Quasi-Experimental study of effects of lighting on rest, activity and melatonin in postpartum women

2021 ◽  
Vol 74 (6) ◽  
Author(s):  
Cristina Furtado Volcov ◽  
Eliana Moreira Pinheiro ◽  
Miriam Harumi Tsunemi ◽  
Fernanda Gaspar do Amaral ◽  
Ariane Ferreira Machado Avelar ◽  
...  

ABSTRACT Objectives: to compare the parameters of the activity/rest cycle of early postpartum breastfeeding women under a controlled and uncontrolled long wavelength ray light regimen. Methods: quasi-experimental study with breastfeeding women and their babies during postnatal rooming-in, São Paulo, Brazil. Participants were allocated to either an experimental (intervention) or a comparison group. The intervention involved exposure of the woman in a controlled room with artificial long wavelength ray light at night. Each woman’s level of 6-sulfatoxymelatonin at 24 hours and activity/rest times was analyzed. Results: the mean activity/rest times of women in the experimental and comparison groups were similar. The mean percentages of total load of 6-sulfatoxymelatonin during the day and night were similar (p=0.09). At 24 hours, the experimental group presented a significantly lower mean percentage of total load compared to the comparison group (p=0.04). Conclusions: women who stayed in the room with long-wavelength artificial light showed no difference in activity/rest and 6-sulfatoxymelatonin levels in the early postpartum period.

2020 ◽  
Vol 6 (6) ◽  
pp. 220-225
Author(s):  
Ellen Rosawita Veronica Purba ◽  
Lely Lusmilasari ◽  
Janatin Hastuti

Background: The Indonesian government has launched a clean and healthy living behavior program as one of the efforts for school health promotion. However, the healthy behaviors of the elementary students remain low. Objectives: This study aimed to examine the effect of audiovisual-based education on the knowledge and attitudes of clean and healthy behavior in elementary students.Methods: This was a quasi-experimental study with a pretest-posttest comparison group design conducted from 1 October to 17 October 2018. A total sample of 272 students was selected using purposive sampling, with 136 assigned in an experimental group (audiovisual group) and a comparison group (poster only group). Knowledge and attitudes of clean and healthy living behavior were measured using validated questionnaires. Data were analyzed using a paired t-test and independent t-test.Results: There was a significant effect of the interventions given in the experimental and comparison group on knowledge and attitude of clean and healthy living behavior (p<0.05). However, the experimental group showed a higher mean score compared to the comparison group in knowledge and attitudes, which indicated that the use of audiovisual-based education was more effective than the use of poster alone in improving the knowledge and attitudes of clean and healthy living behavior.Conclusion: The students who received audiovisual-based education had higher knowledge and attitudes of clean and healthy living behavior than those who only received poster-based education. This study provides input for pediatric and community nurses to provide better health education for the community, specifically for school health promotion.


2020 ◽  
pp. 146801732094059
Author(s):  
Areum Han ◽  
Tae Hui Kim

Summary Empathy is an essential attribute required for care providers to provide quality care and effective relationship-based practice. Cognitive empathy is understanding another person’s experiences, concerns, and perspectives, and affective empathy is sharing another person’s emotion. Cognitive empathy was found to be a significant protector to burnout and stress, while affective empathy was found to be a significant contributor to compassion satisfaction among social workers. This quasi-experimental study assessed the effectiveness of two empathy enhancement programs on 105 social workers working with older adults in South Korea. The experimental group (n = 52) received a simulation-based empathy enhancement program along with a brief mindfulness practice session, and the comparison group (n = 53) watched a 30-minute-long educational video about empathy. Data were collected prior to and two weeks after the intervention. Findings The experimental group showed significantly lower levels of psychosocial stress compared to the comparison group. It also showed significantly higher levels of cognitive empathy and significantly lower levels of compassion fatigue at posttest. Furthermore, the comparison group demonstrated significantly higher levels of a unidimensional factor of empathy, compassion satisfaction, and caring efficacy at posttest. Application Pre- and post-test differences, in different outcome measures from the groups, indicate the benefits of each empathy enhancement program on social workers working with older adults. In particular, the present study validates that the simulation-based empathy enhancement program can enhance the cognitive empathy of social workers and reduce burnout and stress. A further randomized controlled trial study is needed to examine the program’s effectiveness with minimal bias and confounding factors.


