نشریه مراقبت سرطان
سال دوم شماره 2 (پیاپی 6، تابستان 1400)

The aim of this study was to evaluate the effectiveness of compassion-based therapy on self-criticism and sexual schemas in women with breast cancer.

The method of this research was quasi-experimental using pre-test and post-test design with two experimental and control groups. The statistical population of this study included all female patients with breast cancer in Imam Khomeini Hospital (RA) who referred to this hospital in 2009-2010. According to the announced statistics, there were about 250 people and among them using Available sampling 30 people were randomly selected and randomly assigned to experimental and control groups (each group consisting of 15 people). Then, Thomson and Zoroff (2004) self-criticism questionnaires and Anderson and Siranowski (1994) sexual schemas were completed by both groups. The compassion-based treatment program was then administered to the experimental group. Then the questionnaires mentioned above were completed again by both groups. Data were analyzed using SPSS software version 24 and analysis of covariance.

The findings showed that the effect of compassion-based therapy on self-criticism and sexual schemas was significant in women with breast cancer (P = 0.001)

Therefore, it can be said that compassion-based therapy is one of the therapies of the third wave group of psychological therapies that has been able to improve the level of self-criticism and sexual schemas of women with breast cancer.

Pain is an unpleasant feel and the pain of treatment proceedings is more than cancer pain. Present study aimed to predict Pain based on Emotional Expression with mediating role of life Style in Women with Breast cancer in Pandemic COVID-19

This study was quantitative and methodology of correlation. participants were Women with breast Cancer in 2020 in Tehran. 160 Women with breast Cancer with inclusion criteria were selected by available sampling and completed the questionnaires of King and Emmons’s Emotional Expression (1991), Lali and et al’s life style (2012) and Mc Gill, s pain (1973). Data were analyzed by Pearson’s correlation and SEM.

The results indicated that positive Emotional Expression negatively correlate pain and negative Emotional Expression negatively correlate pain (P<0.01). The results of SEM showed that life style significantly mediate on the prediction of pain based on positive and negative Emotional Expression in Women with breast Cancer in Pandemic COVID-19 (P<0.01).

Emotional Expression effect pain of women with breast Cancer through changing in physical feels and pain perception and healthy life style effects through recovering immune system and positive Emotional Expression, that was led to experience less pain in treatment proceedings in Pandemic COVID-19. In order to decrease Cancer pain, nurses should pay attention to Emotional Expression and and through counselling and training, cancer patients were encouraged to healthy life style.

Breast cancer is the most common and the first cause of cancer death among women. Today, with early diagnosis and existing treatment methods, the chances of survival of these patients are increasing. One of the most important treatment methods in these patients is breast surgery, which is considered as an anxious experience from the time the patient is aware of the need for surgery to the time of admitted in hospital. Preoperative awareness is one of the effective and essential methods to help reduce anxiety caused by surgery. The aim of this study was to determine the effect of preoperative awareness on anxiety in patients candidates for breast cancer surgery in 2019. 

The present study is a randomized clinical trial before and after intervention on 80 patients (40 in the control group, 40 in the intervention group) admitted to the surgery department of the Cancer Institute of Imam Khomeini Hospital by sampling method in access was done by random allocation through 4 blocks. Data collection tools included demographic characteristics, DASS-21 Stress Anxiety Depression Scale and educational intervention for patients in the control group of routine training and in the intervention group awareness based on the training booklet approved by cancer experts. Findings were analyzed using SPSS software version 21.

The analysis of the results showed a statistically significant difference in the mean scores of anxiety before and after in both control groups (P <0.001) and intervention group (P = <0.001) based on paired t-test. Also, independent t-test showed a statistically significant difference between the anxiety scores of patients after surgery in the intervention and control groups, so that the mean score in the intervention group was lower (P <0.001). 

The results of the present study indicate that the use of an educational booklet to raise awareness about post-surgical care knowledge and how to adapt to physical changes can reduce patientschr('39') anxiety and as a complementary method in training. The findings of this study have opened the way for conducting research focusing on the impact of awareness on anxiety, stress and depression in first class family of patients with breast cancer candidates.

Pediatric palliative care defined as any intervention that focuses on relieving suffering, slowing the progression of disease, and improving quality of life at any stage of disease is rather a new concept in Iran's health care system. This study aims at needs assessment of delivering pediatric palliative care from the viewpoint of pediatric nurses and physicians. 

