مجله مراقبت پرستاری و مامایی ابن سینا
سال سی و یکم شماره 4 (پیاپی 88، پاییز 1402)

Inadequate knowledge of self-care in hemodialysis patients deteriorates the condition of their disease and reduces their life expectancy. Therefore, this study was conducted to determine the effect of self-care program training on hope among hemodialysis patients referring to Tohid Hospital in Sanandaj, in 2021.

In the present quasi-experimental study, all patients who met the inclusion criteria were selected by the census method and then placed in two intervention and control groups. A demographic form and the Herth Hope Index were recorded in both groups before and one month after the intervention. The intervention included three face-to-face educational sessions about hemodialysis, drug treatment, fluid intake, and diet, which were provided during hemodialysis. Patients in the control group received the necessary care according to routine. The data were analyzed in SPSS16 software using paired t-test, independent t-test, and Chi-square tests.

The findings of the study showed that the mean hope score was 17.86±2.31 in the intervention group and 17.87±1.89 in the control group before the intervention (t=-1.817, P=0.710), demonstrating that both groups had poor hope levels. However, after the intervention, the mean score of hope was obtained at 20.16±4.43 in the intervention group and 17.96±2.41 in the control group, which had a statistically significant difference (t=1.493, P<0.001).

Self-care training leads to increased awareness and improvement of the quality of care in patients and increases their hope. Therefore, improving the level of self-care in patients should always be a part of nursing care.

Professional values can play an important role in the professional quality of their life by motivating nurses to deal with ethical issues and guiding the way they interact with patients and their colleagues. This study was conducted with the aim of determining the role of professional values on the quality of professional life of nurses working in Ayatollah Khatami Hospital in Khatam city in 2021.

In this descriptive-cross-sectional study, the population and research sample were the same, and 103 nurses working in Ayatollah Khatami Hospital affiliated to Shahid Sadoughi University of Medical Sciences, Yazd, central Iran, were included in the study by census method. The data collection tools were questionnaires of demographic information, professional quality of life, and professional values. Data analysis was done using descriptive and inferential statistics by SPSS2.

The average score of professional values was 105.91±13.38. Among the dimensions of professional quality of life, the highest mean was related to the burnout dimension (36.06±5.50) and the lowest mean was related to the secondary traumatic stress dimension (21.30±3.46). There was an inverse and significant statistical relationship between secondary traumatic stress and professional values (r=-0.175, P=0.03). There was no significant relationship between the two dimensions of job burnout and compassion fatigue. The results of the regression test showed that professional values predict 3.1% of the total variance of secondary traumatic stress.

Nurses who provided care based on professional values had a lower level of secondary traumatic stress.

Pelvic floor disorders (PFDs) includes defects in the muscle and ligament plates that cause disruption in the anterior, middle, and posterior walls. Facing the symptoms of these disorders can affect many aspects of a woman's life.The results of the studies showed a lack of knowledge on this process.Therefore,the present study aimed to explain the process of women 's confrontation with the symptoms of pelvic floor disorders.

This research was conducted between2017 to 2020.38 participants were entered through purposive and theoretical sampling.Data were collected using in-depth semi-structured interviews to answer the research question. In order to identify how women deal with the symptoms of PFDs, the Granded Theorey based on Corbin and Strauss(2015)was used.Data were analyzed in four phases, 1-Analysis of data for concepts. 2-for context. 3-for Process and 4- Integrating Categories. MAXQDA10 software was used to help manage and analyze qualitative data.

In the present study, the main concern of the participants was "Deprivation of normal life" and the theory extracted from the data was "symptom management in order to normalize the situation". This theory was the result of five actions / reactions. Finally, it had consequences with a range of adaptations to the disease and partial recovery.Participants'concerns occur in the context of"dominance of symptoms on the dimensions of individual and interpersonal life" which included seven sub-concepts.

The main result of this study is the presentation of the theory of "symptom management to normalize the situation"which explains the process of women experiencing symptoms of PFDs.

Heart failure is one of the most common chronic, progressive and debilitating heart disorders that has a destructive effect on self-care and quality of life of these patients. This study was conducted with the aim of Comparing the effects of self-care education by two in-person and virtual methods on Self‐care and quality of life among patients with heart failure.

This three-group clinical trial study was conducted with the participation of 120 patients with heart failure in Farshchian Hospital at Hamadan.Demographic, self-care and quality of life questionnaires of heart failure patients were completed by self-report before the intervention. The control group received only the routine training of the clinic, the in-person education group received self-care training in 4 one-hour group sessions, one day apart., and the virtual group received the same amount of education in the form of educational clip, and two months after intervention, the questionnaires were completed.

