Showing 10 results for Nasiri
Fatemeh Imani, Ebrahim Nasiri, Houshang Akbari, Mohammadreza Safdari,
Volume 28, Issue 2 (6-2022)
Abstract
Background & Aim: Anxiety and hemodynamic changes are common complications of surgeries. The aim of this study is to investigate the effect of foot reflexology massage on overt anxiety and physiological parameters of patients undergoing tibia plaque surgery.
Methods & Materials: In this clinical trial study, 96 eligible patients who were candidates for Tibia plaque surgery, referred to Imam Ali (AS) Teaching Hospital in Bojnourd in the spring of 2016, were selected by the convenience sampling method. Then, they were randomly divided into two groups of 48 people: experiment and control. For the experiment group, one hour before the operation, the foot reflexology massage was performed for 10 minutes. For the control group, the foot was touched for 2 minutes. Patients’ anxiety was measured using the Spielberger Manifest Anxiety Questionnaire before and one hour after the intervention, and patients’ physiological parameters were measured before and after the intervention and at 2, 4, 6, 12 and 24 hours after the surgery. To compare and analyze the data, chi-square tests for qualitative variables and t-test, Mann-Whitney test and Repeated Measure ANOVA for quantitative variables were used on the SPSS software version 21.
Results: This study showed that the average score of anxiety after the intervention was significantly different in both the control and experiment groups (P=0.038). Also, Foot reflexology massage significantly reduced systolic blood pressure after the intervention (P=0.039) and 4 hours after the surgery (P=0.007), and also reduced diastolic blood pressure immediately after the intervention (P=0.001). Heart rate decreased significantly at all measured times after the intervention (P<0.05).
Conclusion: Foot reflexology massage can reduce overt anxiety and improve physiological parameters of patients undergoing tibia plaque surgery. Therefore, this method can be used for reducing anxiety in the patients candidate for orthopedic surgery.
Clinical trial registry: IRCT20200502047265N1
Bahareh Najafi, Ahmad Nasiri,
Volume 29, Issue 2 (7-2023)
Abstract
Background & Aim: Uncertainty is a multifaceted concept, inherently unavoidable, and can pose a significant obstacle to proper decision-making. In the nursing profession, which is marked by various challenges, nurses are expected to make precise and appropriate decisions. Confidence in decision-making is considered a vital element in the nursing profession. Given the ambiguities surrounding the concept of uncertainty, we aimed to conduct a concept analysis of uncertainty in nursing using the Walker and Avant’s approach.
Methods & Materials: This study is a concept analysis using the Walker and Avant’s approach to analyze the concept of uncertainty. Initially, a search was conducted on databases including Science Direct, SID, Medline, Iran Med, ProQuest, PubMed, and Scopus, using keywords such as uncertainty, nurse, and concept. A comprehensive review of articles published between 1990 and 2021 was then carried out, resulting in a total of 9 relevant articles.
Results: The literature review showed that uncertainty is an abstract and intricate concept that poses challenges in making informed decisions. In the context of nursing, uncertainty shares similarities with terms like confusion and doubt, while standing in contrast to concepts like self-confidence and assurance. The antecedents of uncertainty include the inability to make decisions and a lack of accountability. The consequence of uncertainty is the recognition of information needs, active pursuit of answers, and ultimately making informed and appropriate decisions.
Conclusion: The findings of this study indicate that nurses encounter uncertainty when they are unable to make independent decisions. As uncertainty in nursing decision-making directly affects patient care, managers and planners can take proactive measures to mitigate this issue. By promoting knowledge and awareness, fostering motivation, and encouraging continuous learning among nurses, the level of uncertainty can be reduced. This, in turn, will contribute to the improvement and enhancement of patients’ health outcomes.
Parvaneh Vasli, Zohreh Komijani, Meimanat Hosseini, Malihe Nasiri,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Postoperative care presents diverse needs that affect the quality of life in children with congenital heart disease. The objective of the study was to determine the effect of a family-based care transition program on the health-related quality of life of children with congenital heart disease undergoing corrective surgery.
