Background: Over-the-counter use of herbal products puts patients with cardiovascular diseases (CVDs) at risk for drug interactions. Belief and attitude have significant effects on behavior. Objectives: This study was conducted to develop and evaluate the psychometric properties of the Belief and Attitude about Herbal Medicine Inventory (BAHMI). Methods: In this methodological study, the BAHMI draft was developed based on the approach of Waltz and colleagues and using the existing instruments and the three main theory of planned behavior subscales. After face and content validity assessment, BAHMI construct and concurrent validity were assessed. Accordingly, 200 patients with CVD were consecutively recruited from a heart clinic in Kashan, Iran, 2018. BAHMI reliability was also assessed through the internal consistency and the test–retest methods. Results: The BAHMI draft included 40 items. Seven items were excluded during psychometric evaluation phases. Exploratory factor analysis revealed a five-factor structure for BAHMI which explained 42.636% of the variance of its total score. The correlation coefficient between the scores of BAHMI and Hashem-Dabaghian and colleagues' questionnaire was –0.7 (P < 0.0001). BAHMI mean score was significantly different among patients with different levels of agreement on herbal product use (F = 19.16, P < 0.0001). Cronbach's alpha, intraclass correlation coefficient, standard error of measurement, and smallest detectable change of BAHMI were 0.864, 0.888, ±13.46, and 10.2, respectively. No participant obtained the minimum and maximum possible BAHMI scores. Conclusion: The 33-item BAHMI is a valid and reliable instrument for the assessment of belief and attitude about herbal medicine among patients with CVD. The findings of this study can be used for health policy-making and planning.
背景:非处方使用草药产品会使心血管疾病(cvd)患者面临药物相互作用的风险。信念和态度对行为有显著影响。目的:本研究旨在开发和评估中草药量表(BAHMI)的信念和态度的心理测量特征。方法:在方法学研究中，基于华尔兹等人的方法，利用现有的工具和三个主要的计划行为子量表理论，制定了BAHMI草案。经过面效度和内容效度评估后，再进行BAHMI结构和并发效度评估。因此，2018年从伊朗卡尚的一家心脏诊所连续招募了200名心血管疾病患者。通过内部一致性和重测法对BAHMI信度进行了评估。结果:BAHMI草案包括40个项目。在心理测量评估阶段排除了7个项目。探索性因子分析显示BAHMI具有五因子结构，可以解释其总分方差的42.636%。BAHMI与Hashem-Dabaghian及其同事问卷得分的相关系数为-0.7 (P < 0.0001)。不同草药产品使用认同程度的患者的BAHMI平均评分差异有统计学意义(F = 19.16, P < 0.0001)。Cronbach’s alpha为0.864，类内相关系数为0.888，计量标准误差为±13.46，最小可检出变化为10.2。没有参与者获得最低和最高可能的BAHMI分数。结论:33项BAHMI量表能有效、可靠地评价心血管疾病患者对中药的信念和态度。本研究结果可用于卫生政策的制定和规划。
{"title":"Development and psychometric evaluation of the belief and attitude about herbal medicine inventory among iranian patients with cardiovascular disease","authors":"M. Gholami, Z. Tagharrobi, K. Sharifi, Z. Sooki","doi":"10.4103/nms.nms_57_21","DOIUrl":"https://doi.org/10.4103/nms.nms_57_21","url":null,"abstract":"Background: Over-the-counter use of herbal products puts patients with cardiovascular diseases (CVDs) at risk for drug interactions. Belief and attitude have significant effects on behavior. Objectives: This study was conducted to develop and evaluate the psychometric properties of the Belief and Attitude about Herbal Medicine Inventory (BAHMI). Methods: In this methodological study, the BAHMI draft was developed based on the approach of Waltz and colleagues and using the existing instruments and the three main theory of planned behavior subscales. After face and content validity assessment, BAHMI construct and concurrent validity were assessed. Accordingly, 200 patients with CVD were consecutively recruited from a heart clinic in Kashan, Iran, 2018. BAHMI reliability was also assessed through the internal consistency and the test–retest methods. Results: The BAHMI draft included 40 items. Seven items were excluded during psychometric evaluation phases. Exploratory factor analysis revealed a five-factor structure for BAHMI which explained 42.636% of the variance of its total score. The correlation coefficient between the scores of BAHMI and Hashem-Dabaghian and colleagues' questionnaire was –0.7 (P < 0.0001). BAHMI mean score was significantly different among patients with different levels of agreement on herbal product use (F = 19.16, P < 0.0001). Cronbach's alpha, intraclass correlation coefficient, standard error of measurement, and smallest detectable change of BAHMI were 0.864, 0.888, ±13.46, and 10.2, respectively. No participant obtained the minimum and maximum possible BAHMI scores. Conclusion: The 33-item BAHMI is a valid and reliable instrument for the assessment of belief and attitude about herbal medicine among patients with CVD. The findings of this study can be used for health policy-making and planning.