فهرست مطالب

مجله مراقبت پرستاری و مامایی ابن سینا
سال پانزدهم شماره 1 (پیاپی 27، بهار و تابستان 1386)

58 صفحه،
تاریخ انتشار: 1386/02/25
تعداد عناوین: 9

فارسی
English

انتخاب همه

Nurse's Mental Health in Qazvin's Hospitals

H. Jahani Hashemi , N. Rezaei, G.P., H. Ghafelehbashy M.I. Sarichloo Page 5

Introduction&
Objective
Job stress and reason’s them is one of the important psychiatric subjects that from years ago it has paid attention many researchers. Physical and mental health was affected by job stress. Now a day the hygiene personal is known as a group under stress, that important part of them is nurses.
Materials and Methods
This was a cross-sectional study carried out for mental health of nurses in Qazvin’s hospitals. GHQ-28 questionnaires were distributed between 350 of nurses. Using χ2 test, Pearson correlation coefficient and regression with P<0.05 significant performed statistical analysis.
Results
144 (42.2%) were abnormal and 197 (57.8%) were normal. 43.5% of females and 32.5% of males were abnormal. 44.4% of married and 37.7% of single were abnormal. The most mental disorders (50%) were in second shift (afternoon). The most mental disorder was in nurses of the Kosar maternity hospital (57.3%). There was statistical association between marriage status and physical disorder (P<0.05). Correlation coefficient between total scale (for 28 question) and physical disorder, anxiety disorder, social function disorder and depression were obtained 0.824, 0.884, 0.680 and 0.772 respectively.
Conclusion
By attention of results, we recommended training of nurses for using the opposition methods with stress.

Abstract View Paper Original: Persian
Preavalance and Rrisk Factors of Placenta Previa in Valie Asr Hospital of Zanjan

D. Sohrabi , F. Assadi , M. Shamseddin Page 11

Introduction&
Objective
Placenta previa is a serious complication of pregnancy and it is a considered an emergency in women's medicine, the aim of this study was to evaluate the incidence, risk factors pregnancies complicated by placenta previa.
Materials And Methods
This is a retrospective study on patients files in Delivery branch of Valie Asr Hospital of Zanjan (1381-1383). The necessary information recorded in the questionnaires. 12834 pregnant women were assessed. Birth records of 93 cases with placenta previa and 940 randomly selected controls were reviewed retrospectively.Statistical analysis was performed using Pearson's Chi square Method.
Results
Placenta previa complicated 0.72% (n=93) of all deliveries included in the study (n=12834). Multiparity was more common in patients with placenta previa (P<0.001). Also the previous cesarean section, previous abortion and previous placenta previa more common in patients with placenta previa(P<0.0001). Placenta previa occurred in male infants in 62 cases (P<0.001). Fetuses with placenta previa had lower fetal weight; particularly, fetal weight less than 2500 g was a significant (P<0.0001).The newborns that were delivered after placenta previa graded lower Apgar scores less than 7 at 5 min (P<0.0001).
Conclusion
Multiparity, previous cesarean section, previous abortion and previous placenta previa are risk factors for placenta previa.

Abstract View Paper Original: Persian
A Comparative Study about Incidence of Vomiting after General Surgery with Two Different Anesthetic Protocol

