Journal of Multidisciplinary Care
Volume:11 Issue: 4, Dec 2022

Effective communication between caregivers and clients is necessary for highquality healthcare, and The ability to communicate with midwife caregivers is associated with better management of reproductive health problems in middle-aged women. This study aimed to investigate the effectiveness of communication skills training with a cognitive-behavioral approach to the communication skills of midwives in these people in the city of Shahrekord and the suburbs.

This quasi-experimental single-group study was designed in a pretest-posttest approach, participating 51 midwife caregivers working on a questionnaire and Barton’s standard communication skills questionnaire filled by the research units in the Porsline webpage before, immediately after the intervention, and one month later. The intervention included teaching communication skills with a cognitive-behavioral approach using virtual education packages weekly during six sessions through WhatsApp messenger. Where appropriate, data were analyzed using the parametric repeated measure ANOVA or Friedman test. Statistical significance was defined as P < 0.05, and analysis was done by using SPSS 24.

The total communication skills were 65.2 ± 5.6 in the pre-intervention phase and increased to 67.1 ± 6.3 in the post-intervention stage. There was no significant difference in the subscales of verbal, listening, and feedback skills (P > 0.05).

Despite a positive effect on the midwives’ communication skills, virtual education of communication skills with a cognitive-behavioral approach could not significantly change the field. Therefore, it is necessary to conduct further studies in the field to determine effective educational methods for retraining healthcare providers. 

Given the importance of reducing barriers hindering the empowerment of mothers from contributing to the rehabilitation of hearing-impaired children with cochlear implants, the present study points to the direction of designing, adopting, and assessing a program that would lessen such barriers.

In this randomized controlled trial (RCT), participants were consecutively selected from individuals referring to speech-therapy centers serving hearing-impaired children in the Town of Shiraz (Iran). Intervention and control groups were established using randomized block selection (35 individuals per group). The parent-based intervention was adopted in 6 training sessions, each session lasting 80 minutes. A researcher-made questionnaire was employed to investigate empowerment barriers, while children’s speech skill was assessed using the Newsha scale.

Data collected from 35 intervention and 33 control group members were examined. Evaluation of primary and interactional effects of “time” and “group” shows time to have a meaningful effect on “parental discord” and “empowerment barrier” variables (P < 0.001). Time-group interaction also proved significant regarding effects on “difficulty working with hearing-impaired child” and “parents’ false beliefs”. Compared to the control group, the intervention group shows significant improvement across all variables at studied different time periods. Not to forget the immediate effects of time and group on the “speech skill” variable, which also proved significant (P = 0.001).

The results denote the effectiveness of the parent-based intervention on mothers’ empowerment and speech improvement in children with impaired hearing. 

This study investigated the relationship between parents’ attitudes toward gender roles and the social isolation of female adolescents in Iran in 2021.

This descriptive study of a correlational type and its statistical population included all female adolescents studying in secondary schools in the city of Isfahan in 2021, out of whom 133 were selected by convenience sampling. They answered the following questionnaires: the Homami et al Questionnaire on Attitudes toward Gender Roles in Family Life and the Modarresi Yazdi et al Social Isolation Questionnaire. Research data were analyzed through the independent t test, a one-way analysis of variance (ANOVA), the Kruskal-Wallis test, and the Spearman correlation coefficient using SPSS-12 software.

An analysis of the present data showed that the mean score of social isolation was significantly lower in students whose parents had a justice-seeking attitude in the domain of parental roles than in students whose parents had a feminist attitude in this domain (P = 0.005, t = -2.876). The mean scores of social isolation in the dimensions: of loneliness (P = 0.040, t = -2.073) and social despair (P = 0.036, t = -2.124) were also significantly lower in students whose parents had a justice-seeking attitude in the domain of parental roles than in students whose parents had a feminist attitude in this domain. The mean score of social isolation was significantly higher in students whose parents had a feminist attitude in the domain of general marital roles than in students whose parents had a justice-seeking or masculinist attitude. The mean score of loneliness was significantly higher in students whose parents had a feminist attitude in this domain than in students whose parents had a justice-seeking attitude. But no significant difference was observed between students whose parents had a feminist attitude and those with a masculinist attitude.

Parents’ attitudes and behavior in gender behaviors are essential factors in mental health, especially social isolation in female adolescents. When parents’ attitudes towards their children’s gender roles are justice-seeking; they can better communicate with their children, so their children feel less lonely and socially isolated. 

High-risk behaviors among different strata are one of the most severe health threats in recent years. This study aimed to investigate the frequency of high-risk behaviors among college students in Iran.

This study was a cross-sectional study with 144 new students in Tehran City, Iran, performed in 2018 using random sampling. The data collection tools included questions on demographic variables and Youth Risk Behavior Survey (YRBS) questionnaire. Students completed the questionnaire. The data were analyzed using SPSS 24 and descriptive tests.

In this study, all students were in their first year of university. The results showed that 66% of students were girls and 34% were boys. 6.9% and 9% of students did not wear helmets when riding motorcycles or sitting in the driver’s seat, respectively. Also, threatened and beaten once with a weapon such as a knife or a stick and physically assaulted or beaten once were seen in 9% and 3.6% of students, respectively.9.7% had taken money from their parents or others once without permission.

