Background: Patients undergoing coronary artery bypass graft (CABG) surgery have moderate to poor treatment adherence. These patients should benefit from simple, feedback-centered educational methods that produce deep and sustainable learning to improve their treatment adherence. Objectives: The present study was conducted to examine the effect of the G5 training program on treatment adherence in patients undergoing CABG. Methods: A quasi-experimental, pretest-posttest study was conducted on patients undergoing CABG visiting Rouhani Hospital, cardiology clinics, and cardiology physicians' offices in Babol, Iran. The participants were selected by convenience sampling, and those who met the study inclusion criteria were randomly assigned to an intervention (n = 37) or a control group (n = 37). Patients in the intervention group received a G5 training program (i.e., bags containing flashcards with questions and answers on lifestyle after surgery) and a 30-minute face-to-face, daily training session. The control group received 30 minutes of daily self-care instruction from a cardiac surgery nurse. A demographic and clinical data checklist and Modanloo's Adherence to Treatment Questionnaire (MATQ) were used to collect data before, one month, and two months after the intervention. Results: Most participants in the intervention and control groups were male (64.9% and 56.8%, respectively). The mean baseline treatment adherence score was 119.59 ± 7.82 in the intervention group, which changed to 152.62 ± 8.44 and 151.43 ± 8.65 one and two months after the intervention, respectively (P < 0.001). The mean baseline treatment adherence score was 120.35 ± 8.76 in the control group, which did not change significantly during the study (117.67 ± 6.28 and 116.97 ± 6.67 one and two months after the intervention, respectively). Repeated-measures analysis showed that the intervention significantly increased the mean treatment adherence score in the intervention group over time (P = 0.001). Female patients, patients with academic education, and urban patients scored higher on the query about the treatment, commitment to treatment, and sticking to treatment subscales, respectively. Conclusions: Education using the G5 method effectively improved treatment adherence of patients undergoing CABG. Nurses are suggested to follow up with patients, check their treatment adherence, and implement simple and low-cost educational methods, such as the G5 method, to improve patients' adherence to treatment.
{"title":"Effect of G5 Educational Program on Treatment Adherence After Coronary Artery Bypass Graft Surgery","authors":"Fatemeh Saadati, Zahra Fotokian, Zahra Jannat Alipour, Hengameh Karimi, Hamid Reza Vafaee","doi":"10.5812/jnms-139596","DOIUrl":"https://doi.org/10.5812/jnms-139596","url":null,"abstract":"Background: Patients undergoing coronary artery bypass graft (CABG) surgery have moderate to poor treatment adherence. These patients should benefit from simple, feedback-centered educational methods that produce deep and sustainable learning to improve their treatment adherence. Objectives: The present study was conducted to examine the effect of the G5 training program on treatment adherence in patients undergoing CABG. Methods: A quasi-experimental, pretest-posttest study was conducted on patients undergoing CABG visiting Rouhani Hospital, cardiology clinics, and cardiology physicians' offices in Babol, Iran. The participants were selected by convenience sampling, and those who met the study inclusion criteria were randomly assigned to an intervention (n = 37) or a control group (n = 37). Patients in the intervention group received a G5 training program (i.e., bags containing flashcards with questions and answers on lifestyle after surgery) and a 30-minute face-to-face, daily training session. The control group received 30 minutes of daily self-care instruction from a cardiac surgery nurse. A demographic and clinical data checklist and Modanloo's Adherence to Treatment Questionnaire (MATQ) were used to collect data before, one month, and two months after the intervention. Results: Most participants in the intervention and control groups were male (64.9% and 56.8%, respectively). The mean baseline treatment adherence score was 119.59 ± 7.82 in the intervention group, which changed to 152.62 ± 8.44 and 151.43 ± 8.65 one and two months after the intervention, respectively (P < 0.001). The mean baseline treatment adherence score was 120.35 ± 8.76 in the control group, which did not change significantly during the study (117.67 ± 6.28 and 116.97 ± 6.67 one and two months after the intervention, respectively). Repeated-measures analysis showed that the intervention significantly increased the mean treatment adherence score in the intervention group over time (P = 0.001). Female patients, patients with academic education, and urban patients scored higher on the query about the treatment, commitment to treatment, and sticking to treatment subscales, respectively. Conclusions: Education using the G5 method effectively improved treatment adherence of patients undergoing CABG. Nurses are suggested to follow up with patients, check their treatment adherence, and implement simple and low-cost educational methods, such as the G5 method, to improve patients' adherence to treatment.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"130 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135926426","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}
Roja Shahriyaripoor, Zohreh Shahhosseini, Mehdi Pourasghar, Zeynab Hoseinnezhad, Roya Shahriyaripoor, Zhila Ganji
