Iranian Journal of Nursing Research
Year:2023 | Volume:17 | Issue:6|Papers Count:8

Introduction: Cancer ranks as a leading cause of death and an important barrier to increasing life expectancy in every country of the world. The purpose of this study was to investigate the mediating role of mental adjustment in the relationship between cognitive processing with post-traumatic stress symptoms and fear of recurrence in patients with cancer. Methods: This is a cross-sectional study with a convenience sampling method. A total of 200 women and man with one of the types of cancer (breast, blood and gastrointestinal) in Tehran, Iran participated in this study and completed five questionnaires, namely the PTSD checklist, fear of cancer recurrence scale, and mental adjustment to cancer scale. The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software Results: Structural Equation Modelling demonstrated that cognitive processing was negatively associated with PTSD (β, =-. 473,T=11. 84,P<. 001) and fear of recurrence (β, =-. 462,T=10. 52,P<. 001), also mental adjustment was negatively associated with PTSD (β, =-. 496,T=11. 84,P<. 001), and fear of recurrence (β, =-. 462,T=10. 52,P<. 001), and cognitive processing were positively associated with mental adjustment (β, =. 753,T=34. 52,P<. 001). Bootstrapping analysis showed that mental adjustment acted as a mediator between cognitive processing and PTSD, and cognitive processing and fear of recurrence. Conclusions: Mental adjustment partially mediated the relationship between cognitive processing with PTSD symptoms and fear of recurrence. Future intervention plans should pay more attention to cancer-related cognitive impairment as well as PTSD symptoms, and fear of recurrence in the treatment of patients with cancer.

Introduction: Yoga is one of the rehabilitation programs that engage the mind and body for positive health outcomes and it plays an essential role in the prevention of cardiovascular disease. The aim of this study was to determine the effect of breathing exercises and yoga relaxation on tension, depression and anxiety in patients undergoing coronary artery bypass graft surgery. Methods: This experimental-intervention study was done in Kermanshah city in 2016. In this study, 100 patients with coronary artery bypass graft surgery were randomly divided into test group (50 patients) and control group (50 patients) in selected hospitals. Breathing exercises and yoga relaxation were performed for three days before and three days after removing the endotracheal tube in the case group. Data collection tool was dass21 questionnaire which was measured before and after the intervention. Then, the findings were analyzed using SPSS software and independent t-test, paired t-test, Spearman and Mann-Whitney test. Results: According to the findings, no significant relationship was found between the frequency distribution of gender, marital status, education, employment status and age of patients in the case and control groups (P-Value > 0. 05). There was a significant difference between the mean scores of tension, anxiety and depression before and after the intervention in the case group (P-Value < 0. 05). While this difference was not significant in the control group. There was also a significant difference between the mean of tension, anxiety and depression in case and control groups after the intervention (P-Value < 0. 05). Conclusions: By performing low-cost and simple breathing exercises and relaxing yoga in patients undergoing coronary artery bypass graft surgery, can act to improve and prevent psychological problems, especially anxiety, tension and depression.

Introduction: Knowledge is an essential element of an organization to achieve competitive advantage and maximum results. At present, the implementation of knowledge management in the field of medicine and public health management to establish a research-based health center is a very important issue. In this regard, cybernetic management seeks to eliminate traditional and inefficient structures and facilitate communication between departments and sub-systems within the organization. Cybernetic management means efficient and organized knowledge. Therefore, the present study was conducted to determine the cybernetic status and its relationship with knowledge management in the staff of Tehran School of Nursing and Midwifery. Methods: The present study is descriptive cross-sectional and is a correlational study. The statistical population of this study includes all staff and faculty members of the School of Nursing and Midwifery, Tehran University of Medical Sciences. Data collection tool was a three-part questionnaire including personal information, cybernetic questionnaire and knowledge management questionnaire that was completed by self-report method. Research data were analyzed using SPSS software version 25. Results: : Findings showed that the mean and standard deviation of cybernetic scores of the studied units were 75. 4 ±,12. 3 in the desired range and also the mean and standard deviation of knowledge management scores of the research units was 63. 3±, 10. 2 which shows the average knowledge management. It has been above average. Also, the results showed that there is a significant direct relationship between knowledge management and dimensions of participatory decision making, flat structure, correct information flow, fair payment and cybernetic online education (P <0. 05) and with organizational commitment and sense development. There is no significant relationship between ownership. Conclusions: Findings of the present study showed that knowledge management is at a desirable level and also cybernetics is at a moderate level in employees. Therefore, there is a need for coherent planning to improve the cybernetic situation in organizations in order to take advantage of knowledge management.

Introduction: Psychiatric nursing is a branch of nursing that combines educational learning and applying the principles of human relations and theories of psychiatric nursing to the treatment and care of people of any age who suffer from mental illness and its effects. Comparing Iran's psychiatric nursing program with other countries makes it possible to identify the educational problems and issues of the curriculum as well as the background factors that have played a role in the failure or success of the program in question and with their help, it is possible to propose suitable solutions to the determined problems. The purpose of the present study is to compare the curriculum of master's psychiatric nursing in Iran and Duke Nursing School in the United States. Methods: This comparative descriptive study was conducted in the year 2022, in which the important indicators of the master's Curriculum of psychiatric nursing of Iran's nursing schools and Duke University were purposefully selected. The adjustment between the two curricula is done using the Beredy method, which includes four steps: description, interpretation, juxtaposition, and comparison. Results: The comparison of the Master’, s of Psychiatric Nursing Curriculum has similarities and differences in both countries. The two universities have differences in the details of the goals, mission, vision, admission method, system, and curriculum arrangement style. A student's admission in the expert section of psychiatric nursing in Iran is normative and centralized. In USA, admission was followed by a decentralized pattern and students posed selection criteria. In none of the universities, the specific goals of the field have not been defined. The mission of the Iran program is defined at the national level, but the Duke faculty has a cross-border perspective in expressing its mission. Conclusions: In order to improve the quality of the society's mental health and train knowledgeable and skilled psychiatric nurses to increase the quality of service to people suffering from mental disorders, the educational program of psychiatric nursing needs continuous review and improvement in the fields of acceptable conditions for students, the definition of the real position and the role of the graduates, the explanation of the specific goals of the field and the revision of the educational methods and the introduction of new educational methods.

