JOURNAL OF HOLISTIC NURSING AND MIDWIFERY
Year:2023 | Volume:33 | Issue:1|Papers Count:9

Introduction: Understanding the unmet care needs of breast cancer survivors is one of the important aspects of healthcare service. Objective: This study aimed to identify the unmet needs of breast cancer survivors. Materials and Methods: This research is an integrative review of evidence-based studies from five electronic databases (Web of Science, PubMed, Science Direct, Scopus, and Google Scholar), which was conducted with no time limit until December 2020. Eligible articles were critically reviewed and scored using the mixed methods appraisal tool (MMAT). Results: A total of 28 articles were reviewed, including 7 qualitative, 19 quantitative, and 2 mixed methods studies. “, Survival care needs”,are referred to information needs, unmet communication needs, and management of disease symptoms and complications. The “, unperceived support needs”,are referred to six themes of self-change, hurting hope, uncertain faith, unmet occupational needs, impaired sexual function, and forgotten social support. Conclusion: As the survival rate of breast cancer increases, developing flexible strategies for long-term and changing unmet needs of these patients should be a priority for health policymakers to promote care for breast cancer patients.

Introduction: Premenstrual syndrome has several physical and psychological complications. Since healthy family relationships and normal marital interactions are affected by a woman's physical and mental health, any disorder in this area decreases marital satisfaction and consequently endangers the mental health and survival of the family. Objective: This study aimed to determine the effect of Fordyce happiness training on marital satisfaction and mental health in women with premenstrual syndrome. Materials and Methods: This randomized controlled trial was performed in 2018-2019. A total of 40 women with the premenstrual syndrome were selected by convenience sampling and randomly divided into experimental (n=20) and control (n=20) groups. The experimental group received six sessions of the Fordyce happiness training program at weekly intervals in groups of 10. In both groups, the level of marital satisfaction and mental health was measured by Enriching and Nurturing Relationship Issues‚,Communication‚,and Happiness (ENRICH) marital satisfaction questionnaire, and the Goldberg Mental Health questionnaire three times: before, immediately after, and 45 days after the training sessions. The Chi-square test, Fisher exact test, independent t test, and repeated measures analysis of variance were conducted to analyze the obtained data. Results: The Mean±, SD ages of the experimental and control groups were 32. 45±, 7. 33 and 33. 10±, 6. 25 years, respectively. The mean scores of mental health in the experimental group compared to the control group in the pretest, post-test, and follow-up (43. 95±, 4. 38, 41. 20±, 5. 73, 40. 25±, 5. 88) had a decreasing trend (P<0. 05) but the mean scores of marital satisfactions in the experimental group (81. 90±, 7. 18, 86. 35±, 8. 16, 86. 80±, 7. 96, respectively) increased (P<0. 05). However, no significant change was observed in the control group. Time significantly affects the mean changes in mental health (P=0. 002) and marital satisfaction (P=0. 001) in the samples. The time-group effect also shows a significant change for both variables (partial eta-squared for mental health=0. 174 and marital satisfaction=0. 165),the changes in the mean mental health and marital satisfaction of the research samples over time are different between the experimental and control groups,there are changes in the mean score of the two variables in three time points. Conclusion: The findings of the present study showed that Fordyce happiness training is effective in improving the level of marital satisfaction and mental health of women with premenstrual syndrome. Therefore, it is suggested that this training program is used to adapt women psychologically to the mood and physical changes of premenstrual syndrome.

Introduction: Diabetes is a serious, progressive, and costly disease that creates many limitations for its patient. Diabetes disrupts a person’, s psychological and social adjustment and coping strategies, resulting in psychological complications for the patients. Objective: This study aims to determine the role of personality traits in predicting resilience and coping strategies of patients with type 2 diabetes living in Bushehr City, Iran. Materials and Methods: This cross-sectional study was performed on 120 patients with diabetes who were referred to healthcare centers in Bushehr. They were selected through the convenience sampling method. The study data were collected using the Connor-Davidson Resilience Scale, 60-item Neuroticism-Extraversion-Openness Personality Inventory, and Coping Strategies Questionnaire. In addition, descriptive statistics and linear regression tests were employed to interpret the data. Results: About 60. 8% of the participants were female, and more than 90% were married and lived in urban areas. Based on the study’, s results, there is a significant positive association between neuroticism and emotion-oriented (B=2. 68, 95% CI,-0. 666 to 4. 701, P=0. 01) and avoidance (B=2. 60, 95% CI,-0. 961 to 4. 248, P=0. 002) coping strategies. The results illustrated that neuroticism predicted resilience in patients with type 2 diabetes (B=-6. 186, 95% CI,-11. 632 to-0. 741, P=0. 026, ), and the model predicted 9% of resilience (Adjusted R2=0. 096). Conclusion: According to the results of the present study, most patients with type 2 diabetes had neuroticism, which could decrease their resilience. Therefore, due to the increasing trend of diabetic patients in Iran, and considering the etiological factors, it is necessary to pay attention to the psychological and personality components of these patients to know and adapt more to their physical and mental conditions.

