Nursing And Midwifery Journal
Year:2017 | Volume:14 | Issue:10 (87)|Papers Count:8

Background & Aims: Heart failure is a growing problem that impairs life. Due to difficulties in patients with heart failure, use of BASNEF model to improve the conditions and extend the life of these patients by changing unhealthy lifestyle is necessary for patients with heart failure. This study aimed to determine effect of education based on BASNEF model on attitudes, subjective norms, behavioral intention and enabling factors regarding healthy lifestyle in patients with heart failure.Materials & Methods: In this quasi-experimental study, 30 patients with heart failure were enrolled convenience. BASNEF structured questionnaires completed by samples pre and post intervention. After dividing the patients into three groups of 10 people, six sessions for each small group Using direct (lectures and peer education) and indirect (educational pamphlet) methods was conducted. The results were analyzed by paired sample T-Test.Results: Paired t-test showed that the mean scores of attitude, subjective norms, behavioral intention and enabling factors related to healthy lifestyle before and after the intervention, had statistically significant difference (p=0.0001).Conclusion: Implementation of the BASNEF model on the heart failure patients is practically possible and with improving attitudes, subjective norms, behavioral intention and enabling factors, it can improve healthy lifestyle. Accordingly, educating the heart failure patients on this model is recommended.

Background & Aims: Fatigue is one of the most common and a distressing side effect of cancer and its treatments. There are strategies such as energy conservation strategy to relieve fatigue intensity. Accordingly, the present study aims to determine the effect of energy conservation strategies on cancer-related fatigue in breast cancer patients.Material & Methods: This study is a Randomized Clinical Trial study. 110 women with breast cancer undergoing chemotherapy who met inclusion criteria were selected by simple sampling method, and they were randomized to intervention and control groups. The data were collected using demographic questionnaire and the Cancer Related Fatigue scale. Intervention was conducted in six group on the basis of energy conservation strategies.The data were analyzed with SPSS 19 software and using descriptive and inferential statistical tests.Results: The results showed that there was not any significant difference on the demographic characteristics with fatigue scores in breast cancer patients. Also the results showed that there was statistically significant differences in fatigue scores between intervention and control group (p<0.05). This means that the intervention has been able to reduce the amount of fatigue in the intervention group.Conclusion: Using energy conservation strategies effective in reducing fatigue in patients with cancer. So energy conservation strategies can be used as an effective, easy and cheap way to reducing fatigue in cancer patients.

Background & Aims: Physical changes of puberty as a serious crisis in the teenagers can lead to body image disruptions and aggression disorders. Detection of relationship between these important factors can be necessary. Thus, the investigators tried to carried out an analytical survey on fear of body image and aggression in girls and boys in high school students of Abadan city.Materials and Methods: This was a cross-sectional study that was performed by multistage cluster sampling on 357 girls and boys in high school students in their first to fourth level of study in Abadan city in 2016. The data were collected by demographic information form, Littleton fear of body image questionnaire, and Eysenck aggression questionnaire. The data were analyzed by using SPSS software by descriptive statistics, Independent t-test and Pearson correlation coefficient.Results: The results showed that fear of body image score was 39.4 and aggression score was 28.9 in the students. The findings also showed no significant relationship between fear of body image and aggression in girl and boy students.Conclusion: In this study, there was no significant relationship between fear of body image and aggression in high school students, but applying appropriate approach for solving these problems is very important. In additional pathology, these factors should be detected more carefully, and these problems should be included in psychological health plan.

Background & Aims: The relationship between midwife and mothers can be discussed in all aspects of the midwifery service. This relationship is essential for a positive experience for mothers during pregnancy, childbearing period and the first postpartum phase. This study aimed to explore midwives' experience about midwife-mother relationship in delivery room.Materials and Methods: The study was performed by qualitative research approach in 2014-15. The participants were 20 midwifes who employed in birth room of an educational hospital of Arak University of Medical Sciences in Iran. They were selected by purposive sampling method. The data were gathered by deep interview (unstructured and semi-structured) then they were analyzed by content analysis approach.Results: Relationship as the nature of midwifery care was core theme that emerged from the data. The data analysis showed four subcategories: contextual factors (deterrent & facilitating factors), midwife’s professional characteristics, ethical principles and respect the dignity. These were explained in detail in the main text of article.Conclusion: To overcome the barriers, policy makers need to understand the complex factors that influence on midwife - mother relationship. In other words, they must provide necessary contexts and facilities to communicate effectively, and to strengthen midwifery care and communication skills in the birth room.

