JOURNAL OF HOLISTIC NURSING AND MIDWIFERY
Year:2010 | Volume:20 | Issue:62|Papers Count:9

Introduction: Prenatal care is an important tool to determine and decrease the risks of delivery outcome; such as low birth weight, death or mortality during first year of life. The main objective of these care are healthy delivery without jeopardizing mothers’ health. Some factors prohibit receiving proper and promote prenatal care and cause mother and child health complications.Knowing these factors to identify groups at risk and needed areas for intervention is essential in every society.Objective: To determine mothers receiving prenatal care from health centers in Rasht and influencing factors from their view in 2008.Methods: This descriptive study surveyed 354 mothers referring to health centers in Rasht city who were chosen by cluster sampling. Data collection tool was a 3 part questionnaire.Results: Findings showed that 53.4% of women receiving insufficient prenatal care. There was a significant correlation of care and employment condition (p=0.026) level of spouse’s education (p=0.042) and income (p=0.005). The most effective factors on receiving prenatal care from mothers’ view were "to know the manner and number of prenatal care". (85.3%).Conclusion: In existence of prenatal care in health centers, almost half of women do not use these care provided. Among barriers to utilization of care were not knowing the manner and number of prenatal care, compliance with the women's privacy in time of providing care and providers manner of communication in health centers. Some of women's demographic and family characteristics were also barriers to utilization of prenatal care which provider's attention to these characteristics seems important in promotion of receiving better prenatal care.

Introduction: Health behaviors are important criteria of health determinants.Objective: This study is carried out to identify health behaviors of Guilan University of Medical Science faculty members and their relations with demographic factors.Methods: In this descriptive correlational study, 203 faculty members from Guilan University of Medical Science participated. Data was collected by a two part questionnaire which was selfadministered.Results: The research findings revealed that faculty members obtained 65.9 percents of health behaviors scores. There was significant relation between health behaviors with sample's sex (P=0.001), educational level (P=0.004), title (P=0.034) and history of chronic diseases (P=0.036).Conclusion: In overall, faculty members health behaviors were in average level but their physical activity was poor. Regarding to their modeling role for students, health-promoting programs must be applied for health promotion.

Introduction: Satisfaction with treatment is a criterion for quality of care and it s a referral point for personnel s evaluation. There is limited literature and patient satisfaction is unknown.Objective: The goal of this study was to survey schizophrenic patients satisfaction with antipsychotic medication in Shafa psychiatric center in 2007.Methods: In this study 100 schizophrenic patients hospitalized in different wards of Shafa hospital were chosen. Data collection instrument included a two part questionnaire. The first part with four questions covered personal characteristics and the second part included satisfaction scale with 32 questions. Descriptive statistics and Chi-square test were used for data analysis.Results: The findings indicated that there was a significant relationship between satisfaction with treatment and gender (p<0.0003), occupation (p<0.0001), and living condition (p<0.0001). Also 60% of patients said that they were satisfied with treatment.Conclusion: Interpersonal relationship between patient and health team and also increased patient participation in treatment program can effect patient satisfaction.

Introduction: In attention to the effect of self-esteem on elders health improvement, considering economical and social factors are of importance.Objective: This research was carried out to investigate involving factors with self-esteem of elders residing in Rasht elderly nursing homes during 2008.Methods: This is a descriptive study conducted on 32 elders residing in elderly nursing homes. The qualified elders filled the questionnaires included demographic characteristics and Rosenberg s Self-esteem measuring scale. The Pearson correlation between variables was determined using SPSS soft ware version 15.Results: The average age of the participants was 73.53 (±8.31).4% of participants were widowed, 43.8% didn' t have any children, 87.5% were uneducated, and 12.5% had primary education. Their average time of residence was 1357±17.11days. The source of income for 59.4 % of participants was through children and relatives.27 elders (84.4%) had frequent visits with relatives.34.4% of them had history of a disease. There were significant correlations between number of children, marriage, education with job and number of previous jobs with gender; job with education and number of previous jobs; and visit frequency with education and time of the last visit. There was negative significant correlation between age and self esteem, but positive correlation between economical situation and self esteem.Conclusion: Economical and social status of elders residing in elderly nursing homes has significant effect on their self-esteem.

