Background & Aims: Along with the growth of the aging population, there are several challenges for this population group as well as for caregivers and health policymakers. One of the most important challenges is the increase in care needs due to the increased suffering of the elderly from chronic and malignant diseases and disabilities. Therefore, due to the high prevalence of cancer and also the growth of the aging population, palliative care appears to be one of the important priorities of the health system. Palliative care has been identified as an important and ongoing part of cancer care. Palliative care is an approach that improves the quality of life of the patient and his family in the face of problems related to life-limiting diseases by preventing the patient's suffering and improving the patient's symptoms and other physical, mental, spiritual, and social problems. In fact, palliative care alleviates the disease-related pain and its effects on the patient and her family from the diagnosis of the disease to the control of pain and other symptoms. Studies have shown that there is a significant relationship between palliative care received and the quality of life in patients with chronic diseases such as cancer. Quality of life is also a multidimensional concept and nurses have an important role in improving the quality of services and care by considering the physical, mental, spiritual, religious, cultural, and social aspects of the patients. Therefore, it is necessary to first investigate the existing conditions and the quality of palliative care in the health centers and then take effective measures to improve them. Therefore, this study was conducted to determine the quality of palliative care from the perspectives of the elderly with cancer admitted to Firoozgar Educational and Medical Center in 2019. Materials & Methods: This was a cross-sectional study. A total of 123 elderly patients with cancer admitted to Firoozgar Hospital in 2019 (November to January 2019) were selected through continuous sampling procedure. Inclusion criteria were informed consent to participate in the study, no cognitive impairment (a minimum score of 7 out of 10 based on AMT test) in the elderly, the ability to communicate and answer the items of the questionnaire, no known mental illness (based on the patient's medical record), confirmed cancer (according to the medical diagnosis and medical record). The exclusion criteria were no consent to participate in the study, noncooperation in each stage of completing the questionnaire (AMT, demographic form, palliative care quality tools). Data collection tools included the short-form anxiety management training (AMT) to analyze the elderlies' mental health status and cognitive system, demographic form, and quality end of life questionnaire (QEOLC-10) which were completed through face-to-face interviews with the samples. The palliative care quality questionnaire assesses the quality of palliative care provided fro
{"title":"The Quality of Palliative Care from the Perspectives of the Elderly with Cancer at Firoozgar Hospital in 2019: A Cross-sectional Study","authors":"F Farzadnia, F. Bastani, H. Haghani","doi":"10.52547/ijn.34.130.59","DOIUrl":"https://doi.org/10.52547/ijn.34.130.59","url":null,"abstract":"Background & Aims: Along with the growth of the aging population, there are several challenges for this population group as well as for caregivers and health policymakers. One of the most important challenges is the increase in care needs due to the increased suffering of the elderly from chronic and malignant diseases and disabilities. Therefore, due to the high prevalence of cancer and also the growth of the aging population, palliative care appears to be one of the important priorities of the health system. Palliative care has been identified as an important and ongoing part of cancer care. Palliative care is an approach that improves the quality of life of the patient and his family in the face of problems related to life-limiting diseases by preventing the patient's suffering and improving the patient's symptoms and other physical, mental, spiritual, and social problems. In fact, palliative care alleviates the disease-related pain and its effects on the patient and her family from the diagnosis of the disease to the control of pain and other symptoms. Studies have shown that there is a significant relationship between palliative care received and the quality of life in patients with chronic diseases such as cancer. Quality of life is also a multidimensional concept and nurses have an important role in improving the quality of services and care by considering the physical, mental, spiritual, religious, cultural, and social aspects of the patients. Therefore, it is necessary to first investigate the existing conditions and the quality of palliative care in the health centers and then take effective measures to improve them. Therefore, this study was conducted to determine the quality of palliative care from the perspectives of the elderly with cancer admitted to Firoozgar Educational and Medical Center in 2019. Materials & Methods: This was a cross-sectional study. A total of 123 elderly patients with cancer admitted to Firoozgar Hospital in 2019 (November to January 2019) were selected through continuous sampling procedure. Inclusion criteria were informed consent to participate in the study, no cognitive impairment (a minimum score of 7 out of 10 based on AMT test) in the elderly, the ability to communicate and answer the items of the questionnaire, no known mental illness (based on the patient's medical record), confirmed cancer (according to the medical diagnosis and medical record). The exclusion criteria were no consent to participate in the study, noncooperation in each stage of completing the questionnaire (AMT, demographic form, palliative care quality tools). Data collection tools included the short-form anxiety management training (AMT) to analyze the elderlies' mental health status and cognitive system, demographic form, and quality end of life questionnaire (QEOLC-10) which were completed through face-to-face interviews with the samples. The palliative care quality questionnaire assesses the quality of palliative care provided fro","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121820243","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}
