Journal of Education and Health Promotion最新文献

{"title":"Spiritual well-being, sleep quality as a buffer against burnout and in increasing professional fulfillment among healthcare professionals in the United Arab Emirates.","authors":"Sohrab Amiri, Muhammad Daniyal, Mohammed Al-Houqani, Shamma Al Neyadi, Ashraf Hefny, Syed F Javaid, Moien Ab Khan","doi":"10.4103/jehp.jehp_1001_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1001_25","url":null,"abstract":"<p><strong>Background: </strong>Burnout is a growing concern among healthcare professionals (HCPs) in the United Arab Emirates (UAE). Emerging evidence suggests that sleep quality and spiritual well-being may buffer against burnout and enhance professional fulfilment. This study explores the relationship between sleep disturbance, spiritual well-being, and burnout among HCPs in the UAE.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted among 661 healthcare professionals across the UAE. Validated instruments were used to measure sleep quality, circadian regularity, spiritual well-being, burnout, and professional fulfilment. Data was analyzed using correlation and regression models to identify predictive factors.</p><p><strong>Results: </strong>Poor sleep quality and irregular circadian patterns were significantly associated with higher levels of burnout. Conversely, higher spiritual well-being showed a strong negative correlation with burnout and a positive association with professional fulfilment. Multivariate analysis identified sleep regularity and spiritual well-being as significant independent predictors of both burnout and professional fulfilment.</p><p><strong>Conclusion: </strong>Sleep quality and spiritual well-being play a protective role against burnout and contribute to greater professional fulfilment among healthcare professionals in the UAE. These findings highlight the importance of addressing sleep issues and nurturing spiritual well-being to mitigate burnout and enhance job satisfaction among healthcare professionals, thereby facilitating targeted interventions for improved occupational health and well-being.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"344"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global perspectives on health tourism: A comparative review of research trends and future prospects (2000-2024).","authors":"Yunrong Lai, Hengbo Zhao, Haibo Wu, Yuanan Lu","doi":"10.4103/jehp.jehp_1406_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1406_25","url":null,"abstract":"<p><p>This study systematically reviews global research trends in health tourism (2000-2024), comparing international and Chinese scholarly perspectives to identify key themes, differences, and future directions for the field. We employed a systematic literature analysis approach, examining studies on health tourism definitions, classifications, motivations, influencing factors, evaluation systems, and development strategies. Comparative insights were drawn between international and Chinese research priorities. Findings reveal distinct research emphases: International scholars focus on global perspectives, interdisciplinary integration, cross-border service delivery, and ethical concerns, while Chinese researchers prioritize localized frameworks, regional characteristics, and policy applications. Both groups, however, share an interest in industrial integration and growth drivers. The study recommends that China enhance standardized evaluation methods, deepen quantitative research, and cultivate distinctive health tourism brands. Globally, researchers should strengthen qualitative studies with holistic perspectives and develop transferable models. Future research should integrate four key dimensions-theoretical advancement, technological innovation, and industrial collaboration-to address evolving demands in global health governance and industry transformation.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"358"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of group cognitive behavioral therapy on stress and psychological adjustment among cigarette, e-cigarette, and hookah smokers.","authors":"Feras Al-Habies, Mahmoud Rababah, Suzie Rababa'h, Sami Shannag, Mohammad Baniyounes, Ruba Mutabaqani","doi":"10.4103/jehp.jehp_1190_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1190_25","url":null,"abstract":"<p><strong>Background: </strong>The tobacco epidemic remains one of the world's major public health threats, causing preventable cancers and disabilities, and claiming over seven million lives each year. Over the past decade, the use of nicotine-containing electronic cigarettes has grown among adolescents and young adults. This study investigates the effectiveness of a group cognitive behavioral therapy program on stress and psychological adjustment among university students who want to quit smoking cigarettes or hookah.