مجله پژوهش پرستاری ایران
پیاپی 90 (امرداد و شهریور 1403)

Urinary incontinence is one of the complications of spinal cord injury that affects various aspects of a person's life and has several negative consequences. This study investigated the effect of clean self-catheterization on anxiety and quality of life of spinal cord injury patients.

This study was a semi-experimental before-after intervention with the control group that studied 80 patients in Rafideh Rehabilitation Hospital in Tehran in 1399. The samples were selected as available and were assigned to two intervention groups (odd numbers) and control group (even numbers) using a regular method. Beck Anxiety Questionnaire and 23-item quality of life questionnaire of spinal cord injury patients were used to collect data, which were distributed to the people in printed versions in person. Data were analyzed using independent t-test, paired t-test, Mann-Whitney, Wilcoxon and covariance and SPSS software version 26 and Medcalc version 8. In order to conduct this research, the code of ethics IR.USWR.REC.1399.158 was obtained from the Research Vice-Chancellor of Tehran University of Rehabilitation Sciences and Social Health.

The findings showed that before the intervention, the two groups were homogeneous in terms of quality of life and anxiety, and the research intervention (intermittent clean survey) led to a significant increase in quality of life and a significant decrease in anxiety.

Intermittent self-probing by the patient can be used as a method to increase the quality of life of patients and reduce their anxiety.

Nutritional support is one of the main pillars of care in patients under mechanical ventilation due to acute conditions and low level of consciousness. The purpose of this study was to compare the effect of two methods of enteral feeding, bolus and continuous, on laboratory indicators and the incidence of diarrhea in patients under mechanical ventilation.

It was a randomized clinical trial study. The research population was made up of all intubated patients under mechanical ventilation of Imam Khomeini Hospital, Tehran University of Medical Sciences, and 34 patients from the special care department were randomly assigned to two intervention and control groups based on their case number. Consent was obtained from patients' companions to participate in the study. The intervention group was fed by continuous feeding method and the control group was fed by routine method (Bolus) for one week. Laboratory indicators (albumin and lactate) were measured at the beginning of the intervention and also one week after the intervention, glucose every 6 hours and frequency of diarrhea were measured and in the basic information registration sheet, the laboratory index registration and the frequency of defecation sheet, were recorded. Tables of descriptive statistics and results of statistical tests and SPSS software version 20 were used to describe the data.

There was no significant difference between the changes in albumin and lactate levels in the two groups before and after the intervention (P<0.05). Although the amount of lactate in both groups decreased significantly after the intervention compared to before. Also, except for the first day, there was no significant difference between the two groups in any of the intervention days (P<0.05). There was no significant difference in the frequency of diarrhea between the two groups during one week (P<0.05).

Considering the lack of significant differences between the effects of these two nutritional methods on laboratory indicators, the use of a method that is safer and more affordable can be the priority of the nutritional method of these patients; Although it is recommended to start feeding as soon as possible in these patients to reduce the lactate level.

Blood pressure is one of the chronic medical diseases in which regulation of emotions is effective, so the present study was conducted with the aim of comparing the effectiveness of metacognitive therapy and positive therapy on emotional regulation of patients with chronic hypertension.

The research method was a semi-experimental pre-test, post-test and follow-up with a control group. The statistical population of the research included all people with high blood pressure who referred to the specialized and subspecialized center of Imam Khomeini Hospital in Tehran in 2021. 45 qualified people who volunteered to participate in the research were selected by available sampling method and They were randomly divided into two experimental groups and one control group. The data collection tool was Garnevsky et al.'s (2001) emotion regulation questionnaire. The data obtained from the research were analyzed using SPSS version 22 and the statistical method of multivariate analysis of covariance.

The results showed that there was no significant difference between the intervention and control groups; And metacognitive and positive treatment was effective in improving the emotional regulation of patients with chronic hypertension (P<0.05).

