|
|
|
 |
Search published articles |
 |
|
Jasmen Shahnazari,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.This paper introduces important points on nursing care of dying patients. Background.Death is part of the human life process. Statistics show that the most common causes of death in America are cardiovascular diseases and cancer. Definition of death, nursing care for dying patients and its importance have been the focus of many studies. Method.This paper reviews the subject death and dying patients, and introduces nursing care and ethical points to be considered for these patients. Findings.Dying patients experience different stages from denial to acceptance, and caring these patients in physical and psychological aspects is the responsibility of nurses. Conclusion.When caring dying patients, palliative care must be considered, because other interventions are no longer effective. This care begins from the time a life-threatening condition is diagnosed and continues to recovery or death and grieving.
Nasrin Mehrnejad, Mojdeh Navidhamidi, Mohsen Rezayee Hemami, Tahereh Ganji, Maryam Ardeshiri, Pooran Fathi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim.The aim of this study was to examine the effect of family presence at the bedside on serum cortisol levels and physiological indexes increasing in stressful situations. Background.Family has a significant role inrecoveryof patients. Stress andanxiety are perceived reasons for limiting visitation in critical care units. Method. This was an interventional study performed in intensive care units of three teaching hospitals in Tehran, Iran. Thirty and six blood samples of 18 patients were taken for measuring serum cortisol level and physiological indexes during their admission in the critical care settings with restricted visitation. The samples were taken, before family presence and then, one hour after visitation. Simultaneously, blood pressure and heart rate were recorded. The blood samples were immediately centrifuged and plasma stored at 200C until laboratory measuring. Total serum cortisol level was measured using electrochemiluminescence method. Data were analyzed using SPSS version 21. Findings.Therewasnostatistically significant difference inserumcortisol levels(P=0.70), systolic blood pressure(P=0.93), diastolic blood pressure (P=0.98), and heart rates(P=0.60), before and after visitation. Conclusion: Family visitation doesn't cause stress. Unlike some common belief about relationship between family presence and stress in patients, it can be concluded that family visitation can be permitted, if patient desires.
Mona Alinejad-Naine,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This paper reviews various positions for neonates admitted to Neonatal Intensive Care Unit (NICU), describes benefits and disadvantages of each position and suggests a clinical guideline to improve development. Background. It has been known that development of active muscle tone begins at 36 weeks gestation, when the baby achieves a postural state known as physiological flexion. Premature babies suffer from low muscle tone because they have missed out on some or all of the substantial stages of muscle tone development in the uterus. Without appropriate intervention these babies may experience head flattening and cranial molding. Without support, gravity causes preterm babies shoulders and hips flatten onto the bed, often called ‘frog leg position’ and ‘W arm position’. This can result in inappropriate or delayed development and mobility challenges including the inability to crawl, stand, walk and problem in fine motor skills such as hand-mouth co-ordination. Method. In this literature review, papers published during the last 15 years, were searched out through search engines and data bases: Science Direct, Google Scholar, Ebsco, Pub Med, Ovid, Proquest based on which 16 papers about neonatal positioning during nursing care were selected. Also, three neonatal textbook were used. Result. One of the earliest neurodevelopmental strategies in the NICU is therapeutic positioning. Positioning of premature infant is an essential neonatal nursing care. These positions are supine, prone, side-lying, and head up tilted position. Many studies have shown that a variety of outcomes can be affected by different body positioning of premature infants. Every position has its own advantages and disadvantages, so each infant should be individually assessed and positioned according to condition, preferences and behavioral cues. Position changes should be slow and steady, so that the infant doesn’t become distressed and dislodgement of invasive and monitoring equipment can be avoided. Whenever possible, an infant should be touched gently and talked to before changing their position. Conclusion. It is necessary to ensure that preterm and sick neonates receive individualized positioning appropriate for their musculoskeletal development in order to minimize complications. Infants receiving developmentally supportive care have been demonstrated better medical outcomes including shorter duration of mechanical ventilation and supplemental oxygen support, earlier oral feeding, and shorter hospitalization.
