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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
Effect of a Quality of Life Education Program on Psychological Well-being and Adherence to Treatment of Diabetic Patients </text>
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                <text>Quality of Life, Adherence, Psychological well-being, Diabetes mellitus type 2</text>
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                <text>Introduction: Diabetes is a chronic disease with fatal health complications. Identifying the&#13;
psychological factors that control this disease is very important, one of which is Quality of&#13;
Life (QoL).&#13;
Objective: This study aimed to investigate the effect of a QoL education program on&#13;
psychological well-being (PWB) and adherence to treatment of patients with type 2 diabetes.&#13;
Materials and Methods: This is a pilot study with a quasi-experimental design based on&#13;
pre-test and post-test phases. The statistical population consists of all diabetic patients&#13;
referred to health centers in Semnan City, Iran during the 6months from March to&#13;
September 2018. Of them,30 type 2 diabetes, aged 30-60 years (male and female) were&#13;
selected based on the inclusion criteria and randomly assigned to the intervention and&#13;
control groups. They were first assessed by using Hayes’s general adherence scale (GAS)&#13;
and Ryff’s psychological well-being scale the short form (PWBS-SF).Then, the intervention&#13;
&#13;
group received QoL education in 12 sessions, once per week each for 90 min. Then, post-&#13;
test assessments were carried out. The collected data were analyzed using MANCOVA.&#13;
&#13;
Results: The QoL education program significantly increased adherence to treatment (P=0.005)&#13;
and PWV and all its dimensions (autonomy, environmental mastery, personal growth, positive&#13;
relations with others, be purposeful in life, self-acceptance) in patients (P=0.005).&#13;
Conclusion: Since diabetes is one of the chronic diseases that need constant care and there is&#13;
no definitive and immediate treatment for it, increasing PWB and adherence to treatment in&#13;
patients to control this disease by QoL education can be very effective.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="8385">
                <text>Faezeh Jahan , Saeed Nematolahi</text>
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            <name>Date</name>
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                <text>January 2021, Volume 31, Number 1</text>
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          <element elementId="37">
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                <text>peri irawan</text>
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                <text>english</text>
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        <name>Adherence</name>
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        <name>Diabetes mellitus type 2</name>
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        <name>Jurnal Internasional</name>
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        <name>quality of life</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="8452">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
Patient Satisfaction With the Quality of Health Services Provided by Public Hospitals in Rasht, Iran </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Patient satisfaction, Patients, Health</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Service quality is a distinguishing and most powerful competitive factor. By&#13;
improving the quality of service delivery, it is possible to increase productivity, reduce costs,&#13;
and, as a result, increase patient satisfaction.&#13;
Objective: The present study aims to determine the level of patient satisfaction with the&#13;
quality of health services provided by public hospitals based on the SERQUAL-KANO model.&#13;
Materials and Methods: This is an analytical study with cross-sectional design. The study&#13;
population consists of all patients admitted to the emergency department, and male &amp;&#13;
female medical wards of public hospitals in Rasht, Iran. This, 250 patients were selected&#13;
by a two-stage stratified sampling method. Data collection tools were two questionnaires&#13;
of SERVQUAL and Kano with acceptable reliability (α=0.77 and 0.72). Kolmogorov-Smirnov&#13;
and Wilcoxon tests were used to analyze data.&#13;
Results: The majority of patients were male (53%) with a bachelor’s degree (32%) aged&#13;
40-59 years (38%). In all hospitals, according to the Wilcoxon test results, the highest and&#13;
lowest mean quality scores were related to assurance and tangibility dimensions (P&lt;0.05).&#13;
The highest level of patient satisfaction was reported in Hospital no. 2 with a quality gap of&#13;
+0.41, while the lowest level was related to Hospital no. 5 with a gap of -0.23. According to&#13;
Importance-Performance Analysis matrix, tangibility was in the “Concentrate Here” quadrant;&#13;
the dimensions of reliability and responsiveness were in the “Low Priority” quadrant; the&#13;
dimension of assurance was in the “Possible Overkill” quadrant; and the dimension of&#13;
empathy was in the “Keep Up the Good Work” quadrant. According to the Kano model, 13&#13;
attributes were classified as “Attractive”, 11 as “One-dimensional”, and only 1 property as&#13;
“Reverse”; no attribute was classified as “Indif﻿ferent”.&#13;
Conclusion: It seems necessary to make more improvements in facilities and equipment,&#13;
appearance of staff, communication tools, and cleanness of hospital environment to increase&#13;
patient satisfaction in public hospitals.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="8455">
                <text>Fardin Mehrabian , Mahnaz Hemmati No'doust Gilani ، Alireza Almaee</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="8456">
