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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Breast Cancer Screening Behaviors Based on Health Belief Model </text>
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                <text>Screening, Breast cancer, Health belief model, Women</text>
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                <text>Introduction: The incidence and mortality of breast cancer will be reduced by screening.&#13;
Objective: The study aimed to determine breast cancer screening behaviors based on the&#13;
health beliefs model in women living in Mashhad City, Iran.&#13;
Materials and Methods: This analytical cross-sectional study was conducted on 406&#13;
women referring to five health-medical centers in Mashhad from July 2018 to May 2019.&#13;
They were selected by the multistage sampling method. The study data were collected with&#13;
a questionnaire based on health belief model constructs consisting of two parts. The first&#13;
part collects sociodemographic information. The second part is based on constructs of the&#13;
health belief model (perceived susceptibility, perceived barriers, perceived severity, cues to&#13;
action, and self-efficacy). The collected data were analyzed using descriptive and inferential&#13;
statistics (the Smirnov-Kolmogorov, the Pearson correlation, and the Spearman test).&#13;
Results: The Mean±SD age of the participants was 33.5±10.3 years, and perceived severity and&#13;
perceived susceptibility of breast cancer screening behaviors were low and very low in 36.4%&#13;
and 8.1% of the women, respectively. Perceived barriers were high in 70% of women; cues to&#13;
action and self-efficacy were low in 57.4% and 17.2%, respectively. There was a negative and&#13;
significant relationship between perceived barriers and perceived benefits (P=0.001, r=-0.160).&#13;
&#13;
Also, there were significant statistical relationships between preventive behavior with self-&#13;
efficacy (P=0.001, r=0.896) and cues to action (P=0.001, r=0.269). However, the Pearson test&#13;
&#13;
showed a negative and significant relationship between age and self-efficacy (P=0.001, r=-0.231).&#13;
Conclusion: The present study highlights the educational programs for preventing breast&#13;
cancer screening behaviors based on the health belief model. These programs should focus&#13;
on increasing breast self-examination skills and understanding the perceived benefits of&#13;
breast cancer screening behaviors.</text>
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                <text>Fatemeh Ghaffari Sardasht , Morvarid Irani , Khadijeh Mirzaii Najmabadi , Seyedeh Fatemeh Nosrati Hadiababd , Maryam Fasanghari </text>
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                <text>April 2022, Volume 32, Number 2</text>
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                <text>PERI IRAWAN</text>
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        <name>breast cancer</name>
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        <name>Jurnal Internasional</name>
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        <name>screening</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9586">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Effectiveness of Integrated Psychological Counseling With Couple Therapy Approach on Quality of Life of Infertile Women </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
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                <text>Quality of life, Infertility, Counseling, Couple therapy</text>
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                <text>Introduction: Infertility has biological and psychological effects on various aspects of the&#13;
infertile couple’s life.&#13;
Objective: This study aimed to investigate the effectiveness of integrated psychological&#13;
counseling with a couple therapy approach on the quality of life of infertile women.&#13;
Materials and Methods: This clinical trial was conducted on 60 couples (30 couples in the&#13;
intervention and 30 in the control group) referred to Infertility Center in Kerman City, Iran,&#13;
from October to December 2018. They were assigned to intervention and control groups with&#13;
available sampling and block allocation method. The intervention group received six group&#13;
counseling sessions. The subjects completed the Fertility Quality of Life (FertiQoL) questionnaire&#13;
before and after the intervention. It has 24 items specific to infertility that cover four subscales of&#13;
the QoL (emotional, mind-body, relational, and social). Data analysis was conducted by paired t&#13;
test, Chi-square test, and Mann-Whitney test. P values less than 0.05 were considered significant.&#13;
Results: The Mean±SD ages of the participants were 33.25±5.89 and 33.53±5.46 in the&#13;
intervention and control groups, respectively. Results showed significant differences between&#13;
the Mean±SD of the mind-body subscale of the intervention group (88.5±6.39) and that of the&#13;
control group (69±12.24), between the social subscale of the intervention group (78± 6.34)&#13;
compared to that of the control group (60.5±12.27), and between emotional subscale of the&#13;
intervention group (73.75 ±6.71) compared to that of the control group (54.5±12.29) at the&#13;
post-test (P=0.001). However, no significant change was seen in the relational subscale of&#13;
intervention (52.25±6.25) compared to the control group (57.25±12.25) (P=0.060). Results&#13;
showed a significantly higher FertiQoL total score for the intervention group (70.56±6.49)&#13;
compared to the control group (57.76±12.26) at the post-test (P=0.001).&#13;
Conclusion: The results indicated that integrated psychological counseling could improve&#13;
the quality of life among infertile women. Therefore, it can lead to more satisfaction and&#13;
cooperation in infertility treatment.</text>
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="9589">
