Pub Date : 2019-10-01DOI: 10.22038/EBCJ.2019.40897.2078
Samira Beigmoradi, Azita Pourshirvani, M. Pazokian, M Nasiri
Patient's clinical handoff which is a critical organizational and clinical process is considered one of the fundamental responsibilities of nurses. In this regard, lack of tools and resources to be applied for this purpose threatens the life of patients. The present study aimed to investigate the nursing handoff skill among nurses using situation-background-assessment-recommendationquestionnaire. This observational research was carried out on 64 nurses in internal and surgical wards in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran in 2018. The research population included the content of reports related to nursing handoff of nurses working in the hospitals. The reliability and validity of the questionnaire were confirmed, and descriptive statistics were applied to evaluate the data. It is worthy to note that the majority of participants were female (68.8%). After the evaluation, patient information was reported in areas of current situation (90.0%), clinical background (10.0%), assessment of systems’ status (57.5%), and recommendations (92.5%). Based on the results of the study, less attention was paid to mentioning clinical background and assessing patients’ systems during nursing handoff, which necessitates the training courses on accurate reporting for nurses to ensure patient safety.
{"title":"Evaluation of Nursing Handoff Skill among Nurses Using Situation-background-assessment-recommendation Checklist in General Wards","authors":"Samira Beigmoradi, Azita Pourshirvani, M. Pazokian, M Nasiri","doi":"10.22038/EBCJ.2019.40897.2078","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.40897.2078","url":null,"abstract":"Patient's clinical handoff which is a critical organizational and clinical process is considered one of the fundamental responsibilities of nurses. In this regard, lack of tools and resources to be applied for this purpose threatens the life of patients. The present study aimed to investigate the nursing handoff skill among nurses using situation-background-assessment-recommendationquestionnaire. This observational research was carried out on 64 nurses in internal and surgical wards in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran in 2018. The research population included the content of reports related to nursing handoff of nurses working in the hospitals. The reliability and validity of the questionnaire were confirmed, and descriptive statistics were applied to evaluate the data. It is worthy to note that the majority of participants were female (68.8%). After the evaluation, patient information was reported in areas of current situation (90.0%), clinical background (10.0%), assessment of systems’ status (57.5%), and recommendations (92.5%). Based on the results of the study, less attention was paid to mentioning clinical background and assessing patients’ systems during nursing handoff, which necessitates the training courses on accurate reporting for nurses to ensure patient safety.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"34 1","pages":"63-68"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78594804","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.14043
S. Bagheri, N. Zare, S. Mazlom, Samira Mohajer, M. Soltani
Background: Caring for a patient with Parkinson's disease (PD) imposes a high burden of care on caregivers due to its chronic and progressive nature. Implementation of an empowerment program leads to self-control and adoption of preventive behaviors. Aim: This study investigated the effect of a family-centered empowerment model on the burden of care among the caregivers of the elderly with PD. Method: The present randomized controlled clinical trial was performed on 60 caregivers and elderly people with PD referring to the Neurology Clinic of one of the two large hospitals of Mashhad, northeast Iran, in 2018. In the intervention group, the family-centered empowerment model consisted of four steps, including perceived threat, problem-solving, educational participation, and evaluation, in four training sessions. Before and 1.5 months after the training sessions, both groups completed the Zarit Burden Interview questionnaire. The control group also received routine care. The data were analyzed by SPSS software (version 16) using paired t-test, independent t-test, Wilcoxon test, and Mann-Whitney U test. Results: The two groups were homogeneous regarding demographic findings. The difference in pre and postcare burden scores decreased 25.1±13.9 and 0.6±3.1 in the intervention and control groups, respectively. Independent t-test showed a significant difference (P<0.001). Intragroup comparison by paired t-test in the intervention group showed a significant difference between the total care burden score before and after the intervention (P<0.001). Implications for Practice: Using the empowerment model focusing on the management of care programs leads to reducing the burden of care and improving the role of caregivers. Therefore, it is recommended to implement family-centered empowerment programs for the caregivers of patients with chronic diseases.
