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Cancer is a chronic disease that is spreading day by day. Most people with cancer suffer from a lot of anxiety and stress. With regard to this issue, the present study investigated the effect of group training program for stress-inoculation on existential anxiety and resilience of cancer patients. The study was a randomized clinical trial conducted on 30 people with cancer who referred to Imam Reza Hospital in Kermanshah, Iran. Then they were randomly divided into two groups of intervention and control. The Connor-Davidson Resilience Questionnaire was used to collect information. Before the intervention, both groups completed the questionnaires. Then the intervention group received 8 sessions of 60-90-min stress-inoculation training. At the end of the intervention, both groups completed the research questionnaires immediately and after one month. The data was analyzed using SPSS25. The results showed a significant decrease in existential anxiety (p [less than or equal to] 0.001) and an increase in resilience (p [less than or equal to] 0.001) after stress-immunization training in the intervention group. During one month of follow-up, the results showed a significant decrease in existential anxiety (p [less than or equal to] 0.001), but no significant increase in resilience (p = 0.064). According to the results of this study, group training program for stress-inoculation has reduced the level of existential anxiety and resilience in cancer patients. Therefore, it is recommended that stress-inoculation training be considered in cancer patients. Trial registration: Iranian Registry of Clinical Trials IRCT20130812014333N100. Registered 2018-08-29, https://www.irct.ir/search/result?query=IRCT20130812014333N100, Author(s): Sara Ahmadi [sup.1] , Nader Salari [sup.2] , Jahangir Rezaei [sup.3] , Mahmoud Rahmati [sup.4] Author Affiliations: (1) grid.412112.5, 0000 0001 2012 5829, Student research committee, School of Nursing [...]

Introduction: Hemodialysis is a crucial treatment for patients with chronic renal failure. Despite its effectiveness in managing end-stage renal failure, hemodialysis patients face multiple physical and psychological stressors. Recognizing the interconnectedness of body and soul, religious and spiritual views can potentially provide valuable support. Previous research has indicated that spiritual beliefs impact patients’ health and self-esteem. This study surveys the relationship between spiritual intervention and self-esteem in hemodialysis patients in the Iranian population. Material and methods: The study is semi-experimental and involves 44 hemodialysis patients in Kermanshah in 2016. After convenience sampling, the patients were divided into two groups, control (22 patients) and intervention (22 patients), using random allocation. For the intervention group, spiritual-religious sessions lasting 45-60 minutes were scheduled twice a week in a group format. Inclusion criteria for participation included being 18 years or older, having undergone hemodialysis for at least 6 months, and providing informed consent. Data collection involved assessing demographic features and using the Coppersmith Self-Esteem Scale. Finally, the data were analyzed using the independent sample t-test, Fisher’s exact test and the chi-square test. P < 0.05 was considered as statistically significant. Results: Before the intervention, mean self-esteem in the intervention group was 23.80 ±1.99. Mean self-esteem in the control group was 23.85 ±2.03. After the intervention, mean self-esteem in the intervention group increased significantly to 37.28 ±2.53 after the spiritual-religious intervention (p < 0.05). Mean self-esteem in the control group remained relatively stable at 23.42 ±1.88 (p > 0.05). Conclusions: The findings suggest that spiritual-religious sessions have a positive effect on the self-esteem of hemodialysis patients. Incorporating spiritual care into the patients’ overall care program may contribute to improving their self-esteem. Therefore, recognizing the holistic needs of patients, including their spiritual well-being, can enhance patients’ self-esteem during the challenging process of hemodialysis. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to assess the predictive accuracy of SOFA, MODS, and LODS scores in determining the mortality of elderly undergoing open heart surgery with delirium., Methods: A prospective study involved 111 elderly patients who met the inclusion criteria. Data were collected using scoring systems: SOFA, MODS, and LODS., Results: Upon final follow-up, 86.5 % of the patients had recovered, 13.5 % had died. Sensitivity, specificity, negative, and positive predictive values for predicting mortality in elderly patients were calculated for the SOFA score as 99 %, 73 %, 98 %, and 76 %, respectively. For the MODS score, these values were 95 %, 60 %, 95 %, and 67 %; for the LODS score, they were 92 %, 73 %, 92 %, and 75 %, respectively. The overall accuracy of the three scores-SOFA, MODS, and LODS-was 84 %, 76 %, and 82 %, respectively., Conclusion: The results indicated that the SOFA score exhibited the highest sensitivity and specificity in predicting mortality among elderly individuals., Competing Interests: Declaration of competing interest The authors declare that they have no conflict of interest., (Copyright © 2024 Elsevier Inc. All rights reserved.)