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"137 - 145"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44363185","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: Patients with traumatic brain injury (TBI) experience changes in their level of consciousness (LOC). Royal Jelly is used in the treatment of neurological diseases. Objective: This study aimed to examine the effect of royal jelly on the LOC of patients with TBI. Methods: This double-blind randomized trial was performed in 2020 on 61 patients with TBI admitted to the intensive care unit. The patients were recruited consecutively and randomly assigned to an intervention (n = 33) and a control (n = 28) group. Patients in the intervention group received 3000 mg of royal jelly orally each day for 14 days, while those in the control group received routine care. The LOC was evaluated using the Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) score from day 1 to day 14. Data were analyzed using the repeated measures analysis and analysis of covariance. Results: The mean baseline GCS scores of the intervention and the control group were 4.39 ± 0.61and 4.82 ± 0.77, respectively, and changed to 11.93 ± 2.41 and 7.60 ± 2.51 at the end of the 14th day (P < 0.001). Furthermore, the mean baseline FOUR scores of the intervention and the control groups were 6.06±0.93 and 6.42 ± 1.16, respectively, and changed to 13.88 ± 2.57 and 9.71 ± 2.40 at the end of the study (P < 0.001). Conclusion: Using royal jelly for 2 weeks could improve the LOC of patients with TBI. However, further studies are recommended to determine the dose and duration of the usage.
{"title":"The effect of royal jelly on the level of consciousness in patients with traumatic brain injury: A double-blind randomized clinical trial","authors":"Z. Shafiee, N. Hanifi, V. Rashtchi","doi":"10.4103/nms.nms_103_21","DOIUrl":"https://doi.org/10.4103/nms.nms_103_21","url":null,"abstract":"Background: Patients with traumatic brain injury (TBI) experience changes in their level of consciousness (LOC). Royal Jelly is used in the treatment of neurological diseases. Objective: This study aimed to examine the effect of royal jelly on the LOC of patients with TBI. Methods: This double-blind randomized trial was performed in 2020 on 61 patients with TBI admitted to the intensive care unit. The patients were recruited consecutively and randomly assigned to an intervention (n = 33) and a control (n = 28) group. Patients in the intervention group received 3000 mg of royal jelly orally each day for 14 days, while those in the control group received routine care. The LOC was evaluated using the Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) score from day 1 to day 14. Data were analyzed using the repeated measures analysis and analysis of covariance. Results: The mean baseline GCS scores of the intervention and the control group were 4.39 ± 0.61and 4.82 ± 0.77, respectively, and changed to 11.93 ± 2.41 and 7.60 ± 2.51 at the end of the 14th day (P < 0.001). Furthermore, the mean baseline FOUR scores of the intervention and the control groups were 6.06±0.93 and 6.42 ± 1.16, respectively, and changed to 13.88 ± 2.57 and 9.71 ± 2.40 at the end of the study (P < 0.001). Conclusion: Using royal jelly for 2 weeks could improve the LOC of patients with TBI. However, further studies are recommended to determine the dose and duration of the usage.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"96 - 102"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48937220","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. Borzoee, M. Rad, Arezoo Motlagh Quchan, Z. Tabrizi, N. Heshmatifar, Sedighe Rastaghi, M. Sahebkar
Background: Patients receiving hemodialysis experience high levels of anxiety and stress. Objectives: This study aimed to examine the effect of humor on anxiety in patients receiving hemodialysis. Methods: This open-label, randomized, controlled trial was conducted in 2018, on 63 patients receiving hemodialysis in Sabzevar, Iran. The participants were randomly assigned to an intervention and a control group using a permuted block randomization method. The intervention group participated in humor therapy sessions twice a week for 3 weeks. The control group received no intervention. Data were collected using Spielberger's State-Trait Anxiety Inventory (STAI) before and 3 weeks after the intervention. Data were analyzed using the independent samples and the paired t tests. Results: The mean age of the participants was 61.85 ± 7.93 and 54.61 ± 5.89 in the intervention and control groups, respectively (P = 0.217). The mean baseline and posttest trait anxiety (TA) scores were not significantly different between the two groups (P = 0.152 and 0.170, respectively). Also, the mean baseline scores of state anxiety (SA) in the intervention and the control groups were 48.45 ± 14.21 and 47.28 ± 15.12, respectively (P = 0.133). However, after the intervention, the mean score of SA decreased to 27.45 ± 16.65 in the intervention group (P < 0.001), but this score increased to 49.43 ± 15.42 in the control group (P = 0.227). Conclusion: Humor therapy was effective in reducing SA. Hence, nurses working in hemodialysis departments are advised to use humor therapy as an easy, low-cost, and effective complementary therapy to reduce patients' anxiety during a hemodialysis session.
