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Postpartum depression: combining a mobile application with recititations from the Holy Quran in Indonesia 产后抑郁症:在印度尼西亚将移动应用程序与诵读《古兰经》相结合
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.66
L. Latifah, M. D. Anggraeni, Hasby Pri Choiruna
The incidence of postpartum depression in Indonesia is greater than the global average, and has detrimental effects on mothers, families, society and the country. Mobile applications are widely used to treat postpartum depression, but combining this with readings from the Holy Quran is uncommon in Indonesia. This study aimed to investigate the effect of combining mobile applications with the Holy Quran on postpartum depression symptoms. A randomised controlled pre-post-test time series was conducted from June to December 2020, involving 128 pregnant women in their third trimester. The ‘app’ group (64 participants) received the intervention until 2 months postpartum, while the control group (64 participants) received no intervention. The Edinburgh postpartum depression scale, state-trait anxiety inventor, and the Rosenberg self-esteem scale were used to gather data. Postpartum depression scores in the app group were significantly lower than in the control group. There were no differences in the anxiety or self-esteem scores between the app and control groups. The proportion of depression scores of 10 and above decreased by 25% in the app group and 7.8% in the control group. Use of a mobile application in combination with the Holy Quran voice may help reduce postpartum depressive symptoms in Indonesia. Maternity nurses and midwives may wish to recommend use of this app to the women they care for, if appropriate.
印度尼西亚的产后抑郁症发病率高于全球平均水平,对母亲、家庭、社会和国家都造成了不利影响。移动应用程序被广泛用于治疗产后抑郁症,但在印尼,将移动应用程序与《古兰经》诵读相结合的做法并不多见。本研究旨在调查将移动应用程序与《古兰经》相结合对产后抑郁症状的影响。在 2020 年 6 月至 12 月期间进行了一项随机对照的前测-后测时间序列研究,共有 128 名怀孕三个月的孕妇参与。应用程序 "组(64 名参与者)接受干预至产后 2 个月,而对照组(64 名参与者)不接受干预。数据收集采用了爱丁堡产后抑郁量表、状态-特质焦虑量表和罗森伯格自尊量表。应用程序组的产后抑郁得分明显低于对照组。应用程序组和对照组的焦虑和自尊评分没有差异。抑郁评分在 10 分及以上的比例,应用组减少了 25%,对照组减少了 7.8%。在印度尼西亚,结合《古兰经》语音使用移动应用程序可能有助于减轻产后抑郁症状。产科护士和助产士可酌情向其护理的妇女推荐使用该应用程序。
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引用次数: 0
Exciting announcements for the coming months 未来几个月的精彩公告
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.57
Suzannah Allkins
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引用次数: 0
Risk assessments and ethnicity in maternity care: looking through the wrong end of the telescope? 孕产妇护理中的风险评估和种族问题:望远镜里的错误视角?
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.98
Anna Melamed
Many Black and brown women are classified as ‘high risk’ and follow obstetric-led pathways. This may be the result of social determinants of health, or over pathologisation as a result of racial bias by healthcare providers and systems. There may be times when social determinants are mistaken for innate physiological differences, leading to iatrogenic harm. There is both over and underdiagnosis resulting from racial bias in midwifery care. Women with intermediate risk factors may benefit from midwifery-led care, especially Black and brown women. Community-based, relational, women-centred midwifery models of care can reduce the problems of pathologisation and redress some social inequalities.
