Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Assessment of Cognitive Impairment and Related Factors Among Elderly People in Jordan.","authors":"Abdullah Alkhawaldeh, Mahmoud Alsaraireh, Mohammed ALBashtawy, Ahmad Rayan, Moawiah Khatatbeh, Mohammad Alshloul, Ma'en Aljezawi, Sa'd ALBashtawy, Ahmad Musa, Asem Abdalrahim, Omar Khraisat, Ahmad Al-Bashaireh, Zaid ALBashtawy, Nisser Alhroub","doi":"10.4103/ijnmr.ijnmr_169_22","DOIUrl":"10.4103/ijnmr.ijnmr_169_22","url":null,"abstract":"<p><strong>Background: </strong>With an increase in elderly people, it is essential to address the issue of cognitive impairment and support healthy aging. This study aimed to assess cognitive impairment and factors associated with it among older adults.</p><p><strong>Materials and methods: </strong>A cross-sectional study was carried out in different catchment areas within the Jerash governorate in the north of Jordan. The Elderly Cognitive Assessment Questionnaire (ECAQ) and a household face-to-face interview were used to collect data from 220 older adult participants aged 60 years and more. Descriptive statistics were conducted to describe the study variables. Correlation tests were applied to find associations between them. Logistic regression analysis was applied, with a minimum significance level (<i>p</i> < 0.05).</p><p><strong>Results: </strong>About 9.10% of the older adults had cognitive impairment. Cognitive impairment was correlated with age, self-perceived health, hypertension, stroke, and mental illness. The primary predictors of cognitive impairment were age [odds ratio (OR) =1.07 (1.01-1.14), <i>p</i> = 0.001] and stroke [OR = 10.92 <i>(</i>1.44-82.85), <i>p</i> = 0.001].</p><p><strong>Conclusions: </strong>While many factors were correlated with cognitive impairment, the strongest predictors of cognitive impairment were age and stroke.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"120-124"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708113","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":"Complications in Pregnant Women and Newborns Before and During the COVID-19 Pandemic.","authors":"Fariba Zare, Arezoo Karimi, Salman Daliri","doi":"10.4103/ijnmr.ijnmr_252_22","DOIUrl":"10.4103/ijnmr.ijnmr_252_22","url":null,"abstract":"<p><strong>Background: </strong>One of the high-risk groups exposed to the coronavirus disease 2019 (COVID-19) pandemic was pregnant women at risk of pregnancy complications due to a weakened immune system and inability to use various drugs to treat COVID-19. Accordingly, this study was conducted to investigate the complications in pregnancy before and during the COVID-19 pandemic.</p><p><strong>Material and methods: </strong>This cross-sectional study was performed on all pregnant women in Shahroud, Iran. The time interval from February 18, 2019, to February 17, 2020, was considered before the COVID-19 pandemic and from February 18, 2020, to February 17, 2021, was considered the COVID-19 pandemic. Sampling was conducted by census and included 6851 pregnant women. The required information was extracted from hospitals' health deputy registration system and high-risk pregnancy registration program.</p><p><strong>Result: </strong>Based on the findings, hypertension disorder, gestational diabetes, placental abruption, pre-eclampsia, cesarean section, hospitalization in neonatal intensive care unit (NICU), preterm birth, and hospitalization in other hospital wards increased by 1.88%, 1.93%, 0.12%, 0.45%, 5.45%, 1.00%, 1.20%, and 1.40%, respectively, in 2020 compared to 2019. A statistically significant difference was also observed between them (<i>p</i> < 0.05). Also, the regression results showed that the chances of high blood pressure, Gestational Diabetes Mellitus (GDM), placental abruption, and cesarean section were increased by 10.91, 1.53, 5.51, and 2.83 times, respectively.</p><p><strong>Conclusions: </strong>Pregnancy complications have increased during the COVID-19 pandemic. As a result, there is a need to take appropriate health and medical measures to reduce the risks associated with the COVID-19 epidemic for pregnant women and neonates.