ORIGINAL_ARTICLE
The Effect of Abdominal Massage with Extra-Virgin Olive Oil on Constipation among Elderly Individuals: A Randomized Controlled Clinical Trial
Background: Constipation is one of the most prevalent problems during old age. Abdominal massage is a complementary method in controlling constipation. This study is conducted with the aim of determining the effect of abdominal massage with extra-virgin olive oil on constipation among the elderly.Methods: In this single-blind randomized controlled clinical trial, 54 old individuals in Shiraz nursing homes during November 2018-March 2019 were selected randomly and then allocated to three groups of 18, based on block randomization. The first group underwent abdominal massage with olive oil for five consecutive days (each day one time for 15 minutes). The second group underwent abdominal massage with water similar to the first group. No specific intervention was applied to the control group. All three groups received their medical treatment. The constipation scores were examined using constipation assessment scale (CAS) before the intervention and on the sixth day. Data analysis was done through SPSS 22 using Chi-square, paired t-test, and ANOVA. P˂0.05 was considered as the level of statistical significance.Results: There were no statistically significant differences among the three groups before the intervention. The results demonstrated that the mean score of constipation further decreased in the olive oil group (5.62±1.89 to 2.06±0.99) (P≤0.001) than the massage with water (5.05±1.25 to 3.11±0.99) (P=0.02), and the control group (4.44±1.38 to 5.22±1.35) (P=0.006).Conclusion: Due to the greater effectiveness of abdominal massage with extra-virgin olive oil, the use of this method is recommended in treatment of constipation among the elderly.
Trial Registration Number: IRCT20180923041101N1
https://ijcbnm.sums.ac.ir/article_47614_4531a780a4e5b3bd116bcc8c68cf2333.pdf
2021-10-01
268
277
10.30476/ijcbnm.2021.88206.1495
Complementary and Alternative Medicine
Constipation
massage
Olive oil
The elderly
Amir
Faghihi
amirfaghihi93@gmail.com
1
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Sied Saeed
Najafi
s_najafi44@yahoo.com
2
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Mohammad Hashem
Hashempur
hashempur@gmail.com
3
Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran
AUTHOR
Majid
Najafi Kalyani
majidnajafi5@yahoo.com
4
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Li J, Han X, Zhang X, Wang S. Spatiotemporal evolution of global population ageing from 1960 to 2017. BMC Public Health. 2019;19:127.
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Wald A. Constipation and Defecation Problems. US: American College of Gastroenterology; 2016. [Cited 15 May 2021]. Available from: https://gi.org/topics/constipation-and-defection-problems/
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Kayikci EE, Kocatepe V, Akyuz F, Can G. The Effects of Abdominal Massage on the Management of Constipation: A Systematic Review of Randomised Controlled Trials. Bezmialem Science. 2020;8:311-7.
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Peppas G, Alexiou VG, Mourtzoukou E, Falagas ME. Epidemiology of constipation in Europe and Oceania: a systematic review. BMC Gastroenterology. 2008;8:5.
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Iraji N, Keshteli AH, Sadeghpour S, et al. Constipation in Iran: SEPAHAN systematic review No. 5. International Journal of Preventive Medicine. 2012;3:S34-41.
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Gallegos-Orozco JF, Foxx-Orenstein AE, Sterler SM, Stoa JM. Chronic constipation in the elderly. The American Journal of Gastroenterology. 2012;107:18-25.
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Shin JE, Jung HK, Lee TH, et al. Guidelines for the diagnosis and treatment of chronic functional constipation in Korea, 2015 revised edition. Journal of Neurogastroenterology and Motility. 2016;22:383-411.
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10. Bove A, Bellini M, Battaglia E, et al. Consensus statement AIGO/SICCR diagnosis and treatment of chronic constipation and obstructed defecation (part II: treatment). World Journal of Gastroenterology. 2012;18:4994-5013.
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12. Dehghan M, Fatehi Poor A, Mehdipoor R, Ahmadinejad M. Does abdominal massage improve gastrointestinal functions of intensive care patients with an endotracheal tube? a randomized clinical trial. Complementary Therapies in Clinical Practice. 2018;30:122-8.
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13. Cevik K, Çetinkaya A, Gökbel KY, et al. The Effect of Abdominal Massage on Constipation in the Elderly Residing in Rest Homes. Gastroenterology Nursing. 2018;41:396-402.
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15. Tack J, Müller‐Lissner S, Stanghellini V, et al. Diagnosis and treatment of chronic constipation–a European perspective. Neurogastroenterology & Motility. 2011;23:697-710.
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16. Preece J. Introducing abdominal massage in palliative care for the relief of constipation. Complementary Therapies in Nursing and Midwifery. 2002;8:101-5.
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17. Rao SS. Dyssynergic defecation and biofeedback therapy. Gastroenterology Clinics of North America. 2008;37:569-86.
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18. Bahraini S, Naji S, Mannani R, Bekhradi R. The effect of massage therapy on the quality of sleep in women with multiple sclerosis being admitted by isfahan MS Association. Nursing and Midwifery Journal. 2011;8:197-203. [In Persian]
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21. Turan N, Atabek Aşt T. The effect of abdominal massage on constipation and quality of life. Gastroenterology Nursing. 2016;39:48-59.
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22. Ayas S, Leblebici B, Sözay S, et al. The effect of abdominal massage on bowel function in patients with spinal cord injury. American Journal of Physical Medicine & Rehabilitation. 2006;85:951-5.
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23. McClurg D, Hagen S, Jamieson K, et al. Abdominal massage for the alleviation of symptoms of constipation in people with Parkinson’s: a randomised controlled pilot study. Age and Ageing. 2016;45:299-303.
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24. Sinclair M. The use of abdominal massage to treat chronic constipation. Journal of Bodywork and Movement Therapies. 2011;15:436-45.
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25. Uysal N, Eser I, Akpinar H. The effect of abdominal massage on gastric residual volume: a randomized controlled trial. Gastroenterology Nursing. 2012;35:117-23.
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26. Lai T, Cheung M, Lo C, et al. Effectiveness of aroma massage on advanced cancer patients with constipation: a pilot study. Complementary Therapies in Clinical Practice. 2011;17:37-43.
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27. Nam MJ, Bang YI, Kim TI. Effects of abdominal meridian massage with aroma oils on relief of constipation among hospitalized children with brain related disabilities. Journal of Korean Academy of Nursing. 2013;43:247-55.
