Avicenna Journal of Nursing and Midwifery Care
Year:2018 | Volume:25 | Issue:5 |Papers Count:10

Introduction: Regular and daily physical activity delays the midlife and menopausal consequences and promotes the women’ s quality of life. Physical activity increases management of diabetes, cardiovascular disease, osteoporosis and high blood pressure. Purpose of this study is to determine the impact of model based education on midlife women’ s physical activity in Hamadan. Methods: 122 midlife women 50 to 64 years old chosen by random sampling participated in this experimental study. The questionnaire was designed by researcher and measured the model structures. Pedometer was utilized to measure walking and BMI was measured as physical activity consequences. Results: After three months, evaluation showed significant changes in PRECEDE model structures (P˂ 0/001). Walking increased (P˂ 0/001). BMI decreased significantly (P˂ 0/001). Conclusion: Changes were observed in structures based on PRECEDE model. Walking showed successfulness for midlife women. Reducing BMI was observed.

Introduction: Self-efficacy emphasizes on skills and abilities to carry out successful worthy performance. The aim of this study was to evaluate the symptom-management’ s self-efficacy associated with chemotherapy and its related factors in women referred to academic centers of Urmia in 2016. Methods: This study was a descriptive-analytical cross-sectional study conducted on 150 patients with breast cancer referred to academic centers of Urmia in 2016 and sampling method was convenience. The collecting data instrument was the symptom-management’ s self-efficacy scale-breast cancer (SMSES-BC) questionnaire with three subscales including acquiring problem-solving, managing chemotherapy-related symptoms and managing emotional and interpersonal disorders. The data was analyzed using SPSS20. Results: Most of the patients were in the age range of 41-49. The Lowest scores were in the area of emotional and interpersonal disorders and the highest scores were in the a r ea of managing chemotherapy-related symptoms. The mean score of s e lf-effi c acy chemotherapy-related symptoms was 167. 96± 25. 40. There was a signi f icant relationship between age (P=0. 024), economic status (P= 0. 006), education, marital status, and life status (P=0. 001) and self-efficacy chemotherapy-related symptoms. Conclusion: Interventional efforts to promote the function of symptom management self-efficacy, especially managing emotional and interpersonal disturbance in these patients are important and necessary.

Introduction: University students have a lot of problems in the field of adjustment especially social and health adjustment. Therefore, present research aimed to investigate the effectiveness of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students. Methods: This research was carried out as a semi-experimental, with a pre-test and post-test design. The statistical population included all nursing students of Islamic Azad University of Pishva branch in 2015-16 academic year. 40 nurses were selected by voluntary sampling method and randomly assigned to two equal groups. The experimental group experienced 8 sessions of 90 minutes of education by group therapy based on acceptance and commitment. Groups completed the dimensions of social and health adjustment of Bell’ s adjustment questionnaire. Data were analyzed using SPSS19 and by multivariate analysis of covariance method. Results: The findings showed there was a significant difference between experimental and control groups in the social and health adjustment. In the other words, group therapy based on acceptance and commitment significantly led to improve the social and health adjustment of nursing students (P≤ 0/05). Conclusion: The results are due to the importance of group therapy based on acceptance and commitment on increasing social and health adjustment of nursing students. Therefore, it is suggested that counselors and therapists improve the dimension of adjustment especially social and health adjustment using group therapies based on acceptance and commitment.

Introduction: The mother has a significant role in introducing food to her child. In present study, the effect of complementary feeding introduction based on BASNEF model on the practice of primiparous mothers was investigated. Methods: This was a two groups pre&post test and quasi experimental study carried out on 160 primiparous mothers with 5 months children referred to healthcare centers in Hamadan. Mothers were put into two groups. At first both groups completed a questionnaire which was based on BASNEF model. Then the intervention group was instructed during four sessions (60 min) based on BASNEF model. Two months later, data was collected via questionnaires and a mother performance checklist in two groups again. Data were analyzed by SPSS18 software through Chisquare and Mann-Whitney. Results: Before the intervention, there was no significant difference in the mean scores of BASNEF structures in the two groups (P>0. 05), but after the intervention a significant difference was observed in the mean scores (P<0. 001). Statistical tests showed significant differences in the mean scores of BASNEF structures in case group before and after intervention (P<0. 001), meanwhile the differences of mean scores of control group was not significant (P>. 0. 05). Supplementary feeding time of the intervention and the control groups was 5. 88± 0. 49 and 6. 14± 0. 35 months respectively. The mean scores of supplementary feeding performance of two groups of mothers, had significant differences (P <0. 001). Conclusion: BASNEF MODEL can be an efficient tool for increasing knowledge, attitude, enabling factors, subjective norms, intention and performance of introduction of complementary feeding of mothers; so we suggest health education programs instead of applying traditional instructions.

