ORIGINAL_ARTICLE
Perceived Supportive Paradox After Diagnosing Human Papillomavirus: A Qualitative Content Analysis
Background: Human papillomavirus (HPV) is the most globally-prevalent sexually-transmitted disease. Many stresses experienced by the patients after their disease is diagnosed affect the disease progression, and these problems and consequences demonstrate the importance of the support for the patients. The present research was conducted to explore the perception and experience of support in patients diagnosed with HPV.
Methods: In this qualitative study, 24 participants (17 patients, 2 spouses of these patients, and 5 health service providers), selected using purposeful and snowballing sampling from April 2019 to March 2020, underwent an inductive content analysis conducted in dermatology clinic of Shahid Faghihi hospital, Shiraz, Iran. The data were collected through in-depth semi-structured interviews, all of which were recorded and transcribed. The data were analyzed in MAXQDA 2018 until data saturation was reached.
Results: The patients aged 19-50 years old were married in 14 of the cases and their majority had genital or anal warts. Their level of education ranged from junior high school to an MSc degree. Perceived supportive paradox emerged as the main theme which consisted of 2 categories of supportiveness and lack of support.
Conclusion: The present findings showed many challenges for the patients in the face of contradictory behaviors by their relatives and health service providers. Integrated systems are required to develop in order to promote the understanding of health service providers of HPV and counsel the patients to take appropriate strategies and, therefore, eliminate their confusion and reduce their anxiety.
https://ijcbnm.sums.ac.ir/article_47262_214e1000c508f3fa7f1253c532a63ffc.pdf
2021-04-01
92
105
10.30476/ijcbnm.2021.88802.1547
HPV Infection
Qualitative research
Social Network
Support
Narjes
Nick
nikn@sums.ac.ir
1
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Camellia
Torabizadeh
camellia_torabizadeh@yahoo.com
2
Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
LEAD_AUTHOR
Mehdi
Ghahartars
mghahar@sums.ac.ir
3
Molecular Dermatology Research Center, Department of Dermatology, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Chen J. Human papilloma virus (HPV). The International Encyclopedia of Human Sexuality. 2015. doi.org/10.1002/9781118896877.wbiehs226 [online]
1
World Health Organization.Cervical cancer.Geneva: World Health Organization; 2020. [Cited 26 March 2020]. Available from: https://www.who.int/health-topics/cervical-cancer#tab=tab_1.
2
The Lancet. HPV vaccination: a decade on. The Lancet. 2016;388:438.
3
Sichero L, Giuliano AR, Villa LL. Human papillomavirus and genital disease in men: what we have learned from the HIM study. Acta Cytologica. 2019;63:109-17.
4
Jalilvand S, Shoja Z, Nourijelyani K, et al. Meta-analysis of type-specific human papillomavirus prevalence in Iranian women with normal cytology, precancerous cervical lesions and invasive cervical cancer: Implications for screening and vaccination. Journal of Medical Virology. 2015;87:287-95.
5
Malary M, Moosazadeh M, Hamzehgardeshi Z, et al. The Prevalence of Cervical Human Papillomavirus Infection and the Most At-risk Genotypes Among Iranian Healthy Women: A Systematic Review and Meta-analysis. International Journal of Preventive Medicine. 2016;7:70.
6
Mobini Kesheh M, Keyvani H. The Prevalence of HPV Genotypes in Iranian Population: An Update. Iranian Journal of Pathology. 2019;14:197-205.
7
McBride E, Tatar O, Rosberger Z, et al. Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis. Health Psychology Review. 2020. doi.org/10.1080/17437199.2020.1762106 [online]
8
Ferenidou F, Salakos N, Vaidakis N, et al. The impact of HPV diagnosis on women’s sexual and mental health: preliminary findings. Clinical and Experimental Obstetrics & Gynecology. 2012;39:79-82.
9
Kosenko KA, Craig E, Harvey-Knowles J. Helpful and challenging support encounters in the aftermath of HPV infection and diagnosis. Issues in Mental Health Nursing. 2012;33:355-62.
10
Bekele T, Rourke SB, Tucker R, et al. Direct and indirect effects of perceived social support on health-related quality of life in persons living with HIV/AIDS. AIDS Care. 2013;25:337-46.
11
Shrestha R, Copenhaver M, Bazazi AR, et al. A Moderated Mediation Model of HIV-Related Stigma, Depression, and Social Support on Health-Related Quality of Life among Incarcerated Malaysian Men with HIV and Opioid Dependence. AIDS and Behavior. 2017;21:1059-69.
12
Kavitha R, Jayan C. Role of social support on cancer distress among breast cancer patients. Guru Journal of Behavioral and Social Sciences. 2014;2:247-51.
13
Hsu YY, Wang WM, Fetzer SJ, et al. Longitudinal psychosocial adjustment of women to human papillomavirus infection. Journal of Advanced Nursing. 2018;74:2523-32.
14
Jeng CJ, Lin H, Wang LR. The effect of HPV infection on a couple’s relationship: a qualitative study in Taiwan. Taiwanese Journal of Obstetrics & Gynecology. 2010;49:407-12.
15
Huchko M, Adewumi K, Oketch S, et al. ‘I’m here to save my life’: a qualitative study of experiences navigating a cryotherapy referral system for human papillomavirus-positive women in western Kenya. BMJ Open. 2019;9:e028669.
16
Pereira-Caldeira NMV, Góes FGB, Almeida-Cruz MCMd, et al. Quality of Life for Women with Human Papillomavirus-induced Lesions. Revista Brasileira de Ginecologia e Obstetrícia. 2020;42:211-7.
17
Leon-Maldonado L, Allen-Leigh B, Lazcano-Ponce E. [Counseling for HPV detection when used to screen for cervical cancer: a qualitative study on the needs of women from Michoacan, Mexico]. Salud Publica de Mexico. 2014;56:519-27.
18
Galbraith-Gyan KV, Lechuga J, Jenerette CM, et al. HPV vaccine acceptance among African-American mothers and their daughters: an inquiry grounded in culture. Ethnicity & Health. 2019;24:323-40.
19
Daley EM, Vamos CA, Wheldon CW, et al. Negative emotions and stigma associated with a human papillomavirus test result: A comparison between human papillomavirus–positive men and women. Journal of Health Psychology. 2015;20:1073-82.
20
Mohajan HK. Qualitative research methodology in social sciences and related subjects. Journal of Economic Development, Environment and People. 2018;7:23-48.
21
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12.
22
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 10th ed. Philadelphia: Lippincott Williams & Wilkins; 2016.
23
Karimi Rozveh A, Nabi Amjad R, Karimi Rozveh J, Rasouli D. Attitudes toward Telling the Truth to Cancer Patients in Iran: A Review Article. International Journal of Hematology-Oncology and Stem Cell Research. 2017;11:178-84.
24
Bennett KF, Waller J, Ryan M, et al. The psychosexual impact of testing positive for high‐risk cervical human papillomavirus (HPV): a systematic review. Psycho‐Oncology. 2019;28:1959-70.
25
Tzaneva V, Iacob T. A better communcation with the patients improves the management of HIV disease: a nonsystematic review. Clujul Medical (1957). 2013;86:181-4.
26
Heydarvand S, Behzadifar M, Gorji HA, et al. Average medical visit time in Iran: A systematic review and meta-analysis. Medical Journal of the Islamic Republic of Iran. 2018;32:58.
27
Badiyepeymaiejahromi Z, Ramezanli S, Farzaneh M, Torabizadeh C. Quality of Communication skills of nurses worked at the Hospitals Affiliated to Jahrom University of Medical Sciences, Iran. Bangladesh Journal of Medical Science. 2018;17:275-81.
28
Zolkefli Y. The Ethics of Truth-Telling in Health-Care Settings. The Malaysian Journal of Medical Sciences. 2018;25:135-9.
29
Diaz ML. Counseling the patient with HPV disease. Obstetrics and Gynecology Clinics of North America. 2013;40:391-402.
