Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
An Ethno-phenomenological Study of Pregnant Women’s Experiences regarding Household Roles
282
294
EN
Fatemeh
Erfanian Arghavanian
0000-0003-2219-403X
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
erfanianf@mums.ac.ir
Abbas
Heydari
0000-0002-1082-7488
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
heidarya@mums.ac.ir
Mohsen
Noghani Dokht Bahmani
Department of Social Sciences, School of Literature and Humanity, Ferdowsi University of Mashhad,
Mashhad, Iran;
noghani@um.ac.ir
Robab
Latifnejad Roudsari
0000-0002-1438-8822
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
rlatifnejad@yahoo.com
10.30476/ijcbnm.2020.84685.1228
<strong>Background:</strong> Household labor has been indicated as a feminine role even in the present millennium, in which gender role orientations have been changed. As pregnancy is an important time for studying the division of household labor, this study aimed to discover the meaning of the pregnant women’s experiences of household roles.
<strong>Methods:</strong> An ethno-phenomenological study, in which van Manen approach to phenomenology was its core and focused ethnographic approach was its supplementary component, was used to conduct this study. 25 pregnant women with maximum variation were recruited via the purposeful sampling during 2016-2017 in Mashhad, Iran. In-depth semi-structured interviews, vignette interviews as well as observations were used for data collection. Six-step van Manen’s descriptive-interpretive phenomenological approach was used for concurrent data collection and analysis. MAXQDA, version 10, was used for data organization.
<strong>Results:</strong> Data analysis led to the emergence of an overarching theme entitled: “couples’ preservation, keeping up and protection of the household roles”. This was derived from two subthemes including the mother’s efforts to play the household roles and spouse confrontation with the household chores.
<strong>Conclusion:</strong> The consequence of all endeavors of pregnant women along with their husbands develops the experience of preserving and maintaining the importance of household roles. As pregnancy is an important period for considering division of household responsibilities, it is necessary to design and implement gender sensitive programs to empower pregnant women and their families as well.
<strong> </strong>
Experience,Household,Pregnant women-women’s role
https://ijcbnm.sums.ac.ir/article_46928.html
https://ijcbnm.sums.ac.ir/article_46928_19233a39deee23db61319cc575f10508.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Happiness and its Relationship with Job Burnout in Nurses of Educational Hospitals in Tabriz, Iran
295
304
EN
Tahere
Javadi Sharif
0000-0002-1830-1536
Department of Community Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical
Sciences, Tabriz, Iran;
ahangebernadet@gmail.com
Mina
Hosseinzadeh
0000-0003-1810-0520
Department of Community Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical
Sciences, Tabriz, Iran;
m.hosseinzadeh63@gmail.com
Nader
Mahdavi
0000-0002-0159-0124
Department of Epidemiology, Student Research Committee, School of public Health, Iran University of
Medical Sciences, Tehran, Iran;
nmahdavi24@yahoo.com
Hossein
Namdar Areshtanab
0000- 0003- 1440- 66
Department of Mental Health Nursing, School of Nursing and Midwifery, Tabriz University of Medical
Sciences, Tabriz, Iran;
namdarh@tbzmed.ac.ir
Geoffrey
L. Dickens
0000-0002-8862-1527
Center for Applied Nursing Research (CANR), School of Nursing and Midwifery, Western Sydney
University, Sydney, Australia
g.dickens@westernsydney.edu.au
10.30476/ijcbnm.2020.83298.1138
<strong>Background: </strong>Happiness is a positive feeling that is vital and significant to maintain health. Nurses are working in difficult conditions which may heavily affect their level of happiness and ability to provide care. Job burnout is a mental reaction against some persistent source of workplace stress. The purpose of this study was to identify happiness and its relationship with job burnout in nurses working at Tabriz’s educational hospitals.
<strong>Methods:</strong> This descriptive-correlational study was conducted on 344 nurses working at Tabriz’s hospitals in 2018. The subjects were selected by means of proportionate stratified random sampling. Data were collected using three questionnaires (demographic information, job burnout with 22 items and three subscales and Oxford happiness with 29 items) and analyzed in SPSS version16 using descriptive statistics. Statistical tests such as Pearson correlation coefficient, independent t-test, one-way ANOVA, and multiple linear regression analysis were used to analyze the data.