{"title":"The effect of humor on anxiety in patients receiving hemodialysis: An open-label, randomized trial","authors":"F. Borzoee, M. Rad, Arezoo Motlagh Quchan, Z. Tabrizi, N. Heshmatifar, Sedighe Rastaghi, M. Sahebkar","doi":"10.4103/nms.nms_130_21","DOIUrl":"https://doi.org/10.4103/nms.nms_130_21","url":null,"abstract":"Background: Patients receiving hemodialysis experience high levels of anxiety and stress. Objectives: This study aimed to examine the effect of humor on anxiety in patients receiving hemodialysis. Methods: This open-label, randomized, controlled trial was conducted in 2018, on 63 patients receiving hemodialysis in Sabzevar, Iran. The participants were randomly assigned to an intervention and a control group using a permuted block randomization method. The intervention group participated in humor therapy sessions twice a week for 3 weeks. The control group received no intervention. Data were collected using Spielberger's State-Trait Anxiety Inventory (STAI) before and 3 weeks after the intervention. Data were analyzed using the independent samples and the paired t tests. Results: The mean age of the participants was 61.85 ± 7.93 and 54.61 ± 5.89 in the intervention and control groups, respectively (P = 0.217). The mean baseline and posttest trait anxiety (TA) scores were not significantly different between the two groups (P = 0.152 and 0.170, respectively). Also, the mean baseline scores of state anxiety (SA) in the intervention and the control groups were 48.45 ± 14.21 and 47.28 ± 15.12, respectively (P = 0.133). However, after the intervention, the mean score of SA decreased to 27.45 ± 16.65 in the intervention group (P < 0.001), but this score increased to 49.43 ± 15.42 in the control group (P = 0.227). Conclusion: Humor therapy was effective in reducing SA. Hence, nurses working in hemodialysis departments are advised to use humor therapy as an easy, low-cost, and effective complementary therapy to reduce patients' anxiety during a hemodialysis session.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"112 - 117"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47499504","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: Postoperative shoulder pain is one of the complications after laparoscopic cholecystectomy (LC). Medications used to treat shoulder pain have side effects. Objectives: The aim of this study was to examine the effect of lavender oil aromatherapy on shoulder pain after LC. Methods: In this single-blind randomized controlled trial, 64 patients who underwent LC were randomly allocated into two groups to receive lavender oil aromatherapy or routine treatment. The intervention began in the recovery room after the patient responded to stimuli. First, the patient's pain was assessed. Then, aromatherapy was started for the intervention group, and afterward, pain measurement was repeated at 5, 25, and 60 min after the intervention. The pain intensity was assessed using a visual analog scale. Patients in the control group received no intervention other than routine care and treatment, but their pain intensity was measured at the same time as patients in the intervention group. Data analysis was performed using the Chi-square, independent-samples and paired t-tests, and repeated-measures analysis. Results: The mean baseline pain severity of the control and aromatherapy groups was 6.26 ± 1.44 and 7.20 ± 1.44, respectively, and changed to 9.06 ± 0.65 and 3.73 ± 0.86 at the end of the study. Repeated-measures analysis showed that over time, the mean pain intensity was decreasing in the intervention group (P < 0.05), while it had an increasing trend in the control group. Conclusion: Lavender oil aromatherapy was effective in reducing the postsurgical shoulder pain after LC.
