Avicenna Journal of Nursing and Midwifery Care
Year:2014 | Volume:22 | Issue:3 (46)|Papers Count:9

Background: Caring for children with asthma creates a lot of tension for the parents. The present study was therefore conducted to investigate the effect of the family-centered empowerment model on the quality of life in parents of children with asthma.Methods: The present quasi-experimental study was conducted on 60 parents of children with asthma randomly divided into a case group and a control group. Seven sessions of training based on the empowerment model and after the assessment of the parents' needs were held for the case group over a period of four months. After the four months of training, the quality of life assessment instrument was once again completed by both the cases and the controls. Data were analyzed in SPSS/16 using statistical methods including the independent t-test, the paired t-test and Fisher's exact test.Result: There were no significant differences in the mean scores of knowledge, self-efficacy, self-esteem and quality of life between the case group and the control group before the intervention; however, the differences between the two groups became significant after the intervention (P<0.001). In addition, the study revealed a significant difference in the mean scores of knowledge, self-efficacy, self-esteem and quality of life in parents of the case group after the intervention and then four months later (P<0.001).Conclusion: Due to the effectiveness of the family-centered empowerment model on the quality of life in parents of children with asthma, adopting this model is recommended in a larger scale.

Background: Academic achievement is influenced by several parameters, such as self-efficacy, critical thinking, thinking styles and emotional intelligence. The present study was conducted to examine the relationship between academic achievement and self-efficacy, critical thinking, thinking styles and emotional intelligence in nursing students.Methods: The present descriptive, cross-sectional study was conducted on a statistical population consisting of all the nursing students of the Islamic Azad University of Varamin-Pishva Branch. A total of 140 nursing students (96 female and 44 male) were selected through stratified random sampling. All the study subjects completed Sherer's general self-efficacy scale, Ricketts' critical thinking disposition questionnaire, Sternberg's thinking styles inventory and the Bar-On emotional intelligence questionnaire. Data were analyzed in SPSS/19 using the Pearson correlation coefficient and the stepwise regression.Result: The present study revealed a significant positive relationship (P<0.05) between academic achievement and self-efficacy (r=0.46), critical thinking (r=0.17), executive thinking (r=0.37) and emotional intelligence (r=0.21). In a predictor model studying self-efficacy, executive thinking and emotional intelligence, the researchers were able to predict about 39% of academic achievement. Self-efficacy was a better predictor of academic achievement than the other parameters.Conclusion: Self-efficacy, executive thinking, emotional intelligence and critical thinking therefore had a positive relationship with academic achievement, in respective order of importance.

Background: One of the most challenges in diabetic patients is learning how to glycemic control. Patient education in the home increases the ability of patients to self-care. This study aimed to determine the effect of home care education on glycemic control in type 2 diabetes patients.Methods: This study was a clinical randomized controlled trial which conducted on sixty diabetic type 2 patients. Patients using blocks randomization were divided in two groups of intervention and control. Intervention education were at home visit on three training sessions of forty minutes, face to face with presence of patient and at least one of the members of the family and control group received usual education. Data were collected using questionnaire and checklist before and three months after the intervention. Data were analyzed using SPSS/20, analysis was used by descriptive statistics, chi-square, paired t-test and analysis of covariance.Result: The results showed that after home care education, fasting plasma glucose test in the intervention group than in control group, the difference was statistically significant (P<0.05). Values of BMI, waist-to-hip ratio in the test group than in the control group after education did not show a significant difference (P<0.05).Conclusion: Using the home care self-care education in diabetes patients one way affected and results to is their continuous behaviors and glycemic control. Member family in control chronic diseases could to using this programs self-care at home and improved ability patients.

Background: The affliction of parents with bipolar disorder disrupts their personal, family and social functions and affects their children's physical and mental health in addition to exposing them to the risk of psychological trauma. The purpose of the present study is to investigate Attention Deficit Hyperactivity, Oppositional Defiant and Conduct disorders in school-aged children of parents afflicted with bipolar disorder and to compare the results with the results obtained for school-aged children of healthy parents.Methods: In the present analytical, cross-sectional study, 62 school-aged children with a parent afflicted with bipolar disorder and 62 school-aged children with normal parents were sampled through the convenience sampling method. Farshchian teaching hospital of Hamadan became the research environment in 2013-14. The data collection tool was the parent version of the CSI-4 and the Mood Disorder questionnaire. Data were analyzed in SPSS/18 using the Kolmogorov-Smirnov test, the two independent samples t-test and the chi-squared test.Result: There was a significant difference between the mean scores obtained by the case group in the assessment of Attention Deficit Hyperactivity, Oppositional Defiant and Conduct disorders and the mean scores obtained by the control group (p<0.001).Conclusion: The findings showed that the children of parents with bipolar disorder are exposed to numerous traumas, including the Attention Deficit Hyperactivity disorder, the Oppositional Defiant disorder and the Conduct disorder and therefore require more care, treatment and follow-up.

