نشریه توسعه پرستاری در سلامت
سال سیزدهم شماره 40 (تابستان 1401)

The COVID-19 pandemic presents many challenges to mothers of children with autism, so it seems that the stress of parenting strongly affects their coping styles and participation in care. The aim of this study was to investigate the correlation of parenting stress with coping styles and participation in care in mothers of children aged 6-14 with autism in the COVID-19 pandemic.

This was a correlation study, in which 110 mothers of autistic children referred to autism centers affiliated to Hamadan University of Medical Sciences were selected by convenience sampling method, four Data collection tools included demographic information questionnaires, parenting stress-short form questionnaires, Coping strategies questionnaires and parental bonding instrument. Data were analyzed using SPSS software version 22 through descriptive statistics and analytical statistics (independent t-test, ANOVA and multiple linear regression with reverse approach).

In mothers of children with autism, there was a strong and inverse correlation between parenting stress and adaptation methods (p<0.001, r=-0.91),and also between parenting stress and participation in care (p<0.001, r=-0.87). Also, 69.47% of the variance of mothers' parenting stress was explained by the variables of adjustment methods, participation in care, number of children with autism, child's age, performance level of the child with autism, family income, age, job and mother's education.

Pediatric nurses and policy makers of community health should provide a suitable educational and supportive environment for mothers of autistic children to increase adaptation and involvement in care of these mothers and consequently reduce their parenting stress.

Interest in the elective course can lead to improvement and promotion of students or cause fatigue, hopelessness, and frustration of studying. The purpose of this study was to investigate the satisfaction of nursing and midwifery students with their field of study.

This descriptive cross-sectional study was performed on 123 nursing and midwifery students of Golestan University of Medical Sciences. Students of semester 1, 4 and 8 were included in the study using census and available sampling method. Data were collected using a valid and reliable questionnaire of satisfaction with the field of study. Data were analyzed by SPSS and descriptive statistics and Chi-square and Mann-Whitney tests at the significant level of P <0.05.

  The mean and standard deviation of satisfaction from the field of study among students in total was 20.77± 3.17. The difference between the fields was not significant, but with the increase of the semester, the level of satisfaction with the field increased. No significant relationship was found between academic satisfaction and demographic variables.

Nursing and midwifery students' satisfaction with the field of study was high and with increasing semester, the level of satisfaction increased. This finding can be a promising message for educators.

A successful marriage is able to meet many psychological and physical needs in a safe environment. The most useful and healthy step to make a conscious choice to get married is to benefit from pre-marriage education. For this purpose, the current research was conducted with the aim of determining the effectiveness of health literacy education on improving mental health and problem solving skills of people on the verge of marriage.

The current research was an applied research and in terms of the research method, it was a semi-experimental research of pretest-posttest type with a control group. The statistical population of this research included all girls and boys on the verge of marriage in Shahrood city in 2022. Mental Health Literacy Questionnaire (MHLQ) and Problem-Solving Style Questionnaire were used to collect information. Multivariate analysis of covariance was used to analyze the data.

The results showed that there is a significant difference between both groups in the components of incompatible problem solving strategy and compatible problem solving strategy (P<0.001). Also, there is a significant difference between both groups in the components of awareness of mental problems, wrong beliefs about mental health, seeking help and first aid skills, and the component of self-help strategies of mental health literacy (P<0.001). Therefore, mental health literacy education leads to improvement of mental health and problem solving strategies of people on the verge of marriage (P<0.01).

Based on the findings, it can be concluded that learning problem-solving skills provides effective solutions when facing problems and these strategies help to maintain mental health as a preventive factor and as a result It prevents most of the subsequent problems in married life.

Self-esteem is one of the important dimensions of mental health in the elderly. It may be affected by increasing age, reducing ability and decreasing independence of the elderly. Peer group training as a non-pharmacological treatment method based on sharing interpersonal experiences has an important role in increasing attitude and knowledge. Therefore, this study was conducted to investigate the effect of peer education on the self-esteem of the elderly.

