مجله آموزش پرستاری
سال دوم شماره 3 (پیاپی 5، پاییز 1392)

According to the importance of education in reducing anxiety among patients undergoing surgery، this study was carried out to investigate the effect of blending educational method on anxiety in patients undergoing orthopedic surgery. In this interventional study 100 patients who were going to undergo elective orthopedic surgery in a hospital in Birjand were randomly assigned into two control and intervention groups. Data was collected using standard Spielberg anxiety inventory. Collected data was analyzed using descriptive and inferential statistics. Mean age of the patients was 24. 27±6. 29 years. Mean of anxiety between the groups was statistically significant after the intervention (p=0. 03). In the intervention group، mean score of anxiety before education، before surgery and after discharge were 45. 78±6. 23، 45. 18±6. 76 and 45. 2±5. 31، respectively. A statistically significant relationship was found between the mean score of anxiety before education and before surgery (p=0. 04). Blending education can be combined with various educational methods to educate patients individually and in groups in order to reduce their level of anxiety.

Adherence to dietary and fluid-intake restrictions is an important factor in the treatment of patients with chronic renal disease. Using intervention strategies such as patient education and cognitive–behavioral therapy can improve adherence to dietary and fluid restrictions in hemodialysis patients. The aim of the present study was to investigate the effect of cognitive-behavioral intervention on adherence to dietary and fluid-intake restrictions in hemodialysis patients. This clinical trial conducted in Emam Reza and Valiasr Hospitals in the year 2013. Then 70 patients aging from 20 to 60 years recruited randomly into the study and were assigned into two groups: intervention (N=35 on even days) and control (N=35 on odd days). In the intervention group، cognitive-behavioral process performed after the following six steps: 1- Identifying the problem، 2- Creating confidence and commitment، 3- Increasing awareness of behavior، 4- Developing and implementing the action plan، 5- evaluation of the planed design، 6- Maintaining the desired behavior and prevention of undesirable one. Adherence to dietary and fluid-intake restrictions were assessed by using self-report questionnaire، in two stages (pre-test and post-test). Data analysis was performed by SPSS software version 16 and independent t-test. Significant level of study was 0. 05. Before the test، there was no significant difference in terms of adherence to diet (p=0. 47) and fluid restriction (p=0. 43). At post-test، significant differences were observed between the two groups in terms of adherence to dietary (p<0. 001) and fluid restriction (p<0. 001). Cognitive-behavioral intervention could be used in designing an Individualized Educational Program for better adherence to the treatment regimen in hemodialysis patients.

Education is essential for obtaining a better glicemic control in patients with diabetes. One of the most effective factors affecting the quality of education is the method selected for education. On the other hand، education of family members of such patients facilitate metabolic control. The purpose of this study was to compare the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. This is a clinical-trial study conducted in 2012 in which 153 patients with type 2 diabetes were randomly assigned into three control، patient-centered intervention، and family-centered intervention groups. Before the intervention and three months after that، the HbA1C test was conducted and the knowledge questionnaire was completed by the samples. Patient-centered empowerment and family-centered empowerment educational interventions conducted in the two interventns groups. Routine education was conducted in the control group. Data was analysed using descriptive and inferential statistics. No significant differences were noticed in demographic inerventions between the groups before the intervention (p>0. 05). Moreover، no significant difference was noticed between patients’ knowledge and the level of HbA1C in the groups (p>0. 05). A significant difference was found between these two factors after the intervention (p<0. 001). A significant difference was reported between knowledge and the level of HbA1C in the intervetion groups in comparision with the control group (p<0. 05). While no significant difference was seen in the level of HbA1C between the intervention groups، the reduction of the level of HbA1C was more in the family-centered intervention group in comparison with. patient-centered empowerment group. Patient-centered empowerment and family-centered empowerment educational interventions have positive effects on metabolic control. Therefore، the participation of family members in the management and control of diabetes is recommended.

Cardiovascular diseases are the most common causes of death worldwide. Despite pharmaceutical therapies، coronary artery bypass graft surgery continues to be the first and best treatment strategy. This study was conducted to investigate the effect of peer education on anxiety in patients candidated for coronary artery bypass graft surgery.

In this randomized control trial study، 60 patients who were candidate for coronary artery bypass graft surgery in Shariati and Imam Khomeini hospitals in Tehran were recruited using the convenience sampling method. The patients were assigned randomly into two control and intervention groups. Patients’ anxieties in all patients were measured using the Spielberger state-trait anxiety inventory in the admission day، five days and four weeks after surgery. The control group received routine education and the intervention group was trained by their peer. Descriptive and inferential statistics were used to analyze data.

Anxiety scores in both groups were not different in the admission day (p=0. 8). Also differences in mean anxiety scores between the groups before surgery، five days and four weeks after surgery were statistically significant (p<0. 001).

Peer education to patients who are candidate for elective coronary artery bypass graft surgery can reduce anxiety. Therefore، it is recommended that، this educational approach used in the cardiac surgeries ward.

