Journal of Client-Centered Nursing Care
Volume:4 Issue: 2, Spring 2018

Spirituality is an important dimension of human existence with a crucial role in health promotion. This study aimed to investigate nurses’ attitudes towards spiritual care and its practice. It was a descriptive cross-sectional study. The relevant data were collected by Nursing Spiritual Care Perspective Scale (NSCPS). In this study, 166 nurses working in hospitals affiliated to Iran University of Medical Sciences were selected by proportional stratified randomized sampling method. The obtained data were analysed by descriptive statistics, including frequency, mean, and standard deviation, using SPSS V. 16. The Mean±SD score of nurses’ attitudes towards spiritual practice was 3.67±0.51. The mean score of responses to 9 out of 11 items was above 3 indicating high range of attitude toward providing spiritual care. The Mean±SD score of nurses’ spiritual practice was 1.93±0.48. The mean score of the responses to 3 out of 12 items was above 2 indicating the nurses’ weak ability to provide spiritual care. Despite nurses’ positive attitudes towards providing spiritual care, they have provided insufficient spiritual care interventions. Thus, appropriate approach for teaching spiritual merits and increasing nurses’ abilities for providing spiritual care seems necessary

The basic and instrumental activities of daily living are prerequisites for living with a good quality of life. On the contrary, lack of movement and physical inactivity are considered as the main cause of pressure injuries. Accordingly, this study aimed to determine the relationship between the basic and instrumental activities of daily living with the risk of pressure ulcers in patients referred to educational health care centers affiliated to Iran University of Medical Sciences in 2017. This descriptive, cross-sectional study was conducted on 200 patients referred to internal and surgical clinics of hospitals affiliated to Iran University of Medical Sciences. The sample was recruited by cluster sampling method. The study questionnaires included four sections: a demographic from, Katz Scale of Basic Activities of Daily Living (BADL), Lawton Scale of Instrumental Activities of Daily Living (IADL), and Braden pressure ulcer risk assessment scale. Data was analyzed by Independent t test, ANOVA, Pearson correlation coefficient, and Spearman correlation test using SPSS-PC V. 24. With higher dependence in performing BADL and IADL, the risk of pressure ulcer development increased (P<0.001). The relationship was even higher with regard to IADL. Dependence in all subscales of BADL and IADL was directly related to the risk of developing pressure ulcer (P<0.001). The degree of dependence in BADL and IADL can be considered as one of the predictors of pressure ulcer development. It is necessary to plan appropriately to increase the independency of patients in performing such activities

Infertility can lead to major bio-psychological disorders. Coping strategies help individuals adapt to unpredictable conditions in a systematic way. The present study aimed to determine the perceived stress of couples undergoing treatment for infertility, as well as their coping strategies and correlation between the studied variables and gender. This was a cross-sectional study conducted on 140 infertile couples undergoing infertility treatment at the Infertility Center of Yazd, Yazd City, Iran. The relevant data were collected by Perceived Stress Scale and Billings and Moos’s Coping Responses Inventory. Then, the obtained data were analyzed by descriptive statistics (relative frequency percentage, mean and standard deviation), Pearson correlation coefficient and regression analysis in SPSS. The obtained results suggest that the mean score of perceived stress is higher in women. Moreover, women more frequently use problem-focused mechanisms, while men more frequently use emotion-focused mechanisms. In both men and women, a positive significant relationship exist between positive perceived stress and coping mechanisms; the former predicted the latter. While, the mean scores for avoidant and behavioral coping mechanisms were higher in men, the mean scores for cognitive coping mechanisms were higher in women (P<0.05). However, women achieved higher scores for both problem-focused and emotion-focused strategies. there is a significant and positive correlation between perceived stress and coping mechanisms in both sexes. In addition, stress predicts the kind of coping strategies in these people. On the whole, psychiatric approach and counseling may enhance the mental health of infertile couples and increase the chance of success in this costly treatment

Diabetes is the most prevalent metabolic disease in human being. The lifestyle of this population is important and effective in the treatment process. Training is among the most basic methods of prevention, treatment and control of chronic diseases, including diabetes. This study was conducted to investigate the effect of teach-back method on health promoting lifestyle of people with diabetes. A total of 74 eligible patients with type II diabetes were included in the study from Endocrine and Metabolism Clinic by convenience sampling method. The subjects were then assigned into the control and intervention groups. The data collection instruments consisted of a demographic data form and Health Promoting Lifestyle Profile II (HPLP-II) that were provided to the subjects before and 1 month after the training. Subjects in the intervention group received a 4-session training program by means of teach-back method. The control group received only routine programs. One month after the completion of the training sessions, the questionnaires were completed by the subjects in the 2 groups. The obtained data were analyzed by Chi-square test, Fisher Exact test, Independent t-test, Paired t-test, Mann-Whitney U test, and Wilcoxon signed-rank test, using SPSS. The obtained results suggested no significant differences between the 2 groups in terms of demographic and dependent variables, before conducting the intervention. The Mean±SD score of lifestyle was 113.67±19.55 in the intervention group and 115.35±9.73 in the control group, before the training, which was not significant. However, there was a difference between the Mean±SD score of lifestyle in the intervention group (160.45±10.53) and control group (119.59±11.23), 1 month after the training (P<0.001). Teach-back method is appropriate and feasible for patients with diabetes and is an effective method to improve the lifestyle of this population. This study was conducted over a 1-month period, and it is recommended that the effect of this method be investigated over longer periods of time in order to assess its long-term effects

