جستجوی مقالات مرتبط با کلیدواژه "اعضای خانواده" در نشریات گروه "پزشکی"

The approach of reciprocity and mutuality in the patient/family and healthcare professional relationship is of great importance in achieving patient- and family-centered care in emergency departments (EDs). This study aimed to explore and describe the current status of reciprocity between patient/family and healthcare professionals in an Iranian ED with a particular focus on cultural features.

A focused ethnographic approach was used in the ED of a tertiary academic medical center in the northwest of Iran from April 2018 to February 2019. A total of 54 participants including patients, family members, healthcare professionals, and other stakeholders were selected by applying the purposive sampling technique. Data were collected using three methods of participant observation, ethnographic interviews, and examination of related documents and artifacts until data saturation was achieved.

The overarching cultural pattern of “lack of reciprocity in providing and receiving emergency care” emerged within which there were two main themes: (a) responsibility avoidance (includes three sub-themes of evasion of liability; a sense of superiority; and slacking off at work) and (b) self-seeking (includes three sub-themes of me first, others later; emotional expressiveness; and destructive convergence).

Lack of reciprocal interaction between patient/family and healthcare professionals is one of the main cultural barriers in providing and receiving optimal care in EDs. Findings indicate the need to change the extent, nature, and approach of interactions in the EDs by focusing on divergent behaviors and evasion of liability which leads to the establishment of mutual trust and rapport.

 Sudden and unexpected death on one hand, and the crucial decision over organ donation on the other hand, can severely affect the mental health status of the family members of brain death patients. The purpose of this study was to investigate the psychological health status of the family members of the patients with brain death and organ donators.

 In this cross-sectional descriptive study, the target population included all immediate family members of the patients with brain death who had agreed on organ donation. For this purpose, 50 individuals were selected as the sample of the study based on available sampling method. The instruments used in this study were the Mental Health Questionnaire, Beck Depression and Anxiety Questionnaire and Grief Experience Questionnaire.

The results showed that the level of grief and anxiety of the participants was moderate (52% and 38%, respectively). Most of the participants (50%) experienced moderate depression. In terms of general health, half of the subjects were reported to have poor or very poor health indices. The findings also showed that there is a positively significant relationship between the scores of grief and anxiety and depression (p < 0.001).

Based on the results of this study, it can be concluded that people who have given consent to organ donation are not in good psychological conditions. Therefore, it is recommended that the psychology team provide psychological programs to those family members in order to improve their psychological conditions.

The aim of this study was to determine the relationship of family members’ health literacy and performance in face of myocardial infarction.

Myocardial infarction is one of the most important causes of death and disability in developed and developing countries. Proper performance of patients' attendance in early hours of myocardial infarction event plays an important role in reducing mortality and morbidity. Health literacy is also known as one of the major determinants of understanding information about health.

In this descriptive-correlational study, 286 family members of patients experiencing myocardial infarction that witnessed the vent were recruited in the study by convenience sampling method and based on inclusion criteria of reading and writing literacy and age over 18 years old. Data were collected using a demographic form, Iranian adult health literacy questionnaire (HELIA) and the questionnaire performance during myocardial infarction. Data were analyzed in SPSS version 22 using descriptive statistics (frequency distribution, mean, standard deviation) and inferential statistics (mean comparison, correlation and regression tests).

Health literacy mean score (61.49±21.05) showed an adequate level. “Assessment skills” and “decision making and application of health information” had, respectively, the lowest (52.68±25.30) and the highest (68.07±19.87) mean score among health literacy dimensions. There was a statistically significant relationship of health literacy with age, education and medical profession in the family (P≤0.0001). Only 17.98 percent of the participants had a good level of performance (Scores 6.8 to 10). The history of myocardial infarction in patient and the duration of the patient transition from the onset of pain to arrival to the hospital showed a statistically significant relationship with performance, meaning that family members of patients with a history of myocardial infarction were able to transfer their patient to the hospital in less than half an hour (P≤0.0001). A statistically significant relationship was found between health literacy and performance; those with higher level of health literacy had better performance. Of the health literacy domains, only understanding had a significant relationship with performance (P=0.004).

Although the mean score of health literacy was adequate, the participants hadn't good performance. Therefore, improving the performance of community and family members by health service providers including nurses, mass media, practitioners, and health promotion planners for educational interventions is recommended. Proper planning to increase specific health literacy can prevent adverse outcomes in this area.

