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Using chemical drugs and medicinal plants for symptom management among patients receiving chemotherapy 化学药物和药用植物在化疗患者症状管理中的应用
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_89_18
Fereshteh Jalili, N. Alavi, Masoumeh Abedzadeh-kalahroudi, Mostafa Sarvizadeh
Background: Patients with cancer suffer from different symptoms which can cause discomfort, reduce quality of life, necessitate frequent hospitalization, and impose heavy costs. Health-care providers sometimes overlook symptom management, and hence, patients resort to self-treatment. Objectives: This study sought to assess the use of chemical drugs and medicinal plants for the symptom management among patients receiving chemotherapy. Methods: This cross-sectional study was conducted in 2017 on 186 cancer patients who referred to two chemotherapy centers in Kashan, Iran. Data were collected using a researcher-made instrument consisted of items on demographic characteristics, symptoms, symptom severity and duration, use of chemical drugs and medicinal plants, and their perceived effectiveness. Data were presented using the measures of descriptive statistics and were analyzed using the Spearman's correlation analysis. Results: The most common symptom was fatigue (89.2%), with moderate severity in 51.2% of participants. The least common symptom was vomiting (24.2%), with mild severity in 62.2% of participants. Vitamins and supplements were the most commonly used chemical drugs (40.3%). Chemical drugs had mostly been recommended by health-care providers. Only, 50% of patients with pain and 12.2% of patients with dry mouth and oral ulcer used chemical drugs. Medicinal plants were used by 87.4% of participants, without medical prescription. Conclusion: Cancer patients suffer from many symptoms which need careful assessment and effective management by health-care providers. These patients use medicinal plants more commonly than chemical drugs for symptom management, whereas chemical drugs are more effective. Symptom management among cancer patients is not effective enough, and hence, most of them resort to over-the-counter medicinal plants.
背景:癌症患者具有不同的症状,这些症状可引起不适,降低生活质量,需要频繁住院,并造成沉重的费用。卫生保健提供者有时忽视症状管理,因此,患者求助于自我治疗。目的:本研究旨在评估化学药物和药用植物在化疗患者症状管理中的应用。方法:这项横断面研究于2017年在伊朗卡尚的两个化疗中心进行,涉及186名癌症患者。使用研究人员自制的工具收集数据,包括人口统计学特征、症状、症状严重程度和持续时间、化学药物和药用植物的使用及其感知有效性等项目。数据采用描述性统计方法,并采用Spearman相关分析进行分析。结果:最常见的症状是疲劳(89.2%),51.2%的参与者有中度症状。最不常见的症状是呕吐(24.2%),62.2%的参与者有轻微的严重程度。维生素和补充剂是最常用的化学药物(40.3%)。化学药物大多是保健提供者推荐的。只有50%的疼痛患者和12.2%的口干口腔溃疡患者使用化学药物。87.4%的参与者在没有医疗处方的情况下使用药用植物。结论:癌症患者存在多种症状,需要卫生保健提供者仔细评估和有效管理。这些患者通常使用药用植物而不是化学药物来治疗症状,而化学药物更有效。癌症患者的症状管理效果不佳,因此大部分患者都求助于非处方药物。
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引用次数: 0
Effect of accelerated recovery program on recovery from secondary traumatic stress among nurses 加速康复计划对护士从继发性创伤应激中恢复的影响
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_90_19
H. Rajeswari, B. Sreelekha, Seran Nappinai, Udathu Subrahmanyam, V. Rajeswari
Background: Nurses have distressing experiences during care provision, especially end-of-life care, which might lead to secondary traumatic stress (STS). The Accelerated Recovery Program (ARP) intends to decrease STS and promote recovery from trauma. Objectives: The aim of the present study was to determine the effect of ARP on recovery from STS among nurses.Methods: The study was carried out in Narayana Medical College Hospital, India. A pretest–posttest design with control group was adopted for the study. In the present study, 120 nurses who had STS were recruited and allocated to the intervention and control groups. Data were collected using the Trauma Recovery Scale. ARP with routine activities was implemented for nurses in the intervention group and routine activities for nurses in the control group for 5 weeks. Posttests I (5th week), II (3rd month), III (6th month), IV (9th month), and V (12th month) were conducted. Descriptive and inferential statistics were used to analyze the data. Results: A statistically significant difference was observed between the intervention and control groups in the mean score of trauma recovery (P
背景:护士在护理过程中有痛苦的经历,尤其是临终关怀,这可能导致继发性创伤应激(STS)。加速恢复计划(ARP)旨在减少STS并促进创伤后的恢复。目的:本研究的目的是确定ARP对护士STS康复的影响。方法:研究在印度Narayana医学院医院进行。本研究采用前测后测设计,对照组采用后测设计。本研究招募了120名患有STS的护士,并将其分为干预组和对照组。使用创伤恢复量表收集数据。干预组护士进行常规活动的ARP,对照组护士进行常规活动,为期5周。后测I(第5周)、II(第3个月)、III(第6个月)、IV(第9个月)和V(第12个月)。采用描述性统计和推断性统计对数据进行分析。结果:干预组与对照组创伤恢复平均分比较,差异有统计学意义(P < 0.05)
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引用次数: 0
How does coronary artery bypass graft surgery affect body image 冠状动脉搭桥手术如何影响身体形象
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_12_19
