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Objectives: Parents taking care of children with epilepsy experience stress in their daily lives, which enhances their anxiety, changes their function, and eventually increases their children's behavioral problems. The present study aimed... more
Objectives: Parents taking care of children with epilepsy experience stress in their daily lives, which enhances their anxiety, changes their function, and eventually increases their children's behavioral problems. The present study aimed at investigating the effect of creating opportunities for parent empowerment (COPE) program on parents of children with epilepsy or other chronic neurological conditions. Material & methods: A quasi-experimental clinical trial was conducted on 88 mothers of hospitalized children with epilepsy aged 3 to 12 years. In the intervention group, the COPE program was conducted by the researcher in three phases and the usual care group received usual healthcare. The mothers' anxiety was assessed in three phases in both groups. Results: Results of the present study showed that the effect of time and group-time interaction on the state anxiety and trait anxiety was significant in the intervention group; however, the effect of time was not significant in the usual care group (P = 0.12). The differences of state anxiety and trait anxiety were not significant between the two groups (P = 0.136), which depended on the baseline level of anxiety. By analyzing the covariance after controlling the two variables at baseline, it was observed that the score variations in the state anxiety and trait anxiety were significant at all studied time points. Conclusions: The results of the current study indicated the positive effect of the COPE program on the anxiety of parents of children with epilepsy. Since this technique is non-pharmacological, convenient, easy-to-apply, and cost-effective, it can be used to reduce the parents' anxiety.
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Research Interests: Medicine and Distraction
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Research Interests: Medicine and Distraction
Introduction: One of the challenges that students faced during their education is academic procrastination. It means "delay in performing a task". Since academic procrastination could effect on various aspects of students'... more
Introduction: One of the challenges that students faced during their education is academic procrastination. It means "delay in performing a task". Since academic procrastination could effect on various aspects of students' personal and social life, by identifying related factors it may be limited. This study aimed to determined academic procrastination and related factors in Students of Guilan University of Medical Sciences in 2015. Methods: In this cross-sectional study, 459 students of all major programs of Guilan University of Medical Sciences were selected by stratified random sampling method. Data collection scales included three parts of demographic information, academic information and Procrastination Assessment Scale for Students (PASS) by Solomon and Rothblum. Data was analyzed with T- Test, ANOVA, multiple regressions by SPSS V. 20. Result: Most of students were female (72.7%), single (86%) and undergraduate (66.6%). Mean score of academic procrastination was 63.3±9.1 and most students (69.5%) had moderate procrastination. Academic procrastination had significant difference with gender (p=0.002) and academic level (p=0.03). Also in multiple regression models, gender, program of study and academic level were main predictors of procrastination. Females, dental students and postgraduate students had higher level of academic procrastination. Conclusion: There is a moderate academic procrastination in students of Guilan University of Medical Sciences and its relationship with gender, program of study and academic level was observed. Investigation on causes and appropriate strategies to reduce this behavior is recommended.
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BACKGROUND: Academic burnout is a worldwide problem that troubles students at all academic levels. Despite the significant effects of this problem on students’ mental health and academic achievements, yet, it has not been adequately... more
BACKGROUND: Academic burnout is a worldwide problem that troubles students at all academic levels. Despite the significant effects of this problem on students’ mental health and academic achievements, yet, it has not been adequately studied in Iranian system of academic education. Therefore, we aimed to explore the incidence of academic burnout status and its associated factors among the students at Guilan University of Medical Sciences. SUBJECTS AND METHODS: This cross-sectional study was conducted over a number of 303 students at Guilan University of Medical Sciences during 2016. Study samples were selected through the stratified random sampling method, and a set of data including sociodemographic information, educational status, study habits, and burnout inventory status was collected for each sample. Items of burnout inventory status were based on the Maslach Burnout Inventory. Data were analyzed using descriptive and inferential statistics including t-test and linear regression...
