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Volume 7, Issue 1 (8-2010)
Volume 7, Issue 1 (8-2010)
Abstract
Background and Objective: Pregnancy in the early years of reproductive period has been considered as a high-risk pregnancy. Since different factors interfere with pregnancy and its outcome in teenagers, this study was conducted to determine the outcomes of pregnancy and childbirth in adolescents in Dezyani Hospital of Gorgan, Iran (2008). Material and Methods: In this retrospective case-control study, we compared the pregnancy outcome of 91 primigravida teenagers (less than 19 years) with that of 89 women (19-29 years) as control group. The data collected from patients medical records are mother's age, gestational age, and fetal presentation , gestational hypertension, diabetes mellitus, the way of delivery, hemoglobin status before and after childbirth, first and fifth minute Apgar scores, neonatal anthropometric indices, mode of delivery, congenital anomalies. Data were analyzed with descriptive-analytic tests, using the SPSS.16 software. Results: The mean age of the case and control group is 17.73±1.30 and 24.56±2.54, respectively. In admission, young mothers have significant more weight and height (p<0.05). Mean gestational age is almost the same in teenage (38.59±3.15week) and young mothers (38.09±3.0week). Neonatal anthropometric indices and first and fifth minute Apgar scores are not significantly different in two groups. Conclusion: Mother's age can not be the only determinant of the outcome of pregnancy and childbirth. Pregnancy in teenagers isn't associated with the decrease of gestational age, anthropometric indices and Apgar score, and is not related with the increase of early childbirth and maternal and neonatal mortality.
Mis Zahra Sabzi, Mr Hamid Soltani Pasha, Mis Batool Azartash, Mis Parvin Sabzi,
Volume 7, Issue 2 (11-2010)
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective: Poisoning is one of the significant causes of mortality and hospitalization in children. This problem occurs mostly under the age of two and is due to accidental ingestion of drug and poisons.Because of the importance of poisoning and its change in cities and time periods, this study was done to evaluate the epidemiology of poisoning in children admitted to Taleghani Medical-Educational centre of Gorgan, 2009 .
Materials and Methods : This cross-sectional study was conducted on 164 hospitalized children due to poisoning. Patient's data such as age, sex and diagnosis were recorded in preplanned questionnaire, then data analyzed by spss 16.
Results: In this survey, 6053 children were admitted in emergency ward of Gorgan's Taleghani hospital during 2009. Of these cases, 164 are related to poisoning including opium intoxication(39.63%),drugs(24.39%),kerosene(9.75%),house hold chemicals(4.87%) methadone intoxication (4.26%), and mouse killer(2.43%).
Conclusion: Toxification should be taken into account seriously in children. Because of high frequency of opium and medicinal poisoning, we recommend public education to prevent from this accident and to improve public health.
Dr Leili Borimnejad, Ome Kolsoum Toomaj, Hamid Haghani,
Volume 11, Issue 1 (5-2014)
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: The people with Thalassemia, because of frequent blood transfusion and sever complication ,require constant medical supervision, and their psychological problems are paramount. This study aimed to determine Self-Concept and related factors in children and adolescents with Thalassemia major aged 7-18 in Golestan province ,2012.
Material and Methods: This cross-sectional study was conducted on 155, using census sampling, children and adolescents with Thalassemia major refereeing to therapeutic and health centers for blood transfusion. The instruments were Piers-Harris self-concept questionnaire and demographic data . The analysis was performed by SPSS software using ANOV and t-test.
Results: The mean of self-concept was low, and there was significant relationship between self-concept and variables such as age, educational status, dropout , order of birth, the number of children in family and parents’ education level. But no significant difference was observed between self-concept and the factors such as sport, the frequency of transfusion, economic status.
Conclusion: The results revealed that the self-concept of the thalassaemic patients is low. Some non-adjustable factors exacerbate this condition, but encouraging them to continue their education, informing their parents more about their children’s disease can be helpful to improve their self-concept.
Abdol-Hamed Yapan-Gharavi , Behrooz Ebrahimzadehkor, Ata-Mohammad Dorri,
Volume 12, Issue 2 (12-2015)
Volume 12, Issue 2 (12-2015)
Abstract
Background and Objective: Given the correlation of birth weight with growth indices, this study aimed at determing the growth indices of low birth weight (LBW) and normal birth weight of 2-5 year old children in rural areas of Gonbad, Iran.
Material and Methods: In this retrospective cohort study, using multi-stage cluster sampling, 200 LBW 2-5-year-old children and 200 normal birth weight were selected. The data was collected through interview and analyzed by Pearson correlation, t-test and chi-square.
Results: The prevalence of shorter stature and low weight-for-age in case group was higher than those of controls, and the high weight-for-age was higher in control group. Gestational age, maternal Body Mass Index (BMI), intepregnancy interval and age of delivery were determined as the most important factors related to LBW.
Conclusion: The results imply that LBW affects adversely on growth indices in 2-5 year old children. Considering gestational age, maternal BMI, interpregnancy interval and age of delivery, we recommend recognizing the mothers who are at risk for delivery of LBW to educate and take care of them.
Houri Alijani, Narjes Sadat Borghei, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Fear and anxiety during pregnancy will have a great impact on the mental health of the mother and the fetus, These conditions may be due to fear of childbirth, which can exacerbate sense of pain, severity of pain, anxiety, distress, discomfort and disability. Therefore, we decided to evaluate the factors affecting on fear of child birth.
