@article{ author = {Parlas, Manolya and Eryılmaz, Gülşe}, title = {Application of the PRECEDE-PROCEED Planning Model in Designing a Genital Health Program}, abstract ={Background: Lack of knowledge and incorrect practices regarding genital hygiene increase the risk of infection. Women can be protected from these infections by teaching correct genital hygiene behaviors through health education based on recognized models. The aim of this study was to design an educational program to improve women’s genital health behaviors based on the PRECEDE-PROCEED model. Methods: This study was an application of the PRECEDE-PROCEED model as a planning tool to design a program to improve genital health behaviors. A comprehensive literature review was performed in Google Scholar, Council of Higher Education Thesis Center, PubMed, and ProQuest databases using the keywords “PRECEDE-PROCEED MODEL” and other related keywords in Turkish and English language from 2000 to 2021. The model was explained in light of the literature, and an exemplary program to improve genital hygiene behaviors was proposed in line with the model steps. Results: First, using the PRECEDE phase of the model, women’s educational needs related to genital health behaviors were determined and the related problems were identified. Then, the PROCEED phase of the model was used for planning, implementation, and evaluation of the educational program based on the educational objectives. Conclusion: The PRECEDE-PROCEED model provides a framework for nurses to maintain and improve the health of the female genital system. Using this model, it is possible to inform women about genital health, encourage them to participate in self-care, improve health outcomes, and increase their quality of life (QoL). }, Keywords = {Genital infection, Feminine hygiene, Health promotion, PRECEDE-PROCEED model, Nursing}, volume = {8}, Number = {4}, pages = {233-242}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.443.1}, url = {http://jccnc.iums.ac.ir/article-1-374-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-374-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Faramarzi, Marjan and Khalatbari, Javad and Abolmaali, Khadijeh and GhorbanShiroudi, Shohreh}, title = {The Effect of Group Cognitive-Behavioral Therapy on the Lifestyle of Patients With Hepatitis B}, abstract ={Background: To promote general health in patients with hepatitis, it is vital to develop effective interventions to improve the lifestyle of these patients. The present study aimed to investigate the effectiveness of group cognitive-behavioral therapy (CBT) on the lifestyle of patients with hepatitis B. Methods: This was a quasi-experimental study with pretest-posttest control group design. A sample of patients with chronic hepatitis B was selected from all patients visiting specialized clinics in Tehran -Iran in 2021. Thirty patients with hepatitis B were selected and randomly allocated to two experimental and control groups (15 patients per group). Eight sessions of group CBT (one 90-minute session per week for two months) were performed, and the post-test was then administered to both groups. The data was collected by the Health Promoting Lifestyle Profile-II (HPLP-II) and analyzed via the analysis of covariance (ANCOVA) and t-test in SPSS 26.  Results: There was no significant difference between the lifestyle mean score of the groups in the pre-test stage. The mean post-test score of the experimental and control groups were 133.42±6.28 and 94.76±5.68 respectively (P<0.001). The group CBT increased health promoting lifestyle indicators, including health responsibility (P=0.029), physical activity (P=0.050), nutrition (P=0.045), spiritual growth (P=0.045), interpersonal relations (P=0.002), and stress management (P=0.001) in the patients with hepatitis B. Conclusion: The findings indicated the effectiveness of group CBT in improving the health-promoting lifestyle of patients with hepatitis B. CBT can thus be used by clinical psychologists and psychiatric nurses to promote a healthy lifestyle in these patients.  }, Keywords = {Lifestyle, Interpersonal relations, Stress, Cognitive behavioral therapy, Hepatitis B}, volume = {8}, Number = {4}, pages = {243-252}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.442.1}, url = {http://jccnc.iums.ac.ir/article-1-373-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-373-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Mousavi, Seyedeh Robab and AmiriFarahani, Leil}, title = {Effectiveness of Virtual and In-person Methods of Education on Pregnant Women’s Satisfaction With Childbirth Preparation Classes: A Pilot Study}, abstract ={Background: Childbirth preparation classes are among the most important components of pregnancy education. This pilot study was conducted to compare the level of satisfaction of pregnant women from holding childbirth preparation classes using two methods of virtual and in-person training.  