- Volume:4 Issue: 4, 2017
- تاریخ انتشار: 1396/09/22
- تعداد عناوین: 6
Assessing the quality of sleep among nurses working at educational hospitals of Zanjan University of Medical Sciences and its related factorsPages 164-169Background and AimNurses health due to its direct impact on the societys health is of considerable importance, which is usually neglected. One of the effective factors on individuals health is the quality of their sleep. Considering that nurses would work different work shifts, including night shifts, it is possible for them to suffer from sleep disorders. The present was conducted to evaluate the quality of sleep among nurses working at Educational hospitals of Zanjan University of Medical Sciences and its related factors.
Methods & Materials: The present research was a descriptive cross-sectional study that was conducted at educational hospitals of Zanjan University of Medical Sciences. Nurses working at internal, surgical and ICU departments were evaluated using Pittsburgh Sleep Quality Index. The study had 176 participants. Data were analyzed using SPSS 16 and Chi square test and Spearman correlation coefficient.ResultsIn the present study. 14% of the nurses had a desirable quality of sleep but the quality of sleep in most of the participants (86%) was undesirable. Chi square test showed that the quality of sleep was significantly better among the nurses working at ICUs than nurses working at internal and surgical departments (p = 0.039).ConclusionMost of the participated nurses in the present study had an undesirable quality of sleep, which was worse among the nurses working at internal and surgical departments. This might be due to the heavier workload among the nurses of these departments and the ratio of nurses to the patients.Keywords: sleep hygiene, nurses, health
Spiritual intelligence of nurses working at the intensive care units of hospitals affiliated with Tehran University of Medical SciencesPages 170-179Background and AimSpiritual intelligence is one of the important concepts in the field of spirituality and is a requirement for better compatibility at workplace. Having spiritual intelligence has a significant effect on the quality of service providing for patients by the medical staff and this feature is of great importance for the nurses working at intensive care units. The present study was conducted to evaluate the level of spiritual intelligence among nurses working at intensive care units of hospitals affiliated with Tehran University of Medical Sciences.
Methods & Materials: The present cross-sectional study was conducted in the intensive care units of hospitals affiliated with Tehran University of Medical Sciences using census. 400 nurses working at ICUs and CCUs participated in the study and completed Kings Spiritual Intelligence Self-Report Inventory. Data were analyzed using SPSS software version 16 and descriptive and inferential statistics.ResultsThe mean age of the participants was 33.88 ± 5.927 years. Most of the participants were female (79.8%) and married (51%). The total score of spiritual intelligence was 54.34 ± 1.4 which indicated moderate levels of spiritual intelligence. No significant relation was observed between any of the demographic characteristics and spiritual intelligence.ConclusionEvaluating and trying for improvement of spiritual intelligence in nurses could increase the possibility of providing spiritual care and increase the quality of care for hospitalized patients at intensive care units and also provide an invaluable inner source to help nurses continue their difficult and stressful job at intensive care units.Keywords: spiritual intelligence, intensive care units, nurse
Pages 180-189Background and AimPremenstrual syndrome includes physical and psychological symptoms that occur at the end of menstrual cycle and exercise is one of the ways to reduce symptoms. The aim of this study was to determine the effect of regular 8-week aerobic exercise program on psychological symptoms of premenstrual syndrome.
Methods & Materials: This clinical trial study was carried out on 65 dormitory students of Mashhad University of Medical Sciences. The samples were selected using available sampling method and were included in the study if they had premenstrual syndrome. The intervention group performed aerobic exercise for 8 weeks, three times a week and 20 minutes for each session. The control group completed only the questionnaires. The tool was research recorded daily symptoms of premenstrual syndrome. Data analysis was done using SPSS software.ResultsAt the beginning of the study, two groups of control and intervention were homogeneous for demographic variables and psychological symptoms. According to the results of independent t-test, the scores showed after intervention, Among the ten psychological signs of premenstrual syndrome, four signs of anger outbreak (p = 0/01), loneliness (p = 0.04) and irritability (p = 0/01), Mood swings (p = 0.01) difference Has a significant relation with the control group, However, the difference in pre and post scores in the two groups was significant only in the symptom of mood fluctuation (p = 0.02).ConclusionThe results of this study showed that eight weeks of aerobic exercise training were effective in reducing the number of psychological symptoms of premenstrual syndrome, Therefore, these exercises may be combined with other therapies for the treatment of psychological symptoms of premenstrual syndrome.Keywords: premenstrual syndrome, psychosomatic symptoms, exercise
Effectiveness of Mindfulness-based Cognitive Therapy on Posttraumatic growth, Self-management and Functional Disability among Patients with Breast CancerPages 190-202Background and AimBreast cancer is accompanied with various psychological problems and need for psychological treatment. Therefore, the aim of this study was to investigate the effectiveness of mindfulness-based cognitive therapy on posttraumatic growth, self-management and functional disability among patients with breast cancer.
