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Comparison of Mannequin-Based Simulation Training Method with Virtual Training Method on Nursing Students’ Learning Cardiopulmonary Resuscitation: A Controlled Randomized Parallel Trial 基于人体模型的模拟训练法与虚拟训练法对护理专业学生学习心肺复苏术的影响比较:随机平行对照试验
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_222_23
Mohammad Abbasi, Yousef Asadoola, Hossein Ebrahimi, Elahe Bahonar, Zinab Dabirian, S. Esmaeili, Ahmad Mahdizadeh, Mahdi Sadeghi
The use of different educational methods and programs, such as simulation and virtual training, plays an important role in effective Cardiopulmonary Resuscitation (CPR) learning for nursing students. This study was conducted with the aim of comparing mannequin-based simulation training with virtual training on CPR learning among nursing students. This parallel randomized controlled trial was conducted in 2022. We selected 73 nursing undergraduate students and randomly assigned them to two groups: mannequin-based simulation and virtual training groups. The knowledge, attitude, and performance of CPR in both groups were evaluated and compared before, immediately after, and 1 month after the intervention. Data analysis was performed using independent t-test and the repeated-measure analysis of variance (ANOVA) using the Statistical Package for Social Sciences (SPSS) software. Within-group differences were significant in both mannequin-based simulation and virtual training groups in terms of knowledge, attitude, and CPR performance before and after training, as well as between before and 1 month after training (p < 0.001). In addition, the mean performance of simulation group students was significantly higher than the virtual group (p < 0.001), but no significant difference was observed between the two groups in terms of knowledge and attitude dimensions before training, after training, and 1 month after training. Both mannequin-based simulation and virtual training methods increase CPR learning. Considering that students’ knowledge and attitude increase significantly using both training methods and the performance of students in the simulation group is better than in the virtual group, the use of a multimodal approach is recommended for CPR training of nursing students.
在护理专业学生有效学习心肺复苏术(CPR)的过程中,模拟训练和虚拟训练等不同教育方法和项目的使用发挥着重要作用。本研究旨在比较基于人体模型的模拟训练和虚拟训练对护理专业学生心肺复苏术学习的影响。 这项平行随机对照试验于 2022 年进行。我们选取了 73 名护理专业本科生,将他们随机分配到两组:人体模型模拟组和虚拟培训组。对两组学生的心肺复苏知识、态度和表现进行评估,并在干预前、干预后和干预后 1 个月进行比较。数据分析采用独立 t 检验和重复测量方差分析(ANOVA),使用的软件是社会科学统计软件包(SPSS)。 基于人体模型的模拟培训组和虚拟培训组在培训前后以及培训前和培训后 1 个月的知识、态度和心肺复苏表现方面的组内差异均有显著性(P < 0.001)。此外,模拟组学生的平均成绩明显高于虚拟组(P < 0.001),但两组学生在培训前、培训后和培训后 1 个月的知识和态度方面没有明显差异。 基于人体模型的模拟和虚拟培训方法都能提高心肺复苏的学习效果。考虑到两种培训方法都能显著提高学生的知识和态度,且模拟组学生的表现优于虚拟组,建议在护理专业学生的心肺复苏培训中使用多模式方法。
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引用次数: 0
The Challenges of Iranian Female Nurses Caring for Male Patients: A Qualitative Study 伊朗女护士护理男病人所面临的挑战:定性研究
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_243_22
Samaneh Alinejad Mofrad, Ahmad Nasiri, Heidi Green
Caring is a multidimensional concept with many factors that can affect its quality such as caring for the opposite sex. This study aims to explore the experiences of Iranian female nurses caring for male patients. A descriptive qualitative study was conducted via conventional content analysis and purposeful sampling. Seventeen female nurses including staff and head nurses participated. Unstructured, face-to-face, in-depth interviews were conducted from June to December 2019 in Iran. The interviews were recorded by an MP4 player. When no new codes were extracted from the interview the data saturation was achieved. All interviews were immediately transcribed verbatim and were analyzed via Graneheim and Lundman’s conventional content analysis guidelines. Four themes emerged from the data: 1) women nurses’ concerns about caring for men, 2) women nurses’ unpleasant feelings while caring for men, 3) Ignoring women nurses’ dignity, and 4) efforts to avoid unpleasant situations. Female nurses in Iran are faced with multidimensional challenges when providing care to men. Not only can these challenges decrease the quality of nursing care for male patients, but also make the hospital a stressful environment for female nurses and may lead to them leaving the work.
