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Papers by farkhondeh sharif
European Psychiatry, 2013
Background: The purpose of this study was to determine the effect of education on anxiety and dep... more Background: The purpose of this study was to determine the effect of education on anxiety and depression in patients with myocardial infarction in selected hospitals of Urmia hospitals in 2009. Methods: This study was a quasi-experimental study that comprised 124 patients selected randomly and divided into two groups. The experimental group was educated by a face to face training and educational booklet. Control group did not receive any intervention. The level of anxiety and depression was evaluated by using HADS questionnaire at 3 intervals. After 48 hours of admission, discharge day and 2 months after discharge. Results: The findings suggest that MI patients worried about their social role, interpersonal relations and personal health, which can exacerbate symptoms and complicate their future care. There was no significant difference between control and experimental groups before the intervention, But after the intervention, anxiety and depression in the experimental group was significantly less than control group (P< 0.05). Conclusion: Considering the beneficial effect of intervention on reducing anxiety and depression in such patients, the patient's education should be one of the health care goals. Most researches may also be required toconfirm the results in other groups of patients.
Annals of Physical and Rehabilitation Medicine, 2018
Background: In their professional work, nurses struggle repeatedly with difficult situations that... more Background: In their professional work, nurses struggle repeatedly with difficult situations that are causes of stress. Another issue is the low prestige of the nursing profession compared with other professions, which results in dissatisfaction, increased frustration, and lack of precision when performing professional tasks. The aim of this study was to assess the relationship between mental health and quality of life and satisfaction with life in nurses with many years of experience in the profession. Methods: The study was conducted in a group of 523 randomly selected professionally active nurses aged over 40 years old from the Podlaskie Voivodeship. Standardized questionnaires were used, including WHOQOL-BREF, a short version of a questionnaire assessing quality of life, the general health questionnaire (GHQ-28), and the satisfaction with life scale (SWLS). Results: The mental health component was found to be significantly affected by financial situation (p = 0.005). Among respondents describing their financial status as bad, the assessment of negative mental health symptoms was higher. The remaining studied variables-work experience, nature of work, place of residence, age, material status, having a partner, and having children-did not affect the respondents' mental health status. The co-occurrence of chronic diseases affected (p = 0.008) the intensification of negative mental health symptoms such as somatic symptoms, anxiety, insomnia, and social dysfunction. The intensification of negative mental health symptoms was not connected with absence from work. Conclusions: The financial situation of the respondents significantly determined their quality of life as well as influencing mental health components. Nurses' satisfaction with life was correlated with all studied domains of quality of life.
Background: Respect for human dignity has been the focus of various studies on patients’ health a... more Background: Respect for human dignity has been the focus of various studies on patients’ health and treatment. Despite the increasing number of cancer patients, to date, the dimensions of dignity have not been fully identified for this group. This study was conducted with the aim of the development and psychometrics evaluation of a dignity assessment questionnaire for Iranian cancer patients. Method: This mixed-method design with a sequential exploratory approach was conducted in Iran. In the first phase, a purposive sampling method was used to recruit the participants and the sampling continued until data saturation. The data were collected through individual semistructured interviews. In the second phase, the validity and reliability of this instrument were assessed among 300 cancer patients. Results: The dignity assessment questionnaire for cancer patients included four domains and 27 items. The domains of the questionnaire were “the performance of the treatment team”, “respect f...
Journal of Medical Education, 2009
Background and purpose: Undergraduate education presents a period of transition and growth and re... more Background and purpose: Undergraduate education presents a period of transition and growth and requires the ability to adapt to many life changes. Many applicants admitted to a nursing program, but high rates of attrition have been experienced. This study is an attempt to assess the nursing students' need on their nursing education.<br />Methods: Focus groups were used to investigate nursing student's perceptions and views on nursing education. The sample consisted of 120 nursing students selected randomly. They were arranged in 12 groups of 10 students. The data analysis of recorded and observed data reached five major themes.<br />Results: Five major themes emerged from data. The quality of clinical nursing instruction, confidence development in nursing practice and training, Iranian social perception of nursing profession, professional socialization through role development and improved clinical expectation and improved study skills.<br />Conclusion: The...