Restless Leg Syndrome (RLS) is a common disorder in the elderly, especially older women, which causes sleep disorders and endangers the elderly with increase in the risk of falling, memory disturbances, and eventually, poor quality of life. Today, non-pharmacological approaches, including reflexology massage, are considered along with pharmaceutical methods for improving sleep quality. This study aims to examine the effect of foot reflexology massage on the sleep quality of the elderly women with RLS. The was a non-randomized clinical trial with a control group (quasi-experimental design) conducted on 67 elderly women with RLS resident in nursing homes located in Fars Province of Iran. Samples were selected using convenience sampling method. By tossing a coin, some elderlies were selected and allocated in the control and test groups. Foot reflexology intervention comprised eight 20-minute sessions (10 min for each foot) for 4 weeks. Pittsburgh Sleep Quality Index (PSQI) and a demographic questionnaire were used for collecting data which were administered before and after the intervention. The collected data were analyzed in SPSS V. 16 using descriptive statistics and inferential statistics such as Independent t test, paired t test, Fisher exact test, and Chi-squared test at a significance level of P<0.05. The Mean±SD ages of the participants in test and control group were 71.43±6.25 and 72.6±4.67 years, respectively and both groups were matched in terms of age (P=0.389). There was no significant difference in sleep quality of the control group before and after the intervention (P=0.013 or 0.13), while in the test group the difference was statistically significant (P<0.001). In addition, the difference in RLS pain scores before and after the intervention was significantly lower in the test group compared to the control group (P<0.001). Foot reflexology massage had a positive effect on the sleep quality of the elderly women with RLS. Caregivers and nurses of the elderly are recommended to learn and use this easy and almost cost-free intervention for their patients

Electrolyte imbalance, fear of death and illness, and homesickness are among the factors that may susceptible the patients hospitalized at Coronary Care Units (CCUs) to delirium. This study aimed to investigate the effect of modification of sensory stimulations on the reduction of delirium occurrence rate in patients admitted to CCU. The present clinical trial was performed on 80 patients hospitalized at the CCU of Vasei Hospital affiliated to Sabzevar Medical University, Iran. The subjects were randomly assigned to the control and experimental groups (40 subjects in each). The control group received no intervention, while some environmental modifications like putting a clock and a calendar at the patient’s bedside were provided for the patients in the experimental group. Neecham Confusion Scale was used to collect the necessary data concerning the occurrence of delirium in both groups, twice a day (morning and afternoon) for 3 consecutive days. The obtained data were analyzed by Independent t-test, Mann Whitney U Test, and logarithmic link for the model fit using SAS. The results showed 14 (35%) cases of delirium in the control group, and 3 (7.5%) cases in the experimental group. Moreover, the results of the analyses indicated no statistically significant difference between the 2 groups, on the first day (P=0.74). However, the 2 groups were significantly different in terms of delirium occurrence, on the second (P=0.03) and the third (P=0.003) days. The results confirmed that modification of the sensory stimulations can lead to a significant reduction of the delirium rate among the patients hospitalized at CCUs

Sleep, as a reversible phenomenon, is vital for maintaining energy and enhancing the quality of life. Sleep disorders after burn accidents may have biopsychological effects on burn patients, years after the initial injury. This study evaluated the quality of sleep in patients with chronic burns. A descriptive cross-sectional study was conducted on 100 patients referred to the Subspecialty Hospital for Burns in Tehran, Iran 6 months after their discharge for reconstructive surgery. Pittsburgh Sleep Quality Index was used to collect the study data. The participants were recruited by convenience sampling method. The obtained data were analyzed by Chi-square test using SPSS. According to the results, 38% of the participants had experienced good sleep quality (Mean±SD: 3.3±0.9), but 62% reported poor sleep quality (Mean±SD: 9.96±3.2). There were statistically significant associations between sleep quality and gender (P=0.039), material status (P=0.003), occupational status (P=0.000), educational level (P=0.04), burn surface (P=0.02), and duration after burn (P=0.028). No statistically significant association was found between sleep quality and patients’ age, burn surface, and monthly income. Evaluation of sleep adequacy should be a routine component of outpatient assessment in patients with burn, with the consideration of referral to a sleep specialist, as needed