مجله آموزش پرستاری
سال دوازدهم شماره 4 (پیاپی 60، مهر و آبان 1402)

Hospitalization of patients in cardiac intensive care units is associated with negative outcomes .Therefore, this study was conducted with the aim of investigating the effect of the family participation training program in primary nursing care on chest pain in patients of the cardiac special care department of Razi Birjand Hospital in 2021-2022

This study was a semi-experimental before and after study with a control group. A total of 48 patients were randomly selected in a control group and 24 in the intervention group (block of 4 people). 48 other participants also participated patient companions. Together with the patient in the intervention group, they were allowed to be with the patient for 3 days for 30 minutes and participate in their primary clinical care. In the control group, a routine appointment was made in the ward. Chest pain in both groups was measured at the beginning and on the third day of hospitalization. Data were analyzed with SPSS version 16 software.

The mean score of pain intensity was higher in the intervention group than in the control group, but no significant difference was observed between the two groups (p=0.313). However, there was a significant difference between the average pain intensity after the intervention in the two groups (p=0.03).

Using this program can significantly reduce the chest pain of patients. Therefore, it is recommended. The use of this method in special cardiac care units to reduce the heart pains of this patient should be considered by supervisors and officials of these units.

The most important part in COPD patients care plan is teaching and providing self-care skills. Today, mobile phone-based technologies are increasingly proposed for self-care of chronic diseases. This  systematic review study was conducted with the aim of determining the effect of education through mobile phone application on self-care of patients with chronic obstructive pulmonary disease.

To access clinical trial articles, search Persian and English articles with the keywords "self-care", "education", "mobile phone application", "chronic obstructive pulmonary disease" were conducted in reliable Persian databases, SID, Iran Doc, Magiran and  English databases Web of Sciences, PubMed, ProQuest, Google Scholar, Scopus, in the period from 2012 to August 2022. The search and data analysis steps were compiled based on the Prisma standard guide. After reviewing the retrieved texts and removing duplicate and unrelated items, a total of 6 articles were selected in line with the objectives of this study and after checking the quality of the selected articles, it was analyzed.

education based on the application is about how to follow a proper diet, how to follow the prescribed medication regimen, daily activities, exercise and physical activity, eliminating harmful habits such as smoking, counseling and talking with friends, having family and non-family support, and skills How to use the oxygen device and breathing sprays.

Benefiting from mobile phone-based technologies in self-care of chronic diseases at different levels of the health system will reduce the burden of diseases and develop the educational role of nurses and health care providers in society.

Among cardiovascular diseases, coronary artery diseases are responsible for half of all deaths. The control of this disease includes pharmacological and non-pharmacological interventions. The aim of the current study is to investigate the effectiveness of the home-based rehabilitation program on the physical, psychological, and social indicators of patients with coronary heart disease in recent years.

The present review was conducted according to the method of Whitehorse and Knafl (2005). This review consists of 5 steps. These steps include identifying the problem, reviewing the literature, evaluating the data, analyzing the studies included in the study, and presenting the results of the data In the current study, PubMed, Cochrane Library, and Science Direct, as comprehensive and extensive databases that provide access to the full text of most articles, were searched with the keywords Coronary heart disease -Home-based cardiac rehabilitation. In terms of time, a limit was considered from 2012 to 2022.

The search result in the first stage included 105 articles. After reviewing the titles and abstracts of the articles, a large number of articles were excluded due to irrelevant or duplicated databases. Finally, 9 articles were included in the study. Finally, the findings of the article are classified according to three physical, psychological, and social indicators.

The results of this study show that the home-based cardiac rehabilitation program is effective on the psychological, social and physical indicators of patients with coronary artery disease.

Cardiopulmonary resuscitation (CPR) is the main treatment for cardiopulmonary arrest, one of the most common causes of death. Training courses must be evaluated to increase CPR quality. This research aims to determine the effectiveness of CPR training on the performance of nurses based on the Kirkpatrick model.

