ABSTRACT
BACKGROUND: Patients' dignity includes the feelings of being valuable, maintaining their respect, and respecting their physical and spiritual privacy. Coronavirus disease of 2019 (COVID-19) is one of the life-threatening diseases that affect the dignity of the elderly. Therefore, the aim of this study was to investigate the level of respect for human dignity and its related factors in providing care for the elderly with COVID-19 in Shahid Beheshti Hospital in Kashan, 2021. MATERIALS AND METHODS: This cross-sectional study investigated 250 nurses caring for the elderly with COVID-19 and 300 elderly with COVID-19 in Shahid Beheshti Hospital of Kashan in 2021. A sampling of the elderly with COVID-19 was performed continuously based on the inclusion criteria and sampling of nurses by census method. The research tools included the questionnaire on background variables of nurses and the elderly, the questionnaire on respect for human dignity from the perspective of nurse and patient, and the job stress questionnaire. Then, the results were analyzed using Pearson's correlation coefficient tests, t-tests, and multiple regression in SPSS 21 software. RESULTS: Based on the results, the mean and standard deviation of patient dignity was 132.13 ± 71.52 and 129.14 ± 06.44 from the perspective of the nurses and the elderly, respectively. The results revealed that the level of respect for human dignity from the nurses' perspective was significantly related to gender and job stress (P < 0.05). Moreover, a significant relationship was found between the human dignity score from the elderly's perspective and the elderly's marital status and education (P < 0.05). According to the results of regression, the variables of nurses' gender and job stress explained about 8.7% of the variance of the patient's dignity observed by the nurses (Adjusted R-Square = 0.087). Finally, the variables of marriage and education of the elderly explained about 4% of the variance of their dignity observed by the nurses (Adjusted R-Square = 0.040). CONCLUSION: The results showed that with the increase of job stress in female nurses, their human dignity toward the patient decreases. Elderly people who are married and have a high school diploma have a better understanding of respect for human dignity. Since respect for human dignity is important from the point of view of nurses and the elderly, it is suggested to teach nurses how to respect patient dignity.
ABSTRACT
BACKGROUND: After kidney transplantation, older adults encounter numerous problems which can negatively affect their self-care self-efficacy. According to studies, behavior modeling training has an effect on patient's self-care. Therefore, the present study was conducted to determine the effect of implementing health promotion strategies on self-care self-efficacy in older adults undergoing kidney transplantation. MATERIALS AND METHODS: This quasi-experimental study was conducted on 60 older adults undergoing kidney transplantation in Tehran's Shahid Doctor Labbafinejad Hospital in 2020. Patients were randomly divided into intervention and control groups by using block randomization method. For the patients of the intervention group, the educations were provided based on the model of individual health promotion strategies in eight sessions (i.e., 8 weeks, one session per week) for 40-60 minutes. The subjects of the control group received only their routine care. The two groups completed on-line the self-care self-efficacy questionnaire, before, immediately after and one month after the intervention. The results were analyzed by Chi-square, t-test and repeated measures analysis of variance in SPSS v19. RESULTS: According to the results, no significant difference was observed between the two groups in terms of demographic characteristics and the mean score of self-care self-efficacy before the intervention (P > 0.05). The mean score of self-care self-efficacy (P = 0.001) and some of its dimensions including stress reduction (P = 0.01) and adaptability (P = 0.01) was significantly different in the two groups in the three time intervals. Moreover, the two dimensions of decision making (P = 0.07) and enjoying the life (P = 0.20) were not significant. CONCLUSION: According to the results, education based on health promotion strategies can effectively improve self-care self-efficacy and some its dimensions. Therefore, teaching health promotion strategies as a low-cost and simple method can positively affect self-care self-efficacy in older adults undergoing kidney transplantation.
ABSTRACT
OBJECTIVES: Studies show that medical staff in different countries have different attitudes toward traditional and complementary medicine. Therefore, the current study aimed to evaluate the knowledge, attitude and practice of complementary and traditional medicine by medical staff of Kashan, Iran. DESIGN: A cross-sectional study was performed. SETTING: A total of 378 questionnaires were distributed among health care team members in Kashan University of Medical Sciences in 2012. The questionnaire was consisted of 5 questions regarding demographic characteristics and 12 questions on knowledge, attitude and practice of traditional and complementary medicine. Data were analyzed using descriptive statistics. RESULTS: In total, 309 questionnaires were returned and 302 questionnaires were analyzed. Among the participants, 60.9% were female. The mean age of subjects was 29.70±9.28 years. Totally, 88.4% of the participants had no previous education on complementary and traditional medicine, and 77.8% showed interest to learn in this area. Also, 57.6% of participants had the experience of personal use of complementary and traditional therapies. The commonly used methods were: herbal therapy, cupping and traditional bathing. Participants used traditional medicine mostly for digestive diseases, colds, migraine and headaches, skin disorders, losing weight, and diabetes. Moreover, 56% of participants had recommended complementary and traditional therapies to the others. CONCLUSIONS: Most of the participants had low level knowledge on complementary and traditional medicine, but expressed their interest to learn in this field. Therefore, training health care team members and especially nurses and doctors on the applications, benefits and side effects of complementary and traditional medicine is recommended.