Introduction: Sexual education programs are necessary for adolescents. According to the literature, adolescents find theater-based interventions more acceptable and memorable than traditional didactic teaching methods. Objective: This study aims to summarize all the available primary research with theaterbased interventions for sexual health education to adolescents. Materials and Methods: In this systematic review, studies were searched in the databases of Web of Science, PubMed, Scopus, ScienceDirect, ProQuest, Magiran, SID, and IranDoc, which were written in English or Farsi from 2011 to 2021. Quantitative and mix-method studies with a theater-based intervention for sexual education were selected. Results: All of the 7 selected studies determined the impact of theater-based sex education on sexual activity and sexually transmitted diseases, and four studies on “, psychological issues related to sexual health “, or “, healthy relationship”,or “, sexual violence. ”,The outcomes of the studies included increasing knowledge and self-efficacy and improving attitudes regarding sexual health, the intended age of first sex, and less risky behavior in condom usage. Also, two studies determined the appropriate method for theater-based sex education for adolescents. Conclusion: Theater is an attractive and effective method of sexual education for adolescents. It is recommended that further interventional theater-based studies on adolescents should not only emphasize the biological aspects of reproduction but also focus on acquiring healthy behaviors.

Introduction: Employing innovative teaching strategies is urgently needed for nursing education systems. Objective: This study aimed to determine the effectiveness of the jigsaw cooperative learning strategy on nursing students’,academic achievement and opinions. Materials and Methods: This research is a randomized controlled trial. The study sample consisted of 160 nursing students randomly selected and assigned to the intervention (80 students in 8 groups of 10 students each) and the control group (80 students in another 8 groups of 10 students each). The study data were collected at two time points after the intervention. A self-administered questionnaire was used to collect data about students’,academic achievement and opinions regarding the jigsaw cooperative learning strategy (only for the intervention group). The Chi-squared test and repeated measure analysis of variance (ANOVA) were used for data analysis. Results: The mean age of the experimental group was 20. 8±, 0. 74 years, while that of the control groups was 20. 7±, 0. 81 years. There is a significant difference in mean scores of academic achievements between the control and intervention groups (P=0. 001) over time based on repeated measure ANOVA, and a significant difference between the two groups over time group effect by using repeated measure ANOVA (P=0. 001). The paired t-test showed a significant difference between students’,academic performance in time I and time II (P<0. 05). In the control group, the descriptive statistics show that students’,academic achievement (time I) was slightly higher in the posttest (time I) and dropped slightly in time II. The paired t-test showed a nonsignificant difference between students’,academic performance in time II and time I. Conclusion: The results indicated the substantial need for using novel nursing education models in nursing education to enhance learning outcomes in training settings.

Introduction: Adolescents are at higher risk for mental health problems during pregnancy. Objective: The present study was designed to investigate the impact of couple-centered counseling on pregnancy anxiety and concerns in female adolescents. Materials and Methods: Materials and Methods: The present quasi-experimental study was conducted on primigravida adolescents referring to health centers in Hamadan City, Iran. Using the convenience sampling method, 90 pregnant adolescents were assigned to two groups (intervention group=45, control group=45) using a randomized block design. Both groups completed the demographic questionnaire, pregnancy-related anxiety questionnaire, and Cambridge worry scale. The intervention group received five counseling sessions with the presence of their spouses, in addition to routine pregnancy care. The control group only received routine prenatal care. Posttest was taken four weeks after finishing the consulting intervention. The groups were compared in terms of pregnancy-related anxiety and pregnancy worry scores using the independent t-test, the Chi-square test, the Fisher exact test, and the analysis of variance or covariance. In case of a significant difference between the groups, Cohen’, s d effect size was calculated. Results: There was no significant difference between the two groups regarding age, education, and occupation of adolescents and their spouses, duration of the marriage, housing situation, family members, and economic situation. The mean scores of pregnancy concerns in the intervention group (10. 80±, 4. 78) were significantly (P=0. 001, Cohen’, s d=2. 41) lower than the control group (22. 33±, 4. 78). The mean scores of pregnancy anxiety in the intervention group (35. 86±, 8. 04) were significantly (P=0. 001, Cohen’, s d=2. 74) lower than the control group (57. 93±, 8. 04). Conclusion: Couple-centered counseling can reduce the anxiety and concerns of primigravid adolescents. It is recommended to use this effective, accessible, and acceptable approach to maintain and promote the mental health of pregnant adolescents.

