@article { author = {Namazi Nia, Mohammad and Mohajer, Samira and Ghahramanzadeh, Melika and Mazlom, Seyed Reza}, title = {The Impact of Laughter Yoga on Mental Well-being of Cancer Patients under Chemotherapy}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {7-14}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.39928.2050}, abstract = {Background: It is generally accepted thatcancer affects the concept of mental well-being by changing the physical, psychological, spiritual, and social dimensions of the patient's life. Laughter yoga as one of the complementary therapies may promote mental well-being in patients undergoing chemotherapy. Aim: This study aimed to determine the effect of laughter yoga on the mental well-being of cancer patients undergoing chemotherapy. Method: This randomized controlled trial was conducted on 69 cancer patients undergoing chemotherapy at Reza Medical Center, Mashhad, Iran, in 2018. The intervention group was subjected to four 20-30 min sessions of laughter yoga prior to chemotherapy. On the other hand, the control group received routine self-care training. The mental well-being scores were measured using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) before and after the laughter yoga sessions. Data were analyzed in SPSS software (version 20) using an independent t-test, Mann-Whitney test, Wilcoxon test, and repeated measures ANOVA. Results: According to the results,the mean age values of the patients were 49.0±9.6 and 45.2±12.6 years in the intervention and control groups, respectively. Regarding the independent t-test results, the mean post-test WEMWBS score in the intervention group (50.0±8.9) was significantly higher than that in the control group (47.9±10.4, P=0.004). Moreover, the repeated measures ANOVA showed a significant increase in the mean post-test WEMWBS score in the intervention group (P<0.001). Implications for Practice: Laughter yoga can promote the mental well-being of patients undergoing chemotherapy; therefore, its clinical applications are recommended in this study.  }, keywords = {Cancer,chemotherapy,Laughter yoga,Mental Well-being}, url = {https://ebcj.mums.ac.ir/article_13928.html}, eprint = {https://ebcj.mums.ac.ir/article_13928_427b19e11a1a5730d9776dde33230b69.pdf} } @article { author = {Kamali, Mahsa and Ahmadi, Fazlollah and Rasekhi, Aliakbar}, title = {The Effect of Continuous Care Model on the Sleep Quality of the Elderly}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {15-23}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.37528.1977}, abstract = {Background: Aging is accompanied by the mitigation of sleep quality in the elderly, thereby affecting their physical and social dimensions and quality of life. However, studies have not addressed sleep problems in the elderly by means of a holistic approach, such as continuous care model (CCM). Aim: The aim of this study was to determine the effects of CCM on sleep quality among the elderly. Method: This quasi-experimental study was performed on 70 elderly individuals in a retirement center located in Zirab, Iran, in 2017, selected by convenience sampling method and randomly divided into two groups of control and intervention. Consequently, CCM was applied to the intervention group under four stages (i.e., orientation, sensitization, control, and evaluation) for 2 months averagely in 3-8 sessions in the retirement center under study. The data were collected in three stages using the Pittsburgh Sleep Quality Index (PSQI). Data analysis was performed in SPSS software (version 21), using generalized estimation equations (GEE). Results: The participants of the control and intervention groups had the mean ages of 66.76±6.13 and 64.73±6.14 years, respectively. The GEE showed that the sleep quality of the intervention group differed significantly from that of the control group 1 and 2 months after the implementation of the CCM (P<0.001). Implications for Practice: Provision of CCM-based care for the elderly could improve their sleep quality. Therefore, this model could be used to promote sleep quality in the elderly in various clinical settings.  }, keywords = {Aged,Continuous Care Model,Sleep Quality}, url = {https://ebcj.mums.ac.ir/article_13891.html}, eprint = {https://ebcj.mums.ac.ir/article_13891_98229227b317183fe7c9905f251cfb9c.pdf} } @article { author = {Rahimi, Zahra and Kooshan, Mohsen and Akrami, Rahim and Rad, Mostafa}, title = {Effect of Peer Support Group on the Level of Depression in Type 2 Diabetic Patients: A Randomized Clinical Trial}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {24-31}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.14020}, abstract = {Background: Depression is one of the most common psychological problems in diabetic patients. Peer support groups focusing on shared experiences may affect patients' minds. Aim: This study aimed to evaluate the effect of peer support groups on the level of depression in type 2 diabetic patients. Method: This randomized controlled clinical trial was conducted on 64 patients with type 2 diabetes in Sabzevar, Iran, during 2018. The level of depression was assessed before and six weeks after the intervention using the Beck Depression Inventory-II. The intervention group attended peer support group sessions, whereas the control group received training by a nurse at the diabetes center. The data were analyzed in STATA software (version 12) using repeated measures ANOVA. Results: According to the results, the mean ages of the patients were 51.7±9.2 and 51.5±8.5 years in the intervention and control groups, respectively. Moreover, the total depression scores in the intervention and control groups were obtained at 24.7±2.9 and 23.3±2.8, respectively. However, these values changed to 15.1±6.1 and 24.3±4.8 immediately after the intervention, as well as 15.8±6.1 and 24.7±4.3 six weeks later, in the intervention and control groups, respectively. The repeated measures ANOVA revealed a significant difference between these two groups in terms of the effect of the group (P<0.001), the effect of time (P<0.001), and mutual effect (P<0.001). Implications for Practice: Peer support group could decrease the level of depression in diabetic patients therefore, it is recommended that peer education be considered as a part of patients’ therapeutic program with the aim of reducing mental symptoms.  }, keywords = {Depression,Diabetes Mellitus,Peer support group}, url = {https://ebcj.mums.ac.ir/article_14020.html}, eprint = {https://ebcj.mums.ac.ir/article_14020_54643696b5660470f6c2821e314e7693.pdf} } @article { author = {Valizadeh, Alieh and Aghebati, Nahid}, title = {Development and Evaluation of a Self-Care Smartphone Application for Cirrhotic Patients}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {32-40}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.42112.2118}, abstract = {Background: It is generally accepted that cirrhosis is a global health problem, and cirrhoticpatients need to perform self-care activities. Smartphone applications are effective tools for the self-management education of diseases. Aim: This study aimed to develop a self-care smartphone application for cirrhotic patients. Method: This study was conducted to develop a mobile application to provide cirrhotic patients with self-care management. The application was designed using two educational models of Analysis, Design, Development, Implementation, and Evaluation as well as Driscoll and Alexander models. Its efficiency was evaluated by 5 software technicians and 74 cirrhotic patients. The tools utilized in this study included heuristics and the Mobile Application Rating Scales. The evaluation results were employed to modify the application and prepare a final version. Results: An android application was developed under the name of "My Liver" in this study. The results of experts' evaluation included 12 corrective suggestions that were applied to the development of the application. According to the participants' evaluation, aesthetics (68.60%) and engagement (71.36%) received the first- and second-lowest scores, respectively. However, the items that obtained the highest scores included the adaptation of content to the user requirements, ease of use, suitable quality and quantity of information, the presence of visual information, validity and acceptability, and evidence-based content. The star grading indicated a relatively high quality of this application. Implications for Practice: Smartphone applications can be useful tools for cirrhotic patients to perform self-care without the direct presence of the nurse.    }, keywords = {Application,Liver Cirrhosis,self-care,Smartphone}, url = {https://ebcj.mums.ac.ir/article_14075.html}, eprint = {https://ebcj.mums.ac.ir/article_14075_35f927a325d62c267d4e40948b818369.pdf} } @article { author = {Bagheri, Somayieh and Valizadeh Zare, Najmeh and Mazlom, Seyed Reza and Mohajer, Samira and Soltani, Mohsen}, title = {Effect of Implementing Family-Centered Empowerment Model on Burden of Care in Caregivers of the Elderly with Parkinson's Disease}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {41-48}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.14043}, abstract = {Background: Caring for a patient with Parkinson's disease (PD) imposes a high burden of care on caregivers due to its chronic and progressive nature. Implementation of an empowerment program leads to self-control and adoption of preventive behaviors. Aim: This study investigated the effect of a family-centered empowerment model on the burden of care among the caregivers of the elderly with PD. Method: The present randomized controlled clinical trial was performed on 60 caregivers and elderly people with PD referring to the Neurology Clinic of one of the two large hospitals of Mashhad, northeast Iran, in 2018. In the intervention group, the family-centered empowerment model consisted of four steps, including perceived threat, problem-solving, educational participation, and evaluation, in four training sessions. Before and 1.5 months after the training sessions, both groups completed the Zarit Burden Interview questionnaire. The control group also received routine care. The data were analyzed by SPSS software (version 16) using paired t-test, independent t-test, Wilcoxon test, and Mann-Whitney U test. Results: The two groups were homogeneous regarding demographic findings. The difference in pre and postcare burden scores decreased 25.1±13.9 and 0.6±3.1 in the intervention and control groups, respectively. Independent t-test showed a significant difference (P<0.001). Intragroup comparison by paired t-test in the intervention group showed a significant difference between the total care burden score before and after the intervention (P<0.001). Implications for Practice: Using the empowerment model focusing on the management of care programs leads to reducing the burden of care and improving the role of caregivers. Therefore, it is recommended to implement family-centered empowerment programs for the caregivers of patients with chronic diseases.    }, keywords = {Burden of care,Caregivers,Elderly,family-centered empowerment model,Parkinson's disease}, url = {https://ebcj.mums.ac.ir/article_14043.html}, eprint = {https://ebcj.mums.ac.ir/article_14043_62b0dc389cea55e8e815f83a92b455d2.pdf} } @article { author = {Mohammadzadeh Moghaddam, Maliheh and Moradi, Maryam and Mirzaii Najmabadi, Khadijeh and Ramezani, Mohammad Arash and Shakeri, Mohammad Taghi}, title = {Effect of Counseling on the Sexual Satisfaction Level of Women with Sexual Dysfunction using PLISSIT Model Focused on Dysfunctional Sexual Beliefs}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {49-57}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.14042}, abstract = {Background: Sexual satisfaction plays a vital role in the stability of a marriage. Dysfunctional sexual beliefs are often overlooked despite their recognition as factors negatively affecting sexual function and sexual satisfaction.   