Avicenna Journal of Nursing and Midwifery Care
Year:2022 | Volume:30 | Issue:2|Papers Count:8

Background and Objective: The outbreak of the coronavirus disease 2019 (COVID-19) and the psychological consequences of social distancing are among the most important social events of the 21st century that have made nurses' families face their related psychological consequences. This study aimed to evaluate the effectiveness of family-centered problem-solving training on the negative effects of social distancing caused by COVID-19 in the families of nurses at Kermanshah University of Medical Sciences, Kermanshah, Iran. Materials and Methods: The present quasi-experimental study was conducted based on a pretest-posttest control group design. The statistical population (n=380) included the families of married nurses working in the COVID-19 ward of public hospitals in Kermanshah, 2020-2021. The sample consisted of the families of nurses who obtained a high score in the social distance measurement tool,accordingly, 100 people were included in the study and assigned to two groups of intervention and control (n=50 each). For the intervention group, 10 two-hour virtual sessions of training family-centered problem-solving protocols were held. Post-test was performed on both groups. Data were analyzed in SPSS software (version 20) using frequency, mean and standard deviation, and analysis of covariance. Results: The findings showed that family-centered problem-solving training was effective on marital conflict, anxiety, and fear in nurses, and a significant difference was observed between the control and intervention groups (P<0. 001). Conclusion: Family-centered problem-solving training was effective on the negative effects of social distancing caused by COVID-19 in nurses' families.

Background and Objective: Breast cancer is one of the most common cancers in women. Sense of Coherence (SOC) is one of the most important factors influencing mental health. The aim of this study was to investigate the relationship between SOC and stress, anxiety and depression in women with breast cancer. Materials and Methods: This cross-sectional study was performed on 200 women with breast cancer in Torbat-e Heydarieh. The tools included an individual information form, a 13-question of Antonovsky's SOC questionnaire, and Depression, Anxiety and Stress Scale-21 items (DASS-21). Data analysis was performed by SPSS software version 16. Descriptive and inferential tests were analyzed. P levels less than 0. 50 were considered significant. Results: Linear regression models were used to investigate the effect of SOC and demographic factors on stress, anxiety and depression. The results showed that SOC was effective on the variables of stress, anxiety and depression (P<0. 05). So that by increasing a score to a SOC, the mean scores of stress, anxiety and depression decreased respectively 09. 0, 0. 11 and 0. 07. Conclusion: The results of this study indicate that the relationship between sense of coherence with stress, anxiety and depression in women with breast cancer so that the sense of coherence person is stronger than perceived stress, anxiety and depression will experience this in itself could To better adapt to the disease, improve their quality of life and mental health.

Background and Objective: Patients with myocardial infarction need to receive self-care ability. The present study aimed to determine the effect of post-discharge education and follow-up on self-care behaviors of patients with myocardial infarction. Materials and Methods: In this quasi-experimental study, 116 patients with myocardial infarction were selected via the convenience sampling method and randomly assigned to the two groups of control (n=58) and intervention (n=58). In the first visit, the self-care questionnaire was completed by patients with myocardial infarction in both groups. In the intervention group, a face-to-face training session was initially held. Thereafter, they were followed up via phone twice a week in the first month and once a week in the second month. Subsequently, after four weeks and at the end of the intervention(i. e., at the end of the 8th week), the self-care questionnaire was completed again by both experimental and control groups. The data were analyzed in SPSS software (version 23) using descriptive statistics, as well as Fisher's independent and accurate t-tests. Results: The mean self-care score in the intervention group increased by 35. 29 and 44. 10 one month and two months after training, respectively, compared to discharge time. The LSD post hoc test results demonstrated that these differences were statistically significant (P<0. 001). Based on the chi-square test, a statistically significant difference was observed between the frequency distribution of patients in the control and intervention groups one month and two months after the intervention in terms of self-care. Conclusion: Due to its availability, telephone follow-up can be used to track the training provided to patients.

Background and Objective: Premature birth is an unexpected event that causes a lot of stress for parents as they are not psychologically and emotionally prepared to face it. Therefore, this study aimed to determine the effect of multi-sensory stimulation of neonates by mothers on the stress level of mothers with premature neonates hospitalized in the Neonatal Intensive Care Unit (NICU). Materials and Methods: This quasi-experimental study was performed on 80 mothers (in experimental and control groups) who were selected using the census method in the NICU of Shahid Sadoughi Hospital, in Yazd, Iran. The infants in the experimental group were stimulated twice a day from the third to the sixth day. Data were collected using demographic characteristics form and Parental Stress Scale that were completed before and after the intervention. Data were analyzed in SPSS software (version 20) through statistical tests. Results: There was no significant difference between the mean stress levels in the two study groups before intervention,however, there were significant differences in intervention and control groups post-intervention in the mean±, SD score of stress (P<0. 001) in areas of scenes and sounds (2. 26±, 0. 40 and 2. 63±, 0. 47), infant’, s appearance and behavior (3. 79±, 0. 29 and 4. 05±, 0. 25), relationship with the infant and parental role (2. 60±, 0. 38 and 3. 41±, 0. 33), and overall stress level (4. 08±, 0. 64 and 4. 88±, 0. 31). No significant difference was observed between the mean stress level in the area of communication and personnel’, s behavior (P<0. 3). Conclusion: The use of multi-sensory stimulation had a significant effect on reducing the stress in mothers with premature infants admitted to NICU. Therefore, this method is recommended to be used to improve the mental status of mothers.

