scholarly journals Follow-up Plan as a Necessity for Nursing Care: A Decrease of Stressin Mothers with their Children in Pediatric Surgical Units

Author(s):  
Forogh Okhovat ◽  
Zahra Abdeyazdan ◽  
Mahboobeh Namnabati

AbstractIntroduction: Children are vulnerable to damage. Health problems in children, especially ifnecessitate hospitalization, can cause stress in their parents that may persist even long afterdischarge. This study aimed to investigate the effect of implementing follow-up care plans onstress in mothers of children discharged from pediatric surgical units. Methods: A quasi-experimental study was conducted on 64 mothers whose children were hospitalized in the surgical wards of two educational hospitals affiliated to Isfahan Universityof Medical Sciences, Iran. The participants were randomly assigned into two groups of controland experimental. The data collection tools included a demographic data questionnaire andstress response inventory (SRI). The interventions were performed using a four-stage follow-upcare plan. The data were analyzed using SPSS software version 13 and descriptive statistics, independent t-test, repeated measures analysis of variance (ANOVA), and least significant difference (LSD) test. Results: The mean (SD) stress scores of the experimental group were 64.1 (28.8), 20.4 (12.4),and 11.6 (7.5) before, one week, and one month after the intervention, respectively. In the control group, these scores were 61.2 (29.2), 59.9 (25.5), and 46.7 (19.1), respectively. The results showed the mean score was significantly lower than that of the control group at oneweek and one month after the intervention in the experimental group. Conclusion: Our results demonstrated that a follow-up care plan can decrease the stress levelsof mothers as a continuity of patient care even after discharge.

2020 ◽  
Vol 26 (4) ◽  
pp. 316-331
Author(s):  
Elham Ghajari ◽  
◽  
Hassan Toozandehjani ◽  
Hamid Nejat ◽  
◽  
...  

Aims: Most people in the community believe that substance abuse is masculine, while women are progressing alongside men in this area, with statistics indicating an increasing number of infected women. The purpose of this study was to determine the effectiveness of enriching couples relationships on tolerance of distressed women who were drug abusers Methods & Materials: This is a quasi-experimental study with pre-test, post-test and follow-up test with control group. Initially, 40 women were selected from the study and 20 were randomly assigned to the experimental group and 20 to the control group. Subjects were then assessed using a distress tolerance test (Simmons & Gahr, 2005). Experimental group participants participated in enrichment sessions based on Doba, Graham, Britz and Minatra (2009) choice theory and control group subjects remained on the waiting list. A follow-up test was taken after three months. Multivariate analysis of variance with repeated measures was used to analyze the data. The above analyzes were performed with SPSS V. 24 software Findings: The results indicated that there was a significant difference between the mean of pre-test, posttest and follow-up scores of distress tolerance scales in the experimental and control groups. (P<0.05). The mean distress tolerance in the experimental group increased from 34.533 to 42.80 in the pre-test phase and reached 42.533 in the follow-up phase. Also, the significant interaction between the stages with the experimental group in the mentioned variable indicates that in the post-test and follow-up stages, the mean of the experimental groups was significantly higher than the control group. Conclusion: Due to the increasing trend of addiction in women, proper education is one of the essentials. Therefore, it is recommended to take effective steps to improve couple distress tolerance training by enriching couple relationships


2017 ◽  
Vol 26 (1) ◽  
pp. 69-75
Author(s):  
Shaheen Islam ◽  
Roufun Naher

The present study examined the effectiveness of nonviolent communication (NVC) workshop on marital adjustment. The hypothesis was receiving nonviolent communication (NVC) workshop has positive impact on marital adjustment. The independent variable was NVC workshop and the dependent variable was marital adjustment score. For conducting this research, repeated measures design was followed and 20 Bangladeshi married people participated in it. The results have shown that there was a statistically significant difference (F = 16.790, p < 0.05) in marital adjustment score of experimental group over the three time periods and pairwise comparisons indicate that there was significant difference between pretest and post-test and also between pretest and follow- up test at the 0.05 level. Results also have shown that, there was statistically significant difference of marital adjustment score between experimental and control group in posttest (t = 4.276, p < 0.05) and follow-up test (t = 4.176, p < 0.05). Thus, after receiving NVC workshop the marital adjustment score of experimental group increased significantly (F = 16.79, p < 0.001) in post-test measure and also remain constant in follow-up, whereas the marital adjustment score of control group had no significant change. This implied a significant positive impact of participation in NVC workshop on marital adjustment. Dhaka Univ. J. Biol. Sci. 26(1): 69-75, 2017 (January)