<strong>Results:</strong> The age range of the participants was 23–57 years with a mean of 35.9±7.5. The mean score of happiness was 64.2±11.5, (score range 35 to 116), which suggests an average level of happiness among the nurses. There was a negative correlation between happiness and total job burnout (r=-0.29, P<0.001). This negative correlation remained significant (B=-0.15, P<0.001) even when nurses’ perception of own health status (B=-5.24, P=0.01), history of illness (B=-4.47, P=0.04), job position (B=-6.61, P=0.001), and type of employment (B=3.56, P=0.03) as potential confounding factors were adjusted.
<strong>Conclusion:</strong> Considering the reverse relationship between job burnout and happiness, it is suggested that managers try to improve the workplace by managing condition which could lead to job burnout, and therefore use the results to increase the happiness of nurses.
Happiness,Iran,Job Burnout,Nurses
https://ijcbnm.sums.ac.ir/article_46619.html
https://ijcbnm.sums.ac.ir/article_46619_aa26c25cf10d91e262d060b79e3cf38c.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Women with Autoimmune Thyroiditis have Lower Reproductive Life Span or Not? A Cross- Sectional Study
305
310
EN
Alamtaj
Samsami
0000-0001-9365-0069
Infertility Research Center, Department of Obstetrics and Gynecology, School of Medicine, Shiraz
University of Medical Sciences, Shiraz, Iran;
samsamia@sums.ac.ir
Leila
Ghasempour
Infertility Research Center, Department of Obstetrics and Gynecology, School of Medicine, Shiraz
University of Medical Sciences, Shiraz, Iran;
leilaghasempour97@gmail.com
Shaghayegh
Moradi
0000-0002-4064-4906
Infertility Research Center, Department of Obstetrics and Gynecology, School of Medicine, Shiraz
University of Medical Sciences, Shiraz, Iran;
shaghayeghmoradi84@gmail.com
Sara
Davoodi
0000-0003-4234-9975
Infertility Research Center, Department of Obstetrics and Gynecology, School of Medicine, Shiraz
University of Medical Sciences, Shiraz, Iran;
sdavoodi9798@gmail.com
Jamshid
rahmati
Department of Anesthesiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran;
jamshid_rahmati@yahoo.com
Ali
Karimian
Department of Physiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
alikarimian59@yahoo.com
Mona
Tavasoli
Infertility Research Center, Department of Obstetrics and Gynecology, School of Medicine, Shiraz
University of Medical Sciences, Shiraz, Iran;
tavasoli_mona@yahoo.com
10.30476/ijcbnm.2020.84255.1207
<strong>Background: </strong>Autoimmune diseases are a main cause of primary ovarian insufficiency. This study was designed to elucidate the relationship between ovarian reserve and anti-thyroid peroxidase antibodies in women of different ages.
<strong>Methods:</strong> 98 women in a cross-sectional study was conducted at the infertility Center of Shiraz University of Medical Sciences, Hazrate Zeinab Hospital, from September 2018 to March 2019. Women with infertility and thyroid-stimulating hormone (TSH) > 3mIU/L were included in the study with convenience sampling. Data were collected by a form containing demographic characteristics, thyroid hormones, and ovarian reserve data. Participants were categorized based on the negative or positive anti-thyroid peroxidase (anti-TPO) antibodies. According to a pilot sample, and possible dropout of 20%, the sample size was determined to be 49 cases in each group. The results were compared between groups using SPSS, version 22. All statistical comparisons were performed using the t-test, and the data are presented as the mean±SD. P-values less than 0.05 were considered significant.
<strong>Results:</strong> 49 women were analyzed in each group. There was no significant difference between the groups in the mean age (P=0.42), body mass index (BMI) (P=0.34), duration of infertility (P=0.99), mean prolactin (P=0.66), TSH (P=0.17), thyroxine (T4) (P=0.87) and follicle-stimulating hormone (FSH) levels (P=0.14). Ovarian reserve characteristics: antral follicular count (AFC) and anti-Müllerian hormone (AMH) levels in anti-TPO positive group were 10.61±7.29 and 1.98±2.38, respectively, and AFC and AMH in anti- TPO negative group were 16.46±6.38 and 2.94±2.22, respectively. There were significant differences between the two groups on AFC (P <0.001) and AMH (P=0.04).
