مجله پژوهش پرستاری ایران
پیاپی 80 (آذر و دی 1401)

Hospitalized patients with substance use disorders are known as one of the biggest challenges in the health system. In this regard, there is strong evidence that nurses face challenges in caring for these patients.

This research was done by systematic review method. Search with keywords comorbidities, Nursing care, Dual diagnosis, Substance-Related Disorders, substance use disorders, substance abuse, drug abuse, multimorbidity, concurrent disorders, co-existing disorders have been performed in electronic databases Sid, magiran, civilica, google scholar and pub med from 1998 to 2022. Articles in English and Persian containing challenges or solutions related to the problems of nursing care of patients with co-morbidities with substance use disorders, qualitative, quantitative, Mixed and review studies, articles with access to their full text were included in the study. Location restrictions were not considered.

The results of 23 studies show that nurses in the nursing care of patients with substance use disorders, in four areas of Emotional (48% Studies), caring (39%), educational (48%) and supportive (43%) with challenges such as feelings of burnout, risk, lack of knowledge, lack of skills and ambiguity of role Etc. are encountered.

According to the results of the study, nurses need additional training and support to care for these patients. Applied training along with at least moderate level of role support and emotional support by improving qualifications, knowledge and skills can be effective in solving the problems related to the care of these patients. The development of guidelines, policies and specific government policies, to care for these patients, can prevent the confusion and inability of nurses to care. In addition, close communication and links between health service providers and experts in the field, promotion of interdisciplinary partnerships and working alliances can be used to solve care challenges and obstacles.

Diabetes is a chronic disease that widely affects the lives of patients and adherence to treatment and hope is an important component in the successful management of the disease. The aim of this study was to evaluate the effectiveness of cognitive-behavioral therapy on following the physician's instructions and quality of life in patients with type 2 diabetes of Shohada ZirAab Hospital.

The present study was a quasi-experimental with pretest-posttest design and control group. The statistical population of the present study included all diabetic patients referred to the Diabetes Clinic of Savadkooh Shohada ZirAab Hospital.in 1399. Thirty people were selected by available sampling method and randomly assigned to experimental groups (15 people) and control groups (15 people). The experimental group underwent 8 sessions of 90 minutes of cognitive-behavioral therapy and no action was taken for the control group. Data collection tools included quality of life questionnaire and general adherence scale.

The results show that by controlling the pre-test scores, the effect of the group on the post-test score of the variable was overall compliance (P = 0.001, F = 56.73) and quality of life (Lambda Wickles = 0.07, p<, 0.001, F=21/59) is significant. Cognitive-behavioral therapy has significantly increased the variable scores of overall adherence and quality of life in the intervention group compared to the control group.

According to the results of the intervention, cognitive-behavioral therapy can help chronic patients to increase compliance with physician instructions and hope.

Mental health and perceived social support are important variables in preventing marital boredom in infertile women. The aim of this study was to predict marital boredom based on perceived social support and mental health in infertile women.

The present study was a correlational study. The statistical population included infertile women referring to the infertility ward of Khatam Al-Anbia Hospital in Tehran in 2009-2010. Through available sampling, 361 people were selected to participate in the study. Questionnaires of marital boredom, perceived social support and general health were used to collect data. Pearson correlation coefficient and regression methods were used to analyze the data using SPSS software version 22.

According to the results, mental health, total social support score, support component of family, friends and important individuals had a significant negative correlation coefficient with marital boredom. The results of regression in predicting marital boredom through the dimensions of social support and mental health show that among the predictor variables, mental health had a significant role in predicting marital boredom (p <0.05) and the ability to explain 21% of The variance of marital boredom was at the level of 0.001.

Perceived social support and mental health in infertile couples are associated with marital boredom in this group.

Emergency department is a wide and complicated place and admits different kind of patients because of this factors it is a talented place for occurring nursing errors.nursing errors are evaluated as an important index to show the lower quality of health care service.the aim of this study was to evaluate the frequency and causes of nursing errors and prevention strategies from the perspectives of emergency department nurses in selected hospitals affiliated to Iran university of Medical Sciences in 2021.

The present study was a descriptive research conducted on the nurses who were working in the emergency wards of the selected hospitals (Hazratrasoul, Firozgar, Haft e tir) affiliated to Iran University of Medical Sciences in 2021. 101 emergency nurses participated in this study.to collect data a questionnaire including (demographic characteristics, frequency of errors, the causes of errors and prevention strategies) was used. Generally, 101 questionnaires collected and data analysis using descriptive statistics by SPSS was performed.

The results showed that not using of protective equipment such as gloves, masks an (38%), non-compliance with sterile technique (36%), not having a proper connection with patient during the nursing procedure (35%), lack of educating the patients before discharge (32%) had the most frequency between errors. The most important causes of nursing errors from the perspective of emergency nurses were being overcrowded and busy (64%), fatigue because of high volume of work (53%) and staff shortage toward patients (52%).also the most important preventive strategies were increase the number of nurses (75%), lower the nursing work time (67%) and employ experienced nurses in emergency wards (54%).

Prevention is the best way of reducing errors so by recognizing the frequency of nursing errors and causes of that and preventing strategies in the view of emergency nurses can prevent the incidence of errors and promote patient safety and care quality.

