Pub Date : 2021-04-01DOI: 10.22038/EBCJ.2021.57608.2506
Qamar Riazi, M. Simbar, S. A. Akbari, F. Mojab, N. Shakeri
Background: Depression and anxiety as the most common psychological disorders reduce the quality of life in women during menopause. Aim: Given the potential therapeutic properties of Rosa damascena, the present study aimed to investigate the effect of Rosa damascena on the severity of depression and anxiety in postmenopausal women. Method: This clinical trial was conducted on 110 postmenopausal women in Tehran, Iran, during 2020. The participants in the intervention group received 500 mg dried Rosa damascena capsules, and the control group received placebo capsules three times a day (once every 8 hours) for 40 days. The data were collected using a demographic characteristics form, Beck's Depression Inventory, Spielberger's State-Trait Anxiety Inventory, and adverse effects questionnaire. Subsequently, the data were analyzed in SPSS software (version 19) through the independent t-test, chi-square, Mann-Whitney, and repeated measures tests. Results: There was no difference in the mean score of depression before and 20 days after the intervention in the intervention group; however, this difference was significant 40 days after the intervention (p <0.05). The severity of anxiety differed significantly in the intervention group on days 20 and 40 post-intervention (p <0.001); however, these changes were not significant in the placebo group. The mean score of anxiety 20 and 40 days and depression 40 days after the intervention showed a significant difference between the two groups (p <0.001). Implications for Practice: It seems that R. damascena has effects on postmenopausal depression and anxiety. Accordingly, menopausal women are recommended to use R. damascena as an efficient non-pharmacological intervention.
{"title":"Effect of Rosa damascena on the Severity of Depression and Anxiety in Postmenopausal Women: A Randomized, Double-blind, Placebo-controlled Clinical Trial","authors":"Qamar Riazi, M. Simbar, S. A. Akbari, F. Mojab, N. Shakeri","doi":"10.22038/EBCJ.2021.57608.2506","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.57608.2506","url":null,"abstract":"Background: Depression and anxiety as the most common psychological disorders reduce the quality of life in women during menopause. Aim: Given the potential therapeutic properties of Rosa damascena, the present study aimed to investigate the effect of Rosa damascena on the severity of depression and anxiety in postmenopausal women. Method: This clinical trial was conducted on 110 postmenopausal women in Tehran, Iran, during 2020. The participants in the intervention group received 500 mg dried Rosa damascena capsules, and the control group received placebo capsules three times a day (once every 8 hours) for 40 days. The data were collected using a demographic characteristics form, Beck's Depression Inventory, Spielberger's State-Trait Anxiety Inventory, and adverse effects questionnaire. Subsequently, the data were analyzed in SPSS software (version 19) through the independent t-test, chi-square, Mann-Whitney, and repeated measures tests. Results: There was no difference in the mean score of depression before and 20 days after the intervention in the intervention group; however, this difference was significant 40 days after the intervention (p <0.05). The severity of anxiety differed significantly in the intervention group on days 20 and 40 post-intervention (p <0.001); however, these changes were not significant in the placebo group. The mean score of anxiety 20 and 40 days and depression 40 days after the intervention showed a significant difference between the two groups (p <0.001). Implications for Practice: It seems that R. damascena has effects on postmenopausal depression and anxiety. Accordingly, menopausal women are recommended to use R. damascena as an efficient non-pharmacological intervention.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"14 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88901771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The emergence of this coronavirus disease 2019 (COVID-19) is now a public health crisis that leads to various challenges. There is a significant scientific gap in this field, including the necessity of updating the definitions and information about this disease. This disease causes a lot of physical and psychological problems and leads to changes in and reduced quality of life. However, one of the definitive pieces of data about this disease is human-to-human transmission and its very high prevalence, which itself carries certain social and psychological risks. Aim: This study aimed to explore patients' experiences of living