Author(s):  
Zahra Heidari ◽  
Mohammad Ghamari ◽  
Alireza Jafari ◽  
Alireza Armani Kian

Background: Some scientists consider emotional divorce as the first step in the divorce process, which means that the marital relationship is declining. Research shows the harmful physical and psychological effects of emotional divorce on couples. The present research was carried out to show the effectiveness of Integrative Behavioral Couple Therapy (IBCT) on emotional divorce among couples. Methods: This was a quasi-experimental design study with a control group, including a pre-test, post-test and a 45-day follow up. The statistical population of this study was all couples referred to the family therapy clinic of Shahid Beheshti Psychiatric Hospital in Zanjan in 2020. Twenty couples were selected based on a score of eight or higher in a 24-item two-choice questionnaire on emotional divorce which was developed by Guttman in 1998. Next, participants were randomly divided into two groups of experimental and control. The experimental group received 11 weekly sessions of IBCT and each intervention session lasted for 120 minutes and the control group did not receive any intervention. Repeated measures ANOVA was used and data were analyzed by SPSS software V18. Results: The results of ANOVA showed that there was a significant difference between  the control and experimental groups in the pre-test, post-test and follow-up (p<0.001). Therefore, it can be concluded that IBCT has reduced the emotional divorce of couples in the experimental group. Conclusion: Results suggest that IBCT can be used as a treatment of choice for reduction of emotional divorce.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Karnsunaphat Balthip ◽  
Pimpanit Pasri ◽  
Bunrome Suwanphahu ◽  
Wilfred McSherry ◽  
Charuwan Kritpracha

PurposeThe study aimed to examine the effect of a purpose in life (PIL) program on the wellness of Thai adolescents.Design/methodology/approachTwo schools located in municipalities in southern Thailand were selected by simple random sampling. Students from each school were randomly allocated to either an experimental group (n = 35) or a control group (n = 32). The experimental group received the PIL program for 16 weeks. The control group received the routine education program. Participants' wellness was measured using the Wellness Scale (WS). The WS was validated for content validity by five Thai experts and tested for reliability with 30 junior high school students, yielding the Cronbach's alpha coefficient of 0.84. The differences in the mean score of wellness across time were analyzed using repeated measures ANOVA.FindingsThe mean scores of wellness of the experimental group and the control group were statistically significantly different across time (p < 0.001). Post hoc tests in the experimental group showed a statistically significant difference in the mean scores of wellness between Week 1 and Week 16, Week 1 and Week 20 and Week 16 and Week 20 (p < 0.05). In the control group, the results showed a statistically significant difference in the mean scores of wellness between Week 1 and Week 20 and Week 16 and Week 20 (p < 0.05).Originality/valueThe PIL program, originally developed within a Thai context and focused on the spiritual dimension, was effective in enhancing the wellness of Thai adolescents.


2020 ◽  
Author(s):  
Elham Zahedian ◽  
Masoud Bahreini ◽  
Nezamaddin Ghasemi ◽  
Kamran Mirzaei

