14 research outputs found

    The effect of different positions during non-stress test on maternal hemodynamic parameters, satisfaction, and fetal cardiotocographic patterns

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    Maternal position is one of the most important factors to be considered during Non-Stress Test (NST). It should be a part of practice guidelines, where the appropriate maternal position reduces test-related errors and false-positive results. This study aimed to investigate the effect of different maternal positions during NST on maternal hemodynamic parameters, satisfaction, and fetal Cardiotocographic (CTG) pattern. A quasi-experimental research design was conducted at NST clinic, outpatient department/ Maternal and Children hospital at Najran city, Saudi Arabia. The study comprised a convenience sample of 118 low-risk pregnant women in their third trimester of pregnancy. Data was collected from January to June 2020. All women were assessed in the three different positions; supine, left lateral, and semi-fowler position concerning CTG pattern, maternal hemodynamic parameters, and satisfaction. The study results indicated a higher Fetal Heart Rate (FHR), increased accelerations, and fetal movement in the left lateral position, followed by a semi-fowler position compared to the supine position with statistically significant differences. No statistically significant differences (P>0.05) were observed regarding FHR variability and NST reactivity in the three positions. In addition, there were statistically significant differences (P<0.05) between the different maternal positions regarding maternal heart rate, systolic Blood pressure (BP), diastolic BP, and maternal satisfaction. The current study concluded that left lateral and semi-fowler positions were associated with a more favorable CTG pattern, maternal hemodynamic parameters, and satisfaction than the supine position. Left lateral and semi-fowler positions during the NST test should be standardized to reduce practical variations among health care providers, which, in turn, may reduce the need for unnecessary, expensive, and even hazardous interventions. La position de la mère est l'un des facteurs les plus importants à prendre en compte lors du test sans stress (NST). Cela devrait faire partie des directives de pratique, où la position maternelle appropriée réduit les erreurs liées aux tests et les résultats faussement positifs. Cette étude visait à étudier l'effet de différentes positions maternelles pendant le NST sur les paramètres hémodynamiques maternels, la satisfaction et le schéma cardiotocographique fœtal (CTG). Une conception de recherche quasi-expérimentale a été menée à la clinique du NST, au service de consultation externe / à l'hôpital maternel et infantile de la ville de Najran, en Arabie saoudite. L'étude comprenait un échantillon de convenance de 118 femmes enceintes à faible risque dans leur troisième trimestre de grossesse. Les données ont été recueillies de janvier à juin 2020. Toutes les femmes ont été évaluées dans les trois postes différents; position couchée, latérale gauche et semi-fowler concernant le schéma CTG, les paramètres hémodynamiques maternels et la satisfaction. Les résultats de l'étude ont indiqué une fréquence cardiaque fœtale (FCF) plus élevée, des accélérations accrues et des mouvements fœtaux en position latérale gauche, suivis d'une position semi-fowler par rapport à la position couchée avec des différences statistiquement significatives. Aucune différence statistiquement significative (P> 0,05) n'a été observée concernant la variabilité FHR et la réactivité du NST dans les trois positions. De plus, il y avait des différences statistiquement significatives (P <0,05) entre les différentes positions maternelles concernant la fréquence cardiaque maternelle, la tension artérielle systolique (TA), la TA diastolique et la satisfaction maternelle. L'étude actuelle a conclu que les positions latérales gauches et semi-fowler étaient associées à un modèle CTG plus favorable, des paramètres hémodynamiques maternels et une satisfaction que la position couchée. Les positions latérales gauche et semi-fowler pendant le test NST doivent être standardisées pour réduire les variations pratiques entre les prestataires de soins de santé, ce qui, à son tour, peut réduire le besoin d'interventions inutiles, coûteuses et même dangereuses

    COVID-19 Outbreak: Effect of an Educational Intervention Based on Health Belief Model on Nursing Students' Awareness and Health Beliefs at Najran University, Kingdom of Saudi Arabia

