JOURNAL OF HOLISTIC NURSING AND MIDWIFERY
Year:2016 | Volume:25 | Issue:80|Papers Count:15

Introduction: Family is the most important establishment according Islamic religion. On the other hand, life attachment styles could effect on quality of family establishment and marriage.Psychological hardiness is a critical component and could regulate helplessness of stress and family problems.Objective: The purpose of this study was to determine relationship between religious attitude and psychological hardiness attachment styles among students who signed for divorce in Rasht.Methods: This descriptive- correlational study was conducted on 196 (98 couples) individual who married at least for 2 - 10 years (one of them was student), and during the second half of the year 91 (last 6 months of the year) they referred to family court in Rasht. The samples were selected by simple random sampling. Then questionnaires about Religious Attitude Adult Attachment Styles and Psychological hardiness were completed by individuals. Data were analyzed using multiple regression correlation and multiple regressions (canonical correlation).Results: The study showed correlation between religious attitudes and psychological hardiness attachment styles of divorcing couples (P<0.05). In other words all dimensions between religious attitudes and psychological hardiness did not showed significant correlation (P<0.01), except for ceremonial aspects, all aspects of the relationship between religious attitude with style anxiety was not significant. Also In this study, the highest correlation between closeness and attachment style were observed (P<0.01, r=0.675).Conclusion: The findings of this study have shown that, the religious attitude attachment styles among spouses could be predicted. This means that if spouses improve their religious attitude, it may improve secure attachment in between. On the other hands empowerment of religious attitudes among couples decreases their psychological hardiness.

Introduction: Post-coronary angiography vascular complications (PCAVC) may cause serious life threats, thus recognition of related factorse is needed to prevente complication.Objective: This study was conducted to determine correlation between hypertension and vascular complications after coronary artery angiograph among hospitalized patients therapeutic- educational center in Rasht.Methods: This descriptive analytical correlational study was performed on 400 patients admitted in angiography wards at Dr Heshmat therapeutic- educational centers by sequential sampling method in 2013. Data were gathered by a 3-part tool including; demographic information questionnaire, blood pressure recording forms and PCAVC occurance (Hematoma, ecchymosis and bleeding) during 24h after angiography until heet removal through interview and observation methods. Data were analyzed by using descriptive and analytic (X2, independent T and ANOVA) statistics tests.Results: Majority of samples (56.2%) had history of Hypertension. Mean of pre-angiographic systolic and diastolic blood pressure were 129.46±21.63 and 76.85 ± 1.15 and pre-sheat extraction were 132.96±18.02 and 78.85±1.02mmHg. Vascular complications were observed in 24 percents of samples that majority of them were ecchymosis (71.4%). A significant relationship was seen between history of HTN and overall PCAVC (p<0.005), ecchymosis (p<0.006) and hematoma (p<0.046). The statistical tests showed a significant relation between mean of systolic BP before sheet removal with overall PCAVC (p<0.003) and ecchymosis (p<0.004) and diastolic BP with overall PCAVC (p<0.0006), ecchymosis (p<0.0009).Conclusion: Screen of high occurance of PCAVC among patients after angiography with history of hypertension and systolic and diastolic BP before sheet removal is required to diagnose high risk patients who need special and highy quality of care.

