Pub Date : 2021-11-13DOI: 10.22038/EBCJ.2021.60075.2561
Deniz Naghibi, S. Mohammadzadeh, S. Azami-aghdash
Background: Evidence-Based Practice (EBP) means combining the best available evidence with clinical experiences, patients’ values and expectations. The findings of our previous systematic review, published in 2014, indicated that EBP faces numerous barriers.Aim: This study aims to update prior study findings by reviewing studies published after 2014.Method: The data was gathered by searching relevant keywords in PubMed, Cochrane, Scopus, and Google Scholar between 2014 and 2021. The articles were screened based on their titles, abstracts and full texts, respectively, considering the inclusion criteria. The data was extracted using a data extraction form consisting of author, year, country, type of study, area of study, list of barriers, and their number in each study. Finally, the data was analyzed, summarized, and reported using content-analysis by descriptive statistics such as percentage and frequencyResults: Finally, 77 articles were included in the study. Only 13% of the studies were conducted in low and middle-income countries. Extracted barriers were categorized into five areas of specialized / hospital care (50 studies and 67% of the barriers), primary health care (5 studies and 6% of the barriers), rehabilitation care (11 studies and 11% of the barriers), medical education (5 studies and 5% of the barriers), and healthcare management and decision making (6 studies and 12% of the barriers). Based on the content-analysis results, barriers were divided into six main themes: system-level barriers, barriers related to the evidence, individual-related barriers, communicational barriers, barriers related to the resources, patient-related barriers, external barriers. Lack of time, support, and skills had the highest repetition, respectively.Implications for Practice: The results of our previous study were updated, and further barriers were identified and reported. Policymakers and managers can use the results as a practical guide to expand and improve EBP and remove barriers
{"title":"Barriers to Evidence-Based Practice in Health System: A Systematic Review","authors":"Deniz Naghibi, S. Mohammadzadeh, S. Azami-aghdash","doi":"10.22038/EBCJ.2021.60075.2561","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.60075.2561","url":null,"abstract":"Background: Evidence-Based Practice (EBP) means combining the best available evidence with clinical experiences, patients’ values and expectations. The findings of our previous systematic review, published in 2014, indicated that EBP faces numerous barriers.Aim: This study aims to update prior study findings by reviewing studies published after 2014.Method: The data was gathered by searching relevant keywords in PubMed, Cochrane, Scopus, and Google Scholar between 2014 and 2021. The articles were screened based on their titles, abstracts and full texts, respectively, considering the inclusion criteria. The data was extracted using a data extraction form consisting of author, year, country, type of study, area of study, list of barriers, and their number in each study. Finally, the data was analyzed, summarized, and reported using content-analysis by descriptive statistics such as percentage and frequencyResults: Finally, 77 articles were included in the study. Only 13% of the studies were conducted in low and middle-income countries. Extracted barriers were categorized into five areas of specialized / hospital care (50 studies and 67% of the barriers), primary health care (5 studies and 6% of the barriers), rehabilitation care (11 studies and 11% of the barriers), medical education (5 studies and 5% of the barriers), and healthcare management and decision making (6 studies and 12% of the barriers). Based on the content-analysis results, barriers were divided into six main themes: system-level barriers, barriers related to the evidence, individual-related barriers, communicational barriers, barriers related to the resources, patient-related barriers, external barriers. Lack of time, support, and skills had the highest repetition, respectively.Implications for Practice: The results of our previous study were updated, and further barriers were identified and reported. Policymakers and managers can use the results as a practical guide to expand and improve EBP and remove barriers","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87118077","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 : 2021-11-09DOI: 10.22038/EBCJ.2021.56208.2474
K. Moghaddam, T. Sadeghi, A. Khakshour, A. Vakilzadeh, F. Shah
Introduction:Colic causes tension in the parents and other family members..,Objective:This study aimed to compare the effect of abdominal massage and Hugo point acupressure on infantile colic symptoms Method:In this clinical trial study, all infants referred to Sheikh, Imam Reza and Akbar Hospitals diagnosed with colic by a physician were recruited after obtaining the consent of their parents and their mothers’ written consent. A total of 114 infants were selected by convenience sampling and 4 sample blocks were randomly divided into three groups, respectively. Individual practical training was provided to mothers in three groups of A (abdominal massage), B (Hugo point acupressure), and C (position) in a 45-minute session and routine training was provided on colic pain, diet modification, how to burp the baby, and proper breastfeeding, The duration of 24-hour colic crying and 24-hour sleep time was recorded for four weeks, and compared at the end of the study using statistical tests.Findings:The mean and standard deviation of the duration of crying at 24 h were significantly different between the three groups in the second, third, and fourth weeks, which indicates the result of the decrease in the duration of 24-hour crying in infants with colic.Conclusion:Finally, it can be concluded that acupressure has an increasing effect on sleep duration and a decreasing effect on the colic score and crying duration compared to the other two groups.
