bluuebunny/crossref_metadata_2025_split huggingface dataset:
Knowledge, Attitude, and Practice of Nurses Toward COVID-19
Authors: Marthoenis Marthoenis , Maskur Maskur 
Published: May 2024

Background:
Limited study has been conducted on the Indonesian nurses' knowledge, attitude, and behavior toward Coronavirus disease 2019. We investigated the Knowledge, Attitude, Practice (KAP) of nurses working in the referral hospital toward the COVID-19 disease.

Materials and Methods:
Using a questionnaire on KAP toward COVID-19, a cross-sectional online data collection was conducted in the mid of 2020 to examine the nurses' KAP, perception, and experience toward COVID-19.

Results:
The correct rate of knowledge was 85.60%. No significant difference of all KAP items between the COVID-19 and regular nurses was observed (P>0.05). They had positive attitudes regarding the pandemic and good practices for virus transmission prevention. Most nurses were worried that they will be infected by COVID-19 (91.53%).

Conclusions:
The Indonesian nurses have good knowledge, a positive attitude, and good practices regarding the virus, transmission, and prevention. The fact that the majority of nurses feel worried demands further investigations.
The Effect of a Combined Exercise Program on the Fatigue Severity of Patients with Breast Cancer Undergoing Chemotherapy: A Randomized Clinical Trial Study
Authors: Darvishi Elahe , Musarezaie Amir , Bahrami Masoud , Karimian Jahangir 
Published: May 2024

Abstract

Background:
Breast Cancer (BC) is one of the most common cancers in the world, including in Iran. Chemotherapy as one of the basic treatments for BC leads to many side effects such as fatigue. This study aimed to examine the effect of a combined exercise program on the intensity of fatigue in patients with BC undergoing chemotherapy.

Materials and Methods:
This clinical trial study was conducted on 64 patients with BC undergoing chemotherapy referring to the Seyyed al-Shoada and the Al-Zahra clinics from January to April 2022. Eligible patients who met inclusion criteria were recruited by the convenience sampling and then assigned randomly to intervention and control groups. The combined exercise program in the intervention group was done for 8 weeks as three sessions a week (34 sessions) each for 35–40 min. Piper’s Fatigue Scale was completed for both groups before and after the intervention. Data were analyzed using descriptive and inferential statistical methods.

Results:
The results showed that the mean score of fatigue intensity in both control and intervention groups had a statistically significant difference after the intervention (p = 0.004). The mean fatigue intensity score in the intervention group decreased significantly from mean (SD) 8.17 (1.88) to 5.56 (1.74).

Conclusions:
Based on the results, a combined exercise program can reduce fatigue in patients with BC. Therefore, nurses can utilize exercise programs and practices as a subset of complementary medicine alongside other treatment methods, which can effectively promote cancer patients’ quality of life by reducing their fatigue.
Effect of Tele-Medicine on Health Anxiety and Pregnancy-Related Anxiety in Pregnant Women during the COVID-19 Epidemic in Iran
Authors: Iravani Mina , Bahmaei Hadis , Askari Saeedeh , Ghanbari Saeed , Nasab Maryam Beheshti , Masihi Sara 
Published: May 2024

Abstract

Background:
The global spread of the new coronavirus has increased the necessity of innovations to increase the quality of health care. This study was intended to examine the impact of tele-medicine on health anxiety and pregnancy-related anxiety in pregnant women during the COVID-19 epidemic in Iran.

Materials and Methods:
This quasi-experimental study was performed between March and May 2020. Sampling was done using multi-stage random sampling method. A total of 104 pregnant women were in two groups (intervention: n = 52, control: n = 52). Data were collected using a demographic and obstetric information questionnaire, the Health Anxiety Questionnaire, and Van den Bergh’s Pregnancy-Related Anxiety Questionnaire. The intervention group received counseling services for 2 months by researchers through telephone conversations, text messages, and applications such as WhatsApp, Telegram, and Instagram. In addition to routine pregnancy care, they could contact the researchers by phone and receive the necessary advice in case of any questions, ambiguities, or problems. The control group included pregnant women who received only routine pregnancy care.

Results:
After the intervention, health anxiety scores of pregnant women in the control group were significantly higher than those of the experimental group (t98 = 13.54, p < 0.001). Also, the mean (SD) scores of pregnancy-related anxiety in the control group were significantly higher compared with the intervention group (t98 = 3.80, p < 0.001).