护理是一个多维概念,有许多因素会影响其质量,例如对异性的护理。本研究旨在探讨伊朗女护士护理男性病人的经验。 研究通过常规内容分析和有目的的抽样进行了描述性定性研究。包括职员和护士长在内的 17 名女护士参加了研究。于 2019 年 6 月至 12 月在伊朗进行了非结构化、面对面的深入访谈。访谈由 MP4 播放器录制。当访谈中没有提取出新的代码时,即达到了数据饱和。所有访谈都立即进行了逐字誊写,并按照 Graneheim 和 Lundman 的传统内容分析指南进行了分析。 数据中出现了四个主题1)女护士对护理男性的担忧;2)女护士在护理男性时的不愉快感受;3)忽视女护士的尊严;4)努力避免不愉快的情况。 伊朗的女护士在为男性提供护理时面临着多方面的挑战。这些挑战不仅会降低对男性患者的护理质量,还会使医院环境对女护士造成压力,并可能导致她们离职。
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引用次数: 0
The Effect of Music Therapy on the Sleep Quality of Patients with Heart Failure: The Miracle of Nature Music 音乐疗法对心力衰竭患者睡眠质量的影响:自然音乐的奇迹
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_385_22
Nahid Hosseini, K. Seylani, Pegah Matourypour, Mehrdad Fakhrodini, Hamid Haghani, M. Zakerimoghadam
Patients with heart failure experience poor sleep quality due to the nature of disease they suffer from. The aim of this study was to investigate the effect of music on the sleep quality of patients with heart failure. The present study is a randomized clinical trial, which was performed on 76 patients with heart failure, hospitalized in the cardiac ward of an educational hospital. These patients had obtained a score of 5 or higher on Pittsburgh’s sleep quality index. The block randomization method was used to generate the allocation sequence. Thus, the number of subjects in each block was determined to be 4 people in 18 blocks. Intervention was collection of nature music played through headphones for 30 minutes over three nights, and at the end of the third night, the Pittsburgh’s index was completed again by both groups. Data were analyzed using descriptive and inferential statistics. After the intervention, the mean scores of mental quality of sleep (p = 0.007) and daily function disorders improved significantly in the intervention group (p = 0.025). Significant differences were seen between the mean scores of mental quality of sleep (p < 0.001), daily function disorders (p = 0.002), delay in falling asleep (p = 0.01), sleep disorders (p < 0.001), and use of sleeping pills (p < 0.001) before and after the intervention in the intervention group. Playing relaxing music like nature sounds and spending time in nature after discharge can improve the sleep quality and sense of relaxation in patients with heart failure. The implementation of such affordable and amusing interventions can be proposed by nurses in heart failure patients.
