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1.
Invest Educ Enferm ; 37(2)2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31487442

RESUMO

OBJECTIVES: This work sought to determine the effectiveness of an aerobic exercise program on the occupational stress of nurses. METHODS: Prevention-type controlled clinical trial carried out with the participation of 60 nurses working in hospitals affiliated to Shahrekord University of Medical Sciences in Iran. Randomly, the nurses were assigned to the experimental group or to the control group. The intervention consisted in an aerobic exercise program lasting three months with three weekly sessions one hour each. The Health and Safety Executive (HSE) questionnaire measured occupational stress with 35 questions, each with five Likert-type response options, which can have a maximum score of 175 points; higher scores meant lower levels of occupational stress. The HSE was evaluated during three moments: upon registering, after finishing the exercise program (week 8), and two months after terminating the intervention (week 16). RESULTS: The level of occupational stress was the same in the experimental and control groups during registration (86.2 vs. 86.3). Upon finishing the aerobic exercise program (week 8), the experimental group showed a higher score than the control group (119.7 vs. 86.2, p<0.01), with this score diminishing after two months of having ended the intervention (91.4 vs. 85.8, p=0.061). CONCLUSIONS: The aerobic exercise program was associated to decreased work stress of nurses in the experimental group compared to the control group at eight weeks, but this difference did not persist when the experimental group did not continue with the program.

2.
BMJ Open ; 9(7): e028052, 2019 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-31350243

RESUMO

INTRODUCTION: On entry into the clinical environment, nursing students are confronted with many challenges. It is a common problem throughout the world, including Iran. Although many studies have been conducted on the problems of nursing students in the clinical environment, limited information is available on nursing students' experiences of the clinical learning environment and the way they respond to these experiences. Identifying nursing students' experiences is essential to develop interventions to reduce challenges. OBJECTIVE: This study aimed to explore nursing students' experiences in a clinical learning environment and the way they responded to these experiences. DESIGN: The present study was conducted based on the qualitative research design of the grounded theory methodology. SETTING: This study was conducted at schools of nursing in academic settings in Iran. PARTICIPANTS: The participants included 19 nursing students, 4 nursing instructors and 3 clinical nurses. METHODS: The data were collected using semistructured interviews, field notes and observation, and were analysed using Strauss and Corbin's approach. RESULTS: Students, as a result of the inadequacy of the educational environment, were faced with 'confusion of identity', stating this as their main concern. When confronted with this concern, they employed specific strategies, some of which prevented them from getting into unpleasant conditions. These strategies did not help students solve their problems and also prevented them from accepting their professional roles and responsibilities. Conversely, some other strategies led them to advanced professional development and enabled them to accept their role and the clinical environment. CONCLUSION: According to the results of this study, educational policymakers should focus on improving the clinical environment. Identifying professional models and increasing their influence on management, education and clinical education, as well as teaching positive and constructive strategies, will promote positive strategies in coping with inadequate educational contexts. This is necessary for the professional development of nursing students.

3.
Invest. educ. enferm ; 37(2): [E05], 15-06-2019. Diag 1, Tab 1, Tab 2
Artigo em Inglês | LILACS, COLNAL | ID: biblio-1007512

RESUMO

Abstract Objective. This work sought to determine the effectiveness of an aerobic exercise program on the occupational stress of nurses. Methods. Prevention-type controlled clinical trial carried out with the participation of 60 nurses working in hospitals affiliated to Shahrekord University of Medical Sciences in Iran. Randomly, the nurses were assigned to the experimental group or to the control group. The intervention consisted in an aerobic exercise program lasting three months with three weekly sessions one hour each. The Health and Safety Executive (HSE) questionnaire measured occupational stress with 35 questions, each with five Likert-type response options, which can have a maximum score of 175 points; higher scores meant lower levels of occupational stress. The HSE was evaluated during three moments: upon registering, after finishing the exercise program (week 8), and two months after terminating the intervention (week 16). Results. The level of occupational stress was the same in the experimental and control groups during registration (86.2 vs. 86.3). Upon finishing the aerobic exercise program(week 8), the experimental group showed a higher score than the control group (119.7 vs. 86.2, p<0.01), with this score diminishing after two months of having ended the intervention (91.4 vs. 85.8, p=0.061). Conclusion. The aerobic exercise program was associated to decreased work stress of nurses in the experimental group compared to the control group at eight weeks, but this difference did not persist when the experimental group did not continue with the program.