</p><p><strong>Materials and methods: </strong>The sample included 123 male students who smoked cigarettes and e-cigarettes and 134 students who smoked hookah, all of whom expressed a desire to quit smoking. Students who smoke both cigarettes and hookah were excluded from the study to ensure clear differentiation between the two groups of users. A nonprobability sampling method was used. Psychological stress and psychological adjustments were measured twice: before the group treatment program began and after the program was completed. The study employed an experimental pretest and posttest design to analyze data.</p><p><strong>Results: </strong>The results indicated that the program had an effective impact on users of cigarettes, electronic cigarettes, and hookah in terms of stress management strategies and psychological adjustment. Specifically, the program had a positive effect on reducing psychological stress but a negative effect on psychological adjustment, meaning that while stress levels decreased, psychological adjustment also decreased. The program had a greater impact on stress management strategies and psychological adjustment among cigarette and e-cigarette smokers compared to hookah smokers.</p><p><strong>Conclusion: </strong>The findings suggest that smokers of cigarettes and e-cigarettes are more likely to use stress-coping strategies but have a reduced ability to maintain psychological adjustment, which may be due to their dependence on nicotine. Therefore, it is recommended that awareness be raised about the necessity of involving psychologists in future treatment programs at the national level to help reduce this phenomenon.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"350"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming lupus self-care education with mobile health: A systematic review.","authors":"Elahe Salimi, Asma Rashki Kemmak, Sara Sezavar Dokhtfaroughi, Amir Ehsan Heidari, Sajedeh Salari, Mohammad Reza Mazaheri Habibi","doi":"10.4103/jehp.jehp_442_25","DOIUrl":"10.4103/jehp.jehp_442_25","url":null,"abstract":"<p><p>Systemic lupus erythematosus (SLE) is a chronic, multisystemic, autoimmune, and inflammatory disease with complex and variable phenotypes and clinical presentations. Patients with SLE often experience low self-esteem, a fear of death, and difficulty in being understood by family and friends. One effective approach to managing and combating SLE is the use of mobile health (mHealth). This study aims to explore the role of mHealth in educating SLE patients on self-care. This systematic review, conducted in August 2024 and updated in February 2025, involved searches in PubMed, Scopus, Web of Science, and Google Scholar using the keywords \"Mobile Health,\" \"Lupus,\" and \"Self-care.\" Studies published in English that utilized mHealth to educate SLE patients on self-care were deemed eligible for inclusion. Titles and abstracts were independently reviewed based on the inclusion criteria, and full-text articles were subsequently obtained and reviewed according to the eligibility requirements. A total of 10 studies that met the inclusion criteria were included in the systematic review. Four studies critically assessed the quality and functionality of existing mobile health applications and information technologies for lupus patients. Three mobile applications-Lupus Ohio, Lupie Diary, and Lupus Corner Health-were introduced in these studies. Two articles focused on self-care education at home using mHealth and electronic tools tailored to individual symptoms. Three studies explored web-based self-management, online education programs, and a virtual skills training program based on Acceptance and Commitment Therapy. The findings of this study indicate that the use of mHealth in educating lupus patients on self-care can significantly improve their quality of life. However, further research is needed to raise awareness among patients and their families. It is recommended that a comprehensive application be developed that can track all lupus symptoms and provide educational resources for patients.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"339"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13644830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can spiritual care education reduce the anxiety of mothers of hospitalized immature infants?","authors":"Maryam Karimi, Ali Khorshidi, Masoumeh Otaghi, Mosayeb Mozafari","doi":"10.4103/jehp.jehp_759_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_759_25","url":null,"abstract":"<p><strong>Background: </strong>Hospitalization of a preterm infant in the neonatal intensive care unit (NICU) is a significant stressor for mothers, often leading to heightened anxiety that affects both their well-being and maternal-infant interaction. Spiritual self-care is a nonpharmacological approach that can help mothers manage anxiety and cope with their child's hospitalization. This study examines the impact of spiritual self-care education on maternal anxiety in mothers with preterm infants admitted to the NICU.