2024-03-28T17:57:51+04:30 http://jccnc.iums.ac.ir/browse.php?mag_id=3&slc_lang=en&sid=1
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 Effects of Communication Skills Training on Aggression and Quality of Life of Male Patients with Chronic Mental Illnesses Anahita Khodabakhshi Koolaee a.khodabakhshid@khatam.ac.ir Hossein Ebrahim Baighi Ali Navidian 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. Communication skills Chronically mental disorder Aggression Quality of life 2016 2 01 3 10 http://jccnc.iums.ac.ir/article-1-79-en.pdf 10.32598/jccnc.2.1.3
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 Effects of Reflexology on Sleep Quality of Elderly Women Undergoing Abdominal Surgery Azadeh Kheyri Farideh Bastani a.kheiri1369@live.com Hamid Haghani 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. Elderly Reflexology Sleep disorder 2016 2 01 11 18 http://jccnc.iums.ac.ir/article-1-80-en.pdf 10.32598/jccnc.2.1.11
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 Exploring the Challenge of Adoption from the Perspective of Iranian Infertile Women Seyede Batool Hasanpoor–Azgahdy Masoumeh Simbar msimbar@yahoo.com Abouali Vedadhir Leila Amiri Farahani 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. Infertility Adoption Qualitative study 2016 2 01 19 26 http://jccnc.iums.ac.ir/article-1-81-en.pdf 10.32598/jccnc.2.1.19
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 The Effect of Teaching Coping Skills on the Anxiety in Caregivers of Patients with Cancer Undergoing Chemotherapy Mahnaz Seyedolshohadayi Parimehr Ayar parimehrayar@gmail.com Marjan Mardani Hamid Haghani 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. Anxiety Cancer Caregivers Coping skills 2016 2 01 27 36 http://jccnc.iums.ac.ir/article-1-84-en.pdf 10.32598/jccnc.2.1.27
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 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 Farideh Bastani Sakineh Hajizadeh sakineh@yahoo.com Kiarash Sa`atchi Hamid Haghani 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. Ageing Chest tube Pain Acupressure Cold therapy (Cryotherapy) 2016 2 01 37 52 http://jccnc.iums.ac.ir/article-1-83-en.pdf 10.32598/jccnc.2.1.37
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 The Effect of Self-Management Training Using CD on the Quality of Life in Patients with Chronic Heart Failure Tahereh Najafi Ghezeljeh Alireza Abbasi abbasi.isf@gmail.com Mansoureh Oshgholi Farahani Nasim Naderi 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. Chronic heart failure Compact disc Quality of life Self-management training 2016 2 01 53 62 http://jccnc.iums.ac.ir/article-1-85-en.pdf 10.32598/jccnc.2.1.53
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2016 2 1 Study of the Stature Structure of 10-12 Years Old Female Students in Selected Elementary Schools in Tehran Leili Borimnejad l.borimnejad@gmail.com Nahid Salmanyazdi Hamid Haghani 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. Stature Female students Skeletal disorders 2016 2 01 63 69 http://jccnc.iums.ac.ir/article-1-86-en.pdf 10.32598/jccnc.2.1.63