with COVID-19. Method: The present qualitative study was conducted based on a conventional content analysis method. The statistical population of this study (n=17) consisted of recovered patients from COVID-19 with a history of admission to the intensive care unit of Afzalipour Hospital in Kerman, Iran, selected using a purposive sampling method. The data were collected through semi-structured interviews and analyzed using the qualitative content analysis method proposed by Graneheim and Lundman. Results: Data collection and analysis led to the determination of 1 theme, 4 categories, and 18 subcategories. The theme was identified as "Coronavirus as a prison of time" and the categories were "behavioral challenges", "human flourishing", negative emotions", and "psychological distress in quarantine". Implications for Practice: Study participants had both positive and negative experiences. The results of this study can help healthcare providers to identify the needs of these patients and design a care model for these patients
{"title":"Patients' Experiences of Living with Coronavirus Disease 2019: A Qualitative Study","authors":"Zohreh Khoshnood, Roghayeh Mehdipour-Rabori, Faezeh Nazari Robati, Marzieh Helal Birjandi, S. Bagherian","doi":"10.22038/EBCJ.2021.57471.2499","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.57471.2499","url":null,"abstract":"Background: The emergence of this coronavirus disease 2019 (COVID-19) is now a public health crisis that leads to various challenges. There is a significant scientific gap in this field, including the necessity of updating the definitions and information about this disease. This disease causes a lot of physical and psychological problems and leads to changes in and reduced quality of life. However, one of the definitive pieces of data about this disease is human-to-human transmission and its very high prevalence, which itself carries certain social and psychological risks. Aim: This study aimed to explore patients' experiences of living with COVID-19. Method: The present qualitative study was conducted based on a conventional content analysis method. The statistical population of this study (n=17) consisted of recovered patients from COVID-19 with a history of admission to the intensive care unit of Afzalipour Hospital in Kerman, Iran, selected using a purposive sampling method. The data were collected through semi-structured interviews and analyzed using the qualitative content analysis method proposed by Graneheim and Lundman. Results: Data collection and analysis led to the determination of 1 theme, 4 categories, and 18 subcategories. The theme was identified as \"Coronavirus as a prison of time\" and the categories were \"behavioral challenges\", \"human flourishing\", negative emotions\", and \"psychological distress in quarantine\". Implications for Practice: Study participants had both positive and negative experiences. The results of this study can help healthcare providers to identify the needs of these patients and design a care model for these patients","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"1 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90665025","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 : 2021-02-27DOI: 10.22038/EBCJ.2021.50360.2355
M. Pazokian, Hanieh Molaee
Introduction: One way to control and prevent infectious diseases such as COVID-19 is quarantine. Health care workers are among the people at risk for the disease, who may have the experience of being quarantined. Objective: This qualitative study aimed to explain health care workers’ perspectives on the period of quarantine as well as their experiences. Methods: This study was conducted following a descriptive qualitative study design. The data were collected through semi-structured interviews with 18 health care workers with COVID-19, who were selected through purposive sampling. The data were analyzed by a contractual qualitative content analysis based on Graneheim and Landman’s approach. After an overview of each interview, semantic units, codes, and then subcategories and categories were extracted through MAXQDA software version 10 to achieve themes. Results: The main theme obtained from this qualitative study was “support network decline” consisted of two categories - psychological concern and social exclusion- and six subcategories. Application of findings in nursing: The results obtained from this study showed that the support network is a determinant of health. In fact, the support network covers a set of relationships through which individuals can develop their identity and shape their lifestyles. Therefore, the decline of such a network will exert negative impacts on individual and social life.
