Marzeyeh Loripoor, Fatemeh Esmaeili, Reza Vazirinejad, Sasan Dan
{"title":"The Effect of Palm Pollen Extract on Sexual Disorders in Postmenopausal Women: A Randomized Clinical Trial.","authors":"Marzeyeh Loripoor, Fatemeh Esmaeili, Reza Vazirinejad, Sasan Dan","doi":"10.30476/IJCBNM.2022.95809.2086","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.95809.2086","url":null,"abstract":"<p><strong>Background: </strong>Considering the numerous nutritional and estrogenic compounds of palm pollen and their effect on sexual function, this study was performed to investigate the effect of palm pollen extract on sexual disorders in postmenopausal women.</p><p><strong>Methods: </strong>In this three-blind clinical trial, 110 postmenopausal women from December 2019 to December 2020 from Rafsanjan comprehensive health service centers were randomly assigned to two groups, using a lottery method. The intervention group received 300 mg capsule of palm pollen extract, and the control group received placebo for 4 weeks. Sexual disorders were assessed with a 6-item female sexual function index before, at the end of the intervention, and 4 weeks after the end of the intervention. Independent t-test, Chi-square and repeated measures ANOVA were used to analyze the data through SPSS software version 21. The statistically significant level was considered P value less than 0.05.</p><p><strong>Results: </strong>The mean scores of sexual disorders before the intervention in the intervention and control groups were 15.36±5.01 and 14.13±4.67 (P=0.68); at the end of the intervention, they were 15.18±4.50 and 14.22±3.91 (P=0.43) and 4 weeks after the end of the intervention we obtained 15.7±4.77 and 14.44±3.78, respectively (P=0.90).</p><p><strong>Conclusions: </strong>According to the results, daily consumption of 300 mg of date pollen extract had no effect on improving sexual disorders in postmenopausal women. Further studies in this field are suggested.<b>Trial Registration Number:</b> IRCT20160308026971N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/fa/IJCBNM-11-14.PMC9839974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711485","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":"Coping Experiences of Nigerian Women during Pregnancy and Labour: A Qualitative Study.","authors":"Deborah Tolulope Esan, Janet Efemena Adugbo, Israel Opeyemi Fawole, Oluwadamilare Akingbade","doi":"10.30476/IJCBNM.2022.96739.2147","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96739.2147","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy and labour are defining moments in the lives of women. While these are joyful moments for many, some physical and psychological issues have been reported during labour and pregnancy. This study was conducted to explore the coping experiences of Nigerian women during pregnancy and labour.</p><p><strong>Methods: </strong>This is an exploratory qualitative study using the content analysis. The study was conducted from November 2021 to January 2022 in Ekiti State and Federal Capital Territory, Nigeria. In-depth interviews were conducted with 30 women selected using the purposive sampling technique. Data collection was stopped when we reached data saturation. Data were analyzed through content analysis using the NVIVO software version 12.</p><p><strong>Results: </strong>Two themes emerged from the study including coping strategies during pregnancy and trying to endure labour pain. The theme, coping strategies utilized during pregnancy, included obtaining the relatives' experiences, seeking information, religious practices, and engaging in exercise. The theme, trying to endure labour pain, consisted of exercising for pain relief, relying on God, Positive imagination, giving psychological support, and behaving according to the accepted cultural beliefs.</p><p><strong>Conclusion: </strong>Findings suggested that women utilized many non-pharmacological methods for coping. Interventions to support women during pregnancy and labour should consider these strategies during planning and implementation.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"23-33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/3b/IJCBNM-11-23.PMC9839976.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711492","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}
Amal Al Hadi, Jennifer Dawson, Michelle Paliwoda, Karen Walker, Karen New
{"title":"Healthcare Providers' Views of Information, Support, and Services Offered to Women in the Postnatal Follow-up Care Period in Oman: A Qualitative Study.","authors":"Amal Al Hadi, Jennifer Dawson, Michelle Paliwoda, Karen Walker, Karen New","doi":"10.30476/IJCBNM.2022.96663.2140","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96663.2140","url":null,"abstract":"<p><strong>Background: </strong>Postnatal care is a component of the maternity care continuum, which is often under-valued and under-offered. The aim of this study was to explore healthcare providers' (HCPs) views about postnatal follow-up care (PNFC) offered to women in Oman.</p><p><strong>Methods: </strong>This qualitative study was performed from May 2021 to January 2022; 29 individual participated in semi-structured telephone interviews with staff nurses (N=20), nurse/midwives (N=5), and doctors (N=4) from Khoula and Ibra hospitals and Al Amerat, Muttrah and Al Qabil health centers in Oman. Conventional content analysis was guided by Erlingsson and Brysiewicz.</p><p><strong>Results: </strong>Seventeen sub-categories and four categories emerged from the data; they included communication and timing of PNFC, provision of PNFC with various components, challenges and needs for providing PNFC, and the impact of COVID-19 on PNFC.