scholarly journals Effect of Family-Centered Empowerment Model on the Care Burden of the Caregivers of Older Adults with Heart Failure

2021 ◽  
Vol 7 (4) ◽  
pp. 275-284
Author(s):  
Sedighe Jafari-Diziche ◽  
◽  
Fateme-Sadat Izadi-Avanji ◽  
Fateme Atoof ◽  
Seyed-Majid Derakhshandeh ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Repeated Measures ◽  
Chi Square ◽  
Repeated Measures Anova ◽  
Care Burden ◽  
Significant Difference ◽  
The Family ◽  
Empowerment Model ◽  
Family Centered

Background: Developing a chronic disease, like heart failure in older adults disrupts the foundations of the family and imposes a heavy burden on family members. The aim of this study was to determine the effect of the Family-Centered Empowerment Model (FCEM) on the care burden of family caregivers of older adults with heart failure. Methods: It was a quasi-experimental study with a controlled before and after design, which was conducted on 80 primary caregivers of older adults with heart failure referring to health centers affiliated with Kashan University of Medical Sciences, Kashan, Iran. The subjects were non-randomly assigned to either the control (n=40) or intervention (n=40) groups. The program was implemented based on the concepts of the model (perceived threat, self-efficacy, self-esteem, and evaluation) in eight 2-hour sessions, twice a week for four consecutive weeks. Both groups answered the Zarit Burden Interview (ZBI) in the beginning, in the end, and one month after the study. The data were analyzed by Chi-square, t-test, and the repeated measures ANOVA using SPSS v. 16 software. Results: There was no significant difference between the two groups regarding the pretest mean score of care burden (P>0.05). However, the groups’ mean score of care burden was significantly different immediately after the intervention (P<0.05) and one month after the study (P<0.05). The repeated measures ANOVA illustrated a significant difference between the mean scores of care burden in the three measurement time points (P<0.0001). Conclusion: Implementation of the FCEM model reduces the burden of care in caregivers of older adults with heart failure. It is suggested that this model be used in training programs for older adults with heart failure and their caregivers.

scholarly journals Effect of Family-centered Empowerment Model on Quality of Life of Patients with Hypertension

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Mahsa Asadollahi Hamedani ◽  
Alireza Salar ◽  
Fatihe Kermansaravi
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Repeated Measures ◽  
Hypertensive Patients ◽  
Repeated Measures Analysis ◽  
Significant Difference ◽  
The Family ◽  
Empowerment Model ◽  
Family Centered

Background: Nowadays, the high prevalence of hypertension and its serious complications for affected patients have made this disease a major health issue worldwide. Hypertension, like other chronic diseases, reduces the patients’ quality of life. Maintaining and improving their lifestyles requires the serious support of families. Objectives: This study aimed to explore the effect of the family-centered empowerment model on the quality of life of patients with hypertension. Methods: This clinical trial was performed on 70 hypertensive patients who were referred to two comprehensive health centers in Zahedan University of Medical Sciences in Zahedan, southeastern Iran, in 2020. The participants were selected and randomly allocated based on the inclusion criteria to the intervention (n = 35) and control (n = 35) groups using the consort. The participants in the intervention group received training in four 60-min sessions individually based on the family empowerment model. To collect data, a personal information form and the Quality of Life Questionnaire for hypertensive patients were used. The questionnaire was completed before the intervention and one and three months after the intervention by a self-report method. The collected data were analyzed by SPSS-22 using the independent samples t test, chi-square test, and repeated-measures analysis of variance. Results: The results of repeated-measures analysis of variance regarding the effect of time and group on the quality of life showed a statistically significant difference in the second and third phases between the two groups. In other words, the two variables of intervention and time affected the mean score of quality of life, and a statistically significant difference was observed in the measured time intervals (P < 0.001). Conclusions: This study showed that implementing the family-centered empowerment model improves the quality of life of patients with hypertension. Therefore, we recommend employing this method by nurses to engage the patients with chronic diseases and their families in the process of treatment.

scholarly journals The Effect of Family-Centered Empowerment Model on the Illness Perception in Heart Failure Patients: a Randomized Controlled Clinical Trial