{"title":"Comparison of the effect of abdominal massage and Hugo point acupressure on infantile colic symptoms1","authors":"K. Moghaddam, T. Sadeghi, A. Khakshour, A. Vakilzadeh, F. Shah","doi":"10.22038/EBCJ.2021.56208.2474","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.56208.2474","url":null,"abstract":"Introduction:Colic causes tension in the parents and other family members..,Objective:This study aimed to compare the effect of abdominal massage and Hugo point acupressure on infantile colic symptoms Method:In this clinical trial study, all infants referred to Sheikh, Imam Reza and Akbar Hospitals diagnosed with colic by a physician were recruited after obtaining the consent of their parents and their mothers’ written consent. A total of 114 infants were selected by convenience sampling and 4 sample blocks were randomly divided into three groups, respectively. Individual practical training was provided to mothers in three groups of A (abdominal massage), B (Hugo point acupressure), and C (position) in a 45-minute session and routine training was provided on colic pain, diet modification, how to burp the baby, and proper breastfeeding, The duration of 24-hour colic crying and 24-hour sleep time was recorded for four weeks, and compared at the end of the study using statistical tests.Findings:The mean and standard deviation of the duration of crying at 24 h were significantly different between the three groups in the second, third, and fourth weeks, which indicates the result of the decrease in the duration of 24-hour crying in infants with colic.Conclusion:Finally, it can be concluded that acupressure has an increasing effect on sleep duration and a decreasing effect on the colic score and crying duration compared to the other two groups.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88665431","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 : 2021-10-31DOI: 10.22038/EBCJ.2021.60271.2567
J. Mirlashari, L. Holsti, H. Ranjbar, M. Sanjari, Fatemeh Morovati, Z. Ameri
Background: Premature birth and postpartum hospitalization can hurt the father-newborn bonding and self-efficacy.Aim: To investigate the effect of fathers' involvement with premature newborns on paternal-infant bonding and self-efficacy.Methods: his was a nonrandomized clinical trial. Eighty fathers of hospitalized newborns in the neonatal intensive care unit were selected by convenience sampling method and divided into two groups. Fathers were trained on the developmental care of their newborn babies. The training was started through simulations and then at the bedside of the newborn. Newborns who were admitted to one of the Neonatal Intensive Care Unit (NICU) at Arash hospital (Tehran University of Medical Sciences). The study was conducted in 2017. Pre-and post-intervention outcomes were collected using the Parent to Infant Bonding Scale (Originally: Mother to Infant Bonding Scale) and the Perceived Maternal Parenting Self-Efficacy tool. The scale scores range from 0 to 27. A high score indicates worse bonding. Data were analyzed using independent t-test, paired t-test, repeated measures ANOVA.Result: The mean ± SD of the scores of the bonding score was reduced by 2.3±2.17 in the control group and 5.27±2. 57 in the intervention group. A lower score represents a better bonding. The self-efficacy score increased in both groups; however, it was significantly higher in the intervention group. In the intervention group increased by 8.85±5.046, and in the control group, it increased by 1.27±3.31.Implications for Practice: Developmental care by fathers can improve the father-infant bonding and increase the paternal self-efficacy for the care of the high-risk newborn.
