Nursing And Midwifery Journal
Year:2018 | Volume:16 | Issue:6 ( 107)|Papers Count:8

Background & Aims: Asthma is the most common chronic disease during the childhood and it is one of the most common causes of emergency attendance and hospitalization, with serious health and economic consequences. The purpose of this study was to determine the effect of self-management on asthma of children aged 7-12 years. Materials & Methods: It was a quasi-experimental study that was performed on 70 school age children with Asthma, referred to the Immunology and Allergy Specialty Clinic of the Bu-Ali Sina Hospital of Sā ri (Mā zandarā n Province-Irā n) in 1394 for 12 weeks. Samples who satisfied the inclusion criteria including asthma diagnosis by the lung specialist, age range 7 to 12 years, mental abilities for education, and the absence of serious systemic diseases, were matched based on age, gender, and the course of disease. Then, they were randomly divided into two groups of intervention (N=35) and control (N=35) groups. The intervention group received a written action plan for self-management based on the symptoms at home. This study was conducted double-blind, and the participants and the analyst were not aware of the groups. The primary outcomes of the study were the number of days absent from school during the past month and the next three months and the secondary outcome of FEV1 at the beginning and end of the course of study. Data were analyzed using SPSS software and descriptive and analytical statistics. Results: The two groups were homogeneous in terms of age and gender. The results showed that there was no significant difference in the number of absences from school between the two groups before intervention (P = 0. 444) and after intervention (P = 0. 929). Investigating the forced expiratory volume in first second (FEV1) before and after the intervention showed a significant difference between the two groups (P = 0. 004). Conclusion: The use of a writing action plan is not effective on the number of absences from school, but it can increase the forced expiratory volume in first second.

Background & Aims: Ineffectiveness of the supply sector due to the behavior of health service providers can lead to demand for patients and increase health care costs. The purpose of this paper is to identify the factors affecting the reduction of induced demand specifically from the viewpoint of health service providers in hospitals of the University of Science Medical and health services of Iran. Materials & Methods: The present study was carried out qualitatively in year 96. Semi-structured interview was used to collect data. To this end, 27 officials and managers of hospitals and educational centers of Iran University of Medical Sciences and Health Services were selected using a targeted sampling approach. Content analysis method was used for data analysis and Atlas-Ti software was used to categorize them. Results: Data analysis led to the identification of 6 categories and 40 sub categories. These categories included economic factors, monitoring, service delivery structure, educational factors, policy-making factors, and social factors affecting the reduction of induced demand. Each of these categories also had sub-categories. Conclusion: The results of this study indicate that there are several factors in Iran's health care system that are effective in reducing inductive demand, including global payment methods for physicians, deductions and adjustments by insurers. There are other healthcare providers who can help policy makers to design and organize new strategies for reducing inductive demand in the healthcare system.

Background & Aims: Attachment affects fetus’ s growth and health. Physical violence during pregnancy will have harmful effects on the physical and mental health, which may also affect the level of maternal and fetal attachment. The purpose of this research is to study the correlation between physical violence and mother-fetus attachment in pregnant mothers visiting the Healthcare Centers of Mashhad. Materials & Methods: This descriptive-correlational study was conducted in 200 pregnant mothers visiting the selected Healthcare Centers of Mashhad. The questionnaires were demographic information, Straus Violence Questionnaire and Cranley’ s Mother-Fetus Attachment. Questionnaire. Data were analyzed using descriptive and correlation coefficient and liner regression tests as well as SPSS v. 21 software. Results: 26% of members had experienced physical violence. In general, there was a reversed and significant correlation between physical violence and mother-fetus attachment. 89% of Research Centers reported fetal attachment as good, 10% as average and 1% as weak. Based on the linear regression test, physical violence was able to predict the variance of maternal attachment attachment score of 4. 14% in mothers. Conclusion: A higher physical violence is associated with lower maternal attachment to the fetus. The reduction and control of physical violence and the provision of family and marital counseling are recommended to increase maternal and fetal attachment and to improve maternal health.

Background & Aims: The prevalence of myocardial infarction in the countries of the world, including Iran, is increasing, and the economic burden and consequences of it are also significant. It has been pointed out that in addition to common therapies, some methods such as patient education can be effective in improving patients' health. Accordingly, it is expected from the nurses as important and influential members of the treatment team to use a variety of methods, including patient education to improve self-efficacy in patients. The aim of this study was to determine the effect of self-care education on the self efficacy in myocardial infarction hospitalized patients in Seyeid Al-Shohada educational & treatment center, Urmia, 2017, in order to reduce the problems caused by this lethal and costly disease. Materials & Methods: In this quasi-experimental study, the statistical population of was consisted of 70 myocardial infarction patients admitted to the educational and treatment center of the city of Urmia by a random sampling from the target population and randomly assigned to the intervention and control group. Self-care education was done in intervention group during three 30-minute sessions by presenting a self-care educational booklet by face to face educational method. Two months after discharge, the selfefficacy questionnaire was completed again for both groups by telephone contact. Chi-square and independent t-test were used to analyze the data by using SPSS-21 software. Results: The results showed that the mean scores of self-efficacy between intervention and control groups after self-care education program was increased in myocardial infarction patients (P <0. 05). It was also found that the mean of self-efficacy scores within the intervention group before and after the self-care program was increased in myocardial infarction patients in intervention group (P <0. 05). Conclusion: The findings of the study indicated that self-care education program is effective in increasing the self-efficacy of patients with myocardial infarction admitted to Sayed al-Shohada Hospital

