Abbas Ali Oweisi, Fatemeh Shahabizadeh, NoorMohammad Bakhshani, M. Shakiba
Background: Managing chronic pain outcomes and addressing the desire for addiction treatment can be crucial for recovery from substance dependence and chronic pain. Objectives: This study aimed to control pain outcomes and enhance the desire for treatment using interventions based on acceptance and commitment therapy (ACT), Dialectical Behavior Therapy (DBT), and physical exercise. Methods: This quasi-experimental study employed a pre-test-post-test design with a two-month follow-up period and included a control group. Seventy-five voluntary patients undergoing addiction treatment in 2021 at Taban, Hayate Pak, and Omid addiction treatment centers in Zahedan with chronic pain participated. Participants were selected through purposive sampling and randomly assigned to five groups (ACT and DBT groups with and without exercise, and a control group). Data were collected using the Pain Outcomes Questionnaire-VA (POQ-VA) (Clark, Gironda, & Young, 2003) and the Stages of Change Readiness and Treatment Eagerness scale (SOCRATES) (Miller & Tonigan, 1996). Acceptance and Commitment Therapy intervention (eight sessions), DBT intervention (eight sessions), and aerobic exercise (24 sessions) were conducted only for the intervention groups over two months. Data were analyzed using repeated measures analysis of variance (ANOVA) and Bonferroni's post hoc test with SPSS-26 software at a significance level of 0.05 (P < 0.05). Results: Repeated measures ANOVA revealed significant changes for ACT and DBT interventions with and without exercise in the intragroup effect (time) for pain outcomes and the desire for treatment across the pre-intervention, post-intervention, and follow-up stages (P ≤ 0.001), as well as for time-group interaction (P ≤ 0.001). Furthermore, the three groups exhibited significant differences in pain outcomes and the desire for treatment across the three evaluation stages (P ≤ 0.01). Notably, compared to other interventions, ACT intervention with exercise was more effective in managing pain outcomes and enhancing the desire for treatment (P ≤ 0.001). Conclusions: The findings suggest that ACT intervention with exercise, while controlling pain outcomes and increasing the desire for treatment, can contribute to successful addiction cessation and serve as an effective intervention in healthcare settings.
{"title":"The Effectiveness of ACT and DBT-Based Interventions with and without Exercise on Pain Outcomes and Desire for Treatment in Substance-Dependent Patients with Chronic Pain","authors":"Abbas Ali Oweisi, Fatemeh Shahabizadeh, NoorMohammad Bakhshani, M. Shakiba","doi":"10.5812/msnj-147053","DOIUrl":"https://doi.org/10.5812/msnj-147053","url":null,"abstract":"Background: Managing chronic pain outcomes and addressing the desire for addiction treatment can be crucial for recovery from substance dependence and chronic pain. Objectives: This study aimed to control pain outcomes and enhance the desire for treatment using interventions based on acceptance and commitment therapy (ACT), Dialectical Behavior Therapy (DBT), and physical exercise. Methods: This quasi-experimental study employed a pre-test-post-test design with a two-month follow-up period and included a control group. Seventy-five voluntary patients undergoing addiction treatment in 2021 at Taban, Hayate Pak, and Omid addiction treatment centers in Zahedan with chronic pain participated. Participants were selected through purposive sampling and randomly assigned to five groups (ACT and DBT groups with and without exercise, and a control group). Data were collected using the Pain Outcomes Questionnaire-VA (POQ-VA) (Clark, Gironda, & Young, 2003) and the Stages of Change Readiness and Treatment Eagerness scale (SOCRATES) (Miller & Tonigan, 1996). Acceptance and Commitment Therapy intervention (eight sessions), DBT intervention (eight sessions), and aerobic exercise (24 sessions) were conducted only for the intervention groups over two months. Data were analyzed using repeated measures analysis of variance (ANOVA) and Bonferroni's post hoc test with SPSS-26 software at a significance level of 0.05 (P < 0.05). Results: Repeated measures ANOVA revealed significant changes for ACT and DBT interventions with and without exercise in the intragroup effect (time) for pain outcomes and the desire for treatment across the pre-intervention, post-intervention, and follow-up stages (P ≤ 0.001), as well as for time-group interaction (P ≤ 0.001). Furthermore, the three groups exhibited significant differences in pain outcomes and the desire for treatment across the three evaluation stages (P ≤ 0.01). Notably, compared to other interventions, ACT intervention with exercise was more effective in managing pain outcomes and enhancing the desire for treatment (P ≤ 0.001). Conclusions: The findings suggest that ACT intervention with exercise, while controlling pain outcomes and increasing the desire for treatment, can contribute to successful addiction cessation and serve as an effective intervention in healthcare settings.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140361529","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: Enhancing treatment adherence is a crucial component of heart failure management. Training intervention programs focused on self-efficacy can play a significant role in improving treatment adherence, thereby reducing hospital readmissions and treatment costs for patients with heart failure. Objectives: This study aimed to assess the impact of a self-efficacy-based training intervention program on treatment adherence among patients with heart failure admitted to teaching hospitals affiliated with Zahedan University of Medical Sciences. Methods: This quasi-experimental study included 70 patients with heart failure admitted to the coronary care and cardiac intensive care units of Khatam Al-Anbia (PBUH) and Ali Ibne Abi Talib (PBUH) hospitals in 2021. Participants were selected through convenience sampling based on inclusion criteria and were randomly assigned to intervention and control groups using colored cards. Both groups filled out a demographic information questionnaire and the Treatment Adherence Scale at the beginning of the study. The intervention group participated in a self-efficacy-based training program for 45 minutes daily over four consecutive days. This program's content was reinforced through weekly phone calls to the intervention group patients for three months post-intervention. Conversely, the control group received standard ward education. The Treatment Adherence Scale was administered again to both groups three months after the intervention. Results: An independent samples t-test revealed no significant difference in mean treatment adherence scores between the intervention and control groups before the intervention (P = 0.28). However, there was a significant difference in mean treatment adherence scores post-intervention (P = 0.001). Conclusions: The self-efficacy-based training intervention program effectively improved treatment adherence among patients with heart failure. Therefore, developing and implementing such training interventions could significantly enhance treatment adherence at a minimal cost while maximizing patient participation.
