Hossein Ashtarian; Nasrin Mehrabi; Mohammad-Rafi Bazrafshan; Mahmoud Rahmati
Abstract
Introduction: Delirium measurement instruments should be highly sensitive, and their instruction for the users should also be short-term and straightforward. The objective of the present study was to investigate the validation of the NEECHAM confusion scalein predicting the delirium of ICU patients in ...
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Introduction: Delirium measurement instruments should be highly sensitive, and their instruction for the users should also be short-term and straightforward. The objective of the present study was to investigate the validation of the NEECHAM confusion scalein predicting the delirium of ICU patients in Kermanshah health care and educational centers in 2015. Methods: This is cross-sectional descriptive-analytic research that was conducted in 2015. The researcher acquired the consent of the administrators of Imam Reza (AS) and Taleqani hospitals. A briefing session was held in ICU units, and the objective and method of the study were explained to patients to attract their cooperation. Sampling was done using convenience sampling. Some 166 patients were selected. The NEECHAM confusion scalewas used to investigate the delirium of patients. The area under the receiver operating characteristic (ROC) curve was used to assess the quality of the questionnaire. The significance level was considered 0.05. Results: Results show that 50.6 percent of the samples were female, and most of them were married (85.2%). Most of the patients lived in cities (78.9%) and were illiterate (50.3%). Also, most of the patients were housewives (44.4%). Instruments for data collection were demographic questionnaire and the NEECHAM confusion scale. The results of this study indicated that 45.2 percent of people have delirium. The NEECHAM confusion scalehas a large area under the ROC curve. Therefore, it has high predicting power in the prediction of delirium. Conclusion: according to the findings of this study, it can be said the NEECHAM confusion scalehas the validity to be able to provide accurate and rapid information about patients' delirious status. Since the cognitive impairment screening tools require regular editing; therefore, nurses working in intensive care units can use this tool to diagnose patients with delirium and prevent delirium complications quickly.
Amir Jalali; Mahmoud Rahmati; Bita Dastmozd; Nader Salari; Mohammad-Rafi Bazrafshan
Abstract
Introduction: Spiritual health is the newest dimension of health that lies alongside other aspects of health. Since few studies have been conducted on the various effects of spirituality on nurses' clinical competence, this study aimed to determine the relationship between spiritual health and clinical ...
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Introduction: Spiritual health is the newest dimension of health that lies alongside other aspects of health. Since few studies have been conducted on the various effects of spirituality on nurses' clinical competence, this study aimed to determine the relationship between spiritual health and clinical competency of nurses. Methods: This study is a cross-sectional study. The samples consisted of 135 nurses working in intensive care units affiliated to Iran University of Medical Sciences. According to the number of nursing staff in each ward, the share of each ward was determined, and then nurses selected by random sampling. Data were collected using the Spiritual Well-Being questionnaire and the Critical Care Nursing Competence Scale. After referring to the wards, the questionnaires were compiled by the researchers, and finally, it was analyzed using the Pearson correlation coefficient test. The significance level was considered to be 5%. Results: The mean age of nurses was 35±6.6 years, their mean clinical experience was 11±7 years and the mean of nurses' work experience was 6.95±5 years. The mean score of spiritual well-being was 79.29±4.33 (medium level), the mean score of clinical competence was 378.53±4.90 (excellent condition) and the mean score of professional competence was 310.95±3.14 (excellent condition). Correlation test results showed no significant statistical relationship between spiritual health and clinical competency dimensions (P value>0.05).There was also no significant relationship between dimensions of spiritual health (existential health and religious health) and nurses' clinical competency (P-value>0.05). Conclusion: Nurses in ICUs have a relatively high and acceptable level of spiritual health and clinical competence, but nurses' clinical competence is not directly related to their spiritual health.
Soroush Maazinezhad; Mohammad-Rafi Bazrafshan; Vahab Karamivand; Mahmoud Rahmati
Abstract
Background: Schizophrenia, as a chronic and debilitating disease, has consequences not only for the patient but also for the family and society. It severely destroys the energy and resources available to the patient's family. The purpose of this study was to investigate the relationship between the burden ...
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Background: Schizophrenia, as a chronic and debilitating disease, has consequences not only for the patient but also for the family and society. It severely destroys the energy and resources available to the patient's family. The purpose of this study was to investigate the relationship between the burden on caregivers of schizophrenic patients and their perceived social support. Methods: In this cross-sectional study, the statistical population consisted of all Caregivers of schizophrenic patients referred to Farabi Psychiatric Center of Kermanshah in 2019. Out of them, a sample of 125 individuals was selected by the convenience sampling method. Two standard questionnaires, family burden interview schedule, and Social support inventory were used to assess the family burden and social support. Results: The mean age of the participants was 42.69±12.78 years. The results showed the mean score of social support in the individuals as 14.72±5.93. Furthermore, the mean score of the family burden was found at 28.03±11.03. There was a significant statistical reverse correlation between social support and family burden (p<.001, r=-378). The regression model showed that social support could predict family pressure. The collected data were analyzed using descriptive statistics and analytical statistics (chi-squared, Spearman’s, and linear regression), where the significance level was set at 0.05. (P<0.05). Conclusion: Caregivers of schizophrenic patients are exposed to high psychological, economic, and social pressures. This can be effective in reducing the quality of patient care. Therefore, increasing the level of social support in these people is essential in reducing the complications of schizophrenia.
