نشریه پرستاری و مامایی ارومیه
سال شانزدهم شماره 10 (پیاپی 111، دی 1397)

  Due to the lack of direct potential effects and physiological outcomes of each method of weaning from ventilator, none of the weaning methods was recommended on the other. The present study was carried out in order to compare the breathing outcomes of weaning from the ventilator into two methods of ventilation with pressure support and T-piece in patients in the intensive care unit of Urmia Imam Khomeini Educational-Treatment Center in 2017-18. This descriptive analytical study After obtaining the Ethics License from the Regional Ethics Committee at the University Research was carried out on 44 patients in the intensive care unit which patients who were eligible to be considered in study, was chosen and were located the number of 22 patients in Group A (weaning by pressure support ventilation) and 22 patients in Group B (weanhng by T-piece method). Data collection were collected using the patients file, the demographic questionnaire and the checklist of the assessment of the respiratory status. Data were analyzed using SPSS software version 20 and descriptive statistics (mean and standard deviation) and analytical tests including parametric tests (T test and ANOVA) and nonparametric (Mann-Whitney, Wilcoxon and Friedman). There was a significant difference between the two weaning groups terms of the two criteria of peak inspiratory pressure and arterial blood oxygen saturation (p<0.05). In other outcomes, there was no significant difference between the two groups (P>0/05). Despite the differences in the peak inspiratory pressure and oxygen saturation of arterial blood between the two groups, there was no significant difference in terms of other weaning outcomes. So doing supplementary studies in this context is recommended.

  Identifying the factors that are involved in the addiction addiction and rehabilitation is very important, because by identifying these factors, programs can be designed to control and reduce addiction and rehabilitate addicts faster. The purpose of this study was to investigate the role of self-esteem and perfectionism in the rehabilitation of addicts in Urmia. This is a descriptive-survey study. The statistical population of this research consisted of all rehabilitated addicts in Urmia who were present at addiction treatment camps. The sample size was 348, which was obtained by available sampling method. Data collection was done by using two questionnaires including Rosenberg self-esteem review questionnaire and Hilly & Associates perfectionism review questionnaire. In this study, the coefficient of detection (error) was 5% (α = 0.05). According to the results of this study, the variables of self-esteem, worry about mistakes, order and organization, purpose, parental perception, effort for excellence, high standards for others, need for confirmation and rumination were significantly correlated with rehabilitation of addicts (001 / 0 = P). The results of this study showed that there is a positive and significant relationship between perfectionism and self-esteem with rehabilitation of addicts in Urmia city (P = 0.001).

  Loneliness is a painful mood and appears when it would have distanced between interpersonal relationships that one wants to have and the relationships that he currently has .The aim of this study was to examine the efficacy of transactional analysis couples therapy (EFCT) on loneliness of injured women from infidelity. This research is applied and in terms of design, semi-experimental and in the form of pre-test, post-test and follow-up designed. The statistical population consisted of all women who referred to the family counseling center in Salmas in relation to the infidelity problem. The sample size consisted of 20 women who were voluntarily selected from among the community and randomly assigned to two groups. The experimental group educated, 8 individual sessions 90 minutes each week in two months, with TA process, and control group were not performed any education. Russell's sense of loneliness questionnaire was performed. Descriptive statistics and multivariate covariance analysis were used to analyze the data. Data were analyzed using SPSS software version 22. The results of study showed that teaching transactional analysis couple therapy could decrease the loneliness of injured women from infidelity and the result in follow up showed that the efficacy of transactional analysis couples therapy remained after two months. (P< 0/05) The efficacy of transactional analysis couples therapy (TACT) can play a significant role in decreasing of loneliness of injured women from infidelity and therapists can use that for treatment of decreasing of loneliness.

  Despite the importance of innovation for the future of nursing and this fact that nurses need innovation to provide better services, there is still no precise definition of this concept. The present study was designed to analyze the concept of innovation in nursing since there is ambiguity surrounding the concept of innovation. This study used a three-phase hybrid model which includes theoretical, fieldwork, and the final analysis phases. First, the concept of innovation in nursing examined in validated databases such as Google Scholar، Cinahl، Pub Mmed, Sid, Iran Med and ProQuest in the theoretical phase. Moreover, the fieldwork phase used the theoretical framework to interview with 10 nurses, and the content analysis was used for data analysis in the last phase of the study.
In theoretical phase, characteristics of concept include generation of new idea, creativity, costs-balance, quality improvement, Benefit patients, and in fieldwork phase identified four main themes for innovation in nursing as follows: "thinking creatively", "using the latest scientific findings", "technology in nursing", and " improvement of conditions". Finally, the analysis phase integrated the previous two phases to reach a comprehensive definition: "Innovation in nursing is obtained through supportive environment, creative thinking and considering the latest findings in nursing by nurses to provide new ideas for patient care. This will lead to improving the current situation, nursing care and obtaining the cost balance." The present study provided a comprehensive understanding of the concept of innovation in the context of nursing in Iran and clarified it more clearly. It also demonstrated that a nurse's knowledge about innovation is a helpful tool in patient care and providing creative ideas.