Resumen Objetivo. Determinar la efectividad de un programa de ejercicio aeróbico en el estrés ocupacional de las enfermeras. Métodos. Ensayo clínico controlado de tipo preventivo que se llevó a cabo con la participación de 60 enfermeras que trabajaban en hospitales afiliados a Shahrekord University of Medical Sciences en Irán. Las enfermeras se asignaron aleatoriamente al grupo experimental o al grupo control. La intervención consistió en un programa de ejercicio aeróbico realizado durante dos meses con tres sesiones semanales de una hora de duración. El estrés ocupacional se midió con el cuestionario Health and Safety Executive (HSE) de 35 preguntas, con opciones de respuesta tipo Likert que van de 1 a 5; puede llegar a puntuar en 175 como máximo: a mayor puntaje, menor el nivel de estrés ocupacional. Se evaluó el HSE en tres momentos: en la inscripción, después de finalizar el programa de ejercicio (semana 8) y también dos meses después de terminada la intervención (semana 16). Resultados. Fue igual el nivel de estrés ocupacional en los grupos de intervención y de control en la inscripción (86.2 vs. 86.3), pero al finalizar el programa de ejercicios aeróbicos (semana 8) el grupo experimental mostró un puntaje mayor que el del grupo control (119.7 vs. 86.2, p<0.01), para luego disminuir este puntaje a los dos meses de haber finalizado la intervención, (91.4 vs. 85.8, p=0.061). Conclusión. El programa de ejercicio aeróbico se asoció a la disminución del estrés laboral de las enfermeras en el grupo de intervención en comparación con el grupo control a las ocho semanas, pero esta diferencia no se mantuvo cuando el grupo experimental no continuó con el programa.


Resumo Objetivo. Determinar a efetividade de um programa de exercício aeróbico sobre o estresse ocupacional das enfermeiras. Métodos. Ensaio clínico controlado de tipo preventivo que se levou a cabo com a participação de 60 enfermeiras que trabalhavam em hospitais afiliados a Shahrekord University of Medical Sciences no Irã. Em forma aleatorizada, as enfermeiras foram designadas ao grupo experimental ou ao grupo controle. A intervenção consistiu num programa de exercício aeróbico realizado durante dois meses com três sessões semanais de uma hora de duração. O estresse ocupacional se mediu com o questionário Health and Safety Executive (HSE) de 35 perguntas, que tem opções de resposta tipo Likert que vão de 1 a 5, pode chegar a pontuação de 175 como máximo; a maior pontuação, é menor o nível de estresse ocupacional. Se avaliou o HSE em três momentos: a inscrição, depois de finalizar o programa de exercício (semana 8) e também dois meses depois de terminada a intervenção (semana 16). Resultados. Foi igual o nível de estresse ocupacional nos grupos de intervenção e de controle na inscrição (86.2 vs. 86.3), mas ao finalizar o programa de exercícios aeróbicos (semana 8) o grupo experimental mostrou uma pontuação maior que o do grupo controle (119.7 vs. 86.2, p<0.01), para depois diminuir esta pontuação aos dois meses de haver finalizado a intervenção, (91.4 vs. 85.8, p=0.061). Conclusão. O programa de exercício aeróbico se associou à diminuição do estresse profissional das enfermeiras no grupo de intervenção em comparação com o grupo de controle às oito semanas, mas esta diferença não se manteve quando o grupo experimental não continuou com o programa.


