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Showing 11 results for اضطراب

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Volume 7, Issue 1 (8-2010)
Abstract

Background and Objective: Nurses and nursing students, as a member of psychiatric team, have not enough incentive for caring mental disorders. Because of some negative stereotypic beliefs and anxiety, they neglect some aspects of psychiatric care. We decided to study on nursing students’ anxiety in facing with mentally ill patients. Material and Methods: In this descriptive study, 64 nursing students of Golestan University of Medical Sciences were selected via convenience sampling. The instruments were demographic information data sheet and interpersonal anxiety scale. We used Descriptive statistics, Spearman correlation coefficient, Mann-Whitney and Kruskal-Wallis tests to analyze the data (spss 16). Results: The students aged 43.20±5.1 were female (56.8%) and male (43.20%). Anxiety level in 17.9% of participants were severe and in 48.1% of them moderate (P<0.05). There is significant difference between male and female’s anxiety. Students with clinical experience of being in psychiatric ward have the lower level of anxiety (P<0.05). Conclusion: The Student’s anxiety in facing with mentally ill patients is considerable and we should alleviate this anxiety by some programmed actions such as frequently presenting in psychiatric wards and by special education.
Mis Katayoon Jalaliaria, Mr Hamid Asayesh, Mis Maliheh Sedehi, Mis Maryam Ghanbari,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective : Adolescence is a critical period of life accompanied by a high prevalence of anxiety disorders, which can be reduced by acquiring some special skills. The aim of present study was to investigate the effect of anxiety management skills on Students’ Life Satisfaction in one of the Girls’ High schools in Gorgan, 2010.

  Material and Methods : We conducted this pre-experimental study on 60 girl’s students , from a high school in Gorgan, selected via convenience sampling.­­We asked the subjects to fill out the demographic data sheet and Dinner life satisfaction questionnaire, and divided them randomly in two groups of intervention and control. For intervention group, a class of anxiety management was performed.­­To compare the means, we used independent t- test and paired t- test.

  Results: The results show that there is significant difference between the life satisfaction of before and that of after education­(P=0.028­), but it is not true for control group.

  Conclusion: Learning anxiety management skills can increase the rate of life satisfaction in Adolescents therefore, it can help them to overcome many social problems.

  Keywords: Ttraining, Skill, Anxiety, Satisfaction of life, Students


Mis Leila Rafiee Vardanjani, Mis Fariba Nobakht, Mis Faranak Safdari Dahcheshmeh, Mis Neda Parvin,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective: Mother’s satisfaction of childbirth is considered as an important criterion of maternal care quality and it has an effect on mental health of family and community, and Mother's mood is significant in the outcome of labor.­ ­The parturient supported by significant others has less anxiety, experience of safe childbirth and ­ adequate satisfaction . Thus, we ­aimed at assessing the effect of the presence of an attendant on satisfaction, anxiety and labor pain of primiparae referring to Hajar Hospital in Shahre Kurd, 2010.

  Material and Methods: ­ This pre-experimental study was conducted on 60 primiparous women, referring to Hajar Hospital in Shahre Kurd (2010), who were divided into equal experimental and control groups. ­The parturients of ­ both groups received common cares, while those of experimental group were allowed to be with an attendant.­ Using a check list, we assessed the level of anxiety, labor pain, newborn's first- minute apgar , the onset of breastfeeding and ­childbirth satisfaction from beginning to end of labor, and analyzed the data by­ SPSS-­16 software, using t-tests and Chi-square.

  Results:­ Our findings show that ­the support given by an attendant during childbirth significantly decrease the level of anxiety, early start of breastfeeding and increased mother's satisfaction of childbirth(p<0/05). There is ­no significant difference between two groups on length of active phase, ­ duration of second phase of childbirth and apgar of the first minute.

  Conclusion:­ ­ According to results, we conclude that being an attendant near parturient can bring about childbirth satisfaction , decreased anxiety, and early start of breastfeeding.