A randomized controlled trial recruited 94 nurses of the CPR team selected with sequential non-probability sampling at Shahid Rahimi teaching hospital in Khorramabad October 2021-2022. They were divided into interventions  n=47 and control groups  n=47. Both groups had a 2-hour theory class, but only the intervention group had a 4-hour basic and advanced defibrillation and CPR practical class. Level 3 of the Kirkpatrick training evaluation model was used. Data was collected in a researcher-made knowledge and reaction questionnaire using Madden's performance observation checklist. The validity and reliability of  these questions were confirmed. Data were analyzed with Fisher's exact test, chi-square test of independence, paired t-test, and ANCOVA (P ˂ 0.05) in SPSS  software version 22.

No statistically significant differences were observed in the demographic variables of the two groups. After the intervention, the average scores of the knowledge and skill level increased in the intervention group and decreased in the control group, but the scores of the reaction level did not change significantly, and no statistically significant difference was observed between the two groups in terms of the average change of the reaction level scores of the nursing staff (P=0.455). However, statistically significant differences were observed in the mean change in scores for defibrillation knowledge (P=0.038), CPR knowledge (P=0.007), defibrillation skills (P˂0.001) and CPR skills (P˂0.001).

Theoretical and practical training increases satisfaction, knowledge, and performance based on kirkpatricks model. The evaluations of effectiveness resuscitation training based on Kirkpatrick's model are recommended.

Patients with diabetes usually experience a lot of psychological vulnerability after diagnosis and during the treatment process, and one of the factors related to a psychological vulnerability in patients with diabetes is behavioral brain systems, so this research aims to determine the causal relationships between the brain system Behavior with psychological vulnerability in female patients with diabetes was conducted based on the mediator role of anxiety sensitivity.

The research method is descriptive and based on structural equations. The study’s statistical population included all women with diabetes in the specialized diabetes clinic of Karaj City in the first half of 2011. According to the number of observed variables in this research, 380 people were selected as samples. Data were collected using Carver and White's Behavioral Brain Systems Questionnaire, Mental Health Questionnaire (SCL-25), and Taylor and Cox Anxiety Sensitivity. Data analysis was done using SPSS and AMOS version 18 software. Data were analyzed using Pearson's correlation coefficient and structural equation modeling.

The results showed that the total path coefficient between the behavioral inhibition system and psychological vulnerability (β=0.300, P=0.001) is positive and the total path coefficient between the behavioral activation system and psychological vulnerability (β=0.241, P=0.001) is negative. And it is meaningful. The path coefficient between anxiety sensitivity and psychological vulnerability (p=0.001, β=0.384) was positive and significant. The coefficient of the indirect path between the behavioral inhibition system and psychological vulnerability (P=0.002, β=0.071) is positive and the coefficient of the indirect path between the behavioral activation system and psychological vulnerability (P=0.001, β=0.117) is negative and it was meaningful.

Based on this, it was concluded that among patients, anxiety sensitivity mediates the effect of the behavioral inhibition system on psychological vulnerability in a positive way and the behavioral activation system in a negative and meaningful way, and it is suggested that to comply with treatment in chronic patients, in addition to disease and complications It also paid special attention to mental health.

There has always been a gap between nursing education and clinical practice, and nursing scientists have used several philosophical schools to reduce this gap. This article aims at the role of practical philosophy in reducing the distance between nursing education and clinical nursing.

This is a scoping review based on the five steps proposed by Arksey & O'Malley (2005). According to the above, a review of studies by searching the databases of PubMed, Scopus, WOS, Google Scholar, Ovid, Magiran, and SID in the period from 2010 to 2022 with the keywords philosophy of pragmatism, nursing education, clinical Nursing, and nursing practice was performed. A total of 36 articles were obtained, of which 13 studies were reviewed and analyzed.

According to this study, nursing is described as a clinical or pragmatic profession, because pragmatism has transformed nursing into a pragmatic profession by influencing the application of knowledge in practice, effective care, and practical training. which enables nurses to use this school to help reduce the gap between nursing education and clinical nursing.

The results showed that pragmatism is a practical philosophy to support and integrate education with clinical nursing. The best action can help nurses improve the practical basis of using theory education and nursing theories.

Critical thinking and the clinical decision-making power of nurses is one of the factors to improve the quality of health care. This research was conducted with the aim of determining the relationship between critical thinking and clinical decision-making with the quality of nursing care of medical surgical nurses.