Assuntos
Humanos , Grupos Controle , Esforço Físico , Estresse Ocupacional , Enfermeiros
4.
Nurs Ethics ; : 969733019845126, 2019 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-31096891

RESUMO

BACKGROUND: Since "dignity" is one of the fundamental rights of every patient, consideration for patients' dignity is essential. Unfortunately, in many cases, especially in cancer patients, dignity is not fully respected. Dignity is an abstract concept, and there are only a few comprehensive studies on the dignity of cancer patients in Iran. RESEARCH OBJECTIVE: This study aimed to evaluate the perception of Iranian cancer patients on human dignity. RESEARCH DESIGN: A qualitative research approach was used as the study design. The data were collected through individual semi-structured interviews and analyzed using the qualitative content analysis method. PARTICIPANTS AND RESEARCH CONTEXT:  This study was conducted on cancer patients in internal medicine wards in Iran. The data were gathered through semi-structured interviews from May 2017 to February 2018. ETHICAL CONSIDERATIONS: The study protocol was approved by the Research Ethics Committee of medical universities located in Southwest of Iran. The ethical principles were carefully followed throughout the study. FINDINGS: Based on the results of the interviews, 3 main themes and 11 categories were determined. The main themes were identified as the "personal space and privacy," "respect for human values," and "moral support." DISCUSSION: The results of the present study showed the necessity of care for cancer patients in a respectful manner. The key elements in such care were the preservation of their personal space and privacy, respect for their values, and the provision of adequate moral support. These measures will have a positive effect on the perception of such patients on human dignity. CONCLUSION: Considering the special care required by cancer patients, the Iranian healthcare and hygiene managers should design and implement a care plan that includes the ethical principles related to human dignity.

5.
Iran J Nurs Midwifery Res ; 23(6): 444-449, 2018 Nov-Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30386394

RESUMO

Background: This study aimed to determine the impact of the preceptorship program on self-efficacy and learning outcomes and the association between self-efficacy and learning outcomes in nursing students. Materials and Methods: This quasi-experimental study was conducted on 112 nursing students in 2012-2013. The subjects were selected through convenience sampling from the School of Nursing and Midwifery of Shiraz University of Medical Sciences, Iran. The general self-efficacy scale and the perception of overall learning outcomes scale were used to measure the students' perception of self-efficacy and achievement of learning outcomes. The data were analyzed using Pearson's correlation coefficient and linear regression analysis. Results: The students' mean [standard deviation (SD)] scores of self-efficacy and learning outcomes were 30.69 (5.88) and 4.10 (0.82), respectively, after taking part in the preceptorship program. The results showed a significant association between the mean scores of self-efficacy and learning outcomes (r = 0.30, p = 0.002). In addition, self-efficacy was predicted by gender (ß = -0.19, p = 0.030) and the components of "understand ethical aspects of patient care" (ß = 0.31, p = 0.010), "work more systematically" (ß = -0.44, p = 0.005), and "use of nursing research" (ß = 0.34, p = 0.020). Conclusions: Although the nursing students who participated in the preceptorship program demonstrated high mean scores of self-efficacy and learning outcomes, the lack of control group led to the conclusion about the effectiveness of the program to be made in caution. However, this program is suggested to be retained in nursing students' curriculum.

6.
J Vasc Nurs ; 36(3): 140-144, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30139451

RESUMO

Coronary angiography (CAG) is a stressful event for many patients. This article aimed to explore the Iranian patients' experiences of undergoing CAG. In this qualitative study that is a substudy of a larger study, 15 patients (seven men and eight women) with a mean age of 49.8 ± 11.6 years were recruited from three hospitals in Shiraz, southwest Iran. Data were collected using semistructured, face-to-face interview before undergoing CAG. Interviews were audiotaped and transcribed. Data were analyzed using qualitative content analysis. Perceived threat of patients included two themes: being under pressure and anxiety. Patients undergoing CAG experience psychological problems that can threaten them in catheterization laboratory. Health professionals are required to help and prepare this patient for an invasive CAG. To minimize the psychological problems of patients undergoing CAG, nurses and physicians should perform some supportive interventions in their care plan.