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Introduction: In nursing, the communication between the nurse and the child is the core of child care. Some barriers can affect the nurse-patient relationship to have proper communication skills for child care. Objective: This study aimed... more
Introduction: In nursing, the communication between the nurse and the child is the core of child care. Some barriers can affect the nurse-patient relationship to have proper communication skills for child care. Objective: This study aimed to examine the correlation between communication skills and early maladaptive schemas in nurses working in pediatric wards. Materials and Methods: This is an analytical and correlational study. The participants were 178 nurses working in a children’s hospital in Rasht City, Iran in 2016. The data collection tool was a three-part questionnaire: A demographic form, the interpersonal communication skills scale (ASMA), and the Young Schema Questionnaire-Short Form (YSQ-SF). The collected data were analyzed using descriptive statistics and the Friedman and Spearman tests. Results: The majority of nurses were younger than 30 years (80.8%), had a bachelor’s degree in nursing (89.0%), were married (65.1%), had children (54.8%), were living in urban areas (...
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Introduction: Academic burnout is among the factors that negatively affect academic performance and has recently been studied in schools and universities. Aim: The aim of this study was to determine the relationship between academic... more
Introduction: Academic burnout is among the factors that negatively affect academic performance and has recently been studied in schools and universities. Aim: The aim of this study was to determine the relationship between academic burnout and educational factors among students of Guilan University of Medical Sciences in 2015–2016. Materials and methods: This cross sectional study was conducted on 532 students who were in second or higher semester of their study in Guilan University of Medical Sciences. The instruments used in this study were the Maslach’s Student Burnout Questionnaire and the Educational Factors Questionnaire. Data were analyzed using SPSS software version 21. Results: A significant relationship was observed between academic burnout and passion in college major (P = 0.0001), failing the courses (P = 0.0001), probation record (P < 0.009), teaching factors, educational environment and educational facilities (P < 0.05). Conclusion: The results of this study indicated a significant relationship between academic burnout and a number of educational factors. As a result, appropriate educational and teaching facilities can reduce students’ academic burnout.
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Research Interests: Thalassemia and Medicine
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Introduction: Assertiveness, is one of the life skills that effects on increasing self-esteem, logical expression of thoughts and feelings, reducing anxiety, improving social communication skills and supporting human rights and finally... more
Introduction: Assertiveness, is one of the life skills that effects on increasing self-esteem, logical expression of thoughts and feelings, reducing anxiety, improving social communication skills and supporting human rights and finally increasing life satisfaction and happiness Introduction: Assertiveness, is one of the life skills that effects on increasing self-esteem, logical expression of thoughts and feelings, reducing anxiety, improving social communication skills and supporting human rights and finally increasing life satisfaction and happiness Methods: The pilot of study is situated on clinical trial research experiment, for two groups before and after intervention. Among 80 nursing students enrolled in Nursing and Midwifery school of Islamic Azad University Najaf Abad in 2013-2014 who trained in the field, all those who had poor expression were 36 subjects which measured with Adolescence Self-Assertiveness (ASA) scale and 24 subjects who want to enter to the research were s...
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Objectives Parents taking care of children with epilepsy experience stress in their daily lives, which enhances their anxiety, changes their function, and eventually increases their children's behavioral problems. The present study... more
Objectives Parents taking care of children with epilepsy experience stress in their daily lives, which enhances their anxiety, changes their function, and eventually increases their children's behavioral problems. The present study aimed at investigating the effect of creating opportunities for parent empowerment (COPE) program on parents of children with epilepsy or other chronic neurological conditions. Material & Methods A quasi-experimental clinical trial was conducted on 88 mothers of hospitalized children with epilepsy aged 3 to 12 years. In the intervention group, the COPE program was conducted by the researcher in three phases and the usual care group received usual healthcare. The mothers’ anxiety was assessed in three phases in both groups. Results: Results of the present study showed that the effect of time and group-time interaction on the state anxiety and trait anxiety was significant in the intervention group; however, the effect of time was not significant in the...
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Background and objectives: Adolescence is one of the most important and sensitive stages of human development and adolescents are among the most vulnerable groups of a society. Aggression is a major problem associated with adolescence.... more
Background and objectives: Adolescence is one of the most important and sensitive stages of human development and adolescents are among the most vulnerable groups of a society. Aggression is a major problem associated with adolescence. The family is the first institution to which the individual belongs and family functioning is therefore a major factor in the incidence of aggressive behaviors in adolescents. The present study was conducted to determine the relationship between family functioning and different types of aggression in students aged 14-18 in Rasht, Iran, in 2014-2015. Materials and methods: The present descriptive correlational study was conducted in 2014-15 in the province of Gilan. The study population consisted of 26956 first to third-year students of public and private high schools in districts one and two of Rasht, northern Iran, aged 14-18 and selected through a two-stage cluster sampling method and The study sample size was calculated as 500. Data were collected ...
