Vahideh Ganjali, F. Kiyani, Farshid Saeedinezhad, Pegah Sasanpoor, H. Askari
Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.
{"title":"The Effect of Preventive-Care Education on Radiotherapy-Induced Dermatitis in Patients with Breast Cancer: A Quasi-Experimental Study","authors":"Vahideh Ganjali, F. Kiyani, Farshid Saeedinezhad, Pegah Sasanpoor, H. Askari","doi":"10.5812/msnj.108878","DOIUrl":"https://doi.org/10.5812/msnj.108878","url":null,"abstract":"Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79911410","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}
Pub Date : 2020-10-05DOI: 10.21203/rs.3.rs-74766/v1
N. Hanifi, Majid Baratipour, K. Amini
Background: Globalization is accompanied by cultural diversity. Although cultural differences are an integral part of this phenomenon, it seems that language barriers would make communication difficult. This study investigates how cultural intelligence (CQ) correlates with communication skills (CSs) and social interactions (SIs) of emergency department (ED) staff members. This study investigates how cultural intelligence (CQ) correlates with communication skills (CSs) and social interactions (SIs) of the emergency department (ED) staff members.Methods: This Cross-sectional study was performed on 197 ED staff members of three hospitals in Zanjan-Iran in 2019. The tools used for data collection include the Cultural Intelligence Scale, Communication Skills Scale, and Social Interaction Questionnaires.Results: The results of this study revealed that the mean CQ score of participants was 85.78 ± 6.24 out of 140 and the total mean score of CSs was 55.41 ± 3.9 out of 90. In terms of SIs, the mean score of the positive thoughts dimension of the subjects (47.86 ± 4.14) was more than that of negative thoughts (33.01 ± 3.92). The total score of CQ had a positive correlation with CSs such that an increase in the CQ level results in an increase in positive thoughts and a decrease in negative thoughts (P< 0.001).Conclusions: An increase in CQ of the ED staff members is accompanied by an increase in their CSs and positive thoughts. To improve the communication and service quality of the ED, leaders are recommended to provide some courses to enhance the CQ and cultural competence level of their employees.
{"title":"The Relationship Between the Cultural Intelligence, Communication Skills, and Social Interactions of Emergency Department Staff: A Cross-Sectional Study","authors":"N. Hanifi, Majid Baratipour, K. Amini","doi":"10.21203/rs.3.rs-74766/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-74766/v1","url":null,"abstract":"\u0000 Background: Globalization is accompanied by cultural diversity. Although cultural differences are an integral part of this phenomenon, it seems that language barriers would make communication difficult. This study investigates how cultural intelligence (CQ) correlates with communication skills (CSs) and social interactions (SIs) of emergency department (ED) staff members. This study investigates how cultural intelligence (CQ) correlates with communication skills (CSs) and social interactions (SIs) of the emergency department (ED) staff members.Methods: This Cross-sectional study was performed on 197 ED staff members of three hospitals in Zanjan-Iran in 2019. The tools used for data collection include the Cultural Intelligence Scale, Communication Skills Scale, and Social Interaction Questionnaires.Results: The results of this study revealed that the mean CQ score of participants was 85.78 ± 6.24 out of 140 and the total mean score of CSs was 55.41 ± 3.9 out of 90. In terms of SIs, the mean score of the positive thoughts dimension of the subjects (47.86 ± 4.14) was more than that of negative thoughts (33.01 ± 3.92). The total score of CQ had a positive correlation with CSs such that an increase in the CQ level results in an increase in positive thoughts and a decrease in negative thoughts (P< 0.001).Conclusions: An increase in CQ of the ED staff members is accompanied by an increase in their CSs and positive thoughts. To improve the communication and service quality of the ED, leaders are recommended to provide some courses to enhance the CQ and cultural competence level of their employees.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83633902","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}
Zeinab Barahoui, F. Kiyani, T. Lashkari, M. Tasbandi
Background: Fatigue is one of the most common complications of cancer. Anemia can be one of the most prevalent causes of fatigue in cancer patients. Objectives: The present study aimed to explore the effectiveness of a nursing care program supplemented with iron intake on the anemia and fatigue in cancer patients undergoing chemotherapy. Methods: The present study was conducted in a quasi-experimental design on two groups of 90 cancer patients in selected hospitals. The participants were selected via convenience sampling and were randomly assigned to the control and intervention groups. Before the intervention, the Functional Assessment of Cancer Therapy - Anemia (FACT-An) was completed by the patients in both groups. The patients in the control group did not receive any special care other than receiving 150 mg of iron daily. However, the patients in the intervention group received 150 mg of iron daily and attended a nursing care program with four individual training sessions (one session per week). Follow-up was performed for three weeks, and the questionnaire was completed again by the participants in both groups. The collected data were analyzed using the independent samples t-test, paired-samples t-test, and chi-square test in SPSS software (version 22). The data analysis process was performed at a significance level of less than 0.05. Results: The mean scores for the patient hemoglobin in the intervention and control groups after the intervention were 11.84 ± 0.58 and 11.10 ± 67.29, showing a significant increase in favor of the intervention group (P < 0.001). Furthermore, the results of the independent samples t-test showed that the mean score of fatigue for the patients in the intervention group (29.37 ± 9.56) was significantly lower than that of the participants in the control group (47.55 ± 11.22) (P < 0.001). Conclusions: The present study showed that the implementation of a nursing care program for cancer patients receiving iron supplementation positively affects iron-related blood parameters and fatigue among these patients. Therefore, to control cancer patients' fatigue, medical staff must pay special attention to these training and care programs supplemented with iron intake.
