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Indirect Patient Care by Nurses in the Intensive Care Unit of a Hospital in Iran During the COVID-19 Pandemic COVID-19大流行期间伊朗一家医院重症监护病房护士对患者的间接护理
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3131
Fatemeh Asvad, Marzieh Adel Mehraban, Mahboubeh Rasouli
Background & Aims The most important factors for the development of any society are human resources. The intensive care units (ICUs) are the most important departments in the hospitals. Considering the importance of time management for patient care, lack of human resources in this profession, and the fact that nurses spend a lot of time on indirect and non-nursing works, this study aims to investigate the time and type of indirect patient care provided by nurses in the ICU of a hospital in Iran during the COVID-19 pandemic. Materials & Methods This is a descriptive, cross-sectional, and observational study that was conducted for 6 months. Participants were 42 nurses working in the ICU of Hafte Tir Hospital in Rey, Iran who were randomly selected from different shifts. Their activities were observed and their spent time was recorded by the researcher using the stopwatch mobile application. The data collection tool was the Persian version of the International Classification for Nursing Practice (ICNP) checklist with acceptable face and content validity according to opinions of a panel of experts (5 faculty members and 10 nurses). descriptive statistics (frequency, mean, standard deviation, minimum, and maximum) were used for data analysis by SPSS software, version 22. Results Most of nurses (60%) were in the age group of 30-39 years and 72% of them had a work experience of 11-20 years. Most of the nurses were female (85%) and married (80%). In each shift, nurses spent an average time of 247 minutes providing indirect care. The longest time in indirect care was related to writing nursing reports (34.9 ± 10.5 min per shift) and the shortest time were related to removing personal protective equipment (6.11±3.19 min per shift), consulting with a colleague, and wearing personal protective equipment (both with 7±3.55 min per shift). Conclusion Although patients need direct care and continuous presence of the nurse more during the COVID-19 pandemic and there are advanced equipment. To provide proper nursing care, it is important to increase the number of nurses and reduce their non-nursing activities.
背景与目的任何社会的发展最重要的因素是人力资源。重症监护病房(icu)是医院最重要的科室。考虑到时间管理对患者护理的重要性,该专业人力资源缺乏,以及护士在间接和非护理工作上花费大量时间,本研究旨在调查伊朗某医院ICU护士在COVID-19大流行期间提供间接患者护理的时间和类型。材料与方法这是一项为期6个月的描述性、横断面性和观察性研究。参与者是在伊朗雷伊市哈夫特蒂尔医院重症监护室工作的42名护士,他们是随机从不同班次中挑选出来的。研究人员使用秒表移动应用程序观察他们的活动并记录他们的花费时间。数据收集工具是波斯语版的国际护理实践分类(ICNP)清单,根据专家组(5名教员和10名护士)的意见,该清单具有可接受的外观和内容效度。数据采用描述性统计(频数、平均值、标准差、最小值、最大值),采用SPSS软件进行分析。结果60%的护士年龄在30 ~ 39岁之间,72%的护士有11 ~ 20年的工作经验。以女性(85%)和已婚(80%)居多。在每个班次中,护士平均花费247分钟提供间接护理。间接护理时间最长的是撰写护理报告(34.9±10.5 min /班),最短的是脱下个人防护用品(6.11±3.19 min /班)、咨询同事、穿戴个人防护用品(均为7±3.55 min /班)。结论在新冠肺炎大流行期间,虽然患者更需要直接护理和护士的持续在场,但有先进的设备。为了提供适当的护理,重要的是增加护士的数量,减少他们的非护理活动。
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引用次数: 0
Interpersonal Cognitive Distortions Among the Community-dwelling Elderly in Tehran, Iran 伊朗德黑兰社区老年人的人际认知扭曲
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3149
Zahra Kashaninia, Goharalsadat Sharifi, N. Seyedfatemi, Shima Haqqani
Background & Aims Interpersonal cognitive distortion (ICD) is one of the psychological problems in old age that causes a person not to have a correct and logical understanding of relations. Its continuation can lead to anxiety and depression. This study aims to determine the ICDs among the community-dwelling elderly in Tehran, Iran. Materials & Methods In this descriptive-correlational study, participants were 200 older people dwelling in the urban parks in Tehran, Iran who were selected using a cluster sampling method from December 2020 to October 2021. Data collection tools included a demographic form, abbreviated mental test score (AMTS), and interpersonal cognitive distortion scale (ICDS). The collected data were analyzed in SPSS software, version 16 software using descriptive statistics (Mean±SD, No. (%)) and inferential statistics (Pearson correlation test, independent t-test, analysis of variance). Results The mean total score of ICD was 52.53±8.29 out of 95, which indicates the moderate level of ICD among the elderly. In terms of the dimensions of ICDS, the unrealistic relationship expectations had the highest mean score (2.91±0.57), while the dimension of interpersonal rejection had the lowest score (2.64±0.52). There was a significant relationship between the age of the elderly and their ICD (P=0.03). Conclusion Considering the existence of a significant relationship between ageing and cognitive distortions, The nurses working in healthcare centers in Mashhad should take it into account in interventions for the elderly.
