Journal of Multidisciplinary Care
Volume:4 Issue: 3, 2015

needle stick the body، including the problems faced by those working in the operating room with the greatest likelihood of HIV and hepatitis C and B blood-borne، the staff there so The aim of this study was to determine the frequency and causes of injuries from sharp instruments contaminated by blood in the operating room staff at public hospitals in Ahwaz. This study is a cross-sectional study on Imam Khomeini، Razi، Golestan and Taleghani hospital operating room personnel was performed in 400 subjects. For data collection questionnaire was used. Analyze data using Chi square and T- test، the software was 19spss. Of the 385 patients studied، 92 subject (23. 9%) did not have a history of needle stick، but 293 subject (76. 10%) were needle stick 1 to more than 5 times. From the employee''s perspective، the factors affecting the rush needle stick (61. 5%)، careless partner (39. 0%) and the bustle% (35. 6%) are. The device that creates a needle stick the order of needle stitched (51. 4%)، needle syringe (37. 4%)، scalpel (30. 6%)، respectively. chi-square test showed a significant correlation between gender، mental illness، tremors، vision problems، history، number of shifts per month، number of hours worked per week، educational level، occupation، and other activities at a health center to show the number of needle stick the (P<0. 05). The results of this study showed that more than half of the operating room staffs are faced with a needlestick. Considering the complications and the risk of blood-borne diseases and high rate of injuries in the operating room، Looks development and training classes to prevent these problems is necessary.

Since hypoglycemia sequel includes neurologic damage resulting in mental retardation, it requires immediate attention. Due to the risk of hypoglycemia in healthy term infants with inappropriate diet, this study was designed to determine the effectiveness of feeding on blood sugar levels in healthy term infants. This clinical trial study was conducted on 85 eligible pregnant women. Samples were randomly assigned to two groups of cases and controls. Three sessions of 90 minutes theoretical and practical classroom training were held in the last month of pregnancy for the cases for a period of one month. Blood samples were taken at 1,3,and6 hours of life and blood sugar levels were recorded in a special form. Then the collected data were analyzed in Statistical Package for the Social Sciences (SPSS,16) using appropriate statistical procedures such as independent t-test, Chi-square, Pearson correlation, Regression and Anova. The highest mean blood glucose was observed in the cases and the lowest blood glucose in the controls. The highest rate of hypoglycemia was observed 3 and 6 hours after birth in the cases. The statistical analysis showed no significant relationship between the qualitative and quantitative demographic variables and the infants, blood sugar levels. Height in newborn within the first 24 hours of life (by controlling other variables) in the p value less than 0.05 showed a significant correlation with hypoglycemia (pvalue= 0.003). The correlation was negative, i.e. an increase of 1 cm in neonates’height reduced the risk of neonatal hypoglycemia up to 40%. The correct method of breastfeeding significantly increased the blood glucose in healthy term infants and reduced the incidence of hypoglycemia in them. Therefore, despite the ongoing trainings in breastfeeding, further training sessions are needed for proper breastfeeding in pregnant and primiparous women. So paying attention to the low plasma glucose levels in the absence of proper breastfeeding in term infants is recommended.

Labor pain relief is one of the challenges in health care systems in the most countries and is the main goal in midwifery cares. This study aimed to investigate the Effect of Matricaria Camomilla Aroma on Severity of first stage Labor Pain in primiparous women in Abhar Emdadi hospital, 2013. This study was a randomized clinical trial carried out on 130 eligible primiparous women (65 in intervention and 65 in control group) at Emdadi hospital of Abhar. In the aroma therapy group gauze were soaked in 2 drop of Matrica Camomilla water and in the control group gauze were soaked in 2 drop of distilled water and attached to the women's collars. Pain severity was measured in first and after intervention in 3-4, 5-7, and 8-10 centimeter dilatations. Data were collected by demographic and obstetrics questionnaire, observation and exam checklist and the numeral scale of pain measurement. The mean pain severity score after the intervention in 3-4 cm (5/75 1/99), 5-7cm (7/84 1/52) and 8-10cm (8/55 1/22) decreased significantly compared with control group in dilatation 3-4 cm (6/93 1/96), 5-7 cm (9/41 0/63) and 8-10 cm (9/8 0/40). (p<0/005). The findings of the study revealed that aroma therapy using Matrica Camomilla water alleviates the labor pain. More research for uses Matrica Camomilla to reduce the labor pain is recommended.

Since, employing new training methods is necessary for enhancing medical students` skills so the aim of this study was to determination of the effectiveness of the 4-stage approach compared to traditional clinical teaching among midwifery student's about delivery management skills. Methods and Material: This was an experimental study, performed in 30 midwifery students (15 students in each group) in 2013-2014 in Isfahan University of Medical Sciences. At first, their delivery management skills were evaluated with an standard checklist then the first group participated in(case) 4-stage approach and the second one participated in (control)traditional clinical teaching. Their delivery management skills were re-evaluated by standard checklist after the course. The collected data was analyzed using SPSS v14 and independent t-test and paired test. The significant level was considered less than 0.05. The findings of independent t test did not show any significant difference between skills scores of two groups before intervention while a statistically significant difference was observed in after intervention between the scores of two groups (p=.001). Paired t test showed a statistically significant difference in skills score in two group after intervention Four-stage teaching technique and traditional group respectively (p=.013, p=.003). Also rate of skills increased in Four-stage teaching technique group and traditional group was 77% and 12% (p=.006). Four-stage teaching technique can be increased delivery management skills levels in midwifery students. So, the conduction of this educational model is recommended as an effective learning. In delivery management skills.