Introduction: Poor sleep quality is a common problem among hemodialysis patients. Aromatherapy has few complications and is an effective approach to this problem. Objective: The present study aimed to assess the effect of aromatherapy with jasmine essential oil on the sleep quality of hemodialysis patients. Materials and Methods: This double-group clinical trial was conducted on 54 patients undergoing hemodialysis with poor sleep quality living in Sabzevar City, Iran, in 2021. The patients were divided into the intervention and control groups (21 in the intervention and 25 in control group) using the random allocation method with permuted blocks. The study data were collected using a demographic questionnaire and the Pittsburgh Sleep Quality Index (PSQI), completed at the beginning of the study. The patients in the intervention group inhaled a piece of cotton smeared with jasmine essential oil every night for one month. The concentration of jasmine extract was 70%, the duration of inhalation was about 7 hours, and the distance between the place of cotton soaked in jasmine and the patient’, s nose was 30 cm. Afterwards, the PSQI was completed again. Data analysis was performed using descriptive indices, the Chi-square test, the independent t-test, paired t-test, the Fisher exact test, and univariate analysis of variance. P Values less than 0. 05 were considered significant. Results: The patients were 18-70 years old. Comparing demographic data between the two study groups showed no significant difference in terms of age, gender, marital status, employment status, and education. In the intervention group, the Mean±, SD of sleep quality decreased from 9. 90±, 2. 70 to 6. 16±, 2. 15 after aroma therapy. In the control group, the score decreased from 8. 48±, 2. 98 to 8. 16±, 2. 68. The analysis of variance for overall sleep quality after the intervention by modulating the effect of overall sleep quality before the intervention showed a significant difference among the groups in terms of overall sleep quality after the intervention (the effect size=0. 24, P=0. 001). Conclusion: According to the results, aromatherapy with jasmine essential oil could enhance the sleep quality and sleep duration of the patient’, s undergoing hemodialysis.

Introduction: Families of patients with low consciousness have an important role in supporting them and should acquire the necessary capability for patient care. Objective: This study aimed to examine the effect of family-centered interventions on the self-efficacy of the families of patients admitted to the intensive care units. Materials and Methods: This research was a randomized clinical trial with a pretest-posttest design conducted in intensive care units of hospitals in Khorram abad City, Iran, in 2019-2020. Seventy family members of patients were selected by convenience sampling and were assigned to the intervention (n=28) and control (n=28) groups by stratified random blocks. The study data were collected through the self-efficacy questionnaire and Hospital Anxiety and Depression Scale. The intervention was carried out using a family-centered model. The collected data were analyzed using the statistical tests of the Chi-square, independent t-test, and paired t-test. Also, the generalized linear model was used to compare changes in self-efficacy scores of the two study groups after adjusting demographic, anxiety, and depression variables. Results: Data analysis showed that most samples were male (53. 8%) with a mean age of 38. 15±, 8. 68 years. The results showed a significant difference in the mean scores of selfefficacy, anxiety, and depression between the intervention and control groups (P=0. 001). The intervention significantly increased the Mean±, SD of caregivers’,self-efficacy (40. 14±, 14. 35, P=0. 001) in the intervention group. The results showed that the self-efficacy mean score of the intervention group was 36 scores higher than the caregivers’,self-efficacy of the control group (95% CI,20. 6-51. 4, P=0. 028). Conclusion: The participation of family members of patients with low consciousness in the care of the patients in the intensive care unit has an effective role in the self-efficacy of caregivers of these patients.

Introduction: An educational system that responds to the needs of society, besides needs assessment and community-based education, should allocate part of its research to society’, s needs and priorities. Objective: This study aims to evaluate the scientific and research products of reproductive health graduates in the field of social accountability in Iran. Materials and Methods: The present study was conducted as an auditory study on all submitted dissertations in the field of reproductive health from 6 schools of midwifery nursing in Iran from 2010 to 2021. The first outcome of this study was the evaluation of scientific and research products of reproductive health graduates in the field of social accountability and the second one was the evaluation of these dissertations in three levels of responsibility, responsiveness, and accountability. The standardized and localized social accountability scale was used to evaluate the social responsiveness of the dissertations. Descriptive statistics were used to summarize the data. Results: In this study, 235 PhD reproductive health dissertations were assessed. The obtained score for social accountability was 34. 5 (range: 30-40). Regarding social responsiveness, the obtained score was 63. 8 (range: 50-70), and regarding the social responsibility dimension, the obtained score was 90 (range: 70-100). Conclusion: It is necessary to qualitatively evaluate the titles and objectives of the dissertations in this field before their approval and implementation. It is increasingly emphasized to achieve the research priorities of the field and, more importantly, the logic of this research to meet the health needs of the target community.