S. Miranzadeh, M. Adib-Hajbaghery, Mahsa Tahmouresi
Background: Coronary artery bypass graft (CABG) surgery is commonly used to treat coronary artery disease. However, it is associated with significant physical and psychological problems. Objectives: This study was conducted to examine how body image changes after CABG surgery. Methods: This descriptive-correlational study was conducted on 140 patients consecutively recruited from Shahid Beheshti Medical Center, Kashan, Iran. The Multidimensional Body-Self Relations Questionnaire was used to assess the body image (BI) before, 2 weeks, and 4 weeks after the surgery (T1–T3). The independent-samples t- test and one-way and the repeated measures analyses of variance were conducted for data analysis. Results: Participants' possessed 60.69 ± 5.74, 67.67 ± 4.48, and 69.67 ± 3.37 percent of the BI scores at T1 to T3, respectively. The variations of BI scores were statistically significant across the measurement time points (P = 0.01). Male participants' BI was significantly better than females only at T2 (P
背景:冠状动脉搭桥术(CABG)是治疗冠状动脉疾病的常用手术。然而,它与严重的身体和心理问题有关。目的:本研究旨在探讨冠状动脉旁路移植术后身体影像的变化。方法:对伊朗卡山Shahid Beheshti医疗中心连续招募的140名患者进行描述性相关研究。多维身体自我关系问卷用于评估手术前、手术后2周和4周(T1–T3)的身体图像(BI)。数据分析采用独立样本t检验、单向方差分析和重复方差分析。结果:参与者在T1至T3的BI得分分别为60.69±5.74、67.67±4.48和69.67±3.37%。在不同的测量时间点上,BI得分的变化具有统计学意义(P=0.01)。男性参与者的BI仅在T2时显著优于女性(P
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引用次数: 0
The effects of traditional lecture and flipped classroom on learning, learning retention, and satisfaction among operating room students: A comparative study 传统课堂教学与翻转课堂教学对手术室学生学习、学习记忆及满意度的影响比较研究
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_79_19
Mohammad Hassan Ghasemi Abarghouie, A. Omid, A. Ghadami
Background: Rapid changes in communities necessitate the use of new-teaching methods in universities. Objectives: This study aimed to determine and compare the effects of traditional lecture and flipped classroom (FC) on learning, learning retention, and satisfaction among operating room students. Methods: This two-group quasi-experimental study was conducted in 2018–2019 in the Faculty of Nursing and Midwifery of Isfahan University of Medical Sciences, Isfahan, Iran. Forty-four operating room students who had enrolled in anesthesiology course were selected and randomly allocated to a lecture and a FC group. Data were collected using a researcher-made satisfaction questionnaire and two researcher-made knowledge examinations. Data analysis was performed using the Chi-square, independent-samples t, and paired-samples t-tests. Results: The mean scores of knowledge in the first and the second examinations in the FC group (i.e. 18.85 ± 0.83 and 17.47 ± 1.42, respectively) were significantly greater than the corresponding mean scores in the lecture group (i.e., 16.21 ± 1.99 and 12.90 ± 2.64, respectively) (P
背景:社区的快速变化要求大学采用新的教学方法。目的:本研究旨在确定和比较传统讲座和翻转课堂(FC)对手术室学生学习、学习保留和满意度的影响。方法:这项两组准实验研究于2018年至2019年在伊朗伊斯法罕医学科学大学护理和助产学院进行。选择44名参加过麻醉学课程的手术室学生,随机分配到一个讲座和一个FC组。数据采用一份研究人员制作的满意度问卷和两份研究人员进行的知识考试进行收集。使用卡方、独立样本t和配对样本t检验进行数据分析。结果:FC组第一次和第二次考试的知识平均分(分别为18.85±0.83和17.47±1.42)显著高于讲座组相应的平均分(即16.21±1.99和12.90±2.64)(P
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引用次数: 0
Comparison of the effect of sesame and almond oil on the incidence of striae gravidarum 芝麻油和杏仁油对妊娠纹病发病率影响的比较
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_95_19
Z. Sadat, F. Saberi, M. Babaei, A. Bagheri, S. Nasiri
Background: Striae gravidarum (SG) is one of the most common skin changes during pregnancy. Objectives: This study aimed to compare the effect of almond oil and sesame oil on the incidence of SG. Methods: A randomized controlled trial was conducted on 165 pregnant women referring to community health centers of Kashan, Iran. The participants in the two intervention groups received sesame oil or almond oil twice a day, from the 16th week to the end of the 36th week of gestation. The manifestations of SG and its severity were recorded at the end of the study. Data analysis was performed using descriptive statistics, Chi-square, one-way analysis of variance, and logistic regression analysis. Results: SG occurred in 63.60%, 60%, and 58.20% in the almond, sesame oil and control groups, respectively. No significant difference was found in the incidence of striae between the three groups in the 36th week of gestation (P = 0.837). None of the confounding variables could predict the occurrence of striae (P > 0.05). Conclusion: Neither sesame oil nor almond oil could significantly affect the occurrence of SG. Given the controversies between the studies, further studies are required to evaluate the effect of almond oil and sesame oil in the prevention of the SG.
