The predictive role of intimate partner violence in treatment adherence among women with chronic illness: A cross-sectional study.

OBJECTIVE: This study was an attempt to shed light on the predictive role of intimate partner violence in adhering to treatment regimens in women with chronic illnesses. METHOD: In a descriptive-analytical study, 400women with chronic illnesses in Bushehr were selected through convenience sampling. The data were collected by distributing a demographic information form and two questionnaires, including the intimate partner violence (IPV) questionnaire and the treatment adherence scale. RESULTS: According to the results, the 40 to 59 years age group (P = 0.046, ß = 0.104), the 60 to 79 years age group (P = 0.019, ß = 0.122), and the group receiving education about chronic illness (P = 0.031, ß = 0.106) showed a direct relationship with treatment adherence, while IPV (P < 0.001, ß = 0.284) had a significant inverse relationship with treatment adherence. CONCLUSION: The results of the study showed that predictors of treatment adherence are IPV in women aged 40 and older with chronic illnesses, and receiving education about chronic illnesses. It is necessary for healthcare providers to consider barriers such as intimate partner violence when providing education in order to increase treatment adherence. To avoid nonadherence, managers and health planners should implement policies to increase the level of awareness of healthcare staff on how to manage care of women with chronic illnesses who are abused by an intimate partner and refer them to counselors and family helpers.

Examining the impact of time management and resilience training on work-family conflict among Iranian female nurses: a randomized controlled trial.

BACKGROUND: Female nurses confronting work-family conflict may endure adverse consequences for themselves and their families, leading to a decline in job performance and intentions to quit. Investigating the effects of interventions based on factors contributing to work-family conflict can aid in identifying optimal strategies for conflict reduction and mitigating its negative repercussions. This study aimed to examine the impact of time management and resilience training on work-family conflict among Iranian female Nurses in 2022. METHODS: In this randomized controlled trial employing pre, post, and follow-up measures, 132 female nurses employed in the hospitals of Bushehr University of Medical Sciences (Bushehr, Iran) were selected and subsequently categorized into three groups-time management, resilience training, and control groups-using simple random sampling method. 10 online training sessions were conducted for each intervention group. A demographic form and a work-family conflict questionnaire were used for data collection. Repeated measures ANOVA, one-way ANOVA and multivariate general linear model were used to examine the hypotheses. RESULTS: Regarding total work-family conflict, posttest mean scores were significantly lower than the pretest in both time management (p < 0.001) and resilience (p < 0.001) training groups, but follow-up mean scores were significantly higher than posttests in both time management (p < 0.001) and resilience (p < 0.001) training groups. In the control group, the mean scores at three time points were not statistically different (P = 0.058). The post-test mean score of work-family conflict was comparable in the two intervention groups (P > 0.05) and lower than the control group (P < 0.001) The follow-up mean score was comparable in the two intervention groups (P > 0.05) and lower than the control group (P < 0.001). CONCLUSION: Time management and resilience training effectively reduced the work-family conflict experienced by female nurses. Therefore, it is recommended that training programs such as time management and resilience training be incorporated into the ongoing education of nurses to alleviate their work-family conflict. Considering the diminishing impact of these interventions over time, training should be reiterated based on the evolving needs of the nurses. TRIAL REGISTRATION: Number (IRCT20190122042453N2),01/27/2022.

Investigating the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease: A cross-sectional study from Iran.

INTRODUCTION: Despite the effect of coronary artery disease on sexual function and the relation between sexual function and marital satisfaction, few studies have investigated the effect of treatment adherence on marital satisfaction. The present study aims to investigate the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease. METHODOLOGY: In this cross-sectional study, 385 women with coronary artery disease in Bushehr-Iran, 2021, were selected using a convenient sampling method. The data were collected using the demographic form, Seyed Fatemi medication adherence scale, female sexual function index, and evaluation and nurturing relationship issues, communication, and happiness marital satisfaction scale. The data was analyzed using univariate and multivariate logistic regression tests. RESULTS: The mean (± standard deviation) age of the participants was 52.19 ± 12.15 years old. Considering the effect of demographic variables, treatment adherence (ß = 0.164, P = 0.001) and sexual function (ß = 0.156, P = 0.001) were positive predictors of marital satisfaction. CONCLUSION: Treatment adherence was a positive predictor of marital satisfaction. Healthcare providers should pay attention to the family consequences of non-adherence to treatment. Moreover, when counseling patients to adhere to the treatment, they should mention the physical benefits as well as psychological and family outcomes in order to motivate patients to follow their treatment.

