bluuebunny/crossref_metadata_2025_split huggingface dataset:
Family Support and Medication Adherence among Adult Type 2 Diabetes
Authors: Olagbemide Olanrewaju Joel , Omosanya Olusegun Emmanuel , Ayodapo Abayomi Olusola , Agboola Segun Matthew , Adeagbo Adedayo Olutunji , Olukokun Taiwo Adebayo 
Published: May 2024

Background:
Serious disability diabetes mellitus (DM) cause for patients and their support system-family and friends are enormous. It remains an important public health challenge, despite effective medical therapies for its management; patients’ poor adherence remains a global problem.

Objective:
The study assessed the relationship between family support and medication adherence among adult Type 2 DM (T2DM) attending family medicine clinic of a rural tertiary hospital.

Methodology:
This was an analytic cross-sectional hospital-based study carried out among 367 patients selected by systematic random sampling method. Relevant data collected through a semi-structured questionnaire and clinical data recorded and fasting plasma glucose (FPG) were utilized for the study. Data were analyzed using SPSS version 16.

Results:
The mean (standard deviation) age of respondents was 61.7 ± 11.4 years. Those with strong family support that achieved medium/high (Morisky Medication Adherence Scale-8 > 6) level of medication adherence (odds ratio [OR] [95% confidence interval (CI)] = 1 6.4 [9.1–29.6], P < 0.001) constituted 69.5% of respondents. Family support was also found to have a direct relationship to glycemic control (FPG < 7.1 mmol/l), 65.7% of those with strong family support achieved good glycemic control, P < 0.001, OR (95% CI) = 17.4 (9.2–37.2). The level of medication adherence was noted to be directly related to glycemic control, 79.4% of those with medium/high medication adherence had good glycemic control, OR (95% CI) = 25.0 (14.4–43.6), P < 0.001. Strong family support leads to higher medication adherence level which resulted into better glycemic control.

Conclusion:
Family support improves medication adherence and glycemic control. Physicians should explore patients’ family support system to improve medication adherence level and better management outcome of chronic diseases especially T2DM.
Knowledge, Attitude, and Practice on Health Attitude, Exercise, and Dietary Habits of People with Type 1 Diabetes: An Observational, Cross-sectional Study
Authors: Krishnan Gopika , Salis Sheryl , Sanal Geethu , Chandran Vysakh , Viji A. , Raj Sourav , Jothydev Krishnadev , Kumar Suresh , Kesavadev Jothydev 
Published: May 2024

Introduction:
In managing type 1 diabetes (T1D), diet and exercise play a crucial role alongside insulin therapy. Despite their significance in glycemic control and overall diabetes management, there is a notable gap in the awareness and attention toward these aspects among individuals with T1D.

Methods:
This survey-based, cross-sectional study, conducted as the part of the Kesavadev Trust T1D Project Sweet Stars initiative, aimed to assess the knowledge, attitude, and practice regarding health attitudes, exercise habits, and dietary behaviors among children with T1D. The study utilized a prestructured questionnaire administered by diabetes educators and dietitians during a T1D education camp. Descriptive statistics were used to summarize the findings of the survey. The categorical variables were presented as frequency (%), whereas continuous variables were summarized as mean (standard deviation) or median (Q1–Q3) based on the results of the Shapiro–Wilk’s normality test. SPSS software version 27 was used for all the analyses.

Results:
Of the 80 individuals approached, 75 responded, with the majority being male (58.7%). The median age was 13 years. Most participants were diagnosed with T1D between 2015 and 2020. Basal insulin usage predominantly comprised Innovator Glargine. Participants demonstrated good health attitudes and diet habits with the majority receiving diabetes education from doctors. While diet counseling was prevalent, access to dietitians was limited.

Conclusion:
Efforts are needed to raise the awareness and improve access to comprehensive care for individuals with T1D. Emphasizing the importance of ideal exercise and dietary practices through camps and education programs can bridge the knowledge gap. Health-care providers should prioritize T1D care and stay updated on T1D management strategies.
Comparison of the Effect of Fennel and Evening Primrose Oil on Menopausal Problems and Hormonal Levels: A Randomized Controlled Trial
Authors: Ghavi Fatemeh , Shakeri Fatemeh , Farahnaz Heshmat , Abdolahian Somayeh 
Published: May 2024

Abstract

Background:
Using natural oral supplements is one of the methods of complementary medicine that has been widely welcomed in the last decade Since studies have reported contradictory results for effectiveness of herbal medicines during menopause and no other more effective herbal medicine has been suggested yet, the researchers of this study decided to compare the fennel and Evening Primrose Oil (EPO) and their effect on menopause problems and sex hormones.

