Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101The Needs of Incarcerated Pregnant Women: A Systematic Review of Literature2174774810.30476/ijcbnm.2021.89508.1613ENSomayehAlirezaeiStudent Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran;0000-0002-7402-7228RobabLatifnejad RoudsariNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences,
Mashhad, Iran0000-0002-1438-8822Journal Article20201227<strong>Background: </strong>With increase in the number of female prisoners, it seems necessary to follow up the conditions of pregnant women in prison in order to identify their needs and provide healthcare and social services to improve their health accordingly. Therefore, a systematic review was conducted to examine the needs of incarcerated pregnant women.<br /> <strong>Methods: </strong>In this systematic review, we searched the databases including PubMed, Scopus, Web of Science, EMBASE, PsycINFO, and the Cochran Library. All studies including cross-sectional, retrospective, and prospective cohorts as well as case series, which addressed the needs and expectations of incarcerated pregnant women, were included in this review. Two reviewers independently evaluated the retrieved articles, the discrepancies were discussed, and a consensus was achieved.<br /> <strong>Results: </strong>31 eligible studies consisting of 5435 incarcerated pregnant women were included in the review. The needs of incarcerated pregnant women comprised six general categories: healthcare needs including prenatal, labor, delivery, and postpartum services; educational needs on pregnancy, childbirth, and parenting; the support needs to be provided by government agencies, social workers, and doula services; the need for psychological counseling services; nutritional needs during pregnancy; and the needs related to the substance abuse management.<br /> <strong>Conclusion: </strong>The needs of incarcerated pregnant women included healthcare, educational, supportive, counseling, and nutritional needs as well as those related to the substance abuse management. Identifying these needs can be useful in developing accurate and appropriate policies and programs to promote the health status of this vulnerable group.Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101Effect of Receiving Text Messages on Health Care Behavior and State Anxiety of Thai Pregnant Women: A Randomized Controlled Trial18294777610.30476/ijcbnm.2021.89364.1604ENPiyanutXutoDepartment of Obstetrics and Gynaecology, Faculty of Nursing, Chiang Mai University, Chiang Mai,
Thailand;0000-0003-1338-0789ToyohikoKodamaDepartment of Nursing, School of Health Science, University of Occupational and Environmental Health,
Fukuoka, Japan0000-0003-1816-6458PiyapornPrasitwattanasereeDepartment of Obstetrics and Gynaecology, Faculty of Nursing, Chiang Mai University, Chiang Mai,
Thailand;0000-0002-3969-480XPunpilaiSriarpornDepartment of Obstetrics and Gynaecology, Faculty of Nursing, Chiang Mai University, Chiang Mai,
Thailand;0000-0002-3457-7751Journal Article20201215<strong><span lang="EN-GB">Background:</span></strong><span lang="EN-GB"> The health care behavior of Thai pregnant women should enhance. Pregnant women are facing anxiety from a variety of issues. Current evidence suggests that a text message can support health care services and reduce anxiety. This study aimed to examine receiving text messages on health care behavior and state anxiety among Thai pregnant women.</span><br /><strong><span lang="EN-GB">Methods: </span></strong><span lang="EN-GB">This study was a single-blind randomized controlled trial. A sample of 66 primigravidas was randomly assigned using a random number table, 33 per group. All participants received a recommendation for healthy behavior during pregnancy. The intervention group added 56 text messages between 13 and 40 gestational weeks, from two government hospitals in Thailand, from March 2018 to May 2019. The data collection tool comprised of demographic characteristics questionnaire, Pregnancy Outcomes Record, The Health Care Behavior during Pregnancy Questionnaire (HCBPQ) (Thai version) which developed by the researcher, and State-Trait Anxiety Inventory (STAI-S). Data were analyzed via SPSS version 18 using descriptive statistics, independent t-test, Fisher’s exact test, and chi-square. The significance level was considered p <0.05.</span><br /><strong><span lang="EN-GB">Results:</span></strong><span lang="EN-GB"> The results showed that the intervention group adopted appropriate mean health care behaviors significantly only in physical activity domain (15.40±3.19) compared to the control group (13.58±1.89), (P=0.01) and revealed a significantly lower total mean score of state-anxiety than the control group (35.23±8.50 vs. 40.79±9.28, P=0.02). Other health care behavior domains between the two groups were not statistically significant (P>0.05). </span><br /><strong><span lang="EN-GB">Conclusion:</span></strong><span lang="EN-GB"> Text messages could increase physical activity in Thai pregnant women and reduce the total score of anxiety during pregnancy. Thus, the text message strategy is appropriate to use during the antenatal period.</span><br /><strong>Trial Registration Number:</strong> TCTR20180814005Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101Exploring Potential Achievements and Barriers to Provide Homecare for Women with Preeclampsia: A Qualitative Study30414791310.30476/ijcbnm.2021.89368.1605ENFatemehMohammadiNursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of
Medical Sciences, Isfahan, Iran;0000-0001-8239-4928ShahnazKohanReproductive Sciences and Sexual Health Research Center, School of Nursing and Midwifery, Isfahan
