فهرست مطالب

Advances in Nursing & Midwifery
Volume:29 Issue: 2, Summer 2020

  • تاریخ انتشار: 1399/10/01
  • تعداد عناوین: 7
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  • Zahra Nikmanesh*, Zohre Khosravi Pages 1-6
    Introduction

    Nurses constitute the largest part of human resources in the health system and play criticalroles in taking care of and improving patients'health. This study aimedto examine the effect of training emotion regulation techniques on resilience and psychological well-being among nurses.

    Methods

    This is a quasi-experimental study thatwas followed by a pretest-posttest design with a control group. The statistical population of the study included nurses in Zahedan. Forty nurses were selected using the convenience sampling method and were randomly assigned to the two groups. During the training sessions, the subjects were reduced to 19 ones, and the pretest was conducted on both groups. Then eight 90-minute sessions of training emotion regulation techniques were carried out on the experimental group fortwo months. The posttest was conducted, one-month after the training. The Connor-Davidson Resilience Scale and the Reef Psychological Well-Being Inventory were used to collect the data. The data analyses were carried out using the Analysis of Covariance.

    Results

    The results indicated that training emotion regulation techniques wereeffective in increasing resilience and psychological well-being. Moreover, the results showed that .40 of the variances in resilience (P ≥ 0.001) and .20 of the variances in psychological well-being (P ≥ 0.001) were determined in the posttest via the independent variable.

    Conclusions

    Therefore, holding intervention programs based on the emotion regulation techniques are recommended to improve resilience and psychological well-being among nurses.

    Keywords: Emotion Regulation, Resilience, Psychological Well-Being, Nurse
  • Zahra Kolahi, Mitra Zandi*, Roghayeh Esmaeili, Mehdi KhabazKhoob Pages 7-11
    Introduction

    Cerebrovascular angiography is a method of diagnosing cerebrovascular disorders. Invasive procedures induce anxiety in patients. Poor management of anxiety may be life-threatening for patients. It is the duty of nurses to reduce anxiety. Given the prevalence of anxiety in patients awaiting cerebrovascular angiography and its detrimental complications and also the criticalrole of nurses in the psychosomatic support of patients and their struggle to reduce anxiety, the use of different methods of patient education such as familiarizing them with diagnostic and therapeutic processes is of utmost significance. This study investigated the effect of orientation tour on anxiety in candidates of cerebrovascular angiography.

    Methods

    In this experimental study, 114 patients awaiting cerebrovascular angiography presenting to Imam Hussein Hospital and Shohadaye Tajrish Hospital in Tehran, capital of Iran, were selected with a convenient sampling method and assigned randomly to either case or control groups. The controlgroup just received routine education in the ward. In contrast,the case group received routine education in the ward and instructions on performing angiography and its pre-, peri-, and post-operative care. Demographics questionnaire and the Depression Anxiety Stress Scale (DASS-21) were used to collect data. Patients'anxiety was measured twice with this instrument at hospitalization and after the intervention. The gleaned data were analyzed with SPSS21 using independent t-test, Chi-square test, and ANOVA.

    Results

    Distribution of age was the same in both groups (P<0.11). Independent t-test showed a significant difference in the mean score of anxiety before intervention in the control group (9.2) and case group (7.2) (P=0.02). This test also indicated a significant difference in the mean score of patients'anxiety after intervention in both the control group (9.7) and case group (6.7) (P=0.001). However, using data collected before the orientation tour as the covariate, repeated measures ANOVA showed a significantly more significantreduction of anxiety in the case group.

    Conclusions

    According to our findings, participation in the angiography room orientation tour leads to reduced anxiety in patients awaiting cerebrovascular angiography. The use of this method is advisable for patients before diagnostic and therapeutic processes.

    Keywords: Anxiety, Cerebrovascular, Angiography, Orientation Tour
  • Abbas Masjedi Arani, Sepideh Batebi, Behrooz Dolatshahi*, Mojtaba Azimian Pages 12-18
    Introduction

    Temporal lobe epilepsy (TLE) is related to the mesial temporal lobe structures such as the hippocampus, amygdala, and Parahippocampal gyrus. In patients with TLE, the amygdala complex is a component of the temporal lobe that is damaged. Previous studies onemotional processing have proven deficits due to amygdala damage in these patients. The present study compares the facial emotion recognition in patients with temporal lobe epilepsy and healthy controls. It was hypothesized that the TLE group have more dysfunctions than non-people with epilepsy.