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    This study aimed to investigate the effect of an educational intervention based on the health belief model (HBM) about COVID-19 on nursing  students' awareness and health beliefs. A true-experimental research design was conducted at nursing college, Najran University, KSA. A  comprehensive sampling was followed to include all female students at the colleges (164 students). The sample was divided randomly into  intervention (82) and control group (82). The educational intervention was designed and conducted based on the HBM through four sequential phases: assessment, planning, implementation, and evaluation. The current study results indicated no statistically significant differences between intervention and control groups concerning their demographic characteristic, awareness, and health beliefs before intervention. After intervention, significant differences (p< 0.05) were observed between intervention and control groups in their awareness and all HBM constructs regarding COVID19. There were positive, statistically significant correlations (P< 0.05) between participants' total HBM score and their total awareness score. This study concluded that HBM is effective in increasing nursing students' awareness regarding COVID-19. It also increases their perceived  susceptibility, severity, and benefits. Besides, it may increase their self-efficacy to overcome perceived barriers to practice protective and preventive actions while dealing with COVID-19. Keywords: Awareness, COVID-19, Health belief model, Nursing students, Saudi Arabia   Cette Ă©tude visait Ă  Ă©tudier l'effet d'une intervention Ă©ducative basĂ©e sur le modèle de croyance en santĂ© (HBM) Ă  propos du COVID-19 sur la sensibilisation des Ă©tudiants en soins infirmiers et leurs croyances en matière de santĂ©. Une conception de recherche vĂ©ritablement expĂ©rimentale a Ă©tĂ© menĂ©e au collège d'infirmières de l'UniversitĂ© de Najran, en Arabie Saoudite. Un Ă©chantillonnage complet a Ă©tĂ© suivi pour inclure toutes les Ă©tudiantes des collèges (164 Ă©tudiantes). L'Ă©chantillon a Ă©tĂ© divisĂ© au hasard en groupe d'intervention (82) et groupe tĂ©moin (82). L'intervention Ă©ducative a Ă©tĂ© conçue et menĂ©e sur la base du HBM Ă  travers quatre phases sĂ©quentielles: Ă©valuation, planification, mise en oeuvre et Ă©valuation. Les rĂ©sultats de l'Ă©tude actuelle n'ont indiquĂ© aucune diffĂ©rence statistiquement significative entre les groupes d'intervention et de contrĂ´le concernant leurs caractĂ©ristiques dĂ©mographiques, leur sensibilisation et leurs croyances en matière de santĂ© avant l'intervention. Aprèsl'intervention, des  diffĂ©rences significatives (p <0,05) ont Ă©tĂ© observĂ©es entre les groupes d'intervention et de contrĂ´le dans leur connaissance et tutes les constructions HBM concernant COVID19. Il y avait des corrĂ©lations positives et statistiquement significatives (P <0,05) entre le score HBM total des participants et leur score total de sensibilisation. Cette Ă©tude a conclu que HBM est efficace pour sensibiliser les Ă©tudiants en sciences infirmières au COVID-19. Cela augmente Ă©galement leur sensibilitĂ©, leur gravitĂ© et leurs avantages perçus. En outre, cela peut augmenter leur efficacitĂ© personnelle pour surmonter les obstacles perçus Ă  la pratique d'actions de protection et de prĂ©vention tout en traitant le COVID-19. Mots-clĂ©s: Sensibilisation, COVID-19, modèle de croyance en matière de santĂ©, Ă©tudiants en sciences infirmières, Arabie saoudit

    Empowering deaf and hard hearing females toward premarital counseling and genetic screening: An educational intervention based on empowerment model