E. J. Jalal, N. Seyedfatemi, S. Haghani, M. Feyzbabaie
Background & Aims: Nursing, the core and front line of the health system, is considered as one of the most challenging jobs due to problems such as lack of human resources, increasing demand in the clinical environment, constant changes in work schedule, client expectations, legal problems, and client mortality. Paying attention to influential factors including client health is important in creating a positive working environment and increasing the mental health of nurses. One of the issues raised recently is psychological capital, with four dimensions of self-efficacy, optimism, hope, and resilience. Psychological capital has a positive effect on work attitude and behavior and is positively related to constructive performance. In addition, psychological capital leads to better psychological health, better adaptation to stressful conditions, and increases nurses' ability to cope with the problems. Given that nurses are always exposed to physical, mental, and emotional challenges, hospital managers should provide mechanisms to reduce potential workplace risks. Recognition of preventive factors (e.g., psychological capital) is the first step towards the growth and development of effective policies in this area. Therefore, this study was conducted to determine the psychological capital of nurses working in academic medical centers of Iran University of Medical Sciences. Materials & Methods: This descriptive study was conducted to examine the psychological capital of nurses working in academic medical centers of Iran University of Medical Sciences in 2019. The study population was all nurses working in academic medical centers affiliated to Iran University of Medical Sciences in 2019 and the sample included 305 nurses with inclusion criteria (at least 1 year of clinical experience and not facing severe crises or death of loved ones during the last 6 months) from emergency departments, pediatric ward, ICU, CCU, internal ward, psychiatric ward, Operating room, obstetrics ward, surgical ward, dialysis unit, burn unit, oncology, and etc. Sampling was performed using proportional allocation procedure and samples were selected from academic medical centers of Iran University of Medical Sciences. The Psychological Capital Questionnaire devised by Luthans was used (85.2%). Most of the units (38%). The average work experience of all participants was 10.44 ± 6.96. Their average work experience in the current wards was 4.82 ± 4.41 and also the average work experience in the current hospital was 8.26 ± 6.20. The results revealed that the mean of psychological capital was 104.63 ± 15.25, and given the score range of 24-144 in the Psychological Capital Questionnaire and the mean score, it can be concluded that nurses had a high level of psychological capital. Among the components of psychological capital, the highest mean score was related to self-efficacy of 28.29 ± 4.70 and the lowest mean score was related to resilience of 24.62 ± 4.37. Also, psychological capi
{"title":"Psychological Capital of Nurses Working in Academic Medical Centers of Iran University of Medical Sciences","authors":"E. J. Jalal, N. Seyedfatemi, S. Haghani, M. Feyzbabaie","doi":"10.52547/IJN.34.129.27","DOIUrl":"https://doi.org/10.52547/IJN.34.129.27","url":null,"abstract":"Background & Aims: Nursing, the core and front line of the health system, is considered as one of the most challenging jobs due to problems such as lack of human resources, increasing demand in the clinical environment, constant changes in work schedule, client expectations, legal problems, and client mortality. Paying attention to influential factors including client health is important in creating a positive working environment and increasing the mental health of nurses. One of the issues raised recently is psychological capital, with four dimensions of self-efficacy, optimism, hope, and resilience. Psychological capital has a positive effect on work attitude and behavior and is positively related to constructive performance. In addition, psychological capital leads to better psychological health, better adaptation to stressful conditions, and increases nurses' ability to cope with the problems. Given that nurses are always exposed to physical, mental, and emotional challenges, hospital managers should provide mechanisms to reduce potential workplace risks. Recognition of preventive factors (e.g., psychological capital) is the first step towards the growth and development of effective policies in this area. Therefore, this study was conducted to determine the psychological capital of nurses working in academic medical centers of Iran University of Medical Sciences. Materials & Methods: This descriptive study was conducted to examine the psychological capital of nurses working in academic medical centers of Iran University of Medical Sciences in 2019. The study population was all nurses working in academic medical centers affiliated to Iran University of Medical Sciences in 2019 and the sample included 305 nurses with inclusion criteria (at least 1 year of clinical experience and not facing severe crises or death of loved ones during the last 6 months) from emergency departments, pediatric ward, ICU, CCU, internal ward, psychiatric