Background: Endometriosis is a chronic disease in women of reproductive age accompanied by chronic pelvic pain and painful intercourse. It has a severe negative impact on these patients' psychosocial parameters. The noninvasive treatment of endometriosis remains challenging. Objectives: This study aimed to investigate the effectiveness of hypnotherapy on the pain intensity of endometriosis patients treated with dienogest. Methods: In this preliminary study (a pilot double-blind, randomized clinical trial), conducted from November 2021 to July 2022, 22 patients (18 to 45 years old) with endometriosis treated with dienogest in Shahid Akbar Abadi Hospital (Tehran, Iran) were enrolled. Via block randomization, they were divided into a control group and an intervention group (n = 11 each). The patients of both groups were given 2 mg of dienogest tablets daily as prescribed by the gynecologist. The main intervention involved hypnotherapy, which was administered only for the intervention group individually for 8 weekly sessions online (on WhatsApp) for 30 - 45 minutes. Dysmenorrhea, dyspareunia, and chronic pelvic pain were evaluated using the visual analog scale (VAS) at the beginning of the intervention, immediately after the intervention, and 4 weeks after the intervention in both groups. Mean, standard deviation, frequency, chi-square, Fisher's exact test, Mann-Whitney U, and Friedman test were used for data analysis. Results: Dysmenorrhea severity score in the intervention group was 6.30 ± 1.25 before the intervention, 5.50 ± 1.08 after the intervention, and 4.60 ± 0.97 during the follow-up, and the changes were significant (P < 0.001, effect size = 0.93). Dyspareunia severity score was 3.14 ± 4.50 before the intervention, 2.91 ± 4.30 after the intervention, and 2.42 ± 3.50 during the follow-up. These changes were also significant (P = 0.015, effect size = 0.41). However, the pelvic pain score did not significantly change despite the average decrease of 0.2 during the follow-up (P = 0.135). Conclusions: Hypnotherapy, along with drug treatment, was more effective in relieving endometriosis pain than drug treatment alone.
{"title":"The Effectiveness of Hypnotherapy on the Pain Intensity of Endometriosis Patients Treated with Dienogest: A Pilot Double-Blind Randomized Clinical Trial","authors":"Roja Shahriyaripoor, Zohreh Shahhosseini, Mehdi Pourasghar, Zeynab Hoseinnezhad, Roya Shahriyaripoor, Zhila Ganji","doi":"10.5812/jnms-137116","DOIUrl":"https://doi.org/10.5812/jnms-137116","url":null,"abstract":"Background: Endometriosis is a chronic disease in women of reproductive age accompanied by chronic pelvic pain and painful intercourse. It has a severe negative impact on these patients' psychosocial parameters. The noninvasive treatment of endometriosis remains challenging. Objectives: This study aimed to investigate the effectiveness of hypnotherapy on the pain intensity of endometriosis patients treated with dienogest. Methods: In this preliminary study (a pilot double-blind, randomized clinical trial), conducted from November 2021 to July 2022, 22 patients (18 to 45 years old) with endometriosis treated with dienogest in Shahid Akbar Abadi Hospital (Tehran, Iran) were enrolled. Via block randomization, they were divided into a control group and an intervention group (n = 11 each). The patients of both groups were given 2 mg of dienogest tablets daily as prescribed by the gynecologist. The main intervention involved hypnotherapy, which was administered only for the intervention group individually for 8 weekly sessions online (on WhatsApp) for 30 - 45 minutes. Dysmenorrhea, dyspareunia, and chronic pelvic pain were evaluated using the visual analog scale (VAS) at the beginning of the intervention, immediately after the intervention, and 4 weeks after the intervention in both groups. Mean, standard deviation, frequency, chi-square, Fisher's exact test, Mann-Whitney U, and Friedman test were used for data analysis. Results: Dysmenorrhea severity score in the intervention group was 6.30 ± 1.25 before the intervention, 5.50 ± 1.08 after the intervention, and 4.60 ± 0.97 during the follow-up, and the changes were significant (P < 0.001, effect size = 0.93). Dyspareunia severity score was 3.14 ± 4.50 before the intervention, 2.91 ± 4.30 after the intervention, and 2.42 ± 3.50 during the follow-up. These changes were also significant (P = 0.015, effect size = 0.41). However, the pelvic pain score did not significantly change despite the average decrease of 0.2 during the follow-up (P = 0.135). Conclusions: Hypnotherapy, along with drug treatment, was more effective in relieving endometriosis pain than drug treatment alone.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959941","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}
Context: Ethical leadership plays a key role in professional settings. Nurses play an essential role in care provision and health promotion. The present study aimed to determine the impact of ethical leadership on the nursing profession in Iran. The objective of this study was the assessment of the relationship between ethical leadership and the improvement of clinical services by nurses. Evidence Acquisition: Terms defined as MESH keywords were searched in PubMed, Scopus, ProQuest, SID, and Magiran up to October 2022. In this study, only observational and qualitative studies were selected and included. Results: A total of 16 studies met the inclusion criteria. The results showed the association of ethical leadership with moral courage, self-efficacy, turnover, general health, errors, organizational citizenship, moral distress, job satisfaction, stress, risk management, and psychological empowerment. It was shown that ethical leadership is in direct association with nursing performance. Conclusions: The present study confirmed the positive effect of nursing ethical leadership on the nursing profession. Further studies are needed to examine the association between ethical leadership and clinical outcomes in patients.
