@article{ author = {KhodabakhshiKoolaee, Anahita and EbrahimBaighi, Hossein and Navidian, Ali}, title = {Effects of Communication Skills Training on Aggression and Quality of Life of Male Patients with Chronic Mental Illnesses}, abstract ={Background: Chronic mental illnesses affect cognitive status and behavior, which lead to social and communication impairment and behavioral problems. This research investigated the influence of communication skills training on aggression and quality of life of the patients with chronic mental illnesses. Methods: This study is a quasi-experimental study with pretest and posttest. First, a total of 30 patients with chronic mental illnesses were selected based on the inclusion criteria. Next, they were randomly assigned into the control and experimental groups. The experimental group received techniques of communication skills for 10 sessions (each session 60 minutes, one session per week). The research instruments were The World Health Organization Quality of Life and Buss–Perry Aggression Questionnaire. Statistical analysis was conducted through analysis of covariance (ANCOVA). Results: Our findings indicated that the means of quality of life scores (F=41.62, P=0.001) and aggression (F=11.30, P=0.002) were significantly different between research groups after the intervention. Conclusion: Communication skills training improve behavioral problems and quality of life in patients with chronic mental illnesses. Thus, it is necessary to use these skills to prevent and decrease behavioral problems and promote social skills in patients with mental disorders.}, Keywords = {Communication skills, Chronically mental disorder, Aggression, Quality of life}, volume = {2}, Number = {1}, pages = {3-10}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.3}, url = {http://jccnc.iums.ac.ir/article-1-79-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-79-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Kheyri, Azadeh and Bastani, Farideh and Haghani, Hami}, title = {Effects of Reflexology on Sleep Quality of Elderly Women Undergoing Abdominal Surgery}, abstract ={Background: Sleep disorder is one of most prevalent complaints in elderly people. Tension reduction can be effective in improving sleep quality. In this regard, reflexology can be effective in reducing anxiety and tension. This study aimed to determine reflexology effects on sleep disorders of elderly women undergoing abdominal surgery. Methods: This study was a non-randomized clinical trial (quasi-experimental). A total of 80 elderly women undergoing abdominal surgery were selected by continuous sampling method and simple random selection of two hospitals (Hazrat-e-Rasool [PBUH] and Firouzgar). Then, they were assigned in experimental and control groups. The study instrument was sleep quality questionnaire (PSQI). Descriptive statistics included calculating mean and standard deviation and inferential statistics were performed through the independent t-test and paired t-test. Results: There was no significant difference in terms of quality of sleep (P=0.504) between control and experimental groups, before the intervention. Also, There was no significant difference between means of quality of sleep scores (P=0.606) before and after the intervention in the control group. However, there was a significant difference between the means of quality of sleep scores (P=0.048) before and after the intervention in the experimental group. Finally, the means of quality of sleep scores of two groups after the intervention was significantly different (P<0.001). Conclusion: Considering the significant effect of reflexology on improving the quality of sleep in elderly women undergoing surgery, it is recommended that this simple technique (which is available and low-cost as an alternative medicine) be used in reducing the postoperative pain and improving the quality of sleep of patients.}, Keywords = {Elderly, Reflexology, Sleep disorder}, volume = {2}, Number = {1}, pages = {11-18}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.11}, url = {http://jccnc.iums.ac.ir/article-1-80-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-80-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Hasanpoor–Azgahdy, Seyede Batool and Simbar, Masoumeh and Vedadhir, Abouali and AmiriFarahani, Leil}, title = {Exploring the Challenge of Adoption from the Perspective of Iranian Infertile Women}, abstract ={Background: Adopting another person’s child by infertile couple might not alleviate their pain so much but direct the suffering and pain of infertility towards parenthood and parental experience. Therefore, this study aimed to explore the challenges of adoption to assist in proper planning to improve the quality of adoption. Methods: This qualitative study was conducted with conventional content analysis method on 25 women with primary and secondary infertility. The study was conducted in Vali-e-asr Reproductive Health Research Center, Tehran, Iran. Sampling method was done purposefully and data were gathered from semi-structured interviews. The interviews continued until saturation of the data. Concurrent with data collection, their analysis was done based on the conventional content analysis method. Results: The main concepts derived from data were categorized into 3 main themes and their subthemes as follows: 1) Legal and cultural barriers (importance of blood ties, priority of treatment before deciding to adopt a child, and strict legal requirements), 2) The attitude of the husband towards adopted child (adoption as a good deed, husband preferred to continue the treatment asmuch as possible, the decision of the husband depends on the reaction of others around them, and preferring remarriage over adoption), 3) Attitude of the others (fear of disclosure of adoption in the future and negative attitudes of the society). Conclusion: The findings of this study showed that in our society, the importance of blood ties, cultural factors, and infertility treatment are among the barriers to adoption. The results show that it is critical to raise the awareness and enlightenment in society through the media to minimize the socio-cultural consequences of adoption.}, Keywords = {Infertility, Adoption, Qualitative study}, volume = {2}, Number = {1}, pages = {19-26}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.19}, url = {http://jccnc.iums.ac.ir/article-1-81-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-81-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Seyedolshohadayi, Mahnaz and Ayar, Parimehr and Mardani, Marjan and Haghani, Hami}, title = {The Effect of Teaching Coping Skills on the Anxiety in Caregivers of Patients with Cancer Undergoing Chemotherapy}, abstract ={Background: Long-term hospitalization for cancer treatment can prevent the continuation of a normal life of patients with cancer and their families. In this regard, caregivers face with problems such as psychological stress, hopelessness, fear, anxiety, and feelings of depression. The aim of this research was to investigate the effect of teaching of coping skills on the anxiety in caregivers of patients with cancer undergoing chemotherapy. Methods: This research was a quasi-experimental study, pretest-posttest design with control group which started from October 2014 and lasted until February 2015. In this study, 62 caregivers of cancer patients were selected by convenience sampling method. A total of 30 subjects were non-randomly assigned in the experimental (intervention) group and 32 ones in the control group. The intervention was done based on a defined plan, which included teaching coping strategies to the experimental group in 4 sessions (45-60 minutes each session) using booklet and question and answer (QA) meeting. The control group received routine education. After 4 weeks, both groups were compared in terms of anxiety using Beck anxiety inventory questionnaire. The data were analyzed using SPSS 18 software, through performing paired t test, the Chi-square test, the Independent t-test, and Fisher’s exact test. Results: There was no significant difference regarding the anxiety between the experimental and control groups before the intervention (P=0.122). Four weeks after the intervention, anxiety of the experimental group improved, but no improvement was observed in the control group. Therefore, the two groups had statistically significant differences in this regard (P=0.001). Conclusion: With regard to anxiety of the caregivers of the patients with cancer undergoing chemotherapy, the results showed the effectiveness of intervention i.e., teaching coping skills. Considering the effectiveness of teaching coping skills and consequently decreased anxiety in the caregivers of patients with cancer patients undergoing chemotherapy, it is suggested that this intervention be included in nurses family-centered care program.