Death Anxiety in Hemodialysis Patients Admitted to Panj-Azar Teaching Hospital

Background and Objective: Patients with life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety . This study aimed to determine the level of death anxiety in hemodialysis patients. Material and Methods: This cross-sectional study was conducted on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety). We analyzed the data by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05). Results: Twenty-four point seven percent of the patients had low , 10% average and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant. Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis

Psychometric properties of the king spiritual intelligence questionnaire (KSIQ) in physical veterans of Iran-Iraq warfare

Aims: The study's purpose was to determine reliability and validity of the King spiritual intelligence questionnaires in veterans of Iran-Iraq Warfare. Methods: In this cross sectional study, 300 veterans of the Iran-Iraq war completed the King spiritual intelligence questionnaires. Principal components analysis (PCA) with varimax rotation was used to assess domain structure of the King spiritual intelligence questionnaires. Internal and external consistency reliability was assessed with Cronbach's alpha and intra-class correlation coefficient (ICC). Results: Internal consistency of King spiritual intelligence questions estimated with Cronbach's alpha, 0.872 and intra-class correlation coefficient (ICC).872 (CI 95%: 0.84 -0.89). The construct validity of the questionnaire was calculated using exploratory factor analysis that showed 3 factors with Eigen values of greater than one, which explained in total 44.7% of the variance. (1, 8 items, α= 0.87; 2, 5. items; α = 0.89; 3, 2 items, α= 0.51). Conclusion: The Persian version of King spiritual intelligence questionnaire demonstrated suitable validity and reliability among the Veterans of Iran-Iraq Warfare. With the consideration of the proper psychometric characteristics, this questionnaire can be used to further research spiritual intelligence in this population

Psychometric properties of End-of-Life Caregiving Experience Appraisal Scale: Iranian critical care nurses

This is the author accepted manuscript. The final version is available from Wiley via the DOI in this record.Background: Health care providers should be able to provide good quality end-of-life care. A tool to evaluate the positive and negative consequences of caring for dying patients is warranted. Aim: The aim of this study was to evaluate the psychometric properties of the Persian version of the End-of-Life Caregiving Experience Appraisal Scale (EOLCAS). Methods: This research was conducted in two phases. Phase I: The World Health Organization Protocol of forward-backward translation and an expert panel in order to determine face and content validity. Phase II: Survey development with 310 nurses who worked in critical care units, construct validity (construct, convergent and divergent validity), internal consistency (average inter-item correlation, Cronbach's alpha and McDonald's omega) and construct reliability were evaluated. Results: The exploratory factor analysis showed that the present scale (Persian version) has four factors: Negative physical-emotional and social consequences, transcendental communication, information deficits and future rumination, which explained 83·92% of the overall extracted variance. Convergent and divergent validity were confirmed for all factors. The internal consistency and construct reliability were acceptable. Conclusion: The scale has a multidimensional concept that is sufficiently reliable and the use of the scale would be helpful in measuring consequences of caring for dying patients. Relevance to clinical practice: This scale makes a significant contribution in that it helps in the recognition of positive and negative consequences of critical care nurses' caring for dying patients

Chemotherapy use and quality of life in cancer patients at the end of life: An integrative review

Background: When curative treatments are no longer available for cancer patients, the aim of treatment is palliative. The emphasis of palliative care is on optimizing quality of life and provided support for patients nearing end of life. However, chemotherapy is often offered as a palliative therapy for patients with advanced cancer nearing death. The purpose of this review was to evaluate the state of the science relative to use of palliative chemotherapy and maintenance of quality of life in patients with advanced cancer who were at end of life. Materials and methods: Published research from January 2010 to December 2019 was reviewed using PRISMA guidelines using PubMed, Proquest, ISI web of science, Science Direct, and Scopus databases. MeSH keywords including quality of life, health related quality of life, cancer chemotherapy, drug therapy, end of life care, palliative care, palliative therapy, and palliative treatment. Findings: 13 studies were evaluated based on inclusion criteria. Most of these studies identified that reduced quality of life was associated with receipt of palliative chemotherapy in patients with advanced cancer at the end of life. Conclusion: Studies have primarily been conducted in European and American countries. Cultural background of patients may impact quality of life at end of life. More research is needed in developing countries including Mideastern and Asian countries. © 2020 The Author(s)

