Modern Care Journal
Year:2014 | Volume:11 | Issue:3|Papers Count:12

Introduction and Aim: Quality and modified lifestyle can significantly increase elderly life efficacy. Therefore, this study aimed to assess the impact of educating healthy lifestyle on Sarbisheh senior citizens’ attitude and practice concerning joints and bones pain.Materials and Methods: In this quasi-empirical study, 100 senior citizens supported by Health-Care Center of Sarbisheh were selected by random sampling. The data was collected by two questionnaires sent from the Ministry of Health, Care and Medical Education, including 11 performance and 13 attitude questions. These questions were given to them in pre- and post-test. Training was carried out based on books available in the health center concerning elderly life. It was done in two stages for seven groups. Analysis of data was done in SPSS (version 16) using paired t-test and Wilcoxon at the significant level of 0.05.Results: In this study, 2% of patients had motor problems. 8% of seniors consumed dairy products twice a week which elevated to 9% after education. Analysis showed that attitude and performance mean scores increased significantly (P<0.05).Conclusion: Seniors have the potential to change their attitude and performance provided that their training is standard and needs-based. Findings showed that only few of the elderly people used dairy products and fish which underlies the need to nutritional education for all ages.

Background and Aim: Dialysis inadequacy is a determinant of the patient’s life. Increased dialysis adequacy plays a significant role in improving awareness of dialysis patients. Blood pressure is also a significant factor in dialysis adequacy. This study aimed to evaluate the impact of Progressive Muscle Relaxation Technique on blood pressure and adequacy of dialysis in hemodialysis patients.Materials and Methods: This research was a clinical trial conducted in 2013. Hemodialysis patients from two hemodialysis centers in Gonabad (11 controls, 11 trials) and Yazd (34 controls, 34 trials) were chosen by the blocking method and allocated to two control (n=45) and trial (n=45) groups. Any trial received the Relaxation training by the investigator in 3 sessions and under similar circumstances. The patients performed the technique at home once a day for as long as 6 weeks. Then, the blood pressure and dialysis adequacy of the two groups were compared. The data was collected by a demographic questionnaire and a blood pressure checklist. KT/V formula was used to assess the adequacy of hemodialysis. Data was analyzed with SPSS software (version 14) using Independent T Test and Mann-Whitney U tests.Results: The results showed no significant difference in systolic and diastolic blood pressure between the two groups before intervention, but they were significantly different after the intervention (p<0.001). There was a significant difference in the mean difference of dialysis inadequacy before and after the intervention (p<0.001). After the intervention, dialysis adequacy increased in the intervention group (0.31±.0.12) but decreased in the control group (0.02±0.1).Conclusion: Given the reduced blood pressure and increased adequacy in hemodialysis patients, this technique is recommended to be taught in hemodialysis wards.

Background and Aim: Marriage and marital life plays a basic role in the elevation and mental health of the humankind, and life satisfaction plays an important part in family’s normal functions. The aim of this study was to investigate the impact of relationship enrichment education on marital satisfaction of primary school female teachers in Birjand.Materials and Methods: In this quasi-exprimental study (pre-test, post-test, and control group), 80 female teachers working in Birjand primary schools were selected with multi-stage sampling method. Participants were allocated to control (n=40) and experiment (n=40) groups. Education of marital relationship enrichment skills was provided for the experiment group in eight 90-min sessions accompanied by group discussion. Data were collected by the 49-item Marital Satisfaction Questionairre. Data were analyzed in SPSS (version 16) by Independent t test, Paired t test, Kruskal-Wallis, and Mann-Whitney (U) tests at the level of a£0.05.Results: Significant differences were observed in the cases after the intervention concerning marital satisfaction and its components (p=0.001). However, there was no significant difference in the controls after the intervention in terms of marital satisfaction or its components (p>0.05).Conclusion: The relationship enrichment educational program was effective in elevating the marital satisfaction quality and its components (attraction, understanding, attitude, and investment). Therefore, this enrichment program can be used as an effective intervention to increase marital satisfaction.