 The family members of patients experience a high level of anxiety during the patient’s CABG  surgery. Information sharing with family members about the patient’s condition during surgery can reduce their anxiety. The present study was conducted to compare the effect of information sharing with electric boards and mobile phones on the anxiety of family members of patients undergoing CABG surgery. This randomized controlled trial was conducted on 80 family members of patients undergoing CABG surgery. The intervention group was provided with information sharing using a mobile phone during the patient’s surgery. The control group received their patient’s information on electric patient tracking board inserted on the operating room wall. The study participants’ anxiety was evaluated using the Spielberger State-Trait Anxiety Inventory (STAI), before and after the interventions. The obtained data were analyzed in SPSS using descriptive and analytical statistics.  Before conducting the interventions, the mean±SD scores of anxiety were 49.03±12.82 and 47.80±10.41 in the test and control groups; the two study groups had no significant difference in this regard. After the interventions, the mean score of anxiety significantly reduced in the intervention group; however, no significant change was observed in the controls in this area. Additionally, the mean changes in anxiety score in the intervention group were significantly higher than the controls (P≤0.5).  According to the achieved results, informational support for the family members of patients can reduce their anxiety during their patients’ surgery procedure.

Experience of hospitalization in the intensive care unit is stressful for patients and families. When a family member is hospitalized in intensive care unit, patient's condition causes instability and imbalance in quality of family life. Accordingly, this study aimed to explore experiences of families of hospitalized patients in intensive care unit related to resture the stability.
In this qualitative study, 19 family members of patients in intensive care unit were enrolled via purposive sampling method. Data were collected through semi-structured interviews, observation, and field notes. All interviews were recorded and transcript verbatim, and were analyzed using qualitative content analysis method.
The extracted three main themes wereas “search for supporter resources”, “organizing of situation”, and “contextual-tructural factors”. Subcategories of “searching for supporter resources” were “sources of hope” and “sources of support”. “Organizing of situation” had two subcategories of “interaction with the health care team” and “efforts of stress relief”. Moreover, “contextua-structural factors” included two subcategories of “factors related to family” and “factors related to care-medical system”.
According to the results of this study, it seems essential that health care team understand experiences of family members of patients in intensive care unit related to restore family stability, and balance in their life for providing family-centered interventions.

Aim and According to the role of religion and religious in function and mental health of society and family members, and regarding the effect of family structure and values on religious orientation, this study aimed to investigate the mediating effect of marital values in the relationship between family structure and religious orientation.
Methods and Materials: In this study, 357 marital individual (208 women and 149 men) selected from Babol City, Iran, through a multistage random cluster sampling method. Participants completed the Olson family structure, Allport religious orientation, and Delkhamoush marital value scales.
Findings: There was a significant correlation between family cohesion with internal orientation (P It is concluded that family structure and marital value, as two psychological constructs, can play a significant role in creating religion orientation.

Nurses play a unique role in supporting and contributing to families to adaopt with strerssful situations. Nurses play a unique role in supporting and contributing to families to adaopt with strerssful situations. Thus, nurses need to be aware of the expectations of patient's family members of their roles to be able to perform the policy of the support of family members and maximize the satisfiction of them. The purpose of this study was to assess Patient's family member perception of the role of nurses working in intensive care units that was perceive by family members.
This study is descriptive-analytical. In this study, 302 family members of the patients admitted to the intensive care ward of Shahid Rajaee Heart Center were selected. To collect information, a family member questionnaire was used for understanding the behavioral expectations / perceptions of the nurses adapted from the questionnaire to understand their role in the family and Lvandsky Hyky. By using descriptive statistical tests (mean and standard deviation) and analytical tests (One-way ANOVA and independent-t), the data were analyzed.
It was found that meeting the expectations of family members of the role of nurses has been suitable and most of the family members think that the role of the nurses in intensive care units is positive.
The findings of the present study show that, although family member's preception of the role of nurses is positive and there is a significant relationship between some expections of family members and the performance of the nurses working in intensive care units, the nurses should should increase their awareness of patient's family member's expectations.

