Iran Journal of Nursing最新文献

{"title":"The Influential Factors in the Medication Errors by the Nurses of the Internal Wards of the Teaching Hospitals Affiliated to Iran University of Medical Sciences (2019)","authors":"A. Hosseinzadeh, D. Masror, H. Haghani","doi":"10.29252/IJN.33.125.94","DOIUrl":"https://doi.org/10.29252/IJN.33.125.94","url":null,"abstract":"Background & Aims: Medication errors are common incidences in the nursing profession, which could lead to the increased length of hospital stay and treatment costs and occasionally severe damage to the patients or even mortality. The Many studies have investigated medication errors, with a few considering medication errors as a severe issue in the clinical setting. Other findings have confirmed that the cooperation of medical personnel and medical system could influence the rate of medication errors. Considering the essential role of nurses in all the steps of medication preparation to administration, limited studies have evaluated nurses’ viewpoint regarding the influential factors in the incidences of medical malpractices, and mostly the viewpoints of emergency ward or ICU nurses have been investigated. The present study aimed to determine the influential factors in the medication errors by the nurses of the internal wards of the teaching hospitals affiliated to Iran University of Medical Sciences. Materials & Methods: This descriptive study was conducted on 241 nurses employed in the internal wards of the teaching hospitals affiliated to Iran University of Medical Sciences in Tehran, Iran during June-September 2019. Data were collected using a demographic questionnaire and the questionnaire of nurses’ views on medication errors designed by Bijani et al. (2013), which were completed by the nurses. Demographic data included age, gender, marital status, number of children, education level, interest in the nursing profession, nursing profession work experience (years), occupation status, working shift schedule, economic status, clinical workplace, workplace changes in recent months, and number of the off days in the past month. The questionnaire of nurses’ views on the influential factors in medication errors has been developed by Bijani et al. (2013) with 22 items in three domains of the factors related to nurses in medication errors (11 items), factors related to the ward in medication errors (seven items), and factors related to the nursing management in medication errors (four items). The scoring system for each item is based on the significance of each factor on a four-point Likert scale (Very Low, Low, Moderate, and High), and each option is assigned a score within the range of 1-4, respectively. The mean score of each domain was calculated, with the low mean scores indicating the low significance of the domain in the incidence of medication errors and the high mean scores indicating the high significance of the domain in the viewpoint of the nurses. The questionnaire was completed by the nurses in a self-report manner and delivered to the researcher after one week. Data analysis was performed in SPSS version 16 using statistical tests. Results: According to the results, exhaustion due to heavy workload (mean score: 3.11 ± 0.85) was the most common cause of medication errors in the dimension of medication errors by nurses. In the dimension o","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125071495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlations between Perceived Family Support and Psychosocial Adjustment in Disease in Adolescents with Cancer","authors":"L. Ghamary, N. Sadeghi, M. Azarbarzin","doi":"10.29252/IJN.33.125.28","DOIUrl":"https://doi.org/10.29252/IJN.33.125.28","url":null,"abstract":"Background & Aims: With the advancement of science and technology in the current era, cancer in adolescents is not as deadly as before and has only become a chronic disease with a higher survival rate . Despite the advances in cancer treatment and care, the disease is still associated with severe psychological consequences. The impact of cancer on various dimensions of adolescents' life (especially psychological dimensions) necessitates interventions to foster adaptation in the psychosocial dimension. Adolescents with cancer use a variety of social support resources to deal with the diagnosis and treatment of their disease. Family plays a pivotal role in providing the emotional and social support to these patients, and the perception of family support is considered to be the most important facilitator of health behavior, as well as the most potent strategy to successfully deal with stressors. It seems that the provision of emotional support by the family to adolescents with cancer helps these patients rely on the family and feel confident in coping with their difficult and critical condition, refrain from isolation, and feel encouraged. The present study aimed to evaluate the correlations between perceived family support and psychosocial adjustment with the disease