Pub Date : 2019-07-01DOI: 10.22038/EBCJ.2019.40293.2058
Ebrahim Rafeezadeh, N. Ghaemi, H. Miri, A. Rezaeian
 Background: Type 1 diabetes is known as the most common endocrine disorder in children which requires strict adherence to self-care regimen. Accordingly, childrenâ��s exposure to educational video games can be a strategy for promoting adherence to such regimens. Aim: The main purpose of this study was to investigate the effect of an educational video game for diabetes self-management on adherence to self-care regimens in children with type 1 diabetes. Method: This two-group randomized clinical trial was conducted on 68 children aged 8-12 years affected with type 1 diabetes and admitted to Akbar Childrenâ��s Hospital in Mashhad, Iran, during 2018. A self-care package for children with type 1 diabetes was extracted using a review method. The intervention group played the designed interactive video game. Data were analyzed in SPSS software (version 16) through independent t-test and Mann Whitney U test. Results: Both study groups were homogeneous in terms of demographic characteristics. Based on the results of independent t-test, no significant difference was observed between the intervention (77.5±10.1) and control groups (78.7±7.4) regarding mean self-care scores before intervention (P=0.57). However, mean self-care score in the intervention group (82.9±7.8) was significantly higher than that in control group (77.3±7.7) after the intervention (P=0.57). Intra-group comparisons also confirmed the above-mentioned findings. Implications for Practice: The designed educational video game could significantly improve childrenâ��s self-care scores. Given that Internet-based video games can be manipulated and quickly updated, it was suggested to compare online and offline video games in future studies. Â
{"title":"Effect of an Educational Video Game for Diabetes Self-management on Adherence to a Self-care Regimen in Children with Type 1 Diabetes","authors":"Ebrahim Rafeezadeh, N. Ghaemi, H. Miri, A. Rezaeian","doi":"10.22038/EBCJ.2019.40293.2058","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.40293.2058","url":null,"abstract":" Background: Type 1 diabetes is known as the most common endocrine disorder in children which requires strict adherence to self-care regimen. Accordingly, childrenâ��s exposure to educational video games can be a strategy for promoting adherence to such regimens. Aim: The main purpose of this study was to investigate the effect of an educational video game for diabetes self-management on adherence to self-care regimens in children with type 1 diabetes. Method: This two-group randomized clinical trial was conducted on 68 children aged 8-12 years affected with type 1 diabetes and admitted to Akbar Childrenâ��s Hospital in Mashhad, Iran, during 2018. A self-care package for children with type 1 diabetes was extracted using a review method. The intervention group played the designed interactive video game. Data were analyzed in SPSS software (version 16) through independent t-test and Mann Whitney U test. Results: Both study groups were homogeneous in terms of demographic characteristics. Based on the results of independent t-test, no significant difference was observed between the intervention (77.5±10.1) and control groups (78.7±7.4) regarding mean self-care scores before intervention (P=0.57). However, mean self-care score in the intervention group (82.9±7.8) was significantly higher than that in control group (77.3±7.7) after the intervention (P=0.57). Intra-group comparisons also confirmed the above-mentioned findings. Implications for Practice: The designed educational video game could significantly improve childrenâ��s self-care scores. Given that Internet-based video games can be manipulated and quickly updated, it was suggested to compare online and offline video games in future studies. Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"42 1","pages":"74-83"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82830289","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.2019.35641.1918
Zahra Rajabzadeh Malayjerdy, S. Mazlom, J. Malekzadeh