30
Matthews T, Baken D, Ross K, et al. The experiences of patients and their family members when receiving bad news about cancer: A qualitative meta-synthesis. Psycho-oncology. 2019;28:2286-94.
31
Shepherd MA, Gerend MA. The blame game: cervical cancer, knowledge of its link to human papillomavirus and stigma. Psychology & Health. 2013;29:94-109.
32
Barnack-Tavlaris JL, Serpico JR, Ahluwalia M, Ports KA. “I have human papillomavirus”: An analysis of illness narratives from the Experience Project. Applied Nursing Research. 2016;30:137-41.
33
Williams SL, Laduke SL, Klik KA, Hutsell DW. A paradox of support seeking and support response among gays and lesbians. Personal Relationships. 2016;23:296-310.
34
UNAIDS. Eliminating discrimination in health care: Stepping stone towards ending the AIDS epidemic. Switzerland: UNAIDS; 2016.
35
Zang C, Guida J, Sun Y, Liu H. Collectivism culture, HIV stigma and social network support in Anhui, China: a path analytic model. AIDS Patient Care and STDs. 2014;28:452-8.
36
Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care. 2012;35:1239-45.
37
Sari DK, Dewi R, Daulay W. Association Between Family Support, Coping Strategies and Anxiety in Cancer Patients Undergoing Chemotherapy at General Hospital in Medan, North Sumatera, Indonesia. Asian Pacific Journal of Cancer Prevention. 2019;20:3015-9.
38
Ayer R, Kikuchi K, Ghimire M, et al. Clinic attendance for antiretroviral pills pick-up among HIV-positive people in Nepal: roles of perceived family support and associated factors. PloS One. 2016;11:e0159382.
39
Yu YJ, Li X, Qiao S, Zhou Y. Family relations in the context of HIV/AIDS in Southwest China. AIDS Care. 2016;28:1261-8.
40
Putra INAM, Waluyo A, Yona S. The Correlation between Stigma and Family Acceptance with Religiosity of PLWH MSM in Medan, Indonesia. Asian/Pacific Island Nursing Journal. 2019;4:123-7.
41
Janghorban R, Latifnejad Roudsari R, Taghipour A, et al. The shadow of silence on the sexual rights of married Iranian women. Biomed Research International. 2015;2015:520827.
42
ORIGINAL_ARTICLE
Health Promoting Behaviors, Health Needs and Associated Factors among Older Adults in Jordan: A Cross-Sectional Study
Background: Several factors affect older adults’ engagement in HPBs. This study aimed to examine HPBs, health needs, and associated factors among older adults in Jordan.
Methods: A cross-sectional study was conducted on 220 older adults at one governmental and one university hospital, which were selected using convenience sampling for geographical closeness to the researchers. All older adults with no cognitive or communication problems who attended the outpatient clinics of the two hospitals from December 2018 to April 2019 were included in the study. This time period was chosen based on the convenience of the participants and researchers. Data were collected by An Arabic version of the Health-Promoting Lifestyle Profile (HPLP) and a demographic questionnaire. The Statistical Package for Social Science (SPSS) 25.0 software was used for the descriptive and inferential analysis of the study data. The level of significance was set at P<0.05.
Results: The mean score of the total HPLP was 125.33±19.09. The marital status and educational level of the participants were associated with the total HPLP (P<0.001) in all its dimensions, except for the dimension of interpersonal relations. Participants with chronic diseases had lower scores than those without diseases for the total HPLP (P<0.001) in all the six dimensions. Family income was positively correlated with the dimensions of nutrition (P=0.007) and exercise (P=0.002).
Conclusion: Despite the good overall mean score of older adults for total HPLP and some of its subscales, their levels of exercise and physical activity need to be promoted. The scores of older adults were related to various demographic and clinical factors.
https://ijcbnm.sums.ac.ir/article_47044_e96c3356c5ff7dfab963f9dfe56926a3.pdf
2021-04-01
106
116
10.30476/ijcbnm.2020.87493.1443
Older Adults
Healthy Lifestyle
Health Behavior
Health promotion
Mohammad
Rababa
mjrababa@just.edu.jo
1
Department of Adult Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
LEAD_AUTHOR
Nahla
Al Ali
nmali@just.edu.jo
2
Department of Community and Mental Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan;
AUTHOR
Ayat
Alshaman
aialshaman@nur.just.edu.jo
3
Department of Community and Mental Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan;
AUTHOR
Amjad H, Mulcahy J, Kasper JD, et al. Do Caregiving Factors Affect Hospitalization Risk Among Disabled Older Adults? Journal of the American Geriatrics Society. 2020. doi.org/10.1111/jgs.16817 [online]
1
Rababa M. Association of Comorbid Burden and Patient Outcomes of Residents With Dementia in Jordanian Nursing Homes. Journal of Gerontological Nursing. 2018;44:50-8.
2
Lake JH. An Integrative Paradigm for Mental Health Care: Ideas and Methods Shaping the Future. 1st ed. Germany: Springer; 2019.
3
Hamdan-Mansour A. Psychosocial and sociodemographic predictors of depression among older persons in Jordan. Open Journal of Nursing. 2016;6:532-40.
4
Courtin E, Knapp M. Social isolation, loneliness and health in old age: a scoping review. Health & Social Care in the Community. 2017;25:799-812.
5
Lelli D, Tolone S, Pulignano G, et al. Nutritional status is associated with physical function and disability in older adults with chronic heart failure. European Journal of Internal Medicine. 2020;74:73-8.
6
Artaud F, Dugravot A, Sabia S, et al. Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study. BMJ. 2013;347:f4240.
7
Fleming ML, Baldwin L. Health Promotion in the 21st Century: New approaches to achieving health for all. 1st ed. UK: Routledge; 2020.
8
Kara B, İşcan B. Predictors of health behaviors in Turkish female nursing students. Asian Nursing Research. 2016;10:75-81.
9
10.Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. US: Prentice Hall; 2005.
10
11.Zanjani S, Tol A, Mohebbi B, et al. Determinants of healthy lifestyle and its related factors among elderly people. Journal of Education and Health Promotion. 2015;4:103.
11
12.Giena VP, Thongpat S, Nitirat P. Predictors of health-promoting behaviour among older adults with hypertension in Indonesia. International Journal of Nursing Sciences. 2018;5:201-5.
12
13.Khami L, Motalebi SA, Mohammadi F, et al. Can social support predict health-promoting behaviors among community-dwelling older adults? Social Health and Behavior. 2020;3:22-6.
13
14.Eshah NF. Lifestyle and health promoting behaviours in Jordanian subjects without prior history of coronary heart disease. International Journal of Nursing Practice. 2011;17:27-35.
14
15.Haddad LG, Al-Ma’Aitah RM, Umlauf MG. Health promotion behaviors among Jordanians. International Quarterly of Community Health Education. 1998;18:223-35.
15
16.World Health Organization, High Health Concil. The National Strategy for Health Sector in Jordan, 2015-2019. Geneva, Jordan: World Health Organization, High Health Concil; 2017.
16
17.Mansoor K, Khuwaja HMA. The Effectiveness of a Chronic Disease Self-Management Program for Elderly People: a Systematic Review. Elderly Health Journal. 2020;6:51-63.
17
18.Haddad LG, Al‐Ma’aitah RM, Cameron SJ, Armstrong‐Stassen M. An Arabic language version of the health promotion lifestyle profile. Public Health Nursing. 1998;15:74-81.
18
19.Zhang C, Zheng X, Zhu R, et al. The effectiveness of the “SMG” model for health-promoting lifestyles among empty nesters: a community intervention trial. Health and Quality of Life Outcomes. 2019;17:168.
19
20.Montag C, Sindermann C, Lester D, Davis KL. Linking individual differences in satisfaction with each of Maslow’s needs to the Big Five personality traits and Panksepp’s primary emotional systems. Heliyon. 2020;6:e04325.
20
21.Ammouri AA. Demographic differences in health promoting lifestyle of adult Jordanians. Jordan Medical Journal. 2008;42:220-8.
