Showing 9 results for Safa
Mehdi Harorani, Mehdi Safarabadi, Ali Jadidi, Jared Seavey, Behnam Masmouei, Mohammad Rafi Bazrafshan,
Volume 4, Issue 1 (Winter 2018 -- 2018)
Abstract
Background: Given the negative impact of cancer on the quality of life, low self-efficacy and self-esteem are common in the patients suffering from cancer. This study aims to determine the relationship between self-efficacy and self-esteem in these patients.
Methods: This study was descriptive and cross-sectional and was conducted in Ayatollah Khansari Hospital in Arak. The obtained data were collected from 160 eligible patients diagnosed with cancer using Coopersmith self-esteem inventory and the strategies used by people to promote health and then analyzed in SPSS V. 20.
Results: Spearman correlation showed a significant relationship between the subscales and the total score of self-efficacy and self-esteem score (P<0.05). Also, linear regression analysis revealed that self-efficacy could significantly predict self-esteem (P<0.05).
Conclusion: Self-efficacy had a direct relationship with self-esteem. By improving self-efficacy, self-esteem will increase and lead to more self-care compliance and initiative in cancer patients.
Hasan Jafaripoor, Mehdi Safarabadi, Yasaman Pourandish, Ali Khanmohammadi, Seied Mohammad Aghaiepoor, Amir Rahbarian, Hossein Poorcheraghi, Ali Jadidi,
Volume 4, Issue 3 (Summer 2018)
Abstract
Background: Because of the rising number of elderly people, their Quality of Life have become more important. Health status has been considered as one of the factors that affect life quality and Spiritual Well-Being is one of its important dimensions. The present study aimed to determine the relationship between Spiritual Well-Being and Quality of Life among the elderly people residing in Arak City, Iran.
Methods: This is a cross-sectional and correlational study. The study sample comprised 400 elderly people residing in Arak, Iran who were selected by cluster sampling method. Spiritual Well-Being was measured using Spiritual Well-Being scale (SWB) and the Quality of Life was assessed by Older People’s Quality of Life Questionnaire (OPQOL-35). The obtained data were analyzed by descriptive statistics, along with Pearson correlation test, t-test, and ANOVA in SPSS V. 16.
Results: The Mean±SD score of life quality among the elderlies was 76.24±17.84 and was associated with their marital status and education level (P=0.001). The Spiritual Well-Being score of most elderly people ranged from moderate to high and the Mean±SD score of their Spiritual Well-Being was 96.47±13.43. There was a significant relationship between Spiritual Well-Being and the Quality of Life (r=0.37, P=0.0001).
Conclusion: According to the findings, more attention should be paid to the factors related to the Quality of Life for taking care of the elderly people. Considering the relationship between Spiritual Well-Being and Quality of Life among these elderlies, provision of spiritual care for this group of society is recommended.
Mahboubeh Rezaei, Fatemeh Sadat Izadi-Avanji, Azadeh Safa, Sílvia Fernanda Cal,
Volume 4, Issue 4 (Autumn 2018)
Abstract
Background: Older adults with chronic illnesses face many challenges related to their diseases and need higher resilience capacities to overcome. Resilience, as a mediator among various dimensions of health, can lead to positive health outcomes in such people. The current study aimed at discovering the impact of resilience on the perception of chronic disease from older adults' perspective.
Methods: The current qualitative study was conducted in specialized clinics of Shahid Beheshti Hospital, Kashan, Iran. A total of 25 older adults with chronic diseases were recruited by purposive sampling. Data were generated by semi-structured interviews and continued until data saturation. All interviews were transcribed verbatim and coded by MAXQDA7 software. Data were analyzed based on Graneheim and Lundman approach.
Results: Three main themes were extracted from the data including achieving spiritual transcendence (approaching God, appreciate the beauty around); creating peace and balance (controlling the inner stress, maintaining solidarity of family); overcoming the disease (compliance with treatment, building effective interpersonal relationships).
Conclusion: The themes indicated that effective interventions such as teaching stress management, communication skills, and adherence to treatment should be provided by healthcare providers and policy makers to improve the resilience of the older adults with chronic diseases.
Roya Amiri, Azadeh Safa, Mansour Dianati, Fateme Sadat Izadi-Avanji, Ismail Azizi-Fini, Elham Izadi-Dastjerdi,
Volume 5, Issue 3 (Summer 2019)
Abstract
Background: Pain management is among the key tasks of nurses. Numerous studies have investigated the barriers and facilitators of pain management with conflicting results. The current study investigated the Iranian nurses’ perspectives in terms of the barriers and facilitators of pain management in hospitalized patients.
Methods: This was a cross-sectional study. A total of 321 nurses working in a large general teaching hospital were recruited by the census method. A two-part, self-report questionnaire, including questions on nurses' characteristics and barriers and facilitators of pain management, was applied to collect data. The questionnaire was developed by researchers using a literature review. The questionaries’ reliability was assessed through a test-retest with a correlation coefficient of 0.89. SPSS was used for statistical data analysis. Descriptive statistics (frequency, percentage, mean, and standard deviation) were applied to analyze the data.