{"title":"Impact of Ethical Leadership on the Nursing Profession in Iran: A Systematic Review","authors":"Mohammadamin Jandaghian-Bidgoli, Negin Shaterian, Azam Amirian, Fatemeh Abdi","doi":"10.5812/jnms-139352","DOIUrl":"https://doi.org/10.5812/jnms-139352","url":null,"abstract":"Context: Ethical leadership plays a key role in professional settings. Nurses play an essential role in care provision and health promotion. The present study aimed to determine the impact of ethical leadership on the nursing profession in Iran. The objective of this study was the assessment of the relationship between ethical leadership and the improvement of clinical services by nurses. Evidence Acquisition: Terms defined as MESH keywords were searched in PubMed, Scopus, ProQuest, SID, and Magiran up to October 2022. In this study, only observational and qualitative studies were selected and included. Results: A total of 16 studies met the inclusion criteria. The results showed the association of ethical leadership with moral courage, self-efficacy, turnover, general health, errors, organizational citizenship, moral distress, job satisfaction, stress, risk management, and psychological empowerment. It was shown that ethical leadership is in direct association with nursing performance. Conclusions: The present study confirmed the positive effect of nursing ethical leadership on the nursing profession. Further studies are needed to examine the association between ethical leadership and clinical outcomes in patients.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135152894","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}
Introduction: Trachelectomy, a conservative surgery in the early stages of cervical cancer, allows young women to keep their fertility. Infertility after such a surgery is frequent, and many couples should opt for assisted reproduction. Objectives: This case report aims to present a successful pregnancy in a woman with a history of cervical cancer and complete removal of the uterine cervix through trachelectomy. Case Presentation: A successful pregnancy is described after two failed attempts of embryo transfer (ET) in a 32-year-old woman with a history of trachelectomy due to stage IA invasive squamous cell carcinoma of the cervix. Before and after radical trachelectomy, she received adjuvant chemotherapy. In her second course of in-vitro fertilization, after a mock transfer at the time of ovum pickup with 11 oocytes and 7-day 3 embryos, her third ET cycle under ultrasound guide was successful. During pregnancy, in the first-trimester screening, nuchal translucency was reported to be 4.5 mm. Therefore, chorionic villous sampling and comparative genomic hybridization CGH-Array were performed before preparing for abdominal cerclage at 14 weeks. Further screening tests were normal. Finally, she delivered a 2430 g healthy baby girl through cesarean section at 37 weeks. Conclusions: The mock transfer and ultrasound-guided ET are suggested for women with a history of trachelectomy.