{"title":"Fathers Involvement with Developmental care of their Preterm Newborns and its Impact on the Bonding and Self-Efficacy: a nonrandomized clinical trial","authors":"J. Mirlashari, L. Holsti, H. Ranjbar, M. Sanjari, Fatemeh Morovati, Z. Ameri","doi":"10.22038/EBCJ.2021.60271.2567","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.60271.2567","url":null,"abstract":"Background: Premature birth and postpartum hospitalization can hurt the father-newborn bonding and self-efficacy.Aim: To investigate the effect of fathers' involvement with premature newborns on paternal-infant bonding and self-efficacy.Methods: his was a nonrandomized clinical trial. Eighty fathers of hospitalized newborns in the neonatal intensive care unit were selected by convenience sampling method and divided into two groups. Fathers were trained on the developmental care of their newborn babies. The training was started through simulations and then at the bedside of the newborn. Newborns who were admitted to one of the Neonatal Intensive Care Unit (NICU) at Arash hospital (Tehran University of Medical Sciences). The study was conducted in 2017. Pre-and post-intervention outcomes were collected using the Parent to Infant Bonding Scale (Originally: Mother to Infant Bonding Scale) and the Perceived Maternal Parenting Self-Efficacy tool. The scale scores range from 0 to 27. A high score indicates worse bonding. Data were analyzed using independent t-test, paired t-test, repeated measures ANOVA.Result: The mean ± SD of the scores of the bonding score was reduced by 2.3±2.17 in the control group and 5.27±2. 57 in the intervention group. A lower score represents a better bonding. The self-efficacy score increased in both groups; however, it was significantly higher in the intervention group. In the intervention group increased by 8.85±5.046, and in the control group, it increased by 1.27±3.31.Implications for Practice: Developmental care by fathers can improve the father-infant bonding and increase the paternal self-efficacy for the care of the high-risk newborn.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76877154","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 : 2021-10-26DOI: 10.22038/EBCJ.2021.59420.2542
Ahmad Talebpour, J. Malekzadeh, S. Mazlom, A. Mirhaghi
Background: The Emergency Severity Index (ESI) may not recognize high-risk patients with Heart Failure efficiently.Aim: The goal of this work was to compare the diagnostic validity and mistriage rates of the ESI plus the Capnometer (Capno) and ESI among dyspneic patients with heart failure (HF).Methods: This study was a quasi-experimental group (random assignment) conducted from April 2019 to February 2020. Patients randomly assigned to the ESI+Capno or ESI groups. Triage levels, resources used, disposition and door to ECG and physician visit were compared among patients admitted to the Cardiac Care Unit (CCU), the Cardiac Unit (CU), or discharged from the ED. Interobserver agreement (Kappa) was used to assess reliability of the ESI.Results: Sixty-five HF patients were assigned to the ESI+Capno (n=36) and ESI (n=29) groups. The under-triage rates were 0% and 10%, the over-triage rates were 10% and 31% in the ESI+Capno and ESI groups, respectively. Sensitivity, specificity, accuracy to recognize high-risk HF patients were 100%, 60%, 90% and 62.5%, 42.86%, 48.36% for ESI+Capno and ESI groups, respectively.Implication for Practice: Addition of Capnometer to the ESI increases validity of triage decisions to recognize high-risk HF patients compared to ESI alone. It is recommended that decision to triage HF patients be made after an End-tidal Co2 is considered into decision-making process.
