International Journal of Community Based Nursing and Midwifery最新文献

{"title":"The Effect of a Health-Promoting Program on Quality of Life of Thai Homebound Older Adults: A Quasi-Experimental Study.","authors":"Boonyada Wongpimoln, Ladda Pholputta, Nitchapanrawee Phengphol, Sattawas Udonsat","doi":"10.30476/ijcbnm.2025.104786.2655","DOIUrl":"10.30476/ijcbnm.2025.104786.2655","url":null,"abstract":"<p><strong>Background: </strong>Homebound older adults (HOAs) are especially susceptible to social isolation and loneliness, which can lead to poorer physical and mental health, as well as accelerated cognitive decline, which may increase dependence upon their families. Thus, support from family caregivers is crucial in maintaining the health, safety, and quality of life (QoL) of HOAs. This study aimed to evaluate the effects of a health-promoting program for HOAs and family caregivers on the QoL among HOAs in rural Thai.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted on 114 HOAs and their family caregivers in Selaphum district, Roi Et, Thailand, from August to October 2023. The control group (N=57) received usual home visits, while the experimental group (N=57) underwent 12 weeks of an educational program based on Hulme's family empowerment framework. Data were collected for QoL using the Thai version of the brief form of the World Health Organization QoL at baseline and week 12 for both groups. Data were analyzed through SPSS software version 26 using the Chi-square test, paired t-test, and independent t-test. Statistical significance was defined as a P value ˂0.05.</p><p><strong>Results: </strong>The mean total score of QoL was not significantly different between the control group (87.12±5.06) and experimental group (87.35±5.04) before the intervention (P=0.81). Twelve weeks after the intervention, the mean total score of QoL was significantly different between the experimental (103.53±9.83) and control groups (87.44±5.26) (P<0.001).</p><p><strong>Conclusion: </strong>The health-promoting program for HOAs and family caregivers can provide benefits to enhance QoL among HOAs. It is suggested that healthcare practitioners should collaborate with family caregivers through ongoing training, support, and shared decision-making to ensure continuity of care and enhance HOAs' well-being.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"202-212"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776859","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":"Menstrual Poverty: A Public Health Crisis and the Vital Role of School Healthcare Providers in Iran.","authors":"Zahra Saboohi, Maryam Ghavami","doi":"10.30476/ijcbnm.2025.105736.2721","DOIUrl":"10.30476/ijcbnm.2025.105736.2721","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"236-238"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776845","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":"Exploration of Informational Needs Regarding Childbearing in Iranian Women: A Qualitative Study.","authors":"Faeze Ghorbani, Talat Khadivzadeh, Fatemehzahra Karimi, Kolsoum Deldar","doi":"10.30476/ijcbnm.2025.102474.2488","DOIUrl":"10.30476/ijcbnm.2025.102474.2488","url":null,"abstract":"<p><strong>Background: </strong>Family is the foundation of social institutions, and having children is considered the basic pillar of the family. In this regard, women need information about childbearing to help them in this process. This study aimed to explain the informational needs of women regarding childbearing.</p><p><strong>Methods: </strong>This conventional content analysis study was performed on 24 participants including 18 women and 6 experts, who were purposively selected from urban health centers in Mashhad, Kerman, Tehran, Sari, and Ahvaz cities from February to August 2023. Face-to-face, semi-structured, and in-depth interviews were conducted for data collection until data saturation was attained. The collected data were analyzed based on Graneheim and Lundman's approach. Moreover, MAXQDA software version 20 was used for the organization of data.</p><p><strong>Results: </strong>Data analysis demonstrated three main categories and six subcategories. The main categories were 1) need for specialized reproductive health information and parenting skills, 2) need for supportive information to strengthen maternal identity, and 3) need for social and cultural information related to childbearing and population dynamics.</p><p><strong>Conclusion: </strong>Women need various information in different fields for childbearing. Therefore, the provision of relevant information in line with the needs of women can facilitate childbearing.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"225-235"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776843","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":"Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial.","authors":"Janaina Landim de Sousa, Isabelle Melo Martins, Flávia Ximenes Vasconcelos, Rebecca Camurça Torquato, Laysla de Oliveira Cavalcante Lima, Natália Vieira da Silva, Maria Dhescyca Ingrid Silva Arruda, Joana Maria Rocha Sales, Débora Feitosa de França, Regina Cláudia de Oliveira Melo, Paulo César de Almeida, Lorena Pinheiro Barbosa","doi":"10.30476/ijcbnm.2025.104707.2660","DOIUrl":"10.30476/ijcbnm.2025.104707.2660","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding contributes to the reduction of infant mortality. Educational programs have been employed to strengthen maternal breastfeeding self-efficacy. This study aimed to evaluate the effect of a combined educational intervention on maternal breastfeeding self-efficacy.