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    Hearing loss affects many people worldwide, and it hinders speech, language, and social development. Consanguineous marriageis the most prevalent social custom that leads to an increased prevalence of congenital anomalies. Premarital Counseling andGenetic Screening (PMSGC) educational program is urgently needed to empower deaf and hard hearing girls. This study aimed toinvestigate the effect of educational intervention based on the empowerment model on deaf and hard hearing females' self-efficacy,knowledge, and attitude toward PMSGC. A Quasi-experimental research design was conducted on 64 deaf and hard hearing femalestudents. The data collection instrument comprised four parts: basic data and personal/family history, PMSGC quiz, Likert attitudescale, and general self-efficacy scale. Data were collected from September to December 2020. The empowerment educational intervention was conducted in four sequential phases; needs assessment, planning, implementation, and evaluation. The intervention addressed the students' knowledge, attitudes and self-efficacy. The results showed that 76.6% of the study participants had consanguineous marriage between their parents, 64.1% had a history of hereditary deafness in first-degree relatives. There were statistically significant differences between the total knowledge, attitude, and self-efficacy before and after intervention (p<0.001). In detail, 76.6% of the participants had good knowledge after the intervention compared to only 12.5% before it. Besides, 81.3% of the study participants had a positive attitude toward PMSGC before the intervention compared to 95.3% after it. Selfefficacy was low (25.0%) or moderate (75%) before the intervention compared to moderate (45.3%) or high (42.2%) after the intervention. Educational intervention based on the empowerment model significantly increased the deaf and hard hearing population's self-efficacy,  knowledge, and attitude toward PMSGC. The use of the empowerment model in health education should be encouraged and taught to the medical and paramedical students. Keywords: Attitude, knowledge, self-efficacy, empowerment model, deaf and hard hearing females, premarital counseling, genetic screening   La perte auditive affecte de nombreuses personnes dans le monde et entrave la parole, le langage et le dĂ©veloppement social. Lemariage consanguin est la coutume sociale la plus rĂ©pandue qui conduit Ă  une prĂ©valence accrue d'anomalies congĂ©nitales. Unprogramme Ă©ducatif de conseil et de dĂ©pistage gĂ©nĂ©tique prĂ©nuptial (PMSGC) est nĂ©cessaire de toute urgence pour autonomiserles filles sourdes et malentendantes. Cette Ă©tude visait Ă  Ă©tudier l'effet d'une intervention Ă©ducative basĂ©e sur le modèle d'autonomisation sur l'auto-efficacitĂ©, les connaissances et l'attitude des femmes sourdes et malentendantes Ă  l'Ă©gard de PMSGC.Un plan de recherche quasi expĂ©rimental a Ă©tĂ© menĂ© sur 64 Ă©tudiantes sourdes et malentendantes. L'instrument de collecte dedonnĂ©es comprenait quatre parties: les donnĂ©es de base et les antĂ©cĂ©dents personnels / familiaux, le questionnaire PMSGC, l'Ă©chelled'attitude de Likert et l'Ă©chelle d'auto-efficacitĂ© gĂ©nĂ©rale. Les donnĂ©es ont Ă©tĂ© collectĂ©es de septembre Ă  dĂ©cembre 2020. L'intervention Ă©ducative d'autonomisation s'est dĂ©roulĂ©e en quatre phases sĂ©quentielles; Ă©valuation des besoins, planification, miseen Ĺ“uvre et Ă©valuation. L'intervention a portĂ© sur les connaissances, les attitudes et l'auto-efficacitĂ© des Ă©lèves. Les rĂ©sultats ontmontrĂ© que 76,6% des participants Ă  l'Ă©tude avaient un mariage consanguin entre leurs parents, 64,1% avaient des antĂ©cĂ©dents desurditĂ© hĂ©rĂ©ditaire chez des parents au premier degrĂ©. Il y avait des diffĂ©rences statistiquement significatives entre les connaissances totales, l'attitude et l'auto-efficacitĂ© avant et après l'intervention (p <0,001). Dans le dĂ©tail, 76,6% des participants avaient de bonnesconnaissances après l'intervention contre seulement 12,5% avant celle-ci. En outre, 81,3% des participants Ă  l'Ă©tude avaient uneattitude positive envers PMSGC avant l'intervention, contre 95,3% après. L'auto-efficacitĂ© Ă©tait faible (25,0%) ou modĂ©rĂ©e (75%)avant l'intervention par rapport Ă  modĂ©rĂ©e (45,3%) ou Ă©levĂ©e (42,2%) après l'intervention. L'intervention Ă©ducative basĂ©e sur lemodèle d'autonomisation a considĂ©rablement augmentĂ© l'auto-efficacitĂ©, les connaissances et l'attitude de la population sourde etmalentendante Ă  l'Ă©gard de l'EMSP. L'utilisation du modèle d'autonomisation dans l'Ă©ducation sanitaire devrait ĂŞtre encouragĂ©e etenseignĂ©e aux Ă©tudiants en mĂ©decine et paramĂ©dical. Mots-clĂ©s: Attitude, connaissances, auto-efficacitĂ©, modèle d'autonomisation, femmes sourdes et malentendantes, counseling prĂ©nuptial, dĂ©pistage gĂ©nĂ©tiqu

