E. E. Tabas, H. Sarani, Hamed Faghihi, Zahra Nezamjoo
Background: Continuous follow-up is one of the most essential factors in patient participation, self-care, continuity of care, and ultimately improved quality of care. Objectives: This study aimed to compare the effect of three methods of follow-up through telephone, educational booklet, and SMS on the self-care ability of patients with acute coronary syndrome (ACS). Methods: A quasi-experimental study was performed on 120 patients with ACS admitted to the CCU and PCCU of two teaching hospitals affiliated to the Zahedan University of Medical Sciences. The subjects were chosen via convenience sampling and randomized into three intervention groups, including educational booklet, SMS (daily), and telephone (twice a week, 15 - 20 minutes per session). Data collection tools included a demographic questionnaire and the Kearney and Fleischer Self-Care scale. The interventions were sustained for four weeks after discharge. Six weeks after the program, the questionnaires were completed again. Data were analyzed in SPSS 21 using the chi-square test, paired t-test, and ANOVA at a significance level of below 0.05. Results: A total of 120 patients completed the study. The results showed a significant difference in the self-care scores after the intervention between all of the three groups (P = 0.0001). There was a significant difference between the booklet and SMS groups (P = 0.0001) and between the booklet and telephone groups (P = 0.0001) after the intervention. However, self-care scores were not significantly different between the SMS and telephone groups after the intervention (P = 0.19). Conclusions: The use of SMS was associated with the highest score of self-care in patients with ACS, and it is proposed as the best follow-up method. Therefore, health care providers can enhance patients’ self-care ability through this simple technique and thus, help patients recover sooner and show reduced disease complications.
{"title":"Comparing the Impact of Three Follow-Up Methods (Telephone, Educational Booklet, and SMS) on Self-Care Ability of Patients with Acute Coronary Syndrome: A Quasi-Experimental Study","authors":"E. E. Tabas, H. Sarani, Hamed Faghihi, Zahra Nezamjoo","doi":"10.5812/msnj.102328","DOIUrl":"https://doi.org/10.5812/msnj.102328","url":null,"abstract":"Background: Continuous follow-up is one of the most essential factors in patient participation, self-care, continuity of care, and ultimately improved quality of care. Objectives: This study aimed to compare the effect of three methods of follow-up through telephone, educational booklet, and SMS on the self-care ability of patients with acute coronary syndrome (ACS). Methods: A quasi-experimental study was performed on 120 patients with ACS admitted to the CCU and PCCU of two teaching hospitals affiliated to the Zahedan University of Medical Sciences. The subjects were chosen via convenience sampling and randomized into three intervention groups, including educational booklet, SMS (daily), and telephone (twice a week, 15 - 20 minutes per session). Data collection tools included a demographic questionnaire and the Kearney and Fleischer Self-Care scale. The interventions were sustained for four weeks after discharge. Six weeks after the program, the questionnaires were completed again. Data were analyzed in SPSS 21 using the chi-square test, paired t-test, and ANOVA at a significance level of below 0.05. Results: A total of 120 patients completed the study. The results showed a significant difference in the self-care scores after the intervention between all of the three groups (P = 0.0001). There was a significant difference between the booklet and SMS groups (P = 0.0001) and between the booklet and telephone groups (P = 0.0001) after the intervention. However, self-care scores were not significantly different between the SMS and telephone groups after the intervention (P = 0.19). Conclusions: The use of SMS was associated with the highest score of self-care in patients with ACS, and it is proposed as the best follow-up method. Therefore, health care providers can enhance patients’ self-care ability through this simple technique and thus, help patients recover sooner and show reduced disease complications.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82842774","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: Mothers of children with thalassemia major encounter numerous problems associated with treatment and care that often stem from the disease and lead to inappropriate coping behaviors, which impose an onerous burden on the caregiver. Thus, maintaining and promoting the mental health of these mothers and alleviating their care burden should be a health priority. Objectives: This study aimed at investigating the impact of group education on adaptive behaviors and care burden in mothers of children with thalassemia major. Methods: In this clinical trial, 70 mothers of children with thalassemia major were selected through convenience sampling and randomized into the intervention and control groups. The data collection tools included a demographic questionnaire, the coping health inventory for parent (CHIP), and the Caregiver Burden scale (CBS). The subjects in the intervention group received four 120-min sessions of group education over four weeks and were followed up for a month. The obtained data were analyzed using SPSS 22 and descriptive statistics, paired t-test, independent t-test, and chi-square test. All results below 0.05 were considered statistically significant. Results: A total of 70 subjects completed the study. The two groups were not significantly different in terms of demographic variables (gender, child’s age, ethnicity, mother’s age, mother’s education, economic status, number of children, and parents’ occupation). The mean score of adaptive behaviors in the intervention and control groups at baseline was 55.57 ± 18.75 and 58.57 ± 21.04, respectively. At the end of the study, this score changed to 83.68 ± 10.45 in the intervention group and 52.80 ± 17.46 in the control group, indicating the significant positive impact of group education (P < 0.001). On the other hand, the mean score of mothers’ care burden in the intervention and control groups was 54.60 ± 12.05 and 59.25 ± 13.34 at baseline, respectively; which changed to 41.28 ± 7.01 in the intervention group and 60.02 ± 13.19 in the control group after the experiment, suggesting the positive impact of group education on mitigating caregiver burden (P < 0.001). Conclusions: Group training focused on mothers’ involvement can improve their adaptive behaviors and reduce the burden resulting from caring for the patient. Nurses are recommended to employ this educational method to promote family involvement in health care.
