Journal of Multidisciplinary Care
Year:2019 | Volume:8 | Issue:3|Papers Count:8

Introduction: The effect of emotional intelligence on the success of individuals in health care organizations is very important. Therefore, the aim of this study was to investigate the effect of Benson relaxation and progressive muscle relaxation on emotional intelligence of nurses in special departments. Materials and Methods: In this clinical trial study, 105 nurses of the intensive care units of Ayatollah Kashani and Hajar hospitals in Shahrekord during 2018-2019, were randomly divided into two groups: Benson’ s progressive muscle relaxation and relaxation intervention group (35 people) and one group Control (35 people). The Benson relaxation intervention group performed Benson relaxation exercises for up to 20 minutes once a day for three months. The progressive muscle relaxation intervention group performed relaxation exercises for 45 minutes during three months on a daily basis. The data was collected through questionnaire of Shirring Emotional Intelligence and demographic information that was completed in three groups during before, immediately after, and three months after the intervention. Data were analyzed by descriptive and inferential statistics using SPSS version 18 and with significant level (P= 0. 05). Findings: Based on the results of ANOVA test with repeated measurement, the mean scores of emotional intelligence before and immediately after intervention in the progressive muscle relaxation group were significantly different (P= 0. 008), while this difference was not significant in the control group (P = 0. 515). It was also found that the mean score of emotional intelligence in Benson relaxation group was not significant before and immediately after the intervention (P = 0. 345), while before and three months after intervention in Benson relaxation group was significant (P = 0. 002). Conclusion: The results showed that progressive muscle relaxation and Benson have a beneficial effect on emotional intelligence and can be implemented and educated as useful tools for improving the emotional intelligence of nurses in critical care units.

Introduction: The kidney is one of the most distinguished organs of the body. Impairment in kidney function can cause serious harm to a person’ s physical and mental health. In the event of kidney failure, dialysis will perform the kidney function, and the person will need dialysis for the rest of his life. Therefore, this study aimed to investigate the effectiveness of the combined pattern of spiritual and cognitive counseling on the Resiliency and self-efficacy of hemodialysis patients in Khorramabad city. Methods: A quasi-experimental study was carried out using pretest and posttest methods. The statistical population of the study included all patients who were hemodialysis in Shahid Rahimi hospital in spring 1398 in Khorramabad city. The method of sampling in this study was that of all individuals who were hemodialyzed in Shahid Rahimi Khorramabad Hospital, 30 patients were randomly selected according to entry and exit criteria and then randomly divided into two groups Experiments and attestation (each group of 15 people) were ranked. Then, under identical and simultaneous conditions, the pretest was performed with the Resiliency and self-efficacy questionnaire from both groups. Then, the intervention was performed using the combined method of spiritual and cognitive counseling for 8 sessions of 90 minutes on the experimental group, but the control group did not receive intervention. After completing the sessions, again, the two groups were retested. Results: The results of multivariate and one-variable covariance analysis showed that the intervention of the combined model of spiritual and cognitive counseling had a significant effect on increasing the resiliency and self-efficacy of the patients (P <0. 001) Conclusion: According to the results of this study, the combined pattern of spiritual and cognitive counseling can increase the Resiliency and self-efficacy of hemodialysis patients. Therefore, this method can be used to increase the Resiliency and self-efficacy of hemodialysis patients.

