Background: With the high prevalence of chronic diseases such as chronic kidney disease (CKD) and consequently, the increasing number of hemodialysis (HD) patients, providing high-quality care has ...become a health concern in many countries. Therefore, the present study aimed to explore the concept of "qualified care" from HD patients’ and nurses’ points of view. Methods: This qualitative study was conducted using a content analysis approach. A total of 48 patients and nurses in the HD wards were selected through purposive and snowball sampling methods. Sampling continued until data saturation. Finally, a total of 54 interviews were conducted with the participants. The interviews were recorded with the participants’ permission and analyzed using Graneheim and Lundman approach. Results: In this study, 16.7% of the nurses were male, and their mean age was 35.4±7.47 years. Moreover, 50% of the HD patients were male, and their mean age was 53.1±8.6 years. The results of the analysis of the interviews in response to the main question were classified into four main themes including (a) physical care, (b) psychological care, (c) ethical care, and (d) extensive skills and knowledge of the nurse. Conclusion: From the patients’ and nurses’ perspective, empathy and companionship in sessions, fulfilling daily needs, social support, and high-quality dialysis are the components of the concept of care. Therefore, these concepts should be considered in the care programs for HD patients designed by the healthcare team.
Introduction: Patients undergoing hemodialysis (HD) are more vulnerable to mental, physical and spiritual disorders. These disorders may have a significant impact on their treatment process and ...quality of life (QoL). Given the importance of some experiences in these individuals, such as daily spiritual experiences and life expectancy, evaluating their predictive role seems necessary. Objectives: This study was conducted to determine the role of daily spiritual experiences and some demographic variables in predicting the level of hope among HD patients. Patients and Methods: In this cross-sectional study, the predictive role of daily spiritual experiences and some demographic variables in the level of hope in 262 HD patients were evaluated. The demographic variables checklist, the Daily Spiritual Experiences Scale (DSES), and the Adult Hope Scale were employed for data collection. Results: Analysis with multiple linear regression showed that the variables of gender, level of education, duration of diagnosis of renal failure, number of HD per week and daily spiritual experiences predicted 31% of the level of hope changes in HD patients. Conclusion: Nurses and provincial health care providers can help HD patients to promote their spiritual wellbeing and hope. This can be achieved by applying a holistic care approach as well as emphasizing the spiritual aspect of care and its predictive demographic variables.
BACKGROUND AND AIM: Posttraumatic growth following traumas such as chronic illnesses can occur in some people. The psychological factors, such as cognitive emotion regulation (CER), can influence its ...formation. CER is a type of coping strategy that helps to efficiently deal with trauma. Due to the importance of the topic and the lack of sufficient studies on posttraumatic growth and CER in hemodialysis patients, this study aims to investigate the relationship between posttraumatic growth and CER in hemodialysis patients. METHODS: This is a descriptive study performed on hemodialysis patients in Bou Ali and Velayat hospitals in Qazvin. One hundred and sixty-two patients were selected by the convenience sampling method, and Garnefski Cognitive Emotion Regulation Questionnaire (α =0.92) and Tedeschi Posttraumatic Growth Questionnaire (α =0.96) were used. Data were analyzed using Pearson correlation and ANOVA tests. RESULTS: The results showed that the majority of the hemodialysis patients experienced some degree of posttraumatic growth. The participants achieved high scores in the domains of spiritual development and communication with others. Moreover, posttraumatic growth was positively and significantly correlated with CER (r = 0.67, P < 0.001). CONCLUSIONS: Hemodialysis provides the basis for the positive mental reactions known as posttraumatic growth in hemodialysis patients. Nurses and other authorities can use this phenomenon to adapt to illness and care planning.
Background: Appropriate and timely response in urgent situations requires vast knowledge and physical and mental preparedness. Since emergency medical technicians are the first professional ...respondents in the health system, selecting the right people to study in this field is very important. Because there is no specific model in Iran to propose the indicators in the selection of applicants for this field, the present study was conducted to offer some indicators for the admission of prehospital emergency medical students. Materials and Methods: This research was conducted using a mixed qualitative and quantitative approach in three steps: reviewing the relevant texts, meetings of scientific and operational experts, and determining the validity and reliability of the content. After finalizing, the areas and indicators of student selection were used in the interview process of candidates in 2020. SPSS v. 24 software was used for quantitative data analysis. Results: The selection tool for prehospital emergency medical students included 4 areas (with 26 criteria): 1) general qualifications area with 8 criteria (documents concerning degree and identity, written GPA of diploma, entrance exam score, type of diploma, special abilities, working in relief organizations, gaining a scientific-sports position, and interviewing of faculty members); 2) physical health with 7 criteria (height, body mass index, visual health, hearing health, stuttering, organ dysfunction-physical disability, and chronic debilitating diseases); 3) psychological status with 5 criteria (orderliness, responsibility, quick and correct decision making, stress management, and belief in teamwork); and 4) physical fitness with 6 criteria (1600-m run, 45-m speed-run, 4×9 m run, sit-up, long jump, and Swedish swimming in 30 s). Conclusion: Given the vital importance of prehospital emergency medical jobs as the front line of the health system response, selecting the right people will play a significant role in increasing the quality of services provided, increasing patient satisfaction, and ultimately improving health of the community.
