Iranian Journal of Nursing and Midwifery Research最新文献

Background: Adequate sleep is essential for human beings to maintain optimal health. Medical professionals, including nurses, work in stressful environments that could affect their sleep quality. The objective of this study was to determine the prevalence and the factors associated with poor sleep quality among nurses in a tertiary care public hospital.

Materials and methods: This cross-sectional analytical study was conducted on 1217 nurses aged between 21 and 60 years from May 2019 to April 2020 in a tertiary care public hospital in Puducherry. Sleep quality was assessed using the Pittsburgh sleep quality index scoring system, and the workplace stress scale was used to assess workplace stress. The Chi-squared test and adjusted Prevalence Ratio (aPR) were used to determine the factors associated with poor sleep quality.

Results: The response rate was 99% (1217/1229), and three-fourths of the participants were women (943, 77.50%). The mean (SD) PSQI score was 4.49 (2.98), and more than one-third of participants, 42.80% (95% CI: 40.10-45.70), had poor sleep quality. The prevalence of poor sleep quality was significantly higher among women (z = 2.33, p = 0.019) aPR (95% CI): 1.08 (1.01-1.16), those having severe to dangerous levels of workplace stress (z = 8.22, p > 0.001) aPR (95% CI): 1.54 (1.39-1.71) and chronic pain (z = 2.11, p = 0.016) aPR (95% CI): 1.09 (1.02-1.17).

Conclusions: The prevalence of poor sleep quality among the study population was high. This highlights the urgent need for implementing health promotion programs among nurses.

[This corrects the article on p. 417 in vol. 29, PMID: 39205838.].

Background: Endotracheal Tube Suctioning (ETS), which involves either an open or closed suctioning system, is a crucial practice for mechanically ventilated patients. The nursing practice of airway suctioning is inevitable. This study was designed to compare the intensive care nurses' performance of open versus closed endotracheal suction on critically ill patients in Ismailia City.

Materials and methods: A non-participant structured observational study design was conducted on a convenient sample (N = 63) at intensive care units at a teaching hospital through March and August 2022 to evaluate how nurses practice different procedures in open suctioning compared with the closed suctioning system of Endotracheal Suction (ES) through a 32-item structured checklist. Additionally, authors compared their levels of knowledge in both suctioning systems.

Results: Approximately 75% and 65% of the study participants had a satisfactory level of knowledge about the open system compared with the closed system, respectively. The total percentage of patients who achieved a satisfactory level of practice was 72% for the open-system group, compared with 56% for the closed-system group. Overall, there were significant differences between total nurses' performances in the open-system and closed-system systems. Independent sample t-tests revealed a statistically significant correlation between overall nurses' performance in both systems (t = 6.04, p < 0.001).

Conclusions: The findings revealed significant differences in nurses' performance between open and closed-system suctioning. The researchers recommend in-service-led training programs to improve nurses' performance, and other studies with larger sample sizes should be supported.

Background: The actions of healthcare workers in treating and caring for people with mental illness are influenced by various factors. Therefore, this study aimed to assess beliefs, knowledge, and perception of Indonesian Mental Healthcare Workers (MHWs) regarding mental illness.

Materials and methods: A cross-sectional study was conducted among 173 MHWs in May 2021 using a newly developed questionnaire distributed through convenience sampling methods.

Results: Most respondents were female (n = 135, 77.14%) and married (n = 148, 84.57%), with a mean (SD) of age of 37.57 (6.55) years old. Most believed that mental illness was caused by personal weakness (n = 131, 74.86%) and often led to mental retardation (n = 115, 65.71%). Furthermore, approximately half of this population believed mental illness could be cured through marriage (n = 80, 45.71%).

Conclusions: The evaluated MHWs commonly held misconceptions about the cause and treatments of mental illness. Consequently, relevant training was recommended to be performed for mental health literacy enhancement.

Background: Prior studies showed that anxiety and insomnia are both associated with Cardiovascular Disease (CVD). There is a lack of literature related to the prevalence of insomnia and anxiety among healthy adult populations in developing countries as in Jordan, Therefore, this study aimed to examine the association between the CVD risk factors and both insomnia and anxiety among healthy adults had one or more modifiable CVD risk factors.