{"title":"The Effect of Group Education on Adaptive Behaviors and Caregiver Burden in Mothers of Children with Thalassemia Major: A Trial Clinical Study","authors":"A. Biabani, F. Kermansaravi, A. Navidian","doi":"10.5812/msnj.101560","DOIUrl":"https://doi.org/10.5812/msnj.101560","url":null,"abstract":"Background: Mothers of children with thalassemia major encounter numerous problems associated with treatment and care that often stem from the disease and lead to inappropriate coping behaviors, which impose an onerous burden on the caregiver. Thus, maintaining and promoting the mental health of these mothers and alleviating their care burden should be a health priority. Objectives: This study aimed at investigating the impact of group education on adaptive behaviors and care burden in mothers of children with thalassemia major. Methods: In this clinical trial, 70 mothers of children with thalassemia major were selected through convenience sampling and randomized into the intervention and control groups. The data collection tools included a demographic questionnaire, the coping health inventory for parent (CHIP), and the Caregiver Burden scale (CBS). The subjects in the intervention group received four 120-min sessions of group education over four weeks and were followed up for a month. The obtained data were analyzed using SPSS 22 and descriptive statistics, paired t-test, independent t-test, and chi-square test. All results below 0.05 were considered statistically significant. Results: A total of 70 subjects completed the study. The two groups were not significantly different in terms of demographic variables (gender, child’s age, ethnicity, mother’s age, mother’s education, economic status, number of children, and parents’ occupation). The mean score of adaptive behaviors in the intervention and control groups at baseline was 55.57 ± 18.75 and 58.57 ± 21.04, respectively. At the end of the study, this score changed to 83.68 ± 10.45 in the intervention group and 52.80 ± 17.46 in the control group, indicating the significant positive impact of group education (P < 0.001). On the other hand, the mean score of mothers’ care burden in the intervention and control groups was 54.60 ± 12.05 and 59.25 ± 13.34 at baseline, respectively; which changed to 41.28 ± 7.01 in the intervention group and 60.02 ± 13.19 in the control group after the experiment, suggesting the positive impact of group education on mitigating caregiver burden (P < 0.001). Conclusions: Group training focused on mothers’ involvement can improve their adaptive behaviors and reduce the burden resulting from caring for the patient. Nurses are recommended to employ this educational method to promote family involvement in health care.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77124058","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: Hemodialysis (HD) treatment in patients with chronic kidney disease (CKD) is a long-term process, which cannot be sufficiently effective without the patient’s own involvement and self-care activities. Objectives: The aim of this study was to disclose the effect of telenursing on self-care behaviors of patients undergoing hemodialysis at Ali Ibn Abitalib Hospital, affiliated with Zahedan University of Medical Sciences in 2019. Methods: In this clinical trial, 80 HD patients were chosen via convenience sampling and randomly assigned to the experimental and control groups. Data were collected using a demographic questionnaire and an 18-item scale assessing HD patients’ self-care behaviors. The experimental group received a 12-week training program, which was held twice a week (each lasting 15 minutes). Follow-up was performed through phone calls during this period. On the other hand, the control group received only routine hospital instructions. The self-care questionnaire was completed before and 12 weeks after the intervention. The obtained data were analyzed in SPSS-22 using chi-square test, independent t-test, paired t-test, and ANCOVA. P values less than 0.05 were considered statistically significant. Results: A total of 80 subjects completed the study. Except for age, the two groups were not significantly different in terms of demographic variables. The mean score of self-care before the intervention was 24.40 ± 14.73 in the experimental group and 19.45 ± 14.11 in the control group. After the intervention, this score changed to 48.65 ± 9.19 in the experimental group and 20.40 ± 13.46 in the control group, suggesting a significant difference in self-care between the two groups. Conclusions: Telenursing promotes self-care in HD patients. Thanks to the availability of telephone and the low cost of training for this method, health authorities/policymakers and nurses can deploy telenursing to cultivate self-care behaviors in these patients.