21
22.Fanning J, Rejeski WJ, Chen SH, et al. Relationships Between Profiles of Physical Activity and Major Mobility Disability in the LIFE Study. Journal of the American Geriatrics Society. 2020;68:1476-83.
22
23.Rasool AJ, Khalifa MF. Evaluation of Health Promotion Behaviors for Elderly Population at Geriatric Homes in Baghdad City: Comparative Study. International Journal of Scientific and Research Publications. 2016;6:369-76.
23
24.König K, Raue M, D’Ambrosio LA, Coughlin JF. Physical and emotional support of the neighborhood for older adults: A comparison of the United States and Germany. Journal of Environmental Psychology. 2019;62:84-94.
24
25.Belchior GF, Kirk B, da Silva EAP, Duque G. Osteosarcopenia: beyond age-related muscle and bone loss. European Geriatric Medicine. 2020. doi:10.1007/s41999-020-00355-6 [online]
25
26.Mirghafourvand M, Sehhati F, Rahimi M. Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital, 2013. Journal of Caring Sciences. 2014;3:175-84.
26
27.Dahlheim-Englund AC, Carlsson G, Nyström M, et al. Life without professional work: perceptions about one’s self, interpersonal relations and social life after retirement. Healthy Aging Research. 2019;8:2.
27
28.Beliran SP, Legaspi MS. Health-promoting behaviors and quality of life of Filipino older persons. Asia Pacific Journal of Education, Arts and Sciences. 2014;1:11-20.
28
29.Rababa M, Hammouri AM, Hweidi IM, Ellis JL. Association of nurses’ level of knowledge and attitudes to ageism toward older adults: Cross‐sectional study. Nursing & Health Sciences. 2020;22:593-601.
29
30.Smith ML, Bergeron CD, Lachenmayr S, et al. A Brief Intervention for Malnutrition among Older Adults: Stepping Up Your Nutrition. International Journal of Environmental Research and Public Health. 2020;17:3590.
30
31.Mosleh SM, Darawad M. Patients’ adherence to healthy behavior in coronary heart disease: risk factor management among Jordanian patients. Journal of Cardiovascular Nursing. 2015;30:471-8.
31
32.Conklin AI, Maguire ER, Monsivais P. Economic determinants of diet in older adults: systematic review. Journal of Epidemiology and Community Health. 2013;67:721-7.
32
33.Mohamad N, Mulud ZA, Ibrahim M, Damanhuri NF. The Relationship between Self-Efficacy and Health Promoting Behaviour among Older Adults with Chronic Illness. Environment-Behaviour Proceedings Journal. 2019;4:73-8.
33
34.Korkmaz Aslan G, Kartal A, Özen Çınar İ, Koştu N. The relationship between attitudes toward aging and health‐promoting behaviours in older adults. International Journal of Nursing Practice. 2017;23(6).
34
35.Luo M, Ding D, Bauman A, et al. Social engagement pattern, health behaviors and subjective well-being of older adults: an international perspective using WHO-SAGE survey data. BMC Public Health. 2020;20:99.
35
36.Ulley J, Harrop D, Ali A, et al. Deprescribing interventions and their impact on medication adherence in community-dwelling older adults with polypharmacy: a systematic review. BMC Geriatrics. 2019;19:15.
36
37.Thorpe MG, Milte CM, Crawford D, McNaughton SA. Education and lifestyle predict change in dietary patterns and diet quality of adults 55 years and over. Nutrition Journal. 2019;18:67.
37
38.Alley SJ, Vandelanotte C, Duncan MJ, et al. Should I sit or stand: likelihood of adherence to messages about reducing sitting time. BMC Public Health. 2019;19:871.
38
39.Świątoniowska N, Sarzyńska K, Szymańska-Chabowska A, Jankowska-Polańska B. The role of education in type 2 diabetes treatment. Diabetes Research and Clinical Practice. 2019;151:237-46.
39
40.Kamphuis CBM, de Bekker-Grob EW, van Lenthe FJ. Factors affecting food choices of older adults from high and low socioeconomic groups: a discrete choice experiment. The American Journal of Clinical Nutrition. 2015;101:768-74.
40
41.Prioreschi A, Wrottesley SV, Norris SA. Physical Activity Levels, Food Insecurity and Dietary Behaviours in Women from Soweto, South Africa. Journal of Community Health. 2020. doi:10.1007/s10900-020-00861-5 [online]
41
42.Bernardelli LV, Pereira C, Kortt MA. The economic and social determinants of participation in physical activity in Brazil. International Review of Applied Economics. 2020;34:252-66.. doi: 10.30476/ijcbnm.2020.87493.1443.
42
ORIGINAL_ARTICLE
The Role of the Patients’ Companion in the Transitional Care from the Open Heart Surgery ICU to the Cardiac Surgery Ward: A Qualitative Content Analysis
Background: The patients’ companions can help improve transitional care as an important missing link, but their role is not clear. The aim of this study was to explore the role of the patients’ companion in the transitional care from the open heart surgery intensive care unit (OH-ICU) to the cardiac surgery ward.
Methods: This was a qualitative descriptive study using conventional content analysis that was conducted from September 2019 to February 2020 in Tehran, Iran. Purposeful sampling method with maximum variation was performed among the patients eligible for transfer to the cardiac surgery ward, their companions, nurses, and physicians in charge of transferring from the OH-ICU to the ward. 27 in-depth and semi-structured interviews were conducted with 25 participants , and data were analyzed using the Granheim and Lundman method. The data were managed using the MAXQDA software (version 10.0).
Results: Based on our analysis, the theme “Dual role of the patients’ companion” and its two categories, “Companion as a facilitator” and “Companion as an inhibitor”, were extracted. Emotional support, satisfaction of basic needs, care arm, alarm bell, and communication bridge were the sub-categories of the first category, and Interferingwith care and creation of tension were those of the second category.
Conclusion: We concluded that the patients’ companions can play an important role in transitional care, especially as emotional support and system assistants due to the structure of the health care system and Iranian cultural context . Therefore, it is suggested that the patients’ companion should be considered as a member of the transition team and accompany them in this process by informing and supporting them.
https://ijcbnm.sums.ac.ir/article_47295_fa221872bd4989fefa48eef80c58ef86.pdf
2021-04-01
117
126
10.30476/ijcbnm.2021.87898.1475
Cardiac surgery
Family care giver
Intensive care unit
Transitional care
Sahar
Khoshkesht
khoshkesht@razi.tums.ac.ir
1
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
AUTHOR
Shahrzad
Ghiyasvandian
shghiyas@tums.ac.ir
2
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
AUTHOR
Maryam
Esmaeili
esmaeili_m@tums.ac.ir
3
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
AUTHOR
Masoumeh
Zakerimoghadam
zakerimo@tums.ac.ir
4
Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;
LEAD_AUTHOR
World Health Organization. Noncommunicable diseases country profiles 2018. Geneva: World Health Organization; 2018. [Cited 17 July 2020]. Available from: https://www.who.int/nmh/publications/ncd-profiles-2018/en/
1
Bakaeen FG, Blackstone EH, Pettersson GB, et al. The father of coronary artery bypass grafting: René Favaloro and the 50th anniversary of coronary artery bypass grafting. Journal of Thoracic and Cardiovascular Surgery. 2018;155:2324-8.
2
Herbst LA, Desai S, Benscoter D, et al. Going back to the ward-transitioning care back to the ward team. Translational Pediatrics. 2018;7:314-25.
3
Stelfox HT, Lane D, Boyd JM, et al. A scoping review of patient discharge from intensive care: opportunities and tools to improve care. Chest. 2015;147:317-27.
4
Jodaki K, Ghyasvandian S, Abbasi M, et al. Effect of liaison nurse service on transfer anxiety of patients transferred from the cardiac surgery Intensive Care Unit to the general ward. Nursing and Midwifery Studies. 2017;6:e33478.
5
Dos Passos Antonio S, Bernardino E, Bueno Lelli Tominaga L, et al. Transition of patients from intensive care units. Journal of Nursing. 2018;12:3320-6.
