International Journal of Community Based Nursing and Midwifery最新文献

{"title":"Impact of Self-Management Education on Self-care Behaviors, Quality of Life and, Readmission in Heart Failure Patients: A Randomized Controlled Trial.","authors":"Sarina Ramtin, Mitra Zolfaghari, Maryam Mehrpooya, Nazli Ghafouryan Gomish Bashi, Reza Negarandeh","doi":"10.30476/ijcbnm.2026.103856.2588","DOIUrl":"10.30476/ijcbnm.2026.103856.2588","url":null,"abstract":"<p><strong>Background: </strong>Heart failure (HF) is a prevalent chronic condition that requires ongoing self-management. This study aimed to evaluate the effects of mobile videocast-based self-management education on self-care behaviors, quality of life, and hospital readmission in patients with HF.</p><p><strong>Methods: </strong>A randomized clinical trial was conducted from December 2019 to January 2021, involving 38 patients with HF who were referred to Imam Khomeini Hospital in Tehran. Participants were allocated to control (n=19) and intervention (n=19) groups using block randomization. Demographic data form, the nine-item European Heart Failure Self-care Behavior scale, the Minnesota Living with Heart Failure Questionnaire, and a form to record readmission were used for data collection. Both groups received routine care; additionally, the intervention group received four weekly videocasts. Self-care behaviors and quality of life were measured in the baseline and two months after completion of the intervention. The readmission occurrence was checked two months after completing the intervention. Data were analyzed using chi-square, Fisher's exact test, Paired t-test, independent t-test, and Mann-Whitney U test in SPSS version 25. In all tests, p value less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Data from 35 participants (18 control, 17 intervention) were analyzed. Post-intervention, a statically significant difference was observed in self-care behavior scores (Intervention: 17.70±4.51 vs. Control: 27.66±8.19; P=0.001) and quality of life scores (Intervention: 20.76±14.63 vs. Control: 42.00±24.32; P=0.004). During the two-month follow-up, 27.78% of the control group patients were hospitalized compared to none in the intervention group (RR 2.30, 95% CI: 1.53-3.47).</p><p><strong>Conclusion: </strong>Self-management education in patients with HF via videocasts can improve self-care, quality of life, and lower readmission rates in these patients. Accordingly, the use of videocast-based self-management education is recommended as a supportive strategy to improve self-care and quality of life and potentially reduce readmission rates.<b>Trial Registration Number:</b> IRCT20190717044249N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 2","pages":"134-145"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788759","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 Mental Health Education on the Resilience and Psychosocial Adjustment in Patients with Heart Failure under the Care of Home Counseling and Nursing Services: A Randomized Controlled Trial.","authors":"Ramin Avazpour, Ladan Zarshenas, Shahrzad Yektatalab, Nasim Naderi","doi":"10.30476/ijcbnm.2026.99067.2278","DOIUrl":"10.30476/ijcbnm.2026.99067.2278","url":null,"abstract":"<p><strong>Background: </strong>Heart failure is a clinical syndrome that has a large financial burden on the health care system and communities. One of the types of care provided to these patients is home care. The present study aimed to determine the effect of mental health education on resilience and psychosocial adjustment among patients with heart failure under the care of Home Counseling and Nursing Services.</p><p><strong>Methods: </strong>This randomized controlled clinical trial was conducted on 24 patients with heart failure referred to Shahid Rajaei Heart Center, Tehran, Iran in April to June 2020. Patients eligible to enter the study were divided into two intervention and control groups by permuted block randomization. The demographic form, resilience and psychosocial adjustment to illness scale were completed. The intervention group received mental health education in the patients' houses for 6 weeks (one session each week). Each session lasted 60 minutes. The post-test was done two weeks after the end of the study. The control group received routine care. Data analysis was performed using through SPSS software version 19 using Chi-square test, paired sample t-test, and independent samples t-test. P<0.05 was statistically significant.</p><p><strong>Results: </strong>Comparison of the mean of psychosocial adjustment total score between the intervention and control groups after the intervention showed statistically significant differences (P=0.02). Also, there was a significant difference between the two groups in the mean of resilience total score after the intervention (P=0.001).