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44
ORIGINAL_ARTICLE
Perceived Barriers of Using Modern Family Planning Methods among Women in Jordan: A Qualitative Study
Background: Some cultural and social factors may discourage the use of modern family planning (MFP) methods. The purpose of this study was to better understand the barriers and social norms that might affect women’s ability to take optimal advantage of the free family planning services offered by the Jordanian Ministry of Health (MOH). Methods: Using a qualitative descriptive design, 7 focus group discussions were conducted from January to February 2018, with a purposive sample of 52 married women. Each group consisted of 6-12 participants. Ethical approvals were obtained. Data were analysed using inductive thematic analysis. Results: Data analysis revealed three main themes and four subthemes. The first theme ‘conforming to social and cultural norms’ included the following subthemes: ‘to conform to family and social pressure to bear children’ and ‘to prioritize having male children’. The second theme ‘unmet needs in expected family planning counselling’ included the following subthemes: ‘need for consistency across providers in family planning counselling’, and ‘need for follow-up counselling’. The third theme was the ‘undesirable side-effects’ of the MFP methods, which included both the ‘experienced’ and the ‘anticipated’ side effects. Conclusion: This study identified a number of women’s perceived barriers to using MFP methods. These included conforming to the social pressure, inconsistency of the counselling process, and undesirable side effects. Their perspectives should be carefully addressed in any family planning program.
https://ijcbnm.sums.ac.ir/article_47460_e636ec619ecff37675ca220ea7a7f1a9.pdf
2021-10-01
278
288
10.30476/ijcbnm.2021.88675.1531
Barriers
Family planning methods
Jordan
Qualitative study
women
Khulood
Shattnawi
khuloods@just.edu.jo
1
Department of Child Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Jordan;
LEAD_AUTHOR
Yousef
Khader
yskhader@just.edu.jo
2
Department of Public Health, Faculty of Medicine, Jordan University of Science and Technology, Jordan;
AUTHOR
Nihaya
Al-Sheyab
nasheyab@just.edu.jo
3
Department of Allied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Jordan;
AUTHOR
Mohammad
Alyahya
msalyahya@just.edu.jo
4
Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Jordan;
AUTHOR
Kelley
Ready
kelready@msn.com
5
Ray Marshall Center for the Study of Human Resources, Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, USA;
AUTHOR
Yara
Halasa-Rappel
yara@brandeis.edu
6
Commonwealth Medicine, University of Massachusetts Medical School, Senior Project Director, University of Massachusetts, USA
AUTHOR
Heath
Prince
heath.prince@raymarshallcenter.org
7
Ray Marshall Center for the Study of Human Resources, Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, USA;
AUTHOR
Department of Statistics, International Coaching Federation. Jordan Population and Family Health Survey 2017-18: Key Findings. Amman (Jordan), Maryland (US): Jordan Department of Statistics, International Coaching Federation; 2019.
1
Department of Statistics, International Coaching Federation. Jordan Population and Family Health Survey 2017-18: Key Indicators. Amman (Jordan), Maryland (US): Department of Statistics, International Coaching Federation; 2018.
2
Mahadeen AI, Khalil AO, Hamdan-Mansour AM, et al. Knowledge, attitudes and practices towards family planning among women in the rural southern region of Jordan. Eastern Mediterranean Health Journal. 2012;18:567–72.
3
Alyahya MS, Hijazi HH, Alshraideh HA, et al. Do modern family planning methods impact women’s quality of life? Jordanian women’s perspective. Health and Quality of Life Outcomes. 2019;17:154.
4
Almalik M, Mosleh S, Almasarweh I. Are users of modern and traditional contraceptive methods in Jordan different? Eastern Mediterranean Health Journal. 2018;24:377-84.
5
Hammarberg K, Kirkman M, De Lacey S. Qualitative research methods: When to use them and how to judge them. Human Reproduction. 2016;31:498-501.
6
Bradshaw C, Atkinson S, Doody O. Employing a Qualitative Description Approach in Health Care Research. Global Qualitative Nursing Research. 2017;4:1-8.
7
Sensoy N, Korkut Y, Akturan S, et al. Factors Affecting the Attitudes of Women toward Family Planning. London: Intechopen; 2018.
8
Chafe R. The value of qualitative description in health services and policy research. Healthcare Policy. 2017;12:12-8.
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10. Hennink MM, Kaiser BN, Marconi VC. Code Saturation Versus Meaning Saturation: How Many Interviews Are Enough? Qualitative Health Research. 2017;27:591-608.
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11. Central Intelligence Agency. The World Factbook: Jordan. US: Central Intelligence Agency; 2021. [Cited 22 Dec 2020]. Available from: https://www.cia.gov/the-world-factbook/countries/jordan/
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12. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3:77-101.
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13. Nowell LS, Norris JM, White DE, Moules NJ. Thematic Analysis: Striving to Meet the Trustworthiness Criteria. International Journal of Qualitative Methods. 2017;16:1-13.
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14. Ramlow R. Strengthening Family Planning Project: Family Planning Focus Group Discussions among Married Women of Reproductive Age in Jordan. US: USAID; 2011.
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15. Obeidat HM, Hamlan AM, Callister LC. Missing Motherhood: Jordanian Women’s Experiences with Infertility. Advances in Psychiatry. 2014;2014:1-7.
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Badissy M. Motherhood in the Islamic Tradition Rethinking the Procreative Function of Women in Islam. Muslim World Journal of Human Rights. 2016;13:131-56.
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18. Shattuck D, Kerner B, Gilles K, et al. Encouraging contraceptive uptake by motivating men to communicate about family planning: The Malawi Male Motivator project. American Journal of Public Health. 2011;101:1089-95.
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19. Vouking MZ, Evina CD, Tadenfok CN. Male involvement in family planning decision making in sub-Saharan Africa- what the evidence suggests. Pan African Medical Journal. 2014;19:349.
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20. Truong S, Villar de Onis J, Lindley A, et al. Gender-Informed Family Planning Perceptions and Decision-Making in Rural Chiapas, Mexico: A Mixed-Methods Study. International Journal of Reproductive Medicine. 2020;2020:1-9.
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21. El-Khoury M, Thornton R, Chatterji M, et al. Counseling Women and Couples on Family Planning: A Randomized Study in Jordan. Studies in Family Planning. 2016;47:222-38.
21
22. Yildirim A, Yesil F. Syrian Woman’s View of Polygamy. The Eurasia Proceedings of Educational & Social Sciences. 2018;10:223-33.
22
23. Dimka RA, Dein SL. The work of a woman is to give birth to children: cultural constructions of infertility in Nigeria. African Journal of Reproductive Health. 2013;17:102-17.
23
24. Mahadeen A, Mansour A, Al-Halabi J, et al. Psychosocial wellbeing of infertile couples in Jordan. Eastern Mediterranean Health Journal. 2018;24:169-76.
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25. Hasanpoor-Azghdy SB, Simbar M, Vedadhir A. The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. Iranian Journal of Reproductive Medicine. 2014;12:131-8.
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26. Petro-Nustas W, Al-Qutob R. Jordanian Men’s Attitudes and Views of Birth-Spacing and Contraceptive Use (A Qualitative Approach). Health Care for Women International. 2002;23:516-29.
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27. Begum L, Grossman PJ, Islam A. Identifying Gender Bias in Parental Attitude: An Experimental Approach. Australia: Monash University; 2014.