211 pediatricians and pediatric nurses participated in this descriptive study. A self-administered pre-tested standardized questionnaire was used as the study material. Needs assessment of delivering pediatric palliative care was investigated through 28 Likert questions mainly on three domains including National, Family and Child (scores ranging from 28 to 140). To confirm the items on the questionnaire, confirmatory factor analysis was used. Mean scores of each domain was compared using Mann-Whitney test and Kruskal-Wallis. Correlations were studied through Pearson Correlation Test. Data was analyzed by SPSS version 21.

Overall score of necessity for delivering pediatric palliative care was 130.43. The item "Considering ethical issues while contacting the family" had the highest score (4.4±0.28) in the Family domain." In two other domains, National and Child, the items " Trying to have a peaceful death in the late stages of life " and " To benefit equally from palliative care" had the highest scores respectively (4.2±0.52 and 4.1±0.4).

The results of this study revealed the necessity of delivering pediatric palliative care in Iran. Additionally, considering ethical issues in palliative medicine and providing justice-oriented care were indicated as important subjects in this area. In the end, a pediatric palliative care model was designed based on the total score and the items of the questionnaire.

Cancer is one of the rare and chronic diseases in children. It is always accompanied by psychological problems. Anxiety and hopelessness are the most common mood disorders in cancer patients. Therefore, the aim of the current research was to determine the efficacy of laughter therapy on anxiety and hopelessness in children with cancer in Ardabil.

  This study was semi-experimental with pre-test and post-test with the control group. The statistical population consisted of all children with cancer referred to Boali Hospital Training center year of 1397-1398 in Ardebil.30 children were chosen through available sampling, and randomly divided into two experimental and control groups (16 subjects each). The experimental group received 8 sessions of laughter therapy with Comic Clip Broadcast for 45 minutes. The research Tools were: 1) The Kazdin Hopelessness Scale for children (1979).  2) The Spence Children’s Anxiety Scale (1997).  Statistical analyses were conducted by Covariance analysis and SPSS software version 24.

The results of covariance analysis indicated that laughter therapy significantly reduced anxiety and hopelessness scores in the post-test. (P <0.01).

According to the finding of the study, it can be said that the use of laughter therapy is effective in reducing anxiety and hopelessness, so this treatment can be used as a complementary treatment along with the main cancer treatments.

unhealthy lifestyle can increase the incidence of new cases of colorectal cancer as well as the recurrence rate and mortality in patients with colorectal cancer. This study was conducted to determine the effect of implementing a lifestyle-based support program on adherence to the treatment regimen in colorectal cancer survivors.

In this two-group randomized clinical trial, 66 survivors who met the inclusion criteria were included in the study and then randomly assigned to the experimental and control groups. In this study, the experimental group received six sessions of face-to-face training each session for 30 minutes individually and based on the specific needs of each patient in the clinic at two-week intervals and based on different dimensions of colorectal cancer and patients' problems. They received routine care, including referrals to quarterly clinic visits, tests, diagnostic tests, and educational pamphlets. Morisky Drug Adherence Questionnaire were completed by patients before and 2 months after the intervention. Data were analyzed using SPSS software version 16 and descriptive statistics (frequency, mean, standard deviation) and inferential statistics (Chi-square, Fisher's exact test, independent t-test).

Adherence to the treatment regimen before and after the intervention was significantly different in the intervention and control groups (P<0.001).

Interventions such as implementing a lifestyle-based support program can improve adherence to treatment, so it can be provided as a patient education in the form of lifestyle modification to colorectal cancer survivors.

Helicobacter pylori is one of the most potent risk factors in gastric cancer, This bacterium has several pathogens that each of the pathogens can play a role in causing cancer.

The present study is a classic review (expert opinion), in which articles published in English and Persian languages from Web of Science, Scopus, PubMed, Magiran, IranMede, and scientific information database (SID) databases without any time limitation were explored using standardized keywords of H. pylori, inflammation, gastric cancer, a combination of the above words, and other synonymous keywords. Finally, the information and obtained results were collected and interpreted.

In total, 11 of the 145 articles reviewed had inclusion criteria with the approval of the responsible author. According to the results, the prevalence of peptic ulcer (PU) is decreasing due to antibiotic treatment of H. pylori, However, the development of chronic bacterial inflammation due to pathogenic mechanisms and factors, especially the role of cagA and vacA genes in gastric cancer, remains an important medical problem.

According to our current knowledge, screening and on-time diagnosis of the disease, treatment, and immediate eradication of H. pylori is one of the most critical ways to barricade gastric cancer progress. Therefore, targeting TLR and Pathogenic factors of H. pylori to induce apoptosis and stimulate the immune system will be a promising, attractive, and helpful method for cancer prevention.