فهرست مطالب

Iranian Journal Of Nursing and Midwifery Research
Volume:15 Issue: 3, Summer 2010

  • تاریخ انتشار: 1389/04/26
  • تعداد عناوین: 9
|
  • Reza Daryabeigi, Mohammad Heidari, Abbas Hosseini, Mahmoud Omranifar Page 97
    Background
    Burn wounds are one of the health problems in modern societies that are associated with irreparable harms and many side problems for patients and their families. Infection due to burn wounds is the main cause of death in such patients. One of the methods to prevent infection of burn wounds is topical antibiotic ointments. This study aimed to investigate and identify effective ointments to treat burn wounds. For this purpose, the effects of two types of ointment, fundermol and 1% silver sulfadiazine cream on second degree burn wounds were compared.
    Methods
    This was a clinical trial study conducted in 2008. Sampling was simple and continuous and 50 patients who referred to Imam Mousa Kazem Burn Injury Clinic with 2nd degree burn wounds in 1% to 10% surface area were enrolled. The patients were randomly divided into two groups of treatment with fundermol and sulfadiazine and the dressing was changed once a day. The healing time for burn wounds in each patient was recorded in a checklist and data were analyzed by SPSS and independent t-test.
    Results
    Data analysis showed that the healing time of burn wounds in the group treated with fundermol was shorter than that in the group treated with sulfadiazine (p<0.001).
    Conclusions
    The present study showed that fundermol ointment accelerates burn wound healing. Therefore, fundermol can be introduced as a good replacement for current treatments of burn wounds.
  • Saeed Pahlavanzadeh, Fatemeh Ghaedi Heidari, Jahangir Maghsudi, Zahra Ghazavi, Saeed Samandari Page 102
    Introduction
    Family caregivers are an essential part of health care services for elderly with dementia disorders, because providing care for such patients is a big burden for their families. This study aimed to assess the effects of family education program in reducing the burden of families of elderly with dementia.
    Methods
    This is a clinical trial, in which 50 family caregivers of the elderly patients with dementia who had referred to two referral centers for dementia in the city of Isfahan were selected with convenient sampling and were randomized to experimental and control groups. The experimental group participated in a family education program but the control group did not. Data were collected by Zarit''s caregiver burden scale completed by caregivers of both groups before, right after and one month after family education program. Also Mini Mental Status Examination was conducted for elderly before the program. Finally data were analyzed with SPSS (version 16).
    Results
    Caregivers'' burden was gradually increased in controls, but decreased in the experimental group during the study. The mean of caregivers'' burden before, right after and one month after family education program were respectively 42, 35.44 and 33.56 in the experimental group, while they were respectively 43.28, 46.8 and 50.64 in the control group. Also there was a significant difference between caregivers'' burden of the two groups after intervention, but there was no significant difference between caregivers'' burden of the two groups one month after the intervention.
    Discussion
    Since conducting this program could reduce caregivers’ burden of elderly with dementia, developing such programs and evaluating them within research projects are recommended.
  • Mahin Moeini, Fatemeh Moradpour, Sima Babaei, Mohsen Rafieian, Alireza Khosravi Page 109
    Background
    During the last 3 decades, there were increasing tendency towards angioplasty because of its benefits. But, this procedure has its acute problems like bleeding and formation of hematoma in the removal place of the sheet. Based on researcher''s clinical experiences, patients need a time of 8-12 hours for bed rest after coronary angioplasty. Recognizing desirable time for bed rest after angioplasty and remove the arterial sheet forms the foundation of related researches in the world. Getting out of bed soon after angioplasty, causes more comfortable feelings, less hospitalization period, fewer side effects of prolonged bed rest and less hospitalization expenses. Regarding less time for bed rest after angioplasty, the aim of this study was to assess the effect of the time of getting out of bed after angioplasty on the complications after removing the sheet in coronary angioplasty patients in the CCU of Shahid Chamran hospital of the Isfahan University of Medical Sciences in 2007.
  • Zahra Mehdizadeh Toorzani, Roshanak Hasan Zahraei, Soheila Ehsanpour, Mahmood Nasiri, Shahla Shahidi, Bahram Soleimani Page 115
    Background
    Sexual relationship is a basis for mental health and continuity of the healthy generation. Enjoying the healthy body and mind will cause the sexual relationships to run their normal course in life. One of the problems that couples are faced within their sexual relationships is the issue of employing family planning methods. Studies have revealed that contraceptive methods are in connection with the sexual function and health in different ways. This study wasaimed to determine the mean and the relation of scores of sexual satisfaction of men and women with the common contraceptive methods.
