scholarly journals The Effect of Cognitive-emotional Intervention on Psychological Distress in Mothers of Children with Cancer

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Arsalan Latifi ◽  
Farshid Saeedinezhad ◽  
Asadollah Keikhaei ◽  
Ghasem Miri Aliabad

Background: It is important to address the problems of parents of children with cancer to reduce the negative consequences, especially in mothers as primary caregivers. Objectives: The present study aimed to determine the effect of cognitive-emotional intervention on the psychological distress of mothers of children with cancer in the chemotherapy ward. Methods: This randomized clinical trial was conducted on 100 mothers of children with cancer who presented to the chemotherapy ward of the hospitals affiliated to Zahedan University of Medical Sciences in 2018. The eligible mothers were chosen conveniently and then randomly assigned to intervention and control groups. Mothers in the intervention group received five sessions of cognitive-emotional intervention, two sessions per week. Each session took about 60 to 90 minutes on average per group. Before and sixteen weeks after the end of the intervention, data were collected using the Kessler Psychological Distress scale (K-10). The data were analyzed using SPSS 21 utilizing statistical tests, including independent and paired t-tests, Chi-square, and covariance analysis. Results: Although there was no difference in the mean score of psychological distress before the intervention (P = 0.5), but the results showed that the mean score of psychological distress of mothers of children with cancer after cognitive-emotional intervention was significantly lower in the intervention group (6.16 ± 3.40) than the control group (16.84 ± 6.67) (P = 0.001). Conclusions: Cognitive-emotional intervention had a significant positive effect on reducing psychological distress in mothers of children with cancer. Such interventions are recommended for parents, especially mothers in the chemotherapy ward.

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.


2021 ◽  
Vol 15 (4) ◽  
pp. 183
Author(s):  
Hidayatul Hasni ◽  
Mayetti Mayetti ◽  
Dwi Novrianda

Background: Mucositis is one of the side effects of chemotherapy, which can be a severe problem for children with cancer. Cryotherapy can cause vasoconstriction and decrease blood flow to the oral mucosa, resulting in lower concentrations of chemotherapy agents to prevent mucositis. This study aims at determining the effectiveness of oral cryotherapy as prophylaxis mucositis in children with cancer undergoing chemotherapy.Methods: This quasi-experiment study with a pretest-posttest control-group design involved 45 respondents (22 in the intervention group and 23 in the control group) selected using consecutive sampling. The data collection instrument was the WHO mucositis scale. Results: Of the 45 children undergoing chemotherapy, 24 (53.3%) were of school age, 25 (55.6%) were male, 33 (73.3%) had good nutritional status, and 17 (37.8%) had mild neutropenia before undergoing chemotherapy. All respondents (100%) did not experience mucositis, but after chemotherapy, 9 children (40.9%) in the intervention group had mucositis, and 19 children (82.6%) experienced mucositis in the control group. The data were analyzed using the Wilcoxon test to see the difference between the intervention group and the control group and the Chi-Square test with Yates’s correction to see the effect of cryotherapy on the prevention of mucositis. The results showed that there was a difference in the incidence of mucositis between before and after intervention in the intervention group (p = 0.003) and the control group (p = 0.000), and cryotherapy was effective in preventing mucositis (p = 0.01).Conclusions: Cryotherapy is effective against the prevention of mucositis. Nurses and families need to be able to apply oral cryotherapy and other evidence-based treatment as a method to prevent mucositis 


Author(s):  
Nurul Islamy ◽  
Nuswil Bernolian ◽  
Firmansyah BasiR ◽  
Theodorus Theodorus

