Nursing And Midwifery Journal
Year:2011 | Volume:9 | Issue:2 (31)|Papers Count:9

Background & Aims: Electroconvulsive therapy is an effective method for many kinds of psyche disorders. This method is used when patients can’t tolerate drug side effects. Dizziness and sense confusion especially in the first 30 minutes after being conscious is a prevalent side effect of this therapy method. This study was aimed to investigate education effects on consciousness and cognitive status of electroconvulsive patients. Materials & Methods: This experimental study was done on 60 patients being treated with electroconvulsive for the first time. Conscious level of patients in 5, 15, 30, 60 minutes and their recognition status in the 15, 30, 60 minutes after electroconvulsive were compared. Data collection equipment was cognitive status standard questionnaire of MMSE and Glasgow Coma Scale. The data were analyzed by repeated measures, statistical tests, and t-test Results: There were not any meaningful differences in the consciousness and cognitive condition of two groups.However, cognitive status score was higher in cases than controls in the 60th minute.Conclusion: According to the results, before-shock-education had effects on the patients’ cognitive condition. Patients who had education before electroconvulsive therapy about causes and benefits of using this method, execution method, and temporary symptoms had better cognitive condition.Therefore for reducing symptoms after electroconvulsive therapy it is necessary to have suitable education before.

Background & Aims : One of the factors in evaluating health care quality is assessing treatment satisfaction of patient with type Õ diabetes. This study was aimed to investigate the relationship between health locus of control, memory and physician-patient relationship with satisfaction of treatment.Materials & Methods: In this correlation study 115 patients with type Õ diabetes, who referred to Tabriz Sina hospital in June-August 2010, were included. The samples filled the following five questionnaires: demographic questions, patient-doctor relationship questionnaire (PDRQ-19), patient satisfaction questionnaire (PSQ-18), prospective and retrospective memory questionnaire (PRMQ), and multidimensional health locus of control (MHLC). The data were analyzed through Pearson’s correlation coefficient and multiple regression analysis methods.Results: The results indicated that there was a positive significant relation between external health locus of control and desired physician- patient relationship with satisfaction of treatment in patients with type Õ diabetes. However, the findings indicated no significant association between memory with satisfaction of treatment. In addition, physician-patient relationship had a significant power for prediction of treatment satisfaction.Conclusion: These results support the idea that patients with type Õ diabetes who had external health locus of control and desired relationship with their physicians were more satisfied with the treatment. Finally, desired physician- patient relationship potentially leads to better satisfaction of the treatment.

Background & Aims: Febrile convulsion affects three to five percent of children under six years old.Considering the important role of mothers in controling the disease, the present study was carried out to assess the knowledge, attitude and practice of mothers referring to health centers of Arak to prevent febrile convulsion in children.Materials & Methods: This descriptive-analytical and cross-sectional study was carried out on 100 women referring to health centers. A well prepared questionnaire was completed by mothers and the data were analyzed by descriptive statistics, chi-squire and ANOVA.Results: The mean age of mothers and children was respectively 27 ±5 years and 18.5 ±7 months.Parent’s knowledge about febrile in children was less than average and mothers also had poor control of the seizures. There was a significant relationship between previous training and education level of mothers with knowledge, attitude and practice in prevention of febrile convulsion (p<0/05).Conclusion: Considering low knowledge attitude and performance of mothers on febrile convulsion it is recommended to start educational programs to protect and promote child health in health centers.

Background & Aims: Preterm delivery is a common factor in neonatal morbidity and mortality. The aim of this study was to evaluate the risk factors and outcomes on women admitted with preterm labor to Valieasr hospital in Zanjan.Materials & Methods: This retrospective cross sectional study was carried out on 318 preterm cases and 2784 controls in 2007. The necessary information was recorded by questionnaires. Statistical analysis was performed using Pearson's Chi square Method.Results: Of the total 4528 deliveries in 2007, 318 preterm deliveries (7%) were reported. The most common causes were: 17% over thirty five years old, multiparity 42.5%, previous placenta previa 14% and previous placenta abruption 35.5%, PROM 19.9%, Hydramnious 5.4%, Urinary tract infection 12.8%.Conclusion: The risk factors for preterm labor were maternal age, multiparity, and previous placental abruption; however, further studies are recommended to reduce the occurrence of placental abortion in the future. In order to reduce preterm labor it is necessary to identify the risk factors and raise public awareness.

