Journal of Multidisciplinary Care
Volume:12 Issue: 2, Jun 2023

COVID-19 has adverse effects on health. The best way to prevent it is vaccination. One of the high-risk groups for COVID-19 is pregnant women. Self-care of pregnancy can reduce the adverse consequences of pregnancy, which are affected by many factors. The present study aims to investigate the self-care status of pregnancy and its relationship with social support and anxiety caused by Corona in pregnant women following the implementation of the national vaccination program for COVID-19.

A total of 199 pregnant women from comprehensive health service centers were included in the study and completed self-care questionnaires during pregnancy, social support, and anxiety questionnaires caused by corona. Data were analyzed by SPSS 18 software.

The average score of self-care was 41.19 ± 5.21, the average score of social support was 65.14 ± 11.45, and the average score of anxiety caused by Corona was 10.64 ± 8.93. The Pearson correlation test showed that self-care was significantly associated with social support (P < 0.05, r: 0.347) but not coronavirus anxiety. The regression model showed that social support is the strongest predictor of pregnancy self-care (P < 0.001).

Considering the favorable score of self-care and social support and the low score of corona anxiety of the participants in the study and comparing with the results of other studies in the COVID-19 pandemic and before vaccination, it seems that COVID-19 vaccination had a significant effect on the results. However, longitudinal studies are suggested to ensure the results.

Before the COVID-19 epidemic, the main part of university education was presented in traditional form, but nowadays, E-learning and blended learning evolve in students’ education. This study was conducted to determine the effectiveness of blended learning in promoting the clinical skills of nursing students.

In this quasi-experimental study, 76 nursing students in the Sirjan School of Medical Sciences were entered through the census method in 2019 and 2020. They were allocated to intervention (n = 36) and control (n = 40) groups based on their academic year. Those who entered university in 2017 (control group) revived standard education, while the students of 2018 (intervention group) received blended clinical training, which included podcasts, vodcasts (40%), and standard training in the clinical courses of adult-geriatric nursing three and critical care nursing. Students’ performance was evaluated through an Objective Structured Clinical Examination (OSCE) method. Data were collected using a researchermade checklist after assessing its validity and reliability. Data were analyzed using descriptive and analytical statistics (chi-square, independent sample t test, and paired t test) by SPSS-19.

There was not any significant difference between the scores of clinical skills in the control group before (2.15 ± 0.48) and after (2.44 ± 0.29) the intervention (P = 0.58), but there were significant differences between the scores of clinical skills in the intervention group before (2.28 ± 0.31) and after (3.22 ± 0.16) the intervention and also between the scores of the two groups, in all subscales after the intervention (P < 0.001).

The study results highlighted the need for using blended-learning methods and appropriate technology to help nursing students achieve their clinical skill learning goals in clinical settings.

One of the most common complaints of women is premenstrual syndrome (PMS). This study aimed to determine the effect of text messages online Education on PMS using Mediabased Support.

The present research was an interventional quasi-experimental study from May 2021 to August 2021 in all female students in Ramsar city, Iran. Sixty-eight cases were selected and divided into two groups (the intervention and control groups). Demographic characteristics questionnaire and Premenstrual Symptoms Questionnaire (PSQ) were used. Each case in the experimental group received text messages for three menstrual cycles. PMS symptoms were compared before and after the intervention in two groups. The data were analyzed using SPSS software (version 16), independent t-test, paired t-test, and covariance analysis (P = 0.005).

The participants were 18-25 years old and were studying for a bachelor’s degree. Before the intervention, the mean of the PMS score was (11.25 ± 10.05) in the Intervention group and (31.38 ± 14.31) in the Control group (P = 0.041). After the intervention, the mean PMS scores in the Intervention and Control groups were (21.85 ± 8.25) and (33.26 ± 14.45) (P = 0.001). In the intervention group, psychological and physical symptoms were statistically significant before (25.11 ± 10.05) and after the intervention (21.85 ± 8.25) (P = 0.007).

The study results showed that media-based support is an efficient and effective method in reducing premenstrual symptoms, which can be used in related interventions as an effective, easy, and low-cost method.

It has been nearly a century since human society has been determined to find a fundamental solution to the problem of drug addiction, as one of the fundamental problems of human life. Therefore, this study was conducted to determine the relationship between spiritual and mental health and the tendency to addiction in the student population of Kashan.

In this Analytical cross-sectional research, the statistical population included the 600 participants of students aged 18 to 35 in Kashan city, and Simple Random Sampling was done from universities of medical sciences, Islamic Azad University, and Kashan University in 2018-2019. The students completed questionnaires about spiritual health, mental health, and the tendency to use drugs, and the results obtained after collecting and recording were analyzed by statistical tests using SPSS version 26 software.

The average scores of the students in terms of mental health, spiritual health, spiritual health from the perspective of Islam, and readiness for addiction were 1.01 ± 0.70, 75.10 ± 20.83, 86.43 ± 21.26 and 30.95 ± 20.34, respectively. Spiritual health, spiritual health from the perspective of Islam, and readiness for addiction were related to the age (P < 0.05), gender, educational level (P < 0.05), and marriage (P < 0.001) of the students.

