Modern Care Journal
Year:2011 | Volume:8 | Issue:3 (31)|Papers Count:11

Background and Aim: Communication with patient is the initial stage and main core of nursing care. Patient centered communication skills require special attention. Not applying a non-pragmatic theoretical model is one of the hindering underlying factors for quality and quantity care development. This study aimed to determine the effect of Orem self- care model on nursing students communication performance in clinical setting.Materials and Methods: In this quasi-experimental study, 66 nursing students were selected by easy-access sampling. Intervention group were trained based on Orem Self Care Model and control group based on routine nursing process method. Then the two groups cared patients over a week. Data were collected by performance evaluation checklist and nursing process record evaluation form, then analyzed with chi-square, Mann-Whitney and independent t test.Results: The mean of communication performance evaluation scores in the intervention group (88.4±10.6) was significantly higher than the control group (79.0±17.9) (P=0.014).Conclusion: As Orem self- care model showed a 12% students performance increase, it is recommended to present a course on nursing theories for undergraduate students.

Background and Aim: Beta-thalassemia major is a chronic illness that can lead to poor interpersonal relationship and psychological health, particularly for adolescents. Several studies show that spiritual well being, is associated with social and mental health. The purpose of this study was to determine relationship between spiritual well-being with hopelessness and social skills in Beta-thalassemia major adolescents.Materials and Methods: In this descriptive-correlational study, one hundred adolescents with Thalassemia were selected and entered to the study by convenience sampling from Special diseases centers, Zafar adult Thalassemia clinic and Thalassemia Clinic of Mofid Hospital of Tehran in 2010. Data were collected by selfreporting. The instruments used included: the sample selection and demographic data form, Beck hopelessness Scale, Matson social skills questionnaire and spiritual health questionnaire. Data were analyzed by statistical software SPSS (version 14) and with descriptive statistics, t- test, ANOVA, and coefficient Pearson correlation at the level P<0.05.Results: Mean scores of hopelessness was 6.1±3.8, social skills 223.1±25.7 and spiritual wellbeing 95.2±14.7. There were statistically significant correlation between score of spiritual well-being with hopelessness (P=0.005) and social skills (P=0.018), but there were not statistical significant relationship between hopelessness with social skills (P=0.423).Conclusion: In adolescents thalassemia, higher spiritual health was positively associated with increased hope and social skills. Awareness of spiritual needs and encouraging for use of spiritual intervention and spiritual support by nurses is necessary in order to holistic nursing care during treatment.

Background and Aim: The end stage renal disease (ESRD) and dialysis due to it affect seriously on physical and mental health of patients. Hemodialysis is a stressful process and life events have been known effective in creating depression in dialysis patients. Thus considering long time treatment and changes in lifestyle of patients, this study was conducted to determine the prevalence of depression and life events in hemodialysis patients in Birjand (2010).Materials and Methods: This was a descriptive analytical and sectional study which was done on hemodialysis patients in Vali-Asr hospital in Birjand and had inclusion criteria. Data were collected by questionnaire included three parts: demographic characteristics, Beck depression test and Holmes- Rahe lifeevent test. Data were analyzed statistically using SPSS software with Chi-square tests, Fisher exact test and Pearson correlation with (a=0.05).Results: Out of 60 patients included: 60% were male, 88.3% were married, 85% were city inhabitants and 85% had private houses.60% had average financial situation, 58.3% were unemployed and 53.3% were dialyzed three times a week. The mean age of patients was 54.35±17.46 years.43.3% of patients weren t depressed and 56.7% had depression. Life events score in 45% of patients was more than 200. There was a positive relationship between life events and depression scores but not statistically significant. There was only a statistically significant difference in relationship between genders (P=0.003) regarding individual variables, life events and depression.Conclusion: Considering the prevalence of depression and possible physical and mental illnesses in 50 to 80 percents in terms of Holmes-Rahe more than 200, it seems essential to prevent and mentally support these patients.

