Avicenna Journal of Nursing and Midwifery Care
Year:2020 | Volume:28 | Issue:3|Papers Count:8

Introduction: Kidney transplantation leads to return to a healthy life and relief from hemodialysis restrictions. The benefits of kidney transplantation have been proven but require constant self-care monitoring throughout one's life and training and support. One of the new methods of training is the teach-back method used to obtain and understand information. This study aimed to determine the impact of selfcare education with Teach-Back method on self-esteem in Kidney Transplant Recipients. Methods: In this clinical trial study, 79 renal transplant patients were selected from the clinic of Imam Khomeini Hospital in Urmia in 2016 and were randomly assigned to intervention and control groups. Then, in the intervention group, educational content about self-care with teach-back method was presented during five 60-minute sessions. Data were collected using demographic questionnaire and Rosenberg self-esteem questionnaire. Results: Before intervention, the mean score of self-esteem was not significantly different between the control and intervention groups (P=0. 559). After the intervention, the intervention group had a significant increase in the mean score of self-esteem compared to the control group (P=0. 001). Conclusion: In this study, self-care education with teach-back method was effective in improving the self-esteem of kidney transplant patients. And it is suggested to use the teach-back method in education of patients with kidney transplantation.

Introduction: Cultural competence is the ability to work effectively as an individual or an organization in the context of the cultural beliefs, behaviors and needs of customers and society. Due to the necessity of this feature in nurses, the present study aimed to investigate the level of cultural competence in employed nurses. Methods: This descriptive study was performed on 230 nurses working in educational and private hospitals in Ahvaz and Isfahan, Iran, who were selected by random sampling with inclusion criteria. Data gathering tool was a researcher-made cultural competency questionnaire. Data were analyzed using SPSS 22 by describing and deduction examining like independent samples t-test, ANOVA, and Tukey test. Results: Of the participants, 67. 8% were women and 92. 6% had undergraduate degrees. The average work experience was 10 years, and 69. 1% of nurses reported experience of working with patients with different cultures. The mean score of nurses' cultural competence was in the average level (104. 8± 11. 58). The results also showed that the mean score of cultural competence was the highest in cultural flexibility dimension (24. 46± 3. 46) and lowest in cultural desire dimension (10. 73± 3. 90). Conclusion: Due to the expansion of cultural diversity of patients in Iran, the average level of nurses' cultural competence in this study indicated the necessity of increasing the attention and planning of nursing managers to promote nurses' cultural competence.

Introduction: Caring for a child with cancer can be deeply frustrating for parents with high levels of anxiety and psychological distress. Parents who suffer from high psychological stress have poorer performance in the family and health-related quality of life in their children is significantly lower. Previous research has demonstrated the effectiveness of peer support in reducing levels of parental psychological distress. This study was aimed to investigate the effect of peer support of mothers of children with acute lymphoblastic leukemia (ALL) on quality of life of patients. Methods: This is a quasi-experimental study which was performed on 74 mothers of children with ALL hospitalized in Hematology ward of Ali ibn Abi Talib Hospital in Zahedan in 2017. Convenience sampling was used to recruit the participants in accordance with the inclusion criteria. The subjects were randomly assigned to the control and intervention groups. Peer group training was then conducted for the intervention group for five days. KID-KINDL questionnaire to parent report was completed before intervention, immediately and two months after intervention for both intervention and control groups. Data were analyzed using descriptive and inferential tests at the significant level P-value<0. 05. Results: Before intervention, the mean score of total quality of life and its dimensions were not significantly different between the two groups (P>0. 05). Analysis of variance with repeated measures indicated that the mean scores of total quality of life and its dimensions in the intervention group were significantly increased over time (P<0. 001). Conclusion: Using peer support program for mothers of children with ALL can improve the quality of life of children. Therefore, it is recommended to use this method alone or in combination with other methods to improve the quality of life of children with ALL.

Introduction: Using emotional intelligence, nurses will be more adaptable to their environment and job stress and will have less burnout in the workplace. The aim of this study was to investigate the relationship between emotional intelligence and job stress and occupational burnout among nurses in intensive care units. Methods: A descriptive cross-sectional correlation study with random stratified sampling method, 205 nurses of intensive care units in the educational and health centers (Beheshti, Ekbatan, Behesht, Farshchian and Fatemiyeh) in Hamedan city in 2014 were conducted. Data was collected by questionnaire of Emotional Intelligence-Load, Philip L. Rice's Job Stress, and Meslach's Burnout Questionnaire. Results: Special care nurses had a mean score of moderate emotional intelligence (233. 13 ± 12. 71) and the mean of occupational stress score (169. 30± 14. 16) and the mean score of burnout components were emotional exhaustion (29. 96± 13. 77) and personality deprivation (11. 55± 8. 87) and personal capability (35. 78 ± 11. 85). Emotional intelligence with job stress (P=0. 01, r=-0. 28) also, the burnout components of emotional exhaustion (P=0. 01, r=-0. 44), personality depersonalization (P=0. 01, r=-0. 37) and personal adequacy (P=0. 01, r=-0. 37) had a reverse and significant relationship. Conclusion: Job stress can lead to physical or psychological harm and in the long run lead to negative outcomes in the performance of nurses and hospitals; in the long run, this leads to burnout in nurses and reduced ability to care for patients. Actions such as paying attention to the concept of emotional intelligence and promoting it in the nursing profession can be considered in preventing such problems.