Methods: This descriptive-analytic study was performed on 211 eligible mothers in health centers of Gorgan, Iran, in the second six months of 1396, by simple sampling. The Data was collected by Wijma Maternity Fear Questionnaire (A) and analyzed by SPSS software version 18, using Fisher and Kruskal Wallis tests at a significance level of 0.05.
Results: The range of maternal fear of childbirth scores was from 14 to 120 with a mean of 61.75 and a standard deviation of 22.99. About 77.2% of mothers had a mild or moderate, 18.5% had clinical and 4.3% had severe fear of childbirth. In this study, the pregnant woman’s and her husband’s job, as well as husband's level of education, were identified as the most important influencing factor on the fear of childbirth.
Conclusion: According to this study, 18.5% of the Nulliparous mothers had clinical and 4.3% had sever fear of Childbirth; therefore, in order to promote the pregnant mother’s mental health, new strategies should be adopted to reduce this fear. In addition, knowing the factors affecting this fear will help us to plan and implement strategies to deal with the fear of childbirth more accurately.
Zeinab Hamzehgardeshi, Zohreh Shahhosseini, Farzaneh Babapour,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background:Attachment is a lasting psychological relationship between two people which is formed in the first two years of one's life. It has two types of secure and insecure attachment. The insecure type is separated into anxiety-ambivalent and avoidant, each causing problems for children and their families. Counseling families with attachment problems will lead to higher levels of secure attachment in their children, so these families need to be more aware of effective counseling approaches to correct their children's insecure attachment. Therefore, the aim of this study is to review children's attachments and the impact of counseling approaches on them.
Methods: This review study utilized Persian keywords attachment, child and counseling at SID and Magiran databases, and English equivalent verbs extracted from Mesh-PubMed, including Parent-Child Relation, Counseling Child, and Attachment, in the database. Searches from Web of Science, Science direct, Medline-PubMed, Scopous, and Google scholar search engine from 2010 to 2019 between February and March 2018. By eliminating duplicates using End Note software and then screening at title level, abstract and full text finally 7 English and 6 Persian articles were entered and evaluated using Jadad Scale.
Results: Between 13 articles, 9 were quasi-experimental and 4 were clinical trials. Four common treatment approaches for families with attachment problems have been found . The first approach is psychoeducation, which focuses on enhancing parent/caretaker knowledge and includes positive behavior management techniques, assisting the parent-child relationship, and improving child conflict. The second approach, parent and child psychotherapy, aims to overcome negative interpersonal patterns in children. The third approach is group education to parents /caretaker to encourage consistent behaviors at home, school, and community; and the fourth is group play therapy for early school-age children to change their insecure attachment to secure attachment.
Conclusion: Identifying children with attachment problems and then using counseling approaches can improve insecure attachment and increase secure attachment.
Houri Alijani , Narjes Sadat Borghei, Naser Behnampour ,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: Pregnancy is considered as a critical stage in the life of a woman due to the creation of new tasks and anxieties, If we consider the fear of childbirth as one of the main causes of pregnancy anxiety, To reduce it, we need to look for other solutions, such as psychological solutions. This study was conducted with the aim of determining the effect of group-based cognitive-behavioral Educations on the fear of delivery of Primiparous mothers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
Methods: This quasi-experimental study with pre-test and post-test design, three groups were conducted in the second half of the year in 1396 cities of Gorgan.The data collection tool was a demographic data form and Wijma Delivery/Expectency fear of childbirth Questionnaire (version A). Primiparous Pregnant mothers who were 20-28 weeks old were asked to participate in the study through the Lean system, and 211 patients were referred to relevant health centers and clinics. They completed the maternity fear questionnaire. Among these mothers, 104 nulliparous women with average score of fear of childbirth of 55 and above were divided into three groups: first and second intervention and control group. Based on ethical considerations, the allocation of mothers to intervention and control groups conducted based on their desire. The first intervention group performed eight sessions of group training based on cognitive-behavioral techniques, the second intervention group spent eight sessions of conventional pregnancy training, and the control group did not receive any training. The scores of fear of childbirth in all three groups before and immediately after intervention were analyzed by ANOVA, Kruskal-Wallis, Wilcoxon and paired t-test using SPSS software version 18, were compared and analyzed statistically. The significance level of the tests was considered to be 0.05.
Results: The results showed that before the intervention, the mean scores of fear of childbirth in the three groups were statistically significant and the first group of intervention (group training based on cognitive-behavioral techniques) had a higher mean scores 92.58 ± 12.70, compared to the second group of intervention (conventional education during pregnancy) was 66.54 ± 10.48 and the control group was 73.33 ± 13.13 (P-value <0.0001). Therefore, comparison of the difference before and after the mean scores and the rate of change in the three groups were used. Also, the mean scores of fear of childbirth after intervention in group training based on cognitive-behavioral techniques were 42.81 ± 18.45 in the conventional education group 67.19 ± 11.91 in control group 83.83 ± 18.28 and (P-value< 0/0001). The comparison of the mean scores of fear of delivery before and after intervention showed that group training based on cognitive-behavioral techniques -49.76 ± 19.86 was more than that of the conventional education groups in the period of pregnancy of 0.65 ± 10.14 And control group 11.5 ± 11.36 had a significant reduction in fear scores, which was statistically significant (P-value <0.0001).
Conclusions: Group-based cognitive-behavioral techniques focusing on reducing childbirth fears have the potential to reduce the fear of childbirth in all domains, for the promotion of normal delivery, the Changing the routine content of traditional pregnancy education is a matter of community based on cognitive-behavioral techniques, Focus on reducing fear of childbirth should be considered by healthcare providers.