Iranian Journal of Neonatology, 2018
Background: Family-centered care (FCC) has recently been recognized as the most effective approac... more Background: Family-centered care (FCC) has recently been recognized as the most effective approach in pediatric and family care. Despite the emphasis of healthcare systems on commitment to the philosophy and application of FCC, the nature of this method remains unknown in the related studies. The present study aimed to describe and interpret the experiences of professional and familial caregivers about FCC in the neonatal intensive care unit (NICU) to reveal its structure and essence. Methods: The study was conducted using Van Manen's phenomenological approach on 18 participants, including 10 professional and eight familial caregivers, who were interviewed. In addition, the interactions between the caregivers during the FCC practice were observed closely. Data were collected from the interviews, and the field notes were transcribed. Data analysis was performed using Van Manen's thematic analysis. Results: Four main themes and 12 subthemes emerged in the study. Experiences of...
Iranian Journal of Nursing and Midwifery Research, 2014
Being a nurse is more than just a series of business activities and skills. In fact, it is a part... more Being a nurse is more than just a series of business activities and skills. In fact, it is a part of the process of socialization, which is internalization and development of professional identity. Professional socialization is necessary for involving the students in professional practices. Thus, the purpose of this qualitative research was to increase the understanding of professional socialization in nursing and explore the related factors from the perspective of registered nurses and nursing students. In this qualitative design, data were collected on 43 nurses with a variety of experiences using semi-structured interviews and focus groups in the Shiraz University of Medical Sciences in 2012. Data were analyzed through inductive content analysis. THE DATA ANALYSIS REVEALED TWO MAIN CATEGORIES: (1) sense of belonging with three sub-categories of theory-practice incongruence, educational experiences and tacit knowledge and (2) forming professional identity consisting of three sub-c...
Background: Pain, as a crucial subsequence of joint hemorrhages in hemophilia patients, is chroni... more Background: Pain, as a crucial subsequence of joint hemorrhages in hemophilia patients, is chronic, debilitating, and distracting. This study aimed to describe and interpret pain experiences of hemophilia patients in their lives. Methods: This qualitative study with hermeneutic phenomenological approach was conducted on fourteen hemophilia patients who had been referred to a hemophilia center affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The study question was "what is the meaning of pain in hemophilia patients' lives? The data were collected through semi-structured interviews and field notes through purposeful sampling. Then, thematic analysis with van Manen's six-step methodological framework was used. MAX.QDA qualitative software package, 2010, was used to analyze the data. Results: The three main themes that emerged in this study were "alteration in physical health", "engagement in psychological problems", and "impairmen...
Background: Bipolar Mood Disorder (BMD) is a type of mood disorder which is associated with vario... more Background: Bipolar Mood Disorder (BMD) is a type of mood disorder which is associated with various disabilities. The family members of the patients with BMD experience many difficulties and pressures during the periods of treatment, rehabilitation and recovery and their quality of life (QOL) is threatened. In the present study, we aimed to evaluate the effect of family-centered education on mental health and QOL of families with adolescents suffering from BMD. Methods: In this randomized controlled clinical trial performed on 40 families which were mostly mothers of the adolescents with BMD referred to the psychiatric clinics affiliated to Shiraz University of Medical Sciences during 2012-13.They were randomly assigned to intervention and control groups. Results: The results of single factor multivariate ANOVA/single-factor multivariate analysis of variance and Bonferroni post hoc tests showed that the interaction between the variables of group and time was significant (P<0.001)...
International Journal of Community Based Nursing and Midwifery, 2014
There is evidence that marital problems can contribute to child behavior problems. In fact, the w... more There is evidence that marital problems can contribute to child behavior problems. In fact, the way that parents solve their conflicts, such as aggression, physical violence, and poor communication skills, can eventually culminate in aggression and emotional problems in children. This study aimed to evaluate the effectiveness of conflict resolution training on children's behavioral problems in a sample of Iranian couples. This randomized controlled trial study was carried out on the couples who referred to counseling centers in Shiraz, Iran. In this study, 56 couples were selected through convenience sampling and assigned to an intervention and a control group. The intervention group received 10 sessions of communication skills training. All the participants filled out conflict resolution questionnaire and Child Behavior Problem Checklist (CBCL). To analyze the data we used the SPSS statistical software (version 16), using repeated measurement test, paired t-test, and independen...
