فهرست مطالب

  • Volume:8 Issue:3, 2019
  • تاریخ انتشار: 1398/06/28
  • تعداد عناوین: 9
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  • Neslihan Keser Özcan*, Nur Elçin Boyacıoğlu, Neriman Güdücü, Seda Göncü Serhatlıoğlu, Emine Yıldırım, Medine Koç, Fadime Bingol Pages 121-127
    Introduction
    To determine the fields related to delivering babies in which students experience the most fear.
    Methods
    A descriptive/cross-sectional study was performed between September and October 2017. The population of the study consisted of students receiving midwifery education in Turkey, and the sample consisted of students from six universities studying in the third and fourth years of a midwifery program. Data were collected from 732 midwifery students selected with the purposeful maximum variation sampling method. The study measured data collected with a questionnaire entitled "Midwives’ Fear of Delivery Process."
    Results
    In general, students are more afraid of practices with which they say they have more experience (practices related to episiotomy and vaginal palpation), and they are less afraid of practices (interventional) (such as cord prolapse, ablatio placenta, placenta previa) with which they have less experience or no experience at all and of cases in which they can get hurt. The students feel most sufficient when performing prenatal and postnatal practices and feel insufficient when it comes to practices during delivery.
    Conclusions
    Interestingly, students are afraid of the fields that they say they have practiced most (such as vaginal palpation). Before clinical practice, instructors can determine students’ fears and deficiencies in relation to procedures and areas of practice and can develop approaches for alleviating their fears and weaknesses.
    Keywords: Delivery, Fear, Labor, Midwifery, Students
  • Mojgan Naderi, Tayebeh Darooneh, Malihe Nasiri, Fariborz Moatar, Somayeh Esmaeili, Giti Ozgoli* Pages 129-138
    Introduction
    Regarding high prevalence of postpartum pain and side-effects of pharmaceutical analgesics on maternal and neonatal health, the present study aimed to explore the effect of Melissa officinalis on after-pain among mothers hospitalized in Asgariyeh Hospital, Isfahan, 2016.
    Methods
    In this single-blind clinical trial, 110 women with moderate to severe after-pain were divided into two M.officinalis and mefenamic acid groups by random allocation. Samples in the first group received 250mg of mefenamic acid and the second group received 395mg of M.officinalis oral capsules every 6hours for 24hours following childbirth. The primary outcome (After-pain) was assessed using a numeric 10-point scale before intervention, 1,2 and 3hours after the first intervention and every 6hours to 24hours after delivery for each of second, third and fourth interventions. Data were analyzed, using SPSS by independent t-test, Mann-Whitney and chi-square test.
    Results
    The demographic and obstetric variables and after-pain severity before the intervention in both groups were homogenous (P>0.05). Pain intensity wasn’t significantly different between the two groups during first and second hours after the first intervention, but there was a significant difference in the third hour (P<0.05). The severity of pain was significantly different between the two groups in different assessments including: an hour after the second, third and fourth intervention (P<0.05). A significant difference was found between mefenamic acid and M.officinalis in pain relief (P<0.001).
    Conclusion
    M.officinalis can reduce the severity of after-pain, because it eliminates the need for pharmaceutical analgesics and works much better than mefenamic acid.
    Keywords: Herbal medicine, After-Pain, Mefenamic acid, Melissa officinalis
  • Mohammad Ali Heydary *, Babak Bagheri, Zoya Hadinejad, Hassan Talebi, Jamshid Yazdani Pages 137-142
    Introduction
    This study aimed to determine the effect of warm footbath before bedtime on the quality of sleep on patients with acute Coronary Syndrome in Cardiac Care Unit.
    Methods
    This study was conducted on 120 patients admitted to CCU at Mazandaran Heart Center and randomly divided into two groups of intervention and control. In the intervention group, warm footbath was performed after the second night in hospital before bed time by 41 C water for 20 minutes for three consecutive nights; in contrast, the control group did not receive anything of this sort. The next day, St Mary's Hospital Sleep Questionnaire was completed to evaluate sleep quality. Then, the obtained data were analyzed using SPSS software and Friedman, Wilcoxon exact statistical tests.
    Results
    The quality of sleep in the first night of hospitalization was different from the third night after the intervention in both groups and the improvement process of sleep quality was observed in both groups. Most patients had moderate impairments (23-36), which had not changed during the intervention. In intervention groups, 8 patients had severe sleep disorders (greater than 37), which declined to 1 after three nights of intervention. While, in the control group this number fell from 10 patients with severe sleep disorders to 5. Warm footbath had a great positive impact on patients suffering from severe sleep disorders (P<0.05).
