Preventive Care in Nursing and Midwifery Journal
Year:2016 | Volume:5 | Issue:2|Papers Count:8

Background and Objectives: Several studies have shown that nurses working in the ICUs experience high levels of anxiety. Anxiety can not only negatively affect them, but may decrease the quality of care provided by them. The present study aimed to assess the effect of Valerian on anxiety among nurses working in the ICUs of Zanjan teaching hospitals.Materials and Methods: In this clinical trial, nurses working in morning and evening shifts were recruited to the study. A dose of 530 mg Herbal Sedamin capsules containing dried roots of Valeriana Officinallis were consumed by the nurses in the intervention group twice a day for one week. The control group received placebo. The Speilberger's State-Trait anxiety inventory was completed by the nurses at baseline and after the intervention. The independent t-test and paired t-test were used to analyse data.Results: After the intervention in two groups (Valerian and Placebo), the trait and state anxiety scores were significantly lower than before of the intervention. But there were no significant differences in the trait and state anxiety scores of the questionnaire between the experimental group and control groups after the intervention (P=0.846).Conclusion: It seems that the special and different nature of the ICUs has hampered the effectiveness of this herbal medicine. Further studies with higher doses, or in other settings is suggested.

Background and Objectives: Patients undergoing hemodialysis are exposed to stress and pain due to approximately 300 punctures per year they receive for their arteriovenous fistula. Alleviation of the pain can improve acceptance of the procedure and quality of life among the patients. This study aimed to assess the effect of cryotherapy on arteriovenous fistula puncture pain among patients udergoing hemodialysis.Materials and Methods: In this clincal trial, a convenience sample of 40 patients who met the inclusion criteria were randomly assigned to the experiment and control groups. Pain was measured using the visual analogue pain scale at baseline and after the cryotherapy in Hugo Point in experimentd group and control groups. Data were analyzed using the descriptive (frequency, mean and standard deviation) and inferential statistics (independent t-test, paired t-test, Chi-squared, Pearson's test) in the SPSS.Results: At baseline, mean of the pain scores were 5.9±0.96 and 5.5±0.82 among the experiment and control groups, respectively. After the intervention, mean of the pain scores were 3.2±0.82 in the cryotherapy group and 5.1±1.25 in the control group (p<0.001).Conclusion: Application of cryotherapy as a safe method with low side effects is suggested for pain control among patients with hemodialysis.

Background and Objectives: Irritable bowel syndrome (IBS) is the most common functional gastrointestinal disorder. It is characterized by lower abdominal pain, changes in bowel habitsand mood disorders such as anxiety. Behavioral treatmentscan reduce anxiety in the patients. This study aimed to investigate the effect of the problem solving training on anxiety in patients with the IBS.Materials and Methods: This quasi-experimental study was carried out on 46 patients with the IBS. The participants were randomly assigned to the intervention and control groups. Intervention group received one training session on problem-solving skills per week for eight weeks, in addition to the routine medication therapy and The control group was routine measures. Data were gathered using the Spielberg State-Trait Anxiety Inventory and were analyzed using the Chi-squared test and t-test in the SPSS-19.Results: There was no significant difference between the two groups on the mean anxiety at baseline (p>0.05). State anxiety was decreased after the problem solving training among the intervention group (p<0.001). There was no significant difference between the two groups in the mean trait anxietyaftyer the intervention.Conclusion Problem solving training was effective in reducing state anxiety among patients with the IBS.

Background and Objectives: Asthma is a widespread chronic disease. Preventive behaviors can reduce asthma symptoms. The aim of this study was to evaluate the effect of an educational preventive program on asthma outcomes among patients referring to Khoramabad hospitals, Iran in 2013.Materials and Methods: In this semi-experimental study, we allocated the patients into two intervention (n=50) and control (n=50) groups. The participants completed a valid questionnaire designed to assess the preventive behaviors and the disease outcome at two time points of baseline and 2- month follow up of the study. The intervention group received an education program consisting of one 90-minutes face-to-face session and an educational pamphlet. The data were analyzed using the descriptive and analytical statistics in the SPSS.Results: One hundred patients in both groups completed the questionnaire. The mean age was 49.36±13.12 and 45.78±11.92 years old among the intervention and control groups, respectively. After the intervention, the mean score of the preventive behaviors were 50.0±9.45 and 45.68±18.61 in the intervention and control groups, respectively (p<0.038). In addition, patients in the intervention group experienced lower asthmatic symptoms (P<0.04).Conclusion: This study showed that an outpatient educational program could improve preventive behaviors and disease outcome among patients with asthma.