in adolescents with cancer. Materials & Methods: This descriptive-correlational study was conducted based on the error level of α=0.05 with 80% test power and sample size of 85. Considering 10% attrition, 95 adolescents aged 11-20 years diagnosed with cancer, who referred to two hospitals affiliated to Shiraz University of Medical Sciences in 2019, were selected via convenience sampling. Data were collected using a questionnaire containing three sections of demographic characteristics, perceived family support questionnaire, and psychosocial adjustment questionnaire during July-November 2019. Data analysis was performed in SPSS version 16 using descriptive and analytical statistics at the significance level of P<0.05. Results: The mean age of the patients was 14.3 ± 2.7 years. The sample population included 36 females (37.9%) and 59 males (62.1%). The mean duration of cancer correlated with age and directly correlated with maternal education level. However, no significant associations were denoted between the other variables. Conclusion: The results of the study indicated a direct correlation between the perceived family support and psychosocial adjustment with the disease in the adolescences diagnosed with cancer. Evidently, the sense of security and confidence in the home environment and encouragement of the family members and companions who will not leave them alone in any particular and critical situations helps adolescents with cancer become empowered and gain extra motivation to accept and cope with the disease and the new life situation with positive feelings. Based on our findings and the results of similar studies, it could be stated that family support plays a key role in the","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115552778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The General Health of the Intensive Care Unit Nurses of the Selected Teaching Hospitals Affiliated to Iran University of Medical Sciences (2019)","authors":"F. Alipoor, M. Inanloo","doi":"10.29252/IJN.33.125.1","DOIUrl":"https://doi.org/10.29252/IJN.33.125.1","url":null,"abstract":"Background & Aims: Job plays a key role in health. The issue of health in hospitals is of a greater essence since the health of nurses is at a higher risk due to constant contact with patients. Important factors threatening the health of nurses include the stressful nature of the profession, high workload, ambiguity in job roles, communication problems and interpersonal conflicts, emotional problems, facing unpredictable situations, work shifts variables. Prolonged contact with critically ill patients and providing intensive care to specific patients predisposes nurses to a variety of mental disorders. Nurses working in intensive care units are at higher risk than nurses working in outpatient clinics. Reducing the feeling of well-being and health, despite the effect on nurses health, can indirectly effect the health of the community by reducing the quality of services provided by them. Because the environment of intensive care units is full of stressful conditions, including the observation of deaths, diseases and also the pressures exerted by patients companions on nurses, therefore, identifying the variables that are related to improving the general health of nurses working in intensive care units is more important than other occupations. The present study aimed to assess the general health of the intensive care unit (ICU) nurses of the selected teaching hospitals affiliated to Iran University of Medical Sciences. Materials & Methods: This descriptive-correlational study was conducted on 193 ICU nurses of the selected hospitals affiliated to Iran University of Medical Sciences during January-May 2019. The participants were selected via stratified random sampling based on the inclusion criteria. Data were collected using a demographic questionnaire and the general health questionnaire (GHQ-28). The GHQ-28 consists of 28 items and four dimensions of physical examination, anxiety and insomnia, social functions, and depression. The items in the GHQ-28 are scored based on a Likert scale (Not at All, Normal, Abnormal, and Extremely Abnormal) within the score range of 0-3. The scores of the dimensions were summed up, and the total score health of of the scores of ≥24 general health and the scores of ≥7 of disease syndromes. Data analysis was performed using descriptive statistics (mean, standard deviation, frequency, and percentage) and inferential statistics, including the analysis of variance, independent t-test for the normal variables, Kruskal- Wallis test for the non-normal variables, and simultaneous multiple linear regression analysis. The mean score of general health status was 28.86 ± 6.53, which indicated the average health status of the nurses with disease symptoms. Moreover the dimensions of physical symptoms (7.60 ± 2.29) and social functions (11.57 ± 1.81) showed health disorders, while the dimensions of anxiety and insomnia (6.74 ± 3.31) and depression (2.95 ± 3.00) were indicative of no health symptoms. Furthermore, significant correla","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125758571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Letter to Editor”Should women postpone childbearing during the COVID-19 pandemic?","authors":"F. Ranjbar, M. Gharacheh","doi":"10.29252/IJN.33.123.1","DOIUrl":"https://doi.org/10.29252/IJN.33.123.1","url":null,"abstract":"It is not clear whether women can decide to become pregnant during the COVID-19 pandemic or whether they are at risk, because examining the long-term consequences of the virus, especially in the first months of pregnancy, requires further time and research. The COVID19 virus has not been found in the semen and testicles of men infected with the virus in the acute phase or during the recovery period, so it is unlikely that the disease will be transmitted sexually. However, it has been reported that the male reproductive system is vulnerable to the infection, and significant changes have been observed in the sex hormones of patients with COVID-19, suggesting damage to gonadal function. Therefore, young men who have recovered from COVID-19 and are interested in having children should receive counseling when deciding to have children. Due to damage to cellular immunity and physiological changes, pregnant women are susceptible to respiratory diseases and are more likely to develop severe pneumonia. Pregnant women may be at increased risk for severe COVID-19 disease. To reduce severe COVID-19 disease, pregnant women should be aware of the potential risks of the severe form of the disease. Therefore, the need to prevent COVID-19 in pregnant women should be emphasized, and potential barriers to these measures should be identified. However, a systematic review study found that pregnant women with COVID-19 had milder symptoms than the general population, and that despite the symptoms of viral pneumonia, their RT-PCR tests may be negative. Pregnant women with COVID-19 have a higher prevalence of preterm labor, low birth weight, cesarean delivery, and hospitalization in the NICU than in the general population. In reproductive-aged women with COVID-19 infection, pregnancy has been associated with increased risk of hospitalization in the intensive care unit and mechanical ventilation, but has not increased the risk of death. Although most mothers have been discharged from the hospital without any serious complications, severe maternal morbidity, multiple maternal deaths, and prenatal deaths due to COVID-19 have been reported. The possibility of vertical transmission of the virus to the fetus has not been ruled out, and therefore careful monitoring of pregnancy in cases of COVID-19 and measures to prevent neonatal infection are essential. Vertical transmission has been reported in several cases of maternal infection around delivery in the third trimester, suggesting fetal infection but it is not common. In the at risk newborns, neonatal outcomes such as preterm labor or placental abruption have been well reported in the absence of other problems. Little is known about the consequences of maternal infection in the first and second trimesters of pregnancy. Fever or hyperthermia during the first trimester of pregnancy, when organogenesis occurs, may be an environmental risk factor for fetal abnormalities, especially","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115693843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Anger Management Educational Program on Aggression in the Individuals with the Bipolar Disorder: A Quasi-experimental Study","authors":"M. Khoshnevisan, N. Seyedfatemi, M. M. Hamooleh, M. Ranjbar, H. Haghani","doi":"10.29252/IJN.33.123.62","DOIUrl":"https://doi.org/10.29252/IJN.33.123.62","url":null,"abstract":"Background & Aims: In the bipolar disorder, the mood of the individual is damaged and constantly and abnormally changes from very good to very bad and depressed. Outbursts of explosive anger are one of the characteristics of patients with the bipolar disorder, which causes self-harm and harm to others. Aggression occurs in this population due to factors such as the lack of social support, frequent recurrence of the disease, and failure to use medication. The main consequence of aggression in this vulnerable population is that they are pushed toward substance abuse and alcohol consumption, which eventually disrupt their social functioning. Considering the adverse, debilitative effects of aggression on patients with the bipolar disorder, proper measures must be taken for effective management. Since patients with the bipolar disorder experience severe emotional fluctuations that could damage themselves, their families, other patients, and nurses, it is important to reduce the damages to others and replace aggressive behaviors with constructive interactions in the form of anger management programs. Anger management is a skill taught for the control of aggression in bipolar patients. In fact, anger management