Background & Aims: Mindfulness-based interventions are one of the third generation or the third wave cognitive-behavioral therapies, which has its roots in Buddhism. In other words, these interventions are considered a kind of meditation and can reduce stress. The clinical self-efficacy of nursing students will enhance their ability to learn nursing concepts and skills. Therefore, the present study aimed to determine the effect of mindfulness-based education on the students’ clinical self-efficacy. Methods: This quasi-experimental study had a sample size of 46 cases who were randomly selected from nursing students of Boukan Nursing School and divided into two groups of control and intervention. The data were collected using a self-efficacy clinical questionnaire for the nursing students. The intervention was carried out based on the guidelines of Kabat-Zinn mindfulness sessions. Data were analyzed in SPSS software (version 20) through descriptive tests and t-test. Results: The study revealed that the mean±SD scores of the students’ self-efficacy after the intervention were 79.92±13.61 and 64.78±16.02 in the intervention and control groups, respectively, which shows a statistically significant difference between these two groups (P<0.001). Moreover, the mean scores of the students’ self-efficacy in the intervention group increased from 66.71±15.01 to 79.92±13.61 (P<0.001). Conclusion: The attendance of nursing students in mindfulness-based courses and workshops has a significant impact on increasing their clinical self-efficacy. Therefore, not only do these training courses advance the level of self-efficacy in students, but also they improve the provision of medical care provided to the patients.
Background & Aims: Although hip joint replacement is one of the most successful orthopedic surgeries and is referred to as the operation of the century, the rehabilitation period after this surgery is usually lengthy and can affect the physical and mental health of the patients. This study aimed to evaluate the effectiveness of self-care training using the educational booklet on the physical and mental health of the patients undergoing hip joint replacement surgery. Methods: In this randomized controlled clinical trial, 60 patients were selected using convenience sampling method from those who had referred to two selected hospitals of Iran University of Medical Sciences during 2016 and were divided into experimental (n=30) and control (n=30) groups. Data were collected using demographic characteristics form and SF-36 Quality of Life Questionnaire. At the beginning of the study, the demographic characteristics forms were completed by the study participants. Afterward, the patients in the experimental group were given self-care training using an educational booklet. The training was completed in 5 sessions, and each session lasted 30-45 minutes. The SF-36 Quality of Life Questionnaire was completed by the participants on the day of discharge and eight weeks later when they visited the clinic again. Data were analyzed using SPSS software (version 20) through descriptive statistics (i.e. frequency, frequency percentage, and mean±SD) and inferential statistics (i.e. Chi-square, Wilcoxon, and Mann-Whitney tests). Results: In general, a significant increase was observed in the mean scores of physical and mental health in both groups two months after the discharge, compared to those obtained at the time of discharge (P<0.05). However, the extent of differences in scores was different in the two groups. The changes in the physical and mental health scores during the discharge and two months later in the experimental group were estimated at 17.33±9.78 and 27.69±12.47, respectively. However, the changes in the physical and mental health scores during the discharge and two months later in the control group were obtained at 5.29±9.45 and 5.49±14.72. Comparison of mean scores of changes in both groups revealed that there was a significant increase in the mean scores of physical and mental health in the experimental group, compared to the controls (P<0.001). Conclusion: Based on the results, the adoption of self-care training using the educational booklet promoted the physical and mental health of the patients who had undergone hip joint replacement surgery. Therefore, it is suggested that this training method should be used more frequently in the educational programs of patients who undergo hip replacement surgery. Moreover, future researches should examine the effectiveness of novel educational methods, such as education using social networks
Due to the constant need for research to develop new and effective antiviral agents, medicinal plants can be a very good tool for the discovery and production of antiviral drugs. Extensive studies have been conducted in this field so far. Nurses, as one of the most important members of the health care team in COVID19 diseases, can play an important role in preventing the excessive and excessive consumption of medicinal plants prescribed by non-specialists.The importance of topics such as the interaction of active ingredients in medicinal plants with the routine treatments and even the precautions of their use with many underlying diseases, can be taught through nurses. On the other hand, by educating and using medicinal plants in the form of clinical trials and under the supervision of specialized physicians, it can be helpful to identify effective medicinal plants and new medicinal sources.