{"title":"The effect of lavender oil aromatherapy on the shoulder-tip pain after laparoscopic cholecystectomy: A randomized controlled trial","authors":"Niloofar Hajati, S. Rarani, A. Ghadami","doi":"10.4103/nms.nms_106_21","DOIUrl":"https://doi.org/10.4103/nms.nms_106_21","url":null,"abstract":"Background: Postoperative shoulder pain is one of the complications after laparoscopic cholecystectomy (LC). Medications used to treat shoulder pain have side effects. Objectives: The aim of this study was to examine the effect of lavender oil aromatherapy on shoulder pain after LC. Methods: In this single-blind randomized controlled trial, 64 patients who underwent LC were randomly allocated into two groups to receive lavender oil aromatherapy or routine treatment. The intervention began in the recovery room after the patient responded to stimuli. First, the patient's pain was assessed. Then, aromatherapy was started for the intervention group, and afterward, pain measurement was repeated at 5, 25, and 60 min after the intervention. The pain intensity was assessed using a visual analog scale. Patients in the control group received no intervention other than routine care and treatment, but their pain intensity was measured at the same time as patients in the intervention group. Data analysis was performed using the Chi-square, independent-samples and paired t-tests, and repeated-measures analysis. Results: The mean baseline pain severity of the control and aromatherapy groups was 6.26 ± 1.44 and 7.20 ± 1.44, respectively, and changed to 9.06 ± 0.65 and 3.73 ± 0.86 at the end of the study. Repeated-measures analysis showed that over time, the mean pain intensity was decreasing in the intervention group (P < 0.05), while it had an increasing trend in the control group. Conclusion: Lavender oil aromatherapy was effective in reducing the postsurgical shoulder pain after LC.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"118 - 122"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47391901","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: Sleep disorders and compassion fatigues are two main physical and psychological problems among nurses, particularly during the coronavirus disease 2019 (COVID-19) pandemic. Objectives: The aim of this study was to assess the effects of acupressure on sleep quality and compassion fatigue among emergency and critical care nurses during the COVID-19 pandemic. Methods: This randomized controlled trial was conducted in 2020. Participants were eighty nurses recruited from two hospitals in Iran and randomly allocated to control and intervention groups. Acupressure on the Shenmen point was self-administered by participants twice daily for 30 days. The Pittsburg Sleep Quality Index and the Nurses' Compassion Fatigue Inventory were used for data collection before and after the intervention. Data analysis was done using the paired-sample t, independent-sample t, Chi-square, and Mann–Whitney U tests as well as the analysis of covariance. Results: The mean score of the subjective sleep quality, sleep latency, sleep duration, and sleeping medication dimensions of sleep quality significantly decreased in the intervention group (P < 0.05). Moreover, despite no significant between-group difference respecting the pretest mean scores of sleep quality and its dimensions (P > 0.05), the posttest mean scores of sleep quality and its subjective sleep quality, sleep latency, sleep disturbances, and sleeping medication dimensions in the intervention group were significantly less than the control group (P < 0.05). Conclusion: As a noninvasive technique, acupressure can be used to significantly improve sleep quality among nurses during the COVID-19 pandemic.
{"title":"The effects of acupressure on sleep quality and compassion fatigue among emergency and critical care nurses during the coronavirus disease 2019 pandemic: A clinical trial","authors":"Sajad Abasi, H. Akbari, Mahdieh Sabery","doi":"10.4103/nms.nms_97_21","DOIUrl":"https://doi.org/10.4103/nms.nms_97_21","url":null,"abstract":"Background: Sleep disorders and compassion fatigues are two main physical and psychological problems among nurses, particularly during the coronavirus disease 2019 (COVID-19) pandemic. Objectives: The aim of this study was to assess the effects of acupressure on sleep quality and compassion fatigue among emergency and critical care nurses during the COVID-19 pandemic. Methods: This randomized controlled trial was conducted in 2020. Participants were eighty nurses recruited from two hospitals in Iran and randomly allocated to control and intervention groups. Acupressure on the Shenmen point was self-administered by participants twice daily for 30 days. The Pittsburg Sleep Quality Index and the Nurses' Compassion Fatigue Inventory were used for data collection before and after the intervention. Data analysis was done using the paired-sample t, independent-sample t, Chi-square, and Mann–Whitney U tests as well as the analysis of covariance. Results: The mean score of the subjective sleep quality, sleep latency, sleep duration, and sleeping medication dimensions of sleep quality significantly decreased in the intervention group (P < 0.05). Moreover, despite no significant between-group difference respecting the pretest mean scores of sleep quality and its dimensions (P > 0.05), the posttest mean scores of sleep quality and its subjective sleep quality, sleep latency, sleep disturbances, and sleeping medication dimensions in the intervention group were significantly less than the control group (P < 0.05). Conclusion: As a noninvasive technique, acupressure can be used to significantly improve sleep quality among nurses during the COVID-19 pandemic.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"79 - 84"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47821525","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: One strategy that parents use to achieve peace and recovery following the death of a child is to continue bonding with their dead children. Older adults with the death of a child are a vulnerable group, but no study has been conducted on them in Iran. Objectives: The current study aimed to explore the relationship between older adults and their dead children. Methods: This qualitative study utilized the grounded theory method. The data were gathered through purposive sampling during 2020–2021. Semi-structured interviews were conducted with 13 older adults who had experienced a child death. The method of Corbin and Strauss (2015) was used to analyze the data. The Guba and Lincoln criteria were used to ensure the data trustworthiness. The data were managed using MAXQDA12. Results: The participants' mean age was 68.30 ± 7.39 years, and 76.9% of them were female. The findings were categorized into three major categories and nine subcategories. The three major categories of “staying connected with the dead child,” “attempting to seek peace for the dead child,” and “keeping the child's memories alive” emerged from the participants' experiences, along with the theme of “unbreakable bond with the child.” Conclusion: As a protective strategy, the continuing bond between the older parents and their dead children aided in their adjustment. It is suggested that health-care providers facilitate the acceptance of child death in these older adults through providing group counseling and reminiscence sessions.
