Avicenna Journal of Nursing and Midwifery Care
Year:2017 | Volume:25 | Issue:1|Papers Count:11

Introduction: Patients with Myocardial infarction suffer from impaired daily functioning and reduced quality of life. The aim of this study was to determine the effect of teach back education on self-care behaviors and quality of life in patients with myocardial infarction in 2015 in Hamadan.Methods: In this quasi-experimental study, 70 Patients with myocardial infarction were selected with random available sampling and randomly divided to control and case groups.Three sessions, each for 45 minutes in 10 days, were performed for the case group. After one month and after the last training session, Mc New questionnaires were completed by both experimental and control groups. Data were analyzed with SPSS software (version 16) by descriptive statistics, independent-t and paired-t tests.Results: In the case group, there was a significant difference between the mean scores of quality of life. However, the difference was not significant in the control group. There were significant differences between the mean scores of quality of life of case and control groups after the intervention.Conclusions: In the present study, teach back training method improved the quality of life in patients with myocardial infarction. Considering its important role of nurses, they can use these training methods to improve the quality of life for patients with heart problems.

Introduction: Women living with husband on hemodialysis face multiple challenges which impact their quality of lives and coping styles. This study was performed to investigate the relationship of coping strategies with quality of life in women living with husband on hemodialysis.Methods: This was a correlational study. The convenience sample consisted of 212 women living with husband on hemodialysis who had come to hospitals of Shahid Beheshti University of Medical Sciences in 2016. Data were collected using the brief COPE and World Health organization (WHO) quality of life. Pearson’s correlation coefficient and ANOVA by SPSS software (version 21) were conducted for data analysis.Results: Psychological health of women was found the lowest among the other sub-scales of quality of life. Quality of life had a positive significant correlation with problem-oriented coping strategies (r=0.71, P=0.001) and a negative relationship with emotion focused coping strategies (r=-0.53, P=0.04). The results showed that religious (3.74 ± 0.57) and substance use (1.99 ± 0.7) as two coping strategies were the highest and lowest strategies used by women living with husband on hemodialysis.Conclusions: Coping strategies are influential in quality of life in women living with husband on hemodialysis. Psychology support programs are needed to help to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

Introduction: Using exercise with birth ball during labor leads to labor pain relief and improvement in the labor process, and is a very important non-medication method, looking into the chemical medications side-effects on mother and fetus, plus being affordable.This study aimed to investigate the effects of using birth ball on maternal and neonatal outcomes.Methods: In this clinical trial, 100 primiparous women, 45-18 years old, were admitted to Fatemiyeh hospital in 2015, and were randomly divided into two groups of 50 tests and controls. The data collection instrument was questionnaire. In the duration of labor, the need for oxytocin, Apgar score after the delivery, and birth weight were compared between the two groups.Results: The mean duration of labor was significantly lower in the intervention group compared with the control group (P<0.05). The need for oxytocin, Apgar score, birth weight and mode of delivery were not significantly different between the two groups.Conclusions: Performing exercise with birth ball during labor can decrease the active phase of labor, with no harmful consequences on the Apgar score; so, it can be used as a non-medication treatment to reduce labor pain and the duration of delivery.

Introduction: Considering the importance maternal care, this study aimed at exploring the concept of continuous care and its dimensions in prenatal, perinatal, and postnatal periods.Methods: This was a content analysis qualitative study that was performed using semi-structured in depth interviews. Conventional content analysis method was used for data analysis simultaneously data gathering. Different strategies were adopted for ensuring the accuracy and the rigor of the findings such as prolonged engagement with the data and external peer check. The setting of the study was healthcare, hospital and instruction centers of Kashan University of Medical Sciences. The participants included eighteen midwives and five physicians, who had different official positions.Results: The participants’ experiences revealed five concepts for the concept of continuous midwifery-led care, which included continuity, the process of care, education and informing, management, and professionalism. Continuity had 3 categories including continuous physical access, continuity of care in different time periods and continuity of a psycho-emotional relationship. Philosophy of continuous care, home care provision and accountability of the process of care were the process of care categories. Continued promotion, target groups of educations, ethics, rights, backing up, implementation of program documentation and follow-up were other categories.Conclusions: Continuous midwifery-led prenatal, perinatal, and postnatal care is a multidimensional and important concept. Given the differences in health infrastructures of different countries as well as the unique characteristics of pregnancy, higher priorities are recommended for continuous midwifery-led care and its dimensions.

