@article{ author = {Bar, Arvida and Agusriani, Agusriani and diyah, Halimahtuss}, title = {The Risk Factors of Prediabetes in Adolescents: A Systematic Review}, abstract ={Background: Pre-diabetes is a risk state for the future development of type 2 diabetes. The risk factors for prediabetes have been categorized as modifiable and non-modifiable. However, conclusive evidence regarding the risk factors associated with pre-diabetes in adolescence is still lacking. This study aims to answer the question of: which risk factors are most associated with the incidence of prediabetes in adolescents? Methods: This review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. A systematic search was conducted in PubMed, ScienceDirect, Scopus and Web of Science electronic databases using the keywords of “modifiable risk factors”, “non-modifiable risk factors”, “pre-diabetes” and “adolescent” in the time frame of 2010 to 2021. Eligibility criteria were determined based on the (population, intervention, comparison and outcomes) PICOS guidelines. Reference list from identified studies was used to augment the search strategy. Two authors assessed the quality and risk of bias of the studies using National Institute of Health (NIH) Quality assessment tool. Qualitative analysis method was used to review the articles. Based on this, components such as purpose, methodology, risk factors, measurement method and main findings were extracted.  Results: As a result of the initial search, 3982 studies were obtained. All duplicates, case reports, reviews and non-English studies were excluded. A total of ten articles that met the pre-defined eligibility criteria were included in this review. The quality of included studies was mostly in the good category. Overall, the association between risk factors and adolescents’ prediabetes appeared to be strongest among modifiable factors such as physical activity, poor diet, smoking, and cardiometabolic factors. The most significant modifiable factor was body mass index (BMI) and the most significant non-modifiable factor was gender. Conclusion: Considering the prominent role of modifiable risk factors in the occurrence of prediabetes in adolescents, it seems necessary to include lifestyle modification programs for this age group. It is also important to pay attention to gender as a non-modifiable factor in the development of prediabetes in adolescents.}, Keywords = {Prediabetes, Modifiable Factors, Non-modifiable Factors, Adolescent}, volume = {9}, Number = {1}, pages = {1-14}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.453.1}, url = {http://jccnc.iums.ac.ir/article-1-385-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-385-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Chandra, Emilia and Fahri, Sukmal and Johari, Asni and Syaiful, Syaiful}, title = {School-based Prevention of Mosquito-borne Diseases: A Systematic Review}, abstract ={Background: Mosquito-borne diseases (MBDs) are among the important and highly complex issues in public health. School age children have been encouraged to participate in ongoing household MBDs control activities such as source reduction, as part of MBDs control efforts. Numerous school-based health education studies have been conducted worldwide on the interventions to prevent MBDs. However, the results are still varied and uncertain. This systematic review aims to answer the question of:” Are school-based educational programs able to improve students’ knowledge, attitudes, and practices about mosquito-borne diseases?”. Methods: This systematic review was conducted using the Preferred Reporting Items for systematic reviews and meta-analyses (PRISMA) statement. A systematic literature search was performed using Sciencedirect, Cochrane library, PubMed, ProQuest, and the Wiley Online Library in the time period of 2000 to 2021. Eligibility criteria was determined according to PICOS guidelines. Quality and risk of bias of the studies were assessed by the effective public health practice project tool (EPHPP) and Cochrane risk-of-bias tool (RoB-2), respectively. Data were analyzed qualitatively, by looking at the number of participants, study design, and the main results obtained in each of the included studies. Results: In the initial search, 1,424 studies were found. Duplicates, those not relevant to students and MBDs, review articles, case reports, dissertations and non-English articles were eliminated. Twenty-three studies fulfilling the inclusion criteria were analyzed. Overall, there was an increase in knowledge, attitude, and practice regarding MBSs. However, knowledge appears to be the most important variable targeted by the included studies. All studies stated a significant increase in knowledge. Conclusion: The effect of the educational interventions on knowledge was more prominent. Future studies need more specialized educational interventions to have a stronger impact on students’ attitudes and performance. Further research is also needed to generate stronger evidence and evaluate the long-term impact of these interventions on students’ knowledge, attitudes, and practice. The results of this review can be a guide to carry out appropriate interventions in elementary schools.}, Keywords = {Educational program, School age, Students, Mosquito-borne diseases, Prevention}, volume = {9}, Number = {1}, pages = {15-24}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.468.1}, url = {http://jccnc.iums.ac.ir/article-1-402-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-402-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Haji-Jafari, Somayeh and AhmadiTafti, Seyed Hossein and Azizi-Fini, Ismail and Rezaei, Mahboubeh and Atoof, Fatemeh}, title = {The Effect of Rewarming on the Cognitive Status of Patients After Open-heart Surgery: A Randomized Clinical Trial}, abstract ={Background: Hypothermia is usually used during cardiac surgery to further protect against cardiac and cerebral ischemia. However, cognitive impairment could be a common complication after open heart surgery. This study aims to determine the effect of rewarming on the cognitive status of patients after open heart surgery.  Methods: The present study was conducted as a double-blind, randomized clinical trial at Tehran Heart Center, Tehran, Iran. In this clinical trial, 80 patients referred for open heart surgery were selected and randomly assigned into the intervention (n=40) and control (n=40) groups. In the intervention group, rewarming the mattress was started after the patient entered the intensive care unit. Warming continued until the patient’s body temperature reached the normothermia level (37°C to 37.5°C). The data were collected by demographic-clinical questionnaire and Mini-Mental State Examination at three time points: before, 7 days, and 1 month after the surgery. The data were analyzed in SPSS software, version 16 using descriptive statistics, independent t test, chi-square test, repeated measure ANOVA, and paired t test. The significance level was considered less than 0.05. Results: The difference between the mean±SD scores of cognitive status in the intervention group before the surgery (28.73±0.87), 7 days (27.63±1.03), and 1 month after the surgery (28.93±1.21) was significant (P=0.008). The difference between the mean±SD scores of cognitive status in the control group before the surgery (28.42±1.02), 7 days (26.61±0.86), and 1 month after the surgery (27.85±1.06) was also significant (P=0.042). The results indicated that the mean score of cognitive status improves after 1 month, and it is greater in the intervention group (F=20.37, df=2, P<0.001). Significant differences were observed between the first and second time of measurements (P<0.0001) and also the second and third time of measurements (P<0.0001). Conclusion: Rewarming patients after open heart surgery improves their cognitive status. Therefore, this procedure can be used as a safe and non-invasive method to prevent cognitive complications by nurses after open heart surgery.}, Keywords = {Rewarming, Hypothermia, Cognitive status, Postoperative complications, Thoracic surgery}, volume = {9}, Number = {1}, pages = {25-34}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.305.5}, url = {http://jccnc.iums.ac.ir/article-1-412-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-412-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Hojjat-Assari, Suzanne and Pirjani, Pooneh and Kaveh, Vahid and Heydari, Heshmatolah and Razani, Ghazal and Hossinie, Kosar and Sadeqian, Romi}, title = {Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study}, abstract ={Background: During the COVID-19 pandemic, care for cancer patients may be disrupted for several reasons, leading to disease progression. Home-Based palliative care, if properly managed, can provide easy and safe access to care services for these patients. This study aimed to explore stakeholders’ perceptions of home-based palliative care for cancer patients during the pandemic. Methods: This qualitative study was conducted using conventional content analysis in Tehran, Iran, in 2021. By purposeful sampling, 19 participants, including cancer patients receiving home-based care services from the Iranian Cancer Control Center (MACSA) and their families, as well as the homecare providers, were recruited. The study data were generated by conducting 19 semi-structured interviews and a focus group session and analyzed based on the method proposed by Lundman and Graneheim. Results: Qualitative analysis of the data revealed 5 main categories: “need for remote services”, “disease transmission reduction”, “management requirements”, “burnout”, and “reducing hospital workload.”  