Introduction: Working errors are inevitable in every profession including health care professions, but in nursing, its of greater importance.Objective: The purpose of this study was to determine barriers to reporting nursing job errors from nurses viewpoint.Methods: In this descriptive study, 92 nurses who working in Fatemeh Zahra hospital of Najaf Abad in 2008 were selected. Data were collected by self-designed questionnaire. SPSS software and descriptive statistics were used for analyzing the data.Results: Data showed that from nurses' point of view in the domain of nurse related, " Legal problems" had the highest score (4.64) and in the domain of management "inappropriate nurse manager reaction "had the highest score (4.27).Also 95.6% of them reported that reporting of job errors is essential.Conclusion: Regarding impossibility of suppression of nursing errors, struggle for controlling nursing errors depends on using a systematic approach with emphasis on management and nursing care.

Introduction: Illness, hospitalization and pain are often the first crisis that children are faced with and painful procedure such as IV insertion is inevitable and the most cause of children distress.Therefore proper pain treatment is one of the important goals in hospitalized children. Distraction as a non-medical method is among independent nursing implementation which tends to soothe pain with little cost and is attractive to children.Objective: This study aims to determine the effect of distraction on average heart rate resulting from IV insertion in 3-6 year old hospitalized children.Methods: In this clinical trial study, 72 children admitted to emergency ward undergoing IV insertion were randomly divided into two control and experimental groups to determine the effect of distraction. During IV insertion, distraction was done with bubble instrument.Heart rate was measured and compared three minutes before and after intervention with pulse ox meter.Results: The results showed statistically significant differences in the average heart rate (P<0.01) of children in two groups before and after the intervention which shows the effect of distraction.Conclusion: According to the research findings distraction with bubble decreases average heart rate in 3-6 year old children and can be used as an effective method in pain control during IV insertion in preschool children.

Introduction: Sleep and enough rest are the primary requirements of human, s health and survival and the quality of sleep has a significant role in improving and maintaining health. Sleep habits are effective on the quality and quantity of sleep during childhood.Objective: This study is carried out to identify the sleep habits of the students of primary schools.Methods: This is a cross sectional study. The research society included all school age children in the age range of 7 to 11, studying in districts 1 and 2 of Rasht city. Among these, 768 boy and girl students of primary schools were selected from both districts using cluster method. Data gathering tool was a questionnaire including two parts. The first part acquires personal and family information and the second part includes ordinary questions about sleep, answered by the mothers. To analyze the data, inferential and descriptive statistical methods were used.Results: The research findings reveal that night long insomnia is the most prevalent sleep habits with the point of 1.79±0.43 and 94.7% always wake up during the night with perspiration and scream and they do not become calm easily. These are the most prevalent sleep behavior in children under study. There was also significant relation between the sleep habits of the children with their age, educational grade, sharing bedroom with a brother or sister, participating in sport classes, numbers of children in family, numbers of family members, parents, educational level, parents, occupation, and monthly income(P<0.01).Conclusion: In consideration of the mean value and the general standard deviation calculated (1.55±0.17) which is higher than the scale mean(1.5) and since high mean value implies improper sleep habits, it can be deducted that the sleep habits of children residing in Rasht is not proper.

Introduction: Endometriosis is a disease related to pain and infertility which symptoms are pelvic chronic pain, dysmenorrheal, dyspauronia, pain during defecation and infertility. The signs of endometriosis on life's quality are multi-dimensional and most of them have a negative impact on psycho social parameters. All women who suffer from endometriosis express pain. Since pain has negative impacts on quality of life, knowing the impact of this disease on QOL is important.Objective: The goal of this study was to review literature related to endometriosis and its impact on QOL.Methods: Searches were made via a number of electronic databases using defined search terms since 2002 to 2008.Results: The conducted studies show that the signs of endometriosis especially pain, have impact on life dimensions such as physical activity, the ability of role playing and working, social activities, sexual relationship, mental and psychological health and energy. Infertility caused by endometriosis has also effects on mental health and people's personality. Endometriosis has negative effects on individual's self-image and the loss of feeling physical strength and fertility. The mental problems involved with endometriosis such as the feeling of guilt and distress at workplace that are caused by pain and sterility have impact on QOL. The other factors that can affect the quality of suffered women's life include: The individual's physical appearance, feelings of social isolation, poor sleep, avoidance of sexual intercourse and so on.Conclusion: This review study shows that symptomatic endometriosis significantly affects women's QOL. Most patients with endometriosis seek treatment and remedy for disease and problems related to the gynecology such as sexual relationship problems, and they less deal with other dimensions like psychological consultation that have important effect on life's quality. In addition, it is useful that doctors and health care workers have more knowledge to manage the disease and improve QOL of patients with endometriosis.