2024-03-29T18:03:15+03:30 http://unmf.umsu.ac.ir/browse.php?mag_id=92&slc_lang=fa&sid=1
92-3169 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 THE NATURE OF PREHOSPITAL MEDICAL INTERVENTIONS DELIVERED TO TRAUMATIC PATIENTS IN TABRIZ Abbas Dadashzadeh Soheili.a1991@gmail.com Javad Dehghannejhad Soheili.a1991@gmail.com Samad Shams Vahdati Soheili.a1991@gmail.com Amin Soheili Soheili.a1991@gmail.com Homayoun Sadeghi Bazarghani Background & Aims: Appropriateness and Nature of clinical decisions and medical interventions in trauma management is one of the most important concepts in prehospital trauma care systems. Therefore, this study aimed to determine the nature of prehospital medical interventions delivered to traumatic patients in Tabriz. Materials & Methods: In this descriptive study, the records of all traumatic patients activated EMS and led to a prehospital mission, investigated in 2014. A six-part checklist consisted of patients’ characteristics, mechanism of injury, type of trauma, level of consciousness, medical interventions, physician consult and coordination with the hospital were used for collecting data. Descriptive and inferential statistics were applied to the data by SPSS v.13 software. Results: A total of 5614 out of 37002 registered missions during a year were related to trauma injuries. Traffic accidents (72.9%) were the most common cause of trauma and blunt trauma (85.6%) were the most common type of trauma among injured patients. Although 92/46%of traumas were related to head and neck trauma and multiple trauma, the cervical collar has been merely used for 11.5 percent of them. Also, 93% of the trauma missions led to the transfer of patients to the hospital while in 99.43% of them, no coordination was done between prehospital emergency medical services and hospitals’ A;E departments. Conclusion: According to study results, despite the high percentage of trauma to the head and neck and multiple trauma, the cervical collar and long back board has been merely used for a few traumatic patients which is unacceptable and indicates the necessity of organizing prehospital trauma care courses and workshops for emergency medical technicians. Also, regarding the lack of coordination between prehospital and hospital facilities, it seems that a much more robust and organized structure is required in Iranian healthcare system. Trauma Prehospital Emergency Medical interventions Tabriz 2017 6 01 159 167 http://unmf.umsu.ac.ir/article-1-3169-en.pdf
92-3067 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 THE EFFECT OF LOCAL HEAT THERAPY ON THE STATE OF DEFECATION IN PATIENTS BEING FED THROUGH NASOGASTRIC TUBE A. li Mohammad pour Amohammadpur@yahoo.com sadighe sadeghian Sadeghiands2@gmail.com Maasomeh Salari Salarim@mums.ac.ir Background & Aims: Constipation is Common complication gastrointestinal that have a significant impact on the health and quality of life. Using heat therapy is one of the proposed non-pharmaceutical interventions. The present study was conducted to determine the effect of abdominal local heat therapy on the state of defecation in patients fed through nasogastric tubes. Materials & Methods: This study is a double blind clinical trial performed in 2015 to 8 months in the inner part of Qaem Hospital of Mashhad - Iran. In this study, 64 patients on nutrition through a nasogastric tube were randomly studied into two groups: placebo and experimental group. The patients in experimental group of local heat therapy with standard hot pack with the temperature 50 ° C on the abdomen for 23 minutes. In the placebo group, hot pack temperature was equal to the ambient temperature. Data were collected using a demographic questionnaire and a form containing records of the patients’ digestive function. Data were analyzed in SPSS 20. Results: Defecation in the experimental group statistically had a significant difference before and after the intervention (p Constipation Defecation Enteral Feeding Local Hyperthermia 2017 6 01 168 175 http://unmf.umsu.ac.ir/article-1-3067-en.pdf
92-3110 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 TRANSLATION AND PSYCHOMETRICS OF THE "BEHAVIORAL PAIN SCALE" IN MECHANICALLY VENTILATED PATIENTS IN MEDICAL AND SURGICAL INTENSIVE CARE UNITS Mehdi Heidarzadeh m.mahda@gmail.com Hoda Chookalayi yaminfaresw@yahoo.com Sajad Jabraeelzadeh sajjadyuta11@gmail.com Farzad Kohi fanifaham@gmail.com Background & Aims: Assessment and management of pain in patients undergoing mechanical ventilation can be a major challenge for intensive care nurses. Behavioral pain scale (BPS) is one of the instruments which by using the behavioral indicators, studied pain in these patients. The aim of this study is to translate and determine the psychometric properties of the BPS. Materials & Methods: Pain by using BPS at 6 times of before, during, and after nociceptive and non-nociceptive procedures in 60 patients hospitalized in medical and surgical critical care units. In re-test 33 patients studied after 8-12 hours.  Results: Alpha coefficient, 0/749 and the correlation coefficient between two evaluators in different times were (r = 0/78 – 0/94) was obtained. The correlation coefficient between test-retest was (r = 0/52 – 0/78). Significant differences in pain score between painful and non-painful procedures (p< 0/001), and higher pain scores in patients who confirm the pain (p< 0/001), revealed good discriminant, and criterion validities for BPS respectively. Conclusion: Iranian version of BPS has good and reliable psychometric properties, for pain assessment in patients hospitalized in medical and surgical of intensive care units which do not have able to communicate. Pain assessment intensive care unit behavioral scale psychometric 2017 6 01 176 186 http://unmf.umsu.ac.ir/article-1-3110-en.pdf
