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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
The Burden of Caregivers of Patients Undergoing Hemodialysis </text>
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                <text>Caregiver, Hemodialysis, Burden</text>
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                <text>Introduction: There is a scarcity of literature about the burden of hemodialysis patients’&#13;
caregivers. Caregivers often receive little attention, and the primary focus is always on the&#13;
patients. Frequent hospitalizations and factors associated with the disease can lead to&#13;
depression and reduce the caregiver’s quality of life.&#13;
Objective: The study aimed to determine the burden of caregivers of patients undergoing&#13;
hemodialysis at a tertiary care hospital.&#13;
Materials and Methods: This cross-sectional analytical study was conducted in a tertiary&#13;
care hospital in northern India. A total of 110 caregivers who were providing care to their&#13;
patients for more than 3 months were selected by purposive sampling method. The&#13;
study data were collected by self-prepared demographic questionnaire to collect basic&#13;
information regarding patients and caregivers, and the level of burden was assessed by&#13;
a revised Zarit Burden Interview (ZBI) standardized on a 5-point scale. Descriptive and&#13;
inferential (the Chi-square and Fisher exact test, 1-way ANOVA test) statistics were used&#13;
for data analysis.&#13;
Results: The Mean±SD age of caregivers was 37±13 years. Nearly half of caregivers, 50&#13;
(45.46%), reported mild to moderately burdened, while 15 (13.63%) caregivers had moderate&#13;
to severely burdened. The caregivers were mild to moderately burdened as the mean burden&#13;
score was 25±12. There was no significant association between the levels of burden scores&#13;
and selected sociodemographic variables of the participants.&#13;
Conclusion: It was found that caregivers of hemodialysis patients experienced moderate&#13;
burden while caring and being with the patient, which may alter their health and quality of life.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="8663">
                <text>Maneesh Sharma , Pooja Lakhara , Suresh Kumar Sharma , Prasuna Jelly , Rakesh Sharma</text>
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                <text>April 2021, Volume 31, Number 2</text>
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            <name>Contributor</name>
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                <text>peri irawan</text>
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                <text>english</text>
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        <name>Burden</name>
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        <name>Caregiver</name>
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        <name>Hemodialysis</name>
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        <name>Jurnal Internasional</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#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="8651">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
The Effect of Training Based on James Brown Model on Self-efficacy in Adolescents with Type 1 Diabetes Mellitus </text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8652">
                <text>Self-efficacy, Adolescents, Diabetes mellitus</text>
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                <text>Introduction: Type 1 Diabetes Mellitus (T1DM) is one of the most frequent chronic diseases&#13;
among children and adolescents. Educational strategies underscore patient’s roles in the&#13;
management of diseases and enhance self-efficacy behaviors.&#13;
Objective: The purpose of this study was to investigate the effects of an educational&#13;
intervention based on James Brown’s model on self-efficacy in adolescents with T1DM.&#13;
Materials and Methods: In this randomized clinical trial, 70 participants were selected&#13;
and assigned to the control and intervention groups by random block. The two groups&#13;
received routine care for T1DM. The intervention group was also provided with&#13;
educational sessions, 60 minutes twice a week for 4 weeks, based on the educational&#13;
model. The participants completed the diabetes management self-efficacy instrument&#13;
at the beginning, at the end, and a month after the end of the study. Data analysis was&#13;
performed using the Chi-square, Independent samples t-test, Covariance (ANCOVA), and&#13;
repeated measures ANOVA.&#13;
Results: The Mean±SD age of the intervention and control groups was 14.81±2.05 and&#13;
15.18±2.11 years, respectively. Before the intervention, the two groups were not different&#13;
statistically in terms of demographic variables (age, sex, duration of diabetes, insulin intake,&#13;
etc.) and self-efficacy. The results showed that immediately after the intervention and also&#13;
in the follow-up stage, the mean scores of self-efficacies and its subscales (nutrition, blood&#13;
glucose monitoring, physical activity, and medical treatment) in the intervention group were&#13;
significantly higher than the control group (P&lt;0.05). The mean scores of self-efficacies at the&#13;
beginning, at the end, and a month after the end of the study were 27.97±5.08, 41.46±4.41,&#13;
and 44.55±4.38, respectively. In the control group, however, these differences were not&#13;
significant.&#13;
Conclusion: The education based on James Brown’s model can improve self-efficacy among&#13;
&#13;
adolescents with T1DM. It is recommended that nurses use this method to increase self-&#13;
efficacy in adolescents with T1DM.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8654">