    The role of self-esteem and self-efficacy in women empowerment in the Kingdom of Saudi Arabia: A cross-sectional study

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    The study aimed to explore the role of self-esteem and self-efficacy in women empowerment among academic and administrative staff at Saudi universities. A cross-sectional design was carried out at 15 governmental universities. A  multistage cluster sampling technique was used to select 5587 participants. Multiple linear regression was used to analyze the predictive relation. Data collection included socio-demographic variables, Rosenberg self-esteem scale, general self-efficacy scale, and women empowerment scale. The results indicated that study participants' self-esteem was equally distributed between moderate (49.8%) and high (50.2%). Also, 66.9% of the participants had high self-efficacy, and 86.8% had high total women's empowerment. Regression coefficient showed that self-esteem (B=0.521, b=0.127, t=13.785 and p<0.001) and self-efficacy (B=2.388, b=0.702, t=76.049 and p<0.001) are important predictors of the total women empowerment. However, self-efficacy was observed to be the most dominant predictor (t=76.049). The total model summary shows that 73.4% of the women empowerment level can be predicted through self-esteem and self-efficacy. The study results can be used as a base to build women empowerment programs in the Kingdom of Saudi Arabia (KSA) and help to achieve the 2030 KSA vision regarding women empowerment. Keywords: Self-esteem, self-efficacy, women empowerment, 2030 KSA vision L'Ă©tude visait Ă  explorer le rĂ´le de l'estime de soi et de l'efficacitĂ© personnelle dans l'autonomisation des femmes parmi le personnelacadĂ©mique et administratif des universitĂ©s saoudiennes. Une conception transversale a Ă©tĂ© rĂ©alisĂ©e dans 15 universitĂ©s gouvernementales. Une technique d'Ă©chantillonnage en grappes Ă  plusieurs degrĂ©s a Ă©tĂ© utilisĂ©e pour sĂ©lectionner 5587 participants.Une rĂ©gression linĂ©aire multiple a Ă©tĂ© utilisĂ©e pour analyser la relation prĂ©dictive. La collecte de donnĂ©es comprenait des variablessociodĂ©mographiques, une Ă©chelle d'estime de soi de Rosenberg, une Ă©chelle d'auto-efficacitĂ© gĂ©nĂ©rale et une Ă©chelle d'autonomisation des femmes. Les rĂ©sultats ont indiquĂ© que l'estime de soi des participants Ă  l'Ă©tude Ă©tait Ă©galement rĂ©partie entremodĂ©rĂ©e (49,8%) et Ă©levĂ©e (50,2%). En outre, 66,9% des participants avaient une auto-efficacitĂ© Ă©levĂ©e et 86,8% avaient une forteautonomisation totale des femmes. Le coefficient de rĂ©gression a montrĂ© que l'estime de soi (B = 0,521, b = 0,127, t = 13,785 et p<0,001) et l'auto-efficacitĂ© (B = 2,388, b = 0,702, t = 76,049 et p <0,001) sont des prĂ©dicteurs importants du l'autonomisation totaledes femmes. Cependant, l'auto-efficacitĂ© a Ă©tĂ© observĂ©e comme le prĂ©dicteur le plus dominant (t = 76,049). Le rĂ©sumĂ© total dumodèle montre que 73,4% du niveau d'autonomisation des femmes peut ĂŞtre prĂ©dit grâce Ă  l'estime de soi et Ă  l'auto-efficacitĂ©. LesrĂ©sultats de l'Ă©tude peuvent ĂŞtre utilisĂ©s comme base pour Ă©laborer des programmes d'autonomisation des femmes dans le Royaumed'Arabie saoudite (KSA) et aider Ă  rĂ©aliser la vision 2030 de la KSA concernant l'autonomisation des femmes. Mots-clĂ©s: Estime de soi, efficacitĂ© personnelle, autonomisation des femmes, vision 2030 KS

