Salime Kamalinezhad, N. Moulaei, H. Sarani, Fateme Behmaneshpour
Background: Patients with heart failure (HF) need continuous medical care, including regular follow-up, training, and information acquisition to increase self-care capacity. Adherence to self-care behaviors reduces patient readmission Objectives: This study examined the impact of the continuous care model (CCM) on self-efficacy and readmission of patients hospitalized with HF. Methods: This quasi-experimental study was conducted on patients with HF visiting two teaching hospitals in southeastern Iran in 2021. The participants were 70 patients who were selected using convenience sampling and were placed into two control and intervention groups, each with 35 patients through limited random sampling. The patients in the control group received routine care, but the CCM was performed for the patients of the intervention group in the form of individual training for 6 sessions in the hospital and after discharge and then through telephone follow-up once a week until the end of the twelfth week. The instruments used to collect the data were a demographic information form that assessed patient readmission and their demographic information and Sullivan's Cardiac Self-Efficacy Scale. The collected data were analyzed with SPSS software (version 22) using the chi-square test, independent and paired samples t-test, and analysis of covariance at the significance level of P < 0.05. Results: Analysis of covariance showed that the mean self-efficacy score of the patients with HF was significantly different between the two groups after implementing continuous care (P = 0.001). The results of the independent samples t-test suggested that the mean and standard deviation of readmission frequencies in the control group (1.03 ± 1.01) were significantly higher than the mean readmission frequencies of the patients in the intervention group (0.34 ± 0.68) (P = 0.001). Conclusions: Given the positive and significant effect of the CCM on increasing patient self-efficacy and reducing the frequency of readmissions, and considering the ease, applicability, and low cost of this intervention, relevant authorities need to make effective planning and policies to implement the CCM for patients with HF.
{"title":"The Impact of Continuous Care Model on Self-efficacy and Readmission of Patients with Heart Failure","authors":"Salime Kamalinezhad, N. Moulaei, H. Sarani, Fateme Behmaneshpour","doi":"10.5812/msnj.123288","DOIUrl":"https://doi.org/10.5812/msnj.123288","url":null,"abstract":"Background: Patients with heart failure (HF) need continuous medical care, including regular follow-up, training, and information acquisition to increase self-care capacity. Adherence to self-care behaviors reduces patient readmission Objectives: This study examined the impact of the continuous care model (CCM) on self-efficacy and readmission of patients hospitalized with HF. Methods: This quasi-experimental study was conducted on patients with HF visiting two teaching hospitals in southeastern Iran in 2021. The participants were 70 patients who were selected using convenience sampling and were placed into two control and intervention groups, each with 35 patients through limited random sampling. The patients in the control group received routine care, but the CCM was performed for the patients of the intervention group in the form of individual training for 6 sessions in the hospital and after discharge and then through telephone follow-up once a week until the end of the twelfth week. The instruments used to collect the data were a demographic information form that assessed patient readmission and their demographic information and Sullivan's Cardiac Self-Efficacy Scale. The collected data were analyzed with SPSS software (version 22) using the chi-square test, independent and paired samples t-test, and analysis of covariance at the significance level of P < 0.05. Results: Analysis of covariance showed that the mean self-efficacy score of the patients with HF was significantly different between the two groups after implementing continuous care (P = 0.001). The results of the independent samples t-test suggested that the mean and standard deviation of readmission frequencies in the control group (1.03 ± 1.01) were significantly higher than the mean readmission frequencies of the patients in the intervention group (0.34 ± 0.68) (P = 0.001). Conclusions: Given the positive and significant effect of the CCM on increasing patient self-efficacy and reducing the frequency of readmissions, and considering the ease, applicability, and low cost of this intervention, relevant authorities need to make effective planning and policies to implement the CCM for patients with HF.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78690566","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: Hypertension is a major global health problem and a risk factor for cardiovascular disease. An unhealthy lifestyle can increase the risk of hypertension and psychological disorders, thereby heightening the risk of cardiovascular disease. Objectives: The study aimed to evaluate the effects of lifestyle education on depression, anxiety, stress, and perceived family support among hypertensive patients undergoing coronary angioplasty. Methods: This randomized clinical trial recruited 60 hypertensive patients undergoing angioplasty at the coronary care units of an educational hospital in Isfahan, Iran, in 2015. Then, 30 subjects were randomly allocated to each intervention and control group. The patients in the intervention group and their family members were provided with group lifestyle education in six sessions held in three successive weeks, accompanied by one-month follow-up telephone contacts. Data were collected before, immediately after, and one month after the intervention using a demographic questionnaire, the 21-item Depression, Anxiety, and Stress Scale with Cronbach’s alpha values of 0.80, 0.83, and 0.87, and a researcher-made family support questionnaire. Data analysis was done using the paired-sample t, independent-sample t, chi-square, Mann-Whitney U, and repeated-measures analysis of variance tests. Results: The study groups did not significantly differ respecting demographic characteristics, and the pretest mean scores of depression, anxiety, stress, and perceived family support (P > 0.05). However, significant between-group differences were observed at both posttests, respecting the mean scores of depression, anxiety, stress, and perceived family support (P < 0.05). Moreover, while these mean scores did not significantly change in the control group (P > 0.05), the mean scores of depression, anxiety, and stress significantly decreased, and the mean score of perceived family support significantly increased in the intervention group across the three measurements (P < 0.05). Conclusions: Lifestyle education effectively reduced depression, anxiety, and stress and improved perceived family support among patients with hypertension and angioplasty. Nurses can use such interventions to improve patient outcomes.
