Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Body Weight Changes and their Determinants During the COVID-19 Pandemic: A Systematic Review.","authors":"Shahrzad Azarashkan, Jamshid Yazdani Charati, Fatemeh Abdollahi","doi":"10.4103/ijnmr.ijnmr_120_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_120_25","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has been recognized as a significant public health concern. This systematic review examines the effects of the COVID-19 pandemic on weight changes and their determinants, particularly within the contexts of physical activity and nutrition.</p><p><strong>Materials and methods: </strong>Literature search was conducted using the Google Scholar, MEDLINE, PSYCHINFO, and SCIENCE DIRECT databases (2020-2021). Search terms included obesity, weight changes, body mass index (BMI), diet, physical activity, weight-related behaviors, pandemic, lockdown, coronavirus, and COVID-19. The search was limited to articles published in English.</p><p><strong>Results: </strong>A total of 35 studies were included in this review. The majority of the studies were cross-sectional in design and employed online, self-reported sampling methods. Weight gain was reported in most of individuals (19.5-50.0%), although some studies documented weight loss (13.8-50.7%). An increase in food consumption was observed among 39-65% of participants. A greater proportion adhered to healthy dietary patterns (6.1-41%) compared to unhealthy diets (26.7-50.0%). Conversely, a decline in physical activity levels was reported (6.5-69.0%). Sedentary behaviors increased, with screen time and sitting time rising (36.2-74.4% and 54.4-63.0%, respectively).</p><p><strong>Conclusion: </strong>The COVID-19 pandemic has been associated with increased weight gain, largely attributable to lifestyle changes, including dietary habits and reduced physical activity. Individual characteristics and pre-pandemic lifestyle factors appear to be predictive of weight-related outcomes during the pandemic. Healthcare professionals should consider individual differences, psychological coping mechanisms, and socioeconomic factors when designing effective weight management programs during a public health crisis.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"742-761"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184852","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 Effect of Eye Movement Desensitization and Reprocessing Therapy on Cognitive Failure in Nurses Working in COVID-19 Wards.","authors":"Leila Gholami, Zhila Faridouni, Mark D Griffiths, Zeynab Kord, Mohammad S Mirzaee, Zohreh Karimi, Mohammad Behnammoghadam","doi":"10.4103/ijnmr.ijnmr_134_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_134_25","url":null,"abstract":"<p><strong>Background: </strong>Because nurses are involved in providing care to their patients, cognitive failure can interfere with vital healthcare tasks. Emotional issues, stress, and anxiety can expedite the occurrence of cognitive failure and interventions are needed to help overcome this problem. Therefore, the aim of the present randomized clinical trial study was to evaluate the effect of eye movement desensitization and reprocessing (EMDR) therapy on cognitive failure among nurses.</p><p><strong>Materials and methods: </strong>This study was a randomized clinical trial involving 90 nurses selected through purposive sampling. Participants were randomly assigned to experimental and control groups using block randomization. Data were collected at three time points: before the intervention, immediately after, and 3 months postintervention, using the Cognitive Failures Questionnaire. The EMDR intervention was delivered individually in four sessions, each held every other day, following the standard eight-phase protocol. Data analysis was conducted using descriptive and inferential statistics.</p><p><strong>Results: </strong>Results indicated that EMDR was effective in decreasing the rate of cognitive failure among nurses in the experimental group compared to the control group both immediately after the intervention and three months after the intervention) <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Based on the findings, EMDR is recommended to improve cognitive impairment among nurses.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"922-927"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185055","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":"Translation and Cross-Cultural Adaptation of the World Health Organization's Thinking Healthy Program into Persian for Implementation by Community Health Volunteers (Peers) in Iran's Health System.","authors":"Maliheh Botyar, Lida Moghaddam-Banaem, Shahideh Jahanian Sadatmahalleh, Maryam Esmaeilinasab, Fazlollah Ahmadi","doi":"10.4103/ijnmr.ijnmr_243_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_243_24","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization's (WHO) Thinking Healthy Program (THP), which targets prenatal depression, requires adaptation for diverse communities. This study aimed to translate, culturally adapt, and assess the feasibility of implementing THP through community health volunteers (peers).