This descriptive and analytical cross-sectional study was conducted on 226 nurses working in medical-surgical wards in educational and therapeutic centers affiliated to Isfahan University of Medical Sciences in 2021. Data were collected through the California Critical Thinking Skills, Clinical Decision Making, and Quality of Nursing Care questionnaires and using a multi-stage stratified sampling method. The findings were analyzed using descriptive (frequency, percentage, mean, and standard variation) and inferential tests (Pearson correlation coefficient, independent t, ANOVA) in SPSS software version 18. A significance level of P < 0.05 was considered.

The mean score of critical thinking (maxim score:35), clinical decision-making (maxim score:120), and quality of nursing care (maxim score:260) was 7.99, 87.72, and, 199.43 respectively.  They had high nursing care quality (83.2%) and, poor critical thinking (88.1%). The Pearson correlation coefficient did not show a significant relationship between the critical thinking score and the nursing care quality score (P=0.28). But the results showed a significant relationship between the clinical decision-making score and the nursing care quality score (P<0.001).

The findings showed that there was a relationship between the clinical decision-making score and the nursing care quality score, but no relationship was observed between the critical thinking score and the nursing care quality score. The critical thinking of the participants was reported to be at a weak level, therefore, the need to train nursing students and nurses in order to strengthen critical thinking and finally improve the clinical decision-making power and increase the quality of nursing care is recommended.

Clinical education is the basis of nursing education. In addition to the educational environment, a supportive environment may also help achieve the goals of internships and student's satisfaction with the acquisition of clinical skills. The present study was designed to determine the impact of a supportive clinical environment on nursing students' satisfaction.

This quasi-experimental study with post-test and control group was performed in Mashhad teaching hospitals in the academic year 2018-2019 with the participation of 60 nursing students who were randomly assigned to two equal intervention and control groups. For the students of the intervention group, the supportive clinical environment program, which included three components of knowledge, skills and learning context, was held for two weeks (50 hours). After the intervention, their satisfaction was measured with a clinical education satisfaction questionnaire. Data were analyzed using SPSS 16 software and independent t-test and chi-square. The significance level was considered 0.05 in all tests.

The mean and standard deviation of the students age was in the intervention group (20.9 ± 0.8 years) and control (20.3 ± 1.1 years) (p=0.232). The result of independent t-test showed that after the intervention, the mean of the total satisfaction score of the students in the intervention group [85.4 ± 11.4] was 26.9% higher than the control group (67.3 ± 15.8) (p < 0.001). Also, the highest satisfaction score was related to the performance of the instructor in the intervention group and the lowest satisfaction score was related to the scope of dealing with the student in the control group (P <0.05).

Creating a supportive clinical environment enhances students' satisfaction, especially in the area of ​​instructor performance and dealing with students, and it is recommended to pay more attention to it in planning nursing clinical education.

Due to the high prevalence of type 2 diabetes and the importance of health hardiness on the physical and mental health of these elderly people. This study aims to determine the effectiveness of life skills training on health hardiness, fasting, and two-hour blood sugar in the elderly with type 2 diabetes.

This was a semi-experimental study with a pre-test and post-test design with a control group. The study population consists of the elderly with type 2 diabetes members of Jahandidegan center in Shiraz, Iran in 2022. Based on the inclusion and exclusion criteria, 30 subjects were selected and randomly divided into two groups, one experimental and one control group.Elderly people who were suffering from type 2 diabetes were evaluated with a demographic form, revised health hardiness inventory-24, and an Avan home blood glucose meter. The experimental group underwent the intervention of 10 sessions of 75 minutes of life skills training, and the control group was waiting to receive the training after completing the study. Data analysis was conducted in the SPSS-24 using a single and multivariate covariance analysis at a significance level of p<0.05.

The findings showed elderly people with an average age of 68.17 years that the experimental and control groups were not significantly different in demographic indicators (P>0.05). Life skills training led to the improvement of health hardiness and two-hour blood sugar of the elderly with type 2 diabetes (p<0.005), but it had no effect on fasting blood sugar (p>0.05).

The present study showed that life skills training can increase health hardiness and decrease two-hour blood sugar in the elderly with type 2 diabetes. The use of this simple and useful method is recommended by mental health specialists and therapists in the field of geriatric rehabilitation.

