Nursing And Midwifery Journal
Year:2022 | Volume:20 | Issue:4 (153)|Papers Count:8

Background & Aims: The Internet has become so pervasive that has affected most life skills, including communication skills. Because of easy and daily access to the Internet and need to seek to expand their communication network, students are a vulnerable group of the society to the internet addiction. The aim of this study was to investigate the relationship between internet addiction and students' communication skills based on social support theory. Materials & Methods: In the present descriptive study, 323 students from different dormitories of Hamadan University of Medical Sciences were participated randomly in the study. The questionnaires used included Barton Standard Communication Skills Questionnaire, Sherborne and Stewart Social Support Questionnaire, and Young Internet Addiction Questionnaire. The data were analyzed using SPSS software, and correlation coefficient and linear regression tests were performed. Results: Mean (±, SD) scores were 47. 48 (±, 17. 71) for internet addiction, 101. 96 (±, 21. 79) for social support, 12. 50 (±, 2. 34) for social network, and 57. 43 (±, 7. 63) for communication skills. There was a significant inverse relationship between internet addiction and communication skills (r =-0. 189, p=0. 001). According to the linear regression model, with one-point increase in the communication skills score, the rate of internet addiction decreased by an average of 0. 38. Conclusion: Due to the inverse relationship between Internet addiction and communication skills in the students, planning and designing educational-supportive interventions in order to use the internet correctly will prevent internet addiction and improve communication skills in using effective social networks.

Background & Aims: Violence against women is a substance that affects the health of women and society. Although there are laws in most countries to prohibit violence against women, but there is still significant statistics of this social problem. The purpose of this study was to determine the prevalence and causes of various types of violence against women in Iran in 11 years from 2010 to 2021. Materials & Methods: This study is a review which conducted by reviewing articles from google scholar, Springer, Pubmed, and Proquest databases for English sources and Magiran, Iranmedex, and academic Jihad databases for Persian sources, along with library studies. The search keywords were: violence against women, domestic violence, cyber violence, Iranian women, violence against married women in English sources and their equivalent terms in Persian. Initially 18551 articles were extracted that by studying their abstracts and titles and considering the entry and exit criteria, 45 articles were included in the study. The selection criteria of the articles was authentic articles published from 2010 to 2021 in the field of violence against women in Iran. Results: The results of the study showed that the most common type of violence against women in Iran is mental violence, followed by physical violence, and the sexual violence which was the least. Factors such as socio-economic problems, spouse's addiction, age, education level, number of children, cyberspace, Corona crisis, etc. were the underlying factors of violence against women. Conclusion: Psychological violence is the most common type of violence against women in Iran. One of the ways to reduce the crisis of violence against women is to inform them about their rights. Judicial, educational, and medical-health interventions should also be considered.

Background & Aims: World Health Organization declared COVID-19 as a pandemic. Lockdown and distance from normal social activities led to widespread increasing popularity of social networks. Meanwhile, fear and anxiety increased among social media users. The aim of this study was to systematiclly review the factors associated with fear of COVID-19 among social media users. Materials & Methods: We searched the study keywords in Scopus, PubMed, Web of Science, and ScienceDirect databases and all related original articles till August 2021 were reviewed. A total of 172 related articles were identified, which after deleting duplicates (28), and screening titles and abstracts (107), the full texts of 37 residual studies were evaluated for eligibility and inclusion criteria, znd 25 articles included in this review. Results: The summary of review articles showed that using social media during the COVID-19 pandemic era was directly associated with the spread of panic and fear. The most used social media were Facebook, WhatsApp, Instagram, Twitter, YouTube, Telegram, LinkedIn, TikTak, Skype, Zoom, Weibo, TV, and government sources. The impact of social networks on panic in crucial periods depends on age, gender, education, and culture. The results of this systematic review showed that females, married persons, people with a history of anxiety, depression, physical and chronic illness, as well as those whom did not exercise regularly, felt more panic than others. Following medical pages on social media as well as reposting and sharing COVID-19 information on social media could cause more fear. Conclusion: Although, social media can play a pivotal role in raising public awareness and overcoming COVID-19 limitations by reducing risk perception, strengthening social relationships, and preventing fear of shopping during quarantine days by developing online shoppings, but may indirectly spread fake reports and increase anxiety.

Background & Aims: The work pressure and frequent exposure of nurses to painful and excruciating conditions of patients in the workplace can lead to stressin them. Considering that perceived organizational support can be a strong factor in controlling stressful situations, this study was conducted with the aim of determining the relationship between nurses' stress coping strategies and perceived organizational support in Tehran University of Medical Sciences hospitals. Materials & Methods: This cross-sectional analytical study was performed on 607 nurses working in hospitals of Tehran University of Medical Sciences in 2021. Sampling was done in a stratified manner and by proportional assignment. Data was collected using a demographic questionnaire, perceived organizational support, and coping with stressful situations, and then analyzed using SPSS software version 22 and descriptive and inferential statistical tests. Results: The findings of this study showed that perceived organizational support was 2. 16 ±,1. 19 and coping with stressful situations was 2. 77 ±,0. 38. Spearman's correlation test showed that there was direct but not significant relationship between coping with stressful situations and perceived organizational support in the nurses (P=0. 134). Conclusion: It seems that nurses are more exposed to stress due to facing hospital’, s stressful environment. Therefore, it seems necessary to prepare low stressful situations for nurses by planning and presenting suitable policies.