{"title":"Social network decline: experiences health care workers of quarantine","authors":"M. Pazokian, Hanieh Molaee","doi":"10.22038/EBCJ.2021.50360.2355","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.50360.2355","url":null,"abstract":"Introduction: One way to control and prevent infectious diseases such as COVID-19 is quarantine. Health care workers are among the people at risk for the disease, who may have the experience of being quarantined. Objective: This qualitative study aimed to explain health care workers’ perspectives on the period of quarantine as well as their experiences. Methods: This study was conducted following a descriptive qualitative study design. The data were collected through semi-structured interviews with 18 health care workers with COVID-19, who were selected through purposive sampling. The data were analyzed by a contractual qualitative content analysis based on Graneheim and Landman’s approach. After an overview of each interview, semantic units, codes, and then subcategories and categories were extracted through MAXQDA software version 10 to achieve themes. Results: The main theme obtained from this qualitative study was “support network decline” consisted of two categories - psychological concern and social exclusion- and six subcategories. Application of findings in nursing: The results obtained from this study showed that the support network is a determinant of health. In fact, the support network covers a set of relationships through which individuals can develop their identity and shape their lifestyles. Therefore, the decline of such a network will exert negative impacts on individual and social life.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78981620","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 : 2021-01-01DOI: 10.22038/EBCJ.2021.54432.2434
Reza Hassannia, M. Sajjadi, Habib Shareinia, Reza Elmimehr, Mahin Moravejjifar
Background: Circumcision is a common surgery and causes severe pain and anxiety in children. Today, virtual reality is used as an easy and cost-effective non-pharmacological method to manage pain and anxiety with no side effects. Aim: This study aimed to investigate the effect of virtual reality on the reduction of pain and anxiety in children who underwent circumcision. Method: This single-blind randomized clinical trial was performed on 40 children in 2019. The research instruments included the demographic survey, the Observational Scale of Behavioral Distress, and the Oucher pain scale which were completed in both groups 30 min before and after the circumcision (immediately after dressing the surgical wound). Anxiety immediately before circumcision. The children’s pain was assessed during anesthesia in both groups. A two-step intervention was performed on the experimental group. A preoperative virtual reality training video and a virtual reality animation were presented to distract the patients during the circumcision. All these steps except virtual reality were performed in the control group. Data were analyzed using SPSS software (version 16). Results: Virtual reality as a distraction technique significantly reduced anxiety and pain at the onset of circumcision (p <0.001) and during anesthesia (p <0.001) as well as pain (P=0.005) and anxiety (p <0.001) at the end of the circumcision in the intervention group compared to the control group. Implications for Practice: Clinical use of virtual reality can be used for the reduction of pain and anxiety in children during the circumcision process.
{"title":"Effect of Virtual Reality on Relieving Pain and Anxiety of Circumcision in Children","authors":"Reza Hassannia, M. Sajjadi, Habib Shareinia, Reza Elmimehr, Mahin Moravejjifar","doi":"10.22038/EBCJ.2021.54432.2434","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.54432.2434","url":null,"abstract":"Background: Circumcision is a common surgery and causes severe pain and anxiety in children. Today, virtual reality is used as an easy and cost-effective non-pharmacological method to manage pain and anxiety with no side effects. Aim: This study aimed to investigate the effect of virtual reality on the reduction of pain and anxiety in children who underwent circumcision. Method: This single-blind randomized clinical trial was performed on 40 children in 2019. The research instruments included the demographic survey, the Observational Scale of Behavioral Distress, and the Oucher pain scale which were completed in both groups 30 min before and after the circumcision (immediately after dressing the surgical wound). Anxiety immediately before circumcision. The children’s pain was assessed during anesthesia in both groups. A two-step intervention was performed on the experimental group. A preoperative virtual reality training video and a virtual reality animation were presented to distract the patients during the circumcision. All these steps except virtual reality were performed in the control group. Data were analyzed using SPSS software (version 16). Results: Virtual reality as a distraction technique significantly reduced anxiety and pain at the onset of circumcision (p <0.001) and during anesthesia (p <0.001) as well as pain (P=0.005) and anxiety (p <0.001) at the end of the circumcision in the intervention group compared to the control group. Implications for Practice: Clinical use of virtual reality can be used for the reduction of pain and anxiety in children during the circumcision process.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"14 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87680267","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 : 2021-01-01DOI: 10.22038/EBCJ.2021.53206.2406
Mahla Salarfard, M. Moradi
Background: Treatment adherence in diabetics is an important challenge in controlling diabetes. Health literacy is a great determinant of health. Future studies need to address determinants of adherence, as this may be crucial. Aim: Determining the association between health literacy and treatment adherence to the treatment regimen in women with gestational diabetes. Method: The present cross-sectional study was conducted on 260 women with gestational diabetes receive nutrition therapy from September to January 2019. The subjects were selected by multistage sampling methods from ten health centers and Imam Reza, Ghaem, and Ommolbanin Hospitals of Mashhad. Data were collected by the brief Test of Functional Health Literacy in Adults (TOFHLA), and a researcher-made questionnaire of adherence to the treatment regimen (diet, exercise, and blood sugar monitoring) with verified validity and reliability. Data were analyzed using SPSS 16. Results: Spearman's rank correlation coefficient indicated significant direct relationships between health literacy and the score of dietary adherence (p <0.001, r=0.314), blood sugar monitoring (p <0.001, r=0.241), exercise adherence (P=0.009, r=0.162) with total adherence to the treatment regimen (p <0.001, r=0.356). Implications for Practice: Promoting health literacy through educational interventions in mothers with gestational diabetes is essential according to its relation to raise dietary adherence (diet, exercise, blood sugar monitoring).