Background: Hemodialysis patients experience pains induced by cannulation of an arteriovenous (AV) fistula. The effect of mirror therapy on patientsâ�� pain severity has not been investigated in individuals living with hemodialysis. Aim: The purpose of the present study was to investigate the effect of mirror therapy on AV fistula cannulation-related pain severity in hemodialysis patients. Method: This study was conducted on 30 hemodialysis patients admitted to two hospitals in Mashhad, Iran, during 2018. Pain severity was measured using the Visual Analogue Scale for pain. Results: The mean pain scores in the control session (pre-intervention phase), non-adaptive phase (immediately after looking in the mirror), and adaptive phase (ten minutes after looking in the mirror) were 4.8±1.1, 3.9±1.1, and 2.6±1.22, respectively. The results showed a statistically significant difference between the given sessions (P<0.001). Implications for Practice: Mirror therapy could be effective in reducing AV fistula cannulation-related pain severity in hemodialysis patients.Â
{"title":"Effect of Mirror Therapy on Arteriovenous Fistula Cannulation-Related Pain Severity in Hemodialysis Patients","authors":"Zahra Rajabzadeh Malayjerdy, S. Mazlom, J. Malekzadeh","doi":"10.22038/EBCJ.2019.35641.1918","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.35641.1918","url":null,"abstract":"Background: Hemodialysis patients experience pains induced by cannulation of an arteriovenous (AV) fistula. The effect of mirror therapy on patientsâ�� pain severity has not been investigated in individuals living with hemodialysis. Aim: The purpose of the present study was to investigate the effect of mirror therapy on AV fistula cannulation-related pain severity in hemodialysis patients. Method: This study was conducted on 30 hemodialysis patients admitted to two hospitals in Mashhad, Iran, during 2018. Pain severity was measured using the Visual Analogue Scale for pain. Results: The mean pain scores in the control session (pre-intervention phase), non-adaptive phase (immediately after looking in the mirror), and adaptive phase (ten minutes after looking in the mirror) were 4.8±1.1, 3.9±1.1, and 2.6±1.22, respectively. The results showed a statistically significant difference between the given sessions (P<0.001). Implications for Practice: Mirror therapy could be effective in reducing AV fistula cannulation-related pain severity in hemodialysis patients.Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"13 1","pages":"31-37"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78874111","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.2019.37173.1959
Atefeh Eshghi Motlagh, R. Babazadeh, F. Akhlaghi, H. Esmaily
Background: Sense of self-efficacy prepares an appropriate framework for self-care behaviors. Aim: This study aimed at investigating the effect of an educational intervention program based on Bandura�s Self-Efficacy Theory (SET) on self-care, self-efficacy, and blood sugar levels in mothers with pre-diabetes during pregnancy. Method: This randomized two-group clinical trial was conducted on 100 pregnant women with pre-diabetes in Shirvan, Iran, during 2018. The intervention group received educational training according to the constructs of Bandura�s SET. On the other hand, the control group was provided with routine care. The data were collected using Diabetes Self-Care Activities and the standardized and adjusted Diabetes Self-Efficacy Questionnaires, as well as an automatic biochemistry analyzer, and a blood glucose monitoring device. The data were analyzed in SPSS software (version 22) through paired sample t-test, Mann-Whitney U test, and Wilcoxon signed-rank test. Results: The mean ages of the participants in the intervention and control groups were 28.9±7.1 and 29.3±6.2 years, respectively. According to the Mann-Whitney U test results, the intervention group obtained higher scores regarding self-care behaviors and sense of self-efficacy (41.8±13.5, 99.3±16.2), compared to the control group (22.8±5.0, 99.3±16.2, PE�0.001). The mean fasting blood sugar level in the intervention group (75.8±6.7) was significantly lower than that in the control group (85.4±9.7, PE�0.001). Implications for Practice: The promotion of self-care behaviors and self-efficacy strategies in mothers with pre-diabetes during pregnancy could prevent gestational diabetes and reduce the severity of its complications.
