Avicenna Journal of Nursing and Midwifery Care
Year:2011 | Volume:19 | Issue:1 (35)|Papers Count:11

Introduction & Objective: Poor sleep quality and sleep deprivation leads to daytime sleepiness.several study showed that sleepiness related sleep deprivation may be associated with increased risk of hypertension and decrease quality of life. The aim of this study was to evaluate frequency of daytime sleepiness in hypertensive women.Materials & Methods: This is a descriptive – analytical study that was conducted on 187in hypertensive women. sampling method was Convenience sampling. Data collected by demographic data form, The Epworth Sleepiness Scale (ESS). Data were analysis by Chi-square Results: The findings indicated that the mild (39.6%), moderate (19.3%) and sever (5.3%) daytime sleepiness were in hypertensive women. There were statistically significant differences between daytime sleepiness with age (p=0.025), menopause (p=0.003), body mass index (p=0.002), severity of hypertension (p=0.001), drug regimen (p=0.028), diuretics use (p=0.043).Conclusion: The results from this study suggest that daytime sleepiness is common problem among hypertensive women. The nurses can be able to improve the quality of sleep and sleep hygiene in hypertensive women by patient's education about self-care intervention. In this way they could potentially help to prevention of their high blood pressure.

Introduction & Objective: There is inconsistent evidence which showed deficiency of serum antioxidant E and A in pregnant women may effect on fetal growth. For survey of this matter in Iran, a study was conducted with the aim of related survey of serum antioxidant vitamins E and A in pregnant women of Kashan city with anthropometric factors of neonates in 2008-2009.Materials & Methods: In a cross sectional- analytical study among pregnant women referred to Naghavi Specialitis and Subspecialitis Polyclinic related to University Kashan University of Medical Sciences, 125 pregnant women of eligible and their neonates were selected. Anthropometric factors of neonates (weight, height and head circumference) and serum concentration of antioxidant Vitamins E and A were measured in pregnant women months 6-9. Then prevalence of antioxidant Vitamins E and A deficiency was reported according to defined cut-off values and also the correlations Vitamins E and A with anthropometric factors of neonates. For data analysis were used from t test and stepwise multiple regression analysis.Results: Infants whose mothers had serum vitamin E concentration of below normal less weight 33.1 g and less height 0.5-cm than normal. Infants whose mothers had serum vitamin A concentration of below normal more weight 26.6 g and less height 0.5-cm than normal.Conclusion: Findings of this study showed that there were direct relation between weight and height of neonates with serum vitamin E of pregnant women in later trimester and with serum vitamin Aindirect relation.

Introduction & Objective: Studies show that the performance evaluation (PE) of fculty members has always different issues to deal. So far, a study has not been done in which the issues put scrutiny from the perspective of those people involved. So, this study was conducted with the aim of clarifying and scrutinizing current status of PE from nursing faculties' perspectives.Materials & Methods: In this qualitative study, the required data was gathered through two methods of semi-structured interviews with experts and examining the existing policies, procedures, and evaluation documents. Totally, the contents of 22 individual interviews and 28 series of subject materials went under qualitative content analysis using conventional approach. Purposive sampling and census methods were used for selecting the interviewees and evaluation documents, respectively.Results: Participants had a broad perception toward the current status of the nurse faculties' PE. After analyzing their explanations and the content of the existing documents three themes emerged: "Internal evaluation factors", "professional factors" and "external factors" affecting on faculty performance evaluation.Conclusion: According to the studies those emphases on some internal and external factors for the PE system effectiveness, present findings show the current status of nurse faculties' PE is ineffective. So that is worthy the administrators to resolve or reduce issues.

Introduction & Objective: The concept of self-efficacy stems from social-cognitive theory. Present research was conducted, consistent with Bandura’s Self-Efficacy Theory, with the purpose of identified correlation of nursing students’ self-efficacy with clinical performance.Materials & Methods: This correlation study conducted with a sample of 207 nursing students. The research instruments concluded, “Clinical Performance Self-efficacy” scale consists of four dimensions with 37 items (0-100 Likert-format) and “Nursing Clinical Performance” with 5 case scenario and 15 questions. Validity and reliability of the scales were tested. Internal reliability of “Clinical Performance Self-efficacy” scale had α=0.96; the dimensions Cronbach’s a ranged from 0.90 to 0.92. Test–retest reliability with a 2-week time interval was r=0.94. Internal reliability of “Nursing Clinical Performance” scale had a=0.78. Test–retest reliability was r=0.81.Results: Result showed that significant correlation was detected between "clinical performance self-efficacy" and "nursing clinical performance" (r=0.425, p<0.001).Conclusion: Based of the percentile average of scores, self-efficacy and clinical performance of nursing students were moderate.Also, there was significant correlation between "clinical performance self-efficacy" and "nursing clinical performance" of nursing students. Therefore, non educational factors, such as self-efficacy, had an important role in students' performances, especially in clinical settings.