Introduction: Aggression is a major trait that occurs in adolescence. Family is the first institution in which a person joins, therefore family functioning is a significant factors in the development of aggressive behaviors in... more
Introduction: Aggression is a major trait that occurs in adolescence. Family is the first institution in which a person joins, therefore family functioning is a significant factors in the development of aggressive behaviors in adolescents. Objective: The aim of this study was to determine the relationship between family functioning and aggression in students aged 14-18 years in Rasht. Materials and Methods: The present research is a cross-sectional analytical study. The research population consisted of 500 students aged between 14 and 18 years, studying in the first to the third grade of high school in public and non-public schools in Districts 1 and 2 of Rasht, who were selected using random cluster sampling. Data were collected using demographic questionnaires, the Buss–Perry Aggression Questionnaire, Family Assessment Device (FAD) Scale, and analyzed by descriptive and inferential statistics including Kruskal Wallis, Mann Whitney, and Spearman correlation test. Results: The resul...
1 Master of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran 2 Assistant Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran 3... more
1 Master of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran 2 Assistant Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran 3 Instructor, PhD Candidate, Department of Pediatric Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran 4 Associate Professor, Department of Biostatistics and Epidemiology, Guilan University of Medical Sciences (GUMS), Rasht, Iran * Corresponding author: Fateme Jafaraghaee, Assistant Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences (GUMS), Rasht, Iran. E-mail: fja_a80@yahoo.com
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Abstract Background Parents’ mental health can be impacted by sleep problems experienced by children diagnosed with ADHD. This study aimed to investigate the effect of group-based behavioral parent training (BPT) related to sleep problems... more
Abstract Background Parents’ mental health can be impacted by sleep problems experienced by children diagnosed with ADHD. This study aimed to investigate the effect of group-based behavioral parent training (BPT) related to sleep problems of children with ADHD on parents’ mental health. Methods A parallel randomized controlled trial design was used in this study. Participants included 58 parents of school-age children with ADHD who had at least one sleep problem and who were known to medical services in a psychiatric clinic in Rasht city, Iran. Participants were randomly allocated to the intervention or control groups equally. Participants in the intervention group received a 5-week BPT intervention program related to sleep problems of ADHD children including 3 sessions group-based training and 2 telephone follow-up. Data were collected before and two months after the intervention. Data were analyzed using descriptive and inferential statistics via the SPSS software. Results The findings revealed two months after the intervention, participants in the intervention group had a significant improvement in the anxiety (p = 0.01) and stress (p = 0.02) levels compared to the control group. Conclusion The results suggest that group-based BPT related to sleep problems of children with ADHD could be an effective strategy in improving parents' mental health.
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1 MSc Pediatric Nursing, Department of Pediatric Nursing, Shahid Beheshti Nursing and Midwifery School, Guilan University of Medical Sciences, Rasht, Iran 2 Instructor, Department of Pediatric Nursing, Faculty of Shahid Beheshti Nursing... more
1 MSc Pediatric Nursing, Department of Pediatric Nursing, Shahid Beheshti Nursing and Midwifery School, Guilan University of Medical Sciences, Rasht, Iran 2 Instructor, Department of Pediatric Nursing, Faculty of Shahid Beheshti Nursing and Midwifery, PhD Student, Guilan University of Medical Sciences, Rasht, Iran 3 Assistant Professor, Department of Biostatics, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran * Corresponding author: Minoo Mitra Chehrzad, Instructor, Department of Pediatric Nursing, Faculty of Shahid Beheshti Nursing and Midwifery, PhD Student, Guilan University of Medical Sciences, Rasht, Iran. Email: chehrzad@gums.ac.ir
BACKGROUND Understanding factors that can potentially influence patient care and nursing workload in intensive care units is important. Previous studies have shown contradictory outcomes about the relationships between nursing workload... more
