Iranian Journal of Nursing and Midwifery Research最新文献

{"title":"Prevalence of Preeclampsia and Eclampsia in Iran: An Updated Systematic Review and Meta-Analysis.","authors":"Sedigheh Abdollahpour, Talat Khadivzadeh, Mahla Shafeei, Mahdieh Arian","doi":"10.4103/ijnmr.ijnmr_299_23","DOIUrl":"10.4103/ijnmr.ijnmr_299_23","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia is a major contributor to maternal morbidity and mortality. A previous systematic review was carried out in Iran in 2014. Due to the importance of this issue, a current evaluation is necessary after ten years. This research was performed to determine the prevalence of preeclampsia and eclampsia in Iran.</p><p><strong>Materials and methods: </strong>Adhering to the PRISMA guideline, we searched English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex on August 20, 2023, to identify studies reporting the prevalence of preeclampsia or eclampsia in Iran. Employing a focused term strategy and eligibility criteria, we ultimately included 55 studies in this review. After conducting a thorough evaluation, the CMAV3 software was utilized to analyze the data using the random effects model and calculate pooled results.</p><p><strong>Results: </strong>The overall prevalence of preeclampsia among Iranian mothers was 5.3%, while eclampsia accounted for 0.1% of live births. Notably, preeclampsia rates have risen since 2015, whereas eclampsia rates have declined over time. Single-variable meta-regression results indicated a negative correlation between age and preeclampsia.</p><p><strong>Conclusions: </strong>Preeclampsia is increasing among Iranian mothers, requiring an investigation into its risk factors, including maternal age, and consequently, high-risk pregnancies. Conversely, the decreasing occurrence of eclampsia indicates an enhancement in the quality of care following a preeclampsia diagnosis.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 5","pages":"495-502"},"PeriodicalIF":1.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548193","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 Principles of Home Care for Patients with Stroke: An Integrative Review.","authors":"Somayeh Bahadoram, Narges Arsalani, Masoud Fallahi-Khoshknab, Farahnaz Mohammadi-Shahbolaghi, Asghar Dalvandi","doi":"10.4103/ijnmr.ijnmr_42_23","DOIUrl":"10.4103/ijnmr.ijnmr_42_23","url":null,"abstract":"<p><strong>Background: </strong>Patients With Stroke (PWS), like patients with other chronic health conditions, need long-term care in home settings. Patient transfer from hospital to home is associated with challenges such as care quality impairment and ineffective patient need fulfillment. The aim of this study was to assess the principles of Home Care (HC) for PWS.</p><p><strong>Materials and methods: </strong>This integrative review was conducted in 2023 using the method recommended by Whittemore and Knafl. The Web of Science, Google Scholar, ScienceDirect, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, and specific databases for stroke care guidelines were searched to find relevant articles published between 2010 and 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening and selection. The data were analyzed using the constant comparison method.</p><p><strong>Results: </strong>Primarily, 2608 documents were retrieved, and 22 of them were included in data analysis. The principles of HC for PWS were categorized into six main categories: principles of transition from hospital care to HC, principles of assessment for HC, principles of education for HC, principles of designing an HC plan, principles of HC measures, and principles of discharge from HC centers.</p><p><strong>Conclusions: </strong>The present study provides a detailed overview of the principles of HC for PWS, which can be used to develop standard guidelines and improve the quality of HC for PWS.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 5","pages":"503-514"},"PeriodicalIF":1.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548218","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 Burden and Coping Mechanisms among the Caregivers of Immobilized Elderly Patients: A Multinational Comparative Study.","authors":"Sameer H Hafez, Hasan Abualruz, Noha A Mohamed, Sadeq A Alwesabi, Mugahed A Alkhadher, Mohamed S Harfoush","doi":"10.4103/ijnmr.ijnmr_61_23","DOIUrl":"10.4103/ijnmr.ijnmr_61_23","url":null,"abstract":"<p><strong>Background: </strong>Caregivers face various difficulties that put a huge burden on them, especially when dealing with immobilized elderly patients. This study aimed to compare caregivers' burdens and coping mechanisms during the care of immobilized elderly patients.</p><p><strong>Materials and methods: </strong>The descriptive comparative design was adopted for this study in Najran City, Saudi Arabia, and Damanhour City, Egypt, in 2022. A total of 104 caregivers were conveniently selected over 3 months of data collection using the following tools: Elderly Patient Caregivers' Knowledge, Elderly Caregivers' Practice, The Lazarus Coping Strategies Questionnaire, and Zarit Burden Inventory. The authors used descriptive statistics (mean, frequencies, and standard deviation) and inferential statistics (Chi-square, <i>t</i>-test, Pearson correlation, Spearman correlation) to analyze the data.