Therapists should use metacognitive therapy and positive therapy as a practical and effective treatment method to improve emotional regulation and prevent relapse in patients with chronic hypertension.

Hypertension is the most common chronic disease. It is considered a major challenge in global public health. The present study was conducted to determine the effect of self-management training program using peer support on adherence in patients with hypertension.

This clinical trial study was conducted on 90 hypertensive patients in Kashan city. Patients were randomly divided into control and intervention groups. The intervention group was trained by peers in 5 sessions during 5 weeks, the control group received usual care. Two groups completed the treatment compliance questionnaires before the, immediately after the end of the intervention and 45 days later. The data was analyzed using spss version 16 statistical software and t-test, chi-square, repeated measures ANOVA tests.

The results showed that there was no difference in the treatment compliance score before the intervention in the two groups. But immediately after the intervention and 45 days later, there was a statistically significant difference in the total score of adherence to the treatment, and all its dimensions except the smoking dimension in the two groups (p<0.05). Adherence to treatment varied over time, and the interaction between group and time was significant in this variable (p<0.05).

The results of the present study showed that although education through peer support was able to improve adherence to treatment in patients with hypertension. Therefore, this method can be used as a simple method in promoting adherence to treatment and self-management in patients with hypertension.

Patients with chronic diseases have a low life expectancy. Therefore, the present study aimed to designing the causal model of life expectancy in patients with cancer diseases based on mental toughness, interpretation bias and body image.

The present research method is descriptive and correlation type (structural equations). The statistical population of the study was all cancer patients in Tabrize city at 2023 years. The statistical sample was 250 patients who were selected in a purposive sampling. In data collection, Miller's life expectancy(1988), Gaffiero et al.'s bias in pain interpretation(2022), Clough's mental toughness (2002) and Littleton's wory about body image (2008) questionnaires were used. The collected data were analyzed using AMOS and SPSS version 24 software.

The results indicated that the 35% of the variance of the life expectancy variable was explained through the variables of the model. The direct effect of mental toughness  (0.41), wory about body image (-0.28) and interpretation bias (-0.38) on the level of life expectancy was significant. And the indirect effect of wory about body image (t-value = 2.95) and mental toughness  (t-value = 2.1) with the mediation role of interpretation bias on the life expectancy was significant.

Considering the direct and indirect effect of the interpretation bias, mental stability and self-image on the level of life expectancy, it seems that by strengthening mental toughness, improving interpretation bias and worry about body image in patients with cancer diseases, the life expectancy can be strengthened.

HCM and its functions are one of the most important final determining factors in increasing the job efficiency of nurses and the organizational performance of hospitals. The purpose of this study is to analyze the relationship between HCM functions and patient satisfaction through the mediating role of intra-organizational satisfaction and attitudinal and emotional pride of nurses.

The present research is a descriptive-survey among the nurses of the public hospitals of Shiraz metropolis, which was investigated in 2023. Based on Cochran's formula, the number of samples was calculated for the statistical population of 350 people and stratified sampling method was used. To collect data, the researcher's questionnaires of human capital management, MSQ satisfaction, Gouthier & Rhein's organizational pride, and Weng et al satisfaction measurement were adapted, and divergent and convergent validity and reliability were established through Cronbach's alpha. Research data analysis is done using SPSS 22 and Smart PLS 3 software.

The intensity of the effect of human capital management functions on intra-organizational satisfaction has been calculated as 0.423, and the test probability statistic has been obtained as 8.374, which is greater than the critical value of t at the 5% error level, i.e. 1.96, and shows that the observed effect is significant(P<0/05). The intensity of the mediation effect of intra-organizational satisfaction on attitudinal and emotional pride has been calculated as 0.368 and the test probability statistic has been obtained as 3.046, which is greater than the critical value of t at the 5% error level, i.e. 1.96, and shows the observed effect(P<0/05). It is meaningful. Also, the intensity of the mediating effect of attitudinal and emotional pride on patients' satisfaction was calculated as 0.464 and the probability statistic of the test was 4.507, which is greater than the critical value of t at the 5% error level, i.e. 1.96, and shows a significant observed effect(P<0/05).