7.
J Relig Health ; 2018 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-29667073

RESUMO

Spirituality plays an important role in coping with chronic diseases. However, the meaning of spirituality is not known in hemophilia, as a chronic disease. This study aimed to explore the essence of spirituality in hemophilia patients. This qualitative study with a hermeneutic phenomenological approach was conducted on twelve Muslim adult hemophilia patients. The participants were selected using purposeful sampling. The data were gathered through interview. Then, the data were analyzed using thematic analysis and van Manen's methodological framework. MAX.QDA qualitative software package 2010 was used to import the transcripts and analyze the data. Four themes were identified: "relationship with God," "God as the fulcrum," "strong religious beliefs," and "spiritual satisfaction." "Relationship with God" meant "to ask God for help" and "praying for oneself and others." "God as the fulcrum" consisted of two subthemes, i.e., "hope in God" and "Trust in God." "Strong religious beliefs" also included "belief in openness of God's mercy," "belief in God and the omnipotence of God," and "belief in creation by God." Finally, "spiritual satisfaction" consisted of two subthemes, namely "accepting the providence" and "thanking the divine blessings." Spirituality in hemophilia patients meant having relationship with God who was considered as the fulcrum, strong religious beliefs, and spiritual satisfaction. By understanding the hemophilia patients' spirituality experiences, the nurses and healthcare workers could provide holistic care focused on spirituality. Yet, more studies are recommended to be conducted on hemophilia patients to explore spirituality in other religions.

8.
Int J Community Based Nurs Midwifery ; 6(2): 136-145, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29607342

RESUMO

Background: Life review therapy, used as part of a comprehensive therapy plan for increasing the quality of life of the elderly, helps them to resolve their past conflicts, reconstruct their life stories, and accept their present conditions. The present study aimed to explore the effectiveness of life review therapy on the quality of life of the elderly. Methods: The present study was a randomized controlled trial with a pre-posttest design during April to Aug 2014. The study was conducted on 35 members of the elderly day care centers in Shiraz, Iran, that were randomly assigned to two groups (experimental and control). The subjects in the experimental group attended 8 two-hour sessions of life review therapy. The quality of life of the elderly participants was evaluated before, immediately, one month, and three months after the intervention using the quality of life questionnaire (WHOQOL_BREF). Data analysis was conducted through SPSS version 22, using statistical tests including Chi-square, repeated measures test and T-test, with the significance level of 0.05. Results: The results of the study showed that life review therapy interventions significantly improved the quality of life of the elderly (P<0.05). Moreover, group interaction with passage of time was also significant, which indicates that the pattern of changes has been different between the two groups. Conclusion: The findings of the study confirm the research hypotheses, showing that the application of life review is effective and viable. It is recommended that all nursing homes and even the families of the elderly should employ this convenient, inexpensive, quick, and practical method. Trial Registration Number: IRCT2015021621106N1.

9.
Int J Community Based Nurs Midwifery ; 6(2): 175-184, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29607346

RESUMO

Background: Morbid obesity is rising around the world. It can cause unpleasant appearance and body image. Most of the studies have aimed to evaluate the psychopathology of overweight and obesity and paying attention to mental well-being in morbid obese individuals is rare. Therefore, this study aimed to assess the relationship between body image and psychological well-being in morbid obese patients. Methods: This cross-sectional study, using simple random sampling method, was done on 124 morbid obese patients who referred to obesity clinic in Shiraz from 2016 to 2017. The data were collected by body image index and psychological well-being questionnaire. Results were analyzed using descriptive statistics, Pearson correlation coefficient test, ANOVA, and Regression analysis. Results: The results showed a significant relationship between body image and psychological well-being (r=0.43) (P<0.001), and between the total score of the body image and all the subscales of psychological well-being except autonomy and purpose in life (P<0.05). There was also a significant relationship between the total score of psychological well-being and all the subscales of body image (P<0.05). However, there was no significant difference between the mean scores of the body image and those of psychological well-being in different categories of body mass index (BMI) (P>0.05). Conclusion: Final results indicated that body image defects caused by obesity could lie in negative psychological well-being in all aspects. This study can promote health clinicians' knowledge in supporting of mental status of obese individuals. It is suggested that preventing and supporting intervention should be performed as effective methods for encountering and coping with psychological effects of obesity.

