Iranian Journal of Nursing Research
Year:2020 | Volume:14 | Issue:5|Papers Count:9

Introduction: Aging is associated with several health threats, including fall and fear of fall, as well as psychological, physical and social issues. Therefore, the aim of this study was to determine the depression, anxiety and stress and related factors in the elderly after orthopedic surgery. Therefore, the aim of this study was to determine mental health status of the elderly with fall related orthopedic surgery. Methods: The present study was a cross-sectional (correlation-descriptive) study that included 280 elderly people with fall related orthopedic surgery who were attended to selected educational centers of Iran University of Medical Sciences in 2018. The subjects were selected by Available sampling method. The data gathering tool was a short form of cognitive test (AMT), demographic profile form, and depression, anxiety and stress scale (DASS). The internal consistency coefficients of the three scales of depression, anxiety and stress were: 93. 9, 90. 9, and 92. 9 respectively. The test-retest coefficients (with a three-week interval) of depression, anxiety and stress scales were: 0. 88, 89. 9, respectively. And 90. In addition, the intra-class correlation between two runs is equal to 87. 78, 87. 8. And 80. The conditions for entering the elderly were: age 60-75 years, cognitive capacity and ability to answer questions (AMT), lack of neurological disorders, communication ability and absence of mental illness. Data were analyzed using descriptive statistics and inferential statistics such as Independent T and Anova Unilateral in SPSS software version 20 at significance level P ≤ 0. 05. Results: The mean age of the elderly participated in this study was 69. 51 ± 4. 29 (SD = 4. 29), 65% female and 35% male. Nearly half of the elderly had a mild to moderate depression (41. 6%), about 47. 9% had moderate anxiety and 23% had mild to moderate stress. In addition, each variable "stress, depression and anxiety" had a significant relationship with gender, education level, marital status and history of chronic diseases (P <0. 05). Conclusions: Considering the unfavorable outcomes of depression, anxiety and stress in the elderly, counseling programs during discharging and also the promotion of family and social support can provide a platform for health promotion and achieving healthy, successful and active aging Brought up.

Introduction: Parenting quality is a major cause of growth and development in children, but its inappropriateness along with the familial conflict and the lack of warm and positive relationship with parents in Roma families, called the Gorbat groups, leads to the psychological, physical and social problems in the child future. The present study aimed to investigate the effect of peer parenting skill training on the parent/child relationship. Methods: In this randomized controlled clinical trial (RCT) before and after the intervention, 60 parents (mothers) with 6-12 year-old children, who were studying at Sobherouyesh School (for child labor) and had the eligibility for inclusion in the research, were randomly selected from Roma families (Gorbats) living in Harandi Square of Tehran City in the year 2016 (based on the sample size formula for inclusion in the controland intervention group with random allocation). Parent-child relationship scale questionnaire relating to the mother was the data collection tool which was collected by children with the help of researchers before, after and 6 months after the intervention. Furthermore, the demographic questionnaire before the intervention was completed to collect data from mothers with the help of researchers. Five mothers were selected as peers according to the peer selection criterion in the present study and trained. After recognizing their abilities to present the content, by psychologist of group, the trained peer group taught mothers in the intervention group. For intervention, mothers were divided into 6 groups each which was allocated to a peer for training. Regarding the fact that sessions were weekly, each group received training a day per week, and the intervention was completed in two months. The researchers and psychologists of group also attended in sessions which held by peers. Parenting skills were taught to them based on the positive parenting program, which was run in four weekly 2-hour workshops by group discussion and role play along with four weekly 2-hour sessions simultaneous with cooking, regular sessions in mother s houses for breakfast or during pilgrimage tours, by researchers for peers. The control group did not receive any training. Data analysis was done using SPSS software, independent and paired t-tests, Chi-square test. Results: The independent t-test indicated that the mean score of parent-child relationship in the mother form was significantly different in two groups after and 6 months after the intervention (P<0. 05). Conclusions: The results indicated that the peer parenting training affected the improvement of mother-child relationship in itinerant families, but this group still needed further and ongoing training intervention in the field of parenting and child care especially by persons who have necessary knowledge in this field as professional pediatric nurses.