Methods & Materials: In a randomized controlled trial with repeated measures design, 20 women with breast cancer were selected among the patients who were referred to the Department of Oncology and Radiotherapy of Tehran Hafte Tir Martyrs hospital using convenience sampling. Participants were randomly assigned into the experimental or control groups. The experimental group received 8 sessions of intervention within two months and the control group did not receive any intervention. Both groups were followed for three months after the intervention. All participants assessed by the Demographic and Disease Characteristics Checklist, Structured Clinical Interview for DSM-5, Posttraumatic Growth Inventory (PTGI), Patient Activation Measure and WHO Disability Assessment Schedule 2.0. Data were analyzed with multivariate repeated measures analysis of variance using IBM SPSS Statistics for Windows, Version 21.0.ResultsThe results showed that Time*Group interaction is significant (F=9.561, pConclusionMindfulness-based cognitive therapy and time of assessment have combined effects on the posttraumatic growth, self-management and function disability in patient with breast cancer. The impact of mindfulness-based cognitive therapy in improving posttraumatic growth, self-management and function disability depends on the time of the measurement.Keywords: cognitive therapy, mindfulness, self-management, disability, breast cancer
Pages 203-211Background and AimDomestic violence (DV) is a global socio-cultural concern faced by a majority of women. DV has a negative impact on womens social, physical, and psychological wellbeing. Objective was to explore perceptions regarding contributing factors to domestic violence among women.
Methods & Materials: A qualitative descriptive exploratory method was applied for the study. Purposive sampling was used to select participants through emails to respond to the web based blog created for the study. 41 worldwide participants shared their perceptions through the blogs in the study. The data were collected using a web-based discussion forum on the Urban Women Health Collaborative (UWHC), an internet-based social networking site, during March 2011. Data were analyzed, and categories and themes were extracted using a content analysis approach.ResultsThe major theme Traditional values justifying domestic violence against women emerged from the analysis of the participants blog. Under this major theme, four categories were extracted which include: socio-cultural attitudes towards women; trapped in the vicious cycle of violence; DV is a power game; and the misinterpretation of legal insinuations and religious practices.ConclusionWomen face DV due to social cultural practices and inequities in society. This implies that effective interventions are needed at several levels: individual, family, and community to prevent the violence and to provide a safe and respectful environment for the women in the society.Keywords: domestic violence, women, web-based blog discussion, traditional values, legal insinuations, patriarchal behavior
Page 212one of the dimensions of family-oriented care is enhancing the adequacy and empowerment of the family, and respecting their autonomy and decision-making in child care and treatment. The studies indicate that providing support and information for the parents in the hospital environment during child care, notifying parents about the treatment plan, educating them and using their participation are the most important needs of the parents. This requires the supportive educational relationship of personnel, especially nurses with parents (3). However, there are many situations in nursing care that, if nurses are unaware or negligent, this patients fundamental right will be violated. In this article, we will examine these factors and the findings of the studies conducted in this area.
The study of Beykmirza et al (2017) revealed that among the nursing ethical codes, the domain of respect for autonomy and decision making from the perspective of mothers with a child with cancer was at the most unfavorable level of performance. In this study, nurses also acknowledged that they presented poor performance in this domain (4). These findings support the results of other studies on the contentment of parents of children with cancer with giving them the right to make decisions (5, 6). The findings from these studies may indicate the nurses lack of knowledge about patient rights and the need for values-based practice. The health system in Iran is mainly far from the concept of patient and family orientation and giving decision-making rights on the basis of sufficient information. This is due to several reasons, such as lack of sufficient information from health care professionals, including doctors and nurses, about patient rights, having a stereotypical view about the lack of preparedness and competency of families to obtain information, the lack of a caring communication between the patients family and caregivers along with empathy and attempt for empowerment, the high workload of professionals and in turn, assigning less time to the functions that include the non-physical aspects of patient and his or her family, as well as the lack of familiarity with professional ethics.
It seems that most nurses beliefs is that if they give the families of children with cancer the right to autonomy in treatment, health and nursing interventions, they may face the families irrational decisions. So, respecting this right is overlooked (7, 8). From their point of views, for example, if the families are familiar with the side effects of drugs, even if that drug is helpful to the physician, they may refrain from continuing treatment with that medication. Perhaps this is also the reason for the weakness in nurses performance in the area of patient education. A study by Bartholdson et al. (2015) in Sweden showed the most ethical issues in pediatric cancer care were due to the violation of the patients right to autonomy, limitation in reflecting facts, how to decide on the process of treatment and palliative care. Given the different perspectives and cultures, the degree of collaboration between the treatment team, the child with cancer and her/his family is challenged (9).
The results of the study of Rahmani et al. indicated that most patients believed that nurses were at a poor level in respecting their autonomy in terms of providing information to them and their participation in the therapeutic decision-making process. In addition, Sadeghis study (2009), entitled "respecting autonomy during nursing care from the perspectives of adolescents admitted to childrens hospitals affiliated to Tehran University of Medical Sciences in 2008 showed that 66.7 percent of adolescents believed that their autonomy was slightly respected, and only 4 percent of them stated that their autonomy was fully respected. In the similar studies, the lack of sufficient time, insufficient personnel, and lack of readiness and experience of nurses to provide illness-related information and to give the right to autonomy and decision making to the family, were suggested as three important factors in nurses neglect in this regard (10, 11).