Asieh Sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval , Nasser Behnampour,
Volume 17, Issue 0 (4-2020)
Volume 17, Issue 0 (4-2020)
Abstract
Background: The birth of the first child is accompanied by concerns such as fear of fetal malformations, adaptation to new identities and fear of childbirth due to adverse effects that concern maternal, child health, pregnancy, delivery and health; It has a significant. The purpose of this study was to determine the effect of emotion regulation training on fear of childbirth in pregnant women in Gorgan.
Methods: This field trial study included inclusion criteria: 18-9 years old, single, gaining more than 28 of the Birth Fear Questionnaire, and exclusion criteria: Non-Migration by the end of the study. Et al. (2008) standardized and localized. Exclusion criteria included: unwillingness to continue cooperation, occurrence of severe stressful event during the study (accident, death of a first degree relative), conversion of low risk pregnancy to high risk pregnancy (preterm birth, placental abnormalities, polygamy). , Recommended for absolute rest by a midwife or gynecologist). The scores on this questionnaire ranged from 14 to 56 and higher scores indicated greater fear. No Anxiety: You didn't have that fear at all. 2 Very Low Anxiety: Not enough to be called fear. Moderate anxiety: Annoying: but not enough to affect your health and comfort 4 High anxiety: Worry is a concern that affects your health and comfort.
Initially, after completing the informed consent form, and if they scored more than 1, they were told by the Fear Questionnaire, this was a research task with two intervention and control groups. The assignment to each of the groups is completely random, and if they are in the intervention group, they will be invited to participate in the emotion regulation classes and the classes are completely optional. They were then assigned to a random sequence of letters A and B using random block allocation (binary random blocks designed and executed by a computer system). Sorting the descending phobia scores downward for the volunteer mothers would result in homogeneity in successive scores (a suitable random stratification approach), so that the mean scores in groups A and B were very close to each other. The first group consisted of 10 subjects, with one person being excluded from the study during the sessions. The first group meetings ended with 9 people. The second group started with 10 people who ended up in sessions with 9 people due to the death of his father. The third group started with 11 people and the 11 people continued until the end. Statistical analysis was performed on 29 patients in the intervention group and 31 in the control group. The pretest-posttest and control group design was performed on 62 primigravida 28-32 weeks’ pregnant women in Gorgan health centers. Sampling was done by stratified random sampling and restricted minimization method. Data collection tool was demographic data form and Persian Questionnaire 14 "Fear of delivery" questionnaire which was completed by both groups at the beginning of the study. Mothers of intervention group in 9 to 11 group in two 120 minute sessions. Weekly group training received emotion regulation according to Grasse model. Mothers in control group did not receive any intervention. At the end of the eighth session, the postnatal phase of the Fear Questionnaire was completed with a range of 14 items by both groups. Statistical analysis was performed using parametric tests of chi-square, t-test, and non-parametric tests of chi-square, Mann-Whitney at 95% confidence level and 80% test power using SPSS 18 software.
Results: The results of the present study showed that in the control group, the mean fear score of 3 units (from 37.6552 to 34.4839) and in the intervention group 11 units (from 37.6552 to 26.5517) significantly decreased after the emotion regulation training (5. /.>p).
Conclusions: Primary pregnant women who received emotion regulation training had lower fear of delivery than control group. Reduce. The result of the study confirms the importance of emotion regulation training in reducing the mean score of fear of childbirth.
Methods: This field trial study included inclusion criteria: 18-9 years old, single, gaining more than 28 of the Birth Fear Questionnaire, and exclusion criteria: Non-Migration by the end of the study. Et al. (2008) standardized and localized. Exclusion criteria included: unwillingness to continue cooperation, occurrence of severe stressful event during the study (accident, death of a first degree relative), conversion of low risk pregnancy to high risk pregnancy (preterm birth, placental abnormalities, polygamy). , Recommended for absolute rest by a midwife or gynecologist). The scores on this questionnaire ranged from 14 to 56 and higher scores indicated greater fear. No Anxiety: You didn't have that fear at all. 2 Very Low Anxiety: Not enough to be called fear. Moderate anxiety: Annoying: but not enough to affect your health and comfort 4 High anxiety: Worry is a concern that affects your health and comfort.
Initially, after completing the informed consent form, and if they scored more than 1, they were told by the Fear Questionnaire, this was a research task with two intervention and control groups. The assignment to each of the groups is completely random, and if they are in the intervention group, they will be invited to participate in the emotion regulation classes and the classes are completely optional. They were then assigned to a random sequence of letters A and B using random block allocation (binary random blocks designed and executed by a computer system). Sorting the descending phobia scores downward for the volunteer mothers would result in homogeneity in successive scores (a suitable random stratification approach), so that the mean scores in groups A and B were very close to each other. The first group consisted of 10 subjects, with one person being excluded from the study during the sessions. The first group meetings ended with 9 people. The second group started with 10 people who ended up in sessions with 9 people due to the death of his father. The third group started with 11 people and the 11 people continued until the end. Statistical analysis was performed on 29 patients in the intervention group and 31 in the control group. The pretest-posttest and control group design was performed on 62 primigravida 28-32 weeks’ pregnant women in Gorgan health centers. Sampling was done by stratified random sampling and restricted minimization method. Data collection tool was demographic data form and Persian Questionnaire 14 "Fear of delivery" questionnaire which was completed by both groups at the beginning of the study. Mothers of intervention group in 9 to 11 group in two 120 minute sessions. Weekly group training received emotion regulation according to Grasse model. Mothers in control group did not receive any intervention. At the end of the eighth session, the postnatal phase of the Fear Questionnaire was completed with a range of 14 items by both groups. Statistical analysis was performed using parametric tests of chi-square, t-test, and non-parametric tests of chi-square, Mann-Whitney at 95% confidence level and 80% test power using SPSS 18 software.