                <text>Zahra Yosefi , Mohammad Afshar , Neda Mirbagher Ajorpaz , Zohreh Sadat</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="8655">
                <text>April 2021, Volume 31, Number 2</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="8656">
                <text>peri irawan</text>
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            <description>A language of the resource</description>
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                <text>english</text>
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        <name>Adolescents</name>
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      <tag tagId="3">
        <name>Diabetes Mellitus</name>
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      <tag tagId="25">
        <name>Jurnal Internasional</name>
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        <name>Self-efficacy</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#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="8642">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Perception of the Futile Care and Its Relationship With Moral Distress in Nurses of Intensive Care Units </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8643">
                <text>Futile care, Moral distress, Intensive care units, Nurses</text>
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                <text>Introduction: The development of science and technology has provided more opportunities&#13;
for patients to live and even receiving futile medical care or treatment with no hope of&#13;
recovery. This process leads to awkward experiences and moral distress in nurses who&#13;
frequently deliver with such care.&#13;
Objective: This study aimed to determine the perception of futile care and its relationship&#13;
with moral distress in nurses working in intensive care units&#13;
Materials and Methods: This is a cross-sectional study conducted on 155 nurses working&#13;
in Intensive Care Units (ICUs) employed in educational-therapeutic centers and hospitals&#13;
of Guilan Province, Iran. They were selected by convenience sampling method. The study&#13;
data were collected using the researcher-made questionnaire and Corley moral distress&#13;
questionnaire. The obtained data were analyzed using descriptive statistics and inferential&#13;
statistics the Kolmogorov-Smirnov test, nonparametric Mann-Whitney U, Kruskal-Wallis,&#13;
Fisher exact and Backward logistic regression model.&#13;
Results: The Mean±SD age of the samples was 34.71±6.68 years; their Mean±SD work&#13;
experience was 10.24±5.63 years, and the Mean±SD work experience in the ICU was&#13;
6.76±4.64 years. The results indicated that their Mean±SD perception of futile care was 63±7,&#13;
and their Mean±SD moral distress was 92±54. The score of moral distress showed a low but&#13;
significant and positive correlation with the legal and organizational aspects of futile care (r=0.&#13;
279, P=0.001) and the total score of perception futile care (r=0.2, P=0.012). In the multivariate&#13;
analysis based on the logistic regression model of futile care, only the relationship between&#13;
the legal and organizational score in care had a significant relationship with moral distress.&#13;
So that by increasing one unit in the legal and organizational aspect of care, the chances of&#13;
scoring above the mean of moral distress increases 1.2 times (P=0.0001, 95% CI; 1.077-1.324).&#13;
Conclusion: Perhaps by familiarizing nurses with the legal and organizational nature of&#13;
patient’s care, the moral distress of caring can be reduced.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="8645">
                <text>Somayeh Moaddaby , Masoomeh Adib , Sadra Ashrafi , 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="8646">
                <text>April 2021, Volume 31, Number 2</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="8647">
                <text>peri irawan</text>
              </elementText>
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          <element elementId="44">
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            <description>A language of the resource</description>
            <elementTextContainer>
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                <text>english</text>
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        <name>Futile care</name>
      </tag>
      <tag tagId="643">
        <name>Intensive care units</name>
      </tag>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
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      <tag tagId="642">
        <name>Moral distress</name>
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      <tag tagId="52">
        <name>Nurses</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 2.&#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="8600">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
The Relationship Between Social Support and Postpartum Depression </text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8601">
                <text>Depression, Postpartum depression, Social support, Women</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: Postpartum depression is a common and severe problem that has adverse effects on&#13;
maternal and family health. Social support is one of the determinants of health, and in recent years has&#13;
received increasing attention, and its overlook is a significant risk factor for postpartum depression.&#13;
Objective: This study aimed to determine the relationship between social support and postpartum&#13;
depression in women referring to comprehensive health centers in Rasht City, Iran.&#13;
Materials and Methods: The present study is a cross-sectional, analytical study performed on&#13;
300 mothers referred to the comprehensive health service centers in Rasht 2-4 weeks after their&#13;