{"title":"The Effectiveness of a Nursing Care Program Supplemented with Iron Intake on Anemia and Fatigue in Cancer Patients Undergoing Chemotherapy","authors":"Zeinab Barahoui, F. Kiyani, T. Lashkari, M. Tasbandi","doi":"10.5812/msnj.111464","DOIUrl":"https://doi.org/10.5812/msnj.111464","url":null,"abstract":"Background: Fatigue is one of the most common complications of cancer. Anemia can be one of the most prevalent causes of fatigue in cancer patients. Objectives: The present study aimed to explore the effectiveness of a nursing care program supplemented with iron intake on the anemia and fatigue in cancer patients undergoing chemotherapy. Methods: The present study was conducted in a quasi-experimental design on two groups of 90 cancer patients in selected hospitals. The participants were selected via convenience sampling and were randomly assigned to the control and intervention groups. Before the intervention, the Functional Assessment of Cancer Therapy - Anemia (FACT-An) was completed by the patients in both groups. The patients in the control group did not receive any special care other than receiving 150 mg of iron daily. However, the patients in the intervention group received 150 mg of iron daily and attended a nursing care program with four individual training sessions (one session per week). Follow-up was performed for three weeks, and the questionnaire was completed again by the participants in both groups. The collected data were analyzed using the independent samples t-test, paired-samples t-test, and chi-square test in SPSS software (version 22). The data analysis process was performed at a significance level of less than 0.05. Results: The mean scores for the patient hemoglobin in the intervention and control groups after the intervention were 11.84 ± 0.58 and 11.10 ± 67.29, showing a significant increase in favor of the intervention group (P < 0.001). Furthermore, the results of the independent samples t-test showed that the mean score of fatigue for the patients in the intervention group (29.37 ± 9.56) was significantly lower than that of the participants in the control group (47.55 ± 11.22) (P < 0.001). Conclusions: The present study showed that the implementation of a nursing care program for cancer patients receiving iron supplementation positively affects iron-related blood parameters and fatigue among these patients. Therefore, to control cancer patients' fatigue, medical staff must pay special attention to these training and care programs supplemented with iron intake.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90980625","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}
Malihe Nikfarjam, M. Firouzkouhi, H. Shahdadi, Abdolghani Abdollahimohammad
Background: Despite the use of various pharmacological and non-pharmacological methods for reducing stress among patients, one of the most important nursing challenges is how to control anxiety and stress in patients undergoing coronary angiography. Objectives: The present study aimed to compare the effectiveness of nursing consultation and guided imagery-based training on the level of stress and anxiety in patients undergoing coronary angiography. Methods: The participants in this clinical trial included 60 angiography candidates, admitted to the coronary care unit (CCU) of Ali-Ibn Abi-Taleb Hospital in Zahedan, southeast of Iran, in 2019. The participants were selected using convenience sampling and randomly assigned to three groups: nursing consultation, guided imagery, and control groups. The instruments used to collect the data included a demographic information form and the Depression, Anxiety, and Stress scale (DASS-21). The questionnaires were completed by the participants in all three groups on the day of hospitalization and one hour before angiography. A guided imagery audio file was played one day before angiography for each participant in the nursing consultation group for a maximum of two hours. On the other hand, the guided imagery group, besides receiving routine care, listened to the same audio file for 30 - 45 minutes. However, the participants in the control group only received routine hospital training. The collected data were analyzed in SPSS version 25, using statistical tests, such as analysis of variance (ANOVA), Tukey’s post hoc test, analysis of covariance (ANCOVA), paired samples t-test, Fisher’s exact test, and chi-square test at a significance level of less than 0.05 (P < 0.05). Results: After controlling for the significant effect of pretest scores, the results of ANCOVA test showed significant differences between the two intervention groups in terms of the mean scores of anxiety and stress after the intervention (P < 0.001). Also, the mean scores of anxiety and stress decreased in the guided imagery and nursing consultation groups as compared to the control group. However, the two interventions were not significantly different in reducing anxiety and stress among patients undergoing coronary angiography (P = 1). Conclusions: In this study, nursing consultation and guided imagery interventions led to a reduction in the stress and anxiety of patients undergoing angiography. Although the two interventions showed no significant difference in terms of effectiveness, they had positive effects on the mental health of angiography candidates. Therefore, these techniques can be employed by nurses, depending on their ease of use and conditions, to reduce stress and anxiety among angiography candidates.
