The Effect of Yoga Practice on Labor Pain: A Systematic Review and Meta Analysis

Iranian Journal of Nursing and Midwifery Research1735-906629320240717The Effect of Yoga Practice on Labor Pain: A Systematic Review and Meta Analysis273279ENNon Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, IranDepartment of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, IranNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran,The Clinical Research Development Unit of Yahyanejad Hospital, Babol University of Medical Sciences, Babol, Iran,Department of Nursing Midwifery, Comprehensive Health Research Center, Babol Branch, Islamic Azad University, Babol, Iran20240714Background: Labor pain management is a critical aspect of midwifery care and an essential purpose of childbirth‑related care. There is a need for comprehensive results on relevant non‑therapeutic methods of reducing labor pain. This systematic review and meta‑analysis study was conducted to investigate the effect of yoga practice on labor pain.Material and Methods: We performed a systematic literature search from SCOPUS, PubMed, Web of Science, and Science Direct for relevant studies from January 1, 1990 to June 2, 2022. We selected published quasi‑randomized and randomized controlled trial studies that evaluated the effect of yoga practice on labor pain. Quality research was applied. We pooled the Standardized Mean Dfference (SMD) of labor pain in pregnant women with and without yoga practice during pregnancy using a random‑effects model at 95% Confidence Intervals (CIs).Results: Nine studies including 660 women were included in the meta‑analysis. Pregnant women in the yoga practice group experienced statistically significantly low labor pain at the beginning of the active phase compared to the control group (SMD: ‑1.10, 95% CI: ‑1.61, ‑0.58, p < 0.001; I2 = 89%). Yoga interventions also reduced the intensity of labor pain in active (SMD: ‑1.32, 95% CI: ‑2.03, ‑0.60, p < 0.001; I2 = 92%) and transition (SMD: ‑1.93, 95% CI: ‑2.87, ‑0.99, p < 0.001; I2 = 92%) phases compared to the control group, respectively.Conclusions: The results of the study showed that yoga practice during pregnancy reduces the intensity of labor pain in different labor phases. However, these findings should be considered cautiously due to the substantial heterogeneity between studies.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2110http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2110/70707690

Iranian Journal of Nursing and Midwifery Research1735-906629320240717The Association between Post-Partum Depression and Nutrition and Dietary Patterns: Systematic Review280289ENPh.D of Reproductive Health, Narges Social Security Organization, Dorood, Lorestan, IranAssistant Professor of Reproductive Health Department of Midwifery, School of Medicine Qom University of Medical Sciences, Qom, Iran2024071420240714Background: Postpartum Depression (PPD) is a common illness with long‑term effects on mother and child. Nutrition is a crucial factor in mental health, but research findings on its connection to PPD are inconsistent. This review aims to explore the correlation between PPD and dietary patterns.Materials and Methods: We conducted a comprehensive search of several databases including PubMed/MEDLINE, Embase, ISI and ISI/Web of Science (WOS), Scopus, and Iranian databases such as Magiran, Scientific Information Database (SID), and IRANDOC from 2003 to 2020. Our search was based on the keywords “postpartum depression” and “nutrition, vitamin D, Folic acid, iron, zinc, and vitamins.” We applied the Preferred Reporting Items for Systematic Reviews and Meta‑Analyses (PRISMA) checklist to select articles based on inclusion/exclusion criteria. Of the 100 articles identified, only 24 articles met our criteria and were selected for further analysis.Results: Research suggests that low levels of vitamin D, iron, folate, and carbohydrates, and an unhealthy diet lacking in vegetables are potential causes of PPD. However, the impact of zinc, omega‑3 essential fatty acids, and other nutrients such as antioxidants, vitamin E, and vitamin C on PPD is unclear due to conflicting information. Additionally, limited research has been conducted on the association between group B vitamins and PPD.Conclusions: In conclusion, we can lower the risk of PPD by providing dietary guidance and working with healthcare providers. It is important to pay attention to our diet and make sure we are consuming enough vitamins and nutrients to support our mental health. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2111http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2111/70707678