deliveries. They were selected by cluster sampling method, which was done systematically within&#13;
each cluster. The study data were collected using a three-part questionnaire of demographic&#13;
characteristics, Edinburgh Postpartum Depression Scale (EPDS), and Hopkins social support. The&#13;
&#13;
obtained data were analyzed using descriptive and inferential statistics (t-test, Friedman, Mann-&#13;
Whitney, Kruskal-Wallis, Spearman correlation coefficient, and rank logistic regression).&#13;
&#13;
Results: The results showed that the Mean±SD age of the study mothers was 29±5.3 years. About&#13;
63.7% of mothers had low postpartum depression, and their Mean±SD total score of social support&#13;
was 64.03±16.92. The most support received from the spouses and parents. There was a statistically&#13;
significant relationship between social support received by mothers after childbirth with education&#13;
level (P=0.003), job (P=0.001), spouses’ job (P=0.001), income (P=0.001), residence status (P=0.043),&#13;
number of deliveries (P=0.05) and pregnancy desire (P=0.047) and there was a significant inverse&#13;
correlation between depression score and social support score by spouses (P=0.004, r=-0.167),&#13;
parents (P=0.002, r=-0.176) and total social support score (P=0.024, r =-0.130). After adjusting for&#13;
individual social variables, the effect of social support score on the part of the spouses (P=0.001),&#13;
parents (P=0.006), friends, and relatives (P=0.033) continued to be associated with the severity&#13;
of depression. Also, the number of deliveries (P=0.05) and h spouses’ jobs (self-employed) were&#13;
significant compared to the unemployed ones (P=0.049).&#13;
Conclusion: The results showed a significant and inverse relationship between social support&#13;
and symptoms of postpartum depression. Although these results show the most support from&#13;
spouses and parents, the amount of support received in the area of spouses’ ​​parents, friends, and&#13;
relatives were low. It is necessary to draw the attention of midwives and health care providers to&#13;
mothers and inform them about the importance of social support and its prominent role in reducing&#13;
postpartum depression.</text>
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            <name>Creator</name>
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              <elementText elementTextId="8603">
                <text>Sayareh Hajipoor , Sedigheh Pakseresht , Maryam Niknami , Zahra Atrkar Roshan , Sima Nikandish</text>
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                <text>April 2021, Volume 31, Number 2</text>
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              <elementText elementTextId="8605">
                <text>peri irawan</text>
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        <name>Depression</name>
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        <name>Postpartum depression</name>
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        <name>Social support</name>
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        <name>Women</name>
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              <name>Title</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Risk of Child Abuse and Its Predictors in Mothers With Children Under 5 Years Old </text>
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                <text>Child abuse, Risk factors, Mothers, Preschool children</text>
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                <text>Introduction: Child abuse as a public health problem has adverse consequences for children’s&#13;
physical and mental health. Even mothers may be responsible for child abuse, so it is essential&#13;
to identify high-risk cases and take preventive measures.&#13;
Objective: This study aimed to determine the potential risk of child abuse and its predictors&#13;
of risk among mothers with children under 5 years old referred to comprehensive health&#13;
service centers in Rasht City, Iran, in 2019.&#13;
Materials and Methods: This is a cross-sectional study conducted on 450 mothers of&#13;
children under 5 years old referred to the comprehensive health service centers in Rasht.&#13;
The study data were collected by Adult-Adolescent Parenting Inventory form (AAPI-2 form&#13;
A). The obtained data were analyzed using descriptive statistics, stepwise multiple linear&#13;
regression, and the Friedman test to investigate the relationship between subscales.&#13;
Results: The samples were mothers with a Mean±SD age of 30.6±5.2 years. Mostly had diploma&#13;
(41.78%), were housewife (79.33%) and all of them were married. The total Mean±SD of score&#13;
obtained for the child abuse risk was 3.18±0.56. Most mothers (87.31%) had moderate to&#13;
severe level of child abuse risk. Based on multiple linear regression test, education (β=0.161,&#13;
95%CI; 0.076-0.247, P =0.001), being an employee (β=0.223, 95%CI; 0.059-0.387, P=0.008),&#13;
family income (β=0.092, 95% CI; 0.006-0.179, P=0.037), spouse’s education (β=0.128, 95%&#13;
CI; 0.046-0.209, P=0.002), and addiction status of spouse (β=0.236, 95% CI; 0.006-0.466,&#13;
P=0.044) were predictors of child abuse risk among the studied variables, respectively.&#13;
Conclusion: The results showed that most samples had a moderate risk of child abuse. It&#13;
reveals the necessity to assess the attitudes of mothers about parenting, which predicts the&#13;
potential of child abuse to some extent and can provide a basis of educational interventions&#13;
for mothers to prevent child abuse.</text>
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              <elementText elementTextId="8582">
                <text>Homa Tohidi Noroodi , Leila Mirhadyan , Homa Mosaffa Khomami , Ehsan Kazemnezhad Leili</text>
