Nursing And Midwifery Journal
Year:2020 | Volume:18 | Issue:3 (128)|Papers Count:8

Background and Aim: Constipation is a common problem in orthopedic patients, therefore preventive interventions in nursing care for these patients is essential. The aim of this study was to determine the effect of chewing sugar-free gum on the incidence and severity of constipation in male patients under lower limb skeletal traction. Materials and Methods: This study was an experimental clinical trial that was conducted in a single blind randomized interval in in Besat Hospital Sanandaj, Iran in 2017. Sixty two patients who were under skeletal traction using simple randomization by throwing coins were allocated into test group and control group. The incidence and severity of constipation in intervention group was measured based on ROM III questionnaire after 7 days of intervention. Data were analyzed using SPSS Version 23. Chisquare and T-test was also used. Results: The incidence of constipation in the test group was 45. 2% (14 patients) and in control group it was 74. 2% (23 patients). The results showed that the incidence of constipation in the test group was less than that of the control group and this difference was statistically significant (p <0. 02). The mean constipation severity in the test group was 5. 54 and in the control group it was 11. 03, the difference was also significant statistically (p <0. 015). Conclusion: The results of present study showed that chewing sugar-free gum as a complementary and non-pharmacological method was effective in reducing the incidence and severity of constipation in male patients under lower limb traction, therefore, this method can be used in completed bed rest patients.

The present study was philosophical and analytical research that examines quantum learning as an effective approach to the curriculum in a qualitative way. It explored books, published essays, and related studies, and took some advantages of online materials on the issue from domestic and foreign sources. Because of the large body of data on the issue, only the relevant information was included. Data collection from samples was done through taking notes. Research methodologies were analysis, interpretation, and inference. Results of our analysis showed that analyzing quantum learning and its curriculum elements and explaining how it applies in running the curriculum in higher education can help build an appealing atmosphere where learning outcome is maximized and teaching is enriched. However, further and deep analysis of fundamentals of quantum learning and how it relates to Islamic doctrines in running the curriculum at schools in different grades and education will prove helpful and also can be necessary in this regard.

Background & Aims: Professional socialization is a critical aspect of the evolution of nursing students. This process begins with the entry of people into the nursing education program and continues with the completion of nursing education and workplace entry. This study aimed to investigate the effect of professional socialization on clinical competency of nursing students in the field. Materials& Methods: This experimental study was performed on 62 nursing students in Mahabad Azad University who were selected through census and randomly divided into control (n = 31) and intervention (n = 31) groups. The intervention group attended 15 sessions of professional socialization program. A two-part questionnaire consisting of: a) demographic questionnaire and b)clinical competency questionnaire was used to evaluate and compare the control and intervention groups. The collected data were analyzed by SPSS 25 software. Paired t-test was used to compare pre and post intervention scores, and independent t-test was used to compare between groups and Smirnov Kolmogorov test was used to check the normality of data distribution. Results: The results of this study showed that the professional socialization educational program delivered by the intervention group was effective on nursing students' clinical competency (P=0. 0001). Conclusion: Professional socialization curriculum can have a significant impact on establishing and strengthening clinical competency of nursing students. Therefore, it is suggested that nursing education authorities utilize an organized, systematic and systematic training paradigm of professional socialization training based on new educational strategies in undergraduate nursing students' curricula to improve the efficiency and effectiveness of nursing education courses.

Background & Aims: Anxiety is one of the psychological problems of pregnant mothers. That is a powerful factor in predicting negative outcomes during childbirth. Women with low self-efficacy in childbirth are afraid that they will not be able to cope well with the pain of childbirth. Therefore, selfefficacy can play an important role in choosing the type of delivery. On the other hand, misconceptions about childbirth and high levels of anxiety during pregnancy also increase the rate of elective cesarean section. The purpose of this study was to investigate the relationship between self-efficacy and attitude toward delivery with pregnancy anxiety in primigravida women referred to selected health centers of Shahriar in 2018. Materials & Methods: This was a cross-sectional study. Six health centers were identified for the present study. The sample included 265 first mothers. Demographic questionnaires, Louis' delivery selfefficacy, and Harman's attitude toward pregnancy and Wendenberg's anxiety were used for data collection. Results: The results showed that the expected self-efficacy had a significant and inverse correlation with anxiety and its dimensions. Attitude toward delivery had a significant and positive correlation with anxiety and its dimensions. There was a significant and inverse correlation between attitude and expected self-efficacy. Conclusion: Educational interventions based on increasing self-efficacy and positive attitude toward vaginal delivery can be effective in reducing pregnancy anxiety.