背景：提高治疗依从性是心力衰竭管理的重要组成部分。以自我效能为重点的培训干预计划可在提高治疗依从性方面发挥重要作用，从而降低心衰患者的再入院率和治疗费用。研究目的本研究旨在评估扎黑丹医科大学附属教学医院收治的心衰患者中，基于自我效能的培训干预项目对坚持治疗的影响。研究方法这项准实验研究纳入了 2021 年在哈塔姆-安比亚（Khatam Al-Anbia，愿主福安之）医院和阿里-伊本-阿比-塔利卜（Ali Ibne Abi Talib，愿主福安之）医院冠心病监护室和心脏重症监护室住院的 70 名心力衰竭患者。参与者根据纳入标准通过便利抽样选出，并使用彩色卡片随机分配到干预组和对照组。研究开始时，干预组和对照组均填写了人口统计学信息问卷和治疗依从性量表。干预组连续四天每天参加 45 分钟基于自我效能的培训课程。在干预后的三个月内，干预组患者每周都会接到一次电话，以强化该课程的内容。相反，对照组则接受标准病房教育。干预三个月后，再次对两组患者进行治疗依从性量表测试。结果显示独立样本 t 检验显示，干预前，干预组和对照组的治疗依从性平均得分无显著差异（P = 0.28）。但是，干预后的平均治疗依从性得分有明显差异（P = 0.001）。结论基于自我效能的培训干预计划有效改善了心衰患者的治疗依从性。因此，开发和实施此类培训干预项目可以以最低的成本显著提高治疗依从性，同时最大限度地提高患者的参与度。
{"title":"Effect of Self-efficacy-Based Training on Treatment Adherence of Patients with Heart Failure","authors":"Zahra Sarhadi, M. Jahantigh, F. Yaghoubinia","doi":"10.5812/msnj-146493","DOIUrl":"https://doi.org/10.5812/msnj-146493","url":null,"abstract":"Background: Enhancing treatment adherence is a crucial component of heart failure management. Training intervention programs focused on self-efficacy can play a significant role in improving treatment adherence, thereby reducing hospital readmissions and treatment costs for patients with heart failure. Objectives: This study aimed to assess the impact of a self-efficacy-based training intervention program on treatment adherence among patients with heart failure admitted to teaching hospitals affiliated with Zahedan University of Medical Sciences. Methods: This quasi-experimental study included 70 patients with heart failure admitted to the coronary care and cardiac intensive care units of Khatam Al-Anbia (PBUH) and Ali Ibne Abi Talib (PBUH) hospitals in 2021. Participants were selected through convenience sampling based on inclusion criteria and were randomly assigned to intervention and control groups using colored cards. Both groups filled out a demographic information questionnaire and the Treatment Adherence Scale at the beginning of the study. The intervention group participated in a self-efficacy-based training program for 45 minutes daily over four consecutive days. This program's content was reinforced through weekly phone calls to the intervention group patients for three months post-intervention. Conversely, the control group received standard ward education. The Treatment Adherence Scale was administered again to both groups three months after the intervention. Results: An independent samples t-test revealed no significant difference in mean treatment adherence scores between the intervention and control groups before the intervention (P = 0.28). However, there was a significant difference in mean treatment adherence scores post-intervention (P = 0.001). Conclusions: The self-efficacy-based training intervention program effectively improved treatment adherence among patients with heart failure. Therefore, developing and implementing such training interventions could significantly enhance treatment adherence at a minimal cost while maximizing patient participation.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"95 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140236605","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}
Fateme Zeinali Ghasemi, Mehdi Rezvani Amin, F. Yaghoubinia
Background: Burn injuries are among the most significant causes of disability and death, having severe economic and social consequences in human societies. Objectives: This study aims to examine the effect of an exercise program on the quality of life of burn patients admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan. Methods: In this quasi-experimental study, 30 patients with shoulder joint burns admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan in 2021 participated. Patients meeting the inclusion criteria were selected via convenience sampling and then randomly assigned to intervention and control groups using permuted blocks. The intervention consisted of 4 individual training sessions and an exercise program. Patients in the intervention group performed exercises 3 times daily for 12 weeks, while those in the control group received only routine ward care. Data were collected using the Burn Specific Health Scale (BSHS), administered to groups 1- and 3-months post-intervention. Data analysis was conducted using SPSSv.21 software, employing the chi-square test, independent samples t-test, and repeated measures analysis of variance (ANOVA), with a significance level set at P < 0.05. Results: One month post-intervention, the mean quality of life scores were 121.73 ± 7.52 in the intervention group and 122.93 ± 5.72 in the control group. After 3 months, these scores changed to 156.46 ± 9.53 in the intervention group and 122.82 ± 8.09 in the control group, indicating a significant increase in the intervention group (P = 0.001). Repeated measures ANOVA revealed no significant difference in quality of life between the 2 groups 1 month post-intervention (P = 0.37); however, a significant difference was observed at 3 months (P = 0.001). Conclusions: The study's findings suggest that exercise can improve the quality of life in patients with shoulder joint burns. Therefore, incorporating exercise and follow-up programs into the discharge plans of burn patients is recommended.