Abstract BackgroundBreast cancer is one of the most common cancers in Iranian women. They will experience a mental health problem such as depression before, during or after treatment. The aim of this study was to determine the effectiveness of group metacognitive therapy on depression, cognitive emotional regulation, and meta-cognitive beliefs in women with breast cancer.Methodsin this randomized controlled clinical trial, a total of 24 depressed patients with breast cancer were randomly allocated to experimental and control groups. The experimental group received meta-cognitive therapy in 8 weekly sessions but control group received treatment as usual. Beck's Depression Inventory, cognitive emotion regulation questionnaire, and meta-cognitions questionnaire were completed before, after and one month after intervention. Data were analyzed using Wilcoxon and Chi-square tests.ResultsThe mean score of depression in experimental group was reduced from 21.6 ± 4.83 in the pre-test to 13.83 ± 8.12 in one month follow-up (P = 0.16) but there was no significant difference in control group. The mean score of cognitive emotion regulation did not show a significant change in the two groups during the study and follow up period. The mean score of meta-cognitive beliefs was reached 68.75 ± 15.74 from 79.51 ± 10.72 in the experimental group during the follow-up period (P = 0.006), but there was no significant difference in control group in the score of metacognitive beliefs.ConclusionThese findings support the efficacy of meta-cognitive therapy as a viable psychosocial intervention in depressed patients with breast cancer.Trial registrationIRCT201606288473N5. Registered on: 05/09/2016https://www.irct.ir/trial/8946.


Author(s):  
Archana Maurya ◽  
B. Lakhakar ◽  
Bibin Kurian ◽  
Switi Besekar

Introduction: Kangaroo Mother Care is a simple and feasible intervention; acceptable to most mothers admitted in hospitals. There may be benefits in terms of reducing the incidence of hypothermia with no adverse effects of Kangaroo Mother Care. Kangaroo Care infants showed improvement in regular breathing patterns and virtually no periodic breathing, weight gain in low birth babies, suggesting  that Kangaroo Mother Care is safe for these infants. Materials and Methods: Randomized control trai, l  experimental and control group design was used in study this study was conducted in post natal wards of AVBR Hospital. In this study samples were newborns that were fulfilling the inclusion and exclusion criteria. 500 newborns were selected and it was equally divided into two groups as control 250 and experimental 250. Random sampling technique was used in this study. A checklist regarding the frequency and duration of KMC was prepared for the experimental group.  Results: The mean weight gain in the control group at birth is 2.71, on discharge it is 2.53 and on follow up it is 3.07. The mean weight gain in the experimental group at birth is 2.74, on discharge it is 2.67 and on follow up it is 3.31.  Conclusion: Significant difference was found in the mean weight gain between experimental and control group. Thus it is concluded that KMC is effective in increasing the weight of the newborn babies.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elham Zahedian ◽  
Masoud Bahreini ◽  
Nezamaddin Ghasemi ◽  
Kamran Mirzaei

Abstract Background Breast cancer is one of the most common cancers in Iranian women. They will experience a mental health problem like depression before, during or after treatment. This study aimed to determine the effectiveness of group metacognitive therapy on depression, cognitive-emotional regulation, and meta-cognitive beliefs in women with breast cancer. Methods In this randomized controlled clinical trial, a total of 24 depressed patients with breast cancer were randomly allocated to experimental and control groups. The experimental group received meta-cognitive therapy in 8 weekly sessions, but the control group received treatment as usual. Beck Depressive Inventory, cognitive emotion regulation questionnaire, and meta-cognitions questionnaire were completed before, after and one month after the intervention. Data were analyzed using Wilcoxon and Chi-square tests. Results The mean score of depression in the experimental group was reduced from 21.6 ± 4.83 in the pre-test to 13.83 ± 8.12 in one-month follow-up (p = 0.16); however, there was no significant difference in the control group. The mean score of cognitive emotion regulation did not show a significant change in the two groups during the study and follow-up period. The mean score of meta-cognitive beliefs reached 68.75 ± 15.74 from 79.51 ± 10.72 in the experimental group during the follow-up period (p = 0.006); however, there was no significant difference in the control group in the score of metacognitive beliefs. Conclusion These findings support the efficacy of meta-cognitive therapy as a viable psychosocial intervention in depressed patients with breast cancer. Trial registration IRCT201606288473N5. Registered on: 05/09/2016 https://www.irct.ir/trial/8946.


