Iranian Journal of Rehabilitation Research in Nursing
Year:2017 | Volume:4 | Issue:1 |Papers Count:8

Introduction: Organ transplant is the only treatment for patients with organ failure that could increase their life expectancy and quality of life. Willingness to organ donation varies based on different customs and traditions, cultural and religious beliefs and the knowledge and attitude of people from different regions. The aim of this study was to evaluate the knowledge and attitude of the residents of Sanandaj towards organ donation.Methods: This cross- sectional study was conducted on 400 residents from the general population of Sanandaj city, Iran, who were selected through convenient sampling in 2016. Data were collected using the Dasgupta knowledge and attitude questionnaire. Data were analyzed using the PASW software through descriptive and inferential statistics. The significance level was set at 0.05 for all the statistical tests.Results: The mean scores of knowledge and attitude were 9.96±3.55 and 13.36±3.71, respectively. Results showed that knowledge and attitude towards organ donation had a relation with the educational level, job and the source of information, in a way that the most desirable level of knowledge and attitude was observed among people with high school and college degrees, employees and those who received their information from different media. Respectively, the level of knowledge and attitude in people with high school to diploma degrees was 18.9 and 9 times more than others, with college degrees was 12.7 and 5 times and in employees was 3 and 2 times more than others. Also, the levels of knowledge and attitude among people who gained their information about organ donation from television and newspaper were respectively 6.5 and 2.4 times and 4.5 and 1.9 times more than others.Conclusions: People of Sanandaj city had a fairly good knowledge and attitude regarding organ donation. Considering the cultural, religious and social characteristics of people, their knowledge and attitude towards organ donation could be improved by planning appropriate programs through different media.

Introduction: Headache is a common problem in patients with migraine. Therapeutic touch is a new strategy in nursing care by complementary medicine and alternative therapies to decrease pain in patients with migraine headaches. The present study aimed to examine the experiences of patients with migraine headaches from therapeutic touch by nurses.Methods: In this qualitative study with content analysis, patients with migraine headaches were selected by the purposeful sampling method during 2015-2016. Sample size was dependent on data saturation with a total of 7 participants at the end. Data were collected using in-depth and open- ended interviews, and then were analyzed by the content analysis method.Results: Results showed that experiences of the patients were extracted in 5 main themes including physical empowerment, a good experience, pain overcome, psychological empowerment, interaction with a nurse practitioner.Conclusions: Due to the good experiences of the patients and increased interaction between patients and nurses, therapeutic touch therapy can be suggested for headache relief in patients with migraine.

Introduction: Nurses due to poor ergonomic conditions and postures are at risk of developing musculoskeletal disorders (MSDs) more than other jobs. This study aimed to carry out the ergonomic risk assessment of MSDs using the Quick Exposure Check (QEC) technique among the nurses working in educational hospitals of Sari city.Methods: In this descriptive-analytical study, 400 nurses were selected from educational hospitals of Sari city using the stratified random sampling. Data were collected using the Nordic questionnaire of MSDs and quick exposure check technique (QEC). Data were analyzed using Chi- square, t-test and Pearson's correlation with the SPSS 18 software.Results: The results showed that low back disorders (55.8%) were the most prevalent disorders among nurses. The results of the QEC technique showed a high and very high risk of exposure to MSDs in 84.8% of the nurses. A significant relationship was found between MSDs and total risk of QEC (P=0.001). Also, there was a significant relationship between work experience, sex, age and body mass index with MSDs (P<0.05).Conclusions: In this study, the prevalence of MSDs was relatively high among the nurses and the most important reason was awkward postures during the work. So, any intervention for preventing MSDs should be focused on promoting the body posture during work and ergonomic interventions should be performed to reduce the risk level in the units with a higher risk.

Introduction: Non- adherence to treatment is known as a major problem in hemodialysis patients. Using appropriate educational methods, which with interpersonal communication try to meet the needs of the patient, may be helpful in this regard. The aim of this study was to examine the effect of using teach-back education on the treatment adherence of patients with end stage renal disease (ESRD).Methods: This randomized clinical trial study was conducted on 90 hemodialysis patients with ESRD referred to Sina Hospital in Tehran, during 2015-2016. The patients were divided into two equal groups. In the intervention group, in addition to routine training, the teach-back method education was performed in four areas of hemodialysis, medication, fluid intake and diet for 45 min. In the control group, training was only as a routine training. Treatment adherence was evaluated in 3 steps including pre-test, post-test (7 days after the intervention), and fallow-up (30 days after the intervention), using the ESRD adherence questionnaire (ESRD-AQ). Age, sex, educational level and duration of hemodialysis were identified in both groups.Results: The mean scores of treatment adherence in the intervention group in both post-test and follow-up were significantly higher than those of the control group (P=0.001), so that 28.8% and 22.1% of the changes related to treatment adherence were due to the intervention in the post- test and follow-up stages, respectively.Conclusions: This study shows that the teach- back method education may lead to treatment adherence in four areas of hemodialysis, medication, fluid intake limitation and dietary restrictions. This education method is suitable in patients with low educational levels and different durations of hemodialysis.