许多黑人和棕色人种妇女被归类为 "高风险",并遵循产科主导的路径。这可能是健康的社会决定因素造成的,也可能是医疗保健提供者和系统的种族偏见导致的过度病理化。有时,社会决定因素会被误认为是先天性的生理差异,从而导致先天性伤害。助产护理中的种族偏见导致诊断过度和诊断不足。具有中等风险因素的妇女,尤其是黑人和棕色人种妇女,可能会从助产护理中受益。以社区为基础、以关系为纽带、以妇女为中心的助产护理模式可以减少病理化问题,并纠正一些社会不平等现象。
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引用次数: 0
Exciting announcements for the coming months 未来几个月的精彩公告
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.57
Suzannah Allkins
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引用次数: 0
Pregnant women's perceptions of daily iron supplementation in rural Ghana 加纳农村地区孕妇对每日铁质补充剂的看法
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.77
Listowel Ferka, A. Kumi-Kyereme, Naomi Kyeremaa Yeboa, Isaac Kwaku Adu
In Ghana, compliance with daily iron supplementation during pregnancy is low, particularly in the Tain district. This may be related to pregnant women's perceptions of iron supplements. The aim of this study was to explore pregnant women's perceptions of daily iron supplements in the Tain district. This descriptive qualitative study used an interpretative approach. Data were gathered from a purposive sample of 20 pregnant mothers, through semi-structured interviews and face-to-face in-depth discussions. Data were analysed thematically. Women were unwilling to take iron supplements because of their belief that daily iron supplements make a baby too big for vaginal birth, leading to cervical tears, episiotomy or caesarean section. They were also concerned that supplements could cause nausea and vomiting during pregnancy, and excessive bleeding during labour and birth. It is important to educate pregnant women on the benefits of iron supplementation during pregnancy and encourage them to acquire information from verified sources.
在加纳,孕期每日补充铁剂的依从性很低,尤其是在泰恩地区。这可能与孕妇对铁质补充剂的看法有关。本研究旨在探讨泰恩地区孕妇对每日铁质补充剂的看法。这项描述性定性研究采用了解释性方法。通过半结构式访谈和面对面的深入讨论,从 20 名怀孕母亲的特定样本中收集数据。对数据进行了专题分析。妇女不愿意服用铁质补充剂,因为她们认为每天服用铁质补充剂会使胎儿过大,不适合通过阴道分娩,从而导致宫颈撕裂、外阴切开术或剖腹产。她们还担心补充剂会导致孕期恶心和呕吐,以及分娩和生产时出血过多。向孕妇宣传孕期补铁的益处并鼓励她们从可靠的渠道获取信息非常重要。
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引用次数: 0
Perinatal outcomes in persistent occiput posterior fetal position: a systematic review and meta-analysis 持续枕后位胎儿的围产儿结局:系统回顾和荟萃分析
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.88
Elisa Giallongo, Angela C Webster
Persistent occiput posterior fetal position is the most common fetal malposition during labour. The aim of this study was to measure the magnitude of the effects of this labour dystocia on perinatal outcomes, as compared to anterior position. A systematic review of the literature included prospective and retrospective cohort studies of singleton term pregnancies, comparing the effect of occiput posterior fetal position with occiput anterior fetal position. Random-effect meta-analysis was performed. Overall, eight studies were included, for a total of 140 590 participants. Women with fetuses in occiput posterior position were more likely to give birth via caesarean section (odds ratio: 6.74, P<0.001), based on data from all eight studies. Newborns experienced an increased risk of admission to a neonatal intensive care unit (odds ratio: 1.60, P<0.001), based on data from five of the included studies. Persistent occiput posterior fetal position negatively affects maternal and neonatal outcomes. Future studies should reduce potential bias, include adjusted analysis and investigate the best clinical management for this labour dystocia.
持续枕后位是分娩过程中最常见的胎位不正。本研究的目的是测量与前置胎位相比,这种分娩难产对围产儿结局的影响程度。一项系统性的文献综述包括对单胎足月妊娠的前瞻性和回顾性队列研究,比较了枕后胎位和枕前胎位的影响。进行了随机效应荟萃分析。总共纳入了八项研究,参与人数达 140 590 人。根据所有八项研究的数据,胎儿枕后位的妇女更有可能通过剖腹产分娩(几率比:6.74,P<0.001)。根据五项纳入研究的数据,新生儿入住新生儿重症监护室的风险增加(几率比:1.60,P<0.001)。持续枕后位会对产妇和新生儿的预后产生负面影响。未来的研究应减少潜在的偏倚,纳入调整后的分析,并调查针对这种分娩难产的最佳临床处理方法。
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引用次数: 0
Pregnant women's perceptions of daily iron supplementation in rural Ghana 加纳农村地区孕妇对每日铁质补充剂的看法
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.77
Listowel Ferka, A. Kumi-Kyereme, Naomi Kyeremaa Yeboa, Isaac Kwaku Adu
In Ghana, compliance with daily iron supplementation during pregnancy is low, particularly in the Tain district. This may be related to pregnant women's perceptions of iron supplements. The aim of this study was to explore pregnant women's perceptions of daily iron supplements in the Tain district. This descriptive qualitative study used an interpretative approach. Data were gathered from a purposive sample of 20 pregnant mothers, through semi-structured interviews and face-to-face in-depth discussions. Data were analysed thematically. Women were unwilling to take iron supplements because of their belief that daily iron supplements make a baby too big for vaginal birth, leading to cervical tears, episiotomy or caesarean section. They were also concerned that supplements could cause nausea and vomiting during pregnancy, and excessive bleeding during labour and birth. It is important to educate pregnant women on the benefits of iron supplementation during pregnancy and encourage them to acquire information from verified sources.
