Journal of Nursing and Midwifery Sciences

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Context: Considering the psychological component of multiple sclerosis (MS) in intervention could play a key role in patient compliance with their physical condition. Aims: This study examines the effectiveness of acceptance and commitment therapy (ACT) based on the fear of death in patients with MS. Setting and Design: The present study is a quasi-experimental study with a pretest, posttest, and control group. Material and Methods: The study population included 57 patients with MS who were members of MS association in North Khorasan Province, Shirvan city in 2016. Using the available sampling method, 30 samples were selected by random assignment and included in experimental and control groups (15 per group). The instrument used in this study was Templer fear of death questionnaire. The experimental group received eight sessions of therapeutic intervention. Statistical Analysis Used: Analytical and statistical analyzes are done by SPSS21.due to the nature of the plan and the two groups (control and test), the statistical method of analysis of covariance, and the effect size were used. Results: The results of covariance analysis showed that treatment based on acceptance and commitment has a significant effect on the fear of death in patients with MS (P < 0.001). In addition, the level of fear of death in the pretest stage was also significant on the fear of death in the posttest (P< 0.001). Conclusions: According to the results, it is expected that ACT maintains its effects in the long run with features such as: Encouraging people to live in the present moment, mindfulness, commitment to the pursuit of worthwhile goals, and an emphasis on process rather than the outcome.

Context: Patient's rights are one of the most fundamental rights that should be considered by the health-care providers, especially nurses. On the other hand, moral distress in nurses can lead to problems in the provision of health services for patients. Aims: This study aimed to determine the correlation between nurses' moral distress (NMD) and patients' satisfaction with the observance of the patients' rights charter (PRC). Setting and Design: In this descriptive-analytic study, 82 nurses were selected using purpose-based method, and 200 patients were selected in quotas in proportion to the number of beds available in the general and special wards in 2 months. Materials and Methods: Data collection tools consisted of demographic information form, the moral distress scale-revised, and a researcher-made questionnaire on patient satisfaction with the observance of PRC. Statistical Analysis Used: Data were analyzed using descriptive statistical in SPSS version 16. Results: The mean score of moral distress in nurses was11 ± 33 that 59 (72%) of them had moderate distress level and the mean score of satisfaction with the observance of the charter of patients' rights was 71.6± 18.2. It was found that 120 (60%) of the patients had a satisfactory moderate level of the observance of their rights charter. There was a reverse statistically significant positive correlation between NMD and satisfaction with the observance of the PRC (P < 0.05). Conclusion: In the present study, it was found that there is a moderate correlation between the patients' satisfaction with the observance of the PRC and the NMD.

Context: Encouraging breastfeeding is a public health priority. However, no study is available from Iran on the effect of telephone follow-up on postpartum maternal attachment to the newborn. Aims: To assess the impact of postpartum telephone follow-up on breastfeeding and maternal attachment. Setting and Design: A clinical trial was conducted on 120 mothers who had a delivery at Alborz Hospital of Karaj during the spring of 2014. Material and Methods: Mothers were randomly assigned into three groups of 40. The groups one and three received breastfeeding training (BFT) and the groups one and two received telephone follow-up. Data were collected using a questionnaire. All groups had a pretest and a posttest on their knowledge, attitude, and performance toward breastfeeding. Mothers' attachment to their newborn was assessed at the end of the study. Statistical Analysis Used: Analysis of variance, Tukey, and Paired t tests were used for data analysis. Results: The BFT plus telephone follow-up could increase the mothers' scores in breastfeeding. However, telephone follow-up could not affect the maternal attachment scores. The mean attachment score was significantly higher in mothers with a planned pregnancy (P < 0.001), higher financial income (P < 0.01), and a girl baby (P < 0.014). Conclusions: This study confirmed the beneficial effect of BFT and telephone follow-up on mothers' knowledge, attitude, and performance toward breastfeeding. Therefore, integration of BFT and telephone follow-up in postpartum care programs are suggested.

Context: Adolescents with cancer are involved with a disabling disease that affects their various educational dimensions. Aim: The present study aimed at determining academic self-regulation and its relationship with Sternberg's thinking styles, academic achievement, and course of disease in adolescents with cancer. Setting and Design: The current study is a cross-sectional study Indeed, the participants were selected via simple random sampling method in the academic year of 2016–2017. Material and Methods: This study was carried out on 269 adolescents with cancer who were covered by Mahak Hospital and Rehabilitation Complex. Statistical Analysis: Data analysis was performed by descriptive statistics (frequency, percentage, and mean with standard deviation) and analytical statistics (multiple regression coefficients and path analysis approach). Results: From the thinking styles, the legislative thinking style (b =0.301, P = 0.001) made the highest contribution to the prediction of academic self-regulation. With regard to the other research variables, the grade point average could significantly predict academic self-regulation (b =0.301, P = 0.001). However, the duration of cancer could not predict academic self-regulation (P> 0.05). Conclusion: The adolescent cancer patients with the legislative thinking style were more talented in learning self-regulation than the other students. In this regard, it is possible to take measures with regard to the identification of such students in schools and other educational centers in order to lay higher emphasis on the teaching of academic self-regulation to them.