</p><p><strong>Results: </strong>In Najran, 57.70% of caregivers experienced a mild level of burden compared to 30.80% in Damanhour, indicating a significant difference in the total level of burden between the two groups (X² = 7.90, df = 2, <i>p</i> = 0.01). The mean coping mechanism score among caregivers in Najran is significantly higher than the mean among caregivers in Damanhour. The duration of providing the care significantly influenced the total level of burden, the total level of practice, the coping mechanism, the income, the availability of health care, and the presence of additional caregivers, with all <i>p</i> values <0.05.</p><p><strong>Conclusions: </strong>It is essential to integrate nurses and caregivers into educational programs to help them cope effectively with the challenging duties they undertake. Based on the findings of this study, interventional studies to reduce the burden and improve coping among caregivers are recommended.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 5","pages":"577-582"},"PeriodicalIF":1.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548215","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 Caring Process in Patients with Covid-19: A Grounded Theory Study.","authors":"Leila Sayadi, Fatemeh Karami, Ali Karimi Rozveh, Sara Pakzad Karamad","doi":"10.4103/ijnmr.ijnmr_207_23","DOIUrl":"10.4103/ijnmr.ijnmr_207_23","url":null,"abstract":"<p><strong>Background: </strong>The care process involves essential tasks of assisting, supporting, and facilitating nursing activities to meet the comprehensive needs of patients. Coronavirus disease 2019 (COVID-19) is a global infectious disease that has caused a pandemic. Nurses play a crucial role in caring for and treating patients with COVID-19. This study aims to explain the care process in patients with COVID-19.</p><p><strong>Materials and methods: </strong>A qualitative study using the grounded theory method was conducted from 2021 to 2022. Eleven nurses providing care to hospitalized patients with COVID-19 were purposively selected from the COVID wards of Shariati Hospital in Tehran, Iran. Data were collected through in-depth semistructured interviews and observation. Data analysis was conducted using the approach developed by Corbin and Strauss (2008).</p><p><strong>Results: </strong>The data analysis phase identified a main theme of \"protection and support in the shadow of uncertainty\" along with five main categories and ten subcategories. The main categories included \"encountering life-threatening crisis\", \"maintaining safety\", \"improving the patient's physical health\", \"encouraging\", and \"feeling satisfied despite the burden of care\".</p><p><strong>Conclusions: </strong>Nurses aimed to improve the physical and psychological conditions of patients with COVID-19 by implementing a comprehensive care plan. The five main categories identified can be considered the primary approach to nursing care in the COVID-19 crisis. Additionally, the nurses' experiences can help establish the necessary infrastructure for care and education during other potential health crises.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 5","pages":"623-630"},"PeriodicalIF":1.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548216","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":"Explaining the Components of Resilience in Patients with Chronic Pain: A Qualitative Content Analysis.","authors":"Hajar Haghshenas, Maryam Shaygan, Nilofar Pasyar, Masoume Rambod","doi":"10.4103/ijnmr.ijnmr_327_23","DOIUrl":"10.4103/ijnmr.ijnmr_327_23","url":null,"abstract":"<p><strong>Background: </strong>Resilience is a psychological trait and a protective factor that plays a vital role in coping with Chronic Pain (CP). Despite its importance, research has yet to fully clarify the concept and components of resilience in patients with CP. Accordingly, the present study aims to explain the components of resilience in patients with CP.</p><p><strong>Materials and methods: </strong>The current qualitative study used a conventional content analysis methodology. The research population included all patients with CP who were referred to clinics affiliated with Shiraz University of Medical Sciences (south of Iran) from August 2021 to August 2022. Participants were selected using the purposive sampling method. In-depth semi-structured interviews were conducted with 20 participants to collect information. Data analysis was conducted using MAXQDA 2020 software in conjunction with data collection efforts.</p><p><strong>Results: </strong>Generally, in the current study, 30 sub-sub-categories, 11 sub-categories, and five main categories were extracted as components of resilience in patients with CP. The main categories of resilience against CP included the following: 1. emotional self-regulation, 2. psychological flexibility, 3. self-care, 4. appeal to religion-spirituality, and 5. internal resources and individual competencies.</p><p><strong>Conclusions: </strong>The present study highlights the different physical, mental, and religious-spiritual strategies that may contribute to resilience against pain. The resilience components identified in this study provide a foundation for healthcare professionals, particularly nurses, to design and implement diverse pain management strategies that enhance adjustment to CP conditions.