Introduction: One of the most common care interventions performed by nurses is drug therapy and medication errors are the most common type of medical error in medical centers. The aim of this study was to determine the frequency of medication errors and their related factors in Kashan Shahid Beheshti Hospital staff. Methods: This descriptive-analytical study was performed in Shahid Beheshti Hospital of Kashan University of Medical Sciences in 2017. To collect the data, four hospital wards were selected randomly at first and the researcher-made questionnaire with 29 open-ended questions and a 20-question checklist were used to investigate drug errors. The data collection tool was completed by the observer while accompanying and observing the nurse in charge of the medication. Descriptive and inferential statistics were used for data analysis. The data were analyzed by SPSS software version 16. Results: In this study, a total of 65 nurses were observed in four departments of internal medicine, surgery, intensive care and emergency for 301 doses of medication. The highest frequency of medication errors according to the types of errors were incorrect time (41. 74%), wrong medication (18. 88%) and wrong technique (14. 23%). The highest number of medication errors according to the drug administration stage were in drug administration (20. 02%) and then in drug preparation (5. 04%) and finally in drug prescription (2. 94%). Conclusions: According to the results of the present study, it can be concluded that medication errors are common in nurses. Therefore, it is necessary to educate the fundamentals of medication properly considering all safety considerations.

Introduction: Aesthetic surgery has been growing in recent years in Iran, and girls and women have the largest number of facial cosmetic surgeons. Given the significant presence of girls and women in society, can community pressures affect women's ability to perform cosmetic surgery? In this study, the subjective norm of the applicants for cosmetic surgery was evaluated and compared with the non-applicant group referred to hospitals affiliated to Shahid Beheshti University in 1395. Methods: This is an analytical and comparative study. 400 women in two groups of facial cosmetic surgery and non-admitted facial cosmetic surgery patients referred to a hospital covered by Shahid Beheshti University were compared. Sampling method was clustered. The data gathering tool was a researcher-made questionnaire. Results: Among 200 applicants and 200 non-existent women, 96 (48%) and 88 (44%) were in the age group of 35-35 years, and 86 (43%) and 88 (44%) at the undergraduate level. In the applicant group, 118 (59%) were single and 80 (40%) were married. In the non-existent group, 117 (58. 5%) were single and 78 (39%) were married. The study of subjective norms in the two groups showed that the subjects in the Applicant group significantly than non-applicant group believe the subjective norms (P-value < 0. 001). Conclusions: In this study, subjective norm were identified as an effective factor in performing cosmetic surgery. Applicants are influenced by the views of the most important individuals in their lives, including parents, spouses and doctors, and follow their opinions for cosmetic surgery, while non-adherents do not follow such a pattern. Therefore, in future studies, it is necessary to provide interventions to educate self-esteem applicants so that they cannot easily be influenced by the opinions of their circles.

Introduction: Improving the quality of life in diabetes patients is the main objective of health improvement programs. Implementing self-management programs is one of the effective strategies for quality of life and behavior change. Then it can be used of appropriate application models in elderly patients with diabetes to improve efficacy and the proper behavior change. The aim of this study was to evaluate the effect of self-management 5A on the quality of life of elderly patients with diabetes. Methods: This clinical trial, two groups that 90 elderly patients with diabetes patients admitted in the diabetic clinic Razi Hospital in Ghemshaher city, 2019. The elderly patients were selected by convenience sampling method and were randomly divided into experimental group (45 patients) and control (45), respectively. The experimental group self-management programs was based 5A. The control group received routine hospital. The instrument used in this study is lipad quality of life questionnaire. In the first and 12 weeks after the study was completed in two groups. Data using SPSS 21 software and were analyzed with Chi-square, U Mann Whitney, and Wilcoxon tests. Results: The findings showed that the most of patients were female, married and elementary. The mean age of patients was 67. 48± 6. 77 years. The mean scores in all aspects of quality of life was higher in the group experimental after completion of intervention. Statistically significant difference was not observed (P<0. 001). Conclusions: This study demonstrated that self-management program 5A model on quality of life of elderly patients with diabetic in the study period has effectiveness. Thus, it is concluded that the diabetic individuals can be significantly improved following instruction by nurses.