  Objective: To compare the dose of oxytocin injected intraumbilicalltowards the duration of the third stage, blood loss volume, hemoglobinand hematocrit.   Methods: This study is a prospective randomised study with acontrol. The control group was given an intramuscular injection of10 IU oxytocin. The intervention of the three groups intraumbilicaloxytocin treatment dose of 10 IU, 20 IU and 30 IU diluted in 50 ml ofnormal saline solution and administered intraumbilically. Thesample selection by purposive sampling and the distribution groupbased on systematic random sampling (10 samples each). Data weretaken from the period April 2016-January 2017 with the inclusionand exclusion criteria. Data were analysed using Chi-square, T-test,ANOVA and Post hoc tests.   Results: Characteristics study for variables of age, occupation,parity, education, episiotomy and neonates weight showed homogeneouscharacteristics. The mean duration of the third stage forall groups was between 366.7  159.0 seconds and 440.1  244.99seconds. While the average number of postpartum haemorrhage forall group 61.894  226.3ml and 309.5  110.26 ml. There were nodifferences in the dose of oxytocin on the duration of the thirdstage (p> 0.05) and the amount of bleeding (p> 0.005). There was adifference of haemoglobin between intervention group of oxytocindose of 10 IU and 30 IU intraumbilical (p = 0.031). There was nodifference between the mean hematocrit levels between the groups(p> 0.005).   Conclusion: There were no differences in the dose of oxytocinintraumbilical towards the duration of the third stage, the amountof bleeding and hematocrit levels. The decrease of haemoglobingreater in 30 IU intraumbilical significantly. Keywords: duration of the third stage, haemoglobin and hematocrit,oxytocin intraumbilical, the amount of bleeding


2021 ◽  
pp. 147775092110162
Author(s):  
Ali Ghahremani ◽  
Fatemeh Esmaelzadeh ◽  
Mahboobeh Khosravani ◽  
Mohaddeseh Mohsenpour

Research objectives Moral distress is a common phenomenon among nurses and can negatively affect their mental health and quality of the care. This study aimed to determine the effect of professional ethics workshop with virtual follow-up on the moral distress of nurses. Methods This experimental study was performed on 50 nurses in Ghaem Hospital, Mashhad, Iran. The intervention group received 8-hour professional ethics workshop and 4 weeks follow-up through social network. The moral distress was evaluated through the Moral Distress Scale-Revised at the beginning of the study, two weeks after the workshop and at the end of follow-up. Data were analyzed using SPSS21 by descriptive and statistical analysis.This study approved by Mashhad university Medical Ethics Committee and publishing ethics were also observed. Results The changes in the mean value of the frequency of moral distress in the intervention group was not significant, while these changes were significant in the control group ( p < 0.001, df = 2, f = 26.41) and had an upward trend. About intensity changes in the intervention group were significant ( p < 0.01, df = 2, f = 8.52) and had a downward trend, while it was not significant in the control group. Changes in the mean value of level of moral distress in the intervention group were not significant, while these changes were significant in the control group ( p < 0.01, df = 1, f = 16.8). The mean value of moral distress level decreased in the intervention and increased in control group. Conclusion The level of moral distress was increased in the control group due to increase in its frequency. This could be due to awareness of nurses regarding the concept of moral distress which caused them to pay more attention to this issue. Professional ethics workshop did not have effect on the frequency of moral distress, while it reduced the intensity and level of moral distress. Moreover, follow-up through social network reduced the frequency, intensity and the level of moral distress among nurses.


2020 ◽  
Vol 10 (2) ◽  
pp. 119-129
Author(s):  
Halimah Wenny Yulina Astuti ◽  
Murti Agustin ◽  
Sri Padma Sari ◽  
Diyan Yuli Wijayanti ◽  
Widodo Sarjana ◽  
...  

Background: Hope has an essential role in the recovery journey for people with schizophrenia. Current studies showed that people with schizophrenia reported having low hope. There is growing evidence that mindfulness has favorable effects on mental health in populations with chronic illness, including people with schizophrenia. However, the studies evaluating effects of mindfulness on hope and recovery for people with schizophrenia are limited.Purpose: This study aimed to examine the effects of mindfulness on hope and recovery among people with schizophrenia.Methods: This quasi-experimental study was carried out on 54 patients with schizophrenia based on purposive sampling in a psychiatric hospital in Indonesia. The respondents were divided into two groups with 27 patients each in the intervention and the control group. The intervention group received 2-session mindfulness, while the control group received standard care. The data were collected using the demographic questionnaire, the Schizophrenia Hope Scale (SHS-9), and Recovery Assessment Scale (RAS), and analyzed using the Chi-Square and Mann-Whitney tests. Results: After mindfulness therapy, the intervention group showed a higher mean score of hope than the control group (14.30±2.50 and 9.04±2.15, respectively) as well as in the mean of recovery (86.78±4.00 and 73.56±6.04, respectively). There were significant differences in hope and recovery levels between the two groups with p-value <0.001.Conclusion: This study showed that mindfulness is an effective strategy to stimulate hope and recovery among people with schizophrenia. Nurses can apply mindfulness as one of the nursing interventions for helping the recovery process among this population. 