27
28. Shaikh BT, Azmat SK, Mazhar A. Family planning and contraception in Islamic countries: a critical review of the literature. Journal of the Pakistan Medical Association. 2013;63:S67-72.
28
29. Schwandt HM, Skinner J, Hebert LE, Saad A. Perceived Risks Associated with Contraceptive Method Use among Men and Women in Ibadan and Kaduna, Nigeria Study design. African Journal of Reproductive Health. 2015;19:31-40.
29
30. Schrumpf LA, Stephens MJ, Nsarko NE, et al. Side effect concerns and their impact on women’s uptake of modern family planning methods in rural Ghana: a mixed methods study. BMC Womens Health. 2020;20:57.
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31. Sedgh G, Ashford LS, Hussain R. Unmet Need for Contraception in Developing Countries: Examining Women’s Reasons for Not Using a Method. US: Guttmacher Institute; 2016. [Cited 2 Feb 2021]. Available from: https://www.guttmacher.org/report/unmet-need-for-contraception-in-developing-countries
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32. Alvergne A, Stevens R, Gurmu E. Side effects and the need for secrecy: characterising discontinuation of modern contraception and its causes in Ethiopia using mixed methods. Contraception and Reproductive Medicine. 2017;2:24.
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33
ORIGINAL_ARTICLE
Comparison of The Effects of Cognitive Therapy and Logotherapy on Iranian Elderly People’s General Health
Background: Mental health promotion programs in the elderly are important. The main objective of the present study was to compare the effects of cognitive therapy andlogotherapy on the general health of elderly people who referred to health centers. Methods: This is a quasi-experimental study with pretest-posttest design using a control group. A sample of 90 elderly people was recruited from health centers located in Rafsanjan, between April 2017 and June 2017. 30 participants were considered in each group, separately (cognitive therapy (N=30), logotherapy (N=30), and control (N=30)). Cognitive therapy and logotherapy programs wereimplemented in eight 90-minute sessions, while people in the control group received neithercognitive therapy nor logotherapy. The demographic questionnaire was used at baseline. The 28-item General Health Questionnaire (GHQ-28) was used in two steps of pre-test and post-test. The study data were analyzed through independent t-test, Chi-square, one-way ANOVA, and the Tukey’s post hoc tests; SPSS 18 was used to analyze the data, and p Results: The mean GHQ-28 total scores before the intervention in the cognitive therapy and logotherapy groups and control group were 52.53±2.55, 52.63±5.64, and 52.26±4.09, respectively, which were not significantly different (P=0.94). However, after the intervention these scores were 41.60±3.31, 40.46±3.97 and 51.93±4.22, respectively, and the difference between the two intervention groups and control group was statistically significant (p <0.001).There was no significant difference between the two intervention groups (P=0.49). Conclusions: Groupcognitive therapy is as effective as logotherapy in improving the elderly people’s general health.
https://ijcbnm.sums.ac.ir/article_47625_d81090a674a053d40b96937d9dbffd4a.pdf
2021-10-01
289
299
10.30476/ijcbnm.2021.88217.1497
Cognitive therapy
Frail elderly
Psychotherapy
Ali
Ravari
ravary4776@yahoo.com
1
Deptartment of Medical Surgical Nursing, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
AUTHOR
Tayebeh
Mirzaei
t.mirzaei@rums.ac.ir
2
Deptartment of Medical Surgical Nursing, School of Nursing and Midwifery, Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
LEAD_AUTHOR
Fatemeh
Hosieni
hossini1389@yahoo.com
3
Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
AUTHOR
Elham
Hassanshahi
e.hassanshahi94@gmail.com
4
Geriatric Care Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
AUTHOR
Stanhope M, Lancaster J. Public health nursing: population-centered health care in the community. 10th ed. Canada: Elsevier; 2020.
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37. Britton WB, Haynes PL, Fridel KW, Bootzin RR. Polysomnographic and subjective profiles of sleep continuity before and after mindfulness-based cognitive therapy in partially remitted depression. Psychosomatic Medicine. 2010;72:539-48.
37
38. Engeström Y, Pyörälä E. Using activity theory to transform medical work and learning. Medical Teacher. 2021;43-7-13.
38
ORIGINAL_ARTICLE
Experiences of the Patients with Behcet’s Syndrom from Adherence to Treatment: A Qualitative Content Analysis
Background: Adherence to treatment plays an important role in the effectiveness of treatment in patients with Behcet’s Syndrome (BS). An in-depth understanding of the experiences of patients with BS will help to improve the patients’ management. The present qualitative study aimed to explore the experiences of patients with BS from adherence to treatment. Methods: This qualitative study was conducted during February-September 2019 at Shahid Motahari Behcet’s Clinic in Shiraz, Iran. Data were collected through eight unstructured observations and 22 individual in-depth semi-structured interviews with 20 participants (15 patients with BS, three family members, and two rheumatologists). Data analysis was performed simultaneously with data collection, using the conventional content analysis as proposed by Graneheim and Lundman. Data were managed using MAXQDA 10 software. Results: Data analysis resulted in 21 sub-categories, seven categories, and three themes. The themes included barriers to treatment adherence (inability to cope with treatment and challenges in access to health care), facilitators of treatment adherence (incentives, receiving support, and striving to adapt to illness), and missing aspects of the treatment program (inadequate patient education and the neglect of lifestyle modification). Conclusion: The barriers to and facilitators of treatment adherence as well as the missing aspects of the treatment program of patients with BS were identified. Adherence to treatment is not only determined by the patients, but also affected by the support system and relies upon the existing context and the nature of the treatment plan. These parameters should be considered during patient management to effectively promote treatment adherence.
https://ijcbnm.sums.ac.ir/article_47615_e5ee79d2a92d8a6f8c5ecc25595dfdc8.pdf
2021-10-01
300
312
10.30476/ijcbnm.2021.89726.1640
Adherence to treatment
Behcet’s syndrome
Chronic disease
Qualitative research
Narjes
Taheri
narjestaheri_1361@yahoo.com
1
Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Camellia
Torabizadeh
camellia_torabizadeh@yahoo.com
2
Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Elham
Aflaki
aflakie@gmail.com
3
Autoimmune Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Mehdi
Mohammadi
m48r52@gmail.com
4
Department of Administration and Educational Planning, School of Education Sciences and Psychology, Shiraz University, Shiraz, Iran;
AUTHOR
Zahra
Khademian
zahrakhademian@yahoo.com
5
Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Esatoglu SN, Kutlubay Z, Ucar D, et al. Behcet’s syndrome: providing integrated care. Journal of Multidisciplinary Healthcare. 2017;10:309-19.
1
Davatchi F, Shahram F, Chams-Davatchi C, et al. Behcet’s disease in Iran: Analysis of 7641 cases. Modern Rheumatology. 2019;29:1023-30.
2
Scherrer MAR, Rocha VB, Garcia LC. Behçet’s disease: review with emphasis on dermatological aspects. Anais Brasileiros de Dermatologia. 2017;92:452-64.