Stroke is the second cause of death and the third cause of disability in the world. This study was conducted with the aim of investigating the effect of providing a spiritual care program in the form of WhatsApp and telephone follow-up on the quality of life of stroke patients and their caregivers after discharge from the hospital.

This research was conducted on 64 stroke patients and their caregivers being discharged from Hospital in the year 1400. They were randomly divided into two groups of 32 people. The spiritual care-educational program was presented to the patients and their caregivers in the intervention group, and follow-up was done by phone. The information of the patients and their caregivers was collected using the demographic information questionnaire, the Williams stroke-specific quality of life questionnaire (SS-QOL) and the SF-36 quality of life scale in the three stages before, immediately and six weeks after the implementation. The data were analyzed by using independent t-test and variance of repeated observations with SPSS version 20 software.

The results showed that the total quality of life score of the intervention group patients after the intervention with a mean and a standard deviation of 191.09±39.23 and their caregivers with 72.87±18.19 compared to before the intervention increased significantly (P < 0.05). Also, the average scores of patients and their caregivers' quality of life in the almost of areas increased significantly after the implementation (P < 0.05).

According to the findings, this spiritual care program has a positive effect on the quality of life of stroke patients and their caregivers. Therefore, spiritual intervention through WhatsApp and telephone follow-up can be considered as a suitable tool to improve their quality of life.

Patients undergoing hemodialysis face various complications such as constipation, which affects their quality of life. This study was conducted with the aim of determining the effect of Cassia Fistula syrup on the quality of life of constipated patients undergoing hemodialysis.

The present study is a three-blind clinical trial that was conducted between July 2021 and April 2022 on hemodialysis patients in four hospitals affiliated with the Shahrekord University of Medical Sciences. In this clinical trial, 70 constipated patients undergoing hemodialysis were selected by the available method and after random allocation into two drug and placebo groups. For 30 days, the drug group received 10% Folus syrup (each 1 ml contains one-tenth of a gram of dried Folus fruit pulp) in the amount of 10 ml twice a day, and the placebo group received the same amount of placebo syrup. At the beginning of the study, demographic and clinical questionnaires were completed for all patients. Before and 30 days after the intervention, the quality-of-life questionnaire in patients with constipation was completed by the patients. Data analysis was done by SPSS version 22 software. A significance level of 0.05 was considered.

Before and after the intervention, the two groups were similar in terms of demographic variables. The results of the covariance test showed that according to the significance level of 0.05 and the non-significance of the P- value, in the total score of the quality of life questionnaire for patients with constipation (P = 0.251) in both drug and placebo groups means that the outcome variable (post-test) in the two groups, there was no statistically significant difference, The intervention did not affect the quality of life of the patients with constipation, and in other words, the placebo and drug groups had similar effects.

The use of Cassia Fistula syrup has not affected the quality of life of hemodialysis patients.

Improving the knowledge and Practices of the residents has a significant impact on the quality of care provided by them. this study was conducted with the aim of determining the knowledge and practice of Residents of Bushehr Province Regarding Risk factors of cardiovascular diseases and their prevention strategies in Bushehr province in 2016.Practice.

This is a descriptive-analytical cross-sectional study. The researched population was the Residents in the health centers of Bushehr province (391 people) who were included in the study by census method.  The demographic information, knowledge, and practices questionnaires were used by the self-report method. After entering the SPSS 19 statistical software, the data were analyzed using Descriptive and analytical tests (Mann-Whitney, Kruskal-Wallis, and Pearson correlation coefficient).

The Results showed that 62.42% (244 people) people had good knowledge, 35.54% (139 people) had average knowledge, and 2.04% (8 people) had poor knowledge. Also, most of the people had good performance, 86.68% (338 people), 10.74% (42 people) had average performance, and 2.58% (11 people) had poor performance. The lowest and highest knowledge and practice are in the area of (smoking and blood pressure) and (smoking and diabetes).

Our study showed that the average score of the knowledge and practices of residents regarding the control of cardiovascular disease is higher than the average score. Considering the priority of educational needs in the field of knowledge and practices, which is related to the knowledge of Residents about the risk factor of tobacco and the Practices of Residents in the field of encouraging patients to be more physically active, Therefore, it is recommended to design and implement retraining courses for the prevention of cardiovascular diseases and the risk factors.