eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
1
9
article
THE EFFECT OF GRAPE SEED EXTRACT ON LIPID PROFILE AND BLOOD PRESSURE OF PATIENTS WITH HYPERLIPIDEMIA: A RANDOMIZED DOUBLE BLIND CLINICAL TRIAL STUDY
fatemeh mohammadipour
mohammadipourf@gmail.com
1
javad cheraghipour
2
Razi Herbal Medicines Research Center, Lorestan University ofMedical Sciences, Khorramabad
Razi Herbal Medicines Research Center, Lorestan University ofMedical Sciences, Khorramabad
Received: 28 Dec, 2015 Accepted: 1 Mar, 2016
Abstract
Background & Aims: Hyperlipidemia is a risk factor that caused and exacerbated cardiovascular disease. There are several different diets and chemical and herbal medicines for correction and reduction of hyperlipidemia. This study investigated the effect of grape seed extract on lipid profile and blood pressure in patients with borderline hyperlipidemia.
Materials & Methods: This study was a randomized double-blind clinical trial with before and after design, in which 88 patients with borderline hyperlipidemia were matched by their age, sex, blood lipid profile, and they were randomly allocated to one of the two intervention groups (2 capsules containing 100 mg of grape seed extract) or control (2 placebo). They consumed drug or placebo for 6 weeks. To control the effect of diet on measuring variables three consecutive days before the start of supplementation and two days at the end of the study, 24 Hour Reminder Food questionnaire was completed by the subjects. Lipid profile and blood pressure were analyzed before and after treatment.
Results: In the intervention group oxidized LDL was significantly reduced and HDL was increased (p
http://unmf.umsu.ac.ir/article-1-2511-en.pdf
Grape seed extract
Hyperlipidemias
blood pressure
Cardio metabolic Risk
CVD Risk Factors
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
10
20
article
THE LEVEL OF INJECTION SAFETY STANDARDS COMPLIANCE BY EMERGENCY DEPARTMENT NURSES OF EDUCATIONAL HOSPITALS IN URMIA UNIVERSITY OF MEDICAL SCIENCE IN 2015
Farideh Mahmoudi markid
mahmodi.faride@yahoo.com
1
Aram Feizi
aramfeizi@yahoo.com
2
Master Student in critical care nursing, Urmia University of Medical Sciences, Urmia
Associate Professor, School of Nursing and Midwifery, Urmia University of Medical Sciences
Received: 6 Nov, 2015 Accepted: 15 Jan, 2016 Abstract Background & Aims: Safety is a fundamental principle of patient care. The use of safe injection practices by nurses to maintain patients' and healthcare providers' safety and to prevent transmission of blood-borne diseases is of particular importance. Materials & Methods: This study aims to determine the level of injection-safety standards complied by the Nurses of Educational Centers Emergency Departments in Urmia University of Medical Sciences. In this cross-sectional descriptive study, 210 injections administered by nurses in emergency departments' of selected hospitals of Urmia University of Medical Science were observed in succession. The data were collected by a demographics questionnaire and observational checklist of safe injection standards. The data were analyzed using SPSS software, and they were reported in the tables. Results: In a piecemeal approach, the findings showed that, the level of injection-safety standards complied by nurses before injection, were relatively favorable (84/8%) in most injections. In 15.2% of the injections, it was reported to be favorable, and there were no unfavorable injection. During the injection stage, most injections (87/6%) were in the favorable range, 11% of injections were relatively favorable and only 1/4% of injections were unfavorable. In the post-injection stage, most injections (87/6%) were in the favorable range, 9/5% of injections were relatively favorable and only 2/9% of injections were unfavorable. The results of ANOVA Test showed a significant statistical difference among groups according to observed results in the use of safe injection standards in the when-injection stage (P= 0/008). Also, according to the observed results in the use of safe injection standards, the results of PCC showed a significant correlation between the pre-injection and the injection stages (r= 0/159), (P= 0/01) it was the same in the pre-injection and post-injection stages (r= 0/225), (P= 0/001). Conclusion: In an overall investigation of the findings of our study, most injections were relatively favorable. Since the World Health Organization recommends full compliance with these standards, and it recognizes the slightest failure in their usage as the factor of disease transmission, so these standards must be fully complied by nurses.