                <text>January 2021, Volume 31, Number 1</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="8457">
                <text>peri irawan</text>
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                <text>english</text>
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        <name>Health</name>
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        <name>Jurnal Internasional</name>
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        <name>Patient satisfaction</name>
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        <name>Patients</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8391">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8443">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
A Comparative Study on Psychosocial Factors Between Mothers of Infants With and Without Physical Abnormalities </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Congenital anomalies, Psychosocial variables, Mothers</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Congenital anomalies are one of the most important causes of disability and&#13;
&#13;
mortality in childhood seen in developing and developed countries. Mothers with physically-&#13;
abnormal newborns have unfavorable lifestyle compared to mothers with healthy infants.&#13;
&#13;
Objective: The aim of this study was to determine the difference between mothers of infants&#13;
with and without physical abnormalities in terms of psychosocial factors.&#13;
Materials and Methods: This is a case-control study with two study groups; the case&#13;
group (n=133) consists of mothers who had babies with birth defects referred to health&#13;
centers in Amol city, Iran for postnatal care in 2018. The control group (n=133) included&#13;
mothers with healthy infants in this city. They were selected using a convenience sampling&#13;
method. Measurement tools included a Socio-demographic form, Health-Promoting&#13;
Lifestyle Profile (HPLP), Multidimensional Perceived Social Support Scale (MPSSS), Coping&#13;
Strategies Scale - Short Form (CSS-SF), Prenatal Distress Questionnaire (PDQ), and General&#13;
Health Questionnaire - Short Form (GHQ-SF). Data were analyzed using descriptive&#13;
statistics, chi-square test, and t-test.&#13;
Results: A total of 266 mothers with a mean age of 31.9±5.6 years were examined. There&#13;
was a significant difference between the two groups of mothers in terms of overall HPLP&#13;
score (P=0.01), and its dimensions of spiritual growth (P&lt;0.05), physical activity, nutrition&#13;
(P=0.01), and stress management (P&lt;0.05). Moreover, a significant difference was reported&#13;
between them in terms of MPSSS and its dimensions of social support from friends, family,&#13;
and significant others (P=0.01). Furthermore, There was a significant difference between&#13;
them with respect to GHQ dimensions of anxiety/insomnia, and depression (P&lt;0.01); CSS&#13;
dimensions of escape avoidance and emotion-focused coping strategies (P=0.01); and PDQ&#13;
and its dimensions of concerns about the delivery and the health of the baby, and about the&#13;
body weight/image (P=0.01).&#13;
Conclusion: Mothers of infants with and without birth defects are significantly different&#13;
from each other in terms of psychosocial factors. It seems that poor psychosocial variables in&#13;
mothers during pregnancy can act as a risk factor for congenital anomalies.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8446">
                <text>Mahtab Ranjbar , Ebrahim Masoudnia , Mohsen Haghshenas Mojaveri</text>
              </elementText>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8447">
                <text>January 2021, Volume 31, Number 1</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8448">
                <text>peri irawan</text>
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            <name>Format</name>
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          <element elementId="44">
            <name>Language</name>
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            <elementTextContainer>
              <elementText elementTextId="8450">
                <text>english</text>
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        <name>Congenital anomalies</name>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
      </tag>
      <tag tagId="544">
        <name>Mothers</name>
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      <tag tagId="543">
        <name>Psychosocial variables,</name>
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              <description>A name given to the resource</description>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8404">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
Relationship Between Social Support and Parents’Satisfaction With Medical Care Provided to Their Premature Infants </text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8405">
                <text>Premature infants, Social support, Parental satisfaction</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
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                <text>Introduction: Premature birth is highly stressful for parents. Nursing support is crucial for&#13;
premature infants. Parental satisfaction is a vital indicator of the quality of care provided by&#13;
nurses. Therefore, determining the factors related to parental satisfaction is important in&#13;
nursing care.&#13;
Objective: This study aimed to investigate the relationship between social support and&#13;
parents’ satisfaction with the medical care provided to their premature infants in the Neonatal&#13;
Intensive Care Units (NICUs).&#13;
Materials and Methods: This is an analytical/correlational study. Participants were 130&#13;
parents of premature infants admitted to the NICUs in three hospitals affiliated to Tehran&#13;
