A comparison of spiritual health of male and female students in the Ilam University of Medical Sciences

    There is a strong relationship between spiritual development of nursing students and their ability to provide patients with spiritual care. Therefore, present research aims to explore spiritual health in nursing students of theIlam University of Medical Sciences, in Iran for both boys and girls. Spiritual health of students is determined using the Palutzian andElisonquestionnaire which consisted of three parts. 10 questions were related to demographic date of students and 20 questions were examined religious health and existential health of students. Eventually, spiritual health of nursing students is classified into four groups and first group who received the grade of 20-40 has poor state of spiritual health. The groups that obtained total grades of 41-70, 71-99 and 100-120 are assigned as low-moderate, high-moderate and high status of spiritual health, respectively.  Data analysis is conducted using ANOVA, Two-way analysis, and Factor analysis. The sample included 39% girls and 61% boys. Poor status of spiritual health between participants was not observed and correlation coefficient between scales of spiritual health is found to be 84.3% which represents as the score of religious health increases existential health score enhances. In order to promote spiritual health of nursing students, it is recommended that the course of spiritual health shouldbe added as a part of the curriculum for medical students due to this fact that capability of student nurses for providing  spiritual  care  is related  to  their  spirituality and  their  education  in  spiritual  care

Developing and validating the educational materials for a nurse-led self-management education in adults with type 2 diabetes

Background: Diabetes education and self-care are the cornerstones of diabetes management. There are few nurse-led structured diabetes management programs available in Iran.Objectives: This paper aims to develop and validate a nurse-led diabetes self-management intervention for patients with type 2 diabetes. Method: The theoretical framework underpinning the intervention was the Bandura’s selfefficacy theory. The seven basic steps of the Taba model were used to develop and validate the study intervention. Results: The preliminary results from this study suggest that the study intervention was carefully contextualized and linked to the existing diabetes care. Overall, the intervention was very well received and appreciated by the respondents.Conclusion: This was the first known validated nurse-led diabetes self-management intervention available in the Persian Language

Musculoskeletal Disorders and Their Related Risk Factors Among Iranian Nurses

Background: Work-related musculoskeletal disorders (MSDs) are one of the most occupational problems among nurses and often cause many physical and psychological complications for nurses, and are a financial burden for health-care systems. Objectives: The aim of this study was to determine the prevalence MSDs and their related risk factors among Iranian nurses. Patients and Methods: This descriptive-correlational study included 240 hospital nurses, with a baccalaureate nursing degree, who worked at three public hospitals of the Ilam province of Iran. Data were collected through a validated self-administered questionnaire. Finally, 156 questionnaires were returned (response rate: 65%) and 135 questionnaires qualified for subsequent analysis. The data were analyzed using the SPSS version 15.0 software. Descriptive and inferential statistics (logistic regression) were used. Results: Overall, 97 (71.9%) hospital nurses experienced MSDs in at least one anatomical site within the last year. Low back pain was the most prevalent MSDs (40%) and hip and thigh were the least (11.1%) frequent sites. Most of the nurses with MSDs worked at surgery wards (17.8%), emergency (15.6%) and intensive care units (12.6%). Pain (48.1%) and cramps (31.9%) were the most frequent symptoms of MSDs and loss of limbs control (5.9%) was the least frequent symptom. Bend or twist at waist for performing nursing procedures, patient transfer from and to beds, working with the hands higher than shoulder height and changing position of patients in beds were the most frequent occupational factors that influenced MSDs. Increased age, weight, height, body mass index (BMI) and gender had no significant association with MSDs. However, being single and involved in any kinds of physical activity were significantly associated with the prevalence of MSDs (P < 0.05). Conclusions: The study findings indicated high prevalence of worked-related MSDs among Iranian hospital nurses. Accordingly, appropriate policies for managing MSDs among hospital nurses should be considered. Keywords: Musculoskeletal Disorders, Nurses,Workplace, Ira

STUDY OF THE STATUS OF SPIRITUAL HEALTH OF THE ELDERLY ADULTS

Aims: spirituality as one of the important dimensions of the healthy concept, and is an effective factor on human consistency with the malady. This investigation has been done in order to determine the spiritual health status and its relationship with the demographic characteristics of the elderly adults. Materials and the methods: this investigation was done in a sampling method available on 360 individual adults of 65 years old and upper in Ilam city. Questionnaire of the spiritual healthy from Islam view point was used in order to collecting of the this tool data including four items of the belief system, thought moral system, and life style which its reliability and validity has been confirmed in previous studies. Data have been analyzed by SPSS software using correlation coefficient. Results: findings showed that spiritual health of the most of participants in above investigation, and also spiritual health has had a significant relationship with age, status of the disease addiction, status of the elderly adult life with his/her family and low education. But it had no significant correlation to gender. Concluding: according to the spiritual health role in the individuals' consistency, necessity of the more attention for elderly adults' health and its promotion is necessitate for health care providers. Keywords: spiritual health, dimensions of the spiritual health, Islam, elderly adult age

Evaluation of Spiritual Health in Nursing and Midwifery school students of Ilam University of Medical Sciences According to Islam

AbstractIntroduction:  From the view point of holistic nursing, human body is multi-dimensional and while he has the cognitive, emotional, social and spiritual dimensions; the spiritual dimension is superior to others. Greater the spiritual health of nursing students increases, they will be better able to care for patients, so we did this study for evaluation of spiritual health among nursing students.Materials and Methods:  In a descriptive- correlation study and according to the view of Islam, a questionnaire about spiritual health that consists of the following sections: demographic information, the belief system, mentality dimension, the morality system and lifestyle, respectively is distributed between 100 nursing students using simple random selection. The collected responds are analyzed by the SPSS software and the results of spiritual health are divided into four levels from low to high level.Results:  61% of the samples were male. None of them scored low level. 4%, 53% and 43% of the samples achieved the levels of low-moderate, moderate to high and high-level, respectively. The results showed significant relationship between spiritual health aspects with age and sex.Conclusion:  We didn’t find any statistical relationship between the spiritual health and the semester; so, it seems that education has no effect on the spiritual health of college students. Hence, to promote the spiritual health of college students, we suggest adding a course about the spiritual health at four-year program of nursing education content.Keyword: Spiritual Health, College, Students, Nursing, Isla

Effect of a nurse-led diabetes self-management education program on glycosylated hemoglobin among adults with type 2 diabetes

In recent years, great emphasis has been placed on the role of nonpharmacological self-management in the care of patients with diabetes. Studies have reported that nurses, compared to other healthcare professionals, are more likely to promote preventive healthcare seeking behaviors. The aim of this study was to investigate the effectiveness of a nurse-led diabetes self-management education on glycosylated hemoglobin. A two-arm parallel-group randomized controlled trial with the blinded outcome assessors was designed. One hundred forty-two adults with type 2 diabetes were randomized to receive either usual diabetes care (control group) or usual care plus a nurse-led diabetes self-management education (intervention group). Duration of the intervention was 12 weeks. The primary outcome was glycosylated hemoglobin (HbA1c values). Secondary outcomes were changes in blood pressure, body weight, lipid profiles, self-efficacy (efficacy expectation and outcome expectation), self-management behaviors, quality of life, social support, and depression. Outcome measures were assessed at baseline and at 12-week and 24-week postrandomizations. Patients in the intervention group showed significant improvement in HbA1c, blood pressure, body weight, efficacy expectation, outcome expectation, and diabetes self-management behaviors. The beneficial effect of a nurse-led intervention continued to accrue beyond the end of the trial resulting in sustained improvements in clinical, lifestyle, and psychosocial outcomes. This trial is registered with IRCT2016062528627N1