فصلنامه پرستاری، مامایی و پیراپزشکی
سال هفتم شماره 2 (پاییز 1400)

Virtual education is one of the active and new methods for promotion of educational quality. The aim of this study was Investigations of Virtual Education Learning Needs in Nursing and Midwifery Students of Kurdistan Medical Sciences and its Relationships with Demographic Characteristics in 2020.

This is Descriptive Cross-sectional study that conducted on 299 Students of Nursing and Midwifery Faculty and were selected by stratified random sampling. Assessment tools was Demographic and Watkins virtual needs standard questionnaires. Data were analysis by SPSS-24 and t- tests; Kruskal Walis, Wilcoxon and Chi-square. 

The highest educational learning needs were related to the important issues for the success of e-learning with an average of 2.99 and the lowest learning needs were related to the ability to learn through media with an average of 3.37. Other results showed that the average score of male students in terms of skills and communication was higher than female students (P˂0/032). also students with a higher grade point average had a higher average score in all aspects and had less educational needs in other dimensions of education (P˂0/05). In terms of access to technology, the use of laptops and tablets compared to other educational hardware showed a significant relationship with (P˂0/05). The average score of operating room students in all dimensions of virtual learning needs was more than nursing and midwifery students (P˂0/05).

The final results showed that students' learning needs are below average. Virtual education is an effective method of learning, but in order to use this method, its infrastructure must be provided in medical universities and a suitable platform must be provided to improve skills and reduce the needs of virtual and electronic learning.

Myocardial infarction is one of the most common and dangerous diseases in industrialized countries. Therefore, it is important to apply various trainings and interventions focusing on the patient and family. The aim of this study was to determine the effect of multimedia education and telephone follow-up of patients and families on self-efficacy of patients with myocardial infarction.

In this quasi-experimental study, 60 patients with myocardial infarction in the CCU ward of Hajar Hospital in Shahrekord in 2019 by Available and randomly sampling method divided into intervention (n=30) and control (n=30). In the intervention group, a workshop was held through multimedia software for patients and active family members. The telephone intervention was performed by the researcher for 1 month. There was no intervention in the control group. Patients' self-efficacy was measured before and 1 month after the intervention using the Scherer self-efficacy questionnaire. Data were analyzed using descriptive and inferential statistics and SPSS 21 software at a significance level of less than 0.05.

The mean score of self-efficacy between the control and intervention groups before intervention was (2/92±0/24) and (2/93±0/41), respectively, which were not statistically significant. But after the intervention, the mean score of self-efficacy between the control and intervention groups was (2/89±0/22) and (4/76±0/41), respectively, which was significant different (p≤0.001).

Training and follow-up were effective in improving the self-efficacy of patients with myocardial infarction. It is recommended that educational interventions with a family-centered approach be performed by nurses in patients with myocardial infarction.

Spiritual well-being integrates other dimensions of human health. Nursing students as future nurses should be aware of their spiritual well-being and strive for their spiritual growth and development. The aim of this study was to determine the effect of spirituality-oriented educational program on spiritual well-being and spiritual development of nursing students.

In this quasi-experimental study which was done in 2016, 50 nursing students of Khoy University of Medical Sciences were randomly selected and randomly assigned to experimental and control groups. For the experimental group, the intervention program was held in the form of four two-hour training sessions, but no intervention was performed in the control group. Data were collected using spiritual health and spiritual development questionnaires and analyzed by SPSS software using descriptive statistics and inferential tests including independent t-test and paired t-test which was considered statistically significant in case of P <0.05.

The mean age of students was 21.48 ± 1.89. There was no statistically significant difference between the experimental and control groups in the field of spiritual development and spiritual well-being before the educational intervention. After the intervention, there was a statistically significant difference in the mean score of spiritual development between the two groups (p= 0.005). However, there was no statistically significant difference in the mean score of spiritual well-being between the two groups (p> 0.05).

Implementation of a spiritual-oriented educational intervention program was able to increase the spiritual growth and development of nursing students. So, it is suggested that spirituality-based educational programs be designed and implemented in the undergraduate curriculum.

Nurses are always faced with a lot of stress in difficult and critical situations, such as the Covid-19  epidemic, which can affect their job satisfaction. Therefore, this study was conducted to investigate the relationship between organizational climate, job stress and job satisfaction of nurses working in the Covid-19 ward of Imam Khomeini Esfarayen Hospital.

This research is a descriptive-analytical study that was performed in the first quarter of 1399 on 31 nurses working in the Covid-19 ward of Imam Khomeini Hospital in Esfarayen. The sampling method was census. For data collection, three questionnaires of organizational atmosphere, Halpin and Kraft, Stephen Robbins job satisfaction and HSE job stress were used. Descriptive statistics and Pearson correlation test in SPSS 26 software were used to analyze the data.

Job satisfaction was assessed among nurses in low Covid-19 ward, high job stress and moderate organizational climate. Dimensions of interest, co-worker and change had the greatest impact on organizational climate, job satisfaction and job stress, respectively. There was a significant inverse relationship between job satisfaction with organizational climate and job stress (p≤0.05) but no significant relationship was found between organizational climate and job stress (P = 0.407).

