Purpose
As the aging population increases steadily, the demands for specialized nurses and geriatricians willing to work in geriatric settings will probably explode. Accordingly, the medical sciences ...students’ attitude toward older adults and their willingness to work with them must be determined. This study aims to determine the medical sciences students’ attitude toward older people and its relationship with their willingness to work with this population. In addition, it sought to determine the variables that could predict students’ attitudes toward the elderly.
Design/methodology/approach
A cross-sectional design using a stratified random sampling method was used to recruit a sample of 305 Iranian medical sciences students with a response rate of 97.4%. The instruments for data collection were composed of three parts: socio-demographic characteristics of participants, Kogan’s Attitudes toward Old People Scale and the Willingness to Work with Elderly People Scale (WEPS). Data were analyzed in SPSS version 23 (IBM SPSS statistics 23.0).
Findings
The participants’ mean (SD) age was 22.95 (2.53). Most of them (69%) were women, and 51% were nursing students. The findings showed that 70% of students had a slightly positive attitude toward the elderly and only 12.8% of them declared geriatric setting as their workplace preference in the future. Experience of volunteering activities with elders, WEPS score, workplace preference after graduation and gender were the predictors of medical science students’ attitudes toward the elderly.
Originality/value
This paper further develops previous research on the attitudes of Iranian medical sciences students toward older adults.
Abstract Introdoction and Aim: This study was conducted to determine the role of stressors in the prediction of procrastination and academic burnout among the nursing students of Ilam University of ...Medical Sciences. Materials and Methods: This study descriptive - correlational study was conducted on 150 nursing students who were selected using random sampling method. The data collection tool consisted of studentship stressors, procrastination assessment scale and the academic burnout scale. Results: The results showed a significant positive correlation (p<0/5) among all components of stressors and its total score with procrastination and academic burnout dimensions and its total score. on the whole, the increase in each of the studentship stressors, including learning environment, educational condition, graduation and dormitories as well as all of them altogether led to the increase in the amount of procrastination, academic burnout and its dimensions including emotional exhaustion, apathy and educational inefficiency. Conclusion: The results showed that the studied variables are able to predict procrastination and academic burnout in students. As much as the scores of stressors related to educational condition, educational environment, graduation and dormitories were added, the scores of procrastination and academic burnout increased. Key words: stressors, procrastination, academic burnout, nursing students
Whilst self-care programme involving comprehensive lifestyle plans including physical and behavioural interventions have reported positive outcomes for the aged suffering from urinary incontinence ...(UI), very few programmes have been implemented amongst Iranian nursing home residents, particularly in men.
The aim of this study was to examine the effect of a self-care programme on UI and self-esteem in elderly men dwelling in nursing homes in Iran.
Sixty-one elderly men (aged 60-75 years of age), at two different sites and living in nursing homes in the west of Iran, suffering from urinary incontinence were included in this study. Participants were selected using convenience sampling based on selected and randomized criteria in experimental and control groups. Data collection tools included Mini-Mental State Examination (MMSE), Rosenberg Self-Esteem Scale Questionnaire (RSES), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and demographic information form. Data were analysed using SPSS vesion18 (SPSS Inc., Chicago, IL).
A significant decrease in the mean scores of ICIQ-SF in the experimental group compared with the control group following intervention (p < .001). Furthermore, a significant increase was observed in self-esteem in the experimental group compared to the control group (p < .001).
The study findings demonstrate that the self-care programme significantly reduced UI in elderly men living in nursing homes, and that this in turn contributed to boosting their self-esteem. Implementing such an intervention has shown to be useful in managing both UI and improving self-esteem in this patient population.
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DOBA, FSPLJ, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Background:
Even though kidney transplantation has better outcomes compared to dialysis therapies, some patients undergoing peritoneal dialysis (PD) refuse to consider kidney transplantation. ...Identification of the underlying reason for patient refusal may improve patients’ acceptance of kidney transplantation.
Aim:
The aim of this study was to describe the reasons given by Iranian PD patients for refusing kidney transplantation.
Method:
Eighteen patients undergoing PD participated. Data were collected using semi-structured interviews and were analysed using conventional qualitative content analysis.
Results:
The analysis leads to the emergence of two categories and six subcategories: negative outcomes of kidney transplantation (financial burden, psychosocial problems and physical complications) and doubtful factors for kidney transplantation (negative attitudes towards kidney transplantation, long waiting time for kidney transplantation and compatibility of PD with daily life). The financial burden and long waiting time for kidney transplantation were the most important factors in the reluctance of kidney transplantation by PD patients.
Implication for practice:
Patients undergoing PD declined kidney transplantation for several reasons, such as financial burden, fear of post-transplantation side effects, long waiting time for kidney transplantation. Reducing the time of kidney transplantation and insurance coverage of transplant costs can change the attitude of PD patients towards transplant.
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NUK, OILJ, SAZU, UKNU, UL, UM, UPUK
Andropause is a complicated process in men's life which can negatively affect their quality of life in both physical and psychological dimensions.
The aim of this study was to determine the ...prevalence of andropause among Iranian men age 40-85 years and its relationship with quality of life.
This was a cross-sectional study among 393 men attending ten urban healthcare centers in Ilam province in southwestern Iran. Study participants were recruited using proportional random sampling. The Male andropause symptoms self-assessment questionnaire (MASSQ) and SF-12 were used for data collection. Data were analyzed using SPSS version 22 (Chicago, IL).