{"title":"Comparison of the Effectiveness of Nursing Consultation and Guided Imagery-Based Training on Stress and Anxiety in Angiography Candidates: A Clinical Trial","authors":"Malihe Nikfarjam, M. Firouzkouhi, H. Shahdadi, Abdolghani Abdollahimohammad","doi":"10.5812/msnj.111967","DOIUrl":"https://doi.org/10.5812/msnj.111967","url":null,"abstract":"Background: Despite the use of various pharmacological and non-pharmacological methods for reducing stress among patients, one of the most important nursing challenges is how to control anxiety and stress in patients undergoing coronary angiography. Objectives: The present study aimed to compare the effectiveness of nursing consultation and guided imagery-based training on the level of stress and anxiety in patients undergoing coronary angiography. Methods: The participants in this clinical trial included 60 angiography candidates, admitted to the coronary care unit (CCU) of Ali-Ibn Abi-Taleb Hospital in Zahedan, southeast of Iran, in 2019. The participants were selected using convenience sampling and randomly assigned to three groups: nursing consultation, guided imagery, and control groups. The instruments used to collect the data included a demographic information form and the Depression, Anxiety, and Stress scale (DASS-21). The questionnaires were completed by the participants in all three groups on the day of hospitalization and one hour before angiography. A guided imagery audio file was played one day before angiography for each participant in the nursing consultation group for a maximum of two hours. On the other hand, the guided imagery group, besides receiving routine care, listened to the same audio file for 30 - 45 minutes. However, the participants in the control group only received routine hospital training. The collected data were analyzed in SPSS version 25, using statistical tests, such as analysis of variance (ANOVA), Tukey’s post hoc test, analysis of covariance (ANCOVA), paired samples t-test, Fisher’s exact test, and chi-square test at a significance level of less than 0.05 (P < 0.05). Results: After controlling for the significant effect of pretest scores, the results of ANCOVA test showed significant differences between the two intervention groups in terms of the mean scores of anxiety and stress after the intervention (P < 0.001). Also, the mean scores of anxiety and stress decreased in the guided imagery and nursing consultation groups as compared to the control group. However, the two interventions were not significantly different in reducing anxiety and stress among patients undergoing coronary angiography (P = 1). Conclusions: In this study, nursing consultation and guided imagery interventions led to a reduction in the stress and anxiety of patients undergoing angiography. Although the two interventions showed no significant difference in terms of effectiveness, they had positive effects on the mental health of angiography candidates. Therefore, these techniques can be employed by nurses, depending on their ease of use and conditions, to reduce stress and anxiety among angiography candidates.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76991192","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: Teach-back training is one of the interactive teaching methods that assess the learner's understanding by asking questions and provide a proper educational context for behavior change. Involving patients with heart failure in treatment is a top priority. Objectives: Accordingly, the present study aimed to explore the effect of teach-back training on self-care and readmission of patients with heart failure. Methods: The present quasi-experimental study was conducted on 80 patients with heart failure in the Coronary Care Unit (CCU) and Post Coronary Care Unit (PCCU) of teaching hospitals affiliated to Zahedan University of Medical Sciences in southeastern Iran in 2019. The patients were selected via the convenience sampling method and randomly placed into two intervention and control groups. In the intervention group, self-care training was performed individually using the teach-back method in four sessions, each lasting 30 to 60 minutes. In contrast, the participants in the control group conventionally received self-care training. The instruments used to collect the data were the demographic information form and the European Heart Failure Self Care Behavior (EHFSCB). The EHFSCB was completed by the participants in the two groups in two stages before and three months after the intervention. The number of readmissions and the number of visits to the doctor at the end of the third month after discharge were recorded for all patients by directly asking the patients. The collected data were analyzed using SPSS-22 software, the independent samples t-test, paired-samples t-test, and chi-square test at a significant level of P < 0.05. Results: After three months, the mean scores of total self-care behaviors during the intervention were significantly different between the two groups (P < 0.001). Besides, the average number of readmissions due to heart disease three months after the intervention showed the positive effect of the intervention in reducing readmissions in patients in the intervention group (P = 0.002). Conclusions: This study showed that teach-back training could affect self-care behaviors positively and reduce the number of readmissions of patients with heart failure. Therefore, it is recommended that nurses use this training method to teach self-care behaviors to heart patients.