{"title":"Comparison between Emergency Severity Index plus Capnometer and Emergency Severity Index in the dyspneic patients with Chronic Heart failure","authors":"Ahmad Talebpour, J. Malekzadeh, S. Mazlom, A. Mirhaghi","doi":"10.22038/EBCJ.2021.59420.2542","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.59420.2542","url":null,"abstract":"Background: The Emergency Severity Index (ESI) may not recognize high-risk patients with Heart Failure efficiently.Aim: The goal of this work was to compare the diagnostic validity and mistriage rates of the ESI plus the Capnometer (Capno) and ESI among dyspneic patients with heart failure (HF).Methods: This study was a quasi-experimental group (random assignment) conducted from April 2019 to February 2020. Patients randomly assigned to the ESI+Capno or ESI groups. Triage levels, resources used, disposition and door to ECG and physician visit were compared among patients admitted to the Cardiac Care Unit (CCU), the Cardiac Unit (CU), or discharged from the ED. Interobserver agreement (Kappa) was used to assess reliability of the ESI.Results: Sixty-five HF patients were assigned to the ESI+Capno (n=36) and ESI (n=29) groups. The under-triage rates were 0% and 10%, the over-triage rates were 10% and 31% in the ESI+Capno and ESI groups, respectively. Sensitivity, specificity, accuracy to recognize high-risk HF patients were 100%, 60%, 90% and 62.5%, 42.86%, 48.36% for ESI+Capno and ESI groups, respectively.Implication for Practice: Addition of Capnometer to the ESI increases validity of triage decisions to recognize high-risk HF patients compared to ESI alone. It is recommended that decision to triage HF patients be made after an End-tidal Co2 is considered into decision-making process.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91278001","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 : 2021-10-26DOI: 10.22038/EBCJ.2021.59001.2532
Shadi Dalvand, A. Farahani, M. Rassouli, M. Nasiri, M. Babaie, Sepideh Yousefiasl
Background and aim: Spiritual intelligence training, as one dimension of comprehensive care and a means of communicating with a higher power (God), can increase mothers' hope and self-transcendence.Method: This randomized clinical trial study included 80 mothers with premature infants hospitalized in the NICU in Iran in 2019. The permutation blocks method was used to randomly divide the participants, who were selected based on the inclusion criteria, into intervention and control groups. Weekly training sessions were held in a hybrid of virtual and face-to-face formats over the course of eight sessions (90 minutes per session) for intervention group and the control group did not received any education. The maternal demographic and neonatal clinical characteristics questionnaire, the "hope scale of mothers with premature neonates”, and the “Self-Transcendence Scale” were used for data gathering.Results: The mean ages of the participants in the intervention and control groups were 30.18±3.76 and 29.38±1.52 years, respectively and about 45.2 percent of neonates were first child. The results of repeated-measures ANOVA showed that after spiritual intelligence training, the mean scores of self-transcendence (51.42±1.81) and hope (160.10±7.75) significantly increased in the intervention group (P-value<0.001).Implications for practice: By using mechanisms that can increase the mother’s hope and self- transcendence, it is possible to ensure that they provide quality and comprehensive care, infect allowing them to better perform the parent role.
{"title":"The effect of spiritual intelligence training on the hope and self-transcendence in mothers of premature neonates","authors":"Shadi Dalvand, A. Farahani, M. Rassouli, M. Nasiri, M. Babaie, Sepideh Yousefiasl","doi":"10.22038/EBCJ.2021.59001.2532","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.59001.2532","url":null,"abstract":"Background and aim: Spiritual intelligence training, as one dimension of comprehensive care and a means of communicating with a higher power (God), can increase mothers' hope and self-transcendence.Method: This randomized clinical trial study included 80 mothers with premature infants hospitalized in the NICU in Iran in 2019. The permutation blocks method was used to randomly divide the participants, who were selected based on the inclusion criteria, into intervention and control groups. Weekly training sessions were held in a hybrid of virtual and face-to-face formats over the course of eight sessions (90 minutes per session) for intervention group and the control group did not received any education. The maternal demographic and neonatal clinical characteristics questionnaire, the \"hope scale of mothers with premature neonates”, and the “Self-Transcendence Scale” were used for data gathering.Results: The mean ages of the participants in the intervention and control groups were 30.18±3.76 and 29.38±1.52 years, respectively and about 45.2 percent of neonates were first child. The results of repeated-measures ANOVA showed that after spiritual intelligence training, the mean scores of self-transcendence (51.42±1.81) and hope (160.10±7.75) significantly increased in the intervention group (P-value<0.001).Implications for practice: By using mechanisms that can increase the mother’s hope and self- transcendence, it is possible to ensure that they provide quality and comprehensive care, infect allowing them to better perform the parent role.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81597405","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 : 2021-10-09DOI: 10.22038/EBCJ.2021.58299.2521