Due to the global spread of Covid-19 virus, this new disease besides having physical effects, can have a serious impact on people's mental health and increase anxiety. The purpose of this study was to determine hypochondriasis and related factors in the general population of Iran during the Covid-19 pandemic in 2020.

This web-based cross-sectional study was conducted on 1633 individuals from the general population of Iran between August and February 2020. Data were collected using online questionnaires via social media such as WhatsApp and Telegram. To evaluate hypochondriasis, the questionnaire of hypochondriasis was used. Then, the results were analyzed using SPSS software version 16 and descriptive and analytical statistics.

The mean score of hypochondriasis was 11.23± 5.99. Using multiple linear regression analysis, it was found that high hypochondriasis was significantly associated with youth, female gender, chronic disease, death of family members, relatives or friends due to COVID-19 disease, contact with suspicious or confirmed cases of COVID- 19, persistent thinking of COVID-19, hospitalization history, smoking, drug use, and low physical activity (P<0.05).

Since the Covid-19 pandemic has serious effects on the physical and mental health of different groups in society, identification of the psychological condition of different people in society being affected by COVID-19 disease is necessary to present appropriate and purposeful psychiatric protocols and plans for the mental health of individuals.

One of the important conditions for maintaining a skilled workforce is to create a healthy and safe work environment through which the negative job consequences are reduced and the positive job results of skilled manpower of organizations and institutions are increased. Therefore, the present study was conducted to investigate the effect of job role stressors with respect to mediating stress arousal on nurses' job outcomes.

The statistical population of the present study was all nurses working in hospitals in the west of Mazandaran province (1878 people in 1398) from which 352 people were selected by stratified random sampling. In this study, Rizzo and Lust (1970) job stress questionnaire, Linz employee job satisfaction questionnaire (2003), Lango and Marrow (2011) standard job quest questionnaire, Metavildo and Scooter employee job performance questionnaire (1994), and scale Stress arousal was used by Smith et al. (2012). Data were analyzed using Pearson correlation coefficient and structural equation modeling using SPSS-24 and Amos-24 software.

The results of path analysis showed that the fit of the model is appropriate. The results also showed that stressors of job role and mental preparation have a direct and significant effect on job results. Stress arousal also has an indirect and significant effect on job results.

Considering the important role of stress arousal on nurses' job outcomes, it seems necessary for managers and officials of health centers to pay attention to this matter, so it is recommended to study the causes and appropriate strategies to reduce job stress. Holding training workshops on teaching coping strategies can be effective in improving the job performance of nurses.

Increasing life expectancy has led to a significant increase in the growth rate of the elderly population. In parallel with this increase, the elderly is affected by various diseases and required to use various drugs. Consumption of a large number of drugs can cause various injuries and problems for the elderly contrary to what is expected, so this study aims to investigate polypharmacy management strategies in the elderly.

By reviewing the database of SID, IranDoc, Google scholar, PubMed, Medline, Scopus, Cochrane Library, Science Direct and using the keywords "elderly/older adults", "management", "drug adherence" and "polypharmacy"; all articles examining polypharmacy management strategies in the elderly, were examined by PRISMA checklist and included in the study. Electronic search was performed in the period 2015-2022.

Among the 20 reviewed articles it was identified the use of strategies such as; Physician-pharmacist interaction, educating the elderly about self-medication hazards, informing the elderly about herbal medicine limitations, using electronic tools to monitor the process of drug use and using protocols and guidelines for prescribing, can surprisingly reduce the number of medications in the elderly medication regimen and made it much easier to take medication in this age group.

Polypharmacy is one of the problems that many elderly people face today. This phenomenon can cause various damage to the health status of these people in the long term. Examining the strategies that can prevent polypharmacy in the elderly, can greatly maintain and improve the health index in the elderly, so the attention of the health care system in the community and also groups of the elderly, especially nurses in this field, to this issue is essential.

One of the important factors on the efficiency and productivity of employees in the organization is the quality of work life. The main purpose of this study is to investigate the factors affecting the quality of work life of nurses and its relationship with the lifestyle of nurses in hospitals under the auspices of Tabriz University of Medical Sciences during the Covid 19 epidemic.

The present study was a descriptive-analytical study that was performed on 330 nurses of Sina and Imam Reza hospitals in Tabriz who were randomly selected. The data of the study were collected using the standard questionnaire of quality of life of the payer and Jazayeri (1398) and the standard questionnaire of the lifestyle of Kern et al. (2016). The data were presented using descriptive and analytical statistics and Pearson statistical tests, confirmatory factor analysis method. SPSS, Amos software was used to analyze the data.

The results of data analysis showed that managerial, structural, economic, social, cultural and psychological factors affect the quality of work life of nurses. There is also a positive and significant relationship between lifestyle and quality of work life of nurses during the Covid epidemic (PV <0.05).

One of the important issues of the Covid 19 epidemic period is the factors that determine the quality of working life. Because nurses face a number of special problems during the Covid 19 era, these problems can be prevented by lifestyle modification. Therefore, it is suggested that health managers and policy makers plan on a healthy lifestyle to improve the quality of life of nurses during the Covid 19 epidemic.