{"title":"Assessing the Impact of Telenursing on Self-Care in Hemodialysis Patients: A Clinical Trial Study","authors":"Omar Pourbalouch, A. Navidian, H. Askari","doi":"10.5812/msnj.101292","DOIUrl":"https://doi.org/10.5812/msnj.101292","url":null,"abstract":"Background: Hemodialysis (HD) treatment in patients with chronic kidney disease (CKD) is a long-term process, which cannot be sufficiently effective without the patient’s own involvement and self-care activities. Objectives: The aim of this study was to disclose the effect of telenursing on self-care behaviors of patients undergoing hemodialysis at Ali Ibn Abitalib Hospital, affiliated with Zahedan University of Medical Sciences in 2019. Methods: In this clinical trial, 80 HD patients were chosen via convenience sampling and randomly assigned to the experimental and control groups. Data were collected using a demographic questionnaire and an 18-item scale assessing HD patients’ self-care behaviors. The experimental group received a 12-week training program, which was held twice a week (each lasting 15 minutes). Follow-up was performed through phone calls during this period. On the other hand, the control group received only routine hospital instructions. The self-care questionnaire was completed before and 12 weeks after the intervention. The obtained data were analyzed in SPSS-22 using chi-square test, independent t-test, paired t-test, and ANCOVA. P values less than 0.05 were considered statistically significant. Results: A total of 80 subjects completed the study. Except for age, the two groups were not significantly different in terms of demographic variables. The mean score of self-care before the intervention was 24.40 ± 14.73 in the experimental group and 19.45 ± 14.11 in the control group. After the intervention, this score changed to 48.65 ± 9.19 in the experimental group and 20.40 ± 13.46 in the control group, suggesting a significant difference in self-care between the two groups. Conclusions: Telenursing promotes self-care in HD patients. Thanks to the availability of telephone and the low cost of training for this method, health authorities/policymakers and nurses can deploy telenursing to cultivate self-care behaviors in these patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76276328","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: Spiritual health is considered one of the most important components of health and palliative care that facilitates harmonious and integrated communication among one's inner forces. One of the basic principles of holistic nursing care is to pay attention to the spirituality and spiritual care of patients. Spiritual care is an important source of adaptation in refractory and chronic patients such as cancer. Objectives: The aim of this study was to determine the effect of spiritual care on the spiritual health of adolescents with cancer. Methods: This pre-experimental, single-group, pre-post study was performed on 35 adolescents with cancer admitted to Imam Ali Teaching Hospital in Zahedan from May to September 2019. Convenient sampling technique was performed to carry out the study based on inclusion criteria. Data collection tools included demographic information questionnaire and Paloutzian and Ellison Spiritual Health questionnaire. Before and after the spiritual care intervention, the required data were collected by interviewing adolescents and using questionnaires. The data were analyzed using Shapiro-Wilk test and paired t-test. Results: Adolescents’ overall spiritual health score increased from 52 ± 7.34 before the intervention to 102 ± 6.57 after the intervention and the difference was significant (P = 0.001). Conclusions: According to the findings of the present study, spiritual care is effective in the spiritual health of adolescents with cancer and can promote adolescent spiritual health. Therefore, it is suggested that nurses incorporate spiritual care into their patient care plans as a simple, accessible, safe and affordable way to promote their spiritual health.
