Military Caring Sciences
Year:2015 | Volume:2 | Issue:3 (5)|Papers Count:8

Introduction: Poorly parental Monitored adolescents are more likely to participate in pathological behaviors. The current study aims to investigate parental monitoring among military families’ adolescents. Material and Methods: In this cross-sectional study, 457 high school female and male students were selected through cluster sampling method and were assessed by Parental Monitoring Scale and Cronbach alpha coefficient for the scale was 0.73. Data was analyzed with SPSS-19 and using descriptive statistics and independent sample T-test. Results: According to study results, 75.2 percent of adolescents were going through high parental monitoring. Furthermore 63.2% of the male adolescents and 84.2% of female adolescents reported high parental monitoring. Moreover, the results showed that there was a significant difference between girls and boys in parental monitoring. Discussion and Conclusion: Parental monitoring involves attending to and keeping track of the adolescent. So, it is critical to take account of parental monitoring in parenting to bring up healthy adolescents. Additional, monitoring male adolescents is highly recommended.

Introduction: Spirituality has a fundamental role in creation a healthy family, this study aimed to identifying effective spiritual factors in healthy of military families.Materials and Methods: The present research is a qualitative research, in which phenomenological method was used. Statistical population of the study included all military families of Tehran. For this purpose, 18 participants were selected by purposive sampling method and were studied via deep interviews during a 12 month period. Data were collected, registered and encoded in main categories.Results: Analyzing the interview by codified data were resulted in identifying 246 primary codes, 10 sub category, and 2 main category including religion beliefs and religion manners.Discussion and Conclusion: Results shown that spiritual factors effects on healthy family including symmetry to worldview, reliance, recourse, benevolence, patience, forgiveness, and perform to necessitous. These factors have fundamental role in healthy of military families, Therefore in dealing with of military families it is necessary to pay more attention to spiritual factors.

Introduction: With the increasing use of cardiac catheterization and its accompanied complications such as urinary retention, finding out a safe and non-invasive way to solve this problem is essential. The purpose of this study was to investigate the effect of warm compresses on acute urinary retention following cardiac catheterization in male patients of military hospitals.Materials and Methods: In this study 72 patients with cardiac catheterization case selected by simple sampling and assigned equally to 2 experimental and control groups. The study was based on a visual scale measuring (VAS) of the elimination time of urinary retention, severity of urinary retention before and after the intervention. Descriptive and analytical statistics of the Data were performed by SPSS (version 21). The results were statistically analyzed with T-test and P-value under 0.05.Results: The results showed a significant difference in the severity of urinary retention of warm compresses group before and after the intervention, whereas the control group showed no significant difference. In addition, comparison of the removal time of urinary retention, showed the positive effect of the warm compresses intervention (p<0.05).Discussion and Conclusion: Given the positive effects of the warm compresses in relieving the severity of urinary retention and its elimination, in order to relieve the urinary retention, we suggest to use it prior to the catheterization of the supra-pubic area.

Introduction: Death anxiety can cause tension for people. It exists in some jobs like nursing continuously and has undesirable impacts like job dissatisfaction, psychological disorders and in patient insufficient care. The aim of this study was to determine death anxiety in nurses working in critical care units and related factors.Material and Methods: This research is a descriptive - correlation study in which 100 nurses (working in critical care units) from teaching hospitals affiliated to AJA University of Medical Sciences were recruited by census sampling. Demographic information sheet and Templer’s Death Anxiety Scale were used to collect data. Then the data were analyzed using SPSS software.Results: Mean score of death anxiety in nurses (7.55±2.1) calculated that 25% of death anxiety mild, 36% of death anxiety moderate and 39% death anxiety severe and the results was not showed significantly correlated between mean death anxiety and demographic variables.Discussion and Conclusion: Death anxiety affects physical and emotional aspects of nurse’s life, thereby affecting process of caring. Results showed that death anxiety was higher in critical care nurses. So, they need special attention about death anxiety and its causes, and require institutional support to enable them for providing quality care for patients.

Introduction: Delirium is a syndrome characterized by impaired consciousness and changes in cognition. Which lots of patients after coronary by-pass graft have several neurological complications, This study aimed to recognize some risk factors related to delirium in patient who had a by- pass operation.Materials and Methods: this cross-sectional study was conducted on 370 patients ranging from 18 to 85 years old and hospitalized in intensive care unit after coronary artery bypass graft surgery. Risk factors assessed including demographic variables, Diabetes Mellitus, drug abuse and smoking, hypertension, history of stroke and previous surgery, hematocrit lower than 30 percent, psychological disease. The convenience sampling method was used. After ending surgery and the separation from mechanical ventilation, the patients’ mental status was daily examined by means of observational Delirium Screening Scale until they were discharged and transferred from ICU to the surgical ward.Results: The incidence of delirium is reported 23%. There is a significant relation between the incidence of delirium and variables such as atrial fibrillation, psychological disease, Income level and range of hematocrit. Discussion and Conclusion: According to the results, screening and diagnosis of delirium after cardiac surgery is very important. With attention to individual profile and postoperative factors related to delirium, it is necessary to train about economic condition, product of blood and corrects this, underlying disease in order to decrease of delirium.