3
Leccese P, Alpsoy E. Behçet’s Disease: An Overview of Etiopathogenesis. Frontiers Immunology. 2019;10:1067.
4
Cinar FI, Cinar M, Yilmaz S, et al. Cross-Cultural Adaptation, Reliability, and Validity of the Turkish Version of the Compliance Questionnaire on Rheumatology in Patients With Behcet’s Disease. Journal of Transcultural Nursing. 2016;27:480-6.
5
Khabbazi A, Karkon Shayan F, Ghojazadeh M, et al. Adherence to treatment in patients with Behcet’s disease. International Journal of Rheumatic Diseases. 2018;21:2158-66.
6
van den Bemt BJ, den Broeder AA, van den Hoogen FH, et al. Making the rheumatologist aware of patients’ non-adherence does not improve medication adherence in patients with rheumatoid arthritis. Scandinavian Journal of Rheumatology. 2011;40:192-6.
7
Albuquerque C, Correia C, Ferreira M. Adherence to the Therapeutic Regime in Person with Type 2 Diabetes. Procedia-Social and Behavioral Sciences. 2015;171:350-8.
8
Hugtenburg JG, Timmers L, Elders PJ, et al. Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions. Patient Preference and Adherence. 2013;7:675-82.
9
10. Najimi A, Mostafavi F, Sharifirad G, Golshiri P. Barriers to medication adherence in patients with hypertension: A qualitative study. Journal of Education and Health Promotion. 2018;7:24.
10
11. Zhang L, Tian Y, Ye JF, et al. Poor prognostic factors in patients with newly diagnosed intestinal Adamantiades-Behçet’s disease in the Shanghai Adamantiades-Behçet’s disease database: a prospective cohort study. Orphanet Journal of Rare Diseases. 2019;14:274.
11
12. Tai V, Lindsay K, Sims JL, McQueen FM. Qualitative study: the experience and impact of living with Behcet’s syndrome. The New Zealand Medical Journal. 2017;130:27-36.
12
13. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12.
13
14. Lincoln YS, Lynham SA, Guba EG. Paradigmatic Controversies, Contradictions, and Emerging Confluences, Revisited. In: Denzin NK, Lincoln YS, eds. The Sage handbook of qualitative research. 4th ed. US: Sage Publications; 2011.
14
15. Fort MP, Alvarado-Molina N, Pena L, et al. Barriers and facilitating factors for disease self-management: a qualitative analysis of perceptions of patients receiving care for type 2 diabetes and/or hypertension in San Jose, Costa Rica and Tuxtla Gutierrez, Mexico. BMC Family Practice. 2013;14:131.
15
16. Kvarnstrom K, Airaksinen M, Liira H. Barriers and facilitators to medication adherence: a qualitative study with general practitioners. BMJ Open. 2018;8:e015332.
16
17. Gagani A, Gemao J, Relojo D, Pilao SJ. The dilemma of denial: acceptance and individual coping among patients with chronic kidney diseases. Journal of Educational Science & Psychology. 2016;6:45-52.
17
18. Jaam M, Mohamed Ibrahim MI, Kheir N, et al. Assessing prevalence of and barriers to medication adherence in patients with uncontrolled diabetes attending primary healthcare clinics in Qatar. Primary Care Diabetes. 2018;12:116-25.
18
19. Raghunath S, Hijjawi R, Hoon E, et al. Qualitative assessment of medication adherence in patients with rheumatic diseases on biologic therapy. Clinical Rheumatology. 2019;38:2699-707.
19
20. Dehvan F, Baghi V, Lotfi A, Ghanei Gheshlagh R. Medication adherence inhibitors and facilitators in type 2 diabetic patients: An integrative review. Scientific Journal of Nursing Midwifery and Paramedical Faculty. 2017;3:1-17. [In Persian]
20
21. Heidari P, Cross W, Weller C, et al. Rheumatologists’ insight into medication adherence in patients with rheumatoid arthritis: A qualitative study. International Journal of Rheumatic Diseases. 2019;22:1695-705.
21
22. Rezaei M, Valiee S, Tahan M, et al. Barriers of medication adherence in patients with type-2 diabetes: a pilot qualitative study. Diabetes, Metabolic Syndrome and Obesity. 2019;12:589-99.
22
23. Dehdari L, Dehdari T. The determinants of anti-diabetic medication adherence based on the experiences of patients with type 2 diabetes. Archives of Public Health. 2019;77:21.
23
24. Emami Zeydi A, Karimi Moonaghi H, Heydari A. Exploring Iranian β-Thalassemia major patients’ perception of barriers and facilitators of adherence to treatment: A qualitative study. Electronic Physician. 2017;9:6102-10.
24
25. Koh JJK, Cheng RX, Yap Y, et al. Access and adherence to medications for the primary and secondary prevention of atherosclerotic cardiovascular disease in Singapore: a qualitative study. Patient Preference and Adherence. 2018;12:2481-98.
25
26. Alipour A, Aliakbari Dehkordi M, Amini F, Hashemi Jashni A. Relationship between perceived social support and adherence of treatment in Diabetes mellitus type 2: mediating role of resillency and hope. Journal of Research in Psychological Health. 2016;10:53-67. [In Persian]
26
27. Brandstetter S, Hertig S, Loss J, et al. ‘The lesser of two evils...’ - views of persons with rheumatoid arthritis on medication adherence: a qualitative study. Psychology & Health. 2016;31:675-92.
27
28. Al Hamid A, Ghaleb M, Aljadhey H, Aslanpour Z. A systematic review of qualitative research on the contributory factors leading to medicine-related problems from the perspectives of adult patients with cardiovascular diseases and diabetes mellitus. BMJ Open. 2014;4:e005992.
28
29. Vahedparast H, Mohammadi E, Ahmadi F. The Challenge of Adherence From Treatment-Care Regimens Among Patients With Chronic Diseases: A Qualitative Study. Iranian South Medical Journal. 2017;19:989-1004. [In Persian]
29
30. Ashoorkhani M, Majdzadeh R, Gholami J, et al. Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study. International Journal of Community Based Nursing and Midwifery. 2018;6:314-23.
30
31. Jadid Milani M, Ashk Torab T, Abed Saiedi J, Alavi Majd H. The Effect of Peer Support Groups on Promotion of Physical Health Status of Patients Suffering from Multiple Sclerosis. Journal of Research Development in Nursing and Midwifery. 2013;9:1-10. [In Persian].
31
32. Tehrani AM, Farajzadegan Z, Rajabi FM, Zamani AR. Belonging to a peer support group enhance the quality of life and adherence rate in patients affected by breast cancer: A non-randomized controlled clinical trial. Journal of Research in Medical Sciences. 2011;16:658-65.
32
33. Baczewska B, Kropornicka B, Sepioło J, et al. Acceptance of illness and satisfaction with life among patients with arterial hypertension. Health Problems in Civilization. 2015;9:31-8.