{"title":"Effect of Implementing Family-Centered Empowerment Model on Burden of Care in Caregivers of the Elderly with Parkinson's Disease","authors":"S. Bagheri, N. Zare, S. Mazlom, Samira Mohajer, M. Soltani","doi":"10.22038/EBCJ.2019.14043","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.14043","url":null,"abstract":"Background: Caring for a patient with Parkinson's disease (PD) imposes a high burden of care on caregivers due to its chronic and progressive nature. Implementation of an empowerment program leads to self-control and adoption of preventive behaviors. Aim: This study investigated the effect of a family-centered empowerment model on the burden of care among the caregivers of the elderly with PD. Method: The present randomized controlled clinical trial was performed on 60 caregivers and elderly people with PD referring to the Neurology Clinic of one of the two large hospitals of Mashhad, northeast Iran, in 2018. In the intervention group, the family-centered empowerment model consisted of four steps, including perceived threat, problem-solving, educational participation, and evaluation, in four training sessions. Before and 1.5 months after the training sessions, both groups completed the Zarit Burden Interview questionnaire. The control group also received routine care. The data were analyzed by SPSS software (version 16) using paired t-test, independent t-test, Wilcoxon test, and Mann-Whitney U test. Results: The two groups were homogeneous regarding demographic findings. The difference in pre and postcare burden scores decreased 25.1±13.9 and 0.6±3.1 in the intervention and control groups, respectively. Independent t-test showed a significant difference (P<0.001). Intragroup comparison by paired t-test in the intervention group showed a significant difference between the total care burden score before and after the intervention (P<0.001). Implications for Practice: Using the empowerment model focusing on the management of care programs leads to reducing the burden of care and improving the role of caregivers. Therefore, it is recommended to implement family-centered empowerment programs for the caregivers of patients with chronic diseases.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"125 1","pages":"41-48"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89278618","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.14042
Maliheh Mohammadzadeh Moghaddam, M. Moradi, K. M. Najmabadi, M. Ramezani, M. Shakeri
Background: Sexual satisfaction plays a vital role in the stability of a marriage. Dysfunctional sexual beliefs are often overlooked despite their recognition as factors negatively affecting sexual function and sexual satisfaction. Aim: This studyaimed to determine the effect of counseling based on the PLISSIT model focused on dysfunctional sexual beliefs on the sexual satisfaction level of women with sexual dysfunction. Method: This randomized controlled clinical trial was carried out on 61 married females with sexual dysfunction during 2018-2019. The data were collected using Sexual Dysfunctional Beliefs Questionnaire and Hudson's Index of Sexual Satisfaction. The intervention group received sexual counseling, whereas the control group received routine care. The data were analyzed in SPSS software (version 24) using the , Wilcoxon test, independent t-test, and Mann-Whitney U test. Results: The mean ages of the females in the intervention and control groups were 35.5±5.6 and 36.7±6.7 years, respectively. Mann-Whitney U test showed a significant increase in mean sexual satisfaction scores in the intervention group after the intervention, compared to scores before the intervention (2.8±7.7 vs. 0.3±2.3) (P=0.03). In addition, Mann-Whitney U revealed a significant decrease in the scores of sexual dysfunctional beliefs in the intervention group after the intervention, compared to the scores of the control group before the intervention (27.3±14.5 vs. 1.0±1.2) (P<0.001). Implications for Practice: With regard to the positive effect of counseling on correcting sexual dysfunctional beliefs, it is recommended that counseling method be implemented to increase sexual satisfaction levels in women.