Considering the positive and significant role of spiritual health in mental health, strengthening the spiritual dimension can improve mental health, reduce mental disorders, reduce the desire to use drugs, and continue the course of addiction treatment.

The research investigated the effect of care training during discharge on the stress and anxiety levels of mothers whose babies are undergoing open heart surgery. Parents of children with CHD experience high levels of stress and anxiety starting from the time of diagnosis, throughout the hospitalization for cardiac surgery, and even in the months and years that follow.

In this quasi-experimental study, 60 mothers of children undergoing open heart surgery referred to the Tehran Children’s Medical Center Hospital entered the study through lottery sampling in 2019. Then, the Teach-back Method program was implemented for the intervention group in four sessions. Data were collected before and immediately after the intervention using a Questionnaire measuring parents’ stress and the Spielberger anxiety questionnaire. It was then analyzed using SPSS software version 16.

The study found that following the intervention, there was a significant decrease in the average scores of states and trait anxiety compared to the initial scores (P = 0.006 and P = 0.007, respectively). Additionally, the average stress score after the intervention was significantly lower than the initial score (P = 0.001).

The findings of this study suggest that offering oral instructions to mothers during the discharge phase of their children’s open-heart surgery can lead to positive outcomes by reducing postoperative anxiety and stress. These results highlight the need for further research to explore the longterm effects of post-operative oral education in various clinical settings.

Toddlerhood is an important period of a child’s development to master the functioning of the bowel and bladder sphincters. In this regard, the present study aimed to determine the relationship between parental awareness, self-efficacy, and defecation control skills in Iranian toddlers.

The present study was descriptive cross-sectional research. The questionnaires on Demographic information of children and parents, parental awareness and self-efficacy, and defecation control skills were completed by 72 mothers of children aged 18-24 months old in the city of Ramsar. The data were analyzed using SPSS 18, descriptive tests of mean and standard deviation, analytical tests of analysis of variance, independent t-test, and Pearson’s correlation coefficient.

The results showed that the awareness and self-efficacy level was at a medium level of 17.70 ± 2.9230.54 ± 7.15, and their children’s defecation control skill was at a high level8.88 ± 2.91 respectively. Also, there was a positive significant relationship between parental awareness (r = 0.19, P = 0.02) and self-efficacy (r = 0.20, P = 0.01) with defecation control skills. There was a significant relationship between the mother’s occupation (P = 0.04), the father’s age (P = 0.04), and parental selfefficacy (P = 0.04). In addition, a significant relationship was found between the child’s age (P = 0.03) and the mother’s age (P = 0.01) with the child’s defecation control skill.

Promoting awareness and self-efficacy in training defecation control skills is a necessity for parents, and the policymakers should include the integrated care of children in the educational programs of the Ministry of Health so that it is included in the agenda of routine care of health centers in the country.

A lack of assertiveness can worsen marital conflicts and cause psychological symptoms. The present study aimed to investigate the effects of psychodrama and cognitive behavioral therapy (CBT) on the assertiveness skills of women with marital conflicts.

This quasi-experimental study was conducted on all married women with marital conflicts visiting the counseling departments of cultural centers at the Municipality of Isfahan (Iran) in 2021. Cluster sampling was employed to select 60 women, who were then assigned to three 20-member groups called CBT, psychodrama, and control using a simple random method. The participants completed the Assertion Inventory before and after the intervention and 60 days after the post-test. The repeated measures ANOVA via SPSS-22 was then used for data analysis.

The mean ( ± SD) of the post-test score of assertiveness skills in the psychodrama and CBT groups was 123.40 ( ± 23.83) and 111.25 ( ± 22.77), respectively, which was different from the control group (83.20 ( ± 21.24)). According to the results, CBT and psychodrama affected the assertiveness components of women with marital conflicts instead of control cases (P < 0.001). Furthermore, there were no significant differences between CBT and psychodrama regarding effects on women’s assertiveness components.

Considering the positive effects of CBT and psychodrama on improving assertiveness, it is recommended that counseling and psychotherapy centers help women with marital conflict improve their assertiveness skills by providing suitable conditions for conducting CBT and psychodrama sessions.

Mood disorders include major depression and bipolar disorder. Treatment adherence and health literacy are very important in these patients because they may affect their quality of life, performance, and recovery. Therefore, this study aims to determine the level of treatment adherence and its relationship to health literacy in patients with mood disorders.

This cross-sectional-correlation study was conducted on 120 patients with mood disorders in 2021-2022. Data were collected using the treatment adherence questionnaire of Ziaee et al and the Health Literacy of Iranian Adults (HELIA) questionnaire. Finally, the collected data were analyzed in SPSS-16 software.

Findings showed that patients with mood disorders had moderate treatment adherence (51.53 ± 8.31) and insufficient health literacy (61.31 ± 15.91). The results indicated that treatment adherence had a significant relationship with health literacy in patients with mood disorders (P < 0.05, r: 0.298).

Inadequate health literacy in patients with mood disorders shows that health literacy should be considered in improving mental health. Therefore, it is recommended that by promoting the health literacy of these patients and identifying its challenges, treatment adherence in patients with mood disorders be improved.