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Association between Vitamin D Levels During Pregnancy and Postpartum Depression: A Narrative Reviews290296ENDepartment of Medical Laboratory Sciences, Faculty of Applied Health Sciences, The Hashemite University, Zarqa, JordanDepartment of Medical Laboratory Sciences, Faculty of Applied Health Sciences, The Hashemite University, Zarqa, Jordan20240714AbstractBackground: Postpartum Depression (PPD) is a serious depression that develops in the first year, with unknown explained reasons. Many studies evaluated the impact of Vitamin D (VD) levels on depression during pregnancy and postnatal. This narrative review aims to review any association between serum VD levels during pregnancy and the development of PPD. Materials and Methods: PPD data from published trials and research articles (period from 2012 to 2022) were assessed through PubMed, Scopus, Science Direct, and Google Scholar using the following terms: Depression, pregnancy, 25‑hydroxyvitamin D (25OH VD), vitamin D deficiency (VDD) and postpartum (PP). Articles were selected manually and with careful tracking to avoid duplication. Articles that investigated any association between VD levels during pregnancy and PPD in the time frame were included in the study, while articles investigating VD levels of PP without depression were excluded.Results: In this narrative review, five out of seven studies showed an association between PPD and VDD during pregnancy. Danish National Birth Cohort (DNBC), Edinburgh Postnatal Depression Scale (EPDS) and Center for Epidemiologic Studies Depression Scale (CES‑D) enrolled among different studies from 3 days to 1 year PP to assess PPD.Conclusions: Pregnant women with VDD are significantly associated with PPD. Longitudinal follow‑up studies are needed to evaluate the association between VDD with PPD. Screening VD levels among pre‑postnatal mothers may be essential for awareness programs that can be implemented to promote remission of postnatal depression. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2112http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2112/70707691

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Effectiveness of Logotherapy on the Organization Based Self Esteem and Job Satisfaction of Employed Midwives297301ENStudent Research Committee, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran,Department of Midwifery Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran,Department of Psychology, Shahid Bahonar University of Kerman, Kerman, Iran,Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran,Nursing Research Center, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran20240714Background: Midwives as one of the most effective members of the health systems play a key role in delivering health services to mothers and children who are vulnerable groups of the society. This research aimed to investigate the effect of Logotherapy on job satisfaction and Organization‑Based Self‑Esteem (OBSE) of employed midwives. Materials and Methods: This is a quasi‑experimental study with the pretest and posttest design and a control group from all midwives employed in the public hospital of Rasht City in Iran. Fifty‑six midwives fulfilling the inclusion criteria were selected and randomly divided into two groups of intervention and control. They filled job satisfaction, OBSE questionnaires, and demographic information checklist, and then, the intervention group attended Logotherapy for six sessions/90 minutes. Finally, both groups answered the instruments as posttest.Results: Results showed that the mean difference between OBSE (F 6,83 = 27, p < 0.05) and job satisfaction (t 2,62 = 27, p < 0.01) scores before and after the sessions in the intervention group was significantly more than the control group. Conclusions: Group Logotherapy increased job satisfaction and OBSE among midwives. It can be recommended for use in the clinical settings for healthcare providers. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2113http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2113/70707692

Iranian Journal of Nursing and Midwifery Research1735-906629320240717The Process of Professional Ethics Development in Midwifery Students: A Grounded Theory Study302308EN1Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran,Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran,Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran2024071420240714Background: Midwives are faced with important ethical issues in their professional lives; therefore, becoming a midwife is not only the acquisition of knowledge and skills but also includes acquiring moral values that cause fundamental changes in their attitudes toward their professional responsibilities. The aim of this study was to explore the process of professional ethics development in midwifery students.Materials and Methods: This grounded theory study was conducted from 2020 to 2022 at Mashhad University of Medical Sciences, Mashhad, Iran. The participants included 17 midwifery students and 14 key informants. They were selected through purposeful and theoretical sampling. Data were collected using semi‑structured in‑depth interviews, field notes, and theoretical notes until theoretical saturation was achieved. Data collection and data analysis were performed simultaneously. Data were analyzed based on the grounded theory presented by Corbin and Strauss (2014) using MAXQDA Analytics Pro 2020.Results: The core category was “interactive‑cognitive learning in a two‑way reasoning path” which addressed the participants’ main issue of moral numbness. Moral distress, interactive‑cognitive learning, moral reasoning, and moral hopelessness were the midwifery students’ strategies that led to a spectrum of moral internalization to moral burnout. The improper context of moral development was the context theme of this study.Conclusions: The theory of “interactive‑cognitive learning in the two‑way path of reasoning” creates a deep understanding of the process of formation of professional ethics in midwifery students and it can be used in the effective training of students with the aim of promoting professional ethics in midwifery. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2114http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2114/70707679http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2114/70707693