University of Medical Sciences, Isfahan, Iran;0000-0003-1479-2160MohammadhosseinYarmohammadianHealth Management and Economic Research Center (HMERC), School of Medical Management and
Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran;MitraSavabi-EsfahaniDepartment of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School
of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran;ZahraRastegariNursing and Midwifery Care Research Center, School of Nursing and Midwifery,
Isfahan University of Medical Sciences Isfahan, IranDepartment of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences,
Shiraz, Iran0000-0002-9326-5053Journal Article20201217<strong>Background: </strong>Preeclampsia (PE) is one of the leading causes of mortality and complications during pregnancy. It seems that usual prenatal care is not enough for these patients. They require more assistance, support, and guidance from health professionals, and home care is an effective strategy in this regard. Also, Iran has no official or compiled program for home care in high-risk pregnancy. This study was designed to explore the potential achievements and barriers of home care for mothers with PE.<br /> <strong>Methods:</strong> In this qualitative study with conventional content analysis, twenty-eight participants (mothers with PE, maternal health policy-makers, and health care providers) were selected through purposeful sampling with maximum variation. Data were collected through semi-structured interviews until saturation was achieved. Simultaneously, data analysis was performed using MXQDA software. Finally, the main categories were extracted.<br /> <strong>Results:</strong> Seven main categories were extracted. Three main categories for the potential achievement included “family involvement in maternal care”, “holistic maternal health promotion”, and “improving utility of services”. The other four categories emerged for barriers included: “more willingness to provide in-hospital medical care”, “clients’ concerns about cultural issues”, “providers` unwillingness to delivery home care”, and “insufficiency of infrastructures for home care”.<br /> <strong>Conclusion:</strong> Paying attention to home care advantages, based on the socio-cultural context of the community, making effort to remove the barriers, and organizing home care infrastructures contribute to improvement in the quality of care in women with PE.Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101The Effects of Meaning-centered Play on Spiritual Sensitivity of Children: A Randomized Controlled Trial42534772310.30476/ijcbnm.2021.90120.1669ENMaryamFazlollahiDepartment of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical
Sciences, Mashhad, Iran;0000-0003-0068-138XMonirRamezaniNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;0000-0003-2089-2379Seyyed MohsenAsgari NekahDepartment of Counseling and Educational Psychology, School of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, IranAzadehSakiDepartment of Epidemiology and Biostatistics, School of Health, Mashhad University of Medical Sciences,
Mashhad, Iran;Social Determinants of Health Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran;Mohammad JafarJahangir FeyzabadiDepartment of Islamic Instructions, School of Medicine, Mashhad University of Medical Sciences,
Mashhad, IranJournal Article20210210<strong>Background:</strong> Spiritual sensitivity is the child’s ability to be spiritually aware of what is happening both outside and within him or herself, and the further ability to respond accordingly. On the other hand, play is one of the strategies to develop children’s capabilities. Yet, there is limited information about the relationship of play and spiritual sensitivity. The present study aimed to evaluate the effects of meaning-centered play on children’s spiritual sensitivity.<br /><strong>Methods:</strong> This two-group randomized controlled trial was conducted on 120 children aged 10–11 who were recruited from two centers affiliated to the institute for intellectual development in Mashhad, Iran, by convenience sampling between May 2016 to January 2018. Samples were allocated to intervention (60) and control (60) groups through random allocation. In the intervention group, a meaning-centered play intervention was implemented in twelve 45-minute sessions, twice a week and for six weeks. The control group had the usual trend of the center’s plays and programs. Spiritual sensitivity was measured via the Spiritual Sensitivity Scale for Children (SSSC) before and after the end of the intervention. The data were analyzed via the SPSS software (v. 20.0) using Chi-square, independent-sample <em>t</em> test, Mann-Whitney U and Wilcoxon signed-rank tests. The significance level was less than 0.05.<br /><strong>Results:</strong> Although the groups did not significantly differ from each other concerning the pretest mean scores of spiritual sensitivity and its subscales (P>0.05), the posttest values of these scores in the intervention group were significantly greater than the control group (p <0.05). After the intervention, the mean scores of spiritual sensitivity significantly increased in the intervention group (Before: 65.0±13.6, after: 79.4±12.3, p <0.001), but no significant increase was observed in the control group (Before: 66.7±14.6, after: 67.4±12.3, P=0.604).<br /><strong>Conclusion:</strong> According to the results, it can be suggested that meaning-centered play program can be used in play room in schools, child care centers and hospitals to improve the spiritual sensitivity among children.
