Used: Inferential statistics such as ANOVA, independent t-test, Pearson correlation coefficient, and univariate and multivariate linear regression were used. Results: The results also showed that with multiple regression tests and Enter method, the ICT engagement, age, semesters 3, 5, and 6 and gender explain 30% of the variance of online self-regulated in nursing students. Conclusion: In this study, the ICT engagement and online self-regulated had statistically significant relationship in nursing students and. So, for improving online self-regulated, it is recommended that the officials of nursing schools provide the facility and related to ICT engagement of students.
{"title":"Relationship between information and communications technology engagement with online self-regulated learning in nursing students of Mazandaran University of medical sciences","authors":"M. Bagheri-Nesami, S. Ahmady, Noushin Kohan","doi":"10.4103/jnms.jnms_27_21","DOIUrl":"https://doi.org/10.4103/jnms.jnms_27_21","url":null,"abstract":"Context: It seems that more students' engagement in the e-learning environment leads to the use of more self-regulated techniques in them; finally, they achieved more success. Aim: This study aimed to determine the relationship between information and communications technology (ICT) engagement with online self-regulated in nursing students of Mazandaran University of Medical Sciences. Setting and Design: This research is a correlational study. The study population included all undergraduate nursing students in the 2nd to 6th semesters of Mazandaran University of Medical Sciences. Materials and Methods: The sampling was done by accessible method according to the inclusion criteria. The sample size was estimated 272 students. In this study, in addition to examining the demographic characteristics, two standard questionnaires were used, which include: (a) ICT engagement questionnaire and (b) the online self-regulated learning questionnaire. Statistical Analysis Used: Inferential statistics such as ANOVA, independent t-test, Pearson correlation coefficient, and univariate and multivariate linear regression were used. Results: The results also showed that with multiple regression tests and Enter method, the ICT engagement, age, semesters 3, 5, and 6 and gender explain 30% of the variance of online self-regulated in nursing students. Conclusion: In this study, the ICT engagement and online self-regulated had statistically significant relationship in nursing students and. So, for improving online self-regulated, it is recommended that the officials of nursing schools provide the facility and related to ICT engagement of students.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"253 - 259"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45268762","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}
Pub Date : 2021-10-01DOI: 10.4103/jnms.jnms_168_20
Vahide Çakmak, S. Pakyuz
Context: Health literacy and rational drug use are associated with controlling high blood pressure. Aim: The aim of this study was to evaluate the effects of education given by nurses on rational drug use and health literacy of patients receiving hypertension treatment. Settings and Design: The type of study is a randomized controlled experimental study. This study was carried out at the family health center. Materials and Methods: One hundred patients with hypertension were assigned to the intervention (50 patients) and control (50 patients) groups using the simple sampling method. Data were collected twice with 3 months intervals with the patient identification form, the Rational Drug Use Scale (RDUS), and the Adult Health Literacy Scale (AHLS). Statistical Analysis Used: The data were analyzed by SPSS 22. Independent samples t-, Mann–Whitney U-, Paired samples t-, Wilcoxon signed-rank, and Chi-square tests were used for statistical analysis of within-group and between groups. Results: The mean age of the intervention group was 55.38 ± 7.07 years and 68.0% were female. The mean age of the control group was 55.12 ± 6.88 years and 64.0% were female. Intervention group was found a total score of AHLS (13.28 ± 4.10) and a total score of RDUS (50.70 ± 7.82). The scores were statistically significant. After the training given to the intervention group, there was a decrease in blood pressure. Conclusions: It was concluded that the training given by the nurse positively increased the rational drug use and health literacy in patients with hypertension. Necessary training should be given to patients by nurses. These trainings will benefit patients.
{"title":"The effects of education given by nurses on rational drug use and health literacy of patients receiving hypertension treatment","authors":"Vahide Çakmak, S. Pakyuz","doi":"10.4103/jnms.jnms_168_20","DOIUrl":"https://doi.org/10.4103/jnms.jnms_168_20","url":null,"abstract":"Context: Health literacy and rational drug use are associated with controlling high blood pressure. Aim: The aim of this study was to evaluate the effects of education given by nurses on rational drug use and health literacy of patients receiving hypertension treatment. Settings and Design: The type of study is a randomized controlled experimental study. This study was carried out at the family health center. Materials and Methods: One hundred patients with hypertension were assigned to the intervention (50 patients) and control (50 patients) groups using the simple sampling method. Data were collected twice with 3 months intervals with the patient identification form, the Rational Drug Use Scale (RDUS), and the Adult Health Literacy Scale (AHLS). Statistical Analysis Used: The data were analyzed by SPSS 22. Independent samples t-, Mann–Whitney U-, Paired samples t-, Wilcoxon signed-rank, and Chi-square tests were used for statistical analysis of within-group and between groups. Results: The mean age of the intervention group was 55.38 ± 7.07 years and 68.0% were female. The mean age of the control group was 55.12 ± 6.88 years and 64.0% were female. Intervention group was found a total score of AHLS (13.28 ± 4.10) and a total score of RDUS (50.70 ± 7.82). The scores were statistically significant. After the training given to the intervention group, there was a decrease in blood pressure. Conclusions: It was concluded that the training given by the nurse positively increased the rational drug use and health literacy in patients with hypertension. Necessary training should be given to patients by nurses. These trainings will benefit patients.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"8 1","pages":"246 - 252"},"PeriodicalIF":0.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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