BACKGROUND Understanding factors that can potentially influence patient care and nursing workload in intensive care units is important. Previous studies have shown contradictory outcomes about the relationships between nursing workload and patient and nurse characteristics. AIMS AND OBJECTIVES This study aimed to investigate nursing workload in intensive care units and examine the association between this in relation to patient and nurse characteristics. DESIGN A cross-sectional design was conducted. METHODS All nurses who were working in the intensive care units of five hospitals and met the study criteria were enrolled in the study. Two demographic questionnaires collected nurse and patient demographic information. The Nursing Activities Score was applied to determine nursing workload in three shifts (morning, evening, night) for each nurse. Data were analysed using the independent sample t-test, one-way analysis of variance, and multivariable linear regression analysis. RESULTS The Nursing Activities Score was calculated for 509 patients who were under the care of 105 intensive care unit nurses. The mean (SD) Nursing Activities Score was 72.84% (22.07%). Morning shifts, male patients, medical treatments, and referred patients from the emergency ward and other intensive care units imposed a higher workload for nurses. Specifically, female nurses, increased number of patients receiving care, and increased patient length of intensive care unit stay were directly associated with increased Nursing Activities Scores. Work in surgical and burn intensive care units were inversely associated with the Nursing Activities Score. CONCLUSION This study suggests that the workload of nurses in intensive care units can be affected by both nurse and patient characteristics. RELEVANCE TO CLINICAL PRACTICE The findings can be used to ensure appropriate staffing of intensive care units by nurses. However, nurse and patient characteristics should not be considered the only factors that influence nursing workload in intensive care units.
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Introduction: A ppropriate nutrition is a major health objective in children’s early years. Eating problems among children as well as low awareness and the unsuitable function of mothers in this regard could result in complications for... more
Introduction: A ppropriate nutrition is a major health objective in children’s early years. Eating problems among children as well as low awareness and the unsuitable function of mothers in this regard could result in complications for children and their families. Objective: We aimed to determine the effect of an integrated training on the mothers of 1- to 3-year-old children with eating problems. Materials and Methods: This was a two-group quasi-experimental study. In total, 70 mothers of 1 to 3-year-old children with eating problems visiting health centers in Rasht City, Iran, participated in this research. They were selected through a nonrandom sampling method. Then, the samples were assigned into the case and control groups. The case group received integrated training. The training sessions were held during three consecutive weeks as two in-person sessions along with presenting an educational CD. Moreover, a virtual session was provided to the study subjects through text messages. The children’s eating problems’ data were recorded using Food Preference Questionnaire (FPQ) measuring eating problems in toddlers (including 5 areas of water satisfaction with eating, mother tension during eating, eating different food types, eating behavior, and food dependence physical signs) before, immediately after, and one month after the intervention by the mothers. Data analysis was performed using descriptive and inferential (t-test, Chi-squared test) statistics. Results: The achieved results indicated no significant difference in the eating problems of toddlers before the intervention in the case and treatment groups. Such lack of difference was in terms of mothers’ satisfaction with child’s eating, and the child’s eating behavior, stress during the child’s eating, and eating different food types. However, immediately and one month after the training, the t-test and Chi-squared test results indicated improved mothers’ satisfaction with children’s eating (P=0.0001) and reduced stress in mothers during children’s eating (P=0.0001). Nevertheless, in the two areas of eating behavior and eating different food types, no significant differences were observed. Conclusion: The obtained results suggested that toddlers’ eating problems could be improved by providing integrated training programs to their mothers.
Research Interests: Nurse and Mental Workload
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Preschool age is a crucial period for social development. Social skills acquired during this period are the basis for future life’s success. This study aimed to investigate the level of social skills in preschool children at home and in... more
Preschool age is a crucial period for social development. Social skills acquired during this period are the basis for future life’s success. This study aimed to investigate the level of social skills in preschool children at home and in preschool and to examine the association between children’s social skills and environmental and cultural backgrounds. A cross-sectional study using a multistage cluster sampling method was conducted on 546 children studying in the preschool centers of an urban area of Iran. Data were collected through demographic and social skill questionnaires from parents and teachers. Our findings showed that the social skills of girls were more than those of boys at home. Further, the majority of children had a moderate level of social skills from the parents’ and teachers’ perspectives. There was a modest parent–teacher agreement in most domains of social skills. Moreover, a statistically significant association was reported between children’s social skill domai...