Introduction: Infertility is a complex life crisis that results in deep emotional and psychological pressures on couples. Infertility and its aftermath are areas of stress and hopelessness. The purpose of this study was to investigate the effect of a combined positive cognitive behavioral therapy approach on infertility stress and hope in infertile women in Khorramabad city in 2018. Methods: This experimental study was a pretest-posttest with the control group. The sampling method was available in which 30 infertile women who had records in infertility treatment centers in Khorramabad in 1398 were selected randomly in two groups. Experimental and control (15 patients per group) were replaced. At first, Newton et al. ’ s infertility stress questionnaire and Schneider et al. ’ s hope questionnaire were used to measuring pre-test scores. Then, after the educational intervention, the positive cognitive behavioral approach (for 10 sessions of 90 minutes on the experimental group) in the post-test, the questionnaires were administered to all subjects in both experimental and control groups. Finally, data were analyzed using multivariate and univariate analysis of covariance by SPSS 22 software Results: The results indicated that the intervention of the positive cognitive behavioral intervention had a positive and significant effect on reducing infertility stress and increasing the hope of infertile women (P <0. 001). Conclusion: According to the results of this study, it can be said that the combined approach of positive cognitive behavioral therapy has a positive effect on reducing infertility stress and increasing the hope of infertile women. Therefore, it can be suggested that such treatments be used to promote mental health in infertile women.

Background and Aim: Spiritual Intelligence as a behavior with compassion, wisdom and internal and external pacification is the key element in encountering with stressful challenges in Intensive Care Units (ICU) wherein nurses can use it for managing critical situations in the best way. This research has been done for assessing the effectiveness of training on spiritual intelligence and its components in nurses who work in ICU. Materials and Methods: This quasi-experimental study with two groups and pretest-posttest was done on 82 nurses (40 nurses in the experimental group and 42 in the control group). Sampling was conducted in a convenience method by considering matching and ratio which was proportional with the total number of nurses in hospitals affiliated with Lorestan University of Medical Sciences. King Spiritual Intelligence Scale which is validated and the reliable tool, was used for data gathering. Data collecting was accomplished before, immediately and one month after the study. Eight training sessions were held for the experimental group in a workshop method. Data were analyzed by descriptive and inferential statistics by SPSS software version 15. Results: The findings revealed that most samples in two groups were lower than 40 years, female, with work experiences of 5-14 years, bachelor degree and employed. Covariance analysis (by adjusting the effect of the values of the base of spiritual intelligence) showed that the main effect of the intervention on the mean scores of spiritual intelligence was significant (p<0. 05), so that the mean scores of spiritual intelligence in the experimental group reached from 53. 37 before the study to 78. 50 after study. Also, Covariance analysis showed that the effect of the intervention on components of spiritual intelligence was significant too (p<0. 05) and training increased the mean score of these components in the experimental group. Conclusion: According to the results, the nurses had a moderate level of spiritual intelligence but after training in a workshop method, their spiritual intelligence increased. So using a training protocol for improving the ability of spiritual intelligence in nurses can progress them in adapting with workplace stress and individual life which causes an upsurge in quality care.

Background and aim: The most important factor affecting the quality of care is the ability of nurses to make effective clinical decisions. Since identifying nurses ‘ perceptions of clinical decision making is an important step in improving the quality of care, this study was done to determine nurses’ perceptions of clinical decision making in hospitals of Shahrekord University of Medical Sciences. Methods: The study was descriptive research. The study population consisted of clinical nurses working in Ayatollah Kashani and Hajar hospitals in Shahrekord and Seyed al-Shohada in Farsan. 300 nurses were selected through random quota sampling. Data were collected using demographic information questionnaire and a Persian version of Clinical Decision Making in Nursing Scale (CDMNS). Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (Mann-Whitney and Kruskal-Wallis) and SPSS (V 21). Results: The mean score of nurses’ perception of clinical decision making was 119. 11± 13. 53which was high. The mean decision scores on subscales A, B, C and D were (29. 15± 3. 38), (33. 76 ± 3. 50), (25. 9 ± 4. 1) and (29. 30± 4. 2) which was lower in the subscale of the search for information and unbiased assimilation of new information. The results also showed that age, background and unit were significantly correlated with scores of perception of decision making (P<0. 05). With increasing in age and background, perception of decision making decreased. And the perception of decision making in the cardiac unit was more than other units. Conclusion: Since nurses’ perception in “ Search for information and unbiased assimilation of new information” subscale in the experienced nurses is low; Therefore, planning should be made to increase the ability of experienced nurses to search for new information.