10.
Clin Appl Thromb Hemost ; 24(7): 1073-1081, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29575928

RESUMO

Hemophilia causes bleeding that may affect patients' psychological aspects and quality of life. This study aims to evaluate the impact of psychological aspects and pain on health-related quality of life (HRQoL) in adult patients with hemophilia. This cross-sectional study was conducted on 103 patients with hemophilia. Data were collected using hemophilia-specific quality of life, Depression Anxiety Stress Scales, and pain visual analogue scales. Data were analyzed using correlation coefficients, analysis of covariance, and regression analysis. The results showed that 71.7% of patients with hemophilia experienced pain on the study day. The mean score of HRQoL of patients with hemophilia was 51.09 (standard deviation = 19.37). Moreover, 57.4%, 64.6%, and 44.6% of the patients had mild to severe depression, anxiety, and stress, respectively. In addition, a significant association was observed between HRQoL and depression, anxiety, and severity of pain. In the regression model, 48% of changes in HRQOL were explained by the study variables, with the severity of pain and depression being significant predictors. Therefore, attention should be paid to these aspects to improve patients' quality of life and psychosocial health.

11.
Nurs Ethics ; 25(2): 153-164, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27664036

RESUMO

BACKGROUND: Values are the basis of nursing practice, especially in making decisions about complicated ethical issues. Despite their key role in nursing, little information exists on the factors affecting their development and manifestation in nursing students. OBJECTIVE: This study identifies and describes the facilitators and inhibitors of the development and manifestation of professional values based on the experiences of nursing students and instructors and nurses. RESEARCH DESIGN: Data were collected through 29 semi-structured interviews and two focus group interviews in 2013-2015 and were analyzed using the conventional content analysis method of Elo and Kyngäs. Participants and research context: In total, 18 nursing undergraduates, five nursing instructors, and five nurses from Shiraz University of Medical Sciences and one of the teaching hospitals in Shiraz were selected through purposive sampling. Ethical considerations: The research was approved by the Ethics Committee of Shiraz University of Medical Sciences and the teaching hospital examined. FINDINGS: The findings consisted of two categories: personal and environmental factors. Personal factors consisted of the two subcategories of personal stimuli (work experience and past relationships, inner beliefs and acting on values, belief in God and a divine worldview) and personal inhibitors (the lack of professional motivation and enthusiasm, negative emotions). Environmental factors consisted of the two subcategories of environmental stimuli (cooperation, order and discipline) and environmental inhibitors (unfavorable work environment, society's negative attitude toward nursing, the violation of rights). DISCUSSION AND CONCLUSION: Given the impact of personal and environmental factors on the development and manifestation of professional values in nursing students, it is upon the education authorities to take account of them in their planning, and nursing managers are also recommended to further address these factors in their development of a proper work environment, provision of standard facilities and removal of barriers.


Assuntos
Bacharelado em Enfermagem/organização & administração , Ética em Enfermagem/educação , Profissionalismo/educação , Valores Sociais , Estudantes de Enfermagem/psicologia , Adulto , Feminino , Grupos Focais , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Qualitativa , Estudantes de Enfermagem/estatística & dados numéricos , Adulto Jovem
12.
Iran J Nurs Midwifery Res ; 22(6): 442-448, 2017 Nov-Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29184582

RESUMO

Background: Patients' aggression in the mental care setting is a global health problem with major psychological, physical, and economic consequences; nurse empowerment to manage this aggressive behavior is an important step in psychiatric nursing. The aim of this study was to explore psychiatric nurses' experiences of the challenges of empowerment in the management of patients' aggression. Materials and Methods: This qualitative study was performed among 20 nurses working in a major referral psychiatric center in Iran during 2014-2016. The purposive sampling method was used for selecting the participants. Data were collected through semi-structured interviews, observations, and filed notes. Inductive content analysis was used for data analysis. Results: Three categories and ten subcategories were identified: inefficient organizational policy (limited human resources, mandatory shifts, shortage of protective equipment, lack of motivational sparks); insufficient job growth (failure to implement training programs, insufficient effort for job competence, lack of clinical guidelines); and deficiencies in the organizational culture (inadequate autonomy and authority, lack of the culture of prevention, culture of fault and blame after an incident). Conclusions: Psychiatric nurses were not satisfied with organizational empowering conditions for the management of patients' aggression and reported low levels of access to learning opportunity, receiving support and essential resources that led to unnecessary use of containment measures. Managers must make every effort to create organizational context that make it possible to empower nurses for optimal practice.