Materials and Methods:
The present study was a triple-blinded, controlled clinical trial with 125 participants randomly assigned to. An intervention group received fennel, another intervention group received evening primrose oil, and the placebo group received placebo twice daily for 8 weeks. Pre-intervention and post-intervention results were obtained using hormonal assay and the Menopause Rating Scale (MRS).

Results:
In this study, the mean follicle-stimulating hormone (FSH) and estradiol levels changed significantly in the fennel and EPO groups compared to placebo (p < 0.001). The difference in the mean FSH score between the fennel group and EPO group was not significant (p = 0.304), but the difference in the mean estradiol level between these groups was significant (p = 0.043). Moreover, there was a significant difference in the mean MRS score between the intervention groups before the intervention (p < 0.05). However, the difference in the mean MRS score between the fennel and EPO groups was not significant after the intervention (p = 0.322).

Conclusions:
Consumption of fennel and EPO can significantly change FSH, estradiol, and psychological menopausal symptoms in postmenopausal women.
Nursing Care Challenges of Child Violence Victims
Authors: Vosoghi Nazila , Fallahi-Khoshknab Masoud , Hosseini Mohammadali , Ahmadi Fazlollah 
Published: May 2024

Background:
Violence against children is a serious global phenomenon. The severity of the injuries caused due to violence toward a child is sometimes so great that it sends them to the hospital. Nurses have the first contact with Child Violence Victims (CVVs). These nurses experience different challenges. This study was aimed at exploring nurses' experiences of challenges in care provision to CVVs.

Materials and Methods:
This conventional content analysis and qualitative study was conducted in 2018–2019. Using a purposive sampling method, 17 nurses with experience in care delivery to CVVs were recruited from among those working in Children's Medical Center, Tehran, Iran, and Bu-Ali Subspecialty Hospital, Ardabil, Iran. In-depth semi-structured interviews were conducted to collect the required data. Data were analyzed through the conventional content analysis method.

Results:
During data analysis, the 3 main categories of role conflict, lack of continuity of care, and emotional resentment and 9 subcategories were identified. Nurses experience challenges in care provision to CVVs. They do not have enough knowledge about CVVs, are unable to maintain the continuity of care, and experience role conflicts and emotional resentment.

Conclusions:
Nurses experience some difficulties and challenges in the process of care delivery to CVVs. They tried to overcome emotional resentment, different conflicts, and concerns about the lack of continuity of care without adequate support and resources. Thus, planning to support nurses in this regard seems essential.
Self-Compassion and Adherence to Treatment in Patients with Cancer
Authors: Khalili Neda , Bahrami Masoud , Ashouri Elaheh 
Published: May 2024

Background:
Emotional disorders and depression make cancer patients reluctant about adherence to their treatment. The present study was conducted to determine the relationship between self-compassion and adherence to treatment in cancer patients.

Materials and Methods:
This cross-sectional study was conducted on 214 patients with cancer in 2019. They were inpatients aged over 18 years. Two months had passed since their cancer was diagnosed, and they had undergone a course of chemotherapy. Data were collected using a personal details form, Neff's Self-Compassion Scale and the Modanloo Adherence to Treatment Questionnaire and were then analyzed using the mean, frequency, Pearson's correlation coefficient and linear regression analysis.

Results:
The mean (SD) total score of self-compassion was 80.07 (15.68), and the mean (SD) total score of adherence to treatment was 134.44 (38.37). Pearson's correlation coefficient showed a direct relationship between the total score of self-compassion and the total score of adherence to treatment (p < 0.05). The linear regression analysis showed that the score of suffering as a common humanity (β = 0.47, p ≤ 0.001) and the variable of education (β = 0.27, p ≤ 0.001) were significant predictors of the total score of adherence to treatment (R2 = 0.33).

