@article{ author = {ShokriShams, Mona and Khodabakhshi-Koolaee, Anahita and Falsafinejad, Mohammad Rez}, title = {The Effects of Relaxing Music on Life Distress and Maternal-fetal Attachment in Pregnant Women}, abstract ={Background: Although pregnancy and motherhood are enjoyable experiences, they are associated with numerous biopsychological changes requiring adaptation. The present study aimed to assess the effects of relaxing music on life distress and Maternal-Fetal Attachment (MFA) in pregnant women. Methods: This was a quasi-experimental study with a pre-test, post-test and a control group design. The research population included all Iranian pregnant women referring to Laleh Hospital in Tehran City, Iran, in 2020. In total, 30 women were selected using the convenience sampling method and randomly assigned into the intervention and control groups (n=15/group). The required data were collected using the Life Distress Inventory (LDI) and the Maternal-Fetal Attachment Scale (MFAS). The intervention group listened to relaxing music for twelve 45-50-minute sessions in the morning and during routine midwifery visits; however, the controls received no intervention. The collected data were analyzed using Multivariate Analysis of Covariance (MANCOVA) in SPSS V. 22. Results: The obtained results indicated that the intervention group reported a lower level of life distress in the post-test, compared to the controls (P=0.0001, F=15.860). The intervention group also achieved a higher mean score on MFA, than the control group (P=0.0001, F=35.872).  Conclusion: According to the present research findings, reproductive health and nursing professionals, and psychologists would recommend music as a complementary therapy to reduce stress and distress experienced by expecting mothers and to improve MFA.}, Keywords = {Music therapy, Psychological distress, Maternal-fetal relationship, Pregnancy}, volume = {7}, Number = {1}, pages = {1-8}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.33.14}, url = {http://jccnc.iums.ac.ir/article-1-277-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-277-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Karimollahi, Mansoureh and Tazakori, Zahra and Falahtabar, Roghiyeh and Ajri-Khameslou, Mehdi}, title = {The Perceptions of Families of Comatose Patients in the Intensive Care Unit: A Qualitative Study}, abstract ={Background: There are specific challenges regarding the perceptions of families of comatose patients in Intensive Care Units (ICUs). Identifying these perceptions may attract the cooperation of families with nurses and provide better care for patients. This study aimed to explore the perceptions of families of comatose patients in ICUs. Methods: This was a qualitative content-analysis study. Seventeen families with comatose patients were recruited by the purposive sampling technique. The necessary data were generated by semi-structured interviews, continued until data saturation, and concurrently analyzed by an inductive content analysis method. Results: Four main categories were manifested, including shock and disbelief, the effort for adaptation, exhaustion, and burnout as well as hope and support. Conclusion: The obtained results signified the importance of nurses’ awareness concerning the family members’ perceptions of their comatose patient status in ICUs. The relevant findings reflected the need for nurses to pay attention to the feelings and emotions of the families of these patients.}, Keywords = {Qualitative research, Critical care, Coma, Intensive care unit, Family member}, volume = {7}, Number = {1}, pages = {9-16}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.348.1}, url = {http://jccnc.iums.ac.ir/article-1-291-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-291-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Shirzadi, Zahra and Khakpour, Reza and Khodabakhshi-Koolaee, Anahit}, title = {The Role of Attachment Styles and Spiritual Intelligence in Predicting Women’s Emotional Divorce}, abstract ={Background: Emotional divorce refers to a situation in which the emotional relationship, support, passion, warmth, attention, love, and intimacy between couples (husband & wife) decline or diminish. Such conditions lead to an unaffectionate marital life to the point that the couples are only together under one roof. Accordingly, the present study aimed to explore the role of attachment styles and spiritual intelligence in predicting emotional divorce in women. Methods: This study employed a descriptive-correlational design. The research population included all women filing for divorce who were referred to marriage counseling and couple therapy centers in districts 5 and 6 in Tehran City, Iran, in 2020. In total, 400 women who met the inclusion criteria were selected as the study participants using voluntary response and convenience sampling techniques. The required data were collected by the Emotional Divorce Scale, the Adult Attachment Scale, and the Self-Report Measure of Spiritual Intelligence. The collected data were analyzed using the multiple regression analysis method in SPSS V. 22. Results: The obtained results suggested a significant positive relationship between the anxious-avoidant attachment style and emotional divorce (P<0.01). Furthermore, there was a significant negative relationship between spiritual intelligence and emotional divorce; the higher the spiritual intelligence, the lower the emotional divorce (P=0.02). Accordingly, spiritual intelligence and anxious-avoidant attachment style can predict emotional divorce (Multiple Regressions= -0.58). Conclusion: The present study data suggested that premarital education and counseling before spouse selection help in examining the personality traits of the parties. Moreover, paying attention to the role of health professionals, such as family counselors, psychologists, and psychiatric nurses in providing premarital counseling and education to couples and emphasizing the role of spiritual intelligence and attachment styles may prevent emotional separation and divorce among couples.