背景:精神健康被认为是健康和姑息治疗中最重要的组成部分之一，它促进了一个人内在力量之间的和谐和综合交流。整体护理的基本原则之一是注重病人的灵性和精神护理。精神关怀是癌症等顽固性和慢性患者适应的重要来源。目的:本研究的目的是确定精神护理对青少年癌症患者精神健康的影响。方法:对2019年5月至9月在扎黑丹伊玛目阿里教学医院住院的35名青少年癌症患者进行实验前、单组、前后研究。采用方便抽样技术，根据纳入标准进行研究。数据收集工具包括人口统计信息问卷和Paloutzian and Ellison精神健康问卷。在精神关怀干预前后，通过青少年访谈和问卷调查收集所需数据。采用Shapiro-Wilk检验和配对t检验对数据进行分析。结果:青少年精神健康总分由干预前的52±7.34分提高至干预后的102±6.57分，差异有统计学意义(P = 0.001)。结论:根据本研究结果，精神关怀在青少年癌症患者的精神健康中是有效的，可以促进青少年的精神健康。因此，建议护士将精神护理纳入他们的病人护理计划，作为一种简单，可及，安全和负担得起的方式来促进他们的精神健康。
{"title":"The Effect of Spiritual Care on the Spiritual Health of Adolescents with Cancer: A Pre-Experimental Study","authors":"Fahimeh Mansurifard, F. Ghaljaei, A. Navidian","doi":"10.5812/msnj.100567","DOIUrl":"https://doi.org/10.5812/msnj.100567","url":null,"abstract":"Background: Spiritual health is considered one of the most important components of health and palliative care that facilitates harmonious and integrated communication among one's inner forces. One of the basic principles of holistic nursing care is to pay attention to the spirituality and spiritual care of patients. Spiritual care is an important source of adaptation in refractory and chronic patients such as cancer. Objectives: The aim of this study was to determine the effect of spiritual care on the spiritual health of adolescents with cancer. Methods: This pre-experimental, single-group, pre-post study was performed on 35 adolescents with cancer admitted to Imam Ali Teaching Hospital in Zahedan from May to September 2019. Convenient sampling technique was performed to carry out the study based on inclusion criteria. Data collection tools included demographic information questionnaire and Paloutzian and Ellison Spiritual Health questionnaire. Before and after the spiritual care intervention, the required data were collected by interviewing adolescents and using questionnaires. The data were analyzed using Shapiro-Wilk test and paired t-test. Results: Adolescents’ overall spiritual health score increased from 52 ± 7.34 before the intervention to 102 ± 6.57 after the intervention and the difference was significant (P = 0.001). Conclusions: According to the findings of the present study, spiritual care is effective in the spiritual health of adolescents with cancer and can promote adolescent spiritual health. Therefore, it is suggested that nurses incorporate spiritual care into their patient care plans as a simple, accessible, safe and affordable way to promote their spiritual health.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87965881","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}
Nahid Shahraki, F. Kiyani, A. Salar, Farshid Saeedinezhad
Background: Breast cancer and its treatment could both lead to numerous physical and psychological complications. Alleviating these problems requires increasing the quality of life of patients. Therefore, it is important to understand the quality of life of these individuals and identify its affecting variables so as to develop interventions for improving both their quality of life and self-care behaviors. Objectives: The purpose of this study was to explore the effect of self-care education on the quality of life of women with breast cancer undergoing chemotherapy at two hospitals affiliated with Zahedan University of Medical Sciences in 2019. Methods: This quasi-experimental two-group study was performed on 90 women with breast cancer who had been admitted at two teaching hospitals of Zahedan University of Medical Sciences. Convenience sampling was used to recruit the subjects who were then randomized into the experimental (n = 45) and control (n = 45) groups. The two groups filled out a demographic questionnaire in addition to the European Organization for Research and Treatment-QOL and Breast Cancer Specific Module questionnaire (EORTC QLQ-C30 and QLQ-BR23). The control group only received routine care. The questionnaires were completed again six weeks after the intervention. Data analysis was conducted in SPSS-21 using independent t-test, chi-square test, paired t-test, and Shapiro-Wilcoxon test. Values below 0.05 were considered statistically significant. Results: Totally, 90 participants completed the study. The mean and standard deviation of the general quality of life in the experimental group increased from 52.59 ± 21.08 before the intervention to 78.88 ± 12.38 at the end of the study (P = 0.001). Besides, the mean general quality of life was 78.88 ± 12.38 in the experimental group and 56.11 ± 17.62 in the control group, indicating a statistically significant difference between the two groups (P = 0.001). Conclusions: According to the findings of this study, self-care training can lead to an increase in the quality of life in patients with breast cancer. It is therefore suggested that this education be adopted as a major principle in care planning for these individuals.