13.
BMC Psychiatry ; 17(1): 375, 2017 11 23.
Artigo em Inglês | MEDLINE | ID: mdl-29169338

RESUMO

BACKGROUND: Anger and aggression have been developing notably in societies, especially among patients depending on substance abuse. Therefore, this study aimed to investigate the effect of anger management based on group education among patients depending on substances according to Patrick Reilly's cognitive behavioral approach. METHODS: In a quasi- experimental study, all patients who met the inclusion criteria were evaluated regarding their aggression level. The participants were assigned to 12 educational sessions based on group therapy and Patrick-Reilly's anger management by focusing on using a combination of cognitive intervention, relaxation, and communication skills. The data were analyzed using the SPSS statistical software, version 16. RESULTS: The findings showed a significant difference between the two groups regarding aggression level after the intervention (p = 0.001). No significant relationship was observed between aggression level and demographic variables (p > 0.05). CONCLUSION: The intervention of this study can be used for establishing self-management and decreasing anger among patients depending on substances. They can also be used as a therapeutic program in addition to pharmacotherapy. TRIAL REGISTRATION: IRCT2016102030398N1 .


Assuntos
Terapia de Controle da Ira/métodos , Ira , Terapia Cognitivo-Comportamental/métodos , Transtornos Relacionados ao Uso de Substâncias/terapia , Adaptação Psicológica , Adulto , Agressão/psicologia , Feminino , Humanos , Masculino , Psicoterapia de Grupo/métodos , Transtornos Relacionados ao Uso de Substâncias/psicologia , Resultado do Tratamento
14.
Int J Community Based Nurs Midwifery ; 5(4): 329-334, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29043279

RESUMO

BACKGROUND: This study examined the impacts of an Emotional Focused Intervention on emotional abuse behaviors and marital satisfaction among the elderly married couples. METHODS: This randomized controlled trial study was carried out in Shiraz-Iran, during September 2013-2014. The elderly couples were invited to join an emotional focused intervention, following the advertisement and announcement on bulletin boards in the elderly day clinic centers and all governmental primary health care centers. Then, 57 couples (114 participants) who were eligible for study were assigned in two groups by block randomization (29 in the experimental and 28 in the control group(.The couples in the experimental group received intervention twice a week for four weeks. Each session lasted 90 minutes. The control group didn't receive any intervention and the subjects were put in the waiting list. The outcome measures were evaluated by Multidimensional Measure of Emotional Abuse Questionnaire (MMEAQ) and Marital Satisfaction Questionnaire for Older People (MSQFOP). Repeated measurement ANOVA was used to detect any significant changes between groups in their mean scores of emotional abuse behaviors and marital satisfaction from pre- to post-test, and 3 months after the intervention. Analysis of data was performed using SPSS, version 19, and P≤0.05 was measured as significant. RESULTS: The mean duration of marriage was 39.56±9.64 years. In the experimental group, the abusive behaviors decreased significantly (P<0.001) at times 2 and 3 compared with time 1, and marital satisfaction improved significantly only at time 3 (P<0.001). These differences were not significant in the control group. CONCLUSION: Emotion-focused couple-based interventions are helpful in reducing the spousal emotional abuse and improving marital satisfaction in among the elderly couples. Trial Registration Number: 2013111715426N1.

