African journal of reproductive health最新文献

Mathematics education faces significant challenges, with students frequently experiencing anxiety and poor learning outcomes, particularly in developing countries like Pakistan. Mobile learning apps are promising tools for enhancing student engagement and motivation through interactive, personalized learning experiences. This study examines the influence of mobile learning app usage on the mathematics motivation and engagement of secondary school students in Pakistan and investigates how perceived barriers moderate these relationships. Using convenience sampling, 343 students were selected from 15 secondary schools in Sahiwal district. The study employed Partial Least Squares Structural Equation Modeling (PLS-SEM) to analyze the data. Results indicate that mobile learning app usage significantly influences students' mathematics motivation (β = 0.557, p < 0.001) and engagement (β = 0.283, p < 0.001), while mathematics motivation also significantly influences engagement (β = 0.525, p < 0.001). The model explained substantial variance (R² = 0.460 for motivation; R² = 0.616 for engagement). Moreover, barriers negatively moderated these relationships (motivation: β = -0.125, p < 0.01; engagement: β = -0.052, p < 0.05). These findings guide policymakers and app developers in developing contexts. By boosting students' motivation and engagement, mobile learning can reduce mathematics anxiety, build confidence, and support wellbeing and success.

The objective of this study was to assess the impact of cluster nursing on catheter-associated urinary tract infection (CA-UTI) in critically ill patients. Sixty critically ill patients with CA-UTI admitted to Affiliated Hospital of Beihua University from January 2020 to December 2021 were randomly separated into observation group (OG) and control group (CG). The CG accepted routine intensive care unit (ICU) nursing. The OG accepted cluster nursing management in addition to ICU nursing. Relative to the CG, the OG had lower mortality rate, shorter hospitalization time, lower incidence of complications, better improvements of the levels of serum creatinine (Scr), urine creatinine (Ucr) and blood urea nitrogen (BUN), higher satisfaction score, lower Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ score, higher scores of quality of life and Barthel Index (BI) , and lower depression and anxiety scores. We conclude that cluster nursing can improve the renal function, and improve the prognosis, psychological status, and the quality of life in critically ill patients with urinary tract infections.

Husband involvement during pregnancy plays a crucial role in improving maternal and fetal health outcomes. However, in the Minangkabau culture, which follows a matrilineal system, such involvement is often limited by prevailing cultural norms. This study aimed to bridge cultural norms and maternal health by implementing a culturally adapted comprehensive caring training model to increase male involvement during pregnancy. This quantitative study employed a pre-experimental one-group pretest-posttest design involving 92 husbands of pregnant women in Lubuk Alung, Batang Anai, and Empat Koto Aur Melintang, West Sumatra, Indonesia. Data on husband involvement were collected before and after the intervention, covering five domains: emotional, informational, physical, participation, and social-spiritual support. Before the intervention, husband involvement was highest in the emotional domain (mean score = 10.07) and lowest in the physical domain (mean score = 7.87). After the training, significant improvements were observed across all domains: emotional (11.93), informational (11.59), physical (11.24), participation (10.93), and social-spiritual (10.67) (all p < 0.05). The comprehensive caring training model effectively enhanced husband involvement in various aspects of pregnancy care, including emotional, financial, informational, social-spiritual, and physical support. This culturally tailored intervention shows promise for improving maternal health outcomes and is recommended as a model for culture-based health strategies to reduce maternal and infant mortality in Indonesia.

This study was conducted to measure the effect of a Transtheoretical Model (TTM)-based contraceptive training program on university students' contraceptive knowledge, attitude, and behavior. The study is a Randomized Clinical Trial where the experiment was targeting 68 international nursing students (intervention group: 34, control group: 34). Students in the intervention group received a training designed to boost their knowledge, attitude and behavior. The control group received no specific program. The data was analyzed using SPSS 27.0 version software. The results revealed a significant difference between the groups at post-test (Z = -7.003, p = .000, r = 0.85), (Z = -6.859, p < .001, r = 0.83) and (Z = -6.579, p < .001, r = 0.80), respectively to all variables contraceptive knowledge, attitude and behavior compared to the control group respectively. The study findings indicate evidence that a TTM-based intervention can significantly improve contraceptive knowledge, attitudes, and behaviors.