<strong>Conclusion:</strong> Patients with autoimmune thyroiditis were at higher risk for decreased ovarian reserve. They should consider their lower reproductive life span during their childbearing years.
Female infertility,Hashimoto disease,Anti-Müllerian hormone,Ovarian reserve
https://ijcbnm.sums.ac.ir/article_46764.html
https://ijcbnm.sums.ac.ir/article_46764_10fa4fd1f4b353f131d1c59765336065.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Development and Psychometric Properties of the Women’s Recovery of Postnatal Perineal Injuries Questionnaire (WRPPIQ)
311
323
EN
Nahid
Jahani Shoorab
0000-0002-9429-8631
Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran;
jahanishn@mums.ac.ir
Ali
Taghipour
0000-0002-8928-4235
Social Determinants of Health Research Centre, Mashhad University of Medical
Sciences, Mashhad, Iran;
taghipoura@mums.ac.ir
Habibollah
Esmaily
0000-0003-4139-546X
Social Determinants of Health Research Centre, Mashhad University of Medical
Sciences, Mashhad, Iran;
esmaily@mums.ac.ir
Robab
Latifnejad Roudsari
0000-0002-1438-8822
Nursing and Midwifery Care Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran;
rlatifnejad@yahoo.com
10.30476/ijcbnm.2020.85610.1279
<strong>Background:</strong> Recovery of postnatal women with perineal injuries, especially when perineal tear is severe, occurs much later than the healthy women. There is no specific questionnaire to assess the postnatal recovery in these women. The aim of this study was development and psychometric evaluation of a new tool to measure women’s recovery of postnatal perineal injuries questionnaire (WRPPIQ).
<strong>Methods:</strong> In this validation study, which was conducted based on the method developed by DeVellis (2003), 270 women with postnatal perineal injuries who referred to healthcare centers in Mashhad, Iran, were studied between 2018 and 2020. This method consisted of steps: (1) definition of postnatal recovery based on in-depth qualitative interview with 22 women, (2) generation of an item pool, (3) selection of the Likert scale, (4) review of the initial item pool, (5) inclusion of items from relevant instruments, (6) conducting exploratory factor analysis, (7) evaluation of the items, and (8) optimization of the scale length.
<strong>Results: </strong>The initially generated item pool consisted of 144 items on a 5-point Likert scale, which reduced to 85 items following face and content validity measurement. The value of the SCVI/Ave was measured 0.901. The conduction of exploratory factor analysis resulted in 33 items and three factors including evidence of wellness, emotional changes as well as independence and support. The Cronbach’s alpha for the three factors was calculated 0.92, 0.80, and 0.83, respectively.
<strong>Conclusion: </strong>WRPPIQ has validity and reliability to measure the women’s recovery of postnatal perineal injuries in Iran. It is, therefore, recommended that health care providers to assess women’s recovery of postnatal perineal injuries using this newly developed questionnaire.
Perineum,Recovery of Function,Postnatal care,Validity,Questionnaire
https://ijcbnm.sums.ac.ir/article_46874.html
https://ijcbnm.sums.ac.ir/article_46874_64d1cd7f5d7342ae826af58eea085863.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Comparison of the Relationship Between Sexual Function, Marital Adjustment, and Life Satisfaction in Diabetic and Non-Diabetic Women
324
332
EN
Roghayeh
Mehdipour-Rabori
0000-0002-7608-9545
Nursing Research Center, Kerman University of Medical Science, Kerman, Iran;
rm41321@yahoo.com
Mahdieh
Alinejad Dehsheakhi
Nursing Research Center, Kerman University of Medical Science, Kerman, Iran;
alinejad9458@gmail.com
Esmat
Nouhi
Nursing Research Center, Kerman University of Medical Science, Kerman, Iran;
e_nouhi@kmu.ac.ir
Monirsadat
Nematollahi
0000-0002-0905-8802
Nursing Research Center, Kerman University of Medical Science, Kerman, Iran;
monirnematollahi@yahoo.com
10.30476/ijcbnm.2020.84993.1244
<strong>Background:</strong> Sexual function is important for diabetic womenbecause it has a special effect on the quality of life. This study was conducted to compare the relationship of sexual function, marital adjustment, and life satisfaction between diabetic and non-diabetic women.