Background and Objective: Considering the inseparable component of maternal attachment to the fetus and the importance of mother and fetus care in this period and after and the special role of men as husband and father in caring for wife and child, the present study aims to determine The relationship between maternal attachment to the fetus and spouse's functional health literacy was performed in individuals referred to Ayatollah Taleghani Hospital in Ahvaz in 2021. Materials and Methods: The present study was a descriptive correlational study on all pregnant women referred to Ayatollah Taleghani Hospital in Ahvaz in 2021 and their spouses in the available method. The research instruments were demographic information self-report questionnaires, Montazeri et al. 's Health Literacy Questionnaire (2014) and the Cranley Fetal Attachment Scale. Data analysis was performed using SPSS software version 12. Results: Findings show that the mean scores obtained for maternal attachment to the fetus and spouses 'functional health literacy were moderate and with 95% confidence, there is a significant correlation between the variables of maternal attachment to the fetus and spouses' functional health literacy (p <0. 05 and r =-0. 796) Conclusion: Given the relationship between maternal attachment to the fetus and spouses 'functional health literacy, the importance of spouses' functional health literacy has been identified,therefore, it is necessary to take into account this point in macro-socio-economic planning and policies, so that we can see the promotion of health literacy more than all spouses.

Background and Objective: Ethical leadership has emerged as a new approach in the perspective of leadership and has provided a basis for the promotion of individual and organizational effectiveness by prioritizing ethics in the organization. This study aimed to determine the relationship between head nurses’,ethical leadership and demographic characteristics with the general self-efficacy of nurses working in Intensive Care Units (ICUs). Materials and Methods: This descriptive correlational study was conducted in 2019 on 230 nurses working in ICUs of educational-treatment centers of Hamadan University of Medical Sciences, Hamadan, Iran, who were selected using a stratified proportional sampling method. Data were collected by ethical leadership in nursing and the general self-efficacy scale of Scherer. Data were analyzed using SPSS software (version 16) through descriptive and inferential statistics. Results: There was no statistically significant association between the ethical leadership of head nurses and the general self-efficacy of nurses. The general self-efficacy of formal nurses was higher than contractual (P=0. 04) and resident nurses (P=0. 02), and the self-efficacy of ICU nurses was higher than those working in burn units (P=0. 03). Moreover, general self-efficacy decreased with work experience (P<0. 05). Considering the output of the artificial neural network, the normalized significance scores of the independent variables on the dependent variable were obtained at 100, 74. 8, 56. 2, 52, 47. 6, 46. 4, 38. 1, 37. 1, 27, and 13. 3, for work experience, pioneering, task orientation, moralism, workplace, age, job status, gender, division of power, and education, respectively. Conclusion: Considering the significant association between some demographic variables and the general self-efficacy of nurses, nursing managers are recommended to consider these variables, especially in retraining, to improve the general self-efficacy of nurses.

Background and Objective: The COVID-19 pandemic has increased the level of anxiety in patients with diabetes and educating patients in this field can be an appropriate method to reduce their level of anxiety. The present study aimed to determine the effect of patient education through social media on the COVID-19-related anxiety in patients with diabetes. Materials and Methods: The present single-blind clinical trial was conducted at the teaching hospitals of Zanjan, Iran in 2022. A total of 113 diabetic patients were selected using convenience sampling and then divided into two groups of experimental (n = 58) and control (n = 55) by simple random allocation. Data were collected using a demographic questionnaire and Corona Disease Anxiety Scale (CDAS). Training related to COVID-19 was provided to the intervention group at a two-week interval, while the control group only received routine care. Data were entered into SPSS software (version 26) and then analyzed using descriptive and inferential statistics. Results: Patients in both groups were homogeneous in terms of demographic and clinical characteristics (P >0. 05). A statistically significant difference was observed between the mean scores of anxiety in the intervention group at two measurement points before and after the intervention (P <0. 05). However, the difference in the mean score of anxiety failed to be found significant between the two groups after the intervention (P >0. 05). Conclusion: Educational intervention through social media slightly reduces COVID-19-related anxiety in patients with diabetes. Therefore, social media is suggested as a convenient and accessible method to educate patients on Covid-19.

Background and Objective: Infertility, as one of the most common diseases of women, is a complex life crisis that is associated with physical, mental, and social problems which causes serious disorders in marital relationships. Therefore, the present study aimed to compare the effectiveness of Transactional analysis (TA) and Pilates exercises on Psychic restlessness and the general health of infertile women. Materials and Methods: The present applied and quasi-experimental study with pre-test, post-test, and control group was conducted on infertile women referred to Kermanshah Obstetrics and Gynecology Hospital, Kermanshah, Iran in 2020-2021. A total of 75 individuals were selected according to the inclusion criteria and randomly divided into experimental and control groups. The research instruments were the Psychic restlessness Questionnaire by Alikhani and Kazemi Haghighi (2017) and the General Health Questionnaire (GHQ-28) by Goldberg (1972). It was a two-hour session. Results: A significant difference was observed between the experimental and control groups. The findings indicate that training based on Transactional analysis (TA) and Pilates exercises are effective for Psychic restlessness and the general health of infertile women (F= 34. 361 and P< 0. 05, F= 26. 240 and P< 0. 05). Also, the comparison of the obtained means suggests that learning based on the Transactional analysis (TA) approach is more effective in mental changes and health of infertile women compared to Pilates exercises. Conclusion: Methods based on interpersonal relationships and emotional issues can be concluded to reduce the level of Psychic restlessness and improve the mental health of infertile women which is an important treatment for infertility in couples.