Results: The results of the present study showed that in the control group, the mean fear score of 3 units (from 37.6552 to 34.4839) and in the intervention group 11 units (from 37.6552 to 26.5517) significantly decreased after the emotion regulation training (5. /.>p).
Conclusions: Primary pregnant women who received emotion regulation training had lower fear of delivery than control group. Reduce. The result of the study confirms the importance of emotion regulation training in reducing the mean score of fear of childbirth.
John Bright Agyemang, Abigail Kusi-Amponsah Diji, Richard Adongo Afaya, Hanson Boakye, Evans Oduro, Albert Amagyei, Joana Kyei-Dompim,
Volume 17, Issue 2 (4-2020)
Volume 17, Issue 2 (4-2020)
Abstract
Background: The knowledge and attitudes of nurses and midwives, as well as nursing and midwifery students on pediatric pain are crucial in the management of hospitalized children’s pain. However, few studies have addressed the preparedness of nursing and midwifery students to manage children’s pain based on their knowledge and attitudes. This study therefore assessed nursing and midwifery students’ knowledge and attitudes pertaining to children’s pain management.
Methods: This descriptive cross-sectional study was conducted on 554 nursing and midwifery students who were in their last year at four nursing and midwifery training institutions in city Ghana in 2018-2019. Data were collected over a three-month period using the Pediatric Nurses’ Knowledge and Attitudes Survey regarding pain (PNKAS). Data analyzed by the SPSS version 25 and presented using descriptive statistics and independent T test and one-way ANOVA.
Results: Participants had an average PNKAS score of 42.1% (range: 21.4% to 81.0%). The nursing and midwifery students in either public (44.1%±7.9%) or private (43.7%±9.6%) university had significantly higher scores than those in a public nursing and midwifery training college (40.3%± 6.9%) (p<.001).
Conclusion: Nursing and midwifery students in the study generally had insufficient knowledge and attitudes toward children’s pain. There is an urgent need to intensify education in this area so as to adequately prepare these students to cater to the pain needs of vulnerable children and their families. Future studies should focus on how student’s theoretical knowledge and attitudes are linked to their pediatric pain assessment and management practices.
Methods: This descriptive cross-sectional study was conducted on 554 nursing and midwifery students who were in their last year at four nursing and midwifery training institutions in city Ghana in 2018-2019. Data were collected over a three-month period using the Pediatric Nurses’ Knowledge and Attitudes Survey regarding pain (PNKAS). Data analyzed by the SPSS version 25 and presented using descriptive statistics and independent T test and one-way ANOVA.
Results: Participants had an average PNKAS score of 42.1% (range: 21.4% to 81.0%). The nursing and midwifery students in either public (44.1%±7.9%) or private (43.7%±9.6%) university had significantly higher scores than those in a public nursing and midwifery training college (40.3%± 6.9%) (p<.001).
Conclusion: Nursing and midwifery students in the study generally had insufficient knowledge and attitudes toward children’s pain. There is an urgent need to intensify education in this area so as to adequately prepare these students to cater to the pain needs of vulnerable children and their families. Future studies should focus on how student’s theoretical knowledge and attitudes are linked to their pediatric pain assessment and management practices.
Leila Lashgari, Shamsolmoluk Jalal Manesh , Mohammad Kazem Naeini ,
Volume 18, Issue 2 (7-2021)
Volume 18, Issue 2 (7-2021)
Abstract
Background: Given the high prevalence of chemotherapy complications, it is essential to try limiting the side effects in order to prevent reduced quality of life in cancer patients, particularly children. The present study aimed to determine effect of maternal empowerment training on gastrointestinal complications in children undergoing chemotherapy.
Methods: This clinical trial study was performed on mothers with children under 12 years undergoing chemotherapy at the Bahrami Children's Hospital in Tehran (Iran) in 2017. Forty mothers were enrolled in the study via convenience sampling. The subjects were then randomly assigned to an intervention (n=20) and a control group (n=20). Data were collected using a checklist on gastrointestinal complications at baseline and two, four and eight weeks after the last training session. Statistical analysis of data was performed in SPSS 16.
Results: The frequency of gastrointestinal complications reduced significantly after the training in the intervention group (P<0.05). There was no significant difference in the frequency of gastrointestinal complications before and after the intervention in the control group (P>0.05). After the training, the frequency of gastrointestinal complications was significantly lower in the intervention group than in the control group.
Conclusion: The empowerment program could help improve mothers’ knowledge about chemotherapy and associated complications, thereby reducing the frequency of such complications in children undergoing chemotherapy.
Methods: This clinical trial study was performed on mothers with children under 12 years undergoing chemotherapy at the Bahrami Children's Hospital in Tehran (Iran) in 2017. Forty mothers were enrolled in the study via convenience sampling. The subjects were then randomly assigned to an intervention (n=20) and a control group (n=20). Data were collected using a checklist on gastrointestinal complications at baseline and two, four and eight weeks after the last training session. Statistical analysis of data was performed in SPSS 16.