Based on the findings, many participants engage in high-risk behaviors that endanger their health; Therefore, designing and improving health programs and strategies is essential to reduce the risks and factors that cause high-risk behaviors. 

Clinical learning has a vital role in nursing. Appropriate methods should be used to evaluate the quality of clinical learning. For performance-based evaluation of nursing students, the effect of logbooks in an internship was investigated using the direct observation of procedural skills (DOPS) method.

This experimental study was performed on 80 second-semester nursing students by randomly assigning samples to two intervention and control groups at Dezful University of Medical Sciences in 2019. The logbook was used for the experimental group students, and the control group completed the internship without using a logbook. At the end of the internship, the students of two groups were evaluated by five procedures: changing the dressing, blood pressure control, IV catheterization, Intramuscular injection, and inserting a Foley catheter by DOPS test. Data were analyzed using qualitative and analytic statistics content analysis that was carried out using SPSS version 21 software.

The mean score of DOPS in the intervention group was 7.66 ± 1.07, and in the control group, 6.74 ± 0.86, Which indicates that the mean score of the intervention group is 0.92 points higher than the mean score of the control group. In general, the scores of all clinical skills except inserting a Foley catheter in the intervention group were higher than the control group. However, this difference was significant only in two procedures.

The results of this study showed that the logbook and evaluation could increase clinical skills and collegians’ more profound learning and be effective in a professional and influential workforce.

The women’s experience of the delivery process has significant consequences. The quality of these experiences affects the health of the mother and child, their emotional connection, the mother’s sexual activity, and her desire to have another child in the future. The present study investigated the women’s experience of the delivery process, the care provided in the unit, and their satisfaction with the delivery environment.

This cross-sectional study was conducted on 250 women referred to the labor delivery and recovery room (LDR) unit of Amir al-Momenin hospital (AS) in Zabol city, Iran, in 2022. Data collection tools included the personal characteristics questionnaire, the Childbirth Experience Questionnaire (CEQ), the questionnaire on satisfaction with the delivery environment, and the questionnaire on care provided in the unit. Data analysis was done by SPSS software version 23 using descriptive statistics (absolute and relative frequency, mean and standard deviation) and inferential tests (Pearson correlation test, independent t-test, one-way ANOVA).

This study showed that the mean score of childbirth experience was 65.09 ± 4.71. Also, a statistically significant relationship was found between satisfaction with the delivery environment, the care provided in the unit, and the childbirth experience (P value < 0.001). No statistically significant relationship was observed between the demographic characteristics and childbirth experience.

As the satisfaction score increased, the score of birth experience also increased.

The importance of developing physical training and the need to expand it among students increases when the social harms and anomalies observed in this space are carefully analyzed. Knowing the pattern and model governing this matter helps prevent social anomalies. Since no study was done to discover this model, the present research was conducted to investigate the design of the development model of physical training for students of Iranian medical sciences universities.

This study was conducted with an exploratory-fundamental nature, a qualitative approach, and the foundation’s data strategy in 2021-2022. The data collection method was a semi-structured interview with 19 specialists and experts using purposeful sampling. The method of coding and forming concepts from the interviews was used to analyze the data. MAXQDATA2020 software was used to analyze the data. Then, the codes were categorized, and a conceptual model was presented.

The codes extracted from the interviews included 191 codes in 6 categories of causal conditions, central phenomenon, contextual conditions, intervening conditions, strategic conditions, and consequential conditions, as well as 38 components. Causal conditions include seven components and 27 codes; central phenomenon includes three components and 11 codes; contextual conditions include seven components and 36 codes; intervening conditions include eight components and 41 codes; strategic conditions include eight components and 43 codes and conditions a result includes five components and 24 codes.

The developments of physical education and sports for students of medical sciences in Iran, taking into account its causes, axes, contexts, obstacles, and consequences, can inform the managers and planners of sports students of the Ministry of Health about its development process and trend. Students go to physical activity to prevent the wastage of available resources, including financial, human and physical, with careful planning and organization.

COVID-19 infection increases the risk of pathological thrombotic events in venous and arterial circulation. COVID-19 patients are reported, a wide range of neurovascular symptoms is highlighted, such as cerebral vascular accidence. This study aimed to report a massive stroke in a pregnant woman with COVID-19 infection.

Case Report: 

We report a 41-year-old pregnant woman, gravid 5 para 2 living 2 abortion 2 at gestational age 22 weeks and 4 days with Covid-19 infection, which developed into a massive stroke in the Basilar artery despite receiving a therapeutic dosage of Enoxaparin Sodium.

The possibility of thrombosis should be considered in COVID-19 patients with symptoms indicating an increase in intracranial pressure (ICP) such as decreased consciousness, strabismus, and agitation. Considering the higher risk of thrombotic events in COVID-19 patients, cerebral venous sinus thrombosis (CVST) could be a possible consequence. Thus, the precise observation of neurologic manifestations in covid-19 patients, especially in pregnant women, is recommended.