Introduction: Vaginitis is the most common gynecological problem prompting the majority of clinical visits among women. Candida vulvovaginitis is the second most common type of vaginitis. In the last century, Candida vaginitis outbreaks has witnessed a significant increased. The widespread prescription of Antifungal drugs as a form of prevention and treatment for Candida has resulted in drug resistant strains. The use of herbal medicines is more in keeping with the body's natural flora, causing fewer complications. The purpose of this study is to compare the effects of Micosin vaginal cream Vs. Miconazole vaginal cream for the treatment of mycotic vaginitis.Material & methods: This study is a double blind clinical trial conducted in 2013 on 120 non-pregnant women between the ages of 15-49 who visited Rasoul Akram Hospital in Rasht with complaints and clinical signs of candida vaginitis. The participating samples in this study were randomly divided into two groups of Miconazole (60 people) and Micosin (60 people). Data on demographic, check list of clinical examinations and laboratory samples were collected. The gathered data was analyzed with 95% confidence level using SPSS software based on Chi-square and McNemar tests.Results: The Frequency distribution of patients' complaints (malodorous discharge, dysuria, frequent urination, itching, scratching during coitus, Abdominal pain, inflammation during coitus and dysparonia), clinical symptoms (vaginits inflammation, the consistency, color and appearance of discharge) and the laboratory results demonstrated statistically significant difference before and after the treatment in each group who were prescribed Micosin and Miconazole, (p<0.05). But the frequency distribution of patients' complaints and clinical symptoms and laboratory results did not show any statistically significant difference between the two groups taking Miconazole and Micosin after the treatment (p>0.05).Conclusions: Based on the results of the study, the effect of either drugs for the treatment of vaginitis is the same, which makes using Micosin-which has herbal ingredients- a more preferable treatment for vaginitis.

Background and Aim: Promoted quality of nursing education brings about improved quality of nursing care. Survey from graduates can facilitate the way to plan and modify current educational methods. This study aimed to determine the factors affecting the quality of education from the viewpoint of nurses working in Birjand hospitals.Materials and Methods: This descriptive study involved 115 nurses working in Birjand hospitals during 2011-12 academic year who were selected through quota sampling method. The data collection tool consisted of a self-made questionnaire consisting of two parts: a) demographic characteristics and b) viewpoints of graduate nurses about the influence of various factors on the quality of education in 5 domains and 32 items. Content validity and inter-item correlation coefficient were used to determine validity and reliability. Chronbach’s alpha was 0.92 overall, and 0.70 to 0.83 for the domains. Data analysis was performed in SPSS (version 15) using Friedman and Wilcoxon tests.Results: The majority of the 115 participants were female (87.8%), married (76.5%), and graduated from state universities (68.7%). Maximum and minimum scores came respectively from personal characteristics of faculty members, and monitoring and evaluation domains. The most effective factor in personal characteristics of faculty members was related to their dominance of the course contents.Conclusion: Faculty members can improve the quality of education by grasping such features as dominance in the course contents and attention to the students’ problems. Furthermore, there can be elevated educational quality in case the evaluation system provides more objective measurement and feedback.

Background and Aim: Nurses experience several occupational stresses because of the nature of their jobs. In case effective strategies are not employed to cope with these occupational stresses, burnout will result whose consequences are problematic. Research about this issue can lead to proper planning. Therefore, this paper aimed to study the relationship between adaptive and maladaptive humor styles and dimensions of burnout among nurses.Materials and Methods: In this descriptive-analytic research, a sample of 146 nurses was randomly selected from among all nurses with inclusion criteria who worked in general hospitals in Najaf Abad in 2013. Tools included Maslach’s Burnout Inventory (MBI) and Humor Styles Questionnaire (HSQ). Data were analyzed in SPSS (version 18) using Pearson correlation coefficient and stepwise regression.Results: Results indicated that emotional exhaustion was predictable by self-enhancing and self-defeating styles (R2=0.25). Personal accomplishment could be predicted by affiliative, self-defeating, and aggressive styles (R2=0.23). And depersonalization was just predictable by affiliative humor style (R2=0.07).Conclusion: Since adaptive and maladaptive humor styles have an important role in predicting burnout, application of positive humor is a way to reduce burnout among nurses who may encounter several stressful situations every day.

