Background:Quality of life (QOL) of children with cancer reduces right from the diagnosis of disease and the start of treatment. Computer games in medicine are utilized to interact with patients and to improve their health-related behaviors. This study aimed to investigate the effect of an interactive computer game on the QOL of children undergoing chemotherapy.Materials and Methods:In this clinical trial, 64 children with cancer aged between 8 and12 years were selected through convenience sampling and randomly assigned to experimental or control group. The experimental group played a computer game for 3 hours a week for 4 consecutive weeks and the control group only received routine care. The data collection tool was the Pediatric Quality of Life Inventory (PedsQL) 3.0 Cancer Module Child self-report designed for children aged between 8 to 12 years. Data were analyzed using descriptive and inferential statistics in SPSS software.Results:Before intervention, there was no significant difference between the two groups in terms of mean total QOL score (p = 0.87). However, immediately after the intervention (p = 0.02) and 1 month after the intervention (p < 0.001), the overall mean QOL score was significantly higher in the intervention group than the control group.Conclusions:Based on the findings, computer games seem to be effective as a tool in influencing health-related behavior and improving the QOL of children undergoing chemotherapy. Therefore, according to the findings of this study, computer games can be used to improve the QOL of children undergoing chemotherapy.
Objective Given the importance of having knowledge on the hemovigilance process in nursing care, the present study was conducted to investigate the effect of the hemovigilance education on nursing students’ knowledge using a conceptual map. The current research was a semi-experimental study. Methods The samples consisted of 60 nursing students who were selected based on the inclusion criteria using the census sampling method. Thereafter, these participants were randomly assigned into the two groups: experimental and control groups. The required data were collected before, immediately after, and 1 month after the education using the hemovigilance knowledge questionnaire. Accordingly, the validity of this questionnaire was confirmed, and its reliability using the Cronbach's alpha coefficient was reported as 0.83. The education process was conducted during a 4-week period. Thereafter, the collected data were analyzed using descriptive and inferential statistics by SPSS v25. Results The results reveal that a significant difference existed between the knowledge scores of students in the experimental group compared with that of the control group during different times (including before, immediately after, and 1 month after the education) (P < 0.0001). Of note, hemovigilance education had a significant effect on the students’ knowledge (P < 0.0001). Conclusions Due to the effect of the hemovigilance education on the students’ knowledge and by applying the conceptual map in the easy transfer of the educational concepts, it is recommended that the results of the present study be used to strengthen the theoretical and clinical education of nursing students.
Background As the public health problems, accidents are the most important causes of child mortality. The present study aimed to determine the effect of educational intervention based on health belief model on accident prevention behaviors in mothers of children under 5-years of age. Methods This quasi-experimental study was conducted on 200 mothers in Fasa city who were purposefully selected and randomly divided into two groups of intervention and control. Data collection tools were demographic characteristics and health belief model questionnaire. Questionnaires were completed twice before and 3 months after the intervention. After the pre-test, the educational intervention was performed through 6 sessions of 30–35 min in a WhatsApp group. Data were analyzed using SPSS 22 through Chi-square test, independent t-test and paired t-test (p = 0.05). Results The mean age of mothers in the experimental and control groups was 30.14 ± 4.35 and 31.08 ± 4.31 years. Mean score of awareness, perceived sensitivity, perceived severity, perceived benefits, perceived self-efficacy, cues to action, and accident prevention behaviors significantly increased 3 months after the intervention. Conclusion This study showed the effectiveness of educational intervention based on health belief model on accident prevention behaviors in mothers of children under 5-years of age.
Introduction: A specific model and process of nursing care for patients with COVID-19 has yet to be developed. However, nurses are navigating how to care for patients and themselves in a novel and stressful work environment. A care process is needed that promotes effective nursing for patients’ health and well-being. Objective: This study aimed to explore the current nursing care process for patients with COVID-19. Methods: The present qualitative study used a grounded theory approach. Participants included 23 nurses working in a hospital COVID-19 ward who were selected through purposive sampling. Semi-structured interviews were conducted with nurses, and data were simultaneously analyzed using MAXQDA software to code the data. Grounded theory with a storyline approach was used to categorize codes to elucidate themes from interviews and check for data saturation. This consists of several steps, including open coding, developing concepts in terms of their properties and dimensions, analyzing data for context, bringing the process into the analysis, and integrating categories. Results: Data analysis revealed seven main categories to describe nurses’ conceptions of the care process for COVID-19 patients: ‘patients’ complicated condition’, ‘severe nursing staff shortage’, ‘nursing professionalism’, ‘treatment team collaboration’, ‘work and environmental pressure’, ‘efficacy of care’ and ‘care deficit’. The category of ‘nursing professionalism’ was determined to be the core concept that nurses used to describe their care process. Conclusion: Though nurses think highly of their efficacy of care for patients with COVID-19, they face many challenges in their care process that lessen the care they are able to provide for patients and themselves. These include the complex health status of patients, shortage of staff, environmental stresses such as becoming infected, and lack of resources in the hospital. The results of the present study can be used for planning in various fields of nursing, including management, education and clinical training.
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