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Research Development in Nursing and Midwifery - Volume:13 Issue: 1, Spring Summer 2016

Journal of Research Development in Nursing and Midwifery
Volume:13 Issue: 1, Spring Summer 2016

  • تاریخ انتشار: 1395/05/04
  • تعداد عناوین: 9
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  • Fatemeh Omidali* Pages 1-9
    Background
    Premenstrual syndrome (PMS) is a set of physical, emotional and behavioural changes that appear in the late luteal phase of the menstrual cycle. Given the high prevalence of this syndrome among women, this study aimed to evaluate the effects of Pilates workouts and vitamin E consumption on symptoms of PMS.
    Methods
    In this semi-experimental study, 40 non-athletic female students with diagnosed moderate to severe PMS were selected from the University of Ayatollah Boroujerdi. The students were randomly divided into four groups of "Pilates, Pilates along with vitamin E, vitamin E and controls". Pilates workouts were performed for 4 weeks, three session a week with consumption of one vitamin E tablet a day. Subjects were analysed using the PMS symptoms screening questionnaire before and after the intervention. Analysis of variance and t-test were performed to compare the obtained data at significance level of P
    Results
    There was no significant difference between the four groups before the intervention. In the Pilates group and vitamin E group, the intensity of mood symptoms (P=0.0001) and physical symptoms (P=0.002), and the impact of these symptoms on individuals’ lives (P=0.0001) reduced significantly in comparison with data before the intervention and the control group.
    Conclusion
    Pilates along with vitamin E consumption improves the symptoms of PMS among the participants of this study.
    Keywords: Pilates, Premenstrual Syndrome, Vitamin E
  • Mohammad Rajabpoor, Seyed Reza Mazlom *, Gholamhosein Zarifnejad, Seyed Mostafa Mohsenizadeh, Fatemeh Heshmati Nabavi, Simin Sharafi Pages 10-18
    Background
    Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.
    Methods
    This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.
    Results
    The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P
    Conclusion
    Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.
    Keywords: Nursing Process, Care Quality, Nursing Student
  • Naser Heidari, Sara Haghighat, Meysam Haji Mohammadi Arani, Fateme Ghorbani, Jamal Ashoori * Pages 19-24
    Background
    Cognitive and metacognitive learning strategies are identified as important solutions for improving academic achievement. This study aimed toevaluate the effect of teaching cognitive and metacognitive learning strategies on academic achievement among nursing students.
    Methods
    This Study was an experimental with pretest and posttest and follow-updesign. The study population included all nursing students atIslamic Azad University of Pishva during 2013-14. Overall, 40 students were chosen byconvenience sampling technique and randomly divided into two groups (20 subjects in each group) of experimental and control. Students in the experimental group received 10 sessions of 70 minutes long (twice a week) training for cognitive and metacognitive strategies, while the control group received no training. All students completed a teacher-made academic achievement testat the pretest, posttest, and follow-up phases. Data were analyzed usingrepeated measures ANOVA technique.
    Results
    The mean value of the experimental group (16.67 ± 3.58) was higher than the control group (13.47 ± 2.37) at the posttest phase. Themean value of the experimental group (16.29 ± 3.74) was higher than the control group (12.93 ± 2.84) at the follow-up phase. In addition, there were significant differencesbetween mean valuesat the posttest and follow up phases and mean valueatthe pretest phase. However, there was no significant difference between the mean values of the posttest phase and the follow-up phase.
    Conclusion
    The results of this study indicate that teaching cognitive and metacognitive learning strategies improves academic achievement in students at posttest and follow-up phases. Thus, academic teachers may teach these useful strategies to the students to improve their academic achievement.
    Keywords: Teaching, Cognitive, Metacognitive Strategies, Academic Achievement, Nursing Students
  • Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi * Pages 25-31
    Background
    Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.
    Methods
    This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasouj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.
    Results
    The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.
    Conclusion
    Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.
    Keywords: Nursing, Quality of Care, Patient Satisfaction
  • Seyed Hamid Seyed Bagheri, Hadi Khoshab *, Hossein Rafiee, Abbas Abbaszadeh, Fariba Borhani Pages 32-38
    Background
    Participation of nurses in research studies is a requirement of achieving evidence-based nursing, but studies in this regard are limited. This study aimed to determine the viewpoints of nurses regarding the facilitating factors and obstacles of participating in research and utilization of its results in clinical practice.
    Methods
    This descriptive study was done in 2013 at teaching hospitals affiliated to Kerman University of Medical Sciences. Study subjects included 210 clinical nurses with at least a bachelor's degree who were selected by stratified random sampling method. Data collection tools included a researcher-made 3-section questionnaire. The first section consisted demographic information and the second and third sections contained 21 questions each that evaluated the motivational factors and obstacles of research, respectively. Data were analyzed using descriptive statistics (mean and standard deviation).
    Results
    Of all the participants, 87.6% were female with average age of 38.08 ± 4.93 years. Regarding the research facilitating factors, the highest score was given to the intrinsic interest for knowledge acquisition and increased practical work ability. In this section, the lowest scores were given to interaction with other colleagues and the existence of competitive conditions. In terms of the research obstacles, the highest scores were reported for problems at work including staff shortages and high workloads, while the lowest scores were reported for low self-confidence and lack of interest and unwillingness to do research.
    Conclusion
    The results of this study can provide information for nursing policymakers to establish measures that constructively motivate nurses to do research and utilize its results by the managers.
    Keywords: Implementation of Research Findings, Facilitators, Obstacles, Nurse, Evidence, Based Care
  • Atharalsadat Mirkarimi, Homeira Khoddam, Mohammad Ali Vakili, Mohammad Bagher Sadeghi, Mahnaz Modanloo* Pages 39-46
    Background
    Hypertension is a risk factor for many diseases. Nutritional methods are considered as major tools in lifestyle modification for lowering blood pressure. The present study was conducted to determine the level of dietary adherence in hypertensive patients.
