AIM: This study is an attempt to determine the importance and extent of providing compassionate nursing care from the hospitalised patients’ viewpoint in educational hospitals in Kermanshah-Iran 2017 METHODS: The study was carried out as a descriptive, analytical work in the hospitals affiliated to Kermanshah University of Medical Sciences on 300 patients in 2017. The patients were selected through convenient sampling, and Burnell Compassionate Care Scale was filled by the participants. The collected data was analysed in SPSS (v.20) using descriptive and inferential statistics. RESULTS: The results showed that the mean and standard deviation score of importance and extent of compassionate care were 3.27 ± 0.526 and 2.80 ± 0.647 respectively. There was a significant difference between these two scores (p < 0.001). About all the factors in compassionate nursing care, there was a significant difference between the importance and extent of compassionate nursing care. The mean score of the importance of compassionate nursing care from female patients’ viewpoint was higher than that of men (p = 0.032). The observers with college educations perceived the extent of compassionate nursing care less than the other groups of participants (p = 0.008). CONCLUSIONS: There was a significant difference between the importance and extent of compassionate nursing care from the patients’ point of view. This highlights negligence by the nurses of this critical aspect of care. It is recommended, therefore, to add compassionate nursing care to nursing programs and commission more research works on other groups of health care personnel.
Objectives Self-Efficacy is an important variable in the field of elderly, to which little attention has been paid. Quality of Life (QoL) is also one of the most important factors of human development. This study aimed to determine and investigate the relationship between self-efficacy and QoL among elders residing in Tehran nursing homes in 2015.Methods & Materials In this cross-sectional descriptive-analytic study, the statistical population comprised the residents of nursing homes, especially catering to the elderly, in Tehran. The sample size was 210 individuals, who were selected based on the research criteria. For the elderly people residing in elderly care centers, quota random sampling was performed, and random sampling in each nursing home was made proportionate to the number of elderly residents therein. General self-efficacy scale (GSE-10), elderly quality of life questionnaire (LIPAD), and demographic questionnaire were utilized to collect data. The tools were investigated in terms of reliability. The elderly residents' average (SD) age was 78.66 (11.78) years. After sampling and gathering the questionnaires, the collected data were entered into SPSS Version18, and analyzed with descriptive indexes and analytic tests, including frequency, mean, standard deviation, Chi-square test, Kolmogorov-Smirnov test, ANOVA, and independent t test. Results The findings showed that the mean (SD) score of self-efficacy among the elder residents of Tehran nursing homes was 17.68 (4.00), and the mean (SD) score of QoL was 27.88 (9.80). There is no significant correlation between self-efficacy and demographic characteristics such as age, sex, or marital status, but there was a significant correlation between the education level (P=0.042) and self-efficacy. There also happened to be a significant correlation between QoL, and age (P=0.047) and education level (P=0.038). Again, there was no significant correlation between QoL, and sex and marital status. In this particular research, the confidence level was considered as 95%. Conclusion According to the results of the study, self-efficacy of residential elderlies and their quality of life was low. Increase in self-efficacy among the elderly residents of the nursing homes led to a rise in their QoL.
Relapse prevention (RP) programs mainly focus on patients and their families; however a patient's community can also play a significant role in RP. A randomized-controlled-trial was conducted among opiate-dependents discharging from residential abstinence-based treatment programs to assess the effect of a community-based relapse prevention program (CBRP) on the RP. Seventy-one participants were consented and randomized into CBPR (n = 35) or treatment-as-usual arms. Developing and implementing CBRP, social-workers and peer-group counselors facilitated and advocated thirty-six RP projects across 7 communities during a three-month follow-up period. Negative-drug-tests, 45 and 90 days after discharge from residential programs were considered as the main outcome. Abstinence rates were significantly greater for patients who received CBRP in comparison to the subjects in the treatment-as-usual arm at 45 days (27 and 20, P < 0.004) and 90 days (27 and 21, P < 0.007) after discharge. CBRP was an effective method for RP among opiate-dependents after being discharged from the residential programs.
Objective: To assess the effects of a rehabilitation service package designed by the State Welfare Organization of Iran for adult day care centres on the disability of older clients. Methods: A case-control study, with 46 older participants in the case group and 46 participants, matched for level of disability, in a control group. The World Health Organization Disability Assessment Schedule 2 was used to collect data at 4 time-points: baseline and 2, 4, and 6 months later. Data were analysed using repeated-measures analysis of variation. Results: The rehabilitation service package had significant effects on the disability scores of older users of day care services. The disability scores significantly changed within the subjects (p = 0.010) and between the 2 groups (p < 0.001). Within-subjects effects in all 6 domains ("understanding and communication" (p = 0.002), "getting around" (p = 0.046), "self-care" (p < 0.001), "getting along with people" (p < 0.001), "life activity" (p < 0.001) and "participation" (p < 0.001)) and between-subjects effects, in all except the "self-care" domain, showed significant differences during the 6-month study period (p = 0.003, p < 0.001, p <0.001, p < 0.001, and p < 0.001, respectively). Conclusion: The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.
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