Introduction: Hypertension is one of the most common diseases that lead to other diseases. Education of self-care behaviors is part of the management of hypertension disease. This study aimed to examine the effects of nursing intervention education on self-care behaviors in patients with hypertension.Methods: This quasi- experimental study was conducted on 50 patients with high blood pressure referred to health centers of regions 1 and 2 in Kermanshah city during 2015-2016. To collect data, demographic and self-care measurement questionnaires were used. The questionnaires were completed by the patients before and six weeks after the face to face education. Data were analyzed using descriptive and inferential statistics by the SPSS software version 20.Results: The mean score of self- care before the intervention was 43.6±6.8 which was increased to 66.4±4.6 after the intervention (P<0.0001).Conclusions: Education of nursing interventions seems to have a positive effect on self-care behaviors of the patients with hypertension. So, the program of training self- care behaviors used in this study is recommended to promote self- care behaviors in patients with high blood pressure.

Introduction: Self- concept is an important variable in the field of elderly, to which little attention has been paid. Also, quality of life is one of the most important factors of human development. The aim of this study was to determine and compare self-concept and quality of life between residential and non-residential elderlies of nursing homes in Tehran, Iran, in 2015.Methods: This study was descriptive- analytical study. The population of this study consisted of all non-residential and residential elderly people (n=434) living in nursing homes of Tehran. The participants were allocated into two equal groups (n=217) of residential and non-residential elderlies using the accidental sampling method. Data were collected using the Rogers self-concept scale, elderly quality of life questionnaire (LIPAD), and demographic questionnaire. The data were analyzed using descriptive statistics (frequency, mean, standard deviation) and inferential statistics (Chi- square test, Kolmogorov-Smirnov test and independent t-test) by the SPSS 18 software.Results: Results showed that the mean values of self-concept for residential and non-residential elderlies were 8.25±1.47 and 8.14±1.63, respectively, which was not significantly different between the two groups. Also, the mean values of quality of life for residential and non- residential elderlies were 27.88±9.80 and 31.81±10.79, respectively, which was significantly different between the two groups (P=0.000). The results showed that there was a significant relationship between self-concept and quality of life in residential elderly people (P=0.001) and non- residential elderly people (P=0.014).Conclusions: According to the results of the present study, encouraging the elderlies' families to not send them to the nursing homes, improving and increasing the environmental facilities of the nursing homes, making the environment of these homes similar to their family homes, encouraging the elderlies' family or friends to regularly visit them, increasing the rehabilitation services and empowering the elderly can be helpful to improve the elderlies' quality of life.

Introduction: By entering old age, changes occur in the skeletal-muscular, vestibular, sensory- visual, and somatic systems when the physiological systems involved in balance. Thus, the aim of this study was to examine the effect of water resistance combined training on balance and fall risk in elderly women over 60 years in Tehran.Methods: This study was a quasi- experimental study. The study population consisted of all elderly women over 60 years in Tehran. Twenty- four women were selected and randomly divided into the experimental and control groups. The training group followed an 8-week aquatic exercise program (three sessions per week) while the control group continued their daily routines. To measure the static balance, the Sharpened Romberg test and to measure the dynamic balance and fall risk the Berg Balance Scale were used. The data were analyzed using the dependent and independent t-test by the SPSS 19 software.Results: The results showed a significant difference in total mean scores of static and dynamic balance after the training period in the intervention group than the control group (P£0.05); so that the balance after the training program improved and risk of falling was reduced.Conclusions: According to the results of this study, water resistance combined training and a comprehensive fitness program in water due to the low risk nature and providing conditions to challenge the neuromuscular system can be helpful to improve balance and reduce the risk of fall in women aged 60-75 years.

Introduction: Patients after a heart surgery and spending a recovery period at home need to have an early cardiac rehabilitation program. The first phase of cardiac rehabilitation program is well known for improving long- term health of patients with heart surgery. The aim of this study was to compare the effect of the first phase of cardiac rehabilitation education on self- efficacy of men and women after the heart surgery.Methods: This clinical trial study was conducted on 30 patients (14 females and 16 males) underwent the coronary artery bypass surgery. The patients were selected and randomly divided into two groups of men and women. Theoretical education and exercises of the first phase of rehabilitation were performed step by step under the supervision of a trained person using the pamphlets and educational booklets. Then, the self-efficacy questionnaire was completed in three stages before the intervention, at discharge time and one month after discharge by men and women. Data were analyzed using analysis of variance with repeated measures by the SPSS 16 software.Results: Results of the analysis of variance showed that the total score of self- efficacy significantly increased in the two groups (men and women) compared to before the intervention (P<0.001). However, no significant difference was found in the total score of self- efficacy between the two groups (P=0.482).Conclusions: The implementation of the first phase of cardiac rehabilitation improves the self- efficacy of men and women undergoing coronary artery bypass graft surgery. This study reveals the individual capabilities of male and female patients in recovery period after the surgery. Also the findings show that their intensive participation in physical activity can increase self- efficacy and reduce the need for help.