Results: The frequency of gastrointestinal complications reduced significantly after the training in the intervention group (P<0.05). There was no significant difference in the frequency of gastrointestinal complications before and after the intervention in the control group (P>0.05). After the training, the frequency of gastrointestinal complications was significantly lower in the intervention group than in the control group.
Conclusion: The empowerment program could help improve mothers’ knowledge about chemotherapy and associated complications, thereby reducing the frequency of such complications in children undergoing chemotherapy.
Azam Hokmabadi, Elham Khoori , Mahin Tatari, Sandy K. Wurtele ,
Volume 19, Issue 2 (9-2022)
Volume 19, Issue 2 (9-2022)
Abstract
Abstract:
Background: Parents play important roles in protecting their children from child sexual abuse (CSA). In Iran, mothers have been shown to effectively improve and maintain female children’s protective behaviors and knowledge regarding CSA. This study aimed to determine the effect of personal safety education for mothers in Gorgan (northeastern Iran) on their sons’ knowledge and skills for the prevention of CSA.
Methods: This clinical trial was conducted in 2019 on 46 preschool-aged boys and their mothers. Eligible subjects were recruited by systematic random sampling from two health centers in Gorgan. Boys were pretested using Persian versions of the Personal Safety Questionnaire and ’What If’ Situations Test and then randomly assigned to either an education group (mother-taught program) or a control group. Mothers assigned to the education group participated in a 2-hour training session and were given the Body Safety Training workbook to teach their sons during the following week. Two days after the training by their mothers, boys in both groups were post tested and also followed up one month later. Data were analyzed in SPSS software (version 16) by using repeated-measures ANOVA, general estimation equation, Mann-Whitney U test, and Fisher’s exact test.
Results: Children taught by their mothers demonstrated significant increases in the mean scores of knowledge (P=0.001), total safety skills (P<0.001), and appropriate-touch recognition (P=0.005). These increases were maintained at the one-month follow-up. Children in both groups recognized almost all inappropriate-touch requests correctly at all three time periods (P=0.99).
Conclusion: Educated mothers effectively taught their young sons skills and knowledge to protect from CSA, and these gains were maintained for one month. Although all participants were able to recognize inappropriate-touch requests, boys did not recognize that requests to touch the genitals are appropriate for health or hygiene purposes until they were educated by their mothers. In Iran, parents teach children that any touching or looking at their private parts by anyone is forbidden.
Background: Parents play important roles in protecting their children from child sexual abuse (CSA). In Iran, mothers have been shown to effectively improve and maintain female children’s protective behaviors and knowledge regarding CSA. This study aimed to determine the effect of personal safety education for mothers in Gorgan (northeastern Iran) on their sons’ knowledge and skills for the prevention of CSA.
Methods: This clinical trial was conducted in 2019 on 46 preschool-aged boys and their mothers. Eligible subjects were recruited by systematic random sampling from two health centers in Gorgan. Boys were pretested using Persian versions of the Personal Safety Questionnaire and ’What If’ Situations Test and then randomly assigned to either an education group (mother-taught program) or a control group. Mothers assigned to the education group participated in a 2-hour training session and were given the Body Safety Training workbook to teach their sons during the following week. Two days after the training by their mothers, boys in both groups were post tested and also followed up one month later. Data were analyzed in SPSS software (version 16) by using repeated-measures ANOVA, general estimation equation, Mann-Whitney U test, and Fisher’s exact test.
Results: Children taught by their mothers demonstrated significant increases in the mean scores of knowledge (P=0.001), total safety skills (P<0.001), and appropriate-touch recognition (P=0.005). These increases were maintained at the one-month follow-up. Children in both groups recognized almost all inappropriate-touch requests correctly at all three time periods (P=0.99).
Conclusion: Educated mothers effectively taught their young sons skills and knowledge to protect from CSA, and these gains were maintained for one month. Although all participants were able to recognize inappropriate-touch requests, boys did not recognize that requests to touch the genitals are appropriate for health or hygiene purposes until they were educated by their mothers. In Iran, parents teach children that any touching or looking at their private parts by anyone is forbidden.
Asieh.sadat Baniaghil, Fatemeh Bayenat, Masumeh Rezaei Aval, Nasser Behnampour,
Volume 19, Issue 2 (9-2022)
Volume 19, Issue 2 (9-2022)
Abstract
Background: Fear of childbirth can affect the health of the mother and the baby, which can be associated with unfavorable consequences. This study was conducted to determine effects of an emotion regulation training based on the Gross model on the fear of childbirth in primigravida women.
Methods: This randomized field trial was conducted on 62 primigravida women with a gestational age of 28-32 weeks, who were referred to comprehensive healthcare centers in Gorgan (Iran) from April to November 2019. Subjects were selected using simple random sampling. The subjects were randomly divided into a control group (n=31) and an intervention group (n=29) based on their mean score of fear of childbirth at pretest. The Gross model-based emotion regulation training was held in 8 sessions of 120 minutes, twice a week, for women in the intervention group in three groups. The control group received routine training programs. Data were collected using the Persian version of the 14-item fear of childbirth questionnaire, at baseline and one month after the intervention. Statistical analysis of data was carried out in SPSS software (version 16) and at significance level of 0.05.
Results: The demographic characteristics of the subjects did not differ significantly between the two groups. After the training intervention, the mean score of fear of childbirth in the intervention group (26.55±5.44) was significantly lower than that in the control group (34.48±7.32) (P=0.0001).
Conclusion: Based on the results, we suggest providing the Gross model-based emotion regulation training in health care centers in order to reduce the fear of childbirth in primigravida women.
