JOURNAL OF HOLISTIC NURSING AND MIDWIFERY
Year:2011 | Volume:21 | Issue:1 (65)|Papers Count:9

Introduction: After trauma, multiple sclerosis (MS) is the most common cause of disability in young adults. Epidemiologic findings provide health care managers with vast information.Objective: Study was designed to determine some of the Epidemiologic variables in MS Patients in Zanjan hospitals in 2007.Methods: In this descriptive study, all 96 MS patients were chosen and data were collected by phone and a questionnaire consisted of demographic characteristics, history of MS in family members, age of first admission, chief compliant, number and season of admission, total cost of hospitalization and use of Avonex and Rebife at home.Results: Mean age of samples was 33.5 years and duration of illness was 6.2 years. Majority (66.6%) was female, married (77.8%), lived in Zanjan city (72.9%), owned house (74%), unemployed (74%) and had familial history of MS (7.3%). The ratio of disease in women to men was 2.7 to 1. Treatment cost in 46.9% of samples was between 100-250 thousands Tomans and 34.4% use medications such as Avonex and Rebife.Conclusion: MS is not uncommon in Zanjan. In order to improve the lives of these patients, more comprehensive information regarding their clinical and demographic aspects are needed.    

Introduction: Post traffic accident depression is one of the most prevelant mental disorders which increased in recent years and its occurance in early years of life affects daily living productivity and also family and society. Therefore it’s important to promptly detect it and refers them to psychiatrist for diagnosis and treatment.Objective: The goal of this study was to determine the level of depression one week and also two months after traffic accidents.Methods: This study had descriptive-cross stional design. Participants were chosen from orthopaedic and trauma wards in Poursina hospital in Rasht city. Data were collected in two time periods (one week and two months after the traffic accident) from 89 patients using demographic and Beck Depression Inventory questionnaires. Data were collected in 2010 and T-test was used as statistical test for analysis.Results: Findings showed that the majority (37.1%) had mild depression one week after the accident but the level of depression significantly increased two months after as 38.5% of samples had severe depression.Conclusion: Study results indicated that a significant percent of patients experience depression after traffic accident which is related to symptoms two months after. Health care personnel in emergency and other wards need to assess patients for these symptoms. Early detection and referring patients for depression treatment can prevent it from becoming chronic.

Introduction: Nowadays, emotional reactions such as stress, anxiety and depression are known as inseparable component of modern nursing, which cause problems for nurses and patients.Objective: This study aims to determine the level of depression, anxiety and stress in nurses in selected educational hospitals affiliated to a chosen university in Tehran city.Methods: In this cross-sectional study, 413 employed nurses in educational hospitals affiliated to a selected university were chosen and a two part questionnaire was used which included demographic characteristics and Depression, Anxiety and Stress Scale questionnaire.Results: Study findings showed that 25.8% of nurses suffered depression, 21.6% had anxiety and47.6% had stress. Results showed significant relationship between depression, anxiety and nurses’ marital status (P<0.05) and also a meaningful relation was shown between level of depression, stress and gender (P<0.05).Conclusion: In attention to study findings, it can be concluded that presence of job and environmental related stress factors in university increases emotional reactions such as depression, anxiety and stress. Since nurses have important role in health promotion, eliminating ground factors is a priority.

Introduction: Work-related musculoskeletal disorders, with their high incidence, especially in jobs with activities such as patient change position, have attracted specialists’ attention to ergonomic science for nurses.Objective: This research was conducted with the aim of evaluation of nurses’ body posture ergonomic during work with patients change of position in intensive care units.Methods: This descriptive analytic-cross sectional study was conducted on 91 ICU nurses and data were gathered using a two-part tool consisting demographic data and REBA worksheet. Data were gathered by self-report (for demographic data) and observation (for environmental factors and REBA) and descriptive and analytical tests were used data analysis using SPSS17software.Results: This survey showed that REBA score in the majority of intensive care units nurses (77.7%) was 4-7 (medium risk with necessary need to change). The most ergonomic problem with level of moderate or more was seen in wrist area. Unfortunately, only 19.4% of samples had desirable ergonomic posture that had significant relationship with sample's work position (P>0.007) and less work experience years in ICU (P>0.0001).Conclusion: In attention to unsatisfactory ergonomic in more than 80% of nurses while changing patients’ position, it is necessery to pay more attention and determine effective factors and necessery plans to improve body ergonomic to improve body posture and finally decrease injuries in nurses.