{"title":"The Effect of an Exercise Program on the Quality of Life in Burn Patients","authors":"Fateme Zeinali Ghasemi, Mehdi Rezvani Amin, F. Yaghoubinia","doi":"10.5812/msnj-144886","DOIUrl":"https://doi.org/10.5812/msnj-144886","url":null,"abstract":"Background: Burn injuries are among the most significant causes of disability and death, having severe economic and social consequences in human societies. Objectives: This study aims to examine the effect of an exercise program on the quality of life of burn patients admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan. Methods: In this quasi-experimental study, 30 patients with shoulder joint burns admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan in 2021 participated. Patients meeting the inclusion criteria were selected via convenience sampling and then randomly assigned to intervention and control groups using permuted blocks. The intervention consisted of 4 individual training sessions and an exercise program. Patients in the intervention group performed exercises 3 times daily for 12 weeks, while those in the control group received only routine ward care. Data were collected using the Burn Specific Health Scale (BSHS), administered to groups 1- and 3-months post-intervention. Data analysis was conducted using SPSSv.21 software, employing the chi-square test, independent samples t-test, and repeated measures analysis of variance (ANOVA), with a significance level set at P < 0.05. Results: One month post-intervention, the mean quality of life scores were 121.73 ± 7.52 in the intervention group and 122.93 ± 5.72 in the control group. After 3 months, these scores changed to 156.46 ± 9.53 in the intervention group and 122.82 ± 8.09 in the control group, indicating a significant increase in the intervention group (P = 0.001). Repeated measures ANOVA revealed no significant difference in quality of life between the 2 groups 1 month post-intervention (P = 0.37); however, a significant difference was observed at 3 months (P = 0.001). Conclusions: The study's findings suggest that exercise can improve the quality of life in patients with shoulder joint burns. Therefore, incorporating exercise and follow-up programs into the discharge plans of burn patients is recommended.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"29 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140081626","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}
Fateme Monjazebi, Vahid Zamanzadeh, Fereshteh Najafi
Background: Limitations of activities of daily living (ADLs) are well-known in chronic obstructive pulmonary disease (COPD) patients. However, a lack of consensus regarding the concept of ADL in COPD patients causes problems in their measurement. This study was conducted to clarify and conceptualize the concept of ADLs in COPD. Methods: The hybrid model of concept analysis consisting of a literature review phase, a fieldwork phase, and an analytical phase was applied. In the first phase, an extensive literature review was performed by searching the accredited databases for relevant articles published within 2000-2022. In the second phase, 18 in-depth interviews with COPD patients were carried out in Tehran, Iran. Field observational notes were transcribed verbatim, and qualitative content analysis was performed. In the analytical phase, attributes of ADLs were derived from the previous two phases. Results: Based on the attributes derived from the final analytical phase, ADLs in COPD patients are complex and multifactorial and are affected by dyspnea and factors influencing it. The pattern of daily activities, communication, and self-care in COPD patients changes toward living normally and independently. Conclusions: The concept analysis of ADLs in COPD patients revealed some key attributes. The results might be useful for designing nursing models, developing theories and measurement tools, and increasing the capacity to perform ADLs in COPD patients.
{"title":"Activities of Daily Living in Patients with Chronic Obstructive Pulmonary Disease: A Hybrid Concept Analysis","authors":"Fateme Monjazebi, Vahid Zamanzadeh, Fereshteh Najafi","doi":"10.5812/msnj-145282","DOIUrl":"https://doi.org/10.5812/msnj-145282","url":null,"abstract":"Background: Limitations of activities of daily living (ADLs) are well-known in chronic obstructive pulmonary disease (COPD) patients. However, a lack of consensus regarding the concept of ADL in COPD patients causes problems in their measurement. This study was conducted to clarify and conceptualize the concept of ADLs in COPD. Methods: The hybrid model of concept analysis consisting of a literature review phase, a fieldwork phase, and an analytical phase was applied. In the first phase, an extensive literature review was performed by searching the accredited databases for relevant articles published within 2000-2022. In the second phase, 18 in-depth interviews with COPD patients were carried out in Tehran, Iran. Field observational notes were transcribed verbatim, and qualitative content analysis was performed. In the analytical phase, attributes of ADLs were derived from the previous two phases. Results: Based on the attributes derived from the final analytical phase, ADLs in COPD patients are complex and multifactorial and are affected by dyspnea and factors influencing it. The pattern of daily activities, communication, and self-care in COPD patients changes toward living normally and independently. Conclusions: The concept analysis of ADLs in COPD patients revealed some key attributes. The results might be useful for designing nursing models, developing theories and measurement tools, and increasing the capacity to perform ADLs in COPD patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"86 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139959466","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}
Shaghayegh Roshanghiyas, Simin Sharifi, Hamed Faghihi, M. Jahantigh
Background: Technological advancements have facilitated disease management. Objectives: The present study aimed to investigate the effect of mobile health training on the fatigue levels of multiple sclerosis (MS) patients in Zahedan. Methods: This quasi-experimental study involved 80 MS patients who joined the Zahedan Multiple Sclerosis Association in 2023. Patients were selected through convenience sampling and then randomly assigned to either the intervention or control group. Patients in the intervention group received mobile health education on fatigue reduction strategies using a website (www.Betterlifems.ir) created by the researcher, in addition to the standard education. The control group received only the standard education. In both groups, data were collected through a demographic information questionnaire and the Fatigue Severity Scale (FSS) at the beginning and two months after the intervention, using the interview method. The SPSS software (version 26) was used to analyze the collected data via paired t-test, independent t-test, chi-square test, and analysis of covariance (ANCOVA) at a significance level set at less than 0.05 (P < 0.05). Results: In the control group, the average fatigue score increased from 43.72 ± 9.04 to 44.07 ± 9.13, which did not demonstrate a significant increase (P = 0.69). Conversely, in the intervention group, the average fatigue score significantly decreased from 43.47 ± 8.15 to 30.10 ± 8.28 (P = 0.001). The ANCOVA results, which accounted for significant pretest score effects, revealed a significant difference in mean fatigue scores between the two groups after the intervention (P = 0.001). Conclusions: This study confirms that mobile health training has a significantly positive effect on the fatigue experienced by patients with MS. Therefore, mobile health can be utilized to teach self-care strategies to manage and alleviate fatigue in MS patients.