{"title":"Pregnancy Through Assisted Conception After Radical Trachelectomy: A Case Report","authors":"Bahar Shakerian, Vajihe Hazari","doi":"10.5812/jnms-139231","DOIUrl":"https://doi.org/10.5812/jnms-139231","url":null,"abstract":"Introduction: Trachelectomy, a conservative surgery in the early stages of cervical cancer, allows young women to keep their fertility. Infertility after such a surgery is frequent, and many couples should opt for assisted reproduction. Objectives: This case report aims to present a successful pregnancy in a woman with a history of cervical cancer and complete removal of the uterine cervix through trachelectomy. Case Presentation: A successful pregnancy is described after two failed attempts of embryo transfer (ET) in a 32-year-old woman with a history of trachelectomy due to stage IA invasive squamous cell carcinoma of the cervix. Before and after radical trachelectomy, she received adjuvant chemotherapy. In her second course of in-vitro fertilization, after a mock transfer at the time of ovum pickup with 11 oocytes and 7-day 3 embryos, her third ET cycle under ultrasound guide was successful. During pregnancy, in the first-trimester screening, nuchal translucency was reported to be 4.5 mm. Therefore, chorionic villous sampling and comparative genomic hybridization CGH-Array were performed before preparing for abdominal cerclage at 14 weeks. Further screening tests were normal. Finally, she delivered a 2430 g healthy baby girl through cesarean section at 37 weeks. Conclusions: The mock transfer and ultrasound-guided ET are suggested for women with a history of trachelectomy.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"13 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135150701","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: Respiratory complications are prevalent in coronary artery bypass graft (CABG) surgery. Breathing exercises are efficient and cost-effective techniques to eliminate this problem. Objectives: This study investigated the effect of simultaneous breathing exercises on patients' respiratory condition after CABG surgery. Methods: In a randomized controlled clinical trial, 52 CABG candidates were allocated to two intervention and control groups. The control group received routine breathing exercises (incentive spirometry and vibration). Besides routine exercises, the intervention group performed exercises such as pursed-lip breathing, diaphragmatic breathing, incentive spirometry, and effective coughing for three days after the surgery. The incidence of atelectasis, oxygen saturation, lung auscultation, and the patients' satisfaction with the respiratory function was measured and recorded before and after the surgery in both groups. The collected data were analyzed in SPSS v. 22 at a significance level of < 0.05. Results: The patients' mean age was 60.9 ± 9.5 years, and 26 (51%) were male. There was no significant difference between the patients in underlying parameters. None of the patients in the two groups had atelectasis before the surgery. However, four days after the surgery, 40% of the patients in the control group and 23% of those in the intervention group suffered from atelectasis complications. The visual analog scale (VAS) score increased after surgery in the intervention group, although the difference was insignificant. Moreover, the arterial oxygen saturation percentage and breathing rate increased in the intervention group. No significant difference was observed between the two groups regarding crackles at different hours after surgery, although they were relatively less in the intervention group. Conclusions: Breathing exercises, especially combined breathing exercises, improve respiratory function after open heart surgery.
背景:呼吸系统并发症在冠状动脉搭桥术(CABG)中很常见。呼吸练习是消除这个问题的有效和经济的技术。目的:探讨同步呼吸运动对冠脉搭桥术后患者呼吸状况的影响。方法:在随机对照临床试验中，将52例CABG候选者分为干预组和对照组。对照组接受常规呼吸练习(刺激肺活量测定法和振动法)。在常规运动的基础上，干预组术后3天进行闭口呼吸、膈呼吸、刺激肺活量测定、有效咳嗽等运动。测量并记录两组患者手术前后肺不张发生率、血氧饱和度、肺听诊及患者对呼吸功能的满意度。收集的数据在SPSS v. 22中进行分析，显著性水平为<0.05. 结果:患者平均年龄60.9±9.5岁，男性26例(51%)。两组患者在基础参数上无显著差异。两组患者术前均无肺不张。然而，术后4天，对照组和干预组分别有40%和23%的患者出现肺不张并发症。干预组术后视觉模拟评分(VAS)升高，但差异不显著。干预组动脉血氧饱和度和呼吸频率均明显升高。两组在术后不同时间的裂纹无显著差异，干预组的裂纹相对较少。结论:呼吸练习，尤其是联合呼吸练习，可改善心脏直视手术后的呼吸功能。
{"title":"The Effect of Breathing Exercises on Respiratory Condition After Coronary Artery Bypass Surgery","authors":"Shaahin Khosravi, Hedayat Jafari, Masoumeh Bagheri-Nesami, Mohammadreza Habibi, Reza Ali Mohammadpour","doi":"10.5812/jnms-139183","DOIUrl":"https://doi.org/10.5812/jnms-139183","url":null,"abstract":"Background: Respiratory complications are prevalent in coronary artery bypass graft (CABG) surgery. Breathing exercises are efficient and cost-effective techniques to eliminate this problem. Objectives: This study investigated the effect of simultaneous breathing exercises on patients' respiratory condition after CABG surgery. Methods: In a randomized controlled clinical trial, 52 CABG candidates were allocated to two intervention and control groups. The control group received routine breathing exercises (incentive spirometry and vibration). Besides routine exercises, the intervention group performed exercises such as pursed-lip breathing, diaphragmatic breathing, incentive spirometry, and effective coughing for three days after the surgery. The incidence of atelectasis, oxygen saturation, lung auscultation, and the patients' satisfaction with the respiratory function was measured and recorded before and after the surgery in both groups. The collected data were analyzed in SPSS v. 22 at a significance level of < 0.05. Results: The patients' mean age was 60.9 ± 9.5 years, and 26 (51%) were male. There was no significant difference between the patients in underlying parameters. None of the patients in the two groups had atelectasis before the surgery. However, four days after the surgery, 40% of the patients in the control group and 23% of those in the intervention group suffered from atelectasis complications. The visual analog scale (VAS) score increased after surgery in the intervention group, although the difference was insignificant. Moreover, the arterial oxygen saturation percentage and breathing rate increased in the intervention group. No significant difference was observed between the two groups regarding crackles at different hours after surgery, although they were relatively less in the intervention group. Conclusions: Breathing exercises, especially combined breathing exercises, improve respiratory function after open heart surgery.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135257968","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}