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"91-97"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708117","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":"Exploring Factors affecting Missed Nursing Care in Cardiovascular Care Units: A Qualitative Study.","authors":"Fatemeh Amrolahi-Mishavan, Abdolhossein Emami-Sigaroudi, Fatemeh Jafaraghaee, Hooman Shahsavari, Saman Maroufizadeh, Mohammad Babaeipour-Divshali","doi":"10.4103/ijnmr.ijnmr_133_23","DOIUrl":"10.4103/ijnmr.ijnmr_133_23","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular care units are among the most crucial departments in any healthcare system. In these units, nurses play the most pivotal roles, and the quality of nursing care is essential; missing certain aspects of care can have irreversible adverse effects on patient health. This qualitative study aims to investigate the factors influencing Missed Nursing Care (MNCs) based on the experiences of nurses and patients in cardiovascular care units.</p><p><strong>Materials and methods: </strong>This qualitative study utilized the conventional content analysis approach to explore the factors affecting MNCs in cardiovascular care units. Data were collected between December 2021 and September 2022 through in-depth, semi-structured individual interviews with 11 participants selected through purposive sampling. Data analysis followed the five-step method proposed by Graneheim and Lundman.</p><p><strong>Results: </strong>The analysis revealed five main themes: nurse's job characteristics, work-life conflict, nurse's professional competence, the cardiac work environment atmosphere, and organizational management.</p><p><strong>Conclusions: </strong>The findings of this study suggest that authorities should consider factors such as understanding the occupational characteristics of nurses when assigning them to cardiovascular care units, providing solutions to mitigate work-life conflicts for nurses, enhancing nurses' professional competence, improving the working environment for nurses, and enhancing the performance and skills of organizational managers.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"133-139"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708155","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 Effects of Peer Education on Treatment Adherence among Patients Receiving Hemodialysis: A Randomized Controlled Trial.","authors":"Alireza Irajpour, Maryam Sadat Hashemi, Parvaneh Abazari, Shahrazad Shahidi","doi":"10.4103/ijnmr.ijnmr_155_22","DOIUrl":"10.4103/ijnmr.ijnmr_155_22","url":null,"abstract":"<p><strong>Background: </strong>Non-adherence to treatments increases the rates of hemodialysis complications, hospitalization, and mortality. One strategy for adherence improvement is peer education. This study aimed to investigate the effects of peer education on treatment adherence among patients receiving hemodialysis.</p><p><strong>Materials and methods: </strong>This was a randomized controlled trial. Patients in the control group were provided just with routine care, and the intervention group received peer education. Treatment adherence was assessed both before and after the intervention via the End-Stage Renal Disease (ESRD) Adherence Questionnaire. Data analysis was conducted by the Chi-square, the Mann-Whitney U, the paired-sample <i>t</i>, and the independent-sample <i>t</i> tests.</p><p><strong>Results: </strong>There were no significant between-group differences in terms of the pre-test mean scores of Adherence to regular attendance at hemodialysis sessions (t = 0.19, <i>p</i> = 0.85), Adherence to the prescribed medications (t = 0.46, <i>p</i> = 0.64), and Adherence to fluid restrictions (t = 0.24, <i>p</i> = 0.81). The same finding was observed after the intervention, except for the mean score of the adherence to fluid restrictions dimension which was significantly greater in the intervention group (t = 2.86, <i>p</i> = 0.006). Moreover, no significant changes were observed in the mean scores of treatment adherence dimensions in the control group. However, in the intervention group, the mean scores of the adherence to regular attendance at hemodialysis sessions (t = 3.79, <i>p</i> < 0.001) and the adherence to fluid restrictions dimensions were significantly greater than their pre-test values (t = 4.47, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Education by peer groups improves the compliance of patients with regard to the consumption of fluids in the interval between two dialysis sessions.