}, Keywords = {Anxiety, Cancer, Caregivers, Coping skills}, volume = {2}, Number = {1}, pages = {27-36}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.27}, url = {http://jccnc.iums.ac.ir/article-1-84-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-84-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Bastani, Farideh and Hajizadeh, Sakineh and Sa`atchi, Kiarash and Haghani, Hami}, title = {Comparing the Effect of Acupressure and Cryotherapy on the Pain Caused by Removal of Chest Drain Tube in the Elderly Patients Undergoing Open Heart Surgery}, abstract ={Background: Aging has a growing trend in the world. The elderly experience a high incidence of hospitalization and coronary bypass surgery compared with other age groups, and pain is the most common complaint in these patients. This research was conducted to compare the effect of acupressure and cryotherapy on the pain of removing drain tube from the chest of the elderly who have undergone open heart surgery. Methods: In this quasi-experimental clinincal trial, 150 elderly people undergoing coronary artery bypass grafting with drain tube in their chests and hospitalized in the Intensive Care Unit of Shahid Rajaei Hospital (affiliated to Alborz University of Medical Sciences and Health and Treatment Services, Tehran, Iran) were selected through random sampling method. Then, they were divided into 3 groups of acupressure, cryotherapy, and control. The acupressure group received pressure on ST36, P6, LI4 points. The cryotherapy group received cold therapy through applying three packs of cooling gel, and the control group received routine postoperative cares. The pain intensity was measured 20 minutes before the insertion of the tube, during insertion, and 10 minutes after removal of the drain tube. The tools for collecting data were abbreviated mental test form, demographic questionnaire, and visual analoge scale. The obtained data were analyzed through descriptive and inferential statistics by SPSS version 20. Results: In terms of demographic characteristics, the patients were homogenous. Before the intervention, there were no significant differences among three groups in terms of pain intensity (P=0.93). However, after the intervention, pain intensity, immediately after, and 10 minutes after removal of chest tube, significantly reduced in the experimental groups compared with the control group (P˂0.001). In general, reduction of pain intensity was higher in the acupressure group compared with the other two groups (P˂0.001). Conclusion: Applying acupressure on ST36, LI4, and P6 points is effective in reducing the intensity of pain caused by removal of drain tube from the chest of the elderly patients. It is recommended as a safe and inexpensive drug-free approach to control pain caused by the removal of drain tube.}, Keywords = {Ageing, Chest tube, Pain, Acupressure, Cold therapy (Cryotherapy)}, volume = {2}, Number = {1}, pages = {37-52}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.37}, url = {http://jccnc.iums.ac.ir/article-1-83-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-83-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {NajafiGhezeljeh, Tahereh and Abbasi, Alireza and OshgholiFarahani, Mansoureh and Naderi, Nasim}, title = {The Effect of Self-Management Training Using CD on the Quality of Life in Patients with Chronic Heart Failure}, abstract ={Background: Chronic heart failure (CHF) can have negative effects on the quality of life (QoL). Self-management education is one of the approaches that can be adopted to increase the QoL of these patients. This study aimed to determine the effect of self-management training using compact disc (CD) on the QoL in patients with CHF. Methods: This study was a non-randomized controlled clinical trial which was conducted on 74 patients with CHF hospitalized in Shahid Rajaie Cardiovascular medical and research center in 2015. Research samples were selected with convenience sampling method and randomly assigned to intervention (training with CD) and control (conventional training) groups. To collect data, Iranian questionnaire to assess QoL in patients with heart failure (IHF-QoL) was completed in both groups before and 3 months after the intervention. Data analysis was done using statistical tests of the Independent t test and paired t-test using SPSS version 21. Results: According to the findings, there was no significant difference between two groups before the intervention with regard to QoL scores (P=0.58). Statistical tests showed that 3 months after the intervention, self-management education promoted QoL subscales including psychological status (t=-2.578, P=0.012), self-care (t=-3.633, P=0.001), as well as total QoL (t=-2.01, P=0.048) in patients in the intervention group as compared with the control group. Also in CD method group, themean scores of total QOL and its subscales before the intervention were significantly different from that mean scores 3 months after the intervention., i.e. their total QOL and its all subscales improved after intervention. (P<0.0001). Conclusion: As self-management training with CD can improve QoL in patients with CHF compared with conventional training method, it is suggested that this training method be considered as a part of patients’ self-management education by nurses with the aim of improving QoL.}, Keywords = {Chronic heart failure, Compact disc, Quality of life, Self-management training}, volume = {2}, Number = {1}, pages = {53-62}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.53}, url = {http://jccnc.iums.ac.ir/article-1-85-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-85-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Borimnejad, Leili and Salmanyazdi, Nahid and Haghani, Hami}, title = {Study of the Stature Structure of 10-12 Years Old Female Students in Selected Elementary Schools in Tehran}, abstract ={Background: One of the common problems in early adolescence is skeletal disorders which has an international dimension to the extent that structural and postural abnormalities screening programs are in schools agenda in different countries for years. This study aimed to determine skeletal structure of female students aged 10 to 12 years in Tehran. Methods: In this cross-sectional study after using cluster random sampling method, 283 students in fourth and fifth grades registered in academic year 2013-2014 were recruited. We investigated the skeletal structure of them by body analysis software, their demographic information by a questionnaires and their anthropometric characteristics by using standard scale. The obtained data were analyzed through descriptive statistical tests, the Chi-square test, and Kendall correlation coefficient using SPSS version 19. Results: About 6% of students (n=17) had no skeletal disorder and the rest suffered from at least one problem. Two students (0.7%) suffered from 7 disorders simultaneously. The highest percentage of obesity (39.7%) was seen in 12 years age group and the most frequent underweight (8.2%) was observed in 14 students in the age group of 10 years. About 1.8% of subjects (n=5) suffered from forward head disorder. Also, 5.7% of children (n=16) suffered from hallux valgus. The Chi-squared statistical analysis showed that there is a significant relationship between hallux valgus disorder and age (P=0.001). Finally, 20.1% of children suffered from flat foot and 22.6% of them had high foot arch. Conclusion: The majority of female students in Tehran suffered from at least one or two stature and skeletal abnFormalities. The timely detection of the problem can prevent the progress and complications of these disorders.