Author(s):  
Héctor Guerrero-Tapia ◽  
Rodrigo Martín-Baeza ◽  
Rubén Cuesta-Barriuso

Background. Abdominal and lumbo-pelvic stability alterations may be the origin of lower limb injuries, such as adductor pathology in soccer players. Imbalance can be caused by both intrinsic and extrinsic factors. Methods: In this randomized controlled trial over 8 weeks, 25 female footballers were randomly allocated to an experimental group (isometric abdominal training and gluteus medius-specific training) or a control group (isometric abdominal training). Evaluations were performed at baseline, at the end of the intervention and after a 4-week follow-up period. The exercise protocol in common for both groups included three exercises: Plank, Lateral plank and Bird dog. Specific exercises for the gluteus medius were: Pelvic drop and Stabilization of the gluteus medius in knee valgus. Outcome measures were lumbar-pelvic stability and adductor strength. Results: After the intervention, there was an increase in lumbo-pelvic stability in both groups, being greater in the control group than in the experimental group (mean differences [MD]: 4.84 vs. MD: 9.58; p < 0.01) with differences in the analysis of repeated measures (p < 0.001), but not in group interaction (p = 0.26). Changes were found in adductor strength in the experimental group (MD: −2.48; p < 0.001 in the left adductor; MD: −1.48; p < 0.01 in right adductor) and control group (MD: −1.68; p < 0.001 in the left adductor; MD: −2.05; p < 0.001 in the right adductor) after the intervention, with differences in the analysis of repeated measures in left (p < 0.001) and right (p < 0.001) adductor strength. Conclusions: An abdominal and gluteal training protocol shows no advantage over a protocol of abdominal training alone for lumbo-pelvic stability and adductor strength, while improvements in both variables are maintained at four weeks follow-up.


2017 ◽  
Vol 19 (2) ◽  
pp. 90-106 ◽  
Author(s):  
Hassan Eslamian ◽  
Seyed Ebrahim Mirshah Jafari ◽  
Mohammad Reza Neyestani

AbstractThis quasi-experimental study investigated the effect of teaching aesthetic skills to faculty members on development of their effective teaching performance through a two-group pretest-posttest design. The sample included 32 faculty members at a major Iranian university who were divided into the experimental (11 participants) and control groups (21 participants). The experimental group was taught to use aesthetic skills in the teaching and learning processes; however, no intervention was applied to the control group. To evaluate the effective teaching performance of the faculty members, a tailor-made questionnaire was used in two pretest and posttest stages, where randomly chosen students were asked to express their opinions about the faculty membersí performance. The sample size of the students was 1096 in the pretest stage and 935 in the posttest stage. Paired t-test results showed that there was no significant difference between the mean effective teaching scores of the faculty members in the control group in the pretest stage and in the posttest stage. However, the mean effective teaching scores of the faculty members in the experimental group were found to be significantly higher in the posttest. In addition, although there was no significant difference between the mean effective teaching scores of the two faculty groups in the pretest, faculty members in the experimental group outperformed their counterparts in the control group. Based on the findings, applying aesthetic skills by faculty members in the teaching and learning processes can pave the way for sustainable development of their effective teaching performance. Therefore, faculty members are recommended to acquire the required knowledge and skills to better use aesthetic skills in the teaching process.


2021 ◽  
Vol 16 (2) ◽  
pp. 827-846
Author(s):  
Nthabiseng Mosese ◽  
Ugorji I. Ogbonnaya

Making connections between the representations of trigonometric functions and an interpretation of graphs of the functions are major challenges to many students. This study explores the effectiveness of the GeoGebra on grade 12 students’ success in making connections between the representations of trigonometric functions and the interpretation of graphs. A non-equivalent control-group pre-test post-test quasi-experimental design was used. The sample of the study consisted of sixty-one grade 12 students from two schools. The results showed that there was a statistically significant difference between the mean achievements of the experimental group and the control group on making connections between representations of trigonometric functions, and on analyses and interpretations of representations of trigonometric functions, in favour of the experimental group. This study extends the findings of previous studies on the effectiveness of dynamic mathematics software on students’ learning of representations and interpretation of graphs of trigonometric functions.            Keywords: GeoGebra, functions graphs, Trigonometric functions


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