ABSTRACT
PURPOSE: Nurses and physicians must be competent enough to provide care for the clients. As a lack of knowledge and a poor attitude result in a low performance of delivering care, this study aimed to explore the nurses versus physicians' knowledge, attitude, and performance on care for the family members of dying patients (FMDPs). METHODS: This descriptive study was conducted at the educational hospitals in Isfahan, Iran. The samples were 110 nurses and 110 physicians. The data were collected through a convenience sampling method and using a valid and reliable questionnaire. RESULTS: The average knowledge, attitude, and performance on care for the FMDPs were not significantly different between nurses and physicians (p>0.05). The majority of nurses (55.4%) and physician (63.6%) were at a moderate and a fair level of knowledge of care for the FMDPs. Most of the nurses (81%) and physicians (87.3%) had a positive attitude towards caring the FMDPs. Most of the nurses (70%) and physicians (86.3%) had a moderate and fair performance. CONCLUSION: Having enough knowledge and skills, and a positive attitude are necessary for caring the FMDPs. Nurses' and physicians' competencies must be improved through continuing educational programs and holding international and national conferences with a focus on the palliative care.
Subject(s)
Adult , Female , Humans , Male , Attitude of Health Personnel , Attitude to Death , Clinical Competence , Empathy , Family , Iran , Nurses , Palliative Care , Personnel, Hospital , Physicians , Professional-Family Relations , Surveys and Questionnaires , Terminal CareABSTRACT
Background: vulnerable women are prone to sexually transmitted diseases [STD] due to their special conditions and poor knowledge about these diseases in the society. Therefore, the present study aimed to determine the vulnerable women's self-care needs in knowledge, attitude and practice concerning STD
Methods: this is a cross-sectional-descriptive study conducted in 2014. The data collection was carried out using a self-administered structured questionnaire. 120 vulnerable women referring to centers affiliated to health and well-being center in Isfahan participated in this study. They were selected through proportional rationing sampling and filled out a researcher developed questionnaire containing information on personal characteristics, self-care knowledge, attitude, and practice needs toward the STD. The data were analyzed using statistical methods including Spearman and Pearson correlation co-efficient, independent t-test and ANOVA. All analyses were carried out using SPSS, 20
Results: based on the results, most of the subjects mentioned that their priorities of self-care needs in domains of knowledge, attitude and practice were "familiarization with the types and contamination ways of sexually transmitted diseases" [57.9%]; "diagnosis of STD only makes us anxious" [24.8], and "the method of washing the genital area before and after intercourse" 41.3%], respectively. There was a significant association among marital status, education, history of addiction, and self-care needs in domains of knowledge, attitude and practice [P<0.05]
Conclusion: results showed that vulnerable women not only knew their need about STD, but also paid attention to their attitude and practice needs toward STD. Therefore, educational programs should be designed and administrated by the experts, based on vulnerable women's self-care needs concerning their knowledge, attitude and practice to prevent and control STD in vulnerable individuals
ABSTRACT
Background: multiple sclerosis is accompanied by secondary clinical signs such as insomnia. Considering the side effects of drugs and also increasing acceptability of psychotherapy methods in health systems, we aimed to determine the effect of group cognitive behavioral therapy on the quality of sleep in women with multiple sclerosis in 2014
Methods: this study is a randomized controlled clinical conducted on 72 women with multiple sclerosis who referred to medical centers of Isfahan. After convenience sampling, participants were randomly allocated into two equal groups of control [n=36] and intervention [n=36]. In the intervention group, cognitive behavioral therapy was performed in 8 sessions. The control group, along with receiving the common drugs, participated in 3 group sessions and talked about their feelings and experiences. Data were gathered using Pittsburgh Sleep Quality Index [PSQI] and analyzed through independent t-test, Chi-square, Mann Whitney, ANOVA with repeated measure, using SPSS 18
Results: there was a significant difference between the mean score of sleep quality of the control and intervention groups immediately and one month after the intervention [P<0.001]. ANOVA with repeated measure test showed that the mean score of sleep quality of patients in the intervention group had a significant difference at three stages of before, immediately and one month after the intervention
Conclusions: according to the results of this study, cognitive behavioral therapy, as an effective and cost-effective therapy, could improve sleep quality in patients with multiple sclerosis
ABSTRACT
Background: self-care needs are major problems among stroke patients. Nurses can support them through interventions such as education, a change in their attitude and emphasis on their remaining abilities. However, research has shown some weak points in the quality of care given to these patients. So the aim of this study was to improve the nurses' practice in self-care education to stroke patients