{"title":"Effect of Counseling on the Sexual Satisfaction Level of Women with Sexual Dysfunction using PLISSIT Model Focused on Dysfunctional Sexual Beliefs","authors":"Maliheh Mohammadzadeh Moghaddam, M. Moradi, K. M. Najmabadi, M. Ramezani, M. Shakeri","doi":"10.22038/EBCJ.2019.14042","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.14042","url":null,"abstract":"Background: Sexual satisfaction plays a vital role in the stability of a marriage. Dysfunctional sexual beliefs are often overlooked despite their recognition as factors negatively affecting sexual function and sexual satisfaction. Aim: This studyaimed to determine the effect of counseling based on the PLISSIT model focused on dysfunctional sexual beliefs on the sexual satisfaction level of women with sexual dysfunction. Method: This randomized controlled clinical trial was carried out on 61 married females with sexual dysfunction during 2018-2019. The data were collected using Sexual Dysfunctional Beliefs Questionnaire and Hudson's Index of Sexual Satisfaction. The intervention group received sexual counseling, whereas the control group received routine care. The data were analyzed in SPSS software (version 24) using the , Wilcoxon test, independent t-test, and Mann-Whitney U test. Results: The mean ages of the females in the intervention and control groups were 35.5±5.6 and 36.7±6.7 years, respectively. Mann-Whitney U test showed a significant increase in mean sexual satisfaction scores in the intervention group after the intervention, compared to scores before the intervention (2.8±7.7 vs. 0.3±2.3) (P=0.03). In addition, Mann-Whitney U revealed a significant decrease in the scores of sexual dysfunctional beliefs in the intervention group after the intervention, compared to the scores of the control group before the intervention (27.3±14.5 vs. 1.0±1.2) (P<0.001). Implications for Practice: With regard to the positive effect of counseling on correcting sexual dysfunctional beliefs, it is recommended that counseling method be implemented to increase sexual satisfaction levels in women.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"5 1","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82523038","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.37528.1977
M. Kamali, F. Ahmadi, A. Rasekhi
Background: Aging is accompanied by the mitigation of sleep quality in the elderly, thereby affecting their physical and social dimensions and quality of life. However, studies have not addressed sleep problems in the elderly by means of a holistic approach, such as continuous care model (CCM). Aim: The aim of this study was to determine the effects of CCM on sleep quality among the elderly. Method: This quasi-experimental study was performed on 70 elderly individuals in a retirement center located in Zirab, Iran, in 2017, selected by convenience sampling method and randomly divided into two groups of control and intervention. Consequently, CCM was applied to the intervention group under four stages (i.e., orientation, sensitization, control, and evaluation) for 2 months averagely in 3-8 sessions in the retirement center under study. The data were collected in three stages using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed in SPSS software (version 21), using generalized estimation equations (GEE). Results: The participants of the control and intervention groups had the mean ages of 66.76±6.13 and 64.73±6.14 years, respectively. The GEE showed that the sleep quality of the intervention group differed significantly from that of the control group 1 and 2 months after the implementation of the CCM (P<0.001). Implications for Practice: Provision of CCM-based care for the elderly could improve their sleep quality. Therefore, this model could be used to promote sleep quality in the elderly in various clinical settings.
