Elahe Dashti, Maryam Rassouli, Leila Khanali Mojen, Asma Puorhoseingholi, Azam Shirinabady Farahani, Fatemeh Sarvi,
Volume 21, Issue 3 (12-2015)
Abstract
Background & Aim: Preterm infants are at increased risk for readmission after discharge from the neonatal intensive care unit. Some factors and characteristics of preterm infants have an effect on their readmissions. This study aimed to determine neonatal factors related to preterm infants’ readmissions to the neonatal intensive care unit.
Methods & Materials: This correlational study was conducted on a sample of preterm infants admitted to the neonatal intensive care unit at three teaching hospitals of Shahid Beheshti University of Medical Sciences in 2013. Samples were studied using a questionnaire on possible factors and characteristics related to readmission including sex, gestational age, birth weight, multiple birth and length of stay in the neonatal intensive care unit after discharge. The infants were also followed for readmission thirty days after discharge. The data were initially analyzed by univariate analysis and then by the logistic regression model.
Results: The results of univariate analysis revealed that the infants readmitted at the time of follow up were significantly more premature and had lower birth weight and a longer initial hospital stay in the neonatal intensive care units (P<0.001). In the logistic regression model, only gestational age and birth weight had a significant statistical association with infants’ readmission (R: 0.805, P=0.001 and odds ratio: 0.998, P=0.001 respectively).
Conclusion: Infants’ gestational age and birth weight were associated with hospital readmission within thirty days after discharge, so that the infants with lower gestational age and birth weight were more likely to be hospitalized again after discharge.
Hakimeh Eskandari Sabzi, Azam Shirinabadi Farahani, Maryam Rassouli, Leila Khanali Mojen, Raziyeh Beikmirza, Maryam Heidari,
Volume 27, Issue 2 (7-2021)
Abstract
Background & Aim: Being diagnosed with cancer during adolescence can cause disabilities and disrupt the achievement of important tasks during this period. Given the complex spiritual issues that adolescents face, emphasizing them can provide a unique framework for understanding and coping with illness. The purpose of this study was to determine factors related to spiritual coping in adolescents with cancer based on the "Reed self-transcendence theory".
Methods & Materials: In this descriptive, correlational study, 270 adolescents with cancer referred to hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran in 2018-19 were selected using the convenience sampling method. Data was collected using the demographic and clinical characteristics questionnaire, the “Adolescents Spiritual Coping Scale”, “Adolescents Hope Scale”, “Self-transcendence Scale: Adolescent version and “Adolescent Coping Scale”. Data was analyzed using the SPSS software version 19 through descriptive statistical methods, Kruskal–Wallis test, Kolmogorov-Smirnov test, the Spearman's correlation test and Path analysis.
Results: Based on the Spearman correlation coefficient, the relationship of hope (rs=0.440, P<0.001), coping (rs=0.149, P=0.015) and self-transcendence (rs=0.143, P=0.019) was positive and significant with the spiritual coping. Also, the results of path analysis of the Reed self-transcendence model showed that hope and self-transcendence had direct effects on spiritual coping and coping had an indirect effect on spiritual coping in adolescents through the intermediate variable of self-transcendence.
Conclusion: The variables hope, coping and self-transcendence are the factors related to spiritual coping in adolescents with cancer, and the model of self-transcendence in Iranian adolescents with cancer is appropriate. Therefore, nurses as the first providers of care can enhance spiritual coping in adolescents by focusing on this model and manipulating its various variables.