33
34. Khademian F, Aslani A, Bastani P. The effects of mobile apps on stress, anxiety, and depression: overview of systematic reviews. International Journal of Technology Assessment in Health Care. 2020;37:e4.
34
35. Sarayani A, Jahangard-Rafsanjani Z, Hadjibabaie M, et al. A comprehensive review of adherence to diabetes and cardiovascular medications in Iran; implications for practice and research. Journal of Diabetes and Metabolic Disorders. 2013;12:57.
35
36. Sweileh WM, Zyoud SH, Abu Nab’a RJ, et al. Influence of patients’ disease knowledge and beliefs about medicines on medication adherence: findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health. 2014;14:94.
36
37. Kreyenbuhl J, Leith J, Medoff DR, et al. A comparison of adherence to hypoglycemic medications between Type 2 diabetes patients with and without serious mental illness. Psychiatry Research. 2011;188:109-14.
37
38. Zareban I, Fallahi A, Nemat-Shahrbabaki B, Pirakalathanan P. Determinants of treatment adherence among women with osteoporosis: A qualitative study in Iran. Health Education and Health Promotion. 2019;7:27-33.
38
39. Zahmatkeshan N, Rakhshan M, Zarshenas L, et al. The Effect of Applying the Information- Motivation-Behavioral Skills Model on Treatment Adherence in Patients with Cardiovascular Disease: A Quasi-Experimental Study. International Journal of Community Based Nursing & Midwifery. 2021;9:225-37.
39
40. Khademian Z, Kazemi Ara F, Gholamzadeh S. The Effect of Self Care Education Based on Orem’s Nursing Theory on Quality of Life and Self-Efficacy in Patients with Hypertension: A Quasi-Experimental Study. International Journal of Community Based Nursing and Midwifery. 2020;8:140-9.
40
ORIGINAL_ARTICLE
The Effect of Spiritual Counseling on Hope in Patients with Multiple Sclerosis: A Randomized Clinical Trial
Background: Spiritual practices have recently emerged as beneficial to both mental and physical health. The present study was conducted to determine the effect of spiritual counseling on hope among patients with Multiple Sclerosis (MS).Methods: This single blind randomized controlled clinical trial was conducted on the patients with MS in April-June 2020, Kashan, Iran. 50 patients were randomly assigned to two 25-member groups. The patients in the intervention group participated in eight 60-minute spiritual counseling program. They were asked to fill out the demographic information questionnaire before the intervention and Herth Hope Index (HHI) before, immediately (in the 4th week of the study) and a month after the intervention (in the 8th week of the study). Data were analyzed using Chi-square, independent samples t-test and repeated measures ANOVA in SPSS version 16. The significance level was considered p <0.05.Results: The results showed that the differences between the two groups before the intervention were not statistically significant in terms of demographic variables (P>0.05) and the mean score of hope (P=0.61). However, the total mean score of HHI in the intervention group was significantly different from the control group immediately and a month after the intervention (44.95±1.42 VS. 31.66±2.45 and 43.25±1.84 VS. 30.58±2.24), respectively (p <0.001). According to the results of the repeated measures ANOVA, the level of hope and its dimensions significantly changed in the intervention group over time (p <0.001).Conclusion: The results of the present study showed that spiritual counseling promoted the hope score in patients with MS. It is recommended that spiritual counseling should be use as a complementary therapy along with other counseling treatments to increase hope in patients with MS.
Trial Registration Number: IRCT20190819044567N1
https://ijcbnm.sums.ac.ir/article_47597_284bf1bf654d260cecefd9bb94b670fb.pdf
2021-10-01
313
324
10.30476/ijcbnm.2021.88605.1523
counseling
hope
Multiple Sclerosis
Spiritual therapies
Mohammad
Afshar
afshar_m_1343@yahoo.com
1
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran;
AUTHOR
Zohreh
Sadat
sadat_z2003@yahoo.com
2
Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran;
LEAD_AUTHOR
Mohammad
Bagheri
parastar100@gmail.com
3
Department of Psychiatric Nursing, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
Salvetti M, Landsman D, Schwarz-Lam P, et al. Progressive MS: from pathophysiology to drug discovery. Multiple Sclerosis Journal. 2015;21:1376-84.
1
World Health Organization. Atlas: Multiple Sclerosis Resources in the World 2008. Geneva: World Health Organization; 2008.
2
Zarei B, Vagharseyyedin SA, Gorganie E. Relationship between Spiritual Well-Being and Self-Management among Iranian People with Multiple Sclerosis. Jundishapur Journal of Chronic Disease Care. 2015;4:e30154.
3
Etemadifar M, Izadi S, Nikseresht A, et al. Estimated prevalence and incidence of multiple sclerosis in Iran. European Neurology. 2014;72:370-4.
4
Giovannetti AM, Brambilla L, Torri Clerici V, et al. Difficulties in adjustment to multiple sclerosis: vulnerability and unpredictability of illness in the foreground. Disability and Rehabilitation. 2017;39:897-903.
5
Masoudi R, Abedi HA, Abedi P, Mohammadianinejad SE. Iranian family caregivers’challenges and issues in caring of multiple sclerosis patients: A descriptive explorative qualitative study. Iranian Journal of Nursing and Midwifery Research. 2014;19:416-23.
6
O’brien ME. Spirituality in Nursing. 5th ed. Burlington (US): Jones & Bartlett Learning; 2013.
7
Gonçalves JPB, Lucchetti G, Menezes PR, Vallada H. Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine. 2015;45:2937-49.
8
Herdman TH, Kamitsuru S. Nursing diagnoses: Definitions and classification 2015-2017. 10th ed. US: Wiley Blackwell; 2014.
9
10.White ML, Peters R, Schim SM. Spirituality and spiritual self-care: expanding self-care deficit nursing theory. Nursing Science Quarterly. 2011;24:48-56.
10
11.Noormohammadi MR, Etemadifar S, Rabiei L, et al. Identification of concepts of spiritual care in Iranian peoples with multiple sclerosis: A qualitative study. Journal of Religion and Health. 2019;58:949-64.
11
12.Kruizinga R, Hartog ID, Jacobs M, et al. The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis. Psycho‐oncology. 2016;25:253-65.
12
13.Adib-Hajbaghery M, Zehtabchi S, Fini IA. Iranian nurses’ professional competence in spiritual care in 2014. Nursing Ethics. 2017;24:462-73.
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14.Brennan F. Holistic palliative care approach – physical, spiritual, religious and psychological needs. Nephrology. 2013. doi: 10.1111/nep.12076. [Online]
14
15.Ross L, McSherry W, Giske T, et al. Nursing and midwifery students’ perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse Education Today. 2018;67:64-71.
15
16.Boeschoten RE, Braamse AM, Beekman A T, et al. Prevalence of depression and anxiety in multiple sclerosis: a systematic review and meta-analysis. Journal of the Neurological Sciences. 2017;372:331-41.