{"title":"Effect of an Educational Intervention Program Based on Bandura's Self-efficacy Theory on Self-care, Self-efficacy, and Blood Sugar Levels in Mothers with Pre-diabetes during Pregnancy","authors":"Atefeh Eshghi Motlagh, R. Babazadeh, F. Akhlaghi, H. Esmaily","doi":"10.22038/EBCJ.2019.37173.1959","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.37173.1959","url":null,"abstract":"Background: Sense of self-efficacy prepares an appropriate framework for self-care behaviors. Aim: This study aimed at investigating the effect of an educational intervention program based on Bandura�s Self-Efficacy Theory (SET) on self-care, self-efficacy, and blood sugar levels in mothers with pre-diabetes during pregnancy. Method: This randomized two-group clinical trial was conducted on 100 pregnant women with pre-diabetes in Shirvan, Iran, during 2018. The intervention group received educational training according to the constructs of Bandura�s SET. On the other hand, the control group was provided with routine care. The data were collected using Diabetes Self-Care Activities and the standardized and adjusted Diabetes Self-Efficacy Questionnaires, as well as an automatic biochemistry analyzer, and a blood glucose monitoring device. The data were analyzed in SPSS software (version 22) through paired sample t-test, Mann-Whitney U test, and Wilcoxon signed-rank test. Results: The mean ages of the participants in the intervention and control groups were 28.9±7.1 and 29.3±6.2 years, respectively. According to the Mann-Whitney U test results, the intervention group obtained higher scores regarding self-care behaviors and sense of self-efficacy (41.8±13.5, 99.3±16.2), compared to the control group (22.8±5.0, 99.3±16.2, PE�0.001). The mean fasting blood sugar level in the intervention group (75.8±6.7) was significantly lower than that in the control group (85.4±9.7, PE�0.001). Implications for Practice: The promotion of self-care behaviors and self-efficacy strategies in mothers with pre-diabetes during pregnancy could prevent gestational diabetes and reduce the severity of its complications.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"1 1","pages":"53-64"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79951143","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.2019.39702.2046
Nahid Pilevar, M. Ramezani, A. Malek, H. Vashani
Background: Rheumatoid arthritis is the most prevalent chronic rheumatologic disease of children. The quality of life (QOL) in these individuals is affected by physical pain, discomfort, treatment complications, and frequent absences from school leading to academic failure. No research similar to the present investigation was performed in this area. Aim: We aimed to evaluate the problems of children with rheumatoid arthritis. Moreover, we assessed the effect of family-centered empowerment on the QOL of these children. Method: This randomized clinical trial was performed on 60 children aged 8-12 years diagnosed with rheumatoid arthritis in Akbar Pediatrics Hospital, Mashhad, Iran in 2018. The subjects were divided into test and control groups. The four stages of family-centered empowerment model, namely improvement of knowledge, self-efficacy, self-esteem, and assessment were executed for the test group. After a month, the inventory of pediatric quality of life was completed again. Data analysis was performed by Mann-Whitney U test, independent t-test, and paired t-test using SPSS version 16. Results: No significant difference was observed between the groups regarding age (P=0.351). In addition, the post-intervention QOL of the test group was significantly higher than the control group (P=0.004). There was a significant difference between the pre- and post-intervention QOL in the test group (P < 0.001). Implications for Practice: This study indicated the effect of family-centered empowerment model on the physical, emotional, educational, and social dimensions of QOL of children aged 8-12 years diagnosed with rheumatoid arthritis. As a result, this model is recommended to empower the children with this disease or other chronic diseases and their caregivers.