Background and Aim: After cerebral apoplexy, epilepsy is the second factor for center nerve system and death rate 2 or 3 times more in child who are contracted to epilepsy than who are not. No attention to epilepsy cause some effects on people s science level and social behavior and economic manufacturing of a country. Researches show that less than 10 percent of sanitation educators in schools have enough information about this illness to help patients. To increase the educational opportunities for epileptic childes we should have some plans of training and educational about epilepsy for teachers. This research is done to assign epilepsy prevalence and teacher s awareness about epilepsy.Materials and Methods: In this descriptive analytic research which was done on school students a teachers in primary school in Birjand among primary school in 10 regions of Birjand in racemose way in 20 school. Reference to chosen schools and consulting with sanitation educators and take a look at epileptic student s files and they give some letters of introduction to refer to nerve and cranial expert. After their illness confirmation they had an interview with parents and asked some questions to review the effective factors in the illness spreading (sex, family background, …). To inspect teachers awareness, we use a survey consist of 5 questions of demographic information, 5 questions to illness acquaintance and 22 question about awareness. The survey which was prepared by an appellant was confirmed by 10 experts and they verify its resident by re-examination. Then the remittances are gathered and analyzed with the SPSS software.Results: According to founding in this research, epilepsy spreading level in school children is 0.9% and the average point for teacher s awareness is 13.89 out of 22.70.9% of teachers get the average point, 17.7% good point and 11.4% the weak one.Conclusion: This research shows that incidence of seizure in school-age childes in Birjand (2010) is 0.9% and the most of teachers get the average point. So, according to above results, it's better to have some education periods for teachers, during their serving, to develop their information which helps to forward and support these children, effectively. Getting suitable information through educations to parents is also effective to prevent the impressions and difficulties of the disease.

Background and Aim: Urinary tract infection (UTI) is one of the most frequent difficulties in women, and because of the changes which take place in body conditions in pregnancy, pregnant women are more susceptible to it; and due to its potential effects on mothers and the fetus, UTI is considered very important. The aim of this study is to determine Knowledge, Attitude and Behavior of pregnant women based on the Health Belief Model (HBM).Materials and Methods: This descriptive- analytic study has been conducted on 110 pregnant women visited health houses staff in Behbahan city. The tools for collecting information was a multi sectional questionnaire consisting of demographic information, knowledge, attitude and behavior which its validity and reliability were ensured previously. Data were analyzed by SPSS software in significance level of P<0.05.Results: The mean age of the pregnant women in this study was 25 4.68.30.9% of samples had good knowledge, 46.4% had good perceived barriers, 94.5% had good perceived benefits 90.9% had good perceived susceptibility, 84.5% had good perceived severity and 35.5% had good behavior. There was a meaningful difference between employed people and housewives in regard of knowledge, knowledge did not relate to income. There was a meaningful positive correlation between knowledge and perceived barriers, perceived benefits perceived susceptibility and behavior.Conclusion: The results revealed that the level of knowledge, attitude and health behavior of most of the pregnant women presented in the study were moderate in the field of prevention of urinary infections; and in this respect some suggestions have been made as: to hold education classes to raise women s knowledge, attitude and health behavior on prevention of urinary infections by delivering speech and group discussion, to present books and educational pamphlets and to optimize Radio and TV education programs by experts.

