Efficacy of Implementing Home Care Using Eye Movement Desensitization and Reprocessing in Reducing Stress of Patients with Gastrointestinal Cancer

Background: Gastrointestinal cancer is the third most common types of cancer in the world which leads to a lot of stress among sufferers. Pharmacological and non-pharmacological approaches are used to treat stress induced by serious diseases. Eye movement desensitization and reprocessing (EMDR) technique is considered as one of non-pharmacological method for decreasing patient's stress. Objective: This study was conducted to determine the effect of home care using EMDR technique on the stress of patients with gastrointestinal cancer. Materials and Methods: The current semi-experimental study was performed on patients with gastrointestinal cancer residing in Ilam, Iran. The patients were randomly divided into two groups of intervention (n=30) and control (n=30). Home care was provided for intervention group in patients' homes which included 2 sessions (a total of 60 sessions for all patients). Each session lasted for 45 to 60 minutes according to EMDR protocol. The data were analyzed using SPSS (version 16). Results: The findings of this study showed that most of patients were male (36, 60), had diploma degrees (44, 73.3), had a monthly income less than 500 thousand (38, 63.3), were married (39, 65 ). The mean age of the patients was 69.18 +/- 11.58 years. No statistically significant difference was observed between two groups before the intervention in terms of patients' perceived stress (P>0.05). However, efficacy and perceived distress of the intervention group significantly was decreased following the intervention (P<0.05). Conclusions: According to the findings regarding the impact of home care using EMDR technique on reducing stress in patients with gastrointestinal cancer, the implementation of this intervention and provision of education for patients are recommended to expand the nursing duty to community health wards as well as to improve the health status of patients

Effects of Continuous Care Model on Blood Pressure in Patients with Type II Diabetes

Introduction: One of the main problems encountered by type II diabetes patients is high Blood Pressure (BP). Continuous care is the standard process of making effective, mutual, and continuous relationships between patients and nurses as healthcare providers. Continuous Care Model (CCM) can help the nurses in identifying needs, problems, and sensitisations of the patients and encourage them to maintain and enhance their health status. Aim: This study aimed to investigate the effects of CCM on the BP trends of patients with type II diabetes in llam city. Materials and Methods: This quasi - experimental research was conducted in 80 patients with type II diabetes. Subjects were selected using cluster sampling method and then were randomly divided into intervention and control groups. Interventions based on the CCM were in the form of training sessions that were conducted for three weeks. Consequently, continuous care consultations, control, and assessment were conducted for nine weeks. A questionnaire on demographic characteristics and a BP recording device was used to collect the data obtained before intervention and 1-3 months after intervention. Then, descriptive and inferential tests (ANOVA, repeated measures, chi-square) were used for data analysis. Results: Findings revealed that the mean BP (measured in mmHg) scores of the CCM (systolic, 133.22 +/- 3.98; diastolic, 86.00 +/- 2.96) and control groups (systolic, 133.65 +/- 2.10; diastolic 84.62 +/- 2.72) before intervention were not significant (p>0.05); however, after intervention, a significant difference was observed between the mean BP (measured in mmHg) scores of the CCM (systolic, 127.52 +/- 3.13; diastolic, 80.75 +/- 1.97) and control groups (systolic, 133.65 +/- 2.25; diastolic, 83.87 +/- 2.12) (p<0.05). Conclusion: CCM is suggested to be effective in managing the BP and can be applied to improve the health behaviour in patients with type II diabetes

Investigating the relationship between mother-child bonding and maternal mental health

Background: Mother-child bonding is rooted in the affective relationship between mother and child that is shaped during pregnancy and leads to the mental growth of infants. Objectives: This study was conducted to determine the relationship between mother-child bonding and maternal mental health in Ilam. Methods: In this descriptive-analytical study, 300 mothers in Ilam were selected using a two-stage cluster sampling method. The demographic characteristics questionnaire, the mother-infant bonding scale, Spielberger anxiety inventory, and edinburgh postnatal depression scale constituted the data collection instruments in this study, which were completed in the eighth to tenth postnatal week. Data were analyzed in SPSS via descriptive statistics (means and standard deviations) and inferential tests (t tests and ANOVA). Results: The results of this study revealed that the mean and standard deviation of the obtained mother-child bonding scores were 38.48±12.86. Weakened mother-child bonding and risk of child abuse comprised the highest and lowest frequencies, respectively. Mother-child bonding had a statistically significant association with mothers' state anxiety, trait anxiety, and depression, and these variables affected mother-child bonding (P < 0.05). Conclusions: Considering the relationship between mother-child bonding and maternal mental health, proper screening is required to pursue secondary prevention in pregnant mothers. In addition, it is essential to perform necessary interventions to improve maternal mental health to facilitate better mother-child bonding. © 2018, Journal of Comprehensive Pediatrics