This quasi-experimental study was performed on 50 elderly people referred to Aliabad Katoul boarding center with a non-random sampling method in two test and comparison groups in 2018. The data collection tool was the Rosenberg Self-Esteem Questionnaire. In the experimental group, training was conducted in 5 groups of 5 people by 5 peer trainers in 5 sessions (30-45 minutes). Data were collected before and after the intervention by self-report method. Data analysis was performed by spss21 statistical software. Statistical tests in this study were performed with the help of descriptive statistics (table, mean, standard deviation) and inferential statistics (paired t-test, independent t-test, chi-square and analysis of covariance) at a significant level of 0.05

Covariance test by eliminating the effect of pre-test showed that peer group training increases self-esteem of the elderly (Eta = 0.51, P = 0.01). So that 51% of post-test changes can be related to the effect of peer training.

The use of peer-to-peer self-care training groups increases the self-esteem of the elderly. Therefore, using the experiences of peer groups as a simple, low-cost but effective educational method has an important role in improving the mental health of the elderly.

Violence against women is a major public health problem and a violation of women's human rights. Identifying at-risk cases will help prevent its unpleasant consequences. Therefore, this study was conducted to determine the frequency of domestic violence and its types in married pregnant women living in Asadabad.

 This cross-sectional study was conducted on 260 married pregnant women in Asadabad in 2021 who were selected by available sampling method. The tool used in this research was a researcher-made domestic violence questionnaire. This questionnaire has faced validity and reliability with Cronbach's alpha coefficient of 0.9, which was given to all pregnant women referring to urban health centers and the average score of all types of psychological, physical, economic, sexual, verbal, social, emotional violence, patriarchal beliefs and learning violence was obtained according to the scores obtained from the questionnaire. It was analyzed using spss software and descriptive statistics.

The mean age of women in this study was (28.7 ± 6.1) and the mean age of their husbands was (34.2 ± 5.31). The highest level of violence was related to patriarchal beliefs with an average score of 108.43±21.38 and the lowest score was seen in the field of verbal violence with a score of 13.30±2.46. In general, the average total score of domestic violence was 28.47±28.89. The results of univariate analysis with linear regression showed that there was a significant relationship between gestational age, income, education and occupation of the couple, housing status, fetal sex status, pregnancy status, medical history and drug use history of the spouse with domestic violence score in pregnancy. The results of multivariate linear regression analysis showed a significant relationship between unplanned pregnancy and domestic (p-value˂0.001).

Considering the results obtained on the state of domestic violence and its related important factors, a domestic violence screening in prenatal care is recommended to be performed with emphasis on the identified risk factors.

  Adolescents are prone to immature and romantic sexual relationships due to emotional behaviors and the dominance of emotions over logic. These high-risk sexual behaviors cause unpleasant and destructive negative physical, psychological and social consequences. Therefore, this study was conducted to investigate the model of extended parallel process on sexual control of female adolescents.

This semi-experimental study was performed on50  second grade female students of the of Sama High School in Aliabad Katoul in 2020. Sampling method was simple random assignment in experimental and control groups. The data collection tool was a sexual restraint questionnaire. The researcher in the experimental group held 8 group training sessions (45-60 minutes) each week. In the control group, routine school trainings were performed. Finally, the data was analyzed by statistical tests (independent t, paired t and ANCOVA) after being entered into the statistical software spss version 21.

 The independent t-test did not show any significant difference in the sexual abstinence of the two test and control groups before the intervention (P=0.14). But after the intervention, there was a significant difference between the two groups in terms of sexual restraint (P<0.01).  Also, ANCOVA test showed a significant difference in the change of self-control score by removing the effect of pre-test (p <0.01, Eta = 0.64).

 Considering the effectiveness of the extended parallel process model on the sexual restraint of adolescent girls, increasing the awareness of adolescents and creating sensitivity regarding high-risk sexual behaviors beside increasing girls' understanding can be a preventing way of high-risk sexual behaviors.