Background & Aims: Children's health and their education is an important society issue that has an important and basic role in both the society and economical improvement. So this study was done to show the role of pre primary school to the awareness of the first grade students of Tehran 4th district to hygienic.Materials & Methods: In this case-control study a questionnaire survey was carried out among 152 primary school students that were chosen by stratified random sampling. The Questionnaire was included demographic specification & 54 questions about nourishment, prevention of accident and personal health. Data collected through interviews were evaluated using percentages, Chi-square, t-test and ANOVA.Results: The result showed that there is a significant relationship between the hygienic awareness of the trained and untrained boys of nourishment (p=0.003), and personal sanitation (p=0.03), and also the hygienic awareness of the trained and untrained girls of nourishment (p=0.005). There was a significant relationship between mothers' literacy (p<0.000), fathers' literacy (p=0.02) to children hygienic awareness, the group variable to the hygienic awareness of nutrition (p< 0.000), prevention of accidents (p=0.04) and personal sanitation (p=0.03) was significant too. The results didn’t show any significant difference between the variable.Conclusion: According to the results, teaching the students has an effective influence on the hygienic awareness. As the formation of the hygienic behavior is a multi dimension issue and can be affected by some different factors besides the presence or lack of presence of pre primary school training. Investigating these factors from all aspects can provide more clear standards to plan more effective training curriculum for children and the society hygienic nurses at schools are the most suitable people for children to use the sources the best in order to improve the children's hygienic knowledge and function.

Background & Aims : Epilepsy is one of the most common and chronic pediatrics neurological diseases. Results of many epidemiological researches in pediatrics epilepsy prevalence are somewhat different due to methodological differences. The aim of this research was to determine epilepsy prevalence in children admitted to Tabriz children hospital.Materials & Methods : In this secondary analysis research, all hospital documents of children admitted to neurology ward with seizure diagnosis during 2009 were analyzed. Data gathering form consisted of three demographic questions (age, gender, age of seizures onset) and six questions related to the disease (seizures frequency, type and duration, fever, family history and final diagnosis). The data were analyzed by PASW 18 edition.Results: Of the samples, 47 patients had epilepsy. This was 0/38% of total hospital admission rate, 4/3% of total neurological ward admission rate and 9/5% of total seizure patients’ admission rate. The average age was 25±3 months, positive family history 23%, generalized tonic-clonic 75%, cerebral palsy and mental retardation 17%, and 51% of them were male. Age of seizer onset of 40% subjects was lower than 24 months.Conclusion: Results of this research were consistent with other researches in total epilepsy prevalence rate, age of seizure onset, epilepsy predominance in males, generalized seizure predominance, positive family history. The difference in parts of the results is due to local effects such as health facilities or methodology.

Background & Aims : Clinical learning environment has an important role in clinical learning of nursing students. Differences between expected and actual clinical learning environment of nursing student reduces their interest in clinical environment and clinical performance. Therefore, the aim of present study was to compare the perception of nursing students of expected and actual clinical learning environment in medical-surgical wards.Materials & Methods : This descriptive-longitudinal study was conducted 75 baccalaureate nursing students from Urmia nursing & midwifery faculty. In the beginning of the semester, the expected perception of their clinical environment was determined and in the end of semester the actual perception of students of their clinical environment was determined again. For data analysis, clinical learning environment inventory was used that contain 49 item in six areas. Data analysis was conducted by SPSS software using descriptive and inferential statistics.Results: The findings showed that the average score of nursing students’ perception of expected clinical learning environment was 154.89 ± 14.05 and the average score of nursing students’ perception of actual clinical learning environment was 108.41 ± 12.78. The dependent sample t-test showed that there were statistical differences between actual and expected perception on nursing students regarding clinical learning environment.Conclusion: The gap between nursing students’ perception of expected and actual clinical learning environment may have negative effects on their clinical learning. This indicates that nursing education managers should further attend to clinical learning environment of nursing students.

Background & Aims : Peptic Ulcer Disease (PUD) is an ulcer that mainly occurs in the stomach or proximal duodenum. PUD can affect patients’ quality of life (QOL).The aim of this study was to examine the quality of life in patients with PUD in Sanandaj.Materials & Methods : This cross sectional analytical study included 120 outpatients with PUD referring to Besat Hospital in Sanandaj. They were selected through non-probability sampling. The patients completed the Medical Outcome Survey-Short Form -20 questionnaire and the data were analyzed by SPSS. The statistical analysis of the data included Sprearman’s Rho correlation, t- test, and one-way ANOVA.Results: The respondents had a low quality of life relating to the dimensions of pain (68.5%), and general health perceptions (30.2%); however, their physical health status showed better scores (70.7%). There was a significant correlation between age, education level, and income in quality of life in patients (p<0.05).Conclusion: Planning educational programs to improve quality of life in peptic ulcer patients is necessary. P ain reduction and improving patients' health perception should be priorities of any programs aimed at promoting their quality of life.