{"title":"Effect of Mobile Health Self-Care Training on Fatigue in Multiple Sclerosis Patients","authors":"Shaghayegh Roshanghiyas, Simin Sharifi, Hamed Faghihi, M. Jahantigh","doi":"10.5812/msnj-144605","DOIUrl":"https://doi.org/10.5812/msnj-144605","url":null,"abstract":"Background: Technological advancements have facilitated disease management. Objectives: The present study aimed to investigate the effect of mobile health training on the fatigue levels of multiple sclerosis (MS) patients in Zahedan. Methods: This quasi-experimental study involved 80 MS patients who joined the Zahedan Multiple Sclerosis Association in 2023. Patients were selected through convenience sampling and then randomly assigned to either the intervention or control group. Patients in the intervention group received mobile health education on fatigue reduction strategies using a website (www.Betterlifems.ir) created by the researcher, in addition to the standard education. The control group received only the standard education. In both groups, data were collected through a demographic information questionnaire and the Fatigue Severity Scale (FSS) at the beginning and two months after the intervention, using the interview method. The SPSS software (version 26) was used to analyze the collected data via paired t-test, independent t-test, chi-square test, and analysis of covariance (ANCOVA) at a significance level set at less than 0.05 (P < 0.05). Results: In the control group, the average fatigue score increased from 43.72 ± 9.04 to 44.07 ± 9.13, which did not demonstrate a significant increase (P = 0.69). Conversely, in the intervention group, the average fatigue score significantly decreased from 43.47 ± 8.15 to 30.10 ± 8.28 (P = 0.001). The ANCOVA results, which accounted for significant pretest score effects, revealed a significant difference in mean fatigue scores between the two groups after the intervention (P = 0.001). Conclusions: This study confirms that mobile health training has a significantly positive effect on the fatigue experienced by patients with MS. Therefore, mobile health can be utilized to teach self-care strategies to manage and alleviate fatigue in MS patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"18 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140509316","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}
Mohabat Habibi Nezhad, Narjes Khatoon Sadeghi, F. Yaghoubinia
Background: Sleep is one of the basic physiological needs of human life. Hospitalization causes disturbances in the sleep pattern and decreases the quality of sleep. The present study aimed to compare the effect of Swedish massage and earplugs/eye masks on the quality of sleep of patients admitted to the intensive care units (ICUs) of the teaching hospitals affiliated with Zahedan University of Medical Sciences in Zahedan, Iran, in 2022. Methods: This quasi-experimental study was conducted on 40 patients admitted to the ICUs of Khatam Al-Anbia and Ali Ibne Abi-Talib hospitals in Zahedan. The participants were selected through convenience sampling from the patients who met the inclusion criteria. By using the permuted block technique with colored cards (red and yellow), the patients were placed into two Swedish massage and earplug/eye mask groups. After enrollment in the study, the patients in both groups did not receive any intervention during the first night, and their sleep quality was checked using the Richards-Campbell Sleep Questionnaire (RCSQ) as a pre-test during the first night. The participants in both groups received the intended interventions on the second night after entering the study, and their sleep quality on the second night was measured as a post-test. The participants in the first intervention group received a Swedish massage one night for 20 minutes before bedtime in the back area (lumbar cavity to the shoulder). Moreover, the participants in the second intervention group were asked to wear earplugs and eye masks for one night from 10 p.m. to 6 a.m. The collected data were analyzed using independent samples t-test, paired samples t-test, and chi-square test with SPSS software (version 26). Results: The results showed that the mean sleep quality scores for the participants in the Swedish massage group and earplug/eye mask group were 130.25 ± 41.91 and 135 ± 44.36 before the intervention, respectively. In addition, the mean sleep quality scores for the participants in the Swedish massage group and earplug/eye mask group were 202 ± 46.03 and 184.79 ± 39.5 after the intervention, respectively, showing a significant increase in the sleep quality scores for the participants in both groups after the intervention (P = 0.001). In addition, the independent samples t-test confirmed that the mean sleep quality score for the participants in the Swedish massage group was significantly higher than that of the participants in the earplug/eye mask group after the intervention (P = 0.037). Conclusions: Non-pharmacological interventions, such as Swedish massage and wearing earplugs and eye masks, can have a significant effect on increasing the sleep quality of patients admitted to the ICU. The data in this study indicated that compared to the earplug/eye mask group intervention, Swedish massage had a greater effect on improving the sleep quality of the patients. Therefore, the Swedish massage technique, which does not cause sensory restrictions