Background and Aim: Repeated hospitalization of children can pave the way for their mothers’ stress and anxiety. Since religious beliefs and self-concept are predictors of anxiety, this study aims to investigate the relationship between anxiety and trust in god in mothers of bedridden children in PICU section of Valiasr hospital of Birjand in 2012.Materials and Methods: This correlational, descriptive-analytic study included 158 mothers of bedridden children in PICU section of Valiasr hospital who met inclusion criteria. They were selected through convenience sampling. Data were collected in face-to-face manner using three questionnaires including anxiety questionnaire of Cattle, self-efficacy questionnaire of Shwarzer, and the 24-item trust-in-God questionnaire of Ghobary. Analysis was made in SPSS (version 15) using Independent T test, ANOVA, Range Tukey, and Pearson correlation at 0.05.Results: Results shows that there was a nagative correlation between anxiety and trust in God (P<0.001). Also, there was a significantly negative relationship between self-efficacy and trust in God (P<0.01). However, there was no significant relationship between anxiety and self-efficacy.Conclusion: Trust in God can reduce daily anxiety. Therefore, increased religious beliefs can be p a proper indication for relieved anxiety in mothers with hospitalized children.

Background and Aim: While stigma is discussed in psychiatry and psychology as a mental illness, it is hardly recognized by nurses. Stigmatization is a serious problem in all cultures and can have detrimental impacts on all spheres of life. The purpose of this analysis is to clarify the stigma of mental illness.Materials and Methods: In this study, we built on Walker and Avant’s (2005) model to do our analysis. After an extensive review of relevant literature, sources were excluded on the basis of the definition, functions, properties, premises, consequences and empirical referents.Results: Stigma is a powerful, widespread, permanent, social phenomenon which involves vulnerable populations. Stigmas coming from mental illnesses can result in discrimination, loss of social status, coping behavior, reduced quality of life, severe illness, substance abuse, lack of treatment and follow-up, and family turmoil.Conclusions: It is essential that nurses understand the comprehensive nature and components of mental illness stigmatization. By understanding stigmas, nursing practice can improve, and nurses would choose to care for every person individually.

Background and Aim: Thalassemia is among the most prevalent hereditary disease in the south of Iran.Children with thalassemia need care from the first years of their life. Mothers play the key role in provision of care to these children. This may cause caregiver burden. Therefore, most women need support. This study was designed to assess caregiver burden in mothers of children with thalassemia in Jiroft, Iran.Materials and Methods: This descriptive-correlative survey was performed in Jiroft in 2013. The participants included 160 mothers of thalassemia children with inclusion criteria who visited the thalassemia center of the city. Instruments included demographic information and the caregiver burden questionnaire. Data were analyzed by SPSS v.21 using Pearson correlation and multivariant regression tests. The significance level was considered below 0.005 (p<0.005).Results: Findings show that 49% of mothers (n=69) reported moderate to severe caregiver burden. The total scores of caregiver burden had significant positive correlation with maternal age (p=0.014, r=0.194) and were inversely correlated with income (p=0.027, r=-0.175).Conclusions: Given the fact that nearly half of the mothers with thalassemia children had moderate to severe caregiver burden, health authorities and nurses in contact with these mothers have to pay special attention to this issue.

Background and Aim: The main task of the educational system is to prepare students to acquire knowledge, and cognitive and occupational skills to enter social settings. Therefore, it is very important to consider the factors contributing to the students' academic achievement. The present study was conducted to determine the relationship between self-concept, self-esteem, and academic achievement of students in the nursing-midwifery faculty in Qaen.Materials and Methods: This study was a descriptive-analytic one. The population included all the nursing and midwifery students in Qaen (2012-13 academic year) who were selected through census sampling. In order to collect data, the Ellis-Poop’s self-esteem scale and Rogers’ self-concept scale were used. Students' overall score were considered as their overall academic success. Descriptive statistics and inferential statistics (Pearson Correlation Coefficient and Independent t test) were used to analyze the data in SPSS (version 14).Results: The mean score of students' self-esteem was 66.9±13.4, and the actual and the ideal self-esteem of students were 4.75±0.55 and 5.31±0.82 respectively. There was a significantly positive relationship between self-concept and self-esteem, and academic achievement of students.Conclusion: This study showed that students' high self-concept and self-esteem is related to their academic achievements. Therefore, it is necessary for authorities and professors to pay special attention to students' self-concept and self-esteem. They should try to strengthen the students’ positive attitude and remove any negative attitude toward themselves.