Introduction: The professional socialization is the process of which the individual gain values, norms, behaviors and social skills relevant to a profession and internalize a sense of identity to a specialized field. Therefore, the process begins at the first step of the nursing education program and continues with completion of nursing education till entering into the work place. Thus, the formation of nursing as a occupation takes place through professional socialization of individuals.Objective: This study is done with the aim of assessment of professional socialization level among nursing students at Guilan University of Medical Sciences.Methods: A cross sectional descriptive analytical approach was adopted. Participants were all nursing students at the faculty of Shahid Beheshti in Rasht. In total 211 students were chosen.Sampling was conducted with census. The instrument used was a Researcher made questionnaire that from the statements contained in the instruments by Shahim, and some of the items offered by Chao et al were given to samples. The data was analyzed with descriptive and inferential statistics (Independent T test, correlation Pearson coefficient, one way ANOVA, post Hoc Tukey).Results: The finding of the study showed weak level (0%) and 40 students (19%) were in moderate level and most of the samples (81%) were in good level of professional socialization. In general, professional socialization had a statistically significant relationship with factors such as marital status (p=0.045), age (p=0.029, r=0.151), family residence (p=0.04), maternal education (p=0.023), student work (p=0.031), theoretical instructor (p=0.0001), clinical lecturer (p=0.032), having information about the nursing profession before entering the field (p=0.0001), compliance between previous image and existing realities (p=0.0001), interest in the course (p=0.0001).Conclusion: From the research findings, the level of professional socialization of nursing students is acceptable. Recognition of the professional status can drew authorities’ attention to provide opportunities for greater autonomy in practice and systematic holistic nursing care situations.

Introduction: The pressure in the endotracheal tube cuff must be kept within an optimal range, to make sure tracheal capillaries circulation still stable during positive ventilation. This is essential to avoid oral and gastric stuffing aspiration.Objective: The objective of this study was to assess the endotracheal tube cuff pressure and time intervals measurements among intensive care units patients.Methods: This study was cross sectional designed to perform on 61 patients with oral intubation in the intensive care units, Rasht educational therapeutic centers, during the summer of 2013 for three months. A manometer was used to measure the cuff pressure twice every 6 hours interval. Different variables like age, sex, diagnosis, Body Mass Index and days intubated also were measured. All data obtained were analyzed using descriptive statistics (mean, standard deviation distribution) and inferential statistics (T test, Pearson, ANOVA).Results: This study indicated that the cuff pressure was normal in 16.4% cases at the first step and after 6 hours, cuff pressure adjustment increased by 78.7%. The results show that correlation between days intubated and cuff pressure (in first evaluation P=0.002, in second evaluation P=0.01) and BMI (in first evaluation P=0.007, in second evaluation P=0.03 were significant.Conclusion: This study showed that despite of 6 hours cuff pressure control, the range of miss regulation was 21.3%. This issue highlights that to prevent complication due to over and under inflation of cuff, a fewer intervals between cuff pressure control is required.

Introduction: Acute Coronary syndrome is one of the most diagnosed and causes of death in the world, and treatment seeking behavior at the time of onset of symptoms and time spend on arriving to hospital is important for these patients, as it effects treatment and prognosis.Objective: The aim of this study was to determine treatment seeking behavior and related factors inpatients with acute coronary syndrome referring to Heshmat Educational-Therapeutic center in Rasht city.Methods: This descriptive analytical study was conducted on 370 patients with acute coronary syndrome, who were admitted to emergency, CCU and cardiac units chosen by sequential sampling method. The instrument was a 3-part questionnaire consisting of demographic and social information, disease information and questions to determine treatment seeking behaviors. Data were analyzed using descriptive analytical statistics such as Chi-square, Man-Whitney and logistic regression.Results: The most common appropriate treatment seeking behaviors in the study population were rest (70%) and referring to heart related center (56.2%) and the most common inappropriate behaviors were not calling emergency medical services (85.9), not using sublingual TNG (68.6%) and delay for hours or days (60%). There was a significant correlation between the most common inappropriate behaviors and sex, place of living, complete insurance, education level, job status, monthly income level, comorbidity chronic disease, kind of disease, severity of pain, length of morbidity, and hospitalization for angina pain, first impression of chest pain, method of referring to medical center and first referred center.Conclusion: In attention to inappropriate behaviors and transfer methods in majority of research samples in this study, educating high risk people is necessary.

