Nursing and Midwifery Studies最新文献

{"title":"The Effects of Nigella sativa and curcumin supplementation on oxidative stress biomarkers in postmenopausal women with primary osteoporosis or osteopenia: A triple-blind factorial randomized controlled trial","authors":"A. Iranshahi, A. Farshbaf‐Khalili, A. Ostadrahimi, S. Shakouri, Soraya Babaie","doi":"10.4103/nms.nms_123_21","DOIUrl":"https://doi.org/10.4103/nms.nms_123_21","url":null,"abstract":"Background: Herbal products with potential antioxidant effects can be used in the management of chronic disorders such as osteoporosis. Objectives: The aim of this study was to evaluate the effects of Nigella sativa (NS) and curcumin (CUR) supplementation on oxidative stress biomarkers in postmenopausal women with primary osteoporosis or osteopenia. Methods: In this randomized controlled trial, conducted from August 2018 to April 2019 using a triple-blind factorial design, 120 postmenopausal women with primary osteoporosis (n = 74) or osteopenia (n = 46) were randomly allocated to 430 person groups, namely the NS, CUR, NS + CUR, and placebo groups. Participants in these groups daily received one 1000 mg NS oil capsule and one CUR placebo capsule, one 80 mg nanomicelle CUR and one NS placebo capsule, one 1000 mg NS oil capsule and one 80 mg nanomicelle CUR capsule, and two placebo capsules, respectively. The intervention lasted 6 months. The serum levels of the superoxide dismutase (SOD), total antioxidant capacity (TAC), and malondialdehyde (MDA) oxidative stress biomarkers were assessed before and after the intervention. Results: SOD serum level significantly increased in the NS and the NS + CUR groups and its posttest value in the NS + CUR group was significantly more than the placebo group (mean differences = 100.4, 95% confidence interval = 21.9–178.9; P = 0.013). TAC serum level significantly increased in the NS + CUR group and its posttest value in this group was significantly more than the placebo group (mean difference = 0.23; 95% confidence interval = 0.05–0.41; P = 0.011). No significant change was observed in MDA serum level in any of the study groups (P > 0.05). Conclusion: CUR is probably ineffective in significantly reducing oxidative stress, while NS can relatively alleviate oxidative stress and NS + CUR can considerably alleviate oxidative stress in postmenopausal women with primary osteoporosis or osteopenia.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45415928","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":"The effects of a blended educational, supportive, and follow-up infantile colic program on parents' care burden: A randomized controlled trial","authors":"Zahra Alikhalili, A. Ardestani, Mahboobeh Namnabati","doi":"10.4103/nms.nms_34_21","DOIUrl":"https://doi.org/10.4103/nms.nms_34_21","url":null,"abstract":"Background: Infantile colic (IC) imposes multifactorial problems on the parents, and appropriate interventions are needed to alleviate the care burden. Objectives: This study aimed to assess the effects of an educational, supportive, and follow-up IC program on the parents' caregiver burden (CB). Methods: This randomized controlled trial was conducted with 64 parents whose infants suffered from IC. Participants were randomly assigned to an intervention group (n = 32) and a control group (n = 32). The intervention group received a blended educational, supportive, and follow-up intervention for 2 weeks. The control group received routine care. Caregiver burden was assessed on three occasions, before, immediately after, and 1 month after the intervention, using the Zarit Burden Scale. Data were analyzed through repeated-measures analysis of variance, independent-samples t-test, Chi-square, Fisher's exact, and Mann–Whitney U tests. Results: There was a significant difference between the mean scores of CB in the two groups measured immediately and 1 month after the interventions (P < 0.001). The mean score of CB was significantly lower in the intervention group than in the control group after the intervention (P < 0.05). Conclusion: The blended educational, supportive, and follow-up program could help alleviate parental care burden. Implementing such a program is recommended to reduce CB and associated problems among parents.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47202274","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":"The effect of an intergenerational game program on the social health of older adults","authors":"Nasrin Torabian, M. Adib-Hajbaghery","doi":"10.4103/nms.nms_5_23","DOIUrl":"https://doi.org/10.4103/nms.nms_5_23","url":null,"abstract":"Background: Older adults face changing social roles and reduced social participation, which negatively affects their quality of life and social health. Despite reports of the benefits of intergenerational programs on the social health of older adults, studies are inconsistent in this regard. Objectives: This study aimed to examine the effect of an intergenerational program on the social health of Iranian older adults. Methods: A randomized controlled trial was conducted in 2019 with 40 