University of Medical Sciences in Iran. They were selected based on a convenience&#13;
sampling method. Tarkka’s Social Support Questionnaires and the Neonatal Index of&#13;
Parent Satisfaction were used for collecting data. Data were analyzed by using descriptive&#13;
statistics and t-test, Chi-square test, ANOVA and Pearson correlation test.&#13;
Results: It was reported that 55.38% of the infants were females, with a Mean±SD birth weight&#13;
of 1880.97±544.85 gr and a mean gestational age of 32.07±2.41 weeks. The Mean±SD age of&#13;
their mothers and fathers was 31.25±5.12 and 35.03±5.66 years, respectively. The highest&#13;
level of social support in mothers and fathers was related to emotional support (3.65±0.69&#13;
in mothers and 3.29±0.57 in fathers), while the lowest level of social support was related to&#13;
concrete support (3.32±0.80 in mothers and 3.16±0.65 in fathers). Mothers perceived higher&#13;
social support than fathers. They also had more satisfaction with medical care (3.88±0.81&#13;
in mothers and 3.63±0.69 in fathers). There was a significant relationship between social&#13;
support and parental satisfaction (r=0.791, P&lt;0.05).&#13;
Conclusion: Parents of premature infants need more social support, especially concrete aid.&#13;
Therefore, planning to promote social support of parents, especially fathers, by nurses in the&#13;
NICUs seems necessary.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="8407">
                <text>Mona Mohtashami , Zahra Ahmadi , Maliheh Imeni , Maliheh Amerian , Marzieh Faghani Aghoozi</text>
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          <element elementId="40">
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8408">
                <text>January 2021, Volume 31, Number 1</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8409">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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            <elementTextContainer>
              <elementText elementTextId="8411">
                <text>english</text>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
      </tag>
      <tag tagId="578">
        <name>Parental satisfaction</name>
      </tag>
      <tag tagId="577">
        <name>Premature infants</name>
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      <tag tagId="425">
        <name>Social support</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8391">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8470">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
The Quality of Obtaining Informed Consent for Cesarean Section in Public Hospitals of Iran </text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
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                <text>Informed consent, Cesarean section, Patient rights</text>
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                <text>Introduction: About 50%-65% of births in Iran occur by Cesarean Section (CS). Informed&#13;
consent (IC) is one of the most important ethical, legal, and professional requirements of a&#13;
surgical procedure.&#13;
Objective: This study aimed to assess the quality of obtaining surgical IC from women&#13;
underwent CS in public hospitals of Iran.&#13;
Materials and Methods: In this analytical study with cross-sectional design, 300 postpartum&#13;
women who had CS referred to two public hospitals in Rasht, Iran were participated&#13;
&#13;
through stratified random sampling method in 2016. Data were collected using a two-&#13;
part researcher-made questionnaire. Collected data were analyzed by using descriptive&#13;
&#13;
statistics, Kruskal-Wallis test, Mann-Whitney U test, and Spearman’s correlation test.&#13;
Results: The mean age of participants was 29.84±5.9 years. The majority of them (45.3%) had&#13;
education lower than high school. The overall mean score for the quality of obtained IC was&#13;
62.23±23.38, out of 150 points. Regarding its dimensions, quality of acquiring IC form (20.21±7.12,&#13;
out of 40 points), provision of CS-related information (15.67±11.10, out of 45 points), voluntariness&#13;
(7.53±6.95, out of 25), and the physician-patient relationship (18.81±8.87, out of 40 points)&#13;
were perceived poor. Women’s educational level had a significant correlation with the IC quality&#13;
dimensions of voluntariness (P=0.0001) and physician-patient relationship (P=0.043). The number&#13;
of deliveries (P=0.008), live births (P=0.031), and stillbirth (P=0.0001) had a significant correlation&#13;
with acquiring the IC form. The voluntariness was significantly associated with the number of&#13;
live births (P=0.023) and stillbirth (P=0.001). The physician-patient relationship dimension was&#13;
significantly associated with the number of pregnancies (P=0.023) and abortions (P=0.0001). The&#13;
overall quality of obtained IC was significantly correlated with the women’ age (r=0.162, P= 0.005).&#13;
Conclusion: Most of women in Iran are not informed enough about the CS and its consequences.&#13;
Health care providers should pay more attention to the women’s characteristics when obtaining&#13;
IC for the CS. We recommend essential changes in the process of obtaining surgical IC for the CS&#13;
in public hospitals of Iran. Obtaining IC during pregnancy may reduce unnecessary CSs.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8473">
                <text>Shadi Sabetghadam , Sedighe Rezaie-Chamani , Zahra Amirkhanzadeh Barandouzi , Sedigheh Sedigh Mobarakabadi , Mona Rahna-vardi , Yalda Donyaei Mobarrez</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8474">
                <text>January 2021, Volume 31, Number 1</text>
              </elementText>
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          </element>
          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8475">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8476">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8477">