Conclusions:
According to the results, suffering as a common humanity and education were significant predictors of adherence to treatment. Oncology nurses are therefore recommended to get further educated about self-compassion, so that they take this concept more seriously in providing patient care. Nurses should also educate the patients with low levels of education about the consequences of not adhering to their treatment.
Health Anxiety among Nurses Caring for Patients with Covid-19
Authors: Mousavi Seyed Kazem , Kamali Mohsen , Azizkhani Hamed , Mohammadi Soraya 
Published: May 2024

Background:
Medical personnel, especially nurses, are at the forefront of the global COVID-19 epidemic. This study was conducted with the aim to evaluate the level of health anxiety in nurses caring for patients with COVID-19.

Materials and Methods:
This cross-sectional, descriptive study was performed on the 340 nurses working in 3 selected educational and medical centers affiliated with Zanjan University of Medical Sciences, Iran. The participants were selected through census method in April and May 2020. The instrument used was the Health Anxiety Inventory. It includes 18 items in 3 subdomains. Descriptive statistics and the nonparametric Mann–Whitney U and Kruskal–Wallis tests were used to analyze the data.

Results:
The mean (SD) total health anxiety score of nurses was 24.68 (4.30), and 91.76% of participants had moderate health anxiety. Moreover, there was a statistically significant relationship between health anxiety level and the demographic variables of gender (Z = −4.54, p < 0.001), marital status (χ
2
3 = 32.54, p < 0.001), parenting (Z = −4.16, p < 0.001), family relationships (Z = −2.30, p = 0.020), work experience (χ
2
4 = 19.32, p < 0.001), and the workplace (χ
2
2 = 41.24, p < 0.001)

Conclusions:
The results showed that the level of health anxiety of nurses who cared for COVID-19 patients was moderate. Therefore, it is recommended that the necessary measures be taken to manage health anxiety in this group.
Effect of Nature-Based Sound Therapy on Stress and Physiological Parameters in Patients with Myocardial Infarction
Authors: Fatehimoghadam Shekoufe , Molavynejad Shahram , Rokhafroz Dariush , Seyedian Seyed Masoud , Sharhani Asaad 
Published: May 2024

Abstract

Background:
Non-pharmacological interventions in clinical practice, such as Nature-Based Sounds (N-BS), can be an efficient way to reduce stress in patients with Myocardial Infarction (MI). This study was an attempt to investigate the effect of N-BS on stress and physiological parameters in patients with MI.

Materials and Methods:
This double-blind, randomized clinical trial was conducted on 80 patients with MI from two selected hospitals. Using headphones, the subjects in the intervention group listened to 30 minutes of N-BS twice a day for 3 days. The control group, on the other hand, wore headphones playing no sound. The data were collected using the Persian version of the Depression, Anxiety, and Stress Scale. The significance level was set at 0.05.

Results:
The repeated measure analysis showed that the within group effect is statistically significant for Systolic Blood Pressure (SBP) (F = 113.32, p < 0.001), Diastolic Blood Pressure (DBP) (F = 67.22, p < 0.001), Heart Rate (HR) (F = 28.52, p < 0.001), respiration rate (F = 36.41, p < 0.001), and stress (F = 102.82, p < 0.001). The reciprocal effect was statistically significant for SBP (F = 11.76, p < 0.001) and stress (F = 5.31, p < 0.001).

Conclusions:
N-BS can provide an effective, inexpensive, and non-invasive method of reducing stress in patients with MI. Nurses can incorporate N-BS intervention into the daily care of patients with MI in order to reduce their stress and lower their SBP and HR.
Comparative Study of the Effect of Three Oral Care Protocols on Ventilator-Associated Pneumonia in Critically Ill Patients
Authors: Haghighat Somayeh , Mahjobipoor Hossein , Gavarti Samira Ghasemi 
Published: May 2024

Background:
Oral care plays a significant role in reducing the incidence of Ventilator-Associated Pneumonia (VAP) in Intensive Care Units (ICUs). The aim of this study was to investigate the effect of three oral care protocols on the incidence of VAP in Mechanically-Ventilated (MV) patients hospitalized in ICUs.