2018 ◽  
Vol 7 (4) ◽  
pp. 189-195 ◽  
Author(s):  
khadijeh Rahimi kordshooli ◽  
Mahnaz Rakhshan ◽  
Alireza Ghanbari
Keyword(s):  
Heart Failure ◽  
Statistical Tests ◽  
Illness Perception ◽  
Chronic Medical Condition ◽  
Controlled Clinical Trial ◽  
Demographic Information ◽  
Heart Failure Patients ◽  
Significant Difference ◽  
Empowerment Model ◽  
Family Centered

Introduction: Heart failure is a chronic medical condition that, despite the existing therapies, involves different aspects of an individual’s life (such as self-care capability). Illness perception is one of the most important variables which seem to improve the self-efficacy skills in chronic diseases such as heart failure. Therefore, this study aimed to investigate the effect of family–centered empowerment model on the perception of the illness in heart failure patients. Methods: This interventional study was performed on 70 heart failure patients, assigned into control and experimental groups, admitted to the heart clinic of Hazrate Fatemeh hospital in Shiraz. After the convenience sampling, the patients were divided into two control and intervention groups by block randomization method. For experimental group, the family-centered empowerment modeling was done in 5 sessions. The research materials included demographic information and Brief illness perception questionnaires (B-IPQ). Data were analyzed using SPSS v.13 software. The statistical tests included Wilcoxon, Man-Whitney, and Independent t-test. P value less than 0.05 was considered as significant. Results: In this study, both control and experimental groups were homogeneous with demographic information. Before the intervention in different dimensions of illness perception, all of the values in both groups were the same; However, after the intervention, a significant difference was observed in all of the dimensions of illness perception, except for Time line; so that the most and the least changes were related to the concern (1.09 (0.61) vs 3 (0.93)), and identity dimensions (0.97 (0.61) vs 2.11 (0.67)), respectively. Conclusion: On the basis of the above, it can be concluded that this model modifies the illness perceptions in heart failure patients. Cardiac nurses should consider family- based empowerment model as a treatment for heart failure patients

scholarly journals The Effects of Improving Emotional Intelligence on Death Anxiety in Older Adults

2021 ◽  
Vol 31 (4) ◽  
pp. 227-235
Author(s):  
Akram Baghdadi ◽  
◽  
Mohammad Aghajani ◽  
Zohre Sadat ◽  
Neda Mirbagher Ajorpaz ◽  
...  
Keyword(s):  
Older Adults ◽  
Emotional Intelligence ◽  
Repeated Measures ◽  
Death Anxiety ◽  
Anxiety Scale ◽  
Chi Square ◽  
Time Points ◽  
Significant Difference ◽  
The Mean ◽  
Experimental Group

Introduction: Death anxiety is one of the main elements in mental health in older adults. Objective: This study aimed to determine the effects of improving emotional intelligence on death anxiety in older adults in Kashan City, Iran. Materials and Methods: This quasi-experimental study was carried out on 60 older adults referred to health clinics in Kashan City, Iran, in 2019. The participants were randomly allocated to the control and experimental groups. Before the intervention, a demographics data questionnaire and death anxiety scale was filled out by the two groups. The experimental group received emotional intelligence education in eight sessions (twice a week). The control group received no intervention. The study measures included a demographic checklist and the Templer Death Anxiety Scale (TDAS). Immediately and one month after the intervention, both groups filled out the death anxiety scale again. The collected data were analyzed using descriptive and analytical tests such as t test, the Chi-square, and repeated-measures Analysis of Variance (ANOVA). Results: The results showed that 22 participants (73.3%) and 17 (56.7%) were in the 61-65 age range in the experimental and control groups, respectively. Based on the Chi-square test, there was no significant difference between the two groups regarding demographical data, including age, gender, marital status, education, and job. The results of repeated-measures ANOVA in the experimental group showed that the mean scores of death anxiety decreased over the 3 time points (P<0.05). Also, the post hoc test showed a significant difference in death anxiety scores at different time points in the experimental group (P<0.05). The t test results showed no statistically significant difference in the mean score of death anxiety before the intervention between the two groups, but at the end of the sessions (P=0.006) and one month after the intervention (P=0.001), this difference was significant. Conclusion: The results indicated that improving emotional intelligence in older adults decreased their death anxiety. It is recommended that nurses use this method to decrease death anxiety in older adults.

scholarly journals The Effect of Family Empowerment Model on Self-care in Hemodialysis Patients of Zahedan, Iran

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alireza Salar ◽  
Hoda Taheri
Keyword(s):  
Intervention Group ◽  
Self Care ◽  
Hemodialysis Patients ◽  
T Test ◽  
The Self ◽  
Control Group ◽  
Significant Difference ◽  
The Family ◽  
Empowerment Model ◽  
Family Centered