Improvement of the quality of life is one of the main objectives of treatment in patients with heart failure. Educational intervention for family members of patients with health problems, leads to reduced distress and discomfort. This study which is aimed at determining the effect of integrated group education program on quality of life of family members of patients with heart failure, was conducted in Zanjan.
This study is a randomized controlled trial. The study population included family members of patients with heart failure admitted to the CCU and Heart Wards of Ayatollah Mousavi Hospital. 92 family members of patients were eligible to participate in the study. Family members of inpatients were selected by convenience sampling and randomly divided into control and intervention groups. Before randomization, participants completed initial questionnaire and then were divided in two groups of 46. The participants were asked to fill out questionnaires three times during one year. Hospital anxiety and depression questionnaire was used to measure anxiety and depression. Nottingham Health Profile questionnaire was used to measure quality of life. To determine the reliability and validity of questionnaire were used test retest and content validity respectively. Data was analyzed by SPSS 22. The K-2 test and the gamma correlation coefficient were used to compare the two groups according to the demographic characteristics of the patient's family members and patients, Variance analysis with repeated measures was used to compare anxiety, depression and quality of life in two treatment groups.
The results showed that the anxiety and significantly decreased during the three measurement periods (P To promote disease- related knowledge, a combination of training methods effect on rates of anxiety, depression and quality of life of patient's family members could be used. Our results suggest that intervention aimed at increasing social support may be beneficial for patient's family members. It is recommended that a separate study of the role of nurses in health promotion in relation to other chronic diseases should be studied.

Objective (s): This study aimed to explain the needs of family members awaiting patients, surgery. A qualitative design using content analysis approach was used to collect data and analyze the experience of 17 family members who were waiting for their patients’ surgery. Data analysis led to the development of 3 categories and 6 subcategories. They included: Emotional need (need to consolation, need for hope(, Informational need)need to receive information about illness and surgery process, need to consulting and guidance(, Physical need)need to appropriate site, need to facilities and amenities). The finding might help healthcare professionals especially nurses to get a better understanding of the families, needs in this situation and as a result could be better planning and intervening for meeting of this needs.

a standard tool is required to investigate and determine of family satisfaction level of adult patients hospitalized in Intensive Care Units (ICUs). Since such tools haven''t been localized in Iran so far، the aim of this study was translation and validation of family satisfaction questionnaire (FS ICU-34) of adult patients hospitalized in ICUs in Iran. This is a methodological study. Face and content validity process was carried out after translating English version of the tools through forward-backward translation technique، confirmed by WHO (World Health Organization)، and exploratory factor analysis was conducted by investigating three hundred questionnaires completed by family members of adult patients hospitalized in ICUs of Tehran hospitals in order to investigate construct validity. in exploratory factor analysis، three subscales including: satisfaction with medical staff performance (12 items)، comfort (12 items) and decisionmaking (6 items) were determined by Eigen value above one and factor load above 0. 5. Cronbach''s alpha in the first، the second and the third subscale were respectively achieved; 0. 93، 0. 92 and 0. 84 and Cronbach''s alpha of the tools was achieved 0. 95. In this study the number of the questions was decreased to thirty. after performing procedures of determining validity، necessary changes in the number of the questions، writing and number of the questionnaire areas were carried out and it became clear that the Persian version of the questionnaire FS-ICU 34 benefits high reliability (α= 0. 95). Removingsome questions due to their low scores allocated by Experts’panel was done during the stages of determining validity and it was done among Iranian respondents due to cultural incompatibility. Content validity index of all the satisfaction Persian tools of family members of adult patients hospitalized in ICUs through two S-CVI/Ave and S-CVI/Universal validity methods were respectively achieved 0. 97 and 0. 86، which is indicating good validity of the Persian version of the tools. Also by shortening Persian version of the above tools، answering themwould be easier.

Members of the health care providers continuously are trying to provide holistic care standards with maximum efficiency to their patients and family members. In this context, the family plays an important role in health care plan for the patients. Their participation in the program is an integral part of the healing process. For the majority of the population, resuscitation room is the last chance to see, talk and touch their loved family members. Prohibiting the families to visit patients in their final stages of life and in critical condition is contrary to the philosophy of nursing. According to CPR, the need for effective care is necessary not only for patients but also for their anxious relatives. A descriptive and analytical study was used to explore the attitudes of 136 medical staff of public hospitals at Khoy city towards family presence during resuscitation. By using a self administered structured questionnaire, health care providers with 6 months experience in clinical wards were participated in the study. After the data were collected in connection with family presence during resuscitation, descriptive and inferential analysis had been done by SPSS-16software. In this study, 45/3% of participants disagreed with the presence of family members during CPR, while 44/7% of them agreed. Concerning the benefits of family presence during resuscitation, 60% agreed to prevent misinterpretation of the family presence in resuscitation activities, and (33/1%) agreed with enhancing knowledge about resuscitation team performance. Also the results revealed that there is a statistically significant difference (P=0/007) between the three groups of medical staff nurses, physicians and anesthesiologists. The results of this study showed the majority of medical staff of both public hospitals in Khoy city, agreed to have trained and qualified medical personnel communication skills during the resuscitation. About three fifths of the hospital's medical staffs were aware of the existence of written policies on family presence.