<strong>Trial Registration Number:</strong> IRCT2017022232733N1Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101The Effect of Self-care Education Based on Self-efficacy Theory, Individual Empowerment Model, and Their Integration on Quality of Life among Menopausal Women54634790910.30476/ijcbnm.2021.86814.1370ENMahboobehKafaei-AtrianDepartment of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences,
Kashan, Iran;0000-0002-5434-5579ZohrehSadatTrauma Nursing Research Centre, Kashan University of Medical Sciences, Kashan, Iran;0000-0002-8408-0786SaeidehNasiriDepartment of Midwifery, School of Nursing and Midwifery, Kashan University of Medical Sciences,
Kashan, Iran;Fatemeh SadatIzadi- AvanjiDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical
Sciences, Kashan, Iran0000-0002-0600-792XJournal Article20200604<strong>Background: </strong>Menopause has adverse physical and emotional effects on the quality of life. The aim of this study was to determine the effect of self-care education based on self-efficacy theory, individual empowerment model, and their integration on the quality of life among menopausal women.<br /><strong>Methods</strong>: In this quasi-experimental study, 186 menopausal women, aged 45-60 years at Kashan health centers entered the study using cluster sampling for health centers and simple random sampling inside each center from the list of the population from December 2019 to March 2020. The intervention was performed in 3 groups, using empowerment training, self-efficacy training, and their integration for 4 sessions each lasting 1-1.5 hours of weekly training. Three study groups were selected from different centers to minimize information exchange. Menopausal women’s quality-of-life questionnaire was used to assess the quality of life. Questionnaires were completed pre-intervention and one and three months after completing the intervention. SPSS16 softwareand ANOVA, Chi-square, and repeated measure tests were used.<br /><strong>Results:</strong> The mean±SD score of quality of life in pre-intervention measurement was 32.96±10.62 in empowerment, 31.93±12.54 in self-efficacy, and 34.07±11.7 in integrated groups. The intervention was effective in improving the quality of life of all three groups (P values were <strong>Conclusion: </strong>This study showed that empowerment and enhancing self-efficacy could improve menopausal women’s quality of life. This can help health professionals to better educate postmenopausal women about self-care in menopausal complications. Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101Assessment of Medicalization of Pregnancy and Childbirth in Low-risk Pregnancies: A Cross-sectional Study64734780410.30476/ijcbnm.2021.90292.1686ENShadiSabetghadamStudent Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences,
Shahroud, Iran;0000-0001-9018-4541AfsanehKeramatDepartment of Reproductive Health, School of Nursing and Midwifery, Shahroud University of Medical
Sciences, Shahroud, Iran;0000-0001-5015-5973ShahrbanooGoliDepartment of Epidemiology and Biostatistics, School of Public Health, Shahroud University of Medical
Sciences, Shahroud, Iran;MinaMalaryStudent Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences,
Shahroud, Iran;SedigheRezaei ChamaniDepartment of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht,
IranJournal Article20210224<strong>Background</strong>: Medicalization may lead to over-testing during pregnancy and increased cesarean section (CS). This study investigated the medicalization of low-risk pregnancies and childbirths in Rasht, Iran.<br /><strong>Methods:</strong> In this cross-sectional study, 337 postpartum women completed a demographic questionnaire and the Medicalized Pregnancy and Childbirth checklist. In this study, medicalization indicators were the source of providing prenatal care, prenatal screening for aneuploidy, number of received care, hospitalization before the onset of labor, intrapartum drug use, and CS. Demographic data were reported using descriptive statistics. Chi-square or Fisher’s exact and Man-Whitney tests were used for comparison purposes. Logistic regression was run to determine the medicalization indicators associated with the mode of childbirth.