Journal of Research Development in Nursing and Midwifery
Year:2020 | Volume:17 | Issue:1|Papers Count:8

Background: One of the important criteria in patients receiving artificial respiration is the time of weaning from the mechanical ventilator. As physician’ s decision might be somehow subjective, several tools have been suggested for prediction of the time of weaning more objectively. This study aimed to determine the predictive value of Persian Weaning Tool (PWT) compared with Physician-directed approach as the gold standard. Methods: This diagnostic accuracy study was done in 2016-2017 in Two Medical and Educational Centers of Gorgan, Iran. 97 admitted patients in intensive care units, under mechanical ventilation were evaluated. The patients were recruited into the study by a convenience sampling method and evaluated for readiness to wean using two approaches (physician’ s decision and using PWT). Successful weaning was considered as the ability of patient to breathe spontaneously during the first 48 hours after weaning. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), and negative likelihood ratio (NLR), as well as the agreement (kappa coefficient) between the two approaches, were calculated. In addition, to compare the differences between variables in two groups, chi-Square, T and man-Whitney tests were used. All analyses were performed using SPSS software ver. 16, and MedCalc program ver. 13. P<0. 05 was considered as statistically significant. Results: Most patients (64. 9%) were men. The mean age, duration of hospital admission, and duration of mechanical ventilation of the participants were 46. 49± 18. 15 years, 67. 11± 7. 14 days, and 31. 5± 2. 5 days, respectively. Weaning was successful in 87. 6% of the patients. PWT had a significant agreement with the physician’ s choice (kappa coefficient=0. 637, P<0. 001) with sensitivity, specificity, PPV, NPV, PLR, and NLR of 100%, 50%, 93. 4%, 100%, 2, and 0, respectively. The cut-off level of 53 was considered as the best point to improve the diagnostic accuracy to 92. 94%, 75%, 96. 3%, 60%, 3. 72, and 0. 094, respectively. Conclusions: Findings showed that PWT is an accurate tool for predicting the readiness of patients for weaning objectively. This tool can be used as a complementary approach by physicians and other care providers in intensive care units.

Background: Heart Failure is a common chronic disease and the cause of the elderly's mortality worldwide. It has imposed a high financial burden on health systems and families. Self-care is an important aspect of nursing and treating such patients. The aim of study was to determine the self-care behavior and its association with demographic and clinical factors in the elderly with heart failure. Methods: The cross-sectional study was conducted on 120 elderly with heart failure, admitted to Cardiology Wards of Khatam Al-Anbia, Shohada, and Payambar Azam Hospitals of Gonbad Kavus County in 2018. The convenience sampling method was used to recruit participants. For data collection the Miller Self-care Behaviour Scale and the elderly's demographic information checklist were used. Data were presented in descriptive statistics, and analyzed using ANOVA, independent t-test and Spearman's correlation test in SPSS ver 16. The significant level was used p<0. 05. Results: The self-care scores were 66. 08± 8. 44 for HF elderly patients. The Self-care Behavior score were 68. 25± 1. 01 and 64. 12± 0. 7 in women and men respectively (p=0. 004). There were no significant correlations between the elderly's scores of self-care with ejection fraction percentages and education levels. Conclusions: The mean scores of self-care in the elderly with HF were low. Therefore, the selfcare of the elderly with heart failure should be improved by training.

Background: Journals are regarded as the most important media for transferring knowledge and research results, accordingly their promotion is conditioned by continuous evaluation and improvement of performance. The present study aimed to determine the status, citation analysis, and altmetric indices of journals published by Golestan University of Medical Sciences. Methods: This cross-sectional study was conducted by a descriptive approach with scientometric and citation analysis methods in 2019. The statistical population consisted of 5 journals of Golestan University of Medical Sciences. Data collection tool was a researcher-made checklist consisting of 28. Altmetric indices of journals were also evaluated. Data was analyzed by descriptive statistics; and the results were presented in diagrams and tables. Results: All the studied journals had all "publication requirements. Only one journal had the requirement, "at least half of editorial board should be outside of the publication". Moreover, 37 percent of 105 editorial board members in the under examined journals had extra-organizational affiliation and only 8 percent were from abroad. The articles of "Journal of Gorgan University of Medical Sciences” was the most-cited article regarding citation bases. Conclusions: Journals of Golestan University of Medical Sciences need to revise their structures, especially for editorial board members namely being international, having an organizational affiliation outside the university, as well as the presence of editorial board members with further research activity and background.

Background: Sexuality is an important and inseparable part of the life of every woman. Female sexual dysfunction (FSD) has a major influence on quality of life and can lead to personal distress and anxiety. This study aimed to determine the prevalence of sexual dysfunction and predisposing factors in women. Methods: This cross-sectional study was carried out on 400 outpatient women aged 15-49, who had a health record in the health care centers of Rasht, Iran during 2015-2016. Samples were selected through multi-stage cluster sampling method. Data collection tool included demographics and reproductive information, the standard questionnaire of female sexual function index (FSFI). Multivariate linear regression analysis was used to determine the predictors of sexual dysfunction in SPSS 13. Results: The mean± SD score of total FSFI was 28. 14± 3. 82, ranging from 2 to 36. The frequency of sexual dysfunction was 34. 3% in total. Multivariate linear regression analysis showed a significant correlation between FSFI and some factors including age, education level, age at menarche, frequency of sex, and knowledge on sexual function. These factors accounted for 12% of the variance in the sexual function index of women. Conclusions: Considering the critical impact of sexual function on the health of couples, paying attention to sexual function in women and its predictors are important to help and plan prevention programs.

