scholarly journals Sexual counseling to patients with myocardial infarction: Nurses' performance, responsibility and confidence

Author(s):  
Tayyebeh Gazestani ◽  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour Rabori ◽  
Mansooreh Azzizadeh Forouzi

Background & Aim: One of the main concerns in patients with myocardial infarction is that there is no return to sexual activities. Sexual counseling is an interaction between patient and nurse that requires appropriate performance, responsibility, and confidence. The present study aimed to determine nurses' performance, responsibility, and confidence in sexual counseling of myocardial infarction patients. Methods & Materials: This descriptive/analytical cross-sectional study was carried out on 180 nurses from the cardiac care unit (CCU) at the hospitals located in southeastern Iran in 2018. Sampling was performed with the census method; and the data collection tool was a demographic information form and questionnaire, involving nurses' performance, responsibility, and confidence in sexual counseling of cardiac patients. Information was analyzed using SPSS software (ver.18) through descriptive and inferential statistics, including t-test, ANOVA, and Pearson correlation coefficient. The significance level was considered as 0.05. Results: The mean of total performance scores in the nurses was 14.54 ± 4.4, indicating the average performance of nurses in the sexual counseling of myocardial infarction patients. The total mean score of responsibility was 14.32±2.7, indicating their average responsibility in sexual consultation. The total mean score of confidence was 12.86±2.35, indicating their average confidence in the sexual counseling of cardiac patients. Conclusion: The present research showed that nurses’ performance and confidence were not high or acceptable in the sexual counseling of patients with a myocardial infarction, which can lead to some dangerous events such as recurrent myocardial infarction or sudden death. Thus, holding some workshops or training related to the sexual counseling of the patients can assist nurses to be better in this case.

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour-Rabori ◽  
Tayyebeh Gazestani ◽  
Mansooreh Azzizadeh Forouzi

Abstract Background Sexual counseling is an essential part of cardiac rehabilitation. This study aimed to investigate Iranian nurses’ perceptions of barriers to sexual counseling for patients with myocardial infarction. Methods This cross-sectional study included 169 nurses who worked in CCUs, Post CCUs, and cardiac surgery wards of teaching hospitals in southeastern Iran. The barriers to providing sexual counseling inventory was used to assess sexual counseling barriers for patients with myocardial infarction. SPSS 19 was used to analyze the data. The significance level was 0.05. This study lasted from November 2019 to March 2020. Results The results showed that the highest mean scores for patient-related barriers were related to the patient’s religion and belief (2.83 ± 0.52) and embarrassment (2.82 ± 0.52 %). The highest scores for nurse-related barriers were related to nurse’s discomfort in discussing sexual issues (2.67 ± 0.62), a lack of experience in sexual counseling (2.62 ± 0.65), and sexual hesitation in advising patients (2.57 ± 0.7). The highest mean scores for organizational barriers were a lack of managerial attention and support for counseling (2.67 ± 0.66) and a lack of proper supervision system (2.62 ± 0.72). Conclusions Religion/beliefs, embarrassment and a lack of managerial attention and support for counseling were the most important barriers in the organizational, nursing and patient domains. Since sexuality is a significant issue in most cultures and religions, particularly in Islamic countries, health care professionals should work to change the attitudes of patients towards sexuality through sexual health education and counseling to meet patients’ needs and improve their sexual health.