15.
Int J Community Based Nurs Midwifery ; 5(2): 134-143, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28409167

RESUMO

BACKGROUND: Although Implantable Cardioverter Defibrillator (ICD) saves the life of patients with life-threatening ventricular dysrhythmias, it causes various challenges in their life span. Considering the increase in the number of ICD users, more knowledge is required regarding changes in the patients' life after device implantation. The aim of this study was description of changes in daily life of patients after ICD implantation. METHODS: This qualitative study was conducted through content analysis method. The participants were selected through purposive sampling. They included 3 women and 9 men whose ages ranged from 24 to 74 years, with the mean age of 42.58+1.55 years. They had implanted ICDs in order to treat life-threatening dysrhythmias. The study data were collected through interview and field notes from November 2013 to October 2014. The data were simultaneously analyzed using constant comparative analysis. RESULTS: Through analysis of the study data, 2 categories were emerged representing dimensions of changes in daily life of the patients with ICD. These categories were changes in the social role and familial challenges after implantation. Change in social role included the following subcategories: "Change in manifestation of routines", "Shift in leisure time", "Change in job and education status", and "Change in interaction between the patient and society members". In addition, familial challenges after implantation consisted of 2 subcategories, namely "Difficulty in marriage" and "ICD implantation and a range of familial changes". CONCLUSION: The study findings can be of great importance in nurses' clinical practice for providing the patients with holistic care, education, support, and follow-up. They can also be used as a guide assisting clinical treatment of the patients with ICD.

16.
Artigo em Inglês | MEDLINE | ID: mdl-28097181

RESUMO

BACKGROUND: According to the World Health Organization viewpoint, social well-being is an important dimension of health along with physical and mental aspects. Evaluation of social well-being is necessary in students, especially in medical sciences students due to future responsibility as health care professionals. The present study attempted to investigate the level of social well-being, five domains of it (like actualization, integration, contribution), and some related factors in the school of nursing and midwifery students. METHODS: This cross-sectional study was carried out between Julys to December 2015 and comprised 346 students in the school of nursing and midwifery in Shiraz University of Medical Sciences, Shiraz, Iran. Social well-being, socio-demographic status and physical activity were measured by valid questionnaires. Univariate linear regression analysis, multiple imputation method, ANOVA and independent sample t-test were used as different statistical methods. The P values less than 0.05 were considered as statistically significant. RESULTS: The mean score of social well-being was 50. The minimum and maximum scores of social well-being were 20 to 100. Married students had higher social well-being than single students in univariate linear regression (Beta: 2.111, 95% CI: (0.387 to 3.738), P=0.017). Also, social integration had higher scores in married students (P=0.015). Social actualization was higher in male students (P=0.015); on the other hand, social contribution was higher in female students (P=0.026). CONCLUSION: The results of our study showed that social well-being status of students in this research was not satisfactory. Designing and conducting programs for promotion of social well-being, for example preparing facilities for marriage of students, can be helpful. Evaluation of social well-being in students of other schools with multicenter studies seems to be useful.

17.
J Adv Med Educ Prof ; 5(1): 33-41, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28124019

RESUMO

INTRODUCTION: Working in the complex and ever changing healthcare settings forces the nurses and nursing students to be equipped with lifelong learning skills. One of the lifelong learning skills is self-directed learning. This study aimed to explore the M.Sc. nursing students' self-directed learning activities. METHODS: A qualitative design using conventional content analysis approach was used in this study. Semi-structured interviews were conducted with twelve Iranian M.Sc. nursing students who were selected using purposive sampling. RESULTS: Data analysis indicated that the M.Sc. nursing students performed different activities in their self-directed learning. These activities were categorized into four main themes and ten subthemes. The main themes were "sensory perceptions", "knowledge construction", "problem-centered orientation", and "interaction with others". CONCLUSION: According to the findings, the M.Sc. nursing students performed different intellectual and experiential self-directed activities for promoting their learning. Besides, the students' perseverance and inquisitiveness played an important role in their self-directed learning in the challenging clinical environments.