6
Jeffs L, Kitto S, Merkley J, et al. Safety threats and opportunities to improve interfacility care transitions: insights from patients and family members. Patient Prefer Adherence. 2012;6:711-8.
7
Ghiyasvandian S, Zakerimoghadam M, Peyravi H. Nurse as a facilitator to professional communication: a qualitative study. Global Journal of Health Science. 2014;7:294-303.
8
Buck HG, Harkness K, Wion R, et al. Caregivers’ contributions to heart failure self-care: a systematic review. European Journal of Cardiovascular Nursing. 2015;14:79- 89.
9
Miranda J, Underwood D, Kuepfer‐Thomas M, et al. Exploring transitions in care from pulmonary rehabilitation to home for persons with chronic obstructive pulmonary disease: A descriptive qualitative study. Health Expectations. 2020;23:414-22.
10
Grood C, Leigh JP, Bagshaw SM, et al. Patient, family and provider experiences with transfers from intensive care unit to hospital ward: a multicentre qualitative study. Canadian Medical Association Journal. 2018;190:E669-76.
11
Coleman EA, Roman SP. Family caregivers’ experiences during transitions out of hospital. The Journal for Healthcare Quality. 2015;37:12-21.
12
Jeffs L, Saragosa M, Law MP, et al. The role of caregivers in interfacility care transitions: a qualitative study. Patient Preference and Adherence. 2017;11:1443-50.
13
Gibson MJ, Kelly KA, Kaplan AK. Family caregiving and transitional care: a critical review. CA: Family Caregiver Alliance; 2012.
14
Hasandoost F, Momeni M, Dehghankar L, et al. Family Needs of Patients Admitted to the Intensive Care Units. International Journal of Epidemiologic Research. 2018;5:128-32.
15
Alimohammadi N, Jokar M, Khalili A, Aghamohammadi M. The requirements of the caregivers of patients hospitalized in intensive care units. National Journal of Physiology, Pharmacy and Pharmacology. 2018; 8:1078-83.
16
Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences. 2013; 15:398-405.
17
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12.
18
Lincoln YS, Guba EG. Naturalistic Inquiry. US: Sage Publications; 1985.
19
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007;19:349-57.
20
Reinhard SC, Levine C, Samis S. Home alone: family caregivers providing complex chronic care. US: AARP; 2012. [Cited 30 May, 2020]. Available from: https://www.aarp.org/content/dam/aarp/research/public_policy_institute/health/home-alone-family-caregivers-providing-complex-chronic-care-rev-AARP-ppi-health.pdf
21
Benzein E, Johansson P, Franzén Arestedt K, Saveman BI. Nurses’ attitudes about the importance of families in nursing care: a survey of Swedish nurses. Journal of Family Nursing. 2008;14:162-80.
22
ORIGINAL_ARTICLE
The Effect of Peer Support with Telecommunication on Subjective Well-being in Colorectal Patients: A Randomized Controlled Clinical Trial
Background: Colorectal cancer has a widespread impact on the psychological and physical dimensions of patients and threatens their subjective well-being. Peer support is an effective strategy to increase subjective well-being in cancer patients. This study aims to evaluate the impact of peer support through telecommunications on the subjective well-being of colorectal cancer patients.Materials: This randomized clinical trial was conducted on 60 patients with colorectal cancer in Mashhad, Iran from November 2018 to April 2019. Two educational hospitals were selected through random sampling from four educational hospitals. Then, participants were randomly selected from the list of patients in each group using a block randomization method. The intervention group received the peer support program by using telephone and virtual social networks for a month. The data were collected by the Warwick-Edinburgh Subjective Well-being Scale before and after the intervention and were then analyzed through independent t-test, paired t-test, and chi-squared test using SPSS version 16. The level of significant was set at P<0.05.Results: Before the intervention, the mean subjective well-being score of the patients did not show significant difference in the intervention and control groups, respectively (27.8±5.4 vs. 27.6±6.3, P=0.619). However, after the intervention, the mean subjective well-being score of the intervention group showed a significant increase compared to the control group (49.16±3.3 vs. 26.6±6.1, P<0.001).Conclusion: This randomized controlled trial shows that peer support interventions through telecommunication can improve the subjective well-being of patients with colorectal cancer. Therefore, this method can be used as an effective palliative approach to promote patients’ subjective well-being.
Trail Registration Number: IRCT20190123042480N1
https://ijcbnm.sums.ac.ir/article_47301_050d26a292614ececa3cc8b748e897a4.pdf
2021-04-01
127
138
10.30476/ijcbnm.2021.88061.1484
Colorectal neoplasms
Mental health
Neoplasms
social support
Telecommunications
Mahla
Rahimi
rahimim941@mums.ac.ir
1
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;
AUTHOR
Mehrsadat
Mahdizadeh
mahdizadehtm@mums.ac.ir
2
Department of Health Education and Health Promotion, Social Determinants of Health Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran;
AUTHOR
Hamid
Chamanzari
chamanzarih@mums.ac.ir
3
Department of Medical-Surgical Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Seyed-Mousa
Mahdizadeh
mahdizadehm@mums.ac.ir
4
Department of Medical-Surgical Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: Incidence, mortality, survival, and risk factors. Przegla̜d Gastroenterologiczny. 2019;14:89-103.
1
Mello Mrspd, Moura SF, Muzi CD, Guimaraes RM. Clinical evaluation and pattern of symptoms in colorectal cancer patients. Arquivos de Gastroenterologia. 2020;57:131-6.
2
Pourhoseingholi MA, Vahedi M, Baghestani AR. Burden of gastrointestinal cancer in Asia; an overview. Gastroenterology and Hepatology from Bed to Bench. 2015;8:19-27.
3
Caruso R, Breitbart W. Mental health care in oncology, Contemporary perspective on the psychosocial burden of cancer and evidence-based interventions. Epidemiology and Psychiatric Sciences. 2020;29:e86.
4
Jones JM, Olson K, Catton P, et al. Cancer-related fatigue and associated disability in post-treatment cancer survivors. Journal of Cancer Survivorship. 2016;10:51-61.
5
Lu D, Andersson TML, Fall, et al. Clinical diagnosis of mental disorders immediately before and after cancer diagnosis: a nationwide matched cohort study in Sweden. JAMA Oncology. 2016;2:1188-96.
6
Wang Y, Lin Y, Chen J, et al. Effects of Internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis. Supportive Care in Cancer. 2020;28:2541-52.
7
Marziliano A, Tuman M, Moyer A. The relationship between post‐traumatic stress and post‐traumatic growth in cancer patients and survivors: A systematic review and meta‐analysis. Psycho‐Oncology. 2020;29:604-16.
8
Ochoa C, Casellas-Grau A, Vives J, et al. Positive psychotherapy for distressed cancer survivors: Posttraumatic growth facilitation reduces posttraumatic stress. International Journal of Clinical and Health Psychology. 2017;17:28-37.
9
Bener A, Alsulaiman R, Doodson L, Agathangelou T. Depression, hopelessness and social support among breast cancer patients: in highly endogamous population. Asian Pacific Journal of Cancer Prevention. 2017;18:1889-96.
10
Tessier P, Blanchin M, Sébille V. Does the relationship between health-related quality of life and subjective well-being change over time? An exploratory study among breast cancer patients. Social Science & Medicine. 2017;174:96-103.
11
Haviland J, Sodergren S, Calman L, et al. Social support following diagnosis and treatment for colorectal cancer and associations with health‐related quality of life: Results from the UK Colorectal Wellbeing (CREW) cohort study. Psycho‐Oncology. 2017;26:2276-84.
12
Fasihi Harandi T, Taghinasab MM, Dehghan Nayeri T. The correlation of social support with mental health: A meta-analysis. Electronic Physician. 2017;9:5212-22.
13
Walshe C, Roberts D. Peer support for people with advanced cancer: a systematically constructed scoping review of quantitative and qualitative evidence. Current Opinion in Supportive and Palliative Care. 2018;12:308-22.