心力衰竭患者因其疾病性质而导致睡眠质量低下。本研究旨在探讨音乐对心力衰竭患者睡眠质量的影响。 本研究是一项随机临床试验,对象是在一家教育医院心脏科病房住院的 76 名心力衰竭患者。这些患者的匹兹堡睡眠质量指数均达到或超过 5 分。分配顺序采用整群随机法。因此,每个区块的受试者人数被确定为 4 人,共 18 个区块。干预措施是在三个晚上通过耳机播放 30 分钟的自然音乐,在第三个晚上结束时,两组受试者再次完成匹兹堡睡眠质量指数。数据采用描述性和推论性统计方法进行分析。 干预后,干预组的睡眠精神质量(p = 0.007)和日常功能障碍的平均得分显著提高(p = 0.025)。干预组的睡眠精神质量(p<0.001)、日常功能障碍(p=0.002)、入睡延迟(p=0.01)、睡眠障碍(p<0.001)和使用安眠药(p<0.001)的平均得分在干预前后有明显差异。 出院后播放大自然的声音等放松音乐并在大自然中度过一段时间,可以改善心衰患者的睡眠质量和放松感。护士可以建议心力衰竭患者实施这种经济实惠、寓教于乐的干预措施。
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引用次数: 0
Translation and Psychometric Properties of the Persian Version of Neonatal Intensive Care Unit Parental Belief Scale in Iranian Parents 波斯语版新生儿重症监护室父母信念量表在伊朗父母中的翻译和心理测量学特性
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_7_23
Sajjad Reisi, Zahra Alipour, Aliakbar Foroughi, Kheirollah Sadeghi, Reza Bahrami, A. Parvizifard
This study is done to determine the translation and psychometric properties of the Persian version of Neonatal Intensive Care Unit Parental Belief Scale (NICU-PBS) in Iranian parents. The present study was conducted by the descriptive cross-sectional method. This research was conducted from January to August 2021. The population included all parents whose infants were hospitalized in NICUs of two university-affiliated hospitals (Kermanshah University of Medical Sciences and Shiraz University of Medical Sciences). Out of them, 291 subjects were selected by the purposeful sampling method. The utilized questionnaires included a demographic information form, NICU-PBS, Beck Depression Inventory, and Maternal role adaptation scale. The descriptive statistical indexes, Cronbach’s alpha, intra-class correlation coefficient, and Pearson’s correlation coefficient were used for data analysis. Also, to evaluate the construct validity of the NICU-PBS, we used Confirmatory Factor Analysis (CFA). The participants included 97 fathers (33.33%) and 194 mothers (66.67%). According to the CFA results, the three-factor model NICU-PBS (confidence in the parental role, parent–child interaction, parental knowledge of the NICU) was approved in Iranian parents (χ2/df = 1.79; p < 0.001; GFI = 0.91; AGFI = 0.89; CFI = 0.91; RMSEA = 0.05). NICU-PBS with BDI-II (r = -0.42) has divergent validity, and material role adaptation (r = 0.46) has moderate and acceptable convergence validity (p < 0.01). The results of Cronbach’s alpha for the total NICU-PBS were 0.85. The results demonstrated the proper and acceptable validity and reliability of NICU-PBS among Iranian parents.
本研究旨在确定波斯语版新生儿重症监护室父母信念量表(NICU-PBS)在伊朗父母中的翻译和心理测量特性。 本研究采用描述性横断面方法。研究时间为 2021 年 1 月至 8 月。研究对象包括在两所大学附属医院(克尔曼沙阿医科大学和设拉子医科大学)新生儿重症监护室住院的所有婴儿父母。通过有目的的抽样方法从中选出了 291 名受试者。使用的问卷包括人口信息表、新生儿重症监护室-PBS、贝克抑郁量表和产妇角色适应量表。数据分析采用了描述性统计指标、克朗巴赫α、类内相关系数和皮尔逊相关系数。此外,为了评估 NICU-PBS 的建构效度,我们采用了确认性因子分析(CFA)。 参与者包括 97 名父亲(33.33%)和 194 名母亲(66.67%)。根据 CFA 结果,三因素模型 NICU-PBS(对父母角色的信心、亲子互动、父母对 NICU 的了解)在伊朗父母中得到了认可(χ2/df = 1.79;P < 0.001;GFI = 0.91;AGFI = 0.89;CFI = 0.91;RMSEA = 0.05)。NICU-PBS与BDI-II(r = -0.42)具有发散效度,物质角色适应(r = 0.46)具有中度和可接受的收敛效度(p < 0.01)。NICU-PBS总表的Cronbach's alpha结果为0.85。 结果表明,NICU-PBS 在伊朗家长中具有适当且可接受的有效性和可靠性。
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引用次数: 0
Effect of Educational Nursing Guidelines on Self-management and Health-Related Quality of Life for Hemodialysis Patients 教育性护理指南对血液透析患者自我管理和健康相关生活质量的影响
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_191_22
Mona Hassan Ibrahim, Amira Mohammed Ali, M. Allawy