背景与目的人际认知扭曲(Interpersonal cognitive distortion, ICD)是老年人的一种心理问题,主要表现为对人际关系不能有正确的、合乎逻辑的理解。它的持续会导致焦虑和抑郁。本研究旨在确定伊朗德黑兰社区居住老年人的icd。在这项描述性相关研究中,参与者是居住在伊朗德黑兰城市公园的200名老年人,他们是在2020年12月至2021年10月期间采用整群抽样方法选择的。数据收集工具包括人口统计表格、简略心理测试分数(AMTS)和人际认知扭曲量表(ICDS)。采用SPSS 16版软件进行描述性统计(Mean±SD, No. 5)。(%))和推理统计(Pearson相关检验、独立t检验、方差分析)。结果ICD总分(95分)平均为52.53±8.29分,老年人ICD处于中等水平。在ICDS各维度中,不现实的关系期望得分最高(2.91±0.57),人际拒绝得分最低(2.64±0.52)。老年人的年龄与ICD有显著相关(P=0.03)。结论马什哈德保健中心的护士在对老年人进行干预时应考虑到衰老与认知扭曲之间存在显著的关系。
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引用次数: 0
Effect of Hope Therapy-based Education on the Rumination of Women With Breast Cancer 希望疗法教育对乳腺癌患者反思的影响
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.67.6
M. Jahantigh, Niloofar Kondori Fard, N. Rezaee
Background & Aims Breast cancer is one of the common diseases in women that endangers their physical and mental health. Rumination is one of the psychological problems in these women. The present study aims to determine the effect of an educational program based on hope therapy on the rumination of women with breast cancer. Materials & Methods This is a quasi-experimental study. The study population consist of all women with breast cancer referred to the chemotherapy departments of hospitals affiliated to Zahedan University of Medical Sciences. The sampling was done using a continuous method. Then, the samples were divided into intervention (n=50) and control (n=50) groups randomly by lottery method. The intervention was conducted at eight group sessions, twice a week. The data collection tools were a demographic form and the Ruminative Response Scale (RRS). The data were analyzed in SPSS software, verion 16. Results The mean score of rumination before the intervention was not significantly different between the two groups (P=0.29). After the intervention, the difference between the two groups was significant (P=0.0001). The paired t-test results showed a significant difference in the mean score of rumination before and after the intervention in the intervention group (P=0.003), but there was no significant difference in the control group (P=0.89). Conclusion Education based on hope therapy can positively affect the rumination of women with breast cancer. By an hope therapy-based intervention, the disturbing thoughts, which are mostly related to disease and despair, can be reduced in women with breast cancer experiencing rumination.