16
17.Delle Fave A, Bassi M, Allegri B, et al. Beyond disease: happiness, goals, and meanings among persons with multiple sclerosis and their caregivers. Frontiers in Psychology. 2017;8:2216.
17
18.Niyazmand ZA, Abbasszadeh A, Borhani F, Sefidkar R. The relationship between spiritual health and hope in multiple sclerosis patients: A descriptive-correlational study. Electronic Journal of General Medicine. 2018;15(5).
18
19.Schiavon CC, Marchetti E, Gurgel LG, et al. Optimism and hope in chronic disease: a systematic review. Frontiers in Psychology. 2017;7:2022.
19
20.Fallah R, Golzari M, Dastani M, Akbari ME. Integrating spirituality into a group psychotherapy program for women surviving from breast cancer. Iranian Journal of Cancer Prevention. 2011;4:141-7
20
21.Akbari S, Pazokian M, Farahani ASA, et al. Investigating the effect of spiritual care on the hope of diabetic patients referred to the Iranian diabetes association: a clinical trial. Archives of Pharmacy Practice. 2020;11:124-30.
21
22.Oshvandi K, Amini S, Moghimbeigi A, Sadeghian E. The Effect of a Spiritual Care on Hope in Patients Undergoing Hemodialysis: A Randomized Controlled Trial. Current Psychiatry Research and Reviews. 2020;16:68-75.
22
23.Askari E, Norouzi M, Radmehr H, Mohammadi H. Examining the effect of spiritual health on hope and coping strategies among patients with multiple sclerosis (Ms). Journal of Research on Religion & Health. 2017;3:5-17.
23
24.Malekiha M, Yoosefinik A. Effectiveness of Spiritual Therapy on Hope and Self-Concept in Women with Multiple Sclerosis Disease. Journal of Woman and Culture. 2020;11:85-96. [In Persian]
24
25.Morasei F, Aghajani M. The Effect of counseling with spirituality approach on Hope in patients with chronic renal failure. Complementary Medicine Journal. 2014;4:776-86. [In Persian].
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26.Herth K. Abbreviated instrument to measure hope: Development and psychometric evaluation. Journal of Advanced Nursing. 1992;17:1251-9.
26
27.Abdi N, Asadi‐Lari M. Standardization of three hope scales, as possible measures at the end of life, in Iranian population. Iranian Journal of Cancer Prevention. 2011;4:71-77.
27
28.Baljani E, Khashabi J, Amanpour E, Azimi N. Relationship between spiritual well-being, religion, and hope among patients with cancer. Journal of Hayat. 2011;17:27-37. [In Persian]
28
29.Sealed Envelope Ltd. Create a randomisation list. UK: Sealed Envelope Ltd; 2021. [Cited 7 Jan 2021]. Available from: https://www.sealedenvelope.com/simple-randomiser/v1/lists
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30.Karimi MM, Shariatnia K. Effectiveness of spiritual therapy on the life quality of the women with breast cancer in Tehran. Nursing and Midwifery Journal. 2017;15:107-18. [In Persian].
30
31.Hong IWM, Ow R. Hope among terminally ill patients in Singapore: an exploratory study. Social Work in Health Care. 2007;45:85-106.
31
32.Khalili S, Faiiahi-Khoshknab M, Rahgoy A, et al. Effect of Spiritual-religion Care on Depression in Women with Multiple Sclerosis. Iranian Journal of Psychiatric Nursing. 2019;7:8-14. [In Persian].
32
33.Salabifard S, Tajeri B, Rafiepoor A. The Effect of Spiritual Therapy on Posttraumatic Growth, Self-Compassion and Hope in Women with Breast Cancer. Journal of Health Promotion Management. 2020;9:25-36. [In Persian]
33
34.Rahmanian M, Moein Samadani M, Oraki M. Effect of group spirituality therapy on hope of life and life style improvement of breath cancer patients. Biannual Journal of Applied Counseling. 2017;7:101-14. [In Persian]
34
35.Hosseini Rafsanjani T, Arab M, Ravari A, et al. A study on the effects of spiritual group therapy on hope and the mental and spiritual health of patients with colorectal cancer. Progress in Palliative Care. 2017;25:171-6.
35
36.Vellone E, Rega ML, Galletti C, Cohen MZ. Hope and related variables in Italian cancer patients. Cancer Nursing. 2006;29:356-66.
36
37.Kruizinga R, Hartog ID, Jacobs M, et al. The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis. Psycho‐oncology. 2016;25:253-65.
37
38.Syed Elias SM, Neville C, Scott T, Petriwskyj A. The effectiveness of spiritual reminiscence therapy for older people with loneliness, anxiety and depression in Malaysia. Journal of Religion, Spirituality & Aging. 2020;32:341-56.
38
39. Bolhari N, Naziri G, Zamaniyan S. Effectiveness of spiritual healing therapy for decrease depression, anxiety, stress of woman with breast cancer. Sociology of Women. 2012;3:85-116. [In Persian].
39
ORIGINAL_ARTICLE
Breastfeeding Knowledge and Attitudes among Midwifery Diploma Students in Jordan: A Descriptive Study
Background: Healthcare providers widely support breastfeeding as the optimal form of nutrition for infants. Midwives play a vital role in assisting the mothers to initiate and continue breastfeeding. Therefore, they must acquire proper knowledge accompanied by positive attitudes toward breastfeeding during college education. The main aim of the present study was to assess the knowledge and attitudes of diploma midwifery students toward breastfeeding. Methods: This is a descriptive cross-sectional study. A short version of the Australian Breastfeeding Knowledge and Attitude Questionnaire (ABKAQ-SF) was distributed among 72 diploma midwifery students from one community college in July 2018, using convenience sampling. Data were analyzed using SPSS software, and the statistical significance was set at p Results: Results revealed neutral attitudes (a mean score of 3.02±0.36 out of 5), coupled with a lack of breastfeeding knowledge (mean score was 10.07±2.38 out of 22), particularly knowledge regarding breastfeeding problem management. Midwifery students’ knowledge and attitudes scores were significantly correlated with one another (r=0.68, P=0.001). Demographic variables such as age, year of study, residency place, or personal breastfeeding experiences affected neither the students’ breastfeeding knowledge nor their attitudes. Conclusion: The findings of this study highlight the need for reforming the curricula of midwifery colleges. Midwifery curricula should provide in-depth knowledge of human lactation physiology and management and give students the basic skills they need to assist breastfeeding women. At the same time, it should focus on the development of supportive and positive attitudes toward breastfeeding.
https://ijcbnm.sums.ac.ir/article_47352_35058609944a4ca27058f56936396f1d.pdf
2021-10-01
325
335
10.30476/ijcbnm.2021.88755.1542
Attitudes
Breastfeeding
Knowledge
Midwifery
Diala
Altwalbeh
diala.tawalbeh@bau.edu.jo
1
Department of Allied Medical Sciences, Faculty of Karak College, Al-Balqa Applied University, Salt, Jordan
LEAD_AUTHOR
Dykes F. Breastfeeding in hospital: mothers, midwives and the production line. UK: Routledge; 2006.