ward, Operating room, obstetrics ward, surgical ward, dialysis unit, burn unit, oncology, and etc. Sampling was performed using proportional allocation procedure and samples were selected from academic medical centers of Iran University of Medical Sciences. The Psychological Capital Questionnaire devised by Luthans was used (85.2%). Most of the units (38%). The average work experience of all participants was 10.44 ± 6.96. Their average work experience in the current wards was 4.82 ± 4.41 and also the average work experience in the current hospital was 8.26 ± 6.20. The results revealed that the mean of psychological capital was 104.63 ± 15.25, and given the score range of 24-144 in the Psychological Capital Questionnaire and the mean score, it can be concluded that nurses had a high level of psychological capital. Among the components of psychological capital, the highest mean score was related to self-efficacy of 28.29 ± 4.70 and the lowest mean score was related to resilience of 24.62 ± 4.37. Also, psychological capi","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121752573","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}
Background & Aims: The world's population is ageing, and the elderly constitute large number of the world's population. With ageing, the health status undergoes certain changes, and the risk of developing chronic diseases and disabilities increases in the final years of life. Given the increased index of life expectancy and the subsequent increase in the number of the elderlies in the world, the number of diabetic patients in this population also increases. Diabetes is an important health issue and a common physical illness, which causes numerous complications in old age. Type II diabetes has no definite diagnosis and requires long-term care and proper self-management. Since diabetes has no definite treatment, the early identification of the suspected cases could prevent and delay the associated complications through proper self-management. The self-management of diabetes is complex and may go beyond blood sugar control, requiring the balancing of multiple metabolic and lifestyle factors and helping the patients to discover and exploit their capabilities in this regard. If patients with chronic diseases refrain from self-management and do not actively partake in self-care, positive clinical outcomes will be hard or impossible to achieve. Self-management is a rehabilitative method in which the care activities mainly depend on the patient, and the aim is to attain maximum independence, decision-making, and health improvement based on the abilities and lifestyle of the patient. Therefore, self-management must be evaluated in vulnerable and targeted populations, such as the elderly. Due to the chronic nature of diabetes, the patient must follow a special, long-term medication regimen that is prescribed by the treatment team, which is only possible with the active participation of the patient in the treatment and implementation of the recommendations of the treatment team members; this is referred to as treatment adherence. One of the main concerns and clinical problems that is frequently faced by healthcare providers is the problems associated with the lack of adherence to the prescribed treatment, particularly in the with antihypertensive drugs a minimum of six months, and no impairment with the score of ≥7 in the abbreviated mental test (AMT). Data were collected using the short-form AMT, a demographic form, diabetes self-management questionnaire (DSMQ), and drug adherence questionnaire (MMAS). After the completion of the questionnaires by the researcher, the data were coded, and the analysis of the raw data was performed using descriptive statistics (adjusting frequency distribution tables, calculating frequency indices, and frequency numerical indices) for the qualitative variables. In addition, the minimum, maximum, mean, and standard deviation were determined using inferential statistics and Chi-square, independent t-test, analysis of variance (ANOVA), Pearson' correlation-coefficient, Scheffe post-hoc test, and regression analysis at the signi
{"title":"Self-management and Medication Adherence in Older Adults with Type II Diabetes Referring to the Endocrinology Clinics of the Teaching Hospital Affiliated to Iran University of Medical Sciences (2019)","authors":"F. Epakchipoor, F. Bastani, F. Sabet","doi":"10.52547/IJN.34.129.1","DOIUrl":"https://doi.org/10.52547/IJN.34.129.1","url":null,"abstract":"Background & Aims: The world's population is ageing, and the elderly constitute large number of the world's population. With ageing, the health status undergoes certain changes, and the risk of developing chronic diseases and disabilities increases in the final years of life. Given the increased index of life expectancy and the subsequent increase in the number of the elderlies in the world, the number of diabetic patients in this population also increases. Diabetes is an important health issue and a common physical illness, which causes numerous complications in old age. Type II diabetes has no definite diagnosis and requires long-term care and proper self-management. Since diabetes has no definite treatment, the early identification of the suspected cases could prevent and delay the associated complications through proper self-management. The self-management of diabetes is complex and may go beyond blood sugar control, requiring the balancing of multiple metabolic and lifestyle factors and helping the patients to discover and exploit their capabilities in this regard. If patients with chronic diseases refrain from self-management and do not actively partake in self-care, positive clinical outcomes will be hard or impossible to achieve. Self-management is a rehabilitative method in which the care activities mainly depend on the