{"title":"Effects of Lifestyle Education on Depression, Anxiety, Stress, and Perceived Family Support Among Hypertensive Patients","authors":"Fahimeh Jafari, M. Shahriari","doi":"10.5812/msnj.122691","DOIUrl":"https://doi.org/10.5812/msnj.122691","url":null,"abstract":"Background: Hypertension is a major global health problem and a risk factor for cardiovascular disease. An unhealthy lifestyle can increase the risk of hypertension and psychological disorders, thereby heightening the risk of cardiovascular disease. Objectives: The study aimed to evaluate the effects of lifestyle education on depression, anxiety, stress, and perceived family support among hypertensive patients undergoing coronary angioplasty. Methods: This randomized clinical trial recruited 60 hypertensive patients undergoing angioplasty at the coronary care units of an educational hospital in Isfahan, Iran, in 2015. Then, 30 subjects were randomly allocated to each intervention and control group. The patients in the intervention group and their family members were provided with group lifestyle education in six sessions held in three successive weeks, accompanied by one-month follow-up telephone contacts. Data were collected before, immediately after, and one month after the intervention using a demographic questionnaire, the 21-item Depression, Anxiety, and Stress Scale with Cronbach’s alpha values of 0.80, 0.83, and 0.87, and a researcher-made family support questionnaire. Data analysis was done using the paired-sample t, independent-sample t, chi-square, Mann-Whitney U, and repeated-measures analysis of variance tests. Results: The study groups did not significantly differ respecting demographic characteristics, and the pretest mean scores of depression, anxiety, stress, and perceived family support (P > 0.05). However, significant between-group differences were observed at both posttests, respecting the mean scores of depression, anxiety, stress, and perceived family support (P < 0.05). Moreover, while these mean scores did not significantly change in the control group (P > 0.05), the mean scores of depression, anxiety, and stress significantly decreased, and the mean score of perceived family support significantly increased in the intervention group across the three measurements (P < 0.05). Conclusions: Lifestyle education effectively reduced depression, anxiety, and stress and improved perceived family support among patients with hypertension and angioplasty. Nurses can use such interventions to improve patient outcomes.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87666031","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}
Mahsa Hazaryan, Masoome Salehi Kamboo, F. Mirzaeipour, Raziyeh Maasoumi
Background: Patients’ rights refer to specific legal privileges related to physical, psychological, spiritual, and social needs that have been reflected in the form of medical standards, rules, and regulations, and the health system and medical staff are responsible for their observance. Objectives: The present study aimed to assess the observance of patients’ rights by physicians (surgeons and anesthesiologists) and technicians (anesthetists and operating room technicians). Methods: This descriptive-analytical cross-sectional study was conducted on 142 operating room technicians and physicians working in hospitals affiliated with Ahvaz University of Medical Sciences in 2018. The participants were selected using stratified random sampling. The patient rights observation checklist was completed by indirect observation of the participants’ performance, and the data were analyzed with SPSS version 20 using the chi-square test and independent samples t-test. Results: The mean scores for the extent to which patients’ rights were observed by all technicians and all physicians were 69.7 ± 10.5 and 57.17 ± 11.7, respectively. The corresponding values were 65.15 ± 9.36 and 54.27 ± 11.24 for the anesthesiologists and surgeons and 84.16 ± 7.31 and 66.63 ± 8.23 for the anesthetists and operating room technicians, respectively. The patients’ rights observance scores were significantly higher for the anesthetists than for the operating room technicians (P = 0.001) and higher for the anesthesiologists than for the surgeons (P = 0.005). Conclusions: This study indicated that although anesthesiologists and anesthetists observed patients’ rights more than operating room technicians and surgeons, the observance of patients’ rights in the operating room was generally moderate. Thus, it is essential to hold refresher courses in medical ethics and patient rights for medical staff.
