Vol 4 No 4 (2017): Autumn

Original Article(s)

  • XML | PDF | downloads: 192 | views: 748 | pages: 164-169

    Background & Aim: Nurses’ health due to its direct impact on the society’s health is of considerable importance, which is usually neglected. One of the effective factors on individual’s health is the quality of their sleep. Considering that nurses would work different work shifts, including night shifts, it is possible for them to suffer from sleep disorders. The present was conducted to evaluate the quality of sleep among nurses working at Educational hospitals of Zanjan University of Medical Sciences and its related factors.
    Methods & Materials: The present research was a descriptive cross-sectional study that was conducted at educational hospitals of Zanjan University of Medical Sciences. Nurses working at internal, surgical and ICU departments were evaluated using Pittsburgh Sleep Quality Index. The study had 176 participants. Data were analyzed using SPSS 16 and Chi square test and Spearman correlation coefficient.
    Results: In the present study. 14% of the nurses had a desirable quality of sleep but the quality of sleep in most of the participants (86%) was undesirable. Chi square test showed that the quality of sleep was significantly better among the nurses working at ICUs than nurses working at internal and surgical departments (p = 0.039).
    Conclusion: Most of the participated nurses in the present study had an undesirable quality of sleep, which was worse among the nurses working at internal and surgical departments. This might be due to the heavier workload among the nurses of these departments and the ratio of nurses to the patients.

  • XML | PDF | downloads: 259 | views: 794 | pages: 170-179

    Background & Aim: Spiritual intelligence is one of the important concepts in the field of spirituality and is a requirement for better compatibility at workplace. Having spiritual intelligence has a significant effect on the quality of service providing for patients by the medical staff and this feature is of great importance for the nurses working at intensive care units. The present study was conducted to evaluate the level of spiritual intelligence among nurses working at intensive care units of hospitals affiliated with Tehran University of Medical Sciences.
    Methods & Materials: The present cross-sectional study was conducted in the intensive care units of hospitals affiliated with Tehran University of Medical Sciences using census. 400 nurses working at ICUs and CCUs participated in the study and completed King’s Spiritual Intelligence Self-Report Inventory. Data were analyzed using SPSS software version 16 and descriptive and inferential statistics.
    Results: The mean age of the participants was 33.88 ± 5.927 years. Most of the participants were female (79.8%) and married (51%). The total score of spiritual intelligence was 54.34 ± 1.4 which indicated moderate levels of spiritual intelligence. No significant relation was observed between any of  the demographic characteristics and spiritual intelligence.
    Conclusion: Evaluating and trying for improvement of spiritual intelligence in nurses could increase the possibility of providing spiritual care and increase the quality of care for hospitalized patients at intensive care units and also provide an invaluable inner source to help nurses continue their difficult and stressful job at intensive care units.

  • XML | PDF | downloads: 203 | views: 799 | pages: 180-189

    Background & Aim: Premenstrual syndrome includes physical and psychological symptoms that occur at the end menstrual cycle and exercise is one of the ways to reduce symptoms. The aim of this study was to determine the effect of regular 8-week aerobic exercise program on psychological symptoms of premenstrual syndrome.
    Methods & Materials: This clinical trial study was carried out on 65 dormitory students of Mashhad University of Medical Sciences. The samples were selected using available sampling method and were included in the study if they had premenstrual syndrome. The intervention group performed aerobic exercise for 8 weeks, three times a week and 20 minutes for each session. The control group completed only the questionnaires. The tool was research recorded daily symptoms of premenstrual syndrome. Data analysis was done using SPSS software.
    Results: At the beginning of the study, two groups of control and intervention were homogeneous for demographic variables and psychological symptoms. According to the results of independent t-test, the scores showed after intervention, Among the ten psychological signs of premenstrual syndrome, four signs of anger outbreak (p = 0/01), loneliness (p = 0.04) and irritability (p = 0/01), Mood swings (p = 0.01) difference Has a significant relation with the control group, However, the difference in pre and post scores in the two groups was significant only in the symptom of mood fluctuation (p = 0.02).
    Conclusion: The results of this study showed that eight weeks of aerobic exercise training were effective in reducing the number of psychological symptoms of premenstrual syndrome, Therefore, these exercises may be combined with other therapies for the treatment of psychological symptoms of premenstrual syndrome.

  • XML | PDF | downloads: 263 | views: 823 | pages: 190-202

    Background & Aim: Breast cancer is accompanied with various psychological problems and need for psychological treatment. Therefore, the aim of this study was to investigate the effectiveness of mindfulness-based cognitive therapy on posttraumatic growth, self-management and functional disability among patients with breast cancer.
    Methods & Materials: In a randomized controlled trial with repeated measures design, 20 women with breast cancer were selected among the patients who were referred to the Department of Oncology and Radiotherapy of Tehran Hafte Tir Martyrs hospital using convenience sampling. Participants were randomly assigned into the experimental or control groups. The experimental group received 8 sessions of intervention within two months and the control group did not receive any intervention. Both groups were followed for three months after the intervention. All participants assessed by the Demographic and Disease Characteristics Checklist, Structured Clinical Interview for DSM-5, Posttraumatic Growth Inventory (PTGI), Patient Activation Measure and WHO Disability Assessment Schedule 2.0. Data were analyzed with multivariate repeated measures analysis of variance using IBM SPSS Statistics for Windows, Version 21.0.
    Results: The results showed that Time*Group interaction is significant (F=9.561, p<0.001, Eta square=0.815). In addition, both the Time and Group main effects are significant (F=4.370, p<0.012;F=10.500, p<0.001).
    Conclusion: Mindfulness-based cognitive therapy and time of assessment have combined effects on the posttraumatic growth, self-management and function disability in patient with breast cancer. The impact of mindfulness-based cognitive therapy in improving posttraumatic growth, self-management and function disability depends on the time of the measurement.

  • XML | PDF | downloads: 254 | views: 892 | pages: 203-211

    Background & Aim: Domestic violence (DV) is a global socio-cultural concern faced by a majority of women. DV has a negative impact on women’s social, physical, and psychological wellbeing. Objective was to explore perceptions regarding contributing factors to domestic violence among women.
    Methods & Materials: A qualitative descriptive exploratory method was applied for the study. Purposive sampling was used to select participants through emails to respond to the web based blog created for the study. 41 worldwide participants shared their perceptions through the blogs in the study.  The data were collected using a web-based discussion forum on the Urban Women Health Collaborative (UWHC), an internet-based social networking site, during March 2011. Data were analyzed, and categories and themes were extracted using a content analysis approach.
    Results: The major theme “Traditional values justifying domestic violence against women” emerged from the analysis of the participants’ blog. Under this major theme, four categories were extracted which include: socio-cultural attitudes towards women; trapped in the vicious cycle of violence; DV is a power game; and the misinterpretation of legal insinuations and religious practices.
    Conclusion: Women face DV due to social cultural practices and inequities in society. This implies that effective interventions are needed at several levels: individual, family, and community to prevent the violence and to provide a safe and respectful environment for the women in the society.