Iranian Journal of Nursing and Midwifery Research最新文献

Background: Emergency nurses face various challenging conditions and many moral distress that may associated with fatigue from providing care. The spiritual intelligence of nurses has been found to have an impact on the quality of care. This study aimed to investigate the relationship between the spiritual intelligence of emergency nurses with fatigue from providing care and moral distress in emergency nurses.

Materials and methods: This descriptive-analytical cross-sectional study was conducted on 200 nurses working in the emergency departments of hospitals in Semnan and Sabzevar, who were selected by stratified random method. They were asked to complete the spiritual intelligence, nurse fatigue scale, and moral distress questionnaire through self-reporting. The data were analyzed using SPSS 26 and Amos software, path analysis, and correlation tests.

Results: An increase in spiritual intelligence leads to a significant reduction in moral distress (p = 0.01) and fatigue from caregiving (p = 0.001). In contrast, an increase in moral distress leads to a considerable increase in fatigue from caregiving (p = 0.001).

Conclusions: The results showed that spiritual intelligence has an inverse relationship with moral distress and fatigue from providing care. Moral distress has a direct relationship with fatigue from providing care. Therefore, interventions in the field of increasing spiritual intelligence and reducing moral distress and fatigue from providing care are recommended.

Background: The postpartum period is critical for women and newborns. Many complications, such as deaths, are preventable by utilizing appropriate postpartum care. We aimed to assess healthcare professionals' adherence to the World Health Organization's (WHO) immediate postpartum care guidelines, investigating factors influencing their adoption at Jordanian hospitals.

Materials and methods: A methodological study design, developing, and testing the psychometric properties of the Immediate Postpartum Care Adherence Questionnaire (IPCAQ) was created based on the Theory of Planned Behavior, extensive literature review, and the WHO guidelines following a manual construct questionnaire, and using a deductive method. The IPCAQ was developed using four steps: domain identification, scale construction, judgmental evidence, and psychometric evaluation.

Results: The final draft of IPCAQ consisted of four domains and 63 items deductively formulated from the theoretical constructs. The domains are attitudes, behavioral intention, subjective norms, and perceived behavioral control. They were subsumed by four subthemes, general caring assessment, counseling, subjective norms, and perceived behavioral control. The IPCA showed high content (0.94) and face validity indices (0.97), moderate content scale universal agreement (0.77), and excellent face agreement (0.81) for the 63 items. IPCAQ is a reliable instrument that measures adherence to immediate postpartum care guidelines.

Conclusions: IPCAQ is reliable and valid in the current sample. The IPCAQ can be used to assess healthcare professionals' adherence to immediate postpartum care guidelines, identify factors influencing the adoption of standardized care to overcome barriers to adherence, and facilitate high-quality care.

Background: Angiography through the radial artery is a novel selective approach with several advantages. Shortening the duration of each stage of the procedure leads to many benefits for patients and health personnel. This study aimed to investigate the effect of local forearm heating on facilitating radial angiography.

Materials and methods: This randomized clinical trial included one intervention and one control group with a post-test design. The study was conducted on 80 radial angiography candidates visiting the angiography ward, at Razi Hospital, Birjand, Iran, in 2018. The subjects were selected through convenient sampling and allocated to control and intervention groups using simple random allocation. The data were collected using a demographic form and radial angiography checklist. The intervention consisted of using an infrared emitter fixed 60 cm from the patient's forearm. Infrared radiation was applied for 10 min for each patient to warm the radial artery. Afterward, the radial angiography procedure was carried out. The collected data were analyzed using descriptive and inferential statistics in the Statistical Package for Social Science (SPSS) software (v. 16) (p < 0.05).

Results: The frequency and duration of artery puncture, the necessity of injecting a radiocontrast agent, the necessity of catheter replacement, the duration of fluoroscopy, and the volume of the radiocontrast agent in the experimental group were significantly lower than those in the control group (p < 0.05).

Conclusions: Local heat in radial angiography is recommended for facilitating the procedure and improving patient welfare and peace.

Background: Bacterial Vaginosis (BV) is the most prevalent cause of vaginal infection among women. This study aimed to summarize the evidence related to the effectiveness of medicinal plants as an alternative therapy for the management of BV.

Materials and methods: PubMed, Scopus, Cochrane Library, Web of Science, and Medline PubMed were systematically searched. Moreover, we searched Google Scholar to explore the possible effects of herbal treatments on BV in women of childbearing age up to 2022. All randomized clinical trials investigating the effects of medicinal plants as oral or vaginal monotherapy or in combination for BV treatment in women of childbearing age were included in this systematic review.

Results: In total, 20 studies comprising 2685 participants were included in our review. The results show that combinations of herbal medicines such as Prangos ferulacea, Berberis vulgaris, Myrtus communis, and Quercus Brantii with metronidazole can have better results in the treatment of BV. Moreover, the main results show that some medicinal plant products alone such as Forzejehe (Tribulus terrestris + Myrtus communis + Foeniculum vulgare + Tamarindus indica), Zataria multiflora, and Calendula officinalis had therapeutic effects similar to metronidazole. Propolis and Brazilian pepper tree (Schinus) were effective in the treatment of BV, but they have less therapeutic effect than metronidazole.

Conclusions: To reduce the complications caused by chemical treatments and also the resistance of patients to these treatments, it seems necessary to use supportive treatments along with chemical drugs after the necessary approvals have been obtained.