http://unmf.umsu.ac.ir/article-1-2537-en.pdf
Standards for Safe Injection
Nurse Performance
Emergency Department
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
21
29
article
INTERNAL EVALUATION OF NURSING GROUPS AFFILIATED TO ISLAMIC AZAD UNIVERSITIES OF WEST AZERBAIJAN PROVINCE
saleh salimi
salimitr@gmail.com
1
Nazila Bagerzadeh
nbagherzadeh60@gmail.com
2
Associate Professor Medical Nursing, Nursing Group, School of Nursing and Midwifery, Islamic Azad University, Urmia Branch
Instructor, Nursing Group, School of Nursing and Midwifery, Islamic Azad University, Urmia Branch
Received: 21 Nov, 2015 Accepted: 30 Dec, 2015
Abstract
Background ; Aims: Because of the role of universities in the education of generations, checking the achievement of objectives and the quality of education is necessary and the internal evaluation is among the most widely accepted method for this purpose. The aim of this study was conducting a comparative internal evaluation among nursing groups of the Islamic Azad Universities located in the province.
Materials and Methods: This research is a descriptive study. Study population consisted of students, alumni and faculty members of nursing groups of Islamic Azad University in West Azerbaijan Province in 2014. A sample of 70 nursing students and 40 alumni from each educational group were selected. Valid and reliable questionnaires along with some checklists, were used to collect data form group managers, faculties, students and alumni. The questionnaire’s reliability was achieved using Cronbach;#39s alpha, and its validity was obtained by the faculties view. The data were analyzed by SPSS Software version 21. Descriptive and inferential statistics were used in the research.
Results: Analysis of the data showed that the lowest satisfaction rate were among input factors such as the equipment and the highest satisfaction rates were among output factors such as the factors related to the quality of the educational programs.
Conclusion: The results show that the evaluated units ranged themselves "favorable" or "highly favorable". But the fact may be somehow different according to the results of external evaluations both in respect to the analogy between the units and in the evaluation of each unit individually. It seems that the results of internal evaluation without external evaluation may be seductive.
http://unmf.umsu.ac.ir/article-1-2543-en.pdf
Qualitative evaluation
Nursing
Islamic Azad University
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
30
38
article
ANALYTICAL SURVEY ON RELATION BETWEEN WORKLOAD WITH OCCUPATIONAL BURNOUT DIMENSIONS IN ICU NURSES
Hadi Asgari
-
1
Hamidreza Khalkhali
-
2
iraj Mohebbi
iraj_mohebbi@yahoo.co.uk
3
Urmia University of Medical Sciences
Associate Professor of Epidemiology ;Biostatistics
Urmia University of Medical Sciences
Received: 11 Nov, 2015 Accepted: 19 Mar, 2016
Abstract
Background ; Aims: Nurses working in intensive care units endure more workloads in comparison with other nurses. This workload may lead these nurses to a job burnout. The study aims to investigate and analyze the correlation between workload and job burnout dimensions among nurses working in ICU.
Materials & Methods: This descriptive – analytical study was performed on all intensive care units staffs of affiliated hospitals of Urmia University of Medical Sciences, with applying census method. A total of 220 nurses were invited to participate. NASA-TLX workload questionnaire and Maslach’s burnout inventory (MBI) were distributed among them. After gathering the questionnaires, the data were analyzed by analytical- descriptive statistics.
Result: Of 220 ICU nurses about 82% with mean age of 35 years were participated in this study, 56.7% of them had a high degree in the field of emotional exhaustion, 40.9% and 35.6% of them a high degree in the lack of personal accomplishments and in depersonalization, respectively. There was a positive and significant correlation between workload and emotional exhaustion (r=0.416), lack of personal accomplishments (r=0.229), and depersonalization (r=0.192), 0.01(P
http://unmf.umsu.ac.ir/article-1-2620-en.pdf
Burnout
Fatigue
Workload
Nursing
ICU
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
39
46
article
THE EFFECT OF CAREGIVERS ON THE CHILDREN WITH CANCER UNDERGOING CHEMOTHERAPY TO PREVENT GASTROINTESTINAL SIDE EFFECTS OF CHEMOTHERAPY
hamideh elahi asgar abad
elahiah1@mums.ac.ir
1
hamidreza behnam vashani
behnamhr@mums.ac.ir
2
fatemeh heshmati nabavi
hashmatin@mums.ac.ir
3
zahra badiei
badiez@yahoo.com
4
Child and Infant Nursing and Midwifery Faculty Of Medical Sciences, Mashhad, Iran
Child and Infant Nursing and Midwifery Faculty Of Medical Sciences, Mashhad, Iran
Child and Infant Nursing and Midwifery Faculty Of Medical Sciences, Mashhad, Iran
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Received: 21 Nov, 2015 Accepted: 21 Jan, 2016
Abstract
Background ; Aims: Gastrointestinal side effects are among the most common side effects of chemotherapy on the compliance of the patient. Therefore, understanding the symptoms and how to prevent them in the process of the treatment and prevention of recurrent hospitalization can be highly helpful. This study aimed to study the effect of mothers;#39 empowerment on their children;#39s gastrointestinal side effects.
