فهرست مطالب

Journal of Client-Centered Nursing Care
Volume:4 Issue: 3, Summer 2018

  • تاریخ انتشار: 1397/05/17
  • تعداد عناوین: 7
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  • Seyedeh Fatemeh Vasegh Rahimparvar, Golnar Nasehi *, Zohreh Khakbazan, Anooshirvan Kazemnejad Pages 123-130
     
    Background
    Majority of the textbooks for undergraduate midwifery students of Iran are educational resources for obstetricians. Therefore, the topic of Professional Labor Support is not taught well to these students. This study aimed to determine the effect of Professional Labor Support education to midwifery students (based on midwifery textbooks) on satisfaction of women who gave birth under the supervision of these students.
    Methods
    This quasi-experimental study was conducted on 70 midwifery students of a nursing and midwifery school in Iran. Students in the intervention group (n=35) were taught Professional Labor Support in physical, emotional, and informational fields based on midwifery textbooks. The control group received conventional education. The effect of Professional Labor Support education on the students was evaluated using Professional Labor Support Questionnaire (LSQ) and satisfaction of women who gave birth under the supervision of these students (measured by a modified version of LSQ). Data analysis was conducted by Chi-square, two-sample Kolmogorov-Smirnov and Independent t tests in SPSS V. 16.
    Results
    The Professional Labor Support delivered by the midwifery students in the intervention group was significantly higher than the control group (t=-9.16, P<0.001). Similarly, the satisfaction of women who had given birth under supervision of the trained students was significantly higher than that of women who had given birth under the supervision of the control group (P<0.001).
    Conclusion
    Professional Labor Support education based on midwifery textbooks had a positive effect on the women’s satisfaction with labor support. It is suggested that textbooks for obstetricians be replaced by midwifery textbooks recommended by International Confederation of Midwives
    Keywords: Labor support, Midwifery student, Education, Satisfaction, Iran
  • Mohannad Mohammad Husni Amireh *, Fatma El, Zahraa Ahmed Mahmoud Omer Pages 131-138
     
    Background
    Children with autism should interact and get along with their surrounding environment. Therefore, the researchers must try to explain the reasons of challenges in their adaptive behaviors. This study aimed to evaluate levels of challenges in sensory processing and the motor domain of adaptive behavior among children with autism in Egypt, and to explore the effect of sensory processing on subdomains of gross and fine motor skills.
    Methods
    This is a cross-sectional study. Study questionnaires were distributed to 180 caregivers of children with autism in Cairo, Egypt, between July 2017 and February 2018. The caregivers were selected by convenience sampling method. The questionnaires used were the sensory checklist and adaptive behavior scales. Descriptive statistics and comparing means were used to determine the levels of sensory processing and motor domain of adaptive behavior. Linear regression analyses was used to test the effects of sensory domains on motor areas. SPSS-PC V. 25 was used to analyze the obtained data.
    Results
    The results demonstrated various problems in children’s sensory processing and the motor domain of adaptive behavior. Caregivers reported that 96.67% of the children had frequent sensory challenges in at least one component of sensory domains, mostly in visual system (27.2%). Subdomain of fine motor skills (Mean=1.4951) showed higher challenges than gross motor skills (Mean=1.9455). This study proved significant inverse effect for movement processing on gross motor subdomain at α=0.05.
    Conclusion
    Parents of children with autism, occupational therapists, and other healthcare practitioners should gain in-depth knowledge regarding their children’s behaviors and their possible reasons
    Keywords: Autism, Sensory processing, Adaptive behavior, Occupational therapy
  • Javad Setare, Aram Karimian, Maryam Shoja, Fereshteh Bakhshian, Seyed Reza Saadatmehr * Pages 139-144
     