                <text>english</text>
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      <tag tagId="439">
        <name>Cesarean section</name>
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      <tag tagId="437">
        <name>Informed consent</name>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
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      <tag tagId="438">
        <name>Patient rights</name>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8391">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8434">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
Comparing the Effect of Face-to-face Education and E-learning on the Physical Activity of the Elderly </text>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8435">
                <text>Elderly, Education, Physical activity, E-learning, Face-to-face education</text>
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          <element elementId="41">
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            <description>An account of the resource</description>
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                <text>Introduction: Regular physical activity is very effective in preventing or delaying chronic&#13;
diseases and premature death in the elderly.&#13;
Objective: This study aimed to compare the effect of face-to-face education and e-learning&#13;
methods on the physical activity of the elderly.&#13;
Materials and Methods: This is a quasi-experimental study conducted in Karaj, Iran in 2018.&#13;
The participants were 88 elderly people referred to a senior rehab center and then were&#13;
assigned into three groups of face-to-face education (n=30), e-learning (n=28), and control&#13;
(n=30).The study data were collected by a demographic form and the 41-item Community&#13;
Healthy Activities Program for Seniors questionnaire (CHAMPS) before the intervention,&#13;
1 month after the intervention, and 3-month follow-up. Face-to-face education and&#13;
e-learning were presented to the two educational groups’ during eight 20-minute sessions.&#13;
The obtained data were analyzed using ANOVA, Bonferroni post hoc test, the Chi-square&#13;
test, and repeated measures ANOVA. The significance level was set at 0.05.&#13;
Results: Between the two educational groups, a significant difference was observed in the&#13;
mean score of physical activity at three measurement phases (P=0.001).The effect size was&#13;
0.61 for face-to-face education and 0.64 for e-learning. Based on the results of the Bonferroni&#13;
post hoc test, there was no significant difference between e-learning and face-to-face&#13;
education groups.&#13;
Conclusion: Both face-to-face and e-learning methods were effective in promoting the physical&#13;
activity behavior of the elderly. E-learning method can be used as one of the complementary&#13;
methods of traditional education for improving the physical activity of the elderly.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8437">
                <text>Shahab Papi , Yadollah Abolfathi Momtaz , Mahshid Foroughan , Farahnaz Mohammadi Shahboulaghi , Marzieh Araban , Tahereh Ramezani</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8438">
                <text>January 2021, Volume 31, Number 1</text>
              </elementText>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8439">
                <text>peri irawan</text>
              </elementText>
            </elementTextContainer>
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          <element elementId="42">
            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8440">
                <text>pdf</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8441">
                <text>english</text>
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        <name>E-learning</name>
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      <tag tagId="104">
        <name>Education</name>
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      <tag tagId="388">
        <name>elderly</name>
      </tag>
      <tag tagId="547">
        <name>Face-to-face education</name>
      </tag>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
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      <tag tagId="545">
        <name>Physical activity</name>
      </tag>
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        <src>https://repository.horizon.ac.id/files/original/f54652e22aa347c70ef2745c2c07d3ae.pdf</src>
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8391">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
</text>
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    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8461">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
A Comparative Study on Adverse Pregnancy Outcomes in Pregnant Women With Different Age</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8462">
                <text>Pregnancy outcome, Maternal age, Reproduction, Adolescent</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8463">
                <text>Introduction: Delayed childbearing is increasing. Increased maternal age has been associated&#13;
with increased risk of pregnancy complications. On the other hand, the adolescent pregnancy&#13;
has traditionally been considered high-risk, especially in developing countries.&#13;
Objective: This study aimed to compare the adverse pregnancy outcomes in different age&#13;
groups of pregnant women.&#13;
Materials and Methods: The analytical study with cross-sectional design was conducted&#13;
on 345 pregnant women referred to one of the maternity hospitals in Rasht, Iran in 2018&#13;
who were selected by sequential sampling method. They were followed from gestational&#13;
age &gt;37 weeks until delivery in 3 groups: &lt;19 years, 19-35 years and &gt;35 years. The data&#13;