Masoumeh Zakerimoghadam, Shahrzad Ghiasvandian, Pegah Salahshoor, Anooshirvan Kazemnezhad,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This study was conducted to examine the effect of supportive nursing program on depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery. Background. patient’s family members experience high levels of depression, anxiety and stress during coronary artery bypass graft surgery. Informational and emotional support of family members during surgery may have significant effect on reducing their psychological distress and enabling them to better support of the patient. Method. This semi-experimental study was conducted on 104 relatives of patients. They were recruited in the study with regard to the inclusion criteria and assigned to either experimental (n=52) or control (n=52) group. The experimental group received supportive nursing program including informational and emotional support. The control group only received routine interventions. Data were collected by demographic form and modified Depression Anxiety and Stress Scale (DASS). The data were analyzed by Chi-squire and T-test using SPSS software, version 21. Findings. There were no statistically significant differences between control and intervention group regarding the mean scores of depression, anxiety and stress before surgery. After intervention (at the end of surgery) experimental group reported significantly lower levels of depression, anxiety and stress (P<0.0001). Conclusion. According to the finding, supportive nursing program could reduce depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery so, we suggest this program as an effective intervention to support family members during coronary artery bypass graft surgery.
Tahereh Najafi Ghezeljeh, Maryam Shahidi,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim.The aim of this paper is to review studies related to self-care education and quality of life improvement in patients with hypertension. Background. Hypertension is one of the greatest health problems in the world and also, one of the major risk factors for cardiovascular disease. One of the main aims of health care is improving quality of life. Self-care education can improve the quality of life. Due to the need for recognizing trend of studies related to self-care education and quality of life in patients with hypertension, conducting literature review in this field is necessary. Method. This article reviews the studies published during the recent 15 years regarding self-care education and quality of life in patients with hypertension that were searched out through scientific databases, including Science Direct, PubMed, Cochrane, Medline, SID, Scopus, CINAHL, OVID, Iran Doc, and Magiranby the keywords “self-care educational program”, “quality of life”, and “hypertensive patients” and their Persian equivalents. Result. The literature review revealed that few studies have examined the effectiveness of training programs on the quality of life in patients with hypertension. Results showed that patients with hypertension have low quality of life. In some studies, different educational methods were used in an attempt to improve the clinical outcomes of patients and some of these self-care educational programs had positive effects on the quality of life. Conclusion. The quality of life in patients with hypertension is low. Therefore, because of the importance of quality of life improvement and due to the limitations of the studies, it is essential to conduct further research to investigate the effect of self-care educational program on quality of life in patients with hypertension.
Seyede Halime Kamali, Masoomeh Imanipour,
Volume 5, Issue 3 (12-2016)
Abstract
Abstract
Aim. This study was designed to determine complications experienced by family members of patient admitted to intensive care units and to identify related factors.
Background. Family is the most fundamental social community and has a basic role in human health. An acute illness of a family member and admission in critical care unit is considered as a stressful event resulting in some problems and undesirable outcomes for other family members.
Method. This review study was done in a systematized manner and based on library literatures. To do this, the articles published on family of critical patients during 2004-2016, searched out in different Farsi and English databases using keywords of "patient's family", "critically ill patient", "and family need". After screening articles according to inclusion criteria, 20 related articles were reviewed and analyzed.
Findings. Admission of patients in critical care unit cause some negative reactions and complications in their family in the form of physical and psychosocial disorders. These undesirable outcomes are related to different reasons usually related to patient’s caring method and the manner of interaction with family members.
Conclusion. In general, following admission of one of family member in critical care unit, the family encounters a crisis, loses its functions and experiences some problems. Based on this, nurses, as the main pillar of care delivery system, should be responsible about patients’ family, pay attention to their needs and support the family though developing a family-center care plan.
Mohammadreza Jani, Mohammadreza Razm-Ara, Mojgan Safapoor, Soheila Miralijani, Fatemeh Miri,
Volume 5, Issue 4 (3-2017)
Abstract
Abstract
Aim. This study was conducted to determine the effect of education on quality of life in people with unstable angina in Qa'en, Iran.
Background. Cardiovascular diseases are the most prevalent and important cause of death all over the world, which affect the patients' quality of life. These diseases create many problems for patients and a lot of cost for the society.