</p><p><strong>Materials and methods: </strong>Following WHO guidelines, bilingual experts translated the THP manual, which was subsequently reviewed by a multidisciplinary panel of psychiatrists, reproductive health specialists, and linguists. Content and face validity were assessed by experts and healthcare providers. Cultural adaptations were informed by a systematic review and refined through the nominal group technique. The adapted THP was piloted with seven pregnant women experiencing depression (Edinburgh Postnatal Depression Scale [EPDS] score ≥13) and five peers. Feedback was obtained through structured questionnaires.</p><p><strong>Results: </strong>Key adaptations included (1) culturally sensitive terminology (e.g., \"health caregiver\"), (2) contextually appropriate visuals, (3) the addition of a module on sexual health, and (4) training on natural childbirth to address the high prevalence of cesarean deliveries. Qualitative feedback demonstrated high acceptability: 85.7% of participating mothers found the program comprehensible, and all peers endorsed its feasibility. Participants highlighted the program's dual focus on psychological well-being and maternal health education.</p><p><strong>Conclusions: </strong>The Persian adaptation of THP demonstrates strong cultural validity and feasibility within Iran's primary healthcare system. Peer-delivered implementation helps bridge gaps in mental health services, particularly in resource-limited settings. Future randomized controlled trials are warranted to evaluate its effectiveness in reducing perinatal depression on a larger scale.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"867-875"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184278","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 Effect of Digital Storytelling on the Anxiety of Patients with Pituitary Adenoma Undergoing Transsphenoidal Surgery: A Randomized Controlled Clinical Trial.","authors":"Hediyeh Shokraneh, Masoumeh Zakerimoghadam, Mahdi Zeinali Zade Rafsanjanipour, Pegah Matourypour, Mohammad Ansari","doi":"10.4103/ijnmr.ijnmr_183_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_183_24","url":null,"abstract":"<p><strong>Background: </strong>Patients with pituitary adenoma often experience anxiety due to hormonal changes and the stress associated with transsphenoidal surgery. Digital storytelling, as an innovative multimedia-based training method, has recently been used in patient education. This study investigated the effect of digital storytelling on the anxiety of patients with pituitary adenoma undergoing transsphenoidal surgery.</p><p><strong>Materials and methods: </strong>This randomized controlled trial was conducted on 70 patients with pituitary adenoma scheduled for transsphenoidal surgery at a teaching hospital affiliated with Tehran University of Medical Sciences. Participants were randomly assigned to an intervention or a control group. The intervention group received a 15-20-minute digital storytelling program that included experiences shared by patients and nurses regarding preoperative and postoperative care, while the control group received routine hospital education. Anxiety levels were measured a day before surgery, a day after surgery, and three weeks later using Spielberger's State Anxiety Scale. Data were analyzed by SPSS-25 software using descriptive and inferential statistics.</p><p><strong>Results: </strong>The mean score of anxiety in the intervention group decreased by 12.45 (1.24) units a day after the surgery and by 24.82 (1.32) units three weeks after the surgery compared to baseline (<i>p</i> < 0.001). A significantly lower anxiety level was observed in the intervention group at both post-intervention time periods compared to the pre-intervention time (<i>F</i> = 17.05, <i>p</i> < 0.001). Repeated measures Analysis of Variance confirmed a significant interaction between time and group (<i>F</i> = 25.31, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Digital storytelling was effective in reducing anxiety among patients with pituitary adenoma undergoing transsphenoidal surgery and may serve as a valuable educational intervention.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"910-915"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185078","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":"Letter to the Editor Regarding \"The Role of Physical Activity in COVID-19 Mortality Rate: A Cross-Sectional Study\".","authors":"Kamyab Shahrivar, Niayesh Ghasemi","doi":"10.4103/ijnmr.ijnmr_62_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_62_25","url":null,"abstract":"","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"935"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185109","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 Relationship between Fear of Childbirth and Attachment Style, and Associated Factors among Pregnant Women Registered at Comprehensive Health Service Centers: A Cross-sectional Study in Iran.","authors":"Maedeh Rezaei, Forouzan Elyasi, Hossein-Ali Nikbakht, Seyedeh Niku Hashemi, Maryam Hajizade-Valokolaee","doi":"10.4103/ijnmr.ijnmr_34_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_34_25","url":null,"abstract":"<p><strong>Background: </strong>Fear of childbirth (FOC) during pregnancy is associated with adverse effects on mothers' and children's health. Factors related to FOC include physical, psychological, and social aspects. The purpose of the study is to investigate the relationship between FOC and attachment styles and to examine the factors associated with FOC.