{"title":"The Effect of Teach-Back Training on Self-Care and Readmission of Patients with Heart Failure","authors":"Hedie Mesbahi, F. Kermansaravi, F. Kiyani","doi":"10.5812/msnj.111465","DOIUrl":"https://doi.org/10.5812/msnj.111465","url":null,"abstract":"Background: Teach-back training is one of the interactive teaching methods that assess the learner's understanding by asking questions and provide a proper educational context for behavior change. Involving patients with heart failure in treatment is a top priority. Objectives: Accordingly, the present study aimed to explore the effect of teach-back training on self-care and readmission of patients with heart failure. Methods: The present quasi-experimental study was conducted on 80 patients with heart failure in the Coronary Care Unit (CCU) and Post Coronary Care Unit (PCCU) of teaching hospitals affiliated to Zahedan University of Medical Sciences in southeastern Iran in 2019. The patients were selected via the convenience sampling method and randomly placed into two intervention and control groups. In the intervention group, self-care training was performed individually using the teach-back method in four sessions, each lasting 30 to 60 minutes. In contrast, the participants in the control group conventionally received self-care training. The instruments used to collect the data were the demographic information form and the European Heart Failure Self Care Behavior (EHFSCB). The EHFSCB was completed by the participants in the two groups in two stages before and three months after the intervention. The number of readmissions and the number of visits to the doctor at the end of the third month after discharge were recorded for all patients by directly asking the patients. The collected data were analyzed using SPSS-22 software, the independent samples t-test, paired-samples t-test, and chi-square test at a significant level of P < 0.05. Results: After three months, the mean scores of total self-care behaviors during the intervention were significantly different between the two groups (P < 0.001). Besides, the average number of readmissions due to heart disease three months after the intervention showed the positive effect of the intervention in reducing readmissions in patients in the intervention group (P = 0.002). Conclusions: This study showed that teach-back training could affect self-care behaviors positively and reduce the number of readmissions of patients with heart failure. Therefore, it is recommended that nurses use this training method to teach self-care behaviors to heart patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81951127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Bayat, M. Sharifi, A. Pezhhan, A. Sarabi, F. Shayegan
Background: Considering that women are the main components of family health and the main models for education and promotion of healthy lifestyles to the next generation, the study of lifestyle and effective factors in promoting women’s health, especially at reproductive age, is of great importance. Objectives: The present study aimed to determine the predictors of a health-promoting lifestyle in women of reproductive age in Zahedan based on Pender’s health promotion model (HPM). Methods: This descriptive cross-sectional study was conducted on a sample of 200 women aged 15 - 49 in Zahedan, Southeastern Iran, using multi-stage cluster sampling in 2019. The instruments used to collect the data were the demographic information form, the Perceived Self-Efficacy scale, the Perceived Social Support scale, the Perceived Emotions scale, the Perceived Barriers scale, and the health-promoting lifestyle profile II. The collected data were analyzed by descriptive statistics, Pearson correlation coefficient, independent samples t-test, one-way analysis of variance (ANOVA), and multiple linear regression analysis using the enter method in SPSS software (version 25). Results: The mean score of health-promoting lifestyle was 69.82 ± 13.59 out of the score range of 32 to 128. The highest and lowest mean scores were related to the nutrition subscale (20.08 ± 4.3) and the exercise subscale (14.19 ± 4.51), respectively. It was shown that the health-promoting lifestyle had a significant positive correlation with perceived self-efficacy, perceived social support, and perceived emotions (P = 0.001) and a significant negative correlation with perceived barriers (P = 0.005). The results of multiple linear regression analysis showed perceived self-efficacy (P = 0.001), perceived social support, and perceived emotions were predictors of a health-promoting lifestyle in women of reproductive age (P = 0.05, P = 0.001), and these three variables together predicted 37% of the variations in the health-promoting lifestyle score. Conclusions: This study showed that women with 54.68% of the total lifestyle score did not have an acceptable lifestyle. Besides, perceived self-efficacy was the most important factor and the strongest predictor of women’s health-promoting lifestyle. Accordingly, some interventions must be planned and implemented to improve the health-promoting lifestyle in women of reproductive age and increase their self-efficacy.