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Maternal Complications during Pregnancy and Risk Factors for Stunting309313ENDepartment of Midwifery, Institute Technology, Sains and Health RS Dr. Soepraoen, Malang City, East Java, IndonesiaDepartment of Health Promotion and Behavioral Sciences, Faculty of Public Health, Airlangga University, Surabaya, East Java, Indonesia,Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University, Surabaya, East Java, IndonesiaDepartment of Biostatistics and Population Study, Faculty of Public Health, Universitas Airlangga, Surabaya, East Java, Indonesia2024071420240714Background: Stunting can be prevented by early detection when the mother is pregnant. Early detection can be carried out by looking for risk factors of stunting during pregnancy so that interventions can be early detected. This study aims to assess complications during pregnancy (disease and infection) and risk factors associated with stunting.Materials and Methods: The type of research was observational analytic with a case‑control design on 450 mothers who were selected with simple random sampling (150 mothers who have stunting babies aged 0–2 months and 300 mothers who have not stunting babies aged 0–2 months in Malang Regency, Indonesia. This study used secondary data by looking at medical records, namely, laboratory examinations in the mother’s book and cohort records at the public health center. This study was conducted from December 2021 to August 2022. Bivariate analysis with Chi‑square and multivariate logistic regression was carried out to determine the variables that most influenced the incidence of stunting. Results: The results of multivariate analysis with logistic regression of maternal complications during pregnancy, which are a risk as a factor causing stunting, are Sexually Transmitted Infections (STIs) (Odds Ratio [OR]: 6.36; 95% Confidence Interval [CI]: 2.97–13.62), coronavirus disease 2019 (COVID‑19) accompanied by pneumonia (OR: 5.12; 95% CI: 1.87–14.052), human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) (OR: 4.63; 95% CI: 1.10–19.59), hepatitis B (OR: 3.97; 95% CI: 1.253–12.565), pre‑eclampsia (OR: 3.88; 95% CI: 1.81–8.30), and heart disease (OR: 3.373; 95% CI: 0.99–11.40). Conclusions: After recognizing the maternal factors that cause stunting, intervention should immediately be carried out on pregnant women with diseases (pre‑eclampsia and heart disease) and infections (STI, COVID‑19 + pneumonia, HIV/AIDS, and hepatitis B) to prevent stunting early. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2115http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2115/70707680

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Fear of COVID 19, Health Anxiety and Work Family Conflict in Nurses Working in the COVID 19 Ward314319EN1Nursing Affair Directory, Vice Chancellorship for Clinical Administration, Tehran University of Medical Sciences, Tehran, Iran,Nursing Affair Directory, Vice Chancellorship for Clinical Administration, Tehran University of Medical Sciences, Tehran, IranDepartment of Internal Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran,Vice Chancellorship for Clinical Administration, Tehran University of Medical Sciences, Tehran, Iran,5ACECR, Shahid Beheshti University of Medical Sciences, Tehran, IranArash Women’s Hospital, Tehran University of Medical Sciences, Tehran, IranSocial Welfare Management Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran,Department of Psychiatric Nursing, Faculty of Midwifery and Nursing, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran2024071420240714Background: COVID‑19 is an example of an epidemic and sudden crisis that has affected many aspects of life and work and identifying the factors that contribute to its impact can help prevent similar crises in the future. The purpose of this study was to investigate fear of COVID‑19, health anxiety, and work–family conflict in nurses working in COVID‑19 wards in hospitals affiliated with the Tehran University of Medical Sciences (TUMS).Materials and Methods: This descriptive‑analytical study used a census method to survey 226 nurses working in eight hospitals affiliated with TUMS. Demographics information and three questionnaires including; the Fear of COVID‑19 Scale, Short Health Anxiety Inventory, and Work–Family Conflict Scale were completed online. Data were analyzed using descriptive statistics and analytical statistics, and a significance level of p < 0.05 was considered.Results: Structural equation modeling test showed that work–family conflict had an effect on health anxiety, and health anxiety had an effect on fear of COVID‑19 (p < 0.05). The severity of the effect of work–family conflict on health anxiety was 0.73, and the severity of the effect of health anxiety on fear of COVID‑19 was 0.46. Work–family conflict had an indirect effect on fear of COVID‑19 mediated only by health anxiety (p < 0.05) and the severity of the indirect effect was 0.33.Conclusions: Health anxiety plays a mediating role in the relationship between work–family conflict and fear of COVID‑19. Workplaces should provide more support to their employees during a crisis such as the COVID‑19 pandemic, and prevention programs should be implemented to decrease anxiety. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2116http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2116/70707681

