توسعه پژوهش در پرستاری و مامایی
سال:1393 | دوره:11 | شماره:1 |تعداد مقالات:10

Background: Premenstrual syndrome (PMS) is a set of physical, emotional and behavioural changes that appear in the late luteal phase of the menstrual cycle. Given the high prevalence of this syndrome among women, this study aimed to evaluate the effects of Pilates Exercise and vitamin E consumption on symptoms of PMS.Methods: In this semi-experimental study, 40 non-athletic female students with diagnosed moderate to severe PMS were selected from the University of Ayatollah Boroujerdi. The students were randomly divided into four groups of "Pilates, Pilates along with vitamin E, vitamin E and controls". Pilates workouts were performed for 4 weeks, three session a week with consumption of one vitamin E tablet a day. Subjects were analysed using the PMS symptoms screening questionnaire before and after the intervention. Analysis of variance and t-test were performed to compare the obtained data at significance level of P<0.05.Results: There was no significant difference between the four groups before the intervention. In the Pilates group and vitamin E group, the intensity of mood symptoms (P=0.0001) and physical symptoms (P=0.002), and the impact of these symptoms on individuals’ lives (P=0.0001) reduced significantly in comparison with data before the intervention and the control group.Conclusion: Pilates along with vitamin E consumption improves the symptoms of PMS among the participants of this study.

Background: Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.Methods: This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.Results: The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P<0.05).Conclusion: Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.

Background: Cognitive and metacognitive learning strategies are identified as important solutions for improving academic achievement. This study aimed to evaluate the effect of teaching cognitive and metacognitive learning strategies on academic achievement among nursing students.Methods: This Study was an experimental with pretest and posttest and follow-up design. The study population included all nursing students at Islamic Azad University of Pishva during 2013-14. Overall, 40 students were chosen by convenience sampling technique and randomly divided into two groups (20 subjects in each group) of experimental and control. Students in the experimental group received 10 sessions of 70 minutes long (twice a week) training for cognitive and metacognitive strategies, while the control group received no training. All students completed a teacher-made academic achievement test at the pretest, posttest, and follow-up phases. Data were analyzed using repeated measures ANOVA technique.Results: The mean value of the experimental group (16.67 ± 3.58) was higher than the control group (13.47± 2.37) at the posttest phase. The mean value of the experimental group (16.29 ± 3.74) was higher than the control group (12.93 ± 2.84) at the follow-up phase. In addition, there were significant differences between mean values at the posttest and follow up phases and mean value at the pretest phase. However, there was no significant difference between the mean values of the posttest phase and the follow-up phase.Conclusion: The results of this study indicate that teaching cognitive and metacognitive learning strategies improves academic achievement in students at posttest and follow-up phases. Thus, academic teachers may teach these useful strategies to the students to improve their academic achievement.

Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.

Background: Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.Methods: This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.Results: The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).Conclusion: Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.

Background: Breastfeeding is a complex phenomenon and its duration is influenced by several factors. Since proper family support may affect the length and quantity of exclusive breastfeeding, this study aimed to explain the supportive role of families based on experience of successful mothers in exclusive breastfeeding.Methods: This qualitative study was done in 2015with conventional content analysis approach. Overall, 16 successful mothers in exclusive breastfeeding were chosen by purposeful sampling from healthcare centers affiliated to Golestan and Mazandaran Universities of Medical Sciences. Data were collected by in-depth semi-structured interview and data analysis was done using comparative analysis. Lincoln and Guba criterion was used to evaluate accuracy and robustness of data.Results: The experiences and perception of successful mothers in exclusive breastfeeding were categorized into four classes of emotional support from grandmothers, effective training role of grandmothers, cooperation of husband’s family, and participation of breastfeeding mother’s family.Conclusion: Considering the supportive role of family members in various emotional and informational aspects of exclusive breastfeeding by mothers, it is recommended to seriously consider the role and position of this group and implement strategies using their potential in policymaking for breastfeeding.

Background: Sex education is one of the challenging areas of educational systems that has always been accompanied by many problems due to some obstacles and constraints. This has led to occurrence of many behavioral problems and deviations. The aim of this study was to determine the sex education gaps in university curriculum from the students' perspective.Methods: This was a descriptive-survey on students of universities in Kashan (15235 students), during academic year 2013-14. Overall, 220 students were enrolled in this study using stratified random sampling. Data collection tool was a questionnaire of sex education with 28 questions and six components (objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and university atmosphere) using a 5-point Likert scale. The content validity was confirmed by experts. The reliability was estimated as 0.89 using Cronbach's alpha coefficient. Descriptive and inferential statistics were used to analyze the obtained data.Results: The mean level of sex education gaps (3.97±0.56) in the university curriculum was above the average (3). The highest mean was related to the component of procedures (4.1±0.63) and experiences and learning opportunities (4.1±1.01).Conclusion: The results showed that the average level of gaps in sex education in the university curriculum is higher than the assumed mean level. The gaps are present in all components of objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and the university atmosphere.

Background: Poor quality of sleep and daily activity in elderly people are associated with many physical and psychological problems that increase disability and need to use health services. The aim of this study was to determine the relationship between daily activities and quality of sleep in the elderly people.Methods: This Study was a correlational-descriptive study on390 elderly people in Zanjan in 2013. The sampling was done using a cluster and multistage method. Data were collected via face-to-face interview, using Pittsburgh Sleep Quality Index (PSQI) and a questionnaire on "activities of daily living (ADL)" and "instrumental activities of daily living (IADL)". Data analysis was performed using descriptive statistic including number, percentage, mean, standard deviation, and inferential statistical tests including Spearman's rank correlation coefficient, independent t-test and one-way analysis of variance.Results: The mean score of AD Land IADL was 11.58±0.81 (score range 0-14) and 11.23±2.93 (score range 0-18), respectively. In addition, 85.7%of the subjects in the study had poor sleep quality and only 14.3% had good sleep quality. The results also indicated no significant relationship between the daily activities and quality of sleep in the elderly, while instrumental activities had a weak positive and significant correlation with their sleep quality (P³ 0.05).Conclusion: Although the elderly in this study have poor sleep quality, they are independent in performing ADL and IADL. Furthermore, there is a weak and direct correlation between sleep quality and instrumental activities of the old people. Improvement of activity in the elderly can improve their quality of sleep.