Preventive Care in Nursing and Midwifery Journal
Year:2020 | Volume:10 | Issue:2|Papers Count:8

Background: Love trauma syndrome includes a set of symptoms manifesting after the end of an emotional relationship and negatively affecting performance in various areas. Objectives: The current study aimed at determining the effect of object relations mediated by cognitive emotion regulation on the prediction of love trauma syndrome in female students. Methods: The correlation-based structural equation modeling was employed as a research method. The statistical population included all female students in Kerman, Iran, in the academic year of 2019-20. A total of 243 subjects were selected by multi-stage cluster sampling. Data collection instruments included the Ross love trauma inventory (LTI), the Bell object relations and reality inventory (BORRTI), and cognitive emotion regulation questionnaire (CERQ). Data analysis was performed by the structural equation modeling using SPSS and LISREL software. Results: The study findings indicated that object relations directly affect the cognitive regulation of negative emotion; on the other hand, cognitive emotion regulation plays a mediating role between object relations and love trauma syndrome. According to the findings of the structural equation modeling, the Root Mean Square Error of Approximation was 0. 037, and the model had a good fit. Conclusion: The present study findings indicated the mediating role of cognitive emotion regulation between object relations and love trauma syndrome. Hence, the mentioned variables can be considered in interpersonal, pedagogical, family, and therapeutic relationships.

Background: Colorectal cancer (CRC) is one of the most common and age-related cancers worldwide. Objectives: The present study aimed to determine the recurrence, severity, distress, and clustering of symptoms in the elderly with colorectal cancer in the selected hospitals in Isfahan from 2018 to 2019. Methods: This descriptive-analytical study was conducted over a period of six months on 300 patients with colorectal cancer in selected hospitals in Isfahan. Data collection tools were contextual questionnaires and symptom recall scale (MSAS). To determine the correlation matrix between symptoms (clusters), a heuristic analysis factor was used in terms of mean recurrence, severity, and distress of symptoms in research units through PCA heuristic analytical method in SPSS 66. Results: The most common symptoms in terms of recurrence were dry mouth (32. 92%) and numbness and frisson (24. 55%). The most common symptoms in terms of recurrence were dry mouth (80. 33%) and nausea (86%); the most common symptoms in terms of severity were dry mouth (41%) and nausea (29. 8%). The most common signs of distress were "I do not look like myself" (6) and dry mouth (35. 3%). Finally, five clusters were obtained, including systemic, psychiatric, cardiovascular, mucosal, and gastrointestinal symptoms. Conclusion: The results of the present study showed that psychological symptoms had a higher percentage of recurrence, severity, and distress in CRC patients than physical symptoms.

Background: The challenges of health systems emphasize the need for more motivated employees to perform better and more effectively. Therefore, pervasive attention to job satisfaction of these employees is a matter of course. Objectives: The present study aimed at investigating factors affecting job satisfaction in emergency medical services (EMS) staff of Zanjan Province, Iran, in 2019. Methods: The present descriptive-correlational study was performed on 170 EMS personnel working in the Disaster and Emergency Medical Management Center (DEMMC) of Zanjan Province. The stratified random sampling method was utilized to select the subjects. Job description index and GHQ-12 were administered as data collection instruments. Data were analyzed by SPSS version 16 using descriptive statistics, ANOVA, and Pearson correlation coefficient. Results: In the present study, the work experience of 46. 5% and 26% of the subjects was less than five and more than 10 years, respectively. The highest and lowest scores of job satisfaction belonged to coworkers and pay subscales, respectively (24. 4± 17 vs. 11. 5± 18. 4). The overall job satisfaction score of the subjects was 19. 7± 18. 2 out of 100. Also, a significant relationship was found between the level of education and overall satisfaction. Conclusion: Considering the low level of job satisfaction in EMS staff, it seems that modifying the reward mechanisms in the prehospital emergency department and using performance improvement levers can enhance the motivation and improve the performance of staff. Besides, strive to promote social relations among coworkers as an effective element may help to enhance job satisfaction and the overall satisfaction of personnel.

Background: Patients with stroke need professional care and identifying the palliative needs of these people is the basis for care planning by health managers. Objectives: The present study aimed to determine the palliative care needs of stroke patients and the factors that affect these needs. Methods: The population of this cross-sectional descriptive study was the patients referred to physiotherapy centers in Mako city in 1398. A total of 160 patients were selected based on convenience sampling. The data collection tool was a two-part questionnaire. In the first part, demographic characteristics and in the second part, the questionnaire of palliative care needs in specific patients was completed. Descriptive tests, mean comparison, and Pearson correlation was used to analyze the data using SPSS software version 16. Results: The need for palliative care can vary in different fields. For example, having problems in daily life in the field of daily life activities (2. 03-0. 24), pain in the field of physical symptoms (2. 36. 07. 07), dependence on others for care in the field of control over living affairs (1. 72 1 0. 82), tendency to talk about illness in the field of social problems, (2/71/71/71), fear of metastasis in the field of mental problems, (2. 97 2 0. 22), understanding the meaning of death in the field of spiritual problems (2. 87  0. 48), and loss of income due to diseases in the field of financial problems (2. 63 89 0. 89). Independent group t-test showed that the mean scores of palliative care needs of patients referred to physiotherapy centers in the two groups of men and women were not significantly different (t=92. 1, p=0. 057). However, One-way analysis of variance showed that the average palliative care needs of patients referred to physiotherapy centers based on their level of education had a significant difference (f=486. 4, p=0. 014). Conclusion: The results of the study showed that nurses and health system managers with knowledge of the needs of palliative care for patients with stroke can put training programs on discharge and disease management at home on their agenda.

