Nursing And Midwifery Journal
Year:2017 | Volume:15 | Issue:2 (91)|Papers Count:8

Background & Aims: increase of effectiveness of postnatal care for mothers to enhance their self and baby care is an important approach for improving maternal and newborn health. This study was conducted with the aim of determining the effects of postpartum care education based on educational needs of mothers on puerperium care knowledge.Material & Methods: In this quasi-experimental study with 102 samples of postpartum eligible members who were selected with continuous sampling and then they were randomly assigned to case and control groups. Demographic and researcher made knowledge questionnaires and mother‘s educational needs checklist were used to gather data. Control group receiving routine education from staffs and intervention group received separated face to face education from researcher in two sessions that performed before and 10-15 days after discharge. Evaluation was conducted in three stages: Before education of discharge, 10th- 15th day and 6 weeks after delivery. Results were analyzed by spss19.Results: average of knowledge scores before education has not meaningfully difference; But scores in 10-15th days and 6 weeks after delivery, knowledge in intervention group was meaningfully higher than control groups (p<0.001).Conclusion: Postpartum care education based on educational needs of mothers comparing to routine education increase puerperal care knowledge. It is suggested that this educational method used as a routine postpartum educational method in hospitals and health care centers.

Background & Aims: Job burnout is recognized as one of the common problems in different jobs nowadays; especially in nursing. Job burnout is one of the main factors in reducing the efficiency and causing physical and psychological issues. This may lead to remissness that some of the consequences of which are stalling for time and deliberately delaying. The aim of this study is to evaluate the effect of job burnout on nurses' remissness.Material & Methods: This study is cross-sectional. It was conducted on 110 nurses working in Yazd, who had been selected using simple random classified sampling. Burnout and remissness surveys were conducted to acquire data and validity and reliability of the surveys were confirmed by logical validity test and Cronbach's alpha. This data was analyzed by descriptive and inferential statistics, using 22nd version of SPSS and structural equation modeling, using PLS.Results: Although the result showed a significant association between aspects of job burnout and remissness, depersonalization doesn’t have any effects on remissness. Emotional exhaustion and failure in success, however, have the greatest impact on it. Also job burnout aspects are accounted for only about 0.25 of the remissness structures and male nurses are more remiss than female nurses. Situation of hospitals in all aspects and structures are in a relatively appropriate condition.Conclusion: Considering a structure as the variable of remissness, the offered amount (0.25) is significant and managers can help to lower job burnout by using arrangements such as strengthening motivation, increasing job satisfaction, reducing environmental stress and tension, and on-job training programs to improve the performance of organization.

Background & Aims: Fertility, childbirth and the healthy child at the center of many couples who started living together and infertility can interfere prominent in people's lives or partner they create, and given the high prevalence of infertility in the country, and the psychological effects Infertility on the individual, family and community and interpersonal relationships, this study aimed to determine the role of self-esteem, perceived stress, alexithymia and cognitive avoidance predict sexual function was fertile and infertile women.Methods: This correlational study - descriptive on 60 infertile women and fertile women attending clinics in Tehran on 94-95 half-year, the way was available.Material & Methods: This correlation – descriptive study on 60 infertile women and fertile women attending clinics in Tehran on 94-95 half-year, the way was available. To collect the data, Rosenberg' s Self-Esteem Scale, perceived stress [PSS], alexithymia Toronto 20 [FTAS], cognitive avoidance [CAQ], sexual function [FSFI] and demographic characteristics were used. The data obtained using multiple regression, multivariate analysis of variance and Pearson correlation analysis was performed. Analysis Results: The results showed that there is correlation between Alexithymia, the self-esteem, difficulty in description of feeling and thought with external orientation in (the subscale of Farsi version of the Toronto Alexithymia Scale-20 (FTAS-20) and substitution of positive thought in the subscale of Coping Strategies Questionnaire and sexual activities of in fertilized women. But Perceived Stress does not have significant and effective role in prediction Of unfertilized women sexual function. And none of variables are effective for fertilized women sexual function.Conclusion: there is a significant difference between unfertilized and fertilized women sexual function.