</p><p><strong>Conclusion: </strong>Providing postnatal follow-up care in Oman is challenging for HCPs due to lack of clinics dedicated to postnatal care, no scheduled appointment times for women, very limited guidance within the National Maternity Care guideline, and some HCPs (i.e., nurses) with no formal education on the components of postnatal care. These hinder the ability to provide information, education, support, and services to women.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"2-13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/22/IJCBNM-11-2.PMC9839975.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711490","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":"High Risk-pregnant Women's Experiences of Risk Management: A Qualitative Study.","authors":"Talat Khadivzadeh, Zahra Shojaeian, Ali Sahebi","doi":"10.30476/IJCBNM.2022.96781.2148","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96781.2148","url":null,"abstract":"<p><strong>Background: </strong>Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers.</p><p><strong>Methods: </strong>This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers' experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method.</p><p><strong>Results: </strong>Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: \"feeling worry and despair\", \"gladness in the shadow of hope and optimism\", \"momentary shocking and excitement\", and \"inactivity and helplessness\"; self-contemplation including: \"active analysis of the ways of moderating the risk\", \"cognitive denial\", and \"ignoring the risk\"; and witnessed action including: \"problem-focused and rational actions\", and \"avoidance and inefficient engagements\".</p><p><strong>Conclusion: </strong>Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"57-66"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/c7/IJCBNM-11-57.PMC9839972.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711491","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 Health Promotion Interventions in Active Aging in the Elderly: A Randomized Controlled Trial.","authors":"Seyedeh Reyhane Davodi, Hamidreza Zendehtalab, Masoud Zare, Hamidreza Behnam Vashani","doi":"10.30476/IJCBNM.2022.96246.2117","DOIUrl":"10.30476/IJCBNM.2022.96246.2117","url":null,"abstract":"<p><strong>Background: </strong>Active aging has been the paradigm of the old-age lifestyle. Integrated aging care interventions in health centers primarily focus on diseases such as diabetes, hypertension, depression, and cardiovascular diseases, and there is no program or training regarding active aging. This study was carried out from September to December 2021 to determine the effectiveness of an intervention program to promote active aging in the elderly referred to Mashhad health centers.</p><p><strong>Methods: </strong>This randomized controlled clinical trial was conducted on 60 elderly individuals without disabling diseases and cognitive impairment who presented to the Daneshamooz health center in Mashhad in 2021. Through a simple block allocation scheme, those who met the inclusion criteria were randomly divided into the intervention and control groups. The intervention group received the health promotion program during 6 sessions (one session per week) about nutrition, physical activity, responsibility, stress management, communications, and spiritual aspects. The data were gathered using the active aging questionnaire and analyzed using the SPSS software version 25; independent and paired t-test, Wilcoxon, and Mann-Whitney U tests were utilized. P value< 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The results of this study demonstrated that after the intervention, the total active aging score in the intervention group increased significantly (68.5±3 to 85±8.25) (P<0.001) and there was a significant difference between the control and intervention groups (68±3.25 to 85±8.25) (P<0.001).</p><p><strong>Conclusion: </strong>According to the results, training based on a health-enhancement approach can effectively promote active aging in the elderly. Therefore, more attention should be paid to strategic planning for active aging in health centers.<b>Trial Registration Number:</b> IRCT20210308050639N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"34-43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/e9/IJCBNM-11-34.PMC9839973.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426744","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":"Women's Concerns and Experiences of Fetal Anomaly Screening Process: A Qualitative Study.","authors":"Zohreh Khakbazan, Farnaz Farnam, Parsa Abdollahi, Mitra Arjmandifar","doi":"10.30476/IJCBNM.2022.96284.2116","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96284.2116","url":null,"abstract":"<p><strong>Background: </strong>Advanced technologies in antenatal screening provide complex and accurate information about the fetus that allows for early intervention, but it increases pregnant women's concerns about fetal health. This study aimed to investigate the concerns and experiences of Iranian pregnant women in the fetal anomaly screening process.</p><p><strong>Methods: </strong>This qualitative study was performed from September 2018 to June 2019 in Tehran, Iran. Twenty pregnant women who referred to prenatal care clinics, four specialists, and two midwives took part in this study. The sampling was done purposefully until data saturation. Qualitative interviews were analyzed using the content analysis approach and Graneheim and Lundman's method. The MAXQDA 10 was used for data management.</p><p><strong>Results: </strong>The pregnant women who participated in the study were 22-40 years old. The following 4 themes were obtained from the analysis: the challenge of deciding to perform the tests, bitter pregnancy experience, challenges of facing an abortion, and unmet needs of pregnant women by the health system.