{"title":"The Effect of Continuous Care Model on the Sleep Quality of the Elderly","authors":"M. Kamali, F. Ahmadi, A. Rasekhi","doi":"10.22038/EBCJ.2019.37528.1977","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.37528.1977","url":null,"abstract":"Background: Aging is accompanied by the mitigation of sleep quality in the elderly, thereby affecting their physical and social dimensions and quality of life. However, studies have not addressed sleep problems in the elderly by means of a holistic approach, such as continuous care model (CCM). Aim: The aim of this study was to determine the effects of CCM on sleep quality among the elderly. Method: This quasi-experimental study was performed on 70 elderly individuals in a retirement center located in Zirab, Iran, in 2017, selected by convenience sampling method and randomly divided into two groups of control and intervention. Consequently, CCM was applied to the intervention group under four stages (i.e., orientation, sensitization, control, and evaluation) for 2 months averagely in 3-8 sessions in the retirement center under study. The data were collected in three stages using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed in SPSS software (version 21), using generalized estimation equations (GEE). Results: The participants of the control and intervention groups had the mean ages of 66.76±6.13 and 64.73±6.14 years, respectively. The GEE showed that the sleep quality of the intervention group differed significantly from that of the control group 1 and 2 months after the implementation of the CCM (P<0.001). Implications for Practice: Provision of CCM-based care for the elderly could improve their sleep quality. Therefore, this model could be used to promote sleep quality in the elderly in various clinical settings.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"3 1","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83259177","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.39928.2050
M. N. Nia, Samira Mohajer, M. Ghahramanzadeh, S. Mazlom
Background: It is generally accepted thatcancer affects the concept of mental well-being by changing the physical, psychological, spiritual, and social dimensions of the patient's life. Laughter yoga as one of the complementary therapies may promote mental well-being in patients undergoing chemotherapy. Aim: This study aimed to determine the effect of laughter yoga on the mental well-being of cancer patients undergoing chemotherapy. Method: This randomized controlled trial was conducted on 69 cancer patients undergoing chemotherapy at Reza Medical Center, Mashhad, Iran, in 2018. The intervention group was subjected to four 20-30 min sessions of laughter yoga prior to chemotherapy. On the other hand, the control group received routine self-care training. The mental well-being scores were measured using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) before and after the laughter yoga sessions. Data were analyzed in SPSS software (version 20) using an independent t-test, Mann-Whitney test, Wilcoxon test, and repeated measures ANOVA. Results: According to the results,the mean age values of the patients were 49.0±9.6 and 45.2±12.6 years in the intervention and control groups, respectively. Regarding the independent t-test results, the mean post-test WEMWBS score in the intervention group (50.0±8.9) was significantly higher than that in the control group (47.9±10.4, P=0.004). Moreover, the repeated measures ANOVA showed a significant increase in the mean post-test WEMWBS score in the intervention group (P<0.001). Implications for Practice: Laughter yoga can promote the mental well-being of patients undergoing chemotherapy; therefore, its clinical applications are recommended in this study.
{"title":"The Impact of Laughter Yoga on Mental Well-being of Cancer Patients under Chemotherapy","authors":"M. N. Nia, Samira Mohajer, M. Ghahramanzadeh, S. Mazlom","doi":"10.22038/EBCJ.2019.39928.2050","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.39928.2050","url":null,"abstract":"Background: It is generally accepted thatcancer affects the concept of mental well-being by changing the physical, psychological, spiritual, and social dimensions of the patient's life. Laughter yoga as one of the complementary therapies may promote mental well-being in patients undergoing chemotherapy. \u0000Aim: This study aimed to determine the effect of laughter yoga on the mental well-being of cancer patients undergoing chemotherapy. \u0000Method: This randomized controlled trial was conducted on 69 cancer patients undergoing chemotherapy at Reza Medical Center, Mashhad, Iran, in 2018. The intervention group was subjected to four 20-30 min sessions of laughter yoga prior to chemotherapy. On the other hand, the control group received routine self-care training. The mental well-being scores were measured using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) before and after the laughter yoga sessions. Data were analyzed in SPSS software (version 20) using an independent t-test, Mann-Whitney test, Wilcoxon test, and repeated measures ANOVA. \u0000Results: According to the results,the mean age values of the patients were 49.0±9.6 and 45.2±12.6 years in the intervention and control groups, respectively. Regarding the independent t-test results, the mean post-test WEMWBS score in the intervention group (50.0±8.9) was significantly higher than that in the control group (47.9±10.4, P=0.004). Moreover, the repeated measures ANOVA showed a significant increase in the mean post-test WEMWBS score in the intervention group (P<0.001). \u0000Implications for Practice: Laughter yoga can promote the mental well-being of patients undergoing chemotherapy; therefore, its clinical applications are recommended in this study.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"32 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80794012","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.38449.2009