Conclusion: The use of telemedicine, the existence of call centers, and the designing of appropriate guidelines, along with the help of qualified personnel, prevent the transmission of COVID-19 to cancer patients in-home palliative care and lead to the provision of comprehensive care to these patients. This approach to care helps avert staff burnout and reduces the number of occupied beds in hospitals.}, Keywords = {Home healthcare, Palliative care, Advanced stage cancer patients, COVID-19, Pandemic}, volume = {9}, Number = {1}, pages = {35-46}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.385.2}, url = {http://jccnc.iums.ac.ir/article-1-408-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-408-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {NosratiHadiabad, Seyedeh Fatemeh and Abdollahi, Mahbubeh and Sadrzadeh, Sayyed Majid and Karimi, Fatemeh Zahr}, title = {The Relationship Between Sleep Quality and Quality of Life Among Postmenopausal Women}, abstract ={Background: With increased life expectancy and changes in lifespan, now women spend more years after menopause. Women with menopausal symptoms may experience a lower quality of life (QoL) and complain about poor sleep quality. This study aimed to examine the relationship between QoL and sleep quality in postmenopausal women. Methods: This research was a predictive correlational study. The study sample was 200 postmenopausal women referred to the healthcare centers affiliated with Mashhad University of Medical Sciences in Mashhad City, Iran, in 2021. The subjects were selected through multistage cluster sampling. To assess the quality of sleep and life quality, the Pittsburgh Sleep Quality Index (PSQI) and Menopause-Specific QoL questionnaire (MENQOL) were used. The obtained data were analyzed by the Pearson correlation coefficient and multiple linear regression in SPSS software, version 21. The significance level was set at P<0.05. Results: The mean±SD age of the subjects was 53.92±6.13 years. Their mean±SD scores of sleep quality and QoL were 48.62±21.98 and 4.93±2.74, respectively, and 37% of women had sleep disorders. The multiple determination coefficient for the linear regression model was equal to 0.35, and there was a significant direct relationship between sleep quality and QoL (b=3.72, 95% CI =2.70-4.74, P<0.001). So for each unit change in sleep quality, the average QoL score increased by 3.72 units. Conclusion: Considering the relationship between sleep quality and QoL in postmenopausal women, it is recommended that these women use appropriate methods to improve sleep quality. Also, health professionals should keep this issue in mind when examining the health status of this group of women.}, Keywords = {Women, Postmenopausal period, Sleep quality, Quality of life}, volume = {9}, Number = {1}, pages = {47-56}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.463.1}, url = {http://jccnc.iums.ac.ir/article-1-395-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-395-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Azadbakht, Mojtaba and TaheriTanjani, Parisa and Fadayevatan, Reza and Foroughan, Mahshid and Zanjari, Nasibeh}, title = {The Effect of a Peer Social Support Network Intervention on Self-management of the Elderly With Type 2 Diabetes}, abstract ={Background: Participation in peer social groups could be used in health promotion programs for the elderly. The current study investigates the effectiveness of participation in a peer social support network intervention on the self-management of the elderly with type 2 diabetes.  Methods: This research is a quasi-experimental study with a pre-test-pos-ttest design with a control group conducted in 2019. Two health centers were selected as research settings from a single district in Qom Province, Iran. From each center, 46 subjects were randomly selected. Subjects in the intervention group participated in a peer social support network for 3 months (12 sessions), and the control group received only usual care. The outcome variable was self-management. The components of this variable include the level of hemoglobin A1C (HbA1C), diabetes distress (measured with Diabetes Distress Scale), awareness (measured with Davoodi’s knowledge of diabetes questionnaire), attitude (measured with diabetes attitude scale [DAS-3]), self-efficacy (measured with diabetes empowerment scale, [DES-28]), weight and blood pressure. Subjects were evaluated at baseline and at a 6-month follow-up. The obtained data were analyzed using t-test, Chi-Square, and Fisher test in SPSS software, version 22. The significance level was set at less than 0.5. Results: The change in mean HbA1C of the intervention and control groups at baseline and 6-month follow-up was -0.7 and 0.1, respectively, which was significant (P≤0.0001). Moreover, the difference in changes in the mean values of diabetes distress (P=0.008), self-efficacy (P≤0.0001), and attitude (P≤0.0001) were significant. No significant changes were found in knowledge, weight, systolic and diastolic blood pressure (P>0.05).  Conclusion: The formation of social support groups may help control blood sugar in the elderly with type 2 diabetes. Seemingly, social groups can mainly impact through psychological factors such as distress control, attitude improvement, and self-efficacy enhancement.}, Keywords = {Peer group, Social support, Elderly, Type 2 diabetes mellitus, Self-management}, volume = {9}, Number = {1}, pages = {57-68}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.472.1}, url = {http://jccnc.iums.ac.ir/article-1-405-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-405-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Hasannezhad, Parisa and Khanjari, Sedigheh and Nikpajouh, Akbar and Hasannezhad, Zahra and Haghani, Hamid and Sabeti, Fahimeh}, title = {Impact of Self-care Education on Self-efficacy and Quality of Life of Late Adolescents With Congenital Heart Disease}, abstract ={Background: Self-care of adolescents with congenital heart disease (CHD) is one of the challenges of the health care system. CHD is a common chronic disease that affects the quality of life (QoL) and self-efficacy of adolescents. This study compares the effectiveness of self-care education by face-to-face method and video clip (VC) on self-efficacy and QoL in late adolescents with CHD. Methods: This research was a non-randomized clinical trial. A total of 111 late adolescents aged 18 to 21 years with CHD referred to Rajaie Cardiovascular, Medical, and Research Center in Tehran, Iran, were recruited by convenience sampling and non-randomly assigned to either control, face-to-face (F2F), or VC groups (37 subjects in each group). The F2F group participated in two educational sessions (each lasted 35-45 minutes) with an interval of one week, and the VC group received a 90-minute video to watch at home. The study data were collected before (T1) and two months after the intervention (T2), using the Generalized Self-Efficacy (GSE) scale and World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF) and analyzed in SPSS version 19 software using the Chi-square test, Fisher test, paired t test, Scheffé test, and ANOVA. The significance level was set at P<0.05. Results: Before the intervention, demographic variables, self-efficacy, and QoL were not significantly different in the three groups. The self-efficacy significantly increased in the F2F (P<0.004) and VC groups (P<0.031) at T2. Furthermore, QoL dimensions significantly improved in the F2F and VC groups (P<0.05), except for the environment dimension (P>0.05). Conclusion: Self-care education through F2F and VC significantly affects the self-efficacy and QoL of late adolescents. Such educational programs can greatly reduce the possible complications of the disease by empowering this group.