Chronic kidney disease is the biggest problem in health care today, and the primary replacement therapy, hemodialysis, has a severe impact on both self-management and quality of life. This study aimed to evaluate the effect of educational nursing guidelines on self-management and health-related quality of life for hemodialysis patients. A quasi-experimental design was used. A convenience sample of 100 hemodialysis patients in the hemodialysis unit at Ismailia General Hospital, 50 patients for the study and 50 patients for the control groups. Data were collected using a patient demographic information questionnaire, hemodialysis self-management scale, and survey instrument on kidney disease quality of life 36-item (KDQOL-36). The intervention was conducted over 12 weeks in five sessions, from implementing the guidelines to the post-test phase. The control group received the usual care. SPSS version 23, descriptive statistics, and inferential statistics like independent t-test and Pearson Chi-square test were used. Regarding self-management dimensions, a statistically significant difference was found between the study and control group regarding problem-solving and communications, fluid control, diet, self-advocacy, and emotional control with p < 0.001, and effect size 5.89,4.99, 5.06, and 4.54, respectively. Regarding the quality of life domains, a statistically significant difference was found between the study and control group regarding physical functioning, mental functioning, the burden of kidney disease, management of symptoms, and kidney disease effect with p < 0.001 and the effect size 9.39, 6.07, 1.86, 7.65, and 6.96, respectively. Educational guidelines are effective for improving self-management and quality of life.
慢性肾脏病是当今医疗保健领域最大的问题,其主要替代疗法--血液透析--严重影响患者的自我管理和生活质量。本研究旨在评估教育性护理指南对血液透析患者自我管理和健康相关生活质量的影响。 研究采用了准实验设计。研究对象为伊斯梅利亚综合医院血液透析室的 100 名血液透析患者,其中 50 名患者为研究组,50 名患者为对照组。使用患者人口信息调查表、血液透析自我管理量表和肾病生活质量 36 项调查工具(KDQOL-36)收集数据。干预从实施指南到后期测试阶段,共分五次,历时 12 周。对照组接受常规护理。研究使用了 SPSS 23 版本、描述性统计和推论性统计,如独立 t 检验和皮尔逊卡方检验。 在自我管理方面,研究组和对照组在解决问题和沟通、液体控制、饮食、自我倡导和情绪控制方面的差异有统计学意义(P < 0.001),效应大小分别为 5.89、4.99、5.06 和 4.54。在生活质量方面,研究组与对照组在身体功能、精神功能、肾病负担、症状管理和肾病效果方面的差异有统计学意义(P < 0.001),效应大小分别为 9.39、6.07、1.86、7.65 和 6.96。 教育指南可有效改善自我管理和生活质量。
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引用次数: 0
Adaptation to Hysterectomy: Design and Psychometric Properties Assessment of Hysterectomy Adaptation Scale 适应子宫切除术:子宫切除术适应性量表的设计和心理测量特性评估
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_217_21
Fatemeh Goudarzi, R. Babazadeh, Abbas Ebadi, T. Khadivzadeh
Adaptation to complications of hysterectomy is one of the topics of concern for women and health care providers. There is no instrument for evaluating adaptation to hysterectomy. This study aimed to design the Hysterectomy Adaptation Scale (HAS) and assess its psychometric properties. This methodological study was conducted from 2018 to 2020 in Mashhad, Iran. To develop the item pool, qualitative data from directed content analysis and data from the review of adaptation and coping instruments were used. The face, content, construct validity, internal consistency, and stability were used to evaluate the psychometric properties of HAS. The final version of the HAS consisted of 24 items with a reported content validity index of 0.9. Six factors were extracted from the principal component analysis, which explained 60.3 of the observed variance. Model fit indices in confirmatory factor analysis showed that the model was well fitted. The values of the alpha coefficient and intra-class coefficient were 0.86 and 0.95, respectively. The HAS is a valid and reliable scale for evaluating the adaptation level of hysterectomized Iranian women. HAS can distinguish between hysterectomized women who have adapted to hysterectomy and those who have not. It can be used to assess the adaptation of hysterectomized women in research and clinical practice.
