Effect of Educational Program on the Burden of Family Caregivers of Hemodialysis Patients
Mansoureh
Ashghali Farahani
Nursing Care Research Center, Associate professor of Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
author
Golnar
Ghane
MS in Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
author
Naime
Sydfatemi
Associate Professor, Nursing Care Research Center, School of Nursing and Midwifery, Iran university of Medical Sciences, Tehran, Iran.
author
Hamid
Hagani
Instructor of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
author
text
article
2016
eng
Background: Studies suggest that family caregivers of hemodialysis patients experience a high level of burden, which could lead to numerous physical and psychological problems. Despite the need for adequate training and support, these caregivers are mostly neglected, and few studies have been performed in this regard. Aim: to evaluate the effect of educational programs on the home care of hemodialysis patients and burden of their family caregivers. Method: This randomized controlled clinical trial was conducted on 76 caregivers of hemodialysis patients referred to Shahid Hasheminejad Hemodialysis Center of Tehran, Iran in 2015. Subjects were divided into two groups of intervention and control (n=38). The intervention group received four training sessions on the home care of hemodialysis patients for two weeks, and the control group received routine care. Data were collected using the Caregiver Burden Inventory (CBI) at the beginning and six weeks after the intervention. Data analysis was performed in SPSS V.21 using Chi-square, Fisher’s exact test, independent and paired T-test, and Mann-Whitney U test. Results: In this study, no significant difference was observed between the two groups in terms of demographic characteristics. At the baseline, mean score of caregiver burden in the intervention and control groups was 88.5±11.7 and 84.9±15.1, respectively, and no significant difference was observed between the groups in this regard (P=0.30). Six weeks after the intervention, the results of independent T-test revealed a significant difference between the mean scores of caregiver burden in the intervention (58.7±6.6) and control groups (87.8±11.7) (P<0.001). Moreover, the results of paired T-test indicated that the mean score of caregiver burden reduced in the intervention group, while it increased in the control group. Implications for Practice: According to the results of this study, use of an educational program for family caregivers could be effective in reducing their burden and other problems associated with the home care of hemodialysis patients. Therefore, it is suggested that educational managers of medical centers encourage the healthcare personnel to apply such programs in order to improve the health of caregivers.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
7
18
https://ebcj.mums.ac.ir/article_6703_be461b3e584a60be99875a2ff7049e23.pdf
dx.doi.org/10.22038/ebcj.2016.6703
Effects of Emotion Regulation Training on Attachment Style of Primiparous Pregnant Women with Insecure Attachment
Tayebeh
Reyhani
Evidence Based Care Research Centre, Instructor of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Aliye
Shojafar
MSc Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Morteza
Modares Gharavi
PhD in Clinical Psychology, Mashhad University of Medical Sciences, Mashhad, Iran
author
Saeed
Vaghee
Evidence Based Care Research Centre, Instructor of mental health Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Toktam
Kazemeini
PhD Candidate in Clinical Psychology Ferdowsi University of Mashhad, Mashhad, Iran
author
Shadi
Shayan
M.A of Clinical Psychology, Shiraz University, Shiraz, Iran
author
text
article
2016
eng
Background: Pregnant women with insecure attachment style are at high risk of psychiatric disorders. Since emotions are the first coordinators of attachment behavior, emotion regulation training can alter maternal attachment style. In this study, we aimed to evaluate the effects of emotion regulation training on the attachment styles of primiparous pregnant women with insecure attachment style. Aim: This study aimed to evaluate the effects of training programs on the headache of patients after spinal anesthesia. Method: This randomized, clinical trial on 40 primiparous pregnant women with age range of 30-34 years, who were referred to healthcare centers of Mashhad, Iran, during 2014. The data collection instrument was Revised Adult Attachment Scale (RAAS). The participants were assigned to intervention and control groups. A training program was implemented on emotion regulation based on dialectical behavior therapy (DBT) for the intervention group. After delivery, RAAS was completed by the mothers again. The control group only received the routine care. To