{"title":"Probing the Impact of Self-Care Education on the Quality of Life of Women with Breast Cancer Undergoing Chemotherapy: A Quasi-Experimental Study","authors":"Nahid Shahraki, F. Kiyani, A. Salar, Farshid Saeedinezhad","doi":"10.5812/msnj.100865","DOIUrl":"https://doi.org/10.5812/msnj.100865","url":null,"abstract":"Background: Breast cancer and its treatment could both lead to numerous physical and psychological complications. Alleviating these problems requires increasing the quality of life of patients. Therefore, it is important to understand the quality of life of these individuals and identify its affecting variables so as to develop interventions for improving both their quality of life and self-care behaviors. Objectives: The purpose of this study was to explore the effect of self-care education on the quality of life of women with breast cancer undergoing chemotherapy at two hospitals affiliated with Zahedan University of Medical Sciences in 2019. Methods: This quasi-experimental two-group study was performed on 90 women with breast cancer who had been admitted at two teaching hospitals of Zahedan University of Medical Sciences. Convenience sampling was used to recruit the subjects who were then randomized into the experimental (n = 45) and control (n = 45) groups. The two groups filled out a demographic questionnaire in addition to the European Organization for Research and Treatment-QOL and Breast Cancer Specific Module questionnaire (EORTC QLQ-C30 and QLQ-BR23). The control group only received routine care. The questionnaires were completed again six weeks after the intervention. Data analysis was conducted in SPSS-21 using independent t-test, chi-square test, paired t-test, and Shapiro-Wilcoxon test. Values below 0.05 were considered statistically significant. Results: Totally, 90 participants completed the study. The mean and standard deviation of the general quality of life in the experimental group increased from 52.59 ± 21.08 before the intervention to 78.88 ± 12.38 at the end of the study (P = 0.001). Besides, the mean general quality of life was 78.88 ± 12.38 in the experimental group and 56.11 ± 17.62 in the control group, indicating a statistically significant difference between the two groups (P = 0.001). Conclusions: According to the findings of this study, self-care training can lead to an increase in the quality of life in patients with breast cancer. It is therefore suggested that this education be adopted as a major principle in care planning for these individuals.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80953319","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}
F. Yaghoubinia, Farshid Saeedinezhad, A. Keikhaei, F. Piri
Background: Psoriasis is an inflammatory skin disease with detrimental effects on patients’ physical, mental, and social health. Living with this physical skin disorder can pose a threat to patients’ identity and bring about unwanted changes to their role, mental image, and lifestyle. Hence, the analysis of different experiences and perceptions of people living with psoriasis can help healthcare managers and policymakers in adopting the most efficient coping strategies. Objectives: The study aimed to explain the experiences of young girls with psoriasis. Methods: This qualitative descriptive phenomenological study was conducted using in-depth, semi-structured interviews with 10 young girls with psoriasis who referred to the Dermatology Clinics of Zahedan hospitals in 2018 - 2019. The participants were selected using purposive sampling and the data were analyzed by Colaizzi’s method. Results: The themes describing the experiences of young girls with psoriasis included the challenging emergence of disease, indefatigability in pursuit of ineffective treatment, social stigma as a community gift to the patients, and fear of uncertain future. Conclusions: The challenges of the incidence of disease at a young age and insistence on ineffective treatments were highly evident in the experiences of patients. The patients were also concerned about the social stigma associated with the disease, which could pose further challenges to their uncertain future. According to the findings, increasing public awareness of the disease and applying psychological strategies can be effective in addressing the problems of psoriasis patients. Elevating the awareness of families to accompany the patients in treatments can also be another effective measure.
{"title":"Experiences of Young Girls with Psoriasis: A Descriptive Phenomenological Study","authors":"F. Yaghoubinia, Farshid Saeedinezhad, A. Keikhaei, F. Piri","doi":"10.5812/msnj.100994","DOIUrl":"https://doi.org/10.5812/msnj.100994","url":null,"abstract":"Background: Psoriasis is an inflammatory skin disease with detrimental effects on patients’ physical, mental, and social health. Living with this physical skin disorder can pose a threat to patients’ identity and bring about unwanted changes to their role, mental image, and lifestyle. Hence, the analysis of different experiences and perceptions of people living with psoriasis can help healthcare managers and policymakers in adopting the most efficient coping strategies. Objectives: The study aimed to explain the experiences of young girls with psoriasis. Methods: This qualitative descriptive phenomenological study was conducted using in-depth, semi-structured interviews with 10 young girls with psoriasis who referred to the Dermatology Clinics of Zahedan hospitals in 2018 - 2019. The participants were selected using purposive sampling and the data were analyzed by Colaizzi’s method. Results: The themes describing the experiences of young girls with psoriasis included the challenging emergence of disease, indefatigability in pursuit of ineffective treatment, social stigma as a community gift to the patients, and fear of uncertain future. Conclusions: The challenges of the incidence of disease at a young age and insistence on ineffective treatments were highly evident in the experiences of patients. The patients were also concerned about the social stigma associated with the disease, which could pose further challenges to their uncertain future. According to the findings, increasing public awareness of the disease and applying psychological strategies can be effective in addressing the problems of psoriasis patients. Elevating the awareness of families to accompany the patients in treatments can also be another effective measure.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83024078","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}
Motahareh Farshad Faghih, Hamed Faghihi, A. Ghafari, S. Sharifi
Background: From patients’ perspective, pain is the most frequent complaint after surgery, which results in many complications such as sleep disorder, atelectasis, myocardial ischemia, respiratory infection, immune system disorder, and anxiety. In this context, deploying complementary and low-risk methods is extremely important in alleviating pain after orthopedic surgery. Objectives: This study explored the impact of transcutaneous electrical nerve stimulation (TENS) on pain intensity in patients after orthopedic surgery. Methods: This clinical trial was performed on 80 individuals admitted to the orthopedic ward of Khatam al-Anbia Hospital, Zahedan, Iran, in 2017. The patients were enrolled at least 24 hours after surgery and randomized into intervention (n = 40) and control (n = 40) groups. Pain was initially measured in the two groups using a visual analog scale. Then, the intervention group received TENS for 30 minutes. Finally, pain scores were re-evaluated in the both groups. Results: The subjects did not have any significant difference in terms of demographic variables. The mean pain intensity after the experiment was significantly different between the intervention (3.17 ± 1.75) and control (4.97 ± 1.86) groups, with the former perceiving less pain. Conclusions: TENS is effective in reducing pain after orthopedic surgery and is suggested to be administered in combination with medication to enhance pain relief.
