Journal of Client-Centered Nursing Care
Year:2017 | Volume:3 | Issue:4|Papers Count:6

Background: Understanding the physiological and psycho-social effects of pregnancy through Assisted Reproductive Technologies (ARTs) will enable health care providers to identify and treat any adverse outcomes, and provide support to women seeking fertility treatments. The aim of this paper was to review studies describing prenatal care in pregnancy through ARTs.Methods: A systematic search of the electronic databases including Medline/Pubmed, ISI Web of science and EM base, persian databases and Google Scholar search engine was performed with keywords ‘assisted reproductive technology’, ‘in vitro fertilization’, ‘prenatal care’, ‘midwifery’ and ‘pregnancy’. Qualitative, quantitative and review studies in English and Persian languages, published between 1990–2017 were selected, and 51 papers related to prenatal care in assisted pregnancies (In Vitro Fertilization (IVF) and Intra Cytoplasmic Injection (ISCI)) that met the inclusion criteria were reviewed.Results: The important issues regarding the prenatal care for women who conceive through ARTs include gaining the mother’s trust, involving the spouse in prenatal care, taking an accurate history, considering the underlying cause of infertility and the history of treatment, understanding the adverse consequences of ARTs on the health of the mother and fetus, helping the mother adapt to pregnancy and develop an attachment to the fetus, managing ARTs-related psychosocial issues, and maintaining confidentiality.Conclusion: Midwives managing the assisted pregnancies should be well aware of the unavoidable effects of ARTs on pregnancy to provide appropriate prenatal care.

Background: Diabetes is one of the main causes of mortality in both the developed and developing countries (e.g. Iran). It can lead to serious consequences, such as fatigue, paralysis as well as financial burden for the health system and the patients. In this research, we are going to consider the effect of discharge planning program on metabolic factors in type 2 diabetic patients.Methods: The present study is a quasi- experimental research. The samples consisted of 70 patients with type II diabetes, who were admitted to Vasei hospital in Sabzevar- Iran. The samples were selected using the convenience sampling method. Discharge planning was carried out by researchers based on the nursing process in two stages: before and after discharge. The follow-up process continued for four months after the patients’ discharge. Data collection instruments consisted of check list, medical measurement devices, sphygmomanometer, and blood test to measure metabolic factors (glycosylated hemoglobin, triglyceride, high- density lipoprotein, systolic and diastolic blood pressure and waist circumference). Data was analyzed by pair t test, independent t-test, and chi-square using SPSS-PC (V.20).Results: There was a statistically significant difference between the intervention and the control group, taking into account the average systolic blood pressure (P=0.002), glycosylated hemoglobin (P<0.0001), and triglycerides level (P=0.02). However, no statistically significant difference was observed in the mean score HDL (P=0.69), diastolic blood pressure (P=0.3) and waist size (P=0.46).Conclusion: According to the findings, one may conclude that the discharge planning has led to the improvement of some of the metabolic factors (glycosylated hemoglobin, triglyceride, systolic blood pressure) among the diabetic patients.

Background: Hypertension or high blood pressure is one of the most common chronic diseases among the geriatrics having a strong association with psychological factors such as perceived stress. Aerobic exercises are effective in the prevention and treatment of hypertension and stress management. In the same regard, this paper is an attempt to investigate the effect of Tai Chi exercise on the stress of Iranian older women with hypertension.Methods: This clinical trial with pre and posttest quasi-experimental design was conducted on 64 elderly women with hypertension at two elderly care centers in Tehran. This study included 8-form Tai Chi exercise for a period of six weeks. For collecting data, two questionnaires with demographic characteristics and the Perceived Stress Scale (PSS) were used, and for analyzing data, descriptive and inferential statistics were employed in SPSS-PC V21 software.Results: The results showed that there was no significant difference in perceived stress in both experimental and control groups, before and after the intervention. The results of repeated measures ANOVA also showed that the mean of perceived stress score before and after intervention was not statistically significant (P=0.557 and 0.489).Conclusion: Since the 8-form Tai Chi exercise is a safe intervention for the elderlies has led to a significant difference in the level of perceived stress among the elderly women, further studies are suggested to find a suitable and effective style of this exercise.