Farshid Mohammadmousaei, H. Zendehtalab, M. Zare, حمیدرضا بهنام وشانی
Background & Aims: Self-care behaviors play an important role in disease management and prevention of complications of multiple sclerosis. The family is one of the most important pillars in supporting the implementation of self-care programs in these patients. The aim of this study was to investigate the effect of family-centered empowerment model program on self-care behaviors of patients with multiple sclerosis.Methods: This experimental randomized controlled trial before and after was performed on 60 patients referred to the Multiple Sclerosis Clinic of Ghaem Hospital in Mashhad in 2016-2017. the research units that met the inclusion criteria were randomly assigned to control and intervention groups. Data collection tools included; Demographic information questionnaire and self-care skills performance test were completed before and one month after the intervention in both groups. The educational content was presented in 8 sessions of 45 to 60 minutes in accordance with the structures of the family-centered empowerment model for the intervention group and the control group received common trainings. Data were analyzed using SPSS.16 software and independent t-test, analysis of variance and Mann-Whitney.Results: after the intervention, the mean total score of self-care behaviors and its dimensions in the intervention group were significantly higher. Was from the control group (P
{"title":"The effect of family-centered empowerment model program on self-care behaviors of patients with multiple sclerosis","authors":"Farshid Mohammadmousaei, H. Zendehtalab, M. Zare, حمیدرضا بهنام وشانی","doi":"10.22038/EBCJ.2021.58299.2521","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58299.2521","url":null,"abstract":"Background & Aims: Self-care behaviors play an important role in disease management and prevention of complications of multiple sclerosis. The family is one of the most important pillars in supporting the implementation of self-care programs in these patients. The aim of this study was to investigate the effect of family-centered empowerment model program on self-care behaviors of patients with multiple sclerosis.Methods: This experimental randomized controlled trial before and after was performed on 60 patients referred to the Multiple Sclerosis Clinic of Ghaem Hospital in Mashhad in 2016-2017. the research units that met the inclusion criteria were randomly assigned to control and intervention groups. Data collection tools included; Demographic information questionnaire and self-care skills performance test were completed before and one month after the intervention in both groups. The educational content was presented in 8 sessions of 45 to 60 minutes in accordance with the structures of the family-centered empowerment model for the intervention group and the control group received common trainings. Data were analyzed using SPSS.16 software and independent t-test, analysis of variance and Mann-Whitney.Results: after the intervention, the mean total score of self-care behaviors and its dimensions in the intervention group were significantly higher. Was from the control group (P","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"127 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83055211","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 : 2021-09-19DOI: 10.22038/EBCJ.2021.58874.2531
A. Ravari, Alireza Sheikhoshaqi, T. Mirzaei, M. Raeisi, Elham Hassanshahi, Z. Kamiab
Background: Diabetes is one of the most common debilitating diseases in the elderly and requires reasonable blood sugar control to prevent complications. Telenursing has been presented as a cost-effective method to control blood glucose levels.Aim: This study aimed to investigate the effect of Tele-nursing on blood glucose control in the elderly with diabetes. Method: The present clinical trial study was performed among diabetic elderly referring to the diabetes clinic in Rafsanjan City. Eighty participants were selected randomly and randomly divided into intervention and control groups based on the inclusion criteria. The intervention group was followed up via phone for three months. However, the control group received the intervention provided in the clinic. In addition to demographic characteristics and variables of diabetic patients, the Fasting Blood Sugar (FBS) and Glycated Hemoglobin (HbA1c) were measured before and three months after the interventions.Results: The mean ages of participants were higher than 64 years (intervention group = 64.4± 4.9 and control group = 65.09± 5.63) with over eight years of diabetes history. Before the intervention, mean FBS and HbA1cof both groups showed no significant difference, but there was a considerable difference after the intervention. Paired T-test showed that after the intervention, the amount of FBS and HbA1c was reduced to 33.92± 21.51 and 1.51± 0.86, respectively.Implications for practice: Our results indicate that the use of telenursing in elderly patients with diabetes is an effective strategy that leads to increased self-care and thus control of blood sugar.
