فهرست مطالب

Iranian Journal Of Nursing and Midwifery Research
Volume:14 Issue: 1, winter 2009

  • تاریخ انتشار: 1388/02/01
  • تعداد عناوین: 8
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  • Maryam Eghbali, Nahid Shahqolian, Fatemeh Nazari, Sima Babaee Page 1
    Background
    Renal failure affects patients'' physical, psychological and social health. Various treatments prolong the life of these patients, but they face many physical, emotional, social and economical difficulties. This study aims to investigate and compare the problems of these patients undergoing hemodialysis (HD) and peritoneal dialysis (PD).
    Methods
    This is a descriptive comparative study on 72 patients in two groups of hemodialysis (36 patients) and peritoneal dialysis (36 patients) referring to Al-Zahra and Noor hospitals in Isfahan. Data were collected using five questionnaires on sleeping disorders, depression, marital satisfaction, tiredness and readjustment with society. The questionnaires were completed either by the patients themselves or by interview and data were analyzed using independent t-test and chi square test.
    Results
    Demographic data were the same in both groups and diabetes and blood pressure were the most common causes of kidney failure in both groups. The mean scores of sleeping disorders and tiredness in hemodialysis group was higher than peritoneal dialysis group, but there was no significant difference between the mean scores of depression, social readjustment and marital satisfaction of two groups.
    Conclusion
    Dialysis is a complicated problematic treatment, causing patients lots of tension and stress. The results of this study showed that hemodialysis and peritoneal dialysis patients have sleep disorders and tiredness, but the severity of tiredness and sleep disorder is higher in hemodialysis patients. Therefore, nurses should pay more attention to these patients and provide them more support and care.
  • Soheila Ehsanpour, Jila Ganji, Ashraf Kazemi, Jahangir Maqsudi Page 7
    Background
    The first step and a necessary prerequisite for a successful treatment of infertility is an adequate ovarian response to ovarian stimulation and it is a major challenge for both patients and health system. Therefore, it is very important to determine the factors related to ovarian response failure. One of the peripheral factors considered in the recent studies on infertility, is exposure to cigarette smoke. This study compares the ovarian responses to ovarian stimulation in infertile couples exposed and not exposed to cigarette smoke.
    Methods
    It is a retrospective cohort study on 144 infertile women referred to the Isfahan Reproductive Fertility Center in 2007. Data were collected using a questionnaire, patient''s medical files, tape measure and scale. Content validity and test re-test were used for validity and reliability and chi square and T test used for data analysis. Data were analyzed by SPSS software.
    Results
    Findings showed that exposure to cigarette smoke increases poor response to ovulation induction (p = 0.001) in women under assisted reproduction treatment. However, it doesn''t increase the number of injections necessary for ovarian stimulation.
    Conclusion
    Based on the results of this study, volunteers for the assisted reproduction techniques should be educated about the harmful effects of exposure to cigarette smoke on fertility. Also, there should be plans to increase the public awareness about the harmful effects of cigarette especially on fertility.
  • Sima Babaee, Leila Akbari, Mohammad Reza Samiee Nasab, Mohsen Rafieian Page 13
    Background
    Implantable defibrillator is one of the methods used in curing arrhythmias and preventing sudden cardiac death. Despite rescuing patients, applying this device can cause mentionable effects including increase the patient''s anxiety and fear to do normal physical activities again. In spite of these problems, there isn''t enough intervention in accommodating the patient with the device. This study focuses on determining effects of training program on quality of physical life in patients with ICD.
    Methods
    This study is a semi- experimental study (before and after). About 45 patients with ICD were examined. The collecting data tools were Fran''s and Power''s quality of life questionnaire and interviewing method. For analyzing data the SPSS software, independent t and t- test were used.
    Results
    Assessing the data gave us an average score for life''s quality in two importance and satisfaction dimensions before and after training programs. Even t-test (p < 0.001) shows meaningful differences between the average score of quality of life before and after training courses.
    Conclusion
    Considering the efficiency of these programs on patient''s quality of life, it is recommended that these programs become a part of nursing process and be continued.
  • Parvin Bahadoran, Arezo Azimi, Mahboubeh Valiyani, Sayed Ahmad Ahmadi Page 19
    Background
    Women face many physical and emotional changes after childbirth and social support may be important for their health condition, especially because of postpartum special needs. This study aims to determine the relation between social support and postpartum physical health of women referred to the health centers of Isfahan.
