Journal of Multidisciplinary Care
Volume:7 Issue: 4, 2019

The present research aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on death anxiety in women with  Multiple Sclerosis (MS).  This was an experimental study with a pretest-posttest design. In total, 30 women were selected by simple random sampling method from those referring to hospitals as well as MS and Spinal Association. The samples were randomly divided into two experimental and control groups. Both groups were tested in terms of death anxiety before and after the intervention (8 sessions for 1 hour) using the Death Anxiety Scale (DAS).  The Paired Samples t-test and Independent Samples test results demonstrated a significant reduction of death anxiety at the posttest stage (P<0.01). The findings confirmed the efficacy of ACT on death anxiety among women with MS.   ACT uses the processes of acceptance to change one's connection with thoughts and mental processes and increases psychological flexibility, which results in reducing death anxiety in women with MS. The obtained results can be applied as an effective clinical intervention in these patients.

The increasing number of patients with cancer has led to the growing use of chemotherapy drugs. This fact was followed by a growing concern about the safety and adverse effects of these drugs on healthcare staff at risks for occupational exposure to chemotherapeutic agents.  This study investigated compliance with the standard principles of using Personal Protective Equipment (PPE) by nurses exposed to chemotherapy drugs.  This was a cross-sectional study. It was performed on 73 personnel of a hospital in Isfahan City, Iran, who were exposed to chemotherapy drugs. The required data were collected by a questionnaire according to the standard protocols of NIOSH, ASHP, and OSHA . After obtaining the required permission by the hospital, the questionnaires were provided to nurses in different wards and data were collected in one stage. The achieved data were analyzed in SPSS by descriptive statistical tests (mean, standard deviation, percentage, & frequency). The obtained results revealed that the mean values of the standard principles of using gloves and breathing protective were as average, and the mean values of the standard principles using eye and face protection as well as guns were poor. Compliance with the standard principles using personal protective equipment for PPE was modest and poor in nurses working with chemotherapy drugs; therefore, nursing staff is exposed to the complications of these drugs and necessary measures and improvements should be considered in compliance with standards, in this regard.

Continuous clinical evaluations and necessary interventions based on their results have a certain effect on improving the educational process at all levels. Considering such effects, especially in nursing, we aimed to compare the 360-degree feedback in assessing the clinical skills of nursing students in Ardabil University of Medical Sciences. The present interventional study was conducted on the undergraduate Freshman nursing students of the 2014-2015 academic year (48 students) in Ardabil University of Medical Sciences in the burn ward of Fatemi Hospital in Ardabil City, Iran. The data gathering tool was a three-part researcher-made questionnaire for assessing clinical skills. Data analysis was performed in SPSS, using descriptive and inferential statistics, including Independent Samples t-test and Paired Samples t-test. In the present study, the total mean±SD scores of the traditional and 360-degree grading based on the score of 20 were 15.8±0.88 and 17.66±0.61, respectively. Moreover, the results of Independent Samples t-test indicated a significant difference between the two methods (P<0.031). According to the obtained results, the use of 360-degree feedback, considering its potential characteristics, can reduce the gap between theory and practice by involving coaches and nurses. Furthermore, this method can effectively reduce the aura errors and evaluation of students' taste by masters and trainers. In addition, it can provide students with more realistic scores in clinical settings and reflect their strengths and weaknesses.

 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.

Nurses are the first of rescuers who are present after the incidence of disasters. Thus, they should be able to provide required cares for injured people using their competencies. Assessing disaster nursing competence and its effective factors are essential for enhancing the quality of nursing care. The present study was conducted to determine the relationship between emotional intelligence and disaster nursing competence. This correlational cross-sectional study was conducted on 200 nurses working in an educational hospital in Shahrekord City, Iran. Sampling was performed by a multi-stage method. Data were collected using the Disaster Nursing Competence Scale as well as Emotional Intelligence questionnaire and analyzed by Independent Samples t-test, Analysis of Variance (ANOVA), and Pearson’s correlation coefficient in SPSS. The majority of nurses (53.3%) had average emotional intelligence, and the mean±SD score of the total disaster nursing competence was 162.58±2.70. Pearson’s correlation coefficient suggested a significant positive correlation between emotional intelligence and disaster nursing competence. There was a significant relationship between emotional intelligence and disaster nursing competence. Therefore, appropriate educational programs should be designed to promote the level of emotional intelligence of nurses to increase their competence in disaster response.