analyze the data, Chi-square and independent t-test were run using SPSS, version 15. Results: Mean ages of the mothers in the intervention and control groups were 26.9±4.04 and 27.5±3.5 years, respectively. According to the results of independent t-test, the difference between the groups was non-significant (P=0.77). The groups were analogous in terms of attachment style pre-intervention. After the intervention, independent t-test did not reflect any significant differences between the groups regarding avoidant (P=0.37) and anxious (P=0.11) attachment styles. However, mean score for secure attachment style was significantly enhanced (P=0.01). Implications for Practice: Our findings revealed that implementation of emotion regulation training increased secure attachment scores. Thus, implementing emotion regulation training program is recommended as part of a program for pre-natal care in healthcare centers.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
19
28
https://ebcj.mums.ac.ir/article_6709_04fe72633f9aa477c2690b5631088863.pdf
dx.doi.org/10.22038/ebcj.2016.6709
Evaluation of the Effect of Nest Posture on the Sleep-wake State of Premature Infants
Tayebeh
Reyhani
Evidence Based Care Research Centre, Instructor of Nursing, Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Somayeh
Ramezani
MSc Neonatal Intensive Care Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hasan
Boskabadi
Associate professor of Neonatology, Faculty of Medicine, Mashhad University of Medical Science, Mashhad ,Iran
author
Seyedreza
Mazlom
Evidence Based Care Research Centre, Instructor of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
text
article
2016
eng
Background: Premature birth is a major cause of infant mortality in developed countries. Newborns confined to neonatal intensive care units (NICUs) are in a rapid stage of brain development. As such, sleep plays a pivotal role in the proper brain development of newborns. However, this developmental aspect is often disregarded due to the lack of information. Aim: This study aimed to evaluate the effect of nest posture on the sleep-wake state of premature infants. Method: This cross-over clinical trial was conducted on 60 premature infants admitted in the NICU of Ghaem Hospital in Mashhad, Iran in 2015. Infants were divided into two groups of experimental and control. Data were collected using the Assessment of Premature Infants' Behavior (APIB). Neonates in the control group were placed in an incubator, and neonates in the experimental group were positioned in a nest. Between-group comparison was performed using paired-samples T-test for normal variables and Wilcoxon test for non-normal variables. Results: In this study, no statistically significant differences were observed between the two groups in terms of the scores of deep sleep state before (P=0.50) and after the intervention (P=0.59). However, during the intervention, mean score of deep sleep was higher in the experimental group (P=0.08). Moreover, mean score of slow wake state had no significant difference between the study groups before (P=0.67), after (P=0.86), and during the intervention (P=0.81). Implications for Practice: According to the results of this study, nest posture increased the deep sleep hours of premature infants as the most imperative state of brain development. Therefore, it is recommended that nest posture be used to improve the deep sleep state of premature infants.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
29
36
https://ebcj.mums.ac.ir/article_6713_8d584caeb7d5400df123f06452773d79.pdf
dx.doi.org/10.22038/ebcj.2016.6713
The Effect of Anger Management Training Using Workshop and Training Package Methods on the Aggression of Patients with Addiction
Saeed
Vaghee
Evidence Based Care Research Centre, Instructor of Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mehri
Ebadi
MS in Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Amir Rezaei
Ardani
Assistant Professor of Psychiatry, Psychiatry and Behavioral Research Center, Mashhad University of Medical Sciences, Mashhad. Iran
author
Negar
Asgharipour
Assistant professor of Clinical Psychology, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
author
Hamidreza
Behnam vashhani
Evidence Based Care Research Centre, Instructor of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Azam
salarhaji
Department of Health, Neyshabur University of Medical Sciences, Neyshabur, Iran
author
text
article
2016
eng