1
World Health Organization. Infant and young child feeding. Geneva: World Health Organization; 2020. [Cited 3 Mar 2020]. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
2
Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387:475-90.
3
Kavle JA, LaCroix E, Dau H, Engmann C. Addressing barriers to exclusive breast-feeding in low-and middle-income countries: a systematic review and programmatic implications. Public Health Nutrition. 2017;20:3120-34.
4
Balogun OO, Dagvadorj A, Anigo KM, et al. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: a quantitative and qualitative systematic review. Maternal & Child Nutrition. 2015;11:433-51.
5
Department of Statistics, International Coaching Federation. Jordan Population and Family Health Survey 2017-18. Amman (Jordan): Department of Statistics; 2019.
6
Khader YS, Alyahya M, Batieha A. Perinatal and Neonatal Mortality in Jordan. In: Laher I. Handbook of Healthcare in the Arab World. Switzerland: Springer Nature; 2019.
7
Abuidhail J, Al-Modallal H, Yousif R, Almresi N. Exclusive breast feeding (EBF) in Jordan: Prevalence, duration, practices, and barriers. Midwifery. 2014;30:331-7.
8
Al-Sagarat AY, Yaghmour G, Moxham L. Intentions and barriers toward breastfeeding among Jordanian mothers-A cross sectional descriptive study using quantitative method. Women and Birth. 2017;30:e152-7.
9
Al-Domi HA. Knowledge and Attitudes towards Breastfeeding among Unmarried Female Graduates at the University of Jordan. Malaysian Journal of Nutrition. 2015;21:309-19.
10
Khasawneh W, Kheirallah K, Mazin M, Abdulnabi S. Knowledge, attitude, motivation and planning of breastfeeding: A cross-sectional study among Jordanian women. International Breastfeeding Journal. 2020;15:60.
11
Ahmed A, El Guindy SR. Breastfeeding knowledge and attitudes among Egyptian baccalaureate students. International Nursing Review. 2011;58:372-8.
12
McFadden A, Gavine A, Renfrew MJ, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews. 2017;2:CD001141.
13
Gavine A, MacGillivray S, Renfrew MJ, et al. Education and training of healthcare staff in the knowledge, attitudes and skills needed to work effectively with breastfeeding women: a systematic review. International Breastfeeding Journal. 2017;12:6.
14
Renfrew MJ, McFadden A, Dykes F, et al. Addressing the learning deficit in breastfeeding: strategies for change. Maternal & Child Nutrition. 2006;2:239-44.
15
AL-Nuaimi K, Ali R, Hatem Ali F. The effect of a breastfeeding educational workshop on clinicians’ knowledge, attitudes and practices. British Journal of Midwifery. 2019;27:242-50.
16
Renfrew MJ, McFadden A, Bastos MH, et al. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. The Lancet. 2014;384:1129-45.
17
Haile ZT, Elmasry M, Chavan B, Azulay Chertok IR. Association Between Type of Health Professional at Birth and Exclusive Breastfeeding. Journal of Midwifery & Women’s Health. 2017;62:562-71.
18
Balyakina E, Fulda KG, Franks SF, et al. Association Between Healthcare Provider Type and Intent to Breastfeed Among Expectant Mothers. Maternal and Child Health Journal. 2016;20:993-1000.
19
Battersby S. The role of the midwife in breastfeeding: Dichotomies and dissonance. British Journal of Midwifery. 2014;22:551-6.
20
Swerts M, Westhof E, Bogaerts A, Lemiengre J. Supporting breast-feeding women from the perspective of the midwife: A systematic review of the literature. Midwifery. 2016;37:32-40.
21
Radzyminski S, Callister LC. Health professionals’ attitudes and beliefs about breastfeeding. The Journal of Perinatal Education. 2015;24:102-9.
22
Yang SF, Salamonson Y, Burns E, Schmied V. Breastfeeding knowledge and attitudes of health professional students: a systematic review. International Breastfeeding Journal. 2018;13:8.
23
Darwent KL, Kempenaar LE. A comparison of breastfeeding women’s, peer supporters’ and student midwives’ breastfeeding knowledge and attitudes. Nurse Education in Practice. 2014;14:319-25.
24
Select Statistical Services. Population Proportion–Sample Size. UK: Select Statistical Services; 2020. [Cited 21 Nov 2020]. Available from: https://select-statistics.co.uk/calculators/sample-size-calculator-population-proportion/
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Fox‐Wasylyshyn SM, El‐Masri MM. Handling missing data in self‐report measures. Research in Nursing & Health. 2005;28:488-95.
26
Brodribb W, Fallon A, Jackson C, Hegney D. Breastfeeding and Australian GP registrars-their knowledge and attitudes. Journal of Human Lactation. 2008;24:422-30.
27
Brodribb W, Fallon AB, Jackson C, Hegney D. Breastfeeding knowledge: the experiences of Australian general practice registrars. Australian Family Physician. 2009;38:26-9.
28
Vandewark AC. Breastfeeding attitudes and knowledge in bachelor of science in nursing candidates. The Journal of Perinatal Education. 2014;23:135-41.
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Davis A, Sherrod RA. Effects of an educational intervention on baccalaureate nursing students’ knowledge and attitude in providing breastfeeding support to mothers. International Journal of Childbirth Education. 2015;30:8-12.
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Ahmed A, Bantz D, Richardson C. Breastfeeding knowledge of university nursing students. MCN: The American Journal of Maternal Child Nursing. 2011;36:361-7.
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Amin TT, Abdulrahman AG, Saab Al Muhaidib N, Abdulaziz Al Hamdan O. Breastfeeding attitudes and knowledge among future female physicians and teachers in Saudi Arabia. Health Science Journal. 2014;8:102-15.
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Khriesat W, Ismaile S. Negative attitudes & misinformation to breastfeeding among young generation in a nursing program. Australasian Medical Journal. 2017;10:934-40.
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Kakrani VA, Rathod Waghela HK, Mammulwar MS, Bhawalkar JS. Awareness about “Ten Steps for Successful Breastfeeding” among medical and nursing students. International Journal of Preventive Medicine. 2015;6:40.
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Shehu M, Shehu H. Knowledge, Attitude and Intending Practice on Breastfeeding Among Clinical Medical Students in Bingham University Teaching Hospital, Jos. European Journal of Preventive Medicine. 2019;7:50-6.
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Khriesat W, Kassab M, Bawady H, et al. Breastfeeding attitudes and knowledge among sixth year medical students in Jordan. Jordan Medical Journal. 2014;48:189-201.
36
Al-Ali N, Hatamleh R, Khader Y. Female public Jordanian university undergraduate students’ intentions and attitudes toward breastfeeding: Application of self-objectification theory. Breastfeeding Review. 2013;21:31-42.
