فهرست مطالب tahere momeni-ghaleghasemi

Substance-related disorders are recognized as a significant health concern in all societies, with individuals facing public health challenges. This study was aimed to assess the impact of an emotion regulation-focused educational program on the overall health status of individuals undergoing methadone maintenance treatment (MMT) for addiction.

This single-blind randomized clinical trial study was conducted in 2022 on 48 patients with opioid abuse undergoing MMT at the Center for Addiction Harm Reduction in Isfahan City, Iran. The participants were randomly assigned to either the intervention group (n = 24) or the control group (n = 24). The intervention involved six training sessions focused on emotion regulation over a three-week period for the intervention group. Data analysis was performed using paired t-test, independent samples t-test, and chi-square test with SPSS statistical software. In this study, the P-value was considered significant at the level of less than 0.05.

The results of the paired samples t-test showed that in the intervention group, the average scores of the general health level decreased significantly after the intervention (P < 0.001), while the changes in the control group were not significant. The results of the independent samples t-test showed that the average scores of the general health level in the intervention and control groups were not significantly different before the intervention, but were significant after the intervention (P < 0.001).

According to the results of the present study, the educational program based on emotion regulation plays a crucial role in enhancing the overall health of patients receiving MMT. Therefore, it is advisable to implement this educational program for patients undergoing MMT.

One of the most common problems of nursing students in the clinical environment and Objective Structured Clinical Examination (OSCE), is anxiety and lack of accuracy, which can lead to negative effects on their learning and performance. Considering the simplicity and cost-effectiveness of aromatherapy, the present study aims to the effect of lavender aromatherapy on the accuracy, exam anxiety, and performance of nursing students in OSCE.

This clinical trial study was conducted on 60 undergraduate nursing students under the OSCE in 2022. Eligible students who met inclusion criteria were recruited by convenience sampling and then were allocated randomly with the random sequence generation software, to intervention (n=30) and control groups (n=30). The intervention included aromatherapy with lavender essential oil with 100% purity for 10 minutes. Toulouse- Pieron Attention questionnaire, Sarason's test anxiety, and performance checklist were used in this study. Data were analyzed using descriptive and inferential statistical methods by SPSS version 26 statistical software.

The results indicated a significant decrease in the average exam anxiety score with P = 0.03 and a significant improvement in accuracy with P < 0.001 after aromatherapy in the intervention group. Also, the results of the independent t-test showed that after the intervention, there was a significant difference in the average exam anxiety score with P = 0.02 and accuracy with P < 0.001 between the intervention and control groups. Meanwhile, the average performance score of the students' grades was not significant between the two groups.

Considering the positive effects of inhaling the scent of lavender in improving the accuracy and reducing the anxiety of the nursing students' exam, the use of this low-cost program, with easy access and without complications, is recommended along with other methods.

Opioid abuse is one of the most critical problems today, and individuals struggling with this issue often experience stress, anxiety, and depression disorders. This study aimed to investigate the effects of software-based cognitive bias modification on stress, anxiety, and depression disorders among patients receiving methadone maintenance treatment. This double-blind clinical trial was conducted in 2022. Eighty-four participants were selected through convenience sampling from individuals undergoing methadone maintenance treatment for opioid abuse at an addiction treatment center in Isfahan city. They were then randomly assigned to either the intervention group (n=42) or the control group (n=42). The intervention involved a four-week program utilizing software-based cognitive bias modification through the dot-probe task, with two sessions per week. Participants in both groups completed DASS21 questionnaires before, immediately after, and two months following the intervention. The repeated-measures ANOVA test revealed statistically significant differences in the mean scores of stress (P<0.001), anxiety (P<0.001), and depression (P<0.001) disorders in the intervention group before, immediately after, and two months post-intervention. The findings of this study suggest that software-based cognitive bias modification can lead to a reduction in stress, anxiety, and depression disorders among patients undergoing methadone maintenance treatment. Therefore, incorporating this program alongside other treatment methods for individuals in methadone maintenance treatment is recommended.

The outbreak of coronavirus disease 2019 (COVID-19) has harmed the health dimensions of people, especially nurses who were at the forefront of fighting this disease. Undoubtedly, they endure a lot of work pressure in these conditions, which can affect different aspects of their health. The present study was designed and implemented to investigate the stress, anxiety, and depression of nurses caring for patients with COVID-19 in Isfahan, Iran, and its relationship with spiritual well-being and demographic variables.

This cross-sectional study was a descriptive-analytical one, conducted on 297 nurses who met the inclusion criteria working in the clinical wards of COVID-19 hospitals affiliated to Isfahan University of Medical Sciences. The data collection instrument included Depression, Anxiety, and Stress Scale-42 (DASS-42), and Paloutzian and Ellison Spiritual Well-Being Scale (SWBS). The data were analyzed by SPSS software using descriptive and analytic statistics.

More than one-third of nurses (35.3%) and about one-third of them (27.2%) had significant levels of anxiety and depression. The results of the Pearson test showed that there was an inverse and significant statistical relationship between the stress, anxiety, and depression of nurses working in the COVID-19 wards with spiritual well-being.

According to the results of the present study, it seems that attention and strengthening of the spiritual dimension of nurses in crises, along with financial and union support, will improve the mental health of nurses and consequently, will improve the service process for patients.