N. Ali Pour , S.A. Alvi Moghadam , Kh. Mani Kahani Page 16

Introduction&
Objective
Nausea and vomiting is the most common postoperative problem. The incidence of nausea and vomiting is Likely to affect %20-30 of postoperative patients. Postoperative nausea and vomiting (PONV) can delay post Anesthetic Care unit (PACU), cause patient discomfortability and more epensive. This research is a comparative study about incidence of vomiting after appendectomy, laparatomy, herniorraphy and hemorhoidectomy with two different anesthetic protocol between Imam khomeiny and Ekbatan hospitals in Hamedan city.
Materials and Methods
This clinical trial experience was performed on 250 women in surgeries like appendectomy, laparatomy, herniorraphy and hemorhoidectomy referrad to Imam khomeiny and ekbatan hospitals and was selected to study with randomized sampling. And the questions were designed in a questionna ire, was asked from patients. The characteristics of selected samples was: 1)They have no othery diseases 2) They were elective patients which were NPO (not per oral) with appendectomy, laparatomy, herniorraphy and hemorhoidectomy surgeries. 3) Were between 10-60 years old. 4) Physical status one (normal patients) and two (patients with low infectious disease that has no limited function) and has mallampati one and two. 5)During surgery or in Ricovery Room has no blood infusion, and has no NGT. The comparative of vomiting incidence was between Imam khomeing hospital protocol on 125 patients.Vomiting was evaluated in recovery room. The gathered datas in (SPSS) statistical program the version of 13, was given to computer, and was survey by descriptive and analytic
Results
The women in 10-60 years old, has surgeries like appendectomy, laparatomy, herniorraphy and hemorhoidectomy, were the selected samples in this study. Their education were %7 illitered, %29.2 primery school, %20 guidan school, %36 high school and %7.71 has university education. %72.5 of samples were housekeeper and %27.5 were employed. The incidence of vomiting was %14.4 and %0.8 in Imam khomeiny and Ekbatan hospitals respectively. Stastical methods kay skover experience was used in analyzing results.Wich was significant at P<0.05 level.
Conclusion
Addition of metoclopramide 10 mg/ Iv and dexamethasone 8 mg to anesthetic protocol at appendectomy, Laparatomy, herniorraphy and hemorrhoidectomy surgery were not more effective to reduce postoperative and recovery incidence of vomiting and statistical tests relioves meanisful differences between results from two hospital.

Abstract View Paper Original: Persian
The Effects of Respiratory Exercise on Quality of Life Asthmatic Patients

Sh. Bakhshandeh , A. Parhizkar Page 21

Introduction&
Objective
Today’s chronic pulmonary diseases are the most common diseases which causing high rates mortality in community.In within chronic pulmonary diseases, Asthma is the most common disease that has high prevalence & incidence and despite the availability of never drugs for the treatment of it, morbidity and mortality due to asthma have increased so, the purpose of this study is to evaluate the effects of respiratory exercise on Quality of life Asthmatic Patients referrer to clinical centers 2004.
Materials and Methods
This research is a quasi-Experimental study and the samples include 67 Asthmatic Patients that selected on basis of purposive.Sampling and participated in a self care program. The researcher followed tester- test design is the present study. Patients performance physical Exercises in 3 stage such as: warm-up, Exercise, and cool-down for four week (each time for twenty all day minutes) under controlled conditions and supervision of the researcher. Needed data were collected by a Asthma Quality of life Questionnaire (AQLQ) and pulmonary function test (Spirometry). A questionnaire was administered at beginning of the program and four weeks after the application of program. Parameters considered in spirometry includes: FEV1-Statistical analysis was carried out with help of Paired test and Wilcox on and T-Test.
Results
Findings of this study indicated performance this kind of respiratory exercise in has been effective in quality of life on asthmatic patients, and result significant Improvement in mood function (P = 0/0001), social function (P = 0/0001) and performance of this program of respiratory exercise result significant Improvement of FEV1 (P < 0/0006).
Conclusion
Based on the findings of this study, the performance of respiratory exercise program has been effective on the Improvement of Quality of life in asthmatic patients and the results Indicate that asthmatic persons benefit from a self care program including physical training. This self care program is there for of value as a supplement to conventional pharmacology treatment of asthma. This self care program can be adapted for use in clinical practice.