背景:在孩子去世后，父母用来获得平静和恢复的一种策略是继续与死去的孩子建立联系。有子女死亡的老年人属于弱势群体，但在伊朗没有对他们进行过研究。目的:本研究旨在探讨老年人与其死去的子女之间的关系。方法:采用扎根理论方法进行定性研究。这些数据是在2020-2021年期间通过有目的抽样收集的。对13名经历过儿童死亡的老年人进行了半结构化访谈。采用Corbin and Strauss(2015)的方法对数据进行分析。采用Guba和Lincoln标准来保证数据的可信度。使用MAXQDA12对数据进行管理。结果:参与者平均年龄68.30±7.39岁，女性占76.9%。研究结果被分为三大类别和九个子类别。“与死去的孩子保持联系”、“试图为死去的孩子寻求安宁”、“保持孩子的记忆”这三个主要类别，以及“与孩子的牢不可破的纽带”的主题，从参与者的经历中浮现出来。结论:作为一种保护策略，年迈的父母和他们死去的孩子之间的持续联系有助于他们的调整。建议卫生保健提供者通过提供小组咨询和回忆会议，促进这些老年人接受儿童死亡。
{"title":"An unbreakable bond between older adults and their dead children: A qualitative study","authors":"A. Safa, M. Adib-Hajbaghery, M. Rezaei","doi":"10.4103/nms.nms_111_21","DOIUrl":"https://doi.org/10.4103/nms.nms_111_21","url":null,"abstract":"Background: One strategy that parents use to achieve peace and recovery following the death of a child is to continue bonding with their dead children. Older adults with the death of a child are a vulnerable group, but no study has been conducted on them in Iran. Objectives: The current study aimed to explore the relationship between older adults and their dead children. Methods: This qualitative study utilized the grounded theory method. The data were gathered through purposive sampling during 2020–2021. Semi-structured interviews were conducted with 13 older adults who had experienced a child death. The method of Corbin and Strauss (2015) was used to analyze the data. The Guba and Lincoln criteria were used to ensure the data trustworthiness. The data were managed using MAXQDA12. Results: The participants' mean age was 68.30 ± 7.39 years, and 76.9% of them were female. The findings were categorized into three major categories and nine subcategories. The three major categories of “staying connected with the dead child,” “attempting to seek peace for the dead child,” and “keeping the child's memories alive” emerged from the participants' experiences, along with the theme of “unbreakable bond with the child.” Conclusion: As a protective strategy, the continuing bond between the older parents and their dead children aided in their adjustment. It is suggested that health-care providers facilitate the acceptance of child death in these older adults through providing group counseling and reminiscence sessions.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"146 - 152"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43934701","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: Family caregivers of patients with cancer deal with high levels of psychological distress. Objectives: This study aimed to investigate the effect of online mindfulness self-compassion (MSC) training programs on psychological distress in family caregivers of patients with cancer. Methods: This quasi-experimental study was conducted in 2020 on 92 family caregivers of patients with cancer. The participants were conveniently recruited from the family caregivers of patients referred to Seyed Al-Shohada Oncology Hospital, in Isfahan, Iran, and randomly allocated to two groups to receive either 1.5 months of online MSC training program or be treated as usual. All participants completed the Kessler psychological distress scale before, immediately after, and 1 month after the intervention. Data were analyzed using the Mann–Whitney U, Chi-square, repeated measures analysis of variance, t, and least significant difference post hoc tests. Results: The mean baseline psychological distress scores were 36.39 ± 4.71 and 35.97 ± 4.06 in the intervention and control groups, respectively (P > 0.05). Immediately after the intervention and 1 month after, the mean scores of psychological distress decreased significantly in the intervention group to reach 26.30 ± 3.91 and 27.73 ± 3.49 (P < 0.001), but no significant changes were found in the mean distress scores of the control group in the second and third measurements. Conclusion: The implementation of an online MSC training program reduced the psychological distress of family caregivers of patients with cancer. Therefore, the same program can be implemented to support such caregivers.