Conclusions:
Using tele-medicine, especially during the COVID-19 pandemic can reduce unnecessary referrals of pregnant women to medical centers and their risk of developing the disease, on the one hand, and by reducing women’s anxiety, however, it can improve psychological consequences.
Topic Analysis of Nursing Research Using Co-Word Analysis
Authors: Khasseh Ali Akbar , Amiri Mohammad Reza , Sadeghi Amir 
Published: May 2024

Background:
Nursing is one of the most important areas of medical sciences whose developments including its scientific publications can influence health care. Therefore, the aim of this study was to investigate nursing articles published from 2013 to 2018, and to provide a comprehensive view of common topical clusters in this research area.

Materials and Methods:
In this practical research, bibliometrics method and co-word analysis technique are used. The study population included all the articles in nursing area indexed in Web of Science from 2013 to 2018. The bibliometrics software, including BibExcel, UCINET, and SPSS was used to analyze the data.

Results:
Results indicated that the most frequently used nursing words in nursing research articles were “Quality of life,” “Aged,” “Education,” and “Nursing.” Moreover, the pairs such as “Anxiety-Depression”, “Education, Nursing-Students, Nursing” and “Depression--Quality of life” were the most frequent co-occurrences. The use of hierarchical clustering led to the formation of seven topical clusters in Nursing: “Nursing care for the Aged,” “Self-care,” “Physical, emotional, and social support, “Mother and child health,” “Preventing nursing care,” “Nursing profession Research,” and “Quality of nursing care.”

Conclusions:
The growth of nursing scientific productions is an indicative of the importance of this subject area in healthcare services; however, there is no balanced growth in various subjects.
Evaluation of Couple's Sexual Function after Childbirth with the Biopsychosocial Model
Authors: Hajimirzaie Saiedeh Saiedeh , Tehranian Najmeh , Razavinia Fatemeh , Khosravi Ahmad , Keramat Afsaneh , Haseli Arezoo , Mirzaii Mehdi , Mousavi Seyed Abbas 
Published: May 2024

Background:
After childbirth, sexual dysfunction refers to a chain of psychiatric, physiological, social changes and a couple's experiences. The purpose of our Systematic Review (Syst.Rev.) is to evaluate available high-quality evidence and construct a Bio Psycho Social (BPS) model of couple's sexual function after childbirth.

Materials and Methods:
A systematic search was done with MeSH terms in databases, including PubMed, Web of Science, Scopus, and Science direct. A total number of 9 Syst.Rev. were evaluated from 2009 to 2019 years. The quality of extracted articles was evaluated based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist of contents using two qualified reviewers. Data synthesis was performed using the thematic analysis.

Results:
Biopsychosocial Model of Postpartum Couple's Sexual Function (BMPCSF) is proposed as a developmental process similar to Bronfenbrenner's Bioecological Systems Model. Studies showed a significant relationship among the type of childbirth, trauma of perineum, breastfeeding, mood swings, fears, changes in the self-body image, spousal support, and Postpartum Sexual Dysfunction (PSD). Hence, the evidence about male sexuality in the postpartum period doesn't seem sufficient.

Conclusions:
The information from this study will help health policymakers develop the appropriate guidelines to inform couples and healthcare professionals about the BPS changes after childbirth and PSD. Besides, BMPCSF can be used in postpartum sexual counseling to improve sexual health and marital relationships. We propose comprehensive original study on couples' postpartum sexuality, especially men's conduct, emphasizing socio-cultural factors.
Effect of Communication Skills Training Using the Calgary-Cambridge Model on Interviewing Skills among Midwifery Students
Authors: Baniaghil Asieh-Sadat , Ghasemi Shohreh , Rezaei-Aval Masumeh , Behnampour Nasser 
Published: May 2024

Background:
An effective interview can strengthen the clinician-patient relationship and improve treatment outcomes. We aimed to assess the effect of communication skills training using the Calgary-Cambridge model on interviewing skills among midwifery students.

Materials and Methods:
In this randomized controlled trial, 30 midwifery students of Golestan University of Medical Sciences were selected using the convenience sampling method and randomly assigned through minimization into the intervention (n = 15) and control (n = 15) groups in 2018. The routine interventions were administered for the control group, and four sessions of communication skills training based on the Calgary-Cambridge model was performed in small groups for the intervention group. Evan and colleague's History-taking Rating Scale was used before and four weeks after the intervention. Data were analyzed using paired and independent-sample t and Mann-Whitney U tests at the significance level of less than 0.05.