{"title":"An Investigation into the Effect of Transcutaneous Electrical Nerve Stimulation on Postoperative Pain Intensity in Patients with Bone Fracture: A Clinical Trial","authors":"Motahareh Farshad Faghih, Hamed Faghihi, A. Ghafari, S. Sharifi","doi":"10.5812/msnj.100391","DOIUrl":"https://doi.org/10.5812/msnj.100391","url":null,"abstract":"Background: From patients’ perspective, pain is the most frequent complaint after surgery, which results in many complications such as sleep disorder, atelectasis, myocardial ischemia, respiratory infection, immune system disorder, and anxiety. In this context, deploying complementary and low-risk methods is extremely important in alleviating pain after orthopedic surgery. Objectives: This study explored the impact of transcutaneous electrical nerve stimulation (TENS) on pain intensity in patients after orthopedic surgery. Methods: This clinical trial was performed on 80 individuals admitted to the orthopedic ward of Khatam al-Anbia Hospital, Zahedan, Iran, in 2017. The patients were enrolled at least 24 hours after surgery and randomized into intervention (n = 40) and control (n = 40) groups. Pain was initially measured in the two groups using a visual analog scale. Then, the intervention group received TENS for 30 minutes. Finally, pain scores were re-evaluated in the both groups. Results: The subjects did not have any significant difference in terms of demographic variables. The mean pain intensity after the experiment was significantly different between the intervention (3.17 ± 1.75) and control (4.97 ± 1.86) groups, with the former perceiving less pain. Conclusions: TENS is effective in reducing pain after orthopedic surgery and is suggested to be administered in combination with medication to enhance pain relief.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89246136","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}
Sadegh Dehghanmehr, G. Sargazi, A. Biabani, Safoora Nooraein, J. Allahyari
Background: Depression and anxiety are common problems with multiple complications in hemodialysis patients. Objectives: This study aimed to compare the effect of acupressure and reflexology on anxiety and depression in hemodialysis patients. Methods: A clinical trial was carried out on 60 patients who had referred to the Special Patients Clinic, Zabol, between January and March 2017. Patients were randomly divided into three groups, acupressure group (n = 20), reflexology group (n = 20), and control group(n=20). DatacollectiontoolsincludedtheSpielbergerState-Traitanxietyinventory(STAI)andtheBeckdepressioninventory-II (BDI-II). Data were analyzed in SPSS-19 using descriptive and analytical statistics. Results: Before the intervention, there was no significant difference between the three groups in terms of depression (P = 0.051) andanxiety(P=0.11). Thecomparisonof themeanscoresof depressionandanxietybetweenthethreegroupsaftertheintervention revealed a significant difference between the three groups in terms of both variables (P < 0.001). Statistical analysis indicated that thedepressionandanxietyscoresdifferedsignificantlyaftertheinterventionbetweenthetwoexperimentalgroupsandthecontrol group (P < 0.001). Conclusions: The results demonstrated that acupressure and reflexology could have positive impacts on mitigating the patients’ depressionandanxiety. Thankstotheeaseof application,thesemethodscanbeusedbynursestoreduceanxietyanddepressionin patients undergoing hemodialysis.