对子宫切除术并发症的适应是妇女和医疗服务提供者关心的话题之一。目前还没有评估子宫切除术适应性的工具。本研究旨在设计子宫切除术适应量表(HAS)并评估其心理测量学特性。 这项方法研究于 2018 年至 2020 年在伊朗马什哈德进行。在编制项目库时,使用了定向内容分析中的定性数据以及适应和应对工具综述中的数据。采用面效度、内容效度、建构效度、内部一致性和稳定性来评估 HAS 的心理测量学特性。 HAS 的最终版本由 24 个项目组成,内容效度指数为 0.9。主成分分析提取了 6 个因子,解释了 60.3 个观察到的方差。确认性因素分析中的模型拟合指数显示模型拟合良好。α系数和类内系数分别为 0.86 和 0.95。 HAS 是一个有效、可靠的量表,可用于评估子宫切除的伊朗妇女的适应水平。HAS 可以区分已适应子宫切除术和未适应子宫切除术的妇女。该量表可用于在研究和临床实践中评估子宫切除妇女的适应情况。
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引用次数: 0
Progressive Muscular Relaxation Versus Breathing Excercise Techniques to Control Blood Pressure among Mild Preeclamptic Pregnant Women 渐进式肌肉放松与呼吸运动技巧在控制轻度先兆子痫孕妇血压方面的比较
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_33_22
Asmaa Abobakr Ibrahim, Samia Gaballah, Noha M. Abu Bakr Elsaid, Heba Alkotb Mohamed
Hypertensive disturbances during pregnancy are the leading cause of maternal and fetal death; unfortunately, no effective treatment exists. Therefore, interventions that reduce the likelihood of developing preeclampsia during pregnancy are required. This study aimed to see how Progressive Muscle Relaxation (PMR) compared to breathing exercise techniques affected Blood Pressure (BP) levels among mildly preeclamptic pregnant women. A convenience sample was used in a quasi-experimental study of 75 mild preeclamptic pregnant women in the Obstetrical Outpatient Clinics at the Suez Canal University Hospital in Ismailia, Egypt. They were divided into three groups: study group [I]: the deep breathing exercise group; study group [II]: the PMR group; and study group [III]: the control group. Data were collected using two methods: an interviewing information collection tool and a physiological measurement tool. There was a statistical significant difference in systolic and diastolic blood pressure after six weeks of training among intervention groups (PMR and breathing excercise technique with p value 0.001 for both groups) compered to contol group. However, there was no statistical difference in BP (systolic or diastolic) after two weeks of intervention among the three groups. PMR and breathing techniques could effectively control BP in pregnancy complicated by mild preeclampsia. Both techniques could be introduced in routine antenatal care for women diagnosed with mild preeclampsia. Health and fitness professionals should focus more on preparing and delivering various sports programs incorporating various muscle relaxations and breathing techniques.