    Methods

    In this comparative study, 120 subjects, including 60 patients with a definite diagnosis of the temporal lobe and 60 non-epileptic individuals,were recruited using purposive sampling. The patient group was chosen from the Chamran hospital and Iranian Epilepsy Association, Tehran, Iran. The research data were collected by the Ekman computer test of facial emotion recognition. This test uses 36 images to measure the six basic emotions (i.e., happiness, disgust, anger, fear, sadness, and surprise); these images were adapted from the Ekman and Friesen series of images. The data were analyzed using multivariate analysis of variance by SPSS Statistics 19-IBM in two levels of response accuracy and reaction time in TLE patients and healthy individuals.

    Results

    Data analysis showed a significant difference in the response accuracy of facial expressions of happiness, disgust, anger, fear, sadness, and surprise in patients with TLE (P < 0.01). Furthermore, recognizingemotions of fear, disgust, and anger in patients with TLE was more inadequate. When it came to the reaction time of emotion recognition, the TLE patients showed a higher functional impairment than the healthy group (P < 0.01). The reactions to fear and disgust were notably slower than other emotions.

    Conclusions

    The results showed more inaccurate facial emotion recognition of fear, disgust, and anger inferred from facial expressions. Moreover, the reaction time response of facial emotion recognition for all six emotions was slower, compared to non-epileptics. Assessing the emotional recognition dysfunction through this measurement can facilitate recognizing the emotional deficiency regarding social communication in TLE patients. Psychological dysfunction can be a predictor of not a good response to the treatment, more frequency of seizures, and worse quality of life in these patients.

    Keywords: Epilepsy, Temporal Lobe Epilepsy, Emotion, Reaction Time
  • Fatemeh Moaddab, Atefeh Ghanbari*, Arsalan Salari, Ehsan Kazemnezhad Leyli, Mitra Sedghi sabet Pages 19-26
    Introduction

    Adherence to self-care behaviors and determining its related factors in patients with chronic illnesses are mandatory. The objective of the present study was two-fold: first, to examine the self-care behaviors adherence among heart failure patients and second, to determine its predictors in a comprehensive study of various factors in patients with heart failure.

    Methods

    This descriptive cross-sectional study was conducted on 239 patients with heart failure referred to Dr.Heshmat hospital as the onlyheart center in Guilan province (Northern Iran). The consecutive sampling method was used. Data were collected by Self-Care Heart Failure Index, Cardiac Depression Scale, Mini-Mental State Examination,and Charlson Comorbidity Indexandwere analyzed by descriptive statistics and analytical statistics in SPSS.

    Results

    Results showed educational level, history of receiving information,and cognitive function as predictors of self-care maintenance. Also, monthly income, history of receiving information,and ventricular dysfunction were predictors of self-care management. Monthly income, admission status, number of hospitalizations, history of receiving information,and cognitive function are mentioned as predictors of self-confidence. Predictors of total self-care were monthly income, history of receiving information,and cognitive function. (P≤0.05).

    Conclusions

    Promoting self-care behaviors could prevent the adverse effects of diseases such as readmission, prolonged hospitalization,and bed occupancy ratio. The majority of the participants had non-adherent self-care,and,according to the results,it is recommended that assessing predictors in these patients and planning. Also, itis suggested that more observational, qualitative,and mixed-method studies be done in the future.

    Keywords: Depression, ExecutiveFunction, Heart Failure, Patients, Self-Care
  • Masoumeh Kordi*, Mahsima Banaei Heravan Pages 27-33
    Introduction

    Gestational diabetes (GA) is a common complication associated with perceived stressand self-efficacy effectiveness on the commitment to self-care behaviors. Therefore, this study aimedto predict the self-efficacy of women with gestational diabetes based on coping styles with stress.

