Nursing And Midwifery Journal
Year:2018 | Volume:16 | Issue:1 (102) |Papers Count:9

Background & Aims: Readmission to hospital because of the impact on the cost and quality of hospital care and Impose an additional burden on the healthcare system, Is an important priority for hospital managers. The aim of Study Was Assessment of prevalence of readmission in admitted ward of Tehran Oil Company’s hospital in 2016.Material & Methods: This descriptive-analytic study was performed on 260 patients hospitalized in Tehran Oilfield Hospital. The information collection tool included information such as age, gender, education, hospitalization, reasons for initial hospitalization, number of admissions, reasons for admission and hospitalization costs. Data analysis was done using SPSS version 21 and using Chi-square tests.Results: The results showed that 20% of the total hospitalization in 2016 was re-admitted. The rate of hospitalization according to the frequency of admission showed that 74.6% of the patients referred to the hospital for the second time, 12.3% for the third time and 13.1% for more than three times to follow the treatment. There was a significant relationship between the age, duration of hospitalization and the education of patients with frequency of re-admission (P<0.05).Conclusion: Considering the results of post-discharge education, the awareness of the importance of follow-up of treatment, the greater attention of the clinical staff to the health care needs of patients, the awareness of hospital administrators of reimbursement costs and comprehensive planning and prevention in Hospitals can be useful in preventing abortion because of administrative factors.

Background & Aims: Drug mistakes are a potentially hazardous event for patient safety, especially in children, which requires special attention from care providers due to the high level of damage. Therefore, this study was conducted to determine the effect of e-learning on drug students' knowledge, attitude and practice in nursing students in the pediatric units in 2016.Material & Methods: In this quasi-experimental study, 40 nursing students from the 8th nursing and midwifery faculty of Urmia were randomly divided into intervention and control groups. Then, the first two groups received no intervention but the other two groups received e-learning for 3 weeks before the clinical education. From both groups, pre-test and post-test were performed by a researcher-made questionnaire to assess the level of knowledge and attitude about the prevention of drug errors. A researcher-made checklist was used to determine the level of performance. Validity and reliability of the tools were confirmed. Data analysis was performed using SPSS 21.Results: The samples were matched according to the variables of age, sex, pharmacology score and total mean. Before the training, there was no significant difference between the two groups in the mean score of knowledge and attitude (P>0.05), but after the intervention, the attitude was positive in the intervention group and the level of knowledge was good, with the average of the scores of the variables in the test group increased significantly (P<0.05).Conclusion: The findings of this study emphasize on the necessity of planning and regular implementation of drug eradication prevention programs to maintain and improve the health of the children.

Background & Aims: The healthy life style is one of the valuable sources of happening and intensifying of diseases like blood pressure and their side effects and is a way to raise health and life quality. Therefore the current study was conducted with the aim of investigating and predicting the balancing aspects of life style in relation with the blood pressure.Material & Methods: This descriptive-analytical investigation is a periodical type conducted on 284 of urban people above 30 under support of two urban health community in Boein, Miandasht. The tool for data collecting of this study had been the questionnaire in the field of life style called health promoting life style and ERKA switch comfort. The data were analyzed by use of spss, 22 version and by regression and analyzing coefficient correlation.Results: In this study, there was a reverse and meaningful correlation between blood pressure with various elements of life style like healthy diet (P<0.001 r=-0.599), control of stress (P<0.001 r=-0.500), exercising (P<0.001 r=-0.387), responsibility (P<0.001 r=-0.217) and spiritual growth (P<0.001 r=-0.253) but there was no correlation between blood pressure and individual communication element (P<0.05).The three elements of healthy diet, control of stress and exercising in statistical model resulted from analytical regression, had the capacity of stating about 40% of blood pressure (P<0.001).Conclusion: Totally the current investigation indicated the importance of various life style's aspects like healthy diet, control of stress and exercising on blood pressure. Therefore the results of current investigation is able to provide the abstract framework for the designers of these programs in planning and designing the interventions to manage the effective elements on blood pressure.

Background & Aims: most patients suffering from kidney failure who undergo dialysis for a long time have compliant of sleep disorder. Sleep disorders in these patients accompany some serious complications that reduces quality of life and increase mortality. Improving the adequacy of dialysis is the main factor for reducing complications and mortality in these patients. The aim of this study is to examine the relationship between dialysis adequacy and sleep quality in hemodialysis patients.Material & Methods: The current correlational_analytical study was performed with a total 102 patients who had applied to dialysis center (Tohid hospital, Sanandaj) for hemodialysis treament between June and septamber 2017. The data collection form consists of socio_demographic and medical charachteristics. Pitsburg sleep questionnare was used to examine sleep quality in the research.Results: Results showed that the mean of sleep quality and KT/V value was 8 (3.93) and 1.23 (0.24) respectivly. The Pitsburg scores that evaluted according to sleep quality, 67.36% of patients had poor sleep quality and 32.64% had good quality sleep. There were no significant diffrences between sleep quality and KT/V value (p=0.06).Conclusion: In this study, there is no statistically significant relationship between dialysis adequacy and sleep quality. However, it was found that the majority of haemodialysis patients had poor sleep quality.