F. Zangeneh, S. Masoumi, A. Shayan, N. Matinnia, Hossein Mohagheghi, Y. Mohammadi
Abstract It is a widespread recognition that breast cancer adversely affects the lives of many women the world over. Surgeries leading to breast loss (mastectomy) exert a negative impact on body image, sexual drives, and quality of life among women with breast cancer. The present study aimed to examine the effect of motivational interviewing-based counseling on sexual satisfaction and body image of women with mastectomy. This clinical trial was performed on 60 breast cancer patients (two groups of 30) admitted to Imam Khomeini Clinic in Hamedan, Iran. The patient in both groups completed the index of sexual satisfaction (Hudson) and a self-reported questionnaire entitled “ Life After Mastectomy”. Thereafter, they participated in five training sessions with a motivational interviewing (MI) approach on sexual disorders and body image for the subjects in the intervention group. In light of the results, a significant difference was found between the intervention group and the control group in terms of the mean sexual satisfaction and body image scores (p <0.001). It is recommended that the MI approach be used to improve sexual satisfaction and body image in patients with mastectomy.
{"title":"The Effect of Motivational Interviewing-Based Counseling on Women’s Sexual Satisfaction and Body Image","authors":"F. Zangeneh, S. Masoumi, A. Shayan, N. Matinnia, Hossein Mohagheghi, Y. Mohammadi","doi":"10.22038/EBCJ.2019.38449.2009","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.38449.2009","url":null,"abstract":"Abstract It is a widespread recognition that breast cancer adversely affects the lives of many women the world over. Surgeries leading to breast loss (mastectomy) exert a negative impact on body image, sexual drives, and quality of life among women with breast cancer. The present study aimed to examine the effect of motivational interviewing-based counseling on sexual satisfaction and body image of women with mastectomy. This clinical trial was performed on 60 breast cancer patients (two groups of 30) admitted to Imam Khomeini Clinic in Hamedan, Iran. The patient in both groups completed the index of sexual satisfaction (Hudson) and a self-reported questionnaire entitled “ Life After Mastectomy”. Thereafter, they participated in five training sessions with a motivational interviewing (MI) approach on sexual disorders and body image for the subjects in the intervention group. In light of the results, a significant difference was found between the intervention group and the control group in terms of the mean sexual satisfaction and body image scores (p <0.001). It is recommended that the MI approach be used to improve sexual satisfaction and body image in patients with mastectomy.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"6 1 1","pages":"58-62"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78504430","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 : 2019-10-01DOI: 10.22038/EBCJ.2019.14020
Z. Rahimi, Mohsen Kooshan, R. Akrami, M. Rad
Background: Depression is one of the most common psychological problems in diabetic patients. Peer support groups focusing on shared experiences may affect patients' minds. Aim: This study aimed to evaluate the effect of peer support groups on the level of depression in type 2 diabetic patients. Method: This randomized controlled clinical trial was conducted on 64 patients with type 2 diabetes in Sabzevar, Iran, during 2018. The level of depression was assessed before and six weeks after the intervention using the Beck Depression Inventory-II. The intervention group attended peer support group sessions, whereas the control group received training by a nurse at the diabetes center. The data were analyzed in STATA software (version 12) using repeated measures ANOVA. Results: According to the results, the mean ages of the patients were 51.7±9.2 and 51.5±8.5 years in the intervention and control groups, respectively. Moreover, the total depression scores in the intervention and control groups were obtained at 24.7±2.9 and 23.3±2.8, respectively. However, these values changed to 15.1±6.1 and 24.3±4.8 immediately after the intervention, as well as 15.8±6.1 and 24.7±4.3 six weeks later, in the intervention and control groups, respectively. The repeated measures ANOVA revealed a significant difference between these two groups in terms of the effect of the group (P<0.001), the effect of time (P<0.001), and mutual effect (P<0.001). Implications for Practice: Peer support group could decrease the level of depression in diabetic patients therefore, it is recommended that peer education be considered as a part of patients’ therapeutic program with the aim of reducing mental symptoms.