{"title":"Predictors of a Health-Promoting Lifestyle in Women of Reproductive Age","authors":"M. Bayat, M. Sharifi, A. Pezhhan, A. Sarabi, F. Shayegan","doi":"10.5812/msnj.110264","DOIUrl":"https://doi.org/10.5812/msnj.110264","url":null,"abstract":"Background: Considering that women are the main components of family health and the main models for education and promotion of healthy lifestyles to the next generation, the study of lifestyle and effective factors in promoting women’s health, especially at reproductive age, is of great importance. Objectives: The present study aimed to determine the predictors of a health-promoting lifestyle in women of reproductive age in Zahedan based on Pender’s health promotion model (HPM). Methods: This descriptive cross-sectional study was conducted on a sample of 200 women aged 15 - 49 in Zahedan, Southeastern Iran, using multi-stage cluster sampling in 2019. The instruments used to collect the data were the demographic information form, the Perceived Self-Efficacy scale, the Perceived Social Support scale, the Perceived Emotions scale, the Perceived Barriers scale, and the health-promoting lifestyle profile II. The collected data were analyzed by descriptive statistics, Pearson correlation coefficient, independent samples t-test, one-way analysis of variance (ANOVA), and multiple linear regression analysis using the enter method in SPSS software (version 25). Results: The mean score of health-promoting lifestyle was 69.82 ± 13.59 out of the score range of 32 to 128. The highest and lowest mean scores were related to the nutrition subscale (20.08 ± 4.3) and the exercise subscale (14.19 ± 4.51), respectively. It was shown that the health-promoting lifestyle had a significant positive correlation with perceived self-efficacy, perceived social support, and perceived emotions (P = 0.001) and a significant negative correlation with perceived barriers (P = 0.005). The results of multiple linear regression analysis showed perceived self-efficacy (P = 0.001), perceived social support, and perceived emotions were predictors of a health-promoting lifestyle in women of reproductive age (P = 0.05, P = 0.001), and these three variables together predicted 37% of the variations in the health-promoting lifestyle score. Conclusions: This study showed that women with 54.68% of the total lifestyle score did not have an acceptable lifestyle. Besides, perceived self-efficacy was the most important factor and the strongest predictor of women’s health-promoting lifestyle. Accordingly, some interventions must be planned and implemented to improve the health-promoting lifestyle in women of reproductive age and increase their self-efficacy.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89623160","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: Thalassemia can affect different aspects of life the same as any other chronic disease. Despite therapeutic measures of thalassemia, the patient and families encounter several physical and psychological problems. Having a child with thalassemia can disrupts the family mental balance. Objectives: The purpose of this study is to explain the consequences of parents who have children with thalassemia. Methods: Inductive qualitative approach was applied in 2017 - 2018 in Hajar Hospital. Semi-structured interviews were conducted for data collection. Qualitative conventional content analysis was employed for data analysis. 10 five mothers, one grandmother, and two fathers and nurses participated in this study. Results: The three specified categories were as follows: (1) Non-acceptance of disease: disbelief, not following up treatment, and interest for abortion, (2) parent psychological reactions: unhappiness, anxiety, and mental confusion, (3) Isolation: dissociation and stigma. Conclusions: Parents who had children with thalassemia experienced several psychological problems. The consultative and supportive services of the health system were necessary for these parents. Also, it was urgent that the health authorities establish consulting clinics for chronic diseases to provide them the required consulting services.
