Avicenna Journal of Nursing and Midwifery Care
Year:2017 | Volume:24 | Issue:4|Papers Count:9

Introduction: Sleep disorders are the most important problems which hemodialysis patients faced with them. On the other hand, medication is the most common way to treat sleep disorders these days. Thus, an uncomplicated and effective intervention is particularly important in order to overcome sleep disorders in these patients. The aim of this study was to evaluate the effect of foot reflexology massage on sleep quality in hemodialysis patients.Methods & Materials: This study is a randomized clinical trial that was conducted on 62 hemodialysis patients in Qazvin. Patients randomly divided into two groups of control and intervention. Before the intervention Pittsburgh Sleep Quality Index Questionnaire for all patients in both groups was completed. In intervention group, foot reflexology massage was implemented by the researcher assistants for 12 sessions (Three times a week for 4 weeks) and 30 minutes in each session (15 minutes each leg). After the intervention, sleep quality questionnaire was completed for patients again. Data were analyzed using SPSS version 24 and statistical tests including chi-square, independent t, repeated measures and general linear model. P<0.05 is considered as a level of significanceResults: There was a significant increase in sleep quality for the intervention group. Foot Reflexology Massage in the intervention group showed good improvement over time (P=0.001). However, no significant difference was observed in sleep quality over time for the control group (P=0.096).Conclusions: The results of the present study indicated that the use of foot reflexology massage improves sleep quality in hemodialysis patients. Therefore, it can be recommended as a useful and effective intervention for improvement of sleep quality in patients on hemodialysis.

Background: Breast cancer is the most common cancer among women in the various aspects of individual health, psychological and quality of life and sexual function to endanger. The aim of this study was to evaluate sexual function and mental health of women with breast cancer.Materials and methods: This study was a cross - sectional study is cross-sectional. The sample size of 104 women with breast cancer referred to the MRI center of the city of Hamedan in 1394. To gather the data included demographic questionnaire, General Health Questionnaire (GHQ-28) and sexual function questionnaire (FSFI) was. Data analysis using SPSS software version 21, and descriptive statistics and Pearson correlation test was used.Results: The mean age of women, 50.02±12.07 years. Given the cut-off point, 81.6 percent (n=84) had mental health problems and 85.8 percent (89) were men with sexual dysfunction. Based on the average listed highest prevalence of pain during intercourse and sexual desire was the lowest. Based on Pearson correlation between all dimensions of sexual function and general health of the place and there was a significant relationshipConclusion: Regarding the relationship between sexual function and mental health, sexual function in these patients is necessary status and the type of changes are discussed and advice on how to problems with the patient and his wife, and emotions to be done.

Background: Rural women due of the ongoing activities are exposed to sunlight and skin cancer. Protection motivation theory effectively preventive behaviors of skin cancer are predicted. This study aimed to protection motivation theory of skin cancer preventive behaviors in rural women was carried out.Methods: In this cross- sectional study of 230 rural women from 4 villages Nahavand city with a population of over 1000, were determined randomly. Referring to health centers in selected villages, rural women were selected through simple random .Data to the protection motivation theory was based on a questionnaire, interviews with rural women collect and then use the linear regression (stepwise) and Pearson were analyzed.Results: Mean age participations were 30.55±7.50 years. In the regression model motivation (ß=0.21, p<0.004), perceived severity (ß=-0.16, p<0.013), perceived costs (ß=-0.16, p<0.021) and fear (ß=-0.15, p<0.013) were significant predictors of skin cancer preventive behaviors. This model accounted for 25 percent of the variance in these behaviors.Conclusion: According to constructs of the theory associated with the use of means of protection against the sun's rays, educational programs and health promotion using the theory to increase the motivation of rural women to use protective equipment, is emphasized.

Background: Nurses’ Job satisfaction and burnout are two important components of health care organizations. Nurses are the majority of hospital personnel so these two important organizational variables have a direct relation to quality of nursing services and community health and also have crucial role in organizational goal achievement.Method: This is an analytic-descriptive study which was done in 2015 on 299 nurses who worked in Hamadan educational and treatment centers. They were selected based on stratified proportional random sampling. Data were collected by Minnesota job satisfaction and Maslach's burnout questionnaires. Using descriptive statistics and inferential statistics (Pearson Correlation Coefficient and Stepwise Multiple Regression) data were analyzed by SPSS 16 software.Results: Findings showed that nurses regarding their job satisfaction were moderately satisfied and had low level of burnout. There was a significant and negative correlation between nurses' job satisfaction and emotional exhaustion (r=-0.664, p<0.01). There was a significant and positive correlation between nurses' job satisfaction and personal accomplishment (r=0.449, p<0.01). There was a significant and negative correlation between nurses' job satisfaction and depersonalization (r=-.503, p<0.01). Job satisfaction dimensions such as extrinsic and intrinsic satisfaction predicted ( 44% and 20%) of variance in emotional exhaustion and personal accomplishment respectively. Intrinsic satisfaction predicted (26%) of variance in depersonalization as well .Conclusion: job satisfaction dimensions were significant predictors of nurses' burnout. So, paying more attention to factors that increase job satisfaction by health system policy-makers can decrease nurses' burnout.