背景:类风湿性关节炎是儿童最常见的慢性风湿病。这些个体的生活质量(QOL)受到身体疼痛、不适、治疗并发症和频繁缺课导致学业失败的影响。在这一领域没有进行过类似于本调查的研究。目的:我们旨在评估儿童类风湿关节炎的问题。此外，我们评估了以家庭为中心的赋权对这些儿童生活质量的影响。方法:对伊朗马什哈德Akbar儿科医院2018年诊断为类风湿性关节炎的60名8-12岁儿童进行随机临床试验。研究对象被分为实验组和对照组。实验组执行以家庭为中心的赋权模式的四个阶段，即知识提升、自我效能、自尊和评估。一个月后，再次完成儿童生活质量量表。采用SPSS version 16对数据进行Mann-Whitney U检验、独立t检验和配对t检验。结果:组间年龄差异无统计学意义(P=0.351)。实验组干预后生活质量显著高于对照组(P=0.004)。实验组干预前后生活质量差异有统计学意义(P < 0.001)。实践意义:本研究探讨以家庭为中心的赋权模式对8-12岁类风湿关节炎儿童生活质量的生理、情感、教育和社会维度的影响。因此，建议采用这种模式来增强患有这种疾病或其他慢性疾病的儿童及其照顾者的能力。
{"title":"Effect of Implementing Family-centered Empowerment Model on the Quality of Life in School-age Children Diagnosed with Rheumatoid Arthritis","authors":"Nahid Pilevar, M. Ramezani, A. Malek, H. Vashani","doi":"10.22038/EBCJ.2019.39702.2046","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.39702.2046","url":null,"abstract":"Background: Rheumatoid arthritis is the most prevalent chronic rheumatologic disease of children. The quality of life (QOL) in these individuals is affected by physical pain, discomfort, treatment complications, and frequent absences from school leading to academic failure. No research similar to the present investigation was performed in this area. Aim: We aimed to evaluate the problems of children with rheumatoid arthritis. Moreover, we assessed the effect of family-centered empowerment on the QOL of these children. Method: This randomized clinical trial was performed on 60 children aged 8-12 years diagnosed with rheumatoid arthritis in Akbar Pediatrics Hospital, Mashhad, Iran in 2018. The subjects were divided into test and control groups. The four stages of family-centered empowerment model, namely improvement of knowledge, self-efficacy, self-esteem, and assessment were executed for the test group. After a month, the inventory of pediatric quality of life was completed again. Data analysis was performed by Mann-Whitney U test, independent t-test, and paired t-test using SPSS version 16. Results: No significant difference was observed between the groups regarding age (P=0.351). In addition, the post-intervention QOL of the test group was significantly higher than the control group (P=0.004). There was a significant difference between the pre- and post-intervention QOL in the test group (P < 0.001). Implications for Practice: This study indicated the effect of family-centered empowerment model on the physical, emotional, educational, and social dimensions of QOL of children aged 8-12 years diagnosed with rheumatoid arthritis. As a result, this model is recommended to empower the children with this disease or other chronic diseases and their caregivers.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"38 1","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85256512","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.2019.37349.1968
Marzieh Hassanshahi Raviz, R. Babazadeh, Kolsoom Akbarnataj Bisheh, H. Esmaily
Lower levels of sexual self-efficacy increase high-risk sexual behaviors in prostitutes. In this respect, an educational intervention program based on the Information-Motivation-Behavioral Skills (IMB) model can enhance sexual self-efficacy. Therefore, this study investigated the effects of IMB education on sexual self-efficacy in women. To this end, a clinical trial was conducted on women with high-risk sexual behaviors in Mashhad, Iran (n=84). The study instrument included a questionnaire containing IMB constructs and sexual self-efficacy. The data were analyzed in SPSS software (version 25). There was no significant difference between the groups regarding the mean±SD of sexual self-efficacy before the intervention. However, Friedman test results showed a significant difference between the given phases (P<0.001); however, intra-group comparison results were not significant in the control group (P=0.56). It was recommended to utilize this educational intervention program to increase levels of sexual self-efficacy among women.