{"title":"The Effect of Tele-nursing on Blood Glucose Control in the Elderly with Diabetes: a Randomized Controlled Trial","authors":"A. Ravari, Alireza Sheikhoshaqi, T. Mirzaei, M. Raeisi, Elham Hassanshahi, Z. Kamiab","doi":"10.22038/EBCJ.2021.58874.2531","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58874.2531","url":null,"abstract":"Background: Diabetes is one of the most common debilitating diseases in the elderly and requires reasonable blood sugar control to prevent complications. Telenursing has been presented as a cost-effective method to control blood glucose levels.Aim: This study aimed to investigate the effect of Tele-nursing on blood glucose control in the elderly with diabetes. Method: The present clinical trial study was performed among diabetic elderly referring to the diabetes clinic in Rafsanjan City. Eighty participants were selected randomly and randomly divided into intervention and control groups based on the inclusion criteria. The intervention group was followed up via phone for three months. However, the control group received the intervention provided in the clinic. In addition to demographic characteristics and variables of diabetic patients, the Fasting Blood Sugar (FBS) and Glycated Hemoglobin (HbA1c) were measured before and three months after the interventions.Results: The mean ages of participants were higher than 64 years (intervention group = 64.4± 4.9 and control group = 65.09± 5.63) with over eight years of diabetes history. Before the intervention, mean FBS and HbA1cof both groups showed no significant difference, but there was a considerable difference after the intervention. Paired T-test showed that after the intervention, the amount of FBS and HbA1c was reduced to 33.92± 21.51 and 1.51± 0.86, respectively.Implications for practice: Our results indicate that the use of telenursing in elderly patients with diabetes is an effective strategy that leads to increased self-care and thus control of blood sugar.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86705890","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 : 2021-09-11DOI: 10.22038/EBCJ.2021.57932.2509
Farideh Movahedi, N. Naderi, S. Taghavi, F. Shabani, R. Mousavizadeh, M. Fathollahi
Background: Heart failure (HF) is the common result of most of heart disorders. Quality of life (QoL) of these patients is severely impaired and needs continuous care. One of the nursing cares which may affect QoL of these patients is spiritual care.Aim: The current study aimed to determine effect of spiritual care program on QoL in HF patients.Method: This randomized controlled trial was performed at Rajaie Cardiovascular Medical and Research Center in Tehran in August 2020 .84patients were selected through convenient sampling and were randomly assigned to two groups using block balanced randomization. Iranian Heart Failure Quality of Life (IHF-QoL) questionnaire and Parsian and Dunning spirituality questionnaire were complemented before and after finishing 1-month follow-up by two groups. Intervention was carried out for experimental group in two1.5-hours virtual educational sessions as well as 1-month follow-up 3 times a week for 1-hour per session via what’s-App. At the end, the data related to 74 patients was analyzed SPSS software version 22. Significance level was considered at P < 0.05.Results: The groups were homogenous in terms of demographic characteristics. Dimensions of QoL in mental limitations (p <0.001) and self-care (p <0.01) in experimental group was significant comparing to control group, so that the spiritual care program increased the total score of QoL significantly (p <0.01).Implications for Practice: Results of the study showed that spiritual care program has a great role in improving the total QoL score and can be considered as a part of the holistic care program.