背景:妊娠纹(SG)是妊娠期间最常见的皮肤变化之一。目的:本研究旨在比较杏仁油和香油对SG发病率的影响。方法:对在伊朗卡尚社区卫生中心就诊的165名孕妇进行随机对照试验。两个干预组的参与者从妊娠第16周到第36周结束,每天服用两次芝麻油或杏仁油。研究结束时记录SG的表现及其严重程度。数据分析采用描述性统计、卡方分析、单因素方差分析和logistic回归分析。结果:杏仁组、香油组和对照组SG发生率分别为63.60%、60%和58.20%。妊娠第36周时三组间纹条发生率比较,差异无统计学意义(P = 0.837)。所有混杂变量均不能预测条纹的发生(P < 0.05)。结论:芝麻油和杏仁油对SG的发生均无显著影响。鉴于研究之间存在争议,需要进一步的研究来评估杏仁油和芝麻油在预防SG中的作用。
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引用次数: 0
Resilience and its Relationship with Exposure to Violence in Emergency Nurses 急救护士的弹性及其与暴力暴露的关系
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_6_20
Somayyeh Ghorbani Sani, F. Tabrizi, A. Rahmani, P. Sarbakhsh, V. Zamanzadeh, G. Dickens
Background: Workplace violence (WPV) is a detrimental factor affecting nurses' health and performance. Individual protective factors such as resilience can assist nurses in coping with and adapting to workplace adversity. Objectives: The present study was aimed to determine the relationship between resilience and exposure to WPV in emergency nurses. Methods: This cross-sectional study was carried out on 118 emergency nurses in Tabriz educational hospitals, Iran. The participants were selected through a convenience sampling method. A demographic questionnaire, the Conner-Davidson Resilience Scale, and the Modified Questionnaire of Workplace Violence in the health sector were used for data collection. The data were analyzed using descriptive statistics, logistic regression analysis, t-test, and one-way analysis of variance. Results: The mean resilience score of nurses was 25.05 ± 5.79 in the possible range of 0–40. Most of the cases of violence were verbal threats (80.5%), and 56.7% of the exposures occurred during the night shift. Logistic regression showed that lower resilience predicted verbal threats (P = 0.001) and physical attacks (P = 0.038) against the individual. In addition to resilience, working on the night shift significantly predicted verbal threats (P = 0.008) against nurses. Conclusion: The resilience score was lower in nurses who exposed to violence. Empowerment programs are suggested to improve the resilience of nurses.