Background: Junk food consumption is an unhealthy adolescent nutritional habit that is affected by family structure, peer groups, and socioeconomic status. The present study was conducted to determine the association between junk food consumption and personal, familial, and social characteristics considering high school students in Rasht, Iran. Methods: This cross-sectional study was conducted on 341 students in their second year of high school in Rasht, Iran in 2017. They were selected using a two-stage cluster random sampling. Data was collected using a checklist. Data was analyzed in SPSS 16 using Mann-Whitney and Kruskal-Wallis tests at a significance level of 0. 05. Results: Sweet snacks were consumed the most (27. 3%). Frequency of junk food consumption was significantly higher in students whose fathers had a university degree (P=0. 037) and those with monthly family income of more than 2 million Rials. (P=0. 004). Conclusions: The results indicate that students whose fathers have a higher education and income level have more tendencies toward junk food consumption; hence, it is worth considering the relevant factors in order to improve the adolescents' health.

Background: pregnancy is one of the most stressful periods a woman experiences in her life. This study was done to determine the perceived stress and prenatal distress in pregnancy and its related factors. Methods: The is cohort study was carried out on 110 pregnant women whit gestational age of 24 to 28 weeks who referred to Reference laboratory in Miandoab city in 2016-2017. The sample was selected based on availability. The Cohen Perceived Stress Scale (PSS) and Prenatal Distress Questionnaire (PDQ) and demographical information were used. All obtained data were analyzed in SPSS-23 using t test, Paired-t test and person test. Significant level was considered less than 0. 05. Results: The results of study show perceived stress and prenatal distress scores in 32-36 weeks have been uptrend than 24-28 weeks. Also, there was a significant relationship between wanted pregnancy with the mean stress score in 24-28 weeks (p=0. 04). Also, between perceived stress score in 32-36 weeks and maternal education level (p=0. 045) and between the distress score in 24-28 weeks pregnant and the wanting the sex of the fetus by the women. (p=0. 045) Conclusions: According to the results, stress and anxiety of pregnant women increase with approaching delivery time; caregivers should be taken into consideration by pregnant women. In addition, the results of the study show the importance of holding educational classes and raising women’ s' awareness of pregnancy and childbirth and having a planned pregnancy to reduce stress and distress.

Background: Telephone follow-up is one of the effective ways to improve lifestyle of cardiac patients. Discharge planning is the development of an individualized discharge plan for the patient prior to leaving hospital, with the aim of improving patient outcomes. This study was done to investigate the effect of telephone follow-up after discharge on the lifestyle of cardiac patients. Methods: This randomized clinical trial was conducted on 154 cardiac patients in cardiac care units in Sari, Iran 2015-2016. Patients were recruited through convenient sampling, then they were allocated randomly in two experimental (n=77) and control (n=77) groups. Before registering, training was provided for both groups of patients. In next step, all the patients were followed up by telephone on the second, fourth and sixth days after the discharge. In addition, the experimental group was followed up by telephone weekly for a month and then monthly for five months. Data was gathered using questionnaire before intervention, as well as one and six months after intervention. Data was analyzed with repeated measures ANOVA, Chi-square and the independent t-test in SPSS-16. Results: No statistically significant differences were observed between the two groups in selfcare, physical activity and exercise, diet and stress management score before intervention. However, significant differences were observed between the two groups in self-care (p<0. 001), physical activity and exercise (p<0. 001), diet (p<0. 001), and stress management (p<0. 001) score after intervention during 6 months. Conclusions: Telephone follow-up program is effective method promoting the cardiac selfpatients lifestyle. The structured telephone follow-up was important for a holistic approach care in patients.

Background: Insomnia is one of the common sleep disorders in the elderly. Lack of adequate sleep has many consequences, such as fatigue, frustration and increased rate of mortality among them. The study was carried out to determine the effect of group reminiscence therapy on insomnia in older adults. Methods: This randomized controlled clinical trial was done on 72 older adults who referred to Sadoughi health care center in Kashan, Iran between August and November 2018. The subjects were recruited through convenience sampling and randomly allocated into two control and intervention groups. The reminiscence therapy was held twice a week, in a 4-week period for intervention group and the duration of each session varied between 1. 5-2 hours. There was no intervention in control group. Data were collected using Mini-Mental State Examination (MMSE), and Insomnia Severity Index (ISI). Data was gathered three times; before intervention, immediately and one month after the intervention. Data were analyzed using Chi-Square, and Man-Whitney tests and repeated measures analysis in SPSS (v. 16. 0, SPSS Inc., Chicago, IL, USA). Results: The mean score of insomnia decreased in intervention group after group reminiscence therapy (p<0. 001); from 16± 1. 74 (before the intervention) to 11. 27± 2. 09 (immediately after the intervention) and 11. 38± 1. 93 (one month after the intervention), while the insomnia score had not noticeable change in control group. The intervention group showed significantly less insomnia scores over the time compared to control group (p < 0. 05). Conclusions: Reminiscence therapy decreases the severity of insomnia in older adults. Therefore, it can be used as an easy, applicable and low-cost technique in health care facilities and is expected to be welcomed by older adults, their families and health care providers.