Journal of Client-Centered Nursing Care
Volume:5 Issue: 4, Autumn 2019

This letter intends to explain what the authors have experienced in Iran from the beginning of COVID-19 spread about the process of care and treatment of the patients with other diseases.

The adults’ life is rooted in their childhood. Children living in single-parent families have less self-efficacy than others. Educating self-awareness skill reliance on the family is among the key aspects of self-efficacy promotion in early childhood. The present study aimed to determine the effect of self-awareness training of the mothers as the head of the household on the self-efficacy of their 10- to 12-year-old sons.

This was a quasi-experimental study with a Pre-test-Post-test and a control group design. The study sample consisted of 10- to 12-year-old boys (N=71) from public schools of Ray City, Iran, and their heads of the family mothers. The study subjects were randomly assigned to the experimental and control groups. The Pre-test was administered to both groups. Then, the mothers of the intervention group attended four 45-minute training sessions twice a week. Moreover, the Post-test was administered to the groups three months after the end of the intervention. The required data were collected by demographic characteristics form, Self-Consciousness Scale (SCS), and Self-efficacy Questionnaire for Children (SEQ-C). Furthermore, the obtained data were analyzed by descriptive statistics, including frequency distribution, mean and standard deviation, and inferential statistics, including the Chi-squared test, Fisher’s Exact test, Independent Samples t-test, Paired Samples t-test, and Analysis of Covariance (ANCOVA) using SPSS.

The study results suggested a significant difference in self-awareness Mean±SD scores of the mothers in the intervention group before (41.77±10.59) and after (53.83±8.43) conducting the intervention (P<0.001); however, such difference was not significantly different in the control group before (47.31±12.45) and three months after the intervention (47.05±11.76). There was a significant difference between the self-efficacy Mean±SD scores of boys in the intervention group before (61.88±9.29) and after (70.44±8.12) providing the intervention (P<0.001); however, this difference was not significantly different in the control group before (65.68±11.33) and after the intervention provision (65.14±12.01).

In this study, mothers’ self-awareness positively affected their sons’ self-efficacy. Thus, self-awareness enabled mothers to identify the emotions of themselves and their children and become aware of them and pay more attention to interacting with their children. These findings help school health nurses in providing a proper educational environment with the collaboration of mothers who are the head of the family.

The daily living activities are among the essential components of life and reflect an important aspect of functional independence in older adults. This study aimed to determine the effect of Group Movie Therapy (GMT) on the Activities of Daily Living (ADL) in older adults.

A randomized clinical trial was conducted on 48 older adults referred to Urban Comprehensive Health Service Centers of Kashan City, Iran. The study subjects were enrolled by a convenience sampling method and were randomly assigned to the intervention (n=24) and control (n=24) groups. GMT was performed in 6 weekly sessions. The Lawton’s ADL Scale was used for data collection. The obtained data were analyzed by the Chi-Squared test, Fisher’s Exact test, and Independent Samples t-test using SPSS. 

There was no significant difference in the mean scores of Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) before the intervention between the study groups. A significant difference was found in the mean scores of IADL after the intervention between the study groups (P=0.001); however, there was no significant difference in the BADL values of the groups after the intervention. 

GMT is a non-invasive, low-cost, and non-risky way to improve the elderly’s autonomy in performing IADL. Thus, GMT is recommended as a method of behavior therapy.

Adolescence is an essential period in every human’s life. The lack of knowledge on puberty issues may adversely impact an adolescent’s future mental health and self-efficacy. The present study aimed to determine the effect of puberty health education on the general self-efficacy of female students.

This was a quasi-experimental study with a pre-test; post-test and a control group design. This study was conducted on 100 female students of public schools with the onset of menstruation in 2018 in Ghaemshahr City, Iran. To prevent data contamination, the control group was selected from another similar public school. The required data were collected by Sherer General Self-efficacy Questionnaire and analyzed by SPSS using statistics, including mean, standard deviation, Chi-squared test, Fisher’s Exact test, one-way Analysis of Variance (ANOVA), and Paired Samples t-test.

The study groups were matched for demographic variables except for the mother’s age (P=0.01) and father’s education (P=0.001). Self-efficacy was not low in any of the groups before and after the training. Mean±SD pre-training self-efficacy scores in the intervention (63.68±9.72) and control (65.3±8.78) groups were not statistically significant (P=0.69). Comparing the students’ self-efficacy mean Pre-test-Post-test scores revealed a significant difference in the intervention group (P=0.017); however, there was no significant change in the control group (P=0.284) in this respect. Comparing between-group mean self-efficacy changes concerning before and after the intervention values suggested no significant difference (P=0.294).

Puberty health education was effective in promoting the explored female students’ self-efficacy. Accordingly, it is recommended to include puberty education in female students’ courses. In addition, community health nurses are suggested to include this training in their programs.

Diabetes and cardiovascular disease, as the two major consequences of metabolic syndrome, can lead to some complications, like fatty liver disease. The current study aimed to evaluate the effects of Ramadan fasting on metabolic syndrome and body composition in fasting and non-fasting male students.