背景：癌症患者的家庭护理人员面临着高水平的心理困扰。目的：本研究旨在调查在线正念自我陪伴（MSC）培训项目对癌症患者家庭护理人员心理困扰的影响。方法：本准实验研究于2020年对癌症患者的92名家庭护理人员进行。参与者很方便地从伊朗伊斯法罕Seyed Al Shohada肿瘤医院转诊的患者的家庭护理人员中招募，并随机分配到两组，接受1.5个月的在线MSC培训计划或照常治疗。所有参与者在干预前、干预后和干预后1个月完成了Kessler心理困扰量表。使用Mann–Whitney U、卡方、重复测量方差分析、t和最小显著性差异事后检验对数据进行分析。结果：干预组和对照组的平均基线心理痛苦评分分别为36.39±4.71和35.97±4.06（P>0.05）。干预后即刻和1个月，干预组的平均心理痛苦评分显著下降，分别达到26.30±3.91和27.73±3.49（P<0.001），但在第二次和第三次测量中，对照组的平均痛苦评分没有发现显著变化。结论：MSC在线培训项目的实施减少了癌症患者家庭护理人员的心理困扰。因此，可以实施相同的计划来支持这些护理人员。
{"title":"The effect of an online mindfulness self-compassion training program on psychological distress in caregivers of patients with cancer","authors":"Fatemeh Noei, V. Atashi, E. Ashouri","doi":"10.4103/nms.nms_101_21","DOIUrl":"https://doi.org/10.4103/nms.nms_101_21","url":null,"abstract":"Background: Family caregivers of patients with cancer deal with high levels of psychological distress. Objectives: This study aimed to investigate the effect of online mindfulness self-compassion (MSC) training programs on psychological distress in family caregivers of patients with cancer. Methods: This quasi-experimental study was conducted in 2020 on 92 family caregivers of patients with cancer. The participants were conveniently recruited from the family caregivers of patients referred to Seyed Al-Shohada Oncology Hospital, in Isfahan, Iran, and randomly allocated to two groups to receive either 1.5 months of online MSC training program or be treated as usual. All participants completed the Kessler psychological distress scale before, immediately after, and 1 month after the intervention. Data were analyzed using the Mann–Whitney U, Chi-square, repeated measures analysis of variance, t, and least significant difference post hoc tests. Results: The mean baseline psychological distress scores were 36.39 ± 4.71 and 35.97 ± 4.06 in the intervention and control groups, respectively (P > 0.05). Immediately after the intervention and 1 month after, the mean scores of psychological distress decreased significantly in the intervention group to reach 26.30 ± 3.91 and 27.73 ± 3.49 (P < 0.001), but no significant changes were found in the mean distress scores of the control group in the second and third measurements. Conclusion: The implementation of an online MSC training program reduced the psychological distress of family caregivers of patients with cancer. Therefore, the same program can be implemented to support such caregivers.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"90 - 95"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45990205","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}
Roghayeh Azami, A. Farshbaf‐Khalili, M. Mahdipour, Farhood Firozsalar, Mahnaz Shahnazi
Background: The declining levels of estrogen during menopause are linked with numerous somatic and psychological complications. Objectives: This study aimed to examine the effect of Nigella sativa (N. sativa) oil on early menopausal symptoms and serum levels of some oxidative markers in postmenopausal women. Methods: This randomized placebo trial was conducted on 72 menopausal women aged 45–60 years. Participants were randomly allocated to placebo and intervention groups with an equal allocation ratio (1:1). Patients in the intervention group received one N. sativa oil capsule (1000 mg), whereas the placebo group received a placebo capsule at night for 8 weeks. Data were collected through the demographics questionnaire, the Greene's Climacteric Scale, and a form for recording the number of daily hot flashes. Furthermore, the serum levels of total antioxidant capacity (TAC) and malondialdehyde (MDA) were measured before and 8 weeks after the intervention. Data were analyzed using the independent-samples t, Chi-square, Mann-Whitney U, and Friedman tests as well as the repeated-measures analysis of variance. Results: The participants were matched in baseline values. The mean baseline score of the Greene's scale was 22.5 ± 9.5 in the intervention group and 20.0 ± 8.0 in the placebo group (P = 0.397). Mean scores had significantly reduced in both groups at the end of weeks 4 and 8. However, the intervention group experienced a more remarkable decrease in Greene's score (adjusted MDLog10 = −0.16 (−0.29 to −0.05); P = 0.019). There were no significant differences between the two groups in the subscales of Greene's scale (P > 0.05). No significant difference was observed between the groups in serum levels of TAC (P = 0.250) and MDA (P = 0.444). Conclusion: N. sativa reduced the total score of menopausal symptoms and hot flashes in menopausal women; however, it had no significant effect on the serum levels of oxidative stress markers.
