فصلنامه پرستاری، مامایی و پیراپزشکی
سال پنجم شماره 3 (زمستان 1398)

Nowadays, medical tourism as a branch of tourism, with its key role in improving the economies of countries, has attracted the attention of researchers. This article aims to investigate the role of the nurse as a key member of the treatment team in this industry.

In this review article, first 200 English and Persian articles using searches in valid databases, PubMed Scientific Information Database (SID) and Scopus, Web of Science and Keywords (Nursing and Nursing, Medical Tourism, Nursing Role), Were identified between 2004 and 2018 with no study-type restrictions. By reviewing the articles and reviewing them further, 41 articles appropriate to the subject and purpose of the study were used to evaluate and compare the purpose of the study.

Nurses' attitudes, nurse coordination with the treatment team, nursing care in a timely manner, explanation of procedures, respect for patient privacy and the ability to perform specialized tasks are listed as significant and influential factors in the growth of medical tourism industry.

The results indicate that despite the importance of the role of the nurse in the treatment team, this issue has not been investigated. Managers and researchers' attention to the nurse's position in the tourism industry will improve the health, treatment and thus economic growth.

Nowadays, medicinal plants are considered by women, especially in the fertility and pregnancy age, in ways that the trail of herbal medicine is observed in about half of primigravida women. In addition to health benefits, herbal drugs can also have toxic effects. Therefore, performing clinical studies on herbal extracts is beneficial. This review study aimed to overview the effects of Evening Primrose on clinical obstetrics in Iran.

In this review study, the quality of articles was assessed by the modified Jadad scale. From 90 articles obtained from search engines in the period of 1991-2018, 15 full articles that achieved a score of ≥3 were entered into the study, and their results were categorized in terms of randomization, blinding, and different biases.

In this study, some of the positive effects of Evening Primrose were improving the lipid profile of gestational diabetes, reducing the hormonal complications of polycystic ovary syndrome, improving premenstrual syndrome, accelerating the transition from postpartum grief, and replacing HRT in menopausal symptoms. However, mastalgia had no particular superiority to previous therapies. Regarding Bishop Score in the post-term period, further investments are required to more evaluate its local impact.

In Iran, most studies on Evening Primrose are related to the premenstrual syndrome in women, the results of all of which have confirmed the positive effect of this plant on the decrease of PMS symptoms. It seems that Evening Primrose can be suggested to reduce PMS symptoms in women.

Among the patients with thalassemia, including people who need to get Self-care to be able to use it and learn the basics of self-care, an increase in quality of life (physical dimensions) and enrich leisure time and provide moments happy and relaxed in their lives are concerned. This study aimed to investigate the effect of Orem self-care on physical health of patients with Thalassemia Major.

This quasi-experimental on 80 patients with thalassemia who were eligible for the study was conducted. They were assigned randomly by odd and even method to two intervention and control groups (each group, n = 40). The questionnaire used in this study was Physical Dimensions of quality of life questionnaire SF-36. At the beginning of the study, both groups were given pre-test. The training program based on Orem Self Care Model was conducted. In the end, post-test was taken from both groups. The follow up after three months was done.

The average score of physical function, role impairment due to physical health, pain, physical health and general health in the intervention group before the start of self-care pattern training and three months after intervention, were significantly increased compared to before intervention. However, the mean score of these four domains in the control group has decreased compared to the pre-intervention group (P <0/005).

The results indicate the effectiveness of Orem Self Care Model on physical health and its dimensions (social functioning, physical health, social functioning, pain, general health).

The results of the studies indicate that the method of care after coronary angioplasty and its continuation has a significant effect on the rapid recovery of the patient, reducing the length of hospital stay and the need for surgery. Among different types of nursing care, primary care is associated with maximum patient-centered care and continuity of care. This study aimed to determine the effect of applying primary nursing care on patient satisfaction after coronary angioplasty.

This randomized controlled trial was performed on 60 patients after coronary angioplasty in CCU ward of Razi Hospital of Birjand. Patients in the control group received routine care and in the experimental group, primary nursing care was administered based on the nursing process. Implementation care was done in the early morning shift by primary nurses and assistant nurses at night shift. At the time of discharge, the Patient Satisfaction Inventory (PSI) was completed by the patients. Data were analyzed by SPSS-16 software using independent t-test.

The results showed that there was no significant difference between mean score of satisfaction and its domains in both groups after intervention.

Although the patient satisfaction score and its dimensions increased in the experimental group, this increase was not significant compared to the control group. This result may be related to the routine nursing care delivery in the ward as well as the limited time of presence of patients undergoing coronary angioplasty in cardiac care unit.

Cesarean section (CS) is the most common surgical procedure in midwifery, performing of which in unnecessary cases can have adverse maternal and neonatal outcomes. The CS rate has risen over the past decades in the world. The Iranian Ministry of Health and Medical Education has implemented a health sector evolution plan in order to reduce the CS rate in Iran. This study aimed to compare the rate and the causes of CS before and after this plan in Kurdistan province, Iran.

This descriptive-analytical study was conducted on 400 medical files of women undergoing a cesarean section in public hospitals in Kurdistan province during 2013-2014. Subjects were selected by systematic sampling, and the number of samples from each city of Kurdistan province was determined based on the proportion of the number of deliveries in every city. Data were collected using structured checklists, and data analysis was performed in SPSS version 21.

In this study, CS rates decreased from 39.3% in 2013 to 34.3% in 2014 (after the implementation of the plan). The results were also indicative of no significant difference between 2013 and 2014 regarding the causes of CS. Moreover, the most common causes for CS were previous CS, fetal distress and lack of labor progression.

Implementation of the health sector evolution plan was effective in reducing the CS rate in Kurdistan province. Therefore, continuation and proper implementation of this program can prevent unnecessary CS.

The incidence of drug resistance against chemical antimicrobial drugs, has led in recent years to the use of medicinal plants in the treatment of infections is high. The aim of this study was to determine the antibacterial effect of plants Centaurea depressa M.B., Reseda lutea and Fumaria asepala is on some pathogenic bacteria.

plants of the city of Marand East Azerbaijan province of Iran in the spring were collected by botanists and Agriculture Organization, C.depressa M.B., R.lutea and F.asepala and medicinal plants were approved. After preparation of the plant extracts, concentration concentrations 50- 400 mg / ml, the extract from the agar well diffusion and disk diffusion method on bacteria were studied. The minimum bactericidal concentration and the minimum inhibitory concentration (MIC / MBC) were performed by dilution test.

The results showed that the inhibitory effect of alcoholic extracts of C.depressa MB and R.lutea the Gram-positive bacteria, Gram-negative bacteria is more than alcoholic extract of F.asepala The inhibitory effect on gram-negative bacteria than bacteria Gram positive. Analysis of test MBC / MIC showed that extracts of medicinal plants most susceptible to B.cereus and E. coli was the least sensitive.

the plant extracts tested in vitro on the growth of pathogenic bacteria has significant inhibitory effects. In order to further clinical trials are necessary clinical application of these extracts.

Treatment refusal with personal responsibility can be a threat to the health of the patient, as the patient's life may be compromised due to a lack of adequate and timely medical treatment. This study aimed to determine the causes of treatment continuation refusal and the level of awareness of this refusal in Imam Khomeini Hospital in Behshahr, Iran, affiliated to Mazandaran University of Medical Sciences.

This descriptive and cross-sectional