Avicenna Journal of Nursing and Midwifery Care
Year:2017 | Volume:25 | Issue:4 |Papers Count:10

Introduction: Hysterectomy is one of the most common surgical procedures among women in reproductive- age. This common surgical cause stress and anxiety in women. Anxiety as a natural response consistent preoperative period can influence the physiological responses. Thus, this study aimed to determine the effect of foot massage on physiologic parameters to hysterectomy was performed.Methods: This study is a clinical trial, two- group (intervention and control) is a sample of 60 patients from two Valiasr and Shariati Hospital in Tehran (30 intervention and 30 control) were selected randomly. In the intervention group, massage one times for 20 minutes at certain hours the day before surgery was performed on the feet and control group received nothing. Intervention and the control groups in both before and 30 minutes after intervention recording vital signs and level anxiety. Data of this study using the chi- square test, Fisher's exact test, independent t-test with the software Spss 16 Were analyzed.Results: The findings of this study compared two groups of physiological parameters (pulse, systolic blood pressure and diastolic blood pressure showed no significant change. Just breathing in the two groups significant change (p=0.00).Conclusion: The findings suggest that massage therapy on patients' physiological parameters of a pulse, systolic and diastolic blood pressure no affected. And only have an effect on the respiratory and reduces it gets.

Introduction: Favorable auditory stimulation improves the preterm neonates' physiological function. Thus this study investigates the effect of mothers' Voice on preterm neonates’ physiological parameters.Methods: This one group, pre-post-test clinical trial was conducted in NICU of Mehr Hospital in Malayer, 2016. Thirty-six preterm neonates with gestational age (32-37 weeks) and birth aged 3-28 days were selected by simple random sampling. The mother of each neonate talked with her own baby for ten minutes in three days whispering. Arterial blood oxygen saturation (SpO2), heart rate (HR) and respiratory rate (RR) were measured three times, 5 minutes before, 10 minutes within and 5 minutes after intervention each day. Data was analyzed using SPSS22 and descriptive statistics such as mean, standard deviation and analysis of variance with repeated measures and Tukey multiple comparison tests. Confidence level was 0.95.Results: The mean SpO2, RR and HR values were significantly difference between three times of measurement in each day (P<0.001). According to Tukey test, the mean SpO2 values increased and Mean RR and HR values decreased between three times of measurement in each day.Conclusion: The live whisper of own mother improves the physiological parameters of the preterm neonate. SpO2 increased, HR and RR decreased. Therefore, in daily nursing care planning, the nurses can give the mothers time to talk to their babies.

Background: Stigma is accounted important structure in mental health areas, and one of the most important is infertility disorder consequences. The aim of the current research was to evaluate reliability and validity of the Persian version of Infertility Stigma Scale among infertile women.Methods: The current research was psychometric of methodological type. One hundred and sixty six infertile women were selected using purposive sampling method and via interviews from Jahad Daneshgahi Infertility Treatment Center of Khuzestan. They filled out the Infertility Stigma, Rosenberg Self-esteem, General self-efficacy Beliefs and Self- Criticism scales. Data were analyzed using confirmatory factor analysis and fitness indices and by Amos and SPSS-21 software.Results: In the exploratory factor analysis using Varimax rotation in the Persian of the Infertility Stigma Scale four factors extracted: Personal devaluation, social withdraw, general stigma, and family stigma that accounted for 62.49% of the variance.Also, Cronbach's α coefficients (internal consistency) were satisfactory for the whole scale and in extracted four factors, test-retest reliability coefficient of the scale with two-week interval was 0.58 and its divergent validity coefficient with Rosenberg Self-esteem and General Self-efficacy Scales and its convergent validity with Self-criticism Scale were statistically significant (p<0.001).Conclusions: Given the appropriate validity and reliability of the scale, it can be used for research activities among this type of population and in infertility research and therapeutic center.

Background: Fear of childbirth in pregnant women is a common problem that often leads to the demand for cesarean section. Due to the complications of cesarean delivery for mother and baby, doing researches on factors predicting fear of childbirth is essential.Method: This is a cross-sectional analytical study.200 pregnant women were selected in Aleshtar city by simple random sampling in 2015. Data collection tools included two questionnaires. One researcher-made questionnaire, including structures of planned behavior theory including attitudes, subjective norms, perceived behavioral control and behavioral intention; this was a standardized questionnaire for fear of childbirth. To analyze the data, software Spss20, one-way ANOVA and Pearson correlation and regression were performed.Results: 71 of the 200 women (35.5 percent) were going to do a cesarean section.As a result, an inverse correlation was observed between attitude structures and perceived behavioral control with fear of childbirth. Attitude was the most important predictor of pregnant women’s fear (Beta=-0.29). In terms of fear, attitude, subjective norm and perceived behavioral control between the women who wanted natural childbirth, and women who wanted a cesarean section, there were statistically significant differences.Conclusion: It is suggested to emphasize on factors such as positive attitude and perceived behavioral control, at the time of designing educational interventions for reducing the childbirth fear and unnecessary caesarean.