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"343-351"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890352","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 25-Hydroxyvitamin D3 Levels with Pain Intensity and Duration of Labor Stages in Primiparous Women.","authors":"Mahsa Naderi Beni, Parvaneh Mousavi, Seyed Mahmood Latifi, Marjan Beigi, Zahra Abbaspoor","doi":"10.4103/ijnmr.ijnmr_242_22","DOIUrl":"10.4103/ijnmr.ijnmr_242_22","url":null,"abstract":"<p><strong>Background: </strong>Prolonged labor is associated with various maternal and neonatal complications. This study aims to investigate the relationship between 25-hydroxyvitamin D3 levels and pain intensity and duration of labor stages in primiparous women.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted in Iran from November 2021 to January 2022 and comprised primiparous women who were in active labor after a term pregnancy (37-42 weeks). Five milliliter of blood was taken from each subject and centrifuged for the measurement of vitamin D level using the enzyme-linked immunosorbent assay method. The High-Performance Liquid Chromatography (HLPC) method was used to measure 25-OH vitamin D. In addition, through history, examination, and investigations, the subjects were evaluated according to the pain intensity and duration of the first (active phase) and second stages of labor.</p><p><strong>Results: </strong>The results of the Pearson correlation test indicated a significant relationship between vitamin D and active phase duration (r = 0.64, <i>p</i> = 0.012), second stage duration (r = 0.73, <i>p</i> = 0.001), pain intensity of the active phase (r = 0.61, <i>p</i> = 0.022), and pain intensity of the second stage (r = 0.65, <i>p</i> = 0.026). According to the analysis of variance table, based on vitamin D, there were statistically significant differences between the groups in terms of the active phase duration, second stage duration, pain intensity of the active phase, and that of the second stage of labor (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Low levels of vitamin D may influence the progress of labor and increase the rate of prolonged labor.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"368-372"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890380","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 Yoga Practice on Labor Pain: A Systematic Review and Meta-Analysis.","authors":"Maryam Nikpour, Mahdi Sepidarkish, Elham Joneidi, Mahbobeh Darzipour, Mojgan Firouzbakht","doi":"10.4103/ijnmr.ijnmr_91_23","DOIUrl":"10.4103/ijnmr.ijnmr_91_23","url":null,"abstract":"<p><strong>Background: </strong>Labor pain management is a critical aspect of midwifery care and an essential purpose of childbirth-related care. There is a need for comprehensive results on relevant non-therapeutic methods of reducing labor pain. This systematic review and meta-analysis study was conducted to investigate the effect of yoga practice on labor pain.</p><p><strong>Material and methods: </strong>We performed a systematic literature search from SCOPUS, PubMed, Web of Science, and Science Direct for relevant studies from January 1, 1990 to June 2, 2022. We selected published quasi-randomized and randomized controlled trial studies that evaluated the effect of yoga practice on labor pain. Quality research was applied. We pooled the Standardized Mean Dfference (SMD) of labor pain in pregnant women with and without yoga practice during pregnancy using a random-effects model at 95% Confidence Intervals (CIs).</p><p><strong>Results: </strong>Nine studies including 660 women were included in the meta-analysis. Pregnant women in the yoga practice group experienced statistically significantly low labor pain at the beginning of the active phase compared to the control group (SMD: -1.10, 95% CI: -1.61, -0.58, <i>p</i> < 0.001; I2 = 89%). Yoga interventions also reduced the intensity of labor pain in active (SMD: -1.32, 95% CI: -2.03, -0.60, <i>p</i> < 0.001; I2 = 92%) and transition (SMD: -1.93, 95% CI: -2.87, -0.99, <i>p</i> < 0.001; I2 = 92%) phases compared to the control group, respectively.</p><p><strong>Conclusions: </strong>The results of the study showed that yoga practice during pregnancy reduces the intensity of labor pain in different labor phases. However, these findings should be considered cautiously due to the substantial heterogeneity between studies.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"273-279"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890383","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 Logotherapy on the Organization-Based Self-Esteem and Job Satisfaction of Employed Midwives.","authors":"Farahnaz Bazargan-Sabet, Katayoun Alidousti, Anahita Tashk, Vahid Yazdi-Feyzabadi, Atefeh Ahmadi","doi":"10.4103/ijnmr.ijnmr_27_22","DOIUrl":"10.4103/ijnmr.ijnmr_27_22","url":null,"abstract":"<p><strong>Background: </strong>Midwives as one of the most effective members of the health systems play a key role in delivering health services to mothers and children who are vulnerable groups of the society. This research aimed to investigate the effect of Logotherapy on job satisfaction and Organization-Based Self-Esteem (OBSE) of employed midwives.</p><p><strong>Materials and methods: </strong>This is a quasi-experimental study with the pretest and posttest design and a control group from all midwives employed in the public hospital of Rasht City in Iran. Fifty-six midwives fulfilling the inclusion criteria were selected and randomly divided into two groups of intervention and control. They filled job satisfaction, OBSE questionnaires, and demographic information checklist, and then, the intervention group attended Logotherapy for six sessions/90 minutes. Finally, both groups answered the instruments as posttest.