The results showed that the satisfaction of the patients depends on the increase of satisfaction within the organization and this will be achieved through creating a mentality of pride for the job and the organization among the nurses as the operational core of a professional bureaucracy structure. Human capital management in the hospital, if it performs its functions effectively, will be the factor and cause of creating and advancing the platform of patient satisfaction through playing the role of mediator of internal organizational satisfaction and attitudinal and emotional pride of nurses.

Today, despite the increasing complexity in organizations, conflict has become a natural phenomenon in the professional and personal life of employees. Conflict among nurses is considered a very important issue in service provider organizations, and conflict management is a systematic and purposeful process of finding satisfactory solutions for the parties involved in the conflict. This study was conducted with the aim of "determining the conflict management style of nurses in hospitals affiliated with Zanjan University of Medical Sciences".

This research is a descriptive and correlational study that was conducted in hospitals affiliated to Zanjan University of Medical Sciences in 2019. 180 nurses who met the inclusion criteria were selected using a stratified random sampling method with proportional allocation. The data collection tool in this study included questions related to demographic information and Thomas Kilman's conflict management style questionnaire, which was completed by nurses in the form of self-reporting. The data were analyzed using descriptive statistics and inferential statistics including Pearson's correlation coefficient, independent t, analysis of variance and in SPSS-25 software.

The frequency of conflict management style in nurses includes Compromise style with (37.2 percent), Accommodative style with (33.3 percent), avoidance style with (12.2 percent), Collaborative style with (8.9 percent) and Finally, the style was competitive with (8.3 percent). Among them, the highest frequency was related to the compromise style and the lowest frequency was related to the competition style.

Conflict is inevitable, but the way conflict is managed determines its results. Therefore, learning how to deal with conflict is particularly important because nurses must be able to effectively participate in the process of solving it and adopt a constructive attitude when dealing with conflict in order to ensure safe and effective nursing and care. Also, this training is necessary for the managers of the organization because they must identify the occurrence of conflict in time and recognize its causes and act effectively in directing and resolving the conflict.

Management of symptoms and disease progression in nephrotic syndrome requires self-care. Self-care is closely related to self-efficacy. Individuals with higher self-efficacy believe they are more successful in self-care, thus engage more in treatment activities and ultimately achieve better outcomes. This study aimed to determine the effect of self-care education based on Orem's theory on self-efficacy of children with nephrotic syndrome.

In this experimental study, 72 children aged 7-18 years with nephrotic syndrome who referred to Mofid Hospital were consecutively selected and then randomly assigned to two groups: intervention and control. Data collection tools included a demographic information questionnaire and the Self-Efficacy for Children Questionnaire (SEQ-C). The intervention consisted of self-care education based on Orem's self-care model, which was conducted in two 60-minute face-to-face training sessions. The control group received routine care and did not receive any new intervention. Data were collected at the beginning of the study and one month after the end of the intervention. The results were entered into SPSS software version 23. Finally, the data were analyzed using descriptive and inferential statistical tests including mean, standard deviation, percentage, frequency, Chi-square, Mann-Whitney, independent t-test, and Wilcoxon.

At the end of the study, data of 60 participants were analyzed. The two groups were homogeneous in terms of demographic variables (P>0.05). The mean self-efficacy score in the intervention and control groups before the intervention was 64.50 ± 18.42 and 64.76 ± 19.02, respectively, and there was no significant difference between the two groups (P>0.05). One month after the intervention, the mean self-efficacy score in the intervention group increased to 76.10 ± 14.67 and in the control group to 65.06 ± 17.04, and the mean self-efficacy between the two groups showed a significant difference (P<0.05).

Self-care education based on Orem's model is effective in promoting self-efficacy in children with nephrotic syndrome. It is recommended that healthcare providers use Orem's model in self-care education for children with chronic diseases