{"title":"Observance of Patients’ Rights by Physicians and Operating Room Technicians","authors":"Mahsa Hazaryan, Masoome Salehi Kamboo, F. Mirzaeipour, Raziyeh Maasoumi","doi":"10.5812/msnj.123316","DOIUrl":"https://doi.org/10.5812/msnj.123316","url":null,"abstract":"Background: Patients’ rights refer to specific legal privileges related to physical, psychological, spiritual, and social needs that have been reflected in the form of medical standards, rules, and regulations, and the health system and medical staff are responsible for their observance. Objectives: The present study aimed to assess the observance of patients’ rights by physicians (surgeons and anesthesiologists) and technicians (anesthetists and operating room technicians). Methods: This descriptive-analytical cross-sectional study was conducted on 142 operating room technicians and physicians working in hospitals affiliated with Ahvaz University of Medical Sciences in 2018. The participants were selected using stratified random sampling. The patient rights observation checklist was completed by indirect observation of the participants’ performance, and the data were analyzed with SPSS version 20 using the chi-square test and independent samples t-test. Results: The mean scores for the extent to which patients’ rights were observed by all technicians and all physicians were 69.7 ± 10.5 and 57.17 ± 11.7, respectively. The corresponding values were 65.15 ± 9.36 and 54.27 ± 11.24 for the anesthesiologists and surgeons and 84.16 ± 7.31 and 66.63 ± 8.23 for the anesthetists and operating room technicians, respectively. The patients’ rights observance scores were significantly higher for the anesthetists than for the operating room technicians (P = 0.001) and higher for the anesthesiologists than for the surgeons (P = 0.005). Conclusions: This study indicated that although anesthesiologists and anesthetists observed patients’ rights more than operating room technicians and surgeons, the observance of patients’ rights in the operating room was generally moderate. Thus, it is essential to hold refresher courses in medical ethics and patient rights for medical staff.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77585330","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: In addition to physical issues, multiple sclerosis (MS) patients experience many psychological problems that make their living conditions difficult. Objectives: This study aimed at examining the effectiveness of mindfulness-based stress reduction (MBSR) group therapy in emotion regulation among MS patients. Methods: This quasi-experimental study followed a pre-test, post-test, and follow-up design with a control group. The statistical population included all patients with MS who were referred to Sistan and Baluchestan MS Community from December 2017 to February 2018. Among these people, 30 patients were selected as the sample using the convenience sampling method and were randomly assigned to a control group and an experimental group (each including 15 patients). Eight 60-minute sessions of MBSR therapy were conducted on the experimental group. A post-test was carried out after completing all these sessions, and a follow-up was performed a month later. The Self-Regulation Inventory developed by Ibanez et al. was used as the data collection tool. The analysis of covariance was used to analyze the obtained data. Results: The results showed that MBSR group therapy was effective in improving emotion regulation in patients with MS in the post-test and follow-up (P < 0.05). Conclusions: Authorities are suggested employing MBSR group therapy to boost emotion regulation among patients with chronic diseases.
{"title":"The Effectiveness of Mindfulness-Based Stress Reduction Group Therapy in Emotion Regulation Among Multiple Sclerosis Patients","authors":"Hanieh Nobakht, Sana Nourimoghadam, Z. Nikmanesh","doi":"10.5812/msnj.122968","DOIUrl":"https://doi.org/10.5812/msnj.122968","url":null,"abstract":"Background: In addition to physical issues, multiple sclerosis (MS) patients experience many psychological problems that make their living conditions difficult. Objectives: This study aimed at examining the effectiveness of mindfulness-based stress reduction (MBSR) group therapy in emotion regulation among MS patients. Methods: This quasi-experimental study followed a pre-test, post-test, and follow-up design with a control group. The statistical population included all patients with MS who were referred to Sistan and Baluchestan MS Community from December 2017 to February 2018. Among these people, 30 patients were selected as the sample using the convenience sampling method and were randomly assigned to a control group and an experimental group (each including 15 patients). Eight 60-minute sessions of MBSR therapy were conducted on the experimental group. A post-test was carried out after completing all these sessions, and a follow-up was performed a month later. The Self-Regulation Inventory developed by Ibanez et al. was used as the data collection tool. The analysis of covariance was used to analyze the obtained data. Results: The results showed that MBSR group therapy was effective in improving emotion regulation in patients with MS in the post-test and follow-up (P < 0.05). Conclusions: Authorities are suggested employing MBSR group therapy to boost emotion regulation among patients with chronic diseases.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73877229","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}
Neda Arbabi, Mohammad Kazem Momeni, Pegah Sasanpour, F. Kiani
Background: The nature of breast cancer (BC) and its treatment is such that it leads to physical and psychological complications. Objectives: The present study aimed to determine the effect of supportive educational intervention on the perceived stress and severity of chemotherapy-related neuropathy in BC patients. Methods: This quasi-experimental study was carried out on 60 women suffering from BC in Zahedan, Iran, in 2020. The patients were selected using the convenience sampling method and randomly assigned into two groups of intervention and control. The patients in the intervention group received four 45-minute sessions about the common problems of BC on a weekly and individual basis. The control group received only routine ward care. Data collection tools were the Perceived Stress Scale (PSS) developed by Cohen and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale. Data were collected before the intervention and six weeks after the intervention. Data analysis was performed using SPSS 22 software. Results: The results of independent t-test showed that the mean and standard deviation of perceived stress score in the intervention group decreased from 56.8 ± 5.92 to 50.36 ± 3.89 (P < 0.001), and in the control group decreased from 55.6 ± 3.65 to 54.8 ± 3.53 (P = 0.258). The mean and standard deviation of neuropathy severity score in the intervention group decreased from 12.90 ± 1.66 to 8.43 ± 2.16 (P < 0.001), and in the control group increased from 12.56 ± 2.28 to 13.03 ± 1.93 (P = 0.276). The independent t-test showed that after implementing the supportive educational intervention, there was a significant difference between the two groups in terms of mean and standard deviation of neuropathy severity score (P < 0.001). Conclusions: According to our results, supportive educational intervention reduced the perceived stress and severity of neuropathy. Thus, it is necessary to include these supportive interventions in educational and care programs to improve patients’ psychological status and reduce stress and neuropathy.