Iranian Journal of Nursing and Midwifery Research1735-906629320240717“Growth under pressure”: The Experience of COVID-19 ICU Nurses -A Qualitative Study320329ENStudent Research Committee, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNursing Care Research Center in Chronic Diseases, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNursing Care Research Center in Chronic Diseases, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNursing Care Research Center in Chronic Diseases, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Psychiatry, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran2024071420240714AbstractBackground: As an epidemic, COVID‑19 has brought a new shock to the world’s healthcare system. The crisis caused by this disease and the prolonged involvement of communities and healthcare systems have intensified the duties and psychological burden of nurses. The current study aimed to explain the experience of ICU nurses during the COVID‑19 crisis.Materials and Methods: The present study was conducted using conventional content analysis in 2021. Twenty nurses of the COVID‑19 ICU of Ahvaz hospitals were selected by purposive sampling. The main method of data collection was semistructured interview. The process of data analysis was done based on Granheim and Lundman’s approach using MAXQDA‑2020. For the scientific rigor of the findings, Guba and Lincoln’s four criteria were abided by. The COREQ (Consolidated Criteria for Reporting Qualitative Research) checklist was used to ensure the study met the recommended standards of qualitative data reporting. Results: After data analysis, 22 subcategories, eight categories, and one theme (growth under pressure) were extracted. The eight main categories included (psychological crisis, physical exhaustion, family conflicts, complex care, professional development, expertise, life enrichment, and full support). Conclusions: Despite the pressures that ICU nurses faced during the COVID‑19 pandemic, they were able to grow by benefiting from positive experiences. These findings can lead to the development and implementation of effective interventions to improve adaptation strategies of nurses, especially those working in the intensive care unit, during the COVID‑19 and other future crises. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2117http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2117/70707682

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Identifies Current Trends in Vaginal Birth after Cesarean Section in IRAN: A Qualitative Study330336ENAssociate Professor of Reproductive Health Department of Midwifery, School of Medicine Spiritual Health Research Center Qom University of Medical Sciences, Qom, Iran,Assistant Professor of Reproductive Health Department of Midwifery, School of Medicine Qom University of Medical Sciences, Qom, Iran2024071420240714Background: The growing prevalence of Cesarean Sections (CS), particularly repeated CS, is a major issue in contemporary midwifery. This study seeks to gain a comprehensive understanding of the experiences of pregnant women and specialists with vaginal delivery after CS, as well as the obstacles that may arise.Materials and Methods: From March 2020 to May 2021, 10 women, 12 midwives, and 8 obstetricians and obstetricians affiliated with Qom University of Medical Sciences were interviewed to investigate the experiences and challenges associated with Vaginal Birth After Cesarean section (VBAC). We used the content analysis method, and the sampling was purposive. Semi‑structured interviews were conducted to collect data, which were then analyzed using qualitative content analysis based on conventional content analysis.Results: The results show that subcategories “individual aspects of VBAC” and “family‑social aspects of VBAC” formed “positive aspects of VBAC.” Subcategories “self‑efficacy” and “decision‑making participation” formed the “empowerment for the woman.” Subcategories “technical team challenges” and “woman’s challenges” formed the main category of “upcoming challenges.” Conclusions: Positive relationships, choice‑making ability, and self‑confidence impact a woman’s decision to choose VBAC. Informing women of alternative delivery options after a CS and pursuing their dreams increases the likelihood of successful VBAC. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2118http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2118/70707683