</p><p><strong>Conclusion: </strong>The results indicated that mental health education in patients with heart failure who had received home care nursing could enhance their resilience and psychosocial adjustment.<b>Trial Registration Number:</b> IRCT20200215046493N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 2","pages":"158-167"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788778","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 the Role of Midwives in Promoting Childbearing from the Perspective of Couples: A Qualitative Content Analysis.","authors":"Parvin Esfandiarinezhad, Nahid Javadifar, Mina Iravani","doi":"10.30476/ijcbnm.2026.107187.2810","DOIUrl":"10.30476/ijcbnm.2026.107187.2810","url":null,"abstract":"<p><strong>Background: </strong>Childbearing has declined in all countries worldwide, and Iran is no exception. According to the United Nations report, nearly half of the world's population live in countries with fertility rates below the replacement level. Therefore, providing reproductive health services is of paramount importance. In this regard, utilizing the potential of midwifery care to improve fertility services is significant. This study aims to explore the role of midwives in promoting childbearing from the perspective of couples.</p><p><strong>Methods: </strong>This qualitative study employed content analysis and involved couples attending healthcare centers and hospitals affiliated with Jundishapur University of Medical Sciences in Ahvaz between July to November 2024. Purposive sampling was conducted until data saturation was reached. Data were collected through semi-structured, in-depth interviews with 15 couples (30 individuals) who met the inclusion criteria. Analysis was performed using MAXQDA (version 20) software following the conventional content analysis method of Graneheim and Lundman.</p><p><strong>Results: </strong>The results included 4 main categories: \"Empowering couples,\" \"Creating Motivation for Having Children,\" \"Preparing for Parenthood,\" and \"Supporting the Overcoming of Childbearing Barriers\" and one main theme as \"Midwife as a Key Supporter in Promoting Childbearing\".</p><p><strong>Conclusion: </strong>The couple experiences highlight midwives as pivotal figures in promoting healthy childbearing through a multifaceted approach. Future research should explore the role of midwives in promoting childbearing from the perspectives of midwives and policymakers using qualitative approaches, followed by quantitative studies to assess the impact of these efforts.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 2","pages":"146-157"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788756","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 Board Games with Mobile Applications on Cognition in Older Adults with Mild Cognitive Impairment: A Quasi-Experimental Study.","authors":"Orranuch Chusri, Renu Kwanyuen, Wannee Deoisres, Panawat Sanprakhon","doi":"10.30476/ijcbnm.2026.106946.2795","DOIUrl":"10.30476/ijcbnm.2026.106946.2795","url":null,"abstract":"<p><strong>Background: </strong>Mild cognitive impairment (MCI) presents growing challenges for older adults, particularly in Thailand. This study aimed to examine the effects of board games with mobile applications on cognition in older adults with MCI.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in Suphan Buri Province, Thailand (August-October 2024). Forty-four participants were allocated to the intervention group (N=22) or the control group (N=22). The intervention group received MCI education and participated in a hybrid cognitive-training program consisting of four face-to-face board-game sessions and four home-practice modules delivered via a game-based mobile application. The control group received MCI education and access to the mobile application but did not participate in any face-to-face sessions. Outcomes were assessed at baseline and 8 weeks post-intervention using the Montreal Cognitive Assessment (MoCA), Cognitive Impairment Knowledge Assessment Questionnaire, and Cognitive Failures Questionnaire-Thai version (CFQ-Thai). Data were analyzed using Jamovi software version 2.3.28. Descriptive statistics, Shapiro-Wilk tests, chi-square tests, independent t-tests, and paired t-tests were used. The significance level of P<0.05 was considered.</p><p><strong>Results: </strong>Eight weeks after the intervention, the experimental group, in comparison to the control group, demonstrated significantly higher MoCA scores (23.73±4.54 vs. 20.05±1.36, P<0.001) and MCI knowledge scores (13.55±1.34 vs. 11.55±1.01, P<0.001), with significantly lower CFQ-Thai scores (23.14±8.69 vs. 43.86±7.61, P<0.001).