The organizational atmosphere created by the care of Covid-19 patients reduces job satisfaction and increases nurses' job stress. Therefore, it is necessary for managers to take the necessary support, encouragement and training measures.

Type 2 diabetes is the most common type of diabetes in the world. Health education can prevent complications or disease progression in patients by changing their behavior. Therefore, this study was conducted to investigate the effect of applying the health belief model on the change of nutritional behavior in women with type 2 diabetes in Shahrekord.

This study is a quasi-experimental study with control group. The target group is patients referring to health centers in Shahrekord. The instrument of study is a 3-part questionnaire including demographic information, model constructs Health Belief and self-assessment checklist of nutritional behaviors. The intervention was conducted in 40-minute six sessions. Data were analyzed by SPSS software and statistical tests before, immediately and three months after the intervention.

The difference between the mean scores of nutritional behaviors and structures of the health belief model, which included: awareness, perceived sensitivity, perceived benefits, perceived barriers before, after and 3 months after the intervention was significant (P <0.05). Among the constructs of the health belief model, the perceived intensity construct was not significant despite the increasing trend (P <0.05).

The findings of this study indicate that education based on the Health Belief Model will improve the nutritional behaviors of female patients with type 2 diabetes and help planners and policymakers to take fundamental steps to change the behavior of this group of patients.

In addition to physical complications, diabetes has psychological consequences such as anxiety and hopelessness. Anxiety leads to high blood sugar and decreased self-care, but hope can play an important role in people adapting to the problems caused by the disease. Therefore, the aim of this study was to determine the level of anxiety, hope and related factors in patients with type 2 diabetes.

This cross-sectional study was performed on 108 patients with type 2 diabetes referred to the Diabetes Center of Hamadan in 2020 who met the inclusion criteria. Samples were selected as available. Data were collected by Demographic Questionnaire, Cattell Anxiety Questionnaire and Omid Snyder Questionnaire. Data analysis was performed using SPSS-24 software and descriptive and inferential statistics.

In patients with type 2 diabetes, the mean of latent anxiety was 14.41±2.62, overt anxiety was 14.84±2.59, total anxiety was 29.25±4.95, and the mean of hope was 31.35±5.67. No significant relationship was observed between anxiety and hope (P>0.05). Among the studied personal and clinical variables, only the history of hospitalization and treatment method had a significant relationship with overt anxiety (P <0.05).

Patients with type 2 diabetes experienced moderate levels of anxiety and hope. Hospitalization history and type of injection therapy were significantly associated with overt anxiety. Appropriate interventions are needed to increase hope and reduce anxiety in patients with type 2 diabetes.

Reality therapy states that human beings always behave in such a way as to control the world and themselves to satisfy their needs, and this style of control can play a role in causing psychological problems, but human beings can accept responsibility for their behaviors and have more satisfaction in life. The aim of this study was to determine the effectiveness of reality therapy on anxiety sensitivity and coping strategies in patients with Multiple Sclerosis.

The quasi-experimental research design is pre-test-post-test with a control group. The statistical population included women with MS who referred to the MS Association of Urmia in 1398, from which a sample of 30 people were selected by available sampling method and randomly divided into two groups. 15 people were replaced. For the experimental group, reality therapy was presented in 8 sessions of 1.5 hours, while the control group did not receive training. Research tools include Reese and Peterson Anxiety Sensitivity Scale, (1985). Andler and Parker Coping Strategies Questionnaire, (1990). Was. In order to analyze the data, univariate analysis of covariance was used at a significance level of 0.05.

The results showed that reality therapy can make significant changes in anxiety sensitivity (p <0.05) and coping strategies (p <0.05) so that the experimental group than the control group more than problem-oriented coping style. And used fewer emotion-coping and avoidance coping styles.

Findings of this study provide useful information about reality therapy, anxiety sensitivity and coping strategies and how to change and improve them. Counselors and psychologists can use reality therapy to reduce anxiety sensitivity and improve coping strategies in patients with MS.

Today, time is an important element in therapeutic interventions. In addition to the care task, nurses are also responsible for time management, which has an important role in using the quality of nursing care and patient satisfaction. Accordingly, the present study was conducted with the aim of determining the relationship between Time Management and the Quality of Nursing Care and Satisfaction of patients admitted to teaching hospitals in Khuzestan province, 2020.

In this descriptive-analytical study, 880 people (576 patients and 304 nurses) were selected by random sampling method. The research instruments were a questionnaire containing demographic questions, a questionnaire of four dimensions of time management, a standard questionnaire of quality nursing care and a questionnaire of patients' satisfaction with the quality of nursing care. Data were analyzed using SPSS-23 software and descriptive and inferential statistics (frequency distribution, Pearson correlation coefficient).

The mean age of nurses was (33/39 ± 7/21) and patients were (36/14 ± 13/31) years There was a significant relationship between time management and quality of nursing care from the perspective of nurses and time management and quality of nursing care from the perspective of patients and the quality of nursing care and patients' satisfaction with the quality of nursing care (p<0/001). No significant relationship was found between time management and patient satisfaction (p=0/253).  

Considering the relationship between the quality of nursing care and the average level of satisfaction that patients had with the performance of nurses. It is suggested that nurses' performance and Patients satisfaction be evaluated and measured by managers with a closer look