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Effects of Reflexology on Anorexia and Sleep Quality in Patients Undergoing Chemotherapy: A Randomized Clinical Trial337342EN1.Molecular and Medicine Research Center, Khomein University of Medical Sciences, Khomein, Iran, 2. Department of Operating Room and Anesthesiology, Khomein University of Medical Sciences, Khomein, IranDepartment of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran,Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, IranInstructor of Operating Room, School of Allied Medical Sciences, Alborz University of Medical Sciences, Alborz, IranInstructor of Intensive Care Nursing, Faculty Member of Islamic Azad University Gonbad Kavoos Branch, Gonbad Kavous, IranDepartment of Nursing, Valiasr Arak Hospital, Arak University of Medical Sciences, Arak, Iran,Department of Paramedicine, Arak University of Medical Sciences, Arak, Iran,1. Department of Nursing, Shazand School of Nursing, Arak University of Medical Sciences, Arak, Iran, 2. Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran20240717Background: Cancer and associated treatment methods present numerous complications, including anorexia and disturbances in sleep patterns. Consequently, the purpose of this study is to examine the impact of reflexology on the symptoms of anorexia and sleep quality among individuals afflicted with cancer.Materials and Methods: In this double‑blinded randomized clinical trial, a total of 60 patients undergoing chemotherapy at Khansari Hospital, Arak, Iran, were selected using convenience sampling and then assigned to two groups of control and experimental using blocked randomization (30 patients in each group). The sample intervention group received reflexology in an exceedingly 4‑week amount (two sessions a week), By contrast, the control group was administered a placebo treatment without exerting any pressure on the reflex points during the same time frame. Sleep quality and anorexia in patients were measured using a Pittsburgh questionnaire and visual analog scale before and right after the intervention. Eventually, the data were analyzed, and we used the tests of central tendency, dispersion, independent‑ and paired‑samples t‑tests, and Chi‑square.Results: The findings of the study revealed a significant improvement in sleep quality and reduction in anorexia symptoms among patients who received reflexology treatment scores (p < 0.001). Conversely, there was no significant difference in the control group before and after the intervention (without pressure effect on the foot points) (p > 0.05).Conclusions: According to the positive effects on sleep quality and the reduction of anorexia symptoms, it is recommended to incorporate this therapeutic modality along with conventional medication for the treatment of individuals with cancer. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2119http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2119/70707694

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Explaining the Components of Resilience in Patients with Chronic Pain: A Qualitative Content Analysis343351ENStudent Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran2Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, IranCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran2024071720240717Background: Resilience is a psychological trait and a protective factor that plays a vital role in coping with Chronic Pain (CP). Despite its importance, research has yet to fully clarify the concept and components of resilience in patients with CP. Accordingly, the present study aims to explain the components of resilience in patients with CP. Materials and Methods: The current qualitative study used a conventional content analysis methodology. The research population included all patients with CP who were referred to clinics affiliated with Shiraz University of Medical Sciences (south of Iran) from August 2021 to August 2022. Participants were selected using the purposive sampling method. In‑depth semi‑structured interviews were conducted with 20 participants to collect information. Data analysis was conducted using MAXQDA 2020 software in conjunction with data collection efforts. Results: Generally, in the current study, 30 sub‑sub‑categories, 11 sub‑categories, and five main categories were extracted as components of resilience in patients with CP. The main categories of resilience against CP included the following: 1. emotional self‑regulation, 2. psychological flexibility, 3. self‑care, 4. appeal to religion–spirituality, and 5. internal resources and individual competencies.Conclusions: The present study highlights the different physical, mental, and religious‑spiritual strategies that may contribute to resilience against pain. The resilience components identified in this study provide a foundation for healthcare professionals, particularly nurses, to design and implement diverse pain management strategies that enhance adjustment to CP conditions. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2120http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2120/70707684

