Iran Journal of Nursing
Year:2010 | Volume:23 | Issue:65|Papers Count:10

Background and Aim: Premenstrual syndrome is a common disorder of premenopausal women affecting up to 95% of women. Sometimes psychological, behavioral and physical symptoms of premenstrual syndrome are so severe that interferes with normal life activities and interpersonal relati<mships. The aim of the study was to examine the effect of combined calcium and vitaminE consumption on premenstrual syndrome in female students of Iran University of Medical Sciences.Material and Method: In this three-blinded randomized placebo controlled trial, 87 students with diagnosis of premenstrual syndrome were recruited and randomly allocated to either receiving combined calcium and vitamin E or placebo. They completed rating scale of premenstrual syndrome parallel to three cycles of menstruation before intervention and three cycles of menstruation during drug consumption. Paired t-test and independent t-test were used to analyze data. Results: The findings showed that severity of symptoms reduced in 56% of students consuming combined calcium and vitamin E and completely disappeared in some of cases. Placebo caused 30% reduction in symptoms. Statistically significant differences were found between treatment and placebo groups (p=0.003, df=86, t=2.10). Conclusion: Combined calcium and vitamin E consumption was effective to reduce symptoms of premenstrual syndrome. More studies in this field is recommended to find out the effect of daily consumption of combined 1000 mg calcium and 400 UI vitamin E by women who suffer from premenstrual syndrome in order to promote their quality of life.

Background and Aim: Diagnosis of cancer and its special treatment produces complications such as anxiety and stress. One the important roles of nurses is managing these complications. This study was conducted to examine the effect of relaxation on anxiety and stress of hospitalized cancerous patients.Material and Method: This was a quasi-experimental study conducted in 2005 with two groups of cancerous patients at Imam Khomeini Hospital. The subjects were randomly allocated to either experimental (N=30) or control (N=30) group. Patients in experimental group performed relaxation together with researcher for 5 consecutive days in morning within 20-25 minutes. Before and after intervention, the patients’ vital signs (blood pressure, pulse, respiration) were measured and recorded. In control group, patients’ vital signs were measured and recorded only at the time after intervention for experimental group. Data was gathered by a tool including demographic questionnaire and DASS-21. In both groups, anxiety and stress were measured by DASS-21 questionnaire before and after 5 sessions of experimental group. Data was analyzed by SPSS-11.5 using Chi-square and t-student tests.Results: In experimental group, relaxation decreased the mean score of anxiety from 8.2±4.2 to 7.4±4.07 and also decreased the mean score of stress from 11.8±5.7 to 10.6±5.2. In control group, the mean score of anxiety changed from 8.3±4.3 to 9.6±5.4 and the mean score of stress changed from 10.5±5.2 to 11.9±5.4. There was a statistically significant difference between two groups (PW0.001). Also, the mean scores of systolic blood pressure, pulse rate and respiration rate in experimental group were significantly increased after intervention (p<0.05).Conclusion: The results showed that cancerous patients can control their stress and anxiety by using nonpharmacologic methods such as relaxation.

Background and Aim: Today, there is a lot of knowledge about care of diabetic pregnant women. Optimal care, before and during pregnancy is a suitable method to minimize the complications of diseases. Heath care providers are the important agents to deliver preconception care. The aim of this study was to understand lived experience of health care providers about preconception care for diabetic women.Material and Method: This was a qualitative study with phenomenological approach in which 15 health care providers; working in public and private centers in Isfahan, were selected by purposive sampling and in-depthly interviewed. Data analyzed was done by 7-stages Colaizzi's phenomenological method.Results: According to experiences of health care providers, perfocmance and characteristics of health care system is important for high quality preconception care of diabetic women. Also, the results showed that knowledge of health care personnel about preconception care of diabetic women were not suitable. Findings (according to the experiences of participants) were classified into 3 main concepts: 1) Knowledge and attitude of personnel, 2) education of personnel, and, 3) health care system.Conclusion: Continuous education for personnel and creating a suitable system to deliver preconception care for diabetic women is necessary.

Background and Aim: Education as a continuous and dynamic process can be analyzed through educational pathology to identify problems and barriers and to plan applicable strategies. The aim of this study was to determine factors influencing Health Assessment Course in Bachelor of Science nursing program.Material and Method: This is a qualitative study with thematic analysis method in which face-to-face semi structured interviews and focus group was used to collect data from a purposeful sample of 17 participants, 14 nursing students and 3 nursing instructors in Baghiatallah nursing faculty. Content analysis was used to analyze data.Results: Data showed that barriers in Health Assessment Course presentation were in educational planning, environmental equipments of nursing school and hospital, nursing instructor and evaluation methods.Conclusion: Regarding the barriers, we should focus on nurses' roles in real situations to make this course applicable. Also, reinforcing present educational system and continuing education of instructors and clinical nurses would minimize problems.