Background & Aims: Spirituality therapy means considering the cultural-religious beliefs of the people in the therapy process and considering the transcendental dimension of the clientele which guides them towards transcendental source. The importance of spirituality and spiritual growth in human is increasingly gaining the attention of psychologists and mental health specialists within the recent decades. The purpose of this research is determining the effectiveness of spiritual therapy on the life quality of the women with breast cancer in Tehran in 2016.Material & Methods: In this study, quasi-experimental research and pretest-posttest plan id applied with control groups. The statistical population includes 30 patients with breast cancer who referred to Soleimanzadeh Specialized Clinic of Oncology and Chemotherapy in Tehran, who were selected with the convenience sampling method and were randomly divided into two groups of 15 as a control group and the other 15 persons as a test group. The test group went on spiritual intervention for 12 sessions of 60 minutes and the control group only got the chemotherapy without spiritual intervention. The shortened version of 1999 World Health Organization HRQL questionnaires were completed before and after the treatment period.The questionnaire measures 4 areas including: physical health, mental health, social relations and environmental health. SPSS 19 software was usedat descriptive and inferential level to analyze the data.Covariance analysis method (ANCOVA) and multivariate covariance analysis (MANCOVA) were used to investigate the hypothesis.Results: Results of covariance analysis of life quality shows that the life quality score for women with breast cancer in the test groupis increased after applying the independent variable (spiritual therapy) and the difference with the control group was significant. The results of Multivariate Covariance analysis of life quality subscale show that the average scoreof test group in three subscales (Physical health, psychological and social relationship health) in post-test is higher than in the control group; and is statistically significant. There was no significant difference between the two groups in environmental health subscale.Conclusion: According to the findings, it seems that spiritual intervention is effective in life quality of women affected with breast cancer. So, through training the spiritual therapy virtual actions could be taken to improve their life quality and their mental health.

Background & Aims: Cardiac intensive care nurses play a vital role in facilitating the initial evaluation of susceptible Patients with myocardial infarction and their caring behaviors is of utmost importance.The present research seeks to study the level of performance of cardiac intensive care nurses with rotating shift work in the care of patients with acute coronary syndrome.Material & Methods: This study is a descriptive – analytical cross sectional study in which 74 nurses with rotating shift work in the cardiac intensive care units of Urmia hospitals that met the inclusion criteria, selection and was recruited as census. The tools used for data analysis were divided into two parts: first, the demographic features, and secondly, the author-made checklist composed of 38 statements in caring for the patients with acute coronary syndrome. The performance of all the participants in the three working shifts in the morning, afternoon and night was studied and their average performance scores were calculated in three shifts. The data was analyzed by SPSS v.19, using descriptive and inferential statistics (ANOVA repeated measurements).Results: As the results indicated, the average score of the nurses was 21.04 ± 2.33. Also significant differences was obtained in mean performance of nurses in different shifts (P=0.048).Conclusion: Since in this study the performance of nurses in the care of patients with acute coronary syndrome was at moderate level; it is essential that hospital administrators and nursing officials were aware of the factors affecting performance of nurses and efforts to improve it.