}, Keywords = {Self-care education, Congenital heart disease, Adolescents, Self-efficacy, Quality of life}, volume = {9}, Number = {1}, pages = {69-78}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.480.1}, url = {http://jccnc.iums.ac.ir/article-1-416-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-416-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Siadat, Fakhrossadat and Koraei, Amin and Shahbazi, Masoud and DashtBozorgi, Zahr}, title = {Relationship Between Attachment Behaviors and Marital Trust Among Nurses With the Mediating Role of Covert Aggression}, abstract ={Background: Marital trust as a fiduciary relationship is very important for ensuring the continuity of married life, and identifying its factors are critical. Female nurses are prone to marital problems due to involvement in stressful jobs with different work shifts and long working hours. Accordingly, the present study aimed to investigate the mediating role of covert aggression in relationships between attachment behaviors and marital trust in female nurses. Methods: This correlational study was conducted using structural equation modeling (SEM) from March to June 2021. The statistical population consisted of all married female nurses (aged 25-55 years) working in hospitals in Shiraz City, Iran. Of whom, 310 were selected as the sample through two-stage cluster random sampling. The research instruments included the Trust in Close Relationships scale, the brief accessibility, responsiveness, and engagement (BARE) scale, and the couples relational aggression and victimization scale (CRAViS). The proposed model was evaluated by SEM, and indirect relationships were examined using the Bootstrap method in AMOS-24. The significance level was considered to be 0.05. Results: The results showed that both indirect paths of dimensions of attachment behaviors and a marital trust, mediated by covert aggression (destruction of social image and emotional withdrawal), were statistically significant (P<0.05). In addition, the results demonstrated a significant and direct relationship between dimensions of attachment behaviors and marital trust (P<0.01). Conclusion: The study results show the acceptable goodness of fit of the proposed model. Therefore, policymakers, family consultants, and psychiatric nurses are recommended to pay special attention to the effects of attachment behaviors and covert aggression on the marital trust of female nurses.}, Keywords = {Behavior, Marital trust, Aggression, Object attachment, Emotions, Nurses}, volume = {9}, Number = {1}, pages = {79-88}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.1.485.1}, url = {http://jccnc.iums.ac.ir/article-1-419-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-419-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Monalisa, Monalisa and Syukri, Mohd and Yellyanda, Yellyanda and EliezerT, Bettywati}, title = {Factors Involved in Missed Nursing Care: A Systematic Review}, abstract ={Background: Missed nursing care (MNC) is experienced in nearly all healthcare facilities. Awareness of the aspects involved in the MNC can improve the quality of patient care. The objective of this systematic review is to provide insights into the factors that contribute to the occurrence of MNC. Methods: The review will adhere to the 2020 preferred reporting items for systematic review and meta-analyses (PRISMA) statement and includes studies published in peer-reviewed journals from 2012 to 2022. The databases used in the literature search include ScienceDirect, Cochrane Library, PubMed, ProQuest, and the Wiley Online Library. The eligibility criteria were determined based on population, intervention, comparison, outcomes, and study (PICOS) guidelines. To evaluate the quality of the studies, the NIH quality assessment tool for observational cohort and cross-sectional studies was employed, while the risk of bias was assessed using the Cochrane collaboration’s risk of bias tool. Three authors independently performed data extraction using qualitative analysis and reached a final agreement. Results: A total of 3611 articles were found in the database search. After removing duplicates and ineligible articles, review studies, case reports, letters to editors, incomplete texts, dissertations, and book chapters, 16 articles were finally eligible for further analysis. In general, there were three categories of factors related to MNC, including labor resources (workload, staff adequacy, staff characteristics, nurse-patient ratio, shift work, and nurse job satisfaction), material sources (work environment, personal protective equipment, patient care equipment), and teamwork and communication (communication within nursing team, and communication with medical staff). The most common influencing factor seemed to be staffing adequacy.  Conclusion: The role of healthcare service management and leadership is central to mitigating the factors contributing to MNCs’ emergence, especially labor resources. Meta-analytic studies are needed to find the most influential factors of MNC based on the results of all available studies. }, Keywords = {Missed nursing care, Rationed care, Unfinished care, Incomplete care, Nursing care quality}, volume = {9}, Number = {2}, pages = {89-102}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.418}, url = {http://jccnc.iums.ac.ir/article-1-418-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-418-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Asgari, Fatemeh and Rahemi, Zahra and Sadat, Zohreh and MirbagherAjorpaz, Ne}, title = {The Role of General Health and Health Literacy in Self-Care Behaviors of Patients with Covid-19}, abstract ={Background: Self-care is an important concept in controlling COVID-19 disease and a simple and effective way to maintain and improve health. This study aimed to examine the role of general health and health literacy in predicting the self-care behaviors of patients with COVID-19. Methods: This research was a cross-sectional study with a predictive correlational design. The sample consisted of 385 patients with mild to moderate COVID-19 infection referring to the COVID-19 diagnosis and treatment center in Shahid Beheshti Hospital in Kashan City, Iran, from June to September 2021. The subjects were under quarantine at home and were recruited by convenience sampling. The data were collected by the general health questionnaire (GHQ-28), the Iranian health literacy questionnaire (IHLQ), and a researcher-made questionnaire on self-care behaviors in patients with COVID-19 (SCB-COVID-19). The Pearson correlation coefficient, t-test, and logistic regression were used for data analysis in SPSS software, version 19. The significance level was set at P<0.05. Results: The Mean±SD scores of self-care behaviors, health literacy, and general health of the subjects were 224.89±21.49, 63.78±21.28, and 50.99±12.81, respectively. There were significant relationships between self-care behaviors and health literacy (r=0.567, P=0.001) and self-care behaviors and general health (r=235, P=0.001). Logistic regression showed that about 42% of self-care behaviors score changes are explained by health literacy and general health variables (R2=0.42) Conclusion: The results showed that self-care behaviors score changes are explained by health literacy and general health in COVID-19 patients. Our results can integrate into the body of knowledge to help improve the health and well-being of populations in the COVID-19 outbreak. }, Keywords = {Self-care behaviors, Health literacy, General health, COVID-19}, volume = {9}, Number = {2}, pages = {103-112}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.415.1}, url = {http://jccnc.iums.ac.ir/article-1-415-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-415-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Salehi, Tahmine and Mirzaee, Mohammadsaeed and Haghani, Shima and Salehinia, Nadi}, title = {Assessment of the Relationship Between Intention to Migrate With Workload and a Healthy Work Environment of Nurses}, abstract ={Background: Like other countries in the world, Iran is facing the problem of a shortage of nurses. Meanwhile, many Iranian nurses migrate to other countries every year. The present study aims to assess the relationships between migration intention, workload, and a healthy work environment for nurses. Methods: This cross-sectional correlational study was conducted in 2020 using a proportional stratified sampling of 360 nurses working in the Iran University of Medical Sciences (IUMS) teaching hospitals. The study data were collected through a demographic questionnaire, the nurses’ intention to migrate questionnaire, the NASA task load index, and the American Association of Critical-Care Nurses Healthy Work Environment Assessment. In this study, we used the independent t-test, analysis of variance, and the Pearson correlation coefficient for data analysis at a significance level of <0.05 in SPSS software, version 16. Results: The Mean±SD intention to migrate score was 65.59±33.51. A weak but significant positive correlation existed between the intention to migrate and workload (r=0.166, P=0.002). There was an inverse and weak relationship between the intention to migrate and a healthy work environment (r=-0.160, P=0.002). There was also a significant relationship between the intention of nurses to migrate and their work experience (P=0.048) and employment status (P=0.001). Conclusion: The prevention of nurses’ migration must be investigated thoroughly to determine the reasons. But according to the results of this study, providing a healthy work environment and maintaining the current workforce by providing the indicators desired by nurses may partly prevent excessive migration of nurses.}, Keywords = {Immigration, Workload, Healthy work environment, Nurse}, volume = {9}, Number = {2}, pages = {113-122}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.426.1}, url = {http://jccnc.iums.ac.ir/article-1-426-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-426-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Pranata, Satriya and Wu, Shu-Fang Vivienne and Wang, Tsae-Jyy Tiffany and Liang, Shu-Yuan and Chuang, Yeu-Hui and Lu, Kuo-Cheng and Bistara, Difran Nobel}, title = {Effectiveness of Tailored Care Intervention Program on Biochemical Outcomes of Patients With Diabetes in Indonesia: A Randomized Controlled Trial}, abstract ={Background: Although patients with diabetes have common problems, their educational needs may differ, and they have the right to participate in planning and implementing individual or group healthcare programs. Because there are no proper care interventions for diabetic patients in Indonesia, this study evaluated the efficacy of a tailored care intervention program on some blood biochemical outcomes among Indonesian patients with diabetes.  