Ezgi Şahi̇n, Saadet Yazici,
Volume 19, Issue 2 (9-2022)
Volume 19, Issue 2 (9-2022)
Abstract
Background: The research was carried out to examine the effect of a parenting preparation course given to midwifery students during an academic semester on the preferred mode of delivery, fear of childbirth, and traumatic birth perception.
Methods: This was a quasi-experimental study with a pretest-posttest design that included 47 second-year students enrolled in the parenting preparation course. Students took the parenthood preparation course, 2 hours a week, for 14 weeks. Data were collected using a descriptive information form, the pre-pregnancy fear of birth scale, and the perception of traumatic birth scale. Paired t-test and chi-square test were used to evaluate intragroup and intergroup differences. The data were analyzed using SPSS 22.0 software at a statistical significance of 0.05.
Results: The mean age of the students was 20.13±0.67 years. The mean score of pre-pregnancy fear of childbirth was 40.46±9.37 in the pretest and 23.61±6.79 in the posttest. In addition, the mean score of traumatic childbirth perception decreased from 77.34±25.15 in the pretest to 39.44±13.78 in the posttest. The number of students who preferred cesarean section decreased significantly, while the number of students who preferred vaginal delivery increased after the preparation course.
Conclusion: Parenting preparation classes can contribute to the reduction of fear of childbirth and the perception of traumatic childbirth in women.
Methods: This was a quasi-experimental study with a pretest-posttest design that included 47 second-year students enrolled in the parenting preparation course. Students took the parenthood preparation course, 2 hours a week, for 14 weeks. Data were collected using a descriptive information form, the pre-pregnancy fear of birth scale, and the perception of traumatic birth scale. Paired t-test and chi-square test were used to evaluate intragroup and intergroup differences. The data were analyzed using SPSS 22.0 software at a statistical significance of 0.05.
Results: The mean age of the students was 20.13±0.67 years. The mean score of pre-pregnancy fear of childbirth was 40.46±9.37 in the pretest and 23.61±6.79 in the posttest. In addition, the mean score of traumatic childbirth perception decreased from 77.34±25.15 in the pretest to 39.44±13.78 in the posttest. The number of students who preferred cesarean section decreased significantly, while the number of students who preferred vaginal delivery increased after the preparation course.
Conclusion: Parenting preparation classes can contribute to the reduction of fear of childbirth and the perception of traumatic childbirth in women.
Azam Shirinabadi Farahani , Ali Omidi , Reihane Moghimian Shahrbabaki, Fatemeh Akbari Arjestan , Mohammadamin Jandaghian-Bidgoli, Zohreh Makarem ,
Volume 21, Issue 3 (10-2024)
Volume 21, Issue 3 (10-2024)
Abstract
Background: Mandala Coloring and Playing are distraction strategies to reduce the anxiety level in children. However, their effects are inconsistent and have received little attention for the management and prevention of anxiety in hospitalized children. The main objective of this study was to compare the effect of distraction strategies of Mandala coloring and playing with Lego on reducing preoperative anxiety in pediatric patients undergoing surgeries.
Methods: The study was designed as a randomized, single-blind, tree-arm, parallel-group controlled trial. There were 96 children aged 6 to 18 years who were admitted to the pediatric surgery ward in Mofid Children's Hospital in Tehran-Iran. Simple randomization was used for choosing the participants for dividing them into two intervention groups and one control group. The interventions (Mandala Coloring and Playing with Lego) lasted 15-20 minutes in Mandala and Lego groups. In the control group, they received care according to the ward’s routine procedure. Anxiety as the main outcome variable was measured using the State-Trait Anxiety Inventory in two stages (before the intervention and immediately after the intervention) for children. Analysis of variance was used to compare the means in the three groups, and Tukey’s post-hoc test was used to assess the significance of differences between pairs of group means.
Results: Less state anxiety was observed after the intervention in the Lego group compared to the Mandala group (-4.69 ± 7.58, P =0.094). The data also revealed significant differences before and after the intervention in the Lego group in terms of preoperative trait anxiety (35.84 ±10.25 and 34.38 ± 8.89, respectively, P = 0.038).
Conclusion: The results demonstrated that playing with Lego and Mandala coloring, compared to the control group that received care, according to the ward routine procedure, had an effective role in reducing preoperative anxiety in children; however, playing with Lego had the most effect on decreasing anxiety state in children.
Lilis Lestari , Ramadhaniyati Ramadhaniyati , Ruka Saito , Akiko Tsuda ,
Volume 22, Issue 2 (6-2025)
Volume 22, Issue 2 (6-2025)
Abstract
Background: Parental maltreatment of children with autism spectrum disorder (ASD) remains a serious global issue and continues to be reported in developing countries. Parental perspectives on maltreatment can directly influence how parents take care of their children with ASD. Research specifically examining this issue in developing countries is limited. This study aimed to explore parental perspectives on maltreatment of children with ASD and their associated factors in Indonesia.
Methods: A cross-sectional study was conducted among 345 parents who were caring for children with ASD. Participants were selected by consecutive sampling in schools and facilities for children with special needs in two major cities in West Kalimantan Province, Indonesia, from January to March 2023. A self-administered questionnaire was developed for the Indonesian context. Data analysis involved descriptive, comparative, and multivariate regression analyses.