妊娠期高血压紊乱是导致孕产妇和胎儿死亡的主要原因;遗憾的是,目前还没有有效的治疗方法。因此,需要采取干预措施来降低孕期罹患子痫前期的可能性。本研究旨在了解渐进式肌肉放松法(PMR)与呼吸锻炼法相比,对轻度子痫前期孕妇的血压(BP)水平有何影响。 在一项准实验研究中,对埃及伊斯梅利亚苏伊士运河大学医院产科门诊的 75 名轻度子痫前期孕妇进行了方便抽样调查。她们被分为三组:研究组[I]:深呼吸运动组;研究组[II]: PMR 组;研究组[III]:对照组。数据收集采用两种方法:访谈信息收集工具和生理测量工具。 与对照组相比,干预组(PMR 和呼吸练习技术,两组的 P 值均为 0.001)经过六周的训练后,收缩压和舒张压有明显的统计学差异。然而,三组干预两周后的血压(收缩压或舒张压)无统计学差异。 PMR 和呼吸技巧能有效控制轻度子痫前期孕妇的血压。这两种方法可在常规产前护理中引入,用于确诊为轻度子痫前期的妇女。健康和健身专业人员应更加注重准备和实施各种运动项目,并将各种肌肉放松和呼吸技巧融入其中。
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引用次数: 0
Food Insecurity among Iranian Pregnant Women: A Systematic Review and Meta-Analysis 伊朗孕妇的粮食不安全问题:系统回顾和元分析
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_191_23
Elaheh Askari, fatemeh raeesi dehkordi, Y. Mokhayeri, Morteza Amraei, Masoud Behzadifar, M. Imani-Nasab
Estimating the prevalence of food insecurity among vulnerable sub-groups, especially pregnant women, is significant. This study aimed to estimate the pooled prevalence of food insecurity among Iranian pregnant women and to determine its related factors. This study constitutes a systematic review and meta-analysis of cross-sectional studies involving pregnant women, published between January 2000 and September 2022, in English and Persian on seven databases. Finally, 14 studies were analyzed and synthesized, with the results presented in the form of forest plots. Heterogeneity was investigated using the I2 index and the meta-regression to evaluate variables suspected of causing heterogeneity. Statistical analysis and synthesis were performed using Stata-16. The pooled prevalence of food insecurity among Iranian pregnant women was 45% (95% confidence interval: 37–54%). In a multi-variable meta-regression model, p values were significant for the year of data collection and the type of the questionnaire. The adjusted I2 and R2 indices were estimated at 84.47 and 51.46%, respectively. The prevalence of food insecurity among Iranian pregnant women has been estimated at half a million. Given the high prevalence of food insecurity among pregnant women in Iran, we propose the inclusion of food insecurity screening for this vulnerable demographic within the primary healthcare package. Additionally, we advocate for the allocation of food subsidies to pregnant women confronting food insecurity.
估算弱势亚群体(尤其是孕妇)的粮食不安全发生率意义重大。本研究旨在估算伊朗孕妇粮食不安全的总体发生率,并确定其相关因素。 本研究对七个数据库中 2000 年 1 月至 2022 年 9 月间发表的涉及孕妇的横断面研究进行了系统回顾和荟萃分析,研究语言包括英语和波斯语。最后,对 14 项研究进行了分析和综合,结果以森林图的形式呈现。研究人员使用 I2 指数和元回归法对异质性进行了调查,以评估疑似导致异质性的变量。统计分析和综合使用 Stata-16 进行。 伊朗孕妇粮食不安全的总体发生率为 45%(95% 置信区间:37-54%)。在多变量元回归模型中,数据收集年份和问卷类型的 p 值显著。调整后的 I2 和 R2 指数分别为 84.47% 和 51.46%。据估计,伊朗孕妇的粮食不安全发生率为 50 万。 鉴于伊朗孕妇的粮食不安全发生率很高,我们建议将针对这一弱势群体的粮食不安全筛查纳入初级保健套餐。此外,我们主张向面临粮食不安全问题的孕妇发放粮食补贴。
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引用次数: 0
Nurse Strategies to Improve the Quality of Psychosocial Care During the COVID-19 Pandemic 在 COVID-19 大流行期间提高社会心理护理质量的护士策略
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_369_22
Jesika Pasaribu, B. A. Keliat, Novy H. C. Daulima, Kristina Lisum, G. G. Widodo
Nurses play a critical role in combating the COVID-19 pandemic, facing numerous challenges in providing care to COVID-19 patients, particularly addressing their psychological issues. This study aims to explore nurses’ experiences in overcoming care challenges and enhancing nursing strategies. The study was held in Indonesia. Primary nurses and nurse managers responsible for COVID-19 patient care were interviewed extensively for data collection. The Collaizi method was used for data processing. The study identified three key themes: psychosocial nursing interventions, addressing obstacles in psychosocial care, and enhancing the quality of psychosocial nursing care. Comprehensive nursing care proves effective in addressing the psychosocial challenges faced by COVID-19 patients.