Background: Despite the importance of integrated education in nursing, limited studies have been conducted to develop appropriate tools to assess its importance in Iran. Objectives: The present study aimed to develop a questionnaire and psychometrically assess the importance of integrated education in nursing from the perspective of faculty members. Methods: This is a consecutive exploratory mixed study conducted in two stages. In the first stage, the concept of Intergrated training was explained via qualitative theme analysis and the relevant key themes of the identification articles were coded. Sampling was purposeful and continued until saturation. In the second (quantitative) stage, first the face and content validity was reviewed and the necessary corrections were made by 15 experts. Then, the reliability of the questionnaire was calculated using internal consistency method (Cronbach's alpha) and the construct validity of the instrument was calculated using exploratory factor analysis. Results: 203 items were extracted via qualitative content analysis and review of related scientific texts. After performing face and content validity (qualitative and quantitative) 162 items remained. Exploratory factor analysis led to the removal of 50 items and thus 112 items in 4 factors (dimension or scope), including educational content, educational activities, context and conditions. An evaluation was extracted which explained these 4 factors of 87. 774 of the total variance. The reliability of the instrument with Cronbach's alpha was 0. 92. Conclusion: The questionnaire on the feasibility of the integrated curriculum in the field of nursing with features such as reliability and validity can be easily used by faculty members and policy makers. It is suggested that other psychological features of the instrument such as convergent and divergent validity be examined in future studies.

ackground: Patients scheduled for angiography experience pre-operative anxiety, which affects vital signs. Objectives: The current study aimed to investigate the effectiveness of orange essential oil aromatherapy on blood pressure, pulse rate, and respiratory rate of patients before coronary angiography. Methods: In this clinical trial, 70 patients scheduled for coronary angiography were separated into two groups of intervention and control. For those in the intervention group, two drops of orange essential oil were drip by emitters on a polyethylene handkerchief attached to the collar of the participants. Then, they were asked to breathe normally for 20 minutes. Vital signs were recorded before and after providing the intervention. Data were analyzed using SPSS version 16 using Chi-square, Fisher's exact test, independent ttest, U Mann-Whitney, Paired Wilcoxon, and paired t-test. Results: There was no significant difference between the two groups concerning the mean vital signs before providing the intervention. However, after providing the intervention, a significant difference was found concerning pulse rate (71. 3± 26. 79), respiratory rate (15. 2± 11. 04), and systolic blood pressure (117. 9± 31. 47) between the two groups (P<0. 001). In the control group, no significant difference was found concerning the pulse rate (75. 3± 06. 72), respiratory rate (17. 2± 18. 28), and systolic blood pressure (123. 8± 91. 91) before and after providing the intervention (P>0. 001), and this difference was significant between the two groups (P<0. 001). Also, there was no significant difference between the two groups concerning the diastolic blood pressure (P>0. 001). Conclusion: This study demonstrated that orange essential oil, as a complementary method, can reduce pulse rate, respiratory rate, and systolic blood pressure in people undergoing coronary angiography. Therefore, it can be considered as a safe and cheap alternative therapeutic option.

Background: Hypothyroidism is common during pregnancy. This disorder is associated with adverse maternal and neonatal outcomes. Objectives: The study of the prevalence and different consequences of hypothyroidism in pregnancy in each region is the special importance in determining prevention and management strategies. Therefore, the aim of this study was to determine the prevalence of hypothyroidism and pregnancy outcomes in women referred to Ayatollah Mousavi Hospital in Zanjan. Methods: This cross-sectional-analytical study was performed on all pregnant women who gave birth in Ayatollah Mousavi Hospital in Zanjan in 2018-2019. Data were collected through census and using Chisquare, Fisher's exact and independent t-tests and with SPSS software version 22, pregnancy outcomes between the two groups were calculated. Results: The prevalence of hypothyroidism in pregnant women in the present study was estimated at 8. 59%. Hypothyroidism was found to double the chance of gestational diabetes (p<0. 02) (CI=1. 1-3. 8). The rate of cesarean delivery was significantly higher in patients (p<0. 001). The rate of fetal heart rate drop, placental abruption, and placental adhesion was higher in the affected group, but this difference was not significant (p>0. 05). There was no significant difference between the two groups in terms of preeclampsia, preterm delivery, first minute Apgar score, height, weight and head circumference of the newborn (p>0. 05). Conclusion: Considering the adverse maternal and neonatal outcomes of hypothyroidism, it seems that more clinical studies in this field are needed to manage and evaluate the outcomes in pregnant women with hypothyroidism.

Background: Spiritual experience helps individuals to cope with stressful life situations. Objectives: The present study was to determine the effect of integrating midwifery counseling with a spiritual approach on pregnant women’ s spiritual experience. Methods: A randomized controlled trial study was conducted on 40 pregnant women who referred to Abhar health centers in 2019. For the experimental group, eight counseling sessions were held using a spiritualityoriented approach, and the control group received routine health care services. Data were collected using a spiritual experience questionnaire in three stages (namely before intervention, 28 weeks of pregnancy, and 36 weeks of pregnancy). The data were analyzed using descriptive statistics, the Chi-square test, the independent t-test, and ANCOVA at 95 % confidence level. Results: The comparison of the mean scores of spiritual experience in the experimental and control groups revealed that the scores were higher in the second and third trimesters. In this regard, the mean score of spiritual experience in the pre-intervention stage in the control group was 73. 31, which decreased to 69. 47 in the third trimesters. Meanwhile, the mean score of spiritual experience in the experimental group in the preintervention phase was 71. 65, which increased by 84. 15 in the third trimesters. The mean difference of spiritual experience scores was statistically significant between the two groups (p=0. 001). Conclusion: Counseling along with a spiritual approach was effective in improving pregnant women’ s spiritual experience., and it can be integrated with prenatal care package.