背景与目的乳腺癌是危害女性身心健康的常见病之一。反刍是这些女性的心理问题之一。本研究旨在探讨以希望疗法为基础的教育计划对乳癌女性反刍的影响。材料与方法本研究为准实验研究。研究人群包括在扎黑丹医科大学附属医院化疗部门就诊的所有乳腺癌妇女。采用连续采样法进行采样。然后采用摇号法将样本随机分为干预组(n=50)和对照组(n=50)。干预是在八个小组会议上进行的,每周两次。数据收集工具为人口统计表格和反刍反应量表(RRS)。采用SPSS 16版软件对数据进行分析。结果两组患者干预前反刍平均分差异无统计学意义(P=0.29)。干预后,两组间差异有统计学意义(P=0.0001)。配对t检验结果显示,干预组干预前后反刍平均分差异有统计学意义(P=0.003),对照组反刍平均分差异无统计学意义(P=0.89)。结论以希望疗法为基础的教育对乳腺癌患者的反思有积极的影响。通过以希望治疗为基础的干预,在经历反刍的乳腺癌女性中,主要与疾病和绝望有关的令人不安的想法可以减少。
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引用次数: 0
Resilience Level of the Family Caregivers of the Elderly in Mashhad, Iran During the COVID-19 Pandemic 2019冠状病毒病大流行期间伊朗马什哈德老年人家庭照顾者的复原力水平
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3148.1
M. Dehnavi, Hossein Sanaee, Keyvan Shariat Nejad, Mohammad Ayatnia, M. Mohammadi, A. G. Moghaddam
Background & Aims Resilience is defined as a person’s ability to maintain psychological balance and recover from challenging conditions. Due to the very important role of family caregivers in the treatment of older patients with COVID-19, attention to their health and well-being has been increased. This study aims to determine the resilience level of the family caregivers of older people during COVID-19 pandemic in Mashahd, Iran. Materials & Methods This descriptive-analytical study was conducted on 120 family caregivers of older people who referred to urban health centers in Mashhad, Iran. Sampling was done in using cluster random sampling method from April to June 2022. The instrument was a two-part questionnaire included demographic form (surveying age of the elderly and caregiver, gender of caregiver, educational level of caregiver, employment status of caregiver, marital status of caregiver, and the relation of caregiver with the elderly) and the Connor-Davidson resilience scale. Data analysis was done in SPSS v.23 software using descriptive and inferential statistics. Results The mean age of family caregivers and elderly were 39.94±1.32 and 74.44±3.17 years, respectively. The age of caregivers ranged 20-74 years and the age of the elderly ranged 60-89 years. The mean resilience score of caregivers was 49.40±13.07, which is low. There was a significant relationship between resilience score and educational level (P<0.05), marital status (P<0.001) and employment status of family caregivers (P<0.05). The correlation between resilience and caregiver’s age (r=0.17) and elderly’s age (r=0.13) was positive, but weak. Conclusion Family caregivers of the elderly in Mashhad city have low resilience. Their educational level, employment status, and marital status are related to their resilience level. Attention to these factors can help health care providers to develop plans for increasing their resilience and improving the quality of life of the elderly.
背景与目的弹性被定义为一个人保持心理平衡并从挑战环境中恢复的能力。由于家庭护理人员在治疗老年COVID-19患者方面发挥着非常重要的作用,因此人们更加关注他们的健康和福祉。本研究旨在确定伊朗马沙赫德市2019冠状病毒病大流行期间老年人家庭照顾者的复原力水平。材料与方法本描述性分析研究对伊朗马什哈德城市卫生中心的120名老年人家庭护理人员进行了研究。取样时间为2022年4 - 6月,采用整群随机抽样方法。采用人口统计问卷(老年人与照顾者的年龄、照顾者的性别、照顾者的文化程度、照顾者的就业状况、照顾者的婚姻状况、照顾者与老年人的关系)和康纳-戴维森心理韧性量表。数据分析采用SPSS v.23软件,采用描述性统计和推理统计。结果家庭照顾者和老年人的平均年龄分别为39.94±1.32岁和74.44±3.17岁。照顾者年龄20 ~ 74岁,老年人年龄60 ~ 89岁。护理人员的心理弹性平均得分为49.40±13.07分,较低。心理弹性得分与家庭照顾者的文化程度(P<0.05)、婚姻状况(P<0.001)、就业状况(P<0.05)有显著相关。心理韧性与照顾者年龄(r=0.17)和老年人年龄(r=0.13)呈正相关,但相关性较弱。结论马什哈德市老年人家庭照护者应变能力较低。受教育程度、就业状况、婚姻状况与心理弹性水平相关。对这些因素的关注可以帮助卫生保健提供者制定计划,提高老年人的复原力和改善他们的生活质量。
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引用次数: 0
The Experience of Implementing the Welcoming Nurse Program in Iran Psychiatric Center: Quality Improvement 伊朗精神病学中心实施迎护计划的经验:质量改进
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3170
Zahra Talebnia, Fariba Masoumi, M. Ranjbar, Mojgan Maghroor, Amir Abbas Keshavarzakhlaghi
Background & Aims Considering the benefits that a welcoming environment can have for the patients and their families, and specifically for people with mental disorders, this study aims to launch a welcoming program in the Iran psychiatric Hospital and assess its effectiveness in improving the quality of and satisfaction with the services for patients with mental disorders. Materials & Methods The welcoming unit of the hospital was officially launched and began to operate since September 2017. In the welcoming program, the nurse first introduced herself to the patients and their families, and if needed, made them familiar with the hospital and its goals and environment, how to reach psychiatrists, and regulations during hospitalization. This program continued by acquainting patients with their rights, the hospital's rules, treatment team, welfare amenities, inpatient wards, electroconvulsive therapy unit, clinics, support center, and by handling complaints and criticisms. For internal evaluation, a survey form with 5 open-ended questions was designed without including demographic characteristics and distributed among the hospital departments. The responses were collected and analyzed using the content analysis method. Results The results of internal evaluation showed that 92% of the patients and their families were satisfied with the welcoming program and perceived it as very good and excellent. Half of the patients and their families (50%) believed that some nurses were caring and some were careless and did not take care of problems well. They perceived that psychiatrists and psychologists did not spend much time with the patient, and their visits were done very late. Conclusion Based on the perceptions of the patients and their families about the welcoming program, it seems that they are satisfied with the program in overall. The result can motivate other psychiatric and non-psychiatric centers in Iran for the implementation of a welcoming program.
