مجله مراقبت پرستاری و مامایی ابن سینا
سال سی و یکم شماره 2 (پیاپی 86، بهار 1402)

Multiple sclerosis (MS) has many complications and consequences, one of which is the reduction of sexual satisfaction. Determining the factors related to sexual satisfaction of these patients is very importance for the success of the interventions. The aim of this study was to determine the effect of perceived social support on sexual satisfaction of patients with MS in Isfahan.

The present study was a descriptive correlational study that the research community consisted of patients with MS in Isfahan in the first half of 2021. 240 eligible patients were included in the study through random sampling. To collect data, patients' demographic form, perceived social support of Zimet et al. (1988) and sexual satisfaction of Larson et al. (1998) were used. Data were analyzed using SPSS software version 20 using descriptive and inferential statistical tests.

The level of Perceived social support (27.35±9.06) and sexual satisfaction (88.36±13.12) was moderate. The relationship between perceived social support and patients 'sexual satisfaction (r = 0.510, p <0.001) was direct and significant, and with increasing perceived social support, patients' sexual satisfaction increased.

Given the importance of perceived social support in patients with MS and its relationship with sexual satisfaction, promoting social support for these people can be one of the effective suggestions for promoting sexual satisfaction in them.

With the spread of the corona virus, emergency medical workers have suffered physical and mental problems that required therapeutic interventions. The present study was conducted with the aim of investigating the effectiveness of compassion-based treatment on depression, anxiety and aggression of medical emergency workers infected with Corona.

The current research was a semi-experimental type with a pre-test and post-test with a control group. The statistical population in this research included emergency medical workers infected with Corona in Mashhad in 2021. 40 people were selected by purposeful sampling method and were randomly selected by lottery method in two experimental groups (20 people) and control group (20 people). The treatment based on compassion was implemented in the form of 8 sessions of 90 minutes and once a week for the experimental group and the control group did not receive any intervention. The participants were assessed in the pre-test and post-test stages according to Zigmond and Smith's (1983) depression and anxiety tests and Bass and Perry's (1992) aggression tests. Covariance analysis with SPSS version 24 software was used to analyze the data.

According to the results of this research, the treatment based on compassion had an effect on depression, anxiety and aggression of medical emergency workers with corona (P < 0.001). Based on eta square, this effect was 0.44 on depression, 0.39 on anxiety and 0.52 on aggression.

Immediate interventions are necessary to improve self-care behaviors of diabetic patients. The purpose of this study is to investigate the effect of diabetes self-care education through WhatsApp virtual messenger on the self-care behavior of diabetic patients.

In this semi-experimental study that was conducted in Jiroft city in 2019, 96 patients with type 2 diabetes who met the inclusion criteria; They were selected by the randomly and divided into two intervention and control groups by simple random allocation (lottery). The educational content of self-care was sent by the researcher for 8 sessions of 60 minutes (2 sessions per week) to the intervention group on the WhatsApp virtual messenger. Summary of Diabetes Self Care Activities questionnaire was completed in two stages before and one month after the end of the intervention in both groups. SPSS version 24 software, descriptive (Mean and Standard deviation) and inferential statistics (ANCOVA) were used for data analysis.

Before and one month after the intervention, the overall score of self-care behaviors and the subscales score of diet compliance, foot care, blood sugar control and regular medication use increased significantly in the intervention group (P< 0.001); However, there was no significant change in the overall score of self-care behaviors and its subscales in the control group (P> 0.05).

Implementation of the self-care training program through social media helps to improve the self-care behaviors of diabetes patients and can be used as an effective method in preventing the adverse consequences of diabetes.

 Despite the importance of nutrition education for hemodialysis patients, the most effective method of education in these patients is still unknown. The aim of this study was to compare diet education with two methods of teachback and group discussion on laboratory parameters of hemodialysis patients.

In this quasi-experimental study, 70 patients from the hemodialysis wards of the two hospitals, which were randomly assigned to the group discussion group and the teachback group, were included in the study. Data were collected using a demographic questionnaire and a checklist of laboratory parameters before and 2 months after the educational intervention. In both groups, the researchers presented the same educational materials related to nutrition in hemodialysis patients during three sessions. In the teachback method, educational materials was presented  individually to each patient to ensure complete receipt of information. In the group discussion method, the education was done as a discussion in small groups.

In this study, most patients in both groups had a mean age of 25 years, married and male. In comparison methods, the group discussion method caused to lower potassium, fasting blood sugar (P <0.05), phosphorus, blood urea nitrogen and creatinine (P <0.01) in patients more than the teachback method.