}, Keywords = {Stature, Female students, Skeletal disorders}, volume = {2}, Number = {1}, pages = {63-69}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.1.63}, url = {http://jccnc.iums.ac.ir/article-1-86-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-86-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Namazi, Alireza and Khosravizadeh, Omid and Sharifi, Marziye and Barkati, Hasan and Alirezaei, Samira and Omrani, Amir}, title = {Estimating Nursing Staff of Tehran Hospitals by WHO and Levine Models}, abstract ={Background: Human resources, especially medical staff is one of the main components of health care system and organizational development. The purpose of this study was to estimate the required nurses for hospitals affiliated to Tehran University of Medical Sciences based on the models of the World Health Organization and Levine. Methods: This study was cross-sectional and descriptive. Seven hospitals affiliated to Tehran University of Medical Sciences were selected as research sample. After collecting data of the number and distribution of the nurses, the data were entered into Excel software. Then, according to the WHO and Levine formula, estimated numbers of hospital nurses were compared with the current situation. Results: According to the models, the number of nurses in all hospitals was different with standard values. According to WHO model, the correlation was negative and most hospitals but Amir Alam, Baharloo, and Farabi hospitals had insufficient number of nurses. Also, according to Levine model, all hospitals except Bahrami and Amir Alam hospitals had insufficient number of nurses. Conclusion: According to the World Health Organization and Levine model, the number of nurses in the studied hospitals was inadequate. This imbalance requires proper planning and standards to rectify the shortage of manpower, especially nurses in studied hospitals.}, Keywords = {Estimate nursing staff, WHO model, Levine model}, volume = {2}, Number = {2}, pages = {73-82}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.73}, url = {http://jccnc.iums.ac.ir/article-1-92-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-92-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Ahmadi, Zahra and JozMohtashami, Mona and SeyyedFatemi, Na`imeh and Haghani, Hami}, title = {Comparing the Social Support Which Fathers and Mothers of Preterm Infants Receive in the Neonatal Intensive Care Units}, abstract ={Background: The birth of a preterm infant is a stressful experience for parents. The nurse’s support for the family of such newborns seems to be important and necessary. This study aimed to examine the social support received by the fathers as compared with the mothers of preterm infants hospitalized in the neonatal intensive care unit (NICU). Methods: This was a comparative, descriptive study. The study population included all parents of preterm infants hospitalized in the NICUs of 3 educational treatment centers affiliated to Tehran University of Medical Sciences during the first 6 months of the year 2014. Study sample consisted of 130 couples selected through the convenient sampling method, and data collection tool was Tarkan et al. social support questionnaire. Then, the obtained data were analyzed using the Independent t test by SPSS version 20. Results: The results showed that the most social support with the mean(SD) score of 69.0(6.3) was received by the mothers, and 57.0(2.3) for fathers was emotional support and the least level of social support with the mean score of 80.0(3.3) for the mothers and 65.0(16.3) for fathers was tangible support, and mothers with mean score 65.0(52.3) as compared with fathers 56.0(21.3), received more support in all 3 aspects of social support, i.e. affirmative, tangible, and emotional. Conclusion: Our findings indicate that parents are desirous of more social support, especially with regard to the tangible support. Therefore, planning is required for promotion and creation of opportunities for the nurses to provide more supports to parents at NICUs, especially to fathers who usually receive less support. It is recommended that nurses improve their effective and mutual communication and interaction with parents. }, Keywords = {Social support, Parents, Preterm infants}, volume = {2}, Number = {2}, pages = {83-88}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.83}, url = {http://jccnc.iums.ac.ir/article-1-90-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-90-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Tajvidi, Mansooreh and Charmari, Maryam}, title = {Adolescent Obesity Prevalence and Its Related Factors Among High School Students of Karaj City, Iran}, abstract ={Background: In recent decades, the prevalence of overweight and obesity in adolescents have increased in Iran and other countries. This study aimed to assess the prevalence of obesity and its associated factors among high school students of Karaj City, Iran. Methods: A total of 700 students in different age groups were selected by random sampling method. The study samples were divided into 2 groups of case and control and their characteristics were compared. The data were collected by nutritional frequencies and remembrance of 24 hours of nutrition questionnaires. Finally, the obtained information (BMI and its percentile) was statistically analyzed with respect to samples’ nutritional pattern and physical activities. Results: The prevalence of obesity and overweight in teenagers were 13.5% and 17.4%, respectively. The obesity rate in boys was higher than that in girls. The amount of daily fat, carbohydrate, protein, and calorie intake (2700 kcal) was higher in obese students compared to normal ones. Significant differences were observed between two groups in terms of fat, protein, carbohydrate intake, and calorie consumption as well as physical activity. Conclusion: The obesity prevalence in Karaj students is high and the intake of carbohydrate, fat, and calorie should be adjusted with regard to different age groups. The relevant education should be started in school and families, by considering the importance of diet reform in lowering the rate of obesity and overweight.}, Keywords = {Nutritional status, Adolescents, Obesity}, volume = {2}, Number = {2}, pages = {89-96}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.89}, url = {http://jccnc.iums.ac.ir/article-1-91-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-91-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Abdifard, Edris and Faraji, Azadeh and Sepahvand, Elham and Aghae, Abbas and Khachian, Alice}, title = {Hepatitis B Vaccination Coverage and Its Associated Factors in Nurses of Imam Reza (AS) Hospital in Kermanshah}, abstract ={Background: Viral hepatitis is one the main infections that health staff are faced with and nurses are at greater risk of the contracting this disease because of their exposure to patients. The current study was conducted to determine the hepatitis B vaccination coverage and its associated factors in nurses of Imam Reza (AS) Hospital in Kermanshah, Iran. Methods: In this descriptive-analytic study, 258 nurses working in Imam Reza (AS) Hospital of Kermanshah were studied based on census records in 2012. Instrument for the data collection was a researcher-made questionnaire, which its validity and reliability were approved. Collected data were analyzed by the Chi-square and ANOVA tests using SPSS 16. Results: Out of 258 nursing staff, 85.2% had completed vaccination, 3.9% had it once, and 10.9% had received two shots of vaccine. Among the most important barriers to vaccination mentioned by the participants were forgetting (57.2%), negligence (39.5%), and high workload (36.8%). Conclusion: Given the relatively high coverage of vaccination in this study, to maintain the efficiency of nurses as well as reducing the cost of difficult treatment of hepatitis B, necessary facilities and education about the disease and its complications should be provided by the authorities for the full vaccination coverage at very low cost.