2024-03-29T12:35:51+04:30 http://jccnc.iums.ac.ir/browse.php?mag_id=30&slc_lang=en&sid=1
30-337 2024-03-29 10.1002
Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 The Association Between Quality of Nursing Care in the ICU and Severity of Illness Narges Mohammadi nargesmohammadi15515@gmail.com Mohammad Abdi m.abdi252@yahoo.com Mohammadreza Dinmohammadi mdinmohammadi@zums.ac.ir Background: The quality of nursing care can be affected by various factors. This study aims to determine the correlation between the quality of nursing care and the Severity of Illness (SOI) in patients admitted to the Intensive Care Units (ICUs). Methods: This descriptive-correlational study was performed from November 2018 to January 2019 in Ayatollah Mousavi Hospital, Zanjan City, Iran. The sample included 50 ICU patients who were recruited by convenience sampling. The data were collected using the ICU quality of nursing care scale and the sequential organ failure assessment score within the first seven days of hospitalization. They were analyzed by descriptive and non-parametric statistical tests (the Friedman, Wilcoxon signed-rank, and Spearman’s rho) using SPSS v. 22 software. The significance level was set as 0.05. Results: The Mean±SD score of quality of nursing care was 86.62±2.19, and there was a significant difference among the seven days (P<0.001). Also, the Mean±SD score of SOI was 6.4±2.31, and it was constant in the first to third days of hospitalization and decreased by the fourth day of admission. There was a significant indirect correlation between the quality of nursing care and SOI from the fourth day onwards (P<0.05). Conclusion: There was a significant inverse relationship between quality of nursing care and SOI from the fourth to the seventh day of hospitalization. It seems that nursing care delivery in the ICU is mainly routine and does not follow the holistic model of care. Therefore, the severity of the illness and the changing needs of ICU patients require that care models be tailored to these changes. Quality of health care Severity of illness Intensive Care Unit (ICU) SOFA Score 2022 1 01 1 8 http://jccnc.iums.ac.ir/article-1-337-en.pdf 10.32598/JCCNC.8.1.64.2
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 Cyberchondria in Nursing Students During the COVID-19 Pandemic Marjan Rasouli marjan_rassouli@yahoo.com Nafiseh Atayi Mirabadi nafisehatayi@gmail.com Motahareh Sarvi Hampa mo_samaneh۷۸@gmail.com Leili Borimnejad borimnejad.l@iums.ac.ir Background: The COVID-19 pandemic showed that this viral infection, in addition to acute physical complications, causes psychological problems, anxiety, stress, and exacerbation of cyberchondria. This study aimed to assess the severity of cyberchondria in nursing students in Lorestan Province identified as the center of the COVID-19 outbreak in Iran. Methods: This descriptive cross-sectional study was performed on 200 nursing students of Islamic Azad University in the involved province using an online questionnaire. The subjects were recruited by convenience sampling method. The research instrument was the 15-item Cyberchondria Severity Scale (CSS-15), whose link was sent to all nursing students. Data analysis was performed by descriptive statistics and independent t-test in SPSS software v. 18. The significance level was set at less than 0.05. Results: The majority of the respondents (51.5%) were male, and 17.5% of them had a history of chronic diseases and did not refer to any physician due to self-medication and fear of the coronavirus. The Mean±SD score of cyberchondria severity was 33.52±5.59. There was a significant difference between the male and female students in the subscales of compulsion (P=0.0001), excessiveness (P=0.007), reassurance (P=0.004), and distress (P=0.0001). But the total cyberchondria severity was not associated with the age and gender of the students. Conclusion: During the COVID-19 outbreak, the nursing students were affected by some constructs of cyberchondria that could be a sign of anxiety risk and might affect their health-seeking behaviors and mental health. Therefore, psychological counseling is needed to provide this group of healthcare professionals. COVID-19 Cyberchondria Nursing students Cyberchondria severity scale Health anxiety 2022 1 01 9 14 http://jccnc.iums.ac.ir/article-1-339-en.pdf 10.32598/JCCNC.8.1.169.8
