نشریه پرستاری کودکان
سال دوم شماره 1 (پاییز 1394)

G6PD is One of enzyme is essential for red blood cell metabolism. Jaundice is caused by a deficiency of the g6pd enzyme appears in the form of acute hemolytic anemia with increased indirect bilirubin and sometimes so severe hemolysis protests that babies require blood transfusions. If the absence of appropriate action does not create a neurological complications (kernicterus). The aim in this study is Examining the relationship of G6PD deficiency in newborn infants with jaundice admitted sector، also study communication between This deficiency with risk factors. This study was descriptive analysis. samples in this study was 596 infants in the Neonatal jaundice to Imam Sajad hospital at 6 months were admitted. Was considered Deficient g6pd infants (61 cases group) and rest infants (535 cases) had Babies with jaundice without deficient activity of G6PD. Were extracted G6PD، CBC، reticulocyte count، the medical records and direct Coombs than the results were statistically analyzed with spss version 19. The overall prevalence of G6PD deficiency in neonates with hyperbili was 10. 23%، of which 63. 9% were male and 36. 1% female babies. The mean total bilirubin in the study group and the control group was 18. 23، 15. 61 mg dL showed a significant difference (p <0. 05). In addition was performed in 5 (6. 19%) cases exchange transfusion. The mean hematocrit، hemoglobin، reticulocyte count in the case and control groups، showed no significant difference (p> 0. 05). Given the high prevalence of deficiency of the enzyme and its relation to other studies with jaundice and neurological complications، is required screening for all newborns after birth and Infants at high risk، turned quickly treated and prevent hemolysis attacks in childhood.

Oxygen therapy is a supplying oxygen method by more saturation in einvironmaent for patients. Oxygen is used in the treatment of many imatured neonated so Oxygen is as a drug and should be considered as a drug. The aim of this study was to determine of auditing of oxygen therapy nursing care in premature neonatal in NICU training centers of Ahvaz University of Medical Sciences. In this crosssectional descriptive study، 400 case of oxygen therapy in neonatal intensive care unit of the hospitals affiliated to Ahvaz University of Medical Sciences، were included in the study and their practice on oxygen therapy procedure was studied during 2012. Data were collected by a questionnaire for evaluateing demographic information and a questionnaire for oxygen therapy nursing care in premature neonatal in NICU by 2 approach in (hood and incubator). The researcher had been collected data of staff nurses before، during and after the oxygen therapy. Descriptive statistics were used to analyze the data. The performance before the oxygen therapy for nurses (%90) in hood and (%83/3) in incubator was at a low level. Also، the performance during oxygen therapy for nurses (84%) in hood and (53/3%) in Incubator was at a moderate level. The performance after the oxygen therapy for nurses (%99/2) in hood and (%99/6) in incubator was at a low level. In general، many mistakes occurred by staff nurses regarding oxygen therapy. Though the necessity of education for improves nurses skills in the field of Oxygen therapy must considered more than before.

Physical and behavioral disorders cause a lot of problems in childhood and adolescence، and the prevalence varies in different parts of the world، so awareness of these disorders may help prevention of them، and will empower the students and their families. The aim of this study was to determine the physical and behavioral disorders among 7-11 year-old female students in southern regions of Mashhad This study was a cross-sectional study. The study included 298 first to the fifth- grade female pupils aged 7 to 11 in the southern regions of Mashhad on the second semester 1390-91. The data was gathered by meters، scales، stethoscope، sphygmomanometer، tongue stick، flashlight، Snellen chart، whisper test، demographic form، and the physical and behavioral problems check list. Data were analyzed by using SPSS software version 19. Data analysis also was performed by independent t test، binomial، chi-square، and Pearson correlation statistical tests. The results showed that 27. 2% of children have history of a disease، and 23. 5% of them mentioned at least one disease in their families. In physical disorders، tooth decay with frequency 84. 2% had higher incidence while spinal disorders with frequency 2% had the lowest prevalence. Among behavioral disorders، the highest prevalence was related to nail biting (3. 58 ± 0. 51) and the lowest prevalence was stuttering when faced with stress (3. 03 ± 0. 75) from the total score 4. Also، there was significant relationship between education and behavioral disorder so that prevalence of behavioral disorders among pupils who were studying in fifth grade were higher than other grades (P<0. 05). The results showed that the weight and height of the majority of primary- school female pupils in southern regions of Mashhad is inconsistent with international standards. In most studies، curves of height and weight related to children and adolescents is reduced in comparison to the NCHS، so it is required to codify local standards for each region. It was also found that there is the high prevalence of Physical and behavioral disorders among girl students in the southern regions of Mashhad. Therefore، it is necessary to do screening tests for prevention these disorders، early diagnosis، treatment، and organizing follow-up.