2018 ◽  
Vol 7 (3) ◽  
pp. 324-330
Author(s):  
Mahsa Askarian ◽  
Iran Jahanbin ◽  
Fatemeh Vizeshfar ◽  
Zahra Yazdanpanahi ◽  
Hamideh Mohseni

Objectives: Osteoporosis is one of the major problems of the healthcare system and is a common debilitating metabolic disease among women. Pender’s health promotion model which is a conceptual framework and describes a wide range of health behavior was selected to assess the behavioral changes in this study. Materials and Methods: A total of 122 women aged between 30 and 45 were selected to take part in this quasi-experimental study. The samples were split into experimental and control groups using the block randomization method (block size of 4). The educational program, based on Pender’s model, was performed weekly. Pender’s questionnaire on preventive behaviors of osteoporosis was filled out before and two months after interventions by both groups. SPSS software version 18.0 was used for data analysis. Results: In terms of qualitative and quantitative data (demographic characteristics), there was no meaningful difference between the two groups (P>0.05). The mean difference (MD) in the score of the perceived benefits and barriers, perceived self-efficacy, programming, competing demand, and their commitment to a plan of actions increased in the experimental group after the intervention (P<0.001). However, there was no significant increase in the mean score of social support in the experimental group after the intervention (P>0.05). Conclusions: It can be assumed that teaching preventive behaviors of osteoporosis through Pender’s health promotion model was effective. Considering the findings, it is obvious that continuing this program can maintain and consolidate the changes which have been made in behaviors.


2022 ◽  
Vol 4 (4) ◽  
pp. 127-131
Author(s):  
Javaid Ahmad Mir ◽  
Nadiya Rashid

A newborn baby has only three demands. They are warmth in the arms of his mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three. While breastfeeding may not seem the right choice for every parent, it is the choice for every baby because it fulfills the physical needs as well as psychotic complementary of the child. The study aimedto find out the association of nipple soreness in experimental group and comparison group in terms of sample characteristics of postnatal mothers. A quasi experimental study was conducted on 70 postnatal mothers, (35 in experimental group and 35 in the comparison group) who breast feeds their babies were selected conveniently. Feeding pattern was assessed by LATCH scale four times in a day followed by the application of hind milk minimum four times in a day for three or four days as per discharge day of mother. The mother was asked to rub hind milk on nipples after feeding the baby and letting it air dry in front of researcher and nipple soreness scale was used to check the sore nipple at third and fifth day or at the day of discharge. Follow up of postnatal mothers was done telephonically by using interview questionnaire on day 15 in both groups. Study findings revealed that on 3rd day, the mean nipple soreness score was higher in comparison group (1.45) than experimental group (0.10) and thus there was significant difference (t value = 3.87) in nipple soreness score.Study concluded that breast milk application was effective in preventing sore nipples among postnatal mothers. Hence, it can be recommended to use breast milk for the prevention of sore nipple.


2021 ◽  
Vol 4 (2) ◽  
pp. 48-53
Author(s):  
Madhumita Sarkar

A quasi experimental study on “effect of learning package on knowledge and practice regarding self-care and child care among women undergoing caesarean section at Bankura Sammilani Medical College and Hospital, Bankura, West Bengal” was conducted to find out the knowledge and practice and its association with selected factors among subjects and also the effect of learning package. Conceptual framework was developed based on Ludwig Von Bertalanffy’s system model. A quasi experimental study design was adopted. Convenience sampling technique was used to select 64 antenatal women. Structured interview schedule and structured knowledge questionnaire were used to collect data. Significant findings on statistical analysis of data were revealed that the mean post-test knowledge score (18.68) and practice score (26.06) of experimental group are higher than the mean post-test knowledge score (7.93) and mean post-test practice score (17.71) of control group with true mean difference in both the cases (“t” values 16.79, 15.18, p=0.05) which concludes that the learning package is effective to improve the knowledge and enhance the practice among the subjects. Educational level was found significant in relation to knowledge and practice scores among experimental group.


