International Journal of Community Based Nursing and Midwifery
Volume:12 Issue: 1, Jan 2024

The challenges faced by parents of adolescents with mental disorders are profound andmultifaceted. Therefore, this study aimed to explore the lived experiences and concerns of parents ofadolescents with mental disorders in Oman. Interpretative phenomenological analysis was employed in this study. In-depth interviewswere done with twenty caregivers from June 2021 to the end of December 2022. Data collectioncontinued until saturation was reached, ensuring a thorough understanding of the phenomena underinvestigation, and thematic analysis was applied to identify and examine the recurring patterns withinthe data. Three primary themes emerged from the data analysis including Emotional Burden and Guilt,Treatment Concerns, and Fear of the Future. Parents’ experiences during their adolescents’ diagnosisrevealed a profound emotional struggle, encompassing anxiety, frustration, and occasional confusionas they grappled with understanding their children’s illness and navigating unpredictable behaviors.The exploration of seeking treatment highlighted the complexity of their experiences. However, apersistent sense of uncertainty regarding their children’s future was a consistent thread irrespective ofthe chosen treatment path. This study aimed to investigate the complex challenges faced by caregivers of adolescentssuffering from mental disorders, underscoring the vital need for tailored interventions and robustsupport systems to address these intricate issues. The findings highlight the importance of heightenedawareness, improved access to psychotherapeutic resources, and comprehensive caregiver support.

Proper self-care practices play a crucial role in the well being and longevity of patientswith cardiovascular disease. To effectively engage in self-care, it is imperative for patients to receiveadequate education and training on the self-care process. This study was conducted to determine theeffect of family-oriented education (FOE) on the self-care behaviors of patients with acute myocardialinfarction (AMI). In this randomized clinical trial study, 70 patients hospitalized in two hospitals in Shirazduring November 2021-April 2022 participated after the first AMI. Patients were randomly assignedinto control (N=35) and intervention groups (N=35) based on random allocation. In the interventiongroup, an educational program was conducted for patients and active family members during threesessions of 45 to 60 minutes. The control group received routine care. Demographic information formand Self-Care Agency scale was completed by the patients before the educational intervention, onemonth, and two months after the educational intervention. Data analysis was done through SPSS 22using Chi-square test, independent t-test, Fisher’s exact, and Friedman test. P˂0.05 was considered asthe statistical significance level. There was no significant difference in self-care behaviors between the two groups before theintervention (P=0.71). The mean score of self-care behaviors in patients one month (P<0.001) and twomonths (P<0.001) after FOE in the intervention group showed a statistically significant difference withthe control group. Also, the mean score of self-care behaviors two months after the education in theintervention group was significantly higher than before and one month after the intervention (P<0.001). Given the positive effect of FOE on self-care behaviors of patients with AMI, it isrecommended that educational interventions related to the treatment plan of these patients with theparticipation of families should be conducted.Trial Registration Number: IRCT20211116053078N1

Paternal involvement during pregnancy has been shown to have a positive impact onthe mother-baby dyad during and after birth. The presence of the father during birth also positivelyinfluences father-child attachment, reduces, apprehension, and stress, increases maternal satisfaction,and increases love and respect for the partners. This study explored the experiences of fathers whowere present in the delivery room during the delivery process. This qualitative content analysis study was conducted at a maternity hospital in Kingston,Jamaica from June to July 2022. A total of ten (10) fathers of babies delivered within six weeks werepurposefully selected to be interviewed via telephone over four weeks. Data were analysed using athematic approach. Four sub-themes and one theme were extracted from data analysis. Fathers perceivedsatisfaction and empowerment in the shadow of positive and negative feelings as the theme. Subthemesemerged from the data including “clinician’s acceptance and support”, “close bonding andattachment with mother and baby”, “preparedness of fathers to give support”, and “inspiring andamazing feeling by fatherhood experiences”. Fathers experienced the feeling of empowerment and wished to take up their role duringthe delivery of their newborns. Their experiences were influenced by the midwives and the resourcesavailable to support their accommodation. More policies are needed to strengthen the fathers’involvement during antenatal clinic visits, delivery, and postnatal care.