Background & Aims: One of the major challenges in methadone maintenance treatment that leads to relapse in patients is lapse. Craving is also the most important factor of lapse and return to drug use after the treatment periods. The aim of this study is to determine the effectiveness of applying continuous care model on lapse and craving of patients that are treated with methadone maintenance therapy in Razi Psychiatric Hospital, Urmia, Iran.Material and Methods: This quasi-experimental study was conducted on 95 patients (N=95) who were selected through the census sampling and randomly assigned to intervention (N=48) and control (N=47) groups. Continuous Care Model which consisted of four stages (orientation, sensitization, control and evaluation) was conducted on intervention group over a period of 3 months. At the end, two groups were compared. Craving questionnaire and lapse-and-absence check list were used to collect the data. The data were analyzed via SPSS.v22 using the dependent and independentt -test and Pearson correlation and Chi-square tests.Results: At the end of third month, the mean of the lapse reached in the experimental group from 2.07±0.89 to 1.57±1.1 and the mean of craving reached from 53.73±13.58 to 50.47±15.1 that showed a significant difference compared to the control group. (P-value<0.05) Conclusion: The findings showed that continuous care model is effective to reduce lapse and craving of patients that were treated with methadone maintenance therapy. Therefore, it is suggested that this model should be implemented along with a medical treatment to prevent lapse and craving of patients.

Background & Aims: Activity is one of the human psychological needs and is in the first level of classification of hierarchy of basic human needs. If a case do not have activity, negative effects occurs on the whole body. Researchers considering that disturbance in motion is as a nursing diagnosis and the concept of mobility is important in nursing. This study aimed to determine patients' knowledge and practice in the prevention of post-operative immobilization in surgical wards of Namazi Hospital in the year of 2013.Material and Methods: In this cross-sectional study of 200 patients after surgery leads to immobility and were selected by available sampling randomly was used. Demographic questionnaire and knowledge measurement form in the field of prevent complications of immobilityandchecklist of self-care practice patient in the field of prevent complications of immobility were completed with observation and interview. The process of data analysis using the mail toolspssversion16 using descriptive statistics and analysis.Results: The mean and standard deviation of performance of the studied patients, respectively, 21.8±5.59, and the mean and standard deviation of knowledge of patients under studywere14.36±3.97. In total, 42percent of poor performance, 49.5% of the average performance, 8.5percent had a good performance and in the Evaluating knowledge, 41.5 percent poor, 43% moderate and15.5 percent was well. The data show that about half of patients have poor knowledge and practice in the prevention of inactivity and The relationship between performance and awareness of patients showed There is a significant correlation between performance and awareness (p-value=0.004).What evermore knowledge we have the better performance.Conclusion: The findings and statistical inference can be concluded the knowledge and performance of patients to prevent complications of in activity is weak. According to the results, certainly there are training programs that can increase the knowledge and performance of patients and can beestablished to.

Background & Aims: Anxiety, as one of the prevalent symptoms in patients with heart failure (HF), has significantly affected HF prognosis. This research was carried out with the aim of comparing the effect of applying the techniques of Benson muscle relaxation and nature sounds on anxiety in the patients with HF.Materials & Methods: As a randomized clinical trial with a control group, this study used convenience sampling to recruit 105 patients with HF who were admitted to the cardiac intensive care unit at the teaching hospitals of Mazandaran University of Medical Science in 2016.Through randomized block design, the patients were allocated to the three groups of Benson muscle relaxation, nature sounds, and control group. Besides the routine care, the patients in each of the two groups of Benson muscle relaxation and nature sounds received intervention twice a day (morning and evening) for 20 minutes for three consecuative days. The data were collected immediately before and after the intervention, using Spiel berger state anxiety inventory questionnaire. Data analysis was performed by using paired t-test, Chi-square and one way analysis of variance via SPSS v.22.Results: As the results indicated, no significant difference was observed between the groups regarding to the mean score of anxiety before interventions in the morning and evening in each day. There were no significant differences between the groups regarding to the intensity of anxiety after interventions in the morning and evening in each day. Also, there was no significant difference before and after Benson muscle relaxation regarding to the anxiety intensity in each day. There was no significant difference before and after nature sound intervention in terms of the anxiety intensity in each day.Conclusion: Given the ineffectiveness of interventions on anxiety in patients with HF and the applicability, inexpensiveness, and availability of these supplementary methods, it is suggested to examine the effect of other methods on these patients to discover the techniques that are beneficial for clinical outcomes and symptoms.