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"46-55"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708161","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 Community-based Obesity Intervention for Body Weight, Body Mass Index, and Waist Circumference: Meta-analysis.","authors":"Aurang Zeb, Erika Sivarajan Froelicher, Abel Jacobus Pienaar, Khairunnisa Dhamani","doi":"10.4103/ijnmr.ijnmr_120_22","DOIUrl":"10.4103/ijnmr.ijnmr_120_22","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a significant health problem worldwide and an alarming problem in the developed world including the United States of America and European populations. Subsequently, obesity can lead to different health problems, such as non-communicable diseases. However, it can be prevented through a healthy diet, exercise, and lifestyle modification. The study's purpose was to analyze the published literature on community-based obesity interventions and to present a comprehensive summary of how to reduce the body weight, Body Mass Index (BMI), and Waist Circumference (WC) among overweight and obese individuals in the community through health education and behavior interventions.</p><p><strong>Material and methods: </strong>The meta-analysis was conducted in February-July 2021, searching CINAHL, Cochrane Library, Google Scholar, PubMed, and Science Direct databases. Studies published during the prior 12 years on community-based obesity intervention for weight, BMI, and WC were included in this review. Cochrane Revman software was used for meta-analysis.</p><p><strong>Results: </strong>Seventeen studies met the selection criteria for the review. A meta-analysis of the studies on health education and behavioral intervention studies resulted in a statistically significant reduction at 95% confidence intervals in the mean differences of BMI -1.19 (-1.77, -0.62) and WC -1.11 (-1.54, -0.68).</p><p><strong>Conclusions: </strong>Community-based obesity interventions through health education and behavior interventions effectively reduce the body weight, BMI, and WC. Implementing community-based health education and behavioral interventions effectively prevents and treats obesity in communities.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"16-22"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708120","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":"Evaluation of Pregnant Woman's Perception of COVID-19 Based on the Health Belief Model in Isfahan.","authors":"Narges Kalantari, Mohadeseh Khoshgoftar, Fatemeh Moradi, Asiyeh Pirzadeh","doi":"10.4103/ijnmr.ijnmr_337_21","DOIUrl":"10.4103/ijnmr.ijnmr_337_21","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus Disease (COVID-19) is a viral disease that has become an international public health concern. Thus, the present study aimed to evaluate pregnant women's perception of COVID-19 based on the health belief model in Isfahan.</p><p><strong>Materials and methods: </strong>This cross-sectional study includes 100 pregnant women selected by random sampling. Data were collected using an online questionnaire on the Porsline website. This questionnaire examines the knowledge and structures of the health belief model, including perceived susceptibility and severity, perceived barriers and benefits, and self-efficacy regarding the prevention of COVID-19. Data were analyzed using analytical tests such as independent <i>t</i>-test and Pearson's correlation coefficient. The significance level was considered to be <0.05.</p><p><strong>Results: </strong>The results showed that the knowledge of COVID-19 and preventative methods was at a reasonable level among most women (77%). Also, there was a significant correlation between education and self-efficacy. Based on the findings, the mean score of knowledge (F_1,99 = 0.116, <i>p</i> = 0.04) and the mean score of perceived susceptibility (F_1,99 = 0.02, <i>p</i> < 0.001) of mothers who were pregnant for the first time were significantly higher than mothers who were pregnant for the second time or more.</p><p><strong>Conclusions: </strong>The perceived severity and susceptibility scores were higher than other constructs, indicating women's proper understanding of the risks of COVID-19. However, half of them stated that they do not go to receive services, and this issue can have adverse consequences. The researchers recommend planning to improve other model constructs, such as self-efficacy, for improving women's performance in receiving care.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"68-72"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708153","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":"Relationship between Vaginal Bacterial Infections and Pregnancy Outcomes: A Systematic Review and Meta-Analysis.","authors":"Hojjat Rokni, Amjad Ahmadi, Yousef Moradi, Bijan Nouri, Daem Roshani","doi":"10.4103/ijnmr.ijnmr_199_22","DOIUrl":"10.4103/ijnmr.ijnmr_199_22","url":null,"abstract":"<p><strong>Background: </strong>Bacterial infections are among the most serious infections worldwide. They can cause miscarriage, premature birth, stillbirth, and ectopic pregnancy in pregnant women. The aim of this study was to investigate the relationship between bacterial infections and pregnancy outcomes through a systematic review and meta-analysis.