Investigating the relationship between mother-child bonding and maternal mental health

Background: Mother-child bonding is rooted in the affective relationship between mother and child that is shaped during pregnancy and leads to the mental growth of infants. Objectives: This study was conducted to determine the relationship between mother-child bonding and maternal mental health in Ilam. Methods: In this descriptive-analytical study, 300 mothers in Ilam were selected using a two-stage cluster sampling method. The demographic characteristics questionnaire, the mother-infant bonding scale, Spielberger anxiety inventory, and edinburgh postnatal depression scale constituted the data collection instruments in this study, which were completed in the eighth to tenth postnatal week. Data were analyzed in SPSS via descriptive statistics (means and standard deviations) and inferential tests (t tests and ANOVA). Results: The results of this study revealed that the mean and standard deviation of the obtained mother-child bonding scores were 38.48±12.86. Weakened mother-child bonding and risk of child abuse comprised the highest and lowest frequencies, respectively. Mother-child bonding had a statistically significant association with mothers' state anxiety, trait anxiety, and depression, and these variables affected mother-child bonding (P < 0.05). Conclusions: Considering the relationship between mother-child bonding and maternal mental health, proper screening is required to pursue secondary prevention in pregnant mothers. In addition, it is essential to perform necessary interventions to improve maternal mental health to facilitate better mother-child bonding. © 2018, Journal of Comprehensive Pediatrics

The effect of the eye movement desensitization and reprocessing intervention on anxiety and depression among patients undergoing hemodialysis: A randomized controlled trial

Author's accepted version (postprint).This is an Accepted Manuscript of an article published by Wiley in Perspectives in psychiatric care on 29/04/2019.Available online: https://onlinelibrary.wiley.com/doi/epdf/10.1111/ppc.12389acceptedVersio

Effect of Teaching Academic Skills on Academic Achievement in Medical Emergency Students

Aims: An important aspect of the student&rsquo;s learning in academic performance is self-regulating. Students without required academic achievement skills need educational approaches to obtain the required insight in self-regulate learning. The aim of this study was to determine the effects of teaching academic skills on academic achievement in the advanced diploma medical emergency students of Ilam University of Medical Sciences. Materials & Methods: The intervening pretest-posttest study without any control group was a section of a greater action-research study to conduct and implement an educational process. The intervention included two 3-hour educational workshops for ten academic skills at one month interval for 23 advanced diploma medical emergency students of Ilam University of Medical Sciences during their second educational semester in 2014. The study tool was a 10-phrase self-made questionnaire, its validity and reliability was confirmed. Data was analyzed in SPSS 21 software using Paired-T test. Findings: There was an increase in the mean total score of academic skills after the intervention (p=0.009). From ten skills, the differences between the mean scores before and after the intervention were significant only in academic planning skills (p=0.025), the utilization of the memory strengthening methods (p=0.045), and correct study techniques (p=0.031). Academic intervention affected the students&rsquo; academic achievement (GPA) (p=0.001). Conclusion: Conducting academic skills educational workshops affects the utilization of the skills by the students and their academic achievements.&nbsp

The Effect of Training Intervention on Nurse's Performance in Execution of Drug and Food Delivery via Nasogastric Tube

Introduction: The safety of a patient who receives nutritional support by tube feeding depends on nursing care and proper implementation of method and detection by the nurse in case of potential damage threatening the patient. Serious and fatal complications can occur if these considerations are not enacted correctly. Aim: The study was conducted to determine the effect of training intervention on nurse's performance in execution of drug and food orders using a Nasogastric Tube (NGT). Materials and Methods: The present quasi-experimental study was carried out with experimental and control groups by observing 240 cases of executing drug and food orders. The sample consisted of 60 nurses (30 in each group). The experimental group was divided into three groups containing 10 nurses each. Training session of about one and a half-hour was held for each of the three groups. Nurse's performance was observed by the researchers using an active participation method. Then, data were analysed using SPSS version 21.0 with descriptive (mean and standard deviation) and analytical (independent t-test) statistical tests. Results: Findings showed that there was no statistically significant difference between nurse's performances before intervention. Training implementation improved the performance level of nurses in the experimental group from 10.05 +/- 1.47 before intervention to 13.40 +/- 1.94 after intervention (p=0.01). Conclusion: With respect to the effectiveness of training intervention based on training in small groups, implementation of this intervention is recommended to improve the performance of nurses