Introduction: Nurses play an important role in the development of health care and treatment.Knowledge management is one of the factors in the success and competitive advantages of organization. This study aimed at determining the relationship between knowledge management and job motivation of nurses in educational treatment centers of Hamadan University of Medical Sciences, during year 2015.Methods: This descriptive cross-sectional study was conducted on 256 nurses in educational-treatment centers of Hamadan University of Medical Sciences, who were selected by stratified random sampling. Data were collected using the Nonaka and Takeuchi Knowledge Management and Herzberg's Motivation Questionnaire. Its reliability and validity were confirmed by previous studies. Data were analyzed using the SPSS (version 16) software, and to measure the relationship between variables, the Pearson correlation test was used.Results: Research results showed that most people in terms of knowledge management (60.4%) and motivation (87.5%) had an appropriate score. There was a significant positive correlation between job motivation and knowledge management and its dimensions, other than salary and knowledge creation, job security and creation of knowledge (P<0.05).Conclusions: Due to the significant relationship between job motivation and knowledge management, nursing managers must implement knowledge management for employees and their motivation and consider internal and external motivation for implementation of knowledge management.

Introduction: One of the problems in disaster management is Mass Casualty Incident (MCI). Red Crescent is one of the most important organizations during and after accidents.The objective of this study was to investigate the effect of education of MCI on knowledge, attitude, practice and satisfaction of Red Crescent Rescuers in Hamadan.Methods: First, Red Crescent officials of Hamadan were interviewed. According to their views, MCI, as the most important challenge, was considered. This was a semi-experimental single group study and data gathering tools included questionnaires (consisted of three sections of personal characteristics, determination of knowledge and attitude) and check-lists for assessing practice. Content validity was used to determine the tools validity.Test-retest, Cronbach’s Alpha (0.92), inter-rater methods and simultaneous observation of two observers were used to determine scientific reliability of questionnaires and checklist, respectively. The study population comprised of all rescuers of Red Crescent. Available or purposeful sampling was done and 40 individuals participated in this study. Knowledge, attitudes and practice were assessed before and after the workshop. Data were statistically analyzed by the SPSS software version 15 and paired t test.Results: All participants in this study were single males, (50%) in the age group of 18 to 23 years (50%) with bachelor's degree (75%). Average score of knowledge before education was 5.4 ± 0.4 and after education this was 11.2 ± 1.3; average score of attitude before education was 6.1 ± 0.6 and after education this was 21.2 ± 3.5, and average score of practice before education was 2.5 ± 0.3 and after education this was 7.2 ± 0.5. Average satisfaction with the workshop was 52.6 ± 5.6 (P>0.001).Conclusions: Since knowledge, attitude and practice of rescuers increased after training thus this study recommends it to be used in other fields.

Introduction: Pregnancy is an important event that occurs in the lives of most females.Marital satisfaction is a very important aspect in this period that influences quality of life and physical and mental health of females and their children. Marital satisfaction is influenced by a variety of factors. In this study, we investigated the factors influencing marital satisfaction during this period.Methods: This descriptive study was conducted on 120 cases that were randomly selected among pregnant females attending clinics of Asadabad during year 2015. Data was gathered by an information form, Enrich Marital Satisfactions Questionnaires and demographic questionnaires. Questionnaires were filled by the participants. The data was analyzed by SPSS 16 software using mean and standard deviation, independent t test, and Analysis of Variance (ANOVA).Results: Level of marital satisfaction in pregnant females was medium and high. Sub scales of conflict resolution and character issues and equality were lower than the rest of the scales. Subscales of ideal distortion, relatives and friends, and religious orientation were higher than the rest of the scales. Also, there was a significant relationship between education, career, husband's occupation, household income, job stability of the spouse, planned pregnancy, infertility history, length of marriage, age of the woman and marital satisfaction (P<0.05).Conclusions: Life skills counseling can be effective in improving marital satisfaction. Demographic variables were predictors of marital satisfaction in pregnant females.