This study aimed to examine the relationship between pregnancy-related discomforts, their impact on quality of life, and prenatal attachment. A descriptive cross-sectional study was conducted among 394 pregnant women followed at a university hospital. Data were collected using a personal information form, the Scale of Complaints Related to Pregnancy and Their Impact on Quality of Life (SCPEQL), and the Prenatal Attachment Inventory (PAI).Sociodemographic factors affecting quality of life included age, place of residence, and economic status, while obstetric factors included gestational trimester, risk status, and psychological well-being. The most frequently reported symptoms were incontinence, frequent urination (pollakiuria), and fatigue.Overall, prenatal attachment showed a weak, negative, and non-significant relationship with quality of life (p > 0.05). However, a significant positive association was observed between the "hope" subscale of prenatal attachment-which reflects optimism and positive expectations regarding pregnancy-and the "limitation" subscale of quality of life (p < 0.05).The results of this study indicate that pregnant women frequently experience neuropsychological and genitourinary symptoms, which are associated with decreased quality of life and prenatal attachment scores. These findings highlight the essential role of midwives and nurses in implementing targeted interventions to address both physical complaints and psychological well-being of pregnant women.

This cross-sectional study was conducted to examine the effects of prenatal attachment and perceived stress on the adaptation process during pregnancy. The study was completed with 302 pregnant women who applied to the obstetrics and gynecology clinic. Data were collected face-to-face using the "Pregnancy Information Form", "Perceived Stress Scale", "Prenatal Attachment Scale" and "Prenatal Self-Assessment Scale-Pregnancy Acceptance Subscale". Number, percentage distribution, Mann Whitney U Test, Kruskal Wallis Test, Bonferroni and Spearman correlation tests were used in the analysis of data. A significant and negative relationship was found between the Prenatal Attachment Scale and other scales. As the participants' prenatal attachment levels increase, their perceived stress levels decrease and their pregnancy acceptance levels increase. It is recommended that pregnant women be supported psychosocially, evaluated in terms of attachment, stress and depression, childbirth preparation training be expanded and more research be conducted.

This cross-sectional study evaluated gynecologists' attitudes, practices, and knowledge of obstetricians in Egypt towards virginity testing (VT). The study involved 120 gynecologists from private clinics and hospitals in Ismailia, Egypt. The questionnaire was developed in three sections: Section one asked questions on participants' socio demographic backgrounds, while Section two inquired on the gynecologists' knowledge, attitudes, and practices concerning VT. Section three of the questionnaire solicited information from the respondents about the characteristics of women who were submitted for VT. The results showed that 82.5% of the participants were unable to adequately identify VT. Sixty-five (54.2%) of the participants reported negative attitudes towards VT. The most common motivation for performing VT was the exclusion of an imperforate hymen in 70% of participants. 68.2% of women who presented for VT were unmarried, and 80.8% were Muslims. Virginity testing is practiced among Egyptian gynecologists despite the lack of accurate knowledge and a positive attitude towards its disadvantages.

It was aimed to determine the beliefs and opinions of the people participating in our research about vaccination and to assess whether the COVID-19 pandemic process affected their belief and opinion about vaccination, and if so, in which direction. This descriptive cross-sectional study conducted a Family Health Centre in Kütahya. In this study, a questionnaire form were used to determine opinions about vaccination practices. Of the 377 people participants, 184 (48.8%) were male and 193 (51.2%) were female. While 313 (83%) of the participants were positive, 10 (2.7%) had negative opinions about vaccines and 54 (14.3%) were undecided. After the COVID-19 pandemic, the opinion of 27.3% (n:103) of the participants about vaccination has changed compared to before. It was found that 64 (63.1%) of 103 people who had a change in their opinion of vaccination had a positive change. According to our work, the risks posed by the pandemic have caused positive changes in overall vaccination opinion of the participants.

This study compared microfluidic sperm selection chips with density gradient centrifugation and swim-up methods using 60 semen samples. All techniques improved sperm motility and reduced DNA fragmentation, abnormal morphology, and leukocyte levels. The microfluidic chip yielded sperm with the best motility, morphology, and DNA integrity, though with a lower recovery rate and concentration than traditional methods. Progressive motility recovery rates were similar across groups. Despite lower sperm yield, microfluidic chips offer a promising option for selecting high-quality sperm in fertility treatments.

Hypertension in pregnant women is a leading cause of maternal morbidity and mortality globally, particularly in developing countries. This systematic review evaluates the effectiveness of non-pharmacological treatments in reducing blood pressure in pregnant women with hypertension. The articles analyzed were sourced from multiple databases between 2013 and 2023, focusing on hypertensive disorders in pregnancy and non-pharmacological treatments. After screening and eligibility assessment, six relevant studies were included. The results revealed that non-pharmacological interventions, such as yoga therapy, Qur'anic recitation (Murottal therapy), lavender aromatherapy combined with classical music, the Go-Yoga application, and foot massage with warm water immersion infused with lemon, effectively lowered blood pressure in pregnant women. These interventions primarily work by promoting relaxation, reducing stress, and improving cardiovascular function and hormonal balance. In conclusion, non-pharmacological treatments offer safe and effective alternatives for managing hypertension during pregnancy. However, further research with larger sample sizes is needed to confirm their long-term safety and efficacy.