Vulvovaginal atrophy (VVA) is a common condition and a silent epidemic affectingmany postmenopausal women who suffer from it in silence. This study aimed to evaluate the effect ofCitrus aurantium vaginal cream on vaginal atrophy in postmenopausal women. This single-group pretest-posttest quasi-experimental study was conducted on 30postmenopausal women who were referred to the Gynecology Clinic of Imam Khomeini Hospital in thecity of Noor, Iran, from June to November 2020. Citrus aurantium vaginal cream was administered towomen diagnosed with vaginal atrophy (based on subjective symptoms of atrophy, descriptive evaluationof the vagina, vaginal pH measurement, and degree of vaginal maturation determined by vaginal smear)every night in the first two weeks and every other night for the second two weeks. Data were collectedusing the scale of subjective symptoms of vaginal atrophy; descriptive evaluation checklist of vaginalmucosa; laboratory results registration form (vaginal maturation index, vaginal maturation value, andvaginal pH) before the intervention and two and four weeks after the intervention. Data were analyzedusing SPSS software (version 24) through the analysis of variance with repeated measurements, andLSD post-hoc test. A P value less than 0.05 (P<0.05) was considered statistically significant. Citrus aurantium vaginal cream improved subjective symptoms of vaginal atrophy (P<0.001),reduced the score of descriptive evaluation of vaginal mucosa (P<0.001), decreased vaginal pH(P<0.001), and increased vaginal maturity (P<0.001). The results showed that citrus aurantium vaginal cream could improve the symptoms ofvaginal atrophy without causing serious complications. However, further studies with a control groupare suggested to confirm the findings of this study.Trial Registration Number: IRCT20200215046494N1

Depression and anxiety are common comorbidities complicating the care of breastcancer patients, but many patients do not receive the needed care. We aimed to assess utilization ofmental health care and its barriers in breast cancer survivors. This cross-sectional study was conducted on 311 patients with breast cancer, in Iran,November 2021 to March 2022. Perceived need and utilization of mental health care and barriers toservice utilization were measured based on self-report. Depression, Anxiety, and Stress Scale-21 andMultidimensional Scale of Perceived Social Support were used to assess depression, anxiety, and stressas well as social support, respectively. A linear and logistic regression model was used to analyze thedata using SPSS version 22. A P-value less than 0.05 was considered statistically significant. 70.1% of the participants perceived need for mental health care, 28.0% of them had used mentalhealth services, and 72% were classified as having unmet needs. The most common perceived barrierto service use was patients’ self-adequacy. The prevalence of extremely severe levels of depression,anxiety, and stress was 14.8%, 23.5%, and 10.6%. Also, 48.6%, 78.5%, and 75.6% of patients receiveda high level of social support from friends, family, and significant others. Findings highlight a substantial unmet need for mental health care and low utilization ofmental health services among breast cancer survivors. Given the significant prevalence of depression,anxiety, and stress in this population, it is imperative to address the underutilization of mental healthservices and to further examine the barriers preventing patients from seeking the care they require.

Physical and psychological interventions could affect the quality of life (QoL) of women with infertility. The purpose of this study was to compare the effectiveness of dry cupping and counselling with the mindfulness-based cognitive therapy (MBCT) approach on fertility QoL and conception success in infertile women due to polycystic ovary syndrome (PCOS).

This was a two-arm pilot randomized clinical trial from first January 2021 to the end of November 2022. In this regard, 19 women with infertility who were referred to the health centers affiliated with Shiraz University of Medical Sciences and met the inclusion criteria were enrolled in the study. Participants were randomly divided into two groups (10 in the virtual MBCT group and 9 in the cupping group). All participants completed the fertility quality of life (FertiQol) tool before the intervention and three months after the end of the intervention. In addition, after the end of the intervention, a human chorionic gonadotropin test was performed monthly for three months, too. We used ANOVA/ANCOVA and its related effect sizes, including mean difference (MD) and standard mean difference (SMD: Hedges’s g), and chi-square tests to compare the study group outcomes in Stata 14.2. P-values equal to or less than 0.10 were considered significant.

The intervention resulted in significant differences in the mean overall scores of FertiQol between the counseling and cupping groups (61.76±14.28 and 50.65±12.53, respectively) [P=0.091, MD=11.11 (90% CI: 0.33 to 21.89), SMD=1.07 (90%: CI 0.279 to 1.84)]. No significant difference was found in conception rates between the groups after the intervention.

This pilot study found that MBCT improved the fertility QoL in PCOS-related infertility patients better than cupping therapy.Trial registration: IRCT201706110334452N13

Nurses, as the largest part of human resources in the field of health, have many roles. Prescribing nurseis one of the professional roles that has been noticed in recent decades.1 This role was first performedin the United Kingdom (UK) in 1986 by community health nurses.2