92-3009 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 THE IMPACT OF CARE- CENTER GROUP DISCUSSION ON HEMODIALYSIS PATIENTS’ CAREGIVER BURNOUT mehdi torabi mehditorabi90@yahoo.com masumeh hemmati maslak pak hemmatma@yahoo.com molud radfar Vahid Alinejad Background & Aims: According to the development of chronic diseases, including chronic renal failure and the appearance of physical and mental problems that occurs to them during the period of disease and Treatment process, they require a person to take care of them. Caregiver that he/she is a family member of a patient in the care process may be faced with many problems that eventually led to the emergence of burnout in it gets. The aim of this study is to determine the effect of care centered group discussion on the caregiver burden of patients undergoing hemodialysis. Materials & Methods: This study was a randomized clinical trial. Participant of this study contain 70 caregivers of patients undergoing hemodialysis in educational therapeutic centers in Urmia. Caregivers selected and allocated randomly in two groups of intervention (group discussion) and control. Demographic and caregiver burden questionnaire completed by caregiver before the intervention. This program consists of 6 sessions of group discussion during 6 weeks. Two weeks later of intervention the caregiver burden of questionnaire will be completed by caregiver in intervention and control groups. At next the data obtained from questionnaire analysis of descriptive and analytic statistics. Results: Results showed that there was no significant difference between the study and control groups before intervention in the mean scores of burnout and its dimensions (p>0.05.). But after the intervention there was significant difference in the mean scores of burnout and its dimensions between intervention and control groups (p Group Discussion Caregivers Burden Hemodialysis 2017 6 01 187 198 http://unmf.umsu.ac.ir/article-1-3009-en.pdf
92-3116 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 EFFECT OF SELF-CARE ON QUALITY OF LIFE IN WOMEN WITH BREAST CANCER UNDERGOING CHEMOTHERAPY+ Mozhgan Barandeh mbarandeh@yahoo.com Zahra Mehdizadeh Toorzani z_mehdizadeh_t@yahoo.com Mohammad Babaei m_babaei@sina.tums.ac.ir Roya Sharifian shariiantf@yahoo.com Background & Aims: Breast cancer and adverse effects of chemotherapy disorder physical, psychosocial, social and spiritual proceeds and reduce the quality of life in patients. So, Self-care education should be improved to sense of well-being in patients. The aim of this study was to determine the effects of self-care education on quality of life (QOL) in women with breast cancer, undergoing chemotherapy. Materials & Methods: A quasi-experimental study was conducted on 64 women with breast cancer, undergoing recently mastectomy and were in the first session chemotherapy program. The patients were randomly divided in two groups of case and control. The questionnaire has two parts: 1) demographic characteristics, 2) the quality of life, standard questionnaire of National Medical Center and Beckman Research Institute related to breast cancer. In the first session of chemotherapy program the questionnaires were completed for two groups and the self –care was educated to study group for 60 minutes and booklets were given them to study. Again, after four months the questionnaires were completed and compared for two groups. Chi –square test, t-test and fisher test was used for analysis of data. Results: There was no significant difference between quality of life mean scores of study group, before and after intervention (P>0/05). Conclusion: This research shows that aforementioned education in the first session of chemotherapy program did not improve quality of life of women with breast cancer. self – care education quality of life breast cancer chemotherapy 2017 6 01 199 207 http://unmf.umsu.ac.ir/article-1-3116-en.pdf