    Perceived and real barriers to workplace empowerment among women at Saudi universities: A cross-sectional study

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    Academic women in the Arab world, especially Saudi women, have numerous barriers inhibiting their leadership power at the workplace. The current study explores the perceived and real barriers to workplace empowerment among women at Saudi universities. A descriptive cross-sectional study was carried out at 15 Saudi governmental universities. A multistage cluster sampling technique was followed to select (5587 participants) The data collection started from the beginning of April to the beginning of September 2020. SPSS 23.0 was used to analyze data using descriptive statistics. Multiple linear regression was used to identify the real barriers to women empowerment at the workplace. The study showed that 52.1% of the study participants had moderate workplace empowerment, and only 10.2% have a low level. Regarding perceived barriers to workplace empowerment, 42.6% of the participants agree that male dominance was a barrier. Moreover, 36.2% of the participants agreed and strongly agree that the customs and traditions are a barrier to women empowerment at the workplace. Multiple linear regression showed that age, followed by years of experience (p<0.000), were the most significant demographic predictors of women empowerment at the workplace. Moreover, positive attitude, high self-esteem, and good knowledge (p<0.000) were considered other variables that positively predict women's empowerment at the workplace. The experience of gender-based violence (p<0.000) was a negative predictor of women empowerment at the workplace. The study  concluded that around 62.3% of Saudi female academics and administrative staff have moderate or low workplace empowerment at Saudi Universities. Male dominance is perceived as the highest barrier. Keywords: Barriers, workplace empowerment, Saudi wome

    Non-pharmacological labor pain relive methods: utilization and associated factors among midwives and maternity nurses in Najran, Saudi Arabia

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    Abstract Background Traditionally, pharmacological pain relief methods have been the most acceptable option for controlling labor pain, accompanied by numerous adverse consequences. Non-pharmacological labor pain relive methods can reduce labor pain while maintaining an effective and satisfying delivery experience and delaying the use of pharmacological methods. This study explores the utilization of non-pharmacological labor pain relive methods and its associated factors among midwives and maternity nurses. Methods A cross-sectional research was conducted in Maternal and Children Hospital/Najran, Saudi Arabia, from April to May 2023 and incorporated a convenience sample of 164 midwives and maternity nurses. The data was collected using a self-reported questionnaire composed of five sections; basic data, facility-related factors, non-pharmacological labor pain relive utilization and attitude scales, and knowledge quiz. A logistic regression was used to determine the associated factors with non-pharmacological labor pain relive utilization. Results The results revealed that 68.3% of participants utilized non-pharmacological labor pain relive methods. The midwives and maternity nurses helped the parturient to tolerate labor pain by applying the non-pharmacological labor pain relive methods, including; positioning (55.5%), breathing exercises (53.7%), comfortable and relaxing environment (52.4%), therapeutic communication (47%), positive reinforcement (40.9%), relaxation (40.2%), and therapeutic touch (31%). In addition, working unit, providers-patient ratio, working hours, non-pharmacological labor pain relive training, years of experience, and non-pharmacological labor pain relive attitude were significant determinants of non-pharmacological labor pain relive utilization (P < 0.05). Conclusions High non-pharmacological labor pain relive utilization was significantly associated with nurses' older age and higher education, working in the delivery room, lower nurse-patient ratio, lower working hours, in-services training, increased years of experience, and positive attitude. The study sheds light on the importance of handling the pre-mentioned factors to enhance non-pharmacological labor pain relive utilization