Methods. This study was an experimental study with pretest-posttest design and control group which was conducted on 60 patients in the cardiac care unit Shohada hospital located in the city Qaen, Iran in 2015. The recruited patients were divided randomly into control and intervention group. During 3-6 sessions of face-to-face training (1-2 sessions per day) lasting between 15-20 minutes, screenshots (in PowerPoint software) were used and the participants questions were abswered. The quality of life of the patients in both groups were measured at two stages, before education (for intervention group) and one month later. The instruments were demographic and quality of life questionnaires (SF36). Data were analyzed in SPSS, version 20.
Findings. There were a statistically significant difference between the groups in terms of the mean scores of quality of life in the following dimensions: general health (p=0.02), physical function (p=0.003), role limitation due to physical health (p=0.05), energy fatigue (p=0.01), emotional well-being (0.004), pain (p=0.007), and total quality of life (p=0.02) .
Conclusion. Education can be a useful method for improving quality of life in people with unstable angina patients.
Tahereh Najafi Ghezeljeh, Mehdi Nasr Esfahani, Sanaz Sharifian,
Volume 6, Issue 1 (6-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of self-management training and follow-up with phone calls or mobile social network on the blood pressure of people with hypertension.
Background. Hypertension is one of the main causes of preventable death worldwide, and self-management training and follow-up is of particular importance in these patients.
Method. This randomized controlled clinical trial was conducted on 100 patients with primary hypertension referred to AL-Zahra hospital, Isfahan, Iran in 2016. The patients were recruited through convenience sampling and were allocated by blocking randomization into four groups, control group, “self-management education without follow-up” group, “self-management education by social network follow-up” group (education and weekly follow-up for 6 weeks) and “self-management education by telephone follow-up” group (education along with weekly calls for 6 weeks). Data were collected before and 6 weeks after intervention. The data were analyzed using Chi-square test, ANOVA, and paired t-test in SPSS, version 16.
Findings. After intervention, the study groups were significantly different in terms of blood pressure (P ≤0.0001). According to Scheffe post hoc test, intervention groups (with and without follow-up) had a statistically significant difference regarding to the blood pressure when compared with compared with the control group (P≤0.0001). Scheffe post hoc test results showed that three interventions (education without follow-up, education with telephone follow-up and education with social networks follow-up) did not differ in terms of effect on systolic and diastolic blood pressure.
Conclusion. Self-management training and follow-up by telephone or mobile social network were effective on the blood pressure of people with hypertension. Nurses can take a positive step towards improving the management of hypertension with a comprehensive patient education and follow-up.
Mohammadreza Jani, Mohammadreza Razmara,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. The aim of this study was to determine the relationship between quality of life and demographic characteristics of people with angina pectoris in Shohada Hospital in Qaen city, Iran in 2014.
Backgrounds. Cardiovascular disease is the most common cause of death in most countries around the world, including Iran, and also, it is the most important cause of disability. Cardiovascular disease is one of the most preventable non-communicable diseases. Quality of life in heart disease is associated with inappropriate changes, as several factors contribute to improving the quality of life of these patients..
Method. This cross-sectional correlational study was conducted on 240 individuals with angina pectoris in the CCU and Post-CCU wards of Shohada Qaen Hospital, Qaen, Iran, from April to December 2014. The sample were recruites by census method and the SF-36 tool was used to assess the quality of life. The questionnaire was completed by interviewing patients. Data were analyzed in SPSS-20, using Mann-Whitney and Kruskal-Wallis tests.
Findings. The mean score of total quality of life was 61.74±22.49, indicating good quality of life. The findings showed that the age was significantly related to the role disorder due to emotional health (P=0.034), energy/ fatigue (P=0.001) and general health (P=0.004) domains of quality of life. The gender was significantly related to the role disorder due to emotional health (P=0.008), energy/ fatigue (P=0.01), social function (P=0.003) and general health (P=0.04). The marital status was significantly related to the physical function (P=0.032), and energy/ fatigue (P=0.04). Finally, a statistically significant relationship was found of education level with energy/ fatigue (P=0.007) and general health (P=0.001).
Conclusion. The use of appropriate care approaches, including educational programs is suggested for people with angina pectoris in order to improve their quality of life.