Background & Aims: Cancer is the second most common cause of mortality after cardiovascular disease. Resilience is one of the best strategies to cope with diseases in patients. This study aimed to determine the effect of resilience-based group therapy on mothers’ perceptions of child's health status with cancer. Materials & Methods: This randomized clinical trial was carried out on 48 mothers of children with cancer in Shahid Motahhari hospital of Urmia in 2017. Samples were randomly divided into two groups using Excel (RANDBETWEEN function). The data were collected using a demographic questionnaire, General Health Questionnaire (GHQ-28), and Coping Health Inventory for Parents (CHIP). Analysis of variance (ANOVA) test was utilized. P-value of less than 0. 05 was considered significant. Results: The mean score of health status perception in the intervention group over time was significantly different compared to the control group (p<0. 001). The mean and standard deviation of health status perception scores in intervention and control groups were 22. 72 (5. 91) and 10. 95 (2. 01), respectively. Conclusion: Resilience-based group therapy intervention can be helpful as an effective support for mothers of children with cancer to understand their child's health status.

Background & Aims: Supporting family caregivers of clients with mental illness, in addition to feeling relaxed and safe, will have a qualitative and quantitative impact on the type of care provided to their patients. The purpose of this study was to investigate the safety and security of family caregivers of clients with mental illness. Materials & Methods: In this qualitative study, 20 family caregivers of clients with mental illness and 29 service providers and policy-makers were selected through purposive sampling method and underwent semi-structured in-depth interviews. Data were analyzed inductively using conventional qualitative content analysis. Results: 675 codes were obtained and classified in 7 sub-categories and the sub-categories were grouped in 3 main categories. The main categories included “ Sense of physical security” , “ sense of legal security” , and “ sense of social security” . Conclusion: The results indicated the challenging areas and important constituents of understanding the safety and security of family caregivers of clients with mental illness that require attention and consideration in social support development policies to support these family caregivers.

Background & Aims: Prevention or reduction of pain is especially important in premature infants who are subjected to more repetitive painful procedures that are necessary for their survival and uncontrolled pain in this type of infant leads to permanent damage to the components of growth and cognitive development and changes in response to subsequent painful stimuli. The present study aims to study the effects of oral 20% sucrose on severity of pain during venipuncture in premature neonates in Motahari hospital of Urmia, Iran, 2019-2020. Materials & Methods: In this a double-blind randomized controlled trial, 100 premature infants admitted to the neonatal intensive care unit of Motahhari Educational and Medical Center in Urmia in the second half of 2019) were assigned to three groups of sucrose 20% (50 infants) and control group (50 infants). Then, the behavioral response of infants with NIPS instrument before, 2 and 7 minutes after the vasodilation process was evaluated and recorded as a processor by direct observation of the infant by the researcher. Results: The results showed that the mean score of pain before and 2 and 7 minutes after the intervention in sucrose group was equal to (4. 78± 0. 91), (3. 18± 1. 15) and (3. 02± 1. 02) and in the control group (4. 84± 0/79). 4), (4. 94± 0. 79) and (4. 72± 0. 96). The trend of variable response (pain scores) was not the same over time between the two groups of sucrose, and control, and statistically significant differences were observed in the mean pain scores at different times (P <0. 001). Prior to the intervention, the mean of all three groups was approximately the same and in the control group, during the following periods, the averages were almost similar and did not change significantly with each other. Conclusion: According to the findings of the present study, oral solutions of sucrose 20% is effective in relieving pain in infants after venipuncture. Because this method is simple, safe, and easy to use, it is recommended for clinical routine use as an effective intervention.

Background & Aims: Studies have shown that people with ADHD who are heavily affected by severe illnesses Sexual function is a part of human life and behavior that is influenced by many biological, psychological, and social factors. Regarding the relationship between sexual function and mental health and the many problems that dialysis patients are involved with, this study was performed to predict the sexual function of dialysis patients based on adherence to treatment and resiliency. Materials & Methods: The research design was correlational. The statistical population consisted of all dialysis patients in Khorramabad hospitals. Sample size consisted of 101 dialysis patients. The instruments used in this study were questionnaires of sexual function, adherence to treatment regimen and resiliency whose validity and reliability were confirmed. Descriptive statistics (mean and standard deviation) and inferential statistics (correlation and regression) were used for data analysis by SPSS 24 software. Results: The results showed that 46% of sexual function was predictable by adherence to treatment regimen and resiliency of dialysis patients. Conclusion: It seems that adherence to treatment regimen and resiliency are factors affecting sexual function of dialysis patients and have a relatively decisive role in enhancing sexual function of dialysis patients. Therefore, adherence to therapeutic and resiliency regimens can be improved in these patients.