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Background & Aim: Family history of one member suffering from hepatitis B of family is one of the most important ways of illness transmission in Iran. Thus attention to quality of self care of patients of hepatitis B family has vital role in prevention and control in family and society.

Methods & Materials: This research is descriptive study. Samples of this research included 250 patients which 160 persons belonged to simplex hepatitis B families and 90 persons belonged to multiplex hepatitis B families. Patients refer to the center of blood transfusion organization from all of area of Gillan province. In this study data has collected by patens’ questionnaire include: demographic qualifications that were designed in two parts 1- individual qualifications and illness qualifications and questions were about quality self care of drug regimen meal regimen, addictions, precautions standard, fallow up disease and diagnostic quality self care in these groups has been analyzed in SPSS statistical soft ware by statistical tests such as 2 test and fisher test. (p<0.005).

Results: Our results show that (%64) patients of simplex family and (85.6%) patients of family multiplex have not suitable quality self care. In response to hypothesises (there is relationship between quality of self care of patiens members in family and increasing of HBSAg cases) findings show that exists meaningful relation between self care about hepatitis B and increasing cases HBSAg in families (p<0.05).

Discussion: Regarding to dimensions of quality selfcare about hepatitis B disease has important role in preventing from increasing cases HBSAg in families. Particularly regarding to results of research which indicate unsuitable quality self care of patients about drug regime “diet or therapy” “addictions” follow up disease. Therefore in order to control the hepatitis B in family according to the results of this study it is suggested further efforts should be down. The results of this study can be used for other patients infectious such as hepatitis c and Aids.

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Background & Aim: Choosing proper method for contraception can help to reduce prevalence of unwanted pregnancy and unsafe abortions. IUD is one of the most trustable effective, and long-term contraceptive methods. The periodical study for recognition of the discontinuation factors is important in family planning and population control. Thus, the study was designed to determine the factors influencing the IUD discontinuation among women referring to Tehran&apos south health care centers.

Methods & Materials: In this descriptive study, 400 women attending to the health care centers in south Tehran in order to discontinue their IUDs were selected randomly. Data were gathered using questionnaires and analyzed using statistical tests such as chi-square and T-test.

Results: The mean IUD duration usage was 29.5±27.88 months. The main complication was bleeding that was reported by 44% of the clients. Infection 36.5% spotting 20.5% pain 12.3% and explosion 11.3% were the other causes of discontinuation, respectively. There was a significant correlation between the discontinuation and complications (P<0.001), husbands&apos education level (P=0.01), and usage duration (P=0.04).

Conclusion: The study showed that the most common reason for IUD removal was its side effects. It seems considering appropriate policies could decrease the complications and increase the usage duration.

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Background & Aim: In the view of the importance of evidence-based clinical practice in recent years, clinical disciplines such as nursing and midwifery have found a special need to systematic review and meta-analysis. However, systematic reviews and meta-analysises like any other studies may be poorly designed and implemented. Therefore, certain guidelines have been considered for reporting of such studies. The PRISMA statement is one of the most recent developments to improve the reporting quality of systematic reviews. The present study aimed to assess the reporting quality of systematic reviews and meta-analysises in the Iranian journals of Nursing and Midwifery, based on the PRISMA statement.

Methods & Materials: In this study, we conducted a comprehensive search on the Iranian journals of Nursing and Midwifery (Persian and English), indexed by the SID, Magiran, Irandoc, Iranmedex and Google Scholar databases during 2010 to 2015 years. The search was implemented using the key words such as systematic review and meta-analysis. Of the 44 articles found, after considering the inclusion criteria, 16 articles remained that were investigated using the PRISMA statement. Data were analyzed through the descriptive statistics and chi-square test using SPSS software version 16.

Results: The compliance rate of studies on the basis of PRISMA statement was estimated to be about 63%. The most common deficiency in the reporting quality was related to methodology estimated to be about 57%. The most visible deficiencies in the reporting of systematic reviews and meta-analysises were related to bias in the primary studies and bias in combining the results of these studies and lack of reporting these biases.

Conclusion: In this study, the reporting quality of systematic reviews and meta-analysises in the Iranian journals of nursing and midwifery was in the moderate level. The most probable reason for this may be the lack of enough attention of researchers to the PRISMA statement or not using this statement in reviewing articles. Therefore, it is recommended that an appropriate share of the educational programs on research methodology be allocated to systematic reviews and familiarizing with valid criteria such as PRISMA statement.