Background & Aims: Increasing knowledge and awareness of pregnant women about labor, delivery and postpartum pain coping strategies are important, and they can lead to the increasing of the reliability, confidence and self-efficacy in women during labor and delivery. Therefore, this study aimed to evaluate the effect of the childbirth preparation classes on self-efficacy in their coping strategies during childbirth in pregnant women.Materials and Methods: This was a quasi- experimental study which was carried out on 150 nulliparous pregnant women. They were randomly divided to experimental & control groups. Mothers in experimental group were trained both theoretically and practically by intervention in 8 sessions, while those in control group received the routine care only. The data were collected by using demographic and childbirth self-efficacy questionnaires. In order to determine the self-efficacy, the childbirth self-efficacy questionnaire (CBSEI) was applied on pregnant women at 20-23 gestational ages, and at 37 weeks of pregnancy and 24-72 hours after delivery. Data were analyzed with SPSS version 20 software.Results: The results showed a statistically significant difference between intervention and control groups (p=0.00).Conclusion: This study confirms the effectiveness of the antenatal preparation for childbirth educational program on self-efficacy of pregnant women to cope with labor. Therefore, it is recommended to use this program as a teaching or complementary method in being prepared for childbirth.

Background & Aims: Turnover intention is one of the professional challenges of nurses. The aim of the present study is investigating the role of moral distress and job burnout in predicting the turnover intention among nurses.Materials & Methods: This study is a descriptive-correlation type, the population of this research included all the Aleshtar hospital nurses (N=60). All of the nurses enrolled into this study, and they answered to Corley (2001) moral distress questionnaire, Common (1979) et al turnover intention questionnaire, and Maslach et al (1996) Burnout questionnaire. To analyze the data, we used the Pearson's correlation and multiple regression analysis simultaneously.Results: The results showed that there was positive correlation between turnover intention and job burnout (P<0.05). There was positive and significant correlation between factors of job burnout, emotional exhaustion (r=0.611), depersonalization (r=0.509) with turnover intention in the level of P<0.001. There was negative correlation between turnover intention and personal accomplishment(r=-0.441) in the level of P<0.001. There was not significant correlation between moral distress and job burnout. Job burnout by itself could predict only %12 of the variable variance of turnover intention.Conclusion: The results of this study emphasize the importance of the role of job burnout in the turnover intention among nurses. The related organizations should understand the reasons and factors affecting the turnover intention of their staffs by using the correct information and predications, and effective management strategy.

Background & Aim: Cervical cancer has got a high incidence and mortality rate, but the screening program can detect it in early stages. This study aimed to determine the effect of group counseling on knowledge and practice regarding cervical cancer screening in rural women.Methods & Materials: In this quasi experimental study, 80 married women participated who were under the coverage of Kabodarahang health centers in 2015. The participants were randomly allocated into Intervention and Control groups. The data collection instrument was a questionnaire consisting of demographic information, and the women’s knowledge and practice. Group intervention counseling was held in three sessions, weekly, using GATHER steps in the intervention group. It includes consulting about cervical cancer, its symptoms and prevention of cervical cancer. During this time, the control group members had received only routine care. Two months after the intervention, women’s practice about Pap smear test was evaluated in both groups.Results: The mean knowledge score in the intervention group significantly increased from 52.72 before intervention to 76.62 after intervention. No significant difference was observed concerning their knowledge between the two groups before the intervention, but after intervention, the difference was significant (P<0.001). Two months after intervention, 17 women (42.5%) in the intervention group, and 4 (10%) women in the control group (10%) underwent Pap smear test (P<0.001).Conclusion: Design and implementation of counseling programs can increase awareness and performance about cervical cancer in the rural women.

Background & Aim: Studies presented that family caregivers of hemodialysis patients face with multiple problems regarding responsibilities and issues arising from the care and treatment of the patients. These issues increase caregiver burden. However, these caregivers are mostly neglected. Therefore, this study aimed to examine the effectiveness of supportive educational programs on the burden level of the family caregivers of hemodialysis patients.Methods & Materials: A randomized controlled clinical trial was conducted on 76 family caregivers of hemodialysis patients referred to Shahid Hasheminejad hemodialysis center in Tehran, Iran. The subjects were equally allocated into two groups of 38. ¬The intervention group received six training sessions on supportive educative program. Both groups answered the caregiver’s burden inventory questionnaire at start and six weeks after intervention. Then, the obtained data were analyzed in SPSS, 21. Descriptive and inferential statistics were used to analyze the data.Results: The results showed that there was no significant difference between the two groups concerning demographic characteristics. Caregiver burden was 88.56±11.74 and 84.97±15.13 before the intervention in the experimental and control groups, respectively. It was respectively 58.77±6.64 and 87.84±11.74 in the experimental and control groups after six weeks of intervention. Therefore caregiver burden decreased after intervention in the experimental group.Conclusion: The current study showed the effectiveness of supportive educative program on the burden on family caregivers of hemodialysis patients. Therefore, we suggest that managers of educational and medical centers encourage their staffs to use such programs.