2024-03-28T13:06:47+04:30 http://jccnc.iums.ac.ir/browse.php?mag_id=1&slc_lang=en&sid=1
1-23 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 The Effect of Expressive Writing on Psychological Distress in Patients with Vitiligo: A Randomized Clinical Trial Leili Borimnejad Alireza firooz Hosein Mortazavi Nessa Aghazadeh Zahra Halaji Objective: In this clinical trial, we examined whether or not expressive writing as a psychological intervention reduces psychological distress in vitiligo patients receiving phototherapy.  Method: A total of 139 adult vitiligo patients were asked to complete the GHQ-28 in order to identify their psychiatric disturbances. The GHQ-28 scores showed that 78 patients (56.5%) had psychiatric distress. They were later enrolled in this randomized controlled trial conducted during June 2009 until Dec 2009 at Razi Hospital in Tehran. Patients were randomly divided into 2 groups. Group A underwent the routine treatment protocol. Group B did the same, but they were also instructed to practice ‘expressive writing’. The intervention continued 4 weeks. After 4 weeks, patients in both groups were re-evaluated using the GHQ-28.  Results: The overall GHQ-28 scores and sub-scores were significantly reduced in both groups A (47.9+/-11.71, P = 0.000) and B (48.94+/-10.69, P = 0.000) after 4 weeks of intervention. However, no statistically significance difference was found between the two groups in terms of their overall scores (P = 0.7) and their sub-scores.  Conclusion: The effect of expressive writing on reducing psychological distress in patients with vitiligo remains equivocal. Nonetheless, further studies with larger sample sizes and of longer duration especially in non-western cultural contexts are recommended. vitiligo psychological distress expressive writing 2015 3 01 3 8 http://jccnc.iums.ac.ir/article-1-23-en.pdf 10.32598/jccnc.1.1.3
1-28 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Sexual Dysfunction in Breast Cancer Survivors Shahrzad Yektatalab Abdolghasem TaleIi Masood Moosavinasab Sara Soleimani Background: Approximately 12.3 percent of women will be diagnosed with breast cancer at some point during their lifetime. Breast cancer is accompanied by alternation in body image and worries about sexual attractiveness. Thus, sexual life of breast cancer survivor’s needs special attention. This study aimed to evaluate the effects of breast cancer on women’s sexual function.  Methods: In this case-control study, 30 women who referred to surgical departments of breast cancer and 30 healthy women in Shiraz, Iran were selected through purposive sampling. These women underwent treatment during two months. The study data were gathered using a demographic questionnaire and a researcher-made questionnaire based on DSM-IV Diagnostic Criteria which evaluated the women’s sexual dysfunctions. Then, the data were entered into the SPSS statistical software (version 16) and were analyzed using descriptive statistics, chi-square, Mann-Whitney, and Kruskal-Wallis tests.  Results: Two groups were matched according to age, education level, occupation, number of treatments for breast cancer, types of treatment and menopausal age (P > 0.05). The results indicated that sexual desire disorder, sexual arousal disorder, and orgasmic disorder were more prevalent in the case group compared to the control group (P<0.05). In contrast, sexual pain disorder and aversion disorder were similar in the two groups (P > 0.05). Moreover, a significant difference was found between the two groups concerning the sex-related imagination and fantasizing (P=0.007), lubrication, orgasm, and remaining aroused (P<0.05). The study results revealed no significant relationship between type of surgery and sexual dysfunction. Whereas, a significant relationship was observed between years after treatment and sexual dysfunction.  Conclusion: Our findings show that breast cancer adversely affects women’s sexual function. It is highly recommended to pay attention to the sexual aspect of the women with breast cancer using couple therapy. Breast cancer Sexual function Health 2015 3 01 9 14 http://jccnc.iums.ac.ir/article-1-28-en.pdf 10.32598/jccnc.1.1.9
1-22 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Nursing Students\' Time Management: Directing Activities Tayebe Mirzaei Fateme Oskouei Forough Rafii Ali Ravari Background: The nursing students should acquire practical and theoretical competence required for the patients' care during their 4 years of education. This involves proper use of time. The purpose of this study was to investigate how nursing students manage their time despite the academic difficulties and obstacles. Methods: This qualitative study was carried out through grounded theory method. The study population consisted of nursing students. Twenty-one nursing students studying at undergraduate level were selected purposefully for participation in this study. The data were collected with semi-structured interview and analyzed through Strauss and Corbin method (2008). MAXQDA 10 software was employed to organize and process the data. Results: Core variable of this study was "directing activities toward personal goals," representing