The goal of treating chronic diseases, including hematologic malignancies, is to increase patients' life span and to improve their capabilities as much as possible; so that patients could maintain an appropriate level of quality of life (QoL) and continue their lives. Most studies performed to evaluate the treatment of various diseases were mostly focused on the increase of life expectancy regardless of the QoL and treatment issues. Furthermore, fatigue is one of the most common and distressing side effects of cancer and treatments related to it, which can affect a patient's QoL, and be followed by many problems. This study was designed and implemented with the aim to determine the factors affecting the QoL and fatigue in patients with leukemia undergoing chemotherapy.

This was a cross-sectional correlation descriptive-analytical study. One hundred and fifteen patients with leukemia referred to Sayyed-Al-Shohada Hospital were enrolled in the study through convenient sampling method. To collect data, a three-part questionnaire was used: The first part was related to demographic characteristics and disease-related data and the second part was the fatigue check list and the third part was the Short-Form 36 Health Survey (SF-36) related to QoL. The data were analyzed after collection and coding through Software SPSS version 18 and descriptive and analytical statistics (analysis of variance test, independent t test, Pearson's and Spearman's correlation coefficient) with 95% confidence interval.

The results showed that there was a significant correlation between QoL in Physical Component Summary with gender (P = 0.03), educational level (P = 0.09), and marital status (P = 0.004), Also there was a significant correlation between QoL in Mental Component Summary with educational level (P = 0.01) and economic status (P = 0.02). Findings showed that there was a significant correlation between fatigue and marital status (P = 0.005). But statistically there was no significant correlation between demographic variables such as age, educational level, and employment status with patients' fatigue. Spearman correlation coefficient showed that there was a significant correlation between fatigues with pain (P = 0.005). Also findings revealed the statistically significant correlation between fatigues with economic status (P = 0.003).

According to the present results, it seems that some demographic factors affect QoL and significant relationship exists between them. Fatigue in patients with leukemia dramatically affects their QoL. Therefore, it is important for medical staff to pay attention to demographics and fatigue in leukemic patients in order to improve their QoL and help them to organize their activities to promote health and QoL.

IV therapy is essential for providing electrolytes, fluid, and hydration and medication therapy that one important access is peripheral IV catheter. In spite of value of this method, peripheral IV catheter is a main cause for Nosocomial infections. The purpose of this study determined the infection facilitators in peripheral IV catheter in viewpoint of nurses in medical-surgical wards in hospitals, Isfahan University of medical sciences, Iran. This was a descriptive study conducted in nurses with randomized sampling methodology. A total number of 379 nurses from 3 hospitals affiliated to Isfahan University of Medical Sciences were enrolled. A questionnaire contains 2 parts (clinical and demographic characteristics information and infection facilitators) was used for data collection. The data were analyzed by carried out using SPSSV18 with using descriptive and analytic statistics. The majority of cases were female (80.6%) and their ages ranged from 22 to 52 years. The most common infection facilitators in peripheral IV catheter in viewpoint of nurses were included washing hands before procedure (100%), gloves (99.2%), proper disinfection of the insertion site IV catheter (97%), insert IV catheter in healthy skin (97%), hair shave the location of IV catheter insertion (95.7%), on time IV catheter replacement (94.5%) and consider sterilization principle in inter and remote the IV catheter (94%).With regard to spearman test, there was a significant association between infection control nurse's view point with age (P=0.001, r= - 0.48) and work record (P=0.02, r= - 0.55). Also Mann-Whitney U test showed there was a significant association between infection control nurse's view point with gender (P=0.04). The findings of this study highlighted the importance and the necessity of a closer and deeper attention to infection facilitators to decline the infection caused by peripheral IV catheters

Spiritual well‑being is well‑recognized as a factor that affects cancer patients’ quality of life, quality of care, and satisfaction. There is evidence that supports the fact that patients’ spiritual needs are associated with better quality of care, higher hospice utilization, and less aggressive care at the end of life. However, few studies have examined the Spiritual well‑being (SWB) in cancer patients. Less is known about spirituality; furthermore, no published research about SWB and its relationship with demographic parameters in breast cancer patients exists; this made us carry out this project.

This cross‑sectional study was a descriptive – analytical one, conducted on 297 breast cancer patients, with a simple sampling methodology. The data collection instrument included a questionnaire containing two parts (demographic information and standard SWB Scale questionnaire). The data were analyzed with 95% confidence by SPSS18, using descriptive and analytic statistics.

According to the results of the present study, SWB of most of the study subjects (52.52%) was at a moderate level. Results showed that the average score for religious aspect of spiritual well‑being (RWB) was 51.38 ± 8.17 for 60, average score for the existential aspect of spiritual well‑being (EWB) was 42.47 ± 10.21 for 60, and the total score of SWB was 93.69 ± 10.04 for 120. Based on the study findings, there was a statistically significant correlation between the SWB and age (P = 0.03, r = 0.59), educational level (P = 0.04, r = −0.58), and marital status (P = 0.001), of breast cancer patients.

According to the results of the present study, the SWB of most study subjects was at a moderate level. Furthermore, according to the results there was a correlation between some important demographic parameters in women with breast cancer and SWB. Hence, it is necessary for the treatment team to assess and improve the SWB of patients; meanwhile the role of nurses is highlighted. In fact, the nurse is the first person who can recognize the spiritual needs of a patient and even his/her family, and can be effective in meeting the spiritual needs and improving their SWB. Therefore, it is strongly recommended that in patients with cancer, a holistic care plan, based on spiritual care, development, and education of patients be applied, as it is considered to improve their SWB.