DSpace Collection: 275 - 448

Effectiveness of Mandala Coloring Intervention on Children’s Preoperative Anxiety: A Randomized Clinical Trial Study in Iran

2025-07-17T03:44:18Z

Title: Effectiveness of Mandala Coloring Intervention on Children’s Preoperative Anxiety: A Randomized Clinical Trial Study in Iran Authors: Shahrbabaki, Reihane Moghimian; Omidi, Ali; Shaterian, Negin; Makarem, Zohreh Abstract: Background: Mandala coloring is a distraction strategy to reduce the anxiety in children. However, it has received little attention for the management of anxiety in hospitalized children. This study aimed to examine the effectiveness of mandala coloring on preoperative anxiety in children. Materials and Methods: This randomized controlled trial study was conducted using a pre‑test–post‑test design in two intervention and control groups. The 64 school‑age children, who were admitted to the pediatric surgery ward in Mofid Hospital in Tehran, were allocated to the test and control groups, using a single‑blind block randomized design. Children in the control group underwent routine preoperative visits. Meanwhile, the children in the intervention group, mandala coloring intervention was done at least one hour before entering the operating room for 15–20 minutes. The level of anxiety was measured through the Spielberger State‑Trait Anxiety Inventory, before and after the intervention of both groups. Results were analyzed using t‑test and Pearson correlation. Results: In the intervention group, there was a statistically significant in post‑intervention than the pre‑intervention and the children reported a lower level of anxiety (t = 4.51, df = 31, P = 0.01). But, after the intervention, there was not a statistically significant between the intervention and control groups in terms of average trait (t = 1.31, df = 61.86, P = 0.194) and state anxiety levels (t = ‑0.152, df = 58.94, P = 0.879). Conclusions: The results indicated that likely, mandala coloring intervention was not effective in reducing preoperative anxiety in children. Further studies are needed to more assess the effects of mandala coloring on anxiety of children undergoing surgery

Self‑Reflective Practice, Autoethnography, Storytelling, and Critical Incident Analysis in Exploratory Nursing and Midwifery Research: Facing Social Illnesses and Borderline Personality Disorder

2025-07-17T03:43:48Z

Title: Self‑Reflective Practice, Autoethnography, Storytelling, and Critical Incident Analysis in Exploratory Nursing and Midwifery Research: Facing Social Illnesses and Borderline Personality Disorder Authors: Lazzari, Carlo; Nikolou‑Walker, Elda; Liu, Liang Abstract: Background: Hospitals are experiencing a surge in social admissions, saturating beds required for more severe pathologies. Nurses, midwives, and other health care workers can explore this issue by using self‑reflective practice to research this phenomenon in depth. This study presents primary qualitative research methods in nursing and midwifery to explore novel hospital presentations. Materials and Methods: The study was conducted from February 2023 to January 2024. We describe the theoretical and practical applications of qualitative inquiry, including Kolb’s self‑reflective practice, storytelling, autoethnography, and critical incident analysis, to improve research practice in nursing and generate practice‑based evidence and strategies for policy. Results: We crafted and analyzed four prototypical vignettes of people who typically present with social illnesses, epitomized by borderline personality disorder and its impact. By merging patient stories with nurses’ autoethnographies, we can expand insider views and research tools in qualitative research. Conclusions: Qualitative exploratory analysis provided robust and convincing accounts of how nurses and midwives can face and relate to problematic situations in health care. Nurses can use both patients’ narratives and their own to extract salient points and guidance for understanding, theorizing, changing, and policymaking.

Independence in Daily Activities and Living with Family: Predictors of Gratitude in Elderly with Disability in Indonesia

2025-07-17T03:42:50Z

Title: Independence in Daily Activities and Living with Family: Predictors of Gratitude in Elderly with Disability in Indonesia Authors: Widagdo, The Maria Meiwati; Tjuluku, Novita Eveline; Pudjohartono, Maria Fransiska; Widyaningsih, Bernadeta Dhaniswara Abstract: Background: While aging is associated with health decline leading to disability, gratitude is vital for it has positive impacts on health, both mentally and physically. Being grateful reduces stress, lowers blood pressure, and improves sleep patterns. The study aimed to identify variables associated with gratitude in elderly with disability. Materials and Methods: This research was a descriptive analytical cross‑sectional study. Respondents were people aged 60 years and over with disability. They were recruited using purposive sampling. Data on demography, living arrangements, self‑reported diseases, age at disability onset, disability (assessed using Washington Group Short of Questions on Functioning), independence in daily activities [assessed using Activities of Daily Living and Instrumental Activities of Daily Living (IADL) questionnaires], and gratitude (measured with a questionnaire) were collected from the respondents. Multivariate linear regression analysis with a stepwise method was used to identify variables significantly correlated with gratitude. Results: Fifty‑five older people aged 60–90 years participated in the study. The respondents had mobility, speech, hearing, or speech impairment. The stepwise linear regression showed that IADL and living arrangement explained 40% variance in the gratitude with F = 17.99, p < .001 (R2 =0.40). Independence in instrumental daily activities and living with family were positively associated with gratitude in elderly with disability. Conclusions: Independence in daily activities and living arrangement are significant factors associated with gratitude in elderly with disability. The findings suggest priority be given to those living alone and needing help for daily activities. Exercise to increase gratitude can be incorporated into holistic care of elderly.

Iranian Women’s Experience of Self‑Care in Breast Cancer Prevention: A Qualitative Study

2025-07-17T03:36:41Z

Title: Iranian Women’s Experience of Self‑Care in Breast Cancer Prevention: A Qualitative Study Authors: Savabi-Esfahani1, Mitra; Taleghani, Fariba; Noroozi, Mahnaz; Kianpour, Maryam; Boroumandfar, Zahra; Hashemi, Maryam Sadat Abstract: Background: The mortality rate of breast cancer has increased in women who are referred late in the advanced stages of their disease, while morbidity and mortality from cancer can be reduced through prevention programs, such as self‑care behaviors and early detection. Therefore, more attention should be paid to primary prevention, self‑care, and the role of women in breast cancer prevention. The aim of this study was to describe women’s experiences of self‑care in breast cancer prevention. Materials and Methods: In this descriptive‑exploratory qualitative study, 38 participants, including 23 women who were eligible for breast cancer screening, eight service providers, and seven health policymakers, were selected by purposive sampling. Data were collected through semi‑structured interviews and analyzed using conventional qualitative content analysis. To assess data trustworthiness, Lincoln and Guba’s criteria were used. Results: The results of this study are summarized in one theme, three categories, and eight subcategories. The theme extracted from the data analysis was “the agency of women in self‑care in breast cancer prevention,” which included three main categories: women’s understanding of the concept of self‑care in breast health, subjective challenges in breast cancer prevention, and active management and follow‑up of breast health status. Conclusions: This study provided a new understanding of the experience regarding women’s self‑care in breast cancer prevention. The experiences were in a wide range demanding comprehensive attention. Healthcare authorities/providers can use the findings of this study to develop strategies to support women regarding preventive self‑care for breast cancer.