Health Care for Women International最新文献

We conducted this randomized controlled experimental study to determine the effects of game-based virtual reality (VR) applications on labor pain and childbirth satisfaction in 120 primiparous pregnant women. The intervention group received game-based VR intervention combined with non-pharmacological methods for managing labor pain, while the control group received routine care. In comparison to the control group, the intervention group had significantly lower pain levels (p < 0.001) and significantly higher childbirth satisfaction levels (p < 0.001). According to our findings, the use of game-based VR was associated with reduced labor pain and increased childbirth satisfaction, suggesting its potential as an innovative approach to improving maternal health outcomes globally.

Researchers investigating the psychological impact of the Russia-Ukraine conflict indicate that women are at heightened risk of developing psychological disturbances compared to men. Thus, an in-depth examination of how psychological research address the mental health status and experiences of Ukrainian women during the current conflict is warranted. Following PRISMA guidelines, we conducted a systematic review on psychological research on Ukrainian women during the Russia-Ukraine conflict. 7 articles were deemed eligible for inclusion and three primary research trajectories were identified: Women Caring for Women; Where War Destroys, Life Reemerges; Negotiations and Resistance. Overall, research on this topic is underdeveloped. Given the vulnerability of this population, further studies adopting a gender-sensitive approach are urgently needed. The identified research trajectories illuminate key themes investigated by the international scientific community, also offering insights into how researchers in the field of psychology engage with the extreme trauma of war and its intersection with feminine experiences.

This study was conducted with a total of 273 women who had at least one vaginal birth in order to examine women's perceptions of traumatic births and the factors affecting these perceptions. This is a descriptive and correlational study. Womens Traumatic Birth Perception Scale (TBPS) mean score was 59.92 ± 35.73(Min = 0; Max = 130). It was determined that factors such as previous pregnancy complications, telling about the last birth, fear of birth, use of painkillers during birth, episiotomy, fundal compression at birth, and length of stay at birth affected the TBPS score (p < 0.05). These variables accounted for 48% of the variance in traumatic birth experiences.

Our purpose in the present study is to determine mothers' perceptions of breastfeeding through metaphors. This is qualitative, cross-sectional and descriptive study. The present study included 33 volunteer mothers who gave birth vaginally for the first time, received care in the postpartum service, and breastfed their babies at least 10 times. To reveal the metaphors related to the concept of breastfeeding, each mother was asked to complete the sentence "Breastfeeding is like… because…." The perceptions of the mothers about breastfeeding were gathered under three main themes: positive, negative and neutral metaphors. The identified metaphors were divided into five categories: indescribable emotion, peace, healing, task and inflicting pain. The mothers produced more positive metaphors about breastfeeding.

In this study, we explored the impact of the Nursing Pregnant Education and Counseling Program, grounded in the Neuman Systems Model, on stress, coping, and birth outcomes for high-risk pregnant women susceptible to pre-term labor. The study has a pretest-posttest quasi-experimental design. Participants were split into two groups: one undergoing the Nursing Pregnant Education and Counseling Program (n=30), and the other receiving standard clinical care(n=30). We found a significant difference in stress perception and coping scores between women in the intervention and control groups, favoring the intervention group. Moreover, we observed a notable rise in full-term deliveries in the experimental group, along with a decreased rate of complications for babies compared to the control group. Use of this program for high-risk pregnant women resulted in reductions in maternal stress, improved use of active coping strategies, and favorable impacts on birth outcomes.

In this study, we aimed to evaluate the impact of telemedicine for contraceptive counseling on knowledge levels and satisfaction with Family Planning Services. We collected data from 77 third-trimester pregnant women using a personal information form, Family Planning Knowledge Questionnaire, and the Satisfaction with Family Planning Services Scale and compared the data using chi-square test, Fisher's exact chi-square test, t-test for independent and dependent groups and Mann-Whitney U analysis. The experimental group participants (n = 37) received two informative video visits for contraceptive counseling, while the women in the control group (n = 40) received routine face-to-face Family Planning Services at their primary health care center. Participants in the experimental group showed a greater increase in knowledge levels and higher satisfaction with Family Planning Services than those in the control group (p < 0.05). In conclusion, we determined that telemedicine for contraceptive counseling is a promising option even beyond the pandemic.

Diagnostic delay for endometriosis is a well-established phenomenon. Despite this, little is known about where in the health care system these delays occur or why they occur. Our review is the first attempt to synthesize and analyze this international evidence. A systematic scoping review with a pre-specified protocol incorporated the literature on diagnostic delay for endometriosis using the social-ecological theoretical framework. Four databases (PubMed, MEDLINE, EMBASE, PsychINFO) were searched from inception to September 2023. The search yielded 403 studies, 23 of which met the inclusion criteria. Most were from high-income country researchers. The average diagnostic delay reported across studies was 6.8 years (range 1.5-11.4 years) but this masked the very wide differences reported between countries. Considering the impact on individuals and the health system, addressing diagnostic delay for endometriosis must remain a priority for researchers, health care providers and policy makers.

In this cross-sectional study, the authors investigated the relationships between chronic pain intensity and quality of life, pain coping strategies, and pain beliefs levels in 405 adult women. The participants with a mean age of 48.8 ± 5.08 generally defined chronic pain intensity as moderate pain (x̅=7.17, sd = 2.01). There was a weak positive relationship between chronic pain intensity and the worrying dimension, one of the passive coping strategies, and a weak negative relationship with the retreating dimension. A weak negative relationship was identified between chronic pain intensity and pain beliefs levels, both organic beliefs and psychological beliefs sub-dimensions. The multivariate model identified by regression analysis explained 21.2% of the total chronic pain intensity variance. Our findings suggest that while chronic pain is undoubtedly a complex and multifaceted experience, understanding the psychosocial aspects of a person's life can shed valuable light on their pain levels and how they cope with them.