Morvarid Ghasabshirazi, M. Yunesian, Nasim Partash, E. Ebrahimi
Background: Childbearing is a major concern in some countries around the world. The fertility pattern can be described by several indicators, such as the first birth interval (FBI). Objectives: This study aimed to predict the factors affecting the time of first birth. Methods: This cross-sectional study is part of a cohort study in Iran (2018-2021). The participants were 986 married women who were employees at the Tehran University of Medical Sciences (TUMS) and enrolled by the census method. A checklist was used to collect information. Data were described by mean, SD, frequency, and the effect of the variables on first birth and analyzed by the Cox analysis. Results: The adjusted hazard ratio (aHR) of the first birth was higher in the women with a high level of education than in those with a lower level of education (aHR = 0.29; 95% CI, 0.16 - 0.52; P < 0.001). Also, the hazard of earlier first birth tripled in women with higher occupation levels than those with lower occupation levels (aHR = 0.34; 95% CI, 0.59 - 0.96; P < 0.05). The hazard of first birth was lower in married women under 20 years than in those with other cohort age groups (aHR = 1.87; 95% CI, 1.09 - 1.89; P < 0.001). Conclusions: The age at first birth is significantly under the effect of women's education, occupation, marriage age, and wealth index.
{"title":"Childbearing: The First Birth Interval and Its Determinants in the Employees of Tehran University of Medical Sciences, Iran, 2018 - 2021","authors":"Morvarid Ghasabshirazi, M. Yunesian, Nasim Partash, E. Ebrahimi","doi":"10.5812/jnms-138155","DOIUrl":"https://doi.org/10.5812/jnms-138155","url":null,"abstract":"Background: Childbearing is a major concern in some countries around the world. The fertility pattern can be described by several indicators, such as the first birth interval (FBI). Objectives: This study aimed to predict the factors affecting the time of first birth. Methods: This cross-sectional study is part of a cohort study in Iran (2018-2021). The participants were 986 married women who were employees at the Tehran University of Medical Sciences (TUMS) and enrolled by the census method. A checklist was used to collect information. Data were described by mean, SD, frequency, and the effect of the variables on first birth and analyzed by the Cox analysis. Results: The adjusted hazard ratio (aHR) of the first birth was higher in the women with a high level of education than in those with a lower level of education (aHR = 0.29; 95% CI, 0.16 - 0.52; P < 0.001). Also, the hazard of earlier first birth tripled in women with higher occupation levels than those with lower occupation levels (aHR = 0.34; 95% CI, 0.59 - 0.96; P < 0.05). The hazard of first birth was lower in married women under 20 years than in those with other cohort age groups (aHR = 1.87; 95% CI, 1.09 - 1.89; P < 0.001). Conclusions: The age at first birth is significantly under the effect of women's education, occupation, marriage age, and wealth index.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49258236","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}
F. Alipour, Asghar Norouzi, S. Hosseini, Hamid Sharif Nia, M. Rezapour
Background: With the spread of infectious diseases, especially coronavirus disease 2019 (COVID-19), healthcare workers are vulnerable to mental health problems. Culture-based interventions in such critical situations are highly effective for the individuals in that cultural context. Objectives: The current study aimed to investigate the effect of Logotherapy Based on Rumi’s Thoughts (LBRT) on depression, anxiety, and distress in frontline nurses during the COVID-19 pandemic. Methods: The present study employed a quasi-experimental controlled pre-test-post-test design with a 2-month follow-up. This interventional study was conducted on frontline nurses during the COVID-19 pandemic 2020. Imam Khomeini and Fatemeh Zahra hospitals were selected as the research samples, as they were the main educational and medical centers of Mazandaran University of Medical Sciences, Mazandaran, Iran, and provincial referral centers. A total of 32 eligible individuals were selected for experimental (n = 16) and control (n = 16) groups through the convenience sampling method. The data were collected using the Impact of Event Scale-Revised and the Hospital Anxiety and Depression Scale. Logotherapy Based on Rumi’s Thoughts included eight sessions of 90 minutes. The control group did not receive any intervention during the study. The data were analyzed using repeated-measures one-way analysis of variance (ANOVA). Results: The results revealed a statistically significant difference between the two groups. The intervention group exhibited lower levels of depression and anxiety among the frontline nurses at the post-test and 2-month follow-up than the control group (P < 0.001). However, there was no significant difference between the two groups in terms of distress at the post-test and 2-month follow-up (P > 0.001). Conclusions: The findings showed that LBRT improved anxiety and depression among frontline nurses during the COVID-19 pandemic. However, this intervention did not significantly affect frontline nurses’ distress during the COVID-19 crisis. Further studies should examine the effectiveness of culture-based interventions in critical situations.