    Predictors of women empowerment knowledge and attitude among Saudi academic and administrative staff: A cross-sectional study

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    The KSA 2030 vision makes special reference to women's empowerment as an important strategy for Saudi communitytransformation. Studies related to women's empowerment, especially in the Saudi context, are still not enough and unclear. Thecurrent study explored the predictors of women empowerment knowledge and attitudes among Saudi academic and administrativestaff. A cross-sectional study was conducted at 15 Saudi government-owned universities. A multistage cluster sampling techniquewas used to select 5587 participants during the period April to September 2020. The study instrument consisting of three main parts;basic demographic data, questionnaire assessed the knowledge regarding women’s empowerment, and women empowermentattitude scale. The results showed good knowledge of empowerment among the women with 75.5% of the participants demonstratinggood knowledge. The total women empowerment attitude was positive among 65.9% of the participants. The association betweendemographic data and women empowerment knowledge and attitude showed a significant association with marital status, residence,education, and occupation (p&lt;0.05). Linear regression on marital status, education, residence, and occupation, are confirmed assignificant predictors of women empowerment knowledge and attitude (p&lt;0.05). Mother’s education level is shown as a predictorfor women empowerment attitude (p&gt;0.005). Three-quarters of Saudi academic and administrative staff have a good womenempowerment knowledge score, and more than two-thirds have a positive attitude. Demographic characteristics are importantpredictors for women empowerment knowledge and attitude. The results of this study will help decision-makers to design andimplement goal-directed women empowerment programs. Keywords: Attitude, knowledge, predictors, Saudi, women empowerment &nbsp; La vision KSA 2030 fait une référence particulière à l'autonomisation des femmes en tant que stratégie importante pour la transformation de la communauté saoudienne. Les études liées à l'autonomisation des femmes, en particulier dans le contextesaoudien, sont encore insuffisantes et peu claires. L'étude actuelle a exploré les prédicteurs des connaissances et des attitudes del'autonomisation des femmes parmi le personnel académique et administratif saoudien. Une étude transversale a été menée dans 15universités appartenant au gouvernement saoudien. Une technique d'échantillonnage en grappes à plusieurs degrés a été utilisée pour sélectionner 5587 participants entre avril et septembre 2020. L'instrument d'étude se compose de trois parties principales; desdonnées démographiques de base, un questionnaire évaluant les connaissances sur l’autonomisation des femmes et l’échelle d’attitude en matière d’autonomisation des femmes. Les résultats ont montré une bonne connaissance de l'autonomisation chez lesfemmes avec 75,5% des participants démontrant de bonnes connaissances. L'attitude totale d'autonomisation des femmes étaitpositive chez 65,9% des participants. L'association entre les données démographiques et les connaissances et l'attitude del'autonomisation des femmes a montré une association significative avec l'état matrimonial, la résidence, l'éducation et la profession(p &lt;0,05). La régression linéaire sur l'état matrimonial, l'éducation, la résidence et la profession est confirmée comme étant desprédicteurs significatifs des connaissances et de l'attitude de l'autonomisation des femmes (p &lt;0,05). Le niveau d’éducation de lamère est indiqué comme un prédicteur de l’autonomisation des femmes (p&gt; 0,005). Les trois quarts du personnel académique etadministratif saoudien ont un bon score de connaissances sur l'autonomisation des femmes, et plus des deux tiers ont une attitudepositive. Les caractéristiques démographiques sont des prédicteurs importants des connaissances et de l'attitude de l'autonomisationdes femmes. Les résultats de cette étude aideront les décideurs à concevoir et à mettre en œuvre des programmes d'autonomisationdes femmes axés sur les objectifs. Mots-clés: Attitude, connaissances, prédicteurs, Arabie, autonomisation des femmes &nbsp

    Determinants of High Breastfeeding Self-Efficacy among Nursing Mothers in Najran, Saudi Arabia