Results:
The mean (SD) scores of interviewing skill before and after the intervention was 33.71 (7.34) and 54.50 (8.16), respectively, in the intervention group (t13= 9.26, p < 0.001) and 33.64 (6.02) and 33.93 (5.39) in the control group, respectively (p = 0.85). The difference between the two groups was significant (t26= 7.86, p < 0.001).

Conclusions:
Communication skills training based on the Calgary-Cambridge model can be used as an effective method to improve interviewing skills among midwifery students.
Investigating the Effect of Implementing a Web-Based Educational Program on Fathers’ Involvement in Infant Care 0 to 6 Months
Authors: Bagheri Maryam , Salari Elahe , Malaijerdi Raziye , Nazari Sakineh 
Published: May 2024

Background:
Fathers need education to understand their role in infant care and its implications regarding the child’s health. Virtual education has been able to compensate for the shortcomings of traditional training and education, and with respect to this, the present study was conducted to determine the effect of virtual education on fathers about infant care and their involvement in infant care.

Materials and Methods:
The quasi-experimental study was performed on 83 participants in healthcare centers affiliated with North Khorasan University of Medical Sciences. The involvement of fathers in infant care was assessed with a questionnaire of the father’s involvement in the care of the infant (mother-reported) in 4-time points: 3-5 days, and 2, 4, and 6 months after birth. Educational materials based on the child’s growth and needs and as well as the latest references and national guidelines were prepared, and as the infant grew, were taught step by step to fathers using Soroush’s messenger while their questions were answered.

Results:
The mean score of total father involvement in infant care at two, four, and six months after childbirth was significantly higher in the intervention group than in the control group (p < 0.001).

Conclusions:
With regard to the lack of access to fathers during their working hours, virtual education can be used to increase their involvement in infant care.
Association between Socioeconomic Status and Homeostasis Model Assessment-Insulin Resistance Index and Mediating Variables at the First Trimester of Pregnancy
Authors: Mohammadi Raziyeh , Goodarzi-Khoigani Masoomeh , Allameh Zahra , Mazloomy Mahmoodabad Seyed Saeed , Baghiani Moghadam Mohammad Hossein , Nadjarzadeh Azadeh , Mardanian Farahnaz 
Published: May 2024

Background:
Some studies have shown that Socioeconomic Status (SES) is positively related to insulin resistance among different population groups, except for pregnant women. Therefore, we examined the relationship between SES and Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) index as well as mediating variables.

Materials and Methods:
This study was performed on 138 primiparous healthy women at 6–10 weeks of pregnancy. The association between SES and HOMA-IR was analyzed by regression analysis, and mediating variables were determined by mediation analysis.

Results:
SES score was positively correlated with HOMA-IR index [β = 0.02, t101 = 2.20, p = 0.03, 95% CI: (0.00–0.05]. The higher percentage of mediation was related to maternal weigh (70.80%). Job activity had a protective effect on the association between SES and HOMA-IR (-62.50%). The total percentage of two mediators was 25%.

Conclusions:
The positive relationship between SES and (HOMA-IR) in early pregnancy may provide a way to control this condition.
The Effect of Breast Massage Training on Self-Efficacy and Perceived Stress of Prim Parous Women: A Clinical Trial Study
Authors: Ramezani Somayeh , Garkaz Omid , Khosravi Ahmad , Ghasemi Zohra , Paryab Sahar , Bolbolhaghighi Nahid 
Published: May 2024

Abstract

Background:
Breastfeeding is a highly efficacious, health-promoting activity that prevents many disorders and diseases. Successful breastfeeding depends on various maternal physiological and psychological factors, among which breastfeeding self-efficacy is an adjustable framework. This study investigates the effect of breast massage training on self-efficacy and perceived stress in primiparous women.

Materials and Methods:
This study is a clinical trial study on 132 eligible primiparous mothers referred to Bahar Hospital from August 15, 2019, to December 15, 2020. The women were randomly divided into intervention and control groups. The massage was performed in the intervention group before breastfeeding. The data were collected using a standard breastfeeding self-efficacy questionnaire and the Sheldon Perceived Standard Questionnaire. Data were entered into SPSS 18 and analyzed using descriptive statistics, Chi-square, and analysis of variance.