{"title":"The Effect of Supportive Educational Intervention on Perceived Stress and Severity of Chemotherapy-Related Neuropathy in Breast Cancer Patients","authors":"Neda Arbabi, Mohammad Kazem Momeni, Pegah Sasanpour, F. Kiani","doi":"10.5812/msnj.122432","DOIUrl":"https://doi.org/10.5812/msnj.122432","url":null,"abstract":"Background: The nature of breast cancer (BC) and its treatment is such that it leads to physical and psychological complications. Objectives: The present study aimed to determine the effect of supportive educational intervention on the perceived stress and severity of chemotherapy-related neuropathy in BC patients. Methods: This quasi-experimental study was carried out on 60 women suffering from BC in Zahedan, Iran, in 2020. The patients were selected using the convenience sampling method and randomly assigned into two groups of intervention and control. The patients in the intervention group received four 45-minute sessions about the common problems of BC on a weekly and individual basis. The control group received only routine ward care. Data collection tools were the Perceived Stress Scale (PSS) developed by Cohen and Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) Pain Scale. Data were collected before the intervention and six weeks after the intervention. Data analysis was performed using SPSS 22 software. Results: The results of independent t-test showed that the mean and standard deviation of perceived stress score in the intervention group decreased from 56.8 ± 5.92 to 50.36 ± 3.89 (P < 0.001), and in the control group decreased from 55.6 ± 3.65 to 54.8 ± 3.53 (P = 0.258). The mean and standard deviation of neuropathy severity score in the intervention group decreased from 12.90 ± 1.66 to 8.43 ± 2.16 (P < 0.001), and in the control group increased from 12.56 ± 2.28 to 13.03 ± 1.93 (P = 0.276). The independent t-test showed that after implementing the supportive educational intervention, there was a significant difference between the two groups in terms of mean and standard deviation of neuropathy severity score (P < 0.001). Conclusions: According to our results, supportive educational intervention reduced the perceived stress and severity of neuropathy. Thus, it is necessary to include these supportive interventions in educational and care programs to improve patients’ psychological status and reduce stress and neuropathy.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83290714","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: The acute nature and complications of COVID-19, including fatigue and dyspnea, reduce the ability of the affected individuals to play individual and social roles and perform activities of daily living, and have adverse effects on the life quality and economic status of patients. Conducting pre-discharge rehabilitation programs following a home-based approach can be effective in reducing fatigue and dyspnea and improving the activities of daily living of COVID-19 patients. Objectives: This study aimed to investigate the effect of home-based pulmonary rehabilitation on fatigue, dyspnea, and activities of daily living of COVID-19 patients in the teaching hospitals of Zahedan University of Medical Sciences in 2020. Methods: The quasi-experimental study enrolled 60 patients with COVID-19 respiratory symptoms admitted to the COVID-19 intensive care units of teaching hospitals affiliated with Zahedan University of Medical Sciences in 2020. The patients who met the inclusion criteria were selected using convenience sampling and randomly divided into intervention and control groups with color cards. The instruments used to collect the data were the Fatigue Severity Scale (FSS), the Borg Dyspnea Scale, and the Barthel Index completed by the participants before, two weeks, and two months after the intervention. The rehabilitation training was provided to the patient and the primary caregiver in the intervention group in three 45-min sessions individually and using training videos during the hospital stay. After discharge, the patients were followed up in person or by phone for eight weeks to ensure the effectiveness of the rehabilitation program. The collected data were analyzed using SPSS-22 software through repeated measures analysis of variance (ANOVA), independent samples t-test, and chi-square test at a significance level of 0.05 (P < 0.05). Results: The repeated measures ANOVA showed that changes in the fatigue and dyspnea scores were significant over time (P < 0.001). Furthermore, the intervention effect was significant (P = 0.04), and more remarkable changes were observed in the intervention group than in the control group. Given the significance of the group-time interactive effect on the two given variables, the comparisons were made point by point and with Bonferroni correction again by time and group. There were significant differences in the mean fatigue scores in the second (P = 0.03) and third (P < 0.001) stages and the mean dyspnea scores (P < 0.001) between the two groups. The mean scores of activities of daily living two weeks and two months after the intervention were significantly different between the two groups, with higher scores in the intervention group than in the control group (P = 0.01). The repeated measures ANOVA confirmed a statistically significant difference between the two groups in terms of the effect of time (P < 0.001) and group (P = 0.03) on the patients’ activities of daily living. Conclusions: The study sh
