فصلنامه پرستاری، مامایی و پیراپزشکی
سال هشتم شماره 1 (تابستان 1401)

Cancer is a threat to a person's life that can cause psychological problems and affect psychological adjustment to the disease. This study aimed to determinate the predict psychological adjustment to the illness in cancer patients based on self-compassion and health Locus of control.

The present study was descriptive and correlational research. The statistical population of the present study was all patients aged 18 to 65 years with breast, blood, stomach, and intestinal cancer referred to the oncology ward of Omid and Imam Khomeini hospitals in Urmia in The first half of the year 2021. 250 people (121 females and 129 males) were selected by the available sampling method. Data collection tools included the short form of the Cancer Adjustment Questionnaire, the Self-Compassion Scale, and the C Form of the Multidimensional Health Locus of Control Scale. Pearson correlation method, multiple regression analysis, were used to analyze the data.

The results showed that self-compassion has a significant positive relationship with psychological adjustment to illness (P <0.01) and health control center with psychological adjustment to illness (P <0.05), so that self-compassion with The beta coefficient of 0.572 at the level of P <0.01, positively and the health control center with the beta coefficient of 0.231 at the level of P <0.05, positively predict psychological adjustment to illness

The results of this study show that high self-compassion and having an internal center of health control, increases psychological adjustment to illness. Therefore, promoting self-compassion and teaching a responsible attitude and having a sense of control over the health and treatment process, can lead to adjustment to illness and improve the treatment process in these patients.

Self-efficacy in hemodialysis patients leads to more appropriate self-management of problems by these patients. Considering that the use of specific theories and models for self-care is one of the strategies that help these patients, the present study aimed to determine the effect of OREM self-care model on self-efficacy of hemodialysis patients.

 The present study was conducted as a clinical trial on 150 hemodialysis patients in two experimental and control groups at Razi Educational-Medical Center in Rasht during 2015-2016. Data were collected using a three-part instrument that included a demographic and clinical information questionnaire, an instrument (CKD-SE), and an instrument (NKF-NUS) in two phases. Data were collected and collated after 4 weeks by a fellow researcher (without knowledge of the research design and the sample belonging to the groups). Data were analyzed using descriptive and inferential statistical tests (paired and independent t-tests, chi-square, logistic regression).

The findings of the study showed a significant increase in the mean and standard deviation of the total score of self-efficacy and its domains in the experimental group in the post-intervention phase (P = 0.0001). Moreover, the results of the regression test showed the predictive power of the intervention for the self-efficacy score of the samples (CI: 49.30-38.78: 95%, OR = 123.72, p = 0.0001) by controlling the effect of each variable.

The results of this study show the positive effect of using the Orem self-care model on the self-efficacy level in hemodialysis patients. Therefore, nurses can increase the self-care capacity and self-efficacy of hemodialysis patients by applying the Orem self-care model.

Improving the quality of life and its various aspects is important in the elderly. The aim of this study was to determine the effect of group reminiscence on the quality of life of the elderly in Khorramabad.

In the present quasi-experimental study, the statistical population was all nursing homes in Khorramabad in 1400, which were selected using available sampling method and inclusion criteria and then randomly divided into two groups of 65 test and control. The instrument used was the Elderly Quality of Life Questionnaire (Leipad). Memory sessions were conducted during 8 sessions with the content of childhood and family life for the elderly in the intervention group. 1 month after the intervention, the quality of life questionnaire was completed again by both groups. Data were analyzed using SPSS-23 software and paired t-test, independent t-test and covariance.

The quality of life score and its areas after the intervention in the experimental group were on average higher than before the intervention. Using paired t-test, this increase was statistically significant (p <0.05). Based on the results of independent t-test, a statistically significant difference was observed between the quality of life scores of the elderly in the experimental and control groups after the intervention (p <0.05).

According to the results, this technique can be used simply and practically in all medical centers and care for the elderly or individually at home

Clinical competence is one of the important necessities of the nursing profession, therefore, finding components and factors affecting clinical competence and its promotion has always been considered by educational healthcare systems. The aim of the present study was to determine the relationship between moral intelligence and clinical competence of nurses working in a teaching hospital of Dezful in 2021.

This was a descriptive-correlational study. The study population included 200 nurses working in Ganjavian teaching hospital of Dezful in 2021 and participants were selected by convenience sampling method. Data collection instruments included demographic characteristics questionnaire, The Lennick and Kiel's Moral Intelligence Standard Questionnaires and Competency Inventory for Registered Nurse (CIRN). Data analysis was carried out using descriptive and analytical statistics (Pearson correlation coefficient and regression analysis in SPSS ver. 21 and P-value<0.05 was considered as the significance level.

The mean moral intelligence score (156.24±21.19) indicated acceptable moral intelligence score. The mean clinical competence of nurses (152.31 ± 29.81) was at moderate level. The results of Pearson correlation coefficient showed a positive and significant correlation between all dimensions of moral intelligence and dimensions of nurses' clinical competence (r=0.656,P<0.0001). The results of regression test showed that moral intelligence is involved in explaining the variable of clinical competence of nurses (R2=0.430).