Results:
The results of this study showed that the mean (SD) breastfeeding self-efficacy in the breast massage training group with direct midwife involvement was 61.63 (9.21), higher than the one in the control group 51.51 (11.62). In addition, perceived stress was 19.81 in the intervention group and 24.84 in the control group, which was also statistically significant.

Conclusions:
Due to the increase in self-efficacy scores and decrease in stress scores after breast massage, this method can improve breastfeeding performance in women. Therefore, educational strategies should be developed in this area.
The Impact of Online Learning among Adolescents during the COVID-19 Pandemic
Authors: Widiasih Restuning , Suryani Suryani , Rakhmawati Windy , Arifin Hidayat 
Published: May 2024

Background:The COVID-19 pandemic changed the educational system from conventional learning in schools to online learning. The use of the internet as a learning medium can have positive and negative impacts on adolescents and cause concern for mothers. In this study, mothers' perspectives were explored with the phenomenological approach to assess their experience of the effect on line learning during the COVID-19 pandemic among adolescents.Materials and Methods:The qualitative study design: phenomenology was conducted on mothers with children at senior high school education levels. The data were collected using in-depth interviews from June to November 2020 in West Java, Indonesia. A total of 13 mothers were recruited using the purposive sampling technique. Data analysis was performed using the Colaizzi method and NVIVO software for managing the coding process.Results:We obtained four themes, namely (1) formation of adolescent behavior with the internet, (2) prevention of internet addiction, (3) disturbance of cognitive development, and (4) negative effect of online learning.Conclusions:The usage of the internet cannot be avoided. By guiding adolescents, the negative effects of the internet could be prevented. Developing learning programs, media, and online learning strategies according to students' needs should be promoted.
Perceived Barriers and Needs in Accessing Sexual Health Services for Iranian Couples: A Qualitative Research
Authors: Samadi Parisa , Alipour Zahra , Maasoumi Raziyeh 
Published: May 2024

AbstractBackground:Sexual and Reproductive Health (SRH) and access to related services are the most important issues and are part of reproductive health rights. Therefore, this study was designed and conducted to explain the perceived barriers and needs in accessing sexual health services for Iranian couples.Materials and Methods:We conducted this study on 14 subjects at the Navab Health Center in Isfahan and Behsa Counseling Center in Tehran from November 2015 to December 2016 by common qualitative content analysis approach through semi-structured interviews.Results:The results show that sub-subcategories “Therapist’s Individual Traits” and “Specialized Skills of Therapist” formed “Need for Access to a Professional Therapist” subcategory and sub-subcategories “Provide specialized problem-based treatments” and “Rapid and Timely Therapy of Sexual Problems” formed the “Need for Timely and Comprehensive Access” subcategory and these two subcategories formed the main category of “Need to access a specialized, comprehensive and timely sexual health services system.” Furthermore, sub-subcategories of “Failure to Prioritize Sexual Matters” and “Lack of sexual awareness” formed the “Individual Challenges of Search for Sexual Health Services” subcategory, and sub-subcategories of “Sexual Problems are a Taboo” and “Lack of awareness of the existence of sex therapists and sexual health service centers” formed “Sociocultural Challenges to Access Sexual Health Services” subcategory. Two subcategories formed the main category of “Obstacles to Access Efficient and Proper Sexual Health Services.”Conclusions:The explored couple’s experiences demonstrated that the need to receive timely and comprehensive specialized sexual health services because of the obstacles to access is not provided.
Exploration of therapeutic potential and evidence-based applications of Shwaskuthar Rasa: A scoping review
Authors: Vaidya Meghna , Upadhyay Abhishek , Kumar Sanjay , Sharma Karunanidhi 
Published: May 2024