{"title":"Effect of Nigella sativa Oil on early menopausal symptoms and serum levels of oxidative markers in menopausal women: A randomized, triple-blind clinical trial","authors":"Roghayeh Azami, A. Farshbaf‐Khalili, M. Mahdipour, Farhood Firozsalar, Mahnaz Shahnazi","doi":"10.4103/nms.nms_47_21","DOIUrl":"https://doi.org/10.4103/nms.nms_47_21","url":null,"abstract":"Background: The declining levels of estrogen during menopause are linked with numerous somatic and psychological complications. Objectives: This study aimed to examine the effect of Nigella sativa (N. sativa) oil on early menopausal symptoms and serum levels of some oxidative markers in postmenopausal women. Methods: This randomized placebo trial was conducted on 72 menopausal women aged 45–60 years. Participants were randomly allocated to placebo and intervention groups with an equal allocation ratio (1:1). Patients in the intervention group received one N. sativa oil capsule (1000 mg), whereas the placebo group received a placebo capsule at night for 8 weeks. Data were collected through the demographics questionnaire, the Greene's Climacteric Scale, and a form for recording the number of daily hot flashes. Furthermore, the serum levels of total antioxidant capacity (TAC) and malondialdehyde (MDA) were measured before and 8 weeks after the intervention. Data were analyzed using the independent-samples t, Chi-square, Mann-Whitney U, and Friedman tests as well as the repeated-measures analysis of variance. Results: The participants were matched in baseline values. The mean baseline score of the Greene's scale was 22.5 ± 9.5 in the intervention group and 20.0 ± 8.0 in the placebo group (P = 0.397). Mean scores had significantly reduced in both groups at the end of weeks 4 and 8. However, the intervention group experienced a more remarkable decrease in Greene's score (adjusted MDLog10 = −0.16 (−0.29 to −0.05); P = 0.019). There were no significant differences between the two groups in the subscales of Greene's scale (P > 0.05). No significant difference was observed between the groups in serum levels of TAC (P = 0.250) and MDA (P = 0.444). Conclusion: N. sativa reduced the total score of menopausal symptoms and hot flashes in menopausal women; however, it had no significant effect on the serum levels of oxidative stress markers.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"103 - 111"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41644895","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}
I. Patimah, Ernawati Koesendang, Sopiah Nurmawan, Aisyah Minaf
Background: Hypothermia appears predominant among low birth weight (LBW) newborns. This condition tends to instigate severe medical complications, including acidosis, cerebral hemorrhage, hypoglycemia, and hyaline membrane disease. Objective: The purpose of this study was to examine the effectiveness of swaddling technique in hypothermia prevention among LBW neonates. Methods: This randomized controlled trial was conducted on 40 recent babies (20 controls and 20 interventions), using a pre- and post-test design. In the intervention group, a polyethylene swaddling was used, and in the control group, a cloth swaddling was used. Digital axillary thermometer was used to detect the body temperature. Mann–Whitney U-test and Wilcoxon test were employed to examine the temperature difference between the two groups. Results: This observation showed a trend toward improvement in average temperature in the intervention group (pre 34.8°C, post 36.4°C) compared to the control group (pre 33.3°C, post 34.9°C). There were significant within-group changes in both groups (P < 0.05) although no significant difference was found between the two groups (P = 0.267). Conclusions: Both polyethylene and cloth swaddling methods showed improvement in neonate temperature. These methods are therefore highly recommended as alternatives in hypothermia prevention among LBW infants.