Materials and Methods:
This parallel randomized clinical trial was performed in 2019 on 71 MV adult patients with endotracheal intubation hospitalized in ICUs. The patients were divided into three groups: a 7-day oral care by using swab (group 1), two-times-brushing group (group 2), and four-times-brushing group (group 3) by using chlorhexidine. The data related to the incidence of pneumonia were analyzed during several days using Chi-square and ANOVA tests.

Results:
The incidence of pneumonia on the fourth day of the intervention in the first group (35.00%) was significantly higher than that of the two intervention groups (10.00%) (χ
2 = 5.86, df = 2, p = 0.03)). The mean score of modified clinical pulmonary infection in the third group was significantly lower seven days after the intervention than before the intervention (p = 0.04) and the fourth day of intervention (p = 0.003). In the first group, this score was significantly higher in the fourth day of the intervention than the seventh day (p = 0.003).

Conclusions:
Based on the results, the oral care protocol, including four-times-brushing, reduced the risk of VAP more than two times brushing. Therefore, the use of this protocol is recommended to provide a minimum level of oral care and reduce the risk of VAP in MV patients.
Needlestick Injury and Psychomotor Performance as Measured by Pursuit-Aiming Test in Health-Care Professionals
Authors: Pouryaghoub Gholamreza , Azizi-Alvandi Akbar , Izadi Nazanin 
Published: May 2024

Background:
Several factors play a role in Needlestick Injury (NSI). We aimed to determine the association of NSI with psychomotor performance in health-care workers.

Materials and Methods:
In this cross-sectional study, demographic, occupational characteristics, and needlestick history were completed for 357 health personnel of a university hospital of Tehran in 2019 through a checklist. Psychomotor performance was measured using a pursuit-aiming test.

Results:
Most of the NSI occurred in nurses. The mean age of the workers with a positive history of NSI was significantly lower compared to their peers with a negative history, and similarly, they had lower work experience. After adjustment for the confounding variables, the correct pursuit-aiming test had a borderline association with the occurrence of the NSI.

Conclusions:
Psychomotor performance had a borderline association with the history of NSI.
Compassion Fatigue in Nurses: The Role of Spiritual Well-Being, Emotion Regulation and Time Perspective
Authors: Ariapooran Saeed , Abdolmaleki Bahram 
Published: May 2024

Background:
Nurses experience many psychological problems in the coronavirus disease 2019 (COVID-19) outbreak. This study aimed to investigate the prevalence of Compassion Fatigue (CF) in nurses and the role of Spiritual Well-being (SW), Emotion Regulation (ER), and Time Perspective (TP) in predicting it.

Materials and Methods:
The research method was descriptive-correlational. The statistical samples of this study included 394 nurses in Iran who were selected by the census sampling method. The sub-scale of CF from the Professional Quality of Life Scale, SW questionnaire, ER, and the short form of TP questionnaires were used to collect data. Descriptive statistics and analysis of covariance tests were used to analyze the data.

Results:
The prevalence of CF in nurses in the COVID-19 outbreak was 59.39%. CF in female nurses was higher than that in male nurses (F3,392 = 15.23, p < 0.001); in married nurses, it was higher than that in single nurses (F3,392 = 14.23, p < 0.001); and in nurses on fixed shifts, it was higher than that in nurses on rotating shifts (F3,392 = 5.63, p < 0.001). Also, CF in the emergency nurses, intensive care unit nurses, and coronary care unit nurses working under COVID-19 pandemic was higher than that in the emergency nurses and nurses who worked in other wards (F3,388 = 14.31, p < 0.001). The results of hierarchical regression showed that SW, ER, and positive past negatively and suppression, present-fatalistic, negative past, and negative future positively predicted the CF (p < 0.001).

Conclusions:
Based on the results, programs and psychological trainings based on SW, ER, and TP are suggested to reduce CF in nurses in the COVID-19 outbreak.
The Living Experience of Patients with Burn Injuries from Art Nursing Care: An Unspoken Mystery
Authors: Saadatmehr Seyed Reza , Sanagoo Akram , Jafari Rad Abdolreza , Bakhshian Fereshteh , Jouybari Leila 
Published: May 2024

Background:
Although art and aesthetics are important aspects in nursing care, there is scarcity of literature regarding this area, particularly in relation to patient expectations of art nursing care. This study aims to explore the perceptions of patients with burn injuries regarding art nursing care.