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Relationship between Resilience and Social and Organizational Support among Nurses Working with COVID 19 Patients: A Cross Sectional Study352357ENDepartment of Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran,Department of ICU, MSN, Hospital of Ayatollah Mousavi, Zanjan University of Medical Sciences, Zanjan, Iran,Department of Pediatric and Neonatal Intensive Care Nursing Education, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IranDepartment of Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran,Department of Nursing, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran,2024071720240717Background: One of the coping strategies in stressful situations effectively is resilience skills. Due to the coronavirus disease 2019 (COVID‑19) pandemic and its resulting stresses, this study was conducted to determine the relationship between resilience and social and organizational support among nurses working with COVID‑19 patients.Materials and Methods: A cross‑sectional study was undertaken on 224 nurses working with COVID‑19 patients in Iran in 2021. A demographic questionnaire, the Connor–Davidson Resilience Scale, Multidimensional Scale of Perceived Social Support, and Survey of Perceived Organisational Support were used for data collection. Data analysis was performed using descriptive and interpretive statistics (Pearson correlation coefficient test and linear regression). Results: The mean [Standard Deviation (SD)] resilience score was 65.86 (14.01). In addition, the mean (SD) scores of organizational support and social support were 21.57 (4.46) and 65.10 (10.93), respectively. The Pearson correlation coefficient test results showed a statistically significant direct relationship between social support and resilience (r = 0.41, p < 0.001). In addition, there was a statistically significant relationship between organizational support and resilience (r = 0.16, p = 0.01). Multivariate linear regression analysis showed that for each unit increase in social support and organizational support scores, resilience scores increased by 0.41 (p = 0.01) and 0.15 (p < 0.001) units, respectively. Conclusions: The results of the present study showed a direct relationship between resilience and social support and organizational support in nurses. Due to the prolongation of the COVID‑19 pandemic and the high prevalence of the disease in our country, nursing managers should seriously consider measures to protect their staff. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2121http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2121/70707685

Iranian Journal of Nursing and Midwifery Research1735-906629320240717The Impact of Self Care Recommendations with and without Tilt Training on Quality of Life in Children and Adolescents with Vasovagal Syncope: A Randomized Clinical Trial358367ENPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran,1Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran,Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, IranPediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran,Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran,Chamran Cardiovascular Medical and Research Hospital, Isfahan University of Medical Sciences, Isfahan, Iran2024071720240717Background: Syncope is among the most common paroxysmal disorders in children and adolescents. Vasovagal syncope is the most common syncope in children and adolescents. The aim of this study was to evaluate the impact of self‑care recommendations with and without tilt training on the Quality of Life (QoL) of children and adolescents with syncope.Materials and Methods: This randomized controlled clinical trial was conducted in Isfahan, Iran, from April 2017 to June 2021 and included 120 patients with syncope. Eligible children and adolescents (aged 6–18 years) who met inclusion criteria were recruited by the simple sampling method and then assigned randomly into two groups. The intervention group (n = 60) received routine self‑care recommendations such as dietary advice, behaviors to prevent syncope, and counter‑pressure maneuvers along with tilt training, while the control group (n = 60) received self‑care recommendations without tilt training. The education training included two face‑to‑face sessions, each of which lasted for 45–60 min. Then, both groups were followed up by telephone (once a month) for six months. A researcher‑made self‑care questionnaire and Pediatric Quality of Life Inventory (PedsQL™ 4.0) were completed for both groups before and after the intervention. Data were analyzed using descriptive and inferential statistical methods. Results: The Wilcoxon test results showed a significant difference in the mean scores of physical functioning, emotional functioning, social functioning, school functioning, psychosocial functioning, understanding of health, and total QoL in the intervention and control groups before and after the intervention (p < 0.05). Also, the paired t‑test results showed a significant difference in the mean scores of self‑care domains and total self‑care in the intervention and control groups before and after the intervention (p < 0.05). Conclusions: Self‑care recommendations with and without tilt training can improve QoL in children and adolescents with syncope. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2122http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2122/70707686