Introduction: Job stress is one of the main factors in decreasing productivity in organizations a... more Introduction: Job stress is one of the main factors in decreasing productivity in organizations and the leading cause of psychosomatic disorders in personnel. Since job stress of nurses working in Intensive Care Units (ICUs) is considered as an important segment in health and medical systems, it significantly affects the quality of care and the nurse's quality of life. To this end, the purpose of this research is to examine the effects of teaching stress management skills on the quality of life of the nurses working at ICU of the hospitals affiliated to Shiraz University of Medical Sciences. Methods: The subjects of the study consisted of 60 ICU nurses with the average stress score in Osipow job stress exam working at the hospitals affiliated to Shiraz University of Medical Sciences. The subjects were randomly assigned to two groups (30 in the case and 30 in the control group). The intervention was performed as a teaching stress management workshop for eight hours throughout two-days (four hours per day), and the nurses were followed up for two months. The data were collected through a two part questionnaire including demographic characteristics and WHO Quality of life BREF and were analyzed in SPSS software using paired t test, and t-test. Results: The findings showed that the nurses of both the case and control groups were homogeneous considering the demographic data such as age, sex, marital status, number of children, shift position, job satisfaction, number of working hours per week, work experience and the amount of income. Moreover, there was no significant difference between the mean score of the life quality before the intervention in both groups. But after the intervention, a significant increase was revealed in the mean score of the life quality of the case group as compared to that of the control group (P<0.0001). Conclusion: The findings revealed the efficacy of the stress management workshop in improving the life quality of ICU nurses. During one and two months after the intervention, the mean score of the quality of life had a significance increase compared to the stage before the intervention
Eastern Mediterranean Health Journal, 2010
The aim of this study was to examine the effectiveness of group reminiscence therapy on depressio... more The aim of this study was to examine the effectiveness of group reminiscence therapy on depression symptoms among elderly people attending a day centre in Shiraz, Islamic Republic of Iran. A sample of 49 people aged 60+ years participated in 6 group reminiscence sessions that were held twice weekly for a 3-week period and completed a Farsi version of the 15-item geriatric depression scale. Mean depression scores decreased significantly from 8.18 (SD 1.20) before the intervention to 6.73 (SD 1.20) immediately after it and 7.55 (SD 1.19) 1 month after the intervention. When analysed by demographic characteristics only marital status showed a statistically significant difference in depression scores comparing before and after the intervention.
The effect of peer-led education on the life quality of mastectomy patients referred to breast ca... more The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009
Research article A qualitative study of nursing student experiences of clinical practice
Iranian Journal of Nursing and Midwifery Research, 2014
Background: Diabetes mellitus is considered as the most common metabolic disorder. The patients w... more Background: Diabetes mellitus is considered as the most common metabolic disorder. The patients with diabetes are likely to be affected by mental distress, especially depression. Nurses should pay attention to the psychological needs of depressive patients by participating in an application of non-pharmacological treatment such as cognitive-behavioral therapy. This study aimed to assess the effect of cognitive-behavioral group therapy on depression in patients with diabetes. Materials and Methods: This randomized controlled trial was performed in 2010 in the diabetes clinics affiliated to Shiraz University of Medical Sciences, Shiraz, southern Iran. In this study, 60 eligible patients suffering from depression were randomly divided into two groups by convenience sampling method, using random block allocation. The experimental group was randomly subdivided into three groups of 10 each and received eight sessions of cognitive-behavioral group therapy. The level of depression was check...
International Journal of Community Based Nursing and Midwifery, 2019
Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an imp... more Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an important factor in reducing the quality of life which is influenced by the characteristics of the individual, his social, cultural, and environmental conditions; also, each disease has unique effects on it. Although most of the studies have been conducted on obesity (25>BMI>40), how to prevent it and improve life quality, there is lack of knowledge about what morbid obese people really experience about their life quality. Thus, this qualitative study aimed to explore the viewpoints of morbid obese people about life quality. Methods: In this conventional content analysis, data were collected using semi-structured interviews with 20 morbid obese patients who were referred to nutrition and obesity clinics of Shiraz and Ahvaz Jundishapur University of Medical Sciences. Purposeful sampling was processed from May 2016 to January 2017. The sampling continued until data saturation. Each inte...
