Iranian Journal of Nursing Research
Year:2023 | Volume:18 | Issue:1|Papers Count:8

Introduction: Many breast cancer patients experience significant distress immediately following the completion of primary treatment. Women who report low levels of quality of life (QOL) early in this phase of transitional survivorship tend to experience diminished long-term adjustment. Therefore, the present study aims were to compare the effect of written exposure therapy and mindfulness on mental adjustment and quality of life, in women with Breast cancer. Methods: Sixty females with breast cancer referred to the Shahid Rajaei Hospital in Babolsar, Iran were randomly assigned to one of the three WET (n = 20), MBSR (n = 20) or control (n = 20) groups. WET is a 5-session low-intensity exposure-based intervention for treating PTSD. MBSR is a systematic educational program during an 8-week period. The control group had no additional contact. measures assessing mental adjustment, quality of life were administered at baseline, postintervention, and 2-month follow-up. Results: Both the WET and MBSR groups achieved significant improvement in mental adjustment to cancer and quality of life, with statistically significant differences between groups. However, no differences between the WET and MBSR groups were observed in the mental adjustment to cancer and quality of Life. Conclusions: WET and MBSR may be a useful intervention for use women with breast cancer with poor quality of life and mental adjustment to cancer and may be an important adjunct to medical and pharmacological treatments. This study indicates further research in this area is warranted.

Introduction: With the significant increase in the number of elderly people with various types of disabilities, including physical-motor disabilities, Identifying changeable factors (that may eliminate or prevent physical limitations) in order to improve the independence and quality of life of the elderly with physical-mobility disabilitie is so important. One of the psychological issues in this field is general self-efficacy and its related factors. Therefore, the present study was conducted with the aim of determining effective factors on general self-efficacy in the elderly with physical-motor disabilities. Methods: The present study is a cross-sectional descriptive analytical study which was conducted on 200 elderly people with physical-mobility disabilities referring to three selected educational and treatment centers of Babol University of Medical Sciences (Ayatollah Rouhani, Shahid Beheshti and Shahid Yahainejad) with quota sampling method (according to physical-motor disabilities, age and sex) from December to March, on 2020. To collect data in this study, demographic characteristics form and General Self-Efficacy Scale (GSE-10) were used. Data analysis by independent t-test, analysis of variance and Scheffe and multiple linear regression test, using SPSS software version 20 (at a significant level (p≤, 0. 05)) was performed Results: The present study findings showed that the subjects’,mean age was 72. 25 ±,8. 45. 58% of the elderly were women and 42% of them were men. the mean score of general self-efficacy was 28. 48 ±,6. 48 and most of the elderly (55%) had moderate general self-efficacy. It was also found that the demographic variables of employment status (p˂, 0. 001), income level (p˂, 0. 001) and the underlying disease variable (p = 0. 034) had a statistically significant relationship with general self-efficacy. Also, the results of multiple linear regression test showed that the contextual variable of income level was most related to general self-efficacy in this group of people. Conclusions: The results showed that there is a relationship between the variables of employment status, income level, and underlying disease with general self-efficacy. Therefore, it is suggested to pay attention to the impact of these effective factors in planning and educational-counseling interventions based on the empowerment of the elderly with physical-motor disabilities in order to promote general self-efficacy.

Introduction: Due to the decrease in fertility rate and the increase in the number of aging people, middle-aged adults are more important than ever as an important source for keeping elderly people in families. Understanding and insight into aging care by middle-aged people is necessary to promote health in middle age and old age. The present study was conducted with the aim of understanding the meaning of caring for aging parents in middle-aged people. Methods: The current research is based on the interpretative phenomenological approach that was conducted in Tehran in 1401. 12 middle-aged caregivers of aging parents were selected by purposive sampling method. In-depth and semi-structured interviews were used to collect data. Then the text of the interviews was analyzed after writing with Van Manen's hermeneutic approach based on the reliability of the qualitative data. Results: 4 themes were extracted from the data analysis (compassionate care, calm worried heart, unknown journey and dual atmosphere of home). Conclusions: In this study, the meaning of caring of aging parents by the participants was a compassionate and responsible care, combined with calmness and worry, and the vagueness of the caregiving time in a safe and tense atmosphere. For this reason, middle-aged people were forced to sacrifice too much for their relatives and parents in order to continue living with their aging parents. Therefore, understanding the experiences and concerns of these people can be useful for providing counseling assistance to the middle-aged, policy makers, health providers (especially nurses) and gerontologists.

The aim of this study was to predict depression based on early maladaptive schemas and perceived social support concerning the mediating role of hope in cancer patients. The research method was descriptive correlation. The study population included all cancer patients referred to the Cancer Institute of Imam Khomeini and Milad Hospitals in Tehran. The sample size was 300 cancer patients who were selected based on the inclusion and exclusion criteria of the study and by Purposive sampling method. The research instruments were Yang (1998) Early maladaptive schemas questionnaire, Zimet et al. (1988), Beck Depression Inventory (1961) and Snyder Hope Questionnaire (1991). The results of data analysis showed that the model of predicting depression based on initial maladaptive schemas and perceived social support with the role of hope mediator based on empirical data has a good fit. Also, Direct and indirect effect of early maladaptive schemas and perceived social support on depression in cancer patients were confirmed by considering the mediating role of hope (p <0. 05).