Naturally، child training is a kind of stressful process itself and this provocation is helpful in positive parenting. If the amount of provocation، because of having a vulnerable deficit child، is essential، it can impose mental pressure and produce deficits in dimensions of positive psychology. Therefore، the present study aims at comparing the categories of positive psychology (hope، life quality، psychological life، happiness، and optimism) in parents of autistic and normal children. In this scientific study 60 parents were selected randomly (30 parents of autism and 30 parents of normal). The employed materials were Oxford happiness questionnaire، psychological well-being by Reef، hope by Stider، optimism (LOT)، and life quality (SWLS). findings reveal that there is a meaningful difference between all categories of positive psychology in both groups according to the multiple variant test (p>0/05، 54/32= F (5، 54)، 5/04= Hotelling). Psychology is applicable in different individual and social areas with the aim of improving physical and mental health and preventing possible deficits. Reviewing the comparative studies and using important and new variables such as positive psychology lead us to recognize family difficulties better. And then، giving psychological and educational services sounds more effective.

In recent years، the number of children with incurable diseases and their EOL care requirements has increased alongside the developments in technology. Throughout history، nurses have sought ways to improve EOL care. Gaining an increased understanding of nurses’ perceptions of changes that would facilitate appropriate EOL care is important to improve quality care. This study، therefore، was conducted to determine pediatric nurses’ perceptions of intensity، frequency of occurrence of supportive behaviors in providing pediatrics EOL care. Using a translated modified version of (NSCCNR-EOL) questionnaire perception of 151 convenient nurses of supportive behaviors intensity and frequency was assessed. The highest/lowest PSM scores belonged to items respectively: “providing a peaceful، dignified bedside scene for family members once the child has died” (5/75) in health – care professional related category and “letting the religious leader take primary care of the grieving family” (1/08) in organizational related category. Some demographic characteristics of nurses including family and close friends'' death experience (P=0/01)، number of dying children cared for (P=0/01) and previous education toward death and dying (P=0/01، 0/04، 0/04) was positively correlated with PSM scores. The result may indicate a long distance between what nurses believe to be facilitating and what actually happens. Creating a reflective narrative environment in which nurses can express their feelings about death and dying may be an effective approach. A continuing palliative care education adding to nursing curriculum can improve the EOL care quality.

premature and low birth weight infants are one of the high risk population in the community. After discharge، they are more vulnerable than full-term infants and in comparison with full-term born infants need more care. The aim of discharge planning، preparing families for the care of premature infants at home after discharge. a randomized controlled trial study was conducted on 92 mothers of preterm infants (gestational age: 320/7 -366/7 weeks) in neonatal ICU of Tabriz Alzahra hospital in 2013. Discharge planning was done for intervention group and mothers of control group received routine and usual cares. discharge planning program Includes two group training sessions with practical training and lectures، and videotape training for mothers of premature infants. Maternal stress was measured in both admission and discharge time in two groups by using Parental stress scale. Data analysis was performed using the T-test and X2 test. There was not any meaningful difference about rate of stress between 2 groups before the intervention. However، after implementation of discharge planing، maternal stress was lower in intervention group than in control group (p≤0. 001) Implementation of discharge planning reduces stress levels of mothers of premature infants. Its implementation could facilitate to return infants from acute care units to family

Since Neonate and children’s mortality is one of the most important health indicators in a country، this study aimed to determine the causes of death in Neonate and children aged 1-59 months in Dezful city. In this cross-sectional study، the death records of all 297 Neonate and children under 5 years during 2009-2014 were studied in the large hospital of Dezful. After assessing the validity of the researcher -made questionnaire، data was collected and analyzed with statistical software SPSS version 18 using Fisher''s exact and chi-square tests for determine the relationship between the variables. Preterm borth at less than 32 weeks and birth weight of less than 1500 g were significantly found in the deceased children less than 1 year in this study (p < 0. 001). The main cause of death in the study infants was respiratory disorders and the respiratory distress syndrome was the most frequent cause of death in these infants compared to other respiratory diseases (p < 0. 001). Also، the most frequent cause of death among children aged 1 month to 5 years was associated with congenital disorders (p = 0. 001)، the most common cause of which was congenital heart disease. The most frequent cause of death in children less than 1 year was associated with prematurity، low weight، and respiratory disorders. Furthermore، the most common cause of death among children aged 1 to 5 years was congenital diseases. Therefore، by investigating the causes of prematurity، low birth weight and congenital diseases in the children of the region، better planning can be done to reduce the relevant rates of mortality.

Congenital heart defects are called to a situation which comes from birth and effects on the baby''s heart and its performance، different types of these defects can range from mild (like a small hole between the heart chambers) to rigid (such as a flaw or weakness in a part of the heart). This is a case-control study. All newborn which their echocardiogram screening test at birth was abnormal during the years 2011 and 2012 were participated in the study as cases. For the control group، all the children who were not diagnosed with any disorders were participated in the study and were matched according to sex and living area. Statistical methods such as descriptive statistical analysis، t student، and logistic regression modeling was performed using SPSS 16 for analyzing data. All tests were done with significance level of 0. 05. After logistic regression modeling، it was determined that history of stillbirth in pregnant women (OR=7. 85)، not taking a multivitamin before pregnancy (OR=4. 38)، maternal obesity during pregnancy (OR=3. 02)، and maternal weight gain during pregnancy (OR=2. 09) were risk factors that had orderly the highest correlation with this disorders. It seems that factors such as a history of stillbirth in pregnant women، mothers taking multivitamins and obesity can have a significant impact in the development of congenital malformations of the heart in infants.