{"title":"Explaining Consequences of Parents Having Child with Thalassemia: Qualitative Study","authors":"H. Heidari, A. Ahmadi","doi":"10.5812/msnj.106312","DOIUrl":"https://doi.org/10.5812/msnj.106312","url":null,"abstract":"Background: Thalassemia can affect different aspects of life the same as any other chronic disease. Despite therapeutic measures of thalassemia, the patient and families encounter several physical and psychological problems. Having a child with thalassemia can disrupts the family mental balance. Objectives: The purpose of this study is to explain the consequences of parents who have children with thalassemia. Methods: Inductive qualitative approach was applied in 2017 - 2018 in Hajar Hospital. Semi-structured interviews were conducted for data collection. Qualitative conventional content analysis was employed for data analysis. 10 five mothers, one grandmother, and two fathers and nurses participated in this study. Results: The three specified categories were as follows: (1) Non-acceptance of disease: disbelief, not following up treatment, and interest for abortion, (2) parent psychological reactions: unhappiness, anxiety, and mental confusion, (3) Isolation: dissociation and stigma. Conclusions: Parents who had children with thalassemia experienced several psychological problems. The consultative and supportive services of the health system were necessary for these parents. Also, it was urgent that the health authorities establish consulting clinics for chronic diseases to provide them the required consulting services.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83276169","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: Since stroke cause chronic and long-term complications and still no pre-discharge rehabilitation program is developed for such patients, home-based rehabilitation is an appropriate caring approach for these patients. Objectives: The present study aimed to explore the effect of home-based rehabilitation on adherence to treatment and quality of life (Qol) of individuals after stroke in 2019. Methods: In this quasi-experimental study 60 stroke patients admitted to the internal medicine and neurology department of hospitals affiliated to the Zahedan University of Medical Sciences, southeast of Iran, during 2019 are studied. Subjects were selected by convenience sampling and then randomized into the intervention and control groups. Data were collected using the Adherence to Treatment Regimen questionnaire and Stroke Specific Quality of Life scale, which were completed in two stages one and three months after the intervention. In the intervention group, rehabilitation training was provided in three 45-minute sessions during the hospital stay. After discharge, the training content was followed at home twice a week for two weeks (four times in total). Data were analyzed in SPSS-22 using repeated measures ANOVA, independent t-test, and chi-squared test at the significance level of P < 0.05. Results: The mean total scores of QoL and adherence to the treatment regimen and its dimensions one and three months after rehabilitation were significantly different in the two groups, with the intervention group scoring higher than the control group (P < 0.001). Repeated measures ANOVA indicated a statistically significant difference between the two groups regarding the effect of time and group on the QoL and adherence to the treatment regimen and its dimensions. In other words, the intervention and time affected the mean QoL and adherence to the treatment regimen, which resulted in a significant difference concerning the time intervals (P < 0.001). Conclusions: This study showed that home-based rehabilitation improves treatment adherence and QoL in stroke patients; therefore, employing this method by nurses to engage the family of patients with chronic diseases in the process of treatment is recommended.