在加纳,孕期每日补充铁剂的依从性很低,尤其是在泰恩地区。这可能与孕妇对铁质补充剂的看法有关。本研究旨在探讨泰恩地区孕妇对每日铁质补充剂的看法。这项描述性定性研究采用了解释性方法。通过半结构式访谈和面对面的深入讨论,从 20 名怀孕母亲的特定样本中收集数据。对数据进行了专题分析。妇女不愿意服用铁质补充剂,因为她们认为每天服用铁质补充剂会使胎儿过大,不适合通过阴道分娩,从而导致宫颈撕裂、外阴切开术或剖腹产。她们还担心补充剂会导致孕期恶心和呕吐,以及分娩和生产时出血过多。向孕妇宣传孕期补铁的益处并鼓励她们从可靠的渠道获取信息非常重要。
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引用次数: 0
The influence of ethnicity on assessments and academic progression in a midwifery degree 种族对助产士学位评估和学术进步的影响
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.58
Shauna Gnanapragasam
Midwifery degrees require students to study for 3 years, during which they are assessed both academically and in practice placements. This study's aim was to explore year-by-year associations between assessment grades and students' ethnicity as they progressed through their degree. Retrospective data collected at a single university in the UK were analysed using descriptive statistics. The cohort and variables were stratified by student ethnicity, year of study and assessment grades given for academic work and placement practice assessments. While Black, Asian and minority ethnic students started with lower practice assessment grades in year 1, this improved such that there was no difference in attainment by year 3. In contrast, university academic grades were consistently lower for Black, Asian and minority ethnic versus White students, and this pattern did not change throughout the degree programme. The likely factor in lower final degree outcomes among Black, Asian and minority ethnic students is not from practice assessments but academic performance. Targeted interventions that recognise different learning styles and educational experiences in the university environment may address and improve this inequality in attainment.
助产士学位要求学生学习 3 年,在此期间对他们进行学业和实习评估。本研究旨在逐年探讨学生在攻读学位期间的评估成绩与种族之间的关联。本研究采用描述性统计方法对英国一所大学收集的回顾性数据进行了分析。根据学生的种族、就读年级以及学术作业和实习实践评估的等级,对学生群体和变量进行了分层。虽然黑人、亚裔和少数族裔学生在一年级时的实践评估成绩较低,但到三年级时成绩有所改善,没有差别。相比之下,黑人、亚裔和少数民族学生的大学学业成绩一直低于白人学生,而且这种模式在整个学位课程中没有改变。造成黑人、亚裔和少数民族学生最终学位成绩较低的因素可能不是实践评估,而是学业成绩。认识到大学环境中不同学习风格和教育经历的有针对性的干预措施可能会解决和改善这种学业成绩不平等的问题。
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引用次数: 0
Postpartum depression: combining a mobile application with recititations from the Holy Quran in Indonesia 产后抑郁症:在印度尼西亚将移动应用程序与诵读《古兰经》相结合
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.66
L. Latifah, M. D. Anggraeni, Hasby Pri Choiruna
The incidence of postpartum depression in Indonesia is greater than the global average, and has detrimental effects on mothers, families, society and the country. Mobile applications are widely used to treat postpartum depression, but combining this with readings from the Holy Quran is uncommon in Indonesia. This study aimed to investigate the effect of combining mobile applications with the Holy Quran on postpartum depression symptoms. A randomised controlled pre-post-test time series was conducted from June to December 2020, involving 128 pregnant women in their third trimester. The ‘app’ group (64 participants) received the intervention until 2 months postpartum, while the control group (64 participants) received no intervention. The Edinburgh postpartum depression scale, state-trait anxiety inventor, and the Rosenberg self-esteem scale were used to gather data. Postpartum depression scores in the app group were significantly lower than in the control group. There were no differences in the anxiety or self-esteem scores between the app and control groups. The proportion of depression scores of 10 and above decreased by 25% in the app group and 7.8% in the control group. Use of a mobile application in combination with the Holy Quran voice may help reduce postpartum depressive symptoms in Indonesia. Maternity nurses and midwives may wish to recommend use of this app to the women they care for, if appropriate.