}, Keywords = {Vaccination, Hepatitis B, Nurses, Iran}, volume = {2}, Number = {2}, pages = {97-102}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.97}, url = {http://jccnc.iums.ac.ir/article-1-93-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-93-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Bastani, Farideh and Haghani, Hamid and Goodarzi, Paris}, title = {Age–Friendly Cities Features From the Elderly’s Perspectives Underscoring “Community Support and Health Services”}, abstract ={Background: The 21st century is faced with increase in challenges of urban population and aging. According to statistics, the old population in the world and in Iran is increasing. Obviously, their health promotion is the concern of the community and achieving it requires purposeful planning. Being healthy means to feel good in social, mental, and physical dimensions (definition by the World Health Organization). Recently special attention has been paid to the health and quality of life of old people. In this regard, the concept of “age-friendly city” with its 8 components has been raised. This study aimed to evaluate age-friendly city from the perspective of the old people with the emphasis on the component of “supports of the community and healthcare services.” Methods: This study was a cross-sectional study. A total of 400 old people who had the study inclusion criteria have been selected among referrals to 4 healthcare centers in Tehran, by stratified sampling and proportional allocation method. Study Instruments were short cognitive test, demographic characteristics, and checklist of evaluating age-friendly city. Data were analyzed using descriptive and inferential statistics by SPSS 20. The significance level was set at less than 0.05(P<0.05). Results: In this study, 53% of the samples were women and 47% were men. The majority of subjects (56.8%) were in the age group of 60 to 70 years and most of them (59.9%) had under-diploma degree. Generally, the mean scores of the component of “supports of the community and healthcare services” was 82.26, which was less than the median score of the component. Housewives compared to the retired (reference group) has made the old people’s attitudes score towards the component of “neighborhood supports and healthcare services” to increase to 0.26 and the mean time spending outdoors (1 to 3 h) compared to the reference group (less than 1 h) has made the old people’s attitudes score towards the same component to reduce to -0.13.  Conclusion: In line with the holistic nursing care, paying attention to the social dimension of the old people health, also considering the low mean score of the studied components, the need for culturalwell-being planning is felt. This planning must be based on old people’s attitudes and in line with strengthening the components of age-friendly city. It also requires coordination among the health authorities, urban authorities, representatives of the old people (including associations and retirement centers, etc.) and experts in Gerontology.}, Keywords = {Age-friendly city, Agedfriendly community, Aged}, volume = {2}, Number = {2}, pages = {103-114}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.103}, url = {http://jccnc.iums.ac.ir/article-1-94-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-94-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Basiri, Massoumeh and Bastani, Farideh and Haghani, Hamid and Rahmatnejad, Leili}, title = {Effect of Slow Stroke Back Massage on Anxiety of Older Women with Breast Cancer Undergoing Chemotherapy}, abstract ={Background: Anxiety is the most prevalent psychological side effect of breast cancer and chemotherapy. This study aimed to determine the effect of slow stroke back massage (SSBM) on the anxiety of old female patients with breast cancer undergoing chemotherapy. Methods: In this quasi-experimental study, 80 elderly women with breast cancer undergoing chemotherapy were enrolled by continuous sampling method. They were divided into two groups of experiment and control. The experiment group received three 15-min sessions of SSBM for 3 consecutive days. The data collection instrument was geriatric anxiety scale, which was used to measure the anxiety of the subjects. Descriptive and inferential statistics were used to analyze the data with 95% of confidence level in SPSS V.21. Results: There was no significant difference between two groups in terms of anxiety and they were quite homogeneous before the intervention (P=0.220). The average score of anxiety level reduced significantly from 40.97 before intervention to 30.47 after the intervention in the experiment group compared to the control group and the results were significant (P<0.001). Furthermore, no significant reduction was found in the average anxiety level of the control group before and after the intervention (P=0.457). There was also a significant difference between the average score of anxiety levels of the two groups after the intervention (P< 0.001). Conclusion: Because of the significant reduction of anxiety in the experiment group by using SSBM, this method can be recommended as an easy, accessible, and affordable method to apply on elderly women with breast cancer undergoing chemotherapy. Also, it is recommended that SSBM be used by nurses working with this group of women.}, Keywords = {Elderly, Breast cancer, Chemotherapy, Massage therapy}, volume = {2}, Number = {2}, pages = {115-122}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.115}, url = {http://jccnc.iums.ac.ir/article-1-95-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-95-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {ParchamiIraqi, Maryam and Ahmadi, Zahr}, title = {Effect of Telephone Counseling (Telenursing) on the Quality of Life of Patients with Colostomy}, abstract ={Background: The number of patients with colostomy is increasing every day. Caring of patients with colostomy after operation should be based on different aspects of their quality of life (QoL). This study was conducted to determine the effect of telephone counseling (telenursing) by nurses on the QoL of patients with permanent colostomy. Methods: This study was a randomized clinical trial with the control group. It was conducted on the patients of Iranian Ostomy Society, Tehran, Iran. At first, a total of 70 patients with permanent colostomy were selected by convenience sampling method and then allocated randomly in experimental group (with phone consultation) and control group. Patients in both groups followed training sessions as usual and participated in it. Data collection tool was City of Hope quality of life [COH-QOL]-Ostomy questionnaire. QoL was measured at the beginning of the intervention and then 16 weeks later. Statistical data were analyzed using descriptive statistics, paired t test, independent t test, and analysis of covariance. Data analysis was performed by SPSS version 22. Results: After telephone counseling, significant differences were observed between the two groups with regard to physical (P= 0.007), mental-psychological (P˂ 0.001), and social (P˂ 0.001) aspects of patients’ QoL. Regarding the spiritual aspect of QoL, no significant difference was found between two groups (P= 0.111) after telephone counseling. All in all and compared with the control group, telephone counseling was significantly effective on the patients’ QoL (P˂ 0.001). Conclusion: Because of telephone counseling was effective on physical, mental, and social aspects of patients’ QoL, the results of this study can be used to improve the QoL and the health of patients with colostomy. In this regard, nurses as the main members of the health staff can use telephone counseling program.