Journal of Urmia Nursing and Midwifery Faculty, 2014
Background & Aims: Chronic renal failure disease is considered as one of the highest causes for m... more Background & Aims: Chronic renal failure disease is considered as one of the highest causes for mortality rate in Iran that affects on physical, psychological and social health aspects of patients. Various treatments like hemodialysis prolong the life of these patients, but they must tolerate many complications in many aspects. Due to the interactional and cultural nature, social support sounds to be vital and necessary to be investigated in patients. The aim of this study was to highlight perceived personal social support in hemodialysis wards as experienced by patients with chronic renal failure. Materials & Methods: A grounded theory approach was used in this qualitative research. Key informants were 22 patients who were treated by hemodialysis. Three nurses, 4 general practitioners, a specialist and two family members participated in the study, and they were interviewed from April to September 2012. Interviews were guided to unveil the perception of the drastic changes in their ...
International Journal of Community Based Nursing and Midwifery, 2018
Background: Life review therapy, used as part of a comprehensive therapy plan for increasing the ... more Background: Life review therapy, used as part of a comprehensive therapy plan for increasing the quality of life of the elderly, helps them to resolve their past conflicts, reconstruct their life stories, and accept their present conditions. The present study aimed to explore the effectiveness of life review therapy on the quality of life of the elderly. Methods: The present study was a randomized controlled trial with a pre-posttest design during April to Aug 2014. The study was conducted on 35 members of the elderly day care centers in Shiraz, Iran, that were randomly assigned to two groups (experimental and control). The subjects in the experimental group attended 8 two-hour sessions of life review therapy. The quality of life of the elderly participants was evaluated before, immediately, one month, and three months after the intervention using the quality of life questionnaire (WHOQOL_BREF). Data analysis was conducted through SPSS version 22, using statistical tests including C...
European Psychiatry, 2016
Background Attention deficit hyperactivity disorder is one of the most common psychiatric disorde... more Background Attention deficit hyperactivity disorder is one of the most common psychiatric disorders in children. Aim and Objective of the study The study aimed to evaluate the effectiveness of stress management program using cognitive behavior approach on mental health of the mothers of the children with attention deficit hyperactivity disorder. Methods In this interventional study, 90 mothers of the children with attention deficit hyperactivity disorder were randomly allocated into three intervention, placebo, and control groups. The general health questionnaire was used to measure mental health. Besides, stress was assessed through the depression-anxiety-stress scale. The two instruments were completed at baseline, immediately, and one month after the intervention by the mothers. Afterwards, within group comparisons were made using one-sample repeated measurement Anova. One-way Anova was used for inter-group comparisons. Mothers in the placebo group only participated in meetings t...
With the dramatic growing trend toward hookah usage and increased morbidity and mortality caused ... more With the dramatic growing trend toward hookah usage and increased morbidity and mortality caused by smoking, we started a study to research regarding the causes of hookah smoking among teenagers and youth living in Bushehr city. This is a qualitative study. Research environment is considered to be all public places and the research population comprised of all teenagers and youth of Bushehr. 12 participants were selected by purposive sampling. The method of data collection was semi-structured interviews with Participants that were recorded concession and immediately rewritten and analyzed. Qualitative content analysis was used to analyze the data. Data analysis resulted in three main themes including: “the influence of culture”, “prone context”, and “difficulty of quitting”. The most common reasons of increasing use of hookah in Bushehr are: “common culture of using hookah among family and friends”, “lack of enforcement of prohibiting laws about the use of hookah in public”, “lack of...
Sadra Medical Sciences Journal, 2017
Background: Collaboration is a basic strategy in relationships, which minimizes medical errors o... more Background: Collaboration is a basic strategy in relationships, which minimizes medical errors on patients. Therefore, it is measured in terms of engaging both physicians and nurses in decision-making, influencing patients, and minimizing the disease burden. This study aimed to analyze the perception of inter-professional relationship from the viewpoint of nurses working in Intensive Care Units (ICUs) . Method: This descriptive, cross-sectional study was conducted on 109 nurses working in ICUs at Shiraz University of Medical Sciences selected through convenience sampling. The data were collected using Stichler’s Collaborative Behavior Scale . Then, the data were entered into the SPSS statistical software (v. 22) and were analyzed using Tukey’s test, independent t-test, Pearson’s correlation, and one-way ANOVA. Results: The nurses had dominantly a moderate viewpoint toward physician-nurse inter-professional behaviors (mean: 46.07±1.22). Besides, few nurses evaluated such behavior...