</p><p><strong>Materials and methods: </strong>This quasi-experimental study involved 90 mothers of preterm infants, selected through convenience sampling and randomly assigned to control (<i>n</i> = 45) and intervention (<i>n</i> = 45) groups. The intervention consisted of five 45-min spiritual self-care training sessions held every other day. Participants provided written informed consent, and data were collected using a demographic questionnaire and the Beck Anxiety Inventory (21 items). > Data were analyzed using IBM SPSS Statistics version 27. The software was developed by IBM Corp., located in Armonk, New York, United States, applying <i>t</i>-tests, Chi-square tests, and analysis of variance.</p><p><strong>Results: </strong>The mean maternal age was 32.4 ± 5.7 years in the intervention group and 33 ± 6.06 years in the control group (<i>P</i> < 0.05). The mean birth weight was lower in the intervention group (2063.1 ± 460.98 g vs. 2278 ± 275.57 g, <i>P</i> < 0.05). Anxiety scores decreased significantly post-intervention in both groups (<i>P</i> < 0.001), with a greater reduction observed in the intervention group.</p><p><strong>Conclusion: </strong>Spiritual self-care education significantly reduces anxiety in mothers of preterm infants, suggesting its usefulness for healthcare providers. Future research should explore how best to integrate spiritual self-care education into standard NICU care and investigate its impact on long-term maternal mental health outcomes.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"370"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the pain relief effectiveness of intravenous magnesium sulfate and ketorolac versus intravenous morphine and ketorolac for kidney stones.","authors":"Mehdi Fallah Bagher Sheydaei, Ahmad R Baghernezhad, Ali Bakhtiari, Faezeh Rezaei","doi":"10.4103/jehp.jehp_881_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_881_25","url":null,"abstract":"<p><strong>Background: </strong>Pain is one of the most common symptoms in various diseases. While morphine is widely used for pain relief, its adverse effects and potential for misuse have led to the exploration of safer alternatives. This study aimed to compare the analgesic effectiveness of intravenous magnesium sulfate versus morphine, both in combination with ketorolac, in patients with renal colic.</p><p><strong>Materials and methods: </strong>In this double-blind randomized controlled trial, 174 patients with renal colic referred to the emergency department of Shahid Ganjiyan Hospital in Dezful were enrolled. Patients were randomly allocated into two equal groups (<i>n</i> = 87). The intervention group received intravenous magnesium sulfate (50 mg/kg diluted in 100 mL normal saline over 15 minutes) plus ketorolac (30 mg), while the control group received intravenous morphine (0.1 mg/kg) plus ketorolac (30 mg). Pain intensity was measured using the Visual Analog Scale (VAS) at baseline (admission), and 20, 40, and 60 minutes after drug administration. Demographic data were also collected.</p><p><strong>Result: </strong>Among the 174 participants included in the study, 65% were male and aged between 40 and 60 years. Statistical tests indicated no significant differences between the two groups concerning demographic characteristics. Thus, the groups are comparable in terms of demographic variables. Comparison of pain reduction between the two groups at different time points revealed no statistically significant difference. The mean pain scores decreased over time in both groups; however, the differences between the groups were not significant at 20 minutes (<i>P</i> = 0.45), 40 minutes (<i>P</i> = 0.74), or 60 minutes post-intervention (<i>P</i> = 0.65). These findings indicate that both treatment protocols (morphine plus ketorolac and magnesium sulfate plus ketorolac) had similar effects on pain reduction at all measured intervals.</p><p><strong>Conclusion: </strong>The findings of this study demonstrate that intravenous magnesium sulfate, in combination with ketorolac, is as effective as morphine-based regimens in managing acute renal colic pain. Given the current global health policies emphasizing opioid stewardship and the reduction of opioid-related adverse effects, magnesium sulfate emerges as a valuable, low-risk alternative. Its incorporation into emergency pain management protocols may not only reduce opioid dependency and misuse but also align with broader public health goals aimed at promoting safer and more sustainable pain relief strategies. Health policymakers should consider including non-opioid analgesics like magnesium sulfate in national and institutional guidelines for acute pain management, especially in settings where opioid overuse presents a clinical and social challenge.