Background & Aims: Borderline personality disorder is the most common personality disorder in psychiatric settings. The aim of this study was to compare the effectiveness of dialectical behavior therapy and the combination of dialectical behavior therapy and mentalization-based therapy in improving the symptoms of people with borderline personality disorder. Materials & Methods: This semi-experimental study was a pre-test/post-test type with a control group. 45 people with borderline personality disorder referred to psychological clinics in Urmia city, Iran in 2021 were selected by available sampling method and then randomly assigned to two intervention and control groups (15 people in each group). For the first experimental group, 12 sessions of combination of dialectical behavior therapy and metallization-based therapy were performed, and for the second experimental group, 12 sessions of dialectical behavioral therapy were implemented. The control group did not receive any intervention. The control group did not receive any intervention. The borderline personality scale was used to collect data. The data were analyzed using SPSS version 24 software and descriptive statistics and inferential ANCOVA statistics. Results: The average scores of borderline personality in the stages before and after the intervention in the first experiment group were 36. 00 and 28. 13, in the second experiment group were 35. 56 and 32. 20, and in the control group were 36. 73 and 36. 04, respectively. The results of covariance analysis showed that the mean of borderline personality in the intervention group which toke combination of dialectical behavior therapy and metallization-based therapy had decreased significantly in comparison with the group of dialectical behavior therapy alone (P<0. 01). Conclusion: The results indicate that the combination of dialectical behavior therapy and metallizationbased therapy is an effective and efficient approach in working with the patients with borderline personality disorder.

Background & Aims: prenatal care is performed with the aim of maintaining a healthy pregnancy in terms of physical health and favorable mental outcomes for the mother, baby, and family. Considering that the health and progress of any society is largely based on the health of women, this study was conducted with the aim of determining the quality of prenatal care from the perspective of the service recipients using the SERVQUAL pattern during the Covid-19 pandemic in sanandaj comprehensive health centers. Materials & Methods: In this descriptive-analytic study, 400 women referring to 10 comprehensive health centers in Sanandaj city to receive prenatal care were studied. The sampling method was cluster sampling (10 people in each cluster). 4 clusters (40 pregnant women) were selected from each center. SERVQUAL questionnaire was used to collect the data. Data were analyzed using Stata version 14 software and descriptive statistics i. e. independent t-test, one-way analysis of variance (or their nonparametric equivalent i. e. Mann-Whitney and Kruskal-Wallis, respectively), as well as chi-square test and Fisher's test. Results: There was a negative quality gap in all five dimensions of service quality. The overall quality gap in this study was-0. 66. The highest mean of this gap was in the concrete dimension (-1. 44), and the lowest mean was in the empathy dimension (-0. 02). Also, a statistically significant difference was seen between the perceptions and expectations of the clients in terms of tangibles, assurance, and guarantee (P<0. 05). However, there was no statistically significant difference between the perceptions and expectations of the clients in terms of empathy and responsiveness (P>0. 05). Conclusion: Based on the results, there was a gap between the level of expectations and perceptions of prenatal care recipients during the Covid-19 pandemic. The expectations of the service recipients was beyond their perceptions of the existing situation, and there is still large gap for improvement in order to achieve the satisfaction of the service recipients and provide the desired health care services.

Background & Aims: Mothers with low-birth-weight babies are at the risk of psychological problems after delivery. The problems these mothers experience include anxiety, depression, stress, and loss of control over their child's care. This study was conducted with the aim of determining the effectiveness of postpartum follow-up care on the anxiety level of mothers with low birth weight babies. Materials & Methods: The present study is an experimental study that was conducted in 2019 on 90 mothers with low birth weight babies, born in Razi Hospital, Marand, Iran. People who met the inclusion criteria were selected through available sampling, and randomly divided into intervention and control groups. The data collection tool included a demographic information registration sheet and a standard Spielberger questionnaire, which was completed before and one month after the intervention by the researcher's assistant through an interview. The intervention included the provision of follow-up postnatal care for the mother and the baby, which was carried out based on the guidelines for home care of the infant on days 3-5, 14-15, 21-28, and 30-40. Data analysis was done using SPSS version 16 software and using descriptive and inferential statistical tests (chi-square test and t-test). A significance level of P<0. 05 was considered. Results: At the birth, variables such as the average weight of babies, mother's education, amount of income, baby's sex, birth rank, and the anxiety level of mothers had no significant difference in two groups. After the care intervention, the mean anxiety of mothers showed a significant difference (P<0. 001). Conclusion: The care program and follow-up care after delivery is effective in reducing the anxiety of mothers who have low birth weight babies. Therefore, it seems necessary to use this strategy.

Background & Aims: Hemodialysis is one of the successful and common treatment methods in controlling chronic kidney failure,however, hemodialysis-dependent patients face many psychological problems along with numerous physiological changes. Therefore, psychological intervention in the treatment of these patients is necessary. The purpose of this research was to determine the effect of teaching health-promoting behaviors based on Pender's model on the psychological well-being of hemodialysis patients. Materials & Methods: In this semi-experimental study, 90 patients undergoing hemodialysis were assigned randomly to control and intervention groups. The patients completed the demographic questionnaire as well as the 54-question form of the Ryff psychological well-being questionnaire before and one month after the intervention. The data was analyzed using SPSS 21 statistical software at a significant level of p<0. 05. Results: The results showed the positive effect of teaching health-promoting behaviors based on Pender's model on psychological well-being. There were statistically significant differences in the dimensions of self-acceptance, positive relationships with others, environmental mastery, and personal growth (p<0. 05), but there were not significant differences in the dimensions of purpose in life and autonomy between the two groups after the intervention (p > 0. 05). Conclusion: According to the obtained results, it is recommended to use this effective and affordable method in the care planning of chronic patients in order to improve their psychological well-being.