European Psychiatry, 2013
Background: The purpose of this study was to determine the effect of education on anxiety and dep... more Background: The purpose of this study was to determine the effect of education on anxiety and depression in patients with myocardial infarction in selected hospitals of Urmia hospitals in 2009. Methods: This study was a quasi-experimental study that comprised 124 patients selected randomly and divided into two groups. The experimental group was educated by a face to face training and educational booklet. Control group did not receive any intervention. The level of anxiety and depression was evaluated by using HADS questionnaire at 3 intervals. After 48 hours of admission, discharge day and 2 months after discharge. Results: The findings suggest that MI patients worried about their social role, interpersonal relations and personal health, which can exacerbate symptoms and complicate their future care. There was no significant difference between control and experimental groups before the intervention, But after the intervention, anxiety and depression in the experimental group was significantly less than control group (P< 0.05). Conclusion: Considering the beneficial effect of intervention on reducing anxiety and depression in such patients, the patient's education should be one of the health care goals. Most researches may also be required toconfirm the results in other groups of patients.
Annals of Physical and Rehabilitation Medicine, 2018
Background: In their professional work, nurses struggle repeatedly with difficult situations that... more Background: In their professional work, nurses struggle repeatedly with difficult situations that are causes of stress. Another issue is the low prestige of the nursing profession compared with other professions, which results in dissatisfaction, increased frustration, and lack of precision when performing professional tasks. The aim of this study was to assess the relationship between mental health and quality of life and satisfaction with life in nurses with many years of experience in the profession. Methods: The study was conducted in a group of 523 randomly selected professionally active nurses aged over 40 years old from the Podlaskie Voivodeship. Standardized questionnaires were used, including WHOQOL-BREF, a short version of a questionnaire assessing quality of life, the general health questionnaire (GHQ-28), and the satisfaction with life scale (SWLS). Results: The mental health component was found to be significantly affected by financial situation (p = 0.005). Among respondents describing their financial status as bad, the assessment of negative mental health symptoms was higher. The remaining studied variables-work experience, nature of work, place of residence, age, material status, having a partner, and having children-did not affect the respondents' mental health status. The co-occurrence of chronic diseases affected (p = 0.008) the intensification of negative mental health symptoms such as somatic symptoms, anxiety, insomnia, and social dysfunction. The intensification of negative mental health symptoms was not connected with absence from work. Conclusions: The financial situation of the respondents significantly determined their quality of life as well as influencing mental health components. Nurses' satisfaction with life was correlated with all studied domains of quality of life.
Background: Respect for human dignity has been the focus of various studies on patients’ health a... more Background: Respect for human dignity has been the focus of various studies on patients’ health and treatment. Despite the increasing number of cancer patients, to date, the dimensions of dignity have not been fully identified for this group. This study was conducted with the aim of the development and psychometrics evaluation of a dignity assessment questionnaire for Iranian cancer patients. Method: This mixed-method design with a sequential exploratory approach was conducted in Iran. In the first phase, a purposive sampling method was used to recruit the participants and the sampling continued until data saturation. The data were collected through individual semistructured interviews. In the second phase, the validity and reliability of this instrument were assessed among 300 cancer patients. Results: The dignity assessment questionnaire for cancer patients included four domains and 27 items. The domains of the questionnaire were “the performance of the treatment team”, “respect f...
Journal of Medical Education, 2009
Background and purpose: Undergraduate education presents a period of transition and growth and re... more Background and purpose: Undergraduate education presents a period of transition and growth and requires the ability to adapt to many life changes. Many applicants admitted to a nursing program, but high rates of attrition have been experienced. This study is an attempt to assess the nursing students' need on their nursing education.<br />Methods: Focus groups were used to investigate nursing student's perceptions and views on nursing education. The sample consisted of 120 nursing students selected randomly. They were arranged in 12 groups of 10 students. The data analysis of recorded and observed data reached five major themes.<br />Results: Five major themes emerged from data. The quality of clinical nursing instruction, confidence development in nursing practice and training, Iranian social perception of nursing profession, professional socialization through role development and improved clinical expectation and improved study skills.<br />Conclusion: The...