Introduction: In response to the ever-increasing rate of suicide and repeated attempts to commit suicide in the world, which has significant statistics,Attention and focus on the development and implementation of suicide prevention interventions has increased. The aim of the present study was to determine the effectiveness of suicide prevention training on cognitive reactivity, suicidal thoughts and social health in repeat suicide attempters. . Methods: This research was conducted as a semi-experimental pre-test and post-test type with a control group. The statistical population of the current research was all the treatment seekers who attempted suicide again in 1400 in Mahabad city, in the age range of 20 to 34 years, from which 40 people were selected based on the available sampling method and in accordance with the entry and exit criteria. Two intervention groups, experimental and control, each group consisted of 20 people. To collect data, Keyes' Social Health Questionnaire (2004), Beck's Suicidal Thoughts Scale (1976) and Cognitive Responsiveness Questionnaire of van der Dues and Williams (2003) were used. Data analysis was done with the statistical method of multivariate covariance analysis. Results: The results of the research showed that the suicide prevention training program has an effect on cognitive reactivity, suicidal thoughts and social health in repeat suicide attempters (P<0. 05). In fact, the suicide prevention training program reduces cognitive reactivity and suicidal thoughts and increases social health in them. Conclusions: Therefore, the suicide prevention training program is suggested as a treatment method to reduce suicide and improve the social health of these people.

Introduction: The covid-19 epidemic is one of the biggest challenges facing the healthcare system today. Currently, nurses, as the main members of the treatment team, are experiencing many conflicts when it comes to balancing work and family. The purpose of this study was to identify the challenges associated with work-family conflict in nurses and find an effective solution for managing it. Methods: The present study is an integrated review and includes Farsi and English articles extracted from internal databases SID, MAGIRAN and IRANDOC and external databases PubMed, EMBASE, ScienceDirect, Google Scholar, ProQuest, SCOPUS and CINHEAL in the period from 2019 to 2022 using The keywords of nurse, work-family conflict, coronavirus and covid-19 were used separately, combined and their English equivalent using Boolean operators. The inclusion criteria included qualitative, quantitative and mixed studies, which addressed the challenges of work-family conflicts of nurses and had obtained an acceptable score in Gifford's quality assessment. Results: Out of a total of 256 related articles, 21 eligible articles (18 English articles and 3 Persian articles) were reviewed. The results show that the challenges of work and family conflicts of nurses in the era of Corona in 3 levels of organization-based challenges,Individual-based challenges and family-based challenges were obtained. Conclusions: Changing boundaries and family-work balance during the covid-19 pandemic has led to an increase in conflicts in the nursing profession. This is the result of existing concerns about the contagiousness of the virus and the mental and health changes related to the nature of this disease. In this regard, by using family and organizational support and individual training in dealing with crises, the amount of these conflicts in nurses can be reduced.

Introduction: Infertility has led to adverse consequences in the world. Fertility potential can influence the social status and self-esteem of some women. Motherhood is one of the most important roles of women in adulthood. This study was conducted with the aim of determining the effect of psychological-behavioral counseling on the anxiety of infertile women through virtual education. Methods: The present research is a clinical trial with the approach of an intervention and a control group which was carried out in 2018 with the participation of 60 infertile women in Isfahan. The intervention group received cognitive-behavioral training and counseling virtually in the form of voice. Thus, the samples received five 30 minutes of training and counseling voice for 5 weeks. Data were analyzed by paired t-test and covariance with SPSS version 20. Results: Based on paired t-test for mean, anxiety score of the subjects in the control group in the post-test was not significantly different from the pre-test (p = 0. 386) but in the intervention group score of the subjects in the post-test compared to the pre-test was reduced significantly (P<0. 001). Conclusions: Virtual counseling decreased the anxiety score in the intervention group. Considering the clients' emotional states and the fear of successive failures that sometimes occur in the process of infertility treatment, virtual counseling seems to improve anxiety in infertile women.

Introduction: Aging is associated with many diseases, deficiencies and disabilities and the elderly are exposed to many problems. Well-being therapy and therapy based on acceptance and commitment are two interventions that are probably able to improve the feeling of loneliness in the elderly. The aim of this study was to compare the effectiveness of well-being therapy with acceptance and commitment therapy on the feeling of loneliness in the elderly. Methods: The present study was a quasi-experimental pretest-posttest with a one-month followup phase with a control group. The statistical population of the present study included the elderly of Neshat Nursing Home in Mashhad. Among these people, 45 people were selected by purposive sampling method and randomly divided into three groups of 15 people. The experimental groups underwent 8 sessions of 90 minutes of well-being therapy or acceptance and commitment therapy and no action was taken for the control group. Data collection tools included a loneliness questionnaire. SPSS software version 22 and mixed analysis of variance with repeated measures were used to analyze the research data. Results: The results showed that well-being therapy and acceptance and commitment therapy had a significant effect on reducing the loneliness of the elderly in the post-test and follow-up stages (P<0. 001). But there was no significant difference between the effectiveness of the two groups (P<0. 05). Conclusions: According to the results, health professionals can benefit from well-being therapy as well as acceptance and commitment therapy to help the elderly overcome loneliness.