{"title":"Health Literacy and Adherence to Dietary Regimen among Women with Gestational Diabetes under Nutrition Therapy","authors":"Mahla Salarfard, M. Moradi","doi":"10.22038/EBCJ.2021.53206.2406","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.53206.2406","url":null,"abstract":"Background: Treatment adherence in diabetics is an important challenge in controlling diabetes. Health literacy is a great determinant of health. Future studies need to address determinants of adherence, as this may be crucial. Aim: Determining the association between health literacy and treatment adherence to the treatment regimen in women with gestational diabetes. Method: The present cross-sectional study was conducted on 260 women with gestational diabetes receive nutrition therapy from September to January 2019. The subjects were selected by multistage sampling methods from ten health centers and Imam Reza, Ghaem, and Ommolbanin Hospitals of Mashhad. Data were collected by the brief Test of Functional Health Literacy in Adults (TOFHLA), and a researcher-made questionnaire of adherence to the treatment regimen (diet, exercise, and blood sugar monitoring) with verified validity and reliability. Data were analyzed using SPSS 16. Results: Spearman's rank correlation coefficient indicated significant direct relationships between health literacy and the score of dietary adherence (p <0.001, r=0.314), blood sugar monitoring (p <0.001, r=0.241), exercise adherence (P=0.009, r=0.162) with total adherence to the treatment regimen (p <0.001, r=0.356). Implications for Practice: Promoting health literacy through educational interventions in mothers with gestational diabetes is essential according to its relation to raise dietary adherence (diet, exercise, blood sugar monitoring).","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"92 1","pages":"32-39"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80973411","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 : 2021-01-01DOI: 10.22038/EBCJ.2021.53596.2412
Asma Nikkhah-Beydokhti, F. Ghaljaei, Narjes Khatoun Sadeghi, F. Najafi
Background: Chemotherapy is associated with various physical and psychological complications such as fatigue and anxiety in children. Although hospital clowning completely affects health care in pediatric patients, it is a little-known distraction approach in children undergoing chemotherapy in Iran. Aim: This study aimed to investigate the effect of hospital clowning on anxiety and fatigue in children with cancer undergoing chemotherapy. Method: The participants in this clinical trial were 7-15-year-old children (n = 18) with cancer undergoing chemotherapy in a hospital in southeastern Iran, 2019. Participants were selected using convenience sampling and randomly assigned to the intervention (n=40) and control groups (n=40). The intervention group and clown participated in different games for two weeks, 3 sessions per week, and each session lasted 2 to 3 hours in the playroom of the oncology ward. The control group received routine care. A demographic survey, the Revised Children's Manifest Anxiety Scale (RCMAS), and the Visual Analog Fatigue Scale (VAFS) were completed before and immediately after the intervention by interviewing the two groups. Data were analyzed by IBM SPSS v.21 using the Independent t-test, Paired t-test, and Chi-square. Results: The mean and standard deviation of the age in the intervention and control groups were 9.61±2.84 and 9.65±2.28 years old, respectively. The mean difference between anxiety and fatigue in the two groups was significantly different after hospital clowning (p <0.001). Implications for Practice: The present study indicated that hospital clowning reduced anxiety and fatigue in children with cancer undergoing chemotherapy. Using hospital clowning is recommended in clinical wards due to the negative effects of anxiety and fatigue on the treatment of children with cancer.