Results: This study included 251 participants, with a response rate of 72.8%. The majority were mothers (84.9%), with a mean age of 38.1 ± 7.1. The majority were aged >35 years (60.6%). Only 32.7% of the participants had the appropriate perspective that children with ASD should not be maltreated. Factors associated with appropriate perspectives were being a parent whose first child did not have ASD (OR=2.240, CI=1.227–4.090, p=0.009), having knowledge of typical development (OR=1.254, CI=1.048–1.499, p=0.013) and of ASD (OR=1.743, CI=1.316–2.309, p=<0.001), and a high need for pre-diagnosis support (OR=1.225, CI=1.042–1.439, p=0.014). Conversely, participants aged >35 years were more likely to have inappropriate perspectives (OR=0.532, CI=0.290–0.976, p=0.042).
Conclusion: Parental perspectives on maltreatment and their associated factors may contribute to the increased risk of maltreatment in children with ASD. Pre-diagnosis support, opportunities for socialization, and training aimed at increasing knowledge of non-violent parenting are needed to address inappropriate parental perspectives that tolerate the maltreatment of children with ASD in developing countries, especially Indonesia.
Methods: A cross-sectional study was conducted among 345 parents who were caring for children with ASD. Participants were selected by consecutive sampling in schools and facilities for children with special needs in two major cities in West Kalimantan Province, Indonesia, from January to March 2023. A self-administered questionnaire was developed for the Indonesian context. Data analysis involved descriptive, comparative, and multivariate regression analyses.
Results: This study included 251 participants, with a response rate of 72.8%. The majority were mothers (84.9%), with a mean age of 38.1 ± 7.1. The majority were aged >35 years (60.6%). Only 32.7% of the participants had the appropriate perspective that children with ASD should not be maltreated. Factors associated with appropriate perspectives were being a parent whose first child did not have ASD (OR=2.240, CI=1.227–4.090, p=0.009), having knowledge of typical development (OR=1.254, CI=1.048–1.499, p=0.013) and of ASD (OR=1.743, CI=1.316–2.309, p=<0.001), and a high need for pre-diagnosis support (OR=1.225, CI=1.042–1.439, p=0.014). Conversely, participants aged >35 years were more likely to have inappropriate perspectives (OR=0.532, CI=0.290–0.976, p=0.042).
Conclusion: Parental perspectives on maltreatment and their associated factors may contribute to the increased risk of maltreatment in children with ASD. Pre-diagnosis support, opportunities for socialization, and training aimed at increasing knowledge of non-violent parenting are needed to address inappropriate parental perspectives that tolerate the maltreatment of children with ASD in developing countries, especially Indonesia.
Tayebeh Mokhtari Sorkhani, Mahshid Bokaie , Farzan Madadizadeh , Manoj Sharma , Seyed Saeed Mazloomy Mahmoodabad,
Volume 22, Issue 3 (9-2025)
Volume 22, Issue 3 (9-2025)
Abstract
Background: The total fertility rate (TFR) has dropped to below the replacement levels in numerous countries, which necessitates new educational approaches and behavioral models to encourage a more positive societal view of childbearing. The present research aims to design, implement, and evaluate an intervention based on the multi-theory model (MTM) aiming at boosting childbearing intentions among Iranian single-child women of reproductive age.
Methods: This mixed-methods study, designed in three phases, will first explore childbearing intentions qualitatively through in-depth interviews, with the resulting data analyzed using a directed content analysis based on the MTM. Second, the themes identified from this phase will then be used to develop and psychometrically validate a new measurement tool. Third, a field trial will be conducted to implement and evaluate an MTM-based educational intervention. Data will be collected with the validated tool both pre- and post-intervention, with follow-ups at three, six, and nine months to assess pregnancy outcomes. The effectiveness of the program and participant feedback will be analyzed via descriptive statistics, paired t-tests for within-group comparisons, and repeated measures analysis of variance (ANOVA) for between-group differences over time. All statistical analyses will be performed using SPSS version 22.
Conclusion: This study represents the first known application of the MTM to investigate childbearing intentions among single-child women. Developing and assessing a culturally-adapted intervention has the potential to boost individuals’ childbearing intentions and generate evidence for guiding reproductive health policies in settings experiencing a decline in fertility.
Methods: This mixed-methods study, designed in three phases, will first explore childbearing intentions qualitatively through in-depth interviews, with the resulting data analyzed using a directed content analysis based on the MTM. Second, the themes identified from this phase will then be used to develop and psychometrically validate a new measurement tool. Third, a field trial will be conducted to implement and evaluate an MTM-based educational intervention. Data will be collected with the validated tool both pre- and post-intervention, with follow-ups at three, six, and nine months to assess pregnancy outcomes. The effectiveness of the program and participant feedback will be analyzed via descriptive statistics, paired t-tests for within-group comparisons, and repeated measures analysis of variance (ANOVA) for between-group differences over time. All statistical analyses will be performed using SPSS version 22.
Conclusion: This study represents the first known application of the MTM to investigate childbearing intentions among single-child women. Developing and assessing a culturally-adapted intervention has the potential to boost individuals’ childbearing intentions and generate evidence for guiding reproductive health policies in settings experiencing a decline in fertility.
Sakineh Nazari, Zohreh Abbasi, Mohammad Jalal Abbasi- Shavazi, Abbas Ebadi, Seyedeh Mahboobeh Rezaeean, Zohreh Keshavarz,
Volume 23, Issue 1 (3-2026)
Volume 23, Issue 1 (3-2026)
Abstract
Background: Assessing fertility levels is considered one of the most critical indicators in population forecasting and reproductive health research. Therefore, this qualitative study was conducted to explore women’s and experts’ perspectives on childbearing, including the views of healthcare professionals, university faculty members, and sociologists, regarding factors influencing childbearing.
