Background: Retinal detachment is an ophthalmic emergency that often leads to vision loss, with patients facing challenges in recognizing symptoms and understanding essential postoperative care to prevent complications and safeguard the other eye. Therefore, patient self-care and its monitoring are necessary to create self-efficacy as one of the basic components in post-surgery management.Aim: The present study was conducted with aim to investigate the effect of a self-care educational program and remote monitoring on self-efficacy and postoperative outcomes in patients with retinal detachment.Method: This semi-experimental study was conducted on 70 patients who were selected through convenience sampling and randomly assigned to either the intervention or control group, with 35 patients in each group. After the surgery, the subjects of the intervention group received in-person education about a self-care program and were followed up remotely through WhatsApp upon discharge. The Perceived Health Competence Questionnaire was used to assess self-efficacy before the intervention, one week, and one month after the surgery for both groups.Results: The analysis found no significant difference in the mean perceived health competence scores between the intervention and control groups over the study period (p=0.718).Implications for Practice: Practitioners should consider developing more targeted and interactive educational interventions, as well as implementing more rigorous follow-up protocols to enhance patient self-management and prevent complications.
Background: The Surgical Safety Checklist is a tool introduced by the World Health Organization in 2008 to reduce surgical complications such as performing surgery on the wrong site or patient, leaving instruments, and enhancing patient safety during anesthesia. The Surgical Safety Checklist (WHO SSC) consists of three stages: sign-in, Time-out, and Sign-out.Aim: The present study was conducted with aim to identify the barriers to the proper implementation of the Surgical Safety Checklist in hospitals affiliated with Dezful University of Medical Sciences.Method: This qualitative study employs the conventional content analysis strategy by the Graneheim and Lundman Method. The study participants include one anesthesiologist, one pediatric surgery subspecialist, one Master’s Graduate in operating room nursing, and seven perioperative nurses. Purposeful sampling was conducted and semi-structured interviews were utilized to collect data.Results: The analysis resulted in the extraction of 255 codes, categorized into four main categories, including individual barriers, educational barriers, managerial barriers, and cultural barriers.Implications for Practice: To effectively implement the surgical safety checklist, periodic training for specialists and experts should be conducted during their student years and throughout their professional re-training course. Additionally, it seems that to have a culture of implementation, there is a need for oversight of the implementation and providing appropriate feedback to staff and specialists.
Background: Pregnancy anxiety is associated with undesirable fetal, maternal, and neonatal outcomes. Women who do not attend childbirth preparation classes are more susceptible to this complication. Solution-focused counseling has been suggested to manage anxiety in these women.Aim: This study was conducted with aim to determine the effect of solution-focused group counseling on the pregnancy anxiety of women who do not attend childbirth preparation classes.Method: This randomized clinical trial was conducted on 80 pregnant women with anxiety who were randomly assigned to either intervention or control groups. These women were selected from health and medical care centers affiliated to Arak University of Medical Sciences, Arak Iran. Solution-focused counseling was implemented in the intervention group for five 90-minute sessions once a week. The tools used included a demographic characteristics questionnaire and the Pregnancy-Related Anxiety Questionnaire-Revised 2. Data were analyzed using SPSS software (version 23) and descriptive statistics, independent t-test, analysis of covariance, paired t-test, chi-square test, and Fisher's exact test. p<0.05 was considered significant.Results: There was no statistically significant difference between the two groups in the mean total scores of pregnancy anxiety and its subscales before the intervention (p≥0.05). After the intervention, the mean total score of pregnancy anxiety was significantly reduced in the intervention group compared to the control group (p<0.001). This reduction occurred in both nulliparous and multiparous participants (p<0.001).Implications for Practice: Solution-focused group counseling can mitigate pregnancy anxiety regardless of having a history of childbirth. Hence, solution-focused group counseling can be employed to deal with pregnancy anxiety.
Background: Parents of children with cancer, especially leukemia, face many emotional and physical challenges, which can lead to chronic stress, anxiety, and depression. The online interventions have been recognized as an effective way to support parents in difficult situations.Aim: The present study was conducted with aim to evaluate the effects of an online supportive program on the care burden of parents of children with leukemia.Method: This randomized controlled trial study was conducted in 2020 on 76 parents of children with leukemia hospitalized in the oncology department of Dr. Sheikh Hospital in Mashhad, Iran. The parents were randomly divided into two groups: intervention and control (n=38 per group). The parents in the intervention group had access to an online support program via WhatsApp for one month. The parental caregiving burden was measured using the Zarit Caregiver Burden Scale. The data were analyzed using SPSS software (version 20) and descriptive statistics, Kolmogorov-Smirnov, independent t, paired t, and chi-square tests. p<0.05 was considered significant.Results: The mean care burden scores before the intervention did not differ significantly between the two groups (p=0.061). The mean parental care burden score in the intervention group before the intervention was 45.63±4.44, which decreased significantly to 42.81±5.07 after the intervention (p<0.015). However, the mean care burden score for the control group before the intervention was 43.94±3.17 and after the intervention was 45.13±4.50, showing no statistically significant difference (p<0.164). After the intervention, the care burden decreased significantly in the intervention group compared to the control group (p<0.05).Implications for Practice: Regular supportive programs can be developed and implemented for the main caregivers of patients with other chronic diseases and integrated into the health system.
Background: Documenting and confirming the role of believing in resurrection for physical and mental health makes it possible to examine the role of transcendental religious beliefs regarding individual and social health, especially in the elderly.Aim: This study was performed with aim to evaluate the impact of resurrection beliefs on resilience and feeling of social and emotional loneliness in the elderly of Tehran.Method: This descriptive-analytical study was conducted on 700 elderly people over 60 years of age who were selected according to the inclusion criteria by cluster sampling method from 22 districts of Tehran in 2024. The data collection tool included a demographic form, standard questionnaire of resurrection belief and attitude to death, Connor-Davidson Resilience scale, and a Social and Emotional Loneliness Scale for Adults. Data were analyzed using SPSS software (version 22.0) and descriptive statistics (mean and standard deviation) and inferential statistics (Pearson's correlation coefficient and regression analysis). p<0.05 was considered as significant level.Results: Older individuals believe more in the resurrection (88.52±21.15). With the increase in believing in the resurrection, resilience increased (r=0.078; p=0.040). Also, the resurrection belief reduced the feeling of social and emotional loneliness in the elderly (r=-0.81; p=0.033). On the other hand, with increasing resilience, the feeling of social and emotional loneliness in the elderly decreased (r=-0.220; p<0.001).Implications for Practice: Belief in resurrection is one of the integral aspects of human life, especially in elderly, which affects resilience and lack of loneliness. Interventions and support systems for the elderly through belief systems can promote resilience.