Introduction: Blood born infectious diseases (HBV, HCV and HIV) are common occupational hazards which threaten medical workers. Sharps and needle stick injuries are common problems for nurses at work places but sometimes these injuries remain unreported.Objective: The main objective of this research is to identify the factors related to report the needle stick and sharps injuries among nursing staffs.Methods: In this cross-sectional-descriptive and analytical study, 500 nursing staffs of the educational and therapeutic centers in Rasht were selected by stratified random sampling method. Data were collected by completing the questionnaire. In order to analyze the data we utilized Chi-square, Fisher exact test, Mann Whitney, multiple logistic regression statistical tests. We analyzed relationship between independent, dependent and background variables, and related factors on reporting were determined.Results: Findings indicated that from 386 nurses (77.2%) who experienced the injuries, only 209 (54.1%) of them reported the accident. Reporting rate was increased 4.37 times when recommended by others, awareness of the existence of reporting system (1.59 times) and work load (1.54 times). Existence of a specific person for reporting decreased the chances of reporting by 2.3 times.Conclusion: Not-reporting the sharps injuries are an important event for health care workers. Increasing awareness among nurses about risk of exposure and transmission of blood born viral diseases and improvement of infection control services for post exposure follow up can reduce non reporting rate.

Introduction: Cardiovascular diseases are causes of death in many industrialized countries. This disease is among the most common, serious and deadly diseases in Iran.Objective: This study was performed to determine some of the behavioral risk factors associated with cardiovascular diseases in Bonab city staffs.Methods: This study was a cross-sectional study. Research population consisted of all city employees. Cluster sampling method was used and the inclusion criteria were performed. Data of total of 241eligible employees selected were collected by questionnaire which validity and reliability of it was confirmed through content validity and Alpha Cronbach. The data were analyzed by descriptive and inferential statistics (Chi-square, t with independent samples) in SPSS software.Results: The results showed that 65.2% of samples weren’t compliant with specific nutritional principles and the type of oil of consumption was saturated in 70% of samples, 47.1% and 11% of the samples respectively were overweight and obese, 19.5% smokers, 6.2% regularly use bubble and 49.5% had contact with environmental tobacco smoke. 43.8% were not screened for diabetes and hyperlipidemia, and 54.8% of them didn’t exercise. Chi-square test showed significant difference between the sexes in the variables of smoking (P=0.006), athletic activities (P=0.001) and adherence to principles of specific nutrition (P=0.006).Conclusion: In attention to study findings on possible decreasing risk factors and low sensitivity of samples regarding healthy life styles and screening for diabetes and hyperlipidemia, programmed education is necessary to lower risk factors, Change knowledge and attitude of people on self health and ultimately correcting life styles.

Introduction: In elderly, autonomy is threatened due to physical and mental disability. This disability in activity of daily living is a chronic condition that causes cost disbursement in society and reduce older people’s quality of life.Objective: The aim of this study is to determine and compare retired elderly’s ability in activity of daily living based on demographic characteristics in Rasht.Methods: This study is a cross-sectional descriptive study that includes 194 retired elders in governmental organizations. Data collection is done by Katz questionnaire and for assessment of activity of daily living (ADL) ability and instrumental activity of daily living (IADL) Lawton questionnaire was used. Collected data were analyzed using SPSS version 16.Results: Study results showed that although elderly needed help in activity of daily living such as bathing, walking and appearance conditions but none were in completely dependent group after scoring. In independency domain in instrumental ADL, 86.6% of them were independent, 10.3% of them needed help and 3.1% of them were completely dependent. In demographic characteristics, autonomy in activity of daily living correlates with age, marital status, education and illness.Conclusion: Because of significant correlation between disability in activity of daily living by increasing age, female gender and morbidity, planning for education classes, providing posters and pamphlet based on life style correction and prevention of musculoskeletal diseases is an important step in getting elders to effective and healthy life.

Introduction: Life satisfaction is primier purpose of human’s life and it provides sufficient basis for progress and confident basis to achieve higher levels. On the other hand, life satisfaction brings out successes. Many studies have shown different factors such as individual factors can affect life satisfaction. In attention to the role of nursing as key member of healthcare, identifying effective factors on their satisfaction can have a direct effect on the quality of healthcare and also on the society.Objective: This study was done to determine the role of personal factors on life satisfaction of nurses employed in hospitals affiliated to Guilan University of Medical Sciences.Methods: In this descriptive-correlated study, 309 nurses in eight educational centers in Guilan University of Medical Sciences were selected by stratified sampling and were investigated by a two part questionnaire including life satisfaction index and personal demographics. Data were analyzed using descriptive and inferential statistics tests (Multiple Regression, Spearman, Mann-Whitney U test and Kruskal-Wallis) with SPSS 16 software.Results: Findings of this study shows most of research cases (79.6%) are satisfied with their lives and there is a significant relation between life satisfactions with gender (p<0.01) and average monthly income (p<0.008) while there was no significant relation between life satisfaction with other personal factors (age, level of education, type of employment, position, work experience, ward working, work experience in present ward and work shift).Conclusion: In attention to findings of study which shows a relative significance of personal factors (gender and mean monthly income) on nurses, life satisfaction, it seems that a plan to increase income can promote nurses’ life satisfaction.