Introduction: Emotional intelligence is a group of skills that enhances individual's ability to succeed encounter environmental pressures and improve occupational achievement.Objective: The aim of study is to determine relationship between occupational exhaustion and emotional intelligence among nurses.Methods: This correlative descriptive study was done on 240 nurses from educational medical centers in Rasht who were selected by randomized stratified sampling method. The tools of study were Bar-on Emotional Intelligence Questionnaire with 5 subscales (Intrapersonal, adaptation, stress-management and general-mood) and Maslach Burnout Inventory consist of 3 general scales (emotional exhaustion, depersonalization and personal accomplishment). Data were analyzed using descriptive and inferential statistics (Spirman correlation and ordinal logistic regression tests).Results: There was a significant inverse relationship between emotional intelligence and emotional exhaustion (p=0.05, r=−0.122) and between emotional intelligence and depersonalization (p<0.0001, r=−0.258). There was a direct significant correlation between emotional intelligence and personal accomplishment (p<0.0001, r=0.413) among nurses.Conclusion: Considering the results of our research, having emotional intelligence can lead to decreased occupational burnout; therefore, it is imperative to establish emotional intelligence training courses in order to reduce nurses' occupational burnout.

Introduction: Family of chronic renal disease patients conducts various supportive interventions for their patients at home and outpatient centers such as dialysis ward in hospitals. Caregivers of these patients often spend a lot of time caring for them and withstand fatigue and burden. Timely recognition of these burdens in the caregivers, have played a decisive role in promoting mental health.Objective: This study aimed to determine the level of caregiver burden and its related factors in caregivers of hemodialysis patients referring to Razi hospital in Rasht city.Methods: In this cross-sectional study, 154 hemodialysis patients referred to the Razi Hospital in Rasht who was chosen by Sequential sampling method. Data were collected through interview by completing two questionnaire of Zarit caregiver burden and socio-demographic of patients and caregivers. Data were analyzed by using descriptive (mean and standard deviation) and inferential tests (binomial test).Results: Mean and standard deviation deviation of caregiver burden was 50.75±14 and 74.7 % of the caregivers had severe caregiver burden. In addition, 46.1% of hemodialysis patients had very little vigor to doing things and 42.9% of them required a lot of care as reported.Conclusion: In attention to the need of hemodialysis patients to receive care from family, it is recommended to pay more attention to these caregivers regarding assessment of their burden and taking actions to reduce burden.

Introduction: Hemodialysis patients require effective education to improve their quality of life.Flexible educational strategy via internet (computer) is essential.Objective: The aim of this study was to compare the effects of multimedia based education and traditional methods on life quality of hemodialysis patients.Methods: In this quasi- experimental study, all of the patients (n=62) who referred to four hemodialysis centers in Tabriz City from May to Sept 2013 were divided randomly in tow groups, intervention and control. Quality of short life questionnaire (Sf-36) were completed before and three months after the educational program. The intervention group navigated their way through the Research Development Hemodialysis and Essentials Care Application using laptop during their hemodialysis. The control group received the same content in the traditional way (face to face education & pamphlet). Data were analyzed by conducting the independent- and the paired samples t, the Chi-square, and ANOVA tests.Results: There were no statistically significant difference between the study groups in pre- and post-education life quality mean scores, but inter group comparison findings showed that all posteducation quality of life scales mean scores had changed statistically in both the intervention and control groups except Apperception general health scale (p>0.05).Conclusion: The Hemodialysis and Essentials Care application based education can improve patients’ life quality as well as traditional method. This application could be used to facilitate the patient education process to improve their life style.

Introduction: Traumatic Brain Injury (TBI) is one of the most important matters of public health in which people affected often lose their functional abilities and have dependent life and in result these patients a caregiver for care and support. Thus families are at front line of challenges and great stresses.Objective: The aim of this study was to determine needs of caregivers of patients with head trauma after discharge and level of its fulfillment in patients referring to one of educational- therapeutic center in Rasht city.Methods: This is a cross-sectional descriptive-analytical study conducted on 51 family members of patients with head injury who were selected by census method from available samples in 2013. In this study two questionnaires of demographics and Standard Family Need Questionnaire (FNQ) were used for data collection and analyzed by descriptive statistics and Chi square, independent T Test, ANOVA and Exact Fischer tests.Results: The most important need was related to subscale of health information and the least related to getting involved with caring. There was a significant relationship between level of caregivers’needs and their occupational status (P<0.046), patients’ age range (P<0.023) and patients’ clinical condition (P<042). The maximum rate (3.49 ± 0.56) of need fulfillment was related to subscales of community support and health information and the minimum (2.965 ± 0.78) was related to instrumental support. There was a significant relationship between meeting the needs in all domains and health insurance (P<0.044).Conclusion: The most important family need was related to subscales of health information that were often met. Apprehension of needs and difficulties of caregivers lead to increase of awareness of nurses and other custodians of healthcare about the necessity of helping caregivers of patients with Traumatic Brain Injury.

