Background and aims: This study aimed to compare the effect of the mindfulness-based stress reduction (MBSR) with cognitive approach, with that of the spiritual therapy with Islamic approach on quality of life among hypertensive cardiac patients. Methods: All cardiovascular patients referred to the cohort center in Shahrekord in 2019 were included in this semi-experimental (pretest-posttest design) study. Using convenience sampling method, 75 patients were selected and randomly divided into two experimental groups and one control group in such a way that each group included 25 individuals. The McNew quality of life questionnaire was used to collect the required data. All groups received standard medical drugs under the supervision of a cardiologist. In addition to standard medical treatment, the experimental groups underwent MBSR with a cognitive approach (8 sessions lasting 90 minutes) and spiritual therapy based on Islam (8 sessions lasting 90 minutes); The control group received no non-medical intervention. Data were analyzed by using AVOVA and paired t test. Results: The overall score of quality of life in the MBSR and spiritual therapy groups increased significantly after the intervention (P<0.001). As for the control group, however, the overall score of quality of life remained unchanged after the intervention (P=0.10). Significant differences were observed in the total scores of quality of life among the three groups so that the mean score of the difference in the total score of quality of life in the spiritual therapy group before and after the intervention was higher than those in other groups (P<0.001). Conclusion: MBSR therapy and specially Islam-based spiritual therapy had the potential to improve the quality of life in hypertensive cardiac patients.
Introduction: Clinical competence of nurses is an effective factor in ensuring the quality of care in a competitive modern world. Given the vital role of nurses and the weakness of existing assertiveness, this concept as a communication style can play an important role in improving performance and improving the quality of care in tense stressful care settings. The purpose of this study was to determine the effect of the assertiveness program on the clinical competence of nurses in intensive care units. Methods: In this clinical trial, 70 nurses of ShahreKord in 2018 were randomly allocated into two groups experimental and control. The experimental group was trained in 6 sessions of ninety minutes, while the control group did not receive the training. Data was collected before, immediately and 3 months after intervention by demographic and CIRN Clinical Competency Questionnaire and analyzed using SPSS 17 with independent t-test, ANOVA with repeated measurement and Chi-square. Results: There was no significant difference between the mean scores of clinical competency between the two groups before intervention, but this difference was significant in the immediately and 3 months after intervention based on independent ttest (P<0.05). ANOVA test with repeated measurement showed a significant difference in the process of changes in mean scores in the three stages of measurement (before, immediately and three months after the intervention) (P<0.001). Conclusion: Assertiveness education leads to increasing the clinical competence of nurses in intensive care units. Therefore, it is suggested to be used in nursing education courses
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