patient, and the aim is to attain maximum independence, decision-making, and health improvement based on the abilities and lifestyle of the patient. Therefore, self-management must be evaluated in vulnerable and targeted populations, such as the elderly. Due to the chronic nature of diabetes, the patient must follow a special, long-term medication regimen that is prescribed by the treatment team, which is only possible with the active participation of the patient in the treatment and implementation of the recommendations of the treatment team members; this is referred to as treatment adherence. One of the main concerns and clinical problems that is frequently faced by healthcare providers is the problems associated with the lack of adherence to the prescribed treatment, particularly in the with antihypertensive drugs a minimum of six months, and no impairment with the score of ≥7 in the abbreviated mental test (AMT). Data were collected using the short-form AMT, a demographic form, diabetes self-management questionnaire (DSMQ), and drug adherence questionnaire (MMAS). After the completion of the questionnaires by the researcher, the data were coded, and the analysis of the raw data was performed using descriptive statistics (adjusting frequency distribution tables, calculating frequency indices, and frequency numerical indices) for the qualitative variables. In addition, the minimum, maximum, mean, and standard deviation were determined using inferential statistics and Chi-square, independent t-test, analysis of variance (ANOVA), Pearson' correlation-coefficient, Scheffe post-hoc test, and regression analysis at the signi","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121325856","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}
Latifi Shahandashti, Zahra Kashaninia, A. Khachian, H. Haghani
Background & Aims: Rheumatoid arthritis is a chronic, inflammatory, and progressive autoimmune disease with variable clinical symptoms, which could also be the main cause of disability, short life, and even death. Pain is the most common symptom of rheumatoid arthritis, which plays a key role in the pattern of sleep and rest, and approximately 80% of patients with rheumatoid arthritis complain of sleep disorders. Among the other influential factors in the sleep pattern are inactivity and medication use. Sleep disturbance could increase pain, fatigue with depression, inflammation, and even disease and symptom deterioration. The patients mostly refer on an outpatient basis and receive routine training. However, the management of chronic diseases requires the empowerment of the patients in terms of disease management, care, and participation in the treatment. Therefore, these patients must receive comprehensive education about the disease, symptoms, and complications (especially the correct methods of self-care) in order to achieve the desired outcomes. Self-care education is an important task of nurses, which promotes healthy behavior. As a result, adult patients learn and take actions to maintain their survival, quality of life, and wellbeing. The feedback-based method is a client-oriented educational approach, which is often preferred over other educational methods. Assessing the proper understanding of the individuals toward the training materials provides feedback to ensure that they have received the training information accurately and completely, which has a significant impact on the quality of self-care and patient satisfaction with the treatment and care. The main complaints of patients with rheumatoid arthritis are pain and sleep disorders, along with daily symptoms, fatigue, drowsiness, depression, mood and cognitive disorders, decreased concentration, and anxiety. Therefore, it is paramount to evaluate the impact of self-care education on the pain management and sleep disorders of these patients. The present study aimed to investigate the effects of feedback-oriented self-care training on the pain intensity and sleep quality of patients with rheumatoid arthritis. We also compared sleep quality and pain intensity before and after the intervention with the assumption that sleep quality would improve and pain intensity would decrease after the intervention. Materials & Methods: This study was conducted based on the one-group evaluation of effect with a pretest-posttest design, in which we evaluated the effects of self-care training by the feedback method on the pain intensity and sleep quality of the patients with rheumatoid arthritis referring to the rheumatology clinic of Imam Reza (AS) Hospital in Amol city, Iran. The study was performed during one year (August 2019-July 2020), and 60 patients were selected via continuous sampling within six months (October 2019-April 2020) considering attrition. Four patients were also excluded. The inc
{"title":"Effects of the Teach-back Method of Self-care Education on the Pain Intensity and Sleep Quality of Rheumatoid Arthritis Patients","authors":"Latifi Shahandashti, Zahra Kashaninia, A. Khachian, H. Haghani","doi":"10.52547/IJN.34.129.15","DOIUrl":"https://doi.org/10.52547/IJN.34.129.15","url":null,"abstract":"Background & Aims: Rheumatoid arthritis is a chronic, inflammatory, and progressive autoimmune disease with variable clinical symptoms, which could also be the main cause of disability, short life, and even death. Pain is the most common symptom of rheumatoid arthritis, which plays a key role in the pattern of sleep and rest, and approximately 80% of patients with rheumatoid arthritis complain of sleep disorders. Among the other influential factors in the sleep pattern are inactivity and medication use. Sleep disturbance could increase pain, fatigue with depression, inflammation, and even disease and symptom deterioration. The patients mostly refer on an outpatient basis and receive routine training. However, the