                <text>Tayebeh Mokhtari Sorkhani, Atefeh Ahmadi , Moghaddameh Mirzaei, Victoria Habibzadeh , Katayoun Alidousti Shahraki</text>
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              <elementText elementTextId="9590">
                <text>April 2022, Volume 32, Number 2</text>
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            <description>An entity responsible for making contributions to the resource</description>
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              <elementText elementTextId="9591">
                <text>PERI IRAWAN</text>
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            <description>A language of the resource</description>
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        <name>Counseling</name>
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        <name>Couple therapy</name>
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      <tag tagId="467">
        <name>infertility</name>
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      <tag tagId="25">
        <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 32 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="9613">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Iranian Nurses' Attitudes and Readiness for Nurse Prescribing: A Cross Sectional Study </text>
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          <element elementId="49">
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            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9614">
                <text>Prescribing, Nurse, Attitude, Readiness, Role</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9616">
                <text>Leili Babaei , Hamidreza Haririan , Azad Rahmani</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="9617">
                <text>April 2022, Volume 32, Number 2</text>
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          <element elementId="37">
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              <elementText elementTextId="9618">
                <text>PERI IRAWAN</text>
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        <name>Attitude</name>
      </tag>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
      </tag>
      <tag tagId="38">
        <name>Nurse</name>
      </tag>
      <tag tagId="804">
        <name>Prescribing</name>
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      <tag tagId="805">
        <name>Readiness</name>
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      <tag tagId="806">
        <name>Role</name>
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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>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 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="9595">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Nurses’ Compliance With Standard Precautions Based on Health Belief Model in Emergency Departments </text>
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            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9596">
                <text>Universal Precaution, Emergency service, Nurse, Health belief model</text>
              </elementText>
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          <element elementId="41">
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            <description>An account of the resource</description>
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                <text>Introduction: Nurses’ compliance with standard precautions is a viable tool for decreasing&#13;
health hazards in health centers.&#13;
Objective: This study aimed to identify factors affecting compliance with Standard&#13;
Precautions (SPs) of infection control based on the Health Belief Model (HBM) among&#13;
emergency department nurses employed in the educational-therapeutic centers affiliated&#13;
with Guilan University Medical Sciences in Rasht City, Iran.&#13;
Materials and Methods: This cross-sectional study included 252 nurses working in the&#13;
emergency departments of hospitals in Rasht City. The study samples were recruited&#13;
using the convenience sampling method from September to October 2020. Nurses&#13;
completed questionnaires, including demographics data, HBM constructs, knowledge,&#13;
and compliance with standard precautions. A hierarchical multiple linear regression&#13;
analysis was used to identify factors related to compliance with SPs.&#13;
Results: The Mean±SD age of the nurses was 32.77±7.05 years, and the majority of them&#13;
were females (88.9%). Their Mean±SD score for compliance with SPs was 63.2±16.0 (out of&#13;
100). The multivariable analysis results showed that the knowledge (β=0.47, 95%CI; 0.30-0.64,&#13;
P=0.001), perceived benefits (β=0.19, 95%CI; 0.03-0.36, P=0.022) and perceived susceptibility&#13;
(β=0.25, 95%CI; 0.13-0.36, P=0.001) constructs of HBM were positively correlated with the&#13;
compliance with SPs. Furthermore, the level of education was significantly related to the&#13;
compliance with SPs (β=9.51, 95%CI; 0.02-18.99, P=0.049). The final model accounted for&#13;
39.8% of the variance in compliance with SPs.&#13;
Conclusion: Results indicated improvement in activity and safety level of the healthcare&#13;
workers and also an increase in the overall level of compliance among nurses through&#13;
education, regular training, and use of encouragement and punishment policies. It is&#13;
suggested to follow the World Health Organization protocols. Also, the support management&#13;
could have a better effect on perceived benefits and cues to action.</text>
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          <element elementId="39">
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            <description>An entity primarily responsible for making the resource</description>
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              <elementText elementTextId="9598">
