فهرست مطالب
Journal of Client-Centered Nursing Care
Volume:3 Issue: 2, Spring 2017
- تاریخ انتشار: 1396/10/20
- تعداد عناوین: 7
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Pages 119-124BackgroundAn infant should be able to coordinate sucking, swallowing, and breathing to have a safe and effective feeding, which is developed with the increasing gestational age. Any problem in each of these functions can lead to the risk of aspiration, pneumonia, decreased oxygenation saturation, apnea, and bradycardia. The changed body positions may cause changes in the physiological efficiencies of the preterm infants. The objective of this review is to determine the impact of body position on the physiological alternations in the preterm infants while bottle feeding.MethodsIn order to review the previous studies, we referred the related resources from existing databases such as Scopus, Ovid, Science Direct, ProQuest, Pub Med, Wiley Cochrane Library, Magiran, Medlib, SID, and Google Scholar. Both English (from 1997 to 2016) and Persian studies (from 2010 to 2016) were reviewed.ResultsFour clinical trials with eligible criteria were used as a crossover while the infants were bottle fed. The body positions that are considered in this study include elevated side-lying position vs. semi-upright position, upright position vs. cradle position, side-lying position vs. cradle position, and semi-elevated supine position vs. semi-elevated side-lying position to determine the effect of the physiological parameters while bottle feeding the premature infants.ConclusionIt seems that there is still not enough evidence to determine the positions affecting the physiological parameters of an infant while bottle feeding. Thus, it seems necessary to have further studies to analyze the impact of proper body position on the infants physiological alternations.Keywords: Posture, Infant, Heart rate, Oxygen saturation, Feeding
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Pages 125-135BackgroundElderliness is a sensitive period of life; so, it is necessary to pay special attention to various aspects of the health care for the elderly, including their spiritual well-being in the society. Spirituality and spiritual beliefs are closely associated with psychological aspects of a human mind, and they aim at balancing ones life. Self-efficacy is one of the psychological aspects, which play an important role in maintaining the mental and physical health. This study was conducted to determine the relationship between spiritual wellbeing and general self-efficacy in the elderly population of Tehran.MethodsThis descriptive correlational study was conducted on 822 elderly people who regularly visited some of the parks of Tehran, Iran, in 2015. Samples were chosen by the multi-stage method. The relevant data were collected through demographic information in addition to tests and questionnaires including Abbreviated Mental Test Score (AMTS) for determining cognitive impairment and General Self-Efficacy (GSE-10) y and Spiritual Well-Being Scale (SWBS). The data were analyzed using Pearson correlation and t-tests by SPSS Version: 20.0.ResultsThe results of the current study showed that general self-efficacy is related to religious, existential, and spiritual health. The findings also indicated that among the demographic variables, spiritual health is mostly related to marital status and the ability to perform Activities of Daily Living (ADL) in addition to residence and income.ConclusionSince aging is an important challenge in the health system, promoting spiritual health in the elderly population can result in these individuals high self-efficacy, ultimately leading to a higher physical and mental health status.Keywords: Elderly, Spirituality, Religiosity, Self-efficacy
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Pages 133-138BackgroundDue to their inherent characteristics, neonates hospitalized in the neonatal intensive care units are more often exposed to medication errors and its adverse effects. The aim of this study is to determine the reasons for failure to report Adverse Drug Reaction (ADR) experienced by nurses employed at these units in educational and treatment centers affiliated to the Iran University of Medical Sciences in the city of Tehran in the year 2015.MethodsThis cross-sectional study was conducted by using Gupta and colleagues Questionnaire with its validity and reliability verified by the research team in Iran. Data were collected by using the available sampling method in the educational and treatment centers affiliated to Iran University of Medical Sciences, from November 2015 to March 2016. The collected data were analyzed by using SPSS software version 16.ResultsOf 96 nurses taking part in this study, 68 (70.8%) had experienced incidences of adverse drug reactions. However, only 43 of them (44.8%) have reported them. Regarding the reasons for not reporting ADRs, 51 nurses (53.1%) stated difficulty in detecting the incidence of error, 19 (19.8%) stated not having the right to receive remuneration for doing so, 16 (16.7%) stated the shortage of time, and 10 (10.4%) reported lack of effectiveness had they reported it.ConclusionSince many complications can be prevented in neonates by timely reporting of these ADRs, it is recommended that removing the impediments in the path of reporting errors should come under consideration as a management and care priority by directors and officials of medical centers.Keywords: Adverse Drug Reaction, Patient safety, Nurses, Neonatal Intensive Care Units (NICU)