{"title":"Comparing the Effect of Acupressure and Foot Reflexology on Anxiety and Depression in Hemodialysis Patients: A Clinical Trial","authors":"Sadegh Dehghanmehr, G. Sargazi, A. Biabani, Safoora Nooraein, J. Allahyari","doi":"10.5812/msnj.100386","DOIUrl":"https://doi.org/10.5812/msnj.100386","url":null,"abstract":"Background: Depression and anxiety are common problems with multiple complications in hemodialysis patients. Objectives: This study aimed to compare the effect of acupressure and reflexology on anxiety and depression in hemodialysis patients. Methods: A clinical trial was carried out on 60 patients who had referred to the Special Patients Clinic, Zabol, between January and March 2017. Patients were randomly divided into three groups, acupressure group (n = 20), reflexology group (n = 20), and control group(n=20). DatacollectiontoolsincludedtheSpielbergerState-Traitanxietyinventory(STAI)andtheBeckdepressioninventory-II (BDI-II). Data were analyzed in SPSS-19 using descriptive and analytical statistics. Results: Before the intervention, there was no significant difference between the three groups in terms of depression (P = 0.051) andanxiety(P=0.11). Thecomparisonof themeanscoresof depressionandanxietybetweenthethreegroupsaftertheintervention revealed a significant difference between the three groups in terms of both variables (P < 0.001). Statistical analysis indicated that thedepressionandanxietyscoresdifferedsignificantlyaftertheinterventionbetweenthetwoexperimentalgroupsandthecontrol group (P < 0.001). Conclusions: The results demonstrated that acupressure and reflexology could have positive impacts on mitigating the patients’ depressionandanxiety. Thankstotheeaseof application,thesemethodscanbeusedbynursestoreduceanxietyanddepressionin patients undergoing hemodialysis.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75523306","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}
haniye irani, G. Sargazi, Alireza Rahat Dahmardeh, Z. P. Mofrad
Background: Inadequate oral care in ICU patients can lead to lethal complications such as ventilator-associated pneumonia (VAP). Objectives: The purpose of this study was to compare the effect of oral care using miswak and chlorhexidine mouthwash on the incidence of VAP in ICU patients. Methods: This single-blind randomized clinical trial was carried out in 2018 on 70 patients undergoing mechanical ventilation in the intensive care units of Khatam-al-Anbia Hospital in Zahedan, Iran. The inclusion criteria were the insertion of endotracheal tube, scoring 10 or below based on Beck oral assessment scale (BOAS), scoring below 5 based on the modified clinical pulmonary infection score (MCPIS) at the beginning of the study, absence of chronic pulmonary disease, and no history of pulmonary aspiration. The subjects were selected through convenience sampling and randomly divided into the intervention (n: 35) and control (n: 35) groups. For five days, oral care was administered using miswak in the intervention group and chlorhexidine mouthwash in the control group. Data were collected through a demographic and clinical information questionnaire, MCPIS, and BOAS. After normality tests, the obtained data were analyzed in SPSS 22 using independent t-test, chi-square test, and Fisher’s exact test at the significance level of P < 0.05. Results: The two groups were similar in terms of age, gender, cause of hospitalization, level of consciousness, administered antibiotics, history of ICU admission, and smoking. After oral care with miswak, none of the patients in the intervention group developed VAP, but 6 patients in the control group (17.1%) were diagnosed with this condition. The results of Fisher’s exact test showed a significant difference between the two groups in terms of VAP incidence (P = 0.01). Conclusions: In addition to promoting the oral health of ICU patients, miswak can mitigate the incidence of ventilator-associated pneumonia. Therefore, because of its availability, cost-effectiveness, and fewer side effects compared to chlorhexidine mouthwash, it is strongly recommended to be administered to ICU patients.