{"title":"The effect of polyethylene swaddle in hypothermia prevention among low birth weight neonates","authors":"I. Patimah, Ernawati Koesendang, Sopiah Nurmawan, Aisyah Minaf","doi":"10.4103/nms.nms_63_20","DOIUrl":"https://doi.org/10.4103/nms.nms_63_20","url":null,"abstract":"Background: Hypothermia appears predominant among low birth weight (LBW) newborns. This condition tends to instigate severe medical complications, including acidosis, cerebral hemorrhage, hypoglycemia, and hyaline membrane disease. Objective: The purpose of this study was to examine the effectiveness of swaddling technique in hypothermia prevention among LBW neonates. Methods: This randomized controlled trial was conducted on 40 recent babies (20 controls and 20 interventions), using a pre- and post-test design. In the intervention group, a polyethylene swaddling was used, and in the control group, a cloth swaddling was used. Digital axillary thermometer was used to detect the body temperature. Mann–Whitney U-test and Wilcoxon test were employed to examine the temperature difference between the two groups. Results: This observation showed a trend toward improvement in average temperature in the intervention group (pre 34.8°C, post 36.4°C) compared to the control group (pre 33.3°C, post 34.9°C). There were significant within-group changes in both groups (P < 0.05) although no significant difference was found between the two groups (P = 0.267). Conclusions: Both polyethylene and cloth swaddling methods showed improvement in neonate temperature. These methods are therefore highly recommended as alternatives in hypothermia prevention among LBW infants.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"85 - 89"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49376020","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}
L. Valizadeh, Azam Romouzi, P. Aghajari, Mohammadasghar Jafarabadi
Background: Hospitalization induces anxiety and causes sleep disorders in children. Objective: This study aimed to examine the effects of listening and reading a tale on anxiety and sleeping onset time (SOT) among hospitalized children with fracture. Methods: This randomized clinical trial was conducted on 102 children with extremity fracture in Shohada Hospital of Tabriz in 2018–2019. Subjects were recruited consecutively and randomly allocated into three groups: control, storytelling, and simultaneous listening to and reading a tale. The data were collected using a demographic information questionnaire: questions on SOT, heart rate, and the Reynolds and Richmond Children's Anxiety Questionnaire. One-way analysis of variance, paired t-test, Chi-square and Fisher's exact test, and analysis of covariance were used to analyze the data. Results: Mean SOT, mean anxiety, and mean pulse rate did not significantly differ between the three groups at baseline. After the intervention, the mean SOT and mean pulse rate decreased significantly in all three groups (P < 0.001); however, the between-group differences were not statistically significant (P > 0.50). The mean manifest anxiety did not change significantly in any of the groups (P > 0.05). Conclusion: Storytelling had no effect on anxiety, heart rate, and SOT of children with fractures. Further studies can help determine the best method of storytelling for children with fractures.
{"title":"The effects of storytelling on anxiety and sleep in hospitalized children with fracture: A randomized clinical trial","authors":"L. Valizadeh, Azam Romouzi, P. Aghajari, Mohammadasghar Jafarabadi","doi":"10.4103/nms.nms_132_21","DOIUrl":"https://doi.org/10.4103/nms.nms_132_21","url":null,"abstract":"Background: Hospitalization induces anxiety and causes sleep disorders in children. Objective: This study aimed to examine the effects of listening and reading a tale on anxiety and sleeping onset time (SOT) among hospitalized children with fracture. Methods: This randomized clinical trial was conducted on 102 children with extremity fracture in Shohada Hospital of Tabriz in 2018–2019. Subjects were recruited consecutively and randomly allocated into three groups: control, storytelling, and simultaneous listening to and reading a tale. The data were collected using a demographic information questionnaire: questions on SOT, heart rate, and the Reynolds and Richmond Children's Anxiety Questionnaire. One-way analysis of variance, paired t-test, Chi-square and Fisher's exact test, and analysis of covariance were used to analyze the data. Results: Mean SOT, mean anxiety, and mean pulse rate did not significantly differ between the three groups at baseline. After the intervention, the mean SOT and mean pulse rate decreased significantly in all three groups (P < 0.001); however, the between-group differences were not statistically significant (P > 0.50). The mean manifest anxiety did not change significantly in any of the groups (P > 0.05). Conclusion: Storytelling had no effect on anxiety, heart rate, and SOT of children with fractures. Further studies can help determine the best method of storytelling for children with fractures.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"123 - 129"},"PeriodicalIF":0.8,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49611159","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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