Introduction: Elderly people encounter with multiple disabilities, stress, anxiety and challenges, which effect on their quality of life. Self-efficacy may encourage them to improve self-care activities, challenges, life satisfaction and quality of their life.Objective: The aim of this study was to investigate general self-efficacy and the related factors among elderly in residential home.Methods: It was a descriptive cross-sectional study. A total of 87 elderly who lives in Charmahal o Bakhtiyari rest-home nursing were recruited by census. The data were collected with General Self-Efficacy Scale (GSE-10) and then analyzed using independent t-test, ANOVA and regression test.Results: The mean score of the general self-efficacy was 22.95±8.02 (from 10 - 40 score) indicating that most of the participants (69%) had low level of self-efficacy (under 25 score).General self-efficacy was associated with age, gender, educational level and satisfaction of resthome nursing (P<0.01), but the relationship between self-efficacy, marital status and duration of living residential home nursing was not statistically significant (P>0.05). Moreover, general selfefficacy was mostly related with sex (b=-0.541, P=0.0001).Conclusion: The present study provided useful information about self-efficacy and its related factors among elderly living residential home. This information can be used for designing and performing appropriate nursing interventions to promote elderly general self-efficacy.

Introduction: Anemia is a serious issue of health care and is one of the most important nutritional problems in the world. Knowledge and practices of pregnant women based on their beliefs play an important role in anemia prevention therefore its assessment is necessary.Objective: The purpose of study was to determine the prevalence of anemia in pregnant women and their health knowledge and its complication in pregnancy.Methods: In this cross-sectional study, 393 pregnant women were selected with nonprobability sampling method and the study was carried out in the first half of year 2013. Questionnaire was used to collect general information and knowledge level assessment regarding four domains of preventive measures, methods, inducing factors, disease symptoms and anemia complication in pregnancy. Blood samples were collected for hemoglobin estimation. Descriptive, Chi-square and t- student test were used for statistical analysis.Results: Overall prevalence of anemia among the women was found to be 28.8%. The results have shown relatively moderate levels on prevention methods scores and knowledge of anemia factors, low level knowledge on disease symptoms and moderate level of knowledge on complications. Also there were a statistically significant relationship between the prevalence of anemia and knowledge score on prevention methods, disease symptoms and total knowledge score in pregnant women (p<0.05).Conclusion: According to the finding of this study, prevalence of anemia was very high. It is necessary for health system to properly plan for effective factors to decrease this disease such as people’s awareness.

Introduction: Emotional stress due to futile care is very high and decreasing level of futile care can result in decrease of stress and increase nurses’ job satisfaction.Objective: This study aimed to determine intensive care nurses’ reaction to futile cares.Methods: In this qualitative study, a phenomenological approach was used. This study was conducted to understand ICU nurses’ reaction to futile cares. Personal interview and observation was used for data collection. All interviews were recorded and coded and analyzed by Van Manen analytical method.Results: In this study 25 ICU nurses participated in personal interview. In primary coding 82 codes were extracted. In process of analysis and constant comparison of data, codes decreased to 78.Finally six categories, 17 subcategories and 2 themes emerged. These themes included robotic care and ethic-emotional conflict.Conclusion: Futile care causes the emotional exhaustion and moral distress for intensive care unit nurses.Lack of guidelines for nurses’ practice futile care situation is among essential nursing care problems. Therefore in order to decrease futile care and its effects in nurses, health palnners should develop appropriate interventions to overcome existant barriers.