</p><p><strong>Materials and methods: </strong>This analytical cross-sectional study was carried out using cluster sampling of comprehensive health centers and convenience sampling of individuals from November 21, 2023, to March 20, 2024. The participants were 330 pregnant Iranian women across different trimesters. The questionnaire included Collins and Read's Revised Adult Attachment Scale and the Wijma Delivery Expectancy/Experience Questionnaire, which was completed online. A <i>t</i>-test and one-way analysis of variance were used to compare the means of variables. Tukey's <i>post hoc</i> test examined pairwise comparisons. All analyses were conducted using SPSS version 23. <i>p</i> < 0.05 was considered significant.</p><p><strong>Results: </strong>The mean (SD) FOC of participants was 56.37 (27.78). The results showed that the average FOC of people with a dismissive-avoidant attachment style was 10 units higher than that of people with a fearful-avoidant attachment style (Mean difference: 10.72, 95% confidence interval [CI]: 0.96-20.49, <i>p</i> = 0.025). Also, FOC was significantly related to income satisfaction (<i>F</i> = 5.16, <i>p</i> = 0.006), unwanted pregnancy (<i>t</i> = 5.88, <i>p</i> = 0.013), others' role in creating FOC (<i>F</i> = 11.83, <i>p</i> < 0.001), and the supporting person (<i>t</i> = -2.44, <i>p</i> < 0.015).</p><p><strong>Conclusions: </strong>Attachment style and psychosocial factors play an important role in shaping FOC. Early identification of these patterns can help healthcare providers support women and promote a positive pregnancy and birth experience.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"885-891"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185110","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":"Effectiveness of Negative Pressure Wound Therapies on the Healing Diabetic Foot Ulcer: A Systematic Review and Meta-Analysis.","authors":"Asmat Burhan, Chrisnawati, Desty W Alfons, Septian M Sebayang, Suci Khasanah, Aloysia Ispriantari, Rahmad Wahyudi, Vijay Kumar","doi":"10.4103/ijnmr.ijnmr_129_23","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_129_23","url":null,"abstract":"<p><strong>Background: </strong>Negative pressure wound therapy (NPWT) is a technology-based modality therapy in the treatment of diabetic foot ulcers used by nursing. However, there are variations in its effectiveness among patients, which requires further research to better understand. This systematic study investigated the effect of NPWT on the healing of diabetic foot ulcer (DFU).</p><p><strong>Material and methods: </strong>The databases consulted were CINAHL, ProQuest, PubMed, ScienceDirect, and Wiley, with a date range restriction from September 2003 to July 2022. The inclusion criteria were full-text articles with a randomized controlled trial design and English publication. They were using comprehensive meta-analysis (CMA) version 3.3.070 software to conduct a meta-analysis.</p><p><strong>Results: </strong>There were 1.375 participants in 14 trials, and residual heterogeneity analysis indicated wound healing I-squared (I²) of 97.70%, microcirculation I² of 90.20%, and infection I² of 98.50% (I² > 50%), indicating high heterogeneity. The random effect model value showed a significant positive effect on wound healing with <i>z</i> = 0.01, microcirculation with <i>z</i> = 0.01, and negative effect on infected with <i>z</i> = 0.33. The analysis indicated that DFU wound healing had standard mean difference (SMD) = -0.36, 95% with confidence interval (CI): -0.92, -0.18, microcirculation improvement had SMD = 0.33, 95% CI: -0.68, 0.02, while infection control showed a negative result with SMD = 0.41, 95% CI: 0.62, 1.44, with a weak significant effect.</p><p><strong>Conclusions: </strong>The findings of this study indicate that NPWT administered by nurses improves wound healing in DFU patients. Regarding infection control, this study did not produce statistically significant results.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"731-741"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184921","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 Effect of Couple-centered Counseling Based on the Ex-Plissit Model on the Sexual Satisfaction of Infertile Couples.","authors":"Raziyeh Dalvand, Marziyeh Otogara, Arezoo Shayan, Farideh Kazemi, Mohammad Haghighi","doi":"10.4103/ijnmr.ijnmr_394_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_394_24","url":null,"abstract":"<p><strong>Background: </strong>Infertility and its treatments can adversely affect sexual health. This study aimed to evaluate the impact of couple-centered counseling based on the Ex-Plissit model on improving sexual satisfaction among infertile couples.</p><p><strong>Materials and methods: </strong>Conducted at the Infertility Department of Fatemieh Hospital in Hamadan from 2022 to 2023, this study included 60 infertile couples randomly assigned to an intervention group (30 couples) or a control group (30 couples). Sexual satisfaction was assessed using the Lindaberg questionnaire. The intervention group received four counseling sessions based on the Ex-Plissit model, while the control group received routine care. Post intervention, both groups completed the questionnaire again. Data were analyzed using SPSS version 26 with descriptive and inferential statistics (paired <i>t</i>-tests, independent <i>t</i>-tests, Wilcoxon tests, and analysis of covariance) at a significance level of <i>p</i> < 0.05.</p><p><strong>Results: </strong>Before the intervention, no significant difference in sexual satisfaction was observed between groups (<i>p</i> = 0.925). Post intervention, the intervention group showed significant improvement compared to the control group (<i>p</i> = 0.001). Within the intervention group, both men and women reported significant increases in sexual satisfaction (<i>p</i> = 0.001). In contrast, the control group showed no significant changes (<i>p</i> = 0.893 for women, <i>p</i> = 0.144 for men).