{"title":"The Effect of Oral Care with Miswak Versus Chlorhexidine on the Incidence of Ventilator-Associated Pneumonia: A Clinical Trial Study","authors":"haniye irani, G. Sargazi, Alireza Rahat Dahmardeh, Z. P. Mofrad","doi":"10.5812/msnj.100387","DOIUrl":"https://doi.org/10.5812/msnj.100387","url":null,"abstract":"Background: Inadequate oral care in ICU patients can lead to lethal complications such as ventilator-associated pneumonia (VAP). Objectives: The purpose of this study was to compare the effect of oral care using miswak and chlorhexidine mouthwash on the incidence of VAP in ICU patients. Methods: This single-blind randomized clinical trial was carried out in 2018 on 70 patients undergoing mechanical ventilation in the intensive care units of Khatam-al-Anbia Hospital in Zahedan, Iran. The inclusion criteria were the insertion of endotracheal tube, scoring 10 or below based on Beck oral assessment scale (BOAS), scoring below 5 based on the modified clinical pulmonary infection score (MCPIS) at the beginning of the study, absence of chronic pulmonary disease, and no history of pulmonary aspiration. The subjects were selected through convenience sampling and randomly divided into the intervention (n: 35) and control (n: 35) groups. For five days, oral care was administered using miswak in the intervention group and chlorhexidine mouthwash in the control group. Data were collected through a demographic and clinical information questionnaire, MCPIS, and BOAS. After normality tests, the obtained data were analyzed in SPSS 22 using independent t-test, chi-square test, and Fisher’s exact test at the significance level of P < 0.05. Results: The two groups were similar in terms of age, gender, cause of hospitalization, level of consciousness, administered antibiotics, history of ICU admission, and smoking. After oral care with miswak, none of the patients in the intervention group developed VAP, but 6 patients in the control group (17.1%) were diagnosed with this condition. The results of Fisher’s exact test showed a significant difference between the two groups in terms of VAP incidence (P = 0.01). Conclusions: In addition to promoting the oral health of ICU patients, miswak can mitigate the incidence of ventilator-associated pneumonia. Therefore, because of its availability, cost-effectiveness, and fewer side effects compared to chlorhexidine mouthwash, it is strongly recommended to be administered to ICU patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74104498","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}
Sadegh Akrami, G. Sargazi, L. Safabakhsh, Z. P. Mofrad
Background: Intrahospital transfer of critical patients is due to diagnostic, therapeutic objectives or hospitalization in specialized units. This transfer could prompt cardiovascular, respiratory, and physical problems for patients with critical conditions. Objectives: The present study attempts to determine the impact of training nurses in regards to the use of safe transfer checklist on the quality of in-hospital transfer of critical patients. Methods: This quasi-experimental study was performed in two hospitals affiliated with Zahedan University of Medical Sciences between July and December 2018. Khatam Hospital and Ali ebne Abitaleb Hospital were selected as the control and intervention (checklist) groups, respectively. In the control hospital, 65 cases of intrahospital transfer were evaluated by observing the performance of the transfer team, and the researcher completed the checklist. Next, in the intervention hospital, the researcher organized a workshop on using the safe transfer checklist. After a month, 65 cases of intrahospital transfer in this hospital were monitored and the safe transfer checklist was completed. Data were analyzed in SPSS 22 using chi-square test and independent t-test. P < 0.05 was considered statistically significant. Results: The mean age of patients was 43.68 years in the control group and 47.95 years in the intervention group. The majority of patients (76.9% in the control group and 61.5% in the intervention group) were male. The mean score of intrahospital transfer quality was 11.21 ± 2.84 in the control group and 16.52 ± 2.08 in the intervention group. Independent t-test showed a significant difference between the two groups in terms of transfer quality (P < 0.001), with the intervention group scoring higher than the control group. Conclusions: Teaching nurses to apply the safe transfer checklist in moving critical patients inside the hospital can improve the quality of transfer, and, ultimately increase the safety of critical patients.
{"title":"Assessing the Effect of Training the Safe Transfer Checklist on the Quality of Intrahospital Patient Transfer: An Interventional Study","authors":"Sadegh Akrami, G. Sargazi, L. Safabakhsh, Z. P. Mofrad","doi":"10.5812/msnj.99593","DOIUrl":"https://doi.org/10.5812/msnj.99593","url":null,"abstract":"Background: Intrahospital transfer of critical patients is due to diagnostic, therapeutic objectives or hospitalization in specialized units. This transfer could prompt cardiovascular, respiratory, and physical problems for patients with critical conditions. Objectives: The present study attempts to determine the impact of training nurses in regards to the use of safe transfer checklist on the quality of in-hospital transfer of critical patients. Methods: This quasi-experimental study was performed in two hospitals affiliated with Zahedan University of Medical Sciences between July and December 2018. Khatam Hospital and Ali ebne Abitaleb Hospital were selected as the control and intervention (checklist) groups, respectively. In the control hospital, 65 cases of intrahospital transfer were evaluated by observing the performance of the transfer team, and the researcher completed the checklist. Next, in the intervention hospital, the researcher organized a workshop on using the safe transfer checklist. After a month, 65 cases of intrahospital transfer in this hospital were monitored and the safe transfer checklist was completed. Data were analyzed in SPSS 22 using chi-square test and independent t-test. P < 0.05 was considered statistically significant. Results: The mean age of patients was 43.68 years in the control group and 47.95 years in the intervention group. The majority of patients (76.9% in the control group and 61.5% in the intervention group) were male. The mean score of intrahospital transfer quality was 11.21 ± 2.84 in the control group and 16.52 ± 2.08 in the intervention group. Independent t-test showed a significant difference between the two groups in terms of transfer quality (P < 0.001), with the intervention group scoring higher than the control group. Conclusions: Teaching nurses to apply the safe transfer checklist in moving critical patients inside the hospital can improve the quality of transfer, and, ultimately increase the safety of critical patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89420631","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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