NURSING AND MIDWIFERY JOURNAL
Year:2010 | Volume:5 | Issue:17|Papers Count:9

Background & Objectives: Due to funding of a society is based on the health of its children, it is necessary to acquire the best method in nourishing the children Because of it’s the functions on the cognitive and mental development of the children. But in the because there are different reaction toward delivery interferes in different cultures, it cannot be surely said that if kangaroo mother care (KMC) will have positive result or not. Therefore the purpose of this study is to determine the effect of KMC on exclusive breast feeding in nuliparous.Materials & Methods: Semi-experimental method was in this study. Eighty nulliparous mothers who had a full-term birth & healthy infants and referred to Alzahra hospital were selected as a sample randomly and they were divided into two groups randomly, kangaroo's care group (experimental group) & hospital routine care (control group). After determining the validity and reliability of the tools, the data were gathered by a questionnaire including individual – social characteristics, the mothers' pregnancy and childbirth information. exclusive breast feeding, data were collected by calling them four months after birth. Then the data were analyzed by descriptive statistical methods, Independent-samples Test, chi-square, and Fisher test. Results: The outcomes revealed that the average period of exclusive nutrition in experimental group had been more than the control group significantly. Conclusion: The KMC after delivery was effecting on exclusive breast feeding. Because KMC has several benefits and can be done in any places, so doing this method routing in hospitals is suggested.

Background & Objectives: Clinical decision-making is a basic part of professional nursing; nurses’ decisions have profound effects on course of treatment, which can lead to expectedoutcomsand patient’s satisfaction. Morever, such a decision-making process may influence the analysis of patient’s needs that can help adopt the best alternatives for interventions. This study was conducted to determine the nurses’ participation in clinical decision-making process.Materials & Methods: Stratified random sampling was employed to carry out this descriptive study, in which 285 nurses, working at Tabriz Medical Science University wards were participated. A PDAQ5 used to collect data. The collected data were analyzedby using SPSS 15.Results: Findings of the research showed that nurses’ clinical decision-making in three phases of decision-making process: clarifying the problem (30.35±15.01), evaluating alternatives (29.23±14.64) and selecting alternatives (27.13±14.15) was in average condition.Conclusion: According to research findings & considering clinical decision-making as a basic part of professional nursing, the educational system and professional organizations should provide the background for empowerment and development of decision-making skills among nurses. They should also determine obstacles and facilitate the nurses’ independence in decision-making process.

Background & Objectives: The most important marital life experiences of a couple are pregnancy and born of baby so spouses should seek knowledge in this field. Educational programs and health consultations can prevent unintended pregnancies. Therefore, strengthen pre-marital consultation can be considered for resolve problem. This confirms the necessity of performing a study about client’s viewpoints regarding the quality of family planning consultation in the pre-marital counseling centers.Materials & Methods: This research is a descriptive study. Samples were selected randomly from 236 included clients, referred in 2009 to pre-marital counseling centers of Tabriz. Data gathering instrument was a researcher- made questionnaire which had 5 sections (demographic questions, behavioral questions, counseling conditions, importance of family planning and prevention methods) and were used after determining the validity and reliability. The data have been analyzed with descriptive statistical methods using SPSS/13.Results: The results showed that personnel behavior and counseling condition were considered good by, respectively, 75.8% and 85.2% of clients. Meanwhile submitted information about family planning was considered moderate (72.5%). About quality of information presented about contraceptive methods, including pills, condom, IUD, ampoule, 70.8%, 76.7%, 7.1%, 40.44% of clients considered it moderate.Conclusion: Since the education and consultation are the main contraceptive method and population control this problem is a social needs. Therefore, couples education is very important principle of Department of Health strategy and should be seriously implemented and followed.