management of chronic diseases requires the empowerment of the patients in terms of disease management, care, and participation in the treatment. Therefore, these patients must receive comprehensive education about the disease, symptoms, and complications (especially the correct methods of self-care) in order to achieve the desired outcomes. Self-care education is an important task of nurses, which promotes healthy behavior. As a result, adult patients learn and take actions to maintain their survival, quality of life, and wellbeing. The feedback-based method is a client-oriented educational approach, which is often preferred over other educational methods. Assessing the proper understanding of the individuals toward the training materials provides feedback to ensure that they have received the training information accurately and completely, which has a significant impact on the quality of self-care and patient satisfaction with the treatment and care. The main complaints of patients with rheumatoid arthritis are pain and sleep disorders, along with daily symptoms, fatigue, drowsiness, depression, mood and cognitive disorders, decreased concentration, and anxiety. Therefore, it is paramount to evaluate the impact of self-care education on the pain management and sleep disorders of these patients. The present study aimed to investigate the effects of feedback-oriented self-care training on the pain intensity and sleep quality of patients with rheumatoid arthritis. We also compared sleep quality and pain intensity before and after the intervention with the assumption that sleep quality would improve and pain intensity would decrease after the intervention. Materials & Methods: This study was conducted based on the one-group evaluation of effect with a pretest-posttest design, in which we evaluated the effects of self-care training by the feedback method on the pain intensity and sleep quality of the patients with rheumatoid arthritis referring to the rheumatology clinic of Imam Reza (AS) Hospital in Amol city, Iran. The study was performed during one year (August 2019-July 2020), and 60 patients were selected via continuous sampling within six months (October 2019-April 2020) considering attrition. Four patients were also excluded. The inc","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114169702","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}
M. Sargolzaei, A. Khachian, M. Seyedoshohadaee, H. Haghani
Background & Aims: Thalassemia major (TM) is one of the most common chronic genetic disorders in today’s world. The number of patients with thalassemia in the world is estimated at 240 million and is reported in 60 countries. Iran is located in the thalassemia belt and has about 26,000 patients with thalassemia major. Patients with chronic diseases such as thalassemia have to undergo continuous medical treatment throughout their lives and their survival depends on these treatments. The treatment protocol affects different aspects of these patients' lives and can make them anxious. Therefore, any measures taken to reduce the anxiety of these patients are very important. Educational intervention can be a method for improving the quality of life in patients with chronic diseases. Nowadays, the educational methods that engage learners in their learning process have acquired attention. One of the methods to educate patients is peer education which has been effective in promoting their health status. In this educational approach, patients share their experiences about their common disease. Having worked in the thalassemia ward, the researcher realized the importance of peer education as a scientific and codified method for efficient education of these patients. Moreover, considering the clinical observation of psychological problems in patients with thalassemia major and also the lack of continuous and reliable research in this field, the present study aimed to evaluate the effect of peer education on the anxiety experienced by patients with thalassemia major. Materials & Methods: This one-group, quasi-experimental study was conducted at Imam Khomeini Hospital in Zabol between March and July 2020 on 50 participants, who were selected via continuous sampling from the patients with the thalassemia major based on the inclusion and exclusion criteria of the study. Data were collected using a demographic questionnaire exploring participants' age, sex, residency, occupation, level of education, economic status, parents’ familial relationship, the frequency of blood transfusions per month, another family member with the same disease, the type of iron-chelating agent, regular drug consumption, and history of other diseases. In addition, the valid and reliable Beck Anxiety Inventory (BAI) was used to measure anxiety. The study began with the selection of eligible peers educators based on inclusion criteria. Finally, 2 patients with thalassemia major (a man and a woman) who obtained higher scores were selected as peer educators, who were then trained by the researcher in 3 sixty-minute educational sessions within one week. The educational content included explanations about research objectives, the importance and benefits of peer education, educational concepts, communication skills including attention to verbal and non-verbal behaviors, active listening skills, and anxiety control concepts. The educational content was taught through an interactive lecture using