}, Keywords = {Colostomy, Telephone counseling, Quality of life}, volume = {2}, Number = {2}, pages = {123-130}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.2.123}, url = {http://jccnc.iums.ac.ir/article-1-96-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-96-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Bastani, Farideh and Birjandi, Masoumeh and Haghani, Hamid and Sobhan, Mohammad Rez}, title = {Factors Associated With Fear of Falling and Functional Independence in Older Adult Living in an Iranian Nursing Home: A Cross-Sectional Study}, abstract ={Background: Fear of falling is common amongst older adults, especially those who live in nursing homes. This study aimed to determinate factors associated with fear of falling and functional independence in older adults living in nursing homes. Methods: This was a cross-sectional study using a convenience sampling method to enroll 200 older adults living in nursing homes from 25 senior centers in Tehran 1 and 2 districts between September 2015 and November 2015. Main outcome measurement instruments were the 16-Item falls efficacy scale international (FES-I, Persian version) and 11-Item Barthel index (BI) functional independence measure. In this study, variables were analyzed using Student’s t test and ANOVA. The Pearson coefficient correlation was used to examine the relationship between FES and BBS[g1] . A 2-tailed P value < 0.05 was considered statistically significant. Results: The participants were mostly female (51.5%) and aged over 70 (mean age 76.89±8.50 years). Of 200 seniors within the study, 60.8% experienced one or more falls during the last year. Statistically significant relationships were found between the fear of falling and functional independence (r = - 0.524; P ≤ 0.001). There was a significant relationship between fear of falling and age (P = 0.039), history of falling (P=0.002), and chronic disease (P=0.009). In addition, there was a significant relationship between functional independence and some older adults’ characteristics, including gender (P = 0.048), education level (P = 0.028), duration of living in nursing home (P=0.002), history of falling (P=0.006), and chronic disease (P=0.01). Conclusion: According to the findings, there was a high level of fear of falling in the older adults. The fear of falling in the older adults living in nursing homes is associated with age, history of falling, and chronic disease. There was a significant association between functional independence and variables of gender, education level, duration of living in nursing home, history of falling, and chronic disease.  [g1]Expand this term.}, Keywords = {Fear of falling, Functional independence, Older adults, Nursing home}, volume = {2}, Number = {3}, pages = {135-144}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.135}, url = {http://jccnc.iums.ac.ir/article-1-75-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-75-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Kheirkhah, Masoomeh and Akbarpouran, Vahideh and Haqhani, Hami}, title = {Relationship Between Talent Management and Organizational Commitment in Midwives Working in Iran University of Medical Sciences}, abstract ={Background: One of the important challenges to health service policy makers is conservation of human resources. Shortage of human resources in health and care sector damages quality of services. Another problem of organizations is low organizational commitment, which may result in poor performance and high costs reflecting improper use of human resources. Committed employees set the scene for growth and development of the organization. Talent management is a new management method, which have dramatically changed human capital management and overcome the weaknesses and deficits of traditional approaches. Considering the critical role of midwives in the health care of mothers and infants, devotion of high organizational commitment by midwives is important. Therefore, the present research aimed at determining the relationship between talent management and organizational commitment in midwives working in hospitals affiliated to Iran University of Medical Sciences. Methods: This research was a descriptive cross-sectional study. The statistical population comprised midwives working in hospitals affiliated to Iran University of Medical Sciences. Information was collected using Arabpour and Nikpour’s talent management researcher-made questionnaire and Allen-Meyer's organizational commitment questionnaire (24 item). Validity of the questionnaires was approved using the content validity test and their reliability was confirmed using the Crobach α coefficient method. The calculated Cronbach α coefficients for talent management and organizational commitment were 0.82 and 0.80, respectively. The obtained data were analyzed by SPSS 16. Results: Talent management score was higher than average condition with a mean score of 3.05. Dimensions of talent development (3.37) and talent conservation (2.73) had the highest and lowest mean scores, respectively. The score of organizational commitment of midwives was 101, and the affective commitment dimension had the highest mean value of 35 among others. The Pearson correlation coefficient revealed a statistically significant relationship between talent management (and its dimensions) and organizational commitment (and its dimensions) (P<0.001, r=0.48). Conclusion: Considering the positive effects of high level of commitment on conservation of employees, hospital managers can improve their commitment using new management methods to encourage talents and capabilities of their human resources. }, Keywords = {Talent management, Organizational commitment, Midwives}, volume = {2}, Number = {3}, pages = {145-152}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.145}, url = {http://jccnc.iums.ac.ir/article-1-98-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-98-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Bastani, Farideh and Farnood, Fattaneh and Haqhani, Hami}, title = {Evaluation of Death Anxiety in Elderly Patients With Cancer Undergoing Chemotherapy}, abstract ={Background: Aging population and prevalence of diseases like cancer among them have affected general health of the elderly, so that one of the influential factors on health components of elderly patients with cancer is death anxiety, which has important consequences in them. Methods: In this cross-sectional (descriptive correlational) study, 130 elderly patients with cancer undergoing chemotherapy were recruited by convenience sampling method. To collect information, demographic information form and Templer’s death anxiety inventory were used. To analyze the data, descriptive statistics, statistical tests were used through SPSS 21. Results: The results showed that 42.3% of the old people had high death anxiety. The mean (SD) score of death anxiety was found 6.85 (2.7) which was at the desirable level. In this study, death anxiety of old people had significant relationship with variables of age (P<0.001), marital status (P<0.012), education level (P<0.001), cancer type (P<0.023), period of suffering from cancer (P<0.018), and other comorbid diseases (P<0.001). So that old people with lower age, higher level of education, married, lower period of cancer, and without underlying diseases, had lower death anxiety. Conclusion: The results of this study can be a basis for better understanding of educational, consultation, and supporting needs regarding coping with anxiety and its management (based on the culture of the community) in this group of elderly patients with cancer.