مجله مراقبت پرستاری و مامایی ابن سینا
سال سی‌ام شماره 2 (پیاپی 82، بهار 1401)

Considering the inseparable component of maternal attachment to the fetus and the importance of mother and fetus care in this period and after and the special role of men as husband and father in caring for wife and child, the present study aims to determine The relationship between maternal attachment to the fetus and spouse's functional health literacy was performed in individuals referred to Ayatollah Taleghani Hospital in Ahvaz in 2021.

The present study was a descriptive correlational study on all pregnant women referred to Ayatollah Taleghani Hospital in Ahvaz in 2021 and their spouses in the available method. The research instruments were demographic information self-report questionnaires, Montazeri et al.'s Health Literacy Questionnaire (2014) and the Cranley Fetal Attachment Scale. Data analysis was performed using SPSS software version 12.

Findings show that the mean scores obtained for maternal attachment to the fetus and spouses 'functional health literacy were moderate and with 95% confidence, there is a significant correlation between the variables of maternal attachment to the fetus and spouses' functional health literacy (p <0.05). And r= -0.796).

Given the relationship between maternal attachment to the fetus and spouses 'functional health literacy, the importance of spouses' functional health literacy has been identified; Therefore, it is necessary to take into account this point in macro-socio-economic planning and policies, so that we can see the promotion of health literacy more than all spouses.

Ethical leadership has emerged as a new approach in the perspective of leadership and has provided a basis for the promotion of individual and organizational effectiveness by prioritizing ethics in the organization. This study aimed to determine the relationship between head nurses’ ethical leadership and demographic characteristics with the general self-efficacy of nurses working in Intensive Care Units (ICUs).

This descriptive correlational study was conducted in 2019 on 230 nurses working in ICUs of educational-treatment centers of Hamadan University of Medical Sciences, Hamadan, Iran, who were selected using a stratified proportional sampling method. Data were collected by ethical leadership in nursing and the general self-efficacy scale of Scherer. Data were analyzed using SPSS software (version 16) through descriptive and inferential statistics.

There was no statistically significant association between the ethical leadership of head nurses and the general self-efficacy of nurses. The general self-efficacy of formal nurses was higher than contractual (P=0.04) and resident nurses (P=0.02), and the self-efficacy of ICU nurses was higher than those working in burn units (P=0.03). Moreover, general self-efficacy decreased with work experience (P<0.05). Considering the output of the artificial neural network, the normalized significance scores of the independent variables on the dependent variable were obtained at 100, 74.8, 56.2, 52, 47.6, 46.4, 38.1, 37.1, 27, and 13.3, for work experience, pioneering, task orientation, moralism, workplace, age, job status, gender, division of power, and education, respectively.

Considering the significant association between some demographic variables and the general self-efficacy of nurses, nursing managers are recommended to consider these variables, especially in retraining, to improve the general self-efficacy of nurses.

The COVID-19 pandemic has caused numerous psychological problems, especially anxiety, in patients with diabetes as a group with increased risk of contracting COVID-19. Patient education in this area can be a good way to reduce the psychological burden of these patients. This study aimed to determine the effect of patient education through social media on the COVID-19-related anxiety in patients with diabetes.

This is a single-blind clinical trial, in which 113 patients with diabetes were recruited using convenience sampling and then divided into two groups of experimental (n = 58) and control (n = 55) using simple random allocation. Data were collected using a demographic questionnaire and Corona Disease Anxiety Scale (CDAS). COVID-19-related patient education was provided for the intervention group at a two-week period, while the control group only received routine care. Data were entered into SPSS software version 26 and then analyzed using descriptive and inferential statistics.

There was no statistically significant difference in terms of demographic characteristics and the mean score of COVID-19-related anxiety between the two groups before the intervention (p > .05). This difference in the mean score of COVID-19-related anxiety was not found to be significant between the two groups after the intervention (p > .05). There was also a statistically significant difference between the mean score of COVID-19-related anxiety at measurement points of before and after the intervention in the experimental group (p < .05).

Educational intervention through social network leads to a slight reduction in COVID-19-related anxiety in diabetic patients. Therefore, social media is suggested as a suitable and accessible method for COVID-19-related patient education.

The outbreak of the coronavirus disease 2019 (COVID-19) and the psychological consequences of social distancing are among the most important social events of the 21st century that have made nurses' families face their related psychological consequences. This study aimed to evaluate the effectiveness of family-centered problem-solving training on the negative effects of social distancing caused by COVID-19 in the families of nurses at Kermanshah University of Medical Sciences, Kermanshah, Iran.