Introduction: Nursing leadership style is effective in the successful and timely performance of nursing care. Besides, nurses' procrastination will have high casualties and financial costs. This study aimed to determine the relationship between staff procrastination and nurse managers' leadership styles.Methods: This was a descriptive correlational study conducted at social welfare hospitals in 2013. The study population consisted of employees (n=950) and managers (n=70) of nursing and midwifery departments. All the managers and 290 employees were randomly selected by stratified method. Data were collected by demographic, organizational procrastination and Bardenz-Metzkas leadership style (LBDQ) questionnaires, of which the validity and reliability had been confirmed. Data were analyzed with correlation coefficient at 0.05 significance level.Results: Most of the managers had average task-oriented and people-oriented leadership styles, but the focus of the executers on task-oriented leadership style was greater. The staff had low procrastination (52.46 ± 12.99). People-oriented style of the managers had weak inverse correlation with procrastination scale (r=-0.176) and inefficiency subscale (r=-0.191) of the nursing staff; also, task-oriented leadership style had a weak inverse correlation with subscale of abomination from task performance (r=-0.110) in staff, but the relationships was not significant.Conclusions: Lack of procrastination in nursing and midwifery staff is a positive phenomenon that affects the performance of the organization. Due to the lack of relationship between leadership style and procrastination, future researches in larger extent is proposed.

Introduction: Lack of effective control in postoperative pain can cause sleep disturbance, decreased fluid intake and incidence of behavioral changes, such as restlessness, irritability and reduced activity and play. Therefore, this study was performed with the aim of determining the effectiveness of Around-The-Clock (ATC) analgesic administration on the quality of sleep and behavioral changes in children after surgery.Methods: In this clinical trial, 68 children, 6 to 12 years old, admitted for tonsillectomy with one parent, were selected and randomly divided to control and case groups. For the case group, an intervention was performed by the Around-The-Clock (ATC) analgesic administration training after discharge. The data collection tool was a home dairy that was completed by parents. Data were analyzed with SPSS 16 by repeated measures, post-hoc, independent t and chi-square tests.Results: According to the independent t test, there were significant differences between children of case and control groups in average sleep quality scores on the first day after discharge (P=0.008). According to chi-square test, except for appetite (P=0.00), no significant differences were shown between children of the two groups in the other behavioral changes.Conclusions: Training of Around-The-Clock (ATC) analgesic administration in the first three days after ambulatory surgery, such as tonsillectomy, could prevent inappropriate behavioral changes in children and increase the quality of their sleep and appetite.

Introduction: Anthropometric measurements provide useful references for the care of newborns. This would ultimately lead to identifying at risk newborns and help better management.The aim of this study was to investigate the relationship between second trimester maternal hemoglobin values and neonatal anthropometric indices.Methods: A prospective study was performed on 150 pregnant females at 24 to 28 weeks of gestation, undergoing hemoglobin status test, in Tehran, during years 2013 to 2014. Hemoglobin concentrations in second trimesters and all anthropometric indices of the newborns (birth weight, length, and head circumference) were recorded. Data were analyzed using descriptive statistics, linear regression analysis and One-way Analysis of Variance (ANOVA). Data were analyzed with SPSS v21 and P<0.05 was considered significant.Results: No correlation was found between neonatal indices and second trimester hemoglobin concentrations. When the effect of independent factors on neonatal anthropometric indices was investigated, it was determined that birth week, parity and history of low birth weight were the factors of most influence (P<0.05). The infants of females with hemoglobin higher than 13.6 g/dl on the 24th and 28th week of pregnancy had lower anthropometric indices, yet this was not significant.Conclusions: According to our study, there was no significant relationship between mother' s hemoglobin concentration during the second trimester of pregnancy and neonatal anthropometric indices.