in 3 behavioral patterns. The behavioral pattern of "retaliation from field" was one of the 3 patterns applied by nursing students. The properties of this pattern included "unknowingly entrance to nursing field," "stress and dissatisfaction with spending time," "nonacceptance of field," "attempt to decrease stress and obtain satisfaction," and "ignoring academic responsibilities". According to this pattern, the students spent most of their time on non-academic responsibilities while trying to overcome the stress. Conclusion: The findings of this study recommend the necessity for revising the admission method of nursing students and informed choice of nursing field by these students. Time management Nursing students Grounded theory Stress 2015 3 01 15 22 http://jccnc.iums.ac.ir/article-1-22-en.pdf 10.32598/jccnc.1.1.15
1-25 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Translating and evaluating psychometric properties of hand hygiene questionnaire-Persian version Tahereh Najafi Ghezeljeh Maryam Khosravi Tahereh Tolouei Pourlanjarani Background: Since hand hygiene is a key strategy for infection control, considering appropriate instrument for evaluating health care providers’ hand hygiene is essential. In this study, translation process and evaluating reliability and validity of hand hygiene questionnaire (HHQ) is described.  Methods: HHQ was translated into Persian with combined method. In this cross-sectional study, the questionnaire was given to 60 nursing students in sixth semester. The internal consistency, test-re-test reliability, convergent construct validity of the questionnaire were measured. The data were analyzed by SPSS software, 16th version.  Results: The cronbach’s alpha of HHQ was 0.80. Intra class correlation coefficient ranged from 0.70-0.85 and standard error of measurement was low. There were no significant statistical differences between test and retest. Also convergent construct validity of HHQ was optimal.  Conclusion: The results indicated that validity and reliability of HHQ-Persian version were appropriate and satisfactory. It can be used for nursing students however, for other health care providers further evaluation is essential. Hand hygiene questionnaire Hand hygiene knowledge Hand hygiene belief Hand hygiene practice Instrument validity and reliability 2015 3 01 23 28 http://jccnc.iums.ac.ir/article-1-25-en.pdf 10.32598/jccnc.1.1.23
1-24 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Effect of Support Program on Satisfaction of Family Members of ICU Patients Hamid Afsaneh Abvali Hamid Peyrovi Omid Moradi-Moghaddam Mahmoodreza Gohari Background: This study has been conducted to investigate the effect of family-centered support program on satisfaction of the family members of patients in intensive care unit. Hospitalization of patient in intensive care unit causes crisis in family. It is very important to pay attention to the role of patient’s family in support and care of patients in intensive care unit, to pay attention to fulfillment of the family’s needs in order to increase their satisfaction. Methods: This study was a quasi-experimental study with control group. 76 family members of the patients hospitalized in medical and surgical intensive care units were recruited through purposeful sampling method and were divided in two groups (control and trial with 38 people in each groups). In the control group, action was taken according to routine way of the unit and in trial group, intervention was conducted within three days in three dimensions of support, information and reassurance. In the fourth day, satisfaction was measured using Family Satisfaction Intensive Care Unit (FS-ICU) questionnaire.  Results: Mean and standard deviation of the satisfaction with care in the control and trial groups were 37.78(18.36) and 69.26(8.39), respectively, mean and standard deviation of satisfaction in information and decision-making domains were 25.65(17.48) and 61.84(12.21) and total satisfaction score were 32.73(16.92) and 66.17(9.07), respectively. These scores indicated significant increase of satisfaction after intervention (p< 0.001).  Conclusion: This research showed that information, emotional support and reassurance of the family of patients in intensive care unit has considerable effect on increase of their satisfaction. It is suggested to educate intensive care nurses and other health care personnel about psychosocial and behavioral skills to support family members during hospitalization of their patients in intensive care unit. Satisfaction Intensive care unit Family member Support Program 2015 3 01 29 36 http://jccnc.iums.ac.ir/article-1-24-en.pdf 10.32598/jccnc.1.1.29
