Shahla Biglar , Abolhassan Rafiee , Maryam Puryaghoob, Fariba Sharafi , Fatemeh Moghaddam, Zahra Nisari,
Volume 16, Issue 2 (11-2019)
Abstract
Background: The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).
Methods: The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.
Results: The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).
Conclusions: According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.
Maryam Puryaghoob, Mehri Doosti Irani, Nasrin Masoumi, Soroor Parvizy,
Volume 18, Issue 2 (7-2021)
Abstract
Background: Given the importance of diabetes-related stigma and its coincidence with adolescence and the need to implement a self-care program to strengthen knowledge, improve attitudes and practice in adolescents, the present study aimed to determine the effect of virtual self-care education on the perception of type 1 diabetes-related stigma in female adolescents with diabetes.
Methods: The present quasi-experimental clinical trial was done on 76 girls with type 1 diabetes as members of the Iranian Diabetes Society (IDS) in 2016. We recruited patients using the convenience sampling, and then randomly assigned to experimental and control groups. We implemented the self-care education in the experimental group through a mobile-based virtual social network for 12 weeks (a media message per day and interactively). The 35-item online questionnaire of type 1 diabetes-related stigma were fulfilled before intervention, immediately after the intervention and 4 weeks after the intervention. Data were analyzed using the independent t-test, Fisher's exact test, and Chi-square test in SPSS-16.
Results: There was no significant difference between the experimental (94.09±21.89) and control groups (89.87±22.97) in terms of mean scores of stigmas before the intervention (P=0.415). Mean scores of stigmas decreased significantly in the experimental group immediately (78.20±18.66; P=0.043) and 4 weeks after the intervention (77.47±19.39; P=0.012) compared to control group.
Conclusion: Self-care education via virtual social networks was effective in reducing the stigma perception. In general, the more education was separated from its traditional method, lecturing, and was accompanied by attractive and popular methods, such as the use of social networks, the higher the level of learning, and the more enjoyable it became.