Background & Objective: Polycystic ovary syndrome is the most common endocrine disorder in women. Multiple-drug treatments and prolonged treatments often cause patients to discontinue the treatment. Considering the side-effects of chemical drugs, the present study aimed to investigate the effects of the combination of cumin and fennel extract on the clinical symptoms of women with polycystic ovary syndrome. Materials and Methods: This clinical trial was conducted on 70 patients with polycystic ovary syndrome, who were selected randomly from the patients referring to the teaching hospitals in Shahrekord, Iran. The patients were randomly divided into two groups of intervention and control. The intervention group received capsules containing fennel and black cumin, and the control group received placebo twice per day for four months. Before and after the intervention, the clinical symptoms of the subjects were evaluated in both groups. Data analysis was performed in SPSS. Results: In the intervention group, a significant reduction was observed in hirsutism, while the menstrual duration increased compared to the control group (P 0.05). Conclusion: According to the results, the combination of fennel and cumin extract could effectively improve the clinical symptoms of the patients with polycystic ovary syndrome. Therefore, the herbal mixture could be used as a non-toxic medication for the treatment of these patients. Keywords: Cumin, Fennel, Polycystic Ovary Syndrome, Clinical Symptoms
Abstract The need for the constant presence of nurses in patient care and the non-cooperation of other care providers has made the conflict in the defined roles an inevitable issue in the nurseschr('39') daily care activities. This study aimed to analyze and define the concept of nursing care role conflict and determine its causes and consequences. Methods: This concept analysis study was conducted with detailed research on databases, including SID, Iranmedex, MEDLIB-ED, PubMed, Scopus, Medline, Embase, Web of Science, and Google Scholar. The English and Persian articles published within 2010-2020 were included and the search process was performed with the following keywords: "Care role conflict", "Role conflict", "Nurses", and "Nurse". The review of the titles and content of articles was based on inclusion criteria. Data analysis was performed using the Walker and Avantchr('39')s 8-Step Method. Results: Numerous factors, such as inequality in the distribution of financial rewards, high workload, inappropriate management systems, and lack of specified job description, are among the effective factors leading to the creation of nursing care role conflict. Various concepts were used rather than nursing care role conflict, among which included role ambiguity, unclear goals, role insecurity, uncertain expectations, misinterpretation confusion, exhaustion, and job stress, as well as lack of clarity and planning. Conclusion: It was revealed that the lack of clarity in job descriptions was the main cause of the nursing care role conflict. Moreover, the supportive and protective nursing roles were effective in the creation of nursing care role conflict.
Background and Aim: ICU is one of the vital departments in the hospital to reduce mortality and morbidity. The department where nurses face complex situations that require decision-making skills. In fact, problem solving is an important and complex issue clinical practice, and decision-making is an important indicator. The purpose of the study was to investigate the effect of SBAR-based patient safety education program on nurseschr('39') clinical decision making in intensive care unit nurses. Methods: The quasi-experimental study was performed on 60 nurses working in intensive care units of Ayatollah Kashani and Hajar hospitals in Shahrekord, Iran in 1398. The subjects were randomly assigned to two experimental and control groups (30 people each). For the experimental group, five SBAR-based training program was held (Situation, Background, Assessment, and Recommendation). Data were collected using Lori et al. (2001) clinical decision making questionnaire before and one month after the intervention respectively. The collected data were analyzed using analysis of covariance in SPSS software (version 22). Results: According to the findings, the clinical decision-making score of the test group nurses before the intervention was 69.1± 5.44 and after the intervention was 80.8 ± 7.22 (P<0.001). In the control group, it was 70.6 ±6.94 before intervention and 71.1 ± 6.72 after intervention (P = 0.214). The rate of changes in the experimental group was 11.7 ± 3.79 and in the control, group was 0.53 ± 2.3. The results of the study showed that the implementation for the patient safety-training program based on SBAR technique had a significant effect on the mean score of clinical decision making of nurses. Conclusion: The program training based on SBAR technique is effective on nurses chr('39')clinical decision-making. Therefore, it is suggested that HEC and planners benefit from this technique.