2020 ◽  
Vol 17 ◽  
Author(s):  
Arezoo Shayan ◽  
Laya Hemati ◽  
Farzaneh Soltani ◽  
Farideh Kazemi

Background: Lack of sexual knowledge or incorrect sexual information can lead to anxiety and fear of sexual communication and subsequent sexual dysfunction in marrying women. Objective: The purpose of this study was to investigate the impact of sexual cognition counseling on the sexual communication anxiety of women upon marriage. Methods: In this randomized quasi-experimental study 124 women upon marriage with poor sexual knowledge and attitudes, were randomly assigned into two groups of intervention and control group (62 in each group), using four randomized blocking. Data collected by Sexual Knowledge and Attitude (SKAS) and Sexual Communication Anxiety questionnaires. In the experimental group, five counseling sessions were held with the aim of promoting women sexual knowledge and attitude. Control group women did not receive any intervention. Results: The mean scores of sexual knowledge and sexual attitude of women in the experimental group were significantly increased from 30.02 ± 9.09 and 32.34 ± 6.09 to 34.35 ± 10.23 and 34.53 ± 6.92 after intervention respectively (p <0.05). The mean scores of sexual communication anxiety in the intervention group showed a significant decrease from 42.23 ± 10.63 to 40.47 ± 10.94 after the intervention (p <0.05). Conclusions: This study showed that increase of knowledge and improvement of sexual attitude can reduce the sexual communication anxiety of women upon marriage. Designing and implementing the effective interventions with the purpose of promoting the sexual knowledge in women and amending the false attitudes and beliefs may take some effective steps to protect and promote the sexual health in women, then the couples. This research was registered in Iranian Registry of Clinical Trials (IRCT20120215009014N238).


SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402091950
Author(s):  
Soheil Rahimi ◽  
Moussa Ahmadian ◽  
Majid Amerian ◽  
Hamid Reza Dowlatabadi

This study investigated the effects of input flood tasks, as focused tasks, and Jigsaw tasks, as unfocused tasks, on promoting Iranian English as Foreign Language (EFL) learners’ recognition of regular past tense /-ed/ in terms of accuracy and durability. Accordingly, using a quasi-experimental study, two intact university classes including 62 participants were randomly designated to experimental and comparison groups. The participants were homogenized regarding their language and grammar proficiency levels. The experimental group was instructed through input flood tasks and the comparison group through Jigsaw tasks. Analysis of covariance (ANCOVA) analysis showed that although both groups’ mean accuracy scores were improved on the immediate posttest, the experimental group outscored the comparison group. However, the results of the delayed posttest demonstrated that whereas the comparison group maintained their accuracy level over time, the experimental group’s accuracy mean score dropped. It can be postulated that input flood tasks may promote learners’ recognition accuracy of second language forms immediately, but this effect may gradually diminish. Hence, it can be tentatively concluded that Jigsaw tasks result in more durable gains than input flood tasks. The findings imply that when the goal of grammar instruction is to achieve durable effects, unfocused tasks should be integrated with focused tasks in the syllabus.


2020 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to acquiring tuberculosis (TB) because they are in the frontline of patient care. There is inadequate implementation of cost-effective TB infection control (TBIC) measures in most health facilities. Training has been shown to be effective in improving the knowledge and work practices of nurses. This study sought to utilize a multi-method educational intervention to improve the TBIC-related knowledge and practices of nurses in two secondary health facilities in Ibadan, South-West Nigeria.Methods: This quasi-experimental study involved 200 nurses (100 each in the intervention and comparison groups). Baseline data were collected in May 2014. This was followed by training of the nurses in the intervention group. After 6 months, the second wave of data was collected and the nurses in the comparison group also received the training thereafter. The final wave of data collection took place 12 months after the commencement of the study. The mean scores of the nurses were determined and comparison was made between both groups at different time points using independent t-test.Results: The nurses in both groups were statistically comparable in their socio-demographic characteristics, and baseline mean knowledge (68.6 and 67.7%) and practice scores (79.1 and 80.6%) respectively. After the intervention group received the intervention, there were appreciable improvements in the scores at 6 months (knowledge – 85.9%, practice – 98.5%), which were significantly different from those of the comparison group (knowledge – 69.5%, practice – 78.8%). A large effect size was demonstrated in the improvement in knowledge score in the intervention group at 6 months compared with the other group (Cohen’s d η 2 {\displaystyle \eta ^{2}} = 1.7). Similarly, there were improvements in the scores of the nurses in the comparison group at 12 months after the group had also received the intervention (knowledge – 88.2%, practice – 93.5%). At this point, the mean scores between both groups were no longer significantly different. Conclusions: The improvement in post-intervention scores implies that the educational intervention adopted for this study was effective in improving TBIC among the nurses. It also underscores the importance of continuous training/retraining of nurses and other healthcare workers in improving and sustaining TBIC at health facilities.