印度尼西亚的产后抑郁症发病率高于全球平均水平,对母亲、家庭、社会和国家都造成了不利影响。移动应用程序被广泛用于治疗产后抑郁症,但在印尼,将移动应用程序与《古兰经》诵读相结合的做法并不多见。本研究旨在调查将移动应用程序与《古兰经》相结合对产后抑郁症状的影响。在 2020 年 6 月至 12 月期间进行了一项随机对照的前测-后测时间序列研究,共有 128 名怀孕三个月的孕妇参与。应用程序 "组(64 名参与者)接受干预至产后 2 个月,而对照组(64 名参与者)不接受干预。数据收集采用了爱丁堡产后抑郁量表、状态-特质焦虑量表和罗森伯格自尊量表。应用程序组的产后抑郁得分明显低于对照组。应用程序组和对照组的焦虑和自尊评分没有差异。抑郁评分在 10 分及以上的比例,应用组减少了 25%,对照组减少了 7.8%。在印度尼西亚,结合《古兰经》语音使用移动应用程序可能有助于减轻产后抑郁症状。产科护士和助产士可酌情向其护理的妇女推荐使用该应用程序。
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引用次数: 0
The influence of ethnicity on assessments and academic progression in a midwifery degree 种族对助产士学位评估和学术进步的影响
Q2 Nursing Pub Date : 2024-02-02 DOI: 10.12968/bjom.2024.32.2.58
Shauna Gnanapragasam
Midwifery degrees require students to study for 3 years, during which they are assessed both academically and in practice placements. This study's aim was to explore year-by-year associations between assessment grades and students' ethnicity as they progressed through their degree. Retrospective data collected at a single university in the UK were analysed using descriptive statistics. The cohort and variables were stratified by student ethnicity, year of study and assessment grades given for academic work and placement practice assessments. While Black, Asian and minority ethnic students started with lower practice assessment grades in year 1, this improved such that there was no difference in attainment by year 3. In contrast, university academic grades were consistently lower for Black, Asian and minority ethnic versus White students, and this pattern did not change throughout the degree programme. The likely factor in lower final degree outcomes among Black, Asian and minority ethnic students is not from practice assessments but academic performance. Targeted interventions that recognise different learning styles and educational experiences in the university environment may address and improve this inequality in attainment.
助产士学位要求学生学习 3 年,在此期间对他们进行学业和实习评估。本研究旨在逐年探讨学生在攻读学位期间的评估成绩与种族之间的关联。本研究采用描述性统计方法对英国一所大学收集的回顾性数据进行了分析。根据学生的种族、就读年级以及学术作业和实习实践评估的等级,对学生群体和变量进行了分层。虽然黑人、亚裔和少数族裔学生在一年级时的实践评估成绩较低,但到三年级时成绩有所改善,没有差别。相比之下,黑人、亚裔和少数民族学生的大学学业成绩一直低于白人学生,而且这种模式在整个学位课程中没有改变。造成黑人、亚裔和少数民族学生最终学位成绩较低的因素可能不是实践评估,而是学业成绩。认识到大学环境中不同学习风格和教育经历的有针对性的干预措施可能会解决和改善这种学业成绩不平等的问题。
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引用次数: 0
期刊
British Journal of Midwifery
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