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 Perspectives of Teaching Hospitals’ Medical Staff of the Dimensions of Patient Safety Culture Maryam Ebrahimabadi mebrahimi141@gmail.com Mahmood Karimy Karimymahmood@yahoo.com Hossein Poorcheraghi Hossein75.Poorcheraghi@gmail.com Vahid Naseri Salahshoor Andrew Fournier AFournier2@my.gcu.edu Ahmadreza Abedi abedi.a@arakmu.ac.ir Background: Patient safety culture is a critical element in promoting safety and improving the quality of patient care. To enhance this culture, evaluation of the present culture is necessary. This study aims to investigate the dimensions of patient safety culture from the perspective of the staff of Saveh teaching hospitals, Saveh City, Iran. Methods: This descriptive cross-sectional study was performed in two hospitals affiliated with Saveh University of Medical Sciences in 2019. The research sample consisted of 196 medical staff selected through the proportional stratified sampling method. The study data were collected through the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire and analyzed by the independent t-test and Mann-Whitney test in SPSS software v. 21. The level of significance was set as P<0.05.  Results: Among the 12 dimensions of the questionnaire, intra-organizational teamwork, by taking 76% of the total score (4.12±0.28), was desirable and considered the best dimension. However, teamwork among organizational units, by taking 36.6% of the total score (2.92±0.83), was in the poorest condition. There was a significant relationship between gender and patient safety culture, and women were more responsive to patient safety than men (P<0.05). Conclusion: According to the study findings, improving patient safety culture and intercommunication between hospital units is necessary. It is recommended to provide a more intimate environment for communication between hospital personnel. Patient safety culture Teaching hospital Staff Attitude Hospital survey on patient safety culture 2022 1 01 15 22 http://jccnc.iums.ac.ir/article-1-326-en.pdf 10.32598/JCCNC.8.1.277.4
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 Predictors of Medication Adherence Among Adults With Hypertension in Ghana Doreen Asantewa Abeasi reenasantewa@gmail.com Dominic Abugri abugri@gmail.com Prince Osei Akumiah reenasantewa@gmail.com Background: Uncontrolled or suboptimal treatment of high blood pressure may negatively affect the cardiovascular, cerebrovascular, or renal systems. This condition may contribute to high rates of morbidity and mortality. This study assessed the sociodemographic predictors of medication adherence among adult patients with hypertension at the Hypertension Clinic of the Bawku Presbyterian Hospital in Ghana. Methods: This study has a descriptive cross-sectional design. The study setting was the Hypertension Clinic of the Bawku Presbyterian hospital in the Upper East region of Ghana. A total of 269 adults with hypertension referring to the clinic were recruited using a convenience sampling method in 2020. The Hill-Bone medication adherence scale was used to measure medication adherence, and a researcher-made questionnaire was used to gather demographic variables and contributory factors. The obtained data were analyzed in SPSS software v. 22. Regression analysis was done to identify predictors of medication adherence. P<0.05 were considered statistically significant for all analyses. Results: Most patients scored high on imperfect adherence (59.5%) to antihypertensive medication. The predictors of medication adherence were income (P=0.003), duration of being on antihypertensive (P=0.021), and level of education (P=0.0001). Among the perceived factors influencing medication adherence, most patients agreed upon forgetfulness (92.6%) and inadequate knowledge on antihypertensive drugs (82.6%). Conclusion: It is recommended that in dealing with patients with hypertension, the healthcare team, especially nurses, investigate the predictive and influencing factors found in this study and take appropriate measures to ensure that patients adhere to their medications.  High blood pressure Medication adherence Antihypertensive drugs Ghana 2022 1 01 23 32 http://jccnc.iums.ac.ir/article-1-333-en.pdf 10.32598/JCCNC.8.1.396.1