Introduction: Since the outset of nursing care, group work processes have evolved into essential components of a nurse's role and responsibilities within the health care system.The aim of this study was to analyze the factors facilitating teamwork among nurses working in teaching hospitals, affiliated to University of Medical Sciences Ahvaz .Materials and Methods: This descriptive study was conducted in 1394 applied. The population of all levels of school nurses undergraduate and graduate university medical centers that Simple random sampling using Cochran formula, 294 persons were studied. Instruments in this research made questionnaire whose validity and reliability were verified. In order to analyze the data, descriptive statistics, inferential and exploratory factor analysis were used in statistical software SPSS21.Results: The factors facilitating teamwork among nurses working in teaching hospitals, treatment consists of seven components that were 64.75 of the variance. The role of organizational support (13%), team working skills (13%), flexible structure (10%), participative leadership (9%), group ethics requirements (7%), affecting teamwork (7%), and control lever (5%), facilitating teamwork among nurses Discussion and conclusion: Facilitate teamwork as one of the fundamental problems in organizations related to the health field is transformed and investment in this area will result in useful and beneficial for organizations.

Purpose: Marital satisfaction may reduce during pregnancy due to the outbreak of some sexual problems. Sexual consultation with pregnant women may decrease the side effects of pregnancy. The present study is designed to investigate the effect of sexual consultation on marital satisfaction of pregnant women. Analysis Method: The present study, is a randomized clinical trial along with a control group, the participants were 80 pregnant women who went to medical centers of Malayer City. Forty women were in consultation group for four 45-90 minutes session and forty women were in control group .Sampling was done randomly. The questionnaires included demographic questionnaire and marital satisfaction questionnaire (ENRICH) which had 47 questions. The statistical analysis of the data was done by using the SPSS 22 software. Findings: The mean of marital satisfaction scores in the experimental group revealed significant differences between the week before and the two and four weeks after the consultation (P<0/001 and P<0/001 respectively). Marital satisfaction in control group also showed a significant change between the week before and two weeks after the consultation(p=0/034) but there wasn’t a significant difference between before and four weeks after the intervention(p=0.593). Conclusion: By providing sexual consultation for partners, we can prepare them to deal and cope with pregnancy changes, and in this way prevent tension and argument during this period.

background: Today spiritual care is one aspect of holistic care. The role of nurses in providing services to patients is important. Attention to the variables involved in this type of care can be a basis for many training programs, especially in health care and treatment. The researchers decided to investigate the relationship between spiritual intelligence and happiness of nursing students that they are health providers service in country's future.Methods: This cross-sectional study with quota sampling was conducted in the School of Nursing and Midwifery, Qazvin. 107 nursing students in different academic semesters complete Oxford Happiness Questionnaire and spiritual intelligence. Data analysis did by using spss, 16, and descriptive and inferential statistics were used.Results: The average age of nursing students was 21.61±5.25. The majority of participants (63.6%) were female. Total score of spiritual intelligence and happiness with mean and standard deviation 145.29±16.44 and 39.32±16.44 respectively. It was not Significant differences between any of the socio demographic variables, except age and Happiness (P=0.031, R=0.209). Significant differences observed between spiritual intelligence & happiness (P=0.000, R=0.427).Conclusion: It seems that promote happiness and spiritual intelligence in nursing students can improve their knowledge and ultimately improve the quality of care with an emphasis on pastoral care patients.

Introduction: Sexual problems affect different aspects of women's lives. It seems that counseling at an early stage can solve many of their problems. This study was conducted to evaluate the effect of counseling on sexual function.Methods: This study was a randomized clinical trial on women referred to health centers of Hamadan, conducted in 2015, at the return time (four weeks to three months after delivery). Sixty patients were randomly divided into two groups. The intervention group received four sessions. To gather the data, FSFI (Female Sexual Function Index) was used, which was given to the patients on the first visit, as well as five weeks later. Scores of sexual function were measured before and after the intervention. In two parts, descriptive and inferential data were analyzed using SPSS software, paired t-test and independent t-test.Results: Patients in the intervention and control groups were matched in terms of demographic changes (P<0.05); there was no difference between the intervention and control groups. The mean scores of sexual function in the interventional group had a meaningful difference before (40.07) and after (61.47) the intervention (P<0.01), but in the control group there was no significant difference between time zero (28.53) and after one month (34.37), which represented the effective role of advisers in improving sexual function.Conclusions: According to the results, it seems that counseling postpartum women can improve their sexual performance.