{"title":"Effect of Spiritual Care Program on Quality of Life in Heart Failure Patients","authors":"Farideh Movahedi, N. Naderi, S. Taghavi, F. Shabani, R. Mousavizadeh, M. Fathollahi","doi":"10.22038/EBCJ.2021.57932.2509","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.57932.2509","url":null,"abstract":"Background: Heart failure (HF) is the common result of most of heart disorders. Quality of life (QoL) of these patients is severely impaired and needs continuous care. One of the nursing cares which may affect QoL of these patients is spiritual care.Aim: The current study aimed to determine effect of spiritual care program on QoL in HF patients.Method: This randomized controlled trial was performed at Rajaie Cardiovascular Medical and Research Center in Tehran in August 2020 .84patients were selected through convenient sampling and were randomly assigned to two groups using block balanced randomization. Iranian Heart Failure Quality of Life (IHF-QoL) questionnaire and Parsian and Dunning spirituality questionnaire were complemented before and after finishing 1-month follow-up by two groups. Intervention was carried out for experimental group in two1.5-hours virtual educational sessions as well as 1-month follow-up 3 times a week for 1-hour per session via what’s-App. At the end, the data related to 74 patients was analyzed SPSS software version 22. Significance level was considered at P < 0.05.Results: The groups were homogenous in terms of demographic characteristics. Dimensions of QoL in mental limitations (p <0.001) and self-care (p <0.01) in experimental group was significant comparing to control group, so that the spiritual care program increased the total score of QoL significantly (p <0.01).Implications for Practice: Results of the study showed that spiritual care program has a great role in improving the total QoL score and can be considered as a part of the holistic care program.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"103 32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76009059","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 : 2021-08-28DOI: 10.22038/EBCJ.2021.55946.2464
H. Jalali, T. Sadeghi, Hamid Reza Zendeh Talab, M. Moshki, N. Zare
Introduction: The most useful application of the PRECEDE model is the explanation of the factors associated with behavior. The purpose of this study was to determine the effect of education based on PRECEDE model on breast feeding behavior of Nulliparous mothers. Method: This randomized clinical trial was performed on 90 mothers referred to health centers in Gonabad, during 1397 to 1398.The samples were randomly divided into two intervention and control groups. Then, in two stages were evaluated. Data collection tools are a two-part questionnaire for demographic information and breast feeding behavior measurement tool based on the structures of the PRECEDE model including Predisposing factors((19 questions of knowledge and 11 questions of attitude), Reinforcing structures (9 items), Enabling structure (8 questions), Self-efficacy (10 questions), Behavioral and social assessment (7 questions). Behavioral testing was also performed with IBFAT standard tools. Data analysis was performed using SPSS 25 software, independent t-test and Mann-Whitney test. Results: According to the findings, there was no significant difference between the experimental and control groups in terms of knowledge, attitude, reinforcement factors and enabling factors before educational intervention (p>0/05). After educational intervention, there was a significant difference between the control and experimental groups in terms of knowledge, attitude, reinforcement factors and enabling factors and breast feeding behavior(p <0/001). Mean and standard deviation of the tool Infant Breastfeeding Behavior there were significant differences between the two groups. Conclusion: Breast feeding education based on PRECEDE model can improve the attitude, reinforcing and enabling factors and breast feeding behavior in nulliparous mothers.
