Nursing And Midwifery Journal
Year:2022 | Volume:20 | Issue:7 (156)|Papers Count:8

Background & Aim: This research aimed to determine the effectiveness of the emotion regulation intervention on the intensity of fatigue and existential anxiety of women with multiple sclerosis. Materials & Methods: This study was a semi-experimental research with a pre-test and post-test design and follow-up with a control group. The statistical population included all female patients with MS in Urmia city in 2020. The sample size included 30 people (15 in the experimental and 15 people in the control groups) who were selected by convenience sampling method. For the experimental group, emotion regulation training was implemented, while the control group did not receive any training. The research tools included the fatigue intensity scale and the existential anxiety scale. Data were analyzed using descriptive statistics and analysis of variance tests with repeated measurements. Results: The results showed that emotion regulation intervention significantly affected the intensity of fatigue and existential anxiety in the post-test stages (P<0. 001). In contrast, the effect of intervention in the follow-up phase was insignificant and did not persist (P>0. 05). Conclusion: The findings of this research provide useful information regarding the emotion regulation program and counselors and psychologists can use this intervention to improve the intensity of fatigue and existential anxiety in MS patients.

Background & Aims: One of the psychological and social consequences of some diseases, especially infectious ones in any society is the patients’,fear of social reactions, the stigma of the disease, and being a transmission agent. Due to wide effects of this Illness on various aspects of the society, not much attention has been paid to this issue. Therefore, the present study aimed to explain the lived experiences of nurses regarding social stigmas of Covid-19 pandemic. Materials & Methods: This qualitative study was conducted from march 2021 to march 2022 using interpretative phenomenology analysis. The participants were 12 nurses selected purposefully from the nurses of Babol University of Medical Sciences who had the experience of nurses caring for the patients with Covid-19 and had social stigma. The data were collected through semi-structured and individual interviews and analyzed simultaneously and continuously using Van Manen's method. Results: The lived experiences of nurses caring for the patients with Covid-19 include three main categories and six subcategories,the main categories were: Contradictory feelings (psychological tensions and positive attitude), Rejection (isolation and comprehensive rejection), and Adaptation strategies (self-awareness over time and the effective role of the media). Conclusion: According to the findings of this study, there is a need for strategies by managers and officials to check the level of mental health of nurses working in the Covid-19 unit in order to improve the quality of the patient care by identifying the psychological needs resulted from the social stigma of the medical staff working in the Covid ward. In addition, it is possible to improve this group's mental health and their families by designing psychosocial interventions related to destigmatization such as stress management courses and resilience training as well as conducting psychological counseling.

Background & Aim: Medication errors are among the most common accidents in the nursing profession. The primary and natural consequence of such errors will be an increase in the hospitalization duration and an increase in costs, which in some cases can lead to severe injury and even death of the patient. This study aimed to determine the frequency and effective factors on reporting medication errors in nurses. Materials & Methods: This descriptive cross-sectional study was performed in Golestan province teaching hospitals. 340 nurses working in the hospitals were included in the study by random sampling method. Data were collected using demographic questionnaire as well as questionnaires on the frequency of medication errors and effective factors in reporting medication errors, and then analyzed using descriptive and inferential statistical methods by SPSS-23 software. Results: The frequency of medication errors in the nurses in the second half of the year 2021 was 87. 1%. formal reporting of medication errors was 7. 1% and informal reporting was 18. 2%. From the nurses’,view, among the factors affecting medication errors the highest scores were related to individual and mental condition errors, management process, patient and ward error, medication and physician errors, and finally nurses' professional errors. Conclusion: The three areas of factors related to the nurse, ward, and management should be considered by the managers of the respective hospitals in cooperation with the hospital matrons. If these factors are eliminated, the employees will report work errors accurately and will fully follow up their errors.

Background & Aim: More than 90% of type 2 diabetic patients develop complications due to diabetes over time. Neuropathy is one of the complications of diabetes which leads to diabetic foot ulcers. Prevention of neuropathic foot ulcers has a high priority in these patients. This study aimed to determine the effect of interventions based on strengthening foot care behavior on foot health status and mean glycosylated hemoglobin level in type 2 diabetic patients in Diabetes Association and teaching hospitals of Urmia, Iran in 2019. Materials & Methods: This study was a clinical trial that was conducted in Urmia in 2019. Totally 70 patients (35 in the intervention group and 35 in the control group) participated. Patients in the intervention group received 9 training sessions based on strengthening foot care behavior, while patients in the control group only received routine care. Data collection tools included the demographic and clinical information questionnaires and the four-item Douleur Neuropathique 4 (DN4) questionnaire. Data were analyzed in SPSS software (version 21) using descriptive and analytical statistics. The difference was considered significant at the levels below 0. 05. Results: In the intervention group, the mean peripheral neuropathy score had changed from (5. 20±, 1. 02) at the beginning of the intervention to (3. 74±, 0. 93) at the end of it with a statistically significant difference (P<0. 001). Also, their mean HbA1c had changed from (7. 66±, 0. 7) at the beginning of the intervention to (6. 88±, 1. 11) at the end of the intervention with a statistically significant difference (P=0. 01). Conclusion: The intervention based on strengthening the foot care behavior effectively reduced the severity of peripheral neuropathy and the mean glycosylated hemoglobin in the intervention group. The results of this research can be used in medical research centers and educational and clinical nursing services to reduce the complications of diabetes and improve the quality of life in diabetic patients.