</p><p><strong>Methods: </strong>A clinical trial was conducted with 152 postpartum women from a public maternity hospital in Fortaleza, Brazil, between February and November 2019. Participants were randomized in blocks into an intervention group and a comparison group that received conventional care. The intervention group received serial album \"Eu Posso Amamentar o Meu Filho\" (I Can Breastfeed My Child) and brief motivational interview in addition to routine care. Data collection occurred at the maternity hospital and via telephone follow-up at 15, 30, 60, 90, 120, and 180 days, using a sociodemographic and obstetric questionnaire, the Brazilian version of the Breastfeeding Self-Efficacy Scale - Short Form, and a feeding pattern form. Data were analyzed using SPSS version 20.0, employing Chi-square tests, independent t-tests, and repeated measures analysis. A significance level of less than 0.05 was considered.</p><p><strong>Results: </strong>The intervention group showed higher mean scores in breastfeeding self-efficacy than the comparison group at 15 (P<0.001), 30 (P<0.001), 60 (P<0.001), and 90 days (P=0.015). In the comparison group, the means across the time points did not show a statistically significant difference (P=0.087), but in the intervention group, there was a statistically significant difference (P<0.001). Regarding exclusive breastfeeding, the mean score of self-efficacy in the intervention group was higher the than comparison group to 60 days (P<0.001).</p><p><strong>Conclusion: </strong>The combined educational intervention increased breastfeeding self-efficacy, and its effects lasted for up to 90 days postpartum.<b>Trial Registration Number:</b> U1111-1251-1052.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"168-179"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776842","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":"Augmented Reality: A Transformative Tool for Enhancing Self-Care in Kidney Transplant Recipients.","authors":"Reza Abdollahi","doi":"10.30476/ijcbnm.2025.105414.2703","DOIUrl":"10.30476/ijcbnm.2025.105414.2703","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"239-241"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776841","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 Prevalence and Predictive Factors of Genitourinary Syndrome of Menopause in Postmenopausal Women: A Cross-sectional Study.","authors":"Azamsadat Mahmoudian, Zohre Zamani, Fatemeh Mohammadzadeh, Narjes Bahri","doi":"10.30476/ijcbnm.2025.103010.2529","DOIUrl":"10.30476/ijcbnm.2025.103010.2529","url":null,"abstract":"<p><strong>Background: </strong>Genitourinary Syndrome of Menopause (GSM) refers to signs and symptoms caused by estrogen deficiency in the genitourinary system. Given the importance of GSM in women's health during menopause, the present study was designed to determine its prevalence and predict factors for postmenopausal women in Gonabad City.</p><p><strong>Methods: </strong>This cross-sectional-analytical study was conducted on 455 postmenopausal women (45-75 years old) referring to three Comprehensive Health Service Centers in Gonabad City, Iran, from September 2021 to July 2022. A stratified random sampling method was applied. Demographic and reproductive questionnaire, urogenital complaints checklist, the Day-to-Day Impact of Vaginal Aging (DIVA) questionnaire, and vaginal examination were used to collect the data. Data were analyzed using the SPSS software version 16.0 using descriptive statistics and independent t-test, Mann-Whitney test, chi-square test, and logistic regression models at the significance level of P<0.05.</p><p><strong>Results: </strong>Of the 455 participants, 238 (52.3%) had GSM. The most common complaints among the participants were urinary incontinence, which was present in 179 (39.34%) participants, and dyspareunia, which was present in 94 (20.66%) participants. Women in the GSM group reported a higher prevalence of dysuria, urinary frequency, urgency, and incontinence, as well as dyspareunia, postcoital bleeding, vaginal dryness, vulvar irritation, and vulvar burning or itching compared to the non-GSM group (P<0.001). Age (P=0.025), gravida (P=0.018), and urinary problems (P<0.001) were predictive factors for GSM.</p><p><strong>Conclusions: </strong>The prevalence of GSM was remarkable in postmenopausal women in Gonabad. Identifying age, gravida, and urinary problems as key predictors of GSM highlights the importance of early screening and tailored management strategies for at-risk populations.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"213-224"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776860","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":"Mobile Application Intervention for Prevention of Multiple Risk Behaviors among Thai Female Adolescents: A Quasi-experimental Study.","authors":"Pimrat Thammaraksa, Arpaporn Powwattana, Surapon Boonlue, Yutthana Meeklinhom","doi":"10.30476/ijcbnm.2025.104901.2667","DOIUrl":"10.30476/ijcbnm.2025.104901.2667","url":null,"abstract":"<p><strong>Background: </strong>Multiple risk behaviors (MRB) among adolescents are correlated with adverse health outcomes. We have devised and examined the effect of a mobile application, STOP Multiple Risk Behaviors (\"STOPMRB\"), on perceived behavioral control and intention to avoid multiple risk behaviors (MRB) among Thai female adolescents.</p><p><strong>Methods: </strong>We conducted a two-group pre-post-test, quasi-experimental study involving Thai female adolescents aged 13-15 (N=60) in Samut Prakarn province, Thailand, between March and May 2021. Participants selected for the intervention group (N=30) were provided with access to a mobile application in conjunction with text messages for 8 weeks, whereas the control group (N=30) received standard education curricula. The primary outcome was self-reported risk behaviors. Secondary outcomes encompassed perceived behavioral control and intention to avoid MRB. Outcomes were analyzed using repeated measures ANOVA, Bonferrini test, Fisher's Exact test, and independent t-test through the software IBM SPSS version 28. A significance level was established at a P-value of less than 0.05.