<strong>Methods:</strong> This cross-sectional study was done in Kerman, Iran, from August 2018 to November 2019. The study sample included 300 diabetic women and 300 non-diabetic women. Data gathering tools included a demographic questionnaire, Rosen female sexual function index (FSFI), Spanier Dyadic Adjustment Scale (DAS), and Diner satisfaction with life scale. Data were analyzed through SPSS 15, using descriptive statistics, independent-t test, ANOVA, and Pearson tests. The significance level was considered 0.05.
<strong>Results:</strong> The mean scores of marital adjustment, female sexual function index, and satisfaction with life scales in diabetic women were 90.98±23.33, 19.04±9.77, and 13.4±3.21; also, they were 120.34±33.34, 27.82±10.17, and 16.3±5.89 in non-diabetic women, respectively. Statistically significant differences were found between the scores of marital adjustment (P=0.001), female sexual function index (P=0.001), and satisfaction with life (P=0.001) in diabetic and non-diabetic women. The female sexual function index was correlated with life satisfaction and marital adjustment.
<strong>Conclusion:</strong> Diabetic women experience sexual dysfunction because of their special condition, which negatively influences life satisfaction and marital adjustment. Healthcare providers should pay much more attention to this issue. They can provide educational packages on sexual issues for diabetic women. They should also support these women and their spouses to improve their quality of life.
Sexual function,marital relationship,Diabetic women,Personal Satisfaction
https://ijcbnm.sums.ac.ir/article_46872.html
https://ijcbnm.sums.ac.ir/article_46872_f6441009ae3aa70c5ee3e2fc2799d283.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Impact of Coping Skills Training on the Quality of Life Among the Daughters of Mothers with Breast Cancer
333
344
EN
Sedigheh
Khanjari
0000-0002-7598-9437
Nusing Care Research Center, Department of Pediatrics, School of Nursing and Midwifery, Iran University
of Medical Sciences, Tehran, Iran;
sed.khanjari@gmail.com
Mina
Mianji
0000-0003-4325-8813
Department of Pediatrics, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran,
Iran;
minamianji88@gmail.com
Mitra
Hakim Shooshtari
Mental Health Research Center, Tehran Institute of Psychiatry, School of Medicine, Iran University of
Medical Sciences, Tehran, Iran;
mitra.hakim@gmail.com
Hamid
Haghani
0000-0002-2239-7139
Biostatistics, School of Management and Information Technology, Iran university of Medical Sciences,
Tehran, Iran
haghani511@yahoo.com
10.30476/ijcbnm.2020.83048.1132
<strong>Background:</strong> Cancer affects the quality of life (QoL) of patients and their families. The purpose of this study was to determine the effect of coping skills training on the QoL among daughters of mothers with breast cancer.
<strong>Methods:</strong> In this quasi-experimental pre-test/post-test design, data were collected from 70 participants (35 in each of the control and education groups) from January 2016 to July 2017 in Imam Khomeini and Rasole-e-Akram Hospitals in Tehran. The education group participated in a workshop and group discussion (groups of 5 to 8 participants) with the presence of a pediatric psychiatrist and two pediatric nurses, and then a follow up program was performed. The Pediatric Quality of Life Inventory version 4.0 was used in this study in two stages of pre-test (before education) and post-test (four weeks later). Data were analyzed through SPSS, version 21 using independent t-test and paired t-test for comparison of the mean scores of the two groups, with the significance level of 0.05.
<strong>Results:</strong> After the education, there were significantly improved scores of the QoL in the dimensions of physical functioning (P<0.001), emotional functioning (P<0.001), and school functioning (P<0.001) in the study group compared to the control group. The social functioning did not show a significant change (P<0.083).
<strong>Conclusion:</strong> The findings of the study confirm that coping skills training can lead to the improvement of QoL in adolescent daughters of mothers with breast cancer. Healthcare professionals must provide the mothers and daughters with information about breast cancer and instruments to handle their situation to promote the daughters’ QoL.