  Key words: Attendant, Delivery process , Anxiety, Satisfaction


Seyyed Abedin , Alemeh Heidari, Dr Mohammad Ali Vakili, Dr Shahram Moghaddam, Dr Sadegh Ali Taziki, Mohammad Taghi Badeleh,
Volume 10, Issue 0 (9-2013)
Abstract

  Background and Objective: surgery is a stressful experience and in open heart surgery, the patients are greatly faced with anxiety, which has been reduced by different approaches. This study aimed to investigate the effects of aromatherapy on anxiety level.

  

  Material and Methods: This blinded- randomized- controlled clinical trial was carried out on 90 patients divided into two groups of intervention and control. the patients of intervention group were asked to inhale two drops of lavender essential oil and those of control group two drops of distilled water poured on a gauze , for 20 minutes. In addition to measuring patients’ anxiety level by Spielberger questionnaire, we recorded their vital signs. Using SPSS 16 software, the data was described via mean, standard deviation and percent, and analyzed by using independent t-test, paired t-test, Chi Square and Covariance (0.05).

  

  Results: The mean age of intervention group was 50.49 ± 10.92 and control group was 50.13 ± 9.20. Anxiety score in intervention group was significantly decreased from 56.37±5.6 to 54.73±5.42 and in control group meaningfully reduced from 55.18±7.35 to 54.0±7.22 (p<0.05). The mean anxiety score in the intervention group was significantly higher than that of control group (p<0.05).

  

  Conclusion: Because anxiety reduction in aromatherapy group was more than control group it can be concluded that aromatherapy with lavender essential oil have significant effect in reducing anxiety and therefore can be used in clinical situations.

  


Einollah Molaie, Zahra Royani, Dr Mohammad Moujerloo, Dr Naser Behnampour, Javad Golage, Maryam Khari,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Fatigue is one of the most common side effect in hemodialysis patients. This study aimed to assess the factors associated with fatigue in hemodialysis patients, such as demographic variables, anxiety, depression and quality of sleep. 
Material and Methods: This descriptive-analytic study was conducted on 58 eligible, randomly selected patients of 165 hemodialysis patients referred to Panje Azar Hospital in Gorgan. The instruments were a demographic checklist, Fatigue Severity Scale, Beck Anxiety Inventory, and the Beck Depression Inventory. The data was analyzed by SPSS 17 software using Mann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and linear regression. 
Results: The mean average of fatigue in all patients was 1.66±4.76. Twenty-six of the participants (44.8%) expressed that they suffer from moderate anxiety, 17 (29.3%) from severe depression and 43 (74.1%) from poor quality of sleep. The relationship between fatigue and anxiety (P = 0.006, r = 0.353) and depression (P≤.001, r=0.525) was directly significant whereas the relationship is not significant for sleep quality. 
Conclusion: Given the high prevalence of fatigue in hemodialysis patients and the impact of multiple factors, we strongly recommend that care providers should consider these factors to improve patients’ quality of life.

Fahime Pourakbari, Dr Afsaneh Khajevand Khoshli , Dr Javanshir Asadi,
Volume 11, Issue 2 (11-2014)
Abstract

Background and Objective: Psychological hardiness has a relationship with various aspects of physical, psychological and social health of people, and it seems that high level of that may lead to a decrease in death anxiety and an increase in life quality in nurses. Hence, we aimed to determine the relationship of psychological hardiness and quality of life with death anxiety in nurses. 
Material and Methods: This correlational study was conducted on 273 nurses selected via simple random sampling in both state and private hospitals of Gorgan, Iran, in 2013. The instruments were psychological hardiness, quality of life and death anxiety questionnaires. To analyze data, we used Pierson correlation coefficient and multiple linear regressions. 
Results: There was significant relationship between psychological hardiness and death anxiety (r=-0.220, p<0.001) between quality of life and death anxiety (r=-0.227, p<0.001). Based on concurrent multiple linear regression, only psychological hardiness and social performance (one of the sub-scales of quality of life) had a meaningful relationship with the death anxiety. 
Conclusion: It seems that high psychological hardiness may lead to decreased death anxiety and increased quality of life in nurses.