背景介绍睡眠是人类生活的基本生理需求之一。住院会导致睡眠模式紊乱，降低睡眠质量。本研究旨在比较瑞典式按摩和耳塞/眼罩对 2022 年伊朗扎黑丹医科大学附属教学医院重症监护室（ICU）住院患者睡眠质量的影响。研究方法这项准实验研究的对象是扎黑丹 Khatam Al-Anbia 和 Ali Ibne Abi-Talib 医院重症监护室的 40 名住院患者。研究人员从符合纳入标准的患者中方便抽样选出。通过使用彩色卡片（红色和黄色）的置换区组技术，将患者分为瑞典按摩组和耳塞/眼罩组。加入研究后，两组患者在第一晚均未接受任何干预，并在第一晚使用理查兹-坎贝尔睡眠问卷（RCSQ）对其睡眠质量进行预测试。两组参与者在进入研究后的第二晚都接受了预定的干预措施，第二晚的睡眠质量作为后测进行测量。第一干预组的参与者每晚睡前接受一次瑞典式按摩，时间为 20 分钟，按摩部位为背部（腰部至肩部）。此外，第二干预组的参与者被要求在晚上 10 点至早上 6 点的一个晚上佩戴耳塞和眼罩。收集的数据采用独立样本 t 检验、配对样本 t 检验和 SPSS 软件（26 版）的卡方检验进行分析。结果显示结果显示，干预前，瑞典式按摩组和耳塞/眼罩组参与者的平均睡眠质量得分分别为（130.25±41.91）分和（135±44.36）分。干预后，瑞典式按摩组和耳塞/眼罩组参与者的平均睡眠质量得分分别为（202±46.03）分和（184.79±39.5）分，表明干预后两组参与者的睡眠质量得分均有显著提高（P = 0.001）。此外，独立样本 t 检验证实，干预后瑞典式按摩组参与者的平均睡眠质量得分明显高于耳塞/眼罩组参与者（P = 0.037）。结论瑞典式按摩、佩戴耳塞和眼罩等非药物干预措施对提高重症监护室住院患者的睡眠质量有显著效果。本研究的数据表明，与耳塞/眼罩组干预相比，瑞典式按摩对改善患者睡眠质量的效果更好。因此，瑞典式按摩技术不会造成与耳塞/眼罩类似的感官限制，可作为一种廉价且无并发症的干预措施用于改善患者的睡眠质量。
{"title":"Comparison of the Effect of Swedish Massage and Earplugs/Eye Masks on Sleep Quality of Patients Admitted to ICUs","authors":"Mohabat Habibi Nezhad, Narjes Khatoon Sadeghi, F. Yaghoubinia","doi":"10.5812/msnj-144370","DOIUrl":"https://doi.org/10.5812/msnj-144370","url":null,"abstract":"Background: Sleep is one of the basic physiological needs of human life. Hospitalization causes disturbances in the sleep pattern and decreases the quality of sleep. The present study aimed to compare the effect of Swedish massage and earplugs/eye masks on the quality of sleep of patients admitted to the intensive care units (ICUs) of the teaching hospitals affiliated with Zahedan University of Medical Sciences in Zahedan, Iran, in 2022. Methods: This quasi-experimental study was conducted on 40 patients admitted to the ICUs of Khatam Al-Anbia and Ali Ibne Abi-Talib hospitals in Zahedan. The participants were selected through convenience sampling from the patients who met the inclusion criteria. By using the permuted block technique with colored cards (red and yellow), the patients were placed into two Swedish massage and earplug/eye mask groups. After enrollment in the study, the patients in both groups did not receive any intervention during the first night, and their sleep quality was checked using the Richards-Campbell Sleep Questionnaire (RCSQ) as a pre-test during the first night. The participants in both groups received the intended interventions on the second night after entering the study, and their sleep quality on the second night was measured as a post-test. The participants in the first intervention group received a Swedish massage one night for 20 minutes before bedtime in the back area (lumbar cavity to the shoulder). Moreover, the participants in the second intervention group were asked to wear earplugs and eye masks for one night from 10 p.m. to 6 a.m. The collected data were analyzed using independent samples t-test, paired samples t-test, and chi-square test with SPSS software (version 26). Results: The results showed that the mean sleep quality scores for the participants in the Swedish massage group and earplug/eye mask group were 130.25 ± 41.91 and 135 ± 44.36 before the intervention, respectively. In addition, the mean sleep quality scores for the participants in the Swedish massage group and earplug/eye mask group were 202 ± 46.03 and 184.79 ± 39.5 after the intervention, respectively, showing a significant increase in the sleep quality scores for the participants in both groups after the intervention (P = 0.001). In addition, the independent samples t-test confirmed that the mean sleep quality score for the participants in the Swedish massage group was significantly higher than that of the participants in the earplug/eye mask group after the intervention (P = 0.037). Conclusions: Non-pharmacological interventions, such as Swedish massage and wearing earplugs and eye masks, can have a significant effect on increasing the sleep quality of patients admitted to the ICU. The data in this study indicated that compared to the earplug/eye mask group intervention, Swedish massage had a greater effect on improving the sleep quality of the patients. Therefore, the Swedish massage technique, which does not cause sensory restrictions ","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"168 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140511911","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}
Samaneh Khadish, A. Navidian, Mohammad Kazem Momeni, Z. Zolfaghari, Reyhaneh Khayyati
Background: The COVID-19 pandemic has led to various psychological consequences. Its sudden emergence has caused widespread confusion, disrupted people's daily lives, and inflicted severe psychological trauma. Objectives: This study seeks to explore the effectiveness of emotional cognitive training in reducing stress and promoting post-traumatic growth among COVID-19 patients discharged from Zahedan hospitals in 2021. Methods: This quasi-experimental study involved 70 COVID-19 patients who were discharged from Zahedan hospitals in 2021. The participants were selected using a convenience sampling method and randomly assigned to either the intervention or control group, with each group consisting of 35 patients. The intervention group received seven online sessions of cognitive-emotional training in groups of 4 to 6 people. The patients completed the Post-traumatic Growth Inventory (PTGI) and the post-traumatic stress disorder (PTSD) checklist before and 12 weeks after the cognitive-emotional training. The data were analyzed using SPSS version 22 and statistical tests such as analysis of covariance, chi-square, and independent t-tests. The significance