Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
EVALUATION OF EFFECT OF POSTPARTUM CARE EDUCATION BASED ON MATERNAL EDUCATIONAL NEEDS ON KNOWLEDGE OF POSTPARTUM CARE
76
85
EN
shahnaz
Golyan Tehrani
MSc of Midwifery, instructor, Faculty Member of Tehran University of Medical Sciences,School of Nursing and Midwifery, Tehran, Iran
leila
Neisani Samani
MSc of Midwifery, instructor, Faculty Member of Iran University of Medical Sciences,School of Nursing andMidwifery, Tehran, Iran
abbas
Rahimi Foroushani
Professor, Deptment of Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran,Iran
marzieh
Ebrahimi
MSc of Midwifery, instructor, Faculty Member of Urmia University of Medical Sciences,School of Nursing and Midwifery, Tehran, Iran
nasrin
karimi
Candidate of MSc in Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Corresponding Author)
Background & Aims: increase of effectiveness of postnatal care for mothers to enhance their self and baby care is an important approach for improving maternal and newborn health.This study was conducted with the aim of determining the effects of postpartum care education based on educational needs of mothers on puerperium care knowledge.
Material & Methods: In this quasi-experimental study with 102 samples of postpartum eligible members who were selected with continuous sampling and then they were randomly assigned to case and control groups. Demographic and researcher made knowledge questionnaires and mother‘s educational needs checklist were used to gather data. Control group receiving routine education from staffs and intervention group received separated face to face education from researcher in two sessions that performed before and 10-15 days after discharge. Evaluation was conducted in three stages: Before education of discharge, 10th- 15th day and 6 weeks after delivery. Results were analyzed by spss19.
Results: average of knowledge scores before education has not meaningfully difference But scores in 10-15th days and 6 weeks after delivery, knowledge in intervention group was meaningfully higher than control groups (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
JOB BURNOUT IN NURSES AND ITS IMPACT ON THEIR NEGLIGENCE
86
94
EN
Mahdi
sabokro
Assistant Professor, Department of Business Administration, Faculty of Economics, Management and Accounting, Yazd University, Yazd, Iran
Mina
allahyari
Master of Management in Production and Operations Executive-orientation, Faculty of Economics, Management and Accounting, Yazd University, Yazd, Iran (Corresponding Author)
Reza
Ebrahimzadehpezeshki
PhD student behavior and human resource management, Faculty of Economics, Management and Accounting, Yazd University, Yazd, Iran
Background & Aims: Job burnout is recognized as one of the common problems in different jobs nowadays especially in nursing. Job burnout is one of the main factors in reducing the efficiency and causing physical and psychological issues. This may lead to remissness that some of the consequences of which are stalling for time and deliberately delaying. The aim of this study is to evaluate the effect of job burnout on nurses;#39 remissness.
Material & Methods: This study is cross-sectional. It was conducted on 110 nurses working in Yazd, who had been selected using simple random classified sampling. Burnout and remissness surveys were conducted to acquire data and validity and reliability of the surveys were confirmed by logical validity test and Cronbach;#39s alpha. This data was analyzed by descriptive and inferential statistics, using 22nd version of SPSS and structural equation modeling, using PLS.
Results: Although the result showed a significant association between aspects of job burnout and remissness, depersonalization doesn’t have any effects on remissness. Emotional exhaustion and failure in success, however, have the greatest impact on it. Also job burnout aspects are accounted for only about 0.25 of the remissness structures and male nurses are more remiss than female nurses. Situation of hospitals in all aspects and structures are in a relatively appropriate condition.