Background: Given the importance of anger controlling on addicts aggression at withdrawal beginning and their specific conditions, it is essential that different educational methods tailored to the content anger management to reduce aggression and control anger in the addicted people. Aim: This study aimed to compare the effect of anger management training using workshop and training package methods on the aggression of patients with addiction. Method: In this randomized clinical trial, 60 Clients referred to the addiction withdrawal clinic of psychiatric hospitals of Mashhad in 2014-2015, were allocated into three groups, educational workshops)n=20) (4 sessions over 2 days of anger management training) and training package (n = 20)(trained as a manual and CD) and control (n = 20)(no intervention). Bass & Perry Aggression Questionnaire was implemented immediately before and one month after the intervention. For data analysis, ANOVA, Kruskal-Wallis and paired t-test were performed, using SPSS version 11.5. Results Based on the results of One-way ANOVA, there was a significant difference between the three groups of workshop (14.7±9.4), training package (10.3±5.3), and control (-2.8±3.6); (P<0.001) with respect to aggression mean score variance. Tukey’s post-hoc test reflected a significant difference between the workshop and training package groups (P<0.001) and between the workshop and control groups (P<0.001). However, differences between the training package and control groups were not statistically significant (P=0.97). Implications for Practice: Holding workshops on anger management can be highly effective in lowering aggression in drug addicts, due to its interactive nature.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
37
48
https://ebcj.mums.ac.ir/article_6725_db81704cf2507f151e2250e5df929015.pdf
dx.doi.org/10.22038/ebcj.2016.6725
Effect of Pre-treatment Education Programs on the Anxiety of Patients Receiving Radiotherapy: An Integrative Literature Review
Fatemeh
Heshmati Nabavi
Evidence Based Care Research Centre, Assistant Professor, Department of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Atefe
Behboudifar
MS student in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Zohre
Pouresmail
MS student in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Mohammad Naser
Shafiee
Head of English Department, Faculty of Medicine, Mashhad University of Medical Sciences, Iran
author
text
article
2016
eng
Background: Stress and anxiety in cancer patients are caused by disease diagnosis, unfamiliar experiences, and therapy-related problems. In addition to the short duration of radiotherapy, receiving and understanding of the information about this treatment could be difficult for patients due to anxiety, fatigue, and mental pressure. Training of cancer patients about radiotherapy via educational programs could reduce pre-treatment anxiety. Aim: This systematic review aimed to integrate the information regarding the effects of pre-treatment educational training on the level of anxiety and distress symptoms of cancer patients receiving RT. Method: This systematic review was conducted to identify the studies comparing different methods of pre-treatment patient education before radiotherapy via searching in databases such as MEDLINE, PsycINFO, Web of Science, ClinicalKey, ProQuest, and PubMed. Selected studies included clinical reports on the effects of educational interventions on the anxiety of patients receiving radiotherapy. Excluded samples were commentaries and studies without intervention. Results: In total, we reviewed eight articles assessing the effect of educational interventions before radiotherapy on the anxiety of cancer patients. Educational interventions used in these studies included face-to-face consultation with a radiotherapist, group instructions with routine individual training using visual materials (e.g., brochures, booklets, videotapes, and PowerPoint presentations), group discussions, electronic instructions, written materials, and phone contact with a nurse. Implications for Practice: According our findings, pre-treatment education could reduce the anxiety of cancer patients before radiotherapy. These educational programs could be performed using written, visual, electronic, or face-to-face instructions. However, considering the condition of cancer patients and their treatment, selection of the appropriate training method requires further investigation through comparing different approaches.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
49
62
https://ebcj.mums.ac.ir/article_6735_6976204f93d5792742b497dd9c84dc5a.pdf
dx.doi.org/10.22038/ebcj.2016.6735
The Experiences of Women Fertilized through Egg Donation during Their Treatment Process
Narges
Bagheri-Lankarani
Department of Epidemiology and Reproductive HealtH, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
author
Faezeh
Zarei
PHD student of sociology, Islamic Azad University, Central Tehran Branch, Tehran, Iran
author
Mitra
Zandi
Department of Nursing, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
author
Reza
Omani Samani
Department of Epidemiology and Reproductive Health at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