{"title":"Investigating the Effects of Education Based on the Information-Motivation-Behavioral Skills Model on Sexual Self-Efficacy in Women with High-Risk Sexual Behaviors","authors":"Marzieh Hassanshahi Raviz, R. Babazadeh, Kolsoom Akbarnataj Bisheh, H. Esmaily","doi":"10.22038/EBCJ.2019.37349.1968","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.37349.1968","url":null,"abstract":"Lower levels of sexual self-efficacy increase high-risk sexual behaviors in prostitutes. In this respect, an educational intervention program based on the Information-Motivation-Behavioral Skills (IMB) model can enhance sexual self-efficacy. Therefore, this study investigated the effects of IMB education on sexual self-efficacy in women. To this end, a clinical trial was conducted on women with high-risk sexual behaviors in Mashhad, Iran (n=84). The study instrument included a questionnaire containing IMB constructs and sexual self-efficacy. The data were analyzed in SPSS software (version 25). There was no significant difference between the groups regarding the mean±SD of sexual self-efficacy before the intervention. However, Friedman test results showed a significant difference between the given phases (P<0.001); however, intra-group comparison results were not significant in the control group (P=0.56). It was recommended to utilize this educational intervention program to increase levels of sexual self-efficacy among women.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"30 1","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82707339","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.37266.1961
M. Babaie, A. Farahani, M. Nourian, A. Pourhoseingholi, Anahita Masoumpour
Background: Catheterization is the most common cause of pain and distress in children, which causes physical and psychological dysfunctions and disrupts the treatment. Therefore, the control of this type of pain should be considered as a priority for nursing care. The audio-visual distraction can be used to reduce the intensity of pain. Aim: The purpose of this study was to determine the effect of audio-visual distraction on catheterization pain among school-age children. Methods: This randomized clinical trial included 64 school-age children assigned into intervention and control group in Qods Hospital during 2016. Oucher face pain intensity scale was utilized to evaluate the intensity level of pain. Catheterization duration was also recorded in this study. Data were analysed in SPSS software (Version.18) through descriptive statistics, t-test, Mann-Whitney U test, and Spearman correlation analyses. Results: The mean ages of the intervention and control groups were 7.8±1.4 and 7.7±1.6, respectively. The results of the Mann-Whitney U test showed that the mean pain intensity was lower in the intervention group after using the three-dimensional glasses (P=0.01). Spearman correlation test results indicated that there were no significant differences between different ethnicities (P=0.37) and birth ratings (r=-0.061, P-value=0.63) in terms of mean pain intensity. Implications for Practice: According to the results, the use of distraction methods could reduce the pain. In addition, they facilitated medical procedures. The role of variables, such as age, gender, and duration of catheterization should be considered in pain intensity.
{"title":"The Effect of Audio-Visual Distraction on Catheterization Pain among School-Age Children","authors":"M. Babaie, A. Farahani, M. Nourian, A. Pourhoseingholi, Anahita Masoumpour","doi":"10.22038/EBCJ.2019.37266.1961","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.37266.1961","url":null,"abstract":"Background: Catheterization is the most common cause of pain and distress in children, which causes physical and psychological dysfunctions and disrupts the treatment. Therefore, the control of this type of pain should be considered as a priority for nursing care. The audio-visual distraction can be used to reduce the intensity of pain. Aim: The purpose of this study was to determine the effect of audio-visual distraction on catheterization pain among school-age children. Methods: This randomized clinical trial included 64 school-age children assigned into intervention and control group in Qods Hospital during 2016. Oucher face pain intensity scale was utilized to evaluate the intensity level of pain. Catheterization duration was also recorded in this study. Data were analysed in SPSS software (Version.18) through descriptive statistics, t-test, Mann-Whitney U test, and Spearman correlation analyses. Results: The mean ages of the intervention and control groups were 7.8±1.4 and 7.7±1.6, respectively. The results of the Mann-Whitney U test showed that the mean pain intensity was lower in the intervention group after using the three-dimensional glasses (P=0.01). Spearman correlation test results indicated that there were no significant differences between different ethnicities (P=0.37) and birth ratings (r=-0.061, P-value=0.63) in terms of mean pain intensity. Implications for Practice: According to the results, the use of distraction methods could reduce the pain. In addition, they facilitated medical procedures. The role of variables, such as age, gender, and duration of catheterization should be considered in pain intensity.