{"title":"Effect of Logotherapy Based on Rumi’s Thoughts on Anxiety, Depression, and Distress in Frontline Nurses During the COVID-19 Pandemic: A Randomized Controlled Trial","authors":"F. Alipour, Asghar Norouzi, S. Hosseini, Hamid Sharif Nia, M. Rezapour","doi":"10.5812/jnms-137898","DOIUrl":"https://doi.org/10.5812/jnms-137898","url":null,"abstract":"Background: With the spread of infectious diseases, especially coronavirus disease 2019 (COVID-19), healthcare workers are vulnerable to mental health problems. Culture-based interventions in such critical situations are highly effective for the individuals in that cultural context. Objectives: The current study aimed to investigate the effect of Logotherapy Based on Rumi’s Thoughts (LBRT) on depression, anxiety, and distress in frontline nurses during the COVID-19 pandemic. Methods: The present study employed a quasi-experimental controlled pre-test-post-test design with a 2-month follow-up. This interventional study was conducted on frontline nurses during the COVID-19 pandemic 2020. Imam Khomeini and Fatemeh Zahra hospitals were selected as the research samples, as they were the main educational and medical centers of Mazandaran University of Medical Sciences, Mazandaran, Iran, and provincial referral centers. A total of 32 eligible individuals were selected for experimental (n = 16) and control (n = 16) groups through the convenience sampling method. The data were collected using the Impact of Event Scale-Revised and the Hospital Anxiety and Depression Scale. Logotherapy Based on Rumi’s Thoughts included eight sessions of 90 minutes. The control group did not receive any intervention during the study. The data were analyzed using repeated-measures one-way analysis of variance (ANOVA). Results: The results revealed a statistically significant difference between the two groups. The intervention group exhibited lower levels of depression and anxiety among the frontline nurses at the post-test and 2-month follow-up than the control group (P < 0.001). However, there was no significant difference between the two groups in terms of distress at the post-test and 2-month follow-up (P > 0.001). Conclusions: The findings showed that LBRT improved anxiety and depression among frontline nurses during the COVID-19 pandemic. However, this intervention did not significantly affect frontline nurses’ distress during the COVID-19 crisis. Further studies should examine the effectiveness of culture-based interventions in critical situations.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46747227","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: Obesity is a major concern that increases children's asthma risk. Obese asthmatic patients have more severe symptoms and attacks and less responsiveness to medication. Objectives: We aimed to investigate whether obese children have more asthma attacks, severe exacerbations, and respiratory distress. Methods: This cross-sectional study was performed on 149 children diagnosed with asthma attacks at Taleghani Children's Hospital in Gorgan, Iran, in 2018 - 2019. The relationship between body mass index (BMI) and the severity of asthma attacks in pediatric patients was investigated in 2020. The obtained data were analyzed using SPSS-18 software. Fisher's exact test and Spearman's rank correlation coefficient were used to analyze the data. Results: The mean age of the patients was 8.8 ± 2.76 years; 60.4% were boys, and 39.6% were girls. According to the BMI-age chart, 1.3% of the patients were underweight, 70.5% were in the normal range, 21.5% were overweight, and 6.7% were obese. Patients with higher BMI had more severe asthma attacks (P-value = 0.029) and respiratory distress (P-value = 0.015). In the pulmonary function testing, Forced Vital Capacity (FVC) and Forced Expiratory Volume in the first second (FEV1) were significantly lower in obese children. In addition, pCO2 and HCO3 were higher in overweight patients (P-value = 0.01 and 0.041, respectively). Conclusions: Patients with higher BMI had more severe attacks, exacerbations, and respiratory distress. Also, FVC and FEV1 were significantly lower in obese children. Obesity and asthma have many common pathophysiological mechanisms, and obesity increases the severity of asthma attacks and makes treatment challenging. Different mechanisms are involved in obese patients with asthma, including airway hyperreactivity, inflammation, and airway remodeling. Although the exact relationship between asthma attacks and obesity is still unclear, its understanding could lead to more therapeutic options.