Evaluation of validation characteristics of comprehensive midwifery examination checklists to evaluate the clinical skills of midwifery students: A methodological study.

BACKGROUND: Due to the high percentage of need for clinical techniques in the field of midwifery, evaluation of clinical skills of graduates is necessary. OBJECTIVE: The aim of this study was to investigate the validation characteristics of comprehensive examination checklists in midwifery students. DESIGN: The present study was a methodological study in which seven checklists related to important midwifery skills were entered into the psychometric process. SETTING: The study was conducted in the School of Nursing and Midwifery and the Persian Gulf martyrs and Salman Farsi Hospitals, Nabi-e-Akram comprehensive health center in Bushehr city. PARTICIPANTS: Quantitative face validity was performed by examining the item impact score based on the opinions of 10 midwifery graduates. Quantitative content validity was performed by examining the content validity ratio and index based on the opinions of 12 experts. For structural validity as well as reliability assessment, checklists were used for 78 midwifery students who had completed their studies and were about to graduate. To determine the convergent validity, the correlation of the score of each checklist with the mean score of the similar fields of each skill was measured. Divergent validity was assessed by measuring the correlation between the score of each checklist and the score of other checklists and comparing it with the internal consistency of each checklist. Internal consistency and agreement between evaluators were used to assess reliability. Data were analyzed using SPSS19. RESULTS: Content validity index and content validity ratio for each item were more than 0.79 and 0.67, respectively. There was a significant correlation between the score of each skill and the mean score of similar fields of that skill (P < 0.05). CONCLUSION: According to the results, it can be concluded that comprehensive midwifery student evaluation checklists are a valid and reliable tool.

Pregnancy; an opportunity to return to a healthy lifestyle: a qualitative study.

BACKGROUND: The lifestyle of the mother during pregnancy can affectthe health of their baby. Since lifestyle change is a sociocultural act and the motivations associated with lifestyle patterns during pregnancy cannot be explained in quantitative studies, a comprehensive study of the lifestyle during pregnancy and factors influencing its patterns was needed to investigate it from different aspects. Thus, the present study aimed to explore 'mothers' perceptions and experiences about lifestyle patterns during and after pregnancy and the reasons for adopting these lifestyles. METHODS: The present study, conducted on 20 pregnant or postpartum women living in Bushehr, Iran, has used a conventional content analysis approach. The purposeful sampling method was used with maximum diversity and continued until data saturation. data were collected through face-to-face, in-depth, semi-structured interviews. Informed consent was obtained from all participants, and assuringthe confidentiality of their information. MAXQDA 10 software was used to analyze the data. RESULTS: Four main themes were defined after data analysis; "Being a mother as motivation for adopting a new healthy lifestyle"; "Access to information from media and supports from physicians as facilitators of adopting healthy lifestyle"; "Aspects of lifestyle modifications" and "Durability of healthy lifestyles". When women become pregnant, they feel a responsibility tohave a healthy pregnancy. They care about their fetuses more than themselves, which motivated them to look for the best lifestyle. In this way, access information from mass media and recommendations from professionals (physicians, midwives, and other health care providers) were helpful factors to have a healthy lifestyle, leading to modifying physical, mental, and religious aspects of lifestyle. However, despite reminding the advantages of a healthy lifestyle, these changesshift to a pre-pregnancy lifestyle due to the cessation of support and care provided during pregnancy. CONCLUSION: The study results showed that pregnant women should be motivated to modify their lifestyle andadopt healthy lifestyles. Pregnant women seek to modify their lifestyle because of motherhood responsibility and and having a healthy baby. Access to information and supports from various sources promote a mother's inner decision to change, leading to modifying different aspects of life. However, these modifications often shift to the pre-pregnancy lifestyle due to cessation of supports and care, despite reminding the benefits of the lifestyle change. Health care providers should consider supportive measures during pregnancy and postpartum.