Moral intelligence plays a role in predicting the clinical competence of nurses. Therefore, it seems that the attitude of clinical competence of nurses can be strengthened by increasing moral intelligence through training workshops.

Patients' health and improvement depend on providing quality care. Since one can never reach the total level of quality, therefore continuous and continuous evaluation is always necessary, and having a suitable tool for measuring the quality of nursing care is too   .

In this descriptive-analytical study, the re-validation of the Nursing Quality of Care Questionnaire (QUALPAC), version 72, was evaluated. For assess the validity of the questionnaire, 287 patients were selected through proportional sampling from 5 teaching hospitals of Hamadan. Psychometric features were also examined with the help of face validity, content validity and construct validity. Data analysis was done using SPSS version 23 software.

The results showed that 55 questions of the original native version had high content validity and 17 questions were rejected. The content validity index of the questionnaire was calculated as 0.968%. KMO index and Bartlett's Sphericity show that the correlation matrix is suitable for factor analysis. Factor analysis with principal component analysis has extracted a factor with an explanatory rate of 75.24% of the total variance. Internal consistency was also obtained with the help of Cronbach's alpha of 0.81.

The 55-question questionnaire evaluated in this study, considering the current culture of nursing in Iran, can be a useful tool for measuring the quality of nursing care.

A better understanding of the female sexual interest disorder and its more effective treatment by examining the views of experts in this field provides many clues for discovery out what this disorder is and what is required to cure The aim of this study was to explore the factors influencing the psychopayhology and the treatment female sexual interest - arousal disorder from the viewpoint of iranian experts .

The research method was qualitative based on the grounded theory the participants included 20 experts and therapists on sexual disorders who were selected by purpose-based method and according to the law of data saturation. Semi-structured interviews were conducted from sampled individuals. In the analysis of data, a colaizzi seven-step cluster pattern was used. Data coding was performed in three sections of open, axial and selective coding.

According to the results , experts ' views include 2 central categories of etiology with main themes ( developmental analysis of the problem , marital pathology , spouse sexual problems , women's sexual problems , psychological issues , dysfunctional lifestyle ) and treatment strategies with main themes ( individual strategies , Pair strategies ) were obtained

female sexual interest disorder is a multidimensional disorder that affects different areas of a person's life and has significant negative consequences on the performance and quality of married life. Therefore, it is necessary for experts in the field of sexual health to use the results of new and up-to-date researches to better understand the underlying causes and effective treatment strategies in the treatment of this disorder.

The effects of cancer on a person such as anorexia, nausea, vomiting, sensory changes and stress arising from the disease can affect the quality of life and performance of the individual and family. The aim of this study was to determination the relationship between chronic pain and quality of life from the view point of children admitted to the Besat Pediatric Hematology Department in Hamadan .

In this correlational study, 86 children with cancer hospitalized to the pediatric hematology department were selected using the census  method, and the Kindle quality of life questionnaire and the Ocher chronic pain scale were completed for all children with cancer.The data were analyzed by SPSS version 26 statistical software and using Pearson's correlation test, and statistical significance was defined at the level of 0.01.

The intensity of correlation between the two variables of quality of life and chronic pain in school-age (p=0.009,r = 0.184) was moderate and significant and the direction of the relationship was negative and inverse, but in pre-school age (p=0.118, r =0.115), the intensity of correlation between two variables is weak and the direction of the relationship is negative and inverse and not statistically significant.

Chronic pain caused by cancer in school age who have a better understanding of the disease can cause a more noticeable drop in quality of life, while in preschool age, due to weaker understanding of the disease and more dependence on their parents, , the quality of life may be as much as Older children should not fall.

Agitation occurs in many patients hospitalized in medical centers. The use of physical restraints by the medical staff is one of the measures to prevent harm to patients and caregivers. Nursing students are one of the members of the medical staff in the future, and it is necessary to check their level of preparation for the proper use of physical restraints. Therefore, the present study was conducted with the aim of determining the knowledge and attitude of nursing students regarding the use of physical restraint in patients.

The present study is of descriptive cross-sectional study type. Sampling was done by census method and was used to collect demographic information form and standard questionnaire of knowledge and attitude in the field of using physical restraints. SPSS version 16 software and independent t-tests, one-way analysis of variance and Pearson's correlation coefficient were used to analyze the data. The significance level of the data was less than 0.05.

The attitude of the majority of participants was at an average level, however, only 19.7% of students had good knowledge about the use of physical restraints. Master's students had better knowledge than undergraduate students (P<0.005).

According to the results of the study, the state of knowledge and attitude of students is not favorable. Since nursing students are future nurses, it is necessary to consider corrective measures to improve their condition in the field of physical restraints.