14
Kowitt SD, Ellis KR, Carlisle V, et al. Peer support opportunities across the cancer care continuum: a systematic scoping review of recent peer-reviewed literature. Supportive Care in Cancer. 2019;27:97-108.
15
Doull M, O’Connor AM, Welch V, et al. Peer support strategies for improving the health and well‐being of individuals with chronic diseases. The Cochrane Database of Systematic Reviews. 2017;2017:CD005352.
16
Dehghani A, Mohammad khan Kermanshahi S, Memarian R, et al. The effect of peer-led education on depression of multiple sclerosis patients. Iranian Journal of Psychiatric Nursing. 2013;1:63-71. [In Persian]
17
Hu J, Wang X, Guo S, et al. Peer support interventions for breast cancer patients: a systematic review. Breast Cancer Research and Treatment. 2019;174:325-41.
18
Vorderstrasse A, Lewinski A, Melkus GDE, Johnson C. Social support for diabetes self-management via eHealth interventions. Current Diabetes Reports. 2016;16:56.
19
Shorey S, Ng ED. Evaluation of Mothers’ Perceptions of a Technology-Based Supportive Educational Parenting Program (Part 2): Qualitative Study. Journal of Medical Internet Research. 2019;21:e11065.
20
Huber J, Muck T, Maatz P, et al. Face-to-face vs. online peer support groups for prostate cancer: a cross-sectional comparison study. Journal of Cancer Survivorship. 2018;12:1-9.
21
Irajpour A, Hashemi MS, Abazari P, et al. The Effects of Peer Support on Depression, Anxiety, and Stress Among Patients Receiving Hemodialysis. Iran Red Crescent Medical Journal. 2018;20:e66321.
22
Bartolo A, Pacheco E, Rodrigues F, et al. Effectiveness of psycho-educational interventions with telecommunication technologies on emotional distress and quality of life of adult cancer patients: a systematic review. Disability and Rehabilitation. 2019;41:870-8.
23
Tennant R, Hiller L, Fishwick R, et al. The Warwick-Edinburgh mental well-being scale (WEMWBS): development and UK validation. Health and Quality of life Outcomes. 2007;5:63.
24
Lang G, Bachinger A. Validation of the German Warwick-Edinburgh mental well-being scale (WEMWBS) in a community-based sample of adults in Austria: a bi-factor modelling approach. Journal of Public Health. 2017;25:135-46.
25
Rajabi G. Validity and reability of the perstian version of Subjective well-being in cancer pationt. Health Psycology. 2013;1:30-41. [In Persian]
26
El-Shami K, Oeffinger KC, Erb NL, et al. American Cancer Society colorectal cancer survivorship care guidelines. CA: A Cancer Journal for Clinicians. 2015;65:428-55.
27
Butow P, Sharpe L, Thewes B, et al. Fear of cancer recurrence: a practical guide for clinicians. Oncology. 2018;32:32-8.
28
Fabi A, Bhargava R, Fatigoni S, et al. Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment. Annals of Oncology. 2020;31:713-23.
29
White VM, Young M-A, Farrelly A, et al. Randomized controlled trial of a telephone-based peer-support program for women carrying a BRCA1 or BRCA2 mutation: Impact on psychological distress. Journal of Clinical Oncology. 2014;32:4073-80.
30
Madani H, Pourmemari M, Moghimi M, Rashvand F. Hopelessness, perceived social support and their relationship in Iranian patients with cancer. Asia-Pacific Journal of Oncology Nursing. 2018;5:314-9.
31
Fong AJ, Scarapicchia TMF, McDonough MH, et al. Changes in social support predict emotional well‐being in breast cancer survivors. Psycho‐Oncology. 2017;26.664-71.
32
Solano JPC, da Silva AG, Soares IA, et al. Resilience and hope during advanced disease: a pilot study with metastatic colorectal cancer patients. BMC Palliative Care. 2016;15:70.
33
Applebaum AJ, Stein EM, Lord-Bessen J, et al. Optimism, social support, and mental health outcomes in patients with advanced cancer. Psycho-Oncology. 2014;23:299-306.
34
de Rooij BH, Thong MSY, van Roij J, et al. Optimistic, realistic, and pessimistic illness perceptions; quality of life; and survival among 2457 cancer survivors: the population-based PROFILES registry. Cancer. 2018;124:3609-17.
35
Schofield PE, Stockler M, Zannino D, et al. Hope, optimism and survival in a randomised trial of chemotherapy for metastatic colorectal cancer. Supportive Care in Cancer. 2016;24:401-8.
36
Lee R, Lee KS, Oh E-G, Kim SH. A randomized trial of dyadic peer support intervention for newly diagnosed breast cancer patients in Korea. Cancer Nursing. 2013;36:E15-22.
37
Erfani SS, Abedin B, Blount Y. The effect of social network site use on the psychological well‐being of cancer patients. Journal of the Association for Information Science and Technology. 2017;68:1308-22.
38
ORIGINAL_ARTICLE
Information Needs of Pregnant Women in the COVID-19 Pandemic from Experts’ Point of View: A Qualitative Study
Background: As pregnant women are among vulnerable groups susceptible to respiratory infections, healthcare systems in most countries would pay more attention to providing the services required in the COVID-19 pandemic. The present study aims to identify the information needs of pregnant women during the COVID-19 pandemic.
Methods: The research team conducted a qualitative conventional content analysis with an inductive approach to identify the views of 19 experts when working in the field of providing obstetric and midwifery services in Isfahan from April to June 2020. The semi-structured interviews were analyzed using MAXQDA v18.
Results: The results showed that the information needs of pregnant women during the Covid-19 epidemic should be set in four areas, including 1) Self-efficacy of pregnant women, 2) Information that provokes sensitivity to the preventive measures, 3) Awareness of the perceived threat, and 4) Awareness of the health system functions in COVID-19 pandemic.
Conclusion: The study shows that the self-efficacy of pregnant women depends deeply on being informed of the general and specific self-care principles. Besides, sensitivity could be achieved through the increased risk perception and knowledge on the pandemic. However, pregnant mothers should know the potential threats that could pose them at risk of vulnerability. Finally, awareness of the health system functions regarding access to reliable information resources along with provided services at Medical University websites is also recommended.
https://ijcbnm.sums.ac.ir/article_47308_12065a841c88bd4363ea44836b0e4325.pdf
2021-04-01
139
151
10.30476/ijcbnm.2021.87447.1432
COVID-19
Pandemics
Pregnant
Self-efficacy
Fatemeh
Rezaei
f.rezaei.ms@gmail.com
1
Social Determinants of Health Research Center, Department of Health in Emergencies and Disasters, Isfahan University of Medical Sciences, Isfahan, Iran;
AUTHOR
Zahra
Masaeli
masaelizahra485@gmail.com
2
Community Health Research Center, Department of Nursing and Midwifery, The Islamic Azad University, Isfahan (Khorasgan), Iran;
AUTHOR
Golrokh
Atighechian
atighechian_golrokh@yahoo.com
3
Health Management and Economics Research Center, Department of Health in Emergencies and Disasters, Isfahan University of Medical Sciences, Isfahan, Iran
LEAD_AUTHOR
Zhou Y, Hou Y, Shen J, et al. Network-based drug repurposing for novel coronavirus 2019-nCoV/SARS-CoV-2. Cell Discovery. 2020;6:14.
1
Sutton D, Fuchs K, D’alton M, Goffman D. Universal screening for SARS-CoV-2 in women admitted for delivery. New England Journal of Medicine. 2020;382:2163-4.
2
Favre G, Pomar L, Musso D, Baud D. 2019-nCoV epidemic: what about pregnancies? The Lancet. 2020;395:e40.
3
Steinhoff MC, Katz J, Englund JA, et al. Year-round influenza immunisation during pregnancy in Nepal: a phase 4, randomised, placebo-controlled trial. The Lancet Infectious Diseases. 2017;17:981-9.
4
Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from Coronavirus 2019-nCoV (SARS-CoV-2) Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses. 2020;12:194.