Results: Insufficient nurse/patient ratio (Mean±SD: 3.31±0.87), excessive demand for pain medications by the patients (3.12±0.95), the spoken language difference between physician and patient (3.01±0.85), the ignorance of pain as a priority in care (2.94±0.98), and failure to precise pain assessment (2.90±0.89) were determined by the nurses, as the main barriers to pain management, respectively. The studied nurses also perceived the attendance of in-service courses of pain management (3.39±0.63), having sufficient pain management skills (3.24±0.76), motivation for relieving the patient’s pain (3.24±0.81), effective nurse-physician relationship (3.26±0.68), proper supervision of the organization on a timely patient visit by the physician (3.12±0.92), and patient cooperation in pain management (3.21±0.75), as the main facilitators of pain management, respectively.
Conclusion: The establishment of in-service education programs on pain management and strengthening the managerial processes, such as staffing and supervision, can facilitate pain management in hospitalized patients by nurses.
Hadis Ashrafizadeh, Mahmood Maniati, Mohammad Adineh, Nasrin Elahi, Shahram Molavynejad, Safa Najafi,
Volume 5, Issue 4 (Autumn 2019)
Abstract
Background: As an essential principle, the collective life of human beings can constitute a human society only when human rights are respected. Demanding and respecting the rights of patients, as an inevitable part of human society, requires familiarity with patient-involved individuals. The present study aimed to determine the awareness level of Ahvaz Jundishapur University of Medical Sciences (AJUMS) students about the Charter of Patients’ Rights (CPR).
Methods: This descriptive-analytical study was conducted on 200 senior university students who had been in contact with patients during their undergraduate program. They were invited from different faculties of the university. The data collection tool was a two-section questionnaire. The first section covered the demographic information, and the second included 29 questions about the 5 principles of the CPR. The obtained data were analyzed in SPSS by descriptive statistics, and analytical tests, including Independent Samples t-test, Analysis of Variance (ANOVA), and Spearman’s correlation coefficient.
Results: From the 200 study participants, 103 (51%) were female. The Mean±SD of students’ awareness was 14.50±2.3. The highest and lowest mean scores belonged to the areas of access to services and confidentiality. There was no statistically significant difference between the awareness score of students from different faculties (P=0.359).
Conclusion: This study results suggested that the awareness level of the medical students about the CPR was unsatisfactory. Instituting ethical codes among students and providing them knowledge of their professional lives is an essential part of the university’s responsibilities.
Fariba Safaee, Mohammad Kazemian, Leili Borimnejad, Marjan Rasouli,
Volume 6, Issue 4 (Autumn 2020)
Abstract
Background: Neonates require continuous and reliable intravenous routes to receive fluids, intravenous nutrition, and medications; accordingly, repeated interventions are essential to implant these routes. Percutaneous catheterization is a technology used for this purpose. Considering that central line infections are a major concern in neonatal intensive care units (NICUs), the present study aimed to assess the effects of using a care package on the incidence of infections and shelf life of peripheral central catheterization in the premature infants admitted to the NICU.
Methods: This quasi-experimental study was a process assessment research conducted on 131 premature catheterized infants who were admitted to the NICU of Mofid Children’s Hospital affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, in 2019. The study sample included 131 neonates who met the inclusion criteria. The neonates were enrolled in the study at two levels, including 53 subjects in the first four months before the intervention, and 78 in the second four months after application of the care package. The infants were selected via the convenience sampling method. Data were collected using the central line maintenance bundle and central line maintenance bundle daily checklists. The catheter insertion method and the degree of catheter tip infection were evaluated before and after the protocol training program for the nurses. The results of catheter tip culture after removal were considered as the training outcomes. Data analysis was performed in SPSS V. 16, using descriptive statistics, independent t test, the Fisher exact test, and the chi-squared test.
Results: The results of the catheter tip culture confirmed the presence of pathogens in the catheter and culture of 18 samples (34%), before the intervention, while a reduction was denoted in 14 samples (17.9%) after the intervention; the reduction was statistically significant (P=0.036). Furthermore, the shelf life of the catheter increased after the intervention, however, the difference was not significant.
Conclusion: According to the results, applying the care package reduces the incidence of central peripheral venous catheter infection in neonates admitted to the NICU. Therefore, it is suggested to incorporate this package into the care instructions of neonatal wards.
Laleh Raygan, Simin Jahani, Nasrin Elahi, Elham Maraghi, Mohammad Fakoor, Safa Najafi,
Volume 9, Issue 4 (Autumn 2023)
Abstract
Background: People with knee osteoarthritis have a low quality of life due to joint pain and stiffness, severely limiting their daily activities. This study aims to investigate the impact of self-acupressure on the pain, joint stiffness, and physical functioning of patients with knee osteoarthritis.