<br /><strong>Results: </strong>Of the participants, 82.2% received prenatal care from obstetricians, 85.8% had undergone prenatal screening tests. There was a significant difference between the median number of ultrasound examinations (P=0.006), prenatal screening for aneuploidy (P=0.002), and multivitamin/mineral supplements use (p <0.001), according to the source of providing prenatal care. Of the participants, 67.1% had CS. Women who received prenatal care from obstetricians had about 2.3 times more odds of CS (OR=2.23, P=0.019). Furthermore, with the increased number of ultrasounds, the odds of CS augmented by 25% (OR=1.25, P=0.013). Finally, 26.4% of the participants were hospitalized before the onset of labor; the intervention increased the odds of CS more than twice (OR=2.08, P=0.026).<br /><strong>Conclusion: </strong>The study showed a picture of medicalization in low-risk pregnancies.Of the medicalization indicators, the source of providing prenatal care, time of admission, and use of ultrasounds were associated with CS. Midwife-led care could diminish medicalization.Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101Migraine Headaches: The Predictive Role of Anger and Emotional Intelligence74834787910.30476/ijcbnm.2021.90552.1706ENMaryamShayganCommunity Based Psychiatric Care Research Center, Department of Psychiatric Nursing, School of Nursing
and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;0000-0002-1456-9340ElhamSaranjamStudent Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences,
Shiraz, Iran;AmenehFaraghiStudent Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences,
Shiraz, Iran;ZinatMohebbiDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical
Sciences, Shiraz, Iran0000-0003-2995-0264Journal Article20210321<strong>Background:</strong> Research has shown that emotional intelligence and anger are significant predictors of both subjective and objective health. The present study aimed to draw a comparison between migraine patients and healthy individuals in terms of emotional intelligence and anger. In addition, there was an attempt to investigate the predictive role of emotional intelligence and anger in chronic migraine.<br /><strong>Methods:</strong> This comparative study was carried out on 494 individuals including patients with chronic migraine (n=250) and healthy controls (n=244) in Shiraz between August 2019 and February 2020. The participants with chronic migraine and healthy controls were selected using convenience sampling and multistage sampling, respectively. Participants completed validated self-report questionnaires: Bradberry and Greaves emotional intelligence test and the provocation inventory. The data were analyzed using SPSS software (version 22.0) and chi-square test, t test and logistic regression were used. The significance level was set at p <0.05.<br /><strong>Results: </strong>The results of independent t-test indicated that the mean intensity of anger was significantly higher among the patients with migraine (51.52±15.66) compared to the healthy controls (28.39±9.85) (p <0.001). The mean score of emotional intelligence was significantly lower among the patients with migraine (75.92±8.23) in comparison to the healthy controls (116.23±12.28) (p <0.001). Binary logistic regression revealed that neither age (P=0.72), sex (P=0.62), marital status (P=0.63) and education level (P=0.68), nor anger (P=0.24) was significantly associated with chronic migraine. However, emotional intelligence had a negative association with chronic migraine (B=-1.13, OR=0.32, p <0.001).<br /><strong>Conclusion: </strong>The results showed that a low level ofemotional intelligence was associated with chronic migraine.The current results could help clinicians in planning for successful pain management/prevention programs.Shiraz University of Medical Sciences, Shiraz, IranInternational Journal of Community Based Nursing & Midwifery2322-247610120220101Coaching Clinic as a Strategy to Improve Knowledge and Competence of Nurses in Providing Genetic Counseling Interventions among Thalassemia Patients84854787010.30476/ijcbnm.2021.92764.1883ENHenriSetiawanDepartment of Nursing, STIKes Muhammadiyah Ciamis, Ciamis, Indonesia;0000-0001-9252-6277SuhandaSuhandaDepartment of Nursing, STIKes Muhammadiyah Ciamis, Ciamis, Indonesia;0000-0001-5178-8342DoniSetiawanDepartment of Medical Laboratory Technology, STIKes Muhammadiyah Ciamis, Ciamis, Indonesia0000-0002-8518-5483Journal Article20210916