{"title":"Effect of Home-based Pulmonary Rehabilitation on Fatigue, Dyspnea, and Activities of Daily Living of COVID-19 Patients","authors":"Romina Kalantari, F. Kermansaravi, F. Yaghoubinia","doi":"10.5812/msnj.122546","DOIUrl":"https://doi.org/10.5812/msnj.122546","url":null,"abstract":"Background: The acute nature and complications of COVID-19, including fatigue and dyspnea, reduce the ability of the affected individuals to play individual and social roles and perform activities of daily living, and have adverse effects on the life quality and economic status of patients. Conducting pre-discharge rehabilitation programs following a home-based approach can be effective in reducing fatigue and dyspnea and improving the activities of daily living of COVID-19 patients. Objectives: This study aimed to investigate the effect of home-based pulmonary rehabilitation on fatigue, dyspnea, and activities of daily living of COVID-19 patients in the teaching hospitals of Zahedan University of Medical Sciences in 2020. Methods: The quasi-experimental study enrolled 60 patients with COVID-19 respiratory symptoms admitted to the COVID-19 intensive care units of teaching hospitals affiliated with Zahedan University of Medical Sciences in 2020. The patients who met the inclusion criteria were selected using convenience sampling and randomly divided into intervention and control groups with color cards. The instruments used to collect the data were the Fatigue Severity Scale (FSS), the Borg Dyspnea Scale, and the Barthel Index completed by the participants before, two weeks, and two months after the intervention. The rehabilitation training was provided to the patient and the primary caregiver in the intervention group in three 45-min sessions individually and using training videos during the hospital stay. After discharge, the patients were followed up in person or by phone for eight weeks to ensure the effectiveness of the rehabilitation program. The collected data were analyzed using SPSS-22 software through repeated measures analysis of variance (ANOVA), independent samples t-test, and chi-square test at a significance level of 0.05 (P < 0.05). Results: The repeated measures ANOVA showed that changes in the fatigue and dyspnea scores were significant over time (P < 0.001). Furthermore, the intervention effect was significant (P = 0.04), and more remarkable changes were observed in the intervention group than in the control group. Given the significance of the group-time interactive effect on the two given variables, the comparisons were made point by point and with Bonferroni correction again by time and group. There were significant differences in the mean fatigue scores in the second (P = 0.03) and third (P < 0.001) stages and the mean dyspnea scores (P < 0.001) between the two groups. The mean scores of activities of daily living two weeks and two months after the intervention were significantly different between the two groups, with higher scores in the intervention group than in the control group (P = 0.01). The repeated measures ANOVA confirmed a statistically significant difference between the two groups in terms of the effect of time (P < 0.001) and group (P = 0.03) on the patients’ activities of daily living. Conclusions: The study sh","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89605334","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}
A. Miri, M. Roshanzadeh, Reza Masoudi, S. Kheiri, Shirmohammad Davoodvand
Background: Postoperative complications can endanger the patient's life and disrupt the recovery process if not properly managed. Local cold therapy can be a safe non-pharmacologic method to manage these side effects; however, it has not been highly considered. Objectives: This study was done to determine the effect of local cold therapy on arterial blood oxygen saturation and temperature changes in patients undergoing surgery. Methods: This quasi-experimental study was performed at Shahrekord University of Medical Sciences in 2019 on 60 patients undergoing thoracic and abdominal surgery selected by convenience sampling, and they were randomly assigned to the intervention and control groups. The intervention (local cold therapy) was performed for 48 hours after full consciousness, three times a day for 20 minutes to the intervention group. Data were collected before and after the intervention using a demographic questionnaire, pulse oximetry device, and thermometer. The data were analyzed based on the independent samples t-test, paired-samples t-test, and chi-square and Fishers’ exact tests by SPSS version 20 software. Results: The mean arterial blood oxygen saturation percentage (O2Sat%) during the intervention significantly increased in both groups (P < 0.05), but the rate of increase was significantly higher in the local cold group (P < 0.05). The results of within-group research showed that the mean temperature had significant differences in the local cold therapy group (P < 0.05), but the mean body temperature did not show a significant difference between the two groups (P < 0.05). Conclusions: Local cold therapy can be effectively trained and used by nurses to improve the O2Sat%. It did not affect postoperative body temperature. Further studies must be conducted to investigate the effects of local cold therapy on postoperative body temperature changes.