{"title":"Effects of Hospital Clowning on Anxiety and Fatigue in Children with Cancer undergoing Chemotherapy","authors":"Asma Nikkhah-Beydokhti, F. Ghaljaei, Narjes Khatoun Sadeghi, F. Najafi","doi":"10.22038/EBCJ.2021.53596.2412","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.53596.2412","url":null,"abstract":"Background: Chemotherapy is associated with various physical and psychological complications such as fatigue and anxiety in children. Although hospital clowning completely affects health care in pediatric patients, it is a little-known distraction approach in children undergoing chemotherapy in Iran. Aim: This study aimed to investigate the effect of hospital clowning on anxiety and fatigue in children with cancer undergoing chemotherapy. Method: The participants in this clinical trial were 7-15-year-old children (n = 18) with cancer undergoing chemotherapy in a hospital in southeastern Iran, 2019. Participants were selected using convenience sampling and randomly assigned to the intervention (n=40) and control groups (n=40). The intervention group and clown participated in different games for two weeks, 3 sessions per week, and each session lasted 2 to 3 hours in the playroom of the oncology ward. The control group received routine care. A demographic survey, the Revised Children's Manifest Anxiety Scale (RCMAS), and the Visual Analog Fatigue Scale (VAFS) were completed before and immediately after the intervention by interviewing the two groups. Data were analyzed by IBM SPSS v.21 using the Independent t-test, Paired t-test, and Chi-square. Results: The mean and standard deviation of the age in the intervention and control groups were 9.61±2.84 and 9.65±2.28 years old, respectively. The mean difference between anxiety and fatigue in the two groups was significantly different after hospital clowning (p <0.001). Implications for Practice: The present study indicated that hospital clowning reduced anxiety and fatigue in children with cancer undergoing chemotherapy. Using hospital clowning is recommended in clinical wards due to the negative effects of anxiety and fatigue on the treatment of children with cancer.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"147 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77468166","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 : 2021-01-01DOI: 10.22038/EBCJ.2021.52976.2398
Elham Asghari, A. Farahani, Manigheh Nourian, Hossein Bonakchi, Sara Gholami
Background: The birth and protection of premature infants cause major stress in their mothers. The implementation of strategies to reduce this stress is one of the major tasks of nursing researchers. Aim: This study aimed to investigate the effects of telenursing on the level of stress in mothers with premature infants, following the infants’ discharge from the Neonatal Intensive Care Unit. Method: This clinical trial was conducted on 120 mothers who were randomly assigned into intervention and control groups. Data collection was performed using Barry and Jones’s parental stress scale and the maternal and neonatal demographic questionnaire. Telenursing was performed to educate mothers in the intervention group using the Telegram application for four weeks. The control group only received the usual care at discharge. Data were collected one day after discharge, one day, and four weeks after intervention and analyzed in SPSS software (version 19) through the Kolmogorov-Smirnov test, independent t-test, and Kruskal-Wallis test. Results: The mean maternal stress level±SD was estimated at 70.8±8.8 and 70.6±8.9 in the intervention and control groups, respectively. These numbers changed to 53.0±1.8 and 59.8±2.8 in the intervention group and 68.1±2.4 and 59.8±5.1 in the control group immediately and four weeks after intervention (telenursing), respectively. Therefore, the mothers in the intervention group experienced less stress (P<0.001). Implications for Practice: The application of this low-cost and affordable method is recommended for its impact on the reduction of mean maternal stress levels in the intervention group compared to the controls.
{"title":"The Effects of Telenursing on Stress in Mothers with Premature Infants","authors":"Elham Asghari, A. Farahani, Manigheh Nourian, Hossein Bonakchi, Sara Gholami","doi":"10.22038/EBCJ.2021.52976.2398","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.52976.2398","url":null,"abstract":"Background: The birth and protection of premature infants cause major stress in their mothers. The implementation of strategies to reduce this stress is one of the major tasks of nursing researchers. Aim: This study aimed to investigate the effects of telenursing on the level of stress in mothers with premature infants, following the infants’ discharge from the Neonatal Intensive Care Unit. Method: This clinical trial was conducted on 120 mothers who were randomly assigned into intervention and control groups. Data collection was performed using Barry and Jones’s parental stress scale and the maternal and neonatal demographic questionnaire. Telenursing was performed to educate mothers in the intervention group using the Telegram application for four weeks. The control group only received the usual care at discharge. Data were collected one day after discharge, one day, and four weeks after intervention and analyzed in SPSS software (version 19) through the Kolmogorov-Smirnov test, independent t-test, and Kruskal-Wallis test. Results: The mean maternal stress level±SD was estimated at 70.8±8.8 and 70.6±8.9 in the intervention and control groups, respectively. These numbers changed to 53.0±1.8 and 59.8±2.8 in the intervention group and 68.1±2.4 and 59.8±5.1 in the control group immediately and four weeks after intervention (telenursing), respectively. Therefore, the mothers in the intervention group experienced less stress (P<0.001). Implications for Practice: The application of this low-cost and affordable method is recommended for its impact on the reduction of mean maternal stress levels in the intervention group compared to the controls.