Nasim Naderi, Yasaman Khalili, Ali Ansarifar, Behshid Ghadrdost, Afsaneh Bakhshi,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to determine the effect of supportive interventions on resiliency components and quality of life among family caregivers of people with advanced heart failure.
Background. Advanced heart failure is a costly, progressive and chronic disease that reduces resilience and quality of life among family caregivers.
Method. In a randomized clinical trial study that was conducted as a before-after design with control group and follow-up one month after intervention. One hundred family caregivers of people with advanced heart failure, admitted to Shahid Rajaie Cardiovascular and Medical Research Center, were randomly assigned into experimental and control group. The family support interventions package included participation in group training workshops for 6 sessions (2 sessions/week in three consecutive weeks) for the experimental group. Resilience Scale (Connor-Davidson) and Quality of Life (SF-36) questionnaire were used to collect the data, before, after and one month after intervention. Data were analyzed in statistical software SPSS 23 using statistical tests related to the distribution of variables including Chi-square, Fisher, Wilcoxon and Mann-Whitney test, and independent and paired t-test.
Findings. At baseline, the mean score of resilience and the overall score of quality of life showed no statistically significant difference between the groups. After intervention, there was a statistically significant difference in terms of the mean score of resilience between the experimental (64.06±11) and control (48.34±16.23) group (P<0.05). Also, the overall score of quality of life after intervention was statistically significant between the experimental (70±12.91) and control (50.82±17.73) group (P<0.05). The results of paired t-test showed that one month after the end of the intervention, in the experimental group, the mean score of resilience (63.08 ± 10.15) and the overall score of quality of life (69.82±12.70) remained constant, indicating the sustainability of the effect of interventions after one month (P>0.05).
Conclusion. As part of a holistic program, the results of this study can be a guide to setting up a centralized unit for the education and support of family caregivers of people with chronic heart disease, a unit in which, in addition to social support and mental health education, their needs in terms of knowledge of the disease and participation in the care of their patients would be met.
Anolin Aslan, Maryam Esmaeili,
Volume 7, Issue 2 (9-2018)
Abstract
Abstract
Aim. The purpose of this study was to review the patient– and family-centered care studies in coronary artery bypass graft surgery.
Background. Nowadays, the length of hospital stay after cardiac surgery is reduced, and the most of the patients recover at home with their families without usual nursing and medical care. It is necessary to provide the care based on the same needs.
Methods. This is a comprehensive review of literature published between 1990-2018 about patient- and family-centered care interventions and patient/family important outcomes in adult ICUs that was conducted through searching out databases and search engines Medline, Ovid, Science Direct, PubMed and Google scholar, including English and Persian papers. In total, 73 English papers and 46 Persian papers were found, out of which 25 papers were included in this review.
Findings. Engaging families in patient care can profoundly influence clinical decision making and patient outcomes. Yet in many hospitals and health care systems, outdated visiting policies separate families and other loved ones during hospital stays.
Conclusion. Patient– and family-centered care is associated with better clinical outcomes. The clinical benefits that have been identified through a family partnership approach in these settings include decreased mortality, increased satisfaction, improved adherence to treatment regimens, and decreased readmission rates. Although high-quality interventional studies are needed to further evaluate the effectiveness of patient- and family-centered care in coronary artery bypass surgery, it is obvious this movement in healthcare is making a huge impact on family satisfaction and patient outcomes.
Shiva Khaleghparast, Sadegh Heydarpoor, Mahmud Salesi, Mohamadziae Totonchi, ,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. The purpose of this study was to examine the effect of peer education on the anxiety - of post Coronary Artery Bypass Graft patients and caregivers
Background. Patients undergoing coronary artery bypass surgery experience moderate to high anxiety, which has also been reported among their family members. Studies have shown that educating patients and their family caregivers has in many cases reduced their anxiety. Peer education and research on the effect of peers is of great importance in promoting therapeutic and caring goals.