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    Many factors have been found to correlate with satisfactory Exclusive Breastfeeding (EBF) practices. The relationships between EBF practices and associated factors are complex and multidimensional; Breastfeeding Self-Efficacy (BSE) is the most important psychological factor that may help the mother to overcome any expected barriers. This study investigates the determinants of high breastfeeding self-efficacy among Saudi nursing mothers. Methods: This is a descriptive cross-sectional study investigating the determinant of BSE among 1577 nursing mothers in primary health centers in Najran City, Saudi Arabia. The study uses a cluster random sampling technique. Data collection was performed from June 2022 to January 2023 using a self-reported questionnaire that encompasses the Breastfeeding Self-Efficacy Scale—Short Form (BSES-SF), Gender Friendly Breastfeeding Knowledge Scale (GFBKS), Iowa Infant Feeding Attitude Scale (IIFAS), and a basic data questionnaire to assess women’s demographic factors and obstetric history. Results: The mean score for all BSES-SF items was between 3.23–3.41, the highest mean score was in mothers who felt comfortable breastfeeding with family members present (3.41 ± 1.06), and the lowest mean was in mothers who could breastfeed their baby without using formula as a supplement (3.23 ± 0.94). The overall BSE score was high among 67% of the study participants. Binary logistic regression showed that being a housewife, being highly educated, having breastfeeding experience, and being multiparous are positive predictors for high BSE (p ≤ 0.001). In addition, having adequate breastfeeding knowledge and positive breastfeeding attitudes were positively associated with higher BSE (p = 0.000). Conclusion: BSE can be predicted by modifiable predictors such as mothers’ education, working status, parity, breastfeeding experience, adequate breastfeeding knowledge, and positive attitudes toward breastfeeding. If such predictors are considered during breastfeeding-related educational interventions, it could lead to more effective and sustainable effects in community awareness regarding breastfeeding

    The Relationship between Maternal Ideation and Exclusive Breastfeeding Practice among Saudi Nursing Mothers: A Cross-Sectional Study

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    All mortality risk factors are higher in non-breastfed infants compared to infants under five months of age who receive Exclusive Breastfeeding (EBF). Examining the predicting role of maternal ideation in EBF practices can help to direct and strengthen the cooperation between multidisciplinary healthcare providers to formulate multidisciplinary breastfeeding enhancement strategies. Methods: This correlational cross-sectional study investigates the relationship between maternal ideation and EBF practice among Saudi nursing mothers at Maternal and Children’s Hospital (MCH) in Najran, Saudi Arabia. The study incorporated 403 Saudi nursing mothers aged 6–12 months with healthy infants. The data collected using a questionnaire comprises demographic characteristics and obstetric history, the EBF Practice scale, and a maternal ideation scale. The data was collected from the beginning of November 2022 to the end of January 2023 and analyzed using I.B.M. version 22. Results: Breastfeeding initiation within one hour occurred among 85.1% of women, while 39.2% fed their newborn only colostrum during the first three days. EBF until six months was practiced by 40.9% of the participants day and night and on-demand (38.7%). Furthermore, 60.8% of the study participants had satisfactory overall EBF practices. The cognitive part of maternal ideation shows that 68.2% of the participants had adequate knowledge and 63.5% had positive beliefs regarding EBF practice. The maternal psychological ideation dimensions show that 81.4% had high EBF self-efficacy. The maternal social ideation dimensions showed that high injunctive and descriptive norms were present among 40.9% and 37.5%, respectively. In addition, healthcare providers (39.2%) had the most significant social influence, followed by husbands (30.5%). Binary logistic regression shows that the mother’s age, occupation, and education are the significant demographic predictors of satisfactory EBF practices (p p < 0.05). Conclusion: Maternal ideation constructs are positive predictors of satisfactory EBF practice and can be used to predict high-risk groups and plan for further intervention

    Postnatal exercises: perceived barriers and self-efficacy among women at maternal and children hospital at Najran, kingdom of Saudi Arabia