背景与目的:地中海贫血(TM)是当今世界最常见的慢性遗传性疾病之一。全世界地中海贫血患者人数估计为2.4亿，据报告分布在60个国家。伊朗位于地中海贫血带，约有2.6万名重度地中海贫血患者。患有地中海贫血等慢性疾病的患者必须终生接受持续的治疗，他们的生存取决于这些治疗。治疗方案会影响这些患者生活的不同方面，并可能使他们感到焦虑。因此，采取任何措施来减少这些患者的焦虑是非常重要的。教育干预是改善慢性疾病患者生活质量的一种方法。如今，让学习者参与学习过程的教育方法受到了人们的关注。对患者进行教育的方法之一是同伴教育，同伴教育在促进患者健康方面取得了良好的效果。在这种教育方法中，患者分享他们对常见疾病的经验。在地中海贫血病房工作后，研究者意识到同伴教育作为一种科学、规范的方法对这些患者进行有效教育的重要性。此外，考虑到重度地中海贫血患者心理问题的临床观察，以及该领域缺乏持续可靠的研究，本研究旨在评估同伴教育对重度地中海贫血患者焦虑的影响。材料与方法:这项一组准实验研究于2020年3月至7月在Zabol的伊玛目霍梅尼医院进行，参与者为50人，根据研究的纳入和排除标准，通过连续抽样从重度地中海贫血患者中选出。采用人口调查问卷收集数据，调查对象的年龄、性别、居住地、职业、受教育程度、经济状况、父母家庭关系、每月输血次数、是否有其他家庭成员患有相同疾病、是否使用铁螯合剂、是否定期使用药物以及是否有其他疾病史。此外，采用有效可靠的贝克焦虑量表(BAI)来测量焦虑。这项研究首先根据纳入标准选择合格的同伴教育工作者。最后，选择得分较高的2名重度地中海贫血患者(一男一女)作为同伴教育者，然后由研究人员在一周内进行3次60分钟的教育培训。教育内容包括对研究目标的解释、同伴教育的重要性和益处、教育概念、沟通技巧(包括注意语言和非语言行为)、积极倾听技巧和焦虑控制概念。教育内容通过视听辅助的互动讲座和问答的形式进行。基于研究者的培训和同伴教育者表达的经验，通过角色扮演对他们进行最终评估。在对同伴教育者进行培训后，进行前测。之后是焦虑管理培训项目。伊朗德黑兰伊朗医学大学护理与助产学院护理硕士。伊朗医科大学护理与助产学院内外科护理系护理研究中心，伊朗德黑兰。伊朗德黑兰伊朗医科大学护理与助产学院内外科护理学系护理研究中心(通讯作者)电话:02143651606邮箱:seyedoshohadaee.m@iums.ac.ir。消极和焦虑的态度。该培训项目以同伴教育者的经验为重点，在连续两个小时内进行了两次60分钟的培训。参与者被分成6 - 7人一组。每一组都在地中海贫血病房的培训班上由一名同伴单独训练。培训课程结束后，教育小册子被分发给所有的研究参与者。干预一个月后，参与者进行后测。本研究得到伊朗医科大学伦理委员会的批准。研究者遵循受试者知情同意、自愿参与等伦理政策。 使用SPSS version 16进行数据分析，采用描述性统计(均值和标准差)和推理统计(配对样本t检验)。结果:参与者平均年龄为24.5±4.24岁。在这项研究中，大多数参与者是女性，有文凭，失业。此外，大多数患者的父母有家庭关系。焦虑前测平均分为17.73±11.63分，后测平均分为17.07±11.32分。配对t检验结果显示，重度地中海贫血患者焦虑前测和后测得分差异无统计学意义(t=0.788;P = 0.434)。结论:同伴教育对重度地中海贫血患者的焦虑水平无显著影响。考虑到教育干预的性质，这些患者可能受益于同时减少焦虑的干预，如放松练习和音乐疗法。研究结果还表明，未来的研究将使用其他评估工具、更广泛的教育内容和一个对照组来评估重度地中海贫血患者的焦虑。此外，建议研究人员将同伴训练与用于这些患者的其他焦虑管理训练方法的效果进行比较。
{"title":"The Effect of Peer Education on the Anxiety of Patients with Thalassemia Major: A Quasi-experimental Study","authors":"M. Sargolzaei, A. Khachian, M. Seyedoshohadaee, H. Haghani","doi":"10.52547/IJN.34.129.39","DOIUrl":"https://doi.org/10.52547/IJN.34.129.39","url":null,"abstract":"Background & Aims: Thalassemia major (TM) is one of the most common chronic genetic disorders in today’s world. The number of patients with thalassemia in the world is estimated at 240 million and is reported in 60 countries. Iran is located in the thalassemia belt and has about 26,000 patients with thalassemia major. Patients with chronic diseases such as thalassemia have to undergo continuous medical treatment throughout their lives and their survival depends on these treatments. The treatment protocol affects different aspects of these patients' lives and can make them anxious. Therefore, any measures taken to reduce the anxiety of these patients are very important. Educational intervention can be a method for improving the quality of life in patients with chronic diseases. Nowadays, the educational methods that engage learners in their learning process have acquired attention. One of the methods to educate patients is peer education which has been effective in promoting their health status. In this educational approach, patients share their experiences about their common disease. Having worked in the thalassemia ward, the researcher realized the importance of peer education as a scientific and codified method for efficient education of these patients. Moreover, considering the clinical observation of psychological problems in patients with thalassemia major and also the lack of continuous and reliable research in this field, the present study aimed to evaluate the effect of peer education on the anxiety experienced by patients with thalassemia major. Materials & Methods: This one-group, quasi-experimental study was conducted at Imam Khomeini Hospital in Zabol between March and July 2020 on 50 participants, who were selected via continuous sampling from the patients with the thalassemia major based on the inclusion and exclusion criteria of the study. Data were collected using a demographic questionnaire exploring participants' age, sex, residency, occupation, level of education, economic status, parents’ familial relationship, the frequency of blood transfusions per month, another family member with the same disease, the type of iron-chelating agent, regular drug consumption, and history of other diseases. In addition, the valid and reliable Beck Anxiety Inventory (BAI) was used to measure anxiety. The study began with the selection of eligible peers educators based on inclusion criteria. Finally, 2 patients with thalassemia major (a man and a woman) who obtained higher scores were selected as peer educators, who were then trained by the researcher in 3 sixty-minute educational sessions within one week. The educational content included explanations about research objectives, the importance and benefits of peer education, educational concepts, communication skills including attention to verbal and non-verbal behaviors, active listening skills, and anxiety control concepts. The educational content was taught through an interactive lecture using","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130151985","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}
{"title":"وضعیت خودمراقبتی در سالمندان مبتلا به نارسایی قلبی بستری در بخشهای مراقبت ویژه قلبی بیمارستانهای دولتی شرق گیلان در سال 1399","authors":"لیلا زاهد نخجیری, آذر درویش پور, پرند پور قانع, بهاره غلامی چابکی","doi":"10.52547/IJN.34.129.67","DOIUrl":"https://doi.org/10.52547/IJN.34.129.67","url":null,"abstract":"","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133089723","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}
