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Background & Aims Caring for a patient undergoing hemodialysis is a stressful experience that causes a heavy care burden. With the outbreak of COVID-19, family caregivers of these patients had increased worry about the risk of infection in the dialysis centers. This fear can make their care burden heavier. This study aims to investigate the impact of coping skills training on the care burden experienced by family caregivers of patients undergoing hemodialysis. Materials & Methods This quasi-experimental study was conducted in 2020 on 60 family caregivers of patients undergoing hemodialysis at the Comprehensive Treatment Center for Special Diseases in Birjand, Iran. Participants were randomly assigned to intervention and control groups. The intervention group received coping skills training in six sessions. All participants completed the Zarit burden interview before, immediately after, and one month after the intervention. The data were analyzed in SPSSsoftware, version 19. Results The two groups were homogeneous regarding demographic information (P>0.05). Both groups had a moderate to severe care burden before the intervention. A significant difference was reported in the care burden score of the intervention group after training (P<0.001). Conclusion Coping skills training can reduce the care burden of the family caregivers of patients undergoing hemodialysis. Therefore, coping skills training can be used by nursing managers to reduce the care burden of family caregivers of patients with hemodialysis. [ABSTRACT FROM AUTHOR]

Introduction: Cardiovascular diseases (CVDs) are known as a health-threatening factors and the most important cause of mortality worldwide and also in Iran. Thus, it seems necessary to intervene in order to increase public awareness of the risk factors and to enhance their motivation for reducing those factors via the theory-based education Objective: This study aimed to determine the effect of educational intervention based on health belief model on nutritional behavior of patients with myocardial infarction admitted to the hospitals in Guilan province during 1395-96( 2017-2018). Materials and Methods: This study is a randomized controlled experimental trial. Eighty-six patients with myocardial infarction were randomly assigned into two case (43) and control (43) groups. Data from both groups (demographic and health belief model and nutritional behavior) were collected using a researcher-made questionnaire before and a month after educational intervention. After fulfilling the requirements based on HBM, educational intervention took place in case group. Control group did not receive any kind of intervention, they just received the routine notes from hospital. Data were analyzed using SPSS version 21 using suitable statistical tests (chi-square test, Spearman coefficient and independent t-test). Results: In terms of demographic characteristics, no significant differences were seen between the groups. Before intervention, no significant differences were seen between mean scores of HBM constructs, awareness and nutritional behaviors in the groups, while after intervention there was a significant difference between them (p<0.001). Results also showed a significant difference in case group before and after receiving educational intervention (p<0.001). But there was no significant change in the control group before and after educational intervention (p<0.001). Conclusion: The present study showed that intervention based on HBM, emphasizing awareness and nutritional behavior of patients with myocardial infarction, could have a positive effect on the nutritional behavior of the patients and consequently their health status. [ABSTRACT FROM AUTHOR]

Introduction: Critical Thinking (CT) is an essential component of clinical decision-making and professional competence. Personal characteristics of the students are one of the factors influencing their critical thinking development. The aim of this study was to determine the correlation between Critical Thinking Disposition (CTD) and self-esteem among pre-clinical and clinical medical students in Kermanshah University of Medical Sciences. Methods: In this descriptive-analytic study, 225 pre-clinical and clinical medical students were randomly selected through stratified sampling method in Kermanshah University of Medical Sciences in 2011. The data gathering tool included California Critical Thinking Disposition Inventory (CCTDI), and Cooper-Smith self-esteem inventory. The results were analyzed using descriptive statistics, Spearman correlation coefficient, Chi-Square, and independent sample t-test. Results: Results showed the students' mean scores in critical thinking disposition was 212.99±28.87(out of 420). Among all, CTD scores of 120 students (53.3%) were in ambivalence range, 102 (45.3%) were strong opposition, and 3(1.4%) positive inclination. There was a significantly positive correlation between CTD and self-esteem scores (r= 0.429, P=0.001). Also, there was a significant correlation between being in high or low self-esteem groups and CTD scores (P=0.0001, χ2=25.9). Conclusion: Students with higher self-esteem had a better CTD scores compared with those who had lower self-esteem and there was a direct and positive correlation between these two variables. Thus, faculty members should impart adequate self-esteem to their students for proper clinical judgment and decision making in different clinical circumstances. [ABSTRACT FROM AUTHOR]