{"title":"The Impact of Education based on PRECEDE Model on Breast-feeding behavior in Nulliparous","authors":"H. Jalali, T. Sadeghi, Hamid Reza Zendeh Talab, M. Moshki, N. Zare","doi":"10.22038/EBCJ.2021.55946.2464","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.55946.2464","url":null,"abstract":"Introduction: The most useful application of the PRECEDE model is the explanation of the factors associated with behavior. The purpose of this study was to determine the effect of education based on PRECEDE model on breast feeding behavior of Nulliparous mothers. Method: This randomized clinical trial was performed on 90 mothers referred to health centers in Gonabad, during 1397 to 1398.The samples were randomly divided into two intervention and control groups. Then, in two stages were evaluated. Data collection tools are a two-part questionnaire for demographic information and breast feeding behavior measurement tool based on the structures of the PRECEDE model including Predisposing factors((19 questions of knowledge and 11 questions of attitude), Reinforcing structures (9 items), Enabling structure (8 questions), Self-efficacy (10 questions), Behavioral and social assessment (7 questions). Behavioral testing was also performed with IBFAT standard tools. Data analysis was performed using SPSS 25 software, independent t-test and Mann-Whitney test. Results: According to the findings, there was no significant difference between the experimental and control groups in terms of knowledge, attitude, reinforcement factors and enabling factors before educational intervention (p>0/05). After educational intervention, there was a significant difference between the control and experimental groups in terms of knowledge, attitude, reinforcement factors and enabling factors and breast feeding behavior(p <0/001). Mean and standard deviation of the tool Infant Breastfeeding Behavior there were significant differences between the two groups. Conclusion: Breast feeding education based on PRECEDE model can improve the attitude, reinforcing and enabling factors and breast feeding behavior in nulliparous mothers.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88954094","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 : 2021-08-25DOI: 10.22038/EBCJ.2021.58797.2529
Mona Jalilabadi Ashtarkan, S. A. Akbari, M. Nasiri, R. Heshmat, Nooshin Eshraghi
Background: Labor pain is one of the most severe pains that women experience. Acupressure is a non-pharmacological method of pain relief without complications and can be easily used. Aim: This study aimed to compare the effect of acupressure at SP6 and SP8 points on pain intensity and duration of the first stage of labor. Method: This clinical trial was performed on 150 women admitted to a hospital for delivery in Tehran, Iran, in 2020. They were randomly divided into control, Sp6, and Sp8 groups. In the control group, a neutral point was selected. In dilatations 3-4, 5-7, and 8-10 centimeters of the cervix, the pressure was applied in each group for 20 minutes. Pain intensity was measured before the intervention and then 15 and 30 minutes after intervention in 3 groups, and the duration of the first stage of labor was recorded. Data were collected using a demographic and obstetrics questionnaire, observation checklist, Visual Analogue Scale and analyzed using SPSS 19. Results: The repeated measures test showed that the mean pain intensity in three stages of the intervention groups and the mean duration of the first stage of labor was significantly different from the control group (p <0.001). The Tukey post hoc test showed both pain intensity and duration of the first stage of labor were significantly lower in the Sp8 group (p <0.001). Implications for Practice: According to the present study results, it is recommended that acupressure be used as a non-pharmacological method to reduce pain and duration of labor.
{"title":"Comparison of the effect of acupressure at SP6 and SP8 points on pain intensity and duration of the first stage of labor: A Randomized clinical trial","authors":"Mona Jalilabadi Ashtarkan, S. A. Akbari, M. Nasiri, R. Heshmat, Nooshin Eshraghi","doi":"10.22038/EBCJ.2021.58797.2529","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58797.2529","url":null,"abstract":"Background: Labor pain is one of the most severe pains that women experience. Acupressure is a non-pharmacological method of pain relief without complications and can be easily used. Aim: This study aimed to compare the effect of acupressure at SP6 and SP8 points on pain intensity and duration of the first stage of labor. Method: This clinical trial was performed on 150 women admitted to a hospital for delivery in Tehran, Iran, in 2020. They were randomly divided into control, Sp6, and Sp8 groups. In the control group, a neutral point was selected. In dilatations 3-4, 5-7, and 8-10 centimeters of the cervix, the pressure was applied in each group for 20 minutes. Pain intensity was measured before the intervention and then 15 and 30 minutes after intervention in 3 groups, and the duration of the first stage of labor was recorded. Data were collected using a demographic and obstetrics questionnaire, observation checklist, Visual Analogue Scale and analyzed using SPSS 19. Results: The repeated measures test showed that the mean pain intensity in three stages of the intervention groups and the mean duration of the first stage of labor was significantly different from the control group (p <0.001). The Tukey post hoc test showed both pain intensity and duration of the first stage of labor were significantly lower in the Sp8 group (p <0.001). Implications for Practice: According to the present study results, it is recommended that acupressure be used as a non-pharmacological method to reduce pain and duration of labor.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85609902","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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