}, Keywords = {Aging, Cancer, Death anxiety}, volume = {2}, Number = {3}, pages = {153-160}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.153}, url = {http://jccnc.iums.ac.ir/article-1-88-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-88-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {JamilPiro, Tir}, title = {Kurdish Maternity Nurses’ Perspectives About Human Dignity}, abstract ={Background: Ethical standards of nursing profession emphasize that taking care of patients, showing respectful behavior, and preserving patients’ human dignity are important nursing priorities. Furthermore, since time immemorial, humanistic thinkers have always paid close attention to the issues of humanity and human dignity. Despite the emphasis of nursing texts on the importance of preserving the patients’ human dignity, this concept has seldom been considered by nursing scholars, and very few clinical studies have focused on it. To explore the nurses’ perspectives about human dignity in Hawler Maternity Hospital, Kurdistan, Iran. Methods: A qualitative content analysis design was used to analyze the study data. After using a purposive sampling method, 10 Kurdish nurses who worked in Hawler Maternity Hospital were recruited for the study. Then, semi-structured interviews were carried out to collect data. Data analysis was done through conventional content analysis. This research was approved by the Ethics Committee of College of Nursing, Hawler Medical University. Results: Through the data analysis, three main themes emerged: 1) mothers’ deprivation of basic health care services, 2) women’s right to have sympathetic care, and 3) negligence of the mothers’ human rights from different aspects. Conclusion: Based on participants’ opinions, respecting mothers’ human dignity means establishing a sympathetic relationship with them. Furthermore, institutionalization of human dignity and value in humans’ nature is one of the crucial care factors.}, Keywords = {Content analysis, Maternity nurse, Human dignity.}, volume = {2}, Number = {3}, pages = {161-168}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.161}, url = {http://jccnc.iums.ac.ir/article-1-100-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-100-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Azimi, Hamideh and Masroor, Daryadokht and Haghani, Hamid and Rafii, Forough}, title = {Effect of Aerobic Exercise on Blood Pressure of Patients With Type 2 Diabetes: A Randomized Controlled Trial}, abstract ={Background: Hypertension is one of the prevalent and dangerous complications of diabetes mellitus. As it is difficult to control hypertension, the necessity of using new techniques such as non-pharmaceutical methods and complementary therapy increased. This study aimed to determine the effect of aerobic exercise on the blood pressure of patients with type 2 diabetes. Methods: This study was a quasi-experimental randomized trial conducted on 67 volunteered patients with type 2 diabetes. The participants were randomly assigned to aerobic exercise (n=33) and control (n=34) groups. The exercise group walked 30 minutes, 3 days a week for 8 consecutive weeks. Systolic and diastolic blood pressure of the samples were measured before and after the intervention. The data were analyzed by descriptive statistics, the Kolmogorov-Smirnov test, paired t test, Independent t test, and Chi-square test using SPSS (v. 16). P value less than 0.05 was considered significant.  Results: The difference between the systolic and diastolic blood pressure of the groups before the intervention was not significant (P>0.05). After the intervention, there was no significant difference in terms of systolic and diastolic blood pressure of the exercise group compared with the baseline (P>0.05). No significant difference was determined between groups in terms of systolic and diastolic blood pressure after the intervention (P>0.05). Conclusion: According to the findings, 8 weeks of aerobic exercise (walking) did not reduce systolic and diastolic blood pressure in patients with type 2 diabetes.}, Keywords = {Aerobic exercise, Walking, Blood pressure, Diabetes}, volume = {2}, Number = {3}, pages = {169-176}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.169}, url = {http://jccnc.iums.ac.ir/article-1-87-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-87-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Khachian, Alice and Seyedoshohadaee, Mahnaz and Haghani, Hamid and Aghamohammadi, Freshteh}, title = {Family-Centered Education and Self-care Behaviors of Patients With Chronic Heart Failure}, abstract ={Background: As for high prevalence and incidence of heart failure, it can impose huge health, economic, and social burden on society. Education and self-care are important aspects of management in patients with heart failure, which can control the disease complications. This study aimed to investigate the effect of family-centered education approach on self-care behaviors of the patients with heart failure. Methods: This research is a randomized clinical trial. The study has been conducted on 72 patients with heart failure hospitalized in Shahid Rajai cardiovascular, medical, and research center, Tehran, Iran, in 2015. Patients were randomly assigned into the intervention (family-centered) and control groups. The self-care behaviors were measured before and two months after intervention using questionnaires of the self-care behaviors. Data analysis was done using paired t test and independent t test by SPSS. Results: Before intervention, mean (SD) values of self-care scores were 23.88 (4.71) and 21.50 (3.30) in the control and family-centered groups, respectively, with no statistically significant difference between two groups (P= 0.064). Two months after the intervention, mean (SD) values of self-care scores in control and intervention groups were 22.94 (4.71) and 42.31 (4.60), respectively. Statistical analysis showed that self-care behaviors in the family-centered group had a significant increase compared to the control group (P < 0.001). Conclusion: Education with family-centered approach has a positive impact on the self-care behavior of patients with heart failure. With regard to our culture and the importance of family, it is suggested that this approach be used in addition to other training methods to improve self-care behaviors in patients with chronic diseases such as heart failure.}, Keywords = {Chronic heart failure, Self-care, Education, Family-centered approach}, volume = {2}, Number = {3}, pages = {177-184}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.177}, url = {http://jccnc.iums.ac.ir/article-1-77-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-77-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {NajafiGhezeljeh, Tahereh and Kalhor, Leil}, title = {Review Paper: The Bed Incline and Prevention of Ventilator-Associated Pneumonia}, abstract ={Background: Ventilator-Associated Pneumonia (VAP) is the most common nosocomial (hospital acquired) infection among patients undergoing mechanical ventilation. It increases mortality rate, duration of mechanical intubated ventilation, and hospitalization in the Intensive Care Units (ICUs). This review study aims to determine the proper gradient of a hospital bed in preventing VAP in patients hospitalized in ICUs. Methods: In this study, research articles published from 1999 to 2016 were searched in PubMed, Science Direct, SID, and library sources, using keywords of “ventilator-associated pneumonia” and “elevated bed incline” and their corresponding terms in the Persian language. Results: Results of the review showed that limited studies have been conducted on comparing the different inclines of bed and their effects on preventing VAP. Also, the available studies had methodological limitations or hospital staff failed to keep the patient in the same bed incline which was under the study for prolonged duration. Based on 19 reviewed studies, the incidence of VAP, hospital costs, mortality rate, and duration of mechanical ventilation in patients whose beds were inclined at 45 degrees or 30-45 degrees were significantly lower compared to patients reclining in the supine position. Although, in most conducted studies there were no consensus over a suitable bed incline in prevention of VAP and bedsore. Conclusion: Raising the incline of bed can play a role in lowering the incidence of VAP, mortality rate, hospital costs and duration of mechanical ventilation. However, the proper gradient is not definite and requires studies with proper methodology in this regard.