grandparents over 60 years of age of girl students aged 8–12 years studying in a girl elementary school in Qom, Iran. Eligible subjects were conveniently enrolled and then randomly assigned to an intervention group and a control group of 20 participants each. An intergenerational game program was implemented in 6 sessions of 90 min each over 6 consecutive weeks. During the sessions, each older adult interacted and played with his/her grandchild in the form of a two-player game. The Keyes Social Health Questionnaire was used to assess the social health of older adults at baseline, at the end of the study, and 4 weeks after the end of the program. Data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test, independent samples t-test, paired t-test, and repeated-measures analysis of variance. Results: The mean social health score of the intervention group was 106.05 ± 18.88 at baseline and changed to 129.5 ± 9.32 and 120.75 ± 10.61 at the end of the intervention and 4 weeks afterward, respectively. The mean social health score of the control group was 103.0 ± 10.61 at baseline and did not change significantly during the study. Repeated-measures analysis showed that over time, the intergenerational game program significantly increased the mean social health score in the intervention group (F [1.58] =17.602, P < 0.001), whereas it did not change significantly in the control group. Conclusions: The intergenerational game program was effective in improving the social health of older adults. Similar programs can be used to improve the social health and vitality of older adults.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48730057","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":"Moral distress, burnout, and job satisfaction in emergency medical technicians during the COVID-19 pandemic","authors":"A. Nassehi, J. Jafari, Mehdi Jafari-Oori, M. Jafari","doi":"10.4103/nms.nms_67_22","DOIUrl":"https://doi.org/10.4103/nms.nms_67_22","url":null,"abstract":"Background: Emergency medical technicians (EMTs) or paramedics may not be able to do according to their moral standards during the COVID-19 pandemic, which can cause burnout and job dissatisfaction. Objectives: This study aimed to evaluate moral distress (MD), job satisfaction, and burnout among EMTs during the COVID-19 pandemic. Methods: This cross-sectional study was conducted in Bam, Iran in 2020. In total, 134 EMTs completed the online survey that included demographic information, a MD scale, the Maslach Burnout Inventory, and an item for assessing job satisfaction. Descriptive statistics along with independent samples t-test, one-way analysis of variance, Mann–Whitney U, and Kruskal–Wallis tests, as well as multiple linear regression analysis were used to analyze data. Results: The mean scores of MD and job satisfaction were 25.44 ± 12.78 and 3.63 ± 1.07, respectively. Concerning severity, the mean scores of emotional exhaustion, depersonalization, and personal accomplishment (PA) were 35.45 ± 5.04, 20.61 ± 3.40, and 33.04 ± 4.07, respectively. All three burnout subscales were significantly correlated with job satisfaction (P < 0.05) and MD (P < 0.05). Access to personal protective equipment and education level significantly predicted MD (P < 0.05). Conclusion: Despite high burnout and moderate MD, EMTs reported high job satisfaction, possibly because of increased social respect and salary. EMTs can avoid MD and burnout by learning how to handle ethical challenges during the COVID-19 pandemic.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46811244","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":"Psychological well-being and coping strategies of midwives during the COVID-19 pandemic in Indonesia: A qualitative study","authors":"C. Pratiwi, E. Wijhati","doi":"10.4103/nms.nms_125_21","DOIUrl":"https://doi.org/10.4103/nms.nms_125_21","url":null,"abstract":"Background: The COVID-19 pandemic has affected many individuals, including midwives. Objectives: This study aimed to explore the Indonesian midwives' psychological well-being and to investigate their coping strategies during the COVID-19 pandemic. Methods: This qualitative study investigated 10 midwives, from 9 provinces in Indonesia, who provided care during the COVID-19 pandemic. Semi-structured online interviews were conducted. Prior to the interviews, an online survey was distributed to identify potential participants. The interview data were analyzed using thematic analysis. Results: This study summarized the midwives' psychological distress and coping strategies during the COVID-19 pandemic, categorizing the information into four themes and fourteen subthemes: (a) “I am worried,” (b) professional and personal responsibilities, (c) coping strategies, and (d) policy and expectations were the main themes emerged. Conclusions: Midwives experienced challenging situations that negatively affected their psychological state, due to the COVID-19 pandemic. The biopsychosocial and cultural contexts influenced the midwives' psychological well-being and coping strategies. Midwives should be empowered to prevent and manage their psychological distress, as well as their patients' concerns, during this unprecedented period.