ABSTRACT
Background and Objective: The outbreak of the coronavirus disease 2019 (COVID-19) and the psychological consequences of social distancing are among the most important social events of the 21st century that have made nurses' families face their related psychological consequences. This study aimed to evaluate the effectiveness of family-centered problem-solving training on the negative effects of social distancing caused by COVID-19 in the families of nurses at Kermanshah University of Medical Sciences, Kermanshah, Iran. Materials and Methods: The present quasi-experimental study was conducted based on a pretest-posttest control group design. The statistical population (n=380) included the families of married nurses working in the COVID-19 ward of public hospitals in Kermanshah, 2020-2021. The sample consisted of the families of nurses who obtained a high score in the social distance measurement tool;accordingly, 100 people were included in the study and assigned to two groups of intervention and control (n=50 each). For the intervention group, 10 two-hour virtual sessions of training family-centered problem-solving protocols were held. Post-test was performed on both groups. Data were analyzed in SPSS software (version 20) using frequency, mean and standard deviation, and analysis of covariance. Results: The findings showed that family-centered problem-solving training was effective on marital conflict, anxiety, and fear in nurses, and a significant difference was observed between the control and intervention groups (P<0.001). Conclusion: Family-centered problem-solving training was effective on the negative effects of social distancing caused by COVID-19 in nurses' families. © 2022 Avicenna Journal of Nursing and Midwifery Care.
ABSTRACT
Background: Coronavirus disease 2019 (COVID-19) neurologic symptoms such as anosmia and ageusia are considered the most challenging issues for patients in the first steps of viral infection. Herein, we aimed to investigate the olfactory and gustatory dysfunction and their association with prognostic factors in patients with COVID-19. Material(s) and Method(s): The current retrospective study was performed on patients admitted to a hospital with a definite diagnosis of COVID-19 between March and November 2020. Based on the study criteria, information of 150 eligible participants (89 males and 61 females) was collected entirely. The olfactory and gustatory symptoms, including anosmia, hyposmia, ageusia, and dysgeusia, were assessed, and five main COVID-19 prognostic factors, including the level of D-dimer, C-reactive protein (CRP), lymphocyte count (LC), lactic acid dehydrogenase (LDH) and COVID-19 related lung involvement was measured. Result(s): Among all patients, 102 (68%) participants were treated entirely, and 48 (32%) died. All prognostic factors, including CRP, LDH, LC, D-dimer, and lung involvement, were significantly higher in death cases compared to treated patients. We found that 97 (64.7%) patients experienced at least one olfactory or gustatory dysfunction. The level of CRP, LC, D-dimer, and lung involvement showed a better prognosis among patients with at least one sensory dysfunction. Moreover, a better outcome was observed in patients with sensory dysfunction. Conclusion(s): It can be concluded the evaluation of CRP, LDH, D-dimer, and LC, together with the HRCT scan score, contributes to a better prognosis in COVID-19 patients with sensory dysfunction. Copyright © 2022 The authors.