</p><p><strong>Results: </strong>Results showed that the mean difference between OBSE (F _6,83 = 27, <i>p</i> < 0.05) and job satisfaction (t _2,62 = 27, <i>p</i> < 0.01) scores before and after the sessions in the intervention group was significantly more than the control group.</p><p><strong>Conclusions: </strong>Group Logotherapy increased job satisfaction and OBSE among midwives. It can be recommended for use in the clinical settings for healthcare providers.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"297-301"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890376","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":"Maternal Complications during Pregnancy and Risk Factors for Stunting.","authors":"Rifzul Maulina, Mochammad B Qomaruddin, Budi Prasetyo, Rachmah Indawati","doi":"10.4103/ijnmr.ijnmr_358_22","DOIUrl":"10.4103/ijnmr.ijnmr_358_22","url":null,"abstract":"<p><strong>Background: </strong>Stunting can be prevented by early detection when the mother is pregnant. Early detection can be carried out by looking for risk factors of stunting during pregnancy so that interventions can be early detected. This study aims to assess complications during pregnancy (disease and infection) and risk factors associated with stunting.</p><p><strong>Materials and methods: </strong>The type of research was observational analytic with a case-control design on 450 mothers who were selected with simple random sampling (150 mothers who have stunting babies aged 0-2 months and 300 mothers who have not stunting babies aged 0-2 months in Malang Regency, Indonesia. This study used secondary data by looking at medical records, namely, laboratory examinations in the mother's book and cohort records at the public health center. This study was conducted from December 2021 to August 2022. Bivariate analysis with Chi-square and multivariate logistic regression was carried out to determine the variables that most influenced the incidence of stunting.</p><p><strong>Results: </strong>The results of multivariate analysis with logistic regression of maternal complications during pregnancy, which are a risk as a factor causing stunting, are Sexually Transmitted Infections (STIs) (Odds Ratio [OR]: 6.36; 95% Confidence Interval [CI]: 2.97-13.62), coronavirus disease 2019 (COVID-19) accompanied by pneumonia (OR: 5.12; 95% CI: 1.87-14.052), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) (OR: 4.63; 95% CI: 1.10-19.59), hepatitis B (OR: 3.97; 95% CI: 1.253-12.565), pre-eclampsia (OR: 3.88; 95% CI: 1.81-8.30), and heart disease (OR: 3.373; 95% CI: 0.99-11.40).</p><p><strong>Conclusions: </strong>After recognizing the maternal factors that cause stunting, intervention should immediately be carried out on pregnant women with diseases (pre-eclampsia and heart disease) and infections (STI, COVID-19 + pneumonia, HIV/AIDS, and hepatitis B) to prevent stunting early.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"309-313"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890379","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":"Fear of COVID-19, Health Anxiety and Work-Family Conflict in Nurses Working in the COVID-19 Ward.","authors":"Seyedeh Fatemeh Mirbazegh, Simin Ranjbaran, Seyed Farshad Allameh, Ali Ganjalikhan Hakemi, Fereshteh Rezaie, Forouzandeh Jannat, Gholamreza Ghaedamini Harouni, Ladan Fattah Moghaddam","doi":"10.4103/ijnmr.ijnmr_360_22","DOIUrl":"10.4103/ijnmr.ijnmr_360_22","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 is an example of an epidemic and sudden crisis that has affected many aspects of life and work and identifying the factors that contribute to its impact can help prevent similar crises in the future. The purpose of this study was to investigate fear of COVID-19, health anxiety, and work-family conflict in nurses working in COVID-19 wards in hospitals affiliated with the Tehran University of Medical Sciences (TUMS).</p><p><strong>Materials and methods: </strong>This descriptive-analytical study used a census method to survey 226 nurses working in eight hospitals affiliated with TUMS. Demographics information and three questionnaires including; the Fear of COVID-19 Scale, Short Health Anxiety Inventory, and Work-Family Conflict Scale were completed online. Data were analyzed using descriptive statistics and analytical statistics, and a significance level of <i>p</i> < 0.05 was considered.</p><p><strong>Results: </strong>Structural equation modeling test showed that work-family conflict had an effect on health anxiety, and health anxiety had an effect on fear of COVID-19 (<i>p</i> < 0.05). The severity of the effect of work-family conflict on health anxiety was 0.73, and the severity of the effect of health anxiety on fear of COVID-19 was 0.46. Work-family conflict had an indirect effect on fear of COVID-19 mediated only by health anxiety (<i>p</i> < 0.05) and the severity of the indirect effect was 0.33.</p><p><strong>Conclusions: </strong>Health anxiety plays a mediating role in the relationship between work-family conflict and fear of COVID-19. Workplaces should provide more support to their employees during a crisis such as the COVID-19 pandemic, and prevention programs should be implemented to decrease anxiety.</p>","PeriodicalId":44816,"journal":{"name":"Iranian Journal of Nursing and Midwifery Research","volume":"29 3","pages":"314-319"},"PeriodicalIF":1.0,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890353","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}