Methods: We conducted a randomized controlled trial (RCT) with a pre-test-post-test design. We recruited 163 diabetic patients referred to Moyo Hilir and Moyo Hulu primary healthcare facilities in Sumbawa City, Indonesia, from January to April 2021. The subjects were randomly assigned to either intervention (n=80) or control (n=83) groups. The intervention group received a tailored care intervention program with 7 elements implemented through four stages: 1) brief deductive teaching, 2) self-management assessment, 3) brainstorming and support group, and 4) Follow-up. The control group received routine education. The study data were collected at baseline and three months after the intervention. The outcome measures were blood glucose levels, cholesterol, triglyceride, and triglyceride glucose index. IBM SPSS software, version 20 was used for statistical analysis. The obtained data were analyzed by descriptive (frequency distributions, percentages, Mean±SD) and inferential statistics (Chi-square, independent t-test, and paired t-test). The significance level was set at P<0.05.  Results: According to the independent t-test, there were no significant differences in blood glucose levels of the groups before and after the intervention. There were also no significant differences in the groups’ cholesterol, triglyceride, and triglyceride glucose index before the intervention, but significant differences were seen after the intervention (P=0.000). However, the significance moved in a negative direction. According to paired t-test, blood glucose level, triglyceride, and triglyceride glucose index increased in the control group but decreased in the intervention group, although it was not significant. On the other hand, cholesterol levels increased in both intervention and control groups, which was not significant. Conclusion: Although no significant findings were obtained, the glucose level, triglyceride, and glucose triglyceride index values of the intervention group were better than the control group, but not in terms of cholesterol level. Tailored care intervention programs can improve biochemical indicators, especially for blood glucose levels, triglycerides, and triglyceride glucose index; however, it seems that a follow-up study beyond three months is needed to be performed in the future.}, Keywords = {Tailored care intervention, Blood glucose, Cholesterol, Diabetes, Triglyceride}, volume = {9}, Number = {2}, pages = {123-134}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.428.1}, url = {http://jccnc.iums.ac.ir/article-1-428-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-428-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Irani, Farinoush and Amini, Leila and Mohammadbeigi, Robabeh and Haghani, Hami}, title = {Comparing Happiness Between Infertile Women and Wives of Infertile Men}, abstract ={Background: Infertility and its treatment, as one of the most difficult experiences in life, affects the mental health and happiness of couples, especially women. This study compared the happiness of infertile women and the wives of infertile men. Methods: This research was a comparative cross-sectional study. The study sample included 142 women (71 infertile women and 71 wives of infertile men) referring to the infertility clinic of Akbarabadi Hospital in Tehran, Iran, selected by consecutive sampling from February to August 2020. Demographic information and the Oxford happiness inventory (OHI) were used to collect the data. The data analysis was performed in SPSS software, version 16 using the Fisher exact-test, Chi-square, Kruskal-Wallis, and independent t-test. A P<0.05 was considered significant. Results: The study showed that infertile women are happier than the wives of infertile men (P=0.006). Also, the subscales of life satisfaction (P=0.016), efficacy (P=0.025), cheerfulness (P=0.001), and self-esteem (P=0.017) were higher in infertile women than in the other group. However, there was no significant difference between the two groups in the subscales of sociability and wellbeing. Conclusion: According to the findings, spouses of infertile men may experience lower happiness levels than infertile women. In addition to paying more attention to the psychological condition of infertile men’s wives, more detailed studies with a larger sample size are needed to confirm the results. Also, qualitative studies are recommended to clarify all dimensions of happiness of infertile couples.}, Keywords = {Female infertility, Male infertility, Wellbeing, Happiness}, volume = {9}, Number = {2}, pages = {135-142}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.434.1}, url = {http://jccnc.iums.ac.ir/article-1-434-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-434-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Mansor, Maslina and Afthanorhan, Asyraf and MohdIbrahim, Rashidah and MohdSalleh, Ahmad Munir}, title = {The Mediating Role of Moral Disengagement in Predicting Deviant Workplace Behavior Among Nurses in Malaysia}, abstract ={Background: The healthcare environment is becoming increasingly competitive to meet patients’ expectations and demands. Despite the nurses’ best efforts to provide the finest services, they often receive complaints from people dissatisfied with the services they receive. There are reports claiming nurses as violent and unethical in their duties. This condition causes constant stress among nurses, translating into trait anger and negative affect. The present work aimed to examine the influence of trait anger and negative affectivity on deviant workplace behavior with the mediating role of moral disengagement.  Methods: This cross-sectional correlational study was conducted in the general hospitals of the northern, southern, east coast, and central Malaysia’s regions from January to June 2020. The study sample included 387 nurses recruited by proportionate stratified random sampling. The data were collected using negative affect scale, deviant workplace behavior scale, trait anger scale, and moral disengagement scale. Then, the obtained were analyzed using partial least squares path modeling (PLS-PM) with SMART PLS software, version 3.2.8. Results: The results of the PLS-PM suggested that trait anger contributes to deviant workplace behavior (β=0.245, P=0.001). Also, this study discovered that moral disengagement mediates the relationship between trait anger, negative affectivity, and deviant workplace behavior among nurses.  Conclusion: This study enriches the knowledge of deviant workplace behavior in healthcare settings, specifically Malaysia’s public healthcare sector. In the future, similar studies should be performed in private hospitals to improve the generalisability of the findings.}, Keywords = {Anger, Workplace, Behavior and its mechanisms, Morals, Nurse}, volume = {9}, Number = {2}, pages = {143-156}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.502.1}, url = {http://jccnc.iums.ac.ir/article-1-437-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-437-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {DashtiKalantar, Rajab and Asadizaker, Marziyeh and Azizi-Fini, Ismail and Yadollahi, Safour}, title = {Perceived Stress and Anxiety of Healthcare Providers Before and After a Hospital Accreditation Program in Ahvaz City, Iran}, abstract ={Background: Evaluation and accreditation of hospitals have essential roles in improving the quality, safety, and effectiveness of healthcare services. Nevertheless, this process may cause stress and anxiety among hospital staff. This study aims to determine and compare employees’ anxiety levels and perceived stress before and after the accreditation program in private hospitals in Ahvaz City, Iran. Methods: This research was a quantitative, observational, and longitudinal study. A total of 456 employees of Ahvaz private hospitals were recruited by convenience sampling. The state-trait anxiety inventory (STAI) and the perceived stress scale-14 (PSS-14) were used to measure the level of anxiety and stress among hospital employees one month before and one month after implementing the hospital accreditation program. The data were analyzed in SPSS software, version 22 using descriptive and inferential statistics, such as the paired t-test, Pearson, and Spearman correlation coefficients. The significance level was set at P<0.05. Results: The findings showed a significant difference between perceived stress and anxiety before and after implementing the accreditation program (P<0.05). There was a significant relationship between the employees’ perceived stress levels and their age, gender, and work experience. The subjects’ state-trait anxiety was also significantly associated with their sex, work experience, and organizational position (P<0.05). Conclusion: Although the accreditation program usually improves the quality of healthcare, the employees experienced more stress and anxiety before the implementation of this program than after its completion, which can negatively affect the quality of care. Therefore, policymakers and managers should pay great attention to prevent stress and anxiety among healthcare providers while implementing the accreditation program.