This was an outcome research with a quasi-experimental design. A total of 29 male students were selected by convenience sampling method. Those who intended to fast were placed in one group (n=15) and other students in the non-fasting group (n=14). The serum levels of biochemical and hematological factors and atherogenic indexes were measured three days before the fasting month and after Ramadan. The obtained data were analyzed by repeated-measures Analysis of Variance (ANOVA) using SPSS. The significance level was set at P≤0.05.

The present study results suggested that weight (79.96±5.32 vs. 79.16±5.43 kg; P=0.001), body mass index (25.03±2.33 vs. 24.78±2.36 kg/m2; P=0.001), waist circumference (104.86±4.18 vs. 101.86±5.28 cm; P=0.001), hip circumference (96.33±6.58 vs. 95.42±6.14 cm; P=0.002), waist to hip ratio (1.09±0.06 vs. 1.07±0.07 cm; P=0.008), fasting blood glucose (86.46±4.74 vs. 79.93±7.54 mg/dL; P= 0.002), insulin (12.95±6.96 vs. 9.65±4.57 mg/dL; P=0.03), insulin resistance (49.74±2.70 vs. 33.89±1.49; P=0.001), and Triglyceride (TG) levels (75.00±15.15 vs. 67.93±16.26 mg/dL; P=0.03 ) have decreased significantly at the end of fasting period. The HDL-C levels (38.66±4.09 vs. 42.46±5.19 mg/dL; P= 0.004) significantly increased in the fasting group.

According to the obtained data, fasting led to some alternations in body composition and serum insulin, fasting blood glucose, and lipid profile. Therefore, to benefit from this holy month, it is crucial for male nursing students to include nutrients in their diet during Ramadan.

Unawareness and inappropriate attitude toward hepatitis B can expose healthy people, especially immigrants, to a higher risk of hepatitis B transmission. The present study aimed to determine the effect of hepatitis B prevention education by face-to-face and distance training on the knowledge and attitude of Afghan immigrant students. 

This randomized controlled trial was conducted on 128 voluntary immigrant nonmedical Afghan students of Imam Khomeini University in Qazvin City, Iran. The study subjects were randomly assigned to 4 groups (A1, A2, B1, & B2), and the training was performed using Solomon’s four-group-design. The A groups received face-to-face education, while the B groups received distance education through email and Telegram messenger. The required data were collected using a self-structured questionnaire at three-time intervals of before, immediately after, and one month after training. The collected data were analyzed by the Chi-squared test, Independent Samples t-test, Paired Samples t-test, and repeated-measures Analysis of Variance (ANOVA) using SPSS.

Based on the study findings, the improvement of knowledge and attitude values was more significant in the face-to-face groups, compared to the distance education groups. However, there was a significant difference in both methods (P<0.001). 

Although knowledge improvement was higher in the face-to-face education groups, there was also an increase in the knowledge and attitude of the distance education group. Therefore, face-to-face education is preferred; however, using a combination of these educational methods could be beneficial.

Access to precise information about sexual behaviors is an essential need for a favorable marital life. In the context of Afghan society culture, unawareness about sex issues in offspring on the verge of marriage could lead to an undesirable sexual function. The present study aimed to determine the effect of face-to-face sex education on the sexual function of adolescent female Afghan immigrants.

This was a quasi-experimental study with a Pre-test-Post-test and a control group design. This research was conducted in the immigrant neighborhoods of Mashhad City, east of Iran, in 2018. Two charity centers with the largest numbers of Afghan immigrants were randomly selected as the case and control centers. A continuous sampling technique was applied to select the study participants. Besides, women who met the study inclusion criteria completed a demographic questionnaire and the Female Sexual Function Index (FSFI) before and at 4 and 8 weeks after the intervention. In addition to the center’s routine programs, the experimental group received face-to-face education through PowerPoint slides, while the control group only received routine training of the center. The collected data were analyzed by SPSS using descriptive and inferential statistics.

There was no significant difference in the sexual function scores between the two study groups before the intervention (P=0.850), while there was a significant difference between them after 4 (P=0.003) and 8 weeks (P<0.001) of intervention provision.

Face-to-face sexual training improved sexual function in adolescent female Afghan migrants; therefore, this training method could be used for sexual education in young female immigrants.

As an essential principle, the collective life of human beings can constitute a human society only when human rights are respected. Demanding and respecting the rights of patients, as an inevitable part of human society, requires familiarity with patient-involved individuals. The present study aimed to determine the awareness level of Ahvaz Jundishapur University of Medical Sciences (AJUMS) students about the Charter of Patients’ Rights (CPR). 

This descriptive-analytical study was conducted on 200 senior university students who had been in contact with patients during their undergraduate program. They were invited from different faculties of the university. The data collection tool was a two-section questionnaire. The first section covered the demographic information, and the second included 29 questions about the 5 principles of the CPR. The obtained data were analyzed in SPSS by descriptive statistics, and analytical tests, including Independent Samples t-test, Analysis of Variance (ANOVA), and Spearman’s correlation coefficient.

From the 200 study participants, 103 (51%) were female. The Mean±SD of students’ awareness was 14.50±2.3. The highest and lowest mean scores belonged to the areas of access to services and confidentiality. There was no statistically significant difference between the awareness score of students from different faculties (P=0.359).

This study results suggested that the awareness level of the medical students about the CPR was unsatisfactory. Instituting ethical codes among students and providing them knowledge of their professional lives is an essential part of the university’s responsibilities.