Background & Objectives: End stage renal disease patients experience multiple and similar stressors which influence their physical and psychosocial functions; in order to control stressors these patients ought to cope with medical teams and equipments. Identifying the stressors and effective coping methods will help nurses to manage problems of peritoneal dialysis patients. This cardinal point will confirm the necessity of performing a study on stress in peritoneal dialysis patients and methods of coping with it. Materials & Methods: This is a descriptive analytic study in which 70 peritoneal dialysis patients referred to Emam Reza Treatment Training Center were randomly selected. Inclusion criteria were: adolescents of 14 years of age and older, capable of having awareness of time and place, absence of acute diseases or depression, having physical ability to answer the questions, being on dialysis for at least 6 months. Data gathering tool was a questionnaire containing demographic information, stress scale of peritoneal dialysis patients (PDSAS), Jalowiec coping scale (JCS). Data were analyzed using SPSS. Results: Findings showed that the most common stressors of peritoneal dialysis patients related to frequent replacement (%57.7), increasing need for protein foods (%62.9), prolonged procedure of peritoneal dialysis (%57.1), impatient (%55.7), and decrease of appetite (% 37.1). Study results indicated that in peritoneal dialysis patients psychosocial stressors were more troublesome than physical factors; most of the patients preferred emotive coping methods to deal with these stressors.Conclusion: This research showed that prevalence of psychosocial stress factors are more than physical stressors. Considering the importance of the psychosocial stressors, effectiveness of coping methods and, also, necessity of performing helpful educations we can facilitate coping process of these kinds of patients.

Background & Objectives: Glaucoma is the most common cause of irreversible blindness on the world and one of the three leading causes of visual impairment in developed countries. The successful treatment of glaucoma and prevention of blindness requires patient’s knowledge, participation and competent self-care. Nurses of ophthalmology departments play important role in promotion of health behaviors.Materials & Methods: This study, conducted in Nikookary Hospital of Tabriz, has a descriptive design and assesses glaucoma patients’ knowledge and practice about their disease and its relationship with demographic characteristics .Data collecting tool was a questionnaire including three parts and the method of gathering information was face to face interview. One hundred patients referred to glaucoma clinic of Nikookary Eye Hospital were selected through “easy sampling method”,. The final analysis of data was done with descriptive and inferential statistical methods and SPSS.Results: 19% of patients had good level of knowledge about their disease whereas %69 had average level and %12 had weak level of knowledge. According to t-test results most of the patients were in good condition. There was a significant difference between the average score of knowledge of married and single patients (P=%028). One way ANOVA analysis demonstrated that patients with high level of education had good knowledge and practice. (P=0.001).Conclusion: The results indicate that those in charge of education should attempt to raise glaucoma patients’ awareness and knowledge and improve the functions of them.

Background & Objectives: Cancer will affect the patients’ married life. No relevant studies conducted in Iran met the marital satisfaction among patients with cancer. Therefore, the purpose of present study is to assess the marital satisfaction among patients with cancer.Materials & Methods: This is a descriptive study conducted in Ali-Nasab hospital, 2009. The research sample included 147 patients diagnosed cancer and selected using availability sampling method. Patients’ marital satisfaction was assessed by a questionnaire. The score range of questionnaire varied between 25 and 280. Data were analyzed by SPSS statistic software using descriptive and inferential statistic.Results: Results showed that the patients’ marital satisfaction was 90.3± 35.8; 9/93% of patients were unsatisfying with their marital life. Younger patients (p= 0.04) and females (p=0.01) were more satisfied with it.Conclusions: The results showed low marital satisfaction among cancer patients and indicated a need for counseling services for this group of patients.

Background & Objectives: Nowadays evidence based practice plays a major role in cure and care. Nursing is not exempted from it and few studies were carried out in this field. This paper studies application of evidence based nursing care principle in older patients with urinary incontinence.Materials & Methods: This study is a quasi-experimental design (pre-post test).30 ones were selected by simple sampling methods for 2 experimental and control groups. Allocation of samples to groups was non-random. Nursing interventions were based on the review of literature in the similar studies on urinary incontinence. Intervention in experimental group was included kegel exercise, bladder training and life style modification and the control group received routine drug therapy. The urinary incontinence condition was evaluated after three months.Results: The assessment of the frequency and amount of incontinence leakage and its effect on life quality showed significant differences between experimental and control groups before and after intervention.Conclusion: The results of study showed that the evidence based nursing care are effective method in senile women with urinary incontinence. The results of this study and the same studies imply that a national clinical guideline should be developed in this field.