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44925079","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":"Perceived stress and social support in pregnant women during the COVID-19 Pandemic","authors":"L. Rastegari, Raziyeh Mossayebnezhad, Azadeh Hosseinkhani, S. Arsang-Jang","doi":"10.4103/nms.nms_66_22","DOIUrl":"https://doi.org/10.4103/nms.nms_66_22","url":null,"abstract":"Background: Pregnant women experience physical and psychological changes during the gestation period. These changes cause psychopathological disorders such as stress and anxiety in mothers. Paying attention to the psychological health of pregnant women is a major global concern, especially during the COVID-19 pandemic. Objectives: This study aimed to assess the perceived stress, social support, and related factors in pregnant women during the COVID-19 pandemic. Methods: This cross-sectional study was conducted on 240 pregnant women who were referred to health centers in Zanjan, Iran, between January 2021 and April 2021. A cluster sampling method was used to recruit the participants. A demographic and midwifery information questionnaire, the 14-item Cohen's Perceived Stress Questionnaire, and Winfield and Tiggemann's Social Support Questionnaire were used to collect data. Data were analyzed using the Chi-square test and multiple linear regression analysis. Results: The mean age of mothers was 27.12 ± 7.01 years. The mean scores for social support and perceived stress were 17.95 ± 5.52 and 26.71 ± 8.84, respectively. No significant association was found between social support and the independent variables. However, perceived stress was significantly associated with social support, such that perceived stress decreased as social support increased. Conclusion: There was a significant relationship between social support and perceived stress. Midwives and gynecologists should implement strategies to reduce stress and reinforce social support during pregnancy.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42610993","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":"Effects of ambulation during the first stage of labor on maternal and neonatal outcomes: A randomized controlled trial","authors":"Reham Khresheh, S. Mosleh, N. Shoqirat, Deema Mahasneh, A. Lesley Barclay","doi":"10.4103/nms.nms_18_22","DOIUrl":"https://doi.org/10.4103/nms.nms_18_22","url":null,"abstract":"Background: In Jordan, practices in maternity wards are not based on the best evidence. Women are still largely confined to bed during the first stage of labor. Objective: This study examined the effect of ambulation during the first stage of labor on maternal and neonatal outcomes. Methods: A blinded randomized controlled trial was conducted in a labor ward of one large hospital in Southern Jordan. Primiparous women (n = 290) were randomly assigned to an intervention group (n = 140) and a control group (n = 150). The intervention group was encouraged to ambulate, and the control group received the usual care. Descriptive statistics, independent t-tests, and analysis of variance were used for data analysis. Results: Compared to the control group, women in the intervention group experienced a shorter duration of the first stage of labor (P < 0.001), reported less intensity of labor pain (P < 0.001), and used less analgesics (P < 0.001). They experienced less augmentation of labor (P = 0.030), were more likely to give birth by normal vaginal birth (P = 0.015) and were more satisfied with the birth experience (P = 0.001). No statistically significant differences were found between groups concerning perineal status, postpartum complications, and neonatal outcomes. Conclusion: Although the intervention has had a positive impact on maternal outcomes, no negative effects on neonatal outcomes were found. Encouraging women to ambulate and assume the upright position during the first stage of labor, is likely to produce better physical, social and economic outcomes in maternity services.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45714200","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":"Physical resilience and its related factors in Iranian older adults with ischemic heart disease: A cross-sectional study","authors":"M. Taghadosi, Z. Sadat, Hosna Ranjbar-Kashi","doi":"10.4103/nms.nms_81_22","DOIUrl":"https://doi.org/10.4103/nms.nms_81_22","url":null,"abstract":"Background: Many biological and cultural factors are involved in the physical resilience of older adults, but these factors are not fully known and the results of studies are contradictory in this field. Objectives: The present study was conducted to determine the level of physical resilience and its associated factors in Iranian older adults with ischemic heart disease (IHD). Methods: A cross-sectional study was conducted on 350 older adults with IHD admitted to Shahid Beheshti Hospital in Kashan, Iran, in 2018. Sampling was done consecutively. Eligible older adults completed a demographic form and the Resnick physical