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Ali Monfared ◽  
Leila Akhondzadeh ◽  
Robabeh Soleimani ◽  
Saman Maroufizadeh ◽  
Somaye Pouy ◽  
...  

Background: Coronavirus disease 2019 (COVID-19) pandemic can lead to psychological distress among clinicians and medical students due to the possibility of disease transmission and closure of educational centers. Objectives: This study aimed to investigate the extent of psychological distress and coping strategies among clinicians and medical students during the COVID-19 pandemic in Rasht, Iran. Methods: Using the Kessler Psychological Distress scale (K10), this cross-sectional analytical study evaluated psychological distress and coping strategies among 109 clinicians and medical students working in Razi Hospital of Rasht, Iran during the COVID-19 pandemic. The K10 scale has 10 items with a 5-point Likert scale ranging from 0 (never) to 5 (always); the Cronbach’s alpha coefficient was calculated as 0.771. Also, to examine the coping strategies, a 10-item researcher-made checklist was used (CVI = 0.79; CVR = 0.82). The questionnaires were distributed by e-mail from May to June, 2020. After entering the data into SPSS software (version 20), the data were analyzed using appropriate statistical tests. Results: The mean age of the responders was 36.14 years (SD = 10.68). The mean K10 total scores was 12.94 (SD = 7.64). There was a significant negative correlation between age and K10 total scores (r = -0.397, P < 0.001). Single participants had a higher K10 total score compared with married ones (P = 0.003). Furthermore, interns had a higher K10 total score compared with residents (P = 0.012) and faculty members (P < 0.001). Conclusions: Since interns are at a higher risk of psychological distress due to less work experience during the COVID-19 pandemic, continuous monitoring of psychological distress and teaching coping strategies in crisis situations should be included in the training curriculum and educational courses of this group.


2019 ◽  
Vol 1 (2) ◽  
pp. 89-101
Author(s):  
Yuni Sandra Pratiwi ◽  
Siti Rofiqoh ◽  
Herni Rejeki

The low milk supply to infants is a very serious threat to the growth and development of infants as the next generation of the nation. Good motivation and ability will increase the role of mothers in giving milk to babies, so that breastfeeding to babies will increase. This study aims to identify the effect of the education package for maternal affection towards maternal motivation in exclusive breastfeeding. A quasi-experimental research method with a non-equivalent control group pre and post test approach. The research site is in the work area of ​​Buaran and Wonokerto 2 Public Health Centers in Pekalongan Regency with three trimester primigravida respondents. The sampling technique used consecutive sampling consisting of 38 respondents. Statistical tests using the Chi Square Test. The results of the study showed that there was an influence of the mother's love education package on mother's motivation in breastfeeding in the intervention group (p <0.05). Health workers are expected to be more active in health promotion programs, especially the education package for mothers to love pregnant women in order to increase the motivation of pregnant women in breastfeeding their babies.   Keywords: ASI, Education, Motivation.