Methods & Materials: This quasi-experimental study involved 78 mother-child dyads diagnosed with congenital heart disease and undergoing corrective surgery at the Shaheed Rajaie Cardiovascular Hospital in Tehran. The samples were divided to one of two groups: an intervention group (n=40) and a control group (n=38). Convenience sampling was employed to select participants during the 2023-2024 period. Data were collected using the TNO-AZL Preschool Quality of Life Scale across four assessment stages. The intervention group participated in 11 sessions of the family-based care transition program, while the control group followed routine discharge protocols. Data were analyzed using SPSS software version 22, employing independent t-tests, the Bonferroni test, and both one-way and two-way repeated measures analysis of variance.
Results: Within-group comparisons showed a significant increase in quality of life scores for both the intervention and control groups (P<0.001), with the intervention group indicating a more pronounced improvement. However, between-group comparisons showed no significant differences in quality of life scores at baseline, immediately post-intervention, or one month post-discharge. Notably, a significant difference was observed three months post-discharge (P=0.003).
Conclusion: The implementation of a family-based care program may improve the health-related quality of life of children with congenital heart disease undergoing surgery. These findings suggest that pediatric nurses can utilize family-centered interventions to improve the health-related quality of life of these children.
Ali Alibakhoda, Mahnaz Ilkhani, Razieh Ghafouri, Malihe Nasiri,
Volume 31, Issue 2 (7-2025)
Abstract
Background & Aim: Gastrointestinal ostomy surgery changes the normal digestive function of patients. Insufficient knowledge and skills regarding ostomy care can lead to physical, psychological, and social complications. The present study aimed to determine the effect of a pre-operative education program on ostomy self-efficacy in patients undergoing ostomy surgery.
Methods & Materials: This randomized clinical trial included patients scheduled for colostomy or ileostomy surgery at hospitals affiliated with Shahid Beheshti University of Medical Sciences during 2022-2023. Participants were randomly assigned to two groups: the intervention group (41 patients) and the control group (44 patients). The control group received only routine education before discharge, while the intervention group participated in the pre-operative education program. The modified ostomy self-efficacy questionnaire was administered to patients before the intervention and one month post-surgery. Data were analyzed using descriptive and inferential statistics in SPSS software version 20.
Results: One month after surgery, the ostomy self-efficacy scores were significantly higher in the intervention group compared to the control group (P<0.001). Furthermore, within the intervention group, the post-intervention ostomy self-efficacy scores were significantly greater than pre-intervention scores (P<0.001). Additionally, the length of hospitalization following surgery was significantly shorter in the intervention group than in the control group (P=0.007).
Conclusion: The results showed that pre-operative education enhances ostomy self-efficacy and reduces the length of hospitalization. Therefore, implementing pre-operative education on ostomy care for patients undergoing ostomy surgery is strongly recommended.
Clinical trial registry: IRCT20220731055588N1
Roghayeh Shavandi, Parastoo Oujian, Hosein Zahednezhad, Maliheh Nasiri,
Volume 32, Issue 1 (4-2026)
Abstract
Background & Aim: Achieving autonomy remains a significant challenge within the nursing profession. Nurses must possess moral courage to attain professional autonomy, which should consequently enhance their job self‑efficacy. This study aimed to investigate the relationship between professional autonomy, moral courage, and job self‑efficacy among nursing managers.
Methods & Materials: This descriptive‑correlational study was conducted on 200 nursing managers, including senior nursing managers in organizational positions, middle managers serving as supervisors, and operational managers working as head nurses across eleven teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2024. Data were collected using a demographic and professional characteristics form, Jung's Professional Autonomy Questionnaire, Sadoughi‑Asl's Nurses' Moral Courage Questionnaire, and Riggs' Self‑Efficacy Scale. Data analysis was performed using SPSS version 21 and LISREL version 8, employing Pearson's correlation coefficients and path analysis.
Results: The mean scores were as follows: professional autonomy was 26.92±6.6 (moderate level), moral courage was 422.11±39.52 (high level), and job self‑efficacy was 114.98±11.38 (high level). Professional autonomy demonstrated a direct and significant positive correlation with moral courage (r=0.187, P=0.008), and moral courage showed a significant positive correlation with job self‑efficacy (r=0.41, P<0.001). The structural model analysis revealed that all path coefficients were significant (P<0.001), except for the path from professional autonomy to job self‑efficacy (P=0.635).
Conclusion: The findings of this study suggest that enhancing professional autonomy can improve the moral courage and job self‑efficacy of nursing managers. This important finding can serve as a foundation for designing effective programs and interventions in this field.