Background and Objective: Effective communication requires proper communication skills. Improving the quality of communication skills is considered to be a global issue. The present study aimed to design, implement, and evaluate a communication skills programs for nursing students. Materials and Methods: This quasi-experimental study was conducted using the consensus method on 52 fourth-year nursing students in the six steps of Kern. In the first and second stages, the needs of the students were assessed via focus group analysis and interviews. Correspondingly, the third step involved setting goals, including the clarification of the importance of communication skills, applying various communication models, performing various scenarios in apathetic, sympathetic, and empathetic roles, and determining the planning approach for parental meeting. In the fourth stage, various methods (e.g., slides, scenarios, and role-playing) were applied as the effective strategies to achieve the goals. The processes were carried out in the clinical rooms of the Department of Nursing and Midwifery. In the fifth stage, various scenarios were performed by the students, and in the sixth stage, the applied communication skills by the students were evaluated based on a quasi-experimental method. Data analysis was performed in SPSS using dependent t-test. Results: The mean score of all the communication skills of the student was 5.95±3.72, which increased to 13.93±3.03 after the intervention, and the difference in this regard was considered significant (P≤0.001). Conclusion: According to the results, the applied communication skills program could enhance the communication skills of the nursing students. Therefore, it is recommended that communication skills be integrated into the nursing curriculum to help nurses have proper interactions with patients.
Background & Objective: Spinal cord injury is an acute, debilitating event, which leads to significant and permanent changes in the life of the patients. The present study aimed to determine the predictive power of the dimensions of the Pender health promotion model in relation to the daily activities of patients with spinal cord injury in Shahrekord, Iran in 2019. Materials and Methods: This descriptive-analytical study was conducted on 70 patients with spinal cord injury in the teaching hospitals of Shahrekord in 2019. The patients were selected via census sampling. Data were collected using a researcher-made questionnaire based on the constructs of the Pender model and a standard questionnaire of daily activity measurement. Data analysis was performed in SPSS version 21 using descriptive and analytical statistics. Results: The mean scores of daily activity and health promotion were 10.03±4.50 and 127.46±24.19, respectively. The results of the Pearson correlation-coefficient test indicated significant associations between daily activities and the constructs of the Pender health promotion model, including spiritual growth, health responsibility, physical activity, nutritional status, interpersonal relations, and stress management (P<0.05). In addition, the results of the regression analysis indicated the predictive power of the Pender pattern items to be 0.542, while the predictive power of the spiritual growth dimension was higher than the other dimensions. Conclusion: According to the results, the level of health promotion behaviors in the patients with spinal cord injury was moderate, and the spiritual growth and stress management dimensions were the strongest predictors of daily activities. Therefore, it is recommended that interventions based on health promotion lifestyle be implemented in order to enhance the daily activities of these patients, with the main focus on planning on these two dimensions through the six constructs of the Pender health promotion model. Keywords: Pender Health Promotion Pattern, Daily Living Activities, Spinal Cord Injury Patients
Background and Objective: Several physical and psychological factors may decrease the quality of life in patients with myocardial infarction. The present study aimed to evaluate the effect of multimedia education based on the family-centered approach and telephone follow-up (telenursing) on the quality of life of patients with myocardial infarction after discharge. Materials and Methods: This clinical trial was conducted on 60 patients with myocardial infarction admitted to the CCU of Hajar Hospital in Shahrekord, Iran in 2019. The patients were selected via convenience sampling and randomly divided into the intervention and control groups. In the intervention group, a workshop was implemented through multimedia software for the patients and their active family caregivers. The intervention was performed by the researcher for one month. The control group received no intervention. Quality of life was assessed before and one month after the intervention using the Minnesota living with heart failure questionnaire. Data analysis was performed in SPSS version 21 at the significance level P<0.05. Results: Before the intervention, the mean score of quality of life in the control and intervention groups was 2.94±0.31 and 2.91±0.43, respectively, which was not statistically significant (P=1). After the intervention, the mean score of quality of life was 2.86±0.22 and 4.86±0.51 in the control and intervention groups, respectively, which significantly increased in the intervention group (P≤0.001). Conclusion: It is recommended that educational interventions be incorporated in to the treatment protocol of patients with myocardial infarction with the participation of their families and regular follow-up.