Background: Healthcare workers are the first to be exposed to the virus and are at greater risk than the general public. This study aimed to examine the risk factors that affected hospital staff's general health during the COVID-19 pandemic in Isfahan, Iran.

Materials and methods: This cross-sectional study was conducted on the staff of all hospitals in Isfahan one year after the COVID-19 outbreak (2021-2022). The General Health Questionnaire (GHQ) was used to determine social functioning, while the Patient Health Questionnaire (PHQ) was employed to assess physical and psychological health status.

Results: There was a significant positive relationship between work experience in the COVID-19 ward and the scores of physical health (r = 0.26, df = 298, p < 0.01), depressive symptoms (r = 0.24, df = 298, p < 0.01), and anxiety (r = 0.17, df = 298, p < 0.01). The job and income satisfaction score was negatively related to the scores of social function variables (r = -0.25, df = 298, p < 0.01) and depressive syndrome (r = -0.12, df = 298, p < 0.05). The fear of COVID-19 was related to social functioning (r = 0.12, df = 298, p < 0.01), physical health (r = 0.31, df = 298, p < 0.001), depressive symptoms (r = 0.36, df = 298, p < 0.001), panic attacks (r = 0.15, df = 298, p < 0.01), and generalized anxiety (r = 0.23, df = 298, p < 0.001). Gender and age significantly predicted general health.

Conclusions: The COVID-19 pandemic negatively affected all dimensions of hospital staff's health, particularly those with underlying physical conditions.

Background: The health of children is affected by Multiple Sclerosis (MS) in their parents and various complications of it. Given this, this study was conducted to investigate the effect of a program based on Roy's adaptation model on the coping skills of children of MS patients.

Materials and methods: This study was performed on 78 children of 78 MS patients from Shahrekord Support Association of MS patients including around 1800 patient members in 2018 using a quasi-experimental method. Samples were selected by the convenience sampling method, and a researcher-made checklist was completed based on Roy's adaptation model by them, and those who scored less than 80% on the checklist were included in the study and randomly allocated to control and intervention groups. The coping skills questionnaire was completed before, immediately, and 2 months after the intervention in two groups. In the intervention group, a supportive training program was developed and implemented based on Roy's adaptation model in six sessions and followed up for 2 months. Data were analyzed by SPSS version 23 using statistical tests.

Results: There was a significant difference in changes in mean coping skills scores during the intervention between control and intervention groups (p < 0.001) so that the coping skills scores showed a significant increase in the intervention group.

Conclusions: It is possible to increase the level of adaptation in children of MS patients and improve their coping skills by using educational and supportive programs based on Roy's adaptation model.

Background: Recent evidence suggests a negative correlation between physical activity and the incidence and severity of noncommunicable chronic diseases like cardiovascular disease, diabetes, and respiratory infections. This study explores the potential influence of physical activity levels on the mortality rate and coronavirus disease (COVID-19) recovery.

Materials and methods: This descriptive analytical cross-sectional study evaluated 175 Polymerase Chain Reaction (PCR)-confirmed COVID-19 patients admitted to Baqiyatallah Hospital. The participants' hospitalization data and physical activity levels were assessed. The Mann-Whitney U test explored the association between physical activity and COVID-19 outcomes.

Results: Findings revealed that COVID-19 patients had a mean (SD) physical activity score of 6.55 (1.76) out of a possible 15. The mean scores for physical activity in work, sport, and leisure environments were 2.69 (0.49), 1.37 (1.45), and 2.49 (0.59) out of 5, respectively. Surviving patients exhibited significantly higher sports-specific and overall physical activity levels than those who succumbed to the disease. A Man-Whitney U test results noted statistically significant relationship between total and sports-specific physical activity, hospitalization (interquartile range (IQR) 2.3-3.06, p = 0.020 and IQR 2.5-3, p = 0.010, respectively), and mortality (IQR 0.44-2.75, p = 0.020 and IQR 1.47-2.97, p = 0.020).

Conclusions: In summary, increased total physical activity, particularly in a sports environment, appears to be linked with reduced COVID-19 hospitalization and mortality rates.

Background: In patients with coronavirus disease 2019 (COVID-19), the incidence of delirium has been increased due to the nature of the disease and the specific protective protocols implemented to control the outbreak of this disease. The purpose of this study was to determine the effect of multidimensional nursing interventions on the incidence of delirium in patients with COVID-19.

Materials and methods: A quasiexperimental study (preintervention, postintervention assessment) was conducted in168 patients (84 patients in each group) with COVID-19 admitted to the general wards of Hazrat Ali-Asghar Educational Hospital in Shiraz, Iran, between May and June 2021. At first, based on inclusion criteria, the control group was selected to prevent information transmission between the study groups. The control group was treated as usual, but the intervention group received a three-part intervention that included nurse-related, patient-related, and environment-related measures. A Demographic Information Form and the Richmond Agitation Sedation Score and the Intensive Care Delirium Screening Checklist were completed for each patient. The collected data were analyzed.

Results: 25.30% of patients in the control group and 10.50% of patients in the intervention group experienced delirium (χ ² = 5.72, p < 0.05). The results showed that the incidence of delirium was significantly lower in the intervention group. The mean number of days during which the patients experienced delirium was insignificantly lower in the intervention group (U = 2.56, p > 0.05). The mean length of hospital stay was also significantly lower in the control group (U = -2.41, p < 0.05).

Conclusions: The multidimensional nursing interventions effectively reduced the incidence of delirium in patients with COVID-19.