Method. This randomized clinical trial study was performed in year 2018 in surgery wards of Rajaee Cardiovascular Medical and Research center. In this study, 60 family caregivers of patients undergoing coronary artery bypass graft surgery and their respective patients were recruited at the time of discharge from intensive care unit and entering into the surgical ward. The subjects were randomly assigned to experimental and control group. Data collection tools included demographic information questionnaire and Spielberger's "State and trait anxiety" form. Initially, patients' family caregivers who were selected as peers were trained by the researcher in three stages. Before visiting the patients by family caregivers, their anxiety and also, patients' anxiety was measured in both groups. Thereafter, the patients’ family caregivers in the control group received routine training, and the patients' family caregivers in the experimental group received peer training in two sessions by their peers. In the third step, the anxiety of patients and their family caregivers in both groups were measured on the second and fifth days after intervention. The data were analyzed in SPSS 20 software.
Findings. Before intervention, the mean scores of anxiety in the experimental and control groups were not statistically different in both patients and their family caregivers, and the mean anxiety scores in both groups were moderate to high. After intervention, the mean score of anxiety in the experimental group was significantly lower than the control group (P≤0.0001). Also, in the second and fifth days after the intervention, there was a significant difference between the experimental and control groups in the mean score of anxiety of the patients and their family caregivers (P≤0.0001).
Conclusion. Peer education seems to reduce anxiety in patients and their family caregivers after discharge from ICU. It is suggested that peer education be used as effective and low cost education to reduce patient and family caregiver anxiety.
Behnam Yari-Bajelani, Shiva Khaleghparast, Mohammad Imanipour, Ziae Totonchi, Ali Gholami, Sana Shahrabadi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to examine the effect of open visiting hours on sleep quality, anxiety, and satisfaction of patients undergoing coronary artery bypass graft surgery (CABG).
Background. The importance of visiting patients after CABG has been emphasized in various studies, but there is insufficient evidence to confirm whether restricted /open visits may have more positive or negative effects than each other.
Method. In this clinical trial study, 60 post-CABG patients, admitted to Shahid Rajaei Cardiovascular, Medical and Research center, were randomly selected and divided into experimental (n=30) and control group (n=30). Patients in experimental group received an open visiting schedule (free visiting) and those in control group experienced a regular visiting schedule (restricted visiting). Anxiety was measured on the second and fourth days of hospitalization by the Spielberger Anxiety Inventory (STAI), sleep quality was measured by Richard Campbell and satisfaction was assessed through researcher-made questionnaire on the fourth day of hospitalization. Data were analyzed using independent t-test in SPSS-20 software.
Findings. There was a statistically significant difference between control and experimental groups in terms of anxiety mean score (43.97±6.76 against 35.90±4.31, respectively) (p≤0.0001). There was also a statistically significant difference between control and experimental groups in terms of mean score of patient satisfaction (46.13±7.15 vs 32.23±4.67, respectively) (p≤0.0001). A statistically significant difference was found between control and experimental groups in terms of sleep quality mean score (2.33±0.8 vs 3.33±0.75, respectively) (p≤0.0001).
Conclusion. Open visiting can reduces anxiety, and improves sleep quality and patients' satisfaction after CABG.
Behnaz Barbod, yasser yasser Rezapour Mirsaleh, Azadeh Choobfroushzadeh, Jalil Mirhosseini, Fahimeh Koohestani,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The present study aimed to investigate the effect of spousal support and companionship intervention on quality of life, marital intimacy and stress of cardiovascular patients.
Background. Supportive care and attention to the psychological factors along with medical care in people with heart disease can help therapies to be more effective. Providing an appropriate emotional atmosphere in the family, along with attention to medical care such as medication and diet control, is one of the supports that people with heart disease can receive after coronary artery bypass graft surgery (CABG).
Method. This study was a semi-experimental research which was based on multiple baseline single-case study. The sample included 2 married male patients who had CABG and their wives which were selected among those referred to cardiac rehabilitation centers of Yazd City, Iran. The participants received 8 sessions of spousal support and companionship intervention. The participants answered to the questionnaires quality of life; stress, anxiety and depression; and marital intimacy, before, during, at the end and one month after intervention. The data were analyzed using visual analysis, improvement percentage and reliable change index.
Findings. Spousal support and companionship intervention increased the quality of life and decreased stress of patients, after intervention and in follow-up phases, but the patients’ marital intimacy did not change significantly after intervention.
Conclusion. The quality of life and stress of patients may be improved if the wives appropriately support and accompany their husbands after CABG.