Introduction: Medicinal nonadherence prevents the achievement of therapeutic goals in cardiovascular patients. Training is essential to increase medicinal adherence. Therefore, the present study compared the effect of two teach-back and pictorial training methods on the medication adherence in heart failure patients. Methods: This quasi-experimental study was performed on 210 heart failure patients in Hamadan Heart Hospital in 2019. Patients were selected by convenience sampling and randomly assigned to one of three groups of Teach-back, pictorial, and control training. Training sessions were held in three sessions on three consecutive days. Data were collected using demographic and medication adherence questionnaire (MMAS-8) before, immediately and 6 weeks after training. ANOVA, ANCOVA and Repeated measures ANOVA statistical tests were used. Results: There was no statistically significant difference between the three groups in medicinal adherence at baseline. Immediately after training, medication adherence was significantly higher in teach-back and pictorial groups than the control group (P<0. 001), but there was no difference between teach back group and the pictorial group (P=0. 123). Six weeks after training, medicinal adherence was significantly higher in teach-back group compared to the control and pictorial group (P<0. 001). There was no significant difference between the two methods at different levels of education (P>0. 05). Conclusion: Teach-back training helps maintain medicinal adherence in heart failure patients. Therefore, it is recommended that nurses use this training method to improve medicinal adherence in these patients.

Introduction: Despite that hysterectomy is the second gynecological surgery and providing the necessary information about this surgery will help women's positive perceptions of health care experiences, there is no comprehensive tool for examining the educational needs of women with hysterectomy. Therefore, the present study was conducted with the aim of designing and psychometric evaluation of the women's educational needs questionnaire after hysterectomy. Methods: The initial version of the questionnaire of this methodological study was compiled by deductive and comprehensive overview of related resources considering the point of view of a group of specialists and women with hysterectomy history. The face and content validity of both qualitative and quantitative data and reliability of the questionnaire in the dimension of internal consistency and then the repeatability were examined. Results: Developing the questionnaire for women's educational needs after hysterectomy and psychometrics led to the formation of a questionnaire for women's educational needs after hysterectomy with 44 questions and in 5 dimensions: physical, mental, sexual, care and other needs. The CVR index for all items in the questionnaire except for one item was above the Lawshe table criterion, which indicated the importance and necessity of each item. The CVI for each item was above 0. 79 and was therefore considered appropriate. Also, the reliability of the instrument in terms of internal coherence by examining the Cronbach's alpha coefficient for the whole instrument was 0. 90. Measurement of the repeatability index at two-week intervals showed that the instrument was stable (ICC= 0. 97, P<0. 001). Conclusion: The Hysterectomy Women's Educational Needs Questionnaire is valid and reliable. It can be used by public health researchers and health system policy makers to provide patient-centered health services based on the needs and priorities of patients.

Introduction: Illness Perception and self-care behaviors are essential elements in treatment and management of patients with diabetes. The aim of this study was to investigate the effect of group counseling with a cognitive-behavioral approach to illness perceived and self-care behaviors in middle-aged women with type 2 diabetes (T2D). Methods: The present study is a quasi-experimental study with two groups of intervention and control in parallel with pre-test, post-test and one-month control in Isfahan, Iran, comprehensive health centers. For each group, 32 middle-aged women with T2D were selected by convenience sampling. Both groups received routine care of diabetic patients, but the experimental group received a cognitive behavioral group-counseling program. Data was collected through demographic questionnaire, the illness perception questionnair (IPQ), and summary of diabetes self-care activity (SDCS) and a checklist. Data was analyzed by SPSS 16 software using descriptive statistics, Chi-square test and independent t-test with P-values are less than 0. 05. Results: The groups were not significantly different demographically. The mean age was 38. 65± 4. 23 and 39. 19± 4. 87, and the duration of diagnosis was 2 years and less. Of patients, 77% had a history of hypertension or hyperlipidemia or both in both groups. There were no significant differences in self-care behaviors (t=-0. 0222, P=0. 859) and illness perception (t=-0. 178, P=0. 859) in the pre-test. However, in the post-test, the intervention group showed a significant improvement in self-care behaviors (t=4. 25, P=0. 01) and disease perception (t=3. 93, standard deviation=0. 87). There was also an improvement in self-care behaviors (t=4. 41 and P=0. 014) and illness perception (t=414 and P=0. 01) in the follow-up period, indicating the persistence of changes in counseling Conclusion: Group counseling based on cognitive-behavioral approach can enhance the perception of disease and self-care behaviors in T2D. Therefore, it can be used as a therapeutic approach to medication for patients with T2DM.

Introduction: Patients transferred from ICU to general ward need a higher level of nursing attention and care than other patients admitted to the ward. The aim of this study was to investigate the effect of the role of the liaison nurse on physiological indicators and the level of consciousness of patients transferred from the intensive care unit. Methods: The present article is the result of a two-group clinical trial that was performed on 90 patients admitted to the special and general wards of Besat Hospital in Hamadan, Iran. Available sampling and patients were randomly assigned to the two groups. The control group received routine care and in the intervention group was visited twice a day by the liaison nurse for up to three days. The instrument used was a checklist of physiological indices and the GCS scale. Mean, standard deviation, variance and frequency percentage were used to describe the data by SPSS 16. Results: There was no significant difference between the demographic and clinical characteristics of the two groups at the beginning of the study. After the intervention of the intensive care unit nurse, the two groups were not significantly different in terms of physiological parameters and level of consciousness (P> 0. 05). Conclusion: In nursing services, the interface is not effective on physiological indicators and level of consciousness in patients transferred from the intensive care unit to the general ward. Further studies in this area are recommended.