{"title":"Effect of Local Cold Therapy on Arterial Blood Oxygen Saturation and Temperature Changes in Patients Undergoing Surgery","authors":"A. Miri, M. Roshanzadeh, Reza Masoudi, S. Kheiri, Shirmohammad Davoodvand","doi":"10.5812/msnj.117344","DOIUrl":"https://doi.org/10.5812/msnj.117344","url":null,"abstract":"Background: Postoperative complications can endanger the patient's life and disrupt the recovery process if not properly managed. Local cold therapy can be a safe non-pharmacologic method to manage these side effects; however, it has not been highly considered. Objectives: This study was done to determine the effect of local cold therapy on arterial blood oxygen saturation and temperature changes in patients undergoing surgery. Methods: This quasi-experimental study was performed at Shahrekord University of Medical Sciences in 2019 on 60 patients undergoing thoracic and abdominal surgery selected by convenience sampling, and they were randomly assigned to the intervention and control groups. The intervention (local cold therapy) was performed for 48 hours after full consciousness, three times a day for 20 minutes to the intervention group. Data were collected before and after the intervention using a demographic questionnaire, pulse oximetry device, and thermometer. The data were analyzed based on the independent samples t-test, paired-samples t-test, and chi-square and Fishers’ exact tests by SPSS version 20 software. Results: The mean arterial blood oxygen saturation percentage (O2Sat%) during the intervention significantly increased in both groups (P < 0.05), but the rate of increase was significantly higher in the local cold group (P < 0.05). The results of within-group research showed that the mean temperature had significant differences in the local cold therapy group (P < 0.05), but the mean body temperature did not show a significant difference between the two groups (P < 0.05). Conclusions: Local cold therapy can be effectively trained and used by nurses to improve the O2Sat%. It did not affect postoperative body temperature. Further studies must be conducted to investigate the effects of local cold therapy on postoperative body temperature changes.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88876825","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: It is important to resume regular functions of the digestive system as soon as possible after surgery. It has been reported that chewing gum can be used in this regard. Objectives: This study aimed to evaluate the effect of chewing gum on nausea-vomiting and bowel function in surgical patients. Methods: A total of 60 patients with cholecystectomy and herniotomy (30 controls [non-chewing gum] and 30 interventions [chewing gum]) were enrolled in this controlled experimental study. The intervention group was provided to chew gum 3 times for 15 - 30 minutes with a 2-hour interval. Both control and intervention groups were evaluated 6 and 24 hours after being taken to the surgical service using the nausea-vomiting, intestinal functions monitoring form. Results: A statistically significant difference was found between the control and intervention groups 0 - 6 hours after surgery (χ2 = 4.320, P < 0.05). The intervention group was found to be discharged earlier than the control group (χ² = 4.286, P < 0.05; Z = -2.053, P < 0.05), and the difference was significant. It was found that the intervention group suffered 5.09 times less vomiting compared to the control group 0 - 6 hours after surgery. Conclusions: The positive effects of chewing gum on nausea, vomiting, intestinal function, and early discharge were found. It is recommended that chewing gum be included in nursing interventions for patients after surgery.