level was considered < 0.05. Results: The independent t-test and analysis of the covariance test revealed that the mean score of post-traumatic stress in the intervention group (32.34 ± 5.75) was significantly lower than that in the control group (57.88 ± 4.28) following the cognitive-emotional training (P = 0.001). Additionally, the mean post-traumatic growth score in the intervention group (69.8 ± 11.73) was significantly higher than that in the control group (48.71 ± 5.08) after the training (P = 0.001). Conclusions: The results suggest that emotional cognitive training has a positive and significant impact on reducing stress and promoting post-traumatic growth among COVID-19 patients. Therefore, incorporating this online training into the standard treatment is recommended to enhance the well-being and welfare of patients with COVID-19 after discharge.
{"title":"The Effect of Cognitive-Emotional Training on Post-traumatic Stress and Growth in Discharged Patients with COVID-19","authors":"Samaneh Khadish, A. Navidian, Mohammad Kazem Momeni, Z. Zolfaghari, Reyhaneh Khayyati","doi":"10.5812/msnj-141927","DOIUrl":"https://doi.org/10.5812/msnj-141927","url":null,"abstract":"Background: The COVID-19 pandemic has led to various psychological consequences. Its sudden emergence has caused widespread confusion, disrupted people's daily lives, and inflicted severe psychological trauma. Objectives: This study seeks to explore the effectiveness of emotional cognitive training in reducing stress and promoting post-traumatic growth among COVID-19 patients discharged from Zahedan hospitals in 2021. Methods: This quasi-experimental study involved 70 COVID-19 patients who were discharged from Zahedan hospitals in 2021. The participants were selected using a convenience sampling method and randomly assigned to either the intervention or control group, with each group consisting of 35 patients. The intervention group received seven online sessions of cognitive-emotional training in groups of 4 to 6 people. The patients completed the Post-traumatic Growth Inventory (PTGI) and the post-traumatic stress disorder (PTSD) checklist before and 12 weeks after the cognitive-emotional training. The data were analyzed using SPSS version 22 and statistical tests such as analysis of covariance, chi-square, and independent t-tests. The significance level was considered < 0.05. Results: The independent t-test and analysis of the covariance test revealed that the mean score of post-traumatic stress in the intervention group (32.34 ± 5.75) was significantly lower than that in the control group (57.88 ± 4.28) following the cognitive-emotional training (P = 0.001). Additionally, the mean post-traumatic growth score in the intervention group (69.8 ± 11.73) was significantly higher than that in the control group (48.71 ± 5.08) after the training (P = 0.001). Conclusions: The results suggest that emotional cognitive training has a positive and significant impact on reducing stress and promoting post-traumatic growth among COVID-19 patients. Therefore, incorporating this online training into the standard treatment is recommended to enhance the well-being and welfare of patients with COVID-19 after discharge.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274731","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}
Zahra Raisi, Samaneh Behzadi Fard, Saba Behzadifard, Fatemeh Khabazzadeh
Context: One of the common procedures in the neonatal intensive care unit (NICU) is the insertion of a venous catheter, and one of the most important and serious complications is extravasation, which is a leading cause of death in hospitalized infants. Based on the researcher’s experience in the NICU and the necessity of extravasation injury management in infants, this review study focused on extravasation injury management in infants. Methods: The literature was searched in ProQuest, Scopus, and PubMed databases using the terms “extravasation” OR “vascular leakage” OR “Peripheral Infiltration” AND “Neonatal” OR “Newborn” OR “Infants” OR “NICU.” The search procedure was performed in the title, abstract, and full text of articles published in English from 2000 to 2022. Results: In the initial search, 3414 articles were extracted. After removing the duplicates and searching the titles and abstracts of the articles, 132 related articles were found, and their full texts were studied. Finally, 20 articles entered the final analysis stage. Nine case report studies, five case series studies, three clinical trials, and three retrospective review studies were found. The results showed that various treatment methods are available, including elevating limbs, pain relief, hot and cold compresses, flush-out technique with saline, dressings (hydrocolloid, hydrogel, and hydrocellular foam), medications (2% nitroglycerin ointment and subcutaneous administration of hyaluronidase and phentolamine), and new methods such as amniotic membranes, omega-3-rich fish skin (Kerecis), active leptospermum honey (ALH), PRP, and surgical removal. Conclusions: Despite many medical advances, there is still no specific approach to managing extravasation in infants. The ideal approach to extravasation injuries is still to prevent them initially. The best next step is to minimize the damage using antidotes or hyaluronidase. Using saline to remove the solution and physically minimize damage can be useful. Thus, more studies are needed to address extravasation management in infants.