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"12 1","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89624537","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 : 2021-01-01DOI: 10.22038/EBCJ.2021.54131.2423
M. Pazokian, Qasem Mehralian, Farzane Khalandi
Background: Nurses are at the forefront of dealing with patients and providing them with many services during Covid-19 pandemic and the most work stress is directed to this high-risk group. Aim: The current study aims to investigate nurses who have experienced COVID-19 patient care. Method: Eighteen participants were purposefully selected and participated into this qualitative study by using a conventional content analysis method. Data were obtained through semi-structured interviews. Participants included Nurses working in the Covid-19 wards of educational hospitals of Shahid Beheshti University of Medical Sciences where considered as hospitalization center for these patients. Purposive sampling continued from 25 June to 9 September of 2020 until the data were completed. The data were analyzed based on Graneheim and Landman’s approach by MAXQDA 10 software. Results: The results of the data had two categories, Organizational Structure Challenges with five subcategories (high workload, deficiency in management, lack of facilities and equipment, irregularity and financial motivation) and care difficulty with four subcategories (psychological concern, recovery and treatment, insufficient care training programs and personal self-protection). Implications for Practice: Considering the position of nursing and expressing their views on the care of patients with Covid-19 can be an important step to improve the management care in these conditions.
背景:在2019冠状病毒病大流行期间，护士处于与患者打交道并为其提供许多服务的最前线，这一高危人群面临的工作压力最大。目的:本研究旨在调查经历过COVID-19患者护理的护士。方法:有目的地选择18名受试者，采用常规的内容分析法进行定性研究。数据通过半结构化访谈获得。参与者包括在沙希德·贝赫什蒂医科大学教育医院Covid-19病房工作的护士，该医院被认为是这些患者的住院中心。从2020年6月25日至9月9日继续进行有目的抽样，直到数据完成。根据Graneheim and Landman的方法，使用MAXQDA 10软件对数据进行分析。结果:数据结果分为两类，组织结构挑战(工作量大、管理不足、设施设备缺乏、不规范和财务动机)和护理困难(心理担忧、康复与治疗、护理培训计划不足和个人自我保护)。对实践的启示:考虑护理人员的立场并表达他们对Covid-19患者护理的看法是改善这些情况下管理护理的重要一步。
{"title":"Experiences of Nurses Caring of patients during the COVID-19 Pandemic: A Qualitative Study","authors":"M. Pazokian, Qasem Mehralian, Farzane Khalandi","doi":"10.22038/EBCJ.2021.54131.2423","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.54131.2423","url":null,"abstract":"Background: Nurses are at the forefront of dealing with patients and providing them with many services during Covid-19 pandemic and the most work stress is directed to this high-risk group. Aim: The current study aims to investigate nurses who have experienced COVID-19 patient care. Method: Eighteen participants were purposefully selected and participated into this qualitative study by using a conventional content analysis method. Data were obtained through semi-structured interviews. Participants included Nurses working in the Covid-19 wards of educational hospitals of Shahid Beheshti University of Medical Sciences where considered as hospitalization center for these patients. Purposive sampling continued from 25 June to 9 September of 2020 until the data were completed. The data were analyzed based on Graneheim and Landman’s approach by MAXQDA 10 software. Results: The results of the data had two categories, Organizational Structure Challenges with five subcategories (high workload, deficiency in management, lack of facilities and equipment, irregularity and financial motivation) and care difficulty with four subcategories (psychological concern, recovery and treatment, insufficient care training programs and personal self-protection). Implications for Practice: Considering the position of nursing and expressing their views on the care of patients with Covid-19 can be an important step to improve the management care in these conditions.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"12 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89892027","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 : 2020-10-28DOI: 10.22038/EBCJ.2020.49184.2327
L. Sadeghmoghadam, M. Khoshkhoo, N. Saadati
We read the published papers into COVID-19 with a focus psychological effects of quarantine. The results of studies showed that the Covid 19 disease, which was first observed in late December 2019 in Wuhan, China, spread rapidly. Iran was the second country to report CID 19 cases in February 2020. The disease spread rapidly around the world, and in March 2020 the World Health Organization declared it a pandemic(1). rapid spread of the virus, along with the absence of effective medicines or vaccines against Covid 19 disease, have prompted health policy makers in many countries to introduce quarantine policy as the most effective way to control the epidemic(2).