{"title":"The Effect of Home-Based Rehabilitation on Adherence to Treatment and Quality of Life of Individuals After Stroke","authors":"J. Jafari, F. Kermansaravi, F. Yaghoubinia","doi":"10.5812/MSNJ.107716","DOIUrl":"https://doi.org/10.5812/MSNJ.107716","url":null,"abstract":"Background: Since stroke cause chronic and long-term complications and still no pre-discharge rehabilitation program is developed for such patients, home-based rehabilitation is an appropriate caring approach for these patients. Objectives: The present study aimed to explore the effect of home-based rehabilitation on adherence to treatment and quality of life (Qol) of individuals after stroke in 2019. Methods: In this quasi-experimental study 60 stroke patients admitted to the internal medicine and neurology department of hospitals affiliated to the Zahedan University of Medical Sciences, southeast of Iran, during 2019 are studied. Subjects were selected by convenience sampling and then randomized into the intervention and control groups. Data were collected using the Adherence to Treatment Regimen questionnaire and Stroke Specific Quality of Life scale, which were completed in two stages one and three months after the intervention. In the intervention group, rehabilitation training was provided in three 45-minute sessions during the hospital stay. After discharge, the training content was followed at home twice a week for two weeks (four times in total). Data were analyzed in SPSS-22 using repeated measures ANOVA, independent t-test, and chi-squared test at the significance level of P < 0.05. Results: The mean total scores of QoL and adherence to the treatment regimen and its dimensions one and three months after rehabilitation were significantly different in the two groups, with the intervention group scoring higher than the control group (P < 0.001). Repeated measures ANOVA indicated a statistically significant difference between the two groups regarding the effect of time and group on the QoL and adherence to the treatment regimen and its dimensions. In other words, the intervention and time affected the mean QoL and adherence to the treatment regimen, which resulted in a significant difference concerning the time intervals (P < 0.001). Conclusions: This study showed that home-based rehabilitation improves treatment adherence and QoL in stroke patients; therefore, employing this method by nurses to engage the family of patients with chronic diseases in the process of treatment is recommended.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90321309","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}
Tayebeh Sedghi, M. Ghaljeh, Hamed Faghihi, H. Sarani
Background: Agitation in mechanically ventilated patients with decreased consciousness is a challenge in the ICU and a threat to the process of mechanical ventilation. On the other hand, controlling agitation through medication and imposing physical limitations is associated with a number of undesirable side effects. Objectives: This study aimed to determine the effect of auditory and tactile stimulation by a family member on the level of agitation in patients with traumatic brain injury (TBI) and decreased consciousness. Methods: This quasi-experimental study was performed on 80 TBI patients with decreased consciousness who were admitted to the ICU of two teaching hospitals in southeastern Iran in 2019. Qualified patients were selected by convenience sampling and then randomized into the intervention (n = 40) and control (n = 40) groups. Data collection tools included a demographic form and the Richmond Agitation and Sedation Scale (RASS). For patients in the intervention group, the researcher first completed the demographic form and the RASS. Then, they underwent the experiment, which consisted of auditory and sensory stimulation by a family member for 10 minutes. After 30 minutes, the agitation level was measured again. This experiment was performed for seven consecutive days between 16:00 and 18:00 o’clock. Patients in the control group, however, did not receive any intervention other than routine care in the ICU. Data were analyzed in SPSS version 21 by using descriptive statistical tests and independent t-test, paired t-test, [analysis of] covariance, and chi-square test at the significance level of P < 0.05. Results: The results indicated no significant difference in the level of agitation in the intervention and control groups between the first and fifth days; however, independent t-tests and analysis of covariance revealed that the patients who received auditory and tactile stimulation on the sixth and seventh days experienced significantly lower levels of agitation than the control group (P < 0.01). Conclusions: Auditory and tactile stimulation by family members is effective in decreasing the agitation of TBI patients with decreased consciousness. Therefore, it is suggested as a helpful intervention in nursing care programs.
{"title":"The Effect of Auditory and Tactile Stimulation by a Family Member on the Level of Agitation in Patients with Traumatic Brain Injury and Decreased Consciousness: A Quasi-Experimental Study","authors":"Tayebeh Sedghi, M. Ghaljeh, Hamed Faghihi, H. Sarani","doi":"10.5812/MSNJ.108844","DOIUrl":"https://doi.org/10.5812/MSNJ.108844","url":null,"abstract":"Background: Agitation in mechanically ventilated patients with decreased consciousness is a challenge in the ICU and a threat to the process of mechanical ventilation. On the other hand, controlling agitation through medication and imposing physical limitations is associated with a number of undesirable side effects. Objectives: This study aimed to determine the effect of auditory and tactile stimulation by a family member on the level of agitation in patients with traumatic brain injury (TBI) and decreased consciousness. Methods: This quasi-experimental