Background: Tubectomy is a procedure recommended for women not planning to get pregnant again. The purpose of the present study is to evaluate anxiety and depression and their risk factors in women who have undergone tubectomy.Methods: The present historic cohort study was conducted on 200 women who have undergone tubectomy and 200 women using condoms as their contraceptive method of choice. The simple random sampling method was used to collect data from health care centers across Rudsar in 2012-2013. Anxiety and depression were evaluated through the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using the chi-squared test, the t-test and the multiple linear regression.Result: There was a significant difference between the mean overall score of anxiety and depression in the tubectomy group (16.50±6.49) and the non-tubectomy group (11.23±5.97); (P<0.0001). The overall prevalence of anxiety and depression was 81.5% in the tubectomy group and 48.5% in the non-tubectomy group (P<0.0001). The multiple linear regression analysis showed that low education levels (P<0.0001), poststerilization regret (P=0.03) and the lack of pre-tubectomy consultations (P=0.03) had a significant statistical relationship with the risk of anxiety and depression in women who have undergone tubectomy.Conclusion: Given that selecting a contraceptive method is inevitable, women need to be informed about the advantages and disadvantages of tubectomy and other methods of contraception. The present study found significant differences in the risk of developing anxiety and depression between women who have undergone tubectomy and those who have not.

Background: Premature newborns undergo numerous painful procedures during their process of care and treatment. Nurses can help reduce the complications of pain through various non-medicinal methods. The present study was therefore conducted to assess the effect of swaddling on physiological pain responses of premature infants to Nasogastric Tube Insertion at 29 Bahman Hospital of Tabriz, affiliated with the Social Security Organization in 2013-14. Methods: The present crossover clinical trial was conducted on 38 premature infants born at the gestational age of 28-34 weeks hospitalized at the neonatal intensive care unit, selected through the convenience sampling method and randomly divided into two groups. In both groups, physiological pain responses of the newborn, including heart rate and arterial blood oxygen saturation, were measured before, during and after the nasogastric tube insertion. Data were analyzed in SPSS/18. The independent t-test and were used for comparing the quantitative variables. P-values below 0.05 were considered statistically significant.Result: The results showed no significant statistical differences between the qualitative and quantitative variables in the two groups. In addition, comparing the mean physiological pain responses at different times during the assessment showed that swaddling improves the newborn’s heart rate and arterial blood oxygen saturation during and after the nasogastric tube insertion (P<0.05).Conclusion: Given the effect of swaddling on physiological pain responses to nasogastric tube insertion, nurses are recommended to use it as an effective intervention for reducing pain in newborns.

Background: The use of non-pharmacological methods of relieving nausea longside antiemetic agents can reduce chemotherapy-induced nausea and vomiting. The present study was conducted to determine the effect of cardamom aromas on the cemotpy induced nausea and vomiting in cancer patients.Methods: The present clinical trial was conducted on 66 cancer patients reporting chemotherapy-induced nausea at the hospital and clinic in 2014. Patients were randomly divided into a cardamom group and a placebo group. After submitting their formal consent, the patients were asked to take three deep breaths with either distilled water or cardamom pads twice with five-minute intervals. The patients’ severity of nausea was measured before the intervention, after the first 3 breaths and then after the second 3 breaths. The frequency of nausea, retching and vomiting were evaluated in the acute phase of chemotherapy after the interventions.Result: At the beginning of the study, both groups were similar in terms of their demographic characteristics and the severity of nausea. The severity of nausea was significantly lower in the cardamom group than in the placebo group at the end of the interventions; and this difference was statistically significant (p<0.01). The patients' frequency of nausea, retching and vomiting was similar in both groups in the acute phase. There were no differences between the groups’ frequency of nausea, retching and vomiting based on gender and the degree of chemotherapy emetogenicity.Conclusion: Cardamom essential oil inhalation aromatherapy is recommended for decreasing the severity of chemotherapy-induced nausea in cancer patients.

Background: Family members of patients with cerebral infarction experience disruptions in their social activities enduring physical and mental pressure and stress due to their sudden encounter with stroke and the adopting of a new role as caregiver. present study was conducted to determine the effect of family-centered empowerment intervention on perceived severity of threat in caregivers of patients with stroke.Methods: The present semi-empirical study with a before and after design was conducted in two groups of 88 caregivers in total selected through convenience sampling and randomly divided into a case group and a control groups of equal size (n=44). The research tool consisted of a demographic characteristics questionnaire, the Bortle scale and the perceived severity of threat questionnaire, which were completed before and then one month after the educational intervention by all the caregivers. The educational intervention was conducted in groups of 11 and over 2 sessions. Data were analyzed using the chi-squared test and the paired and independent t-tests at the confidence level of 95%.Result: There were no significant differences between the mean scores of perceived severity of threat in the groups before the intervention (P=0.941). One month after the intervention, however, significant differences were observed in the mean scores of perceived severity of threat in the three dimensions, namely the social, physical and spiritual dimensions, in the case group compared to the controls (P<0.05).Conclusion: Family-centered empowerment interventions can reduce care pressures and physical and mental stresses and social isolation in caregivers of patients with stroke.