5
Rasmussen SA, Jamieson DJ. Coronavirus disease 2019 (COVID-19) and pregnancy: responding to a rapidly evolving situation. Obstetrocs and Gynecology. 2020;135:999-1002.
6
Liu W, Wang Q, Zhang Q, et al. Coronavirus Disease 2019 (COVID-19) During Pregnancy: A Case Series. Preprints. 2020.
7
Lu R, Zhao X, Li J, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. The Lancet. 2020;395:565-74.
8
Li C, Tang L, Luo Y, et al. The Prevention and Control Experience of Maternal Health Care from Chengu, China During the COVID-19 Epidemic. Risk Management and Healthcare Policy. 2020;13:2213-7.
9
Qiao J. What are the risks of COVID-19 infection in pregnant women? The Lancet. 2020;395:760-2.
10
Noh Y, Yoon D, Song I, et al. Discrepancies in the evidence and recommendation levels of pregnancy information in prescription drug labeling in the United States, United Kingdom, Japan, and Korea. Journal of Women’s Health. 2018;27:1086-92.
11
Alzamora MC, Paredes T, Caceres D, et al. Severe COVID-19 during pregnancy and possible vertical transmission. American Journal of Perinatology. 2020;37:861-5.
12
Di Mascio D, Khalil A, Saccone G, et al. Outcome of Coronavirus spectrum infections (SARS, MERS, COVID 1-19) during pregnancy: a systematic review and meta-analysis. American Journal of Obstetrics & Gynecology MFM. 2020;2:100107.
13
Nörby U, Källén K, Shemeikka T, et al. Pregnant women’s view on the Swedish internet resource drugs and birth defects intended for health care professionals. Acta Obstetricia et Gynecologica Scandinavica. 2015;94:960-8.
14
Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020;17:1729.
15
Nanjundaswamy MH, Shiva L, Desai G, et al. COVID-19-related anxiety and concerns expressed by pregnant and postpartum women-a survey among obstetricians. Archives of Womens Mental Health. 2020;23;787-90.
16
Chong YY, Chien WT, Cheng HY, et al. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. International Journal of Environmental Research and Public Health. 2020;17:6540.
17
Vagni M, Maiorano T, Giostra V, Pajardi D. Coping with COVID-19: Emergency Stress, Secondary Trauma and Self-Efficacy in Healthcare and Emergency Workers in Italy. Frontiers in Psychology. 2020;11:566912.
18
Hernández-Padilla JM, Granero-Molina J, Ruiz-Fernández MD, et al. Design and psychometric analysis of the COVID-19 prevention, recognition and home-management self-efficacy scale. International Journal of Environmental Research and Public Health. 2020;17:4653.
19
Breslin N, Baptiste C, Miller R, et al. Coronavirus disease 2019 in pregnancy: early lessons. American Journal of Obstetrics & Gynecology MFM. 2020;2:100111.
20
Dana PM, Kolahdooz F, Sadoughi F, et al. COVID-19 and pregnancy: a review of current knowledge. Infezioni in Medicina. 2020;28:46-51.
21
Lennon SL. Risk perception in pregnancy: A concept analysis. Journal of Advanced Nursing. 2016;72:2016-29.
22
Silva MMdJ, Nogueira DA, Clapis MJ, Leite EPRC. Anxiety in pregnancy: Prevalence and associated factors. Revista da Escola de Enfermagem da USP. 2017;51:e03253.
23
Zhang H, Ye Z, Tang L, et al. Anxiety symptoms and burnout among Chinese medical staff of intensive care unit: the moderating effect of social support. BMC Psychiatry. 2020;20:197.
24
Yue C, Liu C, Wang J, et al. Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: The mediating effect of risk perception. International Journal of Social Psychiatry. 2020;1:1-8.
25
Kimani RW, Maina R, Shumba C, Shaibu S. Maternal and newborn care during the COVID-19 pandemic in Kenya: re-contextualising the community midwifery model. Human Resources for Health. 2020;18:75.
26
Masjoudi M, Aslani A, Khazaeian S, Fathnezhad-Kazemi A. Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: a mixed method study protocol. Reproductive Health. 2020;17:98.
27
Mirzadeh M, Khedmat L. Pregnant women in the exposure to COVID-19 infection outbreak: the unseen risk factors and preventive healthcare patterns. The Journal of Maternal-Fetal & Neonatal Medicine. 2020. [online]
28
Favre G, Pomar L, Qi X, et al. Guidelines for pregnant women with suspected SARS-CoV-2 infection. The Lancet Infectious Diseases. 2020;20:652-3.
29
Schmid MB, Fontijn J, Ochsenbein-Kölble N, et al. COVID-19 in pregnant women. The Lancet Infectious Diseases. 2020;20:653.
30
Lu Q, Shi Y. Coronavirus disease (COVID‐19) and neonate: What neonatologist need to know. Journal of Medical Virology. 2020;92:564-7.
31
World Health Organization. Breastfeeding advice during the COVID-19 outbreak. Geneva: World Health Organization; 2020. [Cited 20 Dec 2020]. Available from: http://www.emro.who.int/nutrition/nutrition-infocus/breastfeeding-advice-during-covid-19-outbreak.html
32
Centers for Disease Control and Prevention. Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings. US: Centers for Disease Control and Prevention; 2020.
33
Hedermann G, Hedley PL, Bækvad-Hansen M, et al. Danish premature birth rates during the COVID-19 lockdown. Archives of Disease in Childhood-Fetal and Neonatal Edition. 2020;106:93-5.
34
Thunström L, Nordström J, Shogren JF, et al. Strategic self-ignorance. Journal of Risk and Uncertainty. 2016;52:117-36.
35
Ashrafi-rizi H, Kazempour Z. Information diet in covid-19 crisis; a commentary. Archives of Academic Emergency Medicine. 2020;8:e30.
36
Liu Y, Chen H, Tang K, Guo Y. Clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy. Journal of Infection. 2020. [online].
37
Kajdy A, Feduniw S, Ajdacka U, et al. Risk factors for anxiety and depression among pregnant women during the COVID-19 pandemic: A web-based cross-sectional survey. Medicine. 2020;99:e21279.
38
Hussain MW, Mirza T, Hassan MM. Impact of COVID-19 Pandemic on the Human Behavior. International Journal of Education and Management Engineering. 2020;5:35-61.
39
Paykani T, Zimet GD, Esmaeili R, et al. Perceived social support and compliance with stay-at-home orders during the COVID-19 outbreak: evidence from Iran. BMC Public Health. 2020;20:1650.
40
ORIGINAL_ARTICLE
The Effect of Acupressure on Fasting Blood Glucose and Glycosylated Hemoglobin Levels in Diabetic Patients: A Randomized Controlled Trial
Background: Diabetes is the most common endocrine disorder. Non-pharmacological methods can be used for treatment of these patients. The present study aimed to investigate the effect of acupressure point on fasting blood glucose and glycosylated levels of diabetic patients.Methods: This clinical trial was conducted on 102 patients who referred to Motahari Clinic of Shiraz during May-June in 2018. The participants were selected based on simple random sampling and divided into three groups via permuted block randomization. The control group only received the pharmacological treatments. The intervention group received acupressure at ST36 point in addition to medications. The placebo group also received medications and acupressure at a fake point. The intervention was carried out for six minutes (three minutes for each lower extremity), three sessions a week for 12 weeks. Fasting blood glucose and glycosylated hemoglobin levels were checked in all patients immediately after the intervention. The data were analyzed using Chi-square, paired t-test, and ANOVA by the SPSS statistical software, version 21, and P<0.05 was considered statistically significant.Results: The results showed no significant differences among the three groups’ blood glucose mean levels before (P=0.89) and after the intervention (P=0.36). However, a significant difference was observed in the intervention group’s glycosylated hemoglobin mean levels before (8.61±1.96) and after the intervention (8.1±1.62) (P=0.02).Conclusion: In sum, the study indicated that acupressure could only be effective in reducing the glycosylated hemoglobin in the intervention group. Thus, further larger studies are recommended to evaluate the effectiveness of this technique.