{"title":"The Impact of Body Mass Index on Asthma Attacks Severity in Children with Asthma","authors":"Zahra Kordkatouli, Narges Lashkarbolouk, Ali Ahani Azari, Mahdi Mazandarani, Lobat Shahkar","doi":"10.5812/jnms-139194","DOIUrl":"https://doi.org/10.5812/jnms-139194","url":null,"abstract":"Background: Obesity is a major concern that increases children's asthma risk. Obese asthmatic patients have more severe symptoms and attacks and less responsiveness to medication. Objectives: We aimed to investigate whether obese children have more asthma attacks, severe exacerbations, and respiratory distress. Methods: This cross-sectional study was performed on 149 children diagnosed with asthma attacks at Taleghani Children's Hospital in Gorgan, Iran, in 2018 - 2019. The relationship between body mass index (BMI) and the severity of asthma attacks in pediatric patients was investigated in 2020. The obtained data were analyzed using SPSS-18 software. Fisher's exact test and Spearman's rank correlation coefficient were used to analyze the data. Results: The mean age of the patients was 8.8 ± 2.76 years; 60.4% were boys, and 39.6% were girls. According to the BMI-age chart, 1.3% of the patients were underweight, 70.5% were in the normal range, 21.5% were overweight, and 6.7% were obese. Patients with higher BMI had more severe asthma attacks (P-value = 0.029) and respiratory distress (P-value = 0.015). In the pulmonary function testing, Forced Vital Capacity (FVC) and Forced Expiratory Volume in the first second (FEV1) were significantly lower in obese children. In addition, pCO2 and HCO3 were higher in overweight patients (P-value = 0.01 and 0.041, respectively). Conclusions: Patients with higher BMI had more severe attacks, exacerbations, and respiratory distress. Also, FVC and FEV1 were significantly lower in obese children. Obesity and asthma have many common pathophysiological mechanisms, and obesity increases the severity of asthma attacks and makes treatment challenging. Different mechanisms are involved in obese patients with asthma, including airway hyperreactivity, inflammation, and airway remodeling. Although the exact relationship between asthma attacks and obesity is still unclear, its understanding could lead to more therapeutic options.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45607831","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}
Roya Oboodi, B. Fallah, R. Bahrami, Negar Yazdani, Z. Hashemi
Background: Congenital hypothyroidism (CH) can influence neonates’ neurodevelopment. There are controversies on the cause of infantile hypothyroidism and its relationship with maternal hypothyroidism. Objectives: This study aimed to investigate the relationship between maternal hypothyroidism and the incidence of CH. Methods: This cross-sectional study was conducted on 712 newborns with hypothyroidism born in Fars province, Iran, between 2018 and 2020, identified through the national screening program for genetic, metabolic, and endocrine congenital diseases recruited by the census sampling method. The information on infants’ files was recorded in a researcher-made checklist. Descriptive data were reported by mean ± SD and No. (%). The independent t-test, chi-square test, Pearson correlation, and Spearman’s rank correlation coefficient were used to evaluate relationships between variables. Results: Of 179,448 infants screened, 712 (4 of 1,000 live births) had CH with a mean thyroid stimulating hormone (TSH) level of 22.34+24.8 mlU/L. Of these, 252 infants (35.4%) had a family history of hypothyroidism in the mother (OR = 4.951, P < 0.001). There was a significant relationship between CH and maternal hypothyroidism. Moreover, there was a significant difference in the mean TSH level between hypothyroid infants born to mothers with a history of hypothyroidism (19.10 ± 21.30 mlU/L) and those who had healthy mothers (24.23 ± 26.44 mlU/L, P = 0.027). The prevalence of CH in 2018, 2019, and 2020 were reported to be 0.34%, 0.4%, and 0.45%, respectively. Conclusions: Our results showed a significant relationship between maternal hypothyroidism and CH. Considering the importance of the prompt diagnosis of CH, especially in high-risk groups such as infants of hypothyroid mothers, it is recommended to conduct more studies to design more precise guidelines to screen infants who are at risk of CH.