collection tool was a two-part researcher-made questionnaire which surveys demographic,&#13;
fertility, and socioeconomic information and adverse maternal and neonatal outcomes.&#13;
The collected data were analyzed using descriptive and inferential statistics (Chi-square&#13;
test, Fisher’s exact test, Kruskal-Wallis test, ANOVA, Bonfrroni test, Spearman correlation&#13;
test, and multiple linear regression analysis).&#13;
Results: The highest prevalence of maternal diabetes mellitus (29.7%) and cesarean section&#13;
(72.46%) were reported in the age group &gt;35 years. The highest frequency of premature&#13;
rupture of membranes (18.8%) and abnormal fetal presentation (13.8%) were reported in&#13;
age groups &lt;19 years and 19-35 years, respectively. Among maternal outcomes, maternal&#13;
diabetes, abnormal fetal presentation, premature rupture of membranes and delivery by&#13;
cesarean section were significantly different between three groups (P&lt;0.05). There was a&#13;
significant difference between maternal age and neonatal outcomes in ages groups &lt;19 years&#13;
and 19-35 years (P&lt;0.05). Multiple linear regression model showed that the maternal age&#13;
&lt;19 years was a predictor of adverse neonatal outcomes. The group &lt;19 years reported more&#13;
adverse outcomes than the age group 19-35 years (β=0.282, 95% CL: 0.002-0.561, P=0.049).&#13;
Conclusion: All age groups of pregnant women faced some pregnancy outcomes. Due to Iran’s&#13;
new plan to encourage childbearing, prenatal screening, and receiving more prenatal care,&#13;
we recommend pregnant women to participate in childbirth preparation training courses.</text>
              </elementText>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8464">
                <text>Soudabe Ebrahimi , Maryam Niknami , Fatemeh Rafat , Ehsan Kazemnezhad Leili</text>
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            <name>Date</name>
            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8465">
                <text>January 2021, Volume 31, Number 1</text>
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          <element elementId="37">
            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8466">
                <text>peri irawan</text>
              </elementText>
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            <elementTextContainer>
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        <name>Maternal age</name>
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        <name>pregnancy outcome</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8391">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
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    <elementSetContainer>
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        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8425">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 1.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY&#13;
Internet Addiction and Its Relationship With Family Functioning in High School Students </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8426">
                <text>Internet addiction, Family functioning, High school students</text>
              </elementText>
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          </element>
          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8427">
                <text>Introduction: Family-related factors play an important role in adolescent’s addiction to the&#13;
Internet.&#13;
Objective: The aim of this study was to examine the relationship between Internet addiction&#13;
and family functioning in high school students.&#13;
Materials and Methods: This is an analytical study with a cross-sectional design conducted&#13;
on 796 high school students in Rasht city, Iran who were selected using multi-stage cluster&#13;
random sampling method. Data collection tools were a demographic form, the Young’s&#13;
&#13;
Internet Addiction Test, and the Family Assessment Device. Chi-Square test and rank-&#13;
ordered logistic regression analysis were used for data analysis.&#13;
&#13;
Results: The response rate of of students was 86.81%; 85.7% had at least two family&#13;
members who were using the Internet; 71.2% of students had no addiction, 27.5% were&#13;
exposed to Internet addiction and 1.3% had Internet addiction. The majority (65.0%) of&#13;
studnets had unhealthy family functioning. The relationship between Internet addiction and&#13;
family functioning was statistically significant (P=0,001). There was a significant statistical&#13;
relationship between Internet addiction and family income (P= 0.003), father’s job (P=0.001),&#13;
and duartion of internet usage per day (P=0.001). Logistic regression model showed that the&#13;
family functioning score (OR=1.02, 95% CI;1.01-1.04, P=0.001), duration of Internet usage per&#13;
day (OR=1.02, 95% CI;1.11-1.20, P=0.0001), and gender (male) (OR=1.02, 95% CI; 1.26-2.58,&#13;
P=0.001) significantly affected Internet addiction.&#13;
Conclusion: Due to the direct statistical relationship between Internet addiction and family&#13;
functioning, it is necessary to pay serious attention to the phenomenon of Internet addiction&#13;
and make appropriate plans for adolescents and their families to use the Internet properly.</text>
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              <elementText elementTextId="8428">
                <text>Zahra Harsej , Nasrin Mokhtari Lakeh, Farzaneh Sheikholeslami , Ehsan Kazemnezhad Leili</text>
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              <elementText elementTextId="8429">
                <text>January 2021, Volume 31, Number 1</text>
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                <text>peri irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="8432">
                <text>english</text>
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