Background and Objectives: Exchanging experiences and opportunities of work place with family and vice versa can be fundamental to lives of female nurses. This study was conducted to investigate the role of workfamily facilitation on family satisfaction and life satisfaction among female nurses.Materials and Methods: In this correlational study, 221 female nurses working in two public hospitals in Esfahan were selected using the convenience sampling method. Data were collected using the work-family facilitation scale, family satisfaction scale and life satisfaction scale. Data were analyzed using the Pearson’s correlation coefficient and structural equation modeling (SEM) in the AMOS-16.Results: Results of the SEM revealed that work-family facilitation had direct and significant relationship with life satisfaction (b=0.29, p<0.01); and family-work facilitation had direct and significant relationship with family satisfaction (b=0.34, p<0.01). The results also showed that family satisfaction was a complete mediating variable on the relationship between work-family satisfaction and life satisfaction.Conclusion: The results of this study demonstrated that family-work facilitation was a reinforcing factor for family satisfaction and life satisfaction among female nurses. The results also suggested that work-family facilitation could enhance the overall level of life satisfaction among female nurses.

Background and Objectives: Motivation is an internal state that fosters human activities; and is associated with factors such as job satisfaction, quality of care and durability of nurses in their profession. The aim of this study was to review and describe work motivation among nurses around the world.Materials and Methods: After searching the related keywords and removing the duplicates, we extracted data from three English and ten Persian articles. Quality of the articles was assessed using the STROBE Statement.Results: Most of the articles had reported that nurses work motivation was low. The most important factors affecting nurses work motivation included altruism, appropriate and respectful interpersonal interactions, adequate wages, proper working hours and free time to do own things, high autonomy, authorities support and recognition of work experience, social reputation, and nondiscrimination in working conditions and payments.Conclusion: It is suggested that the policymakers in nursing consider factors affecting the work motivation.

Background and Objectives: Burning can cause pain, disability, and death, as well as physical, psychological, and economic consequences. Knowledge on epidemiologic characteristics of burn patients can help to plan appropriate preventive programs.Materials and Methods: This was a cross-sectional study. Burn patients hospitalized in Ayatollah Mousavi hospital in Zanjan during 2010 to 2012 were studied. Data were collected and recorded through designed study forms; and were analyzed in the SPSS using the descriptive statistics and ANOVA and Fisher’s Exact Test.Results: During the 2-year period, a total of 627 burn patients were admitted to the hospital. Most of the patients (64.1%) were male. Most of the burn patients (68.7%) were more than 14 year olds; and most (54.7%) were rural. Most of the patients (60.9%) had a second degree burn. Most cases were thermal burns (53.6%).Conclusion: Our study showed that the majority of burn accidents occur in men over 14 years old. Preventive measurements and trainings are essential actions that should be placed through media, health centers, work place and schools to decrease burn accidents.

Background and Objectives: Patient safety is a global concern that can be influenced by the components of working system in medical settings. The present study was carried out to investigate the relationship between the working systems of nursing staff with patients’ safety in Zanjan hospitals in 2014.Materials and Methods: In this cross-sectional study, nurses were recruited to the study using stratified random sampling method. Regarding working systems, a modified questionnaire of the Carayon and Honaker was used to collect data. The questionnaire was arranged on a Likert type 5-score scale. The validity of the questionnaire was confirmed using the experts’ viewpoints and the reliability was confirmed using the Cronbrach's alpha coefficient (0.89). The standard questionnaire of the World Health Organization was used to collect data on patients’ safety. We used the structural equation modeling in the LISREL to analyze the data.Results: Components of the system played an important role in patient safety. With probability of 99% (except for one component), there was a significant relationship between the working system and patients safety.Conclusion: Regarding the results of this study, components of working systems influenced patient safety in health care centers. To improve patient's safety in hospitals, attention should be paid to all components of a working system to prioritize its components.