Iranian Journal Of Medical - Surgical Nursing
Volume:1 Issue: 2, 2013

Pain after surgery is one of the most common reasons for patients’ fear of surgery. Lack of pain relief after surgery can lead to complications after surgery، prolonged duration of hospitalization and delayed recovery. The purpose of this study is to assess the effect of two methods، intramuscular injection and infusion pump on the pain control of patients after abdominal surgery. This clinical trial study through simple sampling was performed on 60 patients referred to Amir Al Momenin hospital for abdominal surgery in Ahwaz in 1389. Patients were randomly assigned into two groups of patient’s controlling their pain through infusion pump (intervention group) and intramuscular injection (control groups). For gathering data demographic information، medical complications and the visual analog scale VAS were used. Pain severity، analgesic drug consumption and drug side effects during 24 hours after surgery was assessed every 6 hours. The data were analyzed by SPSS software، ANOVA and repeated measurement test. There was a significant difference between the two groups in relation to the mean of pain severity and the extent of drug consumption after abdominal surgery، where as the pain level in the intervention group was less than the control group (P=0/03)، but the mean of drug consumption in the intervention group was more than the control group (P<0/001). The results of this study indicated that the pain level in the intervention group less than the control group، but the level of drug consumption in this group more than the control group.

Scoring system to predict mortality in patients cured of their classification plan Using them can predict mortality of patients who may be in the SOFA scoring system named This study applied the system to be used in intensive care units Predicting mortality and length of stay for patients was performed This descriptive study on 107 patients admitted to the intensive care unit of convenience sampling was conducted over a period of 4 month In this first part of a two-part questionnaire on demographic data and the second part was used Czech SOFA list data using descriptive statistics، chi-square test، Pearson correlation and analysis software spss The findings showed that the SOFA score and mortality in patients (p <0/0001) there is a significant relationship between SOFA score at admission and length of stay (p = 0/007) found a significant relationship but the SOFA score on the day after admission and length of stay (p = 0/14)، there is no significant relationship

One of the most common infections، urinary tract infections in the elderly population، nursing home and hospital centers. The aim of this study was associated of urinary tract infections with nursing interventions in elderly resident in Kahrizak nursing home. This descriptive study on 256 elderly men and women with a mean age 76/3 ±8/32 has been done in 1389. Random sampling - simple and elderly 65 and more that residing in nursing homes were Kahrizak. Data were collected by questionnaire and urine culture. Chi-square analysis and Fisher''s data using statistical tests were performed with SPSS v. 17 software and p <0. 05 was considered significant 34% (87 patients) were diagnosed with urinary tract infections in the elderly. 74. 3% and 46. 9% of elderly women than elderly men، the urinary drainage catheter used for long-lasting، positive urine cultures (p <0. 05). The prevalence of urinary tract infections in older people that the area around the catheter lasting washed with water and antiseptic solution were respectively 47. 2% and 35. 5 that was statistically significant correlation (p <0. 05). Urinary tract infections in Kahrizak elderly home is common. With the proper training in this field can provide procedures standard of nursing and the onset of the disease and its related complications can be prevented.

cold therapy is the simplest and oldest therapeutic modality in the treatment of acute soft tissue injuries So this research was done to evaluate the Features of two cooling devices (gel pad with ice pack) on perineal pain level in who gave birth. In this randomized controlled trial، 81 healthy primiparous women were chosen in the two groups cold therapy (ice pack، cooling gel pad) and control group. Evaluate Features of two cooling devices with 3questions and Rating scale in days 1، 2، 5، 10. A statistically significant difference in the pain level was seen in 2 groups at days 2، 5، 10th،، which was in favour of the maternity gel pad. cooling in 2 group during 10 minute and prolonge effect analgesia device not significant at days 1، 2، 5، 10th Cooling gel pad is better than ice pack on reduced episiotomy pain.