}, Keywords = {Divorce, Object attachment, Spirituality, Intelligence, Women}, volume = {7}, Number = {1}, pages = {17-26}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.350.1}, url = {http://jccnc.iums.ac.ir/article-1-294-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-294-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Moghadam, Fatemeh and EbrahimiMoghadam, Hossein and Jahangir, Pante}, title = {The Relationship Between Perfectionism, Early Maladaptive Schemas, Attachment Styles, and Body Image Concern by the Mediating Role of Self-esteem in Cosmetic Surgery Applicants}, abstract ={● There was a significant relationship between perfectionism, early maladaptive schemas, and body image concerns in cosmetic surgery applicants. ● There was a significant relationship between attachment styles, self-esteem, and body image concerns in cosmetic surgery applicants. ● The indirect paths of perfectionism, early maladaptive schema, and attachment styles through self-esteem were significant. Plain Language Summary  Cosmetic surgery is among the most popular surgeries worldwide, especially in Iran. This study investigated the association between perfectionism, early maladaptive schemas, attachment styles, and body image concerns through the mediation of self-esteem in cosmetic surgery applicants. The relevant results suggested that the modified model had a good fit and the indirect paths of perfectionism, early maladaptive schema, and attachment styles through self-esteem were also significant. The evaluated model had a good fit and can play an important role in recognizing the factors affecting the body image concerns of female cosmetic surgery applicants.}, Keywords = {Body image, Self-esteem, Perfectionism, Cosmetic Surgery, Attachment}, volume = {7}, Number = {1}, pages = {27-42}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.351.1}, url = {http://jccnc.iums.ac.ir/article-1-292-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-292-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Vazirnia, Fatemeh and Karimi, Javad and Goodarzi, Kourosh and Sadeghi, Masou}, title = {Effects of Integrative Behavioral Couple Therapy on Infertility Self-efficacy, Dyadic Adjustment, and Sexual Satisfaction in Infertile Couples}, abstract ={Background: Given the rising rate of infertility, the prevalence of mental health disorders in infertile couples is undeniable. The present study aimed to investigate the effects of Integrative Behavioral Couple Therapy (IBCT) on infertility self-efficacy, dyadic adjustment, and sexual satisfaction in infertile couples. Methods: The present single-case experimental study used a multiple-baseline design. The statistical population of the study included all infertile couples referring to infertility centers in Ahvaz City, Iran, in 2019. The research instruments included the Infertility Self-Efficacy Scale (ISE), the Dyadic Adjustment Scale (DAS), and the Sexual Satisfaction Questionnaire (SSQ). Following a diagnostic interview, 3 couples were selected using convenience sampling technique. Integrative behavioral couple therapy was conducted in twelve 120-minute sessions for the intervention group. The second couple entered the study in the second session of the first couple; the third couple enrolled the treatment plan in the third session of the first couple and the second session of the second couple. All questionnaires were completed in the first, third, sixth, eighth, and tenth sessions; the study participants were followed up and re-assessed two months later. The collected data were analyzed in SPSS using chart analysis, reliable change index, and significance statistics. Results: The provided IBCT increased infertility self-efficacy (39.04%), dyadic adjustment (25.91%), and sexual satisfaction (55.01%) in infertile couples. Besides, the improvement lasted throughout the follow-up which indicated the effectiveness of IBCT on infertility self-efficiency, dyadic adjustment, and sexual satisfaction in the study subjects. Conclusion: IBCT helps solve marital problems and is an effective method to improve personal and marital aspects are infertile couples.}, Keywords = {Couple therapy, Infertility, Self-efficacy, Psychological adjustment, Sexual satisfaction}, volume = {7}, Number = {1}, pages = {43-54}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.354.1}, url = {http://jccnc.iums.ac.ir/article-1-295-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-295-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Eghrari, Elham and Bayazi, Mohammad Hossein and Rajayi, Ali Rez}, title = {Comparing of the Effects of Acceptance and Commitment Therapy and Emotion Regulation Training on Diabetes Empowerment}, abstract ={Background: Diabetes mellitus is a widely diffused chronic condition that affects several aspects of patients’ lives. The patient’s life in this condition depends on diabetes management ability. Therefore, this study aimed to compare the effects of Acceptance and Commitment Therapy (ACT) and Emotion Regulation Training (ERT) on the diabetes empowerment of patients with type 2 diabetes.  