}, Keywords = {Ventilator-associated pneumonia, Elevated head of bed, Pressure ulcer, Intensive care unit}, volume = {2}, Number = {3}, pages = {185-198}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.3.185}, url = {http://jccnc.iums.ac.ir/article-1-97-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-97-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {KhodabakhshiKoolaee, Anahita and Damirchi, Fatemeh}, title = {Comparing Quality of Life Among Female Sex Workers With and Without Addiction}, abstract ={Background: Prostitution and substance abuse are among the crucial social problems in women, which affect the quality of life. However, no study has yet investigated that prostitution and substance abuse affect which dimension(s) of quality of life. The current study aimed to compare different dimensions of quality of life among female sex workers with and without drug abuse. Methods: The research design was ex post facto study. The study sample comprised 120 women (60 female sex workers with substance abuse and 60 without substance abuse). They were selected through convenience sampling method in Tehran, in 2016. They completed WHO Quality of Life-BREF questionnaire. Data analysis was done using multivariate analysis of variance and covariance methods by SPSS V. 20. Results: According to the results, there was a significant difference between female sex workers with and without drug use (P < 0.05) with regard to physical, social relationship and environment health. The sex workers without drug abuse had higher quality of life in aforementioned aspects. However, no significant difference was observed among two groups with regard to psychological health (P > 0.05).  Conclusion: The results indicated that quality of life in female sex workers with using drug is poorer than their counterparts who are not drug users. These findings emphasize that health care providers can consider quality of life as an essential factor in therapeutic intervention (primary and secondary) in prostitutes and addicted women. Female sex workers using drug have the psychological, social, and biological needs that require the immediate and considerable attention.}, Keywords = {Quality of life, Sex workers, Drug users, Women}, volume = {2}, Number = {4}, pages = {201-206}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.201}, url = {http://jccnc.iums.ac.ir/article-1-105-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-105-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Inanloo, Mehrnoosh and Ramezani, Fahimeh and Seyedfatemi, Naimeh and Moudi, Susan and Haghani, Hami}, title = {The Effect of Coping Strategies Training on the Quality of Life of the Family Caregivers of Patients With Chronic Mental Disorders}, abstract ={Background: Caring of the patients with mental disorders is a responsibility which brings lots of pressures and stresses to family members and lowers their quality of life. The current research aimed to study the effect of training coping strategies on the quality of life of caregivers of patients with chronic mental disorders.  Methods: This study is a non-randomized clinical trial conducted on 94 caregivers of patients with chronic mental disorder. The samples were recruited by convenience sampling method and the eligible ones were put in the intervention and control groups. The data collection tool were demographics questionnaire and SF 36 life quality scale. The coping strategies were taught in eight 90-minute sessions, during 8 consecutive weeks (once a week) for 2 months in groups. The obtained data were analyzed using descriptive and inferential statistics by SPSS V. 20.  Results: The caregivers were mostly female (62.7%) aged between 35 and 55 years. More than 80% of the study subjects were married. Most study subjects in both groups were housewives. In the intervention group, the physical functioning of quality of life before and two months after the intervention showed no significant difference (P = 0.877), but other areas showed significant increase two months later (P < 0.001). In the intervention group, the quality of life significantly increased two months after the intervention (P < 0.001), but it has declined in the control group (P < 0.001).  Conclusion: Based on study findings, coping strategies training was effective in promoting the quality of life. Experts in family health education are in need to educate and train families. Therefore, we recommend the mental health system to promote quality of life via developing such specialized programs and facilities at educational and health centers.}, Keywords = {Coping strategies training, Quality of life, Family caregivers}, volume = {2}, Number = {4}, pages = {207-214}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.207}, url = {http://jccnc.iums.ac.ir/article-1-106-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-106-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Seyedoshohadaee, Mahnaz and Parnian, Shima and Mardani, Marjan and Haghani, Hami}, title = {The Effects of Life Skills Training on Patients’ Adaptation With Multiple Sclerosis}, abstract ={Background: Multiple Sclerosis (MS) affects people’s lives for a long time, therefore it is necessary to improve their quality of life by all means, including the most appropriate way of adaptation. The purpose of this study was to investigate the effect of life skills training on patients’ adaptation with MS. Methods: This study is a quasi-experimental study with a sample size of 80 subjects who were selected with convenient sampling method. Patients were assigned in the experimental and control groups. The experimental group received four 1-hour sessions training of life skills within a month. The control group received routine cares. Patients in both groups completed Coping with Multiple Sclerosis Scale (CMSS) at the beginning and one month after the last training session. To compare the findings between two groups, independent T-Test was used and to compare pre- and post-intervention results, paired T-Test was used. To analyze the data, SPSS 21 was used. Results: Most respondents in both experimental and control groups (55% - 55.7%, respectively) were male. In the control group, the average age of respondents was 32.22 years and in the experimental group it was 33.02 years. There was no significant difference in coping with MS scores between experimental and control groups before life skills training (P > 0.05) but after training, both groups showed significant differences (P > 0.01). Conclusion: Our main study result suggests positive effects of using life skills training. Because the main objective of these trainings was preparing and helping patients to solve problems and difficulties encountered due to their diseases, thus, applying life skills training in care plan is recommended in these patients.}, Keywords = {Multiple Sclerosis, Psychological training, Adaptation }, volume = {2}, Number = {4}, pages = {215-222}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.2015}, url = {http://jccnc.iums.ac.ir/article-1-104-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-104-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Rafii, Forough and JanAmiri, Maryam and Dehnad, Afsaneh and Haghani, Hami}, title = {The Effect of Workshop and Multimedia Training Methods on Nurses’ Knowledge and Performance on Blood Transfusion}, abstract ={Background: Blood transfusion faults and its consequences are major concerns of health care systems. This study aimed to determine the effects of workshop and multimedia training methods on nurses’ knowledge and performance about blood transfusion. Methods: It was a controlled quasi-experimental study. Sampling was conducted. Data were collected from 37 participants in three hospitals during 2016 by a three-part questionnaire consisting of nurses’ demographic information, routine blood transfusion knowledge (RBTQ) questionnaire, and Purfarzad-performance-evaluation questionnaire. Statistical analyses were conducted using SPSS V. 20. Results: Nurses’ knowledge and performance levels in workshop and multimedia groups increased from the average to the good level. No significant differences was found between workshop and multimedia groups regarding knowledge (P = 0.474) and performance scores (P = 0.984). Results of paired T-Test showed no significant differences before and after knowledge evaluation in control group (P = 0.262), while it revealed significant differences in workshop and multimedia group so that, the knowledge scores level increased from average to good (P = 0.474). Mean (SD) performance scores in multimedia group were 70.36 (7.06) and 79.78 (0.91) before and after intervention, respectively. Therefore, before training the performance of groups was in average levels but they improved to the good levels after training (P = 0.984). Paired T-Test for workshop and multimedia groups before and after intervention revealed significant differences (P < 0.001). Conclusion: This study showed that workshop and multimedia training methods are effective in promoting the nurses’ knowledge and performance. None of these two methods outweighed the other. One reason in this regard might be due to mutual connection between teacher and students, the possibility to ask and answer the questions, discussing in workshop method, and the possibility to repeat the concepts and regulate the pace of training based on individuals learning abilities in multimedia method.