背景与目的考虑到温馨的环境对患者及其家属,特别是精神障碍患者的好处,本研究旨在在伊朗精神病院启动一个温馨项目,并评估其在提高精神障碍患者服务质量和满意度方面的有效性。材料与方法医院迎宾单元于2017年9月正式启动运营。在欢迎活动中,护士首先向病人和家属介绍自己,如果需要的话,让他们熟悉医院的目标和环境,如何联系精神科医生,以及住院期间的规定。该项目继续向患者介绍他们的权利、医院的规章制度、治疗团队、福利设施、住院病房、电休克治疗单元、诊所、支持中心,并处理投诉和批评。为了进行内部评估,设计了一份包含5个开放式问题的调查表格,不包括人口统计学特征,并在医院各部门分发。采用内容分析法对反馈进行收集和分析。结果内部评价结果显示,92%的患者及家属对迎新项目表示满意,认为“非常好”、“优秀”。半数患者及其家属(50%)认为部分护士关怀备至,部分护士粗心大意,没有很好地处理问题。他们发现精神科医生和心理学家在病人身上花的时间不多,而且他们的探视时间也很晚。结论从患者和家属对迎新项目的感受来看,总体而言,患者和家属对迎新项目是满意的。结果可以激励伊朗其他精神病和非精神病中心实施欢迎计划。
{"title":"The Experience of Implementing the Welcoming Nurse Program in Iran Psychiatric Center: Quality Improvement","authors":"Zahra Talebnia, Fariba Masoumi, M. Ranjbar, Mojgan Maghroor, Amir Abbas Keshavarzakhlaghi","doi":"10.32598/ijn.35.139.3170","DOIUrl":"https://doi.org/10.32598/ijn.35.139.3170","url":null,"abstract":"Background & Aims Considering the benefits that a welcoming environment can have for the patients and their families, and specifically for people with mental disorders, this study aims to launch a welcoming program in the Iran psychiatric Hospital and assess its effectiveness in improving the quality of and satisfaction with the services for patients with mental disorders. Materials & Methods The welcoming unit of the hospital was officially launched and began to operate since September 2017. In the welcoming program, the nurse first introduced herself to the patients and their families, and if needed, made them familiar with the hospital and its goals and environment, how to reach psychiatrists, and regulations during hospitalization. This program continued by acquainting patients with their rights, the hospital's rules, treatment team, welfare amenities, inpatient wards, electroconvulsive therapy unit, clinics, support center, and by handling complaints and criticisms. For internal evaluation, a survey form with 5 open-ended questions was designed without including demographic characteristics and distributed among the hospital departments. The responses were collected and analyzed using the content analysis method. Results The results of internal evaluation showed that 92% of the patients and their families were satisfied with the welcoming program and perceived it as very good and excellent. Half of the patients and their families (50%) believed that some nurses were caring and some were careless and did not take care of problems well. They perceived that psychiatrists and psychologists did not spend much time with the patient, and their visits were done very late. Conclusion Based on the perceptions of the patients and their families about the welcoming program, it seems that they are satisfied with the program in overall. The result can motivate other psychiatric and non-psychiatric centers in Iran for the implementation of a welcoming program.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116771396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Need to Conduct Studies on Economic Evaluation of Nursing Care in Iran 伊朗护理经济评价研究的必要性
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3158
A. Nejatian
All health systems in the world are facing the lack of financial resources for meeting the health needs of people. Policymakers in the health sector use economic and political methods to solve this problem and implement appropriate strategies for prioritizing and allocating limited resources to meet unlimited health needs [1]. In this regard, it is important to conduct studies for economic evaluation of health to provide evidence to decision-makers. These comparative studies of the costs and consequences of different health technologies and strategies [2] can help policymakers to choose the most cost-effective interventions to create the greatest health outcomes. As universal health coverage (UHC) becomes one of the priorities of countries to achieve sustainable development goals, the access of all people to the needed services at a reasonable price should be considered by governments. The COVID-19 pandemic showed that only a robust health system with sufficient finance cannot guarantee people’s health in the long term, and we need to find cost-effective methods to provide health services [3].