Conclusion: Considering a structure as the variable of remissness, the offered amount (0.25) is significant and managers can help to lower job burnout by using arrangements such as strengthening motivation, increasing job satisfaction, reducing environmental stress and tension, and on-job training programs to improve the performance of organization.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
THE ROLE OF THE SELF-ESTEEM, PERCEIVED STRESS, ALEXITHYMIA AND COGNITIVE AVOIDANCE ON THE SEXUAL FUNCTION OF THE FERTILIZED AND UNFERTILIZED WOMEN
95
106
EN
ziba
Barghi Irani
Assistant professor of psychological faculty , Payam Noor University South Tehran
zohreh
pirhayati
The chief author & The master of Clinical Psychology, Payam Noor University South Tehran. (Corresponding Author
Fatemeh
pirgholi
Master of Educational Psychology, Islamic Azad University center Tehran
Background & Aims: Fertility, childbirth and the healthy child at the center of many couples who started living together and infertility can interfere prominent in people;#39s lives or partner they create, and given the high prevalence of infertility in the country, and the psychological effects Infertility on the individual, family and community and interpersonal relationships, this study aimed to determine the role of self-esteem, perceived stress, alexithymia and cognitive avoidance predict sexual function was fertile and infertile women. Methods: This correlational study - descriptive on 60 infertile women and fertile women attending clinics in Tehran on 94-95 half-year, the way was available.
Material & Methods: This correlation – descriptive study on 60 infertile women and fertile women attending clinics in Tehran on 94-95 half-year, the way was available. To collect the data, Rosenberg;#39s Self-Esteem Scale, perceived stress [PSS], alexithymia Toronto 20 [FTAS], cognitive avoidance [CAQ], sexual function [FSFI] and demographic characteristics were used. The data obtained using multiple regression, multivariate analysis of variance and Pearson correlation analysis was performed. Analysis Results: The results showed that there is correlation between Alexithymia, the self-esteem, difficulty in description of feeling and thought with external orientation in (the subscale of Farsi version of the Toronto Alexithymia Scale-20 (FTAS-20) and substitution of positive thought in the subscale of Coping Strategies Questionnaire and sexual activities of in fertilized women. But Perceived Stress does not have significant and effective role in prediction Of unfertilized women sexual function. And none of variables are effective for fertilized women sexual function.
Conclusion: there is a significant difference between unfertilized and fertilized women sexual function.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
EFFECTIVENESS OF SPIRITUAL THERAPY ON THE LIFE QUALITY OF THE WOMEN WITH BREAST CANCER IN TEHRAN
107
118
EN
mohsen
mohamad karimi
Department of Psychology, Azadshahr Branch, Islamic Azad University Azadshahr, Iran (Corresponding Author)
kazem
shariatnia
Department of Psychology, Azadshahr Branch, Islamic Azad University Azadshahr, Iran
Background & Aims: Spirituality therapy means considering the cultural-religious beliefs of the people in the therapy process and considering the transcendental dimension of the clientele which guides them towards transcendental source. The importance of spirituality and spiritual growth in human is increasingly gaining the attention of psychologists and mental health specialists within the recent decades. The purpose of this research is determining the effectiveness of spiritual therapy on the life quality of the women with breast cancer in Tehran in 2016.
Material & Methods: In this study, quasi-experimental research and pretest-posttest plan id applied with control groups. The statistical population includes 30 patients with breast cancer who referred toSoleimanzadehSpecialized Clinic of Oncology and Chemotherapy in Tehran, who were selected with the convenience sampling method and were randomly divided into two groups of 15 as a control group and the other 15 persons as a test group. The test group went on spiritual intervention for 12 sessions of 60 minutes and the control group only got the chemotherapy without spiritual intervention. The shortened version of 1999 World Health Organization HRQL questionnaires were completed before and after the treatment period.
The questionnaire measures 4 areas including: physical health, mental health, social relations and environmental health.SPSS 19 software was usedat descriptive and inferential level to analyze the data. Covariance analysis method (ANCOVA) and multivariate covariance analysis (MANCOVA) were used to investigate the hypothesis.
Results: Results of covariance analysis of life quality shows thatthe life quality score for women with breast cancer in the test groupis increased after applying the independent variable (spiritual therapy) and the difference with the control group was significant.
The results of Multivariate Covariance analysis of life quality subscale show that the average scoreof test group in three subscales (Physical health, psychological and social relationship health) in post-test is higher than in the control group and is statistically significant.There was no significant difference between the two groups in environmental health subscale.