{"title":"Effect of Peer Support Group on the Level of Depression in Type 2 Diabetic Patients: A Randomized Clinical Trial","authors":"Z. Rahimi, Mohsen Kooshan, R. Akrami, M. Rad","doi":"10.22038/EBCJ.2019.14020","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.14020","url":null,"abstract":"Background: Depression is one of the most common psychological problems in diabetic patients. Peer support groups focusing on shared experiences may affect patients' minds. Aim: This study aimed to evaluate the effect of peer support groups on the level of depression in type 2 diabetic patients. Method: This randomized controlled clinical trial was conducted on 64 patients with type 2 diabetes in Sabzevar, Iran, during 2018. The level of depression was assessed before and six weeks after the intervention using the Beck Depression Inventory-II. The intervention group attended peer support group sessions, whereas the control group received training by a nurse at the diabetes center. The data were analyzed in STATA software (version 12) using repeated measures ANOVA. Results: According to the results, the mean ages of the patients were 51.7±9.2 and 51.5±8.5 years in the intervention and control groups, respectively. Moreover, the total depression scores in the intervention and control groups were obtained at 24.7±2.9 and 23.3±2.8, respectively. However, these values changed to 15.1±6.1 and 24.3±4.8 immediately after the intervention, as well as 15.8±6.1 and 24.7±4.3 six weeks later, in the intervention and control groups, respectively. The repeated measures ANOVA revealed a significant difference between these two groups in terms of the effect of the group (P<0.001), the effect of time (P<0.001), and mutual effect (P<0.001). Implications for Practice: Peer support group could decrease the level of depression in diabetic patients therefore, it is recommended that peer education be considered as a part of patients’ therapeutic program with the aim of reducing mental symptoms.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"14 1","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79862295","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 : 2019-07-01DOI: 10.22038/EBCJ.2019.38679.2016
Azin Niazi, M. Moradi
Background: It is widely accepted that lower levels of sexual satisfaction and function are among the common problems in postmenopausal women. Several studies have examined the effect of plants containing phytoestrogens for the prevention and treatment of menopause complications. Aim: The main purpose of this study was to investigate the effect of medicinal plants on the sexual satisfaction and function of postmenopausal women. Method: Related English and Persian articles published between 2000 and December 2018 were searched through the databases of Iran Medex, PubMed, EMBASE, Scopus, and Science Direct. The articles were searched using the keyword of "menopause" through Boolean Operators of AND and OR with keywords of "sexual satisfaction", "sexual function", "herbal supplement", "Review Study in English and Persian ". Results: Of the 87 searched articles, 20 articles were ultimately analyzed with a sample size of 1555 people. Plants of Bindii, Fenugreek, Fennel, Liquorice, Pueraria Mirifica, Ginseng, Red clover, and Aphrodit had positive effects on dyspareunia, as well as sexual satisfaction and function. Date pollen did not affect sexual satisfaction; moreover, Ginkgo biloba capsule had no effect on dyspareunia and sexual satisfaction. Implications for Practice: Medicinal herbs containing phytoestrogens can be considered as a selective treatment for the improvement of dyspareunia and enhancement of the sexual satisfaction and function of postmenopausal women. However, due to the variety of herbs containing phytoestrogens, further studies are needed to determine the effective dose and effects as well as their possible complications.