Dr Firozeh Derakhshanpoor , Maryam Farsinia, Najmeh Shahini,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Diabetes may lead to several chronic complications but less was studied about anxiety disorders. Thus, we aimed to evaluate the association between anxiety disorders and the quality of life (QOL) in diabetic type two (DMT2) patients. 
Material and Methods: This descriptive- analytic study was conducted on 330 DMT2 patients referring to panje Azar hospital in Gorgan, Iran. The Data was collected via systematic sampling in six months using demographic checklist, Beck Anxiety Inventory & WHO QOL-BREF questionnaire , and analyzed by Chi square test and Pearson correlation coefficient (P ≤0.05). 
Results: The participants were both males (35.45%) and females ( 64.54%) . The overall quality of life was reported unsatisfactory in 37.3%, satisfactory in 55.5% and highly favorable in 5.5 % of the participants. There was an inverse correlation between QOL and anxiety disorders (P ≤0.001), and the only variable having significant correlation with QOL was previous coexisting disorders (P≤0.005) . 
Conclusion: Anxiety disorders in DMT2 patients can have negative effect on quality of life. Hence, early diagnosis, treatment and prevention may result in improving quality of life.

Dr Masoud Fallahi Khoshknab , Mahdi Farzadmehr, Dr Mohammd Ali Hosseini, Dr Hamid Reza Khankeh, Zahra Noorabadi,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.

Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.

Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).

Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.


Nushin Shamsabadi, Dr Afsane Khajevand, Dr Ramezan Hasanzadeh,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Pregnancy is often introduced as a stressful experience that may be increased, and leads to some cognitive and behavioral responses called stress. By managing stress in pregnancy period, we can reduce anxiety and prevent from much of obstetric and physical complications. This study aimed to determine the effect of cognitive-behavioral based stress management on anxiety reduction of pregnant women.

Material and Methods: This pretest-posttest quasi-experimental study was conducted on pregnant women referring to health centers in Gorgan city in 2012. Twenty-four patients with eligible criteria were divided randomly into two equal groups of experimental and control. Pre-test was performed by State- trait anxiety inventory and the intervention was administered to experimental group. After that, posttest was taken for both groups. Statistical analysis was performed by covariance.

Results: Analysis of the data shows that pregnant women experience Anxiety. Stress management training in cognitive-behavioral style significantly decrease state- trait anxiety of pregnant women.

Conclusion: Stress management training in cognitive-behavioral style has an effect on state- trait anxiety reduction of pregnant women.


Mohsen Fathi, Dr Akram Sanagoo, Dr Leila Jouybari, Marzieh Yazarloo, Dr Hamid Sharif Nia ,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Patients with  life threatening diseases have to deal with the death issue. One of the common psychological problem is anxiety esp. death anxiety . This study aimed to  determine the level of death anxiety in hemodialysis patients.

Material and Methods: This cross-sectional study  was conducted  on all 150 patients admitted to Panj-azar teaching hospital for hemodialysis, 2013. The data was collected by demographic checklist and Templer Death Anxiety questionnaire scoring 0 to 15 (0-6 for low, 7-9 for moderate and 10-15 for high anxiety).  We analyzed the data  by independent t-test, ANOVA and Pearson correlation coefficient (P<0.05).

Results: Twenty-four point seven percent of the patients had low , 10%  average  and 65.3% of them had high death anxiety. Average scores of death anxiety in men and in women were 8.21±4.82 and 11.95±3.81, respectively. The relationship of death anxiety with sex (P<0.001), employment status (P<0.001), and age (P<0.002) was significant.

Conclusion: Bases on the results, the death anxiety is high in more than half of the patients with hemodialysis.


Abouzar Mehboudi, Dr Mahnaz Modanloo, Alireza Shariati, Dr Naser Behnampour, Dr Gholamreza Bardestani, Dr Hamid Basiri, Sepide Mehboudi,
Volume 12, Issue 3 (2-2016)
Abstract

Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically.  Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.

Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.

Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.

Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.



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