Introduction & Objective: The use of medications during pregnancy poses a potential risk to both mother and the fetus. FDA classifies various drugs used in pregnancy, and provides therapeutic guidance for the clinician. The purpose of this study was to determine the pattern of drug consumption during pregnancy.Materials & Methods: This descriptive-analytic study was performed using questionnaire and interview. Two hundred pregnant women who were in the third trimester of pregnancy referring to health centers in Hamadan city were participated in the study.Results: The results showed that 44% of women took at least one drugother than a vitamin or mineral supplement during the pregnancy. Users took a mean number of 1.7 drugs in which 11.4% had been self- administered. The most frequently used drugs were analgesics in first trimester, antibiotics in second trimester and gastrointestinal drugs in third trimester. Self-administered of drug intake during pregnancy was significantly associated with education (P<0.05).A high proportion of the women received drugs from B category in all trimesters. Drug administration from X category in first trimester was more than second and third trimester.Conclusion: A large proportion of women were taking drugs during pregnancy and the most commonly drugs were analgesics in the first trimester. The women in the first trimester were exposed to drugs from X category that contraindicated in pregnancy, most commonly to sex hormones.

Introduction & Objective: To educate the every material, first the requirements must be recognized until we will be able to educate the students. As though the family planning lesson is thought to every course in university to promote the knowledge of them, this study was carried out to detect the knowledge and Attitudes of students about emergency contraception in medical university of Shahrekord.Materials & Methods: In a descriptive and analytical study, 130 of female students in nursing, midwifery, health and para medical courses who passed the family planning lesson, randomly selected and were assessed. A predesigned questionnaire was used for data collection and analysis was done by SPSS version 16, t and chi square tests and P<0.05 was considered significant. A predesigned questionnaire was used for data collection, analyzed of data was done by SPSS, t and chi square tests and P<0.05 was considered significant.Results: About of 95.4% of students were aware of emergency contraception.85.2%explained the contraceptive pills and 10% stated the IUD for emergency contraception. The knowledge of students was inadequate in 15.4% of them. 76.9% of them had moderate and 7.7% had adequate knowledge. The attitudes more of the 80% of students about emergency contraception were positive.Conclusions: The awareness of students about emergency contraception was moderate. Better education of emergency contraception with considering the details for every method and IUD for emergency contraception was suggested.

Introduction & Objective: More than half of made sexual problems that because of insufficient knowledge lead to unsafe marriage relationship. By considering the sexual and reproductive health education role in preventing sexual problems and health promotion, the aim of this paper was studying the effect of the education based on James Brown pattern on knowledge of sexual and reproductive health in women participant marriage educational classes.Materials & Methods: The Quasi-Experimental study conducted on 330 Hamedanian women in case and witness groups (randomly selected) in 1386. In case group, education was done based on James Brown education pattern and the witness group took part in education class in clinic. Data analysis was done by SPSS11 software, Chi-square and T. test formulas. The amount of meaningful statistical was P<0.05.Results: Knowledge average scales in case group, including sexual health, anatomy and physiology, diverse aspects of sexual health and awareness of AIDS, STDs and family planning, after education with James Brown pattern increase (81.7, 78.6, 84.0, 85.9) rather than pre-education stage (44, 45.8, 49.3, 43) (P=0.00). While knowledge average scale in witness group before and after education has no meaningful statistical difference (P=0.62).Conclusion: According results Hamedanian women knowledge was weak. James Brown pattern makes increasing of their awareness about sexual health. So it's suggested to generalize the reproductive and sexual health education by James Brown education pattern to Hamedanian women and other Iranian women.

Introduction & Objective: Since lack of an accurate diagnosis for post pregnancy depression can lead to ineffective relationship between mother and child and family. So the present research discusses the rate of postpartum depression in clinics in the north of Tehran.Materials & Methods: The research done is a descriptive analytic study. In this study 250 women have been studied. Tools used in the study were two questionnaires. The input was coded and analyzed using the spss scientific software.Results: Findings show that 30 percent of women suffer from different levels of depression after pregnancy and 70 percent of them have no depression at all. There is a meaningful relation between post pregnancy depression and women education, the number of pregnancies, unwanted pregnancy and disagreement with the husband. There was no meaningful relation between post pregnancy and age differences of couples, level of education and employment of the woman and the manner of wing Folic Acid during pregnancy and history of abortion.Conclusion: According to the finding of the study for the prevention of this disease, it is recommended that supportive and training programs be provided during and after pregnancy for mothers and relatives.