    Methods
    This descriptive-analytical study was performed in 2015, on hypertensive patients who were referred to Heart Clinic of Sayyad Shirazi Hospital in Gorgan. Overall, 200 patients (62% female) were selected by purposive sampling. The dietary adherence was evaluated in five following groups of salt-, fat-, fruit-, vegetables- -and dairies-intake through daily completion of data collection form within two weeks. This form was designed by the researchers and its validity and reliability were tested in a pilot study. Data were analyzed using Mann-Whitney, Chi-square, and logistic regression analysis tests.
    Results
    The mean and standard deviation (SD) of age of patients was 48.6±7.51 years. Mean and SD of systolic and diastolic blood pressure in patients were 152.31±9.1 and 93.53±2.87 mmHg, respectively. The results showed that 7% of patients had complete dietary adherence, 66.5% had poor adherence, and rest of the subjects had average dietary adherence. The highest level of dietary adherence was observed in the case of diaries intake (43.5%) and the lowest was related to fruit intake (3.5%).
    Conclusion
    Given the importance of dietary adherence in controlling hypertension and lack of dietary adherence in hypertensive patients, it is recommended to conduct further studies to identify factors affecting dietary adherence and implement necessary interventions to improve this issue in patients.
    Keywords: Adherence, Diet, Hypertension, Systolic Pressure, Diastolic Pressure
  • Zahra Sabzi, Monireh Anoosheh *, Easa Mohammadi, Susan Parsay Pages 47-53
    Background
    Breastfeeding is a complex phenomenon and its duration is influenced by several factors. Since proper family support may affect the length and quantity of exclusive breastfeeding, this study aimed to explain the supportive role of families based on experience of successful mothers in exclusive breastfeeding.
    Methods
    This qualitative study was done in 2015with conventional content analysis approach. Overall, 16 successful mothers in exclusive breastfeeding were chosen by purposeful sampling from healthcare centers affiliated to Golestan and Mazandaran Universities of Medical Sciences. Data were collected by in-depth semi-structured interview and data analysis was done using comparative analysis. Lincoln and Guba criterion was used to evaluate accuracy and robustness of data.
    Results
    The experiences and perception of successful mothers in exclusive breastfeeding were categorized intofour classes of emotional support from grandmothers, effective training role of grandmothers, cooperation of husband’s family, and participation of breastfeeding mother’s family.
    Conclusion
    Considering the supportive role of family members in various emotional and informational aspects of exclusive breastfeeding by mothers, it is recommended to seriously consider the role and position of this group and implement strategies using their potential in policymaking for breastfeeding.
    Keywords: Exclusive Breastfeeding, Support, Family, Qualitative Study
  • Mohammad Amini *, Hamid Rahimi, Zahra Rasooli Pages 54-61
    Background
    Sex education is one of the challenging areas of educational systems that has always been accompanied by many problems due to some obstacles and constraints. This has led to occurrence of many behavioral problems and deviations. The aim of this study was to determine the sex education gaps in university curriculum from the student's perspective.
    Methods
    This was a descriptive-survey on students of universities in Kashan (15235 students), during academic year 2013-14. Overall, 220 students were enrolled in this study using stratified random sampling. Data collection tool was a questionnaire of sex education with 28 questions and six components (objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and university atmosphere) using a 5-point Likert scale. The content validity was confirmed by experts. The reliability was estimated as 0.89 using Cronbach's alpha coefficient. Descriptive and inferential statistics were used to analyze the obtained data.
    Results
    The mean level of sex education gaps (3.97±0.56) in the university curriculum was above the average (3). The highest mean was related to the component of procedures (4.1±0.63) and experiences and learning opportunities (4.1±1.01).
    Conclusion
    The results showed that the average level of gaps in sex education in the university curriculum is higher than the assumed mean level. The gaps are present in all components of objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and the university atmosphere.
    Keywords: Sex Education, Students, University
  • Vahid Pakpour, Masoume Moqaddam, Raziehsadat Hosseiny *, Sedigeh Salimi Pages 62-68
    Background
    Poor quality of sleep and daily activity in elderly people are associated with many physical and psychological problems that increase disability and need to use health services. The aim of this study was to determine the relationship between daily activities and quality of sleep in the elderly people.
    Methods
    This Study was a correlational-descriptivestudy on390 elderly people in Zanjan in 2013. The sampling was done using a cluster and multistage method. Data were collected via face-to-face interview, using Pittsburgh Sleep Quality Index (PSQI) and a questionnaire on "activities of daily living(ADL)" and "instrumental activities of daily living (IADL)". Data analysis was performed using descriptive statistic including number, percentage, mean, standard deviation, and inferential statistical tests including Spearman's rank correlation coefficient, independent t-test and one-way analysis of variance.
    Results
    The mean score of ADLand IADL was 11.58±0.81 (score range 0-14) and 11.23±2.93 (score range 0-18), respectively. In addition, 85.7%of the subjects in the study had poor sleep quality and only 14.3% had good sleep quality. The results also indicated no significant relationship between the daily activities and quality of sleep in the elderly, while instrumental activities had a weak positive and significant correlation with their sleep quality (P≥ 0.05).
    Conclusion
    Although the elderlyin this study have poor sleep quality, they are independent inperforming ADL and IADL. Furthermore, there is a weak and direct correlation between sleep quality and instrumental activities of the old people. Improvement of activity in the elderly can improve their quality of sleep.
    Keywords: Elderly, Daily Activities, Pittsburgh Sleep Quality Index