Avicenna Journal of Nursing and Midwifery Care
Year:2018 | Volume:26 | Issue:2 |Papers Count:9

Introduction: Sexual dysfunction is one of the impacts of cancer. Several factors have affect on improving or exacerbating sexual function. This study aimed to assess predictive factors of sexual function in women with gynecologic cancer.Methods: In this descriptive cross-sectional study (during January to June, 2016), 800 patients with gynecologic cancers from two hospitals affiliated to Qazvin University of Medical Sciences were chosen by convenience sampling method. Data was collected using demographic questionnaire and Rosen sexual function index.In order for data analysis, descriptive (e.g the mean and standard deviation for continuous data, and the number (percentage) for qualitative) nominal variables and inferential statistics like multiple linear regression analysis were done. Statistical analysis was performed using SPSS22.Results: The mean score of sexual function among gynecologic cancer patients was reported 18.88 ±.36 (CI95: 18.17-19.59) and showed low level of sexual function.The results of the linear regression model showed that duration of disease (b=-.107, P=.001), stage of the cancer (b=-.908, P=.004), type of treatment (b=.563, P=.005), and social protection (b=.341, P=.001) can significantly predict women’s sexual function.Conclusion: Considering the results of present study, four factors including duration of disease, stage of cancer, type of treatment and social support were found important to predict the sexual function in women with gynecological cancer. So, it is suggested to perform educational programs through media and health care centers in order to promote the awareness of patients, families, illness perception, and as the whole population.

Introduction: Breast cancer is the most common malignant disease in women which compromises person’s spiritual health. Given the importance of spiritual health and its effect on self-efficacy, the aim of this study was to determine the relationship between self-efficacy and mental health in women with breast cancer.Methods: This Cross-Sectional correlative study was conducted on 196 women with breast cancer referred to hematology and intensive care unit of Shahid Beheshti Hospital, medical center and Mahdiei MRI clinic in Hamadan during 2016-2017.The study subjects were selected by simple convenience sampling method. The measurement tools were Demographic questionnaire, the Sherer self-efficacy scale and Palutziam and Ellison spiritual health which was completed by patients. Data was analyzed by SPSS18 using statistical methods including Pearson correlation coefficient, independent t-test, ANOVA and logistic regression.Results: The score of majority of women in spiritual well-being (43.87%) and efficacy (41.83%) were in a moderate level. The mean number of spiritual health was 55.92±2.48 and the mean number self-efficacy was 44.33±3.08, respectively and both of them were average.. There was positive significant correlation between self-efficacy and spiritual health (P<0.01 r=0.04). There was also significant association between all demographic characteristics and spiritual health and other demographic characteristics including (education, breastfeeding frequency, type of insurance, duration of breast cancer and involved lobe) and self-efficacy (P<0.05).Conclusion: With regards to relationship between self-efficacy and spiritual health, it seems that in order to enhance the self-efficacy in patients with other chronic diseases such as cancer attention to spiritual health is recommended.

Introduction: The aim of this study was to compare the effect of acupressure and valerian oil on sleep satisfaction, heart rate and Heart Rate Variability in patients with acute coronary syndrome.Methods: This study is a clinical trial on 90 patients with acute coronary syndrome. Samples of the population selected of Sample available then randomly assigned in each group. The group of acupressure with valerian oil received massage of acupoint bilatral with two drops of Valerian oil second night in hospital. Acupressure group patient, received same acupoint massage with similar technique but without oil. Patients in the control group, received massage on unreal points with similar techniques and at the same time. Patient’s heart rate was recorded at the intervention night before, during, immediately after and 5 minutes after the intervention. The satisfaction of sleep was measured by VAS criteria.Results: The results showed that after the intervention, sleep satisfaction in the acupressure and acupressure group with valerian oil was significantly higher than the control group; the increase was statistically significant (P<0.05). There was a significant difference between mean heart rate changes during and after and immediately after intervention with basal heart rate in the three groups (P<0.0001).Conclusion: This study showed that Acupressure and Valerian oil can both increase sleep satisfaction, elaxation, and therefore reduce heart rate in patients with acute coronary syndrome.

Introduction: Hypertension is one of the most common, chronic and recurrent diseases that is considered to be an important treatment. Hence, teaching to a patient with hypertension it’s too important. The purpose of this study was to evaluate the effect of planned training on the self-efficacy of patients with hypertension.Methods: This clinical trial was performed on 140 hypertension patients referred to the cardiology clinic of Farshchian Hospital in Hamadan. Patients were selected by random sampling and randomly assigned to two groups of intervention and control.Patients’ education was held in the form of 3 training sessions. Which were held every week. After 4 weeks and 8 weeks after the end of the intervention, both groups took a post-test. Data was analyzed by SPSS16.Results: Both groups were homogeneous for demographic variables and statistically there was no significant difference between the two groups. Also, there was no significant difference between the self-efficacy scores of both groups before entering the study (P>0.05). However, there was a significant difference between the self-efficacy score of the intervention and control group before the intervention (4 weeks and 8 weeks after intervention) (P<0.001).Conclusion: According to the findings of this study, it seems that as a low cost and effective method education can increase hypertensive patients’ self-efficacy.