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 The Mediating Role of Psychological Wellbeing in the Relationship Between Defense Mechanisms and Therapeutic Alliance Among Therapists and Psychiatric Nurses Saba Jafari jafarisba@yahoo.com Amin Rafiepour rafiepooramin@gmail.com Afsaneh Taheri taheriafs@gmail.com Mehrdad Sabet sabetmrdad@gmail.com Background: The effectiveness of psychotherapy relies on the therapeutic alliance, so it is essential to identify the variables related to this concept. The present study investigated the relationship between defense mechanisms and therapeutic alliance with the mediating role of psychological wellbeing in therapists and psychiatric nurses. Methods: This research was a descriptive-correlational study that adopted Structural Equation Modeling (SEM). The statistical population comprised all therapists, psychiatric nurses, and counselors licensed by the Psychology and Counseling Organization of Iran in 2019. A sample of 255 was selected via the convenience sampling method. The research instruments included the defense style questionnaire, Ryff’s psychological wellbeing scale (short form), and the working alliance inventory (short form). The obtained data were analyzed by the Pearson correlation coefficient and path analysis in AMOS software v. 24. Results: Immature (β=-0.35, P<0.001) and neurotic defense mechanisms (β=-0.22, P<0.001) demonstrated significant negative correlations with the therapeutic alliance, while mature defense mechanisms (β=0.38, P<0.001) and psychological wellbeing (β=0.24, P<0.001) showed significant positive correlations with therapeutic alliance. The path analysis revealed the mediating role of psychological wellbeing in the relationships between immature (β=-0.11, P<0.01), mature (β=0.14, P<0.01), and neurotic (β=-0.09, P<0.01) defense mechanisms with therapeutic alliance. Conclusion: The present study results confirmed the model’s goodness of fit. Therapists’ defense mechanisms and psychological wellbeing should be taken into account when designing measures to improve the psychotherapy and counseling outcome. Defense mechanisms Therapeutic alliance Mental health Psychiatric nursing 2022 1 01 33 40 http://jccnc.iums.ac.ir/article-1-335-en.pdf 10.32598/JCCNC.8.1.399.1
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 The Effect of Self-care Training by Peer Group on the Resilience of Patients With Cancer: A Randomized Clinical Trial Zahra Mollaei mollaeiza5542@gmail.com Zahra Rahemi zrahemi@clemson.edu Fatemeh Sadat Izadi Avanji fs.izadi@gmail.com Mostafa Sarvizadeh sarvizadeh83@yahoo.com Masoumeh Hosseinian hoseinian_1342@yahoo.com Hosein Akbari akbari1350_h@yahoo.com Background: Resilience is the individual’s ability to maintain or restore mental health and physical function in the face of stressful events and adversity. However, educational interventions can enhance resilience. The present study was conducted to determine the effect of self-care education by peer groups on the resilience of patients with cancer. Methods: A Randomized Clinical Trial (RCT) was conducted on 80 patients with cancer referring to the chemotherapy center of Ayatollah Yathribi Hospital in Kashan City, Iran. The subjects were randomly assigned into the control and intervention groups (40 per group). Peer group members trained the intervention group in 4 sessions (one session per week), but the control group received routine care. The Connor-Davidson Resilience Scale (CD-RISC) was used to collect data at the beginning of the trial and then one week and three months after the intervention. Data analysis was performed using the independent t-test and repeated measures ANOVA in SPSS software, v. 16.  Results: There was a significant difference between the mean score of the groups’ resilience one week after the intervention (P=0.01), but no significant difference was seen between the groups’ resilience scores three months after the study (P=0.11). However, based on the repeated measures ANOVA and the model’s results using the Huynh-Feldt correction, there was an increase in the resilience score of the intervention group over time (P=0.008). Furthermore, there was a significant difference between the two groups in terms of time*group interaction, indicating a significant difference between the two groups in terms of resilience score over time (P=0.004). Conclusion: It is suggested that this intervention be provided by the healthcare team along with routine treatments to improve the resilience and mental health of patients with cancer. Cancer Clinical trial Peer group Psychological resilience Patient education 2022 1 01 41 50 http://jccnc.iums.ac.ir/article-1-338-en.pdf 10.32598/JCCNC.8.1.400.1