Introduction: the quality of life in renal transplant among ESRD patients have been identified the best treatment. This study, was done with the aim of “Quality of life in renal transplant recipients” done.Materials and Methods: This cross-sectional study was done in 81 patients with kidney transplantation in Tehran in 2012, with simple sampling. Data collection tools include a demographic data collection form and a questionnaire which measured quality of life (SF-8). Analytical and test SPSS 15 software was used to analyze the data.Results: The results showed that the quality of life in renal transplant recipients was average (75.3%). And 23.9% were low quality of life in renal transplant recipients. Between the quality of life, duration of disease and the expected significant links were found on the list (P=0.002); but the evaluation of the quality of life was not significantly associated with demographic variables (P>0.05). In this study, the majority of recipients were reported to be moderate given the high financial cost of the transplant and impose stress on patients and their families, studies to identify the factors disrupting the quality of life is established.Discussion and Conclusion: In this study, the majority of recipients were reported to be moderate. Given the high financial cost of the transplant and impose stress on patients and their families, studies to identify the factors disrupting the quality of life is established.

Introduction: Nurses, who make up more than 70 percent of the health care team, have an important role in educating the patients. Therefore, the aim of this study is to design an education program for patients admitted to the intensive cardiac care unit and investigate the effect of using it in a preliminary study on nurses working in cardiac care unit. Materials and Methods: During a library study, patients’ education program was designed. On the next step, it was implemented preliminary in a pre-experimental study of the before and after type in 2015 in cardiac care unit of a selected military hospital. Nurses working in cardiac care unit were entered into the study using complete enumeration method. Educational performance of nurses working in cardiac care unit was investigated before education by the researcher-made checklist consisting of 18 items. Quality content validity of the checklist was determined by 10 professors and experts in the field of education to patients and its reliability was determined on the basis of internal assessment (α=0.869). Patients’ education program was taught to the nurses in the form of three 60-minute sessions and in three working shifts during a two weeks period. 3 days after the implementation of the program, performance of nurses was re-assessed by the same checklist. Data collected was analyzed using the software SPSS ver.15 and descriptive statistics and paired t-test.Results: The designed patients’ education program in this study included: the development of educational objectives, selection of appropriate education content, selection and implementation of appropriate educational methods and techniques and reviewing the patient’s understanding of the provided education. The mean and standard deviation of the overall performance of nurses before and after the implementation of the program was 27.90±3.479 and 33.20±1.932, respectively. Paired t-test showed that the overall educational performance of nurses has a statistically significant difference (P=0.003).Discussion and Conclusion: The use of patient education program as a simple and low cost, has a great effect on nurses and also enhance the quality of education.

Introduction: One of the common problems in patients undergoing open heart surgery is anxiety which can have undesirable consequences. This study aimed to evaluate the effects of Benson relaxation on state anxiety in patients undergoing open heart surgery was performed.Materials and Methods: This study is a clinical trial that performed on 90 patients undergoing open heart surgery in selected hospitals of AJA University Medical Science in Tehran in 2014. the studied components were selected by simple sampling method and then with random allocation assigned to two experimental and control groups. Data collection instruments included a demographic questionnaire, and the Spielberg’s state anxiety inventory. The patients were randomly assigned into two experimental and control groups. Anxiety levels in two groups the day before surgery measuring by questionnaire Spielberg’s state anxiety and then in the experimental group were trained Benson’s relaxation. In the morning of surgery, Benson’s relaxation were performed by the experimental group and then anxiety levels control and evaluation in both groups about half an hour before was sent to the operating room. Finally data were analyzed by SPSS 21 with using the descriptive and analytic statistics (Chi square test, t-test and independent t) was performed.Results: The mean age of the sample was 55.82 with 55.6% of men and 82.2% were married. The mean score of anxiety before intervention in the experimental group was 34.35±4.43 and in the control group was 35.26±5.20 that after the intervention in the experimental group decreased (26.73±2.74), but in the control group increased (50.91±4.85), (P=0.001). In comparison score of anxiety two groups after the intervention indicated that these two groups were significantly different from each other (P>0.05).Discussion and Conclusion: According to the results of this study, Benson’s relaxation significantly are reduce the level of state anxiety in patients undergoing open heart surgery and suggested that nurses use this technique as one of complementary medicine and non-medicine methods to reduce the level of anxiety in patients undergoing open heart surgery.