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.

scholarly journals Anaesthetic Efficacy of 4% Articaine in Comparison with 2% Lidocaine as Intraligamentary Injections after an Ineffective Inferior Alveolar Nerve Block in Mandibular Molars with Irreversible Pulpitis: A Prospective Randomised Triple-Blind Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Nazanin Zargar ◽  
Elnaz Shooshtari ◽  
Leila Pourmusavi ◽  
Alireza Akbarzadeh Baghban ◽  
Hengameh Ashraaf ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Nerve Block ◽  
Repeated Measures ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Success Rates ◽  
Chi Square ◽  
Repeated Measures Anova ◽  
Significant Difference ◽  
Irreversible Pulpitis

The objective of the current study was to compare the anaesthetic efficacy of supplemental intraligamentary (IL) injection of 4% articaine with that of 2% lidocaine in the mandibular first and second molars with irreversible pulpitis after an ineffective inferior alveolar nerve block injection (IANB) using the same anaesthetic in a randomised triple-blind clinical trial. Seventy-six adult patients, who were diagnosed with irreversible pulpitis in the mandibular first or second molars, were divided into 2 groups and received IANB randomly. In patients with lip numbness, anaesthesia was evaluated with the cold and electrical pulp (EPT) tests, and if the reported number on EPT was below 100, supplemental IL injection was administered using the same anaesthetic. The teeth were retested after 5 minutes. The Heft–Parker visual analogue scale was used to evaluate pain after IANB and IL injections. Statistical analysis was performed using repeated measures ANOVA, chi-square, and independent-sample and paired-sample t-tests. The results showed that there was no significant difference in the success rates of supplemental IL and IANB injections between articaine and lidocaine. Furthermore, there was no significant difference in the success rates of supplemental IL injection with lidocaine between the mandibular first and second molars. However, there was a significant difference in the success rates of supplemental IL injection with articaine between the mandibular first and second molars. Moreover, supplemental IL injections indicated no significant difference in the anaesthetic efficacy between articaine and lidocaine; nevertheless, they were more effective in the mandibular second molars, especially with articaine.

13 EFFECT OF 6 TIMES REUSING OF CONTROLLED INTERNAL DRUG RELEASE (CIDR) FOR SHORT TERM (6 DAYS) ON PROGESTERONE LEVEL AND REPRODUCTIVE PERFORMANCE OF AWASSI EWES

2016 ◽  
Vol 28 (2) ◽  
pp. 136 ◽  
Author(s):  
A. Swelum ◽  
A. Mouamen ◽  
A. Alowaimer
Keyword(s):  
Pregnancy Rate ◽  
Reproductive Performance ◽  
Repeated Measures ◽  
The Other ◽  
Serum Concentrations ◽  
Short Term ◽  
Chi Square ◽  
Withdrawal Time ◽  
Repeated Measures Anova ◽  
Significant Difference

This study was carried out using 120 multiparous Awassi ewes during breeding season to compare the effect of 6 times reusing of CIDR short term (6 days) on hormonal and reproductive performance. Ewes were equally and randomly allotted into 6 consecutive oestrus synchronization treatments. For group CIDR6×1, the ewes (n = 20) received new CIDR for 6 days with 300 IU of eCG at withdrawal time. For the other 5 groups, the same protocol was used, differing only by the use of the same CIDR for a second time in CIDR6×2, for a third time in CIDR6×3, for a fourth time in CIDR6×4, for a fifth time in CIDR6×5, and for a sixth time in CIDR6×6. Oestrus was detected using a vasectomized ram starting 12 h after progestagen withdrawal and repeated every 12 h up to 84 h. Blood samples were collected at withdrawal time (Day 6). Progesterone serum concentrations were measured using commercial ELISA kits and micro-titrimetric plates. Timed insemination was performed 48 h after CIDR withdrawal. Pregnancy and number of fetuses were diagnosed by ultrasonography at Day 23 after insemination and confirmed at Day 35 and 60. Comparisons among groups was evaluated using chi-square (χ2) test in all parameters except hormones levels, which was analysed by repeated-measures ANOVA, using SAS (SAS Institute Inc., Cary, NC, USA, 2000). The results revealed that there is no significant difference between the percentages of ewes detected in heat in groups CIDR6×1, CIDR6×2, and CIDR6×3 (55, 70, and 55%, respectively). While, the percentages of ewes detected in heat in group CIDR6×2 was significantly (P ≤ 0.05) higher than in groups CIDR6×4, CIDR6×5, and CIDR6×6 (35, 35, 31.58%, respectively). On the other hand, pregnancy rate was significantly (P ≤ 0.05) higher in CIDR6×2 (65%; 13/20) than CIDR6×3, CIDR6×4, CIDR6×5, and CIDR6×6 (30, 30, 30, and 15.79, respectively). No significant difference was detected in pregnancy rate between CIDR6×1 and CIDR6×2. No significant differences were detected in progesterone between CIDR6×1 and CIDR6×2, CIDR6×3, CIDR6×4, CIDR6×5, and CIDR6×6 (1.73, 1.67, 1.87, 1.57, 1.60, and 1.36 ng mL–1, respectively). These results indicated that reusing of CIDR devices for short term are efficient in synchronizing oestrus in ewes.