Trial Registration Number: IRCT20111224008505N47.
https://ijcbnm.sums.ac.ir/article_47245_f209adc2806d3ecea23bd93c15a89a2f.pdf
2021-04-01
152
158
10.30476/ijcbnm.2021.86059.1318
Acupressure
Glycosylated hemoglobin
Randomized controlled trial
Sied
Najafi
najafisa@sums.ac.ir
1
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Hassan
Ghorbani
9142711hgh@gmail.com
2
Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Amin
Kordi Yoosefinejad
yoosefinejad@sums.ac.ir
3
Department of Physical Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran;
AUTHOR
Majid
Najafi Kalyani
majidnajafi5@yahoo.com
4
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
LEAD_AUTHOR
Khazaei Z, Naemi H, Goodarzi E, et al. Investigating self-care performance of diabetic patients at a diabetes center; a single center pilot study. Journal of Nephropharmacology. 2018;7:24-31.
1
Hinkle JL, Cheever KH. Brunner & Suddarth’s textbook of medical-surgical nursing. 14th ed. Philadephia: Lippincott Williams & Wilkins; 2017.
2
Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Research and Clinical Practice. 2017;128:40-50.
3
Kaiser AB, Zhang N, Van Der Pluijm W. Global prevalence of type 2 diabetes over the next ten years (2018-2028). Diabetes. 2018;67(Supplement 1).
4
Badran M, Laher I. Type II diabetes mellitus in Arabic-speaking countries. International Journal of Endocrinology. 2012;2012:902873.
5
Hussain A, Hydrie MZI, Claussen B, Asghar S. Type 2 Diabetes and obesity: A review. Journal of Diabetology. 2010;2:1-7.
6
Kasper D, Fauci A, Hauser S, et al. Harrison’s principles of internal medicine. 19th ed. New York: McGraw-Hill Education; 2015.
7
Eeg-Olofsson K, Zethelius B, Gudbjörnsdottir S, et al. Considerably decreased risk of cardiovascular disease with combined reductions in HbA1c, blood pressure and blood lipids in type 2 diabetes: report from the Swedish National Diabetes Register. Diabetes and Vascular Disease Research. 2016;13:268-77.
8
Inzucchi SE, Bergenstal RM, Buse JB, et al. Management of hyperglycaemia in type 2 diabetes, 2015: a patient-centred approach. Update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2015;38:140-9.
9
Medagama AB, Bandara R. The use of complementary and alternative medicines (CAMs) in the treatment of diabetes mellitus: is continued use safe and effective? Nutrition Journal. 2014;13:102.
10
Saidi M, Shamsi Khani S, Motavaripour P, Farahani P. Complementary medicine, alternative medicine and the role of the nurse. Tehran: Heidary; 2015. [In Persian]
11
Fitrullah, Rousdy A. Effectiveness of Acupressure at the Zusanli (ST-36) Acupoint as a Comfortable Treatment for Diabetes Mellitus: A Pilot Study in Indonesia. Journal of Acupuncture and Meridian Studies. 2017;10:96-103.
12
Zarvasi A, Jaberi AA, Bonabi TN, Tashakori M. Effect of self-acupressure on fasting blood sugar (FBS) and insulin level in type 2 diabetes patients: a randomized clinical trial. Electronic Physician. 2018;10:7155-63.
13
Yodsirajinda S, Piaseu N, Nicharojana LO. Effects of Foot Reflexology Integrated with Medical use on Hemoglobin A1c and Ankle Brachial Index in Older Adults with Type 2 Diabetes Mellitus. The Bangkok Medical Journal. 2016;12:21-7.
14
Chao HL, Miao SJ, Liu PF, et al. The beneficial effect of ST-36 (Zusanli) acupressure on postoperative gastrointestinal function in patients with colorectal cancer. Oncology Nursing Forum. 2013;40:E61-8.
15
Meng H, Hao JD, Wang HC, et al. Effects of different frequencies of electroacupuncture on blood glucose level in impaired glucose tolerance patients. Acupuncture Research. 2011;36:220-3. [In Chinese]
16
Bay R, Bay F. Combined therapy using acupressure therapy, hypnotherapy, and transcendental meditation versus placebo in type 2 diabetes. Journal of Acupuncture and Meridian Studies. 2011;4:183-6.
17
Guirguis SA, El-Sisi HF, Aly FA, Aly YS. Effect of Acupressure on Glycated Hemoglobin and Lipids Profile in Type 2 Diabetic Women. Med J Cairo Univ. 2016:84;69-75, 2016.
18
Lao L, Bergman S, Hamilton GR, et al. Evaluation of acupuncture for pain control after oral surgery: a placebo-controlled trial. Archives of Otolaryngology–Head & Neck Surgery. 1999;125:567-72.
19
ORIGINAL_ARTICLE
The Experiences of Women who Live with Pelvic Floor Disorders: A Qualitative Study
Background: Pelvic floor disorders (PFDs) are common and complicated problems that occur in women with different ages and cultural backgrounds and affect various dimensions of their life. Because of the dearth of information about how the Iranian women manage these disorders, this study was conducted to explore the experiences of women who live with PFDs.
Methods: This qualitative study was conducted between 2018 -2019 on women who referred to the clinics of Mashhad educational hospitals . 25 deep and semi-structured interview with 22 patients with PFDs was done. They were recruited through a purposive sampling method among women with diagnosis of PFDs. Data were analyzed using conventional content analysis adopted by Graneheim and Lundman and organized using the MAXQDA software (Ver.10).
Results: The analysis of the data led to the emergence of a theme of “Acceptance and Tolerance”, including four categories: “Trying to adopt sexual conflicts”, “ Concealing the disease”, “Trying to modify the lifestyle”, and “Controlling negative emotions”, and 15 sub-categories.
Conclusion: This study provides an insight into self-management strategies for different aspects of challenges faced by women with PFDs.They try to resolve, conceal, modify, and control some issues to accept and tolerate their disease. By identifying self-management strategies, care providers can design and implement counseling, educating and supporting interventions, and also a program through which the patients help and guide each other.
https://ijcbnm.sums.ac.ir/article_47306_6fb565f15925f5389d4f9d6652c3cab9.pdf
2021-04-01
159
171
10.30476/ijcbnm.2021.87275.1422
Pelvic organ prolapse
Pelvic floor disorders
Qualitative research
Self-management
women
Zahra
Hadizadeh-Talasaz
hadizadehz941@mums.ac.ir
1
Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran;
AUTHOR
Talat
Khadivzadeh
tkhadivzadeh@yahoo.com
2
Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;
LEAD_AUTHOR
Hossein
Ebrahimipour
ebrahimipourh@mums.ac.ir
3
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;
AUTHOR
Nayereh
Khadem
khademn@mums.ac.ir
4
Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Basu M, Wise B, Duckett J. A qualitative study of women’s preferences for treatment of pelvic floor disorders. BJOG : An International Journal of Obstetrics and Gynaecology. 2011;118:338-44.
1
Dheresa M, Worku A, Oljira L, et al. One in five women suffer from pelvic floor disorders in Kersa district Eastern Ethiopia: a community-based study. BMC Women’s Health. 2018;18:95.
2
Islam RM, Bell RJ, Billah B, et al. The prevalence of symptomatic pelvic floor disorders in women in Bangladesh. Climacteric : The Journal of the International Menopause Society. 2016;19:558-64.
3
Hallock JL, Handa VL. The Epidemiology of Pelvic Floor Disorders and Childbirth: An Update. Obstetrics and Gynecology Clinics of North America. 2016;43:1-13.
4
Kirby AC, Luber KM, Menefee SA. An update on the current and future demand for care of pelvic floor disorders in the United States. American Journal of Obstetrics and Gynecology. 2013;209:584.
5
Barat S, Javadian Y, Talebi G, Aghajani M. Frequency of Urinary Incontinence in Female Patients Attending Pelvic Floor Disorders Clinic. Journal of Mazandaran University of Medical Sciences. 2015;24:189-96. [In Persian]
6
Direkvand-Moghadam A, Ghazanfari Z, Montazeri A, et al. Risk factors of pelvic organ prolapse in Iranian women: a cross-sectional study. International Journal of Epidemiologic Research. 2014;1:29-34.