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Hatamleh R, Maghaydah S, Abuhammad S, Rababah H. Knowledge, attitudes and future intentions towards breastfeeding among undergraduate students at a Jordanian public university. Evidence Based Midwifery. 2018;16:136-42.
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Altamimi E, Al Nsour R, Al dalaen D, Almajali N. Knowledge, attitude, and practice of breastfeeding among working mothers in South Jordan. Workplace Health & Safety. 2017;65:210-8
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42
ORIGINAL_ARTICLE
Resilience and Associated Factors in Mothers of Children with Congenital Heart Disease: A Cross-Sectional Study
Background: Congenital heart disease (CHD) in children affects the parents’ mental and physical health and their caring and supportive functions. Resilience is an important factor in health. This study aimed to determine resilience and its associated factors in mothers of children with congenital heart disease. Methods: This descriptive cross-sectional study enrolled 136 mothers of children with CHD. Samples were selected in two hospitals of Shahid Modarres and Children’s Medical Center in Tehran, Iran, via convenience sampling from May to early October 2019. Data were collected using demographics questionnaire, Multidimensional Scale of Perceived Social Support (MSPSS), Life Orientation Test (LOT), and Wagnild and Young Resilience Scale (RS). Data were analyzed in statistical software SPSS-16 using independent t-test, ANOVA, Pearson and Spearman correlation, and multiple linear regression. The significance level was set at p <0.05. Results: Mothers’ total mean score of resilience was 94.08±12.81, while 14.7%, 66.2%, and 19.1% had low, moderate, and high resilience, respectively. Regression analysis showed that two variables of social support (B=2.20, p <0.001) and optimism (B=0.76, P=0.003) were associated with resilience in mothers. The duration of the child’s disease was positively correlated with the mothers’ resilience but did not predict it (B=-0.72, P=0.22). Conclusion: The level of resilience in most mothers was moderate. Social support in the dimension of significant others and optimism were associated with mothers’ resilience. Therefore, holistic care and providing educational training programs that enhance these variables could be effective in promoting resilience in mothers of children with CHD.
https://ijcbnm.sums.ac.ir/article_47476_bd046e039cbb47586f6c4075b200ab16.pdf
2021-10-01
336
345
10.30476/ijcbnm.2021.89691.1630
children
Congenital heart disease
Mothers
Optimism
Resilience
social support
Masomeh
Sanayeh
sanaye.2000@yahoo.com
1
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
AUTHOR
Manijeh
Nourian
nourianma@gmail.com
2
Department of Pediatric Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
LEAD_AUTHOR
Saleheh
Tajalli
saleheh_tajalli@yahoo.com
3
Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran;
AUTHOR
Fatemeh
Khoshnavay Fomani
f-khoshnava@sina.tums.ac.ir
4
Department of Pediatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
AUTHOR
Amir
Heidari
amir_h2026@yahoo.com
5
Department of Cardiovascular, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
AUTHOR
Maliheh
Nasiri
malihenasiri@gmail.com
6
Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Liu Y, Chen S, Zühlke L, et al. Global birth prevalence of congenital heart defects 1970–2017: updated systematic review and meta-analysis of 260 studies. International Journal of Epidemiology. 2019;48:455-63
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3
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4
Lisanti AJ. Parental Stress and Resilience in Congenital Heart Disease: A New Frontier for Health Disparities Research. Cardiology in the Young. 2018;28:1142-50.
5
Javalkar K, Rak E, Phillips A, et al. Predictors of caregiver burden among mothers of children with chronic conditions. Children. 2017;4:39.
6
Edraki M, Kamali M, Beheshtipour N, Amoozgar H. Effect of Educational Program on the General Health of the Mothers of the Infants with Congenital Heart Defects. Sadra Medical Sciences Journal. 2014;2:407-16. [In Persian]
7
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8
Lee S, Kim S, Choi JY. Coping and resilience of adolescents with congenital heart disease. Journal of Cardiovascular Nursing. 2014;29:340-6.
9
10.Nourian M, Shahboulaghi FM, Tabrizi KN, et al. Resilience and its contributing factors in adolescents in long-term residential care facilities affiliated to Tehran Welfare Organization. International Journal of Community Based Nursing and Midwifery. 2016;4:386-96.
10
11.Argyros G, Johnson C. Psychological Resilience in Higher Education Students: A Systematic Investigation of Predictive Factors. Journal of Psychology. 2018;9:18-28.
11
12.Kutz-Nelson E, Mclntyre LL. Optimism and positive and negative feelings in parents of young children with developmental delay. Journal of Intellectual Disability Research. 2017;61:719-25.
12
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13
14.Khodabakhshi-Koolaee A, Entekhabi F, Falsafinejad MR, Sanagoo A. Relationship between optimism and humor with resilience in female nurses of hospitals in Isfahan, Iran. Journal of Gorgan University of Medical Sciences. 2019;21:87-93. [In Persian]
14
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19.Sheerin CM, Lind MJ, Brown EA, et al. The impact of resilience and subsequent stressful life events on MDD and GAD. Depression and Anxiety. 2018;35:140-7.
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23.Hatami A, Khalvati Ghalati Z, Badrani MR, et al. The Relationship between Resilience and Perceived Social Support with Hope in Hemodialysis Patients: A Cross-sectional Study. Journal of Research in Medical and Dental Science. 2019;7:14-20.
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44
ORIGINAL_ARTICLE
Family Caregiver: The Forgotten Savior
https://ijcbnm.sums.ac.ir/article_47396_8174e863fb5a4ec1e7c8fd470011fb48.pdf
2021-10-01
346
347
10.30476/ijcbnm.2021.90118.1673
Family caregiver
Caring
Nursing
Caregiver Burden
Sima Sadat
Hejazi
simahejazi@sbmu.ac.ir
1
Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
AUTHOR
Meimanat
Hosseini
meimanathosseini@yahoo.com
2
Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran;
LEAD_AUTHOR
Abbas
Ebadi
ebadi1347@yahoo.com
3
Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran;
AUTHOR
Hamid
Alavi-Majd
alavimajd@gmail.com
4
Department of Biostatistics, Department of Paramedicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
AUTHOR
Alam S, Hannon B, Zimmermann C. Palliative Care for Family Caregivers. Journal of Clinical Oncology. 2020;38:926-36.
1
Bastawrous M. Caregiver burden--a critical discussion. International Journal of Nursing Studies. 2013;50:431-41.
2
Carretero S, Garcés J, Ródenas F, Sanjosé V. The informal caregiver’s burden of dependent people: Theory and empirical review. Archives of Gerontology and Geriatrics. 2009;49:74-9.
3
National Association of Chronic Disease Directors. Caregiving for Family and Friends - A Public Health Issue. US: National Association of Chronic Disease Directors; 2019.
4
Fekete C. Caregiver Burden. In: Wright JD. International Encyclopedia of the Social & Behavioral Sciences. 2nd ed. US: Elsevier; 2015.
5