2018 ◽  
Author(s):  
Arsalan Naderipor ◽  
Hadith Faramarzi ◽  
Amir Jalali ◽  
Nader Salari ◽  
Jahangir Rezaei

Abstract Background: Stroke is a chronic disease requiring continuous and prolonged rehabilitation. A family-based care program can be an effective approach to rehabilitate these patients. This study aimed to determine the effect of family-based care program on the health status of hemiplegic patients with stroke. Methods: In this clinical trial, 40 hemiplegic stroke patients were randomly selected as available and divided into two intervention and control groups. The patients care providers in the intervention group received the home-based care program in addition to routine care at the time of discharge, for four consecutive sessions of 50 to 60 min. This program then was performed by carers at home for four weeks. The patients in the control group received routine care during the discharge. The health status of patients in both groups was evaluated by health status questionnaire before beginning the program, and then one month after the end of the program. Data were analyzed using appropriate statistical tests in SPSS V.21. Results: The results indicated that the difference between the mean scores of the health status of the two groups was not significant before the intervention; however, it was significant after the intervention (P< 0.05). Moreover, the mean scores after the intervention group were significantly higher than the pre-intervention, and the difference was not significant in the control group. Conclusion: Providing home care training programs to family members and contributing them to patient care programs can increase self-care of the patients and improve their health status. Keywords: Stroke; Hemiplegia; Nursing care; Family base care Trial registration number and date of registration: IRCT2015070214333n38, 2015-08-28


2020 ◽  
pp. 175114372097262
Author(s):  
Tahereh Najafi Ghezeljeh ◽  
Fatemeh Rahnamaei ◽  
Soghra Omrani ◽  
Shima Haghani

Background Nursing care for patients with delirium is very complex and stressful and is associated with considerable care strain for nurses. Delirium recognition is the first step to the prevention and management of delirium and reduction of strain of care. Education is one of the strategies for improving nurses’ delirium recognition ability. Objectives This study aimed to evaluate the effects of interactive E-learning on delirium recognition ability and delirium-related strain of care among critical care nurses. Methods This quasi-experimental study was conducted in 2019 using a two-group pretest-posttest design. Participants were 98 critical care nurses recruited through a census from two hospitals in Iran. They were non-randomly allocated to an intervention and a control group. Study intervention was an interactive E-learning program with four parts on delirium, its prevention, its treatment, and its diagnostic and screening procedures. The program was uploaded on a website and its link was provided to participants in the intervention group. Before and two months after the intervention, data were collected using the Strain of Care for Delirium Index and five case vignettes. For data analysis, the Chi-square, Fisher’s exact, independent-sample t, and paired-sample t tests were performed usingthe SPSS software (v. 16.0). Findings Groups did not significantly differ from each other regarding the pretest mean scores of delirium recognition ability and strain of care. After the intervention, the mean score of delirium recognition ability in the intervention group was significantly greater and the mean score of strain of care was significantly lower than the control group (P < 0.05). Conclusion Interactive E-learning is effective in significantly improving critical care nurses’ delirium recognition ability and reducing their strain of care. As nurses’ heavy workload and limited free time are among the main barriers to their participation in face-to-face educational programs, interactive E-learning can be used for in-service education.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Zeinab Farmani ◽  
Marzieh Kargar ◽  
Zahra Khademian ◽  
Shahram Paydar ◽  
Najaf Zare

Abstract Objective This study aimed to determine the effect of awareness of subtle control after training on the hand hygiene compliance among nurses in intensive care units (ICUs). The study was conducted in two ICUs of a trauma center in Shiraz, Iran on 48 nurses. The nurses of one ICU were randomly allocated to the intervention and the nurses of the other ICU were allocated to the control group. All nurses were trained on hand hygiene. Then a fake closed camera television (CCTV) was visibly installed in the intervention group’s ICU, while the nurses were aware of it. The degree of compliance with hand hygiene was observed in both groups before and after the intervention. Data were gathered using a checklist based on the World Health Organization hand hygiene protocol and analyzed using SPSS 16 and the Chi square, Wilcoxon, Mann–Whitney U, and Independent T-tests, were performed. Results The mean percentage of hand hygiene compliance in the intervention group after the intervention was significantly higher than before the intervention (p < 0.001). Additionally, the changes in the mean percentage of the intervention group was significantly higher than that for the control group (p = 0.001). The findings showed that a fake CCTV after training, installed in ICUs, can improve hand hygiene compliance.


Sign in / Sign up

Export Citation Format

Share Document