{"title":"Management of Extravasation Injury in Infants: A Systematic Review of Clinical Trials","authors":"Zahra Raisi, Samaneh Behzadi Fard, Saba Behzadifard, Fatemeh Khabazzadeh","doi":"10.5812/msnj-139426","DOIUrl":"https://doi.org/10.5812/msnj-139426","url":null,"abstract":"Context: One of the common procedures in the neonatal intensive care unit (NICU) is the insertion of a venous catheter, and one of the most important and serious complications is extravasation, which is a leading cause of death in hospitalized infants. Based on the researcher’s experience in the NICU and the necessity of extravasation injury management in infants, this review study focused on extravasation injury management in infants. Methods: The literature was searched in ProQuest, Scopus, and PubMed databases using the terms “extravasation” OR “vascular leakage” OR “Peripheral Infiltration” AND “Neonatal” OR “Newborn” OR “Infants” OR “NICU.” The search procedure was performed in the title, abstract, and full text of articles published in English from 2000 to 2022. Results: In the initial search, 3414 articles were extracted. After removing the duplicates and searching the titles and abstracts of the articles, 132 related articles were found, and their full texts were studied. Finally, 20 articles entered the final analysis stage. Nine case report studies, five case series studies, three clinical trials, and three retrospective review studies were found. The results showed that various treatment methods are available, including elevating limbs, pain relief, hot and cold compresses, flush-out technique with saline, dressings (hydrocolloid, hydrogel, and hydrocellular foam), medications (2% nitroglycerin ointment and subcutaneous administration of hyaluronidase and phentolamine), and new methods such as amniotic membranes, omega-3-rich fish skin (Kerecis), active leptospermum honey (ALH), PRP, and surgical removal. Conclusions: Despite many medical advances, there is still no specific approach to managing extravasation in infants. The ideal approach to extravasation injuries is still to prevent them initially. The best next step is to minimize the damage using antidotes or hyaluronidase. Using saline to remove the solution and physically minimize damage can be useful. Thus, more studies are needed to address extravasation management in infants.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74497005","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}
Roghaye Rooin, A. Navidian, H. Sarani, Zahra Pishkar Mofrad, Omar Pourbaluch
Background: Traumatic brain injury (TBI) is an acquired brain tissue injury with different severities that leads to a change in the patient’s level of consciousness. Objectives: The present study aimed to compare the impact of foot reflexology massage and familiar sensory stimulation on the level of consciousness of trauma patients admitted to the intensive care units (ICUs) of Khatam Al-Anbia Hospital in Zahedan in 2021. Methods: This quasi-experimental study was conducted with a pretest-posttest design on 135 trauma patients with an altered level of consciousness admitted to the ICUs of Khatam Al-Anbia Hospital in Zahedan in 2021. The participants were selected using convenience sampling from the patients who met the inclusion criteria and were randomly assigned to 3 groups: Foot reflexology massage, familiar sensory stimulation, and control groups (each with 45 patients). The foot reflexology massage group received reflex massage on both feet for 30 minutes, the familiar sensory stimulation group received familiar sensory stimulation for 45 minutes, and the control group received ICU routine care. The interventions were carried out for 1 week in 2 morning and evening shifts. The patient’s consciousness level was measured and recorded using the Glasgow Coma Scale (GCS) 5 minutes before and 30 minutes after the intervention. The data were analyzed using SPSS version 22, as well as using analysis of variance (ANOVA), paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) at a significance level of 0.05 (P < 0.05). Results: The data showed that the average consciousness score for the patients in both foot reflexology massage and familiar sensory stimulation groups increased significantly after the intervention compared to the control group (P = 0.001), but the 2 interventions were not significantly different in improving the level of consciousness of the patients. Conclusions: Foot reflexology massage and familiar sensory stimulation were both equally effective in increasing the level of consciousness of trauma patients with an altered level of consciousness, and none of them was superior to the other. Thus, nurses can use these 2 complementary medicine methods to speed up the improvement of consciousness of patients with TBI.