Context: Diet and nutrition status has an important role in life and humans' health. Regular physical activity create health promotion and prevent diseases. Aim: Considering the importance of the health of students as young members of the society, the present study was designed to determine the status of nutrition and physical activity and its related factors among students at Mazandaran University of Medical Sciences, Sari, Iran. Setting and Design: this Cross- sectional study conducted on 435 students of Mazandaran University of Medical Sciences. Materials and Methods: This cross-sectional study was conducted on the students were selected via multistage random sampling at Mazandaran University of Medical Sciences. Data collection tools included a demographic and physical activity questionnaire and a food frequency questionnaire (FFQ). Statistical Analysis Used: For data analysis, descriptive statistic and t-test were performed using SPSS version 21. Results: The mean age of the participants was 21.11 ± 3.06 years. Consumption of dairy (P = 0.008) and fruits (P = 0.02) was significantly more in female students compared to male students. A total of 188 persons (43.2%) had physical activity every day. A total of 178 persons (40.9%) had physical activity always on a day, 11 persons (2.5%) had no physical activity, and others (56.6%) had physical activity sometimes. A total of 100 persons (23%) had weight increasing, 113 persons (26%) had weight decreasing, and others (51%) had neither increase nor decrease weight. Conclusion: Based on the findings, the students had optimal nutrition condition. Thus, more attention is important to be paid by authorities to this specific topic, and some measures are essential in training students to maintain and continue optimal nutritional status. Students physical activity wasn't optimal level so it is needs to more educational measures.

Context: Psychological disorders afflict a great number of youths throughout the world. The early beginning of psychological disorders not only affects all of the life of a person but also affects Children's, Depression Questionnaire (Center for Epidemiological Studies Depression Scale for Children), Iranian Version, Psychometric properties the welfare of next generations. It is necessary to develop acceptable psychometric tools to measure the depression of children and youths. Aims: This study deals with the psychological properties of the Persian version of the Center for the Epidemiological Studies Depression Scale for children. Setting and Design: This study is a cross sectional study with a methodological design. 342 students with the age range of 11–17 were selected by random cluster sampling in multiple stages from among students in Khoy. Material and Methods: Original version of the scale was translated from English to Persian language using Backward Forward translation method. Statistical Analysis: The validity of the instrument was determined using face validity and exploratory factor analysis. Reliability was reported by Alpha Cronbach coefficient and test–retest and intraclass correlation coefficient (ICC). The SPSS was used to analyze the data. Results: The confirmatory factor analysis confirmed the construct validity of the scale with four factors and a cumulative variance of 50.443. The correlation with Beck's Depression Test for Children is quiet strong r= 0.738. Cronbach's alpha = 0.872, ICC = of 0.97 that both show a good validity for the Persian version. Conclusion: The Persian version of the Children's Depression Questionnaire has a good reliability and validity and can be used as a proper tool for the screening of the depression of children and youth

Context: Coronary artery bypass graft (CABG) decreases the signs and symptoms of ischemic heart disease, but it cannot treat the disease completely. Aim: The purpose of this study was to determine the changes in age and sex trend of patients undergoing CABG surgery from 1996 to 2013 in the north of Iran. Setting and Design: This retrospective study was done in an educational therapeutic center in the north of Iran. Material and Methods: The medical records of 8544 patients who underwent CABG surgery during 1996–2013 were assessed and age and sex of all patients who underwent CABG were recorded. Statistical Analysis Used: All data were analyzed by descriptive statistics and t-test, analysis of variance, and linear regression analysis in SPSS version 16. Results: The mean values of age were increased in both men and women in this period and this increase was statistically significant by t-test (P = 0.0001). Nearly 65.2% of patients were male and 34.8% were female. The results of linear regression analysis showed that by increasing 1 year, 0.35 year has added to patient's age (P = 0.0001). Conclusion: Considering the age and gender pattern of patients undergoing surgery due to coronary artery disease can affect the therapeutic planning of these patients. The results of this 17-year study confirmed the increased age of patients undergoing CABG surgery. Providing education services to enhance lifestyle may prevent the practice of CABG surgery at an advanced age. Context: Coronary artery bypass graft (CABG) decreases the signs and symptoms of ischemic heart disease, but it cannot treat the disease completely.

Online since 26^th April, 2017