نشریه پرستاری ایران
پیاپی 140 (اسفند 1401)

Background & Aims:

 Sexual dissatisfaction in women has several consequences. Due to the cultural factors and the traditional context of Iranian cities, there are limitations for women to talk about sexual issues and do not express their sexual satisfaction during the necessary care in reproductive age. This study aims to determine the relationship between sexual satisfaction and marital burnout of women living in Yasuj, Iran.

This cross-sectional study was conducted on 300 married women referred to four comprehensive health centers in Yasuj. Data was collected using a demographic form, the Married Women’s Sexual Satisfaction Questionnaire (MWSSQ), and the Couple Burnout Measure (CBM). The data was analyzed using the Pearson correlation test in SPSS software, version 22.

The component of mental and physical barriers to sexual satisfaction had a significant positive correlation with the total score of CBM (r=0.488, P<0.001). Other three components of MWSSQ, including antecedents (r=-0.624, P<0.001), husband-related factors (r=-0.662, P<0.001), and dominant cultural values (r=-0.447, P<0.001) had a significant negative correlation with the total score of CBM. 

Higher mental and physical barriers to sexual satisfaction can cause higher marital burnout in women, while lower antecedents, husband-related factors, and cultural values related to sexual performance can reduce marital burnout. Healthcare workers working in health centers should check women's sexual satisfaction status and, if necessary, remove their mental and physical barriers to sexual satisfaction and improve their physical, mental, and emotional conditions and relationships with husbands by providing training and counseling to them.

The quality of work life (QWL) is one of the most important components in any organization. Since nurses are one of the most important human resources in hospitals, it is important to pay attention to their QWL. In this regard and due to the emergence of COVID-19 and its associated anxiety affecting the mental health and QWL of people, especially nurses, this study aims to examine the relationship between COVID-19-related anxiety and QWL of nurses in Rafsanjan, Iran.

This is a correlational study with a cross-sectional design. The study population consists of all nurses working in the hospitals affiliated to Rafsanjan University of Medical Sciences during the COVID-19 pandemic in 2021. Using a census method, 300 nurses were selected, of whom 256 met the inclusion criteria. The questionnaires including 18-item Corona disease anxiety scale and Walton’s 24-item QWL scale were completed online. The collected data were analyzed in SPSS software, version 18 using t-test, one-way ANOVA, and Pearson correlation test.

Most of participants were female (71.9%) and married (84.4%). The mean total anxiety score  was 23.97±9.84, which was at a moderate level. The mean QWL score was 79.06±12.38, which was higher than the average level. Pearson’s correlation test results the showed a negative and significant relationship between the physical anxiety score and QWL (r=-0.128, P=0.041).

There is an negative and significant relationship between COVID-19-related anxiety and QWL of nurses in Rafsanjan city. The hospital managers and health policy makers are recommended to pay attention to mental health and QWL of nurses during pandemics and adopt appropriate strategies to improve them.

Adolescence is a period in which people are at risk of engaging in many health-threatening behaviors such as increased food intake, decreased physical activity, and increased developmental vulnerability which can be a threat to their future health. Counseling and changing their unhealthy behaviors can improve various aspects of their health, including mental and physical health. This study aims to determine the relationship between mothers' self-efficacy and health-promoting behaviors of their adolescent girls in Shiraz, Iran.

In this study, participants were 384 high school female students (second term) and their mothers in Shiraz city in 2018. Mothers completed Sherer’s General Self-efficacy Scale and their girls completed Walker's Health-Promoting Lifestyle Profile II (HPLPII) questionnaire. Pearson or Spearman correlation test and t-test were used for statistical analysis in SPSS software, version 22.

The mean HPLPII score of girls was 169.29±15.97. The mothers' mean self-efficacy score was 46.66±5.77. The results of Pearson's correlation test showed the direct and significant correlation of mothers' self-efficacy scores with health-promoting behaviors of girls and its domains (r=0.556, P<0.05).

There is a direct significant relationship between mothers' self-efficacy and health-promoting behaviors of their daughters. Considering the importance of health-promoting behaviors and the effect of self-efficacy and living conditions on these behaviors, it is needed to develop strategies to improve people's lifestyle and healthy behaviors. Policy makers in the health system are recommended to promote self-efficacy of mothers by using cultural and educational programs.

Considering the prevalence of COVID-19, the sensitivity of the nursing profession, and the harmful effects of job burnout on the quality of nursing care, the present study aims to investigate the role of personality traits, work-family conflicts, and social support in predicting job burnout of nurses during the COVID-19 pandemic.

This descriptive-analytical study with a cross-sectional design was conducted from August to September 2021, coinciding with the fifth wave of COVID-19 in Iran, on 130 nurses working in four hospitals in Ilam province, who were selected by a random sampling method. Data collection tools were a demographic form, Maslach burnout questionnaire, NEO personality inventory, Carlson's work-family conflict scale, and Zimet's multidimensional scale of perceived social support. The collected data were analyzed in SPSS software, version 26 using Pearson's correlation test and regression analysis. The significant level was set at 0.05.

According to the results of regression analysis, the relationship of work-family conflict with job burnout was negative and significant (P<0.05). The extroversion had the highest effect on emotional exhaustion (β=-0.351). Perceived social support had no significant effect on job burnout (P>0.05). Agreeableness had the highest effect on depersonalization (β=0.405). The work-family conflict had the highest effect on personal accomplishment (β=0.260).

Personality traits, work-family conflicts, and social support can predict the occurrence of job burnout in nurses. It is necessary for the hospital authorities to use supportive and educational measures to reduce job burnout in nurses during the pandemic.