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Pages 139-146BackgroundThalassemia is one of the most common genetic disorders in the world, especially in Iran. The study of various aspects affecting the physical and mental health of patients with beta thalassemia major has become more important. The aim of this study was to evaluate the Quality of life and some related factors in patients with beta-thalassemia major in Southwest Iran.MethodsIn this cross-sectional, descriptive study, quality of life and related factors in 112 thalassemia major patients with available sampling attending Dezful Thalassemia Center has been studied in the first three months of 2015. Data collection was based on self-report including demographic questionnaire and 36-SF quality of life questionnaire. Finally, the data were analyzed using SPSS software version 18 and chi-square test, T-test, and Pearsons correlation coefficients.ResultsPatients with beta thalassemia major, including 66 males (58.92%) and 46 females (41.07%) with a mean age of 23 years were enrolled in the study. The lowest and highest scores were obtained in general health (63.59) and physical functioning (85.25), respectively. Findings showed that there is no statistically significant difference (P = 0.025) between men and women in all aspects of quality of life except role disorder. It was also found that married people have a higher quality of life and mental health in comparison to other people (PConclusionThe present study results showed well that age, income level, and marital status indices play a very important role in the maintenance of quality of life and the reduction of negative effects of disease on patients mental and physical health. The limitations of this study are to examine the dimensions of quality of life in a center. It seems that future studies should look at ways to improve their quality of life.Keywords: Beta thalassemia, Nurses, Health related quality of life
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Pages 147-152BackgroundPeople with chronic diseases, including epilepsy, need to learn self-management behaviors so as to control their disease and reduce its complications. The present study aims to determine how people with epilepsy self-manage the disease.MethodsThe present research was a descriptive-correlational study conducted on 100 patients with epilepsy who had been referred to the Iranian Epilepsy Association in Tehran in January 2016 and met the inclusion criteria. The research tools included the disease profile form, demographic questionnaire, and self-management behaviors questionnaire for people with epilepsy. Statistical calculations were performed using SPSS software version 22.ResultsIt was found that 85.6% of the subjects had low self-management and 14.4% had moderate to high self-management. Independent t-test showed a significant relationship between self-management and marital status (P 0.05). A negative and significant relationship was observed between age and self-management (P 0.05).ConclusionThe findings indicate that educational interventions should be conducted to meet the educational needs of people with epilepsy in future studies.Keywords: Education, Epilepsy, Self-management
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Pages 153-160BackgroundAcute postoperative pain is anticipated as a common problem in orthopedic surgeries especially arthroplasty which can cause harmful effects to the body and the psyche of the person. Currently, non-pharmacological approaches such as aromatherapy are taken into account pain relief along with pharmaceutical methods. The aim of the current study was to determine the effect of the aromatherapy with the Damask Rose on pain of elderly patients after knee arthroplasty surgery.MethodsThis study is a non-randomized clinical trial, 80 elderly patients underwent knee arthroplasty surgery were selected from two hospitals (Moheb and Shafa) according to inclusion criteria and enrolled into the study by simple random sampling. Patients were divided into control and experimental groups. Interventions with Damask Rose were perfomred 24 hours after surgery and there were 4 sessions within 2 hours with 30 minutes interval. Visual Analog Scale (VAS) was used to measure pain and daya was analyzed using SPSS version 16.ResultsIn the experimental group, the pain intensity was significantly different before and after the intervention (PConclusionThe study demonstrate that aromatherapy has a positive effect on reducing the postoperative pain of the elderly, and it can be used as a complementary medicine which is cost effective, safe, and easy to perform.Keywords: Aromatherapy, Rose, Pain, Elderly, Arthroplasty
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Pages 160-166BackgroundProviding oral hygiene in patients with a tracheal tube in the mouth is one of the most important tasks of nurses. This study has been conducted with the aim of comparing the effects of two mouthwash solutions (chlorhexidine and orthodentol) on the oral hygiene of patients with respiratory ventilation device and hospitalized in intensive care units.MethodsThis is a clinical trial in which 90 patients with oral tracheal tube entered the study through simple sampling method. Inclusion criteria were being insensitive to herbal compounds and aged 15-85 years. They were divided randomly into two intervention (orthodentol) and control (chlorhexidine) groups. Each group had 45 subjects. The Beck Oral Hygiene Checklist was used to collect data (before and after intervention). Data were analyzed using SPSS software.ResultsPatients in intervention and control groups were similar in terms of demographic characteristics, oral hygiene, and other characteristics. Oral hygiene in patients in both orthodentol and chlorhexidine groups had a significant improvement after intervention.ConclusionThe comparison of orthodentol and chlorhexidine oral mucosal effects showed that oral hygiene of patients hospitalized in intensive care units was improved to a certain extent. Considering the benefits of herbal compounds, orthodentol mouthwash can be mentioned as an appropriate alternative for chlorhexidine.Keywords: Special care, Chlorhexidine rinse, Orthodentol, Oral hygiene, Intubated patients