Abstract

Shwaskuthar Rasa (SKR) is an important herbo-mineral medicine of Ayurveda that has gained recognition for its potential therapeutic effects in respiratory diseases. The formulation combines processed mercury, sulfur, Vatsanabha (Aconitum chasmanthum Stapf ex Holmes), Tankana (borax), Manahshila (realgar), Pippali (Piper longum L.), Shunthi (Zingiber officinale Roscoe), and Maricha (Piper nigrum L.). The drug was also listed in the Ayush guidelines for Ayurveda practitioners in the context of COVID-19. This scoping review aims to provide a comprehensive overview of the existing literature on SKR, by systematically organizing the available literature related to its quality, efficacy, safety, and potential therapeutic benefits. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic search strategy was employed to explore relevant published literature on SKR. Online databases such as PubMed, Google Scholar, and Digital Helpline for Ayurveda Research Articles were searched using various combinations of keywords and Boolean operators. The online database search yielded 38 results, including 37 articles and 1 thesis. After an initial review, 27 non-duplicate records were retrieved, comprising 11 preclinical studies, 8 clinical studies, 6 review articles, and 2 case reports. The information retrieved was sorted, critically analyzed, and discussed in this review. The review found that SKR is a potent herbo-mineral drug with potential therapeutic benefits for respiratory diseases. It has been studied for its acute and chronic toxicity and its antimicrobial, antitussive, anti-allergic, and anti-asthmatic activities. The evidence suggests that SKR is a safe and effective medicine for treating asthma and related disorders.
Prevalence of post traumatic stress disorder among patients discharged from COVID-19 isolation ward: Its association with medical comorbidities and length of hospital stay – A cross-sectional study
Authors: Monicka Kalaimani , Natarajan Sneha , Thumurothu Hasanthi , Rao Anisetty Visweswara 
Published: May 2024

Background:
Posttraumatic stress disorder (PTSD) is a common pathological consequence of a variety of traumatic events. The core symptoms of PTSD, according to the The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), include persistent intrusion symptoms, persistent avoidance of stimuli, negative alterations in cognition or mood, and marked changes in arousal and reactivity, all of which are related to the traumatic event experienced.

Aim:
The purpose of this study is to determine the prevalence of PTSD in coronavirus disease 2019 patients 1 month after discharge from the corona isolation unit at a tertiary care hospital.

Methodology:
It was a cross-sectional analytical study. The study population were individuals over 18 years of age who tested positive and had been discharged from the corona isolation ward after recovery. They were interviewed by telephone, 1 month after discharge and enquired about demographic details and the questions from the PCL-5 checklist, after obtaining their consent.

Results:
PTSD prevalence was 43%. A significant association (P < 0.05) was obtained between PTSD and age (>55), female gender, and number of initial symptoms (≥3). Linear correlation was obtained between length of stay (>14 days) and PCL-5 scores. Diabetes and hypertension had a significant association with PTSD.

Conclusion:
Telemental health programs should be launched to screen for psychological problems, and on positive screening, mental health professionals can help reduce the patient distress level by providing stress coping skills and brief cognitive behavioral therapy. Integrated, holistic care and technology hold hope to address the bidirectional effect of physical and mental illnesses.
Rancang Bangun Teknologi Internet of Things (IoT) Dalam Sistem Monitoring Kelembaban Tanah dan Pemupukan Tanaman Terjadwal
Authors: Stefwa Rifa'i Rizky Dimas Arifta Florest , Akbar Rozaq Rais Nendy , Rokhmah Siti 
Published: May 2024

Pertanian skala rumah tangga kini banyak diminati masyarakat, baik dalam penanaman tanaman hias maupun tanaman konsumsi dimana fenomena ini disebabkan maraknya vidoe-video yang beredar pada sosial media mengenai pertanian sekala rumah tangga. Seiring dengan hal tersebut sejumlah permasalahan muncul bagi para petani rumah tangga, terutama terkait dengan masalah produktivitas tanaman yang belum mencapai potensi maksimal. Penelitian ini bertujuan untuk merancang dan mengimplementasikan Teknologi Internet of Things (IoT) dalam sistem monitoring kelembaban tanah dan pemupukan tanaman (Smart Garden). Sistem yang dikembangkan memanfaatkan sensor kelembaban tanah dan pompa untuk pemupukan tanaman yang terhubung dengan Arduino IoT cloud sebagai platform cloud untuk mengukur dan menganalisis kondisi tanah secara real-time. Melalui pendekatan Research and Development (R&D), penelitian ini bertujuan untuk menciptakan sebuah prototipe sistem yang dapat memberikan solusi praktis bagi para petani dalam mengelola media tanam bagi para petani. Hasil penelitian menunjukkan bahwa sistem ini memiliki potensi besar untuk meningkatkan produktivitas pertanian dan efisiensi penggunaan sumber daya.