Corona virus became an epidemic in the world in 2019. During the epidemic, fear and anxiety were the main reports of nurses, and nurses in departments such as special care and emergency are more susceptible to these disorders, which, if left untreated, have a negative impact on the quality and safety level of the care system.

The current research was a cross-sectional study that was conducted on 205 nurses working in the Corona special care and emergency departments of Iran University of Medical Sciences. Sampling was done by enumeration method. The tools included demographic questionnaires, anxiety of COVID-19 and fear of COVID-19.

There was a negative and significant correlation between the anxiety of nurses due to COVID-19 and the duration of work in the corona ward (P<0.001). The fear of COVID-19 was significantly higher in married nurses (P=0.02) and nurses with a history of COVID-19 (P=0.006) than other nurses. There was a statistically significant relationship between the fear of COVID-19 and the frequency of contracting this disease (P=0.021). The fear of COVID-19 was significantly higher in nurses who were infected with this disease than those who were not infected at all (P=0.034).

The results showed the average level of anxiety and fear in nurses. Considering the many problems that such disorders cause for nurses, the need for effective planning to reduce and improve its physical and psychological effects on nurses is recommended in order to provide optimal and high-quality care.

One of the problems that threatens children in developing countries is the issue of child labor. Working children have lower hope for the future than their normal peers. Working in childhood can have a negative effect on the growth and cognitive performance of children. This study aims to investigate the prevalence of hopelessness and dysfunctional attitudes in working children of southern Tehran.

This is a descriptive-cross-sectional study. The study population consists of all working children and adolescents engaged in child labor aged 10-18 years under the support of child laborers support centers in the south of Tehran. Of these, 247 were selected for the study using a continuous sampling method that lasted 8 months from April to November 2021. The data collection tools were a demographic checklist and the children's dysfunctional attitude scale (DAS) of D’Alessandro and Burton, and the children's hopelessness scale (CHS) of Kazdin (1986). The collected data were analyzed using descriptive statistics (mean, standard deviation, frequency and percentage) and inferential statistics (analysis of variance, independent t-test, and Pearson's correlation test) in SPSS software, version 16. The significance level was set at 0.05.

The results showed that the average score of hopelessness (5.78±2.60) with a standard deviation of 5.78±2.60 was at a favorable level, among the dimensions of hopelessness, the average score of the dimension of future expectations (3.87±1.87) in hopelessness was higher than the dimension of happiness (2.00±1.39). The average ineffective attitude in the study was 96.16±74.11. Hopelessness only had a statistically significant relationship with the work status of the children in the study (P=0.029). There was no statistically significant correlation between ineffective attitude and hopelessness of working children (P<0.050). Hopelessness only had a statistically significant relationship with the work status of the children in the study (P=0.029).

It is recommended that interventional studies be conducted to improve the future expectations of children, and focus more on working children whose guardian is someone other than parents. Given the lack of a significant relationship between dysfunctional attitudes and hopelessness in working children in the south of Tehran, it is recommended that the mediating and confounding variables be investigated.

Lower self-efficacy of female nurses compared to male nurses has been reported in several studies. One of the consequences of low self-efficacy is reduced quality of patient care, especially in challenging situations. Mindfulness exercises may improve self-efficacy by reducing stress. This study aims to determine the effect of Mindfulness exercises training on the self-efficacy of female nurses.

In this experimental study, participants were 60 female nurses working in Afshar Hospital in Yazd, Iran in 2019, who were selected using a convenience sampling method and randomly assigned into two groups of intervention and control. The Mindfulness exercises training was performed at eight two-hour sessions in the intervention group. The control group did not receive any intervention. The data were collected using a demographic checklist and Sherer (1982)’s general self-efficacy scale, and analyzed in SPSS software, version 19 using descriptive and inferential statistics (chi-square test, independent t-test, and paired t-test). 

The two groups were matched for demographic characteristics (age, work experience, and education level). The mean self-efficacy score was not significantly different between the control (47.23±5.65) and intervention (46.36±3.89) group before the intervention (P=0.49). After the intervention, the mean score reached 47.86±4.91 in the control group and 50.40±5.33 in the intervention group. However, based on the independent t-test results, no significant difference was observed between the two groups (P=0.06).

The Mindfulness exercises training do not exert any significant effect on the self-efficacy of female nurses. More studies are recommended in this field by examining the intervening factors, using a follow-up period, and providing intervention for a longer period.

According to the statistics, the number of older people in Iran is increasing. Considering the occurrence of major changes in old age and the high prevalence of stress, anxiety, and depression in the elderly, this study aims to examine the effect of coloring mandala patterns on depression, anxiety, and stress of older people in Tehran, Iran.

This is a quasi-experimental, single-group study (clinical trial) with a pre-test/post-test design. Participants were 40 older people referred to Yas Elderly Day Care Center in Tehran in 2021 who met the entry criteria and were selected non-randomly. They were asked to color the mandala patterns in 20 minutes (using colored pencils) for 4 consecutive weeks, two sessions per week. Their anxiety, depression, and stress were measured by the depression, anxiety, and stress scale-21 items (DASS-21) before and immediately after the intervention. The data were analyzed in SPSS software, version 23.

Of 40 participants, 57.5% were women, 65% were married, and 67.5% had a diploma or higher education. Their mean age was 72.03±5.34 years. Data analysis showed that coloring mandalas significantly reduced depression (P=0.001), anxiety (P=0.001), and stress (P=0.001).

Coloring mandala designs can reduce the depression, anxiety, and stress of the elderly. Therefore, this method can be used as a simple and affordable method to improve the mental health of the elderly.