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 Comparing the Effectiveness of Cognitive-Behavioral Therapy With an Integrated Package of Gestalt Therapy and Cognitive-behavioral Therapy on the Self-efficacy of Women With Breast Cancer Mehrnoosh Mokri Vala mokrivala61@gmail.com Kiomars Farahbakhsh farahbakhsh@atu.ac.ir Hossein Salimi Bajestani H.salimi.b@gmail.com Jalil Younesi Boroujeni jalilyounesi@gmail.com Background: Breast cancer, as the most common prevalent cancer in Iran, is associated with severe psychological consequences. This study aimed to compare the effectiveness of Cognitive-Behavioral Therapy (CBT) with an integrated package of Gestalt Therapy and Cognitive-Behavioral Therapy (GT-CBT) on the self-efficacy of women with breast cancer. Methods: This research was a quasi-experimental study with a pre-test, post-test design and a control group. Sixty patients with breast cancer referred to the Cancer Clinic of Imam Khomeini Hospital in Tehran City, Iran, were recruited through a convenience sampling method. They were randomly assigned to the control (n=20), CBT (n=20), and GT-CBT (n=20) groups. The study data were collected by the Sherer self-efficacy scale and analyzed using descriptive (Mean±SD) and inferential statistics (analysis of covariance [ANCOVA]) in SPSS software, v. 20. Results: The results indicated that both CBT and GT-CBT have significantly increased the subjects’ self-efficacy (Eta=0.73, F51, 2=70.60, P<0.001). Post hoc test indicated that GT-CBT is more effective than CBT (P<0.05). Conclusion: The effectiveness of GT-CBT on the subjects’ self-efficacy was higher than CBT. Therefore, it is suggested to use integrated methods such as GT-CBT to enhance the self-efficacy of patients with breast cancer. Breast cancer Gestalt therapy Cognitive behavior therapy Self-efficacy 2022 1 01 51 58 http://jccnc.iums.ac.ir/article-1-341-en.pdf 10.32598/JCCNC.8.1.408.1
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Journal of Client-Centered Nursing Care JCCNC 24764132 24764132 10.32598 2022 8 1 Effectiveness of Cognitive-behavioral Therapy and Mental Imagery Exercises on Health-related Quality of Life of Patients With Leukemia and Lymphoma Abbas Betiar almomenii@yahoo.com Naser Saraj Khorrami serajkhorrami@gmail.com Behnam Makvandi makvandi203@gmail.com Background: Patients with cancer experience considerable psychological distress, which leads to depressive symptoms, severe anxiety, and decreased quality of life. The present study aimed to determine the effectiveness of Cognitive-Behavioral Therapy (CBT) and Mental Imagery Exercises (MIE) on the Health-Related Quality of Life (HRQoL) of patients with leukemia and lymphoma living in Babol City, Iran. Methods: This research was a field trial study with a pre-test, post-test design and a control group. The statistical population consisted of all male and female patients with leukemia and lymphoma, referring to the Hematology Department of Ayatollah Rouhani Hospital of Babol Province, in 2019. A total of 45 patients were recruited based on the inclusion criteria and were randomly assigned into two experimental groups and one control group (15 per group). The first experimental group received eight 90-minute sessions of individual CBT and the second experimental group received ten 90-minute sessions of MIE. The control group received no intervention. The study data were collected by the 36-item short-form survey (SF-36) before and 45 days after the last treatment session. Then, the data were analyzed using descriptive (mean, standard deviation) and inferential statistics (analysis of covariance [ANCOVA]) in SPSS software, v. 23.  Results: The results indicated that CBT and MIE had a significant positive effect on HRQoL in patients with leukemia and lymphoma (P<0.001). There was no significant difference between the effectiveness of the two therapies.  Conclusion: Considering the effectiveness of the CBT and MIE on HRQoL in patients with cancer, we suggest they be utilized extensively along with medical and clinical interventions to improve the HRQoL of cancer patients. Cognitive behavior therapy Imagery psychotherapy Quality of Life Cancer 2022 1 01 59 68 http://jccnc.iums.ac.ir/article-1-342-en.pdf 10.32598/JCCNC.8.1.412.1