It is widely acknowledged that kinesiophobia is prevalent among patients suffering from acute myocardial infarction (AMI). Although heightened kinesiophobia significantly predicts adverse outcomes, it should be recognized that this fear is dynamic and typically evolves during the recovery process. This study aims to identify distinct trajectories of kinesiophobia and analyze associated influencing factors to accurately detect patients with high levels of kinesiophobia. AMI patients were enrolled from November 2023 to July 2024. Data on kinesiophobia, demographic and clinical characteristics, depression, exercise self-efficacy, and exercise social support were collected. Latent Class Growth Modeling was employed to identify distinct trajectories of kinesiophobia. Subsequently, multivariate logistic regression analysis was performed to identify predictors associated with different kinesiophobia trajectory categories. Initially, 239 patients were recruited, and after 4 follow-up assessments, 207 patients who completed at least 2 assessments were included in the analysis. The total scores of the Tampa Scale for Kinesiophobia-Heart generally demonstrated a decreasing trend (p < .05). Three trajectories of kinesiophobia were identified: persistently high (N = 49, 24.9% of the sample), persistently low (N = 50, 24.5% of the sample), and high-to-critical (N = 108, 50.6% of the sample). Predictive factors distinguishing the persistently high group from the persistently low group included exercise self-efficacy, age, gender, length of hospitalization, and the number of stents implanted. Predictors for the high-to-critical group included exercise self-efficacy, age, and the number of stents implanted. Kinesiophobia in AMI patients exhibited significant heterogeneity, with trajectories demonstrating relative stability over time. Consequently, individuals with high initial kinesiophobia levels often experienced limited alleviation during rehabilitation. Therefore, timely interventions to mitigate fear of movement are critical. Such interventions can reduce kinesiophobia to low levels during rehabilitation and improve patient prognosis.
This study examined the effects of a mindfulness-based psychoeducation program on mindfulness, self-compassion, and forgiveness in patients with bipolar disorder using a pretest-posttest randomized controlled experimental design. The study sample comprised of 40 patients (experimental group, n = 20; control group, n = 20). A mindfulness-based psychoeducation program was administered to the experimental group, while no intervention was administered to the control group. Data were collected using a personal information form, the Mindfulness Scale, the Self-Compassion Scale Short Form, and the Heartland Forgiveness Scale. The study revealed that the experimental group's mean scores on the mindfulness, self-compassion, and forgiveness scales following the intervention were significantly higher than those of the control group (p < .05). This study found that a mindfulness-based psychoeducation program increased mindfulness, self-compassion, and forgiveness in patients with bipolar disorder. The findings are limited to a small outpatient sample from a single CMHC and may not be generalizable to hospitalized patients with more severe clinical presentations. Mindfulness-based educational programs may enhance mental health, improve illness insight, support symptom management, and strengthen social functioning in individuals with bipolar disorder. The results emphasize the importance of integrating these programs into treatment processes and reveal the necessity for psychiatric nurses to actively implement mindfulness-based interventions. Psychiatric nurses should consider incorporating mindfulness-based techniques into their practice to improve the mental health of individuals with bipolar disorder, better understand the disorder, control symptoms, and improve social interactions.
This descriptive and correlational study investigated the relationship between exposure to obstetric violence and mother-infant attachment and postpartum depression (PPD) among women who had vaginal births. The sample comprised 292 mothers with infants aged 3 to 12 months who attended the outpatient clinics of a hospital in Konya between March and August 2024. Data were collected using a personal information form, an obstetric violence assessment form, the Maternal Attachment Scale, and the Edinburgh Postpartum Depression Scale. Independent samples t-tests and multiple linear regression analyses were conducted. The mean age of the participants was 29.50 ± 6.02 years. Emotional obstetric violence was reported by 32.9% of mothers, followed by verbal violence (19.5%), physical violence (7.9%), and sexual violence (6.2%). Mothers who reported exposure to any form of obstetric violence had significantly lower maternal attachment scores and significantly higher PPD scores (p < .001). Regression analyses indicated that verbal and sexual obstetric violence were significant predictors of both maternal attachment and PPD. Greater exposure to verbal and sexual violence was associated with weaker maternal attachment and higher levels of postpartum depressive symptoms. These findings highlight the detrimental impact of obstetric violence on maternal psychological well-being and early mother-infant attachment. Policies and clinical practices aimed at preventing obstetric violence and promoting respectful maternity care are essential to safeguard the health and well-being of both mothers and their infants.
Breastfeeding counseling is an effective public health intervention. However, there is a scarcity of studies detailing protocols, especially those applied during the dyad's stay in the Rooming-In Unit. Thus, this research aimed to describe a breastfeeding counseling protocol during the dyad's hospitalization in Rooming-in. A methodological development study was carried out from June to September 2022 in four stages: discovering from a bibliographical survey; defining the target audience, contexts, and answers to the research question; developing from the construction of the instrument; and delivering the final product after content validation by eight experts. The intervention components protocol includes items necessary for execution; intervention script; breastfeeding assessment instrument; adverse situations, solutions, and initial difficulties in breastfeeding; and counseling approach in the face of situations. For each item of the protocol, a Likert scale was applied, and the Content Validity Index was calculated to verify the agreement between the experts. Items with agreement above 80% were considered valid. Content validation was performed in a single evaluation round. The final version of the protocol consisted of 11 sections. It describes in detail the necessary conditions, expected and unexpected procedures, and how to intervene using the counseling approach in the initial difficulties presented during the hospitalization of the dyad in Rooming-in.