2015 ◽  
Vol 8 (8) ◽  
pp. 128 ◽  
Author(s):  
Fereshte Shabani Asrami ◽  
Zeinab Hamzehgardeshi ◽  
Zohreh Shahhosseini

<p><strong>BACKGROUND:</strong> Determining health promoting lifestyle behaviors of age-specific groups of women provides valuable information for designing health promotion intervention programs. Hence the present study was conducted to assess health promoting lifestyle behaviors in menopausal women.</p><p><strong>METHODS: </strong>The present descriptive cross-sectional study examined health promoting lifestyle behaviors in 400 menopausal women admitted to health care centers in Neka city-north of Iran-from March 2015 to July 2015. Health promoting lifestyle behaviors were evaluated using a demographic characteristics form and the Health Promoting Lifestyle Profile II (HPLP II) through simple convenience sampling. Data were analyzed in SPSS version 18 using descriptive and inferential statistics at the significance level of P&lt;0.05.<strong></strong></p><p><strong>RESULTS: </strong>The mean score of participants' health promoting lifestyle behaviors was 136.43±19.61, ranging from 88 to 194. The logistic regression test revealed women's health promoting lifestyle behaviors to be significantly related to their place of residence (P=0.009, odds ratio=1.73) and their spouse's level of education (P=0.027, odds ratio=0.58). The Pearson correlation test showed significant relationships between mean score of the six sub-scale of health promoting lifestyle behaviors with each other (P&lt;0.001).<strong></strong></p><p><strong>CONCLUSION:</strong><strong> </strong>These findings have implications for addressing the role of men to promote health promoting lifestyle behaviors among rural menopausal women.<strong></strong></p>


Author(s):  
Ali Reza Yusefi ◽  
Parnian Nikmanesh ◽  
Shima Bordbar ◽  
Mohammad Khammarnia ◽  
Zahra Kavosi

Background and Purpose: Currently, the high prevalence of COVID-19 and increased workload in hospitals has posed a threat to the physical, mental, and emotional health of nurses. The present study was an attempt to investigate the workload and its relationship with job stress of nurses in COVID-19 reference hospitals in southern Iran. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted in 2021 on 431 nurses from COVID-19 reference hospitals in southern Iran. Data collection tools included the NASA workload and OSIPOW job stress standard questionnaires. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient in SPSS23 Software and at a significance level of 0.05 Results: The mean age and work experience of the nurses participating in the study were 31.03±5.23 and 6.42±4.61, respectively. The mean scores of the workload and job stresses were 83.64 ± 17.24 (of 100) and 236.68 ± 16.54 (of 300), respectively. Mental load dimension (85.81 ±19.31, of 100) among workload dimensions and role workload dimension (43.62 ± 19.14, of 50) among job stress dimensions had the highest mean score. Thus, there was found a statistically significant relationship between workload and job stress of nurses (P= 0.04, r= 0.19). Conclusion: Workload and job stress of the studied nurses were estimated at a high level. There was a significant positive correlation between these two variables, and increasing workload resulted in an increase in job stress.


2021 ◽  
Author(s):  
Parvin Mangolian Shahrbabaki ◽  
Roghayeh Mehdipour Rabori ◽  
Tayyebeh Gazestani ◽  
Mansooreh Azzizadeh Forouzi

Abstract Background: Sexual counseling is an important component of cardiac rehabilitation that. This study aimed to investigate Iranian nurses’ perspective of barriers to sexual counseling for patients with myocardial infarction. Methods: This cross-sectional study was performed on 169 nurses. Instruments included demographic characteristics and barriers to providing sexual counseling. Results: The strongest barrier was related to patients’ religion, and belief (2.83 ± 0.52) and embarrassment (2.82 ± 0.52%), the nurses are not comfortable discussing sexual issues (2.67 ± 0.62), lack of experience in the field of sexual counseling (2.62 ± 0.65), and sexual hesitation in advising patients (2.57 ± 0.7). About organizational barriers, the highest mean scores were related to the lack of support from managers (2.67 ± 0.66) and the lack of a proper supervision system (2.62 ± 0.72). Conclusion: patient-related barriers were the most common barriers rooted in the culture dominant in society regarding sex issues. Therefore, it should be cultured through continuing education and the mass media so as not to be perceived as a taboo in health care settings. Health professionals should be change the attitudes of patients towards sexuality through sexual health education and counseling to meet patients' needs and improve their sexual health.