    Methods

    This study is a predictor correlation study that is done over 400 women with gestational diabetes attending to the clinic of hospitals related to Mashhad University of medical sciences and health centers in the cityof Mashhad, Iran,in 2015. Data were collected by individual questionnaire, diabetic self-efficacy and coping styles questionnaire of Folkman and Lazarus. Descriptive Statistics performed data analysis, Spearman correlation coefficients test, Liner regressions model, and Multiple regression. A statistical significance was deemed present when the P-value was less than 0.05.

    Results

    The results of Spearman correlation coefficients test showed a significant direct correlation between problem-based coping style and self-efficacy, (P <0.0001 and r=0.29); but, there was no significant linear relationship with emotive-based coping style (P =0.105 and r=0.08), and according to Liner regressions model, just the problem-based coping style is considered as a predictor variable of self-efficacy (P <0.0001, β=2.451, and F=39.284).

    Conclusions

    According to thesefindings, midwives can improve self-efficacy among women with gestational diabetes by encouraging them to apply problem-based coping styles with stress.

    Keywords: Gestational Diabetes, Self-efficacy, Coping, Stress
  • Seyedeh Maryam Khalili, Padideh Janati Ataei, Abdolrahim Hazini, Malihe Nasiri, Shahnaz Torkzahrani, Monir Sadat Khoramabadi Pages 34-39

    introduction:

    Breast cancer is the most common cancer in women with significant undesirable complications. Due to its life-threatening nature, the diagnosis of this disease increases spiritual needs and the need for palliative care. Palliative care has emerged as care that addresses explicitlygaps inherent in disease-centered approaches to enhance care quality in serious illness, both for patients and families and health care systems.

    Methods

    This descriptive-comparative study was conducted on 200 women with breast cancer selected by convenience sampling from those visiting chosen hospitals of Tehran in 2018. Data were collected using a demographic-histopathologic form and Paloutzian-Ellison’s Spiritual Well-Being Scale, which was filled out in palliative care (n = 100) and routine care (n = 100) groups four weeks after the completion of therapy through interviews. The data obtained were analyzed in SPSS-21 using descriptive and inferential statistics.

    Results

    Compared to those receiving routine care, the women with breast cancer who were receiving palliative care had higher scores in religious well-being(P < 0.509) and total spiritual well-being(P < 0.167), although not in a statistically significant way. Meanwhile, the palliative care group obtained significantly higher scores in existential well-beingcompared to the routine care group (P < 0.007).

    Conclusions

    Developing programs to improve spiritual well-beingin patients with breast cancer by incorporating palliative care into medical interventions can be beneficial.

    Keywords: Spiritual Well-Being, Breast Cancer, Palliative Care
  • Masoumeh Name, Mahbobeh Ahmadi Doulabi*, Asiye Jafari, Fatemeh Salmani Pages 40-45
    Introduction

    Legal abortion is performed to prevent maternal and fetal disorders. Midwives'awareness and attitude toward abortion laws have undeniable effects on the decisions made by women with high-risk pregnancies. By recent study,The present study evaluated the awareness and attitudes of midwives working in private offices in Tehran Province, Iran, toward abortion laws and related factors.

    Methods

    This descriptive-analytical study was done in 2016. A total of 236 midwives were selected from Tehran Province took simple random sampling. The data were collected took using a valid and reliableresearcher-made questionnaire byitems related to demographic characteristics, awareness, and attitude. The collected data were analyzed by descriptive tests (mean, standard deviation, confidence interval, frequency, and relative frequency) and linear regression analysis.

    Results

    The midwives'mean scores of awareness and attitude were 57.7 ± 7.44 (95% CI: 56.61-58.54) and 99.08 ± 10.09 (95% CI: 97.83-100.38), respectively. Midwives'age (B = 0.21), work shifts in the midwifery office (B = 1.29), being a member of the Midwifery Learner Society (B = 3.05), and cooperating with local legal medicine centers (B = 3.63) were found to be the predictors of awareness scores. Gain experience in the midwifery office was the only predictor of midwives'attitude, i.e.,every one-year increase in work experience decreased the scores of attitude by 1.61 points.

    Conclusions

    The participating midwives had a moderate level of awareness,which was affected by different variables. Cooperating with local legal medicine centers had the most significant effect on improving midwives'awareness. Moreover, the midwives had low scores of attitude,and a few variables predicted their attitude

    Keywords: Awareness, Attitude, Legal Abortion, Midwife, Relevant Factors