}, Keywords = {Accreditation, Hospital, Stress and anxiety, Health care quality assurance, Health personnel}, volume = {9}, Number = {2}, pages = {157-166}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.435.1}, url = {http://jccnc.iums.ac.ir/article-1-435-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-435-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Garg, Ram}, title = {The Impact of Packaged Food on Children’s Health: Strategies to Overcome}, abstract ={Background: Packaged foods are often high in sugar, salt, fat, additives, preservatives, artificial colors, and flavors but low in nutrients. These factors may lead to weight gain, delayed growth and development, type 2 diabetes, damage to the teeth, food poisoning, and many other health problems. This short commentary has critically examined the effects of packaged food on children’s health, along with possible solutions.  Main Idea: Packaged food may be convenient, but it is often full of unsafe ingredients harmful to a child’s developing body. The best way to ensure that children get the nutrition they need while avoiding the potential health hazards of packaged food is to make meals from scratch at home. This allows for controlling the ingredients in the meal and ensuring the child gets a balanced, nutritious diet. Eating out less often and cutting back on processed foods can also help reduce the amount of packaged food a child consumes. Additionally, educating children about the importance of healthy eating can help to establish healthy habits. Conclusion: The impact of packaged food on children’s health is an increasingly important issue. Considering the potential harm of packaged foods to children’s health, parents must remove them from their children’s diet as much as possible and use foods prepared at home.}, Keywords = {Food additive, Food coloring, Canned food, Child health, Television}, volume = {9}, Number = {2}, pages = {167-170}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.2.432.1}, url = {http://jccnc.iums.ac.ir/article-1-432-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-432-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Siagian, Heriviyatno.J and Rusmimpong, Rusmimpong and Sukurni, Sukurni and Arimaswati, Arimaswati and Alifariki, La Ode}, title = {Dysphagia Improvement Using Acupuncture Therapy: A Systematic Review}, abstract ={Background: Dysphagia is a common complication in patients with stroke. Although the research on acupuncture treatment of dysphagia has stepped up, the results are still inconsistent. In this review, we intend to answer the potential of acupuncture in treating dysphagia in stroke patients and which acupuncture points are the most promising for treating dysphagia. Methods: We used PRISMA (the preferred reporting items for systematic reviews and meta-analysis) 2020 guidelines in conducting this review. A literature search was performed in four databases (PubMed, ScienceDirect, Cochrane, and Willey online library) to find eligible randomized controlled studies that assessed the effect of acupuncture in post-stroke dysphagia. The search time is from 2010 to 2022. Study quality was assessed using the critical appraisal skills program (CASP), and the risk of bias was evaluated by the RoB software, version 2 (risk-of-bias tool). The data were analyzed thematically. Results: A systematic electronic search identified 1409 publications through forward and backward searching of relevant papers. The full-text screening was conducted on 777 articles. A total of 681 articles failed to meet eligibility criteria at this stage, and only 6 articles were finally eligible for further analysis. The results showed that compared with rehabilitation, acupuncture significantly improved dysphagia in post-stroke patients. Gallbladder (GB) 20 is often used as an acupoint. In addition, the frequency and duration of treatment also contributed to a more significant increase in dysphagia improvement. Conclusion: Acupuncture could effectively improve dysphagia in post-stroke patients, and acupuncture combined with rehabilitation has a better effect.}, Keywords = {Acupuncture, Dysphagia, stroke, Systematic review, Randomized controlled trials (RCTs)}, volume = {9}, Number = {3}, pages = {171-182}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.455}, url = {http://jccnc.iums.ac.ir/article-1-455-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-455-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Alinejad-Naeini, Mona and Zamani, Parvaneh and Heidari-Beni, Farsh}, title = {Relationship Between Maternal Fear and Anxiety About COVID-19 and Maternal Role Attainment in Mothers of Preterm Neonates}, abstract ={Background: Mothers of preterm neonates are more concerned about their babies’ health than other mothers, which causes them to be worried and anxious. Meanwhile, the possibility of catching COVID-19 may increase their worries and anxiety and negatively affect their parenting roles. This study aims to determine the relationship between maternal fear and anxiety about COVID-19 and maternal role attainment in Iranian mothers with preterm neonates admitted to neonatal intensive care units (NICUs). Methods: This descriptive correlational study was conducted from June to July 2021 in 3 level-III NICUs in Tehran, Iran. The study samples were 211 mothers of preterm neonates who were recruited by convenience sampling. The study data were collected using a sociodemographic questionnaire, the Coronavirus anxiety scale, the fear of COVID-19 scale, and the maternal role adaptation scale in NICUs. The obtained data were analyzed utilizing the independent samples t-test, one-way ANOVA, and the Pearson correlation coefficient in SPSS software, version 23. P<0.05 was considered significant. Results: The mean scores of anxiety, fear, and maternal role attainment were 11.44±3.19, 26.49±5.92, and 57.61±11.95, respectively. There were weak, positive, and significant  relationships between anxiety and fear (r=0.385, P<0.001), anxiety and maternal role attainment (r=0.213, P=0.002), and some of it's dimensions: Participation in care, distant mothering, interaction, and growth and development (P<0.05). There were also weak, positive, and significant relationships between fear and maternal role attainment (r=0.204, P=0.003) and some of it's dimensions: Participation in care and growth and development (P<0.05).  Conclusion: Considering the relationship between the fear and anxiety of COVID-19 with maternal role attainment and the special importance of this issue in NICUs, evaluating the mental health of mothers with preterm neonates and implementing effective psychological interventions to support them is recommended.}, Keywords = {COVID-19, Anxiety, Fear, Maternal role attainment, Preterm neonate, Neonatal intensive care unit}, volume = {9}, Number = {3}, pages = {183-192}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.427}, url = {http://jccnc.iums.ac.ir/article-1-427-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-427-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Amiri-Farahani, Leila and Khorasani, Parvaneh and Pezaro, Sally and Jamshidimanesh, Mansooreh}, title = {Rapid Consensus on the Prioritization of Strategies to Improve Physical Activity Among Iranian Women: A Focus Group Study Using Nominal Group Technique}, abstract ={Background: Despite the notorious effects of inadequate physical activity (PA), adopting appropriate interventions to increase PA is still problematic. This study identifies and prioritizes evidence-based strategies to increase PA in Iranian women. Methods: This is a mixed-method study. A systematic review of clinical interventions was used to stimulate academic and focus group discussions (FGDs), where the participants identified the most salient strategies to promote PA in Iranian women. Then a nominal group technique (NGT) was used to reach a consensus on the prioritization of the strategies. This mixed methods study (systematic review and FGD) was conducted in 2014. The participants (n=13) included Iranian women, the research team, health sciences experts, managers, and policymakers. They rated the strategies’ importance and applicability (from 3 to 13); higher scores indicated higher prioritization. The prioritized plans were then categorized under a socioecological model of intrapersonal, interpersonal, organizational, and community factors. Results: Overall, 26 strategies were identified and coded as items. The challenging of inaccurate beliefs about PA, along with the increasing self-confidence and self-prioritization, creation of sports groups, the use of sports coaches, and increase of awareness via text messaging and informative multimedia placed in local mosques and schools got the highest scores both in terms of importance and applicability in this model. Conclusion: In promoting PA, collaboration with key stakeholders is paramount. The strategies identified and prioritized in this study could be used to design future PA programs for increasing PA in Iranian women.