 

One of the effective components in organizations is the ethics of the employees of the same organization. In the nursing profession, more ethical work is needed, the quality of professional life is the response of the employees to their work, and especially the individual results in work and mental health of the staff. Promoting the quality of work life of personnel and nurses is one of the important factors for ensuring system stability. Hygiene has been introduced. In this regard, this study aimed to investigate the relationship between the quality of professional life and the work ethics of nurses working in the neonatal intensive care units of the hospitals affiliated to Uromia University of Medical Sciences.

This study was a descriptive study using correlation and cross sectional methods. Be on 131 nurses working in Neonatal intensive care units in hospitals affiliated to West Azarbaijan University of Medical Sciences in 2012 were selected using purposeful sampling. Data collection method, three demographic questionnaires, Walton professional quality of life, and Gregorian work ethic were used. SPSS software version 19 was used to analyze the data. Data were analyzed using descriptive statistics, inferential statistics.

The results of this study indicated that the quality of professional life and the quality of nurses working in nurses responsible for neonatal intensive care units in hospitals affiliated to the West Azerbaijan University of Medical Sciences are in a favorable situation and between quality of professional life and ethics there is a positive and meaningful relationship.

It can be concluded from the findings of the research that improving the quality of professional life of nurses will promote the development of work. The results of this study can be used as a guide for hospital managers and nursing staff and nurses. Ultimately, the status of patients and the quality of health services and health Promote nursing profession.

  Family caregivers of patients undergoing Coronary Artery Bypass Graft (CABG) experience high levels of anxiety which result in physical and psychological problems in the family. This study was carried out with the aim to examine the effect of educational support on anxiety in family caregivers of patients undergoing CABG. This quasi-experimental study was conducted in Shahid Rajaie Cardiovascular, Medical & Research Center on 80 family caregivers of patients undergoing CABG who were selected by sequential sampling in 2017. Patients were assigned randomly in groups. The intervention group, beside routine trainings, received educational support at the time of entering the study, before surgery, the second day after surgery and before discharging from hospital, and up to 6 weeks after discharging, they were followed up by phone and mobile-based social networks. Spielberger State-Trait Anxiety Inventory was used to collect data before surgery and 6 weeks after discharge. At baseline, the two groups were not significantly different in terms of average anxiety. Family caregivers’ average anxiety in the intervention and control groups after 6 weeks of educational support was 41.02 ± 4.33 and 55.95 ± 6.10 respectively. The results showed that the study subjects were significantly different in terms of anxiety scores after 6 weeks of supportive education (P < 001.0). After conducting educational support, anxiety decreased in family caregivers in the intervention group, so it is suggested to use the intervention as an effective strategy in support of family caregivers by health care providers

  Health promoting behavior is one of the main criteria of health and it has a potential impact on improvement of health and quality of life in middle-aged women. In addition, it leads to a reduction in health care services expenditure. This study is conducted to determine the effect of group counseling on health promotion behaviors in middle-aged women who referred to border health centers of Urmia in 2018. This is an RCT study with pre-test and post-test on the control group. Statistical population of this study was 90 middle-aged women who referred to border health centers that were randomly divided into experimental groups (n = 45) and control (n = 45). The research instruments were demographic questionnaire and standard questionnaire HPLP2 that was completed before and after the intervention. The intervention consisted of six 60-90 minute group counseling session. The non-intervention group received normal care. Data were analyzed by SPSS-20, T-test Wilcoxon rank tests. P-value less than 0.05 was considered significant. Before the intervention, mean scores were matched the two groups. But after intervention showed a significant increase a mean of the health-promoting behaviors (diet, exercise, responsibility, stress management, interpersonal support, and self-actualization) (P<001). The results indicated group counseling can be used as appropriated methods to improve the middle-aged women’s health-promoting behaviors.

Background & One of the common medical problems in pregnancy is impaired glucose tolerance. Due to the fact that gestational diabetes is associated with adverse effects on mother and fetus, it also effects on different dimensions of patient's quality of life, so it is essential to take necessary measures to reduce side effect of the disease and promote the women’s quality of life with gestational diabetes mellitus. This study aims to the effects of problem-solving skills training on quality of life in women with gestational diabetes in Zanjan.
Materials & This is a clinical trial study. Samples included 76 women with gestational diabetes. Using randomized blocking method, thirty-eight subjects in the intervention group and thirty-eight subjects in the control group. Data was collected using SF26 quality of life questionnaire. In the intervention group, the problem-solving training session was held in 6 sessions of 45-60 minutes and the control group was received routine care. Data were analyzed using SPSS software, Kolmogorov-Smirnov, Friedman, repeated measures, Mann-Whitney and independent T-tests. The results show that mean score of quality of life in the intervention group was 44.73 ± 10.32 before the intervention this difference was statistically unsignificant and 43.09 ± 8.58 in the control group and 75.65 ± 14.80 in the intervention group and The control group was 44.4 0± 13.22 after the intervention this difference was statistically significant (p <0.05). problem-solving skills training can be useful as part of comprehensive pregnancy care and can improve mother’s quality of life with gestational diabetes.