Methods: This is a quasi-experimental post-test pilot study that was performed on 30 nulliparous women in Milad Hospital affiliated with Iran’s Social Security Organization, Tehran, Iran from September 2019 to June 2020. The subjects were recruited by convenience sampling and then were assigned voluntarily to two groups of virtual (n=15) and in-person (n=15) training. Both groups received the same educational content on childbirth preparation at 20 to 37 weeks of pregnancy. The virtual educational content was designed based on Mayer’s multimedia principles and shared through the Telegram application. The courses were held in eight 2-hour sessions. The satisfaction questionnaire was completed by the participants at 36-38 weeks of pregnancy. The significance level was set at P≤0.05.  Results: There was a significant difference between the total score of satisfaction with childbirth preparation courses between the virtual group compared to the in-person training group (P=0.028). Also, the results showed that the virtual group was able to significantly attract the spouse’s participation in accepting the role of parent compared to the in-person group (P=0.05). Also, 100% and 46.7% of the virtual and in-person groups, respectively, were completely satisfied with the way the educational content was presented (P<0.01). Conclusion: Considering the greater satisfaction of pregnant women with virtual training compared to in-person training and its important role in attracting the participation of the spouse and considering that in-person classes are held as a national routine, virtual classes are recommended to be held alongside in-person classes. It is also recommended to use a larger sample size and random allocation in future studies. }, Keywords = {Satisfaction, Virtual education, In-person education, Childbirth preparation classes}, volume = {8}, Number = {4}, pages = {253-264}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.253.3}, url = {http://jccnc.iums.ac.ir/article-1-378-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-378-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {HasanehzadehKiani, Mitra and DashtBozorgi, Zahra and Alizadeh, Marj}, title = {The Effectiveness of Health-promoting Lifestyle Training on Health-related Hardiness and Hope in Patients With Cardiovascular Diseases}, abstract ={Background: In addition to physical problems, patients with cardiovascular diseases face psychological problems that reduce their control over the disease. The present study aimed to investigate the effectiveness of health-promoting lifestyle (HPL) training on health-related hardiness and hope of patients with cardiovascular diseases in Ahvaz, Iran. Methods: This was a quasi-experiment study with a pre-test-post-test control group design. The statistical population included all patients with cardiovascular disease who were referred to Golestan Educational and Therapeutic Hospital affiliated with the Ahvaz Jundishapur University of Medical Sciences, Iran, in the winter of 2021-2022. The research sample included 40 participants who were selected after examining the inclusion criteria of the research through convenience sampling. The subjects were randomly assigned into the experimental and control groups (n=20). The experimental group underwent eight 90-minute sessions of HPL training. During this time, the control group received no training. The research instruments included the demographic information form, the Revised Health Hardiness Inventory (RHHI-24), and the Adult Hope Scale (AHS). The data were analyzed using the multivariable analysis of covariance (MANCOVA) by SPSS software, version 19 at a significance level of 0.05. Results: The Mean±SD of the post-test scores of health-related hardiness and hope in the experimental group were 54.45±6.68 and 23.40±3.63, respectively, which was significantly different from the pre-test scores (P<0.001). The experimental and control group had a significant difference regarding health-related hardiness and hope (P<0.001). Conclusion: Health specialists are recommended to utilize HPL training together with other training methods to improve health-related hardiness and hope of patients with cardiovascular diseases.