Background & Aim: Nursing students whose future nurses, are the largest provider of health services and will have a critical role in health care. Therefore, with regard to the profession's importance and social status, Nurses, along with clinical competencies, should have ethical competencies to provide appropriate and professional care. Therefore the present study was conducted to determine the effect of teaching professional ethics through case-based method on moral sensitivity of nursing students at Urmia nursing and midwifery faculty in 2016. Materials & Methods: In this clinical trial study, 73 nursing students who had not passed the ethic course were recruited to the study through the census method. Using a table of random numbers, participants were randomly assigned to a 37‑ person CBL group and a 36‑ person lecture group. Using the Lutzen moral sensitivity questionnaire a pre-test was performed of both groups before the intervention. Ethics education was done in both groups for two months and a half. Educational contents were the same in both groups and the only difference was the type of educational method. One month after the intervention, the moral sensitivity questionnaire was completed again by the two groups. Data were analyzed by SPSS 16 (v. 16. 0, SPSS Inc., Chicago, IL, USA) statistical software, independent ttest, paired t-test and Chi-square test. Results: No statistically significant difference was found between the intervention and the control groups regarding the pretest mean score of moral sensitivity (p = 0. 22), But after the intervention, the mean score of moral sensitivity in the case-based group were significantly increased compared to the lecture group (p = 0. 04). Conclusions: A case-based approach to ethics education is more effective than the routine method in promoting nursing students’ moral sensitivity and promoting moral sensitivity is a major contributor to providing better nursing care. It is, therefore, recommended that this method be used while imparting professional ethics education.

Background & Aim: Family-of-origin health, marital commitment, and marital empathy are of factors influencing to the health of family. The aim of the current research was the assessing of the model of family of origin and marital satisfaction with mediations of marital commitment and marital empathy in nurses. Materials & methods: This research was correlation of path analysis type. 200 married, female nurses among public and private hospitals of Shahrekord city were selected using based-purposive and voluntary sampling method and according to inclusion and exclusion criteria, and responded to the Family of Origin Scale, Marital Satisfaction Scale, Marital Commitment Questionnaire, Marital Empathy Scale as original instruments, and Family Solidarity Scale, Locke– Wallace Marital Adjustment Test and Batson Empathy Adjectives scale as convergent validity instruments. The data were analyzed using Pearson correlation coefficient and path analysis statistical methods and by SPSS-21 and AMOS statistical software's. Results: The results of fitness indices indicated that the model was fitted and the direct path coefficients of the model showed that family of origin to marital commitment, family of origin to marital empathy, family of origin to marital satisfaction, marital commitment to marital satisfaction, and marital empathy to marital satisfaction, and the indirect path coefficients were all significant (p < 0. 001). Conclusion: There was an emphasis on the role of commitment and marital empathy in mediating between family of origin and marital satisfaction and the necessity of conducting research on this area was discussed.

Background & Aims: During pregnancy, general health and quality of life is changed, this issue pose the necessary of offering therapeutic interventions. The aim of this study was to evaluate the effectiveness of training mindfulness-based stress reduction (MBSR) on the quality of life and wellbeing of pregnant women. Materials & Methods: the method of current study quasi-experimental and its design was posttest with control group. Among all pregnant women, referring to the health centers of Ghaem and Kosar of Ilam city in 2016, 32 people were selected by available sampling. They were randomly assigned to experimental and control groups. Mindfulness based stress reduction program was trained to experimental group for 8 session 1/5 hours a week. The questionnaires of quality of life and psychological well-being were used to gather data. The collected data were analyzed using multivariate analysis of variance. Results: The results showed that after training of mindfulness-based stress reduction (MBSR), there was significant differences between the posttest means of experimental and control group in variables of psychological well-being, quality of life, and components of mental health, limitations due to the general health, social functioning and pain (F=27/60, P<0/000). Conclusion: The results of this study indicate that the education of mindfulness-based stress reduction program is effective on improving the psychological well-being and quality of life of pregnant women; therefore, it is recommended to train this program as a way to cope with stress during pregnancy.

Background & Aims: Low Birth Weight Newborns that are at risk than normal birth, and they need careful care to survive and natural develop and growth. This study aimed to determine the impact of home visits on the development of Low Birth Weight Newborns Materials & Methods: This study is a randomized clinical trial will be carried out in Marand city. Sample size of 90 Newborns was determined. 90 Premature Newborns who have inclusion criteria were selected through available sampling and were randomly divided into two groups for the intervention group, the home visit program lasted 45 minutes. The control group received routine care only. Data collection tool included demographic data sheet, and ASQ Questionnaire. Then ASQ Questionnaire were completed at birth, the first, second and third weeks. The data were analyzed via SPSS software v. 15. Results: More than half of the participants in both groups. Intervention group (61. 5%) and control group (55. 8%) were female. The mean score development in low birth weight Newborn in the first month there was no statistically significant difference. But in the second month (p = 0. 04) and the third month (p = 0. 001) were statistically significant. Conclusion: Implementing care plan based on home visits had a positive influence on improving development indicators in Low Birth Weight Newborns. Therefore, nurses and other neonatalcare providers are suggested to apply care plan based on home visits in low birth weight infants.