Journal of Health And Care
Year:2024 | Volume:26 | Issue:1|Papers Count:8

Background: Emotional eating is harmful to health and it has a high incidence in obese people, especially obese women. Therefore, it is important to recognize the causing factors. The purpose of this study was to explore obese young women’s lived experiences of psychological factors resulting emotional eating. Methods: A qualitative study using a hermeneutic phenomenological approach was conducted. A purposive sampling method was used to select 17 young women experiencing emotional eating with a body mass index of 30 or higher. Diekelmann and colleagues’ method was used to analyze the data collected through face-to-face, individual and semistructured interviews. Results: Regarding psychological factors related to emotional eating behavior, the theme of "psychological problems" was identified. This theme includes 6 sub-themes including: "Insecure attachment", "emotional deprivation", "lack of self-compassion", "rumination of negative thoughts", "psychological resistance in motivational structure" and "psychological inflexibility in moral-religious considerations". Conclusion: The results of this study suggest that a number of psychological factors play a role in creating women's emotional eating behavior. These factors are interrelated and some of them are the underlying causes of other factors. In other words; these factors in link together to create and maintain emotional eating behavior. The results of this study may provide insights for planning effective preventive and therapeutic interventions for emotional overeating and weight management in women.

Background: The COVID-19 pandemic has created unprecedented challenges and stressors for all populations around the world. The present study aimed to investigate the structural relationships patterns of Covid-19 stress prediction based on self-control with the mediating role of perceived social support in students. Methods: This was a descriptive-correlational study of structural equations. The study population included all high school students in Ardabil in 2020. A total of 250 of these individuals were selected using the convenient sampling method and participated in the study. The Corona stress, perceived social support and self-control questionnaires were used to collect data. Pearson correlation coefficient and structural equation modeling were used to analyze the data using SPSS.25 and Lisrel-8.8 softwares. Results: The results of the correlation coefficient showed that Corona stress had a negative and significant statistical relationship with self-control (r=-0.70; p<0.001) and perceived social support (r=-0.73; p<0.001). Also perceived social support has a positive and significant relationship with self-control (r=0.72; p<0.001). The model was fit based on the fit indices. Based on the results self-control was effective in corona stress, both directly and indirectly through the mediation of perceived social support. Conclusion: The results indicated that self-control along with perceived social support can play an important role in Corona stress. Therefore, the findings of this study can facilitate the provision of more accurate psychological interventions by educational parties.

Background: Quality nursing care can have a significant impact on the healing process and preventing complications of disease. On the other hand, organizational support may be one of the factors influencing the quality of nursing care. This study was conducted with the aim of determining the relationship between the perceived organizational support and the quality of nursing care during the COVID-19 outbreak. Methods: This descriptive correlational study was conducted in 1400. A total of 384 nurses were selected from different departments of educational and therapeutic hospitals in Ardabil and Khalkhal using stratified random sampling method. The data collection instruments included the Demographic Profile Form, Eisenberger's Perceived Organizational Support Questionnaire, and Qual-Pex Nursing Care Quality Questionnaire. Statistical analysis of the data was performed using Pearson correlation coefficient, multiple regression, independent t-test and one-way analysis of variance at a significance level of 0/05 using SPSS-20 software. Results: The mean score of perceived organizational support was 21.75±4.7 and the quality of nursing care was 240.45±17.56. A positive and significant relationship was observed between the perceived organizational support and the quality of nursing care (p<0.05 and r=0.45). Also, the two variables of age and level of education had a positive and significant relationship with the quality of nursing care (p<0.05). Conclusion: The results of the study indicate that there is a significant relationship between organizational support and the quality of nursing care. Therefore, nursing managers can play an important role in improving the quality of nursing care by creating a supportive atmosphere for nurses.

Background: In addition to physical symptoms, the coronavirus also causes psychological symptoms and reduces psychological well-being. The purpose of this study was to predict psychological well-being based on social support and family functioning in people who have recovered from COVID-19. Methods: This study was a descriptive correlation study that was conducted in 2023 on 350 people who had recovered from the COVID-19 disease and were hospitalized at Imam Reza Hospital in Bandar Abbas city. Samples were selected using convenience sampling and completed RIF psychological well-being, Vax social support and Epstein family functioning questionnaires. To analyze the data, Pearson correlation coefficient and stepwise regression were used in SPSS-24 software. Results: The results showed that social support and family functioning were able to predict psychological well-being of people who recovered from COVID-19 (p<0.001). Based on the regression test, social support (0.381) and family function (0.478) were able to directly predict the psychological well-being of those who recovered from COVID-19 (p<0.05). Conclusion: According to the findings, psychologists and counselors need to identify factors that influence psychological well-being, such as social support and family functioning, and reduce their issues when counseling people who have recovered from COVID-19

Background: It is essential to improve the psychological well-being of nurses who experienced complicated grief caused by COVID-19. Therefore, this study was conducted with the aim of determining the effect of acceptance and commitment based treatment on pathological worry and death anxiety in nurses with the experience of complicated grief caused by COVID-19. Methods: The present study was a semi-experimental study with a pre-post design and a control group. The study population included all the nurses who had experienced complicated grief caused by COVID-19 in the city of Qom. Using purposive sampling, 40 nurses scored higher than 45 on Pennsylvania State's pathological worry questionnaire (PSWQ) and 7≤ on Templer's death anxiety questionnaire (DAQ) were selected and were randomly divided into two experimental and control groups (each group including 20 people). The experimental group then underwent 8 therapy sessions (120 minutes each) based on acceptance and commitment. Data were analyzed using analysis of variance with repeated measures and Bonferroni post hoc test, using SPSS-25. Results: Analysis of variance with repeated measurements showed that the therapeutic approach based on acceptance and commitment had a significant impact on the pathological worry and death anxiety of nurses at different stages of evaluation (p<0.001). Furthermore, the results of the Bonferroni post hoc test showed that change pathological worry and death anxiety scores that occurred during the post-test phase was also maintained during the follow-up phase (p>0.05). Conclusion: Considering the effectiveness of the treatment based on acceptance and commitment, this therapeutic approach can be used to improve the problems of nurses experiencing complicated grief caused by COVID-19 in hospitals and counseling centers, by counselors, clinical psychologists and Psychiatrists