{"title":"Comparing the Effect of Foot Reflexology Massage and Familiar Sensory Stimulation on the Level of Consciousness of Trauma Patients Admitted to Intensive Care Units: A Clinical Trial Study","authors":"Roghaye Rooin, A. Navidian, H. Sarani, Zahra Pishkar Mofrad, Omar Pourbaluch","doi":"10.5812/msnj-139149","DOIUrl":"https://doi.org/10.5812/msnj-139149","url":null,"abstract":"Background: Traumatic brain injury (TBI) is an acquired brain tissue injury with different severities that leads to a change in the patient’s level of consciousness. Objectives: The present study aimed to compare the impact of foot reflexology massage and familiar sensory stimulation on the level of consciousness of trauma patients admitted to the intensive care units (ICUs) of Khatam Al-Anbia Hospital in Zahedan in 2021. Methods: This quasi-experimental study was conducted with a pretest-posttest design on 135 trauma patients with an altered level of consciousness admitted to the ICUs of Khatam Al-Anbia Hospital in Zahedan in 2021. The participants were selected using convenience sampling from the patients who met the inclusion criteria and were randomly assigned to 3 groups: Foot reflexology massage, familiar sensory stimulation, and control groups (each with 45 patients). The foot reflexology massage group received reflex massage on both feet for 30 minutes, the familiar sensory stimulation group received familiar sensory stimulation for 45 minutes, and the control group received ICU routine care. The interventions were carried out for 1 week in 2 morning and evening shifts. The patient’s consciousness level was measured and recorded using the Glasgow Coma Scale (GCS) 5 minutes before and 30 minutes after the intervention. The data were analyzed using SPSS version 22, as well as using analysis of variance (ANOVA), paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) at a significance level of 0.05 (P < 0.05). Results: The data showed that the average consciousness score for the patients in both foot reflexology massage and familiar sensory stimulation groups increased significantly after the intervention compared to the control group (P = 0.001), but the 2 interventions were not significantly different in improving the level of consciousness of the patients. Conclusions: Foot reflexology massage and familiar sensory stimulation were both equally effective in increasing the level of consciousness of trauma patients with an altered level of consciousness, and none of them was superior to the other. Thus, nurses can use these 2 complementary medicine methods to speed up the improvement of consciousness of patients with TBI.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85197570","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: Success in cancer treatment requires accepting treatments and the patient’s compliance with them. One of the factors affecting treatment adherence in women is to be supported, especially by their husbands, during different stages of treatment. Objectives: This study aimed to examine the effect of couple training on treatment adherence of breast cancer patients undergoing chemotherapy. Methods: This quasi-experimental study was conducted on 80 breast cancer patients admitted to the chemotherapy rooms of Khatam Al-Anbia and Ali-Ibne Abitaleb hospitals affiliated with Zahedan University of Medical Sciences and their husbands in 2022. The participants were selected using convenience sampling and randomly assigned to intervention and control groups. First, the pretest was administered to the participants in both groups. The patients in the intervention group and their husbands attended a couple-training program for three consecutive chemotherapy sessions, each lasting 40 to 60 minutes. However, the control group participants received routine training in the chemotherapy departments. Six weeks after the last intervention session, the Medication Adherence in Chronic Diseases Scale was administered to both groups. The collected data were analyzed with SPSS software (version 27) and using the paired samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). The significance level in this study was considered less than 0.05 (P < 0.05). Results: The mean treatment adherence score of the patients in the intervention and control groups changed from 162.60 ± 22.79 and 164.97 ± 12.95 to 175.15 ± 10.64 and 166.95 ± 9.67, respectively. The independent samples t-test showed that the mean treatment adherence score was significantly higher in the intervention group than in the control group after the couple training intervention (P < 0.001). The ANCOVA also indicated that the mean treatment adherence scores of breast cancer patients in the two groups showed a statistically significant difference after the couple-training intervention (P < 0.001). Conclusions: Given the positive effect of couple training on patients’ treatment adherence, it is necessary to carry out educational interventions with the presence of spouses in training and care programs to encourage patients to pursue and adhere to treatment and emphasize their role in the continuation of treatment and adherence to it.
{"title":"The Effect of Couple Training on Treatment Adherence of Breast Cancer Patients Undergoing Chemotherapy","authors":"Bahram Banaee, Anishe Sanchooli, F. Kiani","doi":"10.5812/msnj-138874","DOIUrl":"https://doi.org/10.5812/msnj-138874","url":null,"abstract":"Background: Success in cancer treatment requires accepting treatments and the patient’s compliance with them. One of the factors affecting treatment adherence in women is to be supported, especially by their husbands, during different stages of treatment. Objectives: This study aimed to examine the effect of couple training on treatment adherence of breast cancer patients undergoing chemotherapy. Methods: This quasi-experimental study was conducted on 80 breast cancer patients admitted to the chemotherapy rooms of Khatam Al-Anbia and Ali-Ibne Abitaleb hospitals affiliated with Zahedan University of Medical Sciences and their husbands in 2022. The participants were selected using convenience sampling and randomly assigned to intervention and control groups. First, the pretest was administered to the participants in both groups. The patients in the intervention group and their husbands attended a couple-training program for three consecutive chemotherapy sessions, each lasting 40 to 60 minutes. However, the control group participants received routine training in the chemotherapy departments. Six weeks after the last intervention session, the Medication Adherence in Chronic Diseases Scale was administered to both groups. The collected data were analyzed with SPSS software (version 27) and using the paired samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). The significance level in this study was considered less than 0.05 (P < 0.05). Results: The mean treatment adherence score of the patients in the intervention and control groups changed from 162.60 ± 22.79 and 164.97 ± 12.95 to 175.15 ± 10.64 and 166.95 ± 9.67, respectively. The independent samples t-test showed that the mean treatment adherence score was significantly higher in the intervention group than in the control group after the couple training intervention (P < 0.001). The ANCOVA also indicated that the mean treatment adherence scores of breast cancer patients in the two groups showed a statistically significant difference after the couple-training intervention (P < 0.001). Conclusions: Given the positive effect of couple training on patients’ treatment adherence, it is necessary to carry out educational interventions with the presence of spouses in training and care programs to encourage patients to pursue and adhere to treatment and emphasize their role in the continuation of treatment and adherence to it.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77067678","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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