Iranian Journal of Neonatology, 2018
Background: Family-centered care (FCC) has recently been recognized as the most effective approac... more Background: Family-centered care (FCC) has recently been recognized as the most effective approach in pediatric and family care. Despite the emphasis of healthcare systems on commitment to the philosophy and application of FCC, the nature of this method remains unknown in the related studies. The present study aimed to describe and interpret the experiences of professional and familial caregivers about FCC in the neonatal intensive care unit (NICU) to reveal its structure and essence. Methods: The study was conducted using Van Manen's phenomenological approach on 18 participants, including 10 professional and eight familial caregivers, who were interviewed. In addition, the interactions between the caregivers during the FCC practice were observed closely. Data were collected from the interviews, and the field notes were transcribed. Data analysis was performed using Van Manen's thematic analysis. Results: Four main themes and 12 subthemes emerged in the study. Experiences of...
Iranian Journal of Nursing and Midwifery Research, 2014
Being a nurse is more than just a series of business activities and skills. In fact, it is a part... more Being a nurse is more than just a series of business activities and skills. In fact, it is a part of the process of socialization, which is internalization and development of professional identity. Professional socialization is necessary for involving the students in professional practices. Thus, the purpose of this qualitative research was to increase the understanding of professional socialization in nursing and explore the related factors from the perspective of registered nurses and nursing students. In this qualitative design, data were collected on 43 nurses with a variety of experiences using semi-structured interviews and focus groups in the Shiraz University of Medical Sciences in 2012. Data were analyzed through inductive content analysis. THE DATA ANALYSIS REVEALED TWO MAIN CATEGORIES: (1) sense of belonging with three sub-categories of theory-practice incongruence, educational experiences and tacit knowledge and (2) forming professional identity consisting of three sub-c...
Background: Pain, as a crucial subsequence of joint hemorrhages in hemophilia patients, is chroni... more Background: Pain, as a crucial subsequence of joint hemorrhages in hemophilia patients, is chronic, debilitating, and distracting. This study aimed to describe and interpret pain experiences of hemophilia patients in their lives. Methods: This qualitative study with hermeneutic phenomenological approach was conducted on fourteen hemophilia patients who had been referred to a hemophilia center affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The study question was "what is the meaning of pain in hemophilia patients' lives? The data were collected through semi-structured interviews and field notes through purposeful sampling. Then, thematic analysis with van Manen's six-step methodological framework was used. MAX.QDA qualitative software package, 2010, was used to analyze the data. Results: The three main themes that emerged in this study were "alteration in physical health", "engagement in psychological problems", and "impairmen...
Background: Bipolar Mood Disorder (BMD) is a type of mood disorder which is associated with vario... more Background: Bipolar Mood Disorder (BMD) is a type of mood disorder which is associated with various disabilities. The family members of the patients with BMD experience many difficulties and pressures during the periods of treatment, rehabilitation and recovery and their quality of life (QOL) is threatened. In the present study, we aimed to evaluate the effect of family-centered education on mental health and QOL of families with adolescents suffering from BMD. Methods: In this randomized controlled clinical trial performed on 40 families which were mostly mothers of the adolescents with BMD referred to the psychiatric clinics affiliated to Shiraz University of Medical Sciences during 2012-13.They were randomly assigned to intervention and control groups. Results: The results of single factor multivariate ANOVA/single-factor multivariate analysis of variance and Bonferroni post hoc tests showed that the interaction between the variables of group and time was significant (P<0.001)...
International Journal of Community Based Nursing and Midwifery, 2014
There is evidence that marital problems can contribute to child behavior problems. In fact, the w... more There is evidence that marital problems can contribute to child behavior problems. In fact, the way that parents solve their conflicts, such as aggression, physical violence, and poor communication skills, can eventually culminate in aggression and emotional problems in children. This study aimed to evaluate the effectiveness of conflict resolution training on children's behavioral problems in a sample of Iranian couples. This randomized controlled trial study was carried out on the couples who referred to counseling centers in Shiraz, Iran. In this study, 56 couples were selected through convenience sampling and assigned to an intervention and a control group. The intervention group received 10 sessions of communication skills training. All the participants filled out conflict resolution questionnaire and Child Behavior Problem Checklist (CBCL). To analyze the data we used the SPSS statistical software (version 16), using repeated measurement test, paired t-test, and independen...