Aim: This studyaimed to determine the effect of counseling based on the PLISSIT model focused on dysfunctional sexual beliefs on the sexual satisfaction level of women with sexual dysfunction. Method: This randomized controlled clinical trial was carried out on 61 married females with sexual dysfunction during 2018-2019. The data were collected using Sexual Dysfunctional Beliefs Questionnaire and Hudson's Index of Sexual Satisfaction. The intervention group received sexual counseling, whereas the control group received routine care. The data were analyzed in SPSS software (version 24) using the , Wilcoxon test, independent t-test, and Mann-Whitney U test. Results: The mean ages of the females in the intervention and control groups were 35.5±5.6 and 36.7±6.7 years, respectively. Mann-Whitney U test showed a significant increase in mean sexual satisfaction scores in the intervention group after the intervention, compared to scores before the intervention (2.8±7.7 vs. 0.3±2.3) (P=0.03). In addition, Mann-Whitney U revealed a significant decrease in the scores of sexual dysfunctional beliefs in the intervention group after the intervention, compared to the scores of the control group before the intervention (27.3±14.5 vs. 1.0±1.2) (P<0.001).   Implications for Practice: With regard to the positive effect of counseling on correcting sexual dysfunctional beliefs, it is recommended that counseling method be implemented to increase sexual satisfaction levels in women.}, keywords = {PLISSIT model,Sexual dysfunctional beliefs,Sexual dysfunction,Sexual function,Sex life quality}, url = {https://ebcj.mums.ac.ir/article_14042.html}, eprint = {https://ebcj.mums.ac.ir/article_14042_e1ddbe091611912c8db5243357cbe5bf.pdf} } @article { author = {Zangeneh, Fatemeh and Masoumi, Seyedeh Zahra and Shayan, Arezoo and Matinnia, Nasrin and Mohagheghi, Hossein and Mohammadi, Younes}, title = {The Effect of Motivational Interviewing-Based Counseling on Women’s Sexual Satisfaction and Body Image}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {58-62}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.38449.2009}, abstract = {Abstract It is a widespread recognition that breast cancer adversely affects the lives of many women the world over. Surgeries leading to breast loss (mastectomy) exert a negative impact on body image, sexual drives, and quality of life among women with breast cancer. The present study aimed to examine the effect of motivational interviewing-based counseling on sexual satisfaction and body image of women with mastectomy. This clinical trial was performed on 60 breast cancer patients (two groups of 30) admitted to Imam Khomeini Clinic in Hamedan, Iran. The patient in both groups completed the index of sexual satisfaction (Hudson) and a self-reported questionnaire entitled “ Life After Mastectomy”. Thereafter, they participated in five training sessions with a motivational interviewing (MI) approach on sexual disorders and body image for the subjects in the intervention group.  In light of the results, a significant difference was found between the intervention group and the control group in terms of the mean sexual satisfaction and body image scores (p <0.001). It is recommended that the MI approach be used to improve sexual satisfaction and body image in patients with mastectomy.}, keywords = {Body image,Counseling,Motivational interviewing,Sexual satisfaction}, url = {https://ebcj.mums.ac.ir/article_13956.html}, eprint = {https://ebcj.mums.ac.ir/article_13956_39ea7407abb7ec2489fe1f3c951ae5e9.pdf} } @article { author = {Beigmoradi, Samira and Pourshirvani, Azita and Pazokian, Marzieh and Nasiri, Malihe}, title = {Evaluation of Nursing Handoff Skill among Nurses Using Situation-background-assessment-recommendation Checklist in General Wards}, journal = {Evidence Based Care}, volume = {9}, number = {3}, pages = {63-68}, year = {2019}, publisher = {Mashhad University of Medical Sciences}, issn = {2008-2487}, eissn = {2008-370X}, doi = {10.22038/ebcj.2019.40897.2078}, abstract = {Patient's clinical handoff which is a critical organizational and clinical process is considered one of the fundamental responsibilities of nurses. In this regard, lack of tools and resources to be applied for this purpose threatens the life of patients. The present study aimed to investigate the nursing handoff skill among nurses using situation-background-assessment-recommendationquestionnaire. This observational research was carried out on 64 nurses in internal and surgical wards in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran in 2018. The research population included the content of reports related to nursing handoff of nurses working in the hospitals. The reliability and validity of the questionnaire were confirmed, and descriptive statistics were applied to evaluate the data. It is worthy to note that the majority of participants were female (68.8%). After the evaluation, patient information was reported in areas of current situation (90.0%), clinical background (10.0%), assessment of systems’ status (57.5%), and recommendations (92.5%). Based on the results of the study, less attention was paid to mentioning clinical background and assessing patients’ systems during nursing handoff, which necessitates the training courses on accurate reporting for nurses to ensure patient safety.}, keywords = {General wards,Nursing handoff,SBAR tools}, url = {https://ebcj.mums.ac.ir/article_13892.html}, eprint = {https://ebcj.mums.ac.ir/article_13892_059a4d1f056b8421ccbc66ed519ffb2c.pdf} }