    Methods
    This was a descriptive-correlative study. Samples included 280 individuals (140 couples) to use the common contraceptive methods including withdrawal method, tubal ligation in women, oral contraceptive method, condom, vasectomy,IUD and injection contraceptive method. Tools for gathering the data were Female Sexual Function Index (FSFI) and the questionnaire provided by Dr. Abdo on sexual satisfaction in men in 2004. The validity and reliability of these questionnaireswere approved by researches conducted in worldwide and Iran. Descriptive and inferential statistic methods were applied in analyzing the data.
    Results
    The results suggested a significant statistic relation between scores of men''s sexual satisfaction and separate contraceptive methods (p = 0.001) whereas this relation was not observed between the women''s scores of sexual satisfactionand the contraceptive methods.
    Conclusions
    According to the results of the present study, training family planning counselors in relation to choose suitable contraceptive method, in view of its probable effects on the couple''s sexual satisfaction, seems essential.
  • Parvin Bahadoran, A. Zendehdel Page 120
    Background
    Preeclampsia is one of the commonest causes of prenatal and maternity related death in the world. Preeclampsia is caused by multiple factors and finding any factor related to this disorder can help on time prevention of this disease, which reduces the mortality of mothers and infants. Lack of zinc is a possible risk factor for risky pregnancies and the results of studies on this subject are controversial. This study investigated the relationship between mothers'' serum zinc and risky pregnancies.
    Methods
    This was a case-control study on 48 normal pregnancies as controls and 48 preeclamptic pregnancies as case group. The women were studied in their third month of pregnancy. Sampling was simple method and based on inclusion and exclusion criteria. The two groups were matched in mothers'' age, pregnancy age, number of childbirth and socio-economic status. Data were collected by blood sampling and a questionnaire. Serum zinc was assessed by atomic absorption spectrometry method and data were analyzed using SPSS software, version 10.
    Results
    The level of serum zinc in most women in both groups was under 50 mg/dl (62.5% in normal pregnancy group and 79.2% in preeclamptic group). There was no significant difference between the mean serum zinc concentration of the two groups (47.83 ± 12.72 for normal pregnancy and 43.66 ± 11.98 for preeclampsia). There was an association between serum zinc concentration and the severity of preeclampsia (p=0.04, r=-0.12). We didn''t find any significant association between serum zinc and the following variables: mothers'' age (p=0.15, r=-0.11), pregnancy age (p=0.07, r=-0.24), number of childbirth (p=0.02, r=-0.39).
    Conclusions
    The findings of this study showed that the assessment of serum zinc does not have any clinical values for managing preeclampsia. However, based on the relationship between serum zinc concentration and the severity of preeclampsia in this study, we recommend assessment of serum zinc concentration as an index for predicting the severity of preeclampsia.
  • Soheila Mojdeh, Samire Shahin, Gholamreza Khalili Page 125
    Background
    Tea consumption has been known mostly as a well-drink after water in the world. Tea drink can effect balance of fluids and renal function. In addition, it can cause loss of many viruses in the stomach and can increase or decrease gastrointestinal movements. This research was done to determine the effect of tea on increasing enteral feeding tolerance in ICU patients in Zahra Hospital.
    Methods
    This study was a clinical trial that 45 people were enrolled in each group, Golestan tea consumption group and the standard method of nutrition as control group. Gavage tea was performed two times in the morning; 100 cc tea used for the study group and the same volume of water was used for the control group. Residual volume was measured before gavage. Data collected for one week. Information sheet had two-pages; the first page described how to complete the form and the method of tea gavage and the second page was for data collection. Data were analyzed by t-student test, chi-square, and analysis of variance.
    Results
    In two groups, 92% of patients tolerated gavage liquids. Their difference by chi-square test was not significant. Average urine volume after black tea gavage was 783.3 L in the study group and 802.2 L in the control group. ANOVA test showed no significant difference.
    Conclusions
    Although the difference was not statistically significant between the two groups, but in study group consumption of tea was acceptable by patients.