Introduction: Job stress is one of the main factors in decreasing productivity in organizations a... more Introduction: Job stress is one of the main factors in decreasing productivity in organizations and the leading cause of psychosomatic disorders in personnel. Since job stress of nurses working in Intensive Care Units (ICUs) is considered as an important segment in health and medical systems, it significantly affects the quality of care and the nurse's quality of life. To this end, the purpose of this research is to examine the effects of teaching stress management skills on the quality of life of the nurses working at ICU of the hospitals affiliated to Shiraz University of Medical Sciences. Methods: The subjects of the study consisted of 60 ICU nurses with the average stress score in Osipow job stress exam working at the hospitals affiliated to Shiraz University of Medical Sciences. The subjects were randomly assigned to two groups (30 in the case and 30 in the control group). The intervention was performed as a teaching stress management workshop for eight hours throughout two-days (four hours per day), and the nurses were followed up for two months. The data were collected through a two part questionnaire including demographic characteristics and WHO Quality of life BREF and were analyzed in SPSS software using paired t test, and t-test. Results: The findings showed that the nurses of both the case and control groups were homogeneous considering the demographic data such as age, sex, marital status, number of children, shift position, job satisfaction, number of working hours per week, work experience and the amount of income. Moreover, there was no significant difference between the mean score of the life quality before the intervention in both groups. But after the intervention, a significant increase was revealed in the mean score of the life quality of the case group as compared to that of the control group (P<0.0001). Conclusion: The findings revealed the efficacy of the stress management workshop in improving the life quality of ICU nurses. During one and two months after the intervention, the mean score of the quality of life had a significance increase compared to the stage before the intervention
Eastern Mediterranean Health Journal, 2010
The aim of this study was to examine the effectiveness of group reminiscence therapy on depressio... more The aim of this study was to examine the effectiveness of group reminiscence therapy on depression symptoms among elderly people attending a day centre in Shiraz, Islamic Republic of Iran. A sample of 49 people aged 60+ years participated in 6 group reminiscence sessions that were held twice weekly for a 3-week period and completed a Farsi version of the 15-item geriatric depression scale. Mean depression scores decreased significantly from 8.18 (SD 1.20) before the intervention to 6.73 (SD 1.20) immediately after it and 7.55 (SD 1.19) 1 month after the intervention. When analysed by demographic characteristics only marital status showed a statistically significant difference in depression scores comparing before and after the intervention.
The effect of peer-led education on the life quality of mastectomy patients referred to breast ca... more The effect of peer-led education on the life quality of mastectomy patients referred to breast cancer-clinics in Shiraz, Iran 2009
Research article A qualitative study of nursing student experiences of clinical practice
Iranian Journal of Nursing and Midwifery Research, 2014
Background: Diabetes mellitus is considered as the most common metabolic disorder. The patients w... more Background: Diabetes mellitus is considered as the most common metabolic disorder. The patients with diabetes are likely to be affected by mental distress, especially depression. Nurses should pay attention to the psychological needs of depressive patients by participating in an application of non-pharmacological treatment such as cognitive-behavioral therapy. This study aimed to assess the effect of cognitive-behavioral group therapy on depression in patients with diabetes. Materials and Methods: This randomized controlled trial was performed in 2010 in the diabetes clinics affiliated to Shiraz University of Medical Sciences, Shiraz, southern Iran. In this study, 60 eligible patients suffering from depression were randomly divided into two groups by convenience sampling method, using random block allocation. The experimental group was randomly subdivided into three groups of 10 each and received eight sessions of cognitive-behavioral group therapy. The level of depression was check...
International Journal of Community Based Nursing and Midwifery, 2019
Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an imp... more Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an important factor in reducing the quality of life which is influenced by the characteristics of the individual, his social, cultural, and environmental conditions; also, each disease has unique effects on it. Although most of the studies have been conducted on obesity (25>BMI>40), how to prevent it and improve life quality, there is lack of knowledge about what morbid obese people really experience about their life quality. Thus, this qualitative study aimed to explore the viewpoints of morbid obese people about life quality. Methods: In this conventional content analysis, data were collected using semi-structured interviews with 20 morbid obese patients who were referred to nutrition and obesity clinics of Shiraz and Ahvaz Jundishapur University of Medical Sciences. Purposeful sampling was processed from May 2016 to January 2017. The sampling continued until data saturation. Each inte...
