Nursing And Midwifery Journal
Year:2020 | Volume:17 | Issue:12 (125)|Papers Count:7

Background& Aims: One of the most common problems in patients before surgery is psychological disorders such as anxiety, stress, and depression. The aim of this study was to compare the effect of progressive muscle relaxation and aromatherapy with Damask Rose on anxiety, stress, and depression in general surgery candidates. Materials & Methods: In this randomized controlled trial, 90 patients undergoing general surgery referred to Ayatollah Kashani Hospital in Shahrekord were randomly divided into three groups of relaxation (30), aromatherapy (30), and control (30). Data were collected using a demographic questionnaire, DASS scale of anxiety, anxiety and stress, a 21-item DASS questionnaire, and vital signs record form. Data were analyzed using SPSS software version 21. Results: Results showed that there was no significant difference in mean scores of anxiety, stress, and depression before intervention between the three groups (p> 0. 05). But after intervention this difference was significant (p <0. 05). Intergroup comparisons also showed that there were no statistically significant differences between the two groups in terms of the variables studied and the two methods were not superior to each other. Conclusion: According to the results of this study, it can be suggested that using muscle relaxation and aromatherapy can reduce anxiety, stress, and depression in patients undergoing general surgery.

Background & Aims: Based on recommendations from World Health Organization (WHO), hands hygiene is the first step for infection control. The aim of this study was to evaluate knowledge and performance of mothers about hands hygiene in NICU. Materials & Methods: This was a cross-sectional study. Participants included 132 mothers with preterm newborns hospitalized in NICU of Al-Zahra teaching hospital, affiliated to Tabriz University of Medical Sciences in 2019. Data was collected by two questionnaires for demographics and knowledge on hand hygiene and checklist to evaluate the techniques of hand washing as recommended by WHO. The results were analyzed by SPSS, V19. Results: The results of the present study showed that the majority of mothers considered that the frequent visits to the cause of infection and they stated that only reason for hand washing is dirty hands. Most of them only rubbed their hands together, in the process of washing hands and they did not follow the stages of hand washing as recommended by WHO. Conclusion: The results of this study showed that maternal knowledge and performance in hand hygiene were not acceptable. Considering the developmental of family center care and involving mothers in the care of their infants, it's essential to pay attention to the mothers hand hygiene. By identifying the gap of between the standards and the actual performance, the opportunities for promotion and training are provided to them, until unknowingly and unwittingly, they do not transmit the infection to their infants.

Background & Aims: Cancer is the second leading cause of death in the United States and the third leading cause of death in Iran. The aim of this study was to determine the effect of peer-to-peer self-care training based on gastrointestinal complications in cancer patients. Materials & Methods: The present study is a clinical trial. This was done with the participation of 80 cancer patients using the available sampling method and random sampling in two groups of tests and controls (40 people in each group). In addition to the usual training of the center, the members of the intervention group were provided with self-care training in the field of tolls and how to manage tolls. The control group received only routine training from the center, ie training by a physician and a hospital nurse, and training through posters and pamphlets at the center. The data collection tool was a questionnaire for the management of chemotherapy complications. Data were collected at the beginning of the study and during the first course of chemotherapy. Finally, the data were analyzed by descriptive and inferential statistical tests and SPSS software version 16. Results: After the intervention, there was a significant difference between the two groups in terms of the mean score of gastrointestinal complications due to chemotherapy and treatment, and the mean score of the intervention group was lower (Kay Square, p <0. 05). The mean score of self-care behavior after intervention also showed a significant difference between the two groups and the mean score of the intervention group was higher (independent t, p <0. 05). Discussion and Conclusion: Peer-to-peer training promotes behavioral management of chemotherapy, so the use of this training method is recommended for cancer patients undergoing chemotherapy along with other training methods.

Background & Aims: Bad news is one of the major challenges for cancer patients. The present study was conducted to investigate the attitudes of cancer patients and their families toward the diagnosis of cancer admitted to hospitals affiliated to Ardebil University of Medical sciences. Materials & Methods: A total of 196 cancer patients and their families (including 62 family members of cancer patients, 76 adult patients and 58 child patients) who were admitted to the oncology wards of Imam and Bu-Ali hospitals in Ardebil were selected by convenient sampling method. Data were collected using a questionnaire containing six dimensions, including the suitability of the person, the time and the place for delivering the bad news, amount of information disclosed, acceptance, and factors affecting the delivery of bad news, plus a section on demographic details. The questionnaire was completed by the researchers through interviews. Results: Significant differences were found between age and attitude in all three groups regarding acceptance of the bad news (p=0. 045). In the dimension of suitability of time for delivering bad news, children’ s families had a better attitude than families of adult patients and adult patients themselves (intergroup difference: 0. 017), but they had a poorer attitude than the other two groups with regard to factors affecting delivery of bad news (intergroup difference: 0. 007). Female patients had poorer attitude toward the place for delivery of bad news (p=0. 046). Family members of adult patients with higher education showed poorer attitude toward the bearer of the bad news (p=0. 009), and those with higher income had a better attitude toward timing of the bad news (p=0. 046). Those living in privately owned houses had a better attitude toward suitability of the place for the delivery of bad news (p=0. 043) and the amount of information provided (p=0. 043). Families of patients with acute diseases showed better attitudes toward the amount of information provided (p=0. 033). Employed family members of pediatric patients accepted the bad news better (p=0. 04). Conclusion: The results showed no significant differences between the attitudes of adult patients and their families and families of pediatric patients. The attitude differences were observed between groups in certain demographic variables. Therefore the socioeconomic and demographic backgrounds of the person should be considered when delivering the bad news.

