Journal of Research Development in Nursing and Midwifery
Year:2016 | Volume:12 | Issue:3|Papers Count:9

Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.

Background and Objective: Today, the role of religiosity, happiness, locus of control and coping strategies has been considered in prevention and treatment of general health and spiritual well-being problems. Concerning the importance of nursing, this research aimed to investigate the relationship between religious orientation, happiness, locus of control and coping strategies and spiritual well-being among nursing students.Material and Methods: This correlational study was conducted on 140 selected via stratified random sampling among 228 nursing students of Islamic Azad University of Pishva in 2013-14 academic year. The questionnaires were Allport & Ross religiosity (1967), Argyle & Lu happiness (1990), Rotter locus of control (1975), Lazarus & Folkaman coping strategies (1993) and Paloutzin & Ellison spiritual well-being (1982). The data was analyzed by stepwise regression using SPSS-19 software.Results: The findings showed that the internal religiosity orientation (r=0.48), happiness (r=0.34), internal locus of control (r=0.19) and problem solving strategies (r=0.17) had a positive significant correlation with spiritual well-being and external locus of control (r=-0.21) had a negative significant relationship with spiritual well-being. The Internal religiosity orientation, external locus of control and happiness could predict 37 percent of variance of spiritual well-being in that the share of internal religiosity orientation variable was 23 percent.Conclusion: Given the importance of internal religiosity orientations, external locus of control and happiness in predicting spiritual well-being, we recommend that programmers, therapists and psychosocial counselors consider them in their programs to promote spiritual well-being of nursing students.

Background and Objective: Pregnancy is often introduced as a stressful experience that may be increased, and leads to some cognitive and behavioral responses called stress. By managing stress in pregnancy period, we can reduce anxiety and prevent from much of obstetric and physical complications. This study aimed to determine the effect of cognitive-behavioral based stress management on anxiety reduction of pregnant women.Material and Methods: This pretest-posttest quasi-experimental study was conducted on pregnant women referring to health centers in Gorgan city in 2012. Twenty-four patients with eligible criteria were divided randomly into two equal groups of experimental and control. Pre-test was performed by State- trait anxiety inventory and the intervention was administered to experimental group. After that, posttest was taken for both groups. Statistical analysis was performed by covariance.Results: Analysis of the data shows that pregnant women experience Anxiety. Stress management training in cognitive-behavioral style significantly decrease state- trait anxiety of pregnant women.Conclusion: Stress management training in cognitive-behavioral style has an effect on state- trait anxiety reduction of pregnant women.

Background and Objective: Attitude toward the use of drug has an effective role in tendency to the use and withdrawal of the drug. This study aimed to determine the predictive role of demographic factors and personality attitudes towards the impacts, risks and Substance Abuse in the students of Azad University, Damghan Branch.Material and Methods: This descriptive-analytic study was conducted on 200 students via convenience sampling. The data was collected by Delavar Addiction Questionnaire and NEO personality inventory, and analyzed by Pearson correlation coefficient and multiple regression analysis.Results: Accordance with regression analysis, eight factors of conscientiousness, openness to experiences, neuroticism, Agreeableness, gender, household income, parental education, and age can significantly predict 41% of the variance related to the attitude toward the effects of drug. Furthermore, agreeableness, conscientiousness, neuroticism can predict 35% of the variance referring to the attitudes about the dangers of drug.Conclusion: It can be concluded that personality characteristics, marital status and income can play a decisive role in people's attitudes towards drugs.

Background and Objective: Sexual self-concept (SSC) is considered as an important factor in human sexual performance. This study aimed at assessing the relationship between SSC and sexual performance in a group of Iranian married women.Material and Methods: This correlational study was conducted on 374 married women selected via cluster random sampling in health centers of Mobarakeh, 2013. The data was collected by Multidimensional Sexual Self-concept Questionnaire (MSSCQ) and female sexual function index (FSFI), and analyzed by pearson correlation and multiple regressions.Results: In accordance with the mean scores of positive SSC (106.32±35.03), negative SSC (36.64±5.16) and sexual performance (22.30±2.68), there was a significant correlation between positive SSC and sexual performance(r= 0.23, p<0.001), and between negative SSC and sexual performance (r= 0.38, p<0.001). Furthermore, positive SSC directly and negative SSC inversely was the predictor of sexual performance of married women.Conclusion: Given the results, the women with higher positive SCC may have better sexual function. It seems that SCC score can be a significant predictor of women's sexual functioning.

Background and Objective: Patients with life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety. This study aimed to determine the level of death anxiety in hemodialysis patients.Material and Methods: This cross-sectional study was conducted on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety). We analyzed the data by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05).Results: Twenty-four point seven percent of the patients had low, 10% average and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant.Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis.

Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically. Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.

Background and Objective: Nowadays, smoking is a widespread health problem in the world. Hookah smoking is common in many countries, especially in the Middle East and Africa. This study aimed to investigate the causes of hookah smoking in adolescents in Kurdkoy, 2013.Material and Methods: This cross-sectional study was conducted on 266 teenagers selected via multi stage sampling. The questionnaires were distributed among the people who were present at the Coffeehouses and the results were reported by descriptive statistics.Results: The results showed that 51.5% of the participants said they use Hookah every day. The reasons were pastime (56.4), unemployment (41.7), Pleasant feeling (33.8), being with friends (33.5), fatigue reduction (33.5) and the availability of hookah (32.3).Conclusion: To minimize the tendency to Hookah smoking, we recommend planning some activities for leisure time, "learning to say no" and training how to reduce anxiety and fatigue.

Background and Objective: Given that nurses need numerous skills and high concentration in their job, they endure a lot of stress leading to serious physical and psychological consequences. We aimed to investigate the effect spiritual intelligence and self-efficacy on nurses’ resilience.Material and Methods: This correlation study was conducted on 180 nurses (149 females and 31 males) selected via stratified random sampling in Zahedan University of Medical Sciences’ Hospitals, 2013. The questionnaires were resiliency of Connor and Davidson, spiritual intelligence of King, and self-efficacy of Sherer and Maddux. The data was analyzed by Pearson Correlation and Step-wise Regression.Results: Nurses self-efficacy (r=0.59, p≤0.001) and nurses spiritual intelligence (r=0.50, p≤0.001) had a positive significant correlation with resiliency. Regression showed that in first step self-efficacy (0.35) and in next step self-efficacy and spiritual intelligence (0.46) were the positive predictors for resiliency.Conclusion: It seemes that by developing self-efficacy and spiritual intelligence, we can increase the resilincy and consequently minimize the level of nurses' job stress.