Evidence Based Care
Volume:13 Issue: 4, Winter 2023

Transferring patients from intensive care units to general units can increase anxiety in patients and their families, which can lead to re-admission of patients in intensive units and increase hospitalization costs.

The present study was performed with aim to determine the effect of the transition nursing program from intensive care units to general units on the anxiety and satisfaction of patients and their families.

This randomized clinical trial study was conducted on 50 patients hospitalized in surgical ICUs and 50 of their relatives. The research units were randomly assigned to the intervention and control groups. Before transfer, patients and their families filled out the Spielberger and satisfaction questionnaire. Then, the transition nursing program was implemented and the patient was examined by the liaison nurse immediately, 8, 16 and 24 hours after transfer. Then, the questionnaires were filled out again. Data were analyzed by SPSS software (version 22). p<0.05 was considered statistically significant.

After the implementation of the nursing transfer program, the anxiety of patients (34.68±8.02) and their families (32.52±7.84) reduced in the intervention group compared with the control group (p<0.0001). Also, the satisfaction of the patients (47.64±5.65) and their families(45.56±6.10) significantly increased in the intervention group (p<0.000).

Implications for Practice: 

The transition nursing program reduces anxiety and increases the level of satisfaction in patients and their families. The findings of the present research can be suggested to the policymakers and nursing managers in order to plan to improve the role of nurses as liaison nurses.

The COVID-19 pandemic caused depression by creating constant occupational stress. Depression can be one of the most important complications after corona.

The present study was performed with aim to investigate the relationship between occupational stress and depression in emergency medical technicians (EMTs) when facing the patients with suspected COVID-19 after corona peak.

This cross-sectional correlational study was conducted with the participation of 205 EMTs at Zanjan University of Medical Sciences, Zanjan, Iran, 2022. Sampling was done using convenience methods. Data collection tools included a demographic information form, Goldberg depression scale, and House and Rizzo's Work Stress Scale.

The mean of occupational stress and depression were 45.80±6.480 (Range 15-75) and 34.92±19.21 (Range 0-90), respectively. Occupational stress has a positive and significant relationship with depression (r=0.189, p=0.009). Also, Logistic regression showed the level of education (OR=0.577, p=0.029) and employment status (OR=0.647, p=0.050) were identified as protective of occupational stress and the number of children (OR=0.433, p=0.021) identified as a protective factor of depression in EMTs when facing patients with suspected COVID-19.

Implications for Practice: 

This study showed that occupational stress is related to increased depression in EMTs. In addition, some demographic factors protect these disorders. Therefore, it is suggested to pay more attention to psychological symptoms and influencing factors in EMTs post-COVID-19 era. Also, psychological recovery skills should be improved in continuing professional development policy.

Operating room nurses are exposed to disruptive behaviors in different situations in operating room that affect them and their performance.

The present study was performed with aim to explore the experiences of Iranian operating room nurses regarding disruptive behaviors in operating room settings.

This descriptive qualitative study was conducted in different university hospitals of Tehran. The data were collected by deep semi-structured interviews with 17 operating room nurses who were purposefully selected. Finally, the data were analyzed by the conventional content analysis approach.

In this study, four categories were extracted, including "activity in a poisonous atmosphere", "role negligence", "escape to a safety margin for adaptation", and "Indirect confrontation". The theme was "struggle in a limbo atmosphere caused by disruptive behaviors".

Implications for Practice:

 Considering to the effect of disruptive behavior, it seems necessary to take training measures for improving "team-working" in operation room settings. Nursing managers can use the results of this research to determine patient care policies in the operating room in order to promote patient safety and improve the quality of care. It also seems necessary to design and implement a training program to evaluate its effect on changing disruptive behaviors.

The problems such as depression, anxiety, hopelessness, stress and suicide in hemodialysis patients shows the need to support these patients to increase adaptation to the disease. Spiritual therapy introduces the person to the search for meaning, purpose, meaning in life, and the important beliefs and values.

The present study was conducted with aim to determine the effect of spiritual therapy on hope and self-efficacy of hemodialysis patients.

This quasi-experimental study was performed in 2020 on 100 patients undergoing hemodialysis in Amol, Iran. The subjects were randomly divided into case (n=50) and control (n=50) groups. The intervention was performed in case group as 9 training sessions during 5 weeks based on spiritual therapy. Snyder’s Hope and Scherer general self-efficacy standard questionnaires were used to collect data. Data were analyzed by SPSS (version 18) and paired t-test, analysis of covariance and independent t-test. p<0.05 was considered statistically significant.

The mean scores of self-efficacy and hope showed a statistically significant difference before and after spiritual therapy in the case group (p=0.011, p=0.006, respectively). Also, the difference between the mean score of patients’ hope in the case and control groups was statistically significant after the intervention (p=0.006). Also, there was a significant difference between the case and control groups regarding self-efficacy after the intervention (p=0.011).

Implications for Practice:

 Spiritual intervention can be done as an effective and cost-effective method in hemodialysis patients to increase the hope and self-efficacy of these patients.

Preeclampsia is one high blood pressure (hypertension) disorder occurring during pregnancy with adverse effects on both mother and fetus.

The present study was performed with aim to determine the relationship between demographic-obstetrics variables and quantitative adequacy index of prenatal care with preeclampsia.

