Journal of Client-Centered Nursing Care
Year:2018 | Volume:4 | Issue:3|Papers Count:7

Background: Majority of the textbooks for undergraduate midwifery students of Iran are educational resources for obstetricians. Therefore, the topic of Professional Labor Support is not taught well to these students. This study aimed to determine the effect of Professional Labor Support education to midwifery students (based on midwifery textbooks) on satisfaction of women who gave birth under the supervision of these students. Methods: This quasi-experimental study was conducted on 70 midwifery students of a nursing and midwifery school in Iran. Students in the intervention group (n=35) were taught Professional Labor Support in physical, emotional, and informational fields based on midwifery textbooks. The control group received conventional education. The effect of Professional Labor Support education on the students was evaluated using Professional Labor Support Questionnaire (LSQ) and satisfaction of women who gave birth under the supervision of these students (measured by a modified version of LSQ). Data analysis was conducted by Chi-square, two-sample Kolmogorov-Smirnov and Independent t tests in SPSS V. 16. Results: The Professional Labor Support delivered by the midwifery students in the intervention group was significantly higher than the control group (t=-9. 16, P<0. 001). Similarly, the satisfaction of women who had given birth under supervision of the trained students was significantly higher than that of women who had given birth under the supervision of the control group (P<0. 001). Conclusion: Professional Labor Support education based on midwifery textbooks had a positive effect on the women’ s satisfaction with labor support. It is suggested that textbooks for obstetricians be replaced by midwifery textbooks recommended by International Confederation of Midwives.

Background: Children with autism should interact and get along with their surrounding environment. Therefore, the researchers must try to explain the reasons of challenges in their adaptive behaviors. This study aimed to evaluate levels of challenges in sensory processing and the motor domain of adaptive behavior among children with autism in Egypt, and to explore the effect of sensory processing on subdomains of gross and fine motor skills. Methods: This is a cross-sectional study. Study questionnaires were distributed to 180 caregivers of children with autism in Cairo, Egypt, between July 2017 and February 2018. The caregivers were selected by convenience sampling method. The questionnaires used were the sensory checklist and adaptive behavior scales. Descriptive statistics and comparing means were used to determine the levels of sensory processing and motor domain of adaptive behavior. Linear regression analyses was used to test the effects of sensory domains on motor areas. SPSS-PC V. 25 was used to analyze the obtained data. Results: The results demonstrated various problems in children’ s sensory processing and the motor domain of adaptive behavior. Caregivers reported that 96. 67% of the children had frequent sensory challenges in at least one component of sensory domains, mostly in visual system (27. 2%). Subdomain of fine motor skills (Mean=1. 4951) showed higher challenges than gross motor skills (Mean=1. 9455). This study proved significant inverse effect for movement processing on gross motor subdomain at α =0. 05. Conclusion: Parents of children with autism, occupational therapists, and other healthcare practitioners should gain in-depth knowledge regarding their children’ s behaviors and their possible reasons.

Background: Catatonia occurs as a complication of various medical and psychological illnesses that can be treated when diagnosed. Despite the high incidence of catatonia, the problem is poorly recognized. This study aimed at investigating the prevalence of catatonia and related factors in its diagnosis within a five year period in hospitalized patients of Zareh Psychiatric Center, Sari, Iran using computerized archive of records. Methods: It was a descriptive and retrospective study. The records of all patients with mental disorders admitted to Zareh Hospital between 2010 and 2014 were assessed. The data were collected using a demographic questionnaire and the Northoff Catatonia Scale (NCS). Then analyzed by statistical tests of multivariate logistic regression in SPSS-PC V. 20. Results: Only 0. 26% (26 per 10000 population) of patients had experienced catatonic schizophrenia during a five year period, including 42. 11 men and 57. 89 women. The prevalence of catatonic schizophrenia was significantly correlated with gender and age (P<0. 05). Of the patients, 68. 42% had a history of medication therapy and or hospitalization and 21. 5% had a history of physical disorders. There was no significant relationship between the mean score of movement, emotional and behavioral changes with sex, education and age groups (P<0. 05). Conclusion: Because many catatonic patients had a combination of medical and psychiatric problems, psychiatrists and psychiatric nurses are suggested to assess catatonia symptoms in both internal and psychiatric wards.