    Conclusion
    Although warm footbath did not improve the quality of sleep in all patients, it reduced the number of patients who had severe sleep disturbances.
    Keywords: Cardiac care unit, Heat, Sleep disorder, Sleep quality, Warm footbath
  • Maryam Shabany, Nooredin Mohammadi, Keyvan Davatgaran, MirSaeed Yekaninejad, Alireza Nikbakht * Pages 143-148
    Introduction
    Empowering an individual with spinal cord injury as far as possible is an experience with various social and cultural aspects. This study investigated health professionals' experiences of barriers in empowering individuals with spinal cord injuries.
    Methods
    This was a qualitative inquiry with a conventional content analysis approach. A number of 11 healthcare professionals who were members of Iran Spinal Cord Injuries Research National Network or had been working in a related research center for at least three years participated in the study. A purposive sampling method was applied until reaching data saturation. The data were collected by semi-structured interviews. The collected data were managed with MAXQDA software version 10.
    Results
    Three main themes as barriers in empowering people with spinal cord injury emerged: 1) Lack of patient-and-family-centered education, 2) Failure in providing sufficient healthcare services and 3) Inappropriate setting for using rehabilitation services.
    Conclusion
    These finding can help policymakers to provide better social facilities and more support services for people with spinal cord injuries and their families. Further research is needed to investigate barriers to empowerment from the perspective of individuals with SCI and their families.
    Keywords: Spinal cord injury, Empowerment, Health professionals, Qualitative study, Content analysis
  • Sayed Hossein Davoodi, laleh Hassani, Razieh Mohamadi, Shokroallah Mohsseni, Fatemeh Gharaati, Zahra Hosseini, Moussa Soleimani, Teamur Aghamolaei* Pages 149-155
    Introduction
    One way to improve the quality of life of the patients with thalassemia major is to enable them through education. The present research aimed to explore the effects of an educational intervention through mobile phones on self-care behaviors of the patients with thalassemia major
    Methods
    In this quasi experimental study, which was done from May to January in 2017, 91 patients were enrolled who were suffering from thalassemia major.The census sampling method was performed with random allocation of interventional and control groups. Educational intervention was only applied to the intervention group. The study instrument was a questionnaire which was filled out by the patients before and two months after the educational intervention. For data analysis, statistical tests including independent samples t-test, paired-samples t-test, Mann-Whitney test and Wilcoxon test, were used through SPSS v.13 software.
    Results
    Prior to the intervention, the mean scores of knowledge, attitude and self-care behaviors were not significantly different between the intervention and control groups. After the intervention, , however, there was a statistically significant increase in the aforementioned scores in the intervention group (P˂0.05), but there was no statistically significant increase in scores of the control group(P>0.05).
    Conclusion
    The present findings showed the positive effect of the mobile-phone mediated education on knowledge, attitude and self-care behaviors of the patients with thalassemia major. Therefore, the use of mobile phone is recommended as an effective way of transferring instructional material as related to self-care to patients with thalassemia major particularly when access to them is limited.
    Keywords: Self-care, Thalassemia major, Mobile phone
  • Mahtab Aligholipour, Hossein Feizollahzadeh*, Mozaffar Ghaffari, Faranak Jabbarzadeh Pages 157-164
    Introduction
    Diabetes is a disease whose control requires effective self-care and patient education. Multimedia Messaging Service-based (MMS) education is one of the new methods for education. The purpose of this study was to investigate the effect of two types of in-person and MMS-based education in the Telegram application on self-care and weekly fasting blood sugar levels in patients with insulin-dependent diabetes.
    Methods
    In this clinical trial, a sample of 66 patients with diabetes who referred to the Sina hospital in Tabriz, were randomly assigned into two groups: in person and MMSM-based education. Data gathering tools included a demographic form, Toobert’s self-care activities questionnaire (as primary outcome), and a checklist to record fasting blood sugar weekly measured by a glucometer. Data were analyzed using independent and paired sample t-tests, chi-square, and repeated measures ANOVA.
    Results
    After the education the mean scores of self-care in terms of diet, exercise, foot care, and blood sugar testing activity significantly increased in both groups (P<0.05) and results of ANCOVA of the scores for all dimensions revealed no significant difference between two groups (P>0.05). Reduction in the fasting weekly blood sugar levels over a 12-week period were statistically significant in both groups (P<0.05). But there was no significant difference between the two groups (P> 0.05).
    Conclusion
    MMS-based education same as in-person, improves self-care in patients with diabetes. Given the disadvantages of in-person education, this new educational strategy can be used to facilitate the patient education process and improve its quality.