92-3121 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 EFFECT OF APPLYING FOLLOW-UP CARE MODEL ON SELF-CARE MANAGEMENT IN HEART FAILURE PATIENTS: A RANDOMIZED CLINICAL TRIAL Yaser Moradi yasermoradi1045@yahoo.com Alireza Rahmani alirezarahmani2003@yahoo.com Khadijheh Aghakarimi aghakarimi.khadijeh@gmail.com Naser Sheikhy nas.sh2000@yahoo.com Background & Aims: Self-care management is one of the most important determinants in the prognosis of heart failure, which can improve the symptoms of disease, function and reduce mortality in these patients. The aim of this study was to determine the effect of applying follow-up care model on self-care management in heart failure patients admitted to Abbasi Hospital in Miandoab. Materials & Methods: In this clinical trial study, 80 patients with heart failure hospitalized in cardiac units were randomly divided into two groups of 40 patients (follow-up care model) and control (routine care). In the intervention group, a follow-up care model was implemented for three months from the beginning of April to the end of June 2016 and self-care management rate in heart failure patients in the two groups before and after the appalling of follow-up care model were analyzed. Data collection tools included two parts: Demographic characteristics and specific questionnaire of self-care heart failure index. The data were analyzed by SPSS v. 20, chi-square, independent t, and paired t-test. Results: The mean score of self-care management before appalling of follow-up care model in intervention group was 35.52 ± 14.69 and in control group 33.00 ± 14.75 that there was no statistically significant difference between the two groups (P-value= 0.451). But after appalling of follow-up care model, the mean of self-care management score in the intervention group (55/38 ± 15/6) was significantly higher than the control group (34/50 ± 24/10), (P Heart failure Self-care Self-care management 2017 6 01 208 217 http://unmf.umsu.ac.ir/article-1-3121-en.pdf
92-3126 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 THE COMPRISON OF EXERCISE AS A COPMPLEMENTARY THERAPY AND WALKING EXERCISE ON THE FASTING BLOOD GLUCOSE OF PEOPLE WITH TYPE 2 DIABETES Forough Rafii rafiii@yahoo.com Daryadokht Masroor masror.d@yahoo.com Hamid Haghani haghani@yahoo.com Hamideh Azimi h.azimi88@yahoo.com Background & Aims: to prevent and control diabetes as a complex chronic disease, monitoring of blood glucose and professional nursing care are necessary. Due to side effects and heavy expense of chemical drugs, using of no pharmaceutical methods such as exercise, has become advocated. The aim of this study was to comparison the effect regular tai chi and walking exercise on fasting blood glucose levels in patients with type2diabetes. Materials & Methods: It was a semi-experimental three group trial that was done in Tehran in1395, 100 patients with type 2 diabetes were randomly assigned into three groups (Taichi, walking, control). Taichi and Walking groups practiced for30minutes, 3days a week for8consecutive weeks.Fasting blood glucose was measured one day before and one day after the study.Data was analyzed by descriptive statistics, paired T, ANOVA, Sheaffe and Chi-square tests using SPSS (v.16). Level of significance was considered as less than0.05. Results: according to paired t test,there was a significant difference between the mean of before and after fasting blood glucose of Tai chi exercise group and also walking exercise group(p Complementary therapy Tai Chi Walking Exercise Diabetes 2017 6 01 218 229 http://unmf.umsu.ac.ir/article-1-3126-en.pdf
92-3176 2024-03-29 10.1002
Nursing And Midwifery Journal Nursing and Midwifery Journal 2717-0306 2717-0306 10.52547/unmf 2017 15 3 THE RELATIONSHIP BETWEEN ADIPOKINES AND CYTOKINES WITH POSTPARTUM DEPRESSION: A SYSTEMATIC REVIEW najmeh tehranian tehranian@modares.ac.ir fattaneh pahlavan fattanehpahlavan@modares.ac.ir fatemeh tork tatari fatemeh.tatari.m@gmail.com elahe asadi elahe.asad.71.66@gmail.com Background & Aims: Postpartum depression is a debilitating disorder that occurs in approximately five to ten percent of mothers and half of those will not be detected. Symptoms include persistent crying, anxiety, fatigue, insomnia, discomfort and irritability. The aim of this study was to determine the relationship between postpartum depression with adipokines and cytokines. Materials & Methods: This study is a review with a review of 18 articles derived from 52 articles related to risk factors and the relationship between hormones, adipokines and cytokines with postpartum depression searched the library and reputable online (pubmed, Science Direct, Iran Medex, Pubmed,) the period of 1996-2016was conducted. Result: The evidence indicates an increase in markers of inflammatory and immune system in depressed patients. Adipocytes associated with depression. Ghrelin, leptin and cytokines have been associated with postpartum depression. More studies are needed in relation to adiponectin.Although other adipokines such as orexin, Nesfatin, apelin and hepcidin are associated with depression, but a study in the context of their relationship with postpartum depression are unknown. Conclusion: Given that adipokines and cytokines associated with postpartum depression further attention and research about them as a predictive marker is required. adipokines cytokines and postpartum depression 2017 6 01 230 243 http://unmf.umsu.ac.ir/article-1-3176-en.pdf