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Relationship between 25 Hydroxyvitamin D3 Levels with Pain Intensity and Duration of Labor Stages in Primiparous Women368372ENDepartment of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,Reproductive Health Promotion Research Center, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran,Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran,Department of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran2024071720240717AbstractBackground: Prolonged labor is associated with various maternal and neonatal complications. This study aims to investigate the relationship between 25‑hydroxyvitamin D3 levels and pain intensity and duration of labor stages in primiparous women. Materials and Methods: This cross‑sectional study was conducted in Iran from November 2021 to January 2022 and comprised primiparous women who were in active labor after a term pregnancy (37–42 weeks). Five milliliter of blood was taken from each subject and centrifuged for the measurement of vitamin D level using the enzyme‑linked immunosorbent assay method. The High‑Performance Liquid Chromatography (HLPC) method was used to measure 25‑OH vitamin D. In addition, through history, examination, and investigations, the subjects were evaluated according to the pain intensity and duration of the first (active phase) and second stages of labor.Results: The results of the Pearson correlation test indicated a significant relationship between vitamin D and active phase duration (r = 0.64, p = 0.012), second stage duration (r = 0.73, p = 0.001), pain intensity of the active phase (r = 0.61, p = 0.022), and pain intensity of the second stage (r = 0.65, p = 0.026). According to the analysis of variance table, based on vitamin D, there were statistically significant differences between the groups in terms of the active phase duration, second stage duration, pain intensity of the active phase, and that of the second stage of labor (p < 0.05). Conclusions: Low levels of vitamin D may influence the progress of labor and increase the rate of prolonged labor. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2123http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2123/70707687

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Lifestyle Interventions vs. Multi Interventional Therapy on Physiological Parameters of Metabolic Syndrome among Women: A Comparative Study373378ENVice Principal, Department of Medical Surgical Nursing, Sree Sudheendra College of Nursing, Ambalamedu, Ernakulam, Kerala, IndiaAssistant Professor, Department of Nursing, Jazan University, Saudi Arabia,Assistant Professor, Academic Staff College, Kerala University of Health Sciences, Thrissur, Kerala, India2024071720240717AbstractBackground: Metabolic syndrome is one of the emerging health issues in developing countries. It includes diabetes, high Blood Pressure (BP), obesity, and elevated blood cholesterol.Materials and Methods: This comparative study was conducted from March 2019 to February 2020 in selected areas of Ernakulam district, Kerala. The study used a quasi‑experimental design with a nonequivalent control group. One‑way analysis of variance and paired t‑tests were used for statistical analysis. Women (aged between 35 and 55 years) with metabolic syndrome were recruited by multistage sampling (N = 220) and randomly assigned into three groups: (a) control, (b) Lifestyle Interventions (LI), and (c) Multi Interventional Therapy (MIT). LI was given to the LI group, and reflexology foot massage along with LI was given to the MIT group for 12 weeks. The control group received routine care. Physiological variables were assessed before and after the intervention. Results: Women who received MIT and LI had significantly lower values of weight, Body Mass Index (BMI), and waist circumference after the treatment from baseline and compared with control (F = 12.09, 15.58, 22.37, p < 0.001). A remarkable change in systolic and diastolic BP was found in the MIT group (pretest mean of systolic BP and diastolic BP in control: 142.3 and 90.1, LI: 141.7 and 89.7, MIT: 141.8 and 89.8, p = 0.945, posttest means control: 142.6 and 90.4, LI: 131.5 and 85.5, MIT: 118.5 and 78.3, (F = 54.83, 57.87, p < 0.001). Conclusions: Both LI and MIT should be considered as interventions for reducing the physiological parameters of metabolic syndrome, such as body weight, BMI, and obesity. MIT was found to be more effective in reducing blood pressure. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2124http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2124/70707688

Iranian Journal of Nursing and Midwifery Research1735-906629320240717Finding the Right Balance in Nurses’ Sickness Presenteeism21252125ENPAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Brunei Darussalam20240717202407171. Johns G. Presenteeism in the workplace: A review and research agenda: Presenteeism in the workplace. J Organ Behav 2010;31:519‑42.2. Lui JNM, Andres EB, Johnston JM. Presenteeism exposures and outcomes amongst hospital doctors and nurses: A systematic review. BMC Health Serv Res 2018;18:985.3. Gustafsson K, Marklund S, Leineweber C, Bergström G, Aboagye E, Helgesson M. Presenteeism, psychosocial working conditions and work ability among care workers—A cross‑sectional Swedish population‑based study. Int J Environ Res Public Health 2020;17:2419.4. Cho H, Sagherian K, Scott LD, Steege LM. Occupational fatigue, workload and nursing teamwork in hospital nurses. J Adv Nurs 2022;78:2313‑26.5. Baydoun M, Dumit N, Daouk‑Öyry L. What do nurse managers say about nurses’ sickness absenteeism? A new perspective. J Nurs Manag 2016;24:97‑104.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/2125http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/2125/70707689