Introduction: The relationship between caregivers and patients plays a vital role in providing effective care. Objectives: The aim of this study was to investigate the effect of group logo therapy on the burden of hemodialysis patients’ caregivers. Patients and Methods: The present research was a quasi-experimental study with pretest-posttest design. The study population was all caregivers of hemodialysis patients in Qazvin. The sample of this study consisted of 100 caregivers (50 participants in the intervention group and 50 participants in the control group) who were selected according to the inclusion criteria and then randomly allocated in two groups. After the initial evaluation of burden in both groups, 10 sessions, (90 minutes for each session) logo therapy was conducted for intervention group. Immediately after the end of the course and one month later, the intensity of caregiver burden in both groups was measured. The data collection tools were demographic questionnaires for the patient and caregiver and the Zarit Burden Interview. Results: In this study we found, the intervention group with a mean score of 44.6±7.4 and the control group with a mean score of 44.8±5.38 experienced severe burden. Regarding the effect of logo therapy on caregiver burden, the results showed that the mean score of burden before the intervention was 44.6±7.4 and immediately after the intervention and one month later were 37.2±12.6 and 2.14±6.34, respectively (P<0.001). Conclusion: The findings showed the positive effect of group logo therapy on reducing the burden of hemodialysis patients’ caregivers. Considering the high level of caregiver burden, it appears that the application of logo therapy in educational programs for dialysis centers is necessary to reduce the caregiver burden and improve the quality of life.

Aim: the present study aimed to assess the relationship between attitude to the presence of family members during cardiopulmonary resuscitation and confidence of acute care nurses in performing cardiopulmonary resuscitation in the presence of family. Methods: this descriptive-analytical study was conducted on nurses working in acute care units (intensive care unit, coronary care unit, and emergency department) in Iran in 2017. A total of 150 nurses entered the study by convenience sampling. Data were collected on nurses' attitude towards the presence of family scale and nurses' self-confidence in presence of family scale. Results: of the 150 participants, 48 (32%) were men and 102 (68%) were women. Total mean score of attitude was 67±10.4 (obtained scores by nurses ranged from 32 to 100). Total mean score of self-confidence was 53.86 ±11.7 (obtained scores by nurses ranged from 23 to 81). Pearson correlation test showed a significant negative relationship between nurses' attitude toward presence of family members during cardiopulmonary resuscitation and their self-confidence (rr=-0.45, p=0.001). Conclusion: the present study showed that nurses with a higher self-confidence have a more positive attitude toward presence of family members during cardiopulmonary resuscitation. Given the importance of the subject, it should be considered by nursing managers and planners.

This study examined caregiver burden among home caregivers of COVID-19 patients and its relationship to resilience. This cross-sectional correlational study was conducted in Mashhad, Iran, in 2020. The sample consisted of 220 family caregivers of COVID-19 patients. The data collection tools included: demographic characteristics, Novak and Guest Caregiver Burden Inventory, and Connor-Davidson Resilience Scale. Data were analyzed with descriptive statistics and correlation test in SPSS v25. The mean score of caregiver burden was 76.85±16.25. In total, 4.5% experienced mild caregiver burden, 31.4% moderate caregiver burden, 50.9% severe caregiver burden, and 13.2% very severe caregiver burden. The mean score of resilience was 62.98±14.06. A significant and inverse relationship was observed between caregiver burden and resilience ( p < 0.05, r = -0.46). Family caregivers of COVID-19 patients experienced a significant level of caregiver burden, and it was lower in caregivers with higher levels of resilience. Further studies are recommended in this regard. The use of procedure and training that can improve the resilience of caregivers is recommended to nurses, especially home care nurses.

Background: Living with hemodialysis is a permanent challenge due to the need for adaptation to the treatment plan, related complications, and dietary constraints. Therefore, the quality of life in such patients is influenced by physical and psychological stressors posed by these challenges. Objectives: The aim of this study was to investigate the relationship between stressors and coping strategies in hemodialysis patients, Qazvin, Iran. Methods: A descriptive cross-sectional correlational design was used to investigate the relationship between physiological and psychosocial stressors and coping strategies among Iranian patients undergoing hemodialysis in 2018. Samples consisted of 140 patients recruited through the simple random sampling method from a large referral hemodialysis center affiliated to Qazvin University of Medical Sciences, Iran. A demographic variables form, hemodialysis stressors scale (HSS,) and Ways of Coping Scale-revised (WOCS-R) were employed for data collection. SPSS version 24 was used for data analysis. Results: The majority of the patients (49.2%) had moderate and 3.6% of them had severe physiological stressors. With regard to psychosocial stressors, 51.4% had moderate and 3.6% of the participants had severe stressors. The majority of the participants used "distancing" strategies. Pearson's correlation showed that strategies of escape avoidance and physiological stressors had a significant positive correlation (r = 0.2, P = 0.004), and strategies of problem solving (r = 0.2, P = 0.01), escape avoidance (r = 0.3, P = 0.000), and self-control (r = 0.1, P = 0.03) had a significant positive correlation with psychosocial stressors. Conclusions: The majority of the hemodialysis patients had moderate to severe stress in physiological and psychosocial dimensions. They often used negative strategies for coping with stressors. The above-mentioned challenges are considered as risks to patients' well-being and require the attention of policy-makers and managers to provide comprehensive and high-quality services.