The effect of group motivational interview on ... [4] Psychometric properties of the persian health care ... [5] Iran Diabetes Research Roadmap (IDRR) study ...
Cancer and tolerance of severe therapies affect all aspects of life and generally the quality of life of patients. Spiritual care is one of the most important types of care for cancer patients. The most important element in spiritual care is healing. The aim of this study was to determine the effect of healing program on quality of life in chemotherapy patients Methods: This study is a semi experimental study in two private hospitals in Tehran in 20017. The samples were first selected from among the patients who were referred to two hospitals. Quality of life of patients before and after two months after intervention was measured and recorded by a specific questionnaire for measuring the quality of life of cancer patients. For analyzing, descriptive and analytic tests such as mean differences test and analysis of variance were used using SPSS 20. Data was analyzed using SPSS 21 software, t-paired and t-independent test. Results: Chi-square and analysis of variance showed that the two groups had no significant difference in terms of demographic characteristics, effective variables, and mean of quality of life in terms of dimensions and in general. And the mean of quality of life of the patients in the intervention group was significantly higher than the control group two months after the intervention (P<0.05). Conclusion: Healing attendance alone as an integral part of spiritual care can be effective in improving the quality of life of patients. Therefore, nurses can advise that their care will be more effective if they focus on their presence along with patients in caring activities and focus on indicators and elements designed to heal.
Background: Nursing presence is one of the important dimensions of care. The presence of nurses improves the outcome of treatment, self-care, satisfaction and reduces patients' loneliness and anxiety. The literature review shows that most studies have conducted on concept analysis of the nursing presence while nurses face many challenges to present at the patient bedside. The study aimed to identify the challenges of nurses' presence at patients' bedside from the perspective of nurses. Methods: This is a qualitative content analysis study. In-depth semi-structured interviews were conducted with nineteen nurses. Data analysis performed using Zhang's eight stages approach. Results: Three categories emerged: (1) professional challenges with sub-categories: shortage of medical staff, improperly scheduled visits and rounds, time-consuming supervision, inadequate competence, and cultural unfamiliarity, (2) job attenuation with sub-categories: ignoring the needs of nurses, inappropriate management styles (3) unsuitable environment with sub-categories: inadequate medical facilities, ward congestion, and non-standard hospital environment. Conclusions: This study identified the challenges and barriers of nurses' presence at the patient's bedside in different dimensions from the clinical nurses' perspective. Nursing managers must adopt appropriate strategies to solve the challenges of nurses' presence at patients' bedside to achieve the positive benefits of the more effective nurses' presence at patients' bedside.
Background: COVID-19 is an emerging, highly contagious disease caused by the SARS-CoV-2 virus. Pregnant women appear to be at greater risk for COVID-19 infection and complications. Considering the importance of maternal and fetal healthcare, this study aims to evaluate some of the maternal, fetal, and neonatal outcomes in pregnant women with COVID-19. Methods: Pregnant women at the gestational age of 20 weeks or more were recruited and divided into two groups: cases (those with COVID-19 infection) and controls (those without the infection). Maternal complications during the current pregnancy, delivery factors, and fetal/neonatal complications were recorded and compared between the groups. Results: Maternal COVID-19 infection was highly associated with the need for emergency cesarean surgery (p=0.005), preterm labor (p=0.017), and the need for NICU admission for newborns (OR=0.05, p=0.000). Also, high rates of vertical transmission of the infection were observed in the cases. Conclusion: Maternal COVID-19 disease could be associated with a range of complications for both the mother and her newborn. The vertical transmission rate was also observed to be higher than previously reported in the literature. Further studies are required to evaluate this phenomenon.
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