Adolescent,Breast cancer,Coping Skills,Mother,Quality of life
https://ijcbnm.sums.ac.ir/article_46917.html
https://ijcbnm.sums.ac.ir/article_46917_45c9c418b01b1e0d61be32c8527a93a4.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Pregnant Women’s Experiences of the Conditions Affecting Marital Well-Being in High-Risk Pregnancy: A Qualitative Study
345
357
EN
Kobra
Mirzakhani
0000-0002-6192-0834
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
mirzakhanik@mums.ac.ir
Talaat
Khadivzadeh
0000-0001-9872-3933
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences,
Mashhad, Iran;
tkhadivzadeh@yahoo.com
Farhad
Faridhosseini
0000-0003-0057-6571
Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences,
Mashhad, Iran;
faridhoseinif@mums.ac.ir
Abbas
Ebadi
0000-0002-2911-7005
Behavioral Sciences Research Center, Life style institute, Baqiyatallah University of Medical Sciences,
Tehran, Iran;
ebadi1347@yahoo.com
10.30476/ijcbnm.2020.85666.1285
<strong>Background: </strong>High-risk pregnancy is associated with many problems which can affect marital well-being as well as maternal and fetal health. Yet, there is limited information about the conditions which affect marital well-being in high-risk pregnancy. This study aimed to explore the pregnant women’s experiences of the conditions affecting marital well-being in high-risk pregnancy
<strong>Methods:</strong> This qualitative study was conducted from October 2018 to December 2019. Participants were 24 women with high-risk pregnancy who were purposively selected from three public and two private hospitals as well as a primary healthcare center in Mashhad, Iran. Face-to-face semi-structured interviews were conducted for data collection. Data were analyzed concurrently with data collection through Graneheim and Lundman’s content analysis (2004). The MAXQDA program (v. 10) was used for data management.
<strong>Results:</strong> Conditions affecting marital well-being in high-risk pregnancy were categorized into eleven subcategories and three main categories, namely emotional spousal intimacy in the midst of danger, husband’s commitment to manage the difficult conditions of pregnancy and sexual relationship during high-risk pregnancy.
<strong>Conclusion:</strong> Several conditions can affect marital well-being in high-risk pregnancy. Healthcare providers can develop and use strategies for the effective management of these conditions, thereby improving marital well-being among women with high-risk pregnancy.
High-risk,Marital,Pregnancy,Relationship,Well-being
https://ijcbnm.sums.ac.ir/article_46745.html
https://ijcbnm.sums.ac.ir/article_46745_95c956bacc966ea888f5147e5f288393.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Public Psychological Health in COVID-19 Outbreak: Actions and Shortcomings
358
359
EN
Azita
Jaberi
0000-0002-5350-3926
Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
a_jaberi@sums.ac.ir
10.30476/ijcbnm.2020.86478.1347
COVID-19,Public Health,Psychological health
https://ijcbnm.sums.ac.ir/article_46590.html
https://ijcbnm.sums.ac.ir/article_46590_1c9f5fbfd2091a3097400ff54492dbd7.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Challenges of Home Health Care During COVID-19 Outbreak in Iran
360
361
EN
Alireza
Atashi
0000-0002-9923-9665
Department of E-Health, Virtual School, Tehran University of Medical Sciences, Tehran, Iran
aratashi@sina.tums.ac.ir
Ahmad
Nejatian Yazdi Nejad
0000-0003-2052-7654
Department of Health Policy, Management and Economics, School of Public Health. Tehran University of Medical Sciences, Tehran, Iran;
nejatian52@gmail.com
10.30476/ijcbnm.2020.86511.1349
Home care,COVID-19,Information Technology,Telenursing
https://ijcbnm.sums.ac.ir/article_46592.html
https://ijcbnm.sums.ac.ir/article_46592_babad421031f9fe7bfe131e68fe64659.pdf
Shiraz University of Medical Sciences, Shiraz, Iran
International Journal of Community Based Nursing & Midwifery
2322-2476
2322-4835
8
4
2020
10
01
Safety and Health Protection of Health Care Workers during the COVID-19 Pandemic
362
363
EN
Shahpar
Bagheri
0000-0003-4100-9901
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
bagheri.shahpar@yahoo.com
Shahram
Ghobadimoghadam
Moharrary Psychiatric Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
shahramghobadi@gmail.com
10.30476/ijcbnm.2020.86066.1319
Safety,Health,Health care workers,COVID-19
https://ijcbnm.sums.ac.ir/article_46591.html
https://ijcbnm.sums.ac.ir/article_46591_d136f71a6d3b5e87f8cfcfaf43048931.pdf