Background: Menopause is one of the most important stages of women’s life in the path of development which, comes with a series of other problems. The health status and quality of life issues of the postmenopausal women are serious challenges for many health areas. The aim of this study was to determine the relationship between health promotion behaviors and the quality of life of postmenopausal women.Methods: This descriptive-correlational study was performed on 200 postmenopausal women in the west of Tehran. The armamentarium for this study was a three-part questionnaire comprising demographic data, the second version of Health Promoting Lifestyle Profile (HPLP II) and Menopause-Specific Quality of Life (MENQOL). Data were analyzed by descriptive and inferential statistical tests using SPSS V.20.Results: The results showed that the mean score of health promotion behaviors was 2.49 ± 0.47 (in moderate level). More than half of the participants had a good quality of life, an overall quality of life mean score being 70.63 ± 37.49. The overall score of health promotion behaviors and quality of life was better in women who were married, younger aged, with good economic status, employment and those who achieved higher education.Conclusion: The results of Pearson correlation test showed that there is a significant reverse correlation between quality of life and health promotion behaviors in the stress management dimension (P=0.013). Therefore educational programs are recommended as an effective, economical and safe approach to reducing the menopause problems and augmenting the quality of life.

Background: Discharge with personal consent is considered as one of the main problems in hospitalization condition since many patients leave the hospital prematurely against the doctor’s advice. Thus, the aim of this study was to identify the factors affecting the discharge with personal satisfaction in selected teaching hospitals of Tehran University of Medical Sciences.Methods: The present study was a descriptive and cross-sectional analysis that was carried out on patients discharged with personal satisfaction from selected training hospitals of the Tehran University of Medical Sciences in 2016. The sample size was 153 patients who were randomly selected from Sina, Shariati and specialized women hospitals. The data were collected through using a self-made checklist and telephone interview. The SPSS V.18 software and statistical tests such as Chi-square and t-test were used for data analysis.Results: The most common causes of patient’s discharge with personal satisfaction was personal issues related to the sick and the highest among these causes was patient recovery. The least common causes of discharge with personal satisfaction was related to the hospital. There was no significant link of gender, age, place and insurance type with personal discharge, but there was a significant link between the discharges of the hospital with own agreement and type of the hospital (P<0.05).Conclusion: Hospital staff education, motivating the staff to participate actively in obtaining consent from patients and informing the patients about the stage of their treatment and recovery should be considered as priority management activities.

Background: Professional socialization of nurses defines a process in which novice practitioners are trained to develop the attitude and skills to become professional practitioners. This study was conducted to assess the level of professional socialization among clinical nurses.Methods: This is a descriptive cross-sectional study. A total of 600 nurses from Tehran and Shahrekord teaching hospitals and Oil Company hospital in Abadan, were recruited through convenience sampling method, participated in this study. Data collection was based on a valid and reliable questionnaire consisting of two parts including demographic form and "Nurses’ Professional Socialization" (NPS). Statistical analysis was carried out by Kruskal-Wallis test and chi-square tests using SPSS software, version 17 and P<0.05 was considered statistically significant.Results: The mean score of nurses’ professional socialization level was 213.96 ± 20.89. Nurses were at competent, proficient and expert levels with no novice or advanced beginner nurses. In professional socialization domains, there was a significant difference in professional autonomy, commitment and group participation among Tehran, Shahrekord and Abadan (p=0.001). There was a significant relationships between work experiences and group participation domain (χ2=9.1, df=2, P=0.01) and also the total score of professional socialization (χ2=6.8, df=2, P=0.03).Conclusion: Nurses in this study were highly and professionally socialized. It is important for hospital nursing managers to maintain and promote levels of professional socialization and help the new comers' resocialization process after their educational period.