</p><p><strong>Materials and methods: </strong>PubMed, Scopus, Web of Science, and Embase databases were searched from January 2000 to December 2018 using appropriate keywords to identify related articles. The final related studies were selected and evaluated using the Newcastle-Ottawa Scale (NOS).</p><p><strong>Results: </strong>Results of this meta-analysis based on combining case-control studies showed that the presence of bacterial infections could lead increase in the odds of all pregnancy outcomes like premature infant birth (odd ratio [OR]: 1.50; 95% Confidence Interval [CI], 1.39-1.61), preterm delivery (OR: 1.54; 95% CI, 1.39-1.70), abortion (OR: 1.16; 95% CI, 1.04-1.29), stillbirth (OR, 1.29; 95% CI, 1.12-1.49), and ectopic pregnancy (OR: 1.12; 95% CI, 1.05--1.19). The results showed that the Risk Ratio (RR) of preterm delivery in pregnant women with vaginal infections was 1.57 (95% CI, 1.46-1.67), whereas the RR of abortion was 2.02 (95% CI, 1.72-2.38).</p><p><strong>Conclusions: </strong>Based on the results of this meta-analysis, the presence of bacterial infections in pregnant women can lead increase in the risk of pregnancy outcomes especially, preterm delivery, abortion, stillbirth, and ectopic pregnancy. Therefore, it is necessary for obstetricians and gynecologists to pay attention to the diagnosis of these infections in women before pregnancy and during pregnancy in order to prevent the consequences of these infections.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 1","pages":"1-15"},"PeriodicalIF":1.1,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10849289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708159","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":"Investigating the Relationship between Spiritual Intelligence and Resilience in Infertile Couples in Isfahan: A Cross-Sectional Study.","authors":"Masoume Pirhadi, Fatemeh Torabi, Fatemeh Mokhtari","doi":"10.4103/ijnmr.ijnmr_194_20","DOIUrl":"10.4103/ijnmr.ijnmr_194_20","url":null,"abstract":"<p><strong>Background: </strong>Infertility is a psychological crisis for a couple, spouse, and their families. Due to the positive effects of spiritual intelligence on the positive adaptation and growth of the individual under difficult circumstances, this study was conducted to determine the relationship between spiritual intelligence and resilience in infertile couples in Isfahan.</p><p><strong>Materials and methods: </strong>This cross-sectional study was performed in 2020 on 162 infertile couples. Data were collected by the convenience sampling method from infertile couples referring to Infertility Centers in Isfahan through two standard questionnaires. Data analysis was performed using descriptive statistical methods for quantitative variables. The relationship between spiritual intelligence and resilience score was investigated using inferential statistical methods of Pearson's correlation coefficient and multiple linear regression. A <i>p</i> value of less than 0.05 was considered significant.</p><p><strong>Results: </strong>The results showed that the mean age Standard Deviation (SD) of women and their spouses was 32.01 (5.86) and 36.30 (5.82) years, respectively. Pearson's correlation coefficient showed that there was a significant positive direct relationship between resilience score with total spiritual intelligence score (r = 0.36, <i>p</i> < 0.001) and its dimensions Critical Existential Thinking (CET) (r = 0.60, <i>p</i> < 0.001), personal meaning production (PMP) (r = 0.38, <i>p</i> < 0.001), Transcendental Awareness (TA) (r = 0.43, <i>p</i> < 0.001), and Conscious State Expansion (CSE) (r = 0.53, <i>p</i> < 0.001). The PMP (t = 6.38, <i>p</i> < 0.001) and the CSE (t = 2.15, <i>p</i> = 0.03) were significant predictors of resilience scores.</p><p><strong>Conclusions: </strong>The result of our study showed that couples with a higher level of spiritual intelligence had a better understanding of the problems and harms of primary infertility and would cope with it more efficiently.