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"1 1","pages":"35-42"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85586362","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.36298.1937
Reza Haji Ali Beigloo, Samira Mohajer, A. Eshraghi, S. Mazlom
Background: Self-efficacy of medication use and pharmaceutical knowledge are important factors for medical treatment completion. Aim: This study aimed to determine the effect of self-administration of medication program on pharmaceutical knowledge and satisfaction of patients with cardiovascular diseases. Methods: This randomized clinical trial was conducted on 60 patients with cardiovascular diseases (CVD) in Imam Reza hospital in Mashhad during 2018. Self-efficacy was examined using the standard scale of self-efficacy for appropriate medication use. Moreover, pharmaceutical knowledge was examined using the standard scale for the measurement of patients’ knowledge level before and after the intervention. Patients’ satisfaction with the medication use manner was also evaluated at the time of discharge from the hospital. Data were analyzed in SPSS software (Version 20). Results: According to the results, the mean ages of patients in the intervention and control groups were 40.9±8.6 and 44.4±8.5, respectively. In the pre-test, the self-efficacy and pharmaceutical knowledge scores obtained from independent t-tests and Mann-Whitney U test were homogeneous. However, self-efficacy scores in the post-test were 32.0±3.3 and 24.7±3.1 in the intervention and control groups, respectively. The mean satisfaction of patients with medication use manner was significantly higher in the intervention than that in the control group (P<0.001). Implications for Practice: The self-administration of medication program in qualified patients with CVD can improve medication use and pharmaceutical knowledge. Therefore, the application of these programs is suggested improving medication compliance.
{"title":"Self-administered Medications in Cardiovascular Ward: A study on Patients' Self-efficacy, knowledge and Satisfaction","authors":"Reza Haji Ali Beigloo, Samira Mohajer, A. Eshraghi, S. Mazlom","doi":"10.22038/EBCJ.2019.36298.1937","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.36298.1937","url":null,"abstract":"Background: Self-efficacy of medication use and pharmaceutical knowledge are important factors for medical treatment completion. Aim: This study aimed to determine the effect of self-administration of medication program on pharmaceutical knowledge and satisfaction of patients with cardiovascular diseases. Methods: This randomized clinical trial was conducted on 60 patients with cardiovascular diseases (CVD) in Imam Reza hospital in Mashhad during 2018. Self-efficacy was examined using the standard scale of self-efficacy for appropriate medication use. Moreover, pharmaceutical knowledge was examined using the standard scale for the measurement of patients’ knowledge level before and after the intervention. Patients’ satisfaction with the medication use manner was also evaluated at the time of discharge from the hospital. Data were analyzed in SPSS software (Version 20). Results: According to the results, the mean ages of patients in the intervention and control groups were 40.9±8.6 and 44.4±8.5, respectively. In the pre-test, the self-efficacy and pharmaceutical knowledge scores obtained from independent t-tests and Mann-Whitney U test were homogeneous. However, self-efficacy scores in the post-test were 32.0±3.3 and 24.7±3.1 in the intervention and control groups, respectively. The mean satisfaction of patients with medication use manner was significantly higher in the intervention than that in the control group (P<0.001). Implications for Practice: The self-administration of medication program in qualified patients with CVD can improve medication use and pharmaceutical knowledge. Therefore, the application of these programs is suggested improving medication compliance.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"2 1","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84113390","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.37677.1987