Educationing diabetic patients about treatment and prevention of side effect of the disease have an important role in their self manangment of it. The new educational methods such as empowerment program have an active role are more discussed. Recently، patients’ HbA1C has become as an important issue in clinical research. This study was conducted for evaluate the effects of empowerment program on level of Hb A1C in type 2 diabetic patients.

This was a experimental research consist of 134 type 2 diabetic patients that randomly assigned to equal intervention and control groups. Using a questionnaire consists of two parts; demographic data and HbA1C test collected. Empowerment program implemented for intervention group according to former prepared protocol during six sessions lasted 90 minutes. Data collected before and 3 mounts after intervention. SPSS software was used for data analysis.

Demographic characteristics for the intervention and control groups were similar. No significant differences was found between control and intervention groups’ empowerment regarding their HbA1C before intervention (p>0. 05). Baseline and posttest findings showed that the intervention group had a significant reduction in A1C values (p<0. 05). Conclution: The study suggest that implementation of the empowerment positively affects HbA1C of patient undergone type 2 diabetes

Low back pain is a very common complaint in communities; as about 80% of people experience it throughout their life. Low back pain has negative effects on different aspects of the patient، s lives. Ones of palliative treatments of low back pain is foot reflexology. Foot reflexology cause pain reduction، changing in physiological parameters and anxiety and disability reduction. this study was clinical trial study that conducted to evaluate the effects of foot reflexology on pain، disability and physiological parametetrs in patients with low back pain. One hundred fifty men patients were selected by purposive sampling and then they with random allocation method had been divided into three groups: Experimental (foot reflexology was applied in real points once a week for three week)، placebo (sham foot reflexology was applied low pressure in all points once a week for three weeks) and control (without any intervention). Date were collected by Roland- Morris Disability Questionnaire، Visual Analog Scale and Mc-gill questionare. The results of study indicated that pain، blood pressure، breath، heart rate and disability reduced in three groups (p<0/05). In conclusion، the study showed use of foot reflexology was decrease pain، disability and physiological parameters.

Introduction & Humanity always think about creation new and low cost cultures. The aim of this study is comparing the effect of follow-up care by telephone and short massage services on patient’s prothrombin time after cardiac valve replacement surgery. This clinical trial study was done on patients admitted for valve replacement in Tehran selected hospitals in 2011. 99 samples selected with based on target method and distributed according to random allocation method to telephone follow-up، short message services follow-up and control groups. In this study patient’s prothrombin time assessed at discharge and 3 months after discharge. The One way Anova test did not show significant difference between the prothrombin time in telephone follow-up، short message services follow-up and control groups. There was no significant difference between follow-up care by telephone and short massage services on patient’s prothrombin time aftercardiac valve replacement surgery.

Introduction and existence of positive and several characteristics in e-learning education such in learning-education situations has been caused spread rapidly in various fields. In nurses groups because of compress time e-learning are the best options. With this purpose air evacuation and translate victims training assessed with e- learning method and nurse’s knowledge، attitude and practice were reviewed. Methods and Matherials: In this interventional study done by 30 nurses of one of selected hospitals in the Tehran by Simple sampling in 2010-11. Training in this research done by e-learning. A Multiple choice researcher-designed questionnaire with 30 questions about three levels of cognitive learning including knowledge، comprehension and application was prepared and the test was done in before، immediately after training and 2 weeks later. Questionnaire validity with expert personal reliability gained with Code Richardson 21 test (0. 72). Data was analyzed with SPSS17 software and Repeated Measures ANOVA test. Knowledge scores’ mean in three stages، before، immediately after and 2 weeks after training were 5. 3، 7. 5، 7. 7 comprehensive scores’ mean were 4. 76، 6. 06، 6. 33 and application scores’ mean were 4. 5، 7. 56، 7. 3. The average total scores were 14. 3، 21. 13، 21. 33. t-test showed a significant difference for all stages and at all levels of learning (p<0. 001). Results prove that e-learning is effective in learning levels; therefore، air evacuation and transport training by e-learning despite being expensive can be an effective way as saving and creating sustainably learning is useful.