Background & Aims: Cancer is a chronic disease that has been increasingly considered by researchers, and breast cancer is one of the most common cancer types in the world, accounting for 50% of deaths. In Iran, breast cancer (22 per 100,000) is the most common cancer among women. In addition, breast cancer affects Iranian women about a decade earlier than in western countries. Cancer-related crisis causes imbalance and disharmony in the thoughts, body, and soul, but the most common condition for the patient is alexithymia during this period. Emotions are a set of schemas based on information processing and include symbolic and non-symbolic processes and visualizations. One of the most important factors to consider in patients with breast cancer is psychological helplessness. Various studies show that people with specific diseases have lower mental health. Many of them suffer from anxiety, anger, sadness, social isolation, and depression, which together cause the person to become psychologically helpless. Another psychological variable that is associated with or can affect cancer is fault tolerance. Failure occurs when a person fails to achieve the desired goal. Failure is generally understood as a state of inhibition in satisfying the motive or interference in goal response or in the mediating action that leads to that goal. Fault tolerance refers to a person's ability to show resilience in the face of repeated failure and a hostile environment. Failure to find local and foreign researches on women with breast cancer makes it necessary to research in this area and determine whether psychological helplessness and fault tolerance can be predicted based on alexithymia in women with breast cancer. & Methods: Emotional Psychological (P<0.002), stress (P<0.001), and psychological helplessness (P<0.000). It can also be said that there was a direct relationship between alexithymia and subscales of intolerance of emotional failure (P<0.001), sadness intolerance (P<0.001), intolerance of failure (P<0.005), and intolerance of injustice (P<0.002). Alexithymia was also able to predict psychological helplessness (P<0.000), and fault tolerance (P<0.001). Conclusion: The overall result of the study showed a significant direct correlation between alexithymia, psychological helplessness, and fault intolerance, in a way that an increase in alexithymia score increased depression, anxiety, and stress of women with breast cancer, and alexithymia was directly correlated with fault intolerance, meaning that with increasing alexithymia score in women with breast cancer, the ability to tolerate discomfort, injustice, and lack of progress decreased in these women. According to these results, it is necessary to teach emotion regulation strategies along with using other treatment methods to reduce stress, depression, and anxiety and increase resilience and fault tolerance of women with breast cancer.
{"title":"Prediction of Psychological Helplessness and Fault Tolerance Based on Emotional Alexithymia in Women with Breast Cancer","authors":"Z. B. Baziarkhili, S. Ebrahimi","doi":"10.52547/IJN.34.129.96","DOIUrl":"https://doi.org/10.52547/IJN.34.129.96","url":null,"abstract":"Background & Aims: Cancer is a chronic disease that has been increasingly considered by researchers, and breast cancer is one of the most common cancer types in the world, accounting for 50% of deaths. In Iran, breast cancer (22 per 100,000) is the most common cancer among women. In addition, breast cancer affects Iranian women about a decade earlier than in western countries. Cancer-related crisis causes imbalance and disharmony in the thoughts, body, and soul, but the most common condition for the patient is alexithymia during this period. Emotions are a set of schemas based on information processing and include symbolic and non-symbolic processes and visualizations. One of the most important factors to consider in patients with breast cancer is psychological helplessness. Various studies show that people with specific diseases have lower mental health. Many of them suffer from anxiety, anger, sadness, social isolation, and depression, which together cause the person to become psychologically helpless. Another psychological variable that is associated with or can affect cancer is fault tolerance. Failure occurs when a person fails to achieve the desired goal. Failure is generally understood as a state of inhibition in satisfying the motive or interference in goal response or in the mediating action that leads to that goal. Fault tolerance refers to a person's ability to show resilience in the face of repeated failure and a hostile environment. Failure to find local and foreign researches on women with breast cancer makes it necessary to research in this area and determine whether psychological helplessness and fault tolerance can be predicted based on alexithymia in women with breast cancer. & Methods: Emotional Psychological (P<0.002), stress (P<0.001), and psychological helplessness (P<0.000). It can also be said that there was a direct relationship between alexithymia and subscales of intolerance of emotional failure (P<0.001), sadness intolerance (P<0.001), intolerance of failure (P<0.005), and intolerance of injustice (P<0.002). Alexithymia was also able to predict psychological helplessness (P<0.000), and fault tolerance (P<0.001). Conclusion: The overall result of the study showed a significant direct correlation between alexithymia, psychological helplessness, and fault intolerance, in a way that an increase in alexithymia score increased depression, anxiety, and stress of women with breast cancer, and alexithymia was directly correlated with fault intolerance, meaning that with increasing alexithymia score in women with breast cancer, the ability to tolerate discomfort, injustice, and lack of progress decreased in these women. According to these results, it is necessary to teach emotion regulation strategies along with using other treatment methods to reduce stress, depression, and anxiety and increase resilience and fault tolerance of women with breast cancer.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121808419","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}
