مجله پرستاری گروه های آسیب پذیر
سال پنجم شماره 3 (پیاپی 16، پاییز 1397)

  inactivity in Ageing has related to loneliness and social isolation. So, the aim of this study was to investigate the difference between loneliness and death anxiety in active and inactive Elderly male living in nursing homes in Yazd.

In this research, a causal comparative or post-event descriptive design was used. The statistical population of the study was all elderly men living in nursing homes of Yazd, during the years of 2017. The sample consisted of 148 male elderly people selected by random sampling in two groups of 74 active and inactive groups. The tools for this study are the SELSA-S scale, the Templar death anxiety scale (DAS) and the standard questionnaire on the amount of physical activity (1995). In order to study the effect of independent variable on dependent variables of loneliness and death anxiety, MANOVA multivariate analysis of variance was used.

The results showed that there was a significant difference between the sense of loneliness its sub-scales including social, Romantic, & family (P<0/001). The scores of active elderlies were higher than inactive group.  In addition, the scores of death anxiety and its sub-scales like; fear of death, emotional depend to others (P<0/001) in both active and inactive elderly groups.

The results of this study showed that loneliness and anxiety of death are serious psychological components that are more active in elderly people than their active counterparts. Hence, having activity and mobility in the aging period is necessary to improve the quality of life.

Considering the important impact of future hope on the elderly and with the increasing population of cancer patients, the aim of this study was to determine the future hope of the elderly under chemotherapy. This descriptive cross-sectional study was performed on 100 elderly people with cancer and under chemotherapy, admitted in Shahid Mohammad Vasei Hospital in Sabzevar, Iran in 1394-1399. They were selected by continuous sampling and entered into the study. Data were collected by Omid Miller questionnaire and analyzed using SPSS 21 and descriptive statistics, one way ANOVA and independent t-test. The mean age of the elderly was 68 ± 3 years. The average score of hope was 196 in men and 172 in women. Based on the results, 65% of the elderly under the chemotherapy were at a good level in terms of hope for the future. There was a significant relationship between future hope with sex, education and marriage (P <0.01). According to the findings of the present study, the future expectations of chemotherapy in the elderly were not the same, but the majority of chemotherapy-aged cancer patients had good or moderate future expectations, which is a great pleasure. It is necessary to try to maintain or promote this hope in all stages of treatment

Ventilator- association pneumonia is associated with nurses 'function as a highly infectious disease, and if nurses' performance is based on preventive guidelines, the probability of reducing the incidence of this type of infection is unexpected therefore, the researchers aimed to carry out a study aimed at educating nurses based on clinical guidelines in the prevention of ventilator- association pneumonia. This quasi-experimental study was conducted on 100 nurses working in intensive care units of Imam Reza Hospital in Tabriz during 1397, who were randomly assigned to control and intervention groups. Ventilator-dependent pneumonia prevention methods were trained for the intervention group and the nurses' performance scores were compared on the basis of the checklist before and after the intervention and were compared using descriptive statistics and independent t-test. Nurses were not statistically different in any of the domains in the intervention and control groups before and after the intervention; the score for the intervention nurses before the intervention was 18.82 ± 2.86 and after the intervention The intervention was 21.07 ± 2.85, which was not statistically different (P = 0.292). The inferiority of the training of ventilator-associated pneumonia prevention techniques for nurses has several reasons and finding of the exact reasons is essential and inevitable.

Caregivers of patients with chronic renal failure have many problems with patient care and treatment. This study aimed to determine the level of caregiver burden and its related factors in caregivers of hemodialysis patients referring to Mohammadi hospital in Bandar Abbas. This descriptive-analytic cross-sectional study was carried out on 57 carers of hemodialysis patients in Bandar Abbas, Shahid Mohammadi hospital in 2016. Data were collected through interview by completing two questionnaire of Zarit caregiver burden and socio-demographic of patients and caregivers. Data were analyzed by SPSS software version 22 and using descriptive statistical methods, Independent T-Test, One-Way Variance Analysis and Pearson Correlation Coefficient tests. P<0.05 was considered as statistically significant. Average age of caregivers 48.03 ±14.23 and the majority of them (75.40%) were women and in terms of employment 52.5% were housewives. Mean of caregiver burden was 49.24 ±16.19 and 66.70% of the caregivers had severe caregiver burden. Pearson correlation coefficient showed that the level of caring pressure with caring age (p <0.04) and with the duration of disease (p <0.03) direct and significant relationship. However, it has a reverse and statistically significant correlation with the ability to perform personal activities (P <0.002) and household economic status (p <0.01). Based on the results of this study, we can determine the factors related to caregiver burden, proper planning for training, and decrease the caregiver burden and improve the condition of caregivers.