    Keywords: Diabetes Mellitus, Patient education, Social Media, Self- care
  • Behrouz Dadkhah, Elham Anisi, Naser Mozaffari, Firouz Amani, Mehdi Pourghasemian Pages 165-171
    Introduction
    Music and massage therapy are among the approaches of complementary medicine. Patients with cancer have been hugely encouraged in recent years to use complementary medicine to relieve chemotherapy-induced nausea and vomiting. The present study was conducted to determine the effect of music and periorbital massage therapy on chemotherapy-induced nausea and vomiting in patients with gastrointestinal cancers.
    Methods
    The present single-blind clinical trial study was conducted on 60 patients with gastrointestinal cancer undergoing chemotherapy who were randomly assigned to control and music plus massage therapy groups. Two interventions were concurrently carried out on patients in music plus massage therapy group while receiving chemotherapy medication, but the control group received no intervention. Rhodes questionnaire was used to assess nausea and vomiting before and 24 hours after chemotherapy. Data were analyzed using descriptive and analytical statistical tests (Chi-square and t tests).
    Results
    Music plus periorbital massage therapy significantly reduced nausea and vomiting in patients undergoing chemotherapy compared to the control group (P<0.05).
    Conclusion
    According to the results, using music plus periorbital massage improves nausea and vomiting in patients undergoing chemotherapy, and can be considered as a complementary medicine method in conjunction with other medicinal therapies to relieve symptoms of patients with cancer.
    Keywords: Music, Massage, Nausea, Vomiting
  • Azad Rahmani*, Hadi Hassankhani, Carla Saunders, Sue Dean, Caleb Ferguson, Alireza Irajpour, Ebrahim Aliafsari Pages 173-179
    Introduction
    The purpose of this study was to explore the characteristics of undergraduate nursing students, which may determine the nature of their relationship with clinical nurses. Relationships between nursing students and clinical nurses are critical to maximize student learning outcomes and produce skilled graduates for the future health workforce.
    Methods
    This qualitative content analysis study was conducted from January to August 2016. Twenty nine semi-structured in-depth interviews were conducted with 20 undergraduate nursing students in Tabriz nursing and midwifery faculty. Interviews were recorded and transcribed verbatim (in Persian), and analyzed using conventional content analysis to identify themes.
    Results
    Four key themes emerged: educational factors (cognitive knowledge and practical skills, and learning motivation); communication skills; perceived support (perceived support from nurses and educators); and psychological state (fear of the relationship and self-confidence). Self-confidence is an emphasized concept in nursing students' willingness and ability to relate with clinical nurses.
    Conclusion
    The results of the study showed that educational, communicative and psychological factors are important determinants of student communication with nurses. However, self-confidence is the most important factor in establishing such relationship. Self-confidence could be further assessed to identify nursing students who need greater support or would benefit from greater educational interventions to achieve relational skills.
    Keywords: Communication, Self-Confidence, Nursing Students, Nurses
  • Hossein Hosseinzadeh, Sara Mirzaeian, Habibollah Esmaeeli, Khadijeh Mirzaii *, Shapour Badiee, Mitra Mahdavian Pages 181-189
    Introduction
    . Menopause is the transition from the reproductive phase of a woman to the non-reproductive. It may impair quality of life. The study aims to determine the effectiveness of mixed herbal medicines on menopause symptoms
    Methods
    A randomized, triple-blind, clinical trial and placebo-controlled study on 120 peri-menopausal women aged 45-65 years for 12 weeks. All participants took herbal extracts drops orally daily and randomly allocated into four groups: placebo (C), A (250 mg chamomile, 30 mg fennel, 15 mg saffron), B (1000 mg, 120 mg, 60 mg), and D (500 mg, 60 mg, 30 mg). Primary outcome was the mean change in scores of the menopause rating scale that evaluates 11 symptoms.
    Results
    The median (IQR) physical score significantly reduced from 8.5(4) to 2(3), in psych score reduced from 12(4) to 2 (2) and in urogenital score reduced from 6.5(3) to 3(2) in group B. In group D physical score decreased from 12(6) to 8(4), in psychological score reduced from12 (3) to 8(4) and urogenital score reduced from 7.5 (3) to 8(3) at week 12. No significant differences in group A and C. With comparison the scores of physical, psych and urogenital domain of MRS questionnaire in 1th ,6th and 12th, no significant difference within group A and C were seen, but statistically significant difference was within group B (p<0.001) and D (p<0.001) in all weeks. The effect size was 0.92.
    Conclusion
    A 12 weeks extracts treatment, there were significant improvement in physical, psychological and urogenital domains in group B.
    Keywords: Menopause, Herbal Medicines, Alternative Medicines, Menopause Rating Scale