مجله دانشگاه علوم پزشکی قم
سال شانزدهم شماره 2 (پیاپی 121، اردیبهشت 1401)

 Nurses should make adequate clinical decisions and appropriate clinical judgments about patients’ health status. The present study aims to investigate the clinical decision-making level and its related factors in Iranian nurses and nursing students.

 This is a systematic review study that was conducted in 2021 by searching for articles in both Persian and English in Web of Science, Scientific Information Database (SID), Scopus, Cochran, Google Scholar and PubMed databases without time limit using the keywords clinical decision making, nurse, and Iran in Persian and English by two researchers. The descriptive-analytical and interventional studies that were performed on Iranian nurses/nursing students were assessed. The critical appraisal skills programme (CASP) checklist was used to evaluate the quality of articles. Initial search yielded 27718 articles, of which 20 eligible articles were selected for the review.

 In the studies, the clinical decision-making level of nurses was reported high, while it was varied for the nursing students. Some demographic factors, occupation, educational level, facilities, and Thinking styles had significant relationship with clinical decision-making of participants.

 The clinical decision-making level of Iranian nurses is at high level. Paying attention to effective factors including demographic, educational, occupational factors and facilities can help further improve their clinical decision-makin

 Receiving feedback from students about the distance learning environment is necessity to improve distance education. The present study aims to investigate the perceptions of the distance learning environment in nursing students of Islamic Azad University, Karaj Branch, Iran during the coronavirus disease 2019 (COVID-19) pandemic.

 This is a descriptive cross-sectional study that was conducted on 194 undergraduate nursing and midwifery students in Islamic Azad University, Karaj Branch in 2020-2021. The data collection tools were a demographic from and the distance education learning environment survey (DELES) that were prepared in Google forms. Data were analyzed in SPSS software, version 22 using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation test.

 The mean total score of DELES was 100.1±23.8, and 59.3% of students perceived their distance learning environment as good.

 More than half of the nursing students of Islamic Azad University, Karaj Branch perceive their distance learning environment as good. To achieve maximum student satisfaction, attention to different areas of the distance learning environment survey should be paid by teachers, managers, and curriculum and distance education planners as well as to the empowerment of teachers for distance education in the School of Nursing & Midwifery.

 One of the serious concerns in the nursing profession is occupational stress which is a major risk factor for nurses’ poor sleep quality. This study aims to determine the effect of a mindfulness-based stress reduction (MBSR) program on occupational stress and sleep quality of nurses.

 This is a quasi-experimental study with a pre-test/post-test design that was conducted in 2020 on 78 nurses working in a hospital affiliated to Qom University of Medical Sciences, Qom, Iran. They were divided into intervention group (n=38) and control group (40) using a random sampling method. For the intervention group, the MBSR program was provided at eight sessions, while no intervention was performed in the control group. Before and after the intervention, Nursing Stress Scale and Pittsburgh Sleep Quality Index were completed by both groups. Data were analyzed in SPSS software, version 20 using descriptive and inferential statistics (T test, chi-square test).

 The mean age of participants was 35±6 years. The majority of them had a bachelor’s degree in nursing, were married and female with a rotating work shift. There was a significant difference in the mean stress scores after the intervention between the two groups (P<0.001), but there was no significant difference in the sleep quality scores between the two groups after the intervention (P=0.086), although the sleep quality scores in the intervention group were higher than in the control group.

 Considering the significant effect of MBSR program on nurses’ stress, it is recommended to include it in their educational programs.

 Nosocomial infections have always been one of the major health problems, accounting for about one third of all deaths in hospitals. Non-observance of behaviors for their control by nurses is a health behavioral problem. The present study aims to determine the factors related to the nosocomial infection control behaviors in nurses in Jahrom, Iran based on the health belief model (HBM).

 This is a descriptive cross-sectional study that was performed on 186 nurses working in hospitals of Jahrom city in 2020. Data collection tools were a demographic form and a HBM-based self-report tool to measure the nurses’ infection control behaviors. Data were analyzed in SPSS software, version 21.

 The perceived susceptibility to the nosocomial infection control was positive in the majority of nurses, and 41.4% had a positive attitude towards its perceived severity. The attitude of the majority of nurses (80.6%) towards perceived barriers to nosocomial infection control was positive. The perceived benefits of the nosocomial infection control had the highest score compared to other HBM constructs.

 It is recommended to provide continuous training to nurses to increase their knowledge and attitudes towards nosocomial infections and improve their infection control behaviors. Given the effectiveness of each construct of HBM, a suitable corrective program can be planned for nurses based on this model.