世界上所有卫生系统都面临着缺乏财政资源来满足人们的卫生需求的问题。卫生部门的决策者使用经济和政治方法来解决这一问题,并实施适当的战略,优先考虑和分配有限的资源,以满足无限的卫生需求[1]。在这方面,重要的是开展健康经济评价研究,为决策者提供证据。这些对不同卫生技术和战略的成本和后果的比较研究[2]可以帮助决策者选择最具成本效益的干预措施,以创造最大的卫生成果。随着全民健康覆盖成为各国实现可持续发展目标的优先事项之一,各国政府应考虑所有人以合理价格获得所需服务的问题。COVID-19大流行表明,只有强大的卫生系统和充足的资金才能长期保障人们的健康,我们需要找到具有成本效益的方法来提供卫生服务[3]。
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引用次数: 0
Effect of Education Using Mobile Social Networks on Anxiety and Satisfaction of Candidates for Coronary Angiography 移动社交网络教育对冠状动脉造影患者焦虑和满意度的影响
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3065
Fathemeh Mohaddes, M. Bozorgnejad, T. Najafi Ghezeljeh, M. Zarei, S. Haghani, Fariba Jalalinejad
Background & Aims Cardiovascular diseases are responsible for 30% of all deaths worldwide. The present study aims to evaluate the effect of education through online social media (WhatsApp) on the anxiety and satisfaction of candidates for coronary angiography. Materials & Methods In this study, participants were candidates for elective coronary angiography referred to Imam Khomeini Hospital in Ahvaz, Iran from May to July 2021. They were assigned to the intervention (n=43) and control (n=43) groups. Data were collected using a demographic form, the Beck anxiety inventory (BAI) and the visual analog scale (VAS) for measuring satisfaction. Data analysis was performed in SPSS software, version 16 using independent t-test, paired t-test, chi-square test, and Fisher's exact test. Results Both groups were homogeneous in terms of demographic characteristics at baseline, and there was no significant difference in BAI scores between the intervention and control groups before the intervention (P=0.229). The results of independent t-test showed a significant difference in the mean BAI score before and after intervention in two groups (P<0.001), indicating the effect of intervention on reducing anxiety. The results of independent t-test showed that the satisfaction in the intervention group was significantly higher than in the control group (P<0.001). The results of the paired t-test showed that in both intervention (P<0.001) and control (P=0.005) groups, the BAI score decreased significantly after the intervention compared to the pre-intervention phase. The effect size of education on anxiety was 0.9 and the effect size on satisfaction was 1.88, which shows the high effect of the educational intervention. Conclusion The use of mobile social networks for education is effective in reducing anxiety and improving satisfaction in patients undergoing coronary angiography. Therefore, this interventional method can be used by nurses as an effective method in medical centers.