Methods: This randomized clinical trial was conducted on 78 patients aged 50 to 70 with knee osteoarthritis, referred to Imam Khomeini Hospital and private orthopedic clinics in Ahvaz City, Iran, in 2018. The patients were recruited based on the inclusion criteria and then randomly assigned to three groups: self-acupressure (n=26), sham (n=26), and control (n=26). Patients in the intervention group applied daily self-acupressure to 5 specific points around their knees for 8 consecutive weeks. The sham group applied pressure on the points different from those used by the intervention group. The control group received no intervention. The study data were collected using the Western Ontario and McMaster osteoarthritis index (WOMAC), visual analog scale (VAS), and a checklist for daily recordings of pain medication. The obtained data were analyzed using the chi-square test and analysis of variance in SPSS software, version 20. The significance level was set at P<0.05.
Results: The comparison of changes within the group showed that the intensity of pain in the intervention group decreased over time (P<0.0001). Also, the joint stiffness, physical functioning, and total WOMAC score significantly decreased in the intervention group (P<0.0001). The frequency of analgesic use was also reduced in the intervention group over time (P=0.026).
Conclusion: According to the results, self-acupressure effectively reduces the intensity of pain and joint stiffness and improves the physical performance of older adults with knee osteoarthritis. Overall, this easy and affordable intervention is recommended for this group.
Mehdi Norouzi, Zahra Amiri, Masoumeh Sadeghi, Mohaddese Neshat Iranpour, Ali Taghipour, Tahereh Khosravi Asl, Ehsan Mosafarkhani,
Volume 10, Issue 4 (Autumn 2024)
Abstract
Background: Frailty is a common geriatric syndrome associated with adverse health outcomes in older adults. This study aimed to examine the association between frailty index and mortality in elderly residents of nursing homes in Iran.
Methods: This historical cohort study used data extracted from the Sina Electronic Health Record System (SinaEHR®, Iran) and the national cause of death registry in Iran. The study population included 9199 adults aged ≥60 assessed for frailty in nursing homes across Iran from April 2021 to June 2022. They were followed up until August 2022. Frailty was defined as a score >3 on Fried’s 5-item index. We used multivariable logistic regression to determine adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for mortality-related factors. The chi-square test compared mortality across groups. Data were analyzed using Stata software, version 11 with P<0.05 as the significance level.
Results: Of 9199 subjects, 3566(38.7%) were frail, and 5643(61.3%) were non-frail. During follow-up, 3354(36.5%) deaths occurred. Frailty was associated with 2.49 times higher odds of mortality (95% CI, 2.27%, 2.74%; P<0.001) compared to the non-frail state after adjustment for covariates. Older age (P<0.001), female sex (P<0.001), and comorbidities (P<0.001) were also significant predictors of mortality.
Conclusion: Frailty index strongly predicts mortality risk in Iranian elderly nursing home residents. Assessing and managing frailty may help reduce adverse outcomes in this vulnerable population.
Dr Farnoosh Rashvand, Mrs Fateme Safari Alamuti, Mrs Neda Shahsavari, Dr Maryam Momeni,
Volume 11, Issue 1 (Winter 2025)
Abstract
Background: One of the aspects affecting the quality of life (QoL) of the older adults is sleep quality. Hospitalized older adults may experience a poor quality of sleep due to one or more diseases and their related disabilities. This study determines the predictive role of disability and comorbidities in the sleep quality of hospitalized elderly patients.
Methods: This cross-sectional, correlational study was conducted on 300 hospitalized older adults admitted to the teaching hospitals affiliated with Qazvin University of Medical Sciences, Iran, in 2023. The subjects were recruited via convenience sampling. The data were collected using the demographic characteristics form, the Pittsburgh sleep quality index, the World Health Organization (WHO) disability assessment schedule 2.0 and the Charlson comorbidity index. They were analyzed using the chi-square test or the Fisher exact test, independent t-test, and binary logistic regression in the SPSS software, version 26. In addition, the statistical significance was set at P<0.05.
Results: The Mean±SD sleep quality, disability and comorbidity scores were 6.12±2.99, 23.36±9.20 and 1.15±0.37, respectively. Half of the older adults (50%) had poor sleep quality. There was a significant relationship between the sleep quality scores and all domains of disability (P<0.05) except for participation and life activities (P≥0.05). The results of the logistic regression model showed that disability (odd ratio=1.044, P<0.004) and comorbidities (odd ratio=2.078, P<0.044) were predictors of sleep quality in hospitalized older adults. No significant relationship was observed between sleep quality and gender, education, smoking, and non-opioid analgesics in multivariate regression analysis.
Conclusion: Disability and comorbidities are important predictors of sleep quality in hospitalized older adults; therefore, it is necessary to consider effective interventions to minimize hospitalization-associated disability and to help improve the sleep quality of older adults.