Introduction: Cardiovascular diseases have a high prevalence in the world and are considered one of the main causes of death. To reduce the prevalence and mortality of heart diseases, pharmacological and non-pharmacological measures are considered. Medicine is the main link in the treatment chain and its correct use is important. In the field of non-pharmacological measures, strategies to deal with negative emotions such as stress, anxiety, and depression are considered because they can cause and aggravate heart diseases. This study investigated the relationship between the management of the principled use of drugs with stress, anxiety, and depression in patients with coronary artery disorders. Methods: This research is a correlational descriptive study in which 115 patients with coronary artery disease or class one and two heart failure with medical records the only hospital in Gonabad city was selected and examined by a simple random method based on the inclusion criteria. The DASS-21 questionnaire and the researcher-made questionnaire for the management of the basic use of drugs along with demographic information were provided to the samples. After determining normality using Spearman's test and regression analysis and using descriptive statistics methods (prevalence, percentage, mean, standard deviation) and using SPSS version 25 software Results: Based on the results of Spearman's test, there was a significant and inverse relationship between the management of basic medication use and DASS (p<0. 05, r=-0. 28). Also, there was a significant and inverse relationship between the dimensions of DASS including anxiety (r=-0. 24), stress (r=-0. 27), and depression (r=-0. 22) with the management of the principal use of drugs Conclusions: In this study, the relationship between stress, anxiety, and depression with the management of basic medication use in patients with coronary artery disorders was investigated, and there was a significant and inverse relationship between the management of basic medication use and stress, anxiety, and depression. Therefore, it can be said that the higher the level of stress, anxiety, and depression, the more people will be in a weaker position in terms of managing the basic use of drugs.

Introduction: The birth of a baby with congenital heart disease (CHD) is a source of stress, so the mother should be empowered to face difficult conditions. increasing resilience increases a person's ability to deal with stressful factors. This study was conducted with the aim of determining the effect of empowering mothers of infant with congenital heart disease on their resilience. Methods: This research study was a semi-experimental clinical trial on 60 mothers with infant born with CHD in the NICU department of Imam Reza Hospital. Available sampling method and study tools were demographic questionnaire and Connor's resilience scale. The stages of empowering mothers were followed in 9 sessions of 30 minutes in the form of knowledge and skill training in the field of physical and emotional care. After collecting the data, statistical analysis was done with spss 20 software. Results: The results of the present study showed that the empowerment program of mothers of infant with CHD had a statistically significant effect on their resilience after the intervention and when the infant was one month old compared to the control group (p<0. 001), but the average score Resilience within the group (in the intervention group) is not significant (p=0. 61). Conclusions: According to the results of the research, the empowerment of mothers with emphasis on emotional empowerment should be considered in nursing care programs for infants with CHD hospitalized in the neonatal intensive care unit.

Introduction: Telenursing is considered as a subset of telehealth care that focuses on the provision, management and coordination of care and services using telecommunication technology in the field of nursing and its goal is to improve the quality of care. One of the applications of telenursing is the education of women in the field of sexual empowerment based on sexual self-efficacy. Sexual ability and satisfaction resulting from it is considered as one of the most basic aspects of human life, and healthy sexual performance plays an important role in feeling healthy and improving the quality of life. The purpose of this research was to compare the sexual self-efficacy of women before and after the empowerment program, as well as to compare the effect of the distance and face-to-face sexual empowerment education in women who referred to the health and treatment center of the district 6 of Tehran in winter of 1400. Methods: This quasi experimental study was conducted on 56 women who referred to the health and treatment center of district 6 of Tehran. The research units were randomly divided into two groups and the empowerment program was conducted face-to-face and remotely. The sexual self-efficacy of the two groups before and after the empowerment program was measured and compared with the sexual self-efficacy questionnaire. The reliability of the sexual self-efficacy questionnaire was confirmed using Cronbach›, s alpha measurement method of 0. 86 and the content validity of the sexual self-efficacy questionnaire in Iran was approved. Results: The results showed that in the face-to-face and telenursing groups, the mean score of sexual self-efficacy in the post-test was significantly higher than the pre-test. based on the results of the covariance test, the mean score of women›, s sexual self-efficacy in the two groups was no significant difference. Conclusions: Based on the results, no significant difference was observed between the two groups in terms of the effectiveness of the two methods of face-to-face and telenursing programs. Therefore, considering the difficulties and cost of face-to-face education, telenursing, is recommended as an effective, cheap, simple and attractive method for the clients.

Introduction: Recognizing the health problems of nursing students can be effective in identifying and treating various disorders, including their anxiety. The purpose of this study was to determine the relationship between health dimensions and anxiety in nursing students. Methods: The present study was a correlational descriptive study in which 210 nursing students of the Islamic Azad University of Khorramabad branch participated in the census method in 2019. Data collection tools were demographic questionnaires, Goldberg mental health questionnaires, Keyes social health questionnaires, Spiritual health was Polotzin and Ellison and Spielberger's anxiety. SPSS-22 software and descriptive and inferential statistical tests (ANOVA, independent t and Pearson) were used for data analysis. Results: Of the total nursing students, 136 (64. 76%) were female and 153 (72. 85%) were single. 60. 5% of nursing students had moderate to high anxiety. The amount of mental, social and spiritual health respectively It was average in 72. 38%, 90. 95% and 100% of nursing students. There is no statistically significant difference in mental health, social health and spiritual health of nursing students participating in the study according to demographic characteristics (P> 0. 05). However, the average and standard deviation of student health is social, which makes him a student, continues to work as an employee and lives in the city, was more than other scientists studied (P <0. 05). There was a statistically significant negative relationship between health dimensions and anxiety (P <0. 05). Conclusions: As the health dimension increases, the level of anxiety of nursing students decreases. It is suggested that improving the health dimensions of nursing students should be among the priorities of medical universities and that comprehensive and complete programs should be developed to achieve this goal.