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Alireza Seyfi Ardali, Yoones Shahbazi, Mohammad Javad Katani, Mehrdad Azarbarzin,
Volume 19, Issue 3 (9-2025)
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: Cognitive-behavioral therapy is one of the effective types of psychotherapy in the treatment of psychiatric disorders such as anxiety disorders, depression and improving mental health. This study was conducted with the aim of comparing the effectiveness of acceptance and commitment therapy and cognitive-behavioral therapy on the mental health of patients with a history of myocardial infarction hospitalized in hospitals in Kermanshah province in 2024.
Materials and Methods: The present study is applied in terms of purpose and in terms of implementation method, it is a quasi-experimental study with a pretest-posttest design and a control group. The statistical population of this study included all patients hospitalized with myocardial infarction in hospitals in Kermanshah province, from whom 45 people were selected conveniently and based on the inclusion and exclusion criteria and were randomly assigned to two experimental groups and one control group (three groups of 15 people). To collect the information required for the study, the Goldberg (2003) Demographic and Mental Health Questionnaire was used. SPSS statistical software and t-test and ANOVA statistical tests were used to analyze the research data.
Results: Out of a total of 45 participants, 29 were male (65.4%) and 16 were female (34.6%). The comparison of their mean mental health scores before the intervention in the pre-test and post-test was (64.8±11.18, 63.33±11.34), (62.6±12.22, 58.07±12.94) and (64.87±10.56, 61.87±10.59), respectively. Also, the results of the analysis of covariance test for comparing mental health in the acceptance and commitment therapy and cognitive therapy groups showed that the F value obtained was 7.111 and its significance level was also smaller than 0.05 and was significant (P<0.05). As a result, both text-based acceptance and commitment therapy and cognitive behavioral therapy had a positive effect on the mental health of patients with a history of heart attack, and among them, the effectiveness of acceptance and commitment therapy was higher.
Conclusion: Considering the lower mean scores of the ACT-based therapy group in the post-test, it can be concluded that it was more effective than cognitive behavioral therapy in increasing mental health.
Materials and Methods: The present study is applied in terms of purpose and in terms of implementation method, it is a quasi-experimental study with a pretest-posttest design and a control group. The statistical population of this study included all patients hospitalized with myocardial infarction in hospitals in Kermanshah province, from whom 45 people were selected conveniently and based on the inclusion and exclusion criteria and were randomly assigned to two experimental groups and one control group (three groups of 15 people). To collect the information required for the study, the Goldberg (2003) Demographic and Mental Health Questionnaire was used. SPSS statistical software and t-test and ANOVA statistical tests were used to analyze the research data.
Results: Out of a total of 45 participants, 29 were male (65.4%) and 16 were female (34.6%). The comparison of their mean mental health scores before the intervention in the pre-test and post-test was (64.8±11.18, 63.33±11.34), (62.6±12.22, 58.07±12.94) and (64.87±10.56, 61.87±10.59), respectively. Also, the results of the analysis of covariance test for comparing mental health in the acceptance and commitment therapy and cognitive therapy groups showed that the F value obtained was 7.111 and its significance level was also smaller than 0.05 and was significant (P<0.05). As a result, both text-based acceptance and commitment therapy and cognitive behavioral therapy had a positive effect on the mental health of patients with a history of heart attack, and among them, the effectiveness of acceptance and commitment therapy was higher.
Conclusion: Considering the lower mean scores of the ACT-based therapy group in the post-test, it can be concluded that it was more effective than cognitive behavioral therapy in increasing mental health.
Hamidreza Khakrah, Mohammadreza Yazdankhahfard, Masoud Bahreini, Niloofar Motamed,
Volume 19, Issue 3 (9-2025)
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: With the advancement of information and communication technology, telehealth has rapidly emerged as a new approach to delivering health-related care. Telenursing, a subset of telehealth, allows nurses to coordinate and manage care using communication technologies. Despite its significant potential, the adoption of telenursing in Iran has been limited, necessitating an examination of the factors that influence its implementation. The aim of this study is to examine the relationship between demographic characteristics, including age, gender, marital status, education level, employment history, position, hospital of service, experience with telephone interviews, experience in responding to telephone consultation requests, and knowledge and experience in using telenursing systems, with nurses’ behavioral intention to accept and use this technology.
Materials and Methods: This descriptive-analytical study was conducted in 2023 with 281 nurses from two educational hospitals affiliated with Bushehr University of Medical Sciences, utilizing a complete enumeration method. Data collection tools included a demographic information questionnaire and the Chang et al. questionnaire focusing on the behavioral intention domain. The reliability of the behavioral intention domain of the questionnaire was assessed using Cronbach’s alpha coefficient, which was found to be 0.73. Data analysis was conducted using descriptive statistics, such as the mean and standard deviation, as well as inferential tests, including the Mann-Whitney U test, the Kruskal-Wallis test, and the Spearman correlation coefficient. This analysis was performed with SPSS software. A significance level of less than 0.05 was used for all tests.
Results: The mean age of the participants was 33.30±7.46 years, and most of them were female and married. A significant relationship was observed between several demographic characteristics of the nurses and their behavioral intention to adopt telenursing. marital status (r=0.13, P=0.036), experience of conducting phone interviews with patients (r=0.20, P=0.001), experience of responding to phone consultation requests from patients or families (r=0.13, P=0.028), possession of knowledge and information about telenursing (r=0.26, P<0.001), and experience using the telenursing system (r=0.3, P<0.001), were all significantly associated with behavioral intention.
Conclusion: Telenursing, as one of the modern technologies of the present century, can be an effective solution to address the challenges of the healthcare system. The results of the study showed that some individual characteristics are related to the nurses’ behavioral intention to use this technology. To promote this technology, targeted training programs and supportive policies that address these factors are necessary.