{"title":"The Relationship Between Maternal Hypothyroidism and the Incidence of Congenital Hypothyroidism in Infants: A Cross-Sectional Study","authors":"Roya Oboodi, B. Fallah, R. Bahrami, Negar Yazdani, Z. Hashemi","doi":"10.5812/jnms-138604","DOIUrl":"https://doi.org/10.5812/jnms-138604","url":null,"abstract":"Background: Congenital hypothyroidism (CH) can influence neonates’ neurodevelopment. There are controversies on the cause of infantile hypothyroidism and its relationship with maternal hypothyroidism. Objectives: This study aimed to investigate the relationship between maternal hypothyroidism and the incidence of CH. Methods: This cross-sectional study was conducted on 712 newborns with hypothyroidism born in Fars province, Iran, between 2018 and 2020, identified through the national screening program for genetic, metabolic, and endocrine congenital diseases recruited by the census sampling method. The information on infants’ files was recorded in a researcher-made checklist. Descriptive data were reported by mean ± SD and No. (%). The independent t-test, chi-square test, Pearson correlation, and Spearman’s rank correlation coefficient were used to evaluate relationships between variables. Results: Of 179,448 infants screened, 712 (4 of 1,000 live births) had CH with a mean thyroid stimulating hormone (TSH) level of 22.34+24.8 mlU/L. Of these, 252 infants (35.4%) had a family history of hypothyroidism in the mother (OR = 4.951, P < 0.001). There was a significant relationship between CH and maternal hypothyroidism. Moreover, there was a significant difference in the mean TSH level between hypothyroid infants born to mothers with a history of hypothyroidism (19.10 ± 21.30 mlU/L) and those who had healthy mothers (24.23 ± 26.44 mlU/L, P = 0.027). The prevalence of CH in 2018, 2019, and 2020 were reported to be 0.34%, 0.4%, and 0.45%, respectively. Conclusions: Our results showed a significant relationship between maternal hypothyroidism and CH. Considering the importance of the prompt diagnosis of CH, especially in high-risk groups such as infants of hypothyroid mothers, it is recommended to conduct more studies to design more precise guidelines to screen infants who are at risk of CH.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44931690","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}
E. Akhlaghi, E. Sivarajan Froelicher, Hamid Sharif Nia, Mansoureh Ashghali Farahani
Background: Nursing care is one of the main tasks of nursing. Currently, organizations are trying to improve the quality of nursing care to satisfy their patients and reduce the cost and length of hospital stays. Psychological ownership (PO) is intended to be a shortcut to achieving this goal through cognitive-emotional changes in nurses. Objectives: This study was conducted to investigate PO in nursing care. Methods: The present study was performed with a qualitative content analysis method. The purposive sample was selected based on inclusion and exclusion criteria. The data were collected from Iranian nurses from May 2013 to November 2021 in semi-structured, in-depth, one-on-one interviews and subsequently analyzed using the method of Graneheim and Lundman. A code of ethics and required permissions were obtained. Lincoln and Guba’s criteria were used to ensure the reliability of the study, and MAXQDA software (version 10) was used for data management. Results: Data analysis was performed using the conventional qualitative analysis on 13 nurses (mean age: 39 years; 69% female), resulting in the extraction of 395 primary codes, 71 subcategories, 16 subcategories, and 4 main categories (e.g., professional competence, practical efficacy, holistic advocacy, and professional identity). Conclusions: The nurses understood that a sense of ownership of nursing meant seeking to acquire sufficient professional competence and an appropriate position in practice to see themselves as supportive and influential in the healthcare system and have a sense of professional identity.
{"title":"Psychological Ownership of Nursing Care: A Qualitative Content Analysis","authors":"E. Akhlaghi, E. Sivarajan Froelicher, Hamid Sharif Nia, Mansoureh Ashghali Farahani","doi":"10.5812/jnms-135399","DOIUrl":"https://doi.org/10.5812/jnms-135399","url":null,"abstract":"Background: Nursing care is one of the main tasks of nursing. Currently, organizations are trying to improve the quality of nursing care to satisfy their patients and reduce the cost and length of hospital stays. Psychological ownership (PO) is intended to be a shortcut to achieving this goal through cognitive-emotional changes in nurses. Objectives: This study was conducted to investigate PO in nursing care. Methods: The present study was performed with a qualitative content analysis method. The purposive sample was selected based on inclusion and exclusion criteria. The data were collected from Iranian nurses from May 2013 to November 2021 in semi-structured, in-depth, one-on-one interviews and subsequently analyzed using the method of Graneheim and Lundman. A code of ethics and required permissions were obtained. Lincoln and Guba’s criteria were used to ensure the reliability of the study, and MAXQDA software (version 10) was used for data management. Results: Data analysis was performed using the conventional qualitative analysis on 13 nurses (mean age: 39 years; 69% female), resulting in the extraction of 395 primary codes, 71 subcategories, 16 subcategories, and 4 main categories (e.g., professional competence, practical efficacy, holistic advocacy, and professional identity). Conclusions: The nurses understood that a sense of ownership of nursing meant seeking to acquire sufficient professional competence and an appropriate position in practice to see themselves as supportive and influential in the healthcare system and have a sense of professional identity.","PeriodicalId":42130,"journal":{"name":"Journal of Nursing and Midwifery Sciences","volume":" ","pages":""},"PeriodicalIF":0.7,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48650105","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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