scholarly journals GENDER AND INTERGENERATIONAL LANGUAGE TRANSMISSION AMONG BISAYA ETHNIC STUDENTS IN BEAUFORT, SABAH

2020 ◽  
Vol 5 (35) ◽  
pp. 107-124
Author(s):  
Md. Roslan Suhailin ◽  
Arba’ie Sujud
Keyword(s):  
Language Choice ◽  
Transmission Factor ◽  
Chi Square ◽  
Language Endangerment ◽  
Parents And Children ◽  
Significant Difference ◽  
The Family ◽  
Grade 3 ◽  
Ethnic Students ◽  
Language Transmission

This study aimed to determine the use of language in the family domain and the intergenerational language transmission among Bisaya ethnic students by gender. Researchers selected 205 participants in form 4, 5, and 6 from 3 secondary schools in Beaufort, Sabah, of which 115 girls and 90 boys. A field survey was conducted using two types of questionnaires adapted from Drummond (2010) and Fishman (1991). Survey data made use of percentage, mean, graded scale, and chi-square statistics. It was found that the choice of language in the family domain from both groups of students was 25% Bisaya language, Malay 75%. The mean 20.01 for language choice in the family domain by the girl group was higher than those of the boy group, 19.98. The level of intergenerational language transmission between parents and children selected by both groups of students was Grade 3, Endangered. About 51.06% from the boy group and 60.9% from the girl group had selected this scale. Grade 3, Endangered is interpreted as the Bisaya language is used by most generations of parents and above. Parents can still speak the language to their children, but their children usually do not respond to Bisaya. The researchers accepted the null hypothesis that there was no significant difference in intergenerational language transmission based on gender. The intergenerational language transmission factor is a major cause of language endangerment. This factor was founded by Fishman (1991) which has been recognized as the gold standard of language vitality by the UNESCO language expert group.

scholarly journals Family Planning Methods and Practices Adopted by Married Women in Anambra

2021 ◽  
Vol 11 (6) ◽  
pp. 182-189
Author(s):  
Alagbu C. E. ◽  
Iloghalu, A. N. ◽  
Nnaemezie, N. O
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Married Women ◽  
Chi Square ◽  
Anambra State ◽  
Significant Difference ◽  
The Family ◽  
Planning Methods ◽  
Wide Issue ◽  
Family Planning Methods

Introduction: Family planning is a world-wide issue in reproductive health which tends to affect individuals of every tribe or race, irrespective of age, religion or educational level. This study investigated the family planning methods and practices adopted by married women in Anambra State. Methods: Three research questions were formulated to guide the study and two null hypotheses tested at 0.05 level of significance. The design for the study was descriptive survey. The study has a population of 133, 736 married women in Onitsha, Nnewi and Awka who were registered under the population commission of Anambra State as at August, 2019. A sample of 420 married women was involved in the study. The instrument titled “Questionnaire Family planning methods and practices adopted by married women in Anambra State was used for collection of data. The data collected was analyzed using Frequency and Percentage and Chi Square. Results: The findings indicated that greater percentage of married women in Anambra State is aware of family planning but practicing it was the major problem. There were no significant difference in the family planning methods adopted by married women in Anambra State based on their ages and parity level. Conclusion: Based on the findings and their implications, it was recommended among others, that there is need for there is need to create more awareness or sensitization on other methods of family planning which the women might not know. Key words: Family planning, reproductive health, married women, Anambra

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