Abstract View Paper Original: Persian
Study of Dentists Process in Yasooj City Regarding the Observation of Infection Control Principles

Sh. Najafi Doulatabad , H.R. Chafarian Shirazi , Z. Mohebi Nobandegani Page 26

Introduction&
Objective
Many infection can be transmitted via saliva and blood, their transmission risk in dentistry is considerable.This study is done to determine the dentist’s process of yasouj city regarding the observation of infection control principles.
Materials and Methods
This research is a descriptive-analytic and cross sectional study which has been carried out on 40 dentists of yasooj city in the year 84-85. Sampling was done as census & the process of all dentists of yasooj city was evaluated by observation method. Data collection was done using one check list and one questionnaire which content validity method was used to determine their validity. To analyze data, descriptive statistics method, T-Test, Chi square test and SPSS was used.
Results
Regarding the observance of infection control principles rate, the maximum percentage of dentists (48%)were in weak class according to researcher´s opinion. The relation between the rate of observance of infection control principles with dentists being native or stranger, age and their working record was measured which only the rate of observance of infection control principles by dentists and their age had statistical significant relation (p=0.049).The average rate of observance of these principles about disease being transferred through blood, breathing and secretions was 41.8±36.20, 70±91.15 and 41.8±36.20 respectively.
Conclusion
The process of dentists in yasooj city regarding the observance of infection control principles in some of cases is acceptable but, lowering of the percentage rate of principles observance in some cases cause the reduction of average rate of their observance in total which it requires to present the necessary educations firstly and then more control is to be used.

Abstract View Paper Original: Persian
The Study of Reasons in Relapsing of Addiction Patients Who Referred to Reference Center in Hamdan

N. Mohammadi , F.M. Ghonouti , M. Movalat Page 32

Introduction&
Objective
addiction is a serious social problems and addiction similar other social problem involved many of individual in per year in community. Adult and adolescents also are at risk group. This study was conducted to evaluate reasons in relapsing of addict patient who referred to reference center in Hamdan city.
Materials and Methods
This research was a descriptive – sectional, that evaluated reasons in relapsing of a addiction patients who referred to reference center in Hamdan 2002-2004.data were gathered through questionnaire which contained with three sections: the first part: personal characterizes,the second part: familiar characterizes and the third part socioeconomic characterizes and the other device was check list which contained 35 question that including reasons of the first and second tendency to addiction and information was registered in check list and questionnaire by research man. Data processing and statistical analysis was performed using spss10.The method of sampling was convenes sampling.
Results
Outcome showed that the majority of samples was 25-35 years old, male less that diploma, was married and lived in town.The majority of samples was the first children, lived in largest family and had parents with no knowledge and in responsible of training their children and had addictive.Out come relation with social-economic characterizes effective the tendency materials showed that job of the majority were free business and for first in 20-29 years old making to embark upon drug, and maximum in come them was between 60-100 thousand rails.Majority of them 2-4 times made to embark to abandonment narcotic.The primary narcotics was ignorance, cigarette smoker and accessible and curiofity, but the majority agents tendency to material was tranquility,Depression and Accessible.
Conclusion
according to results survey the most of sampling (40%) have encouraged by physician.We can say, health staff having very important roles, to grander promotion knowledge adolescent adults and courtier primary prevention and complication drug user.

Abstract View Paper Original: Persian
Assessment of Psychosomatic Health status in Elderly Population That Coverage by Shahre - Kord Behzisty Center

S.M. Afzalei, Sh. Etemadifar, Y. Aslani, A. Hasan Pour, Z. Keirani Page 38

Introduction&

Objective

World population get,s rise to aging and causes new problems and so analysis of its is important. it has been stimated in our country%6/6 of whole population was elderly.in chahar mahal& bakhtiary based on helth center reports %6/4 of whole population was over 60 years old in 1382. Assessment of elderly diseases are helpful and necessary for treatment &educational planning in future.thus researchers intend determind the somatic& psychologic status of elderly that covered by behzisty health center of shahre-kord.

Materials and Methods

This research is a cross-sectional descriptive study and population of study is whole elderly that covered by behzisty. Sampling is easy and enclode 101persons of elderly that followed for three months as September until December 2005. tool for data gathering was four-sections questionnaire that first section was demographic status of elderly,second section was somatic diseases of elderly,third section was elderly,s psychological status and fourth section was poisoning and accidental status.data inserted to PC and analysis by descriptive statistical test and SPSS.

