فهرست مطالب nasim sadeghi mahalli

Sleep disorders are among the most common problems in the elderly. Guided imagery is a non-pharmacological treatment that can be effective in treating these problems and improving the health of the elderly. This study aims to determine the effect of guided imagery therapy on sleep quality and general health of older adults suffering from sleep disorders.

This is an interventional study on 70 older adults aged >60 years referred to a health center in Ardabil, Iran in 2021. They were selected using a convenience sampling method and were randomly allocated to the intervention (n=35) and control (n=35) groups after obtaining informed consent. The Pittsburgh sleep quality index (PSQI) and Goldberg’s general health questionnaire (GHQ) were used before and after the intervention for data collection. The control group received the routine care, while the intervention group received the guided imagery therapy as well by listening to an audio file. Data analysis was done in SPSS software, version 22.

There was no significant difference in the mean score of PSQI and GHQ between the two groups before the intervention (P>0.05). However, a significant difference was observed in sleep quality (P≤0.001) and general health (except for severe depression and social dysfunction domains) after the intervention (P≤0.05).

Guided imagery is efficient in improving sleep quality and general health of the elderly with sleep disorders and can be used as a non-pharmacological nursing intervention.

The care transitions measure (CTM-15) is a reliable and valid tool to evaluate the transition of care. This study aims to assess the psychometric properties of the Persian version of CTM-15 in Iranian older people.

This is a psychometrics study. The questionnaire was first translated into Persian based on the international quality of life assessment protocol. Then, it was completed by 200 older people who were selected using a convenience sampling method based on the inclusion criteria. After completion, face validity, content validity, construct validity (using confirmatory factor analysis and exploratory factor analysis) and convergent validity were investigated. The reliability of the questionnaire was evaluated in terms of internal consistency (using Cronbach’s α) and test-retest reliability. Statistical analyses were done in SPSS software, version 26 and AMOS software, version 24.

The content validity index (CVI) for the whole questionnaire was obtained as S-CVI=0.966. Following CFA, the 4-factor solution was not confirmed and did not show a good fit (P<0.001, RMSEA=0.093, GFI=0.851, NFI=0.644, CFI=0.731). After performing EFA, three factors were found and named as “patient and caregiver preferences”, “self-management and follow-up” and “medication management”. Convergence validity of the Persian CTM-15 with GSE-10 was assessed using Pearson’s correlation test which obtained as r=0.468. The internal consistency using Cronbach’s α coefficient was 0.76 and intraclass correlation coefficient was 0.85.

The Persian version of CTM-15 did not support the 4-factor model of the original version. The Persian version with 3 subscales, due to having acceptable validity and reliability, can be used as an efficient tool to evaluate the transition of care for the elderly in Iran. The benefits of measuring the transition of care and its impact on the promotion of discharge programs and continuity of care in various settings justify the need to pay attention to this tool.

One the ways to review and revision of curriculum is to conduct the comparative study to identify the strengths and weaknesses of the curriculum. According to the educational regulations by nursing committee, the rehabilitation nursing curriculum is being revised and improved. Therefore, this study was conducted with the aim of comparative comparison of Iran and Australia Rehabilitation Nursing Master's curriculum.

This study is a comparative study by Bereday model 1964 based on four stages of description, interpretation, proximity and comparison in Iran in 2021. In this comparative comparison, the curricula of the two countries available on the website of University of Social Welfare and Rehabilitation Sciences from Iran and Tasmania University from Australia by mission and vision, philosophy and goals, admission requirements, curriculum content and characteristics, executive strategies, evaluation methods and graduate roles and duties were described and after proximity and classification of information, comparison and interpretation were performed.

Despite the similarities in the mission, philosophy and goals of the rehabilitation nursing curriculum of Iran and Australia, there are differences such as differences in the admission requirements, course duration, type of courses accreditation, internship hours, diversity of educational environments, existence of the dissertation and as well as assigned role and duties after graduation.

A comparative comparison of two curriculums identified the strength and weaknesses of the Iranian Rehabilitation Nursing curriculum for program designers. By reviewing the student admission requirements, accommodation of assigned roles and content with Iranian community needs and creating diversity in inclusive learning methods, we can take the big step to improve the quality of Iranian rehabilitation nursing curriculum.

 Locomotive Syndrome (LS) refers to reduced mobility due to the impairment of locomotive organs. LS results in movement limitation, loss of balance, pain sensation, muscle weakness, and ultimately increased demand for long-term nursing care. This study aimed to investigate LS in Iranian elderly and its risk factors.  This descriptive, cross-sectional study was conducted on randomly selected 320 community-dwelling elderly people in Qaem Shahr City, Iran, in 2018. The study was approved by the Ethics Committee of the University of Social Welfare. The study instruments were demographic form and geriatric locomotive function scale-25 Persian questionnaire. The obtained data were presented by descriptive statistics and logistic regression was used to investigate the correlation between the criterion and predictor variables. All analyses were done in SPSS-V23.  The Mean±SD age of the participants was 69.85±7.7 years. About 58% of the participants were in the LS group. Variables of age (OR=1.05, increase per 1 year), female gender (OR=2.7), positive history of chronic disease (OR=3.4), and positive history of chronic pain (OR=4.04) were the predictors of LS among elders.   Regarding the high prevalence of LS and its relationship with demographic factors (age and sex) as well as chronic disease and, chronic pain, screening methods to identify those at risk for LS and taking preventive measures are highly recommended.