                <text>Ahdieh Mehravar , Nasrin Mokhtari Lakeh , Abdolhossien Emami Sigaroudi, Saman Maroufizadeh</text>
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                <text>April 2022, Volume 32, Number 2</text>
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                <text>PERI IRAWAN</text>
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        <name>Emergency service,</name>
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      <tag tagId="786">
        <name>Health belief model</name>
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        <name>Jurnal Internasional</name>
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      <tag tagId="38">
        <name>Nurse</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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          <element elementId="50">
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Predictors of Long-term Survival After Cardiopulmonary Resuscitation </text>
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          <element elementId="49">
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                <text>Cardiac arrest, Resuscitation, Guideline, Long-term care, Survival</text>
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                <text>Introduction: Survival after cardiac arrest is one of the most important issues related to the&#13;
safety and quality of patient care, and unexpected events such as failure to follow guidelines&#13;
can endanger the patient’s safety.&#13;
Objective: This study aimed to determine the long-term survival after cardiopulmonary&#13;
resuscitation and its predictors in patients with cardiac arrest.&#13;
Materials and Methods: In this retrospective study, individual, disease-related, and 3-day&#13;
follow-up-related factors were monitored after the Cardiopulmonary Resuscitation (CPR)&#13;
in all patients with long-term survival after Cardiac Arrest (CA) who were discharged from&#13;
the hospital between 2016 and 2019. Patients’ survival or death after CPR was followed&#13;
up by telephone interviews. The patient’s survival time after discharge was calculated&#13;
until the interview day. The obtained data were analyzed by the Kaplan-Meier and Cox&#13;
regression tests.&#13;
Results: Out of 1565 CPR cases (both In-Hospital Cardiac Arrest [IHCA] and Out-of-Hospital&#13;
Cardiac Arrest [OHCA]), 667 were successful, of which 156 patients had long-term survival.&#13;
The Mean±SD of the survival time for patients was 30.98 ±1.78 months. Significant variables&#13;
in associations with long-term survival were old age (&gt;60 y) (HR=1.811, 95%CI;1.019-3.218,&#13;
P=0.043), initial asystole rhythm (HR=4.199, 95%CI;2.129-8.282, P=0.001), Ventricular&#13;
Tachycardia (VT) (HR=2.315, 95%CI;1.171-4.576, P=0.016), connection to mechanical&#13;
ventilator (HR=1.992, 95%CI;1.229-3.229, P=0.005), cardiovascular disease (HR=1.795,&#13;
95%CI;1.111-2.901, P=0.017), and abnormal SpO2 (HR=2.447, 95%CI;1.507-3.972,&#13;
P=0.001). Multivariate analysis also showed that asystole rhythm (P=0.001), VT (P=0.052),&#13;
and prolonged duration of CPR (&gt;20 min) (P=0.043) significantly increase the risk of death.&#13;
Conclusion: The major predictors in this study were age, initial rhythm, connection to a&#13;
mechanical ventilator, CPR duration, cardiovascular disease, and SpO2&#13;
&#13;
monitoring. Therefore,&#13;
introducing post-resuscitation care protocols and conducting training programs and further&#13;
studies are warranted.</text>
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                <text>Parivash Nazarpour , Fatemeh Jafaraghaei , Mohammad Taghi Moghadamnia , Saman Maroufizadeh</text>
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                <text>April 2022, Volume 32, Number 2</text>
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                <text>PERI IRAWAN</text>
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        <name>Long-term care</name>
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      <tag tagId="418">
        <name>resuscitation</name>
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        <name>Survival</name>
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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 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="9631">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-analysis </text>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9632">
                <text>Prevalence, Sexual behavior, Sexual dysfunction, Pregnancy, Meta-analysis</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9633">
                <text>Prevalence, Sexual behavior, Sexual dysfunction, Pregnancy, Meta-analysis</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9634">
                <text>Mina Malary , Mahmood Moosazadeh, Malihe Amerian, Shadi Sabetghadam , Afsaneh Keramat</text>
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              <elementText elementTextId="9635">
                <text>April 2022, Volume 32, Number 2</text>
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            <description>An entity responsible for making contributions to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9636">
                <text>PERI IRAWAN</text>
              </elementText>
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          </element>
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            <name>Format</name>
            <description>The file format, physical medium, or dimensions of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9637">
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            <description>A language of the resource</description>
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              <elementText elementTextId="9638">
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        <name>Jurnal Internasional</name>
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      <tag tagId="398">