{"title":"The effect of post-epidemic social cohesion formation on Covid 19 disease on psychological resilience of quarantine problems","authors":"L. Sadeghmoghadam, M. Khoshkhoo, N. Saadati","doi":"10.22038/EBCJ.2020.49184.2327","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.49184.2327","url":null,"abstract":"We read the published papers into COVID-19 with a focus psychological effects of quarantine. The results of studies showed that the Covid 19 disease, which was first observed in late December 2019 in Wuhan, China, spread rapidly. Iran was the second country to report CID 19 cases in February 2020. The disease spread rapidly around the world, and in March 2020 the World Health Organization declared it a pandemic(1). rapid spread of the virus, along with the absence of effective medicines or vaccines against Covid 19 disease, have prompted health policy makers in many countries to introduce quarantine policy as the most effective way to control the epidemic(2).","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87352210","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 : 2020-10-01DOI: 10.22038/EBCJ.2020.50642.2360
Tahere Peiravi Dehsorkhi, H. Vashani, M. Ramezani, R. Shojaeian
Background: Different complications of colostomy in neonates can lead to readmission, surgery, and even death. Therefore, prevention of colostomy complications highlights the empowerments of mother to care for the neonate and reduce maternal distress. Aim: The present study aimed to determine the effect of maternal empowerment programs on neonatal colostomy complications and maternal distress tolerance. Method: This randomized clinical trial was conducted on 60 mothers of newborns aged 1-90 days with colostomy referred to two specialized pediatric centers in northeastern Iran in 2019. The control group received a training session. The intervention group, in addition to one training session, participated in two sessions of maternal empowerment program regarding the care of neonates with a colostomy. The collected data were analyzed in SPSS software (version 21) using ANOVA, Friedman, and Mann-Whitney U tests. Results: The two groups were homogeneous considering demographic variables (P<0.05). According to the results of the Mann-Whitney U test, the skin complication in the neonates was less in the intervention group than in the control group at all three stages of assessment (P<0.001). Moreover, the repeated measures ANOVA results demonstrated that the effect of group (P=0.006), effect of time (P<0.001), and interaction of group and time (P<0.001) were significant on the total score of distress tolerance. Implications for Practice: Considering the positive effect of the maternal empowerment program on reducing maternal distress and skin complications of colostomy among neonates, it is recommended to use this program in surgical wards and neonatal intensive care unit.
{"title":"Effect of Maternal Empowerment Program on Neonatal Colostomy Complications and Maternal Distress Tolerance","authors":"Tahere Peiravi Dehsorkhi, H. Vashani, M. Ramezani, R. Shojaeian","doi":"10.22038/EBCJ.2020.50642.2360","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.50642.2360","url":null,"abstract":"Background: Different complications of colostomy in neonates can lead to readmission, surgery, and even death. Therefore, prevention of colostomy complications highlights the empowerments of mother to care for the neonate and reduce maternal distress. \u0000Aim: The present study aimed to determine the effect of maternal empowerment programs on neonatal colostomy complications and maternal distress tolerance. \u0000Method: This randomized clinical trial was conducted on 60 mothers of newborns aged 1-90 days with colostomy referred to two specialized pediatric centers in northeastern Iran in 2019. The control group received a training session. The intervention group, in addition to one training session, participated in two sessions of maternal empowerment program regarding the care of neonates with a colostomy. The collected data were analyzed in SPSS software (version 21) using ANOVA, Friedman, and Mann-Whitney U tests. \u0000Results: The two groups were homogeneous considering demographic variables (P<0.05). According to the results of the Mann-Whitney U test, the skin complication in the neonates was less in the intervention group than in the control group at all three stages of assessment (P<0.001). Moreover, the repeated measures ANOVA results demonstrated that the effect of group (P=0.006), effect of time (P<0.001), and interaction of group and time (P<0.001) were significant on the total score of distress tolerance. \u0000Implications for Practice: Considering the positive effect of the maternal empowerment program on reducing maternal distress and skin complications of colostomy among neonates, it is recommended to use this program in surgical wards and neonatal intensive care unit.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"8 1","pages":"23-32"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72880986","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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