背景:术后尽快恢复消化系统的正常功能是非常重要的。据报道，口香糖可以用于这方面。目的:本研究旨在评估口香糖对手术患者恶心呕吐和肠道功能的影响。方法:60例胆囊疝切除术患者(对照组30例[不嚼口香糖]，干预组30例[嚼口香糖])进行对照实验研究。干预组咀嚼口香糖3次，每次15 ~ 30分钟，间隔2小时。对照组和干预组在手术后6小时和24小时采用恶心呕吐、肠道功能监测表进行评估。结果:术后0 ~ 6 h，对照组与干预组比较，差异有统计学意义(χ2 = 4.320, P < 0.05)。干预组出院时间早于对照组(χ 2 = 4.286, P < 0.05;Z = -2.053, P < 0.05)，差异有统计学意义。术后0 ~ 6 h，干预组呕吐次数为对照组的5.09倍。结论:咀嚼口香糖对恶心、呕吐、肠道功能和早期出院有积极作用。建议将嚼口香糖纳入术后患者的护理干预中。
{"title":"The Effects of Chewing Gum on Nausea, Vomiting, and Intestinal Functions of Surgical Patients","authors":"Oznur Bayraktar, A. Kutlu","doi":"10.5812/msnj.117522","DOIUrl":"https://doi.org/10.5812/msnj.117522","url":null,"abstract":"Background: It is important to resume regular functions of the digestive system as soon as possible after surgery. It has been reported that chewing gum can be used in this regard. Objectives: This study aimed to evaluate the effect of chewing gum on nausea-vomiting and bowel function in surgical patients. Methods: A total of 60 patients with cholecystectomy and herniotomy (30 controls [non-chewing gum] and 30 interventions [chewing gum]) were enrolled in this controlled experimental study. The intervention group was provided to chew gum 3 times for 15 - 30 minutes with a 2-hour interval. Both control and intervention groups were evaluated 6 and 24 hours after being taken to the surgical service using the nausea-vomiting, intestinal functions monitoring form. Results: A statistically significant difference was found between the control and intervention groups 0 - 6 hours after surgery (χ2 = 4.320, P < 0.05). The intervention group was found to be discharged earlier than the control group (χ² = 4.286, P < 0.05; Z = -2.053, P < 0.05), and the difference was significant. It was found that the intervention group suffered 5.09 times less vomiting compared to the control group 0 - 6 hours after surgery. Conclusions: The positive effects of chewing gum on nausea, vomiting, intestinal function, and early discharge were found. It is recommended that chewing gum be included in nursing interventions for patients after surgery.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76447270","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}
Somyye Noura, F. Kiani, N. Moulaei, M. Tasbandi, Ebrahim Ebrahimi Tabas
Background: Breast cancer patients who undergo mastectomy encounter numerous problems, the most annoying of which is lymphedema followed by pain and decreased function in the affected limb. Objectives: This study examined the effect of self-care training on upper limb function and pain after breast surgery. Methods: This quasi-experimental study was performed on two groups of 60 patients with breast cancer in the Oncology Ward of Zahedan University of Medical Sciences in 2021. The patients were selected based on the inclusion criteria and through convenience sampling and were then randomly divided into intervention and control groups. The patients in the intervention group attended self-care training and exercise programs implemented in five sessions in addition to the routine care. One and three months after the intervention, upper limb function and pain were measured with DASH and McGill pain questionnaires. The repeated measures analysis of variance (ANOVA) and Bonferroni test were used to compare the pre-, and post-intervention mean scores and mean differences in the two groups. Results: The mean scores of upper limb function one and three months after the training program in the intervention group were lower than the mean scores of the control group. In other words, the quality of upper limb function was not significantly different despite the changes in the first month, but upper limb function significantly improved three months after the intervention (P < 0.001 vs. P = 0.06). The mean pain scores before, one month, and three months after the intervention in the intervention group were 10.4, 35.7, and 6.26, respectively, and the corresponding values in the control group were 10.8, 41.7, and 21.1, respectively, showing significant differences between the two groups, with the intervention group having lower pain scores than the control group (P = 0.001). Conclusions: Since lymphedema and its consequences, including decreased upper limb function and pain, are very serious issues, medical staff can give priority to this training program and implement it to prevent and control these complications.
背景:接受乳房切除术的乳腺癌患者会遇到许多问题，其中最恼人的是淋巴水肿，随之而来的是疼痛和受影响肢体的功能下降。目的:探讨自我护理训练对乳房术后上肢功能及疼痛的影响。方法:本准实验研究以2021年扎黑丹医科大学肿瘤病房两组60例乳腺癌患者为研究对象。根据纳入标准，通过方便抽样的方法选择患者，随机分为干预组和对照组。干预组的患者除了常规护理外，还参加了五次自我护理培训和锻炼计划。干预后1个月和3个月，用DASH和McGill疼痛问卷测量上肢功能和疼痛。采用重复测量方差分析(ANOVA)和Bonferroni检验比较两组干预前和干预后的平均得分和平均差异。结果:干预组在训练后1个月和3个月上肢功能得分均低于对照组。也就是说，尽管第一个月发生了变化，但上肢功能质量没有显著差异，但干预后3个月上肢功能明显改善(P < 0.001 vs. P = 0.06)。干预组患者在干预前、干预后1个月、干预后3个月的平均疼痛评分分别为10.4、35.7、6.26分，对照组患者的平均疼痛评分分别为10.8、41.7、21.1分，两组差异有统计学意义，且干预组疼痛评分低于对照组(P = 0.001)。结论:由于淋巴水肿及其后果，包括上肢功能下降和疼痛，是非常严重的问题，医务人员可以优先考虑并实施该培训计划，以预防和控制这些并发症。