 Diabetes is one of the diseases in which the patient plays a major role in its treatment. The comprehensive support of the treatment team, family and peers in various fields including nutritional management and physical activity is very important for this disease. Considering the importance of a healthy lifestyle, this study aims to determine the effect of a health promotion support program on nutritional status and physical activity of patients with type 2 diabetes.

 This is a quasi-experimental study that was conducted in 2020 on patients with type 2 diabetes in two intervention groups (n=30) and control (n=30) who were selected by a convenience sampling method from among those referred to the endocrinology clinic of Bank Melli Hospital, Tehran, Iran. The health promotion support program based on Orem’s theory was implemented in three stages of analyzing/identification, planning, and evaluation. Data were collected using a demographic form, a three-day food-reminder form, and a physical activity reminder form before and two months after the intervention in two groups, and were then analyzed using Chi-square test, Mann-Whitney U test, and Wilcoxon test in SPSS software, version 24.

 Results showed that the mean score of eating “dairy products”, “vegetables”, “fruits”, “meat, eggs, and legumes”, “bread, cereals, starches” in the intervention group were significantly different after intervention, but this difference was not significant in the control group. The physical activity score in the intervention group also showed a significant difference (P<0.001), but this difference was not significant in the control group.

 The health promotion support program is effective in improving physical activity and nutritional status of patients with type 2 diabetes. Therefore, it is recommended to be used as an effective method to improve the lifestyle of diabetic patients.

 Educating efficient human resources in universities in challenging fields of study such as the operating room is related to various factors. The attitude of operating room students towards their field of study is very important. Therefore, this study aims to survey the attitudes of operating room students of Mazandaran University of Medical Sciences (MUMS), Mazandaran, Iran towards their field of study and future career.

 In this descriptive cross-sectional study, the study population consists of all operating room students of MUMS. A questionnaire with 21 items was used for surveying their attitudes. Data analysis was performed using descriptive statistics, Independent t-test and One-way analysis of variance in SPSS software, version 22.

 The mean age of participants was 22.3± 2.7 years, of 68 participants, 63 (92.6%) were single. The attitude scores of married students were higher than that of single students, and female students had higher scores than male students, but these differences were not significant. The first-year students had the higher scores, followed by second-year, fourth-year and third-year students, and this difference was significant (P= 0.001).

 The attitudes of operating room students of MUMS towards their field of study and future career at moderate to high level; they have a positive attitude. In this regard, by further educational programs, more success can be achieved from the existing potential in education, research, and specialized care.

 Hypertension is one of the most common and chronic diseases. It can be controlled by methods such as increasing self-care knowledge, attitude and behaviors. This study aims to assess the effectiveness of an educational intervention using “Behdan” mobile application in improving self-care knowledge, attitude and practice of patients with hypertension.

 This is an interventional study on 132 patients with hypertension referred to Shahid Avini Comprehensive Health Service Center in Qom province, Iran who were selected by a convenience sapling method. Then, by the block randomization method, they were divided into two groups of intervention and control. The educational intervention was presented for one month at four sessions per week by using the educational materials in Behdan application. After two months, the patients were assessed again.

 After the educational intervention, the mean systolic (P=0.006) and diastolic (P=0.03) blood pressure levels in two groups were significantly different compared to the pe-intervention levels. The mean post-intervention score of knowledge was higher than the pre-intervention score, but the difference was no significant (P=0.27). The mean scores of attitudes and practice after the intervention were significantly higher than those in the pre-intervention phase (P<0.001).

 The educational intervention using “Behdan” mobile application can be used to improve self-care attitudes and practice of patients with hypertension. Therefore, mobile applications have the potential to control high blood pressure.

 Vasovagal syncope is the most common type of syncope. Recurrent vasovagal syncope can have a profound effect on the patients’ quality of life. This study aims to predict vasovagal syncope based on interoceptive awareness and anxiety sensitivity of patients.

 This is an analytical and case-control study. The study population consists of patients with vasovagal syncope referred to Tehran Heart Center in 2021. Fifty patients with vasovagal syncope and 54 healthy individuals were selected by a purposive sampling method. Data collection tools included Multidimensional Assessment of Interoceptive Awareness and Anxiety Sensitivity Index. Data analysis was performed by logistic regression analysis in SPSS software, version 22. The significance level was set at 0.05.

 The Hosmer-Lemeshow test results (χ2=8.9, P=0.346) showed the good fit of the model. According to the results of logistic regression analysis, the coefficient of determination was -0.074 for the anxiety sensitivity and 0.018 for the interoceptive awareness.

 For patients with vasovagal syncope, the measures for increasing their interoceptive awareness and reducing anxiety sensitivity, can be helped for reducing their syncope.