        <name>meta-analysis</name>
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      <tag tagId="350">
        <name>pregnancy</name>
      </tag>
      <tag tagId="775">
        <name>sexual behavior</name>
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      <tag tagId="792">
        <name>Sexual dysfunction</name>
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            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="9567">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 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="9622">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Quality of Life and Its Relevant Factors in Menopausal Women  </text>
              </elementText>
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          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9623">
                <text>Menopause, Quality of Life, Women</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: Menopause is an essential part of human life that affects women’s Quality&#13;
of Life (QoL).&#13;
Objective: This study investigated the QoL and some relevant factors in menopausal women.&#13;
Materials and Methods: This cross-sectional study was conducted on 45-60 years old&#13;
menopausal women in 3 areas of Kashan city, Iran in 2018. By cluster sampling method, 236&#13;
participants were included in the study. The study questionnaires consist of demographic&#13;
and obstetric information and Menopausal QoL (MENQoL). The Kolmogorov-Smirnov test,&#13;
t test, the Pearson and Spearman correlation tests, as well as linear regression analysis,&#13;
were used for data analysis.&#13;
Results: The Mean±SD age of the women was 52.65±3.67 years. Also, their Mean±SD for&#13;
elapsed years since menopause was 2.89±1.53, and the Mean±SD for QOL was 31.24±11.47.&#13;
There were no significant correlations between QOL and women’s age, menopausal age,&#13;
and elapsed years since menopause. Based on linear regression analysis, the variables of age&#13;
(B=2.61, 95%CI; 0.46-4.77, P=0.02), menopausal age (B=-2.19, 95%CI; -4.39- -0.01, P=0.049),&#13;
and satisfaction of spouse ((B=-4.90, 95%CI; -8.45- -0.35, P=0.007) remained in the model as&#13;
relegated variables to QoL score (R2&#13;
=11.8%).&#13;
&#13;
Conclusion: Since most women had moderate menopausal QOL score, intervention programs&#13;
to improve the QOL for postmenopausal women is recommended in health centers. Further&#13;
studies are suggested to evaluate the QoL in chronic diseases of postmenopausal women.</text>
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          <element elementId="39">
            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9625">
                <text>Mahboobeh Kafaei Atrian , Saeideh Nasiri , Fatemeh-Sadat Izadi Avanji, Fatemeh Abbaszadeh</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="9626">
                <text>April 2022, Volume 32, 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="9627">
                <text>PERI IRAWAN</text>
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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="9628">
                <text>PDF</text>
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          <element elementId="44">
            <name>Language</name>
            <description>A language of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9629">
                <text>ENGLISH</text>
              </elementText>
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          </element>
          <element elementId="51">
            <name>Type</name>
            <description>The nature or genre of the resource</description>
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              <elementText elementTextId="9630">
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    <tagContainer>
      <tag tagId="25">
        <name>Jurnal Internasional</name>
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      <tag tagId="260">
        <name>Menopause</name>
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      <tag tagId="389">
        <name>quality of life</name>
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      <tag tagId="326">
        <name>Women</name>
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  <item itemId="929" public="1" featured="0">
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          <elementContainer>
            <element elementId="50">
              <name>Title</name>
              <description>A name given to the resource</description>
              <elementTextContainer>
                <elementText elementTextId="9567">
                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 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="9568">
                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
Risk of Falling After Coronary Artery Bypass Grafting Surgery And its Related Factors </text>
              </elementText>
            </elementTextContainer>
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          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9569">
                <text>Fall, Coronary artery bypass grafting surgery, Patient safety</text>
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          <element elementId="41">
            <name>Description</name>
            <description>An account of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="9570">
                <text>Introduction: A fall is a sudden descent on the ground or other lower levels. It is a serious safety threat&#13;
for hospitalized patients. Coronary Artery Bypass Graft (CABG) surgery as an open heart surgery has&#13;
complications such as cardiac arrhythmias and delirium that can increase the risk of fall.&#13;
Objective: This study aims to determine the risk of falls in patients after CABG surgery and investigate&#13;
its associated factors.&#13;
Materials and Methods: This cross-sectional study was conducted on 302 patients undergoing CABG&#13;