    Background
    Catatonia occurs as a complication of various medical and psychological illnesses that can be treated when diagnosed. Despite the high incidence of catatonia, the problem is poorly recognized. This study aimed at investigating the prevalence of catatonia and related factors in its diagnosis within a five year period in hospitalized patients of Zareh Psychiatric Center, Sari, Iran using computerized archive of records.
    Methods
    It was a descriptive and retrospective study. The records of all patients with mental disorders admitted to Zareh Hospital between 2010 and 2014 were assessed. The data were collected using a demographic questionnaire and the Northoff Catatonia Scale (NCS). Then analyzed by statistical tests of multivariate logistic regression in SPSS-PC V. 20.
    Results
    Only 0.26% (26 per 10000 population) of patients had experienced catatonic schizophrenia during a five year period, including 42.11 men and 57.89 women. The prevalence of catatonic schizophrenia was significantly correlated with gender and age (P<0.05). Of the patients, 68.42% had a history of medication therapy and or hospitalization and 21.5% had a history of physical disorders. There was no significant relationship between the mean score of movement, emotional and behavioral changes with sex, education and age groups (P<0.05).
    Conclusion
    Because many catatonic patients had a combination of medical and psychiatric problems, psychiatrists and psychiatric nurses are suggested to assess catatonia symptoms in both internal and psychiatric wards
    Keywords: Catatonia, Schizophrenia, Prevalence, Mental disorder
  • Hasan Jafaripoorr, Mehdi Safarabadi, Yasaman Pourandish, Ali Khanmohammadi, Seied Mohammad Aghaiepoor, Amir Rahbarian, Hossein Poorcheraghi, Ali Jadidi * Pages 145-154
     
    Background
    Because of the rising number of elderly people, their Quality of Life have become more important. Health status has been considered as one of the factors that affect life quality and Spiritual Well-Being is one of its important dimensions. The present study aimed to determine the relationship between Spiritual Well-Being and Quality of Life among the elderly people residing in Arak City, Iran.
    Methods
    This is a cross-sectional and correlational study. The study sample comprised 400 elderly people residing in Arak, Iran who were selected by cluster sampling method. Spiritual Well-Being was measured using Spiritual Well-Being scale (SWB) and the Quality of Life was assessed by Older People’s Quality of Life Questionnaire (OPQOL-35). The obtained data were analyzed by descriptive statistics, along with Pearson correlation test, t-test, and ANOVA in SPSS V. 16.
    Results
    The Mean±SD score of life quality among the elderlies was 76.24±17.84 and was associated with their marital status and education level (P=0.001). The Spiritual Well-Being score of most elderly people ranged from moderate to high and the Mean±SD score of their Spiritual Well-Being was 96.47±13.43. There was a significant relationship between Spiritual Well-Being and the Quality of Life (r=0.37, P=0.0001).
    Conclusion
    According to the findings, more attention should be paid to the factors related to the Quality of Life for taking care of the elderly people. Considering the relationship between Spiritual Well-Being and Quality of Life among these elderlies, provision of spiritual care for this group of society is recommended
    Keywords: Elderly, Quality of Life (QoL), Spiritual Well-Being (SWB)
  • Zahra Ahmadi, Mina Jafarizadeh*, Hamid Haghani Pages 155-164
     
    Background
    Although the internet has prevailed in every aspect of our life, it can be addictive, especially for the adolescents. This study aimed to investigate the relationship between internet addiction in female school students and their mothers’ mental health and spiritual wellbeing.
    Methods
    This is a descriptive correlational study conducted on 400 senior high school female students and their mothers. The study sample was selected using a multi-stage cluster sampling method. Data was collected by a demographic survey form, Persian version of Internet Addiction Test (IAT), General Health Questionnaire (GHQ), and Spiritual Well Being Questionnaire (SWBQ) and was analyzed by descriptive and inferential (ANOVA, t-test, and linear regression analysis) statistics using SPSS-PC V. 20.
    Results
    About 86% of the students were normal internet users. Around 36.8% of the mothers had mild mental health problems, and 94.3% had high spiritual wellbeing. There was a significant negative relationship between internet addiction and spiritual wellbeing and its two dimensions (religious and existential wellbeing) (r=-0.454, P<0.001). The internet addiction had a significant positive relationship with the mothers’ mental health (r=0.341, P<0.001).
    Conclusion
    Studying the problem of internet addiction among female students and paying attention to the mental health and spiritual wellbeing of families, especially mothers, in order to improve their health status seems necessary. Hence, authorities should develop appropriate strategies in this area.
    Keywords: Internet addiction, Girls, Mental health, Spiritual wellbeing, Mothers
  • Mahnaz Seyedoshohadaee, Fatemeh Babaeeyan Kshtelee *, Na`imeh Seyyed Fatemi, Mehrdad Saravi, Hamid Haghani Pages 165-171
     