{"title":"Effect of Self-care Training on Upper Limb Function and Pain After Breast Cancer Surgery","authors":"Somyye Noura, F. Kiani, N. Moulaei, M. Tasbandi, Ebrahim Ebrahimi Tabas","doi":"10.5812/msnj.121095","DOIUrl":"https://doi.org/10.5812/msnj.121095","url":null,"abstract":"Background: Breast cancer patients who undergo mastectomy encounter numerous problems, the most annoying of which is lymphedema followed by pain and decreased function in the affected limb. Objectives: This study examined the effect of self-care training on upper limb function and pain after breast surgery. Methods: This quasi-experimental study was performed on two groups of 60 patients with breast cancer in the Oncology Ward of Zahedan University of Medical Sciences in 2021. The patients were selected based on the inclusion criteria and through convenience sampling and were then randomly divided into intervention and control groups. The patients in the intervention group attended self-care training and exercise programs implemented in five sessions in addition to the routine care. One and three months after the intervention, upper limb function and pain were measured with DASH and McGill pain questionnaires. The repeated measures analysis of variance (ANOVA) and Bonferroni test were used to compare the pre-, and post-intervention mean scores and mean differences in the two groups. Results: The mean scores of upper limb function one and three months after the training program in the intervention group were lower than the mean scores of the control group. In other words, the quality of upper limb function was not significantly different despite the changes in the first month, but upper limb function significantly improved three months after the intervention (P < 0.001 vs. P = 0.06). The mean pain scores before, one month, and three months after the intervention in the intervention group were 10.4, 35.7, and 6.26, respectively, and the corresponding values in the control group were 10.8, 41.7, and 21.1, respectively, showing significant differences between the two groups, with the intervention group having lower pain scores than the control group (P = 0.001). Conclusions: Since lymphedema and its consequences, including decreased upper limb function and pain, are very serious issues, medical staff can give priority to this training program and implement it to prevent and control these complications.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84829531","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: Cancer causes psychological problems, such as anxiety, depression, post-traumatic stress, feelings of sadness, and anger, and family problems. Objectives: This study aimed to evaluate the effect of schema therapy on psychological capital and vulnerable attachment in women with breast cancer. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all women with breast cancer admitted to the Imam Khomeini Hospital, Tehran, Iran, from 23/07/2019 to 20/11/2019. The total number of the patients was 51, of whom 30 were purposefully selected and randomly assigned to an experimental and a control group (15 people in each group). The experimental group was exposed to schema therapy for 11 weekly 90-minute sessions, while the control group did not receive any training. The Luthans Psychological Capital Questionnaire and the Vulnerable Attachment Questionnaire were used to collect data. The collected data were analyzed using multivariate analysis of covariance in SPSS-21 software. Results: The results of paired t-test showed a significant difference between the mean scores of the components of psychological capital and vulnerable attachment in the two experimental and control groups. Therefore, it can be stated that the effectiveness of schema therapy was associated with increased self-efficacy (P = 0.013), hope (P = 0.001), resilience (P = 0.034), optimism (P = 0.001), and decreased vulnerable attachment (P = 0.029). Conclusions: Based on the findings of this study regarding the effect of schema therapy on improving psychological capital and reducing vulnerable attachment, it can be concluded that schema therapy can be used as an effective intervention along with other therapies to reduce the problems of women with breast cancer.
{"title":"The Effect of Schema Therapy on Psychological Capital and Vulnerable Attachmenin Women with Breast Cancer","authors":"N. Alizadeh, B. Mirzaian, G. Abbasi","doi":"10.5812/msnj.117043","DOIUrl":"https://doi.org/10.5812/msnj.117043","url":null,"abstract":"Background: Cancer causes psychological problems, such as anxiety, depression, post-traumatic stress, feelings of sadness, and anger, and family problems. Objectives: This study aimed to evaluate the effect of schema therapy on psychological capital and vulnerable attachment in women with breast cancer. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all women with breast cancer admitted to the Imam Khomeini Hospital, Tehran, Iran, from 23/07/2019 to 20/11/2019. The total number of the patients was 51, of whom 30 were purposefully selected and randomly assigned to an experimental and a control group (15 people in each group). The experimental group was exposed to schema therapy for 11 weekly 90-minute sessions, while the control group did not receive any training. The Luthans Psychological Capital Questionnaire and the Vulnerable Attachment Questionnaire were used to collect data. The collected data were analyzed using multivariate analysis of covariance in SPSS-21 software. Results: The results of paired t-test showed a significant difference between the mean scores of the components of psychological capital and vulnerable attachment in the two experimental and control groups. Therefore, it can be stated that the effectiveness of schema therapy was associated with increased self-efficacy (P = 0.013), hope (P = 0.001), resilience (P = 0.034), optimism (P = 0.001), and decreased vulnerable attachment (P = 0.029). Conclusions: Based on the findings of this study regarding the effect of schema therapy on improving psychological capital and reducing vulnerable attachment, it can be concluded that schema therapy can be used as an effective intervention along with other therapies to reduce the problems of women with breast cancer.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79036798","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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