Journal of Urmia Nursing and Midwifery Faculty, 2014
Background & Aims: Chronic renal failure disease is considered as one of the highest causes for m... more Background & Aims: Chronic renal failure disease is considered as one of the highest causes for mortality rate in Iran that affects on physical, psychological and social health aspects of patients. Various treatments like hemodialysis prolong the life of these patients, but they must tolerate many complications in many aspects. Due to the interactional and cultural nature, social support sounds to be vital and necessary to be investigated in patients. The aim of this study was to highlight perceived personal social support in hemodialysis wards as experienced by patients with chronic renal failure. Materials & Methods: A grounded theory approach was used in this qualitative research. Key informants were 22 patients who were treated by hemodialysis. Three nurses, 4 general practitioners, a specialist and two family members participated in the study, and they were interviewed from April to September 2012. Interviews were guided to unveil the perception of the drastic changes in their ...
International Journal of Community Based Nursing and Midwifery, 2018
Background: Life review therapy, used as part of a comprehensive therapy plan for increasing the ... more Background: Life review therapy, used as part of a comprehensive therapy plan for increasing the quality of life of the elderly, helps them to resolve their past conflicts, reconstruct their life stories, and accept their present conditions. The present study aimed to explore the effectiveness of life review therapy on the quality of life of the elderly. Methods: The present study was a randomized controlled trial with a pre-posttest design during April to Aug 2014. The study was conducted on 35 members of the elderly day care centers in Shiraz, Iran, that were randomly assigned to two groups (experimental and control). The subjects in the experimental group attended 8 two-hour sessions of life review therapy. The quality of life of the elderly participants was evaluated before, immediately, one month, and three months after the intervention using the quality of life questionnaire (WHOQOL_BREF). Data analysis was conducted through SPSS version 22, using statistical tests including C...
European Psychiatry, 2016
Background Attention deficit hyperactivity disorder is one of the most common psychiatric disorde... more Background Attention deficit hyperactivity disorder is one of the most common psychiatric disorders in children. Aim and Objective of the study The study aimed to evaluate the effectiveness of stress management program using cognitive behavior approach on mental health of the mothers of the children with attention deficit hyperactivity disorder. Methods In this interventional study, 90 mothers of the children with attention deficit hyperactivity disorder were randomly allocated into three intervention, placebo, and control groups. The general health questionnaire was used to measure mental health. Besides, stress was assessed through the depression-anxiety-stress scale. The two instruments were completed at baseline, immediately, and one month after the intervention by the mothers. Afterwards, within group comparisons were made using one-sample repeated measurement Anova. One-way Anova was used for inter-group comparisons. Mothers in the placebo group only participated in meetings t...
With the dramatic growing trend toward hookah usage and increased morbidity and mortality caused ... more With the dramatic growing trend toward hookah usage and increased morbidity and mortality caused by smoking, we started a study to research regarding the causes of hookah smoking among teenagers and youth living in Bushehr city. This is a qualitative study. Research environment is considered to be all public places and the research population comprised of all teenagers and youth of Bushehr. 12 participants were selected by purposive sampling. The method of data collection was semi-structured interviews with Participants that were recorded concession and immediately rewritten and analyzed. Qualitative content analysis was used to analyze the data. Data analysis resulted in three main themes including: “the influence of culture”, “prone context”, and “difficulty of quitting”. The most common reasons of increasing use of hookah in Bushehr are: “common culture of using hookah among family and friends”, “lack of enforcement of prohibiting laws about the use of hookah in public”, “lack of...
Sadra Medical Sciences Journal, 2017
Background: Collaboration is a basic strategy in relationships, which minimizes medical errors o... more Background: Collaboration is a basic strategy in relationships, which minimizes medical errors on patients. Therefore, it is measured in terms of engaging both physicians and nurses in decision-making, influencing patients, and minimizing the disease burden. This study aimed to analyze the perception of inter-professional relationship from the viewpoint of nurses working in Intensive Care Units (ICUs) . Method: This descriptive, cross-sectional study was conducted on 109 nurses working in ICUs at Shiraz University of Medical Sciences selected through convenience sampling. The data were collected using Stichler’s Collaborative Behavior Scale . Then, the data were entered into the SPSS statistical software (v. 22) and were analyzed using Tukey’s test, independent t-test, Pearson’s correlation, and one-way ANOVA. Results: The nurses had dominantly a moderate viewpoint toward physician-nurse inter-professional behaviors (mean: 46.07±1.22). Besides, few nurses evaluated such behavior...