sima sadat hejazi

Fatigue is one of the most annoying complaints reported in people undergoing hemodialysis. However, the lack of awareness of health care providers about evidence-based interventions in one hand   and unavailability of information in a coherent manner on the other hand is an important barrier to taking more effective measures. Therefore, it was decided to investigate evidence-based nursing interventions on the fatigue of hemodialysis patients in Iran.

Data collection in this systematic review study was conducted without any time limit in both Persian and English articles by searching on different databases of Iran medical articles bank such as IranDoc databases, elmnet, SID, Google scholar, Magiran, PubMed, Library Cochrane CINAHL, and Scopus. Finally, the findings of each study were entered into the data entry form as a data collection tool.

Out of 119 available articles, 25 related articles were reviewed. These studies were conducted between 2012 to 2019.Various interventions such as massage therapy, aromatherapy, care patterns, nutrition therapy, exercise and laugh therapy have been investigated to reduce the fatigue of hemodialysis patients. The results of studies on fatigue reduction have shown that all the proposed interventions can be effective in reducing the fatigue of hemodialysis patients.

A look at the evidence-based interventions of various studies shows an increased tendency to control health using complementary medicine and it expresses the importance of combining complementary and clinical medicine, however, its use in hospitals has been neglected

There is little knowledge about the underlying motivations that cause caregivers to care for the patient or not. This study aimed to identify the motivations of providing care in family caregivers of hemodialysis patients

This qualitative study was conducted using the conventional content analysis method. Fifteen family caregivers of hemodialysis patients were enrolled in the study via purposive with a maximum variation sampling method. The setting was hemodialysis wards of Tehran teaching hospitals. Data were collected via semi-structured interviews. The analysis was performed using conventional content analysis with MAXQDA version 10. To ensure the trustworthiness of the data, the criteria of Credibility, Dependability, Transferability, and Confirmability were taken into account

Fifteen participants (eight women and three men) were interviewed. The majority (eight of them) were spouses. Totally 200 codes, 12 subcategories, four generic categories, and two main categories were extracted. The main categories included Social Motivation (including two generic categories: providing care influenced by norms and culture and providing care inspired by social influence) and Internal motivation (including two generic categories: religious-spiritual motivation to provide care and emotional-moral motivation to provide care).

To benefit from the valuable capabilities of family caregivers, must pay attention to their social and internal motivations in providing care.  The findings of this study can be helpful for future planning to strengthen internal motivations and improve and guide the external motivations of caregivers.

Pressure ulcers are among the major complication of medical and surgical medicine. The present study aimed to determine the relationship between nurses' knowledge and quality of care in the prevention of pressure ulcers in Intensive Care Units (ICU) of hospitals in Bojnurd, Iran.

This cross-sectional descriptive study was conducted on nurses working in the ICUs of hospitals in Bojnord, Iran, using the census sampling method in 2017. The needed data were collected by a demographic questionnaire, the Piper nurses' knowledge questionnaire, and a nursing care quality assessment checklist. The nursing care regarding the prevention of pressure ulcers was observed three times, and its quality was evaluated and registered in the checklist. Therefore,  the knowledge assessment questionnaire was completed by nurses. Data were analyzed in SPSS software (version 200 using descriptive and analytical statistics.

Based on inclusion criteria, the current study was conducted on a total of 29 nurses the majority of whom (96.6%) were female with a bachelor's degree in nursing. The results pointed to low levels of nurses' knowledge and quality of nursing care regarding pressure ulcers. Moreover, there was no significant relationship between nurses' knowledge and quality of nursing care (P=0.31).

Low levels of knowledge and inadequate quality of nursing care regarding pressure ulcers are a matter of concern in hospitals. It is essential to conduct further studies to identify the underlying causes in this regard.

Ventilator-associated pneumonia is a type of hospital-acquired pneumonia, and nurses have an essential role in its prevention.

This study aimed to determine the effect of text messaging via cell phone on nurses’ knowledge in intensive care units about ventilator-associated pneumonia.

This quasi-experimental study was performed in intensive care units of hospitals in North Khorasan Province, Iran. Nurses working in these wards were included in the study through the census sampling method. The research tool was a researcher-made questionnaire about ventilator-associated pneumonia whose qualitative face validity, quantitative content validity, and reliability were assessed. After a pre-test, text messages were sent 4 days a week, once a day for 10 weeks. The post-test was administered 1 and 3 months after that the last message was sent. To compare nurses’ knowledge before and after the intervention, repeated measures analysis of variance was used in SPSS software (version 20).

A total of 41 nurses were included whose mean scores of knowledge about ventilator-associated pneumonia were obtained at 9.65±1.89, 14.56±3.00, 14.63±2.7 at the baseline and 1 month and 3 months after sending text messages, respectively. It was revealed that the score before sending the messages was different from those 1 and 3 months after the intervention, which was statistically significant (P<0.05). Implications for Practice: It seems that the use of new educational methods, such as text messaging, can effectively improve nurses’ knowledge.

Many factors affect marital satisfaction as one of the determinants of mental health, and may even lead to marital dissatisfaction.

This study aimed to determine the relationship between the health of the family of origin and marital satisfaction and its components among women in Bojnurd, Khorasan, Iran.

In this descriptive correlational study, 218 women who met the inclusion criteria referred to Bentolhoda Hospital in Bojnurd as inpatients or outpatients. They were selected using the convenience sampling method from January to April 2015. The data collection tools were the Family of Origin Health Scale (FOS) and Marital Satisfaction Index (MSI). Data analysis was performed using chi-square, t-test, Pearson correlation coefficient, and multiple linear regression at p=0.05 with SPSS software version 16.