People use different style to show their talents. One usage could be thinking and problem solving style. Nursing students have learning activities in emergency and acute situation that require thinking and problem solving talents. The aim of the study is measuring relationship between thinking and problem solving styles. A correlational study conducted on 148 students studying in Bachelor of Science Program in Nursing from Mashhad Nursing and Midwifery faculty in 2011، chosen convenience sampling. Data collected by valid and reliable Sternberg-Wagner Thinking Style Inventory and KAI Inventory، and analyzed by descriptive and analytical statistic such as t-test، ANOVA، and Pearson Coefficient test in Significance level of (0. 05 and 0. 01)، by SPSS version 11. 5. Thinking style of nursing students was based on «functions»، «forms»، «levels»، «scopes»، and «leanings» dimensions in judicial (22. 49)، anarchic (22. 29)، global (18. 63)، external (20. 15)، and liberal (19. 37) styles respectively. Depending on each style a specific behavior were noticed in students. Furthermore this study revealed that there were no significant relationship between thinking and problem solving styles except for conservative style (p=0. 042). Thinking Styles and decision-making styles of nursing students are recognized and the efforts to use of the functions، forms، levels، scopes and leanings until have maximum exploited.

With technological and information progress in medical fields، it is a necessity to organize retraining programs to promote knowledge and skills of nurses and ultimately improve the quality of nursing services in hospitals. In addition، implementation of correct، complete and comprehensive programs requires effective assessment. Therefore، the aim of this study is to evaluate perspective of nurses about retraining programs in Gorgan training hospitals. In this descriptive and analytical study، 270 nurses in four medical-training hospitals affiliated to Golestan University of Medical Sciences were recruited randomly into the study. Data were collected using Self-made questionnaire in two parts، demographic information and questions related to the research objectives (significant factors in re-education programs). Data were collected and analyzed using SPSS16 software and doing descriptive (Frequency، mean، standard deviation) and inferential statistics (T-test، Anova)، and considering levels of significance (P <0. 05). According to the perspective of nurses، the most significant factors in retraining programs were: assessment of the program (mean and standard deviation: 19. 451. 0)، nurses'' evaluation before (23. 460. 0) and after (21. 455. 0) retraining programs، and nurses'' work load (47. 459. 0). Attaching importance to retraining in nursing is imperative. In order to improve the quality of these administrative practices، application of principals in retraining programs، persistent needs assessment before implementation of the program and reduction of nurses'' workload is recommended.

Bridging social capital and cultural intelligence impact nurses'' attitudes towards patient education. The aim of this study was to study the relationship between bridging social capital and cultural intelligence، and nurses'' attitudes toward patient education. This is a descriptive-correlational study carried out with 200 nurses in western Azerbaijan in 2013. The multi-staged cluster sampling method was used to choose participants. The Katarzyna Pazhak bridging social capital scale، Ang and et al cultural intelligence scale، and nurses'' attitudes towards patient education questionnaire were used to collect data. Descriptive and inferential statistics were used for data analysis. Statistical significance defined as p<0. 05. A positive relationship was found between nurses'' attitudes towards patient education and bridging social capital variable (r=0. 379، p=0. 002)، subscale of meta- cognition of cultural intelligence (r=0. 584، p=0. 001) subscale of cognition of cultural intelligence (r=0. 412، p=0. 001)، subscale of motivation of cultural intelligence (r=0. 605، p=0. 001) and subscale of behavior of cultural intelligence (r=0. 675، p=0. 001). The results of multi-variable correlation coefficient using the input method indicated that bridging social capital and subscale of cultural intelligence explain nurses'' attitudes towards patient education (R2=0. 526). Patient education is the main responsibilities of nurses. Since positive and significant relationships were found between bridging social capital and subscale of cultural intelligence with patient education، there is a need to strengthen them in nurses through group training.

Happiness is one of the most efficient emotions and plays a great role on mental health. In recent years، researchers and psychologists have tried to provide methods to increase the level of happiness in individuals. Spiritual and religious training are examples of these methods. The aim of this research is to study the effect of group training on knowledge and practice of religious duties and its relationship with students'' happiness. In this quasi-experimental study، 40 students of Almahdi higher education center in Isfahan were divided randomly into two groups of 20 students (control and experimental). Experimental group received 8 training sessions on knowledge and practice of religious duties، but control group did not receive any training. Before and 8 weeks after the end of training، both groups completed the oxford happiness questionnaire (with Cronbach''s alpha reliability: %90). Data was analyzes using SPSS v. 18 software. In this study، experimental and control groups were homogeneous in demographic features. The average age of participants was 21. 52 (±1. 84). Comparison between average scores after happiness test in studied groups and analyzing covariance scores of happiness test shows that there was significant difference between control and experimental groups (p<0. 002). Results of this study revealed that training on knowledge and practice of religious duties are effective on the level of students'' happiness and should be considered further.