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"377"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential effects of unilateral forced nostril breathing on baroreflex sensitivity and cardiovascular parameters in healthy young men: A cross-sectional study.","authors":"Madhavan Chandran, Vivek K Sharma, R Aruna","doi":"10.4103/jehp.jehp_984_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_984_25","url":null,"abstract":"<p><strong>Background: </strong>Baroreflex sensitivity (BRS) is a crucial marker of autonomic cardiovascular control, and it is also a predictor of cardiovascular risk. Unilateral forced nostril breathing (UFNB) is one of the many types of pranayama, which are breathing techniques in Yoga. This type of breathing can influence autonomic function through hemispheric activation, yet its direct impact on BRS remains unexplored. To assess the immediate effects of left and right UFNB on BRS and cardiovascular parameters in healthy young adult men.</p><p><strong>Materials and methods: </strong>It is a cross-section study, which included 55 healthy adult men (mean age 25.67 ± 5.89 years). The participants underwent the standardized protocols for measuring BRS, blood pressure, and heart rate during baseline and the 2-minute interventions of left and right UFNB. BRS was measured using the sequence method with Finapres technology. Paired <i>t</i>-tests were used to compare the baseline and the postintervention values.</p><p><strong>Results: </strong>Performing left UFNB significantly increased BRS by 19.6% (<i>P</i> < 0.001, <i>d</i> = 3.63), whereas the blood pressure and heart rate decreased (all <i>P</i> < 0.001), probably indicating profound activation of parasympathetic system. On the other hand, performing the right UFNB decreased BRS by 5.6% (<i>P</i> = 0.012, <i>d</i> = 0.35) and also increased blood pressure and heart rate (all <i>P</i> < 0.01), probably suggesting a sympathetic activation. Waist circumference correlated negatively with the baseline BRS values (<i>r</i> = -0.513, <i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Left UFNB produces substantial immediate improvements in BRS with parasympathetic enhancement, whereas right UFNB induces sympathetic activation. These findings suggest a potential therapeutic application for the use of UFNB in cardiovascular health management as a nonpharmacological intervention.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"387"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence and its impact on oral health care education. A randomized study.","authors":"Deepika Kapoor, Sonika Achalli, Naveen Reddy, Mushir Mulla, Mohamed S Mohamed Morsy, Munaz Mulla, Arshad Jamal Sayed, M Nazargi Mahabob, Alok Dubey","doi":"10.4103/jehp.jehp_1971_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1971_25","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI)-generated educational materials demonstrate superior effectiveness in improving patient comprehension and reducing anxiety compared to traditional methods. Their integration into dental practice could enhance patient satisfaction and streamline the educational process, particularly for complex or anxiety-inducing procedures. The present study aimed to evaluate the act of AI applications on oral healthcare, focusing on clinical outcomes.</p><p><strong>Materials and methods: </strong>A cluster-randomized controlled trial with 1000 participants from 20 villages (10 interventions, 10 controls) was conducted. The intervention group received 4 weeks of chatbot-guided oral health education via WhatsApp/IVR, while controls received standard health talks and leaflets. Knowledge, oral hygiene practices, and OHI-S scores were measured pre- and post-intervention.</p><p><strong>Results: </strong>The intervention group showed a marked rise in mean knowledge scores (9.8 to 15.2) compared to controls (10.1 to 11.3; <i>P</i> < 0.001). Twice-daily brushing improved from 28% to 64% (vs. 30% to 37% in controls). OHI-S scores improved significantly more in the chatbot group (reduction = 1.2) than in controls (0.3; <i>P</i> < 0.001). Engagement with the chatbot correlated positively with outcome improvements.</p><p><strong>Conclusion: </strong>AI-based chatbots significantly enhance oral health awareness, hygiene practices, and clinical outcomes in rural settings, highlighting their potential for scalable public health interventions and integration into primary health programs.