Background & Aim: Currently, depression is known as the disease of the century, which is one of the most common mental disorders in the whole world and Iran. On the other hand, since many patients do not seek medical assistance and the cost of treatment is high, this disease is spreading. Therefore, the need for appropriate treatment methods, including smartphone applications to prevent and improve depression, is one of the necessities of every society. Thus, this research was conducted to determine how the smartphone application (Yara) affects anxiety in depressed patients. Materials & Methods: This semi-experimental study with a pretest and posttest design and with a control group was conducted on 64 patients with depression referred to the psychiatry clinic of Razi Hospital, Urmia and the psychiatry clinic of Shahid Madani Hospital, Khoi in 2021-2022. Sixty-four patients were selected using the convenience method and randomly assigned to two control and intervention groups. The intervention was conducted using the smartphone application (Yara) for three months. Data were collected using the Spielberg anxiety questionnaire before and after the intervention. Data were analyzed in SPSS version 22 using descriptive and analytical statistics. Results: The results showed that the use of the smartphone application (Yara) has a positive and significant effect on the anxiety of depressed patients (P=0. 001), so the use of the smartphone application (Yara) leads to reduction of the anxiety of depressed patients. Conclusion: Using the Yara application as a kind of digital technology is considered a suitable solution to improve the anxiety of the patients suffering from depression. In this way, smartphone technology is an opportunity to transform mobile phones into devices that can provide affordable mental health services. In this regard, using the smartphone application (Yara) can help reduce anxiety in people prone to depression and suffering from it. Also, knowing the effects of this application can open the gate to using this technology in treating mental disorders.

Background & Aim: Stroke is the second cause of disability and the third cause of death after heart diseases and cancers, which leads to major changes in lifestyle of the patients. The complications of this disease reduce self-care behaviors. Based on the evidence, implementing programs and interventions such as self-management training can be helpful. Therefore, the present study was conducted with the aim of determining the effects of education based on Encourage Autonomous Self-Enrichment (EASE) programs on medication compliance of stroke survivors in 2021. Materials & Methods: This study was an interventional study (quasi-experimental) with two groups (experimental and control) as pre-test and post-test that was performed on 55 stroke survivors in Mahabad city. Samples were selected by convenience Sampling method and randomly assigned into control (28) and experimental (27) groups. Data collection tools included patients' demographic information form and Moriski's medication compliance scale. The intervention included implementing education program by the EASE method for 12 days at the patients' homes and face-to-face in the presence of the patient's caregiver. Data analysis was done using SPSS version 22 statistical software and descriptive and inferential statistics. The statistical significance level was considered as less than 0. 05. Results: This study showed no statistically significant difference in medication adherence in patients of the control and experimental group before intervention (p>0. 05),however, a statistically significant difference was observed after the intervention (p<0. 05). Conclusion: Based on the findings of the present study, it was found that training by the EASE program is effective in these patients. Therefore, the authorities of the health and treatment system should adopt appropriate solutions for the EASE program of these patients and the training of their families and their active participation in the field of caring for these patients in order to improve the quality of life of these patients and avoid their re-hospitalizations and deaths as much as possible.

Background & Aim: Cancer is one of the most important health-related issue in Iran and Worldwide. Cancer-related fatigue can persist even years after chemotherapy, and fatigue reduces the person's ability to work, activity, and trying to maintain a normal life. The purpose of this study was to study the effect of the family-centered empowerment model on the level of fatigue of the patients undergoing chemotherapy. Materials & Methods: This is a semi experimental study in which 80 people were selected by convenience sampling method from the patients of blood 1 and 2 sections who were hospitalized in Imam Khomeini hospital in Urmia city, Iran. The family-centered empowerment model was enrolle in 4 main steps included: 1-understanding the threat, 2-promoting self-efficacy/problem solving, 3-promoting self-confidence and self-esteem through educational participation, and 4-evaluating the accomplishment of the task,These procedures were performed for the intervention group during 3 months in the 2nd Blood Department of Imam Khomeini Hospital in Urmia. Cancer fatigue scale tool and demographic and clinical characteristics questionnaire were used to collect data. Data were analyzed by paired t-test, independent t-test, Fisher's exact test, and chi-square test using STATA version 12 software. Results: At the beginning of the study, the two intervention and control groups did not have a significant difference in terms of the average fatigue score (p=0. 649). After the intervention, the average fatigue score of the intervention group (34. 57 ±,4. 10) decreased significantly compared to the control group (46. 77 ±,5. 43) (p<0. 001). Conclusion: The results of the study showed that empowering the family members responsible for the care of cancer patients undergoing chemotherapy has reduced the level of fatigue in the patients. Nurses are advised to help them reduce the side effects of chemotherapy by applying the family-oriented empowerment model and consciously involving the patient and family in making decisions to improve their health.

Background & Aim: Training transfer is necessary to improve the quality of health services provided by nurses. Despite substantial investment in healthcare training, studies show that only a small portion of training is transferring to the workplace. Therefore, the present study was designed and conducted with the aim of investigating training transfer among nurses using the theory of planned behavior. Materials & Methods: Correlational-predictive research design was used in this research. The target population consisted of all 78 nursing staff currently working at Imam Hossein hospital, Tehran, Iran, who participated in the documentation workshop. Using the method of Hair et al., 53 subjects were selected by random sampling method. In order to collect the data, a researcher-made questionnaire, the theory of planned behavior, and a reporting checklist were used. In order to analyze the data, structural equation modeling using Smart-PLS2 software was used. Results: The results showed, attitude toward training transfer subjective norms about training transfer, and behavioral control over training transfer significantly predicted training transfer intention. Also, the results showed that the perceived behavioral control towards the transfer of education and the intention to transfer education are significant predictors of nurses' education transfer behaviors. Conclusion: The theory of planned behavior can predict training transfer intention and training transfer behavior among nurses. Therefore, this theory can be a guide for healthcare officials to create a suitable environment for education transfer.