The results showed that before the intervention, there was no statistically significant difference between the demographic variables, self-care and quality of life of the patients in the three groups (p > 0.05). After the intervention, no statistically significant difference was observed between the virtual and in-person education groups in terms of self-care and quality of life (p>0.05).

Both virtual and in-person education methods had the same effect on self-care and quality of life. If the conditions for in-person education are not available, virtual training can be substituted for it.

Performing preventive activities with the active participation of the patient and treatment adhering regimen is the most important behavior related to diabetes that ensures the health of the client and reduces the severity of its complications. The aim of this study was to Evaluation of adherence to treatment regimen in patients with type 2 diabetes referred to Sanandaj diabetes clinic, 2018.

In the present study, 181 patients with diabetes referred to the Sanandaj Diabetes Clinic with inclusion criteria were selected. Study data were collected using a demographic Checklist and a standard treatment adherence questionnaire in chronic patients.  Data analysis was performed using SPSS-16 software at a significance level of P <0.05. Data analysis was performed by descriptive (frequency, percentage, mean and standard deviation) and inferential tests.

The mean and standard deviation of the overall score of treatment adherence was 116.25±18.90. The mean overall score and score of different dimensions of treatment adherence in patients with abnormal glycosylated hemoglobin was significantly higher than patients with normal glycosylated hemoglobin (P <0.001).

It is necessary to carry out more investigations and provide solutions and more precise planning in order to increase compliance with the treatment of these patients and prevent the occurrence of complications due to non-compliance with the treatment.

Missed nursing care is a global concern. Nursing managers, using leadership skills, have a prominent role in preventing missed nursing care. Ethical leadership approach can improve the quality of care. The purpose of this study was to describe the impact of ethical leadership perceived by nurses on missed nursing care.

In this cross-sectional study, 230 nurses working in internal medicine and surgery units were selected through stratified random sampling from two hospitals affiliated to Yazd University of Medical Sciences/Iran. Questionnaires of “ethical leadership in nursing” and “missed nursing care” were the data collection tools. Descriptive and inferential statistics were used for data analysis with SPSS16.

The mean score of missed nursing care and perceived ethical leadership was 47.54±2.83 and 109.08 ± 10.75, respectively. The results showed that there was a significant inverse relationship between perceived ethical leadership and missed nursing care (P <0.05).

Implementing ethical leadership is one of the practical strategies to decrease missed nursing care and consequently increase the care quality and increase patient satisfaction. The participation and performance of nursing managers in this process is critical to a successful outcome.

 Despite confirming the positive effect of using masks in preventing disease the level of adherence in some communities has been reported to be very low. This study was conducted to determine psycho-social factors affecting the use of masks during the covid-19 pandemic in Be'sat hospital in Hamadan.

 This Cross-sectional description study was conducted on 384 people who were referred to educational-therapeutic Be'sat hospital in Hamadan and who were selected by the available sampling method in 2022. The data collection tool was a researcher-made questionnaire that included 51 questions to assess the participants' demographic, economic, social, cultural, and spiritual status and was completed by face-to-face interview method. SPSS 26 software and Chi-square, Monte Carlo, Mann-Whitney, and Student's t-tests were used to analyze the data.

 The mean age was 36.76±11.71 years. More than half of the participants (54.7%) were men. The frequency of having a mask at the time of the interview was 48.4%. According to the findings, the frequency of use a mask in men was significantly less than in women.  Also a significant relationship was observed between use a mask and being single, more educated, living in the city, and no smoking history (P< 0.001). A significant relationship was observed between use a mask and higher economic, cultural and social status.

economic, social, and cultural factors were identified as the influential factors of mask use; therefore, it is necessary to pay attention to the preventive behaviors, social norms, and culture during epidemics.

Providing educational programs can help in improving the health status of cancer patients. Accordingly, this study was conducted with the aim of the tele nursing effect on reducing the anxiety of prostate cancer patients after chemotherapy.

The study was a semi-experimental type and was conducted using the available sampling method in 1401 on 60 people (30 people in each group) from prostate cancer patients referred to Shahid Mostafa Khomeini Hospital (RA) in Ilam city. After random assignment, the control group received routine treatments and the intervention group received telephone follow-up in addition to routine treatments for 12 weeks (twice in the first six weeks and once in the second six weeks). Data collection tools were Beck's demographic information and anxiety questionnaire, and the data were analyzed using descriptive and inferential statistics (paired and independent t-test and chi-square) in SPSS20 software.

The mean anxiety scores between the intervention and control groups before the intervention were not statistically significant (P≥0.05). But after the implementation of the intervention, this difference became significant so that the amount of anxiety decreased in the -intervention group (P≤0.05).

Telephone training and follow-up was effective in reducing the anxiety of prostate cancer patients. It is recommended that this method be performed by nurses in cancer patients