A. Heydari, Ali Meshkin Yazd, P. Soodmand
Background: According to the World Health Organization, one in four people experience a psychiatric disorder throughout his/her life. For centuries, psychiatric patients have been sent to psychiatric hospitals that often stigmatized and located out of the community. Moreover, these patients are stigmatized by the hospital staff because they are not aware of patientsâ�� experiences in this domain. This humiliating attitude leads to low self-esteem, isolation, and frustration, and prevents patients from seeking treatment. Aim: This study aimed to explain the lived experiences of patients with psychiatric disorders on the consequences of stigma in mental health centers. Methods: This hermeneutic phenomenological study is a part of a larger study undertaken for partial fulfillment of the requirement for PhD dissertation in nursing. The main study was conducted on 12 psychiatric patients during 2014-2015. They were selected based on purposeful sampling method. Data were collected using unstructured interviews and analyzed by an interpretative method. Results: Psychiatric hospital as an unsafe place is one of the main themes of the phenomenon under study in the original project. It consists of two sub-themes (i.e., an egregious hospital and cold-hearted white collars) each of which is supported by a number of common meanings. Implications for Practice: The results of this study can shape the interventions and policies to combat and prevent the spread of stigma through health centers about people with psychiatric disorders.  Â
{"title":"Explanation of the Lived Experiences of Patients with Psychiatric Disorders on the Consequences of Stigma in Mental Health Centers","authors":"A. Heydari, Ali Meshkin Yazd, P. Soodmand","doi":"10.22038/EBCJ.2019.37677.1987","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.37677.1987","url":null,"abstract":"Background: According to the World Health Organization, one in four people experience a psychiatric disorder throughout his/her life. For centuries, psychiatric patients have been sent to psychiatric hospitals that often stigmatized and located out of the community. Moreover, these patients are stigmatized by the hospital staff because they are not aware of patientsâ�� experiences in this domain. This humiliating attitude leads to low self-esteem, isolation, and frustration, and prevents patients from seeking treatment. Aim: This study aimed to explain the lived experiences of patients with psychiatric disorders on the consequences of stigma in mental health centers. Methods: This hermeneutic phenomenological study is a part of a larger study undertaken for partial fulfillment of the requirement for PhD dissertation in nursing. The main study was conducted on 12 psychiatric patients during 2014-2015. They were selected based on purposeful sampling method. Data were collected using unstructured interviews and analyzed by an interpretative method. Results: Psychiatric hospital as an unsafe place is one of the main themes of the phenomenon under study in the original project. It consists of two sub-themes (i.e., an egregious hospital and cold-hearted white collars) each of which is supported by a number of common meanings. Implications for Practice: The results of this study can shape the interventions and policies to combat and prevent the spread of stigma through health centers about people with psychiatric disorders.  Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"92 1","pages":"43-51"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91116533","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.33756.1862
Fatemeh Effati-Daryani, Sakineh Mohammad-Alizadeh-Charandabi, A. Mohammadi, Somayeh Zarei, M. Mirghafourvand
This study aimed to determine sleep quality and its socio-demographic predictors regarding three trimesters of pregnancy. This cross-sectional study was conducted on 605 pregnant women referred to health centers in Tabriz, Iran, using a two-stage cluster sampling method. Data were collected using socio-demographic characteristics questionnaire and the Pittsburgh Sleep Quality Index. The mean±SD of the total sleep quality scores were estimated at 5.22±2.52, 5.82±3.07, 8.60±3.03, and 6.56±3.24 in the first, second, and third trimester, and during the whole pregnancy, respectively. Moreover, the study results showed that 81 (40.1), 105 (53.0), 172 (83.9), and 358 (59.2) mothers experienced sleep disorder in the first, second, and third trimester, and during the whole pregnancy, respectively. According to the results of this study, sleep quality predictors may help health providers identify high-risk pregnant women in terms of sleep disorder to provide them with appropriate interventional programs.