  • Zohre Ghazavi, Mahbube Namnabat, Jamal Faghihinia, Mohsen Mirbod, Parvin Ghalriz, Afsaneh Nekuie, Nasrin Fanian Page 130
    Background
    Asthma is one of the most prevalent chronic diseases of childhood which its outbreak is increased all over the world. Asthma influences on many family day life’s aspects. Caring of children by chronic Asthma can have a deep impact on health and welfare of the family members. Studies show that there is a relation between the living quality of children suffering from asthma and anxiety level of parents. The parents of asthmatic children are looking for ways to confront with their stress and reduce their anxiety in encountering with asthmatic children and improving their performance. This research has accomplished with the aim of determining the influence of massage therapy on anxiety level of mothers with asthmatic children.
    Methods
    This research was an experimental study by making test and retests and was a two-stage prospective test. The samples of research were 60 people of mothers of asthmatic children by the age of 5-14 years old that had gone to Medical Centers of Isfahan. They were divided into two groups of control and massage therapy. The data were collected by standard Spielberger questionnaire. Sampling was done by the easy way and randomly division that divided them into two groups. Mothers of massage group were trained to massage head, neck, face, shoulder, hand, leg and back of their children every night before bedtime for one month and in the control group there was no intervention during this month except the standard treatment. In both groups the Spielberger standard questionnaire was filled by mothers and used for analyzing data by descriptive analysis, independent T-test, paired-T test, and Chi–square test.
    Results
    The results show that there was no significant difference between the anxiety mean level between two groups but there was a significant difference after intervention between two groups (P < 0.03). Also there was a significant change in mean level of anxiety score of mothers before and after the intervention in massage group (P < 0.001) and there was a significant difference between comparison of changing the mean level of anxiety score before and after the massage between two groups (P < 0.04).
    Conclusions
    Considering to obtained data, it can be resulted that by effective utilization of daily child massage techniques we can reduce the anxiety level of mothers. Consequently, giving an active role to the mothers in caring and treating of child can lead to a reduction on the anxiety level of the mothers. Therefore, daily massage helped mothers to have more sense of participation in caring their children and as a treatment method can combine with drug treatment methods
  • Nayereh Khadem, Talaat Khadivzadeh Page 135
    Background
    There has always been an asking question with physicians and health staff whether delivery mode can effect on child intelligence. This study was conducted to compare the intelligence quotient (IQ) of school aged children delivered by cesarean section and vaginal delivery in Mashhad, Iran.
    Methods
    This study conducted in two stages; a cross-sectional section in which 5000 randomly selected children, who were 6-7 years old, attended at 10 Cognitive Examination Posts in Mashhad. The examination was performed by the Exceptional Education and Training Institute affiliated to Ministry of Education for all 6-7 years old children at the entry to the primary school. At the second stage, we selected two matched groups of 189 children who delivered by cesarean section or spontaneous vaginal delivery and then compared their IQ scores.
    Results
    The cesarean delivery group had significantly higher IQ test scores. Maternal and paternal educational levels were related to children's IQ scores. After adjusting of maternal and paternal education, maternal age and parity, there was not any significant difference between IQ scores of cesarean delivery and natural vaginal delivery groups 101(3.67) vs. 100.7(4.28).
    Conclusions
    Based on our findings, the association between cesarean deliveries with better cognitive development in children cannot be supported.
  • Y. Aslani, Sh Etemadyfar, K. Noryan Page 141
    Background
    Using blood and blood components (BBC) is a common therapeutic procedure in hospitals. Nurses have an important role in a safe blood transfusion. Therefore, it is crucial for nurses to have sufficient knowledge of situations, amount and methods of using BBC, possible side effects and necessary cares. This study investigated nurses’ knowledge of BBC.
    Methods
    This was a cross-sectional descriptive study on 117 nurses in medical training hospitals of Shahrekord University of Medical Sciences in 2004, aiming to evaluate their knowledge of blood transfusion. Data were collected using a questionnaire including 4 sections and 29 questions. Sections included demographic data, nurses’ knowledge of BBC, nurses’ knowledge of BBC infusion techniques, and nurses’ knowledge of indication and side effects of BBC infusion. Knowledge scores were first coded and then, categorized in three levels of good, average and poor. Data were analyzed using SPSS.
    Results
    The results showed that nurses’ knowledge of blood and blood component, techniques of BBC infusion and its indication and side effects was average (66.7%, 65.8% and 59%, respectively).
    Conclusions
    The findings showed that the nurses’ knowledge of blood and blood component was average and insufficient. Therefore, it is recommended to activate the blood transfusion committees in hospitals to increase the quality of this common procedure and prevent side effects by in-service trainings of nurses.