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                <text>April 2021, Volume 31, Number 2</text>
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              <elementText elementTextId="8584">
                <text>peri irawan</text>
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              <elementText elementTextId="8586">
                <text>english</text>
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        <name>Jurnal Internasional</name>
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        <name>Mothers</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                <elementText elementTextId="8491">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#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="8534">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Gestational Diabetes as a Predictor of Sexual Dysfunction in Pregnant Women </text>
              </elementText>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8535">
                <text>Sexual function, Gestational diabetes, Pregnancy</text>
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                <text>Introduction: Pregnancy is associated with changes in sexual function and perhaps many more&#13;
sexual problems when accompanied by particular disorders such as gestational diabetes.&#13;
Objective: The present study was conducted to investigate factors associated with sexual&#13;
functions in women with gestational diabetes.&#13;
Materials and Methods: The present analytical, cross-sectional study was conducted&#13;
on 300 women with gestational diabetes (150) and low-risk pregnant women (150)&#13;
attending clinics affiliated to Mazandaran University of Medical Sciences in the north&#13;
of Iran in 2019. A multistage cluster random sampling method was used, and samples&#13;
were selected by convenience sampling method. The study data were collected using a&#13;
demographic and obstetrics questionnaire, female sexual distress scale-revised, prenatal&#13;
distress questionnaire, world health organization quality of life questionnaire, depression,&#13;
anxiety, stress questionnaire, and a female sexual function index. Data analysis was done by&#13;
descriptive statistics indicators, the Chi-square test, t-test, and multivariate linear regression.&#13;
Results: The frequency of sexual dysfunction was 87.3% in women with gestational diabetes and&#13;
34.67% in low-risk pregnant women. Compared to women with low-risk-pregnancy, women with&#13;
gestational diabetes reported lower sexual function scores (P=0.001). Women with gestational&#13;
diabetes experience lower quality of life (P&lt;0.05) than low-risk pregnant women. Besides, women&#13;
with gestational diabetes experience higher levels of stress (P=0.001), more prenatal concerns&#13;
(P=0.014), and higher sexual distress (P&lt;0.05). The linear regression test showed that gestational&#13;
diabetes in pregnant women predicts a significant reduction in sexual desire (β=-0.599; P= 0.001).&#13;
Conclusion: Gestational diabetes predicts a significant reduction in sexual function during&#13;
pregnancy due to the physical and psychological effects of gestational diabetes. Thus, it is&#13;
recommended that pregnant women with gestational diabetes should be trained and&#13;
counseled about gestational diabetes control and sexual function.</text>
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              <elementText elementTextId="8537">
                <text>Ommolbanin Zare , Masoumeh Simbar , Giti Ozgoli , Adeleh Bahar , Hamid Alavi Majd</text>
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            <description>A point or period of time associated with an event in the lifecycle of the resource</description>
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              <elementText elementTextId="8538">
                <text>April 2021, Volume 31, Number 2</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="8539">
                <text>peri irawan</text>
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            <elementTextContainer>
              <elementText elementTextId="8541">
                <text>english</text>
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              <name>Title</name>
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              <elementTextContainer>
                <elementText elementTextId="8491">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#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="8513">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Explaining the Concept of Re-experiencing Abusive Relationships</text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8514">
                <text>Abusive relationships, Re-experience, Grounded theory</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: Choosing an emotional partner is an important occasion that profoundly affects&#13;
various aspects of life; however, many relationships fail, and people face a vicious cycle of&#13;
unhealthy and harmful relationships.&#13;
Objective: This study aimed to explain the concept of re-experiencing harmful relationships.&#13;
Materials and Methods: This research is a qualitative study done with the Grounded Theory&#13;
(GT) approach done using the purposive sampling method until data saturation. Data&#13;
collection methods included semi-structured interviews, observations, and field notes. In&#13;
this study, 8 victims of harmful relationships and 8 psychologists were interviewed. Each&#13;
interview lasted 25 to 55 minutes and was digitally recorded. Data analysis was performed&#13;
along with data collection by Strauss and Corbin’s constant comparative analysis. Using&#13;
Lincoln and Guba criteria, the accuracy and strength of this research were confirmed.&#13;
Results: The open coding results indicated that 47 concepts could effectively frame the pattern&#13;