study was performed on 80 TBI patients with decreased consciousness who were admitted to the ICU of two teaching hospitals in southeastern Iran in 2019. Qualified patients were selected by convenience sampling and then randomized into the intervention (n = 40) and control (n = 40) groups. Data collection tools included a demographic form and the Richmond Agitation and Sedation Scale (RASS). For patients in the intervention group, the researcher first completed the demographic form and the RASS. Then, they underwent the experiment, which consisted of auditory and sensory stimulation by a family member for 10 minutes. After 30 minutes, the agitation level was measured again. This experiment was performed for seven consecutive days between 16:00 and 18:00 o’clock. Patients in the control group, however, did not receive any intervention other than routine care in the ICU. Data were analyzed in SPSS version 21 by using descriptive statistical tests and independent t-test, paired t-test, [analysis of] covariance, and chi-square test at the significance level of P < 0.05. Results: The results indicated no significant difference in the level of agitation in the intervention and control groups between the first and fifth days; however, independent t-tests and analysis of covariance revealed that the patients who received auditory and tactile stimulation on the sixth and seventh days experienced significantly lower levels of agitation than the control group (P < 0.01). Conclusions: Auditory and tactile stimulation by family members is effective in decreasing the agitation of TBI patients with decreased consciousness. Therefore, it is suggested as a helpful intervention in nursing care programs.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89453311","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}
Maryam Abiz, H. Robabi, A. Salar, Farshid Saeedinezhad
Background: Tuberculosis (TB) affects various aspects of quality of life (QoL), and self-care is the most important form of primary care and one of the main factors involved in the process of treating chronic diseases and improving the patients’ QoL. Objectives: This study aimed to investigate the effect of self-care education on the QoL of TB patients. Methods: In this quasi-experimental study, 110 TB patients referred to the TB coordinating Center in Zahedan, Southeastern Iran, in 2018, are studied. Participants were selected using convenience sampling and were randomly assigned to the intervention (n = 55) and control (n = 55) groups. Data were collected using the tuberculosis quality of life-version 2 (TBQol-v2). For the intervention group, first, patients and their caregivers were divided into groups compromising of 4 to 6 members, and then three sessions of self-care education, including lectures and questions and answers meetings, each lasted for 30 minutes (in total 90 minutes) were provided to each group. Data were analyzed in SPSS version 21 using descriptive statistical tests, independent t-test, paired t-test, and chi-squared test. Results: Mean of the total QoL score of the two groups before the intervention was 67.56 ± 5.99 and 67.09 ± 5.03, respectively, indicating no significant difference (P = 0.65). But after providing the intervention, the mean score of patients QoL in the intervention group (74.84 ± 4.90) was significantly higher than the control group (67.98 ± 0.68) (P = 0.001). Conclusions: Since self-care education can effectively enhance the QoL of TB patients, it is recommended to provide such educations for both treatment and follow-up of these patients along with directly observed treatment, short-course (DOTS).
{"title":"The Effect of Self-Care Education on the Quality of Life in Patients with Pulmonary Tuberculosis","authors":"Maryam Abiz, H. Robabi, A. Salar, Farshid Saeedinezhad","doi":"10.5812/MSNJ.108877","DOIUrl":"https://doi.org/10.5812/MSNJ.108877","url":null,"abstract":"Background: Tuberculosis (TB) affects various aspects of quality of life (QoL), and self-care is the most important form of primary care and one of the main factors involved in the process of treating chronic diseases and improving the patients’ QoL. Objectives: This study aimed to investigate the effect of self-care education on the QoL of TB patients. Methods: In this quasi-experimental study, 110 TB patients referred to the TB coordinating Center in Zahedan, Southeastern Iran, in 2018, are studied. Participants were selected using convenience sampling and were randomly assigned to the intervention (n = 55) and control (n = 55) groups. Data were collected using the tuberculosis quality of life-version 2 (TBQol-v2). For the intervention group, first, patients and their caregivers were divided into groups compromising of 4 to 6 members, and then three sessions of self-care education, including lectures and questions and answers meetings, each lasted for 30 minutes (in total 90 minutes) were provided to each group. Data were analyzed in SPSS version 21 using descriptive statistical tests, independent t-test, paired t-test, and chi-squared test. Results: Mean of the total QoL score of the two groups before the intervention was 67.56 ± 5.99 and 67.09 ± 5.03, respectively, indicating no significant difference (P = 0.65). But after providing the intervention, the mean score of patients QoL in the intervention group (74.84 ± 4.90) was significantly higher than the control group (67.98 ± 0.68) (P = 0.001). Conclusions: Since self-care education can effectively enhance the QoL of TB patients, it is recommended to provide such educations for both treatment and follow-up of these patients along with directly observed treatment, short-course (DOTS).","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91510791","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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