    Background
    Heart Failure (HF) as one of the severe consequences of cardiovascular diseases leads to high mortality in Iran and around the world. This study aims to investigate the effect of self-care education on the resilience of patients with Heart Failure.
    Methods
    This is a quasi-experimental study with a control group. The study population consisted of all patients with HF referring to the educational hospitals affiliated to Babol University of Medical Sciences in 2017. The obtained data were collected by the Connor-Davidson Resilience Scale (CD-RISC). A total of 88 patients were selected by convenience sampling method and randomly assigned into intervention and control groups (44 in each group). The intervention group received intervention program for 60-45 minutes in 6 sessions, per week in addition to routine care. The control group just received routine care. After one month, CD-RISC was completed again by both groups. The collected data were analyzed by descriptive and inferential statistics (Chi-square, independent t-test, ANCOVA) in SPSS-PC V. 22.
    Results
    Before self-care education, the mean score of resilience was not significantly different between the groups (P=0.69), but after intervention the difference was significant (P<0.001). After the intervention, the mean score of resilience increased in the control group by 2.95 unit which was significant (P=0.02). In the intervention group, the mean score of resilience increased by 20.55 unit, which was statistically significant (P<0.001).
    Conclusion
    Considering the effectiveness of self-care education on the resilience of patients with Heart Failure and its feasibility, implementation of this program by nurses is recommended.
    Keywords: Heart Failure, Self-care education, Resilience
  • Banafsheh Ghorbani, Fatemeh Bahramnezhad * Pages 173-174

    Patient’s education as the core of nursing care is one of the essential rights of the patients, too. Nurses should apply effective and applicable methods to teach their patients properly. The role of healthcare team, especially nurses, is very important in adopting suitable educational methods and consequently patients’ adherence to their treatment regimens. The World Health Organization (WHO) has frequently pointed out that appropriate patient’s education during discharge helps them adhere to their treatment regimens and this in turn leads to the shorter hospitalization, lower mortality rate, and consequently better health economics (Maningat, Gordon & Breslow 2013).
    Regarding the importance of patient’s education, North American Nursing Diagnosis Association (NANDA) and Nursing Intervention Classification (NIC) have seriously highlighted the risk of ineffective patients’ treatment regimens due to unawareness or incorrect awareness as a nursing diagnosis (Butcher et al. 2018; Gordon 2014). According to previous studies, patient’s education is insufficient, and effective educational methods should be employed for people at different age groups and with different literacy levels to improve their understanding about disease conditions and treatment processes (Chi & Demiris 2015).
    In the meantime, some authorities believe that with the development of science and technology, the importance of direct educational methods such as lectures, face to face education, group discussions, and teach-back methods is declining and indirect methods such as video games, web-based education, and so on are new opportunities that should be explored.
    Accordingly, people are becoming more interested in using these indirect methods because of their advantages such as wide access, interesting presentation, and using them at any time or place. In recent years, an indirect educational method known as Gamification (GF) has been introduced (Sardi, Idri & Fernández-Alemán 2017). This approach was proposed by Detereding et al. (2011). In particular, GF refers to the components that are used in games and implemented in designing applied relationships, so that electronic transactions become quick and enjoyable.
    This method provides interaction, reward, and motivation to encourage change in behavior, increase motivation to learn new skills, or increase participation through playing. Indeed, in this educational approach, game and mechanical components are designed for certain purposes such as education and not for playing. Besides their benefits for the patients, they improve interdisciplinary interactions among experts (AlMarshedi, Wills & Ranchhod 2015). This kind of game is not limited to a certain age group and all people can benefit it.
    The use of game components in different contexts increases people’s motivation, interaction, and pleasure. Moreover, the sense of success and passing a level of game are encouraging. Moreover, this approach increases social interactions, promotes problem-solving ability, and gains support from people around. Despite vast use of this education method, GF is still a concept and there is no agreement on its accurate definition. Through different studies, GF has been used for teaching patients with different diseases and problems like heart failure, myocardial infarction, rheumatoid arthritis, diabetes, breast cancer, smoking, blood pressure control, and Alzheimer with gaining positive results (Sardi, Idri & Fernández-Alemán 2017; Krasulak 2016). The use of this method has now been increased in developed countries. This method introduced by Anna Sort, a Spanish nursing expert.
    In patient’s education context, development and implementation of GF can be an effective step in education process (Kapp 2012; Huang & Soman 2013; Fleming et al. 2017). Patients by having this application in their smart phones have full time access to their required educations and a combination of game components and scientific educations can provide better and enjoyable learning experience with quicker feedback and easier remembrance of the content (Johnson et al. 2016; McKeown et al. 2016).
    With the development of technology, everyone has now access to social networks, and by using this new education method, interdisciplinary interactions increase. Thanks to new communication devices like smart phones, this method can be used to make the education more attractive and motivating for the learners.