Methods: this is a participatory action research, conducted in internal neurology ward of Al-Zahra hospital in Isfahan, Iran during 2013-2014 in five stages of diagnosis, planning, action, reflection and evaluation. Participants comprised 27 nursing personnel including staff nurses, matrons, educational supervisors and the staff in charge of Nurse Educators' Al_Zahra Role Expansion Action Research [NEAREAR] project. In the evaluation stage, data were collected from five personal interviews and two focus group discussions and analyzed by qualitative content analysis
Results: the findings of evaluation phase showed that during action research, approaching the nurses' empowerment in self-care education to stroke patients has been set in motion. The nursing practice improvement, knowledge based practice, nurses' attitude change, ability to respond against routinization, and motivation promotion emphasize the success of change process. Facilitators and barriers of educating patients are acknowledged by the participants as a factor influencing the continuation of change
Conclusions: the lack of nurses' educating performance skills was overcome using action research and changes were made to improve the performance of nurses
ABSTRACT
Main suggested theories about patients' adherence to treatment regimens recognize the importance of motivation in positive changes in behaviors. Since cardiac diseases are chronic and common, cardiac rehabilitation as an effective prevention program is crucial in management of these diseases. There is always concern about the patients' adherence to cardiac rehabilitation. The aim of this study was to describe the motivational factors affecting the patients' participation and compliance to cardiac rehabilitation by recognizing and understanding the nature of patients' experiences. The participants were selected among the patients with cardiac diseases who were referred to cardiac rehabilitation in Isfahan Cardiovascular Research Center, Iran. The purposive sampling method was used and data saturation achieved after 8 semi-structured interviews. The three main concepts obtained from this study are "beliefs", "supporters" and "group cohesion". In cardiac rehabilitation programs, emphasis on motivational factors affects the patient's adherence. It is suggested that in cardiac rehabilitation programs more attention should be paid to patients' beliefs, the role of patients' supporters and the role of group-based rehabilitation.
ABSTRACT
Introduction: Long term diseases and their psycho-cognitive physiologic defects or signs affect life quality of the patients in different life stages and threaten their health resulting in their disabilities. Multiple sclerosis [MS] as a long-term life threatening disease can make acute disabilities affecting patients' life trend. Unknown manner of disease, poor prognosis and treatment on one hand and hard prevention on the other hand have all limited the treatment to a supportive one although patients can have almost a normal length of life with appropriate self-care. Self care can well diminish the disease extension and complications; provides the patient with a better life quality and his family with a better coping ability against new conditions. So this study was carried out with the above title
Methods: This study was quasi-experimental and the method of data gathering was questionnaires which included two sections as follows: the first section included the demographic characteristics such as; age, educational level and the second was Life Quality Questionnaire. 28 MS patients referring to private and clinic of Isfahan Alzahra hospital were selected by convenient sampling. After selection, the subjects were asked to attend three educational sessions [each 45 minutes]. The sessions were held 1 to 2 times per week according to patient's condition and the working shift. After that, the subjects started self-care programs for three weeks and then life quality questionnaire was filled either with the patients or the researcher. The findings were analyzed and compared with former findings through descriptive and inferential statistics
Results: Findings showed a noticeable increase in life quality mean score in domain of physical function [P<0.001], psycho cognitive domain [p<0.001], social function [P<0.001] and general health [p<0.001] after self care program. There was also a sharp increase in total life quality score after self-care program compared with before that
Discussion: The findings showed that self-care could positively affect life quality items so that familial life, economic status and social interactions can be influenced with physical ability improvement. It is hoped that by formation of educational supportive associations or at least a well equipped rehabilitation center for the patients, the patients can be provided with facilities of self-care as well as a condition in which the patients themselves carry out their self care
Conclusion: According to this study, the researchers suggest that, this manner can increase these patients' share in daily living activities so that they can enjoy their lives. Special wards for exercising self-care activity programs can be established to enhance mood and social functions of these patients