</p><p><strong>Conclusion: </strong>Board Games with a mobile-app cognitive-training program could improve cognitive function among older adults with MCI. Healthcare professionals can implement this accessible intervention to address the growing challenge of cognitive decline in aging populations, particularly in resource-limited and rural settings.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 2","pages":"96-109"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788851","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":"What We Must Seek Now: Palliative Care without Borders, Race, and Ethnicity while Preserving Patient Autonomy.","authors":"Mir Hossein Ahmadi, Reza Abdollahi","doi":"10.30476/ijcbnm.2025.108531.2900","DOIUrl":"10.30476/ijcbnm.2025.108531.2900","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 2","pages":"168-170"},"PeriodicalIF":2.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13122339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788782","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":"Reducing Unnecessary Medical Interventions in Childbirth: The Need for Community-Based Solutions in Iran.","authors":"Marzieh Najar Mohiabadi, Leila Asadi, Azita Manshoori, Ali Mohammad Mosadeghrad, Maryam Nekoolaltak","doi":"10.30476/ijcbnm.2025.106571.2771","DOIUrl":"https://doi.org/10.30476/ijcbnm.2025.106571.2771","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 1","pages":"93-95"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094935","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":"What Do Mothers Want during a High-risk Pregnancy? A Qualitative Study.","authors":"Talat Khadivzadeh, Zahra Shojaeian, Ali Sahebi","doi":"10.30476/ijcbnm.2025.103652.2571","DOIUrl":"10.30476/ijcbnm.2025.103652.2571","url":null,"abstract":"<p><strong>Background: </strong>Mothers with High-risk pregnancies (HRPs) face a combination of health risks, individual factors, and contextual diseases that limit their abilities to address favorable situations and their desires. This study aimed to explore the desires of these mothers.</p><p><strong>Methods: </strong>This qualitative content analysis was conducted from July 2018 to December 2020 in the teaching hospitals of Mashhad and health centers. Data were collected via semi-structured, face-to-face interviews with 25 outpatient mothers with HRPs until saturation was reached. Data analysis was performed using Elo and Kingas approach through MAXQDA software version 10.</p><p><strong>Results: </strong>The analysis identified four main categories and nine subcategories. (I) fulfillment of the desire to have children: Childbearing to propagate religion, Childbearing until achieving the desired family composition, Strengthening the marital bond through childbearing, (II) Maintaining routine life despite the risk of pregnancy: Maintaining daily activities during a high-risk pregnancy, Maintaining normal marital relations despite risk factors, (III) More support and interaction of the healthcare provider: More support for peace of mind, Responsive and friendly healthcare provider, and (IV) Comprehensive and confidential medical care: Comprehensive medical care without wandering, confidential medical care.</p><p><strong>Conclusion: </strong>Childbearing while maintaining marital and daily life was the desire of mothers with HRPs in Iran. Healthcare providers should offer friendly, holistic support that respects the mothers' goals to fulfill their desires. Investigating the views of women with HRPs can aid in developing prenatal interventions that address their holistic care needs.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 1","pages":"67-77"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094853","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 Men's Perception of Participating in the Natural Childbirth Process: A Qualitative Content Analysis.","authors":"Leila Bozorgian, Mozhgan Javadnoori, Mina Iravani, Simin Montazeri","doi":"10.30476/ijcbnm.2025.105680.2718","DOIUrl":"10.30476/ijcbnm.2025.105680.2718","url":null,"abstract":"<p><strong>Background: </strong>Male involvement in childbirth can enhance communication and strengthen family bonds. However, understanding men's perceptions and preferences regarding this participation is limited. This study explores men's perceptions of participating in the natural childbirth process.</p><p><strong>Methods: </strong>A qualitative content analysis was conducted on 15 male participants, using face-to-face, in-depth, semi-structured interviews in Ahvaz health centers from June 2024 to November 2024. These men have had experience accompanying their wives in prenatal care. The sampling was purposive, and interviews continued until saturation was reached. The conventional content analysis framework of Granheim and Landman was also used to analyze the data manually.