Materials and Methods:
The present phenomenological study was conducted on 14 patients with burn injuries based on convenience and purposive sampling. Data were collected through deep open-ended and semi-structured interview. Data analysis was performed based on van Manen’s Hermeneutic Phenomenology.

Results:
Patients’ experience of art nursing care emerged in the form of three main themes, including “being a healer for patients’ wounds”, “skilled and specialized care”, “praiseworthy care”, and six subthemes.

Conclusions:
The patients in the burn unit demonstrated an understanding and appreciation for the qualities of patience, hard work, compassion, and love that the nurses possess. They also noted the meticulous attention paid by the nurses to their needs, which exemplifies the purest human traits and professional characteristics in patient care and can be seen as an art form in nursing.
The Role of Electronic Health Tools in Unwanted Pregnancy Prevention, Abortion and Post-Abortion Follow-Up: A Systematic Review
Authors: Shahrokhi Seyedeh Nafiseh , Salmani Hosna , Ahmadi Maryam 
Published: May 2024

Background:
More than 30% of women experience at least one abortion. To date, there has been no comprehensive mobile health project on the impact of technology on access to abortion, contraception, and post-abortion follow-up. The purpose of this study was to review published studies on the role of electronic health in the prevention of unwanted pregnancy, abortion, and post-abortion follow-up.

Materials and Methods:
The Web of Science, PubMed, ScienceDirect, and EMBASE databases were searched to find relevant articles published between 2008 and 2018. A systematic review study was conducted on 33 relevant articles. All studies related to the use and impact of electronic health on unwanted pregnancy prevention, abortion and post-abortion follow-up in English from January 2008 to December 2018 were included. The quality of the studies was evaluated using the PRISMA-S.

Results:
Thirty-three studies met the inclusion criteria for the review. The Studies were divided into four main groups of women’s experiences on the use of mobile health and telemedicine technologies for at-home medical abortion, unwanted pregnancy prevention, abortion, and post-abortion follow-up. The results showed the significant impact of using electronic health on unwanted pregnancy prevention, abortion, and post-abortion follow-up.

Conclusions:
Health technologies have the potential to be used as a low-cost and accessible method to replace abortion services. They can facilitate remote care and quick access to information to complete the gaps in access to abortion. Therefore, it is necessary for health service providers to be aware of the possibility of the client’s access to electronic health tools.
Factors Predicting Mothers' Intention toward Human Papilloma Virus Vaccination of Adolescents
Authors: Azh Nezal , Hosseinzadeh Kazem , Javadi Amir , Gholami-Toranposhti Samaneh 
Published: May 2024

Background:
Adolescents are prone to Sexually Transmitted Diseases (STDs) such as Human Papilloma Virus (HPV). Although HPV is a preventable disease, the vaccination rate is low. As parents should vaccinate their children to prevent HPV, the goal of this study was to identify the factors related to mother's intention to vaccinate adolescents against HPV.

Materials and Methods:
This cross-sectional study was performed in Qazvin from 2019 to 2020. The participants included 126 literate mothers who had a daughter between 12 and 14 years and health system information registry. To collect the data, a questionnaire was made based on the educational model of behavioral intent. Parents were interviewed in person in health centers or via phone at home. Data were analyzed using Spearman's correlation.

Results:
The mean (SD) age of the mothers, fathers, and girls were 39.60 (6.18), 43.51 (7.58), 13 (0.82) years, respectively. They hadn't received education regarding HPV. The mean (SD) of the knowledge, attitude, and HPV vaccination intention scores were 27.77 (18.08), 67.38 (10.25), and 15.44 (18.44), respectively. The factors related to HPV vaccination intention were parents' knowledge (r = 0.29, p = 0.001), positive attitude (r = 0.22, p = 0.010), parents' education (r = 0.22, p = 0.050) and family income (r = 0.21, p = 0.010).

Conclusions:
The high cost of vaccines, economic problems, and lack of knowledge were strong limitations for HPV vaccination. Thus, health workers should have informed parents and teens of the benefits of HPV vaccination. This process should be supported by policy makers.