7
Ghetti C, Skoczylas LC, Oliphant SS, et al. The Emotional Burden of Pelvic Organ Prolapse in Women Seeking Treatment: A Qualitative Study. Female Pelvic Medicine & Reconstructive Surgery. 2015;21:332-8.
8
Segedi LM, Ilić KP, Curcić A, Visnjevac N. Quality of life in women with pelvic floor dysfunction. Vojnosanitetski Pregled. 2011;68:940-7. [In Serbian]
9
Özkan SA, Başgöl Ş, Beji N. The Meaning of Urinary Incontinence in Female Geriatric Population Who Experience Urinary Incontinence: A Qualitative Study. Annals of Nursing Practice. 2015;2:1028.
10
Bilgic D, Kizilkaya Beji N, Ozbas A, et al. Coping and Help‐Seeking Behaviors for Management of Urinary Incontinence. Lower Urinary Tract Symptoms. 2017;9:134-41.
11
Hadizadeh-Talasaz Z, khadivzadeh T, Ebrahimipour H, Khadem Ghaebi N. Explaining facilitators and barriers to treatment-seeking in women with pelvic organ prolapse: A qualitative study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2019;22:16-31. [In Persian]
12
Hayder D, Schnepp W. Experiencing and managing urinary incontinence: a qualitative study. Western Journal of Nursing Research. 2010;32:480-96.
13
Goeschen K, Liedl B. Chronic pelvic pain and pelvic organ prolapse: a consequence of upright position? Pelviperineology. 2020;39:55-9.
14
Mathew R, Gucciardi E, De Melo M, Barata P. Self-management experiences among men and women with type 2 diabetes mellitus: a qualitative analysis. BMC Family Practice. 2012;13:122.
15
Chambers E, Cook S, Thake A, et al. The self-management of longer-term depression: learning from the patient, a qualitative study. BMC Psychiatry. 2015;15:172.
16
Anekwe TD, Rahkovsky I. Self-Management: A Comprehensive Approach to Management of Chronic Conditions. American Journal of Public Health. 2018;108:S430-6.
17
Pakgohar M, Hamid TA, Ibrahim R, Vahid Dastjerdi M. Elderly Community Dwelling Women’s Experiences of Managing Strategies for Urinary Incontinence (UI): A Qualitative Research. Elderly Health Journal. 2015;1:2-4.
18
Yu B, Xu H, Chen X, Liu L. Analysis of coping styles of elderly women patients with stress urinary incontinence. International Journal of Nursing Sciences. 2016;3:153-7.
19
Diokno AC, Burgio K, Fultz NH, et al. Medical and self-care practices reported by women with urinary incontinence. American Journal of Managed Care. 2004;10:69-78.
20
Porrett T. Coping and help seeking behaviour in women with Pelvic Floor Dysfunction–the emic perspective. [Thesis]. London: City University; 2010.
21
Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open. 2016;2:8-14.
22
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today. 2004;24:105-12.
23
Allahbakhshian A, Hasankhani H, Mohammadi E, et al. Coping strategies used by patients after coronary angioplasty: a qualitative study. Iranian Journal of Nursing Research. 2015;10:42-55. [In Persian]
24
Fink A, Fach EM, Schröder SL. ‘Learning to shape life’ - a qualitative study on the challenges posed by a diagnosis of diabetes mellitus type 2. International Journal for Equity in Health. 2019;18:19.
25
Abhyankar P, Uny I, Semple K, et al. Women’s experiences of receiving care for pelvic organ prolapse: a qualitative study. BMC Women’s Health. 2019;19:45.
26
Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. The Obstetrician & Gynaecologist. 2011;13:143-8.
27
Hadizadeh-Talasaz Z, Khadivzadeh T, Khadem ghaebi N, Ebrahimipour H. Exploration of sexual experience among women with pelvic organ prolapse: a qualitative study. Sexual and Relationship Therapy. 2019:1-15
28
Jha S, Gopinath D. Prolapse or incontinence: what affects sexual function the most? International Urogynecology Journal. 2016;27:607-11.
29
Delarmelindo RdCA, Parada CMGdL, Rodrigues RAP, Bocchi SCM. Women’s strategies for coping with urinary incontinence. Revista da Escola de Enfermagem da USP. 2013;47:296-303.
30
Akyuz A, Kok G, Kilic A, Guvenc G. In Her Own Words: Living with Urinary Incontinence in Sexual Life. Sexuality and Disability. 2014;32:23-33.
31
Sange C, Thomas L, Lyons C, Hill S. Urinary incontinence in Muslim women. Nursing times. 2008;104:49-52.
32
Bonis M, Lormand J, Walsh C. Using the Pelvic Floor Impact questionnaire and lifestyle modifications to improve symptoms of pelvic floor dysfunction. American Journal of Biomedical Science and Research. 2019;3:23-6.
33
Meyer I, Richter HE. Impact of fecal incontinence and its treatment on quality of life in women. Women’s Health. 2015;11:225-38.
34
Lee AH, Hirayama F. Alcohol consumption and female urinary incontinence: a community-based study in Japan. International Journal of Urology. 2012;19:143-8.
35
Anders K. Coping strategies for women with urinary incontinence. Bailliere’s Best Practice & Research, Clinical Obstetrics & Gynaecology. 2000;14:355-61.
36
Ashworth PD, Hagan MT. The meaning of incontinence: a qualitative study of non‐geriatric urinary incontinence sufferers. Journal of Advanced Nursing. 1993;18:1415-23.
37
Aflakseir A, Mahdiyar M. The Role of Religious Coping Strategies in Predicting Depression among a Sample of Women with Fertility Problems in Shiraz. Journal of Reproduction & Infertility. 2016;17:117-22.
38
Nikmanesh Z, Azaraein S. The role of religious coping in perception of suffering among patients undergoing dialysis. Jundishapur Journal of Chronic Disease Care. 2017;6:40063.
39
Zamanian H, Eftekhar-Ardebili H, Eftekhar-Ardebili M, et al. Religious coping and quality of life in women with breast cancer. Asian Pacific Journal of Cancer Prevention. 2015;16:7721-5.
40
ORIGINAL_ARTICLE
COVID-19 Message: Necessity of Attention to Passive Defense in Emerging Diseases
https://ijcbnm.sums.ac.ir/article_47257_38dc898d28b47a6431cfa3238e1889dc.pdf
2021-04-01
172
173
10.30476/ijcbnm.2021.88819.1549
Vahid
Zamanzadeh
zamanzadeh@tbzmed.ac.ir
1
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Majid
Purabdollah
porabdolahm@yahoo.com
2
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
Mostafa
Ghasempour
ghasempourm@tbzmed.ac.ir
3
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
LEAD_AUTHOR
1 Lippi G, Sanchis-Gomar F, Henry BM. Coronavirus disease 2019 (covid-19): The portrait of
1
a perfect storm. Annals of Translational Medicine. 2020;8:497.
2
2 World Health Organization. Coronavirus disease (COVID-19) Weekly Epidemiological Update
3
and Weekly Operational Update. 2020 .[cited 14 December 2020] Available from: https://
4
www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/
5
3 Burci GL. Ebola, the security council and the securitization of public health. Questions of
6
International Law. 2014;10:27-39.
7
4 Hadian B, Moghasemi A. Bioterrorism, a threat to general health. Yafteh. 2017;19:33-40.
8
[In Persian]
9
5 Hesampour M, Adibi-Larijani H, Rouhian MH, Kazemi S. Investigation of passive defense
10
components in the design of urban parks (case study: Jannat shiraz garden). Quarterly
11
Scientific Journal of Rescue and Relief. 2019;11:42-8.
12
6 Ghomian Z, Yousefian S. Natural disasters in the middle-east and north africa with a focus
13
on Iran: 1900 to 2015. Health in Emergencies and Disasters Quarterly. 2017;2:53-62.
14