The study participants’ mean age and duration of marriage were 31.40±8.90 and 11.10±9.30 years, respectively. The coefficient of correlation between FOS (136.52±26.93) and MSI (58.73±34.20) was negative, and their relationship was statistically significant (r=-0.365, p<0.001). There was a statistically significant difference between the mean scores of MSI for individuals who had no familiarity and the familychr('39')s income before the marriage (p<0.001, p<0.007), respectively.

Given the undesirable level of marital satisfaction and the existence of problems in family relationships as one of the factors affecting FOS and MSI in this study, as well as the multifactorial nature of marital satisfaction, further multifactorial studies are recommended to determine the factors influencing marital satisfaction to improve this variable.

Caregiver burden is defined as the physical, financial, mental, and social problems stemmed from providing care for one of the family members who is involved with a medical problem. The precise measurement of caregiver burden is crucial, and it is essential to have an appropriate and specific tool for measuring caregiver burden. This study will be carried out using sequential exploratory mixed-method design with the aim of development and psychometric evaluation of a questionnaire for caregiver burden in family caregivers of hemodialysis patients.

The study will be done in 2 phases: 1. qualitative study and literature review, and 2. designing and psychometric evaluation of the questionnaire. In the qualitative phase, family caregivers of hemodialysis patients, patients, nurses, physicians, and social workers will be selected using the maximum variation purposive sampling method. Data will be gathered through semi-structured interviews using a combination of the questions derived from the model and open-ended questions and will be analyzed using directed content analysis. The literature review will be carried out based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses to improve the reporting of the systematic review. After developing the primary item pool, in the quantitative phase, the psychometric properties of the questionnaire will be evaluated. In this regard, face, content, and construct validity (exploratory factor analysis),internal consistency (Alpha’s Cronbach), reliability (test-retest), responsiveness, interpretability, and feasibility of the questionnaire will be assessed.

The primary questionnaire will be developedbased on the qualitative and systematic literature review; then, its psychometric properties will be assessed in the second phase.The result section will consist of the findings of these two phases.

It seems that a specific questionnaire could be a facilitator of identifying and measuring the actual caregiver burden.

Regarding the importance of family management in childhood chronic diseases and the lack of sufficient assessment of psychometric properties of the family management measurement (FaMM) in Iran, this study aimed to determine the validity and reliability of this tool.

This study was carried out with a methodologic research approach involving 300 mothers of children with chronic diseases. The convergent validity was assessed and the confirmatory factor analysis was perfumed for construct validity. The internal consistency of the tool was assessed by calculating Cronbachalpha coefficient. Corrected Item Total Correlation of items was calculated.

The results showed that the model of the 6 scales had a relatively good index. The correlation between the FaMM scales and The General Functioning Scale of in the convergent validity was significant and in the predicted directions (r = -0.293, -0.379, -0.621, 0.255, 0.401, 0.358). The Cronbach alpha values for the scales were between 0.78 and 0.94 and the corrected item-total correlation was above 0.30.

According to the results of the study, the Persian version of FaMM has acceptable validity and reliability. Therefore, this tool can evaluate the management of families with a child with a chronic disease.

Aortic dissection is a non-prevalent disease leading to high mortality rate in the absence of diagnostic delay , whereas its immediate treatment significantly increases the survival rate of the patients.

Here we report a 58-year-old man patient admitted to coronary care unit of Imam Khomeini Hospital of Shirvan,Iran, with severe chest pain and sweating and primary diagnosis of acute coronary syndrome. Thereafter, the difference in blood pressure between patient’s hands captured one of the nurses’ attention and the doctor was informed quickly. The doctor ordered the CT angiography of thorax with a suspicion of dissection. According to CT findings, the final diagnosis of the patient was aortic dissection, and the patient was immediately transferred to a medical center in the nearby province for advanced medical interventions.

Early therapeutic intervention in acute aortic dissection prevents further complications and decreases the mortality associated with this disease. In the case of this patient, the performance of accurate and timely medical and nursing examinations led to quick diagnosis and rescued his life.

Falling from a tree is one of the major causes of serious injuries in farmers but it can be prevented. Walnut is one of the most important agricultural products in Iran and falling from walnut trees is common during the season of harvest. The aim of this study was to determine the frequency of complications due to falling from walnut tree in patients referred to the emergency department of Imam Ali Hospital in Bojnurd City, Iran.

A descriptive cross sectional study was conducted on 127 patients with injuries due to falling from the walnut tree in Bojnurd City, Iran, in the walnut harvest season of August 2013 to November 2014. The tools used for data collection in this study included a demographic information form, checklists of information about the injury and the follow-up checklist of treatment. Data were analyzed using descriptive statistics by the SPSS software version 16.

From a total of 127 injured patients, 120 cases (94.4%) were males with a mean age of 36.49 ± 15.65 years. Five patients died on the day of admission. Eighty-two patients (64.56%) were admitted in hospital wards. The most common type of injuries were trunk injuries (26.19%), followed by spinal cord injuries (18.1%). Also, 7 patients suffered from complete spinal cord injury.

Injuries caused by falling from walnut trees are seasonal and impose large financial burden on our health system. In most cases, young men suffer from varying degrees of disability and experience financial problems. It is very important to train farmers and workers, so as to prevent such injuries