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Background & Aim: Insufficient health literacy is a major barrier to self-care in patients with heart failure. The purpose of this study was to determine relationship between health literacy and self-care behaviors in patients with heart failure.
Methods & Materials: In this correlational study, 100 patients with heart failure who were referred to teaching hospitals in Qom were selected through the convenience sampling method in 2017. The data collection tools were the heart failure-specific health literacy scale, the self-care of heart failure index (SCHFI) and the hospital anxiety and depression scale (HADS). Data were analyzed using descriptive statistics, the Pearson’s correlation coefficient and multiple liner regression analysis on the SPSS software version 16.
Results: More than half of the patients had a moderate level of self-care. The highest and lowest health literacy scores were respectively related to critical health literacy (10.47±2.56) and functional health literacy (9.14±3.74). The result of multiple regression analysis showed that only functional health literacy was a better predictor of self-care behaviors in patients with heart failure (β=0.30, P=0.014).
Conclusion: The findings showed that functional health literacy was an important predictor of self-care behaviors among patients with heart failure. It seems necessary to design effective interventions in order to improve patients’ skills for analyzing functional information and decision making in self-care.
 

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Background & Aim: Family caregivers of COVID-19 patients in the Intensive Care Units (ICUs) face numerous challenges that can affect their well-being. Spiritual health represents a crucial component for coping with such stressful conditions. Therefore, this study aims to determine the relationship between spiritual health and attitude towards death in family caregivers of COVID-19 patients post-discharge from the ICUs.
Methods & Materials: This descriptive-correlational study conducted between April and November 2021, focused on family caregivers of COVID-19 patients discharged from the ICUs. The sample comprised 260 family caregivers selected through convenience and purposive sampling methods. Data collection tools included a demographic and clinical questionnaire, Polotzin and Ellison's Spiritual Health Questionnaire, and Wong's Death Attitude Questionnaire. Data were analyzed using SPSS version 24 encompassed chi-square tests, one-way analysis of variance and Spearman correlation coefficient.
Results: The results showed a significant inverse relationship between total spiritual health score and the total score of attitude towards death (rs=-0.101, P<0.05). The attitude towards death findings revealed fear as the highest scoring dimension, with active acceptance scoring the lowest. Moreover, religious health exhibited a significant inverse relationship with avoidance of death (rs=-0.93) and fear of death (rs=-0.64, P<0.05).
Conclusion: The study highlighted an inverse relationship between the level of religious health and negative dimensions of attitude towards death. Individuals with higher religious health scores exhibited lower average scores for negative attitudes towards death, including fear and avoidance of death. This underscores the importance of emphasizing the religious dimension within families, and among patients discharged from the ICU, showcasing the role of religion in mitigating negative attitudes towards death.

 

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Background & Aim: Patients with heart failure often experience inadequate self-care and diminished quality of life, leading to significant constraints in their daily personal and social activities. This study aims to evaluate the effect of individually designed energy conservation training on enhancing self-care capabilities and improving the quality of life for patients with heart failure.
Methods & Materials: This randomized clinical trial was conducted from June 2022 to May 2023 and involved 60 heart failure patients in the CCU and cardiology ward, as well as cardiovascular clinic at Shahid Madani and Shohadai Ashayer Hospital in Khorramabad, Lorestan. Based on established inclusion criteria, participants were randomly assigned to either the intervention group (n=30) or the control group (n=30). The intervention group received individually designed training in four sessions, each lasting 30 minutes, spaced over three weeks (total duration of nine weeks). In contrast, the control group received standard nursing education upon discharge. Participants completed the European Heart Failure Self-Care Behavior Scale and the Minnesota Living with Heart Failure Questionnaire both prior to the intervention and at the tenth week post-intervention. Data were analyzed using SPSS software version 24, employing the Mann-Whitney U test, Wilcoxon test, independent t-test, and chi-square tests.
Results: After the intervention, the intervention group demonstrated a statistically significant decrease in mean scores for self-care and quality of life compared to the control group (P<0.001). These findings indicate an enhancement in self-care practices and an improvement in the quality of life.
Conclusion: Individually designed energy conservation training effectively improves self-care and quality of life in patients with heart failure. Therefore, using this complication-free, non-pharmacological approach can be beneficial for this patient population.
Clinical trial registry: IRCT20220612055150N1