Introduction: The aim of this study was to determine the effectiveness of acceptance and commitment therapy on depression, self-esteem and body image concerns, after the first delivery in women in Kashan.Methods: This was a quasi-experimental study with a pre-test and the post-test and a control group. For this purpose from all women who gave birthfot the first timein in city of Kashan, 87 patients were screened in 2016 using convenience sampling.Of them, 30 were selected, and randomly placed in two groups: experimental and control. To do the pre-test and the post-test and collect information Edinburgh Postnatal Depression Scale, Self Esteem Inventory and body image concern inventory questionnaires were used. The treatment plan of acceptance and commitment was conducted during 1 month with 8 sessions of 90 minutes and after the implementation of the post-test data was analyzed using analysis of covariance with repeated measures.Results: The present study shows that there is a significant difference between the subjects of the experimental and control groups in terms of one of the dependent variables (depression, self-esteem and physical deformity) (F=19.19, P<0.01). The results showed that there is a significant difference between the experimental group and the control group in terms of depression (F=95.85, P<0.0001), self-esteem (F=91.65, P<0.0001), and physical deformity (F=117.04, P<0.0001).Conclusion: According to the results obtained we can conclude that acceptance and commitment therapy can reduce depression and concerns about body image and increase self-esteem of women after the first delivery.

Introduction: Kangaroo mother care is a standard method based on skin contact with the mother and newborn skin. The aim of this study was to evaluate the effect of kangaroo mother care counseling on postpartum blues in women in Fatemieh Hospital, Hamadan.Methods: A randomized clinical trial was conducted on 104 pregnant women who referred to Fatemieh hospital in Hamadan city, 2016. Those who had gestational age of 37-42 weeks were randomly divided in to two groups of case and control according to the day of delivery. Postpartum routine care was performed in both groups. In the case group in first 24 hours after delivery, kangaroo mother care was taken with a counseling session (20-30 minutes) was performed until the 10th day of delivery.The after birth Stein questionnaire was completed before and after intervention in two groups. Data was analyzed using SPSS16, t-test and ANOVA.Results: The results showed that the intervention in the experimental group was about 4 times lower in postpartum distress score (P<0.001). However, the control group also had a significant decrease on the 10th day before the intervention, but this decrease was higher in the experimental group (P=0.009).Conclusion: The results showed that kangaroo mother care could reduce the postpartum blues. Mother’s kangaroo care after delivery is recommended to promote benefits for mother and baby.

Background: Pregnancy and childbirth is one of the most important stages in women’s lives. One of the reasons for women’s desire to choose interest in cesarean delivery is lack of enough knowledge in choosing their birth method. This research studies the effect of group counseling on the type of delivery in Nulliparous women.Methods: This is a controlled randomized trial will be conducted in 160 pregnant nulliparous women referred to Health Center from 95- 96 in Hamedan. The inclusion criteria were as follows: Women with gestational age 20-23 weeks. The exclusion criteria were as follows: maternal medical and Psychological diseases. The samples were randomly allocated to group intervention (n=80) and control groups (n=80). In both groups, mothers received routine prenatal care. The intervention group additionally received 8 sessions weekly group counseling. Data was collected by a checklist consisting of demographic, pregnancy, and delivery information and was analyzed by statistical testes such as T-test and chi squares.P<0.05 was considered as significant.Result: A significant difference was also observed between two groups in the rate of normal vaginal delivery (P=0.04). The results indicated that the group counseling significantly increased the physiologic delivery (53.2%) in the intervention group compared by the control group (22.2%) (P=0.002).Conclusion: The results of the study showed that the presence of nulliparous women in the group counseling increases the rate of physiologic delivery and is suggested as one of the methods of implementing pregnant women’s care program.

Introduction: Nausea and vomiting is the prevalent complications of early pregnancy; the severity of its symptoms can decrease with different protections. This study was conducted to determine the effect of family-oriented consultation on nausea and vomiting in pregnant women.Methods: In this quasi-experimental study 90 pregnant women referring to Famenin health care centers in 2017 were selected and assigned randomly in study and control croups. The data gathering tool was demographic information, midwifery, nutrition, psychological and standard questionnaire of PUQE, which were completed at the beginning of the study and two weeks after the completion of intervention.The intervention was conducted through two weekly counseling sessions with pregnant women and their family. The content of the consultation sessions was about diet, lifestyle, and family supports. The control group received just the routine prenatal care. Finally, the data was analyzed using descriptive and analytical statistics by SPSS16.Results: Our results showed that the two groups were statistically similar in demographic and midwifery features. According to the results there was a significant reduction about the mean scores of nausea and vomiting severity in the study group after the intervention (P<0.05). However, there was a significant difference between the mean scores of nausea and vomiting severity in the study group before and after the intervention too (P<0.05).Conclusions: Family-based counseling can reduce the severity of nausea and vomiting in prenatal women. So, it is recommended as an effective, safe and accessible treatment method.