背景:工作场所暴力(WPV)是影响护士健康和工作表现的不利因素。个人保护因素,如弹性,可以帮助护士应对和适应工作场所的逆境。目的:本研究的目的是确定弹性和暴露于WPV急诊护士之间的关系。方法:对伊朗大不里士教育医院118名急诊护士进行横断面调查。通过方便抽样的方法选择参与者。数据收集使用了人口调查问卷、康纳-戴维森复原力量表和卫生部门工作场所暴力问题修正问卷。采用描述性统计、logistic回归分析、t检验和单因素方差分析对资料进行分析。结果:在0 ~ 40分范围内,护士心理韧性平均得分为25.05±5.79分。暴力事件以言语威胁为主(80.5%),56.7%发生在夜班期间。Logistic回归结果显示,较低的心理弹性预示着对个体的言语威胁(P = 0.001)和身体攻击(P = 0.038)。除了弹性外,夜班工作显著预测了对护士的口头威胁(P = 0.008)。结论:面对暴力的护士心理韧性得分较低。建议授权方案,以提高护士的应变能力。
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引用次数: 0
Older adults' barriers to use technology in daily life: A qualitative study 老年人在日常生活中使用技术的障碍:一项定性研究
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_91_19
Malihe Yazdani-Darki, Z. Rahemi, M. Adib-Hajbaghery, F. Izadi
Background: Aging is associated with declines in individuals' physical and mental abilities. Technological assistance can improve older adults' independence, functional performance, and health. Objectives: The purpose of this study was to explore experiences regarding barriers to use technology in daily life among older adults. Methods: This qualitative study was conducted on twenty older adults referred to Urban Comprehensive Health Service Centers, Kashan. The main interview questions were “What does the word technology bring to your mind? Which electrical household appliances do you use during your daily life? and What are the barriers you experience during the use of technology?” Data were collected through semi-structured interviews and analyzed using conventional content analysis. Results: Three main themes emerged: aging-related barriers (physical and mental limitations), individual barriers (educational limitations, limited access to technology, and unfavorable attitudes toward technology), and barriers related to the appliances. Conclusion: Older adults experience multiple barriers to use technology in their daily life. Educational interventions may enhance older adults' utilization of technology in daily life of this population.
背景:衰老与个体生理和心理能力的下降有关。技术援助可以改善老年人的独立性、功能表现和健康状况。目的:本研究的目的是探讨老年人在日常生活中使用科技产品的障碍。方法:对20名到卡山市城市综合卫生服务中心就诊的老年人进行定性研究。面试的主要问题是“技术这个词让你想到什么?”你在日常生活中使用哪些家用电器?在使用技术的过程中,你遇到了哪些障碍?”数据通过半结构化访谈收集,并使用传统的内容分析进行分析。结果:出现了三个主要主题:与年龄相关的障碍(身体和精神限制),个人障碍(教育限制,有限的技术获取和对技术的不利态度),以及与器具相关的障碍。结论:老年人在日常生活中使用科技产品时遇到了多重障碍。教育干预可以提高老年人在日常生活中对技术的利用。
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引用次数: 15
The effects of telephone-based telenursing on perceived stressors among older adults receiving hemodialysis 电话远程护理对接受血液透析的老年人感知压力源的影响
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_111_19
Sajedeh Fallahpour, Maboobeh Nasiri, Z. Fotokian, Z. Alipoor, M. Hajiahmadi
Background: Older adults who receive hemodialysis face different physiological and psychosocial stressors. Management of physiological and psychosocial stressors is among their basic needs for a desirable life. Objectives: This study aimed to evaluate the effects of telephone-based telenursing on perceived stressors among older adults receiving hemodialysis. Methods: This quasi-experimental study was conducted in 2018 on sixty older adults who were receiving hemodialysis. Participants were conveniently recruited from the hemodialysis centers of Shahid Beheshti and Imam Khomeini hospitals, Babol and Behshahr, Iran, and were randomly allocated to a control and an intervention group. A 3-month telephone-based telenursing program was implemented for participants in the intervention group. Physiological and psychosocial stressors were assessed before and after the study intervention. Data were analyzed using the Chi-square, paired-samples t, and independent-samples t-tests. Results: The mean score of physiological stressors in the intervention group statistically significantly reduced from 17.33 ± 1.74 at pretest to 11.96 ± 3.16 at posttest (P 0.05), there were significant between-group differences respecting the posttest mean scores and the pretest-posttest mean differences of both physiological and psychosocial stressors (P
背景:接受血液透析的老年人面临不同的生理和心理压力。管理生理和心理压力源是他们理想生活的基本需求之一。目的:本研究旨在评估电话远程护理对接受血液透析的老年人感知压力源的影响。方法:这项准实验研究于2018年对60名接受血液透析的老年人进行。参与者方便地从伊朗Babol和Behshahr的Shahid Beheshti和Imam Khomeini医院的血液透析中心招募,并被随机分配到对照组和干预组。为干预组的参与者实施了为期3个月的电话远程护理计划。在研究干预前后评估生理和心理压力源。使用卡方、配对样本t和独立样本t检验对数据进行分析。结果:干预组的生理压力源平均分从测试前的17.33±1.74分显著降低到测试后的11.96±3.16分,差异有统计学意义(P<0.05)
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引用次数: 3
Impacts of informal caregiving among the family caregivers of patients with schizophrenia: A qualitative study 非正规护理对精神分裂症患者家庭护理者的影响:一项定性研究
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_75_19
Z. Tamizi, M. Fallahi, F. Shahboulaghi, E. Mohammadi, E. Bakhshi, A. Dalvandi
Background: Caregiving to patients with schizophrenia is burdensome for family caregivers and has profound effects on them. Objectives: This study aimed to explore the impacts of informal caregiving among the family caregivers of patients with schizophrenia. Methods: This qualitative study was conducted on a purposive sample of 12 family caregivers of patients with schizophrenia and 3 health-care providers. Semi-structured interviews were held for data collection, and conventional content analysis was used for data analysis. Results: Four main subthemes were developed during data analysis, namely threatened health, helplessness, patient abandonment, and personal growth. Together with their eight subcategories, these subthemes were grouped into the main theme of the “Consequences of caregiving burden.” Conclusion: Caregiving to patients with schizophrenia imposes heavy burden on family caregivers and has different consequences for them. The findings of this study can improve the knowledge and awareness of mental health and psychiatric nurses about schizophrenia and its consequences for family caregivers and can help them identify family caregivers who are at risk for negative consequences and design proper family-based interventions to reduce the effects of these negative consequences.
