Background: Providing patients with comfort is the basis of nursing care and a favorable outcome of nursing care measures. Comfort is of special importance to hemodialysis patients because they spend a large part of their lives in hemodialysis units and are constantly dealing with different physical and mental health problems. This study aimed to evaluate the effects of comfort-based interventions (back massage along with patient and family education) on the level of comfort among hemodialysis patients. Methods: As a randomized controlled trial, this study was undertaken in 2016 in the hemodialysis unit of Shahid Chamran hospital, Ferdows, Iran. A convenience sample of forty hemodialysis patients was recruited. Patients were alternately allocated to control or intervention groups based on their hemodialysis days. The hospice comfort questionnaire was completed for all participants at the beginning and at the end of the study. This questionnaire showed that the comfort needs of patients were related to muscle cramps, headache, back pain, nausea, lack of knowledge about arteriovenous fistula care, dietary and treatment regimens, itching, rest and sleep disorders, and impaired comfort. Patients in the intervention group received massage as well as patient and family education in six consecutive hemodialysis sessions, while their counterparts in the control group solely received the routine care services of the study setting. The SPSS software (v. 18.0) was used for data analysis through running the paired-and the independent-sample t tests. The significance level was set at less than 0.05. Results: The mean scores of comfort and its environmental and psychospiritual dimensions significantly increased in the intervention group (P < 0.001). Significant increases were also observed in the mean scores of comfort and its psychospiritual dimension in the control group (P < 0.05). Before the intervention, there were no significant differences between the groups respecting the mean values of comfort and its dimensions (P > 0.05). However, after the intervention, there were significant between-group differences in the mean scores of comfort and its environmental dimension as well as in the pretest-posttest mean difference for the environmental dimension of comfort.
Background: Nurses, as the largest group in providing relief during disasters with their specialized skills, should be sufficiently prepared to provide the highest level of health care. By compiling predisaster preparedness programs, the provided healthcare would be promoted and number of casualties and incoordination in allocated tasks be reduced. This study was conducted to evaluate nurses' preparedness in response to disasters in South Khorasan Province, Iran. Materials and Methods:In this correlational descriptive study, working nurses in provincial hospitals were chosen by systematic random sampling. The study data were collected with a 3-part questionnaire: demographic information, items assessing the capabilities in disaster (clinical competency, survival skills, operational competency), and items regarding their viewpoints (personal and psychological readiness, team integration, and administrative support). The questionnaire was rated on a 5-point Likert-type scale. Total score in each field is divided by the number of questions, in which 5 is the highest, and 1 the lowest. All data were analyzed by SPSS16. The significant level was set at P ≤ 0.05. Results:Out of 304 hospital nurses working in 10 health centers throughout the province, 71.1% were female, 27.21% had 3-5 years of job experience, 96.4% had BS in nursing, and 57.9% were the staff of educational hospitals. The mean (SD) score for nurses' preparedness (competency and attitude) was 3.4(0.64). The mean (SD) score for nurses' competency was 3.25 (0.72), and average score for nurses' attitude was 3.53(0.5). There was a significant correlation between nurses' competency score and their gender and work experience (P ≤ 0.05). Conclusion:Regarding the nurses' preparedness score, it is recommended that they be provided with training courses on disaster preparedness through workshops and or training exercises.
Background Objectives: A nurses' job satisfaction is a significant factor behind their motivation for quality care delivery. The aim of this study was to examine the relationship of communication skills with job satisfaction among hospital nursing staff. Methods: In this descriptive-correlation study, 162 nursing staff were recruited through stratified random sampling from teaching hospitals in Birjand, Iran. They were asked to complete a demographic questionnaire, job descriptive index, and burton's communication skills questionnaire. The SPSS program (v. 18.0) was employed to analyze the data via the analysis of variance, the independentsample t, the Tukey's tests, Pearson correlation analysis, and the stepwise multiple linear regression analysis. The level of significance was set at less than 0.05.
Background and Aim: Nurses as pioneers people in community health and treatment, they have an important role in coordinating and helping injured people at the time of the disaster. Improvement of their preparedness is one of the basic principles of health management in accidents and disasters. Therefore, the aim of this study has been done to determine the effect of educational intervention on nurses' preparedness in accidents and disasters Materials and Methods: In this single-group quasi experimental, (pre-test, post-test and follow-up), 75 nurses working in hospitals in Birjand were selected by the stratified random sampling method was used. The nurses participated in a disaster risk management workshop for 16 hours during 2 days in a round table exercise. Demographic data form and standard questionnaire of nurses' preparedness and responsiveness to the disasters were completed before, immediately and one month after the intervention. Data were analyzed using SPSS software (Version 16), and statistical analysis of intra group variance, Bonferroni post hoc test and chisquare tests, independent t-test, One-way analysis of variance and Tukey's range post hoc test were performed at a significance level of (0.05). Results:The mean score of nurses' preparedness before intervention out of 10 scores was 6/47±0/87 and their total mean score of ability and attitude towards disasters before intervention of 5 scores was 3/19±0/72 and 3/28±0/41 respectively. The average total score of preparedness and in the area of empowerment in nurses immediately and one month after intervention than before and the mean score of attitude one month after the intervention was significantly higher than before (p <0.05). Conclusion:Based on the results, the educational program had a significant effect on increasing nurses' preparedness in accidents and disasters. It is recommended that nursing managers to improve nursing staff readiness, conduct continuous training courses with maneuvers.
Background: Physical disability is a damage that limits the major activities of a person's life and leads to anxiety, depression, mental health problems, and lowers happiness levels. In light of these consequences, it seems necessary to carry out some intervention to reduce depression and anxiety as well as promote the happiness of people with physical impairment. Objectives: Therefore, this study sets out to investigate the effect of clay therapy on anxiety, depression, and happiness in physically impaired individuals under the Welfare Organization support in Qaen city. Methods: In this randomized controlled clinical trial, 50 individuals with a physical disability, under the Welfare Organization support in Qaen city, in the year 2016, who fulfilled the criteria for entering the study, were selected by convenience sampling and assigned to two groups, the experiment group (25 people) and the control group (25 people), through systematic random sampling. The experiment group received a clay-working program for 12 sessions of 60 minutes each (two sessions per week). The data collection tool was a demographic questionnaire, a Depression, Anxiety, and Stress Scale (DASS-21), and the Oxford Happiness Inventory. Data were analyzed using SPSS 15 software, chi-square, independent t test, Mann-Whitney U test, Friedman test, and Wilcoxon test. Results:The results of the present study show that the mean score of happiness after completing the sixth session was significantly higher in the experiment group than in the control group. The mean depression and anxiety scores after the intervention in the experiment group were significantly lower than that in the control group, while the mean score of happiness after the clay therapy was significantly higher in the experiment group than that in the control group (P < 0.001). Conclusions: Based on the results, clay therapy has the potential to reduce anxiety and depression as well as increase the happiness of people with physical impairment under Welfare Organization support.
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