背景与目的心血管疾病占全世界死亡人数的30%。本研究旨在评估在线社交媒体(WhatsApp)教育对冠状动脉造影候选人焦虑和满意度的影响。材料与方法在这项研究中,参与者是2021年5月至7月在伊朗阿瓦士伊玛目霍梅尼医院进行选择性冠状动脉造影的候选人。他们被分为干预组(n=43)和对照组(n=43)。数据收集使用人口统计表格,贝克焦虑量表(BAI)和视觉模拟量表(VAS)测量满意度。数据分析采用SPSS软件第16版,采用独立t检验、配对t检验、卡方检验和Fisher精确检验。结果两组在基线时人口学特征均相同,干预前干预组与对照组的BAI评分差异无统计学意义(P=0.229)。独立t检验结果显示,两组干预前后平均BAI评分差异有统计学意义(P<0.001),说明干预对减轻焦虑有一定作用。独立t检验结果显示,干预组的满意度显著高于对照组(P<0.001)。配对t检验结果显示,干预组(P<0.001)和对照组(P=0.005)干预后BAI评分均较干预前显著下降。教育对焦虑的效应量为0.9,对满意度的效应量为1.88,表明教育干预的效果较高。结论利用移动社交网络进行教育能有效减少冠状动脉造影患者的焦虑,提高患者的满意度。因此,该介入方法可作为医疗中心护士使用的有效方法。
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引用次数: 0
Knowledge, Attitude and Practice Regarding COVID-19 in Patients With Diabetes 糖尿病患者关于COVID-19的知识、态度和行为
Pub Date : 2022-12-01 DOI: 10.32598/ijn.35.139.3166.2
M. Ehsani, M. Seyedoshohadaee, S. Haghani, Samad Shojaeimotlagh
Background & Aims Although COVID-19 can affect people in different age groups, the conditions and severity of symptoms are worse in people with diabetes. This aims to determine the knowledge, attitude and practice (KAP) regarding COVID-19 in people with diabetes in Tehran, Iran. Materials & Methods This is a descriptive cross-sectional study on 384 patients with type 1 and type 2 diabetes referred to Firozgar and Hazrat Rasool-e Akram hospitals affiliated to Iran University of Medical Sciences from December 2021 to June 2022. They were selected using a continuous sampling method. The instruments were a demographic form and the KAP questionnaire designed by Honarvar et al. (2020). Data analysis was done in SPSS v.16 using descriptive and inferential statistics. Results The mean age of the participants was 40.11±15.20 years. It was reported that 94.8% had moderate and sufficient knowledge of COVID-19. The mean attitude score was 30.90±4.89 which is a moderate-to-high level. Only 1.3% had poor practice regarding COVID-19. A statistically significant relationship was observed between the average knowledge of patients and their marital status (P=0.006), employment status, and duration of disease (P<0.001). In addition, there was a statistically significant relationship between the attitude of patients and their educational level (P=0.015) and duration of disease (P=0.027). Their practice level had a significant relationship with gender (P=0.010), marital status (P=0.001), and type of diabetes (P<0.001). Conclusion The KAP of people with diabetes in Tehran regarding COVID-19 is at a favorable level. This indicates the success of the measures taken to educate this category of patients by health centers and media, and reveals the necessity of increasing the health literacy of people in pandemics.
背景与目的虽然COVID-19可以影响不同年龄组的人,但糖尿病患者的病情和症状严重程度更严重。该研究旨在确定伊朗德黑兰糖尿病患者对COVID-19的知识、态度和行为(KAP)。材料与方法这是一项描述性横断面研究,研究对象是2021年12月至2022年6月在伊朗医学大学附属的Firozgar和Hazrat Rasool-e Akram医院就诊的384例1型和2型糖尿病患者。他们是用连续抽样方法选择的。这些工具是由Honarvar等人(2020)设计的人口统计表格和KAP问卷。数据分析在SPSS v.16中使用描述性和推断性统计。结果患者平均年龄40.11±15.20岁。94.8%的人对新冠肺炎有适度和充分的了解。平均态度得分为30.90±4.89分,属于中高水平。只有1.3%的人对COVID-19的做法不佳。患者的平均知识与婚姻状况(P=0.006)、就业状况、病程(P<0.001)有统计学意义。此外,患者的态度与受教育程度(P=0.015)和病程(P=0.027)有统计学意义。执业水平与性别(P=0.010)、婚姻状况(P=0.001)、糖尿病类型(P<0.001)有显著相关。结论德黑兰市糖尿病患者对新冠肺炎的KAP处于良好水平。这表明保健中心和媒体为教育这类患者所采取的措施取得了成功,并揭示了提高人们对流行病的卫生知识的必要性。
{"title":"Knowledge, Attitude and Practice Regarding COVID-19 in Patients With Diabetes","authors":"M. Ehsani, M. Seyedoshohadaee, S. Haghani, Samad Shojaeimotlagh","doi":"10.32598/ijn.35.139.3166.2","DOIUrl":"https://doi.org/10.32598/ijn.35.139.3166.2","url":null,"abstract":"Background & Aims Although COVID-19 can affect people in different age groups, the conditions and severity of symptoms are worse in people with diabetes. This aims to determine the knowledge, attitude and practice (KAP) regarding COVID-19 in people with diabetes in Tehran, Iran. Materials & Methods This is a descriptive cross-sectional study on 384 patients with type 1 and type 2 diabetes referred to Firozgar and Hazrat Rasool-e Akram hospitals affiliated to Iran University of Medical Sciences from December 2021 to June 2022. They were selected using a continuous sampling method. The instruments were a demographic form and the KAP questionnaire designed by Honarvar et al. (2020). Data analysis was done in SPSS v.16 using descriptive and inferential statistics. Results The mean age of the participants was 40.11±15.20 years. It was reported that 94.8% had moderate and sufficient knowledge of COVID-19. The mean attitude score was 30.90±4.89 which is a moderate-to-high level. Only 1.3% had poor