author
Morteza
Karimi
Department of Epidemiology and Reproductive Health at Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
author
text
article
2016
eng
Background: There has been a dramatic increase over the past few decades in the use of modern fertility technologies and the demand by infertile couples for using these techniques have increased as well. Studies exploring the experiences of women fertilized with egg donation technique in their treatment process have been rare. Aim: This study aimed to explore and explain the treatment experiences of women fertilized with egg donation. Method: This is a Qualitative study. Data were analyzed simultaneously as they were being collected and according to the conventional content analysis method. The study began in July 2013 and continued until September 2014. Fourteen unstructured, in-depth interviews were carried out with 12 infertile women who had been fertilized or had given birth to children through egg donation. One of Tehran’s referral centers for infertility was used as the study setting. All participants submitted their written consent prior to the start of the study. Results: Analysis of the findings showed "difficult and stressful treatment" as the final theme with 6 subthemes, including: 1) religious barriers, 2) treatment difficulties, 3) treatment frustration (including the following subcategories: fatigue and despair, and the experience of frequent failures), 4) dissatisfaction with the services provided, 5) confusions in treatment, and 6) Perception of relative peace. Implications for Practice: Exposure to various assisted reproductive technologies, including egg donation, is a stressful process, and providing emotional support to patients is one of the most essential care services they require from treatment centers. The results of the present study can assist in planning future strategies for meeting the specific needs of these distinguished patients.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
63
70
https://ebcj.mums.ac.ir/article_6741_22bb45a37a81a6a1f66bbb8eb62c9746.pdf
dx.doi.org/10.22038/ebcj.2016.6741
Effect of an Educational-Supportive Program Based on Roy Adaptation Model on Marital Satisfaction in Mastectomy Patients Receiving Chemotherapy
Samira
Shahed
MSc Nursing. Nursing Department, Medical Sciences Faculty, Tarbiat Modares University, Tehran, Iran
author
Zohreh
Vanaki
Associate professor of Nursing. Faculty of Nursing, Tarbiat Modares University, Tehran, Iran
author
Mamak
Tahmasebi
Associate professor of N Palliative Care, Faculty of Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran
author
text
article
2016
eng
Background: Regarding nurses' significant role in improving quality of marital life in mastectomy patients and their families, implication of the adaptation model can help nurses reaching this goal. Aim: This study aimed to determine Effect of an educational-supportive program based on Roy This quasi-experimental study was performed on 69 mastectomy patients receiving chemotherapy in 2013 in clinical services in Tehran, Iran. The samples were randomly allocated to two groups. The data collection instrument was ENRICH Marital Satisfaction scale (2011). In the experimental group, maladaptive behaviors and their stimuli were determined by the questionnaire, and then adaptive strategies were implemented in 45 days. The program was based on support (patients instruction), peer group, weblog, meeting with the participants’ spouses, and three-month follow-up using behaviors checklist. Control group patients received the regular treatment sessions. T-test, Pearson’s correlation coefficient, Spearman's rank correlation coefficient, and Chi-square tests were run, using SPSS version 19. Results: In experimental group, paired sample t-test reflected an increase in marital satisfaction from 24.7±2.6 before to 32.9±3.5 after the intervention (P=0.03). However, no significant differences were observed in the control group from 26/7±4/6 before to 26/5±4/8 after the intervention in this regard (P=0/63). Implications for Practice: Roy Adaptation Model can be used as a framework for designing educational-supportive programs to improve quality of marital life in mastectomy patients receiving chemotherapy.
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
71
78
https://ebcj.mums.ac.ir/article_6744_9368a575e228f8aadd0ef19400c78709.pdf
dx.doi.org/10.22038/ebcj.2016.6744
A Reflection on Research, Theory, Evidence-based Practice, and Quality Improvement
Eesa
Mohammadi
Professor of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
author
text
article
2016
eng
Evidence Based Care
Mashhad University of Medical Sciences
2008-2487
6
v.
1
no.
2016
79
80
https://ebcj.mums.ac.ir/article_6732_77fbcdd03759653feab25e0fe74474dc.pdf
dx.doi.org/10.22038/ebcj.2016.6732