Introduction: Spiritual care can have positive effects on physical and mental health of patients; facilitates healing process and increases patients’ satisfaction. Spiritual intelligence can also be a contributing factor to nurse caring behaviors. This study aims to determine relationship between nursing students’ professional competence in spiritual care and Spiritual Intelligence. Methods: A descriptive correlation study was conducted on 140 nursing students of Ahvaz Jundishapur University of Medical Sciences in 2016. Subjects were selected using a census method. Data collection instrument consisted of demographic questions, Spiritual Intelligence and professional competence in spiritual care questionnaires. Data was analyzed using descriptive Statistics and inferential statistics including independent t-test, Kruskal-Wallis, correlation coefficient, and linear regression in SPSS19. Results: Significant and positive correlation was found between nursing students’ competence in spiritual care and Spiritual Intelligence (P<0. 001, r =-0. 33). There was only a significant difference in Spiritual Intelligence between those who had attended training courses and who didn’ t have these courses. Regression model indicated that for increased rates of Spiritual Intelligence, professional competence in spiritual care will rise as much as 0. 54. Conclusion: Spiritual Intelligence can have an impact on nursing students’ competencies in spiritual care. Accordingly, planning to improve the Spiritual Intelligence and nursing students’ competence in spiritual care is recommended.

Introduction: When the child has cancer, the family is faced with the challenge and this makes the parents spend a lot of energy caring for their children. In many cases it seems that the pressures of caring for sick children increases so much that affects the general health and quality of life of parents and causes malicious changes that affect children’ s quality of life in the end. This study aimed to determine the relationship between public health and quality of life of parents and quality of life of children with cancer at Besat Hospital, in 2016, respectively. Methods: This was a correlation study, in which 108 mothers and fathers of children diagnosed with cancer with ages between 8-18 years old, referring to hematology department of Besat Clinic and hospital were selected by convenience sampling method. Data was gathered using general health questionnaires. The data was analyzed using SPSS20 and independent t-test and logistic regression analysis. Results: The highest average scores in the aspects of quality of life for fathers were, physical functioning (74/67± 20/77), role impairment due to physical health (61/20 ± 28/25) and fatigue (48/50 ± 16 /30) and for mothers were the pain scale (50/97± 23) and impairment role for emotional health (61/42± 31/94). There was just a significant relationship (P=0/045) between anxiety symptoms and sleep disturbances, safety and quality of life of mothers of children. There was a significant relationship between the quality of life of mothers in terms of fatigue (P=0/011) and emotional well-being (P =0/038) and fathers in children’ s pain and quality of life (P =0/015). Conclusion: Parents of children with cancer have problems in general health and quality of life. Health and social policies are required in order to plan properly to solve problems and improve the quality of life of parents and children.

Introduction: MS is a chronic autoimmune disease in which the immune system affects central myelin nerves and affects sensory and motor function. There is no certain cure for it and it affects all of the aspects of the patients’ life. The purpose of this study was to determine the effect of self-care education on the performance of MS patients. Methods: This study was a randomized clinical trial on 90 patients with MS, in the city of Ardabil in 2015 and was carried out dividing them randomly into control and intervention groups. Before the intervention, the researcher made questionnaires with Cronbach’ s alpha coefficient 98/0 and observation and interview checklists were filled, for patients in both the intervention and control groups. The intervention group experienced self-care education for 6 sessions; each session was 60 minutes. After the intervention, the questionnaires were completed for patients in both groups again. Data was analyzed using statistical software SPSS24 and descriptive and analytical tests. Results: There is no significant difference between the two groups at the start of the study. There was a significant difference between the intervention group and the control group (P=0. 0001). However, there was no significant difference in terms of performance over time in the control group (P = 0/07). Conclusion: Results of this study showed that self-care education will lead to improve the performance of MS patients. So self-care education can be an effective intervention for improving the performance of MS patients.

Introduction: AIDS is one of the most serious health problems and one of the deadliest contagious and infectious diseases of this century. With lack of sufficient awareness of this disease, adolescents easily put themselves at risk of it. Increased knowledge about AIDS and attitude is the best way to prevent the disease. The goal of this research was to study the effect of group counseling on AIDS knowledge and attitude of adolescent girls. Methods: This is a Semi-experimental and interventional study (single band) conducted in 2016 on adolescent girls living in welfare boarding centers in Hamadan. All eligible persons (n =30) entered the study. The data collection tool was questionnaires with three parts including demographic information and evaluation of knowledge and attitude that were used three times (before, immediately after and one month after treatment). Validity of questionnaires was confirmed through the content and ostensible credit, and their reliability was evaluated by Chronbach’ s alpha. Data was analyzed using descriptive and inferential statistical methods using SPSS20. Results: The results showed that before the intervention, 40% of People had poor knowledge and 36. 6% of people had poor attitude. The knowledge and attitude increased significantly (P<0/001) immediately in a month after the intervention, compared to the time before the intervention. Conclusion: The results showed that educational intervention through group counseling on AIDS can affect the adolescent girls’ knowledge and attitude in welfare boarding centers.