Materials and methods: A cross-sectional method was used to examine the prevalence of anxiety, insomnia, and demographical and clinical association with anxiety and insomnia among 1000 Jordanian adult participants using the Hamilton Anxiety Rating Scale and the insomnia severity index. Pearson's correlation was used to examine the correlation between anxiety and insomnia scores. Linear regression was used to examine predictors to anxiety and insomnia based on demographical and clinical details.

Results: The result of the current study showed that (30.20%) of participants had higher anxiety scores, (29.70%) had moderate to severe insomnia. Moreover, there was a significant positive correlation between anxiety and insomnia scores, p = 0.01. Based on the current study findings only marital status and anxiety were unique predictors of insomnia F_(14,45) = 989, p = 0.001. Moreover, Predictors of anxiety were gender, hypertension, Diabetes mellitus, dyslipidemia, and insomnia F_(19,89) = 989, p = 0.001.

Conclusions: Sleep and psychological well-being are important components of an adult's health and well-being. The study showed that marital status and anxiety are predictors of insomnia. Whereas, gender, hypertension, diabetes mellitus, dyslipidemia, and insomnia were predictors of anxiety. This study highlights the importance of the implementation of a primary prevention strategy for individuals with modifiable CVD risk factors to reduce anxiety and insomnia levels among adults.

Background: Limited evidence is available regarding the effect of reflexology on Acute Myocardial Infarction (AMI). The present study evaluated the effect of foot reflexology on fatigue, sleep quality, physiological indices, and electrocardiogram changes in AMI.

Materials and methods: This clinical trial was conducted on 80 subjects with AMI. They were divided into an intervention (received reflexology for 3 consecutive days) and a control (received the routine care) group. The Multidimensional Fatigue Inventory, the Pittsburgh Sleep Quality Index, a pain numeric analog scale, a daily physiological indices form, and daily electrocardiogram were used to collect data. The collected data were analyzed in SPSS software. The study was conducted based on CONSORT criteria.

Results: After controlling the covariates, a significant difference was found between the intervention and control groups with regard to the mean scores of fatigue (F_5,80 = 16.33; p < 0.001), sleep quality (F_5,80 = 16.56; p < 0.001), and chest pain intensity (F_5,80 = 6.86; p = 0.010); means of systolic blood pressure (F_5,80 = 22.20; p < 0.001), heart rate (F_5,80 = 5.86; p = 0.010), respiration (F_5,80 = 9.37; p = 0.003), and temperature (F_5,80= -4.23; p < 0.001); and incidence of ST-segment (χ² _1,80 = 5.00; p = 0.020) and T-wave changes (χ² _1,80 = 6.05, p = 0.010) on the fourth day of the intervention.

Conclusions: Given the effectiveness of foot reflexology in different aspects of AMI patients, the implementation of this intervention is recommended for these patients in coronary care units.

Background: Nursing students' safe medication administration is a crucial aspect of ensuring patient safety. Clinical simulation is a novel teaching method applied to reduce factors threatening medication safety in the education of nursing students. Therefore, the aim of the present study was to conduct a review study in this field.

Materials and methods: The present review was conducted using keywords of education, clinical competence, medication safety, medication error, nursing student, clinical simulation, and educational strategies. Suitable articles published between 2000 and 2023 were systematically searched in various national and international online databases, including SID, Magiran, Ovid, Scopus, Web of Science, PubMed, ProQuest, and Google Scholar in both English and Persian languages.

Results: A total of 855 articles were retrieved from the initial search findings. After eliminating duplicate and irrelevant articles based on predetermined criteria, a qualitative selection was conducted using CONSORT, MMAT, and JBI critical appraisal checklists. Ultimately, a selection of 11 articles was made, specifically focusing on medication safety education for nursing students through clinical simulation. The findings showed that using clinical simulation improved medication safety and safety knowledge among nursing students. Additionally, this approach was found to enhance their competence in medication administration.

