Avicenna Journal of Nursing and Midwifery Care
Year:2018 | Volume:26 | Issue:5 |Papers Count:8

Introduction: Sleep disorders are one of the most important problems in patients with diabetes. The most commonly used method for treating sleep disorders is medication therapy. Therefore, it is important to perform an uncomplicated intervention to relieve sleep disorders in these patients. The aim of this study was to investigate the effect of foot reflexology massage on the quality of sleep in women with type 2 diabetes mellitus in Arak city in 2017. Methods: This study was a simple randomized clinical trial performed on 54 women with type 2 diabetes mellitus. Patients were randomly divided into control and intervention groups. Before the intervention, Pittsburgh sleep quality questionnaire was completed for both groups. In the intervention group, foot reflexology massage was performed for 8 sessions. After the intervention, sleep quality questionnaire was completed for both patients. Data was analyzed using SPSS version 24 by Mann-Whitney, Chi-square and T-test. Results: Foot reflexology massage improved sleep quality in the intervention group (P<0. 001). There was no significant difference in the quality of sleep in the control group (P>0. 05). Conclusion: Foot reflexology massage improved the sleep quality of women with type 2 diabetes mellitus. Foot reflexology massage can be used as an effective intervention to improve the quality of sleep in these women.

Introduction: intensive care unit nurses are at risk of musculoskeletal disorders due to activities such as moving patients and lifting heavy objects during nursing care. The aim of this study was to determine the effect of body posture correction on musculoskeletal disorders in Nurses. Methods: This pre and post-test quasi-experimental study with two groups (case & control) was performed on 101 nurses working in intensive care unit in 2017. The sampling method was multistage sampling. At first, we selected two hospitals from four hospitals and after selecting nurses, they were divided randomly into case and control groups. Both groups completed 25 questions of the Nordic questionnaires before the intervention. Then in the case group, four sessions of 60 minutes were performed weekly. The nurses were also encouraged to perform stretching exercises for the neck, shoulder and upper limbs. Three months later, two groups completed the questionnaire again. Data was analyzed by SPSS24 software using Wilcoxon test, Covariance analysis and regression analysis. Results: The two groups were matched at the beginning of the study and did not have a significant difference (P<0. 05). According to Nordic questionnaire, the highest prevalence of pain before training was in the waist (77. 3%), back (46. 5%) and head neck (45. 5%), which was decreased after the intervention to 41%, 17. 9% and 20% respectively in the case group (P<0. 05). Conclusion: Regarding the effect of educational intervention on musculoskeletal pain disorders, all nurses must be trained for body posture correction at the beginning or during their work.

Introduction: As therapeutic interventions had completely failed to cope with the problems facing patients with cancer, consulting with a spiritual approach in patients with cancer has been considered by researchers. The aim of this study was to evaluate the influence of spiritual consultation on life satisfaction of patients with cancer. Method: This was a clinical trial as pre-test and post-test design. The data collection tool was a two-part questionnaire. In the first part, demographic characteristics and in the second part, life satisfaction was evaluated by The Diener Life Satisfaction Scale. Totally, 76 patients with cancer admitted to Urmia city hospital were chosen by purposive sampling and then randomly divided into two intervention and control groups. Patients in the control group received routine care hospitals, but those in the intervention group received 10 sessions of spiritual counseling. SPSS software was used for data analysis. To compare the life satisfaction scores before and after the treatment, paired t-test and independent t-test were used. Results: The mean and standard deviation scores of life satisfaction of patients in the intervention group before and after the intervention were 18. 92± 3. 33 and 23. 66± 2. 77, respectively. Also in the control group, score of patients before and after the intervention were 19. 53± 2. 88 and 19. 55± 2. 78, respectively. Paired t-test showed that life satisfaction scores before and after the treatment only in the intervention group were significantly different (P<0. 05). However, independent t-test showed that life satisfaction scores in patients with cancer between the intervention and control groups were significantly different after the intervention (P<0. 05). Conclusion: Spiritual counseling was effective on life satisfaction of patients with cancer. Nurses should pay attention to patients’ spiritual needs and help them to benefit from supports in this area.

Introduction: Premenstrual syndrome with high prevalence has a negative effect on girls’ normal living. Using drugs to relieve the symptoms and adverse effects of long-term use of the drugs can be a matter of concern. In this study, we tried to reduce the severity of premenstrual syndrome using group counseling. Methods: The study sample was girls aged 15 to 17 years old studying in high school in Hamadan in 2016. The study tools were two questionnaires containing demographic characteristics and the PSST. Of 215 participants, 120 subjects with moderate to severe menstrual syndrome were divided into two groups of 60 subjects. Subjects participated in 3 counseling sessions regarding increasing self-awareness about the premenstrual syndrome. Data was analyzed by SPSS21 using independent and paired t-test. The significance level was less than 0. 05. Results: The mean of severity of premenstrual syndrome before and after counseling sessions was not statistically significant in the both groups (P =0. 87), but after the end of the consultation, there was a significant decrease in mean severity of syndrome severity in the intervention group compared to the control group (P <0. 001). Conclusion: Counseling in premenstrual syndrome can have an effective role in reducing the severity of premenstrual symptoms.