{"title":"Sexual Satisfaction and Function in Postmenopausal Women Treated with Herbal Medicines: A Review of Clinical Trials","authors":"Azin Niazi, M. Moradi","doi":"10.22038/EBCJ.2019.38679.2016","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.38679.2016","url":null,"abstract":"Background: It is widely accepted that lower levels of sexual satisfaction and function are among the common problems in postmenopausal women. Several studies have examined the effect of plants containing phytoestrogens for the prevention and treatment of menopause complications. Aim: The main purpose of this study was to investigate the effect of medicinal plants on the sexual satisfaction and function of postmenopausal women. Method: Related English and Persian articles published between 2000 and December 2018 were searched through the databases of Iran Medex, PubMed, EMBASE, Scopus, and Science Direct. The articles were searched using the keyword of \"menopause\" through Boolean Operators of AND and OR with keywords of \"sexual satisfaction\", \"sexual function\", \"herbal supplement\", \"Review Study in English and Persian \". Results: Of the 87 searched articles, 20 articles were ultimately analyzed with a sample size of 1555 people. Plants of Bindii, Fenugreek, Fennel, Liquorice, Pueraria Mirifica, Ginseng, Red clover, and Aphrodit had positive effects on dyspareunia, as well as sexual satisfaction and function. Date pollen did not affect sexual satisfaction; moreover, Ginkgo biloba capsule had no effect on dyspareunia and sexual satisfaction. Implications for Practice: Medicinal herbs containing phytoestrogens can be considered as a selective treatment for the improvement of dyspareunia and enhancement of the sexual satisfaction and function of postmenopausal women. However, due to the variety of herbs containing phytoestrogens, further studies are needed to determine the effective dose and effects as well as their possible complications.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"45 1","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76572976","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 : 2019-07-01DOI: 10.22038/EBCJ.2019.36466.1944
Fatemeh Farazian, Z. Moghadam, F. Nabavi, H. Vashani
Background: Self-care in patients with hypertension can be improved through education and implementation of learning theories. Aim: The present study aimed to determine the effect of educating self-care in patients with hypertension through the implementation of Banduraâ��s self-efficacy model. Method: A randomized controlled clinical trial was conducted on 60 patients with hypertension who visited a randomly selected group of health centers in Mashhad, Iran, during 2017. The intervention group participated in a self-efficacy training program designed based on the self-efficacy theory in the form of four 45-minute weekly sessions. The control group received the routine treatment provided by community health centers. Self-care was measured with the questionnaire of self-care in patients with hypertension at three stages of before the intervention, immediately after the intervention, and one month later. Data were analyzed in SPSS (version 16) software using repeated measures ANOVA. Results: The mean ages were reported at 62.0±6.9 and 59.3±9.2 in the intervention and control groups, respectively. The repeated measures ANOVA showed significant differences between the two groups after the intervention in terms of adherence to medication regimen (P=0.004), engagement in physical activity (P=0.002), adherence to weight management goals (P=0.006). Significant differences were observed between the two groups in terms of their total self-care score immediately after the intervention and one month later (P=0.002). Implications for Practice: The use of Banduraâ��s self-efficacy theory can improve the self-care in patients with hypertension. Therefore, it is recommended to conduct further studies to examine the long-term effects of training programs based on this theory on the self-care behaviors of patients with hypertension.Â
{"title":"Effect of Self-Care Education Designed Based on Bandura’s Self-efficacy Model on Patients with Hypertension: A Randomized Clinical Trial","authors":"Fatemeh Farazian, Z. Moghadam, F. Nabavi, H. Vashani","doi":"10.22038/EBCJ.2019.36466.1944","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.36466.1944","url":null,"abstract":"Background: Self-care in patients with hypertension can be improved through education and implementation of learning theories. Aim: The present study aimed to determine the effect of educating self-care in patients with hypertension through the implementation of Banduraâ��s self-efficacy model. Method: A randomized controlled clinical trial was conducted on 60 patients with hypertension who visited a randomly selected group of health centers in Mashhad, Iran, during 2017. The intervention group participated in a self-efficacy training program designed based on the self-efficacy theory in the form of four 45-minute weekly sessions. The control group received the routine treatment provided by community health centers. Self-care was measured with the questionnaire of self-care in patients with