Background and aim: General health is not merely the absence of illness or disability, but a state of well-being that enables one to cope with the stresses of life, become professionally and academically useful. Parentschr('39') multiple sclerosis complications have potential effects on the health of their offspring. Therefore, the aim of this study was to evaluate the effect of program based on Roy’s adaptation model on general health of offspring of patients with multiple sclerosis. Methods: This semi-experimental study was done on 80 offspring of parents with multiple sclerosis, member of the MS association and the welfare organization of Shahrekord in 2018. Samples were selected as available, Roy form were completed by them and those who scored less than 80%, entered the study. The general health questionnaire was completed in both groups before, after and two months after the intervention. In the intervention group, a program based Roy’s adaptation model was developed, implemented and followed up for six session (2session education, of general education and 4 session direct intervention). Data were analyzed by SPSS21 software and statistical tests. Results: Before intervention, the mean of general health scores between the two groups was not statistically significant (p = 0.716). But there was a significant difference immediately after (p = 0.025) and two months after the intervention (p <0.001). General health scores in the intervention group showed a significant increase. Conclusion: Using a program based on Roy’s adaptation model has a positive effect on general health of offspring of people with multiple sclerosis.
Abstract Introduction: Kidney is one of the most distinguished organs of the body. Impairment in kidney function can cause serious harm to the personchr('39')s physical and mental health. In the event of kidney failure, dialysis will perform kidney’s function, and the person will need dialysis for the rest of his or her life. Therefore, the aim of this study was to investigate the effectiveness of integrating spiritual and cognitive counseling on the level of resiliency and self-efficacy of hemodialysis patients in city of Khorramabad. Methods: A quasi-experimental study was carried out using pretest and post-test methods. The statistical population of the study included all patients who were using hemodialysis in Khorramabad’s Shahid Rahimi Hospital during the spring of 2019. The method of sampling for this study included random selection of 30 patients based on set inclusion and exclusion criteria. They were then randomly assigned into experimental and control groups (15 individuals each). Then, under identical and simultaneous conditions, the pretest was performed with Resiliency and Self-Efficacy questionnaire for participants of both groups. The group intervention protocol was then performed on the experimental group, which included a combined version of spiritual and cognitive counseling for eight 90-minute sessions. Meanwhile, the control group did not receive this or any specific interventions. Following the conclusion of these sessions, a retest was performed (post-test) on the members of both groups. Results: The results of multivariate and single-variable covariance analysis showed that the intervention of the combined model of spiritual and cognitive counseling had a significant effect on increasing the resiliency and self-efficacy of the participating hemodialysis patients (P<0.001). Conclusion: According to the results of this study, the combination of spiritual and cognitive counseling appears to be able to effectively increase the resiliency and self-efficacy of hemodialysis patients. Therefore, this method can be used by counselors and other mental health personnel to increase the resiliency and self-efficacy of hemodialysis patients. Keywords: Integration of spiritual and cognitive counseling, Resiliency, self-efficacy, hemodialysis
Ground and goal: On one hand, preterm infants need to be confined to bed. because of maintaining the vitality and continued evolution of body systems. On the other hand, various exposures to offensive procedures can cause a lot of stresses that contradict neuron-sensory evolution. Direct observation of preterm infants and recognizing its behaviors can help nurses to do evolutionary supportive care, so they can control preterm infants pain and stress; So, goal of this research is determining the effect of lullaby on sleep patterns changes in premature neonates after endotracheal suctioning. Methods: 25 confined to bed preterm infants were studied in NICU ward of Hazrat Zeinab (peace be upon her) hospital of Shiraz in 1395 in this clinical trial. Samples were selected by packing method accidentally and allocated to two groups of A, B. If preterm infant was in group A, at first received lullaby by headphone 10 minutes before and also 10 minutes after suction. Then a headphone without lullaby (silent) was put on head of preterm infants 24 hours later. If preterm infant was in group B, it will be reversed. At last, each infant was evaluated twice In both cases the physiological responses were recorded, then Collected through the APIB tool. Physiological filmed responses were recorded by tool of APIB. Data were analyzed by use of software SPSS, MannWhitney Test. Results: The results showed that there was not significant difference between (mean sleep score 10 minutes before suction in lullaby and silence group but the mean sleep score of 10 minutes after suctioning was sig,(P=0/07777 nificantly difference in the two groups. (P=0/004). Also, Comparison of the mean sleep score in the lullabies group before and after the suctiont and also in the silence group with a significant level of 0.001 Showed a significant .difference Conclusion: According to the findings of this study, lullaby is effective in improving sleep patterns of preterm infants following painful procedures. It is recommended that nurses use this method as an effective intervention to improve the sleep patterns of neonates admitted to the neonatal intensive care unit.