Background & Aims: One of the primary goals of health service provision is to prevent patient harm and maintain patient safety. Patient safety is defined as minimizing the risk of unnecessary injuries compared to other treatments or lack of treatment. Safe nursing care has four dimensions of nursing skills, providing physical safety, providing mental safety, and nurses' cooperation with other members. The provision of safe care depends on the quality and efficiency of nursing services. The efficiency of nurses depends on the measures taken to preserve the body and mind of nurses and the improvement of the quality of their work life. Quality of work life emphasizes personal consequences and professional improvement to meet one's needs in the four dimensions of personal life, work framework, work context, and global dimension of work. Safe care and quality of work life are important issues, and their dimensions have been assessed and identified separately in some studies, while they could be fully recognized and promoted through more approaches. The present study aimed to assess the correlation of safe nursing care and the quality of work life of nurses in the public hospitals of Rasht, Iran in 2020. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted to assess the correlation between safe nursing care and quality of work life in eight public hospitals in Rasht. The participants included 250 nurses who were selected via stratified sampling based on the ratio of the total number of the nurses in the public hospitals of Rasht and each hospital department accessibly. Data were collected using a demographic questionnaire, Brooks' quality of work life (QWL) for nurses (2005), and Rashvand safe nursing care questionnaire (2017). Brooks' QWL questionnaire has four dimensions regarding the quality of work life of nurses with 42 items, including personal life (seven items), work framework (10 items), work field (20 items), global work dimension (five items). Each items was assigned a score within the range of 1-6 (Strongly Disagree=1, Strongly Agree=6) within the score range higher, while their cooperation level with the other healthcare team members was lower comparatively. Safe nursing care had no significant correlation with the quality of work life and none of its dimensions. In addition, none of the demographic variables were significantly correlated with the quality of work life of the studied nurses. However, safe nursing care had significant correlations with gender, marital status, employment status, age, and work experience (P>0.001). Conclusion: Despite the moderate quality of work life, safe nursing care was considered favorable. However, no significant correlations were observed between safe nursing care, the quality of working life, and its dimensions. This finding could be due to the prevailing professional rules and beliefs in the nursing profession, which maintains safe care despite the limitations in th
{"title":"The Correlation of Safe Nursing Care with the Quality of Work Life of Nurses","authors":"M. Fotoohi, E. Jafar Jalal, H. Haghani","doi":"10.52547/ijn.33.128.1","DOIUrl":"https://doi.org/10.52547/ijn.33.128.1","url":null,"abstract":"Background & Aims: One of the primary goals of health service provision is to prevent patient harm and maintain patient safety. Patient safety is defined as minimizing the risk of unnecessary injuries compared to other treatments or lack of treatment. Safe nursing care has four dimensions of nursing skills, providing physical safety, providing mental safety, and nurses' cooperation with other members. The provision of safe care depends on the quality and efficiency of nursing services. The efficiency of nurses depends on the measures taken to preserve the body and mind of nurses and the improvement of the quality of their work life. Quality of work life emphasizes personal consequences and professional improvement to meet one's needs in the four dimensions of personal life, work framework, work context, and global dimension of work. Safe care and quality of work life are important issues, and their dimensions have been assessed and identified separately in some studies, while they could be fully recognized and promoted through more approaches. The present study aimed to assess the correlation of safe nursing care and the quality of work life of nurses in the public hospitals of Rasht, Iran in 2020. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted to assess the correlation between safe nursing care and quality of work life in eight public hospitals in Rasht. The participants included 250 nurses who were selected via stratified sampling based on the ratio of the total number of the nurses in the public hospitals of Rasht and each hospital department accessibly. Data were collected using a demographic questionnaire, Brooks' quality of work life (QWL) for nurses (2005), and Rashvand safe nursing care questionnaire (2017). Brooks' QWL questionnaire has four dimensions regarding the quality of work life of nurses with 42 items, including personal life (seven items), work framework (10 items), work field (20 items), global work dimension (five items). Each items was assigned a score within the range of 1-6 (Strongly Disagree=1, Strongly Agree=6) within the score range higher, while their cooperation level with the other healthcare team members was lower comparatively. Safe nursing care had no significant correlation with the quality of work life and none of its dimensions. In addition, none of the demographic variables were significantly correlated with the quality of work life of the studied nurses. However, safe nursing care had significant correlations with gender, marital status, employment status, age, and work experience (P>0.001). Conclusion: Despite the moderate quality of work life, safe nursing care was considered favorable. However, no significant correlations were observed between safe nursing care, the quality of working life, and its dimensions. This finding could be due to the prevailing professional rules and beliefs in the nursing profession, which maintains safe care despite the limitations in th","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130566056","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}
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