Materials & Methods: This study is a Quasi-experimental nonequivalent control group design which was carried out in Dr Sheikh Hospital in Mashhad in 2013. Empowerment program was in three empowerment sessions with focus on its complications: nausea, vomiting, diarrhea, constipation, and loss of appetite which were trained on experimental group. The program was developed and based on the process of empowerment as conceptualized by Gibson’s theory program, composing 4 steps. To gather the data, standard questionnaires on chemotherapy side effects were applied in three stages of before, during and after the intervention. For data analysis, SPSS software, version 18 was used.
Results: Average side effects in intervention group after the intervention were lower than the control group. Nausea from 53/7% to 26/3%, vomiting from 66/7% to 33/3%, diarrhea from 50% to 10%, constipation from 33/6% to 6/7% and loss of appetite from 93/3% to 36/7% were decreased respectively in the intervention group, and significant differences were seen) p
http://unmf.umsu.ac.ir/article-1-2583-en.pdf
Gastrointestinal
Chemotherapy
Child
empowerment
mothers
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
47
55
article
THE EFFECT OF FOOT MASSAGE ON BLOOD PRESSURE AND HEART RATE OF CCU PATIENTS
Saeid Abdi
s.abdi007@yahoo.com
1
Khodayar Oshvandi
oshvandi@umsha.ac.ir
2
Arezoo Karampourian
karampor1@yahoo.com
3
Abbas Moghim beygi
Moghimb@yahoo.com
4
Shahram Homayoon far
5
Nursing and Midwifery College; Hamadan Uniyersity of Medical Sciences
Nursing and Midwifery College; Hamadan Uniyersity of Medical Sciences
Nursing and Midwifery College; Hamadan Uniyersity of Medical Sciences
Hamadan University of Medical Sciences
Hamadan University of Medical Sciences
Received: 9 Nov, 2015 Accepted: 9 Jan, 2016
Abstract
Background & Aims: Control of Hemodynamic status is a vital and routine practice in the cardiac intensive care unit, and it provides immediate and available information about the patient;#39s cardiovascular function. This study tries to investigate the effect of foot massage on blood pressure and heart rate of CCU patients.
Materials & Methods: This study is a clinical trial in which 60 patients participated by convenience sampling, and they were randomly divided into two groups: intervention (n = 30) and control (n = 30). In intervention group, foot massage was performed for each patient 20 minutes, but the control group received usual care. Data were collected by using demographics questionnaire and vital signs. They were analyzed by using descriptive and inferential statistics tests (chi-square, Paired samples Test) by SPSS software Version 16 and.
Results: Paired t test showed significant differences between the mean of systolic and diastolic blood pressure, and the pulse rate also showed a significant difference before and after foot massage in experimental group (P0.05).
