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Health science reports ; 5(6), 2022.
Article in English | EuropePMC | ID: covidwho-2073621

ABSTRACT

Background and Aims Coronavirus with its sudden and widespread outbreak has obviously imposed devastating consequences in various aspects of human life. The purpose of this study was to determine the predictive value of Pender's Health Promotion Model (HPM) structures in self‐care preventive behavior against coronavirus disease 2019 (COVID‐19) among the general population of Ardabil, Iran. Methods The present retrospective descriptive‐correlational study was conducted on citizens of Ardabil aged 18 years and over in 2021. After dividing the city of Ardabil into four parts, 50 people from each area of the city and a total of 200 people were selected through the available sampling method through social media. Data collection tools included a demographic profile, perceived self‐efficacy scale, perceived emotional questionnaire, perceived social support questionnaire, perceived benefits and barriers questionnaire, researcher‐made COVID‐19 self‐care questionnaire, and commitment to action questionnaire based on Pender's HPM structures in an online manner. Data were analyzed by Amos 22 software and using structural equation modeling. Results According to the results, direct path analysis to COVID‐19 self‐care behavior indicated that the variables of perceived self‐efficacy (β = 0.18, p < 0.01), interpersonal effects (β = 0.19, p < 0.01), positive emotion (β = 0.15, p < 0.05) and perceived benefits (β = 0.20, p < 0.01) are able to significantly predict self‐care behaviors. Moreover, the bootstrapping test results in the indirect path analysis demonstrated that the variables of perceived self‐efficacy (95% confidence interval [CI], 0.012, 0.066), perceived social support (95% CI, 0.002, 0.026), and perceived barriers (95% CI, −0.019, −0.002) and benefits (95% CI, 0.001, 0. 015) through the mediator variable of commitment to action are able to significantly predict COVID‐19 self‐care behavior. Conclusions Based on the findings of the present study, it can be claimed that the proposed model of COVID‐19 self‐care behavior has an acceptable fitness in the general population. This model can be used in developing educational programs and intervention techniques to modify people's attitudes and behaviors.

2.
Iran J Nurs Midwifery Res ; 27(2): 106-111, 2022.
Article in English | MEDLINE | ID: covidwho-1760965

ABSTRACT

Background: Post-Traumatic Stress Disorder (PTSD) is a mental disorder that can result from direct or indirect contact with traumatic events. The current study aimed to evaluate PTSD and its related factors in nurses caring for COVID-19 patients. Materials and Methods: This study was a descriptive correlational study. Using convenience sampling methods, 395 nurses were enrolled in the study. The study instruments included demographic information, Impact of Event Scale-Revised (IES-R), and General Health and Job Content Questionnaire (JCQ). Data were analyzed using the Pearson correlation test, t-test, ANOVA, and multiple regression analysis. Results: The mean (SD) age and work experience of the participants were 33.79 (6.74) years and 9.47 (6.47) years, respectively. Most nurses (86.60%) experienced PTSD. Multiple linear regression results showed general health (R 2 = 0.51, p = 0.001), job insecurity (R 2 = 0.51, p = 0.042), decision latitude (R 2 = 0.51, p = 0.037), and high age (R 2 = 0.51, p = 0.049) to be associated with an increase in PTSD, and having high social support (R 2 = 0.51, p = 0.043) was associated with a decrease in PTSD in nurses. Conclusions: Nurses have experienced high levels of PTSD after the fatal outbreak of COVID-19 disease. Stressful conditions associated with an increased likelihood of this disorder should be identified, and coping skills such as decision latitude (control) and social support should be strengthened to prevent the symptoms of this disorder in nurses.

3.
Disaster Med Public Health Prep ; : 1-22, 2022 Mar 04.
Article in English | MEDLINE | ID: covidwho-1730194

ABSTRACT

OBJECTIVE: The COVID-19 outbreak is the most threatening public health challenge in the 21th century, and more than 200 countries are affected. Considering that Iran was one of the first countries influenced by the COVID-19 pandemic, this study aimed to explain the crisis management strategies during the COVID-19 pandemic in Ardabil province. METHODS: This study employed a qualitative method using content analysis in which 12 healthcare managers or decision makers involved in the management of the COVID-19 crisis were recruited through purposeful sampling. In-depth, semi-structured interviews were used to collect data which continued until data saturation. RESULTS: Data analysis led to 9 categories, including prior preparation for the COVID-19 crisis; challenges and management of workforce shortages; benefiting from the participation of volunteer staff; challenges and strategies for physical space, supplies, and PPE; designation of referral centers for COVID-19; protocolized patient transport; benefiting from donations and charity support; management of information about COVID-19; and learning from the prior stages of crisis. CONCLUSION: This study revealed that in critical situations, managers use multiple and, to some extent, unique strategies for decision making and crisis control. Therefore, the health system can use the findings of the current study for proper response to similar crises and training of future managers.

4.
EuropePMC; 2021.
Preprint in English | EuropePMC | ID: ppcovidwho-319282

ABSTRACT

Background: Coronavirus with sudden and widespread outbreak has obviously imposed devastating consequences in various aspects of human life. The purpose of this study was to determine the predictive value of Pender's health promotion model (HPM) structures in self-care preventive behavior against COVID-19 among the general population of Ardabil, Iran. Methods: The present retrospective descriptive-correlational study was conducted on 200 citizens of Ardabil aged 18 and over in 2020, who were selected by convenience sampling through social media. Data collection tools included demographic profile, perceived self-efficacy scale, perceived emotions questionnaire, perceived social support questionnaire, perceived benefits and barriers questionnaire, researcher-made COVID-19 self-care questionnaire and commitment to action questionnaire based on Pender's HPM structures in an online manner. Data were analyzed by Amos 22 software and using structural equation modeling (SEM). Results: According to the results, direct path analysis to COVID-19 self-care behavior indicated that the variables of perceived self-efficacy, interpersonal effects, positive emotion and perceived benefits are able to significantly predict self-care behaviors. Moreover, the bootstrapping test results in the indirect path analysis demonstrated that the variables of perceived self-efficacy, perceived social support, and perceived barriers and benefits through the mediator variable of commitment to action are able to significantly predict COID-19 self-care behavior. Conclusions: Based on the findings of the present study, it can be claimed that the proposed model of COVID-19 self-care behavior has an acceptable fitness in the general population. It seems that this model can be employed in developing educational programs and intervention techniques to modify people's attitudes and behaviors.

5.
J Radiol Nurs ; 41(2): 112-116, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-1670813

ABSTRACT

Background: The COVID-19 pandemic has affected all health care systems. During these critical times, radiology personnel and nurses have been heavily involved in the diagnosis and management of patients with COVID-19. Purpose: This study investigates the experiences of radiology personnel about the COVID-19 crisis. Methods: This qualitative content analysis was conducted on seven radiology personnel. In-depth semistructured interviews were used to collect data. Purposive sampling was carried out to select the participants. Findings: The data analysis led to the emergence of six categories, including psychological-emotional reactions, knowledge-related challenges, humaneness, workplace conditions, hopefulness, and support. Conclusion: Learning from the experiences of radiology personnel and nurses during the COVID-19 crisis can help better manage any subsequent health crises.

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