 Heart disease can affect patients and their families, and society’s  biopsychological status.  Thus, it is necessary to empower patients to better control the disease and improve their lives. The current study evaluated the effect of empowerment program based on the health belief model on perceived satisfaction in patients with acute coronary syndrome. This clinical trial study was conducted on 70 patients with acute coronary syndrome who were randomly assigned to two intervention and control groups. Initially, perceived satisfaction questionnaires were completed in the two groups; then, the intervention group received a 7-session empowerment program based on the health belief model, and usual care was provided to the controls. Immediately, one month, and three months later, the questionnaire was completed by the two groups. The obtained data were analyzed using the Mann–Whitney U test, Wilcoxon test, and Chi-squared test in SPSS. The two groups were matched in terms of demographic variables such as gender, age, and the type and duration of disease (P>0.05). Comparing the level of changes in perceived satisfaction in the two groups revealed that posttest changes were significantly higher in the intervention group, compared to the controls (P<0.001). The mean±SD pretest, immediately after and one month, and three months after the intervention scores of perceived satisfaction changes in the test group were 116.36±33.88, 154.1±29.07, 144.3±27.32, and 127.2±28.58, respectively. According to the obtained results, implementing the empowerment program based on the health belief model can increase perceived satisfaction in patients with acute coronary syndrome.

Patient adherence to treatment is considered as an important aspect of treatment. Inadequate adherence to treatment of the heart failure (HF) patients leads to intensification of the disease, high risk of re-hospitalization and death. In this respect, this study was designed and implemented with the aim to determine the effect of a Web-based family-oriented supportive education program in adherence to treatment of the HF patients after discharge from hospital.

This clinical trials study was done on the HF patients and their families after discharge from Chamran Hospital/Isfahan in 2018. Seventy HF patients and their families, who had inclusion criteria for the study were selected and divided, by random allocation, into intervention and control groups. The control group received pre-discharge hospital training in one session, and the treatment group received an educational supportive program in addition to the training session, for one month.  The program included sending educational materials through Soroush Application as well as weekly phone calls following up. The demographic information and the scores regarding adherence to treatment were collected using a questionnaire before, immediately and one month after the intervention and analyzed using descriptive and inferential statistics.

There was no significant difference between the two groups in terms of demographic information and mean of adherence to treatment before the intervention. However, there were significant differences between treatment and control groups immediately and one month after the intervention of adherence to treatment (P<0.001).

The results indicated positive impacts of Web-based family-oriented supportive education program in adherence to treatment of the HF patients after discharge from hospital.

Using mindfulness skills, the individual becomes aware of his daily activities and the automatic functioning of the mind in the past and present world, and through one-to-one consciousness control of thoughts, emotions and physical states is controlled and can be in the person's life Has a tremendous effect. The aim of this study was to determine the effectiveness of cognitive therapy based on mindfulness on perceived Stress, resilience and quality of life in Thalassemic major patients in Lordegan in 2015-2016.

This is a semi-experimental study with pre-test and post-test design with control group and period. The sample was consisted of 40 patients with thalassemic major who referred to Lordegan Shohada hospital and were selected by purposeful sampling based on entry and exit criteria and randomly assigned to two groups of experimental and control. The experimental group received acceptance and commitment-based therapy, while the control group did not receive any intervention until the end of the project. Data were collected by perceived stress questionnaire Cohen et al. (1983), Researcher Conner & Davison (2003), and World Health Organization Quality of Life (SF-26).

The results showed that there was a significant difference between the experimental and control groups, in terms of perceived stress, resilience and quality of life (P <0.001). So, cognitive-mindedness-based therapy can have a significant effect on perceived stress, resilience and quality of life in patients with thalassemia major.

Cognitive therapy based on mindfulness is a useful practice in reducing perceived stress, increasing resilience and improving the quality of life of patients with thalassemia major.