}, Keywords = {Physical activity, Iranian women, Stakeholders, Focus group discussion, Nominal group technique}, volume = {9}, Number = {3}, pages = {193-198}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.439}, url = {http://jccnc.iums.ac.ir/article-1-439-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-439-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Bastani, Farideh and Amirijavid, Ai}, title = {Sleep Quality in the Survivors of COVID-19}, abstract ={Background: After being discharged from the hospital, some people recovering from COVID-19 may suffer complications and problems. This study was conducted to determine the sleep quality in the survivors of COVID-19 discharged from the hospital. Methods: This descriptive cross-sectional study was conducted in Imam Khomeini Sarab Hospital in East Azerbaijan Province, Iran, in 2022. The study sample was 222 survivors of COVID-19, discharged from the hospital for at least a month. The subjects were recruited by continuous sampling method. The data were collected by a demographic and disease-related questionnaire and the Pittsburgh sleep quality index (PSQI). The collected data were analyzed by the independent t-test, analysis of variance, and Scheffé post-hoc test in SPSS software, version 20. The significance level was set at P≤0.05.  Results: Among the subjects, 94(42.3%) were men, and 128(57.7%) were women. The age of the respondents was 50.32±16.75 years. About 84.2% of the study subjects obtained a total sleep quality score of more than 5, which means poor sleep quality. Also the mean sleep quality score of the research subjects was 9.19±3.68, indicating poor sleep quality. Significant relationships existed between sleep quality and most demographic and disease characteristics (P<0.001). Conclusion: Considering the poor quality of sleep of the survivors of COVID-19 after discharge from the hospital, it is suggested to give sufficient training to these patients before discharge to help them sleep comfortably, and if necessary, plan to refer them to a doctor.}, Keywords = {Sleep, COVID-19, Survivors}, volume = {9}, Number = {3}, pages = {199-206}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.447}, url = {http://jccnc.iums.ac.ir/article-1-447-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-447-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {HassanShahi, Reyhaneh and Hosseini, Fatemeh and Akbari, Ali and RezaSayadi, Ahmadreza and ShahabiNedjad, Maryam}, title = {The Effects of Music Intervention on Respiratory Comfort, Anxiety, and Depression During Noninvasive Mechanical Ventilation Among Patients With COVID-19}, abstract ={Background: Hospitalized patients with COVID-19 may experience emotional problems and respiratory discomfort during mechanical ventilation. This study aimed to evaluate the effects of music therapy on respiratory comfort, anxiety, and depression among patients with COVID-19 under noninvasive mechanical ventilation. Methods: It was a randomized clinical trial. The study subjects were 64 patients requiring noninvasive mechanical ventilation (NIV) who were selected from the COVID-19 intensive care unit (ICU) of Ali ibn Abi Talib Hospital, Rafsanjan City, Iran. They were randomly allocated to the intervention (n=32) and control (n=32) groups. The intervention group received 30 minutes of daily light music by an MP3 player and a JBL headphone for 4 consecutive days, and the control group only used headphones. The data were collected by the hospital anxiety and depression scale and a visual analog scale before and 4 days after the intervention. The SPSS software, version 16 was employed for data analysis through the chi-square, independent sample, and paired-samples t-tests at a significance level P<0.05.  Results: The groups did not significantly differ regarding the pre-test mean scores of respiratory comfort, anxiety, and depression before intervention (P>0.05). The mean scores of respiratory comfort, anxiety, and depression significantly changed in the intervention group (P<0.05), but no significant changes were seen in the control group (P>0.05). Between-group differences respecting the post-test mean scores of these variables were also significant (P<0.05).  Conclusion: Thirty minutes of daily music therapy for 4 days is effective in reducing anxiety and depression and improving respiratory comfort among patients with COVID-19 under noninvasive mechanical ventilation.}, Keywords = {Music, Anxiety, Depression, Respiratory comfort, COVID-19}, volume = {9}, Number = {3}, pages = {207-214}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.448}, url = {http://jccnc.iums.ac.ir/article-1-448-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-448-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Yodang, Yodang and Nuridah, Nuridah}, title = {Characteristics and Palliative Care Needs of Older Indonesian Adults With Chronic Hypertension}, abstract ={Background: Chronic diseases like hypertension have become a global burden in the older population and are associated with high mortality rates and poor quality of life. The tenacity of these diseases could increase the comorbidities and impact older patients who need palliative care (PC) services to manage the symptoms and improve their quality of life. This study aims to determine the characteristics and determinants of PC needs of older Indonesian adult patients with chronic hypertension.  Methods: This cross-sectional study applied a quantitative research design. The study was conducted in a primary healthcare facility in Kolaka Regency, Southeast Sulawesi, Indonesia, from July to October 2022. The study subjects were 142 elderlies with chronic hypertension who were recruited by the census method. The data were collected using a demographic questionnaire and the Indonesian version of the supportive and PC indicators tool (SPICT 2019 version). The data were analyzed with the Pearson chi-square test at a significant level P<0.05 in IBM SPSS software, version 25.  Results: According to the findings, 47.2% of the respondents were in the age group of 55 to 64 years, most were women (55.6%), and living in rural areas (54.9%). Also, most had comorbidities (77.5%), at least one comorbidity (66.9%), and 26.8% needed palliative care. The bivariate analysis showed that comorbidities are associated with PC needs among older adults with chronic hypertension (P<0.05).  Conclusion: This study showed that comorbidity has a significant relationship with PC needs in older patients with chronic hypertension. This condition demands the treatment team members’ attention to comorbidities in patients with chronic hypertension. To enhance the results’ generalizability and provide stronger evidence, it is advisable to conduct research with a larger sample size. }, Keywords = {Chronic hypertension, Older adults, Palliative care, Comorbidities}, volume = {9}, Number = {3}, pages = {215-222}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.450}, url = {http://jccnc.iums.ac.ir/article-1-450-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-450-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Aghamohammadi, Fatemeh and Saed, Omid and Dinmohammadi, Mohammadrez}, title = {Factors Affecting the Resilience of Iranian Nurses During the COVID-19 Pandemic}, abstract ={Background: Nurses, more than all other healthcare industry members, are at the forefront of the crisis in the event of sudden pandemics. This study aimed to determine the factors contributing to the resilience of Iranian nurses during the pandemic. Methods: In this cross-sectional web-based survey, the Google forms platform was used to distribute an online Connor-Davidson resilience scale (CD-RISC) to 1025 nurses. The study data were collected in November 2020 via Iranian nurses’ social networks in hospitals nationwide. Using SPSS software, version 22 and multivariate linear regression, the data were evaluated. The significance level was set as less than 0.05. Results: The nurses’ mean total resilience score was 68.95±12.76. Multiple linear regression analysis revealed that age (β=0.242, P=0.004), gender (β=-0.061, P=0.046), role (β=0.193, P<0.001), and getting COVID-19 (β=-0.061, P=0.046) are predictors of nurses’ resilience status. Other personal and occupational characteristics were not influential. Conclusion: The resilience of nurses employed in hospitals across the country appears to be higher than that of the general population. Female, young nurses, and those infected with COVID-19 were at a greater risk. The existence of facilities, improvement of working conditions, and provision of sufficient human resources help maintain nurses’ mental health during the pandemic. Longitudinal studies are recommended to evaluate the duration of this level of resilience and its impact on the long-term mental well-being of nurses in the coming months and years.