Results

Sex of samples were (%74/3) female and (%25/7)male. Marital status was (%45/5) couple, (%31/7) single and (%18/8) widow. Educational of samples were (%97) elementary, (%2)senior and (%1) high school diploma.Housing status of samples were (%26/7) personal house, (%4) rental, (%69/3) covered by behzisty of shahre-kord.job status of samples were (%63/4) was clients of behzisty, (%32/7) unemployed, (%2) retired, and (%2) employed. Month,s income of samples were (%63/4) under one-million rials, (%29/7) between one-million to one million and five-hundred rials, (%5) between one million and five-hundred to two million rials, (%2) above two-million rials. Medical status of samples were (%21/8) normal, (%23/8) suffered heart disease, (%13/9) suffered muscleoskeletal disease., (%13/9)had disability and (%11/9)suffered nervous disease.mental status of samples showed (%47/5) normal, (%26/7)had depression, (%12/9)had anxiety&stress, (%9/8)had personality disorder and (%3)suffered PTSD.poisoning and accident status showed (%68/3)had no accident, (%9/9)had accident problem, (%10/9)fallsdown and (%1)had burns.poisoning status showed (%99)had no poisoning and1(%1)had drug poisoning.

Conclusion

Regardless of economical,occupational,housing and educational problems in elderly population and high incidence of heart dis., muscleoskeletal disorder,danger of falls down,besides stress&anxiety needs programs for support elderly in education of healthy life style helped by intersectional organisation. insurance of elderly population,providing places for recreational&sports activities and precautions in streets and public places (hospital&housing) recommended.

Abstract View Paper Original: Persian
The View Point of Nursing and Midwifery Students About Characteristics of Effective Clinical Instructors

A. Alavi , N. Parvin Page 44

Introduction&
Objective
Major part of professional nursing education takes place in clinic. Clinical teaching is one of the important subject in nursing education. For quality improvement of clinical education should consider two important factors, university students and clinical instructors. This study aims to assess students view point about characteristics of effective clinical instructors in Shahrekord University of Medical Sciences.
Materials and Methods
This is a descriptive study was performed to 173 students of nursing and midwifery, the data gathering tool was a questionnaire of 56 questions in the five subscales of (professtional-8 items), (personal-11items),(communicative-16 items),(teaching methods 14-items) and (evaluation-7 items) using 0 to 5 likert scale. The data were analyzed by spss software.
Results
The results show that most important characteristic of effective clinical instructors were good tempered(4/48±0/84), responsibility for one‘s own action(4/47±0/75)and demonstrates clinical skill and proper professional judmen t(4/43±0/70), the least important characteristic as (educating clinical ward`s staff whit a mean score of(3/60±1/12). The students perceptions of effective clinical Characteristics identified evaluation subscale as most important (4.27 ±0/87).
Conclusion
All of the characteristics of effective clinical instructors identified in this study by students and were rated high. Thus all instructors should try to achieve these characteristics.

Abstract View Paper Original: Persian

علمی مصوب

مجله مراقبت پرستاری و مامایی ابن سینا

Avicenna Journal of Nursing and Midwifery Care

فصلنامه پزشکی

آخرین شماره | آرشیو

ISSN: 2008-2800 eISSN: 2676-5748

صاحب امتیاز:

دانشگاه بوعلی سینا

مدیر مسئول:

دکتر خدایار عشوندی

سردبیر:

دکتر فاطمه محمدی

تلفن نشریه: ۰۸۱-۳۸۳۸۱۵۶۶

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فهرست مطالب

مجله مراقبت پرستاری و مامایی ابن سینا سال پانزدهم شماره 1 (پیاپی 27، بهار و تابستان 1386)

مجله مراقبت پرستاری و مامایی ابن سینا

Avicenna Journal of Nursing and Midwifery Care

مجله مراقبت پرستاری و مامایی ابن سینا
سال پانزدهم شماره 1 (پیاپی 27، بهار و تابستان 1386)