resilience questionnaire in the presence of the researcher. Data were analyzed using Pearson's correlation coefficient, t-test, analysis of variance, and multivariate regression. Results: A majority of the participants were female (50.6%) and mostly resided in urban areas (67.4%). The overall mean score of physical resilience was 9.57 ± 3.00 out of 15. Women, those with an unmarried child at home, those who were literate and lived in urban areas, those without comorbidities, and those who did not receive financial support from family members had significantly higher resilience scores (P < 0.05). Multiple linear regression analysis showed that younger age (P < 0.001), better cognitive function (P = 0.006), and employment (P = 0.01) significantly predicted physical resilience. Conclusion: The average score of the participants was above 50% of the score of the physical resilience questionnaire. Our findings encourage authorities to develop comprehensive care plans including community education and more diverse care for patients with noncommunicable diseases, to increase resilience in older adults with IHD.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43219990","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":"The effects of positive thinking education for adolescent girls on their conflicts with their mothers: A randomized controlled trial","authors":"Fatemeh Nematian, Z. Tagharrobi, Z. Sooki, K. Sharifi","doi":"10.4103/nms.nms_16_22","DOIUrl":"https://doi.org/10.4103/nms.nms_16_22","url":null,"abstract":"Background: Adolescent–parent conflict (APC) has damaging effects on both adolescents and parents and hence effective strategies for its management are necessary. Objectives: The aim of this study was to evaluate the effects of positive thinking (PT) education for adolescent girls on their conflicts with their mothers. Methods: This randomized controlled trial was conducted in 2019–2020. Participants were 48 adolescent girls conveniently selected from two high schools in Kashan, Iran, and randomly allocated to a control and an intervention group through block randomization. Participants in the intervention group received PT education in eight 90 min sessions held twice weekly. A demographic questionnaire and the APC questionnaire were used for data collection. Data were analyzed through the Chi-square, Fisher's exact test, independent-sample t-tests, and the repeated measures analysis of variance. Results: There was no significant difference between the intervention and the control groups respecting the pretest mean scores of APC frequency (244.250 ± 43.353 vs. 234.042 ± 36.218) and APC intensity (24.665 ± 14.244 vs. 27.220 ± 21.829). However, the mean scores of APC frequency and intensity in the intervention group were significantly less than the control group at the end of the study intervention (155.625 ± 28.740 vs. 240.458 ± 35.234 and 13.248 ± 10.660 vs. 35.670 ± 18.998) and 1 month later (122.708 ± 12.302 vs. 241.958 ± 34.719 and 9.693 ± 7.040 vs. 40.258 ± 19.001) (P < 0.05). Conclusion: Group PT education significantly reduces APC. Nurses, midwives, and mental health specialists can use PT education to reduce APC and improve the mental health of communities.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43843491","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":"The prevalence of frailty and its associated factors among Iranian hospitalized older adults","authors":"M. Shohani, Iman Mohammadi, H. Seidkhani, Sara Mohamadnejad","doi":"10.4103/nms.nms_102_21","DOIUrl":"https://doi.org/10.4103/nms.nms_102_21","url":null,"abstract":"Background: As the population ages, the impact of age-related diseases on health is becoming more apparent. Frailty is one of the most important issues faced by older adults. Objectives: This study aimed to determine the prevalence of frailty and the factors affecting it among older adults admitted to teaching hospitals in Ilam in 2020. Methods: This cross-sectional study was performed on 270 older adults admitted to teaching hospitals in Ilam. Participants were selected through consecutive sampling. Data were collected using the Tilburg Frailty Indicator and analyzed by the Chi-square test and logistic regression analysis. Results: The mean age of the older adults participating in the study was 71.97 ± 8.42 years. Overall, 18.1% of older adults were frail, and frailty was significantly associated with having a chronic disease, being accompanied by a close relative, hospitalization, age, sex, marital status, and education level (P < 0.05). The most important predictors of frailty in older adults were age, sex, history of stroke, and being accompanied by a close relative (P < 0.05). Conclusion: About one-fifth of the older adults participating in this study were frail. The prevalence of frailty was higher among women, those with chronic diseases or a history of stroke, single people, and those with low education levels. Therefore, these people need special attention.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41961141","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}