The surgical waiting area is that place where families and friends await news concerning their patient who is undergoing surgery; they spend hours wondering and worrying. This study aimed to explain factors that facilitate waiting time according to experience of family members of patients undergoing surgery. This is a qualitative research. Participants were 17 from family members of patients undergoing surgery، they were selected by purposeful and theoretical sampling. Semi-structured interviews were performed for data collection and data were analyzed using content analysis approach. During analysis 2 themes and 5 subthemes emerged. They included: support [“family support”، “personnel support”]، satisfaction [“attention and personnel accountability”، “skill of medical team” and “nursing care”]. These findings of the present study could help nurses for better and holistic care services.

Family satisfaction is the reflection of needs and expectations made by family members of the patient admitted in ICU by the individuals who take care after the professional health. Measuring the satisfaction levels of family members of the patients admitted، is in a sense، one of the components of measuring the quality of taking care after patients and will improve the analysis of the existing situation and basic measures in promoting this dimension of taking care after the patients. The present article is the result of a descriptive study in the intensive care units in 5 selected military hospitals in Tehran. In this research، a 30-item questionnaire in Persian on satisfaction of family members of patients admitted in intensive care units with three sub-scales of satisfaction of the performance of treatment staffs، comfort and decision making was used. For description of data were used mean، variance، standard deviation and frequency that calculated with SPSS16. The average age of the participating individuals was 36/13± 10/7. Responding rate was 82%. The most scores of satisfaction was related to the item of «Enough time to think about the information provided about the patient’s with an average and standard deviation 69/66±46/04، General satisfaction with the experience in ICU”، (62/75±22/29) and the least scores of satisfactions was related to the “rate of participation in decision making trend:” (41/75 ± 30/88)، and “participation in the trend of care after the patient” (42/91±30/83). General satisfaction with decision making، care and satisfaction with the intensive care units were determined in three items. The average and standard deviations of the scores of these items were 62/75± 22/، 57/58± 24/16، 2953/83 ± 24/49. Discussion and Family satisfaction is one of the important tools to study the quality of care in the intensive care units. The least score gained in satisfaction was related to the participation in the trend of care after the patient، the rate of participation in the decision making trend. This shows the necessity of proper intervention in order to promote the quality of services in ICU.

Special care includes the continuing, precise and specific care of the patients who have been under dangerous situations and need to control one or more persistent and severe organ by skilled personnel using advanced equipment and facilities. More than 4 million people in the United States receive services each year which has annual cost of more than 180 billion dollars as a result. Currently, there is no exact number of patients hospitalized in intensive care units available. Evidences indicate that family members have an important role on improvement of patients in intensive care units. Family members can help to reduce anxiety in compliance with the environment and they are a source of support for the patients.

In production of the article used valid studies, library and internet search sites and access to all articles with keyword instrument, psychometric, translation, development, ICU satisfaction, family patient are used.

Evaluation and measurement of patient family satisfaction is an important method to assess quality aspect in intensive care units. The quality of care improvement in the intensive care unit requires measurement data of family satisfaction. Authentic literature to measure satisfaction families have suggested several key factors including staff courtesy, respect, affection, information provided to the families and the health care provided to their patients. Dissatisfaction of health care has included adversity. Discontent led to the disconnection of the health care system or at least a lack of participation in the provision of services. In addition, they lead to unpleasant feelings of personal inadequacy and unpleasantness, and consequently reducing the efficiency of the health system.

The intensive care unit family satisfaction is the most alternative of ICU patient satisfaction. Therefore improve quality of health care and healing process may impact should be noted that primary health care services in a competitive market, the firms will be more successful in their plans services that recipients consent is their most important goal.