1-26 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Evaluation of the National Health Care Reform Program from the Perspective of Experts Fereydoon Khayeri Leila Goodarzi Ali Meshkini Ebrahim Khaki Background: Health is a national priority and it is always a duty of the government to establish a good and fair health system. The National heath care system reform program and evaluation of health system reform plan funding these programs were enforced by the Honorable Minister of Health and Medical Education on May 5th, 2014. Given the importance of this issue, the present study was conducted to evaluate the implementation of 6 programs of national health system reform plan based on the main indexes of each program. Methods: This is a cross-sectional, applied study conducted from May 8th, 2014 to September 2nd, 2014. The sample of study which were selected through random sampling method included 197 hospitals affiliated to 57 universities of Medical Sciences. A standard checklist designed by experts of Commission of Ministry of Health and Medical Education, including the main indexes which after confirmation of its validity and reliability, was reviewed and monitored by the experts at the Department of Health Monitoring and Accreditation of Ministry of Health and Medical Education through observation and interview. Results: Findings of this study showed that the indicators of current health care reform have been improved related to indexes of the cost paid by hospitalized patients, promotion of natural birth, promotion of inpatient services, residency of doctors, encouraging doctors to remain in deprived areas and improvement of the quality of hoteling. The following objectives were achieved too: ‘not providing medication and medical supplies and equipment from outside the hospitals’ (88.5%), ‘free franchise of natural birth’ (90.8%), ‘active participation of resident doctors according to the program and suitability of the facilities and conditions of doctors’ residence at the hospitals’ (60.3%), ‘timely payment of doctors’ salary according to the regulations and based on monitoring their performance’ (81.8%), ‘employing approved specialists in accordance with the type of visits and patients’ (65.2%) ‘operational program, Gantt chart of the program in terms of evaluation and executive measures regarding the building and facilities’ (73.3%) had the most desirable condition in comparison with other indexes. Conclusion: The findings of this study showed that health care system reform program has been successful in Iran. Among the objectives of the program, promotion of natural birth has been more successful than other indexes of health care system reform program. Iran System reform plan Indicators Evaluation Monitoring 2015 3 01 37 46 http://jccnc.iums.ac.ir/article-1-26-en.pdf 10.32598/jccnc.1.1.37
1-27 2024-03-28 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2015 1 1 Effect of Stabilizing Endotracheal Tube on Quality of Airway Management in Patients Hospitalized in ICU Mahnaz Seyedoshohadaee Shakeh Hagnazarian Mansoureh Ashghali farahani Hamid Haghani Background: The unplanned departure of endotracheal tube is one of the main complications for endotracheal intubation. In addition to endotracheal extubation, its movement can also lead to damage to the oral cavity. Stabilizing endotracheal tube is the most important factor that can prevent unplanned departure of endotracheal tube as well as its movement. The current study was done with the aim of determining and comparing the effect of stabilizing endotracheal tube by a holder with routine method on quality of airway care in patients hospitalized in ICU.  Methods: This study was a clinical and quasi-experimental trial with a control group which was done on 100 patients having endotracheal tube attached to mechanical ventilation by a holder. The samples were selected randomly from patients hospitalized in ICU in Hazrat Rasoul Akram hospital. The samples were then divided into control group and test group. At the end of the study, the homogeneous samples were selected and studied. The endotracheal tube was stabilized by a holder in test group and by a routine method (gauze) in control group. The quality of managing airway was studied through 3 frequency indices: endotracheal tube extubation, frequency of linear movement of endotracheal tube, damage to oral mucosa. For the first two indices a self-designed tool was used and a modified version of Oral Assessment guide was used for the oral trauma assessment. The data were analyzed using descriptive statistics, qui square test and independent t-test by SPSS version 17.  Results: The findings showed no significant statistical difference in frequency index of endotracheal extubation. Linear movement of endotracheal tube was lower in test group compared to control group. There was no significant difference regarding oral trauma in both groups. A difference was observed in both groups in comparing scores before and after using two methods in “lips” and “Gingiva”.  Conclusion: According to the results of this study, it was indicated that using ETT holder for stabilizing endotracheal tube compared to routine method only has preference in movement of endotracheal tube on quality of airway management. While applying methods of stabilizing endotracheal tube, it should be noted that not only type of stabilizing, but also other nursing cares from patients in ICU can affect quality of airway management. Therefore, it is recommended to do further studies on other factors inflencing airway management. Stabilizing endotracheal tube Airway care ETT holde 2015 3 01 47 55 http://jccnc.iums.ac.ir/article-1-27-en.pdf 10.32598/jccnc.1.1.45