背景:对精神分裂症患者的照顾是家庭照顾者的负担,并对他们产生深远的影响。目的:探讨非正式照护对精神分裂症患者家庭照护者的影响。方法:以12名精神分裂症患者家属照护者和3名医护人员为目的样本进行定性研究。采用半结构化访谈进行数据收集,采用常规内容分析进行数据分析。结果:在数据分析过程中形成了四个主要的子主题,即健康受到威胁、无助、患者遗弃和个人成长。这些子主题连同它们的八个子类别,被归为“照料负担的后果”这一主题。结论:精神分裂症患者的照顾给家庭照顾者带来了沉重的负担,并对家庭照顾者产生了不同的影响。本研究的结果可以提高精神卫生和精神科护士对精神分裂症及其对家庭照顾者的影响的认识和认识,并可以帮助他们识别有负面后果风险的家庭照顾者,并设计适当的家庭干预措施来减少这些负面后果的影响。
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引用次数: 0
The effects of group reality therapy on general health among nursing and midwifery students 团体现实治疗对护理助产专业学生整体健康的影响
IF 0.8 Q2 Nursing Pub Date : 2020-10-01 DOI: 10.4103/NMS.NMS_104_19
Asma Pourzangiabadi, Leila Abadian, B. Pouraboli, M. Dehghan, Ali Bahramnejad, S. Miri
Background: Nursing and midwifery students experience high levels of stress, particularly during their clinical education. High levels of stress negatively affect general health. Reality therapy (RT) is a method with potential effects on stress. Objectives: The aim of this study was to evaluate the effects of group RT on general health among nursing and midwifery students. Methods: This quasi-experimental study was conducted in Autumn 2015 using a pretest-posttest design. Forty-six students were randomly allocated to an intervention (n = 23) and a control (n = 23) group. Participants in the intervention group received group RT in eight weekly sessions. The General Health Questionnaire was used for general health assessment both before and 1 month after the study intervention. The paired and the independent samples t- test and the Chi-square test were used for the data analysis. Results: There was no significant difference between the intervention and the control groups respecting the pretest mean score of general health (33.05 ± 14.91 vs. 30.34 ± 14.32; P = 0.528). However, the posttest mean score of general health in the intervention group was statistically significantly less than the control group (19.08 ± 10.27 vs. 29.39 ± 12.38; P = 0.004). Conclusion: Group RT can significantly improve general health among nursing and midwifery students.
背景:护理和助产专业的学生压力很大,尤其是在临床教育期间。高水平的压力会对整体健康产生负面影响。现实疗法(RT)是一种对压力有潜在影响的方法。目的:本研究旨在评估RT组对护理和助产专业学生整体健康的影响。方法:这项准实验研究于2015年秋季进行,采用前测后测设计。46名学生被随机分配到干预组(n=23)和对照组(n=24)。干预组的参与者每周八次接受RT组治疗。一般健康问卷用于研究干预前和干预后1个月的一般健康评估。数据分析采用配对和独立样本t检验和卡方检验。结果:干预组与对照组在一般健康预测平均分方面无显著差异(33.05±14.91 vs.30.34±14.32;P=0.528),干预组的总体健康测试后平均得分显著低于对照组(19.08±10.27 vs.29.39±12.38;P=0.004)。
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引用次数: 0
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Nursing and Midwifery Studies
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