{"title":"Evaluation of Sleep Quality and Its Socio-demographic Predictors in Three Trimesters of Pregnancy among Women Referring to Health Centers in Tabriz, Iran: A Cross-sectional Study","authors":"Fatemeh Effati-Daryani, Sakineh Mohammad-Alizadeh-Charandabi, A. Mohammadi, Somayeh Zarei, M. Mirghafourvand","doi":"10.22038/EBCJ.2019.33756.1862","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.33756.1862","url":null,"abstract":"This study aimed to determine sleep quality and its socio-demographic predictors regarding three trimesters of pregnancy. This cross-sectional study was conducted on 605 pregnant women referred to health centers in Tabriz, Iran, using a two-stage cluster sampling method. Data were collected using socio-demographic characteristics questionnaire and the Pittsburgh Sleep Quality Index. The mean±SD of the total sleep quality scores were estimated at 5.22±2.52, 5.82±3.07, 8.60±3.03, and 6.56±3.24 in the first, second, and third trimester, and during the whole pregnancy, respectively. Moreover, the study results showed that 81 (40.1), 105 (53.0), 172 (83.9), and 358 (59.2) mothers experienced sleep disorder in the first, second, and third trimester, and during the whole pregnancy, respectively. According to the results of this study, sleep quality predictors may help health providers identify high-risk pregnant women in terms of sleep disorder to provide them with appropriate interventional programs.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"24 1","pages":"69-76"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815627","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 : 2019-04-01DOI: 10.22038/EBCJ.2019.35215.1895
Yasaman Yazdanpanah, Amir Reza Saleh Moghadam, S. Mazlom, Reza Haji Ali Beigloo, Samira Mohajer
Background: Aging population growth is accompanied by the risk of cardiovascular diseases and hypertension. Medication nonadherence is one of the problems affecting patients, especially elderly individuals with high blood pressure. Aim: The present study aimed to determine the effect of an educational program based on the Health Belief Model (HBM) on medication adherence in older adults suffering from hypertension. Methods: This randomized controlled clinical trial was conducted on 60-year-old elderly people referring to health centers in Mashhad, Iran, during 2017. To this end, the intervention group received education on medication adherence while the control group was only subjected to typical routine services. The data were analyzed in SPSS Software (Version 20) through the independent t-test, Chi-square test, and Fisherâ��s exact test. Results: The mean ages of the participants in the intervention and control groups were 69.1±8.3 and 63.9±6.7 years, respectively. The post-test mean score of medication adherence obtained by the intervention group was 6.7±0.5 that was significantly higher than that of the control group (3.7±1.0) (PE�0.001). Moreover, the mean score of medication adherence in the intervention group had significantly increased in the post-test phase (PE�0.001) based on the within-group results of the paired t-test. Implications for Practice: The HBM might improve medication adherence in elderly individuals with hypertension by changing their beliefs. Therefore, it was recommended to use this model for teaching self-care to older adults suffering from chronic illnesses and also in other senior healthcare centers. Â
{"title":"Effect of an Educational Program based on Health Belief Model on Medication Adherence in Elderly Patients with Hypertension","authors":"Yasaman Yazdanpanah, Amir Reza Saleh Moghadam, S. Mazlom, Reza Haji Ali Beigloo, Samira Mohajer","doi":"10.22038/EBCJ.2019.35215.1895","DOIUrl":"https://doi.org/10.22038/EBCJ.2019.35215.1895","url":null,"abstract":"Background: Aging population growth is accompanied by the risk of cardiovascular diseases and hypertension. Medication nonadherence is one of the problems affecting patients, especially elderly individuals with high blood pressure. Aim: The present study aimed to determine the effect of an educational program based on the Health Belief Model (HBM) on medication adherence in older adults suffering from hypertension. Methods: This randomized controlled clinical trial was conducted on 60-year-old elderly people referring to health centers in Mashhad, Iran, during 2017. To this end, the intervention group received education on medication adherence while the control group was only subjected to typical routine services. The data were analyzed in SPSS Software (Version 20) through the independent t-test, Chi-square test, and Fisherâ��s exact test. Results: The mean ages of the participants in the intervention and control groups were 69.1±8.3 and 63.9±6.7 years, respectively. The post-test mean score of medication adherence obtained by the intervention group was 6.7±0.5 that was significantly higher than that of the control group (3.7±1.0) (PE�0.001). Moreover, the mean score of medication adherence in the intervention group had significantly increased in the post-test phase (PE�0.001) based on the within-group results of the paired t-test. Implications for Practice: The HBM might improve medication adherence in elderly individuals with hypertension by changing their beliefs. Therefore, it was recommended to use this model for teaching self-care to older adults suffering from chronic illnesses and also in other senior healthcare centers. Â","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"112 1","pages":"52-62"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75525469","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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