Background and Aim: Teaching is a part of patient's rights, a recognized main duty of nurses, and a criterion for accreditation of organizations which provide health services. Evidence suggests the possibility of failure in this area; this study was conducted to assess barriers in patient education from nurses viewpoints serving in Birjand hospitals.Materials and Methods: This descriptive-sectional study was accomplished on 125 nurses in Birjand hospitals which were selected by census sampling. Data were collected via a designed questionnaire that its validity and reliability were ensured. Data analysis was performed by SPSS software and by using t test, oneway variance analysis in significant level of P<0.05.Results: The majority (78.4%) of nurses were female. The highest average score was observed in working conditions out of 4 areas of barriers for patient education. The following areas consisted of: areas of management, skills training and nurses attitudes, respectively. Average scores of nurses viewpoints in the field of working conditions according to age (P<0.001), employment status (P=0.01), serving history (P=0.02) and in the area of training skills according to age (P<0.001), service history (P=0.03) and educations (P=0.04) were significant.Conclusion: It is recommended to encourage nurses to train patients by: provision of necessary human resources, facilities, conditions for services and educational programs, in-service training courses and motivating nurses.

Background and Aim: Stress is one of the problems that can inhibit nursing clinical training and influence its efficiency. The aim of this study was identification of the stressors of clinical training in Abadan nursing students.Materials and Methods: In this cross -sectional study 47 nursing students in seventh and eighth semester were selected. Data was collected through a questionnaire containing four domains: inter relationship, clinical tasks, uncomfortable feelings, contemptuous experience and data analyzed with SPSS (Ver.13) software.Results: The highest rate of stress was in uncomfortable feelings. Inadequate care from nurses (48.8%), suffering of patients with badly conditions (41.9%) and mentor warning in personnel and physicians places (44.2%) were the most stressful factors. Students expressed that communication with the visitors more stressful than others, and in clinical management domain, cleaning the patients after defecation and urination was the most stressful clinical task.Conclusion: According to high stressful factors, with understanding the underlying causes of stress, it is possible to take good decisions to deal and control stress. In addition, these methods should be taught to students.

Background and Aim: Nowadays a large population in the world use internet. Unfortunately, despite many advantages and its positive changes in communication, Internet is condemned to have dangerous side effects, like Internet addiction that can be the most destructive one. The aim of this study is to survey the status of Internet addiction among Gonabad Medical University students and its relationship with their mental health.Materials and Methods: This cross-sectional study was conducted at Gonabad Medical University in 2010.400 students from different courses were selected by using stratified random sampling. After filling out informed consent forms, three other forms including individual questionnaire, IAT and GHQ-28 were given to the subjects to fill out. After controlling Data for accuracy, Data analysis was performed by SPSS software version 16 and frequency distribution, mean, one way ANOVA and Post Hoc test.Results: The results showed that 9.5% of the subjects were addicted to Internet, 21.5 percent were at risk. The Mean and standard deviation of general health score of the samples were 25.84±11.97. One way ANOVA test showed that general health scores at different levels of Internet addiction was significant (P<0.0001). Scores of physical impairment (P<0.0001), depressive disorder (P=0.002) and anxiety disorder (P=0.001) dimensions at different levels of Internet addiction showed a significant difference, but there were not significant difference in social functioning dimension.Conclusion: Results have revealed there is a reverse significant relation between internet addiction and general health; in other words internet addicted subjects had more inappropriate general health.

Crimean Congo hemorrhagic fever (CCHF) is a zoonotic viral hemorrhagic disease, which can be seen in Asia, Africa, East Europe and the Middle East. Mortality rate of this disease is about 30% which can be reduced with timely diagnosis and treatment with Ribavirin and supportive care. In this paper, two confirmed and one suspected cases of CCHF are introduced. Three days after the death of a woman with Disseminated Intravascular Coagulation (DIC) in the infectious diseases ward, a nurse working there and a housewife living in the city of Birjand, had been referred with vaginal bleeding. With suspicious to CCHF, both of them underwent oral treatment with Ribavirin and broad-spectrum antibiotics. The first case had expired in ICU before performing CCHF diagnostic tests; but in the latter two cases the disease was confirmed through molecular tests. The nurse refused to hospitalize and used self-medication at home. However, five days after the symptoms started, she referred to the hospital with a bad general health status, vaginal bleeding and low consciousness and eventually died of this disease. But the second patient recovered after receiving a dose of drug and supportive measures and discharged with a good general health status.