Conclusion: According to the findings, it seems that spiritual intervention is effective in life quality of women affected with breast cancer. So, through training the spiritual therapy virtual actions could be taken to improve their life quality and their mental health.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
EVALUATING THE LEVEL OF PERFORMANCE OF CARDIAC INTENSIVE CARE NURSES WITH ROTATING SHIFT WORK IN THE CARE OF PATIENTS WITH ACUTE CORONARY SYNDROME
119
126
EN
yaser
moradi
PhD student in Nursing Hamadan University of Medical Sciences, School of Nursing and Midwifery, Hamadan, Iran
Alireza
Rahmani
Faculty Member Urmia University of Medical Sciences, , Urmia, Iran (Corresponding Author)
Adel
Mohammadi
Graduate student in Intensive Care Nursing, Urmia University of Medical Sciences, Urmia, Iran
Naser
Shaikhy
M.S of Biostatistics Urmia University of Medical Sciences, Urmia, Iran
Background & Aims: Cardiac intensive care nurses play a vital role in facilitating the initial evaluation of susceptible Patients with myocardial infarction and their caring behaviors is of utmost importance. The present research seeks to study the level of performance of cardiac intensive care nurses with rotating shift work in the care of patients with acute coronary syndrome.
Material & Methods: This study is a descriptive – analytical cross sectional study in which 74 nurses with rotating shift work in the cardiac intensive care units of Urmia hospitals that met the inclusion criteria, selection and was recruited as census.The tools used for data analysis were divided into two parts: first, the demographic features, and secondly, the author-made checklist composed of 38 statements in caring for the patients with acute coronary syndrome. The performance of all the participants in the three working shifts in the morning, afternoon and night was studied and their average performance scores were calculated in three shifts. The data was analyzed by SPSS v.19, using descriptive and inferential statistics (ANOVA repeated measurements).
Results: As the results indicated, the average score of the nurses was 21.04 ± 2.33. Also significant differences was obtained in mean performance of nurses in different shifts (P=0/048).
Conclusion: Since in this study the performance of nurses in the care of patients with acute coronary syndrome was at moderate level it is essential that hospital administrators and nursing officials were aware of the factors affecting performance of nurses and efforts to improve it.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
THE EFFECTIVENESS OF APPLYING CONTINUOUS CARE MODEL ON LAPSE AND CRAVING OF PATIENTS THAT ARE TREATED WITH METHADONE MAINTENANCE THERAPY
127
138
EN
Javad
Namazpoor
MSc in Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences,Urmia, Iran
Moloud
Radfar
Assistant Professor of Nursing Department, PhD of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran. (Corresponding Author)
Haleh
Gavami
Master of Nursing, Instructor of Nursing Department, PhD of Nursing, Faculty of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
Naser
Sheikhi
Statistics Expert of Urmia University of Medical Sciences, Urmia, Iran
Background & Aims: One of the major challenges in methadone maintenance treatment that leads to relapse in patients is lapse. Craving is also the most important factor of lapse and return to drug use after the treatment periods. The aim of this study is to determine the effectiveness of applying continuous care model on lapse and craving of patients that are treated with methadone maintenance therapy in Razi Psychiatric Hospital, Urmia, Iran.
Material and Methods: This quasi-experimental study was conducted on 95 patients (N=95) who were selected through the census sampling and randomly assigned to intervention (N=48) and control (N=47) groups. Continuous Care Model which consisted of four stages (orientation, sensitization, control and evaluation) was conducted on intervention group over a period of 3 months. At the end, two groups were compared. Craving questionnaire and lapse-and-absence check list were used to collect the data. The data were analyzed via SPSS.v22 using the dependent and independent t-test and Pearson correlation and Chi-square tests.