This case-control study was performed on 90 preeclampsia and 150 non-preeclampsia women referred to the university hospitals in Mashhad. The samples in the case group were selected from the hospitalized individuals with a definite diagnosis of preeclampsia, and those in the control group among pregnant women without preeclampsia referred to receive prenatal care. Data were analyzed by SPSS software (version 22). P<0.05 was considered statistically significant.

The prevalence of preeclampsia was 2 times in women with a history of infertility. Also, 13.3% of women with preeclampsia had anemia (p=0.026), 4.4% had a history of chronic hypertension and the odds of developing preeclampsia in these women was 16 times. The women with preeclampsia received 50% inadequate care, which was 47.2% in the control group.

Implications for Practice: 

Age, body mass index, maternal pre-pregnancy weight, LMP-based gestational age, multiple births, nulliparity, first pregnancy of current spouse, history of infertility and use of assisted reproductive technology, chronic hypertension and history of preeclampsia in individual and first grade relatives, and inadequate prenatal care were the risk factors for preeclampsia. Planning to moderate risk factors, early identification of high-risk individuals, and adequate prenatal care coverage should be considered by healthcare providers to decrease the complications of preeclampsia.

Sexual dysfunction and incontinence are of the most crucial health concerns in the postpartum period, especially in the case of normal childbirth. Exercise interventions can be effective to reduce the aforementioned disorders.

The present study was performed with aim to investigate the effect of exercise intervention on sexual performance in primiparous women.

This prospective clinical trial study was performed on 176 women referred to Basra Children's Hospital in 2021. The subjects were randomly assigned to test and control groups. The control group received no intervention, while the test group received physical therapy and pelvic floor exercises for ten sessions. The intervention began in the tenth week after delivery. The pre-and post-test phases were evaluated 10 and 20 weeks after childbirth. The subjects were requested to complete the prolapse/urinary incontinence sexual questionnaire (PISQ-12and the pelvic floor distress inventory short form (PFDI-20).

The pre-test and post-test levels of sexual performance in the test group were 33.47±3.62 and 37.16±3.93, respectively (p<0.001). In addition, the pre-test and post-test levels of pelvic floor irritation in the test group were 10.23±0.74 and 6.52±0.61, respectively (p<0.001); while, this difference was insignificant in the control group (p>0.05). Also, the sexual performance and pelvic floor irritation values in the post-test phase significantly differ between the two groups (p<0.001).

Implications for Practice: 

In terms of enhancing sexual performance and reducing pelvic floor irritation, the impact of pelvic floor exercise was superior to routine postpartum recommendations.

The COVID-19 disease is currently one of the most important concerns of societies. Continuation of self-care behaviors after discharge by patients and their families is one of the factors affecting health promotion.

The present study was performed with aim to investigate the effect of the post-discharge training program on the satisfaction and self-efficacy of family caregivers of patients with COVID-19.

This clinical trial study was conducted on 68 caregivers of patients with COVID-19 who were discharged from Valiasr Hospital in Birjand, Iran in 2020. The research units were randomly divided into two groups. Standard educational content was made available to the intervention group through the WhatsApp messenger. Then, two phone calls were made to the caregivers. The control group only received the hospital's routine cares. Data collection was done using demographic information form, general self-efficacy and information satisfaction questionnaire. p<0.05 was considered statistically significant.

The mean age scores of participants in the intervention and control groups were 39.88±16.53 and 47.02±14.82 years, respectively. Since there was significant difference between change in before-after scores in the two groups, the educational method in the intervention group was more effective in increasing information satisfaction than routine care (p<0.0001). Also, the mean total self-efficacy score in the intervention group increased from 95.26±20.37 to 97.79±18.02, which was significantly different from the control group (p=0.01).

Implications for Practice:

 Providing post-discharge support and education to family caregivers of patients with COVID-19 improves the caregivers' experience through increased satisfaction and self-efficacy.

One of the common ways to treat cancer in children is chemotherapy. Despite its therapeutic benefits, chemotherapy is associated with physical and psychological complications affecting the quality of life in these patients.

The present study was performed with aim to investigate the effect of spiritual care based on sound heart pattern on the adjustment of cancer children undergoing chemotherapy.

This quasi-experimental study was performed on 5-12-year-old cancer children undergoing chemotherapy and hospitalized at the Shahid Madani Center in 2022. Among the clients referring to the hospital, 40 children were selected and assigned into two intervention and control groups (20 per group). The intervention was presented as a spiritual care based on the model of Sound heart in five sessions of 60 minutes in four weeks. The data were collected by a demographics form and Dokhanchi’s Adjustment Questionnaire and analyzed by SPSS software (version 16).

The mean adjustment score in the control group was 64.11 ± 9.02 before the intervention and 63.32 ± 10.04 after the intervention, and this difference in was not statistically significant (p=0.183). However, the mean adjustment score in the intervention group was 57.55 ± 11.24 before the invention and 74.85 ± 10.54 after the intervention, and the difference was statistically significant (p<0.001).

Implications for Practice: 

According to the findings, the adjustment of children who received spiritual care based on the sound heart pattern considerably increased. It is suggested that consider spiritual care based on this pattern in the care program of these patients.