</p><p><strong>Conclusions: </strong>Couple-centered counseling using the Ex-Plissit model significantly enhances sexual satisfaction in infertile couples. It is recommended to assess sexual satisfaction in infertile couples and provide appropriate educational or therapeutic interventions.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"803-810"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185060","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":"Aloe Vera Gel Compared to Cold/Warm Compresses for Reducing Ecchymosis at the Saphenous Vein Graft Harvest Site: Randomized Controlled Clinical Trial.","authors":"Zahra Shahryarpanah, Reza Khorammakan, Mohsen Mirmohammadsadeghi, Mohammad Javad Tarrahi, Ahmad Ghadami","doi":"10.4103/ijnmr.ijnmr_124_25","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_124_25","url":null,"abstract":"<p><strong>Background: </strong>The saphenous vein harvest site in patients undergoing coronary artery bypass graft (CABG) surgery is highly susceptible to edema and local complications such as ecchymosis. This study aimed to compare the efficacy of aloe vera gel with that of cold and warm compresses in reducing ecchymosis at the lower leg harvest site in patients undergoing CABG surgery.</p><p><strong>Materials and methods: </strong>This two-group randomized controlled clinical trial was conducted on 60 patients scheduled for CABG surgery. Eligible participants were selected through convenience sampling and randomly assigned to either Group A (aloe vera gel) or Group B (cold and warm compresses). For each participant, one leg was randomly assigned as the intervention site and the other as the control. Data collection tools included a demographic and surgical information form and an ecchymosis assessment chart. The intervention lasted for 6 days. Control legs received routine postoperative dressing. Photographs were taken on postoperative days, and the ecchymosis area was measured using ImageJ software.</p><p><strong>Results: </strong>Before the intervention, there was no significant difference in the mean ecchymosis area between the two groups (<i>p</i> > 0.05). The mean ecchymosis area in the treated leg decreased significantly compared to the control leg in both groups on days 5, 7, 10, and 30 (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Aloe vera gel was significantly more effective than cold and warm compresses in reducing ecchymosis at the saphenous vein graft (SVG) harvest site. Aloe vera gel can be considered an effective adjunctive treatment to minimize ecchymosis in patients following CABG surgery.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"876-884"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184863","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":"Community-Based Model: <i>Pondok Dalam</i> as a Solution to Increase Neonatal Visit in Serdang Bedagai District, North Sumatra, Indonesia.","authors":"Novita Br Ginting Munthe, Rizanda Machmud, Rima Semiarty, Joserizal Serudji, Adang Bachtiar, Finny Fitry Yani, Denas Symond, Nelwati, Rusdiana","doi":"10.4103/ijnmr.ijnmr_320_24","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_320_24","url":null,"abstract":"<p><strong>Background: </strong>Neonatal mortality is a significant public health problem in Indonesia, particularly in rural areas where healthcare access is limited. Therefore, this study aimed to develop <i>Pondok Dalam</i>, a community-based model, using traditional communal spaces in Serdang Bedagai, North Sumatra. By integrating local wisdom, the model functions as a neonatal health education center to enhance maternal knowledge, foster community support, and increase neonatal visit coverage.</p><p><strong>Materials and methods: </strong>A mixed-method design was used, combining qualitative and quantitative data. Qualitative data were collected through in-depth interviews, focus group discussions (FGDs), participatory observations, and structured questionnaires. This study was conducted from February 2023 to July 2024 in five sub-districts of Serdang Bedagai: Dolok Merawan, Tebing Syahbandar, Kotarih, Naga Kesiangan, and Pon Village. Respondents included neonatal mothers, midwives, husbands, and community leaders selected through purposive sampling. Quantitative data were analyzed using the Wilcoxon test, while qualitative data were thematically analyzed.</p><p><strong>Results: </strong>The results showed that before the intervention, neonatal visit coverage averaged 63.30%, constrained by limited access, economic barriers, and low awareness. After implementing the <i>Pondok Dalam</i> model, maternal knowledge scores rose significantly from 6.23 (pre-test) to 8.63 (post-test) with a <i>P-</i>value of < 0.001. Neonatal visit coverage improved to 85% for the first visit and 93.30% for the third visit.</p><p><strong>Conclusions: </strong><i>Pondok Dalam</i> model effectively enhanced maternal knowledge and access to neonatal health services. It offers a replicable, culturally sensitive solution to reduce neonatal mortality in underserved rural settings.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"31 5","pages":"789-795"},"PeriodicalIF":1.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184879","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}