Results: At the end of third month, the mean of the lapse reached in the experimental group from 2.07±0.89 to 1.57±1.1 and the mean of craving reached from 53.73±13.58 to 50.47±15.1 that showed a significant difference compared to the control group. (P-value
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
EVALUATION OF PATIENTS IN PREVENTION OF INACTIVITY AFTER SURGERY IN SURGICAL WARDS OF SHIRAZ NAMAZI HOSPITAL, 2013
139
146
EN
Esmat
Nouhi
Assistant Professor, Department of Medical Surgical Nursing, Nursing Research Center, Physiology Research Center of Kerman University of Medical Sciences, Kerman, Iran
mahdokht
mahmoodi
M.SC. Student, Department of Nursing, Kerman University of Medical Sciences, Kerman, Iran (Corresponding Author)
Background & Aims: Activity is one of the human psychological needs and is in the first level of classification of hierarchy of basic human needs. If a case do not have activity, negative effects occurs on the whole body. Researchers considering that disturbance in motion is as a nursing diagnosis and the concept of mobility is important in nursing. This study aimed to determine patients;#39 knowledge and practice in the prevention of post-operative immobilization in surgical wards of Namazi Hospital in the year of 2013.
Material and Methods: In this cross-sectional study of 200 patients after surgery leads to immobility and were selected by available sampling randomly was used.Demographic questionnaire and knowledge measurement form in the field ofpreventcomplications ofimmobilityandchecklist of self-carepractice patient in the field of prevent complications of immobility were completed with observation and interview. The process of data analysis using the mail toolspssversion16 using descriptive statistics and analysis.
Results: The mean and standard deviation of performance of the studied patients, respectively, 21.8±5.59, and the mean and standard deviation of knowledge of patients under studywere14.36±3.97. In total,42percent of poor performance, 49.5% of the averageperformance,8.5percent had a good performance and in the Evaluating knowledge, 41. 5 percentpoor,43% moderate and15.5 percent was well. The data show that about half of patients have poor knowledge and practicein theprevention ofinactivity and The relationship between performance and awareness of patients showed There is a significant correlation between performance and awareness (p-value =0.004).What evermore knowledge we have the better performance.
Conclusion: The findings and statistical inference can be concluded the knowledge and performance of patients to prevent complications of in activity is weak. According to the results, certainly there are training programs that can increase the knowledge and performance of patients and can beestablishedto.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
15
2
2017
5
1
THE EFFECTS OF BENSON RELAXATION TECHNIQUE AND NATURE SOUND’S ON ANXIETY IN PATIENTS WITH HEART FAILURE
147
158
EN
Leila
Seifi
Master of Science student, Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Tahereh
Najafi Ghezeljeh
Assistant Professor, Department of Critical Care, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran (Corresponding Author)
Hamid
Haghani
Senior Lecturer, Statistic and Mathematics Department, School of Health, Iran University of Medical Sciences, Tehran, Iran
Background & Aims: Anxiety, as one of the prevalent symptoms in patients with heart failure (HF), has significantly affected HF prognosis. This research was carried out with the aim of comparing the effect of applying the techniques of Benson muscle relaxation and nature sounds on anxiety in the patients with HF.
Materials & Methods: As a randomized clinical trial with a control group,this study used convenience sampling to recruit 105 patients with HF who were admitted to the cardiac intensive care unit at the teaching hospitals of Mazandaran University of Medical Science in 2016.Through randomized block design,the patients were allocated to the three groups of Benson muscle relaxation,nature sounds,and control group.Besides the routine care, the patients in each of the two groups of Benson muscle relaxation and nature sounds received intervention twice a day(morning and evening)for 20 minutes for three consecuative days.The data were collected immediately before and after the intervention, using Spielberger state anxiety inventory questionnaire.Data analysis was performed by using paired t-test, Chi-square and one way analysis of variance via SPSS v.22.
Results: As the results indicated, no significant difference was observed between the groups regarding to the mean score of anxiety before interventions in the morning and evening in each day. There were no significant differences between the groups regarding to the intensity of anxiety after interventions in the morning and evening in each day. Also, there was no significant difference before and after Benson muscle relaxation regarding to the anxiety intensity in each day. There was no significant difference before and after nature sound intervention in terms of the anxiety intensity in each day.
Conclusion: Given the ineffectiveness of interventions on anxiety in patients with HF and the applicability, inexpensiveness, and availability of these supplementary methods, it is suggested to examine the effect of other methods on these patients to discover the techniques that are beneficial for clinical outcomes and symptoms.