Background: Experts believe that motivation plays an important role in the academic performance of students and according to the current conditions, various factors can improve it. Among these factors, psychological and social well-being is considered as effective variables. Therefore, this study was conducted with the purpose of determining the role of psychological and social well-being on the academic motivation of nursing students through the mediation of academic civic behaviors. Methods: This is a correlational descriptive study. The statistical population consisted of nursing students of Tabriz University of Medical Sciences during the academic year of 1400-1401 (2021-2022). The number of 250 people was selected out of available 700 nursing students based on Morgan's table using stratified random sampling method. Harter's academic motivation questionnaire (1981), Rief's psychological well-being (1989), Keyes' social well-being scale (2004) and Gol Parvar's academic civic behavior questionnaire (2019) were used to collect data. Data analysis was performed using Pearson's correlation coefficient and structural equation analysis using SPSS-21 and Amos-22. Results: The results of showed that there is a positive and significant relationship between social well-being and its components (including prosperity, correlation, cohesion, acceptance and social participation) and psychological well-being and its components (including self-acceptance, positive relationships with others, autonomy, control over the environment, purposeful life, and personal growth) and academic motivation (p<0.05). Furthermore, academic civic behaviors have a mediating role in the relationship between psychological well-being and its components and social well-being and its components and academic motivation (p<0.01). Conclusion: Based on the study findings, due to the influencing role of psychological and social well-being on variables such as academic motivation and civic academic behaviors in nursing students, universities should make efforts to hold consultation centers inorder to increase psychological well-being and academic motivation of their students

Background: COVID-19 has caused various challenges in the social, political and economic fields. To stay safe from complications of the disease, proper and quality care is important. Nurses' understanding of caring behaviors and the factors that influence them will play an important role in the quality of care and ultimately the society health. Therefore, this study was conducted with the aim of determining the relationship between challenges to deal with COVID-19 and caring behaviors of nurses in Ardabil City. Methods: This is a correlational descriptive study involving 384 nurses working at Ardabil educational hospitals in 2022 using convenient sampling method. Data were collected through a three-part electronic questionnaire on demographic characteristics, Wolff et al. caring behavior and challenges to deal with COVID-19 questionnaires. Data were analyzed using descriptive statistics (frequency, mean and standard deviation) and analytical statistics (one-sample t-test, independent t-test, ANOVA and linear regression) using SPSS-26. Results: The results showed that the mean score of the challenges to deal with COVID-19 from the nurses' point of view was 121.91±17.16. The most important challenge was related to the subscale of human resources (4.52±0.74). The mean score of nurses' caring behaviors was 196.92±46.74. Mean score of physical care dimension (4.86±0.06) was more than psychological dimension (4.64±0.15) and this difference was statistically significant. There was a positive significant correlation between challenges to deal with COVID-19 and caring behaviors of nurses (p=0.03, r=0.10). Furthermore, there was a positive significant relationship between dimensions of challenges to deal with COVID-19 (including comprehensive planning of coping, facilities of coping, financial issues of coping, education and social issues and human resources) and caring behaviors of nurses (p<.001). The linear regression model showed the variable of human resources predicts 5% of the variance of nurses' caring behaviors (p<0.001). Conclusion: The results revealed that the increase of challenges to deal with COVID-19 score results in increased score of caring behaviors in nurses. That shows nurses consider working in difficult and dangerous situations as part of their professional role and duty. Therefore, it is suggested to improve the caring behaviors during the epidemic through overcoming the human resource shortages, empowering and educating personnel and paying attention to the physical and psychological aspects of care.

Background: Clinical education is an essential part of medical science education and the climate in clinical environments is one of the influential factors in the quality of clinical education. Therefore, this study was conducted with the aim of determining the educational climate of the operating rooms from the perspective of residents, operating room, and anesthesiology students of Ardabil University of Medical Sciences in 2023. Methods: In this cross-sectional study, all the residents from different fields, operating room students, and anesthesiology students with at least one semester of operating room experience were studied through the census survey method. Data was collected using the demographic characteristics questionnaire and the educational climate of the operating room questionnaire of Igor et al. (2022). Data were analyzed using SPSS v.26 using centrality indices, dispersion and chi-square tests, t-test, and ANOVA. Results: The results showed that the majority of students (98.7%) rated the educational climate of the operating rooms as average. The areas of the educational climate in this study were technically average but not optimal. The scores for educational processes and operating room infrastructure were lower than standard values (p<0.05). There were significant differences between educational climate with gender (p=0.003) and age (p=0.001). The perception of the educational climate for anesthesiology students was lower than that of other students (p=0.001). Conclusion: The results showed that the educational climate of the operating rooms was not favorable from the perspective of students. There was a weakness in the educational process and operating room infrastructure. Educational authorities are recommended to address the existing problems to improve the educational atmosphere of the operating rooms and improve the quality of clinical education.