Methods: This was a quasi-experimental study with a pre-test, post-test-follow-up and a control group design. Of the statistical population of patients referring to the Diabetes Prevention and Control Center of Mashhad Province, Iran, 45 subjects were recruited by convenience sampling method; they were randomly assigned into three groups of ACT, ERT, and control (n=15/group). The study subjects were assessed using the Diabetes Empowerment Scale (F-DES-28) in the pre-test stage, after the intervention, and 3 months later. The obtained data were analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS V. 22. Results: Both provided interventions presented a significant effect on the empowerment of the research subjects, compared to the controls (P<0.001). The effectiveness of ACT on the diabetes empowerment of patients was significantly higher than that of the ERT group (P=0.04).  Conclusion: It is recommended to use ACT and ERT to empower patients with type 2 diabetes.}, Keywords = {Patient acceptance, Emotional aspects, Regulation, Empowerment, Diabetes}, volume = {7}, Number = {1}, pages = {55-64}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.356.1}, url = {http://jccnc.iums.ac.ir/article-1-296-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-296-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {Kamalian, Tahmineh and Mirzahosseini, Hassan and Monirpoor, Nader}, title = {The Effects of Emotional Schema Therapy and Differentiation Training on Emotional Divorce in Women}, abstract ={Background: Emotional Divorce (ED) is associated with decreased levels of Emotion Regulation (ER), adaptation, and mental health; subsequently, all such pressures raise stress in various dimensions among the affected individuals. Emotional Schema Therapy (EST), as a socio-cognitive model of ER, may improve marital intimacy and reduce couples’ psychological distress. The present study aimed to investigate the effects of EST and differentiation training on the odds of ED among women. Methods: This was a quasi-experimental study with a pretest-posttest and a control group design. The study population comprised all women referring to the Education Counseling Center, District 6 of Tehran Municipality in Tehran City, Iran, in 2018. In total, 45 women were recruited by convenience sampling method and were randomly assigned into two experimental groups and a control group (n=15/group). The research questionnaire was the Emotional Divorce Scale (EDS).   The first experimental group underwent eight 90-minute weekly sessions of SET and the second experimental group received eight 90-minute weekly sessions of differentiation training; however, the controls received no intervention. Data analysis was performed using Analysis of Covariance (ANCOVA) in SPSS. The significance level was considered as P=0.05. Results: The mean values of ED significantly decreased in both experimental groups, compared to the control group (P<0.05). A significant difference was also observed between the effects of the two interventions on decreasing the ED rate; thus, the effectiveness of EST was greater than that of differentiation training in this respect (P<0.05). Conclusion: EST and differentiation training reduced ED among the study participants. These approaches can be adopted as an effective intervention to solve the couples’ problems and improve their marital relationship to reduce the odds of emotional divorce.}, Keywords = {Emotions, Divorce, Women, Cognitive behavior therapies}, volume = {7}, Number = {1}, pages = {65-74}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.357.1}, url = {http://jccnc.iums.ac.ir/article-1-297-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-297-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} } @article{ author = {ChineduChichi, Asonye Christi}, title = {Organizational Factors Associated With Nurses’ Competence in Averting Failure to Rescue in Acute Care Settings}, abstract ={Background: Organizational characteristics are the main concerns of nursing practice in acute care settings. The present study aimed to assess the organizational factors associated with nurses’ competence in averting Failure to Rescue (FTR) in acute care settings. Methods: This was a descriptive and correlational study. A purposive sampling technique was used to collect the necessary data from the study respondents. In total, 173 of the 204 eligible registered nurses providing sudden, urgent, and emergency direct care to patients in the identified acute care settings of Olabisi Onabanjo University Teaching Hospital in Sagamu City, Nigeria participated in this study. A self-structured 38-item questionnaire, including 4 parts (demographic characteristics, knowledge on FTR, competence in averting FTR, & organizational factors) was employed for data collection. The obtained data were analyzed in SPSS V. 22 using descriptive statistics (i.e. frequency, percentages, mean, standard deviation, & tables) as well as Spearman’s Rho correlation to test the hypotheses based on the assumptions that the variables were measured on an ordinal scale at P<0.05. Results: Most nurses presented a high level of knowledge regarding FTR with a mean score of 5.91. Besides, they were moderately competent in averting FTR with a mean score of 29.3. A significant correlation was also detected between organizational characteristics and the studied nurses’ level of competence in averting FTR (P=0.026). Conclusion: The present study data revealed that FTR could be reduced in acute care settings by the modification of organizational factors.}, Keywords = {Acute care, Rescue work, Clinical competence, Nurse, Organizational}, volume = {7}, Number = {1}, pages = {75-86}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.7.1.358.1}, url = {http://jccnc.iums.ac.ir/article-1-298-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-298-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2021} }