}, Keywords = {Workshop, Multimedia, Knowledge, Performance, Nurse, Blood transfusion}, volume = {2}, Number = {4}, pages = {223-230}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.223}, url = {http://jccnc.iums.ac.ir/article-1-102-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-102-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {RouhiBalasi, Leila and Salari, Arsalan and Nourisaeed, Azam and Moaddab, Fatemeh and Shakiba, Maryam and Givzadeh, Hame}, title = {Anxiety and Depression in Patients Undergoing Coronary Angioplasty}, abstract ={Background: Anxiety and depression are the most important factors on the quality of life in patients after coronary angioplasty. These patients have less capability for adjusting themselves with changes in life style, diet, medication and physical activity adherence. This study aimed to determine predictive factors of anxiety and depression in patients undergoing coronary angioplasty.  Methods: In this descriptive cross-sectional study, 148 patients were selected by convenience sampling method. Data were collected by a 2-section questionnaire, including sociodemographic factors and the hospital anxiety and depression scale. Multivariate logistic regression was used to determine predictors of anxiety and depression. Using a convenience sampling method, the patients were selected among those patients undergoing PCI in Heshmat Heart Medical Hospital in Rasht, Iran between March 2015 and June 2015. Analyses were performed using SPSS 19. Results: The majority of samples were male (61.5%), married (93.2%), retired (31.1%), and illiterate (48%). Their mean (SD) age was 60.02(10.5) years. According to the findings, 62.2% suffered from clinical anxiety and 20.3% suffered from clinical depression. The results of multivariate adjusted model showed that education level is significantly associated with mild depression. Also sex and age are significant predictors for severe depression. Male patients were less likely to have severe depression compared to female ones . Middle age patients (45-64 years) compared to older adults were more likely to be diagnosed with severe depression. Conclusion: Considering the high prevalence of anxiety and depression symptoms in these patients, they need counseling, social and psychological support before, during and after procedures such as angioplasty.}, Keywords = {Anxiety, Depression, Angioplasty, Coronary artery disease}, volume = {2}, Number = {4}, pages = {231-238}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.231}, url = {http://jccnc.iums.ac.ir/article-1-107-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-107-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {HajiRasul, Vian and Cheraghi, Mohhammad Ali and BehboodiMoghadam, Zahr}, title = {Exploring the Impact of Individual Factors in Taking Cervical Cancer Screening: A Content Analysis}, abstract ={Background: Cervical cancer remains the leading cause of cancer death among women in developing country. In Iraqi Kurdistan Region, few women undergo screening and the incidence of cervical cancer is on the increase as is the case in most developing countries. The purpose of this study was to explore women’s individual factors affecting the performance of the cervical cancer screening in Kurdistan Region, Iraq. Methods: The present study adopted a qualitative design based on conventional content analysis approach. Purposive sampling was used to select 22 women who had either had a Pap-Smear or refused to have one. Semi structured in depth interviews were conducted with each individual to collect data. Data were collected from August 7, 2015 to July 22, 2016. The criteria for including samples for this study were aS follows: 1) Married Kurdish women who are living in Kurdistan Region, Iraq, 2) Willingness to participate in the study, and 3) Not undergone cervical cancer screening. Non Iraqi Kurdish women were excluded. Each interview lasted for 42-70 minutes on average. In order to analyze the collected data, the obtained purified codes were compared and simultaneously clustered and classified under certain themes using their similarities and differences. Results: Seven main themes including age, educational level, having multiple full-pregnancies, existence of signs and symptoms of cervical cancer, psychological factors, poverty, and marital status emerged during the data analysis.  Conclusion: The findings of this study indicated that individual factors can prevent women from cervical cancer screening in Kurdistan Region, Iraq. Understanding these factors may lead to the development of effective programs and policies to improve cervical cancer screening uptake by Kurdish women.}, Keywords = {Cervical cancer screening, Content analysis, Qualitative research}, volume = {2}, Number = {4}, pages = {239-248}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.239}, url = {http://jccnc.iums.ac.ir/article-1-114-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-114-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} } @article{ author = {Taherzadeh, Zahra and Mohammadi, Nooredin and AghaHoseini, Fateme}, title = {Effectiveness of Outcome-Based Education on Maintaining Semi-Upright Position of Patients Under Mechanical Ventilation}, abstract ={Background: According to studies, despite the proven and effective role of mechanical ventilation on patients with respiratory failure, the positive effects of semi-upright position on oxygenation and ventilation of patients under mechanical ventilation and nurses’ training about them have been neglected. This study aimed to investigate the effect of outcome-based education of nurses on maintaining the semi-upright position in mechanically ventilated patients (MVPs).  Methods: This study was an outcome-based research and designed with pretest/posttest. All nurses of intensive care unit of Firozgar Hospital participated in a 2-hour individual training course with the outcome-based approach on maintaining the semi-upright position in MPVs. The obtained data were collected by a checklist, including questions about demographics, knowledge, and performance. Assessment of the performance was performed via observation and completing checklist by the researcher. After collecting data, they were analyzed through descriptive and inferential statistics using SPSS V.20.  Results: The results showed that the mean(SD) score of nurse’s knowledge before and after training were 47.41(23.63) and 89.63(10.18), respectively and administering semi-upright position in MVPs in the posttest was significantly increased. Conclusion: The outcome-based education on maintaining the semi-upright position in MVPs has positive effects on knowledge and performance of nurses. We recommend use of this method in nurses’ curriculum. }, Keywords = {Outcome-based education, Semi-upright position, Mechanically ventilated patients, Performance}, volume = {2}, Number = {4}, pages = {249-253}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/jccnc.2.4.249}, url = {http://jccnc.iums.ac.ir/article-1-112-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-112-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2016} }