Background: Older adults with chronic illnesses face many challenges related to their diseases and need higher resilience capacities to overcome. Resilience, as a mediator among various dimensions of health, can lead to positive health outcomes in such people. The current study aimed at discovering the impact of resilience on the perception of chronic disease from older adults' perspective. Methods: The current qualitative study was conducted in specialized clinics of Shahid Beheshti Hospital, Kashan, Iran. A total of 25 older adults with chronic diseases were recruited by purposive sampling. Data were generated by semi-structured interviews and continued until data saturation. All interviews were transcribed verbatim and coded by MAXQDA7 software. Data were analyzed based on Graneheim and Lundman approach. Results: Three main themes were extracted from the data including achieving spiritual transcendence (approaching God, appreciate the beauty around); creating peace and balance (controlling the inner stress, maintaining solidarity of family); overcoming the disease (compliance with treatment, building effective interpersonal relationships). Conclusion: The themes indicated that effective interventions such as teaching stress management, communication skills, and adherence to treatment should be provided by healthcare providers and policy makers to improve the resilience of the older adults with chronic diseases.
Poor sleep quality is one of the most common problems among older adults. Non-pharmacological interventions are considered as a better choice for treatment of sleep problems in older adults. The aim of the present study was to examine the effects of aromatherapy with lavender essential oil on sleep quality in older adults. This single-blind randomized controlled clinical trial was conducted on 100 retired older adults. Participants were divided into two groups using simple random sampling. The intervention group received 2 drops of lavender essential oil and the control group received 2 drops of placebo in a glass of water, during bedtime, for 7 nights. All participants filled out the Pittsburgh sleep quality index before and after the intervention. There was no statistically significant difference between the groups in terms of socio-demographic characteristics and sleep quality score before intervention. A significant difference in sleep quality was observed in the group receiving lavender essential oil compared to the control group 7 nights after intervention. Lavender essential oil has a positive effect on improving older adults' sleep quality.
Background:Achieving professional identity is one of the research priorities, and considering the importance of professional attitude among student nurses, it is necessary to identify a scale that is able to measure their achievement in professional attitude. Objectives: The present study was conducted with the aim of translation and psychometrics of instrument of professional attitude for student nurses (IPASN) scale. Methods: In this cross-sectional study, the translation and psychometrics of "instrument of professional attitude for student nurses scale" was performed based on the model of Wild et al. The third to eighth semester nursing students of Ilam University of Medical Sciences comprised the research population who were 300 students. After translation and retranslation, the editorial comments of the scale designer were applied. Then, content validity, face validity, confirmatory factor analysis, internal consistency, and testretest reliability of the Persian version were calculated. Data were analyzed using SPSS software version 20 and EQS6.1. Results:The confirmatory factor analysis of the 28-item scale with its 8 sub-scales was confirmed by deleting the statement 7 and moving the items 10, 15, and 18. The reliability of the internal consistency was calculated to be α = 0.89 for the total scale, and (0.89), (0.45), (0.67), (0.69), (0.69), (0.73), (0.70), and (0.93) for the sub-scales, respectively. Pearson's correlation coefficient was r = 0.79 for test-retest reliability (P < 0.005). Conclusions:This study shows that the modified Persian version of the instrument of professional attitude for student nurses scale with 27 statements is valid and reliable, and can be used to assess the nursing students towards their professional life.
Introduction: Marital satisfaction is one of the indicators of health and well-being in all age groups, although determinants of satisfaction among older couples are unclear. The aim of this study was to predict marital satisfaction based on resilience and mental health in the elderly population in Kashan. Methods: This descriptive-correlational study was carried out on 400 elderly covered by Kashan health centers in 2015. Sampling was done by multistage cluster sampling. The data were collected using marital satisfaction Enrique's Persian Questionnaire, Connor Davidson Resilience Questionnaire, and General Health Questionnaire. Data were analyzed using descriptive statistic and linear regression with stepwise method in SPSS Inc, Chicago, IL, and version 16. Results: The results showed that the resilience (β = 0.80, p <0.001) and mental health (β = -0.14, p <0.001) were predictors of marital satisfaction. These variables explained 78% of variance in marital satisfaction in the elderly (P<0.001). Conclusion: The study showed that resilience and mental health have closed relationship with marital satisfaction in the elderly. Therefore, it should help to improve the marital satisfaction and having a successful aging in the elderly by conducting educational interventions to increase resilience and promote mental health.
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