Ensieh Ghatee, Narges Sadeghi, Mehrdad Azarbarzin,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. The aim of this study was to compare hope and anxiety between adolescents with a parent with chronic heart disease and adolescents with a parent with type 2 diabetes.
Background. Chronic illness in parents is associated with developing problems such as decreased hope and anxiety for children.
Method. The present study was a descriptive cross-sectional comparative study in which 120 adolescents either with a parent with chronic heart failure or with a parent with diabetes type 2 were recruited by convenience sampling. Schneider's hope scale and Beck anxiety questionnaire were used to collect the data. Data were analyzed using descriptive and inferential statistics in SPSS software version 24.
Findings. The total hope score in adolescents with parents with chronic heart failure and adolescents with parents with type 2 diabetes was respectively 28.70±5.01 and 31.40±4.20. Sixty percent of adolescents with a parent with chronic heart disease had the lowest anxiety level, 25 percent experience mild anxiety, 10 percent reported moderate anxiety, and 5 percent experience severe anxiety. Ninety and five percent of adolescents with parents with diabetes showed the lowest anxiety, 3.3 percent experienced mild anxiety and 1.7 percent reported moderate anxiety.
Conclusion. Adolescents with a parent with chronic heart disease have significantly higher levels of anxiety than adolescents with a parent with diabetes type 2, and there is a significant difference between their overall hope score. Because anxiety and hope can affect all aspects of a person's life, therefore, the implementation of educational and behavioral interventions to improve anxiety and hope is recommended.
Mona Alinejad-Naeini, Farshad Heidari-Beni,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This review study explores cardiovascular changes in preterm neonates during the transition from intrauterine to extrauterine life, respective challenges, and nursing care during this period.
Background. The transition from intrauterine to extrauterine life requires well-regulated and complex biochemical, physiological, and anatomical changes to ensure the survival of the neonate. Compared with term neonate, transition for a preterm neonate occurs over a longer period of time. Careful assessment and timely intervention by health care providers is pivotal to help the preterm neonate adapt to extrauterine life.
Method. This review study was conducted through systematic and focused searching out for literature published between 2000 and 2020 in database/ search engines Google Scholar, Web of Science, PubMed, Scopus by the selected keywords Transition, Extrauterine life, Preterm neonate, Nursing care and their Persian equivalents.
Findings. Twenty six English articles and two books about neonate related to the topics of transition to neonatal extrauterine life, challenges and respective nursing care were found. Findings were organized into five thematic category: immature myocardium, blood circulation, patent ductus arteriosus (PDA), hypotension and hemodynamic instability.
Conclusion. Comprehensive hemodynamic monitoring and skillful clinical evaluation, and wise judgment are recommended for better management of complex transition phenomena in preterm neonates. Management protocols should be developed for transition period in preterm neonates.
Narges Shojaei Kalatebali, Aliakbar Samari, Mahdi Akbarzadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of couple therapy with well-being therapy method on depression, marital life quality, optimism and social well-being in patients with cardiovascular disease.
Background. Patients with cardiovascular disease experience many problems in their marital life and health, and one of the effective methods for improving the characteristics of marital life and their health is possibly the couple therapy with well-being therapy method.
Method. This study was a semi-experimental pretest- posttest study with control group. The study population was patients with cardiovascular disease referred to Javad Al-Aeme Cardiovascular Hospital in Mashhad city, Iran, in 2021. Thirty patients and their couples were recruited by purposive sampling method based on inclusion criteria and allocated to experimental (n=15 couples) and control (n=15 couples) group by simple random sampling. The experimental group received 8 sessions of 90-minute duration (two sessions per week) couple therapy with well-being therapy method and during this period the control group did not receive any intervention. Data were collected through the self-reported questionnaires of depression, marital life quality, optimism and social well-being and analyzed by Chi-square, independent t-test and multivariate analysis of covariance in SPSS-19 software.
Findings. The findings showed that the experimental and control groups were not significantly different in terms of education, gender, age and duration of cardiovascular disease. Before intervention, there was no statistically significant difference between groups in terms of the mean scores of depression, marital life quality, optimism and social well-being, but after intervention, a statistically significant difference was groups between experimental and control group in the mean scores of all four variables (P≤0.0001). The couple therapy with well-being therapy method led to reduced depression (F=192.046, P≤0.0001) and increased marital life quality (F=329.770, P≤0.0001), optimism (F=230.267, P≤0.0001) and social well-being (F=359.558, P≤0.0001) in patients with cardiovascular disease.