Introduction: Hypertension is one of the principal causes of mortality in the world; it imposes heavy costs on the world health’s economy. Following the self-care behaviors one can control chronic diseases such as hypertension and its complications can be prevented.This study aimed to determine the effect of education self-care behaviors on the hypertension in postmenopausal women referred to Farshchian Hospital in Hamadan was conducted.Method: This is a quasi-experimental study designed with a control group and before and after measurement. In this study, 70 postmenopausal women with hypertension who were admitted to Farshchian hospital in Hamedan were selected randomly and were put into control and intervention groups. The data were collected using demographic characteristics questionnaire. At first questionnaires were filled by both groups and their blood pressure was measured in both groups. Then, two months after the educational intervention in the experimental group, questionnaires were completed by both groups and blood pressure was measured. To analyze the data Spss software version 20, and paired T test or Wilcoxon equivalent, independent t-test or Mann-Whitney nonparametric equivalent were used.Results: The results showed that the test group average systolic blood pressure and diastolic blood pressure of 147.45±1.25 to 133±.822 and 84.288±.71 to 82.14±.624 significantly decreased after the intervention. But systolic and diastolic blood pressure, measured before and after the intervention in the control group, didn’t show significant difference.Conclusion: The results of this study showed that teaching self-care behaviors is effective in post-menopausal women's control blood pressure. Therefore, self-care education to patients by health care personnel can be used as a low-cost and effective method to be used in health promotion patients.

Introduction: A lot of people who suffer from psychological diseases declare how physical activities play a significant role in various aspects of quality of life. This study was aimed to investigate the effects of the participation of women with Schizophrenia in recreational and physical activities.Methods: Research design was Semi-experimental. The statistical society consisted of all women referred to Razi psychiatric hospital in 2015. Among them 24 were selected by purposive sampling and were divided into two groups (12 experimental and 12 control). Experimental group received 12 sessions of recreational physical activity, 3 times a week. Research instruments was Quality of Life Questionnaire which has four sub- scales of public health, environmental health, mental health and physical health and were performed pre-test and post-test. The data was analyzed using univariate and multivariate analysis of covariance and SPSS23.Results: According to the findings there was a significant difference between the two groups in the total score of quality of life (F=91.82, sig=0.001). Moreover, the significant difference has been indicated in sub- scales of questionnaire like; physical health (F=34.39, sig=0.001), mental health (F=27.24, sig=0.001), social health (F=59.63, sig=0.001), and environmental health (F=80.81, sig=0.001).Conclusion: The results showed that Participation in recreational sports activities, improves quality of life in people with chronic mental disorders. In Addition, participation in Physical- recreational activities leads to increased physical, mental, social and environmental health of these patients.

Introduction: Uncontrollable nausea and vomiting can cause delay in chemotherapy and affects patient’s life. Since Matricaria chamomilla seems to be effective in reducing nausea and vomiting, this study aimed to determine the effect of its extract on the severity of nausea and vomiting due to chemotherapy.Methods: This quasi experimental study was conducted on the patients receiving chemotherapy in Chemotherapy Wards of Zahedan Tamin Ejtemaee Hospitals in 2015. In doing so, 60 patients were selected through convenience-sampling method and assigned into intervention and control groups. Two hours before chemotherapy, the intervention group was given Matricaria chamomilla extract while the control patients were given distilled water as placebo. Nausea rate was measured using Visual Analogue Scale (VAS) 0, 2, 6, and 12 hours after chemotherapy.Results: In the beginning, there was no significant difference between the mean scores of nausea of two groups (P=0.4); however, 2 hours after the chemotherapy, nausea score increased in both groups and it was significantly higher in the control group. (P=0.034). After 6 and 12 hours, the mean scores of nausea in both groups declined; however, the control patients' mean score was constantly and significantly higher. There was no significant difference between the two groups concerning vomiting (P>0.05).Conclusion: The results indicated that consuming Matricaria chamomilla extract can reduce nausea due to chemotherapy while it has no effect on vomiting.

Introduction: Blood pressure increases in women after menopause. There is evidence that supports the existence of the increased reactive oxygen species levels in hypertension. The glutathione has an important role in cell defense against oxidative stress. The aim of this study was comprising of serum glutathione level between hypertensive and normotensive postmenopausal women.Methods: This research was a case-control study. The samples were selected among patients who had the inclusion criteria. Samples were 39 postmenopausal women with high blood pressure as case group and the control group was chosen among 40 postmenopausal women with normal blood pressure. After filling in the testimonial and the checklist, blood samples were taken for test subjects. Then the glutathione blood levels were measured using the kit and ELISA. Data was analyzed by t-test, F-test and the non-parametric Mann- Whitney test at a significant level of 5 percent.Results: There was a significant difference between mean systolic and diastolic blood pressure (P=0.029 & P=0.047, respectively), serum glutathione level (P=0.045), body mass index (P=0.041), and weekly exercise less than 30 minutes (P=0.049) in postmenopausal women with high blood pressure and normal blood pressure. However, no significant differences were observed between the two groups in the matter of age of onset of menopause, the number of children, employment status, and daily consumption of dairy products.Conclusion: The results of this study showed that the serum glutathione levels in postmenopausal women with high blood pressure were lower than normal menopausal women.