</p><p><strong>Results: </strong>Following a two-month intervention, no MRB was reported among the intervention group, whereas the control group showed 6.7% (P=0.492). The intervention group demonstrated significantly higher mean scores of perceived behavioral control (P<0.001) and the intention to avoid (P<0.001) in comparison to the control group at weeks 4 and 8.</p><p><strong>Conclusion: </strong>Mobile application, according to STOPMRB, could enhance perceived behavioral control and intention to evade MRB and less self-reported frequency of MRB.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"180-190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776858","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":"Healthcare Providers' Interprofessional Collaboration Experience with Integrated Information System for Non-Communicable Disease Management at Primary Care in Indonesia: A Qualitative Study.","authors":"M Agung Akbar, Sukemi Sukemi, La Rakhmat Wabula, Didi Kurniawan, Haeril Amir","doi":"10.30476/ijcbnm.2025.106621.2773","DOIUrl":"10.30476/ijcbnm.2025.106621.2773","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs) require holistic management, yet interprofessional collaboration (IPC) in primary care often faces challenges like fragmented services and inefficient information exchange. Integrated information systems have the potential to address these issues, but the system users' experiences regarding IPC in Indonesia remains understudied. This study aimed to explore healthcare providers' IPC experiences with the integrated information system for NCD management in primary care.</p><p><strong>Methods: </strong>A qualitative study with descriptive phenomenology approach was done at Ogan Komering Ulu Regency, South Sumatra Province, Indonesia from January-March 2025. Fifteen healthcare professionals consisting of 5 nurses, 4 medical doctors, 3 midwives, and 3 public health workers were purposively selected based on their experience using the integrated information system for NCD services. Data were collected until data saturation through two focus group discussions lasting 130-150 minutes. Data analysis was done manually using the Collaizzi's method. Field notes were taken to capture non-verbal cues and contextual observations.</p><p><strong>Results: </strong>Three themes emerged in this study, namely \"enhanced IPC through information systems\", \"Optimized patient management via digital integration\", and \"Improved health workers' accessibility through adaptive technologies\".</p><p><strong>Conclusion: </strong>The integrated information system strengthened IPC and NCD management in primary care by streamlining workflows and improving data accessibility. The integrated information system could improve community-based care with enhancing collaborative patient care.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 3","pages":"191-201"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776844","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":"Cultivating Connections: Leveraging Mobile Health to Enhance Online Health Community Engagement.","authors":"Peigham Heidarpoor, Marzieh Katibeh, Mina Shahmizad, Masomeh Kalantarion","doi":"10.30476/ijcbnm.2025.104216.2616","DOIUrl":"https://doi.org/10.30476/ijcbnm.2025.104216.2616","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 2","pages":"164-166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994506","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":"Effect of Teaching Intervention Based on Health Action Process Approach on Self-care behavior in Older People with Hypertension: A Quasi-experimental Study.","authors":"Fahimeh Zamani, Ali Dehghani, Rasool Eslami Akbar, Heshmatolah Heydari","doi":"10.30476/ijcbnm.2025.50727","DOIUrl":"https://doi.org/10.30476/ijcbnm.2025.50727","url":null,"abstract":"<p><strong>Background: </strong>Aging is considered a natural developmental process in which physical, psychological, and social changes occur; hypertension can be one of these problems. Structured teaching, like the Health Action Process Approach (HAPA), may improve self-care and health in chronic conditions. This study aimed to examine the effect of teaching intervention based on HAPA on self-care behavior in older people with hypertension.</p><p><strong>Methods: </strong>This quasi-experimental study was performed from October 2023 to March 2024 at Valiasr health services center affiliated with Jahrom University of Medical Sciences; 70 older people were divided into an intervention group (35 subjects) and a control group (35 subjects). Teaching intervention was carried out based on HAPA for the intervention group through seven teaching sessions over seven weeks. Data were collected using demographic and Hypertension Self-care Profile at baseline and 2 months post-intervention. Data were analyzed using SPSS 21 with the Chi-square test, Fisher test, Wilcoxon, and Mann-Whitney tests. Statistical significance was considered for P value<0.05.</p><p><strong>Results: </strong>The median of self-care was not significantly different between the control (median: 51(IQR 54-45)) and intervention groups (median: 50(IQR 58-47)) before the intervention (P=0.26). Two months after the intervention, the median of self-care was significantly different between the intervention (median: 73(IQR 74-71)) and control groups (median: 50(IQR 54-45)) (P<0.001).</p><p><strong>Conclusions: </strong>The HAPA could improve self-care behavior in older people with hypertension. It is suggested that healthcare authorities should pay attention to HAPA in teaching and preventive programs for self-care behavior in older people with hypertension.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"13 2","pages":"138-148"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042761","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}