The present quasi-experimental study was conducted based on a pretest-posttest control group design. The statistical population (n=380) included the families of married nurses working in the COVID-19 ward of public hospitals in Kermanshah, 2020-2021. The sample consisted of the families of nurses who obtained a high score in the social distance measurement tool; accordingly, 100 people were included in the study and assigned to two groups of intervention and control (n=50 each). For the intervention group, 10 two-hour virtual sessions of training family-centered problem-solving protocols were held. Post-test was performed on both groups. Data were analyzed in SPSS software (version 20) using frequency, mean and standard deviation, and analysis of covariance.

The findings showed that family-centered problem-solving training was effective on marital conflict, anxiety, and fear in nurses, and a significant difference was observed between the control and intervention groups (P<0.001).

Family-centered problem-solving training was effective on the negative effects of social distancing caused by COVID-19 in nurses' families.

Breast cancer is one of the most common cancers in women. Sense of Coherence (SOC) is one of the most important factors influencing mental health. The aim of this study was to investigate the relationship between SOC and stress, anxiety and depression in women with breast cancer.

This cross-sectional study was performed on 200 women with breast cancer in Torbat-e Heydarieh. The tools included an individual information form, a 13-question of Antonovsky's SOC questionnaire, and Depression, Anxiety and Stress Scale- 21 items (DASS-21). Data analysis was performed by SPSS software version 16. Descriptive and inferential tests were analyzed. P levels less than 0.50 were considered significant.

Linear regression models were used to investigate the effect of SOC and demographic factors on stress, anxiety and depression. The results showed that SOC was effective on the variables of stress, anxiety and depression (P<0.05). So that by increasing a score to a SOC, the mean scores of stress, anxiety and depression decreased respectively 09.0, 0.11 and 0.07.

The results of this study indicate that the relationship between sense of coherence with stress, anxiety and depression in women with breast cancer so that the sense of coherence person is stronger than perceived stress, anxiety and depression will experience this in itself could To better adapt to the disease, improve their quality of life and mental health.

Patients with myocardial infarction need to receive care and self-care ability. The aim of this study was to determine the effect of post-discharge education and follow-up on self-care behaviors of patients with myocardial infarction.

In this quasi-experimental study, 116 patients with myocardial infarction were selected by convenience sampling method and randomly assigned to the two groups of control (n = 58) and intervention (n = 58). In the intervention group, a face-to-face training session was held first. Then telephone follow-up with training immediately after discharge, twice a week in the first month and once a week in the second month with the intervention group. The standard questionnaire of self-care behaviors in patients with myocardial infarction was used to collect information. SPSS software version 23 and descriptive statistics and Fisherchr('39')s independent and accurate t-tests were used to analyze the data.

The mean score of self-care in the intervention group in one month and two months after training compared to discharge time was 35.29 and 44.10 units, respectively. The results of LSD post hoc test showed that these differences were statistically significant (p <0.001). Using chi-square test, a statistically significant difference was observed between the frequency distribution of patients in the control and intervention groups in one month and two months after the intervention in terms of self-care.

Due to its availability, the use of telephone follow-up can be used as a method to follow the training provided to patients.

Premature birth is an unexpected event that causes a lot of stress for parents as they are not psychologically and emotionally prepared to face it. Therefore, this study aimed to determine the effect of multi-sensory stimulation of neonates by mothers on the stress level of mothers with premature neonates hospitalized in the Neonatal Intensive Care Unit (NICU).

This quasi-experimental study was performed on 80 mothers (in experimental and control groups) who were selected using the census method in the NICU of Shahid Sadoughi Hospital, in Yazd, Iran. The infants in the experimental group were stimulated twice a day from the third to the sixth day. Data were collected using demographic characteristics form and Parental Stress Scale that were completed before and after the intervention. Data were analyzed in SPSS software (version 20) through statistical tests.

There was no significant difference between the mean stress levels in the two study groups before intervention; however, there were significant differences in intervention and control groups post-intervention in the mean±SD score of stress (P<0.001) in areas of scenes and sounds (2.26±0.40 and 2.63±0.47), infant’s appearance and behavior (3.79±0.29 and 4.05±0.25), relationship with the infant and parental role (2.60±0.38 and 3.41±0.33), and overall stress level (4.08±0.64 and 4.88±0.31). No significant difference was observed between the mean stress level in the area of communication and personnel’s behavior (P<0.3).

The use of multi-sensory stimulation had a significant effect on reducing the stress in mothers with premature infants admitted to NICU. Therefore, this method is recommended to be used to improve the mental status of mothers.