helps these individuals learn how to stay calm and control their negative emotions before the onset of anger. In other words, the purpose of this psychological training is to increase psychosocial abilities, effectively deal with the conflicts in life, prevent harmful behaviors to health, and promote the mental health of bipolar patients. The present study aimed to evaluate the effect of an anger management educational program on the aggression of individuals with bipolar disorders. Materials & Methods: This single-group, quasi-experimental study was conducted at Iran Psychiatric Center in 2019 on 39 participants, who were selected via continuous sampling from the admitted patients with the bipolar disorder based on the inclusion and exclusion criteria of the study. Data were collected using a demographic questionnaire for the variables of age, gender, marital status, occupation status, education level, and history of admission due to bipolar disorders. In addition, the participants in the training sessions, the sessions were held in small groups with gender segregation for 5-7 participants. The meetings were held after the hour of prayer and lunch in the visiting rooms of the inpatient wards. In addition, a 15-minute break was considered for each session. One month after the intervention, the participants were post-tested. This article was extracted from a research project approved by Iran University of Medical Sciences. During the research process, the ethical policies of the university were observed, including obtaining informed consent from the participants and their voluntary participation. Data analysis was performed in SPSS version 16 using descriptive statistics (mean and standard deviation) and inferential statistics (paired-t test). Res","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122530723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Preparedness of the Faculty Members of Iran University of Medical Sciences for the Training of International Students","authors":"H. Peyrovi, T. Ghezeljeh","doi":"10.29252/IJN.32.122.14","DOIUrl":"https://doi.org/10.29252/IJN.32.122.14","url":null,"abstract":"Background & Aims: An inherent element of the internationalization process of medical education is the assessment of preparedness to enter the international education market. The data obtained from such assessments could lay the basis for determining the policies and orientation of university planning. The present study aimed to determine the preparedness of the faculty members of Iran University of Medical Sciences for the training of international students. Materials & Methods: This descriptive, cross-sectional study was conducted at nine faculties and 88 departments of Iran University of Medical Sciences in Tehran, Iran during 2018-2019. In total, 900 questionnaires were distributed, and 378 faculty members completed the questionnaires. Data were collected in a self-report manner using a researcher-made questionnaire regarding the attitude and empowerment of lecturers in the training of international students. Electronic questionnaires were sent to the faculty members five times via email. Data analysis was performed in SPSS version 16 using the analysis of variance, Scheffe test, independent t-test, Fisher's exact test, and Chi-square. Results: The mean scores of the attitude and empowerment of the studied units regarding the training of international students were 53.14 ± 8.65 and 23.32 ± 5.17, respectively, which were considered relatively favorable. In addition, 61.4% of the studied units were not willing to cooperate in the training of international students. The main causes of willingness to partake in international training were classified as individual, professional, educational department, academic, and national categories. In addition, the causes of unwillingness were classified as individual and academic categories. Conclusion: According to the results, it is essential to provide the necessary infrastructures for university internationalization, as well as programs by the university authorities to improve the attitude and ability of faculty members to collaborate in international student training.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129264310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Stigma with Self-compassion in Patients with Bipolar Disorder","authors":"ملیحه رنجبر, نعیمه سیدفاطمی, مرجان مردانیحموله, نازنین اسماعیلی, شیما حقانی","doi":"10.29252/IJN.32.122.1","DOIUrl":"https://doi.org/10.29252/IJN.32.122.1","url":null,"abstract":"Background & Aims: The bipolar disorder is important mental disorder, which is characterized by recurrent episodes of mania and depression. This chronic and complex disease affects the mood of the patient, causing continuous and abnormal mood changes from extremely good to extremely poor and depressed. These fluctuations often last for weeks or months. Frequent episodes of depression and mania affect the functioning of the individual in