}, Keywords = {Resilience, COVID-19, Nurse, Health care professionals (HCPs), Mental health}, volume = {9}, Number = {3}, pages = {223-230}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.451}, url = {http://jccnc.iums.ac.ir/article-1-451-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-451-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Taheri, Majid and MohaddesArdabili, Fatemeh and Najafighezeljeh, Tahereh and Bozorgnejad, Mehri and Haghani, Shim}, title = {General Health, Posttraumatic Stress Disorder, and Coping Strategies of Nurses Working in the COVID-19 Intensive Care Units}, abstract ={Background: Nurses working in intensive care units (ICUs) are more in direct contact with COVID-19 patients than other healthcare team members and are more vulnerable to mental disorders. This study aimed to determine the general health status, posttraumatic stress disorder, and coping strategies of nurses employed in the COVID-19 intensive care units. Methods: It was a cross-sectional descriptive study. Using the census method, 102 nurses working in the COVID-19 intensive care units of Iran University of Medical Sciences in Tehran, Iran, were recruited as the sample in 2022. The general health questionnaire (GHQ-28), the impact of events-revised (IES-R), and the ways of coping questionnaire (WCQ) were used as research instruments. The data were analyzed using the Pearson correlation coefficient, independent t-test, and analysis of variance in SPSS software, version 16. The significance level was set at P<0.05.  Results: The overall mean of general health was 32.22±12.21, indicating mild psychological distress in most nurses. Somatic symptoms had the highest mean (9.16±4.06) among the GHQ-28 subscales. The mean posttraumatic stress disorder was 39.07±14.79. The means of problem-focused and emotion-focused coping strategies were 48.03±13.44 and 40.78±11.70, respectively. Most nurses (60.8%) generally suffered posttraumatic stress symptoms and used problem-focused coping strategies to deal with stressors during the COVID-19 pandemic. No significant relationship existed between the main variables and the nurses’ characteristics (P>0.05). Conclusion: Most nurses experienced mental disorders (general health disorders and posttraumatic stress) during the COVID-19 pandemic. To reduce the psychological impact of COVID-19 on nurses, paying attention to their mental health is essential. Given the adverse effect of COVID-19 on nurses, studying the relationship between these variables and the quality of nurses’ performance is suggested.}, Keywords = {Coronavirus, Nurse, Psychological distress, Posttraumatic stress disorder, Coping process}, volume = {9}, Number = {3}, pages = {231-240}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.3.478}, url = {http://jccnc.iums.ac.ir/article-1-478-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-478-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Aghakhani, Nader and Nikoonejad, Alirez}, title = {COVID-19 and Aggravating Multidimensional Poverty for Vulnerable Populations: Exposed and Trapped}, abstract ={This letter describes the results of the authors' investigations and conclusions regarding the onset of the COVID-19 pandemic and its impact on the multidimensional poverty of vulnerable populations. Corresponding author:  Nader Aghakhani, Email: nader1453@umsu.ac.ir You can also search for this author in:  PubMed, Google Scholar  }, Keywords = {COVID-19, Pandemic, Vulnerable populations, Access to healthcare, Poverty}, volume = {9}, Number = {4}, pages = {241-242}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.561.1}, url = {http://jccnc.iums.ac.ir/article-1-485-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-485-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Karami, Behnaz and Khodabakhshi-Koolaee, Anahita and Heidari, Hassan and Davoodi, Hossei}, title = {The Effectiveness of Solution-focused Narrative Therapy and Mindfulness-based Stress Reduction on the Level of Expressed Emotion in Mothers of Boys With Gross Motor Disabilities}, abstract ={Background: Mothers with disabled children often express emotions, such as aggression and criticism toward their children. This study aimed to compare the effectiveness of solution-focused narrative therapy (SFNT) and mindfulness-based stress reduction (MBSR) on managing the expressed emotions of mothers of boys with gross motor disabilities. Methods: This quasi-experimental study has a pre-test-post-test design with intervention and control groups. The research population consisted of all the mothers of children with gross motor disabilities referred to the “Success Counseling Center” in Tehran City, Iran, in 2022. A total of 45 eligible mothers were selected and randomly assigned to three groups: Two intervention groups and one control group (each 15). The SFNT was held in nine 90-minute sessions and the MBSR therapy in eight 90-minute sessions. The data were collected with the level of expressed emotion (LEE) scale and analyzed using descriptive statistics, such as frequency, percentage, Mean±SD, and the multivariate analysis of covariance (MANCOVA) and LSD post hoc test in SPSS software, version 26. The significance level was set at P<0.05. Results: The post-test results showed a statistically significant difference between the mean scores of expressed emotion of the three groups (P<0.05). However, compared to MBSR, SFNT demonstrated greater efficacy in reducing mothers’ expressed negative emotions (P<0.05). Conclusion: Both therapies effectively reduced expressed negative emotions in mothers with disabled male children. However, SFNT had a greater effect on expressed emotion compared to MBSR. In addition to pharmacological treatments, psychological interventions (SFNT and MBSR) can help mothers of boys with gross motor disabilities manage their expressed emotions and care for their children better.}, Keywords = {Narrative therapy, Mindfulness, Expressed emotions, Mothers, Disabled children}, volume = {9}, Number = {4}, pages = {243-254}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.33.21}, url = {http://jccnc.iums.ac.ir/article-1-468-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-468-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Gheysari, Amin and Farahaninia, Marhamat and Hasanpoor-Azghady, Seyedeh Batool}, title = {Religious Coping and Health-promoting Lifestyle Among Iranian Infertile Women}, abstract ={Background: Infertility is recognized as a stressful and critical experience worldwide and across cultures and disrupts individual, marital, family, and social stability. Religion serves as a source of support in dealing with health-related problems. This study investigates the relationship between religious coping mechanisms and health-promoting lifestyle (HPL) among Iranian infertile women. Methods: A cross-sectional correlational study was conducted on 177 infertile women referring to the Sarem Sub-specialized Infertility Treatment and Research Center in Tehran City, Iran, 2019. The subjects were recruited by continuous sampling. The data in this study were collected using a demographic information form, the Iranian religious coping scale (IRCS), and the health-promoting lifestyle profile-II (HPLP-II). Statistical analyses, including the independent t-test, one-way ANOVA, and Pearson correlation coefficient, were performed using SPSS software, version 22. The significance level was set at P<0.05. Results: The highest mean was related to active religious coping (7.86±2.39), while passive religious coping (2.89±1.76) and negative feelings towards God (3.95±2.07) had the lowest mean scores. The Mean±SD score of health-promoting lifestyle was 128.34±13.46; the score range was 52-208, lower than the median score of the scale. A weak but significant inverse relationship was observed between negative feelings towards God and HPL (r=-0.19; P=0.013) and its three subscales: Physical activity (r=-0.18; P=0.019), nutrition (r=-0.21; P=0.011), and interpersonal relationships (r=-0.21; P=0.01). Also, a weak yet statistically significant inverse association was observed between passive religious coping and interpersonal relations (r=-0.18; P=0.029). Conclusion: Considering that the mean HPL score of infertile women was lower than the median score of the scale, community-oriented education and care programs are recommended to improve HPL in infertile women. Teaching and strengthening positive/active religious coping strategies to improve HPL are also advised. Corresponding author: Seyedeh Batool Hasanpoor-Azghady, Email: hasanpoorbatool@yahoo.com You can also search for this author in:  PubMed, Google Scholar}, Keywords = {Religious beliefs, Coping behavior, Health promotion, Lifestyle, Female infertility}, volume = {9}, Number = {4}, pages = {255-266}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.159.1}, url = {http://jccnc.iums.ac.ir/article-1-442-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-442-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Salehi, Tahmine and Khosravi, Iman and Haghani, Shim}, title = {The Relationship Between Nurses’ Work Effectiveness and Work Engagement}, abstract ={Background: Nurses significantly contribute to the healthcare system, constituting the highest number of healthcare staff. A positive attitude or mindset at work increases the ability to carry out the organization’s duties, tasks, and plans. This study investigates the relationship between work effectiveness and work engagement of nurses in the selected hospitals affiliated with Iran University of Medical Sciences (IUMS), Tehran City, Iran, in 2021. Methods: This descriptive cross-sectional study has employed a correlational design. A total of 255 nurses working in selected hospitals affiliated with IUMS were recruited through proportionate stratified sampling. The study data were collected using the utrecht work engagement scale (UWES) and conditions for work effectiveness questionnaire II (CWEQ-II). Statistical analyses involved descriptive statistics, the independent t-test, analysis of variance, the Pearson correlation, and regression in SPSS software, version 22. The significance level was set at P<0.05.  