Conclusion. The results of this study indicated the effect of couple therapy with well-being therapy method on reducing depression and increasing marital life quality, optimism and social well-being in patients with cardiovascular disease. Health professionals and therapists can use this method to improve the characteristics of marital life and those related to health.
Marzee Eskandari Hesari, Faezeh Sahbaeiroy, Jamile Mohatshami, Maryam Moradian,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to design and examine the psychometrics of post-traumatic stress disorder tool for children undergoing heart surgery
Background. Heart disease is one of the most important health issues and traumatic events that cause great harm to children, one of which is the experience of surgery. Therefore, we need a standard tool to assess post-traumatic stress disorder in children.
Method. In this methodological study, researchers compiled a questionnaire for measuring post-traumatic stress disorder in children undergoing heart surgery. The questionnaire was provided to 10 experts to examine the validity. In the next step, 40 items, revised by experts, were examined for construct validity and reliability based on the responses of 200 children 12-18 years old to questionnaire. The data were analyzed in SPSS version 24 and LISREL version 10.
Findings. After preparing the draft, the questionnaire was given to 10 experts to determine face and content validity. For face validity, the impact score of the items was computed and due to similar meaning of some items they were merged. In order to determine the content validity, two indexes of content validity ratio (CVR) and content validity index (CVI) were considered. According to Lauche's table, items with a content validity ratio less than 0.62 were excluded (7 items), items with a content validity ratio greater than 0.79 were accepted, and items with a content validity ratio between 0.70 and 0.79 were revised. In the construct validity stage, to ensure the sufficient sample size, the Kaiser-Meier-Elkin (KMO) test was performed and the results of Bartlett's Sphericity test were significant (P≤0.0001). Finally, exploratory factor analysis was performed with Varimax rotation on 40 items, and 7 items with a factor loading of less than 0.4 were removed, and in the end, 33 items remained. To determine the reliability of the questionnaire using the internal consistency method, Cronbach's alpha of the questions were computed and it was above 0.80 for all items. The test-retest results confirmed the significant relationship between the pre-test and post-test scores in 7 factors of the questionnaire (P≤0.0001).
Conclusion. In order to achieve more accurate results in research, it is necessary to use valid and reliable tools. The results of this study showed the strength of the factor structure and acceptable reliability of the post-traumatic stress tool for children undergoing heart surgery. The tool designed in this study is valid and reliable and can be used to determine post-traumatic stress in children undergoing heart surgery.
Maryam Bagholi Kermani, Mohsen Golparvar, Masoumeh Sadeghi, Hamid Athashpour,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of narrative couple therapy, couple schema therapy and integrative behavioral couple therapy on hope and perceived stress among patients with coronary artery disease and their spouses.
Background. Coronary artery disease is one of the heart diseases that can make couples face problems and need help.
Methods. This research was a semi-experimental study with a pretest and posttest design and with a control group. The statistical population was people with coronary artery disease and their spouses in the winter of 2021. Sixty four couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (16 couples for each group). Hope scale of Snyder and perceived stress of Leung et al. were used to assess dependent variables in two stages. The three intervention groups were each treated for 8 sessions of 90 minutes and the control group did not receive any intervention. The data were analyzed by analysis of covariance and post-hoc Bonferroni test.
Findings. The results showed that there was a statistically significant difference of integrative behavioral couple therapy and couple schema therapy with the control group in terms of hope (P≤0.0001), but there was no statistically significant difference between the narrative couple therapy and control group and between three interventions. About the perceived stress, the results showed that there was a statistically significant difference of integrative behavioral couple therapy, narrative couple therapy and couple schema therapy with the control group (p≥0.05).
Conclusion. Considering the effect of integrative behavioral couple therapy and couple schema therapy in increasing hope and effect of the mentioned two interventions and narrative couple therapy in reducing perceived stress among people with coronary artery disease and their spouses. It is recommended to use these interventions in cardiovascular treatment centers.
|
|