Conclusions: Based on the findings, clinical simulation is a safe and effective approach for enhancing nursing students' proficiency in medication safety and administration. Therefore, it is recommended that nursing education authorities implement these findings to improve nursing students' knowledge, performance, and competency in safely administering medications.

Background: Preeclampsia is a major contributor to maternal morbidity and mortality. A previous systematic review was carried out in Iran in 2014. Due to the importance of this issue, a current evaluation is necessary after ten years. This research was performed to determine the prevalence of preeclampsia and eclampsia in Iran.

Materials and methods: Adhering to the PRISMA guideline, we searched English databases including Web of Science, PubMed, Scopus, and Persian databases including SID, Magiran, and IranMedex on August 20, 2023, to identify studies reporting the prevalence of preeclampsia or eclampsia in Iran. Employing a focused term strategy and eligibility criteria, we ultimately included 55 studies in this review. After conducting a thorough evaluation, the CMAV3 software was utilized to analyze the data using the random effects model and calculate pooled results.

Results: The overall prevalence of preeclampsia among Iranian mothers was 5.3%, while eclampsia accounted for 0.1% of live births. Notably, preeclampsia rates have risen since 2015, whereas eclampsia rates have declined over time. Single-variable meta-regression results indicated a negative correlation between age and preeclampsia.

Conclusions: Preeclampsia is increasing among Iranian mothers, requiring an investigation into its risk factors, including maternal age, and consequently, high-risk pregnancies. Conversely, the decreasing occurrence of eclampsia indicates an enhancement in the quality of care following a preeclampsia diagnosis.

Background: Patients With Stroke (PWS), like patients with other chronic health conditions, need long-term care in home settings. Patient transfer from hospital to home is associated with challenges such as care quality impairment and ineffective patient need fulfillment. The aim of this study was to assess the principles of Home Care (HC) for PWS.

Materials and methods: This integrative review was conducted in 2023 using the method recommended by Whittemore and Knafl. The Web of Science, Google Scholar, ScienceDirect, ProQuest, Scopus, Cumulative Index to Nursing and Allied Health Literature, PubMed, and specific databases for stroke care guidelines were searched to find relevant articles published between 2010 and 2023. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening and selection. The data were analyzed using the constant comparison method.

Results: Primarily, 2608 documents were retrieved, and 22 of them were included in data analysis. The principles of HC for PWS were categorized into six main categories: principles of transition from hospital care to HC, principles of assessment for HC, principles of education for HC, principles of designing an HC plan, principles of HC measures, and principles of discharge from HC centers.

Conclusions: The present study provides a detailed overview of the principles of HC for PWS, which can be used to develop standard guidelines and improve the quality of HC for PWS.

Background: Caregivers face various difficulties that put a huge burden on them, especially when dealing with immobilized elderly patients. This study aimed to compare caregivers' burdens and coping mechanisms during the care of immobilized elderly patients.

Materials and methods: The descriptive comparative design was adopted for this study in Najran City, Saudi Arabia, and Damanhour City, Egypt, in 2022. A total of 104 caregivers were conveniently selected over 3 months of data collection using the following tools: Elderly Patient Caregivers' Knowledge, Elderly Caregivers' Practice, The Lazarus Coping Strategies Questionnaire, and Zarit Burden Inventory. The authors used descriptive statistics (mean, frequencies, and standard deviation) and inferential statistics (Chi-square, t-test, Pearson correlation, Spearman correlation) to analyze the data.

Results: In Najran, 57.70% of caregivers experienced a mild level of burden compared to 30.80% in Damanhour, indicating a significant difference in the total level of burden between the two groups (X² = 7.90, df = 2, p = 0.01). The mean coping mechanism score among caregivers in Najran is significantly higher than the mean among caregivers in Damanhour. The duration of providing the care significantly influenced the total level of burden, the total level of practice, the coping mechanism, the income, the availability of health care, and the presence of additional caregivers, with all p values <0.05.

Conclusions: It is essential to integrate nurses and caregivers into educational programs to help them cope effectively with the challenging duties they undertake. Based on the findings of this study, interventional studies to reduce the burden and improve coping among caregivers are recommended.