Introduction: The aim of this study was to determine the effect of thinking distraction on the anxiety severity in patients undergoing extracorporeal shock wave lithotripsy in the ESWL department of Ayatollah Kashani hospital in Shahrekord. Methods: This is a clinical trial study that was conducted in 2018 in 120 patients referred to Ayatollah Keshā ni Hospital in Shahrekord for the purpose of extracorporeal shock wave lithotripsy. Patients were selected through convenience sampling and divided into experimental and control groups in a quasi-random method. In addition to routine care, the test group received the natural sound of the event along with its beautiful scenery, and the control group received routine care only. The patient’ s anxiety was measured based on the Spielberger questionnaire. The collected data were analyzed using SPSS software, descriptive statistics and t test. Findings: Mean anxiety score changes in distraction receiver group,-± 21/56 98 and in the control group was-5/2112/8 ± . There was a significant difference (p = 0. 001) between the control group and group receiving the thinking distraction. Conclusion: distraction method is effective in reducing anxiety in patients undergoing extracorporeal lithotripsy and can be used to manage pain in the future.

Background and Aim: General health is not merely the absence of illness or disability, but a state of well-being that enables one to cope with the stresses of life, become professionally and academically useful. Parents’ multiple sclerosis complications have potential effects on the health of their offspring. Therefore, this study aimed to evaluate the effect of the program based on Roy’ s adaptation model on the general health of the offspring of patients with multiple sclerosis. Methods: This semi-experimental study was done on 80 offspring of parents with multiple sclerosis, member of the MS association and the welfare organization of Shahrekord in 2018. Samples were selected as available, and they completed Roy’ s form and those who scored less than 80%, entered the study. The general health questionnaire was completed in both groups before, after and two months after the intervention. In the intervention group, a program-based Roy’ s adaptation model was developed, implemented and followed up for six-session (2session education, of general education and 4 sessions direct intervention). Data were analyzed by SPSS21 software and statistical tests. Results: Before the intervention, the mean of general health scores between the two groups was not statistically significant (p = 0. 716). But there was a significant difference immediately after (p = 0. 025) and two months after the intervention (p <0. 001). General health scores in the intervention group showed a significant increase. Conclusion: Using a program based on Roy’ s adaptation model has a positive effect on the general health of young offspring of people with multiple sclerosis.

Ground and goal: On one hand, preterm infants need to be confined to bed. because of maintaining the vitality and continued evolution of body systems. On the other hand, various exposures to offensive procedures can cause a lot of stresses that contradict neuron-sensory evolution. Direct observation of preterm infants and recognizing its behaviors can help nurses to do evolutionary supportive care, so they can control preterm infants pain and stress; So, goal of this research is determining the effect of lullaby on sleep patterns changes in premature neonates after endotracheal suctioning. Methods: 25 confined to bed preterm infants were studied in NICU ward of Hazrat Zeinab (peace be upon her) hospital of Shiraz in 1395 in this clinical trial. Samples were selected by packing method accidentally and allocated to two groups of A, B. If preterm infant was in group A, at first received lullaby by headphone 10 minutes before and also 10 minutes after suction. Then a headphone without lullaby (silent) was put on head of preterm infants 24 hours later. If preterm infant was in group B, it will be reversed. At last, each infant was evaluated twice In both cases the physiological responses were recorded, then Collected through the APIB tool. Physiological filmed responses were recorded by tool of APIB. Data were analyzed by use of software SPSS, Mann-Whitney Test. Results: The results showed that there was not significant difference between )mean sleep score 10 minutes before suction in lullaby and silence group but the mean sleep score of 10 minutes after suctioning was sig� , )P=0/07777 nificantly difference in the two groups. (P=0/004). Also, Comparison of the mean sleep score in the lullabies group before and after the suctiont and also in the silence group with a significant level of 0. 001 Showed a significant. difference Conclusion: According to the findings of this study, lullaby is effective in improving sleep patterns of preterm infants following painful procedures. It is recommended that nurses use this method as an effective intervention to improve the sleep patterns of neonates admitted to the neonatal intensive care unit.