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"28 6","pages":"746-750"},"PeriodicalIF":1.1,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10775870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418341","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":"Working condition and job satisfaction of nurses as predicting factors of the prevalence of health care-associated infections among elderly inpatients","authors":"Fereshteh Rezaie, Farahnaz Mohammadi-Shahboulaghi, Reza Fadayevatan, Mohsen Shati, Gholamreza Ghaedamini-Harouni","doi":"10.4103/ijnmr.ijnmr_87_22","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_87_22","url":null,"abstract":"Background: Health care-Associated Infections (HCAIs) are among the most common adverse events (AEs) that can negatively affect both patients and health systems. The elderly is among patients at high risk for infections. Some controllable risk factors have received less attention in research. Therefore, this study aims to investigate the relationship between prevalence of HCAIs among elderly inpatients, job satisfaction of nurses, and working condition. Materials and Methods: This cross-sectional study was conducted on 211 nurses working in hospitals affiliated with Iran University of Medical Sciences, Tehran, in 2021. The data were collected from HCAIs reports by the Nosocomial Infection Control Committee, a demographic questionnaire, the Practice Environment Scale of the Nursing Work Index (PES-NWI), and the Minnesota Satisfaction Questionnaire (MSQ). The data were statistically analyzed using Pearson correlation coefficient, ANOVA, t-test, and multiple linear regression (MLR) in SPSS 26. Results: The results showed that there was a significant relationship between the PES-NWI and MSQ (r = 0.68, p < 0.00). The MLR results indicated that staffing and resource adequacy, nurse participation in hospital affairs, job satisfaction, nursing manager's leadership, and nursing foundations for quality of care are predictive factors that these could explain 78% of the changes in the prevalence of HCAIs and the goodness of fit of the regression model was acceptable [F6.210 = 129.47, p < 0.001]. Conclusions: Since job satisfaction and the work condition could predict HCAIs among the elderly patients, healthcare administers are recommended to consider these two variables in the development of HCAIs prevention and control programs.","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"161 1","pages":"684 - 689"},"PeriodicalIF":1.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139292235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is web-based program effective on self-care behaviors and glycated hemoglobin in patients with type 2 diabetes: A randomized controlled trial","authors":"Maryam Eghtedari, Masoomeh Goodarzi-Khoigani, Maryam Shahshahani, Homamodin Javadzade, P. Abazari","doi":"10.4103/ijnmr.ijnmr_59_22","DOIUrl":"https://doi.org/10.4103/ijnmr.ijnmr_59_22","url":null,"abstract":"Background: Diabetes Self-Management Education and Support (DSMES) as a framework focuses on seven self-care behaviors. Moreover, technology-assisted self-care education is increasingly suggested for patients with Type 2 Diabetes Mellitus (T2DM). Therefore, we examined the effect of a web-based program on self-care behaviors and glycated hemoglobin values in patients with diabetes mellitus. Materials and Methods: This randomized controlled clinical trial was conducted at Alzahra Hospital in Isfahan, Iran, between April and November 2020 and included 70 patients with T2DM. Data were collected using a questionnaire that included a demographic information section and a diabetes self-management section with 21 questions on a Likert scale. Fasting blood samples (2.50 ml) were collected before and after the interventions to measure HbA1c levels. The study intervention involved a web-based program that included multimedia educational content (such as videos, lectures, educational motion graphics, text files, posters, and podcasts) presented in seven sections based on DSMES over a 21-day period with monitoring by an instructor. Results: The mean scores for healthy eating (F = 3.48, p = 0.034) and medication adherence (F = 6.70, p < 0.001) significantly increased in the interventional group, while the mean scores for being active, monitoring, reducing risks, problem-solving, and healthy coping did not significantly change. Additionally, the mean differences in HbA1c values significantly improved in the interventional group compared to the control (F = 5,1, p = 0.026). Conclusions: A web-based program in accordance with DSMES improved HbA1c levels and increased scores for healthy eating and medication adherence in patients with T2DM. However, further research with larger sample sizes and qualitative interviews is needed.","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"15 1","pages":"723 - 729"},"PeriodicalIF":1.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139302204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}