personal, professional, family, social, and cultural domains. Patients with the bipolar disorder experience a phenomenon known as stigma. Stigma is defined as a set of cognitions and behaviors that are activated by labeling, leading to social exclusion and isolation. The stigma of mental illness distinguishes the patients from other populations. The stigma of mental illness renders the patients incapacitated and socially isolated. In addition, the experience of stigma decreases the quality of life and health-seeking behaviors of the patients, threatening their socio-economic health. Subsequently, the social participation of patients with mental illness is disrupted, and they refrain from seeking social assistance. In fact, stigma leads to the rejection of patients with mental illness by the society, disrupting their emotional regulation and making them unable to have proper emotional regulation strategies. Furthermore, the stigma of mental illness causes the patients not to have appropriate coping strategies for the disease, hide their medical history from the medical staff, and avoid communicating with their friends after discharge from the hospital. Given the importance of the concept of stigma, identifying the positively correlated behaviors seems essential. Self-compassion is a positive behavior that may be associated with stigma. Individuals with high self-compassion are more likely to accept negative life events and have more accurate self-assessments and better mental health. Self-compassion is an important factor in the adaptive responses to the mood problems in patients with a history of recurrent depression. High self-compassion reduces the mental vulnerability of patients with mental illness to problems, their depression and social anxiety, shame caused by the illness, and self-criticism. In contrast, the and family history of mental disorders with stigma (P<0.05). However, no significant associations were observed between the demographic characteristics and self-compassion. Conclusion: The results indicated no significant correlation between stigma and self-compassion. However, significant associations were observed between the subscales of stigma with the isolation dimension of self-compassion, which were inversely and significantly correlated. Therefore, it could be concluded that as the patients further perceived the dimensions of discrimination, disclosure, and positive aspects of stigma, they were less inclined toward isolation. Stigma is an inherent cultural element rooted in the community, which","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115430550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Attitude and Performance of Nurses Regarding Pain Management in the Patients Admitted to the Emergency Department","authors":"J. Aliha, T. Ghezeljeh, S. Haghani, Shirin Nasrollah Nejhad","doi":"10.29252/IJN.32.122.41","DOIUrl":"https://doi.org/10.29252/IJN.32.122.41","url":null,"abstract":"Background & Aims: Pain management is essential in the emergency room (ER) care plan, and nurses play a key role in this regard. The positive attitude and proper performance of the healthcare staff is critical in pain management, which is an important patients' right. The present study aimed to assess the attitude and performance of nurses regarding pain management in the patients admitted to the ER. Materials & Methods: This cross-sectional, descriptive survey was conducted on 150 nurses employed in the ERs of the hospitals affiliated to Iran University of Medical Sciences, Tehran, Iran in 2018. The eligibility criteria were the minimum of bachelor's degree/higher in nursing and six months of work experience in the ER. Data were collected using a demographic questionnaire and the questionnaire of performance regarding pain management. Data analysis was performed in SPSS version 16 using descriptive and inferential statistics. Results: The mean age of the participants was 31.98±5.52 years, and the majority (82.9%) had no prior training on pain management. Regarding pain management in the ER, the mean scores of attitude and performance were 57.16 ± 5.022 and 6.02 ± 2.53, respectively. No significant differences were observed between the mean scores of attitude and performance with the demographic characteristics. Conclusion: According to the results, the nurses had moderate attitudes toward pain management, and although their self-report indicated proper performance in this regard, they had inadequate knowledge regarding the use of pain management tools. Therefore, it is recommended that proper education and in-service re-training be provided for the promotion of proper pain management in the patients and increasing the quality of care, as well as proper training on the use of pain assessment measures.