Author(s):  
Farokhlegha Servat ◽  
Seyed Saeed Mazloomy Mahmoodabad ◽  
Masoumeh Abbasi-Shavazi ◽  
Ali Dehghani

Introduction: Social and organizational supports are effective factors closely related to job burnout and Due to the limited studies in this area on Iranian workers, this study aims to determine the predictability of social support and organizational support in  job burnout for workers in Yazd. Methods: This cross-sectional study was carried out among 200 textile workers in Yazd through stratified random sampling. The data were collected by the tools including demographic characteristics, questionnaires of social support, organizational support, and Maslach's job burnout. The data were analyzed by SPSS using the Pearson correlation coefficient and the multiple linear regression. The Significance level of tests was considered as p <0.05.  Results: There was a significant strong positive relationship between job burnout and emotional exhaustion (r = 0.88) .There was found a significant negative correlation between job burnout  and social support (r =- 0.390), friend support (-0.401), family supoert (-0.218), important others support (- 0.283) (p <0.001 (. Multiple linear egression analysis showed that friends, the family, explained 17.8% of job burnout changes, and important people  (R2=0.178,  p<0.001) whereas support from friends was the strongest effective factor for job burnout (β= - 0.338, p <0.001). 35.9% of the changes in job burnout were explained by social and organizational support (R2= 0.359, p<0.001) with organizational support being the strongest effective factor on job burnout (β= - 0.472, p<0.001). Conclusion: Given that organizational support was the most significant predictor of job burnout in workers, developing organizational intervention to  increase support in workplace can be regarded as strategies to reduce or slow down job burnout among workers.


2021 ◽  
Author(s):  
Maryam Ahmad Zadeh Beheshti ◽  
Zainab Alimoradi ◽  
Nasim Bahrami

Abstract Background and Purpose: Breastfeeding has a vital role in ensuring the health of mother and infant, and ultimately the health of society. Breastfeeding self-efficacy is a strong predictor of the duration of breastfeeding, which in a variety of situations - including crises - may be affected by a number of factors. The aim of this study is to determine the predictors of breastfeeding self-efficacy in breastfeeding mothers during the Covid-19 pandemic.Materials and Methods: A cross-sectional study was conducted with the participation of 300 breastfeeding mothers whose children were breastfed during the Covid-19 pandemic. Sampling was based on convenience sampling and online method using a checklist of personal and social characteristics and breastfeeding self-efficacy questionnaires, spouse postpartum social support, perceived social support, anxiety and depression, and fear of Covid-19. Data were analyzed using Pearson correlation coefficient, one-way ANOVA and multi variable linear regression model via stepwise method. Significance level in this study was considered to be 0.05.Results: The mean breastfeeding self-efficacy score among participants was 58.19±10.48 (out of 70). Spouse postpartum social support (β = 0.732, p =0.04), intention to breastfeed (p = 0.001, β = 0.17), use of formula while breastfeeding (β = - 0.09, p<0.001), and depression (β = - 0.11, p<0.001), were predictors of breastfeeding self-efficacy. But fear of Covid-19 was not significantly correlated with breastfeeding self-efficacy (p = 0.514).Conclusion: The results of the present study showed that spouse postpartum social support and having the intention of breastfeeding with a positive effect; and depression and simultaneous use of formula in feeding the infant with a negative effect; are predictors of women’s breastfeeding self-efficacy during the Covid-19 pandemic. It seems that breastfeeding can be improved by counseling to improve receiving the spouse support, increasing the breastfeeding intent, and reducing the depression.


Author(s):  
José Andrade Louzado ◽  
Matheus Lopes Cortes ◽  
Márcio Galvão Oliveira ◽  
Vanessa Moraes Bezerra ◽  
Sóstenes Mistro ◽  
...  