Methods: This qualitative study was conducted in 2025 in North Khorasan Province, Iran. Participants were selected through purposive sampling and included three groups: women with two or fewer children (n = 35), women with more than two children (n = 16), and experts in the field of childbearing (n = 13). Data were collected through in-depth individual interviews and analyzed using MAXQDA 10 software according to conventional content analysis procedures.
Results: Analysis of the participants’ narratives identified four main themes influencing the decision to have more than two children: “gaining power, passive social acceptance, inefficiency of educational and health approaches, and a specific lifestyle pattern.” In contrast, rethinking the value of children and reconsidering fertility emerged as key factors influencing the decision to have fewer than two children.
Conclusion: The findings indicate that fertility preferences are shaped by a complex interplay of social and personal factors. While empowerment, passive social acceptance, ineffective educational and health strategies, and lifestyle considerations tend to promote larger family sizes, reassessment of the value of children and fertility considerations support smaller family choices. These results highlight the need for tailored reproductive health policies and context-sensitive educational interventions to support informed decision-making and balanced population strategies.
Methods: This qualitative study was conducted in 2025 in North Khorasan Province, Iran. Participants were selected through purposive sampling and included three groups: women with two or fewer children (n = 35), women with more than two children (n = 16), and experts in the field of childbearing (n = 13). Data were collected through in-depth individual interviews and analyzed using MAXQDA 10 software according to conventional content analysis procedures.
Results: Analysis of the participants’ narratives identified four main themes influencing the decision to have more than two children: “gaining power, passive social acceptance, inefficiency of educational and health approaches, and a specific lifestyle pattern.” In contrast, rethinking the value of children and reconsidering fertility emerged as key factors influencing the decision to have fewer than two children.
Conclusion: The findings indicate that fertility preferences are shaped by a complex interplay of social and personal factors. While empowerment, passive social acceptance, ineffective educational and health strategies, and lifestyle considerations tend to promote larger family sizes, reassessment of the value of children and fertility considerations support smaller family choices. These results highlight the need for tailored reproductive health policies and context-sensitive educational interventions to support informed decision-making and balanced population strategies.
Nafise Ebrahimi Khozani , Robert Truog , Mahnaz Shoghi,
Volume 23, Issue 1 (3-2026)
Volume 23, Issue 1 (3-2026)
Abstract
Background: Nurses are continuously present at the bedside and work closely with both children and families; therefore, their perspectives can provide a detailed understanding of end-of-life care. This study examined the quality of dying and death among hospitalized children from the perspective of Pediatric Intensive Care Unit (PICU) nurses and explored nurse-related factors associated with their evaluations.
Methods: In this cross-sectional study, 176 nurses working in the PICUs of four teaching hospitals (6 PICU wards) in Tehran, Iran, participated. Inclusion criteria were at least a bachelor's degree in nursing, at least 12 months of PICU experience, experience caring for terminally ill children, and no personal history of losing a child. A census sampling method was used. Data were collected by self-report using the PICU-QODD (Quality of dying and death) questionnaire. Independent t-tests, one-way ANOVA, Pearson correlations, and multiple linear regression were performed using SPSS version 24.
Results: The overall QODD score was 68.44 ± 15.6, suggesting a moderate to favorable perceived quality. The highest domain scores were observed for continuity and coordination of care (84.4 ± 18.1), fulfillment of the parental role (77.04 ± 21.9), emotional support for the family (76.91 ± 19.3), and pain and symptom management (76.81 ± 15.5), whereas the physical and instrumental needs of the family (49.1 ± 29.2) and spirituality and religious‑cultural issues (33.46 ± 24.1) had the lowest scores. In the multivariable analysis, only fixed work shift remained independently associated with higher QODD scores (B = 7.01, 95% CI (0.343,13.688)).
Conclusion: PICU nurses rated children's quality of dying and death as generally acceptable but identified shortcomings in spiritual and practical support for families. Promoting continuity of care and providing targeted education on holistic, family-centered end-of-life care may be beneficial.
Methods: In this cross-sectional study, 176 nurses working in the PICUs of four teaching hospitals (6 PICU wards) in Tehran, Iran, participated. Inclusion criteria were at least a bachelor's degree in nursing, at least 12 months of PICU experience, experience caring for terminally ill children, and no personal history of losing a child. A census sampling method was used. Data were collected by self-report using the PICU-QODD (Quality of dying and death) questionnaire. Independent t-tests, one-way ANOVA, Pearson correlations, and multiple linear regression were performed using SPSS version 24.
Results: The overall QODD score was 68.44 ± 15.6, suggesting a moderate to favorable perceived quality. The highest domain scores were observed for continuity and coordination of care (84.4 ± 18.1), fulfillment of the parental role (77.04 ± 21.9), emotional support for the family (76.91 ± 19.3), and pain and symptom management (76.81 ± 15.5), whereas the physical and instrumental needs of the family (49.1 ± 29.2) and spirituality and religious‑cultural issues (33.46 ± 24.1) had the lowest scores. In the multivariable analysis, only fixed work shift remained independently associated with higher QODD scores (B = 7.01, 95% CI (0.343,13.688)).
Conclusion: PICU nurses rated children's quality of dying and death as generally acceptable but identified shortcomings in spiritual and practical support for families. Promoting continuity of care and providing targeted education on holistic, family-centered end-of-life care may be beneficial.
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