2020 ◽  
Author(s):  
Patrick Aboh Akande

Abstract Background: Nurses are particularly vulnerable to acquiring tuberculosis (TB) because they are in the frontline of patient care. There is inadequate implementation of cost-effective TB infection control (TBIC) measures in most health facilities. Training has been shown to be effective in improving the knowledge and work practices of nurses. This study sought to utilize a multi-method educational intervention to improve the TBIC-related knowledge and practices of nurses in two secondary health facilities in Ibadan, South-West Nigeria. Methods: This quasi-experimental study involved 200 nurses (100 each in the intervention and comparison groups). Baseline data were collected in May 2014. This was followed by training of the nurses in the intervention group. After 6 months, the second wave of data was collected and the nurses in the comparison group also received the training thereafter. The final wave of data collection took place 12 months after the commencement of the study. The mean scores of the nurses were determined and comparison was made between both groups at different time points using independent t -test. Results: The nurses in both groups were statistically comparable in their socio-demographic characteristics, and baseline mean knowledge (68.6% and 67.7%) and practice scores (79.1% and 80.6%) respectively. After the intervention group received the intervention, there were appreciable improvements in the scores at 6 months (knowledge-85.9%; practice-98.5%), which were significantly different from those of the comparison group (knowledge-69.5%, practice-78.8%). A large effect size was demonstrated in the improvement in knowledge score in the intervention group at 6 months compared with the other group (Cohen’s d = 1.7). Similarly, there were improvements in the scores of the nurses in the comparison group at 12 months after the group had also received the intervention (knowledge-88.2%, practice-93.5%). At this point, the mean scores between both groups were no longer significantly different. Conclusions: The improvement in post-intervention scores implies that the educational intervention adopted for this study was effective in improving TBIC among the nurses. It also underscores the importance of continuous training/retraining of nurses and other healthcare workers in improving and sustaining TBIC at health facilities.


2005 ◽  
Vol 20 (2) ◽  
pp. 121-128 ◽  
Author(s):  
M. Nordentoft ◽  
J. Branner ◽  
K. Drejer ◽  
B. Mejsholm ◽  
H. Hansen ◽  
...  

AbstractBackgroundIn the 1980s, suicide rates in Denmark were among the highest in the world. In 1992, a Suicide Prevention Centre was opened in Copenhagen with a 2-week programme of social and psychological treatment. The aim of the study was to evaluate the effect of the Suicide Prevention Centre.MethodsIn a quasi-experimental study, 362 patients in the Suicide Prevention Centre and a parallel comparison group of 39 patients were interviewed with European Parasuicide Study Interviewer Schedule I (EPSIS I), which is a comprehensive interview including several validated scales. All patients were invited to follow-up interviews with EPSIS II and followed in the National Patients Register and the Cause of Death Register.ResultsAt the 1-year follow-up, 59% of patients in the intervention group and 53% of patients in the comparison groups were interviewed with EPSIS II. The intervention group obtained a significantly greater improvement in Beck’s Depression Inventory, Hopelessness Scale, Rosenberg’s Self-Esteem Scale and CAGE-score and a significantly lower repetition rate.DiscussionsAlthough the design cannot exclude selection bias, it seems likely that the improvement in the intervention group was facilitated by the treatment.


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