Nursing is a stressful profession. Perception of how coping to stress is crucial to management of stress. then aim to this study was determine relationship between emotional intelligence and coping style to stress in nurses. Method and material: In this cross-sectional analytic study, 90 people of employed nurses in the educational hospitals in jondishapour university of medical sciences were selected to using multi stage method. Data collected by standard questioners, such as emotional Intelligence Questionnaire Bar- On and Andler- Parker’s coping strategies to stressful situation and to self-playing method. Then data analyzed to spss software with descriptive and inferential statistics such as person relationship confidence, independent t test and one- way ANOVA. In front to the stress 74.5% of cases used problem-oriented coping strategies. both Cases to lower age and employment of service reached higher emotional intelligence score and that was significant statistically (p < 0.05). Pearson correlation coefficient indicates a meaningful positive correlation between emotional intelligence and problem-oriented coping strategies (r= 0.628 p<0.001). Pearson correlation coefficient had meaningful negative correlation (r = - 0.411) between the emotional intelligence and emotion- oriented coping strategies (p<0.001). Pearson correlation coefficient don’t have meaningful correlation between emotional intelligence and avoid-oriented coping strategies (p<0.778). emotional intelligence is correlative with copying of stress in nurses and need the manager of continues training encourage problem-oriented coping strategies.

Diaper dermatitis is said an inflammation of the superfacial layers of the skin in the area of the perineum, buttocks, lower abdomen. in some studies, magnesium as an anti-inflammatory agent, has been named. This study examined the impact of using magnesium cream treat diaper rash is done. In a clinical trial study, 64 children under two years of age with Diapr dermatitis referred to the pediatric department of Hajar hospital were recruited through random sampling. Patients were randomly divided into two groups of 32 each. The first group received calendula cream magnesium compound and the second group received a single calendula cream. Recovery time in the two groups were compared.The results showed that the healing time for the intervention group was significantly lower than the control group p = (0/00).Conclution:Based on these results it can be concluded that magnesium has a great impact on the treatment of dermatitis Diapr children can be children and even the rest of the material in the treatment of atopic dermatitis Diapr used.

One of the challenges of modern society is to provide mental health especially in nurses. This study aimed to investigate the effect of environmental index on mental health in nurses working in emergency and non emergency wards in Khorramabad hospitals. This is a correlational study. The population consisted of all nurses in the hospital, which included 433 patients. The sample included 207 nurses with sampling in Ashayer hospital and census method in Tamin Ejtemaee hospital. Data collection included: Demografic Questionnaire, The General Health Questionnaire (GHQ), Work Environment Scale (WES) validity and reliability are prooven. Data were analysed by test t Independent, one-way ANOVA test and the Spearman correlation. In this study, 119 women and 88 men were studied that 43.30% of nurses were working in the emergency department and 57.69 percent were working in other parts. T tests showed a significant difference between the means of the independent mental health nurses in the emergency department 71.14 ± 19.29 compared to nurses in other sectors 48.13 ± 13.30) (p=0.654). Based on the results, however employees in emergency wards experience more trouma due to their job history, there was no significant meaning between mental health disorders and psychological stress in nurse working in emergency and non-emergency wards.

Solution-focused brief therapy is one of the common therapies effective in reducing psychological problems such as depression among therapists and family counselors. The present research was conducted by the aim of investigating the effectiveness of solution-focused brief therapy on reducing symptoms of depression in women. The present research has a semi-experimental design, in which the method of pretest-posttest and follow-up with control group has been used. The population of the present research included all the women who had depression problem and visited the center of counseling and mental health in Bojnourd city, under supervision of north Khorasan welfare organization, in 2013 and depression was diagnosed for them based on clinical and diagnostic interview. By using available sampling method, 20 of those women were selected as the study sample, then, through random assignment, they were placed in two groups of control and experiment. The research tool was Beck Depression Inventory that was completed by the participants in three phases of pretest, posttest, and follow-up. Solution-focused brief therapy was held in 6 sessions of 1.5-hour in groups for the experiment group, but the control group received no intervention. Data were analyzed through SPSS and by using univariate covariance analysis method. The results indicated a significant reduction in depression scores in women of the experiment group in posttest and follow-up phases in relation to the control group. Findings suggested that solution-focused brief therapy has led to reduction in depression symptoms of the women in the experiment group and the results also have been consistent enough in the follow-up phase (P<0.001). Solution-focused brief therapy is effective in reducing depression. Counselors and psychotherapists can use this effective therapeutic approach for solving psychological problems of clients.

Electro Convulsive Therapy (ECT) is one method for treatment of some psychiatric disorders. Because ETC performed during general anesthesia, oxygen therapy during ETC have an important role. Previous studies showed that some patients experience hypoxemia during ETC that could cause side effect in patients. In this study effectiveness of two ventilation methods (bag mask ventilation and semi close Mapelson circuit B) during ETC and effect of these two methods on patients O2 saturation were compared. In a single-blind randomized controlled trial 72 patients under ECT were randomly assigned into two groups A and B. While patients in group A were ventilated wit Mapelson B and patients in group B ventilated with bag mask ventilation. Patients O2 saturation were measured in times “before anesthesia, after anesthesia induction, after colonic phase of seizure, and every one minute to ten minute after seizure” with using pulse oximetry apparatus. Demographics variable were similar between groups (p>0.05). Results showed that level of O2 saturation were higher significantly in all time in patients in group A (Patients who were ventilated with Mapelson B circuit in compared to patients in group B except 7 and 8 minute after seizure (p<0.05). Rate of hypoxemia during ETC decreased with using Mapelson B ventilation circuit in compared to use bag mask ventilation.