护士在抗击 COVID-19 大流行中发挥着至关重要的作用,她们在为 COVID-19 患者提供护理服务时面临着诸多挑战,尤其是要解决他们的心理问题。本研究旨在探讨护士在克服护理挑战和加强护理策略方面的经验。研究在印度尼西亚进行。 为收集数据,对负责 COVID-19 患者护理的初级护士和护士管理人员进行了广泛访谈。数据处理采用 Collaizi 方法。 研究确定了三个关键主题:社会心理护理干预、解决社会心理护理中的障碍以及提高社会心理护理质量。 事实证明,综合护理能有效解决 COVID-19 患者面临的社会心理挑战。
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引用次数: 0
Effects of Educational Program Based on Self-Esteem Enhancement on Weight Status in Obese Women 基于增强自尊的教育计划对肥胖妇女体重状况的影响
IF 1 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.4103/ijnmr.ijnmr_160_23
M. Seifrabiei, Mohammad Ahmadpanah, Mohammad Kazemzadeh, Sanaz Ebrahimi
Most obese people do not have high self-esteem. This study was conducted to evaluate the effect of self-esteem education on the weight status of obese women. This Randomized Clinical Trial (RCT) was performed on 46 obese women (BMI >30) in Hamadan during 2021–2022. By simple convenient sampling and block randomization, the samples were divided into two equal groups. In both groups, routine lifestyle and diet recommendations were prescribed. In the intervention group, eight sessions of self-esteem training were performed specifically. In two groups BMI was measured and the Cooper-Smith Self-Esteem Inventory (CSEI) was filled out before and after the intervention. SPSS 20 was used to analyze the data. Statistical significance was considered at p < 0.05. The mean age of the participants in the intervention and control groups was 27.95 (5.02) and 30.25 (5.46) years respectively (t38 = 1.39, p = 0.17). BMI was comparable in two groups before the study (32.47 vs. 33.13 in the intervention and control group respectively, (t38 = 1.02, p = 0.31), but decreased significantly in the intervention group at the end (30.38 vs. 32.90, t38 = 3.76, p = 0.001). The mean self-esteem scores of the two groups were similar at the beginning (27.10 vs. 27.60 in the intervention and control group respectively, (t38 = 0.52, p = 0.60) but increased significantly in the intervention group at the end (30.10 vs. 27.35, t38 = 2.99, p < 0.001). The findings suggest that self-esteem educational programs can increase the self-esteem score and decrease BMI in obese women and should be considered as a treatment modality in these women.
大多数肥胖者的自尊心不强。本研究旨在评估自尊教育对肥胖女性体重状况的影响。 这项随机临床试验(RCT)于 2021-2022 年间在哈马丹对 46 名肥胖女性(体重指数大于 30)进行了研究。通过简单方便的抽样和整群随机化,样本被分为两个相等的组别。两组均采用常规生活方式和饮食建议。在干预组中,专门进行了八次自尊训练。两组分别在干预前后测量体重指数并填写库珀-史密斯自尊量表(CSEI)。使用 SPSS 20 分析数据。统计学意义以 p < 0.05 为准。 干预组和对照组参与者的平均年龄分别为 27.95 (5.02) 岁和 30.25 (5.46) 岁 (t38 = 1.39, p = 0.17)。两组参与者在研究前的体重指数相当(干预组和对照组分别为 32.47 vs. 33.13,t38 = 1.02,p = 0.31),但在研究结束时,干预组的体重指数显著下降(30.38 vs. 32.90,t38 = 3.76,p = 0.001)。两组的平均自尊得分在开始时相似(干预组和对照组分别为 27.10 vs. 27.60,t38 = 0.52,p = 0.60),但干预组在结束时明显上升(30.10 vs. 27.35,t38 = 2.99,p < 0.001)。 研究结果表明,自尊心教育计划可以提高肥胖妇女的自尊心分数并降低其体重指数,因此应被视为肥胖妇女的一种治疗方式。
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Iranian Journal of Nursing and Midwifery Research
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