Introduction: Elderly is a very important period of life in which many chronic illnesses threat the person well-being, also endangers their quality of life. This study aimed to compare the association of meaning in life and self-esteem with quality of life in elderly living at home and those in nursing home. Methods: This was a descriptive-analytical study performed on 120 elderly women and men living in Khorramabad city between 2016 and 2017, including 60 elderly living at home and 60 elderly living in nursing homes. Subjects were selected by systematic random sampling) Based on file number). To collect data, the Steger et al meaning in life (2006), Rosenberg Self-Esteem (1965) and Sherbvn & Weir quality of life (1992) questionnaires were used. Data was analyzed using Pearson correlation test, multiple regression analysis with stepwise method and T-test. Results: There was a significant difference between meaning in life (t₌ 3. 63, P<0. 01), self-esteem (t₌ 3, 69, P<0. 001) and quality of life (t₌ 4. 05, P<0. 001) between elderly living at home and those living in nursing homeMultiple stepwise regression analysis showed that meaning of life and self-esteem predicted 26% of quality of life variance. Conclusion: It seems necessary to improve the quality of life of elderly by planning and programming appropriate policies, especially those living in nursing homes.

Introduction: hospitalization of a child is one of the main causes of parent’ s anxiety. Regarding the importance of providing family-based care, it is necessary for nurses to support and understand parents’ needs to provide them. This study aimed to determine the role of nursing support in providing the needs of hospitalized children mothers. Method: This was a descriptive cross-sectional study. 250 mothers of children hospitalized in pediatric ward of Hamadan Besat Hospital, were selected by available method in 2017. Data was collected using “ nursing support from parents” , “ needs of children parents” and demographic characteristics questionnaire. Data was analyzed by SPSS16 using descriptive and Pearson correlation analysis. Results: The mean and standard deviation of the score of all needs was 38. 9 ± 10. 6. The maximum score was related to mutual trust (9. 0 ± 2. 8) and the minimum was related to support guidance and counseling (5. 1 ± 2. 1). The overall support received by mothers from nurses was 68. 3 ± 16. 2. Most of support was related to self-confidence (14. 4 ± 3. 5) and the least was emotional support (8. 2 ± 2. 8). There was a significant positive correlation between nurses support from parents and the total score of mothers’ needs (r = 0. 448, P=0. 001). Conclusion: Considering the low mean and standard deviation of some nursing support areas from parents and meeting the needs of parents, it seems necessary to plan for the provision of family-based care by nurses and their support from parents to meet their needs to improve the quality of children care.

Introduction: Women spend more than a third of their lives in menopause and estrogen deficiency. These neuroendocrine changes affect the woman’ s sense of health and mental health through the loss of fertility and menstrual function. Therefore, the present study was conducted to investigate the association between anxiety, stress and depression with women’ s experiences in menopause. Method: This was a descriptive-correlation study conducted on 250 postmenopausal women who met the inclusion criteria in 2016 in Mashhad. A convenience quota sampling method was used. The data gathering tool was a demographic questionnaire, DASS21, measuring the experiences of menopause women. Data analysis was performed using SPSS 16 software by Pearson correlation coefficient and regression model at a significant level of 0. 05. Results: The mean age of menopause was 48 ± 4. 56 years. The mean and standard deviation of anxiety score, stress and depression in postmenopausal women were 5. 43 ± 4. 8, 4. 37 ± 7. 7 and 4. 33 ± 5. 35, respectively. The mean total score of menopausal experiences was 33. 5%. Pearson correlation showed a direct and significant association between stress, anxiety and depression score with the experiences of women in menopause (P = 0. 001, r = 0. 68). Conclusion: with increasing the scores of depression, anxiety and stress, the score of women’ s experiences in menopause increased. Therefore, these changes require counseling and supportive program to improve adaptation to menopausal psychosocial changes.

Introduction: Kidney transplantation is the best treatment in end stage renal failure. Quality of life is an important factor in the survival of kidney transplants and these patients need social support to improve their quality of life. Therefore, the present study was conducted to determine the correlation between quality of life and social support in patients with renal transplantation. Methods: This descriptive cross-sectional study was a correlation study performed on 166 patients with kidney transplantation referred to the renal transplantation clinic of Shahid Beheshti Medical Center in Hamadan in the winter of 2016. Convenient sampling method was used. Before the completion of the questionnaires, an informed consent was obtained and researcher was available during completion of questioners. Data was collected using demographic characteristics, Lapazis Quality of Life (KTQ-25) and Social Wax Support questionnaires. Data was analyzed by SPSS24 using Kolmogorov-Smirnov, Mann-Whitney, Kruskal-Wallis and Spearman non-parametric tests. Results: The mean score of total quality of life was 2. 79 ± 0. 99. The mean score of quality of life in the area of physical symptoms was higher than other areas (3. 67) and the total score of social support was 69. 91 ± 7. 58. 80. 7% of patients had an average quality of life. the mean score of social support in the family was more than other areas (25. 61%). 57. 2% of patients had a good level of social support. Social support had a direct and significant association with quality of life of patients (r = 0. 371, P <0. 05). Conclusion: There was a direct and significant association between quality of life and the level of social support in patients with renal transplantation. Therefore, it is necessary to pay special attention to the role of families in increasing the quality of life of patients and consequently, their health promotion. Health care personnel can consider the quality and quantity of support needs of patients by mobilizing support resources in the community and family participation to improve the quality of life of patients and as a low-cost and effective way to improve their quality of life.