practice regarding COVID-19. A statistically significant relationship was observed between the average knowledge of patients and their marital status (P=0.006), employment status, and duration of disease (P<0.001). In addition, there was a statistically significant relationship between the attitude of patients and their educational level (P=0.015) and duration of disease (P=0.027). Their practice level had a significant relationship with gender (P=0.010), marital status (P=0.001), and type of diabetes (P<0.001). Conclusion The KAP of people with diabetes in Tehran regarding COVID-19 is at a favorable level. This indicates the success of the measures taken to educate this category of patients by health centers and media, and reveals the necessity of increasing the health literacy of people in pandemics.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133449844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of Life in Adolescent Pregnant Women Referred to Healthcare Centers in Arak 转介到阿拉克保健中心的少女怀孕妇女的生活质量
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.3118
M. Amini, M. Gharacheh, Syedeh Batool Hasanpoor-Azghady, S. Haghani
Background & Aims Pregnancy is associated with physiological and psychological changes. Pregnancy in adolescence may affect the quality of life (QoL) of young women. This study aims to investigate the QoL of adolescent pregnant women in Arak, Iran. Materials & Methods This cross-sectional study was conducted on 217 adolescent pregnant women referred to comprehensive health centers in urban areas of Arak city in 2020 who were selected by a multi-stage sampling method. A demographic form and the QoL gravidarum questionnaire (QoL-GRAV) were used to collect information. Descriptive statistics were used to describe the data and independent t-test, analysis of variance, and Pearson correlation test were used to examine the relationship between the study variables in SPSS software, version 22. Significance level was set at 0.05. Results The mean age of participants was 17.86±1.42 years. Their mean total score of QoL was 1.83±0.56, which was higher than average. They had the highest score in the psychological health domain (Mean=2.01) and the lowest score in the social functioning domain (Mean=1.5). Mother's educational level, husband's educational level, economic status , and pregnancy status (unplanned/planned) according to women and their husbands had a statistically significant relationship with the QoL. Conclusion The QoL of adolescent pregnant women in Arak is higher than the average. Those with higher educational level, those with husbands having higher educational level, those with better economic status, and those with planned pregnancy have better QoL.
背景与目的妊娠与生理和心理变化有关。青春期怀孕可能会影响年轻女性的生活质量。本研究旨在调查伊朗阿拉克地区青春期孕妇的生活质量。材料与方法采用多阶段抽样法对2020年在阿拉克市城区综合保健中心就诊的217名少女孕妇进行横断面研究。采用人口统计表格和妊娠生活质量问卷(QoL- grav)收集资料。采用描述性统计对数据进行描述,并采用独立t检验、方差分析和Pearson相关检验在SPSS软件22版中检验研究变量之间的关系。显著性水平设为0.05。结果患者平均年龄为17.86±1.42岁。两组患者生活质量的平均总分为1.83±0.56分,高于平均水平。心理健康领域得分最高(平均2.01分),社会功能领域得分最低(平均1.5分)。母亲的受教育程度、丈夫的受教育程度、经济状况、怀孕状况(计划外/计划内)与生活质量的关系有统计学意义。结论阿拉克地区少女孕妇的生活质量高于平均水平。受教育程度较高、丈夫受教育程度较高、经济状况较好、计划怀孕的妇女生活质量较好。
{"title":"Quality of Life in Adolescent Pregnant Women Referred to Healthcare Centers in Arak","authors":"M. Amini, M. Gharacheh, Syedeh Batool Hasanpoor-Azghady, S. Haghani","doi":"10.32598/ijn.35.138.3118","DOIUrl":"https://doi.org/10.32598/ijn.35.138.3118","url":null,"abstract":"Background & Aims Pregnancy is associated with physiological and psychological changes. Pregnancy in adolescence may affect the quality of life (QoL) of young women. This study aims to investigate the QoL of adolescent pregnant women in Arak, Iran. Materials & Methods This cross-sectional study was conducted on 217 adolescent pregnant women referred to comprehensive health centers in urban areas of Arak city in 2020 who were selected by a multi-stage sampling method. A demographic form and the QoL gravidarum questionnaire (QoL-GRAV) were used to collect information. Descriptive statistics were used to describe the data and independent t-test, analysis of variance, and Pearson correlation test were used to examine the relationship between the study variables in SPSS software, version 22. Significance level was set at 0.05. Results The mean age of participants was 17.86±1.42 years. Their mean total score of QoL was 1.83±0.56, which was higher than average. They had the highest score in the psychological health domain (Mean=2.01) and the lowest score in the social functioning domain (Mean=1.5). Mother's educational level, husband's educational level, economic status , and pregnancy status (unplanned/planned) according to women and their husbands had a statistically significant relationship with the QoL. Conclusion The QoL of adolescent pregnant women in Arak is higher than the average. Those with higher educational level, those with husbands having higher educational level, those with better economic status, and those with planned pregnancy have better QoL.