Iran Journal of Nursing
Year:2015 | Volume:28 | Issue:96|Papers Count:8

Background & Aims: Depression is a common mental disorder and physical activity and exercise are the most important ways to prevent and treat it. The aim of this study was to compare depression and academic achievement in athlete and non-athlete university students.Material & Methods: The present study was a comparative cross-sectional study. The population consisted of 375 students (athletes and non-athletes). Participants were selected by multistage sampling and completed the standard Beck Depression Inventory questionnaire. The academic achievement of students evaluated with the average of their scores in past two semester Data analyzed using SPSS software, version18, through descriptive statistics, t-test and Pearson's correlation coefficient with a significance level of P£0.05.Results: The results showed that 42% of athletes and 48% of non-athletes students had a various degrees of depression. Significant difference was found between depression in athletes and non-athletes student (P<0.05) but there was no significant difference between academic achievement of these groups (P>0.05). Significant inverse correlation was found also between depression and academic achievement of students (P<0.05).Conclusion: Given the relatively high prevalence of depression among students and the undeniable positive effects of exercise, it is necessary to consider exercise as a strategy for preventing mental illness, decrease the healthcare costs and improve students' academic achievement.

Background & Aim: Constipation and change in bowel elimination is one of the most common and irritating complications in immobile patients. The aim of this study was to investigate the effect of acupressure on bowel elimination in patients with skeletal traction.Material & Methods: This study is a quasi-experimental study. The study sample consisted of 120 patients with skeletal traction hospitalized in Sina and Shariati hospitals from late March, 2014 to late December, 2014 who were selected according to convenience sampling and then assigned to an experimental group (n: 60) and a control group (n: 60). In the experimental group acupressure was performed on LI4, SJ6, and ST25 points for two min, twice a day for 3 days. After the first bowel elimination to collect the data a researcher-developed questionnaire of bowel elimination was used. The data were analyzed by Fisher’s exact test, independent t-test, and chi-square test in SPSS 21.Results: The independent t-test indicated a significant difference between the control and acupressure groups in the mean score of bowel elimination (P<0.05) and the majority of the experimental group had a relatively easy bowel elimination. The chi-square test indicated a significant difference between the two groups in the first defecation time (P<0.05) and the experimental group had an earlier bowel elimination.Conclusion: According to the results, acupressure as a noninvasive and non-pharmacological therapy is recommended to improve bowel elimination in immobile patients.

Background & Aims: Each year over a hundred million people are undergoing surgery and experience the postoperative pain. Immobility and pain are modifiable risk factors for development of venous thromboembolism and pulmonary morbidity after major abdominal surgery. Documentation from a few studies implies that abdominal binders diminish post-operative pain, seroma formation, psychological distress and post-operative discomfort. Thus the purpose of this study is to investigate the impact of using abdominal binder on the pain intensity of patients after abdominal surgery.Material & Methods: In a randomized controlled clinical trial, 48 patients who underwent therapeutic laparotomy surgery with abdomen midline incision allocated to intervention and control group randomly. In the first three days after surgery patients in the intervention group used the abdominal binder before the first movement in the morning, then come down the bed and walked. The pain and satisfaction questionnaire completed as soon as they go back to bed. The pain intensity and satisfaction of control group measured after walking and when they go back to bed in the morning. For data analysis, descriptive and inferential statistics (chi-square, t-test, and Friedman) were used.Results: Patients in the intervention group experienced a significant decrease in pain intensity (p<0.05). Patients' satisfaction was significantly higher in the intervention group (p<0.05).Conclusion: The results of the study showed that abdominal binder, as a non-pharmacologic method of pain management decreased the patients’ pain and increased the patients’ satisfaction in abdominal surgery.

Background & Aims: The life of preterm infants admitted to a Neonatal Intensive Care Unit (NICU) is stressful from the moment of birth. In order to reduce the stress imposed on these infants clustered care is recommended. The aim of present study was to compare the physiological responses of preterm infants to clustered care with three and five noninvasive procedures.Material & Methods: This study was a randomized crossover clinical trial. Thirty one preterm infants were studied at 32 weeks age by clustered care with three and five procedures. Primary outcomes such as heart rate, respiratory rate and blood oxygen saturation were assessed. Data analysis conducted with a mixed model method at 0.05 significant level.Results: The findings showed that the mean of oxygen saturation on before, during and after clustered care with three procedures were respectively 97.52, 97.32, 97.84 and in clustered care with five procedures were 97.68, 97.94, 97.65. Heart rate of three procedures were 146.26, 149.90, 149.97 and five procedures were 150.61, 154.77, 154.65. Respiratory rate of three procedures were respectively 51.68, 48.87, 47.71 and five procedures were 49.10, 48.61, 49.48. All of these physiological responses were at normal range. Significant differences were not found between physiological responses of two groups (P>0.05).Conclusion: Clustered care with three procedures is as same as clustered care with five procedures and both of them could be recommended for stable premature infants in 32 weeks.

Background & Aims: Patients treated through hemodialysis experience a great deal of psychological trauma that could lead to a reduction in their quality of life. Peer support groups could offer assistance to patients with similar experiences and thus enhance their quality of life. The aim of the present study is to determine the effects of peer support groups on mental health of patients treated with hemodialysis.Meterial & Methods: Aclinical trial research conducted in to hemodialysis patients in Vasei Hospital in Sabzevar in 2013. A total of 64 Patients were divided randomly into two groups of intervention and control using block permutation. Participants in the control group received routine care of hemodialysis ward. The intervention group participated in 8 weekly peer support sessions each lasting 2 hours. Topics discussed at meetings were based on the needs and interest of patients. Research tools were the demographic and mental function part of the Kidney Disease Quality of Life- Short Form questionnaire. For data analysis, SPSS v.18 software and descriptive and analytic methods (paired t-test and independent t-test) were used.Results: Results show a significant difference between the mental health condition scores of the intervention and control groups (p value<o.o5). A significant change observed regarding the mental health condition scores in the intervention group after participating in peer support groups, which indicated an increase in the mental health condition of patients in the intervention group.Conclusions: The results indicate that participating in the peer support groups will improve the mental health of hemodialysis patients. Therefore, the results of the present study could be useful in nursing education and nursing management and designing the nursing process for taking better care of hemodialysis patients.

Background & Aim: Ethical reasoning is one of the criteria for professional qualifications of nurses. Promoting the principles of professional performance through emphasis on ethics reinforce the ethical reasoning in nurses. Therefore, this study aimed to evaluate the impact of training on ethical reasoning among nurses.Material & Methods: This study is Quasi-experimental (pretest and posttest control group). The sample consisted of 30 nurses from Shahid madani hospital, Tabriz, Iran in 2014. Participants were selected by convenience sampling and randomly allocated to experimental and control groups (n=15 per group). Moral reasoning questionnaire was administered in both groups before and after intervention. Experimental group met weekly (four 90-minute sessions). The data were analyzed by analysis of covariance using SPSS v.20 software Results: The results of analysis of covariance showed that after intervention, a significant decrease in moral reasoning scores were observed in the experimental group (P=0.001); so nursing ethics training enhanced moral reasoning significantly in experimental group.Conclusion: Nursing ethics education can increase the nurses' moral reasoning; so this intervention is recommended as an effective program to promote ethical reasoning and its implementation can improve the professional qualifications of nurses.