}, Keywords = {Health-related hardiness, Hope, Lifestyle, Cardiovascular diseases}, volume = {8}, Number = {4}, pages = {265-272}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.362.2}, url = {http://jccnc.iums.ac.ir/article-1-379-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-379-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Shahmardi, Shirin and Pourebrahim, Tagi and Hoobi, Mohammad Bagher}, title = {The Role of Family Emotional Atmosphere and Attachment Styles in Alexithymia of Married People}, abstract ={Background: The ability to create and maintain a satisfying relationship in the marital life requires an understanding of attachment styles, the family’s emotional atmosphere, recognizing and expressing mutual emotions, and understanding and accepting the spouse’s emotions. This study aimed to examine the role of family emotional atmosphere and attachment styles in predicting the alexithymia of married people. Methods: This predictive correlational study was conducted on a sample of married men and women with marital communication problems who were referred to counseling centers in District 2 of Tehran Municipality in 2021. The subjects included 400 married men and women who were selected by stratified proportional sampling. The data were collected by the Toronto Alexithymia Scale (TAS-20), the Family Emotional Climate Questionnaire, and the Adult Attachment Scale (AAS) and were analyzed using the correlation coefficient test and multiple regression analysis by SPSS software, version 22. Results: The results showed that secure and avoidant attachment styles were negatively correlated (r=0.38) with alexithymia. Furthermore, anxious/ambivalent attachment style was positively correlated with alexithymia (r=0.38). The family emotional atmosphere was negatively correlated with alexithymia (r=0.68) (P<0.01). Moreover, 46.6% of the variances in alexithymia were explained by family emotional atmosphere and attachment styles (R2=0.466). Conclusion: The findings revealed that alexithymia as a psychological construct could be predicted by the family’s emotional atmosphere and the attachment styles of married people. Thus, providing training on social skills and emotional expression helps married people to identify positive and negative emotions and the inability to recognize their partner’s feelings}, Keywords = {Alexithymia, Family relations, Objects attachment, Emotional aspects, Couples}, volume = {8}, Number = {4}, pages = {273-280}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.449.1}, url = {http://jccnc.iums.ac.ir/article-1-380-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-380-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Bastani, Farideh and Ehsani, Ghasem and Samadykia, Parvaneh and Haghani, Hami}, title = {Health-related Quality of Life of Elderly Men and Women After a Heart Attack}, abstract ={Background: The most common aging change is increased arteriosclerosis, which can prone the elderly to heart attacks. Physiological and psychological changes deteriorate the health-related quality of life (QoL) of the survivors of heart attacks. However, gender differences may affect the health-related QoL of the survivors. The present study aimed to compare the health-related QoL of elderly men and women after a heart attack in selected educational-therapeutic centers of Iran University of Medical Sciences in 2020. Methods: This was a cross-sectional study with descriptive comparative design conducted on 196 elderly patients (98 men and 98 women in each group) who were referred to the heart clinics of selected educational-therapeutic centers of Iran University of Medical Sciences in Tehran, Iran in 2020. The subjects were selected through continuous sampling. Data were collected by abbreviated mental test (AMT) and MacNew Heart Disease health-related QoL (HRQoL) questionnaire and analyzed by Chi-square test, independent t-test, analysis of variance, Pearson correlation coefficient, and multiple linear regression using SPSS software, version 26. The significance level was set at P≤0.05. Results: The Mean±SD age of elderly women and men was 72.59±7.87 and 69.6±8.24 years, respectively. The Mean±SD health-related QoL of the elderly women was 3.89±0.58 and that of elderly men was 4.16±0.82. The results of the independent t-test showed that the scores of health-related QoL and its dimensions were significantly higher in men than in women (P<0.001). The results of the Pearson correlation coefficient revealed a negative and significant correlation between age and health-related QoL in elderly men (r=-0.253, P=0.012). The results of simultaneous multiple linear regression revealed that 26.8% of the changes in men’s health-related QoL were explained by their individual characteristics. Conclusion: Considering the lower health-related QoL of women compared to men after a heart attack, more support for women after a heart attack seems necessary. Further research is also recommended to find out the causes of this difference. }, Keywords = {Quality of life, Elderly, Heart attack, Gender role}, volume = {8}, Number = {4}, pages = {281-290}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.446.1}, url = {http://jccnc.iums.ac.ir/article-1-382-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-382-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Shoghi, Mahnaz and Karimzadeh, Parisa and Mohammadi, Raheleh}, title = {Mental Status and Fear of COVID-19 in Mothers of Hospitalized Children With Chronic Diseases During the Pandemic}, abstract ={Background: Mothers may experience a great deal of fear and anxiety during their child’s hospitalization during a pandemic, which can affect their decision to proceed with the child’s treatment. This study was conducted with the aim of determining the relationship between mental status and fear of COVID-19 in mothers of children with chronic diseases, hospitalized during the pandemic in 2021. Methods: This is a descriptive correlational study. The research sample was 196 mothers of children with chronic diseases hospitalized in hospitals affiliated with the Iran University of Medical Sciences in Tehran, Iran who were selected by convenience sampling. Data were collected using the Fear of COVID-19 Scale and the Hospital Depression and Anxiety Scale (HADS) and analyzed by SPSS software, version 22, using analysis of variance, independent two-sample t-test, Pearson correlation test, and regression analysis. The significance level was set at 0.05.  Results: The Mean±SD of hospital anxiety, depression, and fear of COVID-19 were 9.6±3.2, 10.86±2.2, and 10.8±2.2, respectively. Most mothers suffered from borderline anxiety (63.3%) and depression (86.7%). There was a significant association between hospital anxiety (P<0.001) and depression (P<0.001) with fear of COVID-19. The mothers' hospital anxiety was significantly associated with the child's type of disease (P<0.001) and the frequency of hospitalizations (P=0.1). Besides, there was a direct relationship between hospital depression with the child's age (P=0.3) and length of hospitalization (P=0.002). Furthermore, their fear of COVID-19 had a significant relationship with the child's age (P=0.008), type of disease (P<0.000), and length and frequency of hospitalizations (P<0.000). Conclusion: Providing the possibility of receiving mental health counseling during the hospitalization of children seems necessary considering the conditions of mothers during the epidemic.}, Keywords = {Hospitalized children, Mental status, Fear, Mothers, Pandemic}, volume = {8}, Number = {4}, pages = {291-302}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.260.3}, url = {http://jccnc.iums.ac.ir/article-1-387-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-387-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} } @article{ author = {Golbabaei, Fahimeh and Gharacheh, Maryam and Armand, Maryam and Ansaripour, Soheila and Haghani, Shima and Ranjbar, Fahimeh}, title = {Sexual Function in Women With Recurrent Pregnancy Loss}, abstract ={Background: Recurrent pregnancy loss (RPL), as one of the most critical issues in reproductive health, is followed by emotional trauma, social problems, financial concerns, and disruption of marital relations. This study aimed to investigate sexual function in married women with a history of RPL. Methods: This cross-sectional study was conducted on 130 women with a history of RPL who were referred to the recurrent miscarriage clinic of Avicenna Fertility Center in Tehran, Iran, from November 2018 to February 2019. Data were collected using the demographic characteristics form and the female sexual function index (FSFI). Statistical analysis was carried out using SPSS software, version 16. The Kruskal-Wallis and Mann-Whitney tests were used to determine the relationship between the sexual function of the women and their sociodemographic characteristics. The significance level was set at P<0.05. Results: The Mean±SD score of the female sexual function was 26.59±5.73, and 50% of the women had sexual dysfunction (score ≤28). Sexual desire was the most prevalent sexual disorder (72.3%), while vaginal lubrication had the lowest prevalence (5.4%). No relationship was found between the women’s sociodemographic characteristics and their sexual function (P<0.05).  Conclusion: The results of this study confirm the need to provide sexual health-related counseling to women who suffer from RPL and refer them to fertility centers}, Keywords = {Recurrent miscarriage, Recurrent early pregnancy loss, Sexual dysfunction, Women’s health}, volume = {8}, Number = {4}, pages = {303-312}, publisher = { Iran University of Medical Sciences}, doi = {10.32598/JCCNC.8.4.239.2}, url = {http://jccnc.iums.ac.ir/article-1-388-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-388-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2022} }