Introduction: The aim of this study was to determine the effect of thinking distraction on the anxiety severity in patients undergoing extracorporeal shock wave lithotripsy in the ESWL department of Ayatollah Kashani hospital in Shahrekord. Methods: This is a clinical trial study that was conducted in 2018 in 120 patients referred to Ayatollah Keshāni Hospital in Shahrekord for the purpose of extracorporeal shock wave lithotripsy. Patients were selected through convenience sampling and divided into experimental and control groups in a quasi-random method. In addition to routine care, the test group received the natural sound of the event along with its beautiful scenery, and the control group received routine care only. The patientchr('39')s anxiety was measured based on the Spielberger questionnaire. The collected data were analyzed using SPSS software, descriptive statistics and t test. Results: Mean anxiety score changes in distraction receiver group, - 21/56± 98 and in the control group was -5/21± 8/12. There was a significant difference (p = 0.001) between the control group and group receiving the thinking distraction . Conclusion: distraction method is effective in reducing anxiety in patients undergoing extracorporeal lithotripsy and can be used to manage pain in the future.
Abstract Background and aims: Spiritual intelligence as a capability of behaving with sympathy and wise along with internal and external peace is the key part in confronting with stressor challenges in critical care units. Indeed, nurses can utilize that in the best way to manage stressful situations related to units and patients. Therefore, this study aimed to assess the effect of training on spiritual intelligence and itschr('39') components. Methods: This quasi-experimental was conducted on 82 nurses (40 nurses in experiment group and 42 nurses in control group). Sampling was done in convenience method in critical care units of affiliated hospitals to Lorestan University of Medical Sciences (Shahid Rahimi and Shahid Madani hospitals). King spiritual intelligence scale was used for data gathering which its validity and reliability were confirmed. This scale was fulfilled by participants three times (before study, immediately and one month after study). Eight training sessions was held for experimental group as a workshop. There wasnchr('39')t any intervention for control group. Data were analyzed by using descriptive and inferential statistics and software SPSS15. (p=0.05) Results: The covariance analysis (by adjusting the effect of the base values of spiritual intelligence) showed that the main effect of intervention on the mean scores of spiritual intelligence was significant (p<0.05), so that after the study in the experimental group the mean scores of spiritual intelligence reached from 3.37 before the study to 78.50 after the study. Also, the covariance analysis revealed that the main effect of intervention on the mean scores of four dimensions of spiritual intelligence were significant (p<0.05), so that the training results in significant increase of the mean scores of them in the experimental group. Conclusions: Based on the results that the spiritual intelligence of nurses was at the medium level before training and the training of spiritual intelligence increased their spiritual intelligence, so by using protocols for educating and improving the spiritual intelligence in nurses, their stress in their work places and life would be reduced and finally the quality of care will be progressed.