The effect of continuous care model on blood pressure and quality of life in patients on hemodialysis

Hemodialysis causes fundamental changes in blood pressure and quality of life in patients on hemodialysis. This study aimed to investigate the effect of continuous care model (CMM) on blood pressure and quality of life in patients on hemodialysis in the city of ilam. A randomized clinical trial study with control group was performed on 56 patients undergoing hemodialysis in the Shahid Mostafa hospital in Ilam during 2015-16. The samples were selected by census method and randomly assigned to two experimental and control groups, respectively. The intervention was done based on CMM as training sessions during three weeks and then follow-up care, monitoring and evaluation during 9 weeks for experimental group. Data were collected by using a blood pressure checklist and a quality of life questionnaire, and then were analyzed by descriptive and inferential statistical tests. Findings showed no statistically significant difference between mean scores of blood pressure and quality of life in patients on hemodialysis in experimental and control groups before intervention. After applying the model, there was a significant statistically difference between two groups in mean score of quality of life (P<0.05) but not in mean score of blood pressure. Due to the effectiveness of this model of care on quality of life in the patients on hemodialysis, it is suggested to be applied in the clinical cares. It is also necessary to do the various studies for assessing the effect of this model on blood pressure. © 2016, Oriental Scientific Publishing Company. All rights reserved

Lifestyle of the Elderly with Stroke: A Cross Sectional Study

Background: Nowadays, stroke is one of the most important and commonly diagnosed neurological diseases throughout the world. This disease annually causes numerous moralities and disabilities; its high prevalence is reported among the elderly. Objectives: The current study aimed at determining the lifestyle of the elderly with stroke in Ilam, Western Iran. Methods: The current descriptive, cross sectional study was conducted on 200 elderly people with stroke in Ilam, Western Iran by convenience sampling method. The study was conducted by the application of healthy lifestyle questionnaire with confirmed validity and reliability. After data collection, the data were analyzed with SPSS version 16 using descriptive statistics (mean and standard deviation) and inferential statistics (independent t test and ANOVA). Results: Findings of the current study showed that the majority of the studied elderly were male (n = 106, 53) aged 65 - 70 years (n = 93, 46.5), educated up to middle school level (n = 112, 56), with annual income range of US72,000 to US144,000 (n = 117, 58.5), had no spouse (n = 111, 5.55) and lived in the city(n = 115, 57.5). Mean (+/- standard deviation; SD) of age was 75.56 +/- 9.87 years, mean lifestyle score was 37.54 +/- 3.91, 9.55 +/- 1.79, 24.30 +/- 3.36, 18.76 +/- 1.79, and 28.04 +/- 2.41 in the dimensions of prevention, physical activity and recreational activities and sport, healthy nutrition, stress management, and inter-personal relationships, respectively. Total score of the questionnaire was 118.20 +/- 6.00, which indicated a medium score of healthy lifestyle in the elderly. Conclusions: Findings of the current study revealed that the lifestyle condition of the elderly with stroke was in medium level. It was suggested that the therapeutic and health teams, in particular nurses, intervene properly and use nursing care models to enhance the lifestyle of the elderly

The level of professional socialization of nursing students of Ilam University of Medical Sciences in 2016

Socialization is a basic and fundamental concept in nursing. There is a great need to evaluate professional socialization of nursing students. The aim of study was determining the factors affecting on the level of professional socialization of nursing students in Ilam University of Medical Sciences in Iran. The design was cross-sectional and 130 nursing students of Ilam University of Medical Sciences in Iran were selected by convenience sampling. Data were gathered by socialization questionnaire of professional socialization and analyzed by t-test in SPSS17. Significance level was considered to be 0.05. The most of the students were male (63.1), single (96.9) with mean age of 21.11 +/- 2.61 ranged 18-31 years. Mean score of socialization was 37.71 +/- 8.48 with a minimum of 23 and a maximum of 51. Score of socialization were at novice (11.5), advanced beginner (45.4), competent (43.1). None of them were not in proficient and expert levels. A statistically significant relationship was observed between mean score of socialization competence of the nursing students with age, education level and gender (p< 0.05) and between the mean score of socialization level of nursing students in all dimensions of the questionnaire except group participation (p< 0.05). The level of professional socialization in the most students was advanced beginner. Therefore it is necessary to promote professional socialization by proper intervention. The results can obtain the necessary data for studentsand educational planners for promoting the socialization level of students and identify the strengths and weaknesses of their educational planning and administration