Introduction: Quality assurance of higher education, especially PhD education, is one of the concerns and priorities of higher education planning planners. Matching, comparing and analyzing different dimensions of educational programs with other countries is very effective in solving this concern. Therefore, this study was conducted with the aim of comparing the descriptive-comparative study of nursing Ph. D Curriculum in Iran and the American University of North Carolina. Methods: This is a descriptive study with a comparative approach in which the Iranian nursing education system was compared with elements of the doctoral curriculum of the University of North Carolina. Data were collected by searching the internet with using of databases Persian and English. The data were analyzed using four-step Bereday model including description, interpretation, juxta position and comparison. Results: The content of the courses in North Carolina is highly specialized, focusing on student needs, in keeping with the philosophy and goals of the program, and the needs of the community are included in the student courses. North Carolina's Ph. D. Nursing Curriculum is full-time and part-time with a 3. 5 year teaching period and student recruitment is independently by the university, but in Iran, this is only full-time and student admission is concentrated. The trends of this university for this section include PhD, DNP, Post Doc, DNS, DNAP, but in Iran it is only offered with a Ph. D trends. Admission to Ph. D. in Carolina is also possible from a bachelor's degree while this is not possible in Iran. Conclusions: Given the comparisons and curriculum advantages of the University of North Carolina, it is appropriate for Iranian nursing education planners to make fundamental changes to the curriculum of this section in terms of philosophy, goals, duration, courses, and so on, to solve problems of health care system and the community.

Introduction: Quality of life of head-of-household women is affected by the acceptance of numerous socio-economic roles and reduced attention to their health. In this group of women, low quality of life with low life satisfaction is caused serious problems. The aim of this study is assessment the studies about quality of life of head-of-household women, importance of health in different dimensions and the need for effective interventions to maintain their quality of life. Methods: In this narrative review study, Persian and English published articles between 2006-2016 were searched by Persian and English key words: quality of life, head-of-household women and Iran in SID, Science Direct, Ovid, PubMed data base. This electronic search was conducted by two members of researchers. Inclusion criteria for selecting papers were: time and place of research, relevance to the aim of research, having a framework for research, full text and the language (Persian or English) of articles. The quality of the papers was assessed based on a quantitative review checklist including: Matching the structure of the article with the type of research, the research purpose and community, the sample selection, the data gathering tools, the methods of data analysis, using relevant statistical tests, inclusion and exclusion criteria, ethics, research findings and discussion. Results: 10 papers were reviewed. 8 papers were related to describing and analyzing the quality of life of female headed household’ s factors (demographic, social, and psycho-emotional factors), and 2 papers were related to the effects of educational programs on the quality of female headed households. The findings indicated a low overall score for women's quality of life and the need for supportive measures. Conclusions: According to the results of reviewed studies, the design of educational programs on the importance of healthy and inexpensive nutrition, regular physical activity, adaptive skills, and counseling services for improving the health of this women are effective in promoting their quality of life.

Introduction: Clinical teaching is the core of nursing education. Nursing profession is a performance-based professional. The purpose of this study is to determine the rate of achievement of clinical education goals in the basic and fundamental norms of nursing students using the CIPP model. Methods: This descriptive-analytical study was conducted on 54 nursing students of Nursing and Midwifery Faculty in Qaen in 2018. The samples were selected in a pediatric ward and were evaluated based on the checklist. Data were analyzed using SPSS18 software and with tests of descriptive statistics. Results: The results showed that nursing students were different levels from very good to weak in performing basic skills. Conclusions: In this study, nursing students have some deficits in some of the skills and it is suggested that provide more opportunities for students to correct their weaknesses.