Investigating the level of moral distress and its related factors among nurses in mazandaran burn center

Background and purpose: Moral distress is a common phenomenon in nursing professional and burn nurses are constantly faced with making different moral decisions for patients who are in terrible conditions. Therefore, nurses in burn units experience moral distress as mental tension. This study was conducted to determine the severity of moral distress and the factors associated with that in burn nurses. Materials and methods: A descriptive- analytical study was conducted using census sampling on 172 nurses working in Mazandaran burn center, 2014. Data was collected through identifying demographic and occupational characteristics of the nurses (using relevant questionnaires) and Corley’s Moral Distress Scale. Data analysis was performed applying Mann-Whitney and Kruskal-Wallis test. Results: The mean score for moral distress was 105.65±52.39 which indicates a moderate level experienced by nurses. Kruskal-Wallis test showed a significant positive correlation between educational level and level of moral distress (P=0.011). There was no significant association between moral distress and other individual and professional characteristics (P>0.05). Conclusion: Moral distress is accompanied by many complications that have direct effects on nurses’ professional practice. Therefore, nurse managers should consider this issue and plan for programs on appropriate coping strategies. © 2015, Mazandaran University of Medical Sciences. All rights reserved

The validity and reliability of the Exercise Self-Efficacy Scale in a sample of hemodialysis patients

This is the author accepted manuscript. The final version is available from Springer Publishing Company via the DOI in this recordBackground and Purpose: In order to effectively evaluate self-efficacy a valid and reliable instrument is clearly required. This study was conducted to assess the psychometric properties of the Persian version of the Exercise Self-Efficacy Scale (ESES) in hemodialysis patients. Methods: There were 202 patients who completed the Exercise Self-Efficacy Scale. The face, content and construct validity were evaluated. The reliability of the scale was measured using internal consistency and construct reliability. Findings: Construct validity determined one factor. The total variance was calculated at 48.13%. The confirmatory factor for the goodness of fit indices was χ2[(27, N=202)=106.70]. All the indices confirmed that the final model was a good fit. The convergent and divergent validity of the scale were regarded as being acceptable. The reliability of the scale was calculated as being over 0.7. Conclusion: Considering the established acceptability of the psychometric properties of the Exercise Self-Efficacy Scale, the Persian version of the scale can be reliably used for measuring self-efficacy in hemodialysis patients.This project was funded by the Psychiatric Research Center of Mazandaran University of Medical Sciences

Effect of Hatha Yoga exercises on quality of life in patients under hemodialysis

Introduction: Patients under hemodialysis (HD) experience lower quality of life. Although positive effect of Hata Yoga exercises on QoL have been showed, it has not been investigated among patients under HD. Thus, the aim was to determine the effect of Hata Yoga exercises on quality of life in patients under HD. Materials and Methods: In this randomized controlled clinical trial, 32 patients under HD in the 5 Azar tertiary hospital in Gorgan (Iran) in 2016 were selected according to inclusion criteria and were divided into two groups of intervention and control by simple randomization method. For data collection, demographic and clinical data form and SF-36 quality of life questionnaire were used. The intervention group did Hata Yoga exercises for twice a week, 45-minute for each time during 12 weeks. The control group received no intervention. Relatively, quality of life was assessed before and at the end of the study. Results: Demographic and clinical data did not differ significantly between the two groups at the beginning of the study (P>0.05). Mean of quality of life score for physical aspectin intervention and control group was 60.69 ± 16.14 and 48.48 ± 25.05 (P = 0.112) and for psychological aspect was 63.03 ± 12.74 and 51.02 ± 19.44 (P = 0.048), respectively that only was significantly different in the psychological aspect. Conclusion: Findings showed that Hata Yoga exercise can improve quality of life in patients under HD in the psychological aspect. © 2018, Semnan University of Medical Sciences. All rights reserved

Motor Exercises Effect on Improving Shoulders Functioning, Functional Ability, Quality of Life, Depression and Anxiety For Women With Breast Cancer

Purpose: This research aimed to study the effects of motor exercises on improving shoulder functioning, functional ability, quality of life, depression, and anxiety in patients. Patients and Methods: A randomized clinical trial in which 70 eligible patients referred to the oncology ward participated in two intervention and control groups. The intervention group (N=35) had been doing motor exercises for five weeks. Before the surgery, two days, and five weeks after surgery, shoulder Range Of Motion (ROM) was measured with a goniometer, and the functional capacity level was measured by the 6-Minute-Walk-Test. Quality of life, depression, and anxiety were measured using the EORTC QLQ-C30 and QLQ-BR23; and HADS questionnaires, respectively, at baseline and five weeks after surgery. Descriptive statistics, the T-test, and the Chi-Square t-hotelling model were used to analyze the data. Results: The results showed that motor exercises had a significant statistical increase in the distance of 6MWT (P<.001) and ROM (P�.001) compared to the control group. Moreover, there were significant differences in dimensions of patients� quality of life, depression, and anxiety in the intervention group, compared to the control group (P<.05). Conclusion: Motor exercises had positive effects on improving physical functioning, shoulder ROM, and decreasing patients� anxiety and depression symptoms, consequently enhancing the quality of life. © 2022 Elsevier Lt