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130376370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Group Reminiscence Therapy on the Social Well-being of Retired Older Men In Zahedan, Iran 团体回忆疗法对伊朗扎黑丹退休老年男性社会幸福感的影响
Pub Date : 2022-11-01 DOI: 10.32598/ijn.35.138.67.5
N. Rezaee, A. Sheykhi
Background & Aims Aging is associated with declined health. To maintain the health of the elderly, it is necessary to develop preventive health measures. Social well-being is an important dimension of health in the elderly. The present study aims to determine the effect of group reminiscence therapy on the social well-being of retired older men in Zahedan, Iran. Materials & Methods This is a quasi-experimental study that was conducted in 2018. Participants were 90 retired older men aged 60-75 years in Zahedan, Iran who were selected by a convenience method and were randomly divided into intervention and control groups. Data collection tools were a demographic form and Keyes’ social well-being scale-short form. Data analysis was performed using descriptive and inferential statistics in SPSS software, version 16. Results The Mean±SD age was 68.02±3.46 in the intervention group and 68.64±4.60 years in the control group. The results of independent t-test showed that the mean score of social well-being after reminiscence intervention was significantly different between the two groups (P=0.002). Conclusion Group reminiscence therapy has a positive effect on the social well-being of retired older men. Since the elderly are interested in sharing memories and considering that reminiscence therapy is an attractive, simple and cost-effective intervention, it can be used to improve their social well-being.
背景与目的衰老与健康下降有关。为了保持老年人的健康,有必要制定预防保健措施。社会福利是老年人健康的一个重要方面。本研究旨在探讨团体回忆疗法对伊朗扎黑丹退休老年男性社会幸福感的影响。这是2018年进行的一项准实验研究。研究对象为90名年龄在60-75岁的伊朗扎黑丹退休老人,采用方便法随机分为干预组和对照组。数据收集工具是人口统计表格和凯斯的社会福利量表(简称表格)。在SPSS软件16版中使用描述性统计和推理统计进行数据分析。结果干预组平均±SD年龄为68.02±3.46岁,对照组平均±SD年龄为68.64±4.60岁。独立t检验结果显示,两组在回忆干预后的社会幸福感平均得分有显著差异(P=0.002)。结论团体回忆疗法对退休老年男性社会幸福感有积极作用。由于老年人有兴趣分享记忆,并考虑到回忆疗法是一种有吸引力、简单和经济的干预措施,它可以用来改善他们的社会福祉。
{"title":"Effect of Group Reminiscence Therapy on the Social Well-being of Retired Older Men In Zahedan, Iran","authors":"N. Rezaee, A. Sheykhi","doi":"10.32598/ijn.35.138.67.5","DOIUrl":"https://doi.org/10.32598/ijn.35.138.67.5","url":null,"abstract":"Background & Aims Aging is associated with declined health. To maintain the health of the elderly, it is necessary to develop preventive health measures. Social well-being is an important dimension of health in the elderly. The present study aims to determine the effect of group reminiscence therapy on the social well-being of retired older men in Zahedan, Iran. Materials & Methods This is a quasi-experimental study that was conducted in 2018. Participants were 90 retired older men aged 60-75 years in Zahedan, Iran who were selected by a convenience method and were randomly divided into intervention and control groups. Data collection tools were a demographic form and Keyes’ social well-being scale-short form. Data analysis was performed using descriptive and inferential statistics in SPSS software, version 16. Results The Mean±SD age was 68.02±3.46 in the intervention group and 68.64±4.60 years in the control group. The results of independent t-test showed that the mean score of social well-being after reminiscence intervention was significantly different between the two groups (P=0.002). Conclusion Group reminiscence therapy has a positive effect on the social well-being of retired older men. Since the elderly are interested in sharing memories and considering that reminiscence therapy is an attractive, simple and cost-effective intervention, it can be used to improve their social well-being.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134570595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Iran Journal of Nursing
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