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    Sedentary lifestyle is very high in the Saudi population in general and significantly high among females. Furthermore, some postpartum tradition imposes limited activities during postpartum periods. For women to be active during the postpartum period, they should have enough self-efficacy&nbsp; (SE) to overcome perceived barriers (BP). This study aimed to evaluate postnatal exercises' PB and SE among postpartum women. A descriptive cross-sectional research design was followed in this study. This study was conducted at the outpatient department/ Maternal and Child hospital in Najran city, KSA. The study comprised a convenience sample of 368 postnatal women. Data collection was done using a questionnaire composed of three parts; socio-demographic data and obstetric history, exercise benefits/barriers scale and exercise self-efficacy scale. Data were analyzed using SPSS 23.0. The relationships between variables were assessed using the Chi-square or Fisher's exact test. The correlations were assessed usingPearson correlation. The study results illustrated that 52.4% of the postpartum women had moderate SE to exercise, and 71.5% had moderate PB. Also, there were statistically significant relationships between the study participants' SE and PB and their educational level and nationality (p&lt;0.05). In addition, significant negative correlations existed between the participants' SE and their Body Mass Index (BMI), age, gravidity, parity, number of children, and PB (p&lt;0.05). On the other hand, significant positive correlations were observed between the participants' PB and their BMI, age, gravidity, parity, and number of children. This study concluded that about two-thirds of the postpartum women in Najran had low or moderate SE to practice postnatal exercises, and the majority of them had moderate or high BP. Efforts to enhance postnatal exercises should be directed to increase SE to overcome BP concerning postnatal exercises. Keywords: Postnatal exercises, perceived barriers, self-efficacy, Saudi ArabiaLe mode de vie sédentaire est très élevé dans la population saoudienne en général et significativement élevé chez les femmes. En outre, certaines traditions post-partum imposent des activités limitées pendant les périodes post-partum. Pour que les femmes soient actives pendant la période post-partum, elles doivent avoir suffisamment d'auto-efficacité (SE) pour surmonter les barrières perçues (TA). Cette étude visait à évaluer le PB et SE des exercices postnatals chez les femmes en post-partum. Une conception de recherche transversale descriptive a été suivie dans cette étude. Cette étude a été menée au service de consultation externe / hôpital maternel et infantile de la ville de Najran, en Arabie Saoudite. L'étude comprenait un échantillon de commodité de 368 femmes postnatales. La collecte des données a été effectuée à l'aide d'un questionnaire composé de trois parties; données sociodémographiques et antécédents obstétricaux, échelle des avantages / obstacles à l'exercice et échelle d'auto-efficacité à l'exercice. Les données ont été analysées à l'aide de SPSS 23.0. Les relations entre les variables ont été évaluées à l'aide du test du chi carré ou exact de Fisher. Les corrélations ont été évaluées à l'aide de la corrélation de Pearson. Les résultats de l'étude ont montré que 52,4% des femmes en post-partum avaient une SE modérée à l'exercice et 71,5% avaient un PB modéré. De plus, il y avait des relations statistiquement significatives entre l'ES et le PB des participants à l'étude et leur niveau d'éducation et leur nationalité (p &lt;0,05). De plus, des corrélations négatives significatives existaient entre le SE des participants et leur indice de masse corporelle (IMC), l'âge, la gravité, la parité, le nombre d'enfants et le PB (p &lt;0,05). En revanche, des corrélations positives significatives ont été observées entre le PB des participants et leur IMC, leur âge, leur gravité, leur parité et le nombre d'enfants. Cette étude a conclu qu'environ deux tiers des femmes en post-partum à Najran avaient une SE faible ou modérée&nbsp; pour pratiquer des exercices postnatals, et la majorité d'entre elles avaient une TA modérée ou élevée. Les efforts visant à améliorer les exercices postnatals devraient être dirigés pour augmenter SE pour surmonter BP concernant les exercices postnatals.&nbsp; Mots-clés: Exercices postnatals, barrières perçues, auto-efficacité, Arabie saoudit
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