Abstract: Introduction:Infertility is a complex life crisis that results in deep emotional and psychological pressures on couples. infertility and its treatment stages are areas of stress and hopelessness. The purpose of the present was to investigate the effect of a combined positive cognitive behavioral therapy approach on infertility stress and hope in infertile women. Methods:The method of this Research was quasi-experimental with pretest-posttest with control group. The statistical population of this Research was all infertile women referring to infertility treatment centers in Khorramabad city in 1398. The sampling method in this Research was 30 out of all infertile women who filed in 1398 in infertility treatment centers of Khorramabad city and were randomly selected and then divided into two experimental and control groups. The controls (each group of 15) were replaced. Then, under the same and simultaneous conditions, pre-test was conducted in the form of infertility and hope stress questionnaires from both experimental and control groups. Then the intervention was performed on the experimental group using the Cognitive Behavioral Therapy Approach for 10 sessions for 90 minutes but the control group did not receive any intervention. At the end of the sessions, post-test was again taken from both groups. Results:The results of Multivarate and univariate covariance analysis showed that intervention of positive cognitive behavioral intervention had a significant and Meaningful effect on reducing infertility stress and increase hope in infertile women (P <0.001). Conclusions:According to the results of this Research, it can be said that the integrated approach of positive cognitive behavioral therapy had a significant effect on reducing infertility stress and increase hope in infertile women. Therefore, it is recommended that such treatments be used to promote mental health in infertile women. Keywords:Positive Cognitive Behavioral Therapy, Infertility Stress, Hope, Infertility
Background and Aims The increasing number of patients with cancer has led to the growing use of chemotherapy drugs. This fact was followed by a growing concern about the safety and adverse effects of these drugs on healthcare staff at risks for occupational exposure to chemotherapeutic agents. This study investigated compliance with the standard principles of using Personal Protective Equipment (PPE) by nurses exposed to chemotherapy drugs. Methods This was a cross-sectional study. It was performed on 73 personnel of a hospital in Isfahan City, Iran, who were exposed to chemotherapy drugs. The required data were collected by a questionnaire according to the standard protocols of NIOSH, ASHP, and OSHA . After obtaining the required permission by the hospital, the questionnaires were provided to nurses in different wards and data were collected in one stage. The achieved data were analyzed in SPSS by descriptive statistical tests (mean, standard deviation, percentage, & frequency). Results The obtained results revealed that the mean values of the standard principles of using gloves and breathing protective were as average, and the mean values of the standard principles using eye and face protection as well as guns were poor. Conclusion Compliance with the standard principles using personal protective equipment for PPE was modest and poor in nurses working with chemotherapy drugs; therefore, nursing staff is exposed to the complications of these drugs and necessary measures and improvements should be considered in compliance with standards, in this regard.
Background & Aim: The effects of general anesthesia and seizure caused by electroconvulsive therapy increase the risk of cardiovascular changes. This study aimed to evaluate the effect of reflexology on physiological indices after electroconvulsive therapy. Materials and Methods: This clinical trial was performed on 56 patients with depression, who were selected by stratified random sampling after an electroconvulsive therapy and randomly allocated to the intervention and control groups. Data were collected using a demographic characteristics questionnaire and a vital sign record form and its tools. In the intervention group, vital signs were recorded after electroconvulsive therapy and patients’ vigilance, followed by performing a 20-minute reflexology session at reflex points. The vital signs were measured 10 minutes after the intervention and compared to vital signs immediately after vigilance and with the control group one hour later. In addition, data analysis was performed in SPSS version 24 using the Mann-Whitney U and Wilcoxon test. Results: In this study, the mean and standard deviation of blood pressure in the control and intervention groups were estimated at 111.60 ±11.47 and 114.92±10.54, respectively. Moreover, the results of Mann-Whitney and Wilcoxon test were indicative of a significant intra and intergroup difference between the control and intervention groups in terms of the mean and standard deviation of patients’ blood pressure. After the intervention, the mean and standard deviation of pulse in the control and intervention groups were reported to be 83.35±4.83 and 78.64±5.07, respectively. According to the results, there was an intra and intergroup difference between the control and intervention groups in terms of the mean and standard deviation of patients’ blood pressure. Conclusion: According to the results of the study, reflexology affected the rapid improvement of physiological indices after ECT in depressed patients and caused relaxation and balance of physiological indices in these patients. Therefore, nurses can use this method as a branch of complementary medicine to be effective in balancing the physiological indices of patients. Keywords: Depression, Electrotherapy, Physiological Indices, Reflexology