hypertension at three stages of before the intervention, immediately after the intervention, and one month later. Data were analyzed in SPSS (version 16) software using repeated measures ANOVA. Results: The mean ages were reported at 62.0±6.9 and 59.3±9.2 in the intervention and control groups, respectively. The repeated measures ANOVA showed significant differences between the two groups after the intervention in terms of adherence to medication regimen (P=0.004), engagement in physical activity (P=0.002), adherence to weight management goals (P=0.006). Significant differences were observed between the two groups in terms of their total self-care score immediately after the intervention and one month later (P=0.002). Implications for Practice: The use of Banduraâ��s self-efficacy theory can improve the self-care in patients with hypertension. Therefore, it is recommended to conduct further studies to examine the long-term effects of training programs based on this theory on the self-care behaviors of patients with hypertension.Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"61 1","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81490404","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 : 2019-07-01DOI: 10.22038/EBCJ.2019.40598.2068
F. Shifaza, M. Hamiduzzaman
Background: There is growing attention to evidence-based practice in Australian clinical contexts and nursing literature. Recent research explores the dimensions of evidence-based practice; however, the implementation of evidence-based clinical decision making has been identified as a cumbersome process. Aim: This study aimed to review the literature systematically regarding the system factors and their possible impacts on the process of evidence-based practice implementation. Method: Anelectronic search on major databases, including MEDLINE, PsycINFO, PubMed, ProQuest, Google Scholar, and CINAHL was conducted from January 2018 to March 2018. A rigorous selection process focusing on the inclusion of nurses in the study population and the system factors related to their practices resulted in the selection of 18 articles. Data were extracted from the studies and grouped into categories using a thematic analysis. Results: The factors affecting the nurses' evidence-based practice were identified at the individual, team, and organizational culture levels. The individual domain included a lack of education and clinical expertise, inadequate research skills, time constraint, and low levels of confidence and autonomy in changing practices. The factors identified at the team level associated with a lack of research orientation and peer support. At the organizational culture level, poor research culture and infrastructure were identified as important factors. Implications for Practice: The findings of the system factors would help policymakers to redefine the nursing practice. Moreover, the results raise the nurse's awareness about the importance of using evidence-based practice in decision making.
{"title":"System Factors Influencing the Australian Nurses' Evidence-based Clinical Decision Making: A Systematic Review of Recent Studies","authors":"F. Shifaza, M. Hamiduzzaman","doi":"10.22038/EBCJ.2019.40598.2068","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.40598.2068","url":null,"abstract":"Background: There is growing attention to evidence-based practice in Australian clinical contexts and nursing literature. Recent research explores the dimensions of evidence-based practice; however, the implementation of evidence-based clinical decision making has been identified as a cumbersome process. Aim: This study aimed to review the literature systematically regarding the system factors and their possible impacts on the process of evidence-based practice implementation. Method: Anelectronic search on major databases, including MEDLINE, PsycINFO, PubMed, ProQuest, Google Scholar, and CINAHL was conducted from January 2018 to March 2018. A rigorous selection process focusing on the inclusion of nurses in the study population and the system factors related to their practices resulted in the selection of 18 articles. Data were extracted from the studies and grouped into categories using a thematic analysis. Results: The factors affecting the nurses' evidence-based practice were identified at the individual, team, and organizational culture levels. The individual domain included a lack of education and clinical expertise, inadequate research skills, time constraint, and low levels of confidence and autonomy in changing practices. The factors identified at the team level associated with a lack of research orientation and peer support. At the organizational culture level, poor research culture and infrastructure were identified as important factors. Implications for Practice: The findings of the system factors would help policymakers to redefine the nursing practice. Moreover, the results raise the nurse's awareness about the importance of using evidence-based practice in decision making.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"14 1","pages":"17-30"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81417919","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：