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133830039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation of Resilience and Anxiety in the Candidate Burn Patients for Skin Grafting","authors":"M. Seyedoshohadaee, A. Seraj, H. Haghani","doi":"10.29252/IJN.32.122.69","DOIUrl":"https://doi.org/10.29252/IJN.32.122.69","url":null,"abstract":"Background & Aims: Victims of burn injuries experience numerous psychological complications, including anxiety. Preoperative anxiety is rather common and normal, and resilience is considered to be an effective coping strategy in stressful situations. The present study aimed to assess the correlation between resilience and anxiety in the candidate burn patients for skin grafting. Materials & Methods: This cross-sectional, descriptive-correlational study was conducted via continuous sampling and based on the inclusion criteria. Data were collected using Beck anxiety inventory and CD-RISC, which were completed 20-30 minutes before the surgery at the inpatient ward in July 2019. Data analysis was performed in SPSS version 16 using descriptive and inferential statistics in the form of tables and numerical indicators. To achieve the research objectives and answer the research questions, the analysis of variance (ANOVA), independent t-test, and Pearson's correlation-coefficient were also used. Results: In total, 66.2% of the patients had higher resilience scores than 50. The mean scores of resilience and anxiety were 64.57±22.25 and 12.88±10.45, respectively. A significant correlation was observed between resilience and anxiety, and the increased score of resilience was associated with decreased anxiety (r=0.81; P<0.001). Resilience was significantly correlated with education level (P<0.001), economic status (P=0.001), occupation status (P=0.02), and place of residence (P=0.035). In addition, anxiety was significantly correlated with education level (P=0.004), economic status (P=0.011), occupation status (P=0.03), and place of residence (P=0.016). Conclusion: According to the results, resilience and anxiety were correlated, and higher resilience was associated with lower anxiety. Furthermore, the candidate burn patients for skin grafting had mild anxiety and moderate resilience. Therefore, resilience training is recommended for the reduction of anxiety in these patients before surgery .","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114196894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of the Family-oriented Empowerment Model on the Fatigue Level of the Patients with Chronic Obstructive Pulmonary Disease Admitted to the Hospitals Affiliated to Shahrekord University of Medical Sciences, Iran (2018)","authors":"Ali Hassanpour Dehkordi, Farshad Soleymani, Zahra Habibi, S. Kheiri, S. Salehitali","doi":"10.29252/IJN.32.122.30","DOIUrl":"https://doi.org/10.29252/IJN.32.122.30","url":null,"abstract":"Background & Aims: Fatigue in patients with chronic obstructive pulmonary disease reduces their professional productivity, concentration, sex drive, and performance, leading them toward lethargy. Overcoming this issue requires the involvement of the patient and the family in the care and management of the disease. The present study aimed to investigate the effects of the family-oriented empowerment model on the fatigue level of patients with chronic obstructive pulmonary disease. Materials & Methods: This clinical trial was conducted on 72 patients with chronic obstructive pulmonary disease and their family caregivers. The subjects were selected via convenience sampling and randomly divided into two groups of intervention and control (36 per each). The family-oriented empowerment training program was implemented in four 90-minute sessions based on the four steps of perceived threat, problem-solving, educational participation, and evaluation in groups of 10-15 participants in the presence of the family members in the form of a panel for the intervention group. The intervention group was followed-up by the research team for three months to respond to the issues, care problems, and knowledge required for care. The final evaluation was performed three months after the intervention by completing the fatigue questionnaire again. Data analysis was performed in SPSS using paired t-test, independent t-test, Fisher's exact test, and Chi-square. Results: At baseline, the intervention and control groups had no significant difference in terms of the mean score of fatigue (P=0.5). After the intervention, the mean score of fatigue in the intervention group was significantly different from the control group (P=0.01). In addition, the mean score of fatigue significantly decreased after the intervention compared to before the intervention (P<0.001). Conclusion: According to the results, the empowerment of the family members responsible for the care of the patients with chronic obstructive pulmonary disease could decrease fatigue in the patients. Therefore, the healthcare programs of chronic patients should be focused on the caregivers of the patients in addition to the patients.","PeriodicalId":159095,"journal":{"name":"Iran Journal of Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129452821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}