Materials and Methods: This descriptive-analytical study was conducted in 2023 with 281 nurses from two educational hospitals affiliated with Bushehr University of Medical Sciences, utilizing a complete enumeration method. Data collection tools included a demographic information questionnaire and the Chang et al. questionnaire focusing on the behavioral intention domain. The reliability of the behavioral intention domain of the questionnaire was assessed using Cronbach’s alpha coefficient, which was found to be 0.73. Data analysis was conducted using descriptive statistics, such as the mean and standard deviation, as well as inferential tests, including the Mann-Whitney U test, the Kruskal-Wallis test, and the Spearman correlation coefficient. This analysis was performed with SPSS software. A significance level of less than 0.05 was used for all tests.
Results: The mean age of the participants was 33.30±7.46 years, and most of them were female and married. A significant relationship was observed between several demographic characteristics of the nurses and their behavioral intention to adopt telenursing. marital status (r=0.13, P=0.036), experience of conducting phone interviews with patients (r=0.20, P=0.001), experience of responding to phone consultation requests from patients or families (r=0.13, P=0.028), possession of knowledge and information about telenursing (r=0.26, P<0.001), and experience using the telenursing system (r=0.3, P<0.001), were all significantly associated with behavioral intention.
Conclusion: Telenursing, as one of the modern technologies of the present century, can be an effective solution to address the challenges of the healthcare system. The results of the study showed that some individual characteristics are related to the nurses’ behavioral intention to use this technology. To promote this technology, targeted training programs and supportive policies that address these factors are necessary.
Farid Ghaffari, Seyed Amir Hosein Pishgooie, Armin Zareiyan, Simintaj Sharififar, Somayeh Azarmi,
Volume 19, Issue 3 (9-2025)
Volume 19, Issue 3 (9-2025)
Abstract
Background and Aim: CBRN incidents Chemical, Biological, Radioactive and Nuclear are often unpredictable and invisible, leading to fear, anxiety, and disruptions in the provision of healthcare services in the community. The potential consequences and costs of unpreparedness for CBRN incidents can be significant. Rapid and appropriate responses to CBRN incidents play a crucial role in mitigating adverse physical health effects and reducing mortality rates. These factors heavily depend on the preparedness of hospital emergency staff. This study aimed to explore the experiences of hospital emergency clinical staff regarding their preparedness for responding to CBRN incidents in 2024 in Tehran.
Materials and Methods: The present study was a qualitative research employing a conventional content analysis approach. The study population consisted of clinical emergency staff from four hospitals, including one educational-specialized hospital, two public-general hospitals, and one private-general hospital. Participants were selected purposively and through snowball sampling, ensuring maximum variation among clinical emergency staff of hospitals in Tehran Province. Data were collected via in-depth, semi-structured interviews with 13 participants, and sampling continued until data saturation was achieved. For data analysis, the qualitative approach proposed by Graneheim and Lundman was employed, and MAXQDA software version 2022 was used for qualitative data management.
Results: In this study, 13 hospital emergency clinical staff members, including nurses, nursing managers, physicians, and laboratory science experts (8 males and 5 females), with an average work experience of 13 years and 11 months, were interviewed. Findings were extracted in the form of 7 main categories (resources, training and practice, contamination control, coordination, planning and instructions, management and treatment of casualties, structure), 13 subcategories, and 35 semantic codes. The results showed that the lack of specialized training, the absence of appropriate infrastructure for decontamination, and weak intra- and extra-departmental coordination are among the most important challenges to the preparedness of emergency staff in dealing with CBRN incidents. Participants also emphasized the need to provide personal protective equipment, develop specific instructions, and hold periodic drills.
Conclusion: Currently, the level of preparedness of hospital emergency clinical staff in responding to CBRN incidents is limited. Emergency staff play a vital role in responding to CBRN incidents. To ensure their preparedness and response efforts are fully effective, and considering the rising global threats of CBRN incidents, it is recommended to adopt strategies, policies, programs, coordination efforts, funding, and other necessary measures to enhance the preparedness of emergency staff for CBRN incidents.
Materials and Methods: The present study was a qualitative research employing a conventional content analysis approach. The study population consisted of clinical emergency staff from four hospitals, including one educational-specialized hospital, two public-general hospitals, and one private-general hospital. Participants were selected purposively and through snowball sampling, ensuring maximum variation among clinical emergency staff of hospitals in Tehran Province. Data were collected via in-depth, semi-structured interviews with 13 participants, and sampling continued until data saturation was achieved. For data analysis, the qualitative approach proposed by Graneheim and Lundman was employed, and MAXQDA software version 2022 was used for qualitative data management.
Results: In this study, 13 hospital emergency clinical staff members, including nurses, nursing managers, physicians, and laboratory science experts (8 males and 5 females), with an average work experience of 13 years and 11 months, were interviewed. Findings were extracted in the form of 7 main categories (resources, training and practice, contamination control, coordination, planning and instructions, management and treatment of casualties, structure), 13 subcategories, and 35 semantic codes. The results showed that the lack of specialized training, the absence of appropriate infrastructure for decontamination, and weak intra- and extra-departmental coordination are among the most important challenges to the preparedness of emergency staff in dealing with CBRN incidents. Participants also emphasized the need to provide personal protective equipment, develop specific instructions, and hold periodic drills.
Conclusion: Currently, the level of preparedness of hospital emergency clinical staff in responding to CBRN incidents is limited. Emergency staff play a vital role in responding to CBRN incidents. To ensure their preparedness and response efforts are fully effective, and considering the rising global threats of CBRN incidents, it is recommended to adopt strategies, policies, programs, coordination efforts, funding, and other necessary measures to enhance the preparedness of emergency staff for CBRN incidents.
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