Background: Because of the rising number of elderly people, their Quality of Life have become more important. Health status has been considered as one of the factors that affect life quality and Spiritual Well-Being is one of its important dimensions. The present study aimed to determine the relationship between Spiritual Well-Being and Quality of Life among the elderly people residing in Arak City, Iran. Methods: This is a cross-sectional and correlational study. The study sample comprised 400 elderly people residing in Arak, Iran who were selected by cluster sampling method. Spiritual Well-Being was measured using Spiritual Well-Being scale (SWB) and the Quality of Life was assessed by Older People’ s Quality of Life Questionnaire (OPQOL-35). The obtained data were analyzed by descriptive statistics, along with Pearson correlation test, t-test, and ANOVA in SPSS V. 16. Results: The Mean± SD score of life quality among the elderlies was 76. 24± 17. 84 and was associated with their marital status and education level (P=0. 001). The Spiritual Well-Being score of most elderly people ranged from moderate to high and the Mean± SD score of their Spiritual Well-Being was 96. 47± 13. 43. There was a significant relationship between Spiritual Well-Being and the Quality of Life (r=0. 37, P=0. 0001). Conclusion: According to the findings, more attention should be paid to the factors related to the Quality of Life for taking care of the elderly people. Considering the relationship between Spiritual Well-Being and Quality of Life among these elderlies, provision of spiritual care for this group of society is recommended.

Background: Although the internet has prevailed in every aspect of our life, it can be addictive, especially for the adolescents. This study aimed to investigate the relationship between internet addiction in female school students and their mothers’ mental health and spiritual wellbeing. Methods: This is a descriptive correlational study conducted on 400 senior high school female students and their mothers. The study sample was selected using a multi-stage cluster sampling method. Data was collected by a demographic survey form, Persian version of Internet Addiction Test (IAT), General Health Questionnaire (GHQ), and Spiritual Well Being Questionnaire (SWBQ) and was analyzed by descriptive and inferential (ANOVA, t-test, and linear regression analysis) statistics using SPSS-PC V. 20. Results: About 86% of the students were normal internet users. Around 36. 8% of the mothers had mild mental health problems, and 94. 3% had high spiritual wellbeing. There was a significant negative relationship between internet addiction and spiritual wellbeing and its two dimensions (religious and existential wellbeing) (r=-0. 454, P<0. 001). The internet addiction had a significant positive relationship with the mothers’ mental health (r=0. 341, P<0. 001). Conclusion: Studying the problem of internet addiction among female students and paying attention to the mental health and spiritual wellbeing of families, especially mothers, in order to improve their health status seems necessary. Hence, authorities should develop appropriate strategies in this area.

Background: Heart Failure (HF) as one of the severe consequences of cardiovascular diseases leads to high mortality in Iran and around the world. This study aims to investigate the effect of self-care education on the resilience of patients with Heart Failure. Methods: This is a quasi-experimental study with a control group. The study population consisted of all patients with HF referring to the educational hospitals affiliated to Babol University of Medical Sciences in 2017. The obtained data were collected by the Connor-Davidson Resilience Scale (CD-RISC). A total of 88 patients were selected by convenience sampling method and randomly assigned into intervention and control groups (44 in each group). The intervention group received intervention program for 60-45 minutes in 6 sessions, per week in addition to routine care. The control group just received routine care. After one month, CD-RISC was completed again by both groups. The collected data were analyzed by descriptive and inferential statistics (Chi-square, independent t-test, ANCOVA) in SPSS-PC V. 22. Results: Before self-care education, the mean score of resilience was not significantly different between the groups (P=0. 69), but after intervention the difference was significant (P<0. 001). After the intervention, the mean score of resilience increased in the control group by 2. 95 unit which was significant (P=0. 02). In the intervention group, the mean score of resilience increased by 20. 55 unit, which was statistically significant (P<0. 001). Conclusion: Considering the effectiveness of self-care education on the resilience of patients with Heart Failure and its feasibility, implementation of this program by nurses is recommended.

Patient’ s education as the core of nursing care is one of the essential rights of the patients, too. Nurses should apply effective and applicable methods to teach their patients properly. The role of healthcare team, especially nurses, is very important in adopting suitable educational methods and consequently patients’ adherence to their treatment regimens. The World Health Organization (WHO) has frequently pointed out that appropriate patient’ s education during discharge helps them adhere to their treatment regimens and this in turn leads to the shorter hospitalization, lower mortality rate, and consequently better health economics...