Background and Aim: Philosophy of Gilles Deleuze is one of the most important and influential philosophies in the 20th century. Aim of this article is to discuss rhizomatic thought in nursing. This is the first of two papers, explaining philosophical bases of rhizomatic thought.Material and Method: A literature search was conducted using CINAHL, Proquest, PsychINFO, Social Sciences Index, Science direct, scopus, and MEDLINE databases and the keywords "rhisom" and "nursing". Articles from each of these databases were examined to identify major themes, areas of agreement and disagreement across disciplines.Results: A comperhensive and authenticative philosopher more than deleuz could not be found in contemporary. He always tried to review and restore philosophical bases and also to create new concepts.Conclusion: Deleuze is important in philosophical thought for two reasons: first, he after review of previews works create a new approach and second, open new horizons to philosophy.

Background and Aim: Coronary artery disease (CAD) is the most prevalent cardiovascular disease (CAD) and the leading cause of mortality in industrialized and developing countries. It is also the first cause of mortality in Iran. People with CAD need changes in lifestyle, because the disease is chronic. In this study health belief model (HBM) as one of the theories related to changing lifestyle is used to change behaviors related to dietary performance in Coronary Artery Bypass Graft (CABG) patients. The aim of this study was to examine the effects of education based on health belief model on dietary behavior of Coronary Artery Bypass Graft patients.Material and Method: In this quasi- experimental study, 64 CABG patients were recruited through purposive sampling and randomly assigned to either control or experimental group. Data gathering tools included questionnaire and checklist. At first, questionnaire and checklist were completed by subject in both groups. Then, the educational protocol was implemented for experimental group. They also took education notes. Two months after the intervention, questionnaire and checklist were completed again by subject in both groups.Results: There was a significant improvement in knowledge level, perceived severity, benefits, barriers, and total performance about dietary in experimental group (P<0.05). A statistically significant correlation was found between dietary performance of bothgroup and age, educational degree, and family history variables, meaning that patients with greater age and level of education and positive family history had better dietary performance. (P<0.05) There was also a statistically significant correlation between family history and components of the HBM (perceived severity, benefits and barriers) in trial group, meaning that patients with positive family history had better perception about disease, benefits of dietary performance and perceived barriers (P<0.05).Conclusion: Education based on HBM leads to improving knowledge level, perceived severity and benefits and deceived barriers; and eventually, dietary performance.

Background and Aim: Abuse during pregnancy is the most common reproductive health problem. Rregarding the importance of mothers' health promotion, the present study was conducted to determine the prevalence of spouse abuse and associated individual and pregnancy factors among pregnant women attending to health care centers of Western Tehran in 2007.Material and Method: In this cross sectional study, 370 pregnant women, attending in selected health care centers were selected consecutively from February to April in 2007. The data collection tool consisted of associated factors questionnaire and "Adopted Standard Tool" (A.A.S). Data were analyzed using SPSS 14 software, descriptive statistics, X2 and logistic regression.Result: In all, 59.7% of the women reported spouse abuse during pregnancy. Education, occupation, abuse during childhood, witnessing conflict between their parents, drug abuse and cigarette smoking in wife or her husband, and inadequate prenatal care and unplanned pregnancy were significantly associated with abuse (p£0.05).Conclusion: It is necessary to plan visits screening for abuse. Women with inadequate prenatal care and unplanned pregnancy should be viewed as pivotal priorities for screening, prevention and support.

Background and Aim: The ultimate goal of health care systems is to deliver scientific and practical care to patients and their families and to make them satisfied of the services. Regarding the importance of patients and families satisfaction, this research was designed to determine personnel and patients satisfaction in Jahrom Motahari hospital in 2005 and 2007.Material and Method: In this cross-sectional study, purposeive sampling was done one month in 2005 and also one month in 2007. The sample in each year was consisting personnel (136) and patients with minimum 4 days hospitalization (198). A questionnaire made by researcher was used to gather data. Face and content validity and reliability of the questionnaire were established. Data were analyzed using SPSS software.Results: Total personnel satisfaction in 2007 had 2.94% increases when compared with that of 2005, but, remained in moderate level. The findings showed a statistically significant positive relationship between years of work and job satisfaction. Total patient satisfaction in 2007 (98.99%) had 8.09% increases relative to 2005 (90.9%). A statistically significant relationship was seen between patients gender and their trust to personnel (p£0.05), meaning that female patients had more trust to nurses and physicians than male patients. There was a statistically significant negative relationship between patients' level of education and satisfaction (p£0.05).Conclusion: Albeit patients and personnel satisfaction had an incremental trend, this increase was not enogh. Hospitals should make a holistic plan for quality assurance of services.