</p><p><strong>Results: </strong>Four main categories including \"Weaknesses of men's awareness of participation in childbirth\", \"Men's fear of participating in childbirth\", \"Men's willingness to learn and participate in childbirth\" and \"Strategies to improve men's participation in childbirth\" emerged, and we abstracted them in the theme \"Willingness to participate in the aura of fears and weaknesses\".</p><p><strong>Conclusion: </strong>This study shows that lack of the participants' awareness, and fear often prevents their participation. Increasing education and awareness of their roles during pregnancy and childbirth by building social networks and improving cultural programs is important to encourage men to participate in the birth process.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 1","pages":"78-89"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094891","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":"People Living with HIV Experiences from Peer Support: A Meta-Synthesis.","authors":"Syamikar Baridwan Syamsir, Agus Setiawan, Astuti Astuti, Rian Adi Pamungkas, Riswandy Wasir, T Widya Naralia, Haeril Amir","doi":"10.30476/ijcbnm.2025.106314.2758","DOIUrl":"10.30476/ijcbnm.2025.106314.2758","url":null,"abstract":"<p><strong>Background: </strong>Peer support groups play a crucial role in enhancing the psychosocial well-being of people living with HIV (PLHIV), and understanding their experiences is essential for optimizing their impact. This review aimed to identify, explore, and synthesize the experiences of PLHIV participating in peer support groups.</p><p><strong>Methods: </strong>A systematic review and meta-synthesis were conducted using the thematic synthesis approach developed by Thomas and Harden. Comprehensive searches were performed in PubMed, Scopus, CINAHL, Cochrane, and Web of Science up to December 2024, using Boolean combinations of keywords related to HIV, peer support, and qualitative research. Studies were included if they used qualitative methods with a focus on PLHIV's experiences in peer support groups and published in English. Study quality was appraised using the Critical Appraisal Skills Programme (CASP) Qualitative Research Checklist. The review is registered in PROSPERO (CRD42025637718).</p><p><strong>Results: </strong>Out of 1,956 records identified, 20 qualitative studies met the inclusion criteria. The included studies demonstrated substantial geographical diversity, with representation from Africa, North America, Asia, Europe, and Australia. The analysis revealed three main themes: (1) Motivations for Joining Peer Support Groups; (2) Positive Impacts; and (3) Challenges in Participation.</p><p><strong>Conclusion: </strong>Peer support groups help PLHIV gain motivation, emotional strength, and a sense of belonging. Despite these benefits, challenges such as stigma and confidentiality concerns must be addressed through sustainable programs and strong health-community partnerships.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 1","pages":"2-21"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087922","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":"Iranian men's Perception toward Preconception Care: A Qualitative Content Analysis.","authors":"Zohreh Yeganeh, Mozhgan Javadnoori, Azam Moridi","doi":"10.30476/ijcbnm.2025.105398.2701","DOIUrl":"10.30476/ijcbnm.2025.105398.2701","url":null,"abstract":"<p><strong>Background: </strong>Preconception care for men is a relatively new and neglected concept. Preconception care has focused on women, even though there is evidence of the value of preconception care for men. This study aimed to explore men's perceptions of preconception care.</p><p><strong>Methods: </strong>This content analysis included 12 married men aged 20-50 years who were selected purposefully to maximize variation. Data were collected through semi-structured, in-depth interviews conducted face-to-face or by telephone from September to December 2022 in Ahvaz, Iran. Data were analyzed using the thematic approach described by Braun and Clarke with MAXQDA 2020.</p><p><strong>Results: </strong>Data analysis revealed 10 subthemes and 4 themes, including 1) lack of knowledge in preconception care, 2) neglected dimension of men's reproductive health, 3) prerequisites for men's preconception care, and 4) men's willingness to integrate male and female's preconception care. Finally, the main theme emerged was \"preconception care for men, an unfelt and unmet need\".</p><p><strong>Conclusion: </strong>Preconception care for men was a new and interesting concept for the participants. Men experienced multidimensional challenges and needs in preconception care. The results suggest that preconception care for men should be provided to address their specific health needs.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"14 1","pages":"43-54"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094933","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}