Results: The Mean±SD work effectiveness among nurses was found to be 37.31±7.41, indicating their medium-to-high work effectiveness. Also, their Mean±SD work engagement was 68.96±15.48, indicating the high work engagement of nurses. There was also a significant positive relationship (r=0.656, P<0.001) between the total work effectiveness score and work engagement. The results showed that the “support” dimension of work effectiveness exhibited the highest correlation with work engagement (r=0.606, P<0.001). Also, the “absorption by work” dimension of work engagement had the highest correlation with work effectiveness (r=0.653, P<0.001). Conclusion: According to the study results, increasing the work effectiveness of nurses necessitates the creation of a positive attitude and perspective through managerial actions. }, Keywords = {Work effectiveness, Work engagement, Nursing, Employee performance, Employee experience}, volume = {9}, Number = {4}, pages = {267-276}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.459.1}, url = {http://jccnc.iums.ac.ir/article-1-393-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-393-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {NajafiGhezeljeh, Tahereh and JaberMuhaibes, Fakhria and Haghani, Shima and KifahMubdir, Abbas}, title = {Nurses’ Knowledge and Ability to Diagnose Delirium in Intensive Care Units of Iraq Teaching Hospitals}, abstract ={Background: Timely diagnosis and effective treatment of delirium, a clinical syndrome, significantly impact the outcomes of patients in intensive care units (ICUs). Despite its significance and prevalence, delirium continues to be underdiagnosed. This study aims to determine the knowledge and capability of ICU nurses in Iraq in recognizing delirium syndrome. Methods: This descriptive cross-sectional study was conducted on 154 nurses working in the ICUs of hospitals in Babylon, Al-Diwaniyah, and Karbala cities, Iraq, in 2022. The subjects were recruited by the census. The study data were collected using a demographic questionnaire, case vignettes, and the delirium knowledge questionnaire (DKQ) to assess participants’ characteristics, delirium recognition, and delirium knowledge. The data were analyzed using an independent t-test and Pearson correlation coefficient in SPSS software, version 22. The significance level was set at P<0.05. Results: The Mean±SD score of nurses’ overall knowledge was 46.73±14.34. The Mean±SD score for their understanding of delirium’s incidence, symptoms, signs, and effects was 43.57±17.70, whereas the Mean±SD score for knowledge of its risk factors and causes was 49.7±18.74. Their overall ability to recognize delirium had a Mean±SD score of 1.44±1.13. There was a significant relationship between knowledge of delirium, participation in a delirium training course (P=0.008), and work experience in ICUs (P=0.046).  Conclusion: Given the results of our study, it is crucial to develop plans for increasing the knowledge and recognition ability of ICU nurses in Iraq regarding delirium. Corresponding author: Tahereh Ghezeljeh, Email: najafi.t@iums.ac.ir You can also search for this author in:  PubMed, Google Scholar}, Keywords = {Delirium, Intensive care unit, Knowledge, Nurse, Ability}, volume = {9}, Number = {4}, pages = {277-286}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.525.1}, url = {http://jccnc.iums.ac.ir/article-1-449-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-449-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Hosseini, Parvin Sadat and EftekharSaadi, Zahra and JohariFard, Rez}, title = {Effects of Reality Therapy on Drug Cravings and Mental Health of Clients of Therapeutic Community Centers}, abstract ={Background: Substance abuse disorders are associated with serious medical and psychiatric problems. Besides the undesirable side effects following drug-assisted treatment in drug abusers, sudden discontinuation of drug use can cause unpleasant symptoms. This study investigated the impact of reality therapy (RT) on drug cravings and mental health among clients of therapeutic community (TC) centers in Ahvaz City, Iran, in 2022. Methods: This quasi-experimental study adopted a pre-test-post-test design with a control group. The study population consisted of all clients of TC centers of Ahvaz in 2022. Of whom 40 clients were selected as the sample using convenience sampling. In the next step, they were randomly assigned into the experimental and control groups (20 subjects in each group). The data were collected by using the desires for drug questionnaire (DDQ) and the general health questionnaire 28 (GHQ-28). The subjects in the experimental group attended eight 90-minute sessions of RT, whereas those in the control group received no intervention. The obtained data were analyzed using analysis of covariance. The significance level of all tests was considered to be ≤0.05. Results: RT significantly affected drug cravings and mental health of the clients of TC centers (P<0.001). Conclusion: Based on the study findings, RT is recommended for reducing drug cravings and improving mental health of people undergoing drug rehabilitation.}, Keywords = {Reality therapy, Therapeutic community, Cravings, Mental health, Substance-related disorders}, volume = {9}, Number = {4}, pages = {287-296}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.541.1}, url = {http://jccnc.iums.ac.ir/article-1-465-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-465-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Raygan, Laleh and Jahani, Simin and Elahi, Nasrin and Maraghi, Elham and Fakoor, Mohammad and Najafi, Saf}, title = {The Impact of Self-acupressure on the Pain, Joint Stiffness, and Physical Functioning of Patients With Knee Osteoarthritis}, 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.}, Keywords = {Knee osteoarthritis, Acupressure, Activities of daily living, Pain}, volume = {9}, Number = {4}, pages = {297-308}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.543.1}, url = {http://jccnc.iums.ac.ir/article-1-467-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-467-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} } @article{ author = {Pangandaman, Hamdoni}, title = {Challenges Faced by Digital Immigrant Nurse Educators in Adopting Flexible Learning Options During the COVID-19 Pandemic: A Phenomenological Study}, abstract ={Background: The COVID-19 pandemic has compelled many educational institutions to employ flexible learning options (FLO), requiring technology integration in teaching. Digital immigrant nurse educators, who are educators born before 1985, may need help adopting FLO due to their limited technological knowledge and skills. This study explores the challenges digital immigrant nurse educators face in adopting FLO as a teaching strategy during the COVID-19 pandemic. Methods: Employing a qualitative phenomenological research approach, we researched 6 digital immigrant nurse educators with at least 10 years of teaching experience in the nursing institution at the College of Health Sciences of Mindanao State University in Marawi City, Philippines. These educators, expressing difficulty in adopting FLO, were purposively selected and interviewed from October 2021 to April 2022. Interviews were conducted through a scheduled Zoom meeting. For this purpose, an interview guide with open-ended questions was used. Colaizzi’s method of analysis was applied to analyze the data.  Results: We identified 4 themes representing the challenges digital immigrant nurse educators face in adopting FLO. The themes comprised a lack of technological knowledge and skills, difficulty adjusting to new teaching methods, inadequate technological resources, and emotional stress and exhaustion. Conclusion: Given the challenges experienced by Filipino digital immigrant nurse educators in integrating FLO amid the pandemic, this study recommends providing support and resources to improve these nurse educators’ technical knowledge and skills. Continuous education is crucial for successfully integrating FLO into their teaching practices. Corresponding author: Hamdoni Pangandaman, Email: hamdoni.pangandaman@msumain.edu.ph You can also search for this author in: Google Scholar}, Keywords = {COVID-19, Digital immigrant, Digital native, Flexible learning options, Nurse educator}, volume = {9}, Number = {4}, pages = {309-316}, publisher = { Iran University of Medical Sciences}, title_fa = {}, abstract_fa ={}, keywords_fa = {}, doi = {10.32598/JCCNC.9.4.571.2}, url = {http://jccnc.iums.ac.ir/article-1-496-en.html}, eprint = {http://jccnc.iums.ac.ir/article-1-496-en.pdf}, journal = {Journal of Client-Centered Nursing Care}, issn = {24764132}, eissn = {24764132}, year = {2023} }