The fifth developing plan of Iranian Fisheries Research Institute

Accurate scientific and practical plan for achieving the goals of the Islamic Republic of Iran within the framework of Vision development 1404, is the infrastructure achieving sustainable development of the country. Order to achieve the above mentioned objectives and in order to the comprehensive development plans in the country, Iranian fisheries research organization adjust the fifth developing plan for support of executive related departments in country with mobilization a large number researchers consists of several working groups of ifro affiliated research centers. The fifth developing plan consist of three chapters for report of the forth developing plan and intrudction of research, construction plans and financial support (budjet) for period of 2011-2014 A.C

Development and psychometric evaluation of postgraduate nursing student academic satisfaction scale

Aim: To develop and evaluate the psychometric properties of postgraduate nursing student academic satisfaction scale (PNSASS). Design: The mixed-method study was carried out in two phases; (a) item generation by hybrid concept analysis and (b) item reduction by psychometric evaluation of the developed scale. Methods: The initial item pool (N = 209) was prepared based on concept analysis results and similar instruments. A total of 402 postgraduate nursing students willingly participated in online data gathering from August 2019 to May 2020. The validity (face, content and construct) and reliability (stability and internal consistency) of the scale were assessed. Results: Exploratory factor analysis identified that the scale had four factors which explained 64.80 of the total extracted variance. The results of confirmatory factor analysis showed a good model fit. The reliability of scale was strong to excellent. The results showed that the PNSASS has suitable validity and reliability properties, which can be used to measure the academic satisfaction of postgraduate nursing students. © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd

Relationships between Death Anxiety and Quality of Life in Iranian Patients with Cancer

Objective: The purpose of the study was to examine relationships between death anxiety and quality of life (QOL) parameters of patients with cancer in the Iranian sociocultural context. Methods: A descriptive, correlational methodology was used. The sample included 330 patients. Demographics, health information, religious behaviors, death anxiety, and QOL data were collected. Results: Overall death anxiety levels were moderate with satisfactory overall QOL. Death anxiety was predictive of lowered QOL. Female patients had lower QOL and higher death anxiety compared to men Conclusions: Findings support that higher death anxiety negatively impacts QOL in an Iranian sample with cancer. Alleviation of existential concerns in vulnerable patients may palliate mental health distress associated with facing cancer and its challenging treatments

The Experience of Death Anxiety in Iranian War Veterans: A Phenomenology Study

Recognition of death anxiety experienced by patients who have survived violence and threats to life during war is of strong importance in delivery of best care for veterans experiencing health stressors. The aim of the study was to explore the death anxiety experience of veterans from the Iran�Iraq war. Using a phenomenological approach, 11 war veterans were interviewed related to death anxiety experiences. Four major themes included afterlife fears; alienated farewell; ambiguous separation; and physical dissolution. Patients who have been exposed to death trauma in the battlefield may carry added burden from unique cognitions and fears related to personal death. © 2015, Taylor & Francis Group, LLC

Investigating the relationship between demographic and occupational factors with the intensity of nurse legs varicose veins in Amol hospitals

Background and aims   varicose of lower limbs is one of the most common injuries which is caused and intensified by the job activities through passing the time and can cause the person and the society to bear the high cost. This study has been done in order to investigate the relationship between the demographic and occupational factors with the lower limb varicose severity of the   nurses in Amol hospital.     Methods   This cross-sectional study was conducted through on 203 nurses in Amol hospitals. Questionnaire was used to collect the required information. It was completed through interview and physical examination based on the standard CEAP forms.     Results   145 of the subjects were female. 73.9% of the nurses had varicose with different levels  (CI95%: 77- 65). Female gender, age, BMI (OR =1.21), regular exercise (OR =0.31), family history, weight, and overtime between job factors (OR =1.01), years of service, standing (OR  =2.3) and sitting in the ward had significant relationship with the varicose intensity.     Conclusion   It seems that the necessary training to reduce disability and treatment expenses to adjust risk factors and prevention of inducing varicose is essential according to the high number of the nurses who have lower varicose veins with different intensities and the effect of lots of demographic and occupational factors.