Healthcare workers perform various clinical procedures for COVID-19 patients facing an elevated risk of exposure to SARS-COV-2.This study aimed to assess the healthcare workers' exposure to COVID-19 ...in Qazvin, Iran in 2020.
We conducted this descriptive-analytical study among all healthcare workers on the frontline of exposure to COVID-19 in Qazvin province. We entered the participants into the study using a multi-stage stratified random sampling method. We utilized a questionnaire, "Health workers exposure risk assessment and management in the context of COVID-19 disease", designed by the World Health Organization (WHO) to collect data. We analyzed data using descriptive and analytical methods with SPSS software version 24.
The results showed that all participants in the study had occupational exposure to the COVID-19 virus. So of 243 healthcare workers, 186 (76.5%) were at low risk and 57 (23.5%) at high risk of COVID-19 virus infection. Also, from the six domains mentioned in the questionnaire, health workers exposure risk assessment and management in the context of COVID-19 disease, the mean score of the domain of the type of healthcare worker interaction with a confirmed COVID-19 patient, the domain of health worker activities performed on a confirmed COVID-19 patient, the domain of the adherence to infection prevention and control (IPC) during health care interactions, and the domain of the adherence to IPC when performing aerosol-generating procedures in the high-risk group were more than the low-risk group.
Despite strict WHO guidelines, many healthcare workers are exposed at contracting COVID-19. Therefore, healthcare managers, planners, and policymakers can revise the policies, provide appropriate and timely personal protective equipment, and plan for ongoing training for staff on the principles of infection prevention and control.
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Dostopno za:
CEKLJ, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Impaired self-regulation negatively impacts self-efficacy, self-management, blood sugar control, and quality of life among patients with diabetes. Hence, identifying the predictors of self-regulation ...is a necessity for healthcare providers. The current study aimed to determine the predictive role of illness perception in treatment self-regulation in patients with type 2 diabetes.
The current study is a descriptive cross-sectional study. A total of 200 patients with type 2 diabetes, who were referred to the only specialized clinic for endocrinology and diabetes affiliated with Qazvin University of Medical Sciences in 2019-2020, were recruited through a convenience sampling method. For data collection, the brief Illness Perception Questionnaire and the Treatment Self-Regulation Questionnaire were used. Collected data were analyzed by SPSS v21 using a multivariable regression model.
Mean and standard deviation scores of self-regulation and illness perception were 69.11 ± 17.61 and 36.21 ± 7.05, respectively. Results of the multivariate regression model revealed the significant correlations of self-regulation with illness perception, age, cardiovascular complications, diabetic retinopathy, and diabetic foot ulcers.
In this study, participants presented a moderate level of self-regulation. The results also revealed that illness perception could be a predictor of improving patients' self-regulation. Therefore, providing infrastructure programs such as continuous education and appropriate care programs for diabetic patients to improve their illness perception can effectively improve their self-regulation behaviors.
BACKGROUNDNurses have a challenging job and encounter more stressful situations. In response to these situations, they demonstrate adaptive or maladaptive cognitive emotion regulation strategies ...(CERS). As there is a lack of literature regarding the factors predicting the selection of CERS, the present study aimed to investigate the role of age, sex, marital status, working experience, type of ward, and education level in predicting these strategies in Iranian nurses. MATERIALS AND METHODSA descriptive correlational study was conducted to examine predictive factors' emotion regulation strategies used by 193 nurses who worked at six hospitals under the supervision of Qazvin University of Medical Sciences in 2018. The study population were selected by stratified random sampling method. Data were collected by two questionnaires, one demographic questionnaire and the other was Cognitive Emotion Regulation Questionnaire conducted by Garnefski (α = 0.8). Data analysis was performed using correlation and multiple linear regression. RESULTSThe results showed that there is a significant relationship between the "type of ward" and "age" with adaptive and maladaptive strategies. In the multiple linear regression model, two variables of age (P = 0.03) and type of ward (P = 0.04) were able to predict 23% of variance CERS. CONCLUSIONSBased on the results of this study, health-care providers and hospital managers should pay attention to factors related to adaptive and maladaptive CERS.
Introduction: Currently, instead of focusing on negative outcomes of breast cancer, researchers concentrate on potential positive outcomes which refer to post-traumatic growth (PTG). Objectives: The ...aim of this research was to investigate PTG and its relation with the locus of control (LOC) in women with breast cancer. Patients and Methods: The samples in this descriptive, correlational research contained 196 participants with breast cancer, who were referred to an oncology center in Qazvin, Iran. Data were collected using the demographic characteristics questionnaire, PTG inventory, and LOC scale. Pearson’s test was applied to assess the relation between PTG and LOC. Results: The mean PTG score was 61.43 ± 12.06, which indicated some degrees of growth in all the participants. Regarding LOC, the majority of the participants (74.5%) were external and the minority of them (25.5%) were internal. The Pearson’s correlation coefficient demonstrated a significant reverse relationship between PTG and external LOC in the participants (P<0.05; r=-0.253). Conclusion: The significant negative correlation between PTG and external LOC can help health staff, managers, and politicians to enhance the psychological health of women with breast cancer.
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