of re-experiencing unhealthy relationships. In the axial coding stage, the concepts were&#13;
classified into 8 general categories. Finally, in the selective coding stage, the phenomenon&#13;
of “harmful relationships” was extracted as a significant category. The central coding&#13;
paradigm consisted of 8 key features: perceived violence, psychological symptoms, unhealthy&#13;
relationship strategies, dark personality traits, emotion regulation problems, retention factors,&#13;
family harms, self-breaking behaviors. Each includes subclasses with specific characteristics.&#13;
Conclusion: The results showed that harmful relationships are complex, dynamic, continuous,&#13;
and intervened with the contextual conditions, retention factors, causal conditions, and&#13;
intervening conditions. So it is necessary to develop and present psychological programs and&#13;
interventions based on these problems.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8516">
                <text>Zinat Sadat Mirpour, Mohammad Ali Rahmani,Shohreh Ghorbanshiroodi</text>
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            <elementTextContainer>
              <elementText elementTextId="8517">
                <text>April 2021, Volume 31, Number 2</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="8518">
                <text>peri irawan</text>
              </elementText>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8519">
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            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8520">
                <text>english</text>
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        <name>Abusive relationships</name>
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      <tag tagId="653">
        <name>Grounded theory</name>
      </tag>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
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        <name>Re-experience,</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="8491">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#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="8492">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 31 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Effectiveness of the Education Based on the Theory of Planned Behavior on Childbearing Intention in Single-child Women </text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8494">
                <text>Childbearing, Education, Intention, Single-child women,&#13;
Theory of planned behavior</text>
              </elementText>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="8496">
                <text>Introduction: Rapid decline of the total fertility rate in Iran in recent decades has caused&#13;
serious demographic challenges to the country. One important reason for this decrease is&#13;
single-child behavior adopted by Iranian families.&#13;
Objective: The present study was conducted to assess the effectiveness of education based&#13;
on the Theory of Planned Behavior (TPB) on childbearing intention in single-child women.&#13;
Materials and Methods: This randomized field trial with the pretest-posttest design&#13;
was done on 72 single-child women presenting to health centers in Mashhad City, Iran,&#13;
in the intervention (37 persons) and control (35 persons) groups from August 2019 to&#13;
February 2020. Research tools included a demographic and obstetric questionnaire and&#13;
a researcher-made childbearing intention questionnaire based on TPB. The intervention&#13;
group received three 110-min sessions of education, which was based on TPB. The control&#13;
group received routine health center care. The study data were analyzed by using the&#13;
Kolmogorov-Smirnov, Shapiro-Wilk, Independent t-test, Mann-Whitney U test, repeated&#13;
measures Analysis of Variance (ANOVA), Freidman test, post hoc tests of Bonferroni and&#13;
Dunn, the Spearman rank correlation coefficient, and the Generalized Estimating Equation&#13;
(GEE) model.&#13;
Results: The Mean±SD age of the participants were 32.6±4.7 and 32.9±4.7 years in the&#13;
intervention and control groups, respectively, and most of the women had university-level&#13;
education in both groups. Changes in childbearing intention from the pre-intervention stage&#13;
were significantly higher in the intervention group than the control group immediately&#13;
(P=0.001) and then one month after the intervention (P=0.001). The results of the GEE model&#13;
showed that the childbearing intention was significantly higher in the intervention group&#13;
(β=0.68, 95% CI; 0.449-0.911, P=0.001,), and there was a significant positive relationship&#13;
between attitude and childbearing (β=0.023, 95% CI; 0.013-0.033, P=0.001).&#13;
Conclusion: Education based on the theory of planned behavior increased childbearing&#13;
intention in single-child women in this study, so this educational program is advised for&#13;
promoting childbearing.</text>
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              <elementText elementTextId="8498">
                <text>Yasaman Akbarian Moghaddam, Maryam Moradi , Mohammad Vahedian Shahroodi, Vahid Ghavami</text>
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                <text>April 2021, Volume 31, Number 2</text>
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                <text>peri irawan</text>
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              <elementText elementTextId="8506">
                <text>english</text>
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        <name>Childbearing</name>
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        <name>Single-child women,</name>
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        <name>Theory of planned behavior</name>
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