Background & Aims: Breast cancer accounts for about one-third of all cancers in women, and after lung cancer, it is the most common cause of cancer death in women. Despite this, breast cancer has the highest incidence of all cancers. The incidence of this disease is increasing rapidly in many countries around the world. Some well-known etiological factors of cancer also play a role in the incidence of breast cancer. Epidemiological studies show important information about the risk factors for breast cancer. Materials & Methods: The present study is a cross-sectional descriptive study in which 708 women were selected by a multi-stage random sampling method from women aged 30 to 59 years covered by Comprehensive Rural Health Centers of Somesara in 2018. They were evaluated for 22 proven breast cancer risk factors by the researcher. The results of the research were analyzed using SPSS20 software and descriptive statistical methods such as frequency and mean. Results: Of the 708 female participants, 707 (99. 8%) had at least one risk factor for breast cancer and the highest risk factors were related to overweight and obesity with 603 cases (85. 3%), adverse physical activity with 548 cases (77. 6%), subsequent malnutrition with 373 cases (52. 7%), and exposure to smokers with 172 cases (24. 4%). Conclusion: The results of the present study showed that most of the high-risk risk factors in women aged 30 to 59 years are related to lifestyle, which can be corrected by training and creating appropriate contexts and their negative effects can be moderated.

Background & Aims: Because of having relationships with the community and the patients, health care personnel need a thorough mental health to be able to continue their profession as a health care personnel. social support is an effective factors in mental health, And to help them cope with stressful situations and anxiety, and trauma they experienced fewer. Therefore, this study aimed to investigate the relationship between mental health and perceived social support of health service providers working in Isfahan. Materials and Methods: This descriptive-analytical investigation is a periodical type conducted on 400 of health service providers working in Isfahan health system in 2018. The two-step sampling method was randomly classified. Data were collected using a 3-part questionnaire including demographic data, mental health status for depression, stress and anxiety and social support assessment. The data were analyzed by use of spss, 24 version and by regression and analyzing coefficient correlation. Results: The mean age of participants were (3/8± 6/38) years. In this study, mental health status has a significant and direct relationship with the score of perceived social support. The results showed that there was a inverse and significant correlation between age, child number, work experience and mental health (anxiety, depression and stress) with social support. (P <0. 05). Also in this study, divorced and widowed people had higher levels of depression, stress and anxiety and reported lower social support. Conclusion: In this study, there is a significant relationship between mental health and perceived social support and this relationship has varied according to demographic factors. Therefore, the results of the present study can be used to plan and design interventions aimed at improving network quality and quantity. Supportive support, especially for vulnerable groups, can help overcome work stress and ultimately improve employee mental health.

Background & Aims: Burns are one of the major health problems in the world. Family-centered education can help families increase their patient care knowledge. The purpose of this study was to determine the impact of family-centered education on the knowledge of caregivers of burn patients. Materials & Methods: This quasi-experimental study was performed in 2019 on 96 burn patients of Besat Hospital of Hamadan using convenience sampling method. Data collection tools included a researcher-made demographic questionnaire and careers’ knowledge of caregivers. The control group (n = 48) completed the questionnaires at baseline and 1. 5 months later. After completing the sampling from the control group, the family-centered patient care program for the intervention group (n = 48) was administered in four sessions and they completed the questionnaires before and one and a half months after the training. Data were analyzed by Chi-square, independent t-test and Paired t-test using SPSS 16 software. Results: There was no statistically significant difference between caregivers and patients (p> 0. 05). Independent t-test showed that the mean score of caregiver knowledge (p = 0. 13) and its domains (adaptation, diet, physical activity and physiotherapy, wound care, using equipment, starting sexual activity, re-referral) were not significantly different in the two groups at first (p> 0. 05), but after education, the mean of caregiver knowledge and all domains. Except for the resumption of sexual activity in the intervention group, there was a significant increase compared to the control group (p <0. 05). Conclusion: Patient care education for burn patients' caregivers leads to increased caregiver knowledge. Therefore, the importance of family-centered education should be given greater attention.