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"373"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating the PhD thesis journey: A qualitative study of doctoral students and supervisors at a medical university in Iran.","authors":"Shahnaz Ghaseminangi, Fariba Jokar, Alireza Yousefy","doi":"10.4103/jehp.jehp_1327_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1327_25","url":null,"abstract":"<p><strong>Background: </strong>The PhD thesis serves as a cornerstone of doctoral education, yet it is often accompanied by considerable stress and inefficiencies for both students and supervisors. Although global research has extensively addressed issues such as supervision quality, institutional support, and student well-being, there is limited investigation into these dynamics from a qualitative perspective in non-Western academic settings. This study examines the lived experiences of doctoral students and their supervisors at Isfahan University of Medical Sciences to identify challenges and propose tailored reforms for this specific context.</p><p><strong>Materials and methods: </strong>Employing a qualitative exploratory design, semi-structured interviews were conducted with 54 participants (31 PhD students and 23 faculty supervisors) chosen through purposive sampling. The collected data underwent conventional content analysis, with themes integrated across both groups to form a unified framework.</p><p><strong>Results: </strong>The analysis revealed five overarching themes and 21 associated categories, including supervisory competencies, administrative ambiguity, resource limitations, psychological stress, and the importance of early research engagement. While students stressed the need for emotional support and resource availability, supervisors emphasized clearer regulations and opportunities for professional development. Both groups underscored the necessity of fostering a supportive academic environment.</p><p><strong>Conclusion: </strong>The PhD thesis process operates as a dynamic system influenced by interpersonal relationships, institutional frameworks, and procedural clarity. Efforts to reform this process should prioritize supervisor training programs, simplified administrative procedures, enhanced resource availability, and comprehensive psychological support embedded throughout the doctoral journey.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"374"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A true experimental study to assess the effectiveness of holistic self-care approach on clinical parameters, psychological stress, wellbeing, among antenatal mothers with pregnancy-induced hypertension admitted in antenatal ward at SRM Medical College Hospital and Research Centre.","authors":"M Archana, R Vijayalakshmi, J C Helen Shaji","doi":"10.4103/jehp.jehp_1419_25","DOIUrl":"https://doi.org/10.4103/jehp.jehp_1419_25","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy-related hypertension diseases are a global concern. Pregnancy-induced hypertensive problems affect 5-8% of pregnant women worldwide. Maternal and neonatal morbidity and mortality are primarily caused by pre-eclampsia and eclampsia. Five to seven percent of pregnancies end in pre-eclampsia, which manifests as proteinuria and hypertension.</p><p><strong>Materials and methods: </strong>A study with a pretest-posttest control group design was conducted among 80 antenatal mothers (40 control and 40 experimental) with pregnancy-induced hypertension (PIH) at SRM Medical College Hospital and Research Centre. The intervention included education on dietary changes, walking, leg and foot exercises, awareness of PIH warning signs, and Mitchell's relaxation techniques, administered for 7 consecutive days. Clinical parameters, stress (Perceived Stress Scale), and wellbeing (WEMWBS) were measured before and after the intervention.</p><p><strong>Results: </strong>In the experimental group, stress scores slightly decreased (39.80 to 39.30; <i>P</i> = 0.096) and wellbeing modestly improved (44.53 to 45.33; <i>P</i> = 0.104). Significant reductions were noted in clinical parameters post intervention. Systolic BP dropped from 126.85 to 117.13 mmHg, and diastolic BP from 81.90 to 73.25 mmHg (<i>P</i> = 0.000). The pulse rate decreased from 90.28 to 75.80 bpm, and the respiratory rate from 21.49 to 19.05 (<i>P</i> = 0.000). This suggests the holistic self-care approach effectively improved clinical outcomes in PIH mothers.</p><p><strong>Conclusion: </strong>A holistic self-care approach significantly improved clinical parameters and psychological wellbeing in antenatal mothers with PIH, with reduced vital signs and stress levels in the intervention group.</p>","PeriodicalId":15581,"journal":{"name":"Journal of Education and Health Promotion","volume":"15 ","pages":"356"},"PeriodicalIF":1.5,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13633793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}