</p><p><strong>Conclusion: </strong>The findings indicate that pregnant women need real information and support. Designing and implementing interventions that reduce the psychological impact of performing fetal anomaly screening tests can highlight the potential benefits for pregnant women's health.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"44-56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/2a/IJCBNM-11-44.PMC9839969.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426740","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 Role of Community-based Health Services in Sexual and Reproductive Needs of Transgender People.","authors":"Farnaz Farnam, Azar Nematollahi","doi":"10.30476/IJCBNM.2022.97523.2188","DOIUrl":"10.30476/IJCBNM.2022.97523.2188","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/39/IJCBNM-11-69.PMC9839970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711487","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 Role of Psychodrama in Reducing Cesarean Rates and Fear of Childbirth.","authors":"Fadime Bayri Bingol","doi":"10.30476/IJCBNM.2022.97541.2190","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.97541.2190","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/cc/IJCBNM-11-67.PMC9839971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426746","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":"Can psychological status and stress biomarkers in pregnancy predict postpartum depression?","authors":"Usami Eri, Kanazawa Yuki, Kawano Atsuko","doi":"10.5897/ijnm2022.0500","DOIUrl":"https://doi.org/10.5897/ijnm2022.0500","url":null,"abstract":"To detect Postpartum depression (PPD) among mothers in early, easy, and accurate way is required. In this study, we aimed to examine whether biomarkers taken during the perinatal period can predict a risk of PPD, in addition to subjective scale scores. A longitudinal survey of 24 mothers was conducted at 6 and 9 months of gestation (T1&T2) and 1 month postpartum (T3). Psychological state was measured by EPDS, GHQ, and CES-D. Sleep quality, which has a profound influence on postpartum psychological state, was measured by PSQI. Values of 10 biomarkers was measured: blood cortisol, adrenaline, noradrenaline, dopamine, IgA, urinary free cortisol, adrenaline, noradrenaline, dopamine, and breast milk IgA. Correlation was analyzed between psychological scale scores and biomarker values at each time point in the survey. The result showed moderately significant correlations between EPDS scores at T3 and urinary dopamine at T3 (r=0.53, p=0.024), and between GHQ scores at T3 and breast milk IgA at T3 (r=-0.61, p=0.020). Some moderately significant correlations between biomarkers in different time points were found, which were seen between blood adrenaline at T2 and urinary adrenaline at T3 (r=0.52, p=0.034), and between urinary cortisol at T2 and urinary noradrenaline at T3 (r=0.55, p=0.023). These findings demonstrated that autonomic nervous system biomarkers and IgA in breast milk reflects mothers’ psychological state, which coul d be a tool to predict PPD. Furthermore, it was suggested that biomarkers at 9 months of gestation could detect PPD indirectly, by predicting the value of biomarkers at 1 month postpartum.","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"323 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76298215","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}
Katowa-Mukwato Patricia, Chitundu Kabwe, Monde Mercy Wamunyima, Maimbolwa M Margaret, Jere Linda Dianna
{"title":"Evidence based practice and critical thinking in nursing education and practice: A scoping review of literature","authors":"Katowa-Mukwato Patricia, Chitundu Kabwe, Monde Mercy Wamunyima, Maimbolwa M Margaret, Jere Linda Dianna","doi":"10.5897/ijnm2022.0511","DOIUrl":"https://doi.org/10.5897/ijnm2022.0511","url":null,"abstract":"Evidence-Based Practice (EBP) in health is important for patient safety and quality care while Critical Thinking (CT) is a vital prerequisite to evidence based nursing. Despite their importance, in some settings neither EBP nor CT is taught assessed or implemented. This scoping review examined literature related to teaching, learning, assessment and implementation of EBP and application of CT by nursing students and graduates. Arksey and O’Malley framework was used to conduct the scoping review. PubMed, CINAHL, EMBASE and Joanna Briggs Institute for EBP data bases were searched for studies conducted between 2000 and 2020. Inclusion criteria were adapted from the -Population, Intervention, Professionals and Patients, Outcomes, Health Care settings (PIPOH) framework. Search terms included; evidence based practice, nursing education, nursing practice, critical thinking, methods, barriers, facilitators to teaching, learning, assessing and implementing EBP and CT. A total of 2,303 articles were retried, eventually 37 met the inclusion criteria. Use of non-traditional instructional methods for teaching EBP and CT were documented including Problem Based Learning, concept mapping, simulation, think aloud, critical incidence technique, debates and role-plays, reflective journaling, article analysis, nursing journal clubs and multidisciplinary clinical rounds. Validated tools for assessing EBP and CT Skills included; California Critical Thinking Skills Test, Upton and Upton 2006 EBP questionnaire and Yoon’s 2004 Critical Thinking Disposition Inventory. Teaching, assessing EBP and applying CT skills is challenging. Therefore innovative teaching methods are required to promote learning while successful implementation require strategies to minimize detractors and sustain enablers of the process.","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89162292","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}