Background: This study aimed to identify the factors associated with the quality of life of young workers of a Social Work of Industry Unit. Methods: This was a cross-sectional study conducted on 1270 workers. Data were collected using a digital questionnaire built on the KoBoToolbox platform that included the EUROHIS-QOL eight-item index to assess quality of life. Demographic, socioeconomic, behavioral, and clinical variables were considered explanatory. The associations were analyzed using the ordinal logistic regression model at a 5% significance level. Results: Men and women had a mean quality of life of 31.1 and 29.4, respectively. Workers that rated their health as “very good” had an odds ratio of 7.4 (95% confidence interval (CI) = 5.17–10.81), and those who rated it as “good” had an odds ratio of 2.9 (95% CI = 2.31–3.77). Both these groups of workers were more likely to have higher levels of quality of life as compared to workers with “regular”, “poor”, or “very poor” self-rated health. Physically active individuals were 30% more likely to have higher levels of quality of life (odds ratio = 1.3; 95% CI = 1.08–1.65). After adjusting the model by gender, age group, marital status, socioeconomic class, self-rated health, nutritional status, and risky alcohol consumption, the odds ratio of active individuals remained stable (odds ratio = 1.3; 95% CI = 1.05–1.66). Conclusions: In the present study, self-rated health, physical activity, and gender were associated with young workers’ quality of life.


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 199
Author(s):  
Myeong Sook Yoon ◽  
Israel Fisseha Feyissa ◽  
So-Won Suk

In the COVID-19 pandemic, marginalized groups like migrants are disproportionately affected. As panic, fear of neglect, and mistrusting institutions in these groups are presumed to be apparent, their detachment to health services still needs to be investigated. This study comparatively analyzed the level of panic and trust between South Koreans and immigrants who are living within highly affected areas of South Korea. Mann–Whitney-U-Test and Pearson correlation showed panic is more pronounced in the Korean group while having a similar panic display pattern with the immigrants. The immigrant group appears to highly trust the Korean health system, health institutions, local media, and the local native community. Beyond conventional expectations, participant’s average panic score showed a statistically significant positive correlation with items of the trust scale, indicating a level of individual reliance amid the pandemic panic. Thus, ascertaining institutional trust and matured citizenry are identified as factors for effective public health outcomes. During such a pandemic, this study also reminded the public health needs of immigrants as secondary citizens, and presumptions of immigrants’ mistrust in such settings might not always be true.


Author(s):  
Concepció Fuentes-Pumarola ◽  
Zaira Reyes-Amargant ◽  
Alba Berenguer-Simon ◽  
David Ballester-Ferrando ◽  
Maria Dolors Burjalés-Martí ◽  
...  

(1) Background: Sexual violence (SV) has become common in universities for reasons related to unwanted social/peer pressures regarding alcohol/drug use and sexual activities. Objectives: To identify perceptions of SV and alcohol use and estimate prevalence among nursing students in Catalonia, Spain. (2) Methods: Observational descriptive cross-sectional study of a convenience sample of nursing students attending public universities. (3) Results: We recruited 686 students (86.11% women), who reported as follows: 68.7% had consumed alcohol, 65.6% had been drunk at least once in the previous year, 62.65% had experienced blackouts and 25.55% had felt pressured to consume alcohol. Drunkenness and blackouts were related (p < 0.000). Of the 15.6% of respondents who had experienced SV, 47.7% experienced SV while under the influence of alcohol and were insufficiently alert to stop what was happening, while 3.06% reported rape. SV was more likely to be experienced by women (OR: 2.770; CI 95%: 1.229–6.242; p = 0.014), individuals reporting a drunk episode in the previous year (OR: 2.839; 95% CI: 1.551–5.197; p = 0.001) and individuals pressured to consume alcohol (OR: 2.091; 95% CI: 1.332–3.281; p = 0.001). (4) Conclusions: Nursing instructors need to raise student awareness of both the effects of alcohol use and SV, so as to equip these future health professionals with the knowledge and skills necessary to deal with SV among young people.


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