Conclusions: Foot massages result in comfort and hemodynamic balance in heart patients. Considering the low cost and non-complications of this procedure, it is recommended to be applied for cardiac patients;#39 vital signs balance.
http://unmf.umsu.ac.ir/article-1-1717-en.pdf
Foot massage
Vital sign
Heart patient
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
56
65
article
THE EFFECTIVENESS OF GROUP COUNSELING BY COLLABORATIVE APPROACHES ON SPECIFIC STRESS IN INFERTILE WOMEN
Soheila Rabeipour
Soheila80@yahoo.com
1
Zahra Ordoni Avval
z.ordoni1977@gmail.com
2
Marzieh Arefi
3
Tahereh Behroozilak
4
Urmia University of Medical sciences ,Urmia, Iran
Golestan University of Medical sciences ,Urmia, Ira
Urmia University, ,Urmia, Iran
Urmia University of Medical sciences ,Urmia, Iran
Received: 22 Nov, 2015 Accepted: 30 Jan, 2016
Abstract
Background ; Aims: Infertility can cause critics al for many infertile people. This study aimed to investigate the effects of group counseling by collaborative approaches on specific stress in infertile women
Material & Methods: This study is clinical trial. In this study, 50 infertile women at the age of 20-45 years old with a history of at least one year infertility who referred to Urmia Kosar infertility clinic were selected in autumn, 2014. They were randomly assigned into two groups, control and intervention (each group of 25 people). Pre-test was completed by control group, two weeks later the questionnaire was completed by the control group again. The experimental group received 10 sessions of group counseling, including infertility treatment strategy, stress management, problem solving. Controlling the irrational beliefs of infertility was conducted. Two weeks after the intervention, post test was completed for intervention group. The collected data was analyzed using SPSS software.
Results: After the intervention, a significant difference was seen between the two groups (P = 0.002). The specific stress of infertility in both groups were compared in five domains of social concerns, sexual concerns, relationship concerns, rejection of childfree lifestyle, and need for parenthood. After the intervention, there was a statistically significant difference.
Conclusion: Group counseling with collaborative approach has important role in reducing the stress of infertility among infertile women.
http://unmf.umsu.ac.ir/article-1-2523-en.pdf
Group Counseling
Infertility
infertility specific distress
Reproductive health Collaborative model
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
66
77
article
THE EFFECT OF OTTAWA DECISION SUPPORT FRAMEWORK TRAINING IN AN INTERACTIVE WORKSHOP WITH AND WITHOUT STANDARDIZED PATIENTS ON CLINICAL DECISION-MAKING OF NURSES IN AN INTENSIVE CARE UNIT
elham shahraki moghaddam
shahrakie911@mums.ac.ir
1
zahrasadat manzari
Manzariz@mums.ac.ir
2
fatemeh hashmati nabavi
heshmatinf@mums.ac.ir
3
reza mazlom
Mazlomr@mums.ac.ir
4
Mashhad University of Medical sciences
Mashhad University of Medical sciences
Mashhad University of Medical sciences
Mashhad University of Medical sciences
Received: 30 Nov, 2015 Accepted: 30 Feb, 2016
Abstract
Background ; Aims: The complexity of the clinical status of patients in the ICU and the role of nurse’s decisions on clinical outcomes of patients makes the education of nurses an essential task in the wards. This study determined the effect of education based on the Ottawa Decision Support Framework using interactive workshops on clinical decision-making skills of nurses in an intensive care unit (ICU).
Materials and Methods: In this quasi experimental study, 58 nurses from the ICU of Shahid Kamyab Hospital in the city of Mashhad in Iran were randomly-assigned to one of the two workshops either with standardized patients (n = 28) or without standardized patients (n = 30). Each workshop session lasted 6 hours, and it had identical educational content and clinical scenarios. Both groups completed a clinical decision-making questionnaire before intervention, and 45 days post-intervention. Data analysis was done using the t-test, paired test, Mann-Whitney, and chi-square tests in SPSS (v. 16). Results were considered significant at p = 0.05.
Results: There was no significant difference in decision-making (p = 0.120) between groups before intervention. The results of the paired-test indicated that the mean plus standard deviation scores were significantly different (p < 0.001) for the group with standardized patients from pre-intervention (97.7 ± 28.4) to post-intervention (152.5 ± 16.1), and in the group without standardized patients from pre-intervention (85.7 ± 29.2) to post-intervention (121.3 ± 24.6). The mean difference pre- and post-intervention between the group with standardized patients (54.7 ± 22.3) and without standardized patients (35.5 ± 28.2) was also significant (p = 0.002).