surgery in a specialized hospital in Rasht City, Iran, from November 2019 to July 2020. They were selected&#13;
by a sequential sampling method. The data collection instrument included demographic information,&#13;
disease-related factors, surgery-related factors (before, during, after), and the Morse Fall Scale (MFS)&#13;
checklist. The study data were collected after the patient’s surgery and transfer from the intensive&#13;
care unit to the surgical ward. Descriptive statistics, as well as the Kolmogorov Smirnov, Wilcoxon,&#13;
Mann-Whitney U, Kruskal-Wallis, and Spearman correlation, were used to analyze the collected data.&#13;
A rank regression model was used to determine the factors related to the risk of falls in patients.&#13;
Results: The Mean±SD age of participants was 59.35±8.37 years. About 70.53% of the patients were&#13;
male, and 46.03% were overweight (Body Mass Index ranged 25-29.9 kg/m2&#13;
&#13;
). The majority of patients at&#13;
the time of admission to the surgical ward and before surgery (92.72%) had no risk of falls. After surgery&#13;
and transfer to the surgical ward, 82.12% had a low risk of falls. The mean risk of falling was higher in&#13;
patients over 60 years (P&lt;0.05). With decreasing hemoglobin values on the morning of surgery, the risk&#13;
of postoperative fall increased (P=0.046, r=-0.115). The sodium level on the morning of surgery had a&#13;
significant negative correlation (P=0.040, r=-0.118) with the risk of falling, but urea level on the morning&#13;
of surgery had a significant positive correlation (P=0.001, r=0.212) with the risk of falling. Using regression&#13;
model, the results showed that with increasing age (B=0.23, 95%CI; 0.07-0.39, P=0.003), history of high&#13;
blood pressure (B= 3.5, 95%CI; -0.69-0.39, P=0.003), decrease in hemoglobin (B=-5.47, 95%CI; -10.2- -0.6,&#13;
P=0.02), an increase in creatinine (B=17.73, 95%CI; 8.17-27.29, P=0.001) and urea (B=6.09, 95%CI; 2.57-&#13;
9.61, P=0.001) before the surgery, the risk of fall after CABG surgery increases.&#13;
Conclusion: Several factors can increase the risk of falls after CABG surgery. Considering that the risk of falls in&#13;
patients undergoing CABG surgery in most medical centers is examined only at the beginning of admission,&#13;
it is recommended to consider the possibility of postoperative falls based on the predicting variables.</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="9571">
                <text>Maryam Rajabi, Ezzat Paryad , Atefeh Ghanbari Khanghah , Ehsan Kazemnezhad leili</text>
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        <name>Coronary artery bypass grafting surgery</name>
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                  <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
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                <text>JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 2.&#13;
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.&#13;
The Relationship Between Pregnancy Intention, Pregnancy Outcomes, Postpartum Depression, and Maternal Role Adaptation </text>
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                <text>Unplanned pregnancy, Depression, Postpartum, Maternal behavior</text>
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                <text>Introduction: Unplanned pregnancy and its complications are a global problem that affects&#13;
women, families, and the community.&#13;
Objective: This study aimed to assess the relationship between pregnancy intention,&#13;
pregnancy outcomes, postpartum depression, and maternal role adaptation in pregnant&#13;
women referred to healthcare centers of Robat Karim City, Iran.&#13;
Materials and Methods: This cohort study was conducted on 240 pregnant women&#13;
referred to the healthcare centers of Robat Karim in 2019. They were selected by the&#13;
convenience sampling method. After completing the London questionnaire in the 26th&#13;
week of gestation, the participants were equally divided into planned and unplanned&#13;
pregnancy groups. Edinburgh postnatal depression scale and parenting sense of&#13;
competency scale were completed 10 days and 30 days after delivery. The obtained&#13;
data were presented by descriptive statistics and analyzed by the Chi-square and t test&#13;
for comparison between two groups and structural equation model for assessing the&#13;
relationship between variables.&#13;
Results: The Mean±SD values of age, marital duration time, and gravidity number of&#13;
participants were 30±7.1, 1.5±0.02, and 5, respectively. The results revealed a significant&#13;
difference between the two groups concerning the Mean score of postpartum depression&#13;
and maternal competency, 10 and 30 days after delivery (P=0.001). The results of path&#13;
analysis showed that pregnancy intention had a negative and significant effect on postpartum&#13;
depression (B=-0.58, t=-2.5), but a positive and significant impact on maternal competency&#13;
(B=0.39, t=-2). According to the determined amount of variance, the variable of intention to&#13;
pregnancy predicts 33% of postpartum depression (R2&#13;
&#13;
=0.33). Also, two variables of pregnancy&#13;
&#13;
intention and postpartum depression predict 55% of maternal competency (R2&#13;
=0.55).&#13;
Conclusion: Pregnancy intention had a significant effect on maternal depression and competency.&#13;
It is recommended that pregnancy intention be screened during pregnancy, and also appropriate&#13;
training and social support be provided for mothers with unplanned pregnancies.</text>
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                <text>Tamara Shirzad . Mansooreh Yazdkhasti , Mitra Rahimzadeh , Leili Salehi , Sara Esmaelzadeh Saeieh</text>
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                <text>April 2022, Volume 32, Number 2</text>
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        <name>Depression</name>
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