A healthy diet is one of the most important matters in caring and preventing type II diabetes in susceptible individuals. In interventional trainings performed in Iran, the family members of patients with type II diabetes are very rarely entered into training programs. Therefore, the aim of this study is to investigate the effect of education based on the collaborative care model on nutritional behavior of families of patients with type II diabetes. This study is a single-blind randomized clinical trial undertaken in the Educational Center of Diabetes of Tabriz, Iran, in 2012. The sample consisted of 40 first-degree family members of patients with type II diabetes (one member from each family) who were randomly divided into two groups of intervention (20 individuals) and control (20 individuals). In order to evaluate nutritional behavior, the modified lifestyle questionnaire was applied. First, the two groups took the pre-test and then collaborative training was held for seven one-hour sessions for the intervention group. Collaborative training consisted of the stages of motivation, preparation, engagement, and evaluation. The two groups took the post-test 3 months after the intervention. The data were analyzed by using chi-square and Student’s independent t-test in SPSS version 13. There was no statistically significant difference between the intervention and control groups in regards to age, gender, education level, job, marital status, and economic status. After the educational intervention, the intervention group reported better performance in comparison to the control group in items related to using fast foods (P = 0.001), fruits (P = 0.005), vegetables (P = 0.004), canned food (P = 0.003), sweets (P = 0.001), solid vegetable oil (P = 0.007), sausages (P = 0.005), the usual way of cooking food (P = 0.003) and eating heavy and late-time dinners (P = 0.007). The results showed that training based on the collaborative care model modifies the lifestyle of family members of patients with type II diabetes in most of the indices and nutritional behaviors. Based on the results, it is recommended to use the collaborative care model for nutritional training of family members of patients with type II diabetes.

First encounter with a disability is in the family environment and the quality of interactions and adaptation processes of the family can determine their quality of life. this study was conducted with aim of assessing quality of life and its associated factors in primary caregivers of children with physical disabilities under supervision of Welfare organization iran-Ilam.
This descriptive-correlational study was done in 2012,a sample size determined as 145 primary family caregivers of children with physical disabilities based on census approach in the city of Ilam. Data collection tool was demographic information questionnaire and quality of life questionnaire of WHOQOL-BREEF. For data analysis, SPSS v.16 software and descriptive and inferential statistics were used.
The results showed that the overall quality of life scores of family caregivers (39.16) is low, and they experienced a poor quality of life status in all four domains of physical health, mental health, social relationship and environmental health.
research findings showed that these families are facing the challenges of care giving to their disabled children that has deteriorating effects on their health and quality of life. thus it is imperative that preventive and supportive programs and services be considered for these vulnerable families to improve their overall quality of life.

Objective (s): This study aimed to investigate the quality of life in older people suffering from abuse by family members in comparison with older patients without such experiences. Using a quantitative design and a cross-sectional approach, 360 older people (180 abused and 180 non- abused older people) aged over 65 years was entered into the study. Data were collected using the Iranian version of Abbreviated Mental Test Score, the Domestic Elder Abuse Questionnaire and the Iranian version of 36-item Short form Health Survey (SF-36) via face-to-face interviews. It was found that the older people who did not experience abuse from family members reported higher quality of life in comparison with the abused older people(P<0.00001). Significant differences were observed between male and female with regard to health-related quality of life (P<0.00001). The findings suggest that detecting the symptoms of abuse in older people is important. Indeed providing preventive and supportive care for this population seems necessary.

Acute brucellosis among household members of Brucella patients has been reported. The aim of this study was to determine the effectiveness of active serological screening in detecting additional unrecognized cases among people who were in contact with patients suffering from acute brucellosis. This descriptive study was conducted among people who were in contact with Brucella patients (contact cases) in two provinces (Tehran and Lorestan) of Iran, between years 2005 to 2007. Five mL of venous blood samples were taken from Brucella patients (index cases) and contact cases and evaluated by using Brucella ELISA IgM, IgG, IgA assay kits. 36 Index cases with the mean number of contact cases (4.5±2.5) with 117 contact cases [59 (50.5%) men, 58 (49.5%) women] were screened. Positive IgM, IgA, IgG ELISA titers were detected in 7 (6%), 25 (21.5%), 31 (26.5%) of contact cases, respectively. The seroprevalence rate was detected in 40 (34.2%) among contact cases. 38 (32.5%) of contact cases manifested various symptoms. Among 40 contact cases with positive seroprevalence, 14 (35%) cases had complaint, but among 77 contact cases with negative seroprevalence, 24 (31%) cases had complaint. There was not a significant correlation between positive seroprevalence with clinical complaint. The high seroprevalence rate (34.2%) and symptomatic individuals among contact cases (35%) in this study showed that the household members are not the single most important identifiable risk group and screening of other contact cases is necessary. Screening all contact cases provides an effective means for their early diagnosis.