    Methods
    This is a descriptive-correlation study. Samples of 296 mothers were selected from women referred to the health centers of Isfahan, 6-7 weeks after delivery. Sampling method was simple. Received social support was measured by a researcher- made questionnaire and their physical health was evaluated by the physical health dimension of the quality of life questionnaire. Content validity and Cronbach''s alpha were used for validity and reliability of the questionnaire assessment. Questionnaires were completed by interview. Descriptive and inferential statistics were used for data analysis via SPSS software.
    Results
    The results showed a significant direct relation between the total social support and the postpartum physical health of women (r = 0.194, p < 0.001).
    Conclusion
    In this study, among various components of social support, just the support of health care personnel clearly improved the physical health of mothers and these findings showed the significance of health care personnel''s role.
  • Fariba Fahami, Mariam Najarian, Mariam Najarian, Shahnaz Kohan, Shahnaz Kohan Page 25
    Background
    Infertility causes a lot of physical and emotional stresses for infertile couples. If couples suppose infertility threatens their marital life, their sexual relations will be affected. As study on the degree of sexual dysfunctions in female spouses of infertile couples, helps in understanding these disorders, their prevalence and treatment, the current study aimed at comparing the lack of sexual inclination (desire), sexual abhorrence and controlled orgasm in female spouses of fertile and infertile couples.
    Methods
    This was a case – control study on 140 female spouses of infertile couples referring to Isfahan infertility clinics as case group and 140 female spouses of fertile couples as control group in 2006. Sampling was done via easy method. Data was gathered through a questionnaire including two sections of demographic characteristics and sexual disorders. Data were analyzed via SPSS software using χ2 test.
    Results
    The lack of sexual inclination and controlled orgasm in female spouses of infertile couples was more than female spouses of fertile couples (p < 0.01) and there was significant difference between sexual abhorrence in two groups.
    Conclusion
    This study concluded that infertility may cause sexual dysfunctions and even in an incorrect cycle may intensify their infertility problem; so diagnosis and treatment of sexual dysfunctions is important in improvement of marital life.
  • Asghar Khalifezadeh, Fateme Aliakbari, Khosrow Tavakol, Akram Aarabi Naeini Page 29
    Background
    Acute cardiac diseases are a hazardous problem that threats the human life. Pacemaker is one of the curative and preventive maneuvers in treating the patients with arrhythmia. It can cause physical and psychological problems for patients, so following-up the treatment of these patients after discharge is crucial. Telephone follow-up can be used as an effective method for this reason. The purpose of this study was to assess the effect of telephone follow-up on different domains of quality of life in patients with pacemaker.
    Methods
    This was a prospective quasi experimental study that covered 40 patients that were divided into two groups. The subjects were selected by convenience sampling. The data were collected through";SF-36"; questionnaires and were analyzed with SPSS software.
    Results
    Data analyses show that the mean score of the quality of physical life in case group was significantly higher than control group and the difference between two groups were significant (p < 0.001, t = 20.23).
    Conclusion
    The case group''s health after the telephone follow-up was in a better condition than control group''s. Therefore the application of this method for following-up the patient after discharge is beneficial to patient''s health and quality of life.
  • Fataneh Ghadirian, Mahmoud Nasiri, Kobra Karami Page 35
    Background
    In recent years, several controlled studies have showed that family psychoeducational interventions have been effective for improving family function and recovery course in mood disorders. Therefore, we established a family psychoeducational group intervention with 6 sessions to provide information about the illness, early warning signs, cognitive and behavioral strategies for stress management, problem solving and communication skills. We offered group intervention for the patients'' relatives. The objective of this study was to evaluate the psychoeducational intervention outcome in mood disorder patients and their relatives in Iran.
    Methods
    Seventeen relatives of mood disorder patients attended at 8 sessions (each 90 min) of family psychoeducational group therapy. Relatives'' knowledge about mood disorder and their adaptation level were assessed using Understanding Mood Disorder questionnaires (UMDQ) and Family Assessment Device (FAD) before and after the group intervention in two groups. No interventions were done for patients. We assessed demographic variables, symptom severity, drug compliance and global function in patients at the beginning of the study, on discharge and 3 months after the family intervention.
    Results
    The relatives'' knowledge about mood disorders was significantly improved. They also have benefited from the discussions and exchanging information about the useful coping strategies. Relatives also felt significantly better after being informed about the illness. Symptom severity, drug compliance and global function in patients showed no significant differences in follow ups.
    Conclusion
    These findings showed that family psychoeducational interventions in relative of Iranian mood disorder patients, improve their knowledge about the illness and the adaptation level in family is increased.
  • Mahboubeh Karimi, Mosa Alavi, Khosrow Tavakkol, Fariba Asgari, Shayesteh Haqiqi Page 41