The mean (SD) of participants scores in MASSQ was 57.46 (17.56). Only 61 (15.5%) men were classified at "don't need testosterone" category based on MASSQ. There were significant associations between the eight aspects of HRQoL and the andropause severity (p < .001). Older age, lower education, having depression, coronary heart disease, and incontinence were associated with increased odds of andropause (p < .05).
This study confirmed findings of previous studies regarding andropause and its relationship with men's quality of life. Future studies in this topic are needed to discover all the factors that may influence men andropause.
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DOBA, FSPLJ, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Background: Healthy aging is an important concept developed by the World Health Organization with the aim of enhancing the health of older adults, highlighting the positive aspects of aging, and ...reinforcing their social roles. Objectives: Since the concept of healthy aging can be interpreted differently by older adults in various societies, this study aimed to explore the perspectives of Iranian older adults regarding healthy aging. Methods: A qualitative descriptive design and content analysis was employed to gather data from 15 purposively selected community-dwelling older adults aged over 60 years in Ilam and Khuzestan provinces, Iran. Semi-structured interviews were conducted and analyzed following Graneheim and Lundman's (2004) content analysis guide. Results: Five main themes and 16 subthemes emerged. These 5 main themes include social participation, mental health, a healthy lifestyle, maintenance of functional ability, and adequacy of economic status. Conclusions: Based on the results, healthy aging is a multidimensional concept. It is recommended that health policy-makers and providers of elderly healthcare services take these factors into account when planning and delivering services aimed at promoting the health of older adults.
Improving the level of care for the elderly with musculoskeletal pain requires pharmacological and non-pharmacological pain control methods. This study aimed to investigate the effect of a ...non-pharmacological pain management intervention on pain intensity and quality of life in community-dwelling older men with musculoskeletal pain who were referred to comprehensive healthcare centers in the city of Ilam, Iran.
A quasi-experimental study with pre and post-test design was performed on 65 older men with chronic musculoskeletal pain. The samples were selected regarding inclusion criteria as available and randomly assigned to either the control (usual care) or the experimental group (educational intervention plus physical exercises). Baseline characteristics of participants, the Visual Analogue Scale, and the CASP-19 Quality of Life were used to collect data. Data were analyzed by SPSS software using the ANCOVA, independent and paired t-test, and chi-square test at the statistically significant level of 5 %.
According to the findings, there was a significant difference between the experimental and control groups in terms of quality of life (p < .05) and pain intensity (p < .05) after the intervention. No relevant differences were found between groups regarding demographic characteristics at baseline.
A six-week physical activity and education program for community-dwelling older men with chronic musculoskeletal pain could improve quality of life and decrease pain intensity after a one-month follow-up compared with usual care. Therefore, it seems necessary to consider pain management programs in the elderly care program and familiarize health care professionals with these pain control methods.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Context: Diseases and accidents bring about the disorder at someone's job insofar as one is not able to return to her/his previous work. These cases are related to the amount of occurred accidents, ...type of disease, and one's job. Aim: The aim of this study was to evaluate the factors that affect return to work (RTW) in cancer survivors using a systematic review and meta-analysis design.Methods: This is a systematic review and meta-analysis study. We searched the PubMed, Scopus, SID, Google, Elsevier, Google Scholar and Web of Science databases using following keywords: Return to work, cancer patients, employment status, cancer survivors from 2002 to 2017. The rate of return to work in cancer patients based on age group and risk factors was calculated using subgroup analysis. Data were analyzed using STATA software (version 11.1). Results: The total sample size was 4675 people with a mean of 668 in each study. The frequency of studies in the world consists mainly of five studies (71.5%) from Europe continent (the Netherlands and Denmark) and two studies (28.5%) from Asia continent (Iran and Japan). The overall rate of RTW estimated at 72% (68%-77%). The percentage of RTW in Asia and Europe was 57% (50%-65%) and 52% (43%-60%), respectively. Surgery had the highest percentage of treatment options in patients with cancer with 46% (25%-68%), followed by radiotherapy and chemotherapy with 37% (29%-46%) and 36% (23%-49%), respectively. Breast cancer and gastrointestinal cancer were the most and less common type of cancers with 36% (19%-54%) and 16% (7%-26%), respectively. Conclusion: The overall rate of RTW estimated at 57%. Nonetheless, the faster diagnosis and regular screening could improve the survival rate of cancer patients and the increase of RTW.
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NUK, OILJ, UL, UM, UPUK, VSZLJ
Patients with hematologic malignancies often experience many emotional reactions which are different based on patient's culture. Indeed culture determines the different ways that patients understand ...cancer. Accordingly, the aim of this study was to determine the relationship of self-esteem and hope among Iranian cancer patients.
This descriptive-correlational study was undertaken among 85 leukemic patients admitted to Shahid Ghazi hospital in East-Azerbaijan province, Iran. They were selected using consecutive sampling method. Persian form of Hearth Hope Index and Coppersmith Self-Esteem Inventory were used to identify patients' hope and self-esteem. The data were analyzed using SPSS version 13.0.
The overall scores of hope and self-esteem were 33.05 (5.24) and 94.61 (11.51), respectively. There was a positive correlation between hope and self-esteem (rs = 0.73, n = 85, P < 0.001).
Although culture determines the different ways that patients understand cancer, but it seems that the self-esteem and hope relationship could be similar in different cultures. The findings of this study indicate that nurses could be helpful through designing and implementing appropriate educational programs in order to enhance hope and self-esteem of leukemia patients.
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