18.
Electron Physician ; 9(12): 5885-5893, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29560138

RESUMO

Background: Irritable bowel syndrome (IBS), as a chronic digestive disorder, impacts extensively on the quality of life, emotional well-being and self-identity. Chronic illness disrupts taken-for-granted notions about self. No qualitative study was found regarding patients' experience of life with irritable bowel syndrome (IBS) in Iran. Objective: To explore the self-perception of lived experience of IBS patients. Methods: A qualitative study with hermeneutic phenomenological approach was conducted on 12 IBS patients who had been referred to three central clinics (2 governmental and 1 private) affiliated to Shiraz University of Medical Sciences. The data were collected through in-depth semi-structured interviews from July 2015 to September 2016 by purposeful sampling. Thematic analysis was carried out using Van Manen's six-step methodological framework as a guide. In addition, MAXQDA software was used for data management. Results: In this study, two main themes "the threatened self" and "deep self-knowledge", emerged during the life of patients with IBS, indicating the meaning of self-perception of such patients. The theme of "the threatened self" consisted of two subthemes of "fear from stigmatization" and "bad sense of self". The subthemes of "body knowledge", "self-acceptance" and "personal growth" were related to deep self-knowledge. Conclusion: The results of the present study could be applied in designing and implementation effective and holistic care of IBS patients.

19.
Int J High Risk Behav Addict ; 5(3): e22588, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27818961

RESUMO

BACKGROUND: Research shows that parents have an immense influence over their children's behavior during adolescence. Adolescents who grow up with parents who are addicted to drugs and alcohol are more likely to turn to self-destructive behaviors such as suicide attempts. Because addiction in Iran is a primarily masculine phenomenon and in traditional Iranian culture, the father is responsible for family affairs and is recognized as the family provider, paternal addiction affects adolescent children. However, the impact of this type of parental addiction on adolescent suicide attempts has received little attention. OBJECTIVES: This study was conducted to assess the impact of paternal addiction on adolescent suicide attempts. PATIENTS AND METHODS: This was a qualitative study that used a grounded theory approach. Thirteen participants, from two hospitals in Shiraz (southern Iran), were interviewed. We used purposeful sampling, followed by theoretical sampling. Data were collected from in-depth semi-structured interviews. Data analysis was done using Strauss and Corbin's (1998) approach, followed by the constant comparative method. RESULTS: The mean age of the adolescents was 15.75 ± 1.83, and all of them were single. Five main themes were extracted from the data: mental health problems, relationship problems, financial problems, family problems, and imitation of risky behaviors. CONCLUSIONS: The findings suggest that in addition to the need to consider paternal addiction in health care plans, it is also necessary to pay attention to other family members, including the adolescents themselves. Health care providers, including nurses, can use the findings from this study for the purposes of prevention and education.

20.
Int J Community Based Nurs Midwifery ; 4(4): 309-319, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27713894

RESUMO

BACKGROUND: Pain, as a crucial subsequence of joint hemorrhages in hemophilia patients, is chronic, debilitating, and distracting. This study aimed to describe and interpret pain experiences of hemophilia patients in their lives. METHODS: This qualitative study with hermeneutic phenomenological approach was conducted on fourteen hemophilia patients who had been referred to a hemophilia center affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The study question was "what is the meaning of pain in hemophilia patients' lives? The data were collected through semi-structured interviews and field notes through purposeful sampling. Then, thematic analysis with van Manen's six-step methodological framework was used. MAX.QDA qualitative software package, 2010, was used to analyze the data. RESULTS: The three main themes that emerged in this study were "alteration in physical health", "engagement in psychological problems", and "impairment in social relationships". Alteration in physical health consisted of three subthemes, namely "impairment of physical function", "change in body physics", and "disturbance in sleep quality". In addition, two subthemes including "nostalgia of pain in adults with hemophilia" and "psychological distress" emerged from engagement in psychological problems. Finally, "loss of social activity" and "change in relationships" were related to impairment in social relationships. CONCLUSION: The present study highlighted alteration in physical health, engagement in psychological problems, and impairment in social relationship as a result of pain in hemophilia patients. Thus, healthcare providers and family members have to pay special attention to these problems. Besides, providing complementary therapy interventions is suggested for reducing these issues.

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