Implementing a nutritional education program through group discussion can improve the laboratory parameters of hemodialysis patients. Therefore, in order to prevent complications and improve patients' health, this educational method is recommended to nurses.

The present study was conducted with the aim of determining and comparing the effect of face-to-face and virtual group training on the quality of life of postmenopausal women.

In this randomized controlled trial study, 96 postmenopausal women covered by the health service centers of Isfahan city were randomly assigned to two groups of face-to-face training and virtual training (48 people). The data collection tools included the questionnaire of demographic characteristics and the quality of life of postmenopausal women questionnaire. Face-to-face training sessions were held one day a week for 4 weeks. In the virtual training, video, audio and text, was placed in the WhatsApp group weekly for 4 weeks. Data were collected before the intervention and 4 weeks after the intervention and analyzed in SPSS software with the help of descriptive and analytical tests. A significance level of less than 0.05 was considered.

The results showed that in both face-to-face and virtual training groups, the mean scores of the total quality of life and in the areas of vasomotor symptoms, physical symptoms, psycho-social symptoms and sexual dysfunction decreased significantly after the intervention (P<0.001). After the intervention, the mean quality of life scores between the two groups did not show a statistically significant difference (P<0.05).

Considering the positive effect of both face-to-face training and virtual training on improving the quality of life in menopausal women, the use of both types of training methods can be suggested in care and support programs for women during menopause.

The covid-19 pandemic restrict face-to-face breastfeeding counseling. The present study aimed to investigate "the effect of telemidwifery counseling on breastfeeding self-efficacy of primiparous mothers during the covid-19 pandemic".

In this randomized controlled trial, 122 primiparous pregnant mothers referring to health centers from January to May 2022 participated. Random allocation was done using balanced blocks method. In addition to the usual counseling during prenatal care, the intervention group received virtual breastfeeding counseling individually on the social media platform during pregnancy.  Breastfeeding self-efficacy, mother's perception of breastfeeding adequacy, and mother's breastfeeding status were investigated on the 5th, 15th, and 45th days after child birth.

The mean breastfeeding self-efficacy score on the fifth day after childbirth between the two intervention and control groups was not significantly different, but the mean difference of this score (95% confidence interval) between the two groups on the 15th day equals 4.13 (1.41- 6.86) and on the 45th day it was 6.62 (1.12- 4.41), which was significantly higher in the intervention group than the control group. There was no significant difference in the breastfeeding status of the mothers in the two groups during the follow-up period. The mean score of the mother's perception of breastfeeding adequacy in the intervention group was significantly higher than the control group only on the 45th day after delivery with a mean difference of 1.12(0.53-1.71).

Telemidwifery breastfeeding counseling can be suggested as an effective method to increase the breast feeding self-efficacy of primiparous mothers.

Occupational stress is one of the major problems of health care workers, which greatly affects their professional performance. Having the ability to manage stress in the stressful midwifery profession is one of the basic requirements that can reduce midwifery errors and consequently reduce the mortality of mothers and babies. Although job stress exists in all jobs, midwives face higher levels of job stress in order to meet the needs of pregnant mothers and their families, and in this way, not having the ability to manage stress and tension may reduce the quality of services. The present study was conducted by determining the relationship between stress management and the level of perceived job stress and the quality of services provided by midwives working in the maternity department of hospitals in Hamedan province.

The effectiveness of nutritional supplements to relieve dysmenorrhea pain has been investigated in some studies. The present study aimed to review and summarize the available evidence on the effect of vitamin D supplementation on the severity of dysmenorrhea.

In the present systematic review and meta-analysis, clinical trial studies were eligible to be included in the study if they examined the effect of vitamin D supplementation on the severity of dysmenorrhea. Academic databases including Scopus, PubMed, ISI and international clinical trial registration systems as well as Google Scholar were searched from the beginning of the establishment of the above databases until July 2022.

In five studies with 368 people (185 intervention / 183 control), the effect of vitamin D on primary dysmenorrhea was investigated. The standardized mean difference of primary dysmenorrhea for the intervention group with vitamin D supplement compared to the control group was -1.57 with a 95% confidence interval of -0.67 to -2.47. In two studies with 107 people (46 intervention / 61 control) the effect of vitamin D on secondary dysmenorrhea was investigated. The standardized mean difference, the severity of secondary dysmenorrhea for the intervention group with vitamin D supplement compared to the control was 0.66 with a 95% confidence interval of -1.12 to 2.45.

Considering the small number of studies and the risk of methodological bias in the selected studies and considering the wide confidence interval and inconclusive results, there is a need to design stronger methodological studies with a larger sample size.