Conclusion: The results showed that a training program based on the Ottawa Decision Support Framework promoted nurses participation in clinical decision-making in both groups, but the workshop with standardized patients was more effective in the development of this clinical skill. Applying this educational method in service training programs to improve nurse decision-making is recommended, particularly with the use of standardized patients.
http://unmf.umsu.ac.ir/article-1-2313-en.pdf
Ottawa Decision Support Framework
workshop
standardized patient
clinical decision-making
intensive care unit
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
78
87
article
A SURVAY ON THE FATIGUE AND SLEEP QUALITY AND ITS RELATION WITH THE QUALITY OF LIFE IN MULTIPLE SCLEROSIS
Fatemeh moghaddam tabrizi
fmtabrizi@gmail.com
1
Maryam Najarzadeh
m.naj.ha2007@gmail.com
2
Fatemeh Zahra raesii
3
university of medical science
university of medical science
university of medical science
Received: 6 Nov, 2015 Accepted: 15 Jan, 2016
Abstract
Background; Aims: MS-associated fatigue (MSF) and poor sleep are common and treatable features of MS, which affect QOL. The objective of this study was to assess the association between fatigue, sleep quality, and quality of life in people with MS.
Materials; Methods: Cross-sectional data were collected from 217 MS patients, who were referred to the outpatient MS center of Urmia, Iran, in 2013. Health-related quality of life (MS Quality of Life-54), fatigue (Fatigue Severity Scale, FSS), and sleep quality (Pittsburgh Sleep Quality Inventory, PSQI) were assessed.
Results: We included 217 patients in the analysis. The mean ± SD age of patients was 32.6 ± 9.6 years, and 79% were female. One hundred fifty-two (70.1%) of the patients were classified as poor sleepers based on PSQI scores. One hundred twenty-two patients (56.4%) presented significant fatigue based on FSS results. The mean physical (PCS) and mental (MCS) health composite scores of the MSQOL-54 were 40.12 (SE 1.27) and 43.81 (SE 1.61), respectively. There was a strong statistically significant positive correlation between PCS scores and MCS, FSS, and PSQI scores. MCS scores were strongly correlated with FSS and PQSI scores. Age exhibited significant negative correlations with PCS and MCS scores, and it was significantly correlated with FSS and PSQI scores.
Conclusions: We observed strong correlations between QOL, fatigue, and sleep quality in a large community-based sample of individuals with MS. These findings support routinely screening and monitoring fatigue severity and sleep quality and their effects on QOL.
http://unmf.umsu.ac.ir/article-1-2579-en.pdf
Fatigue
quality of life
sleep quality
MS
eng
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
2717-0306
2016-04
14
1
88
99
article
EFFECT OF STRESS INOCULATION TRAINING ON THE LEVELS OF STRESS, ANXIETY, AND DEPRESSION IN HEMODIALYSIS PATIENTS
Maryamossadat Hashemi Fesharaki
mshf201252@yahoo.com
1
Nahid Shahgholian
2
Fahimeh Kashani
3
Isfahan university medical science
Isfahan university medical science
Isfahan university medical science
Received: 21 Nov, 2015 Accepted: 21 Jan, 2016
Abstract
Background & Aims: Depression and anxiety as the most common psychiatric disorders in patients with chronic kidney failure. Psychological stressors lead to poor compliance treatment regimens and as a result more mortality and hospitalization of patients.This study was conducted to determine the effect of inoculation training on stress, anxiety, and depression in hemodialysis patients.
Materials and Methods: This study was conducted in 2013 as quasi-experimental with convenient random sampling of patients from Amin and Aliasghar hospital of Isfahan. Sixty- four patients with CKD who were eligible for the study were randomly assigned to either case or control group. The case and control groups had the same treatment plans, and the only difference was stress inoculation training administered in the case group, which was composed of eight 90‑min sessions over 8 weeks. Data were collected using Depression, Anxiety, Stress Scales 42 (DASS‑42) questionnaire and analyzed by analysis of t-test in SPSS.
Results: The results showed that there was a significant difference between case and control groups in terms of stress, anxiety, and depression (P < 0.05). Stress inoculation training reduced stress, anxiety, and depression in hemodialysis patients.
Conclusions: Stress inoculation training significantly reduced stress, anxiety, and depression. Therefore, teaching this skill and the strategies of coping with stress is recommended for these patients, in addition to medicational treatment.
http://unmf.umsu.ac.ir/article-1-2219-en.pdf
Anxiety
hemodialysis
depression
inoculation training
Iran
nursing
stress