Background & Aims: Some of the causes of preterm delivery almost are known but its biological mechanisms are unknown. There is evidence that shows preterm delivery is related with different seasons of the year. Finding environmental factors affecting biological mechanisms is important steps to reduce preterm delivery. This study aims to determine the seasonal distribution of preterm delivery in Ardabil County.Material & Methods: This research has been done as a descriptive-analysis with a retrospective approach, using hospital cases and climatic data at Sabalan hospital in Ardabil County has analysed 759 pregnant women (n=10860) who had preterm delivery complication during the weeks 20-36 over the time from March 2011-Feburury 2016. In this study, statistical data analysis using descriptive statistical methods and correlation relations were carried out by SPSS software 20.Results: There were% 6.98 preterm delivery among 10860 natural birth. Maximum preterm delivery outbreak was in winter (% 7.95) (P<0.05) and its minimum outbreak was in summer (% 6.22) that was variable with changing of seasons disticly. The maximum frequency of preterm delivery was on Aban% 8.91 and minimum on Shahrivar% 4.50, also the ratio of preterm delivery according to Seasonal Index (SI) showed that the maximum frequency was on Tir with index of 133.44 and its minimum on Shahrivar with 58.85.Conclusion: Preterm delivery followed seasonal pattern according to research findings in Ardabil County.

Background & Aims: Cardiovascular diseases are the most common cause of death in world, including Iran. Low levels of health literacy are associated with a high prevalence of chronic diseases, including cardiovascular disease. Considering the significant burden of heart disease, improving the level of health literacy can be a determinant factor in preventing and curing these diseases and saving resources. Therefore, this study was designed with the aim of assessment the health literacy in people with heart disease.Material & Methods: A cross-sectional study was carried out on 374 patients with heart disease referred to hospital of cities located in the south of West Azarbaijan province. The sampling method has been classified. A health literacy questionnaire in Iranian population was used to collect the data. Data analysis was performed using SPSS software version 21.Results: 56.1% of the units were male. All patients were between the ages of 30-65 years old with a mean age of 50/3 years. The health literacy score for 42% of heart patients was inadequate. The average total score of health literacy was 58.1 with a standard deviation of 24.3.Conclusion: Generally, patients with heart disease did not have a desirable health literacy. The health literacy status of heart patients in Mahabad city was better than Bokan and Miandoab. Therefore, planning to improve the health literacy in Heart patients as one of the indicators affecting their control and management of their disease is one of the priorities of the health system of the country.

Background & Aims: According to the high prevalence and increased incidences of diabetes and debilitating impact of the disease, it is essential to investigate the factors related to control of the disease. Thus the purpose of this research was to investigate the effect of spirituality group therapy on self-compassion and control of blood sugar in women with type 2 diabetes in the city of Eghlid.Material & Methods: The design of this research was quasi-experimental with pre-posttest and experimental and control group. Among women with type 2 diabetes who had recorded in the city of Eghlids health network, 30 subjects randomly selected and were assigned into two groups experimental and control (15 per group). In the pre-test, Neff self-compassion questionnaires (2003) completed by the participants and blood samples were taken from all subjects. The intervention spirituality group therapy was performed for 10 sessions of 90 minutes on the experimental group. Spss software version 19 was used for data analysis.Results: The results showed that the effect of the independent variable on the dependent variable was significant and meaningful and spirituality therapy has affected on self-compassion and its dimensions (Self-kindness, Judge about yourself و Common humanities, Isolation, Mindfulness And Too replicated) and blood sugar diabetes.Conclusion: according to spirituality group therapy in patients with diabetes could promote the self-compassion and also control their blood sugar levels. Therefore, it is suggested that this method is used to treat diabetes and reduce the physical and psychological consequences.

Background & Aims: Heart failure is one of the most common cardiovascular disorders and as a chronic, progressive and debilitating disorder that causes deterioration of the physical, personal and social relationships, ability to perform duties, economic and livelihood problems and finally, decrease in quality of life. For solving these problems, nursing intervention such as new patient education methods are needed. This study was carried out to assess the effect of self -care program model based on Orem’s pattern on the quality of life in patients with heart failure.Materials & Methods: In the present clinical trial which, 60 patients with heart failure admitted in Seyedolshohada Urmia hospitals were selected by using accessible-sampling method and randomly divided into two groups of 30 patients as the experimental and control groups. Data collection included educational evaluate needs forms of Orem-based model and MacNew quality-of-life questionnaire was evaluated before and three months after implementing the self-care program. Data were analyzed via chi-square, independent t-tests, ANCOVA and Man witney U analysis.Results: the total mean of quality of life reached in the experimental, and control groups from 92.83±5.35 to 101.13±7.89, and from 89.73±8.48 to 89.72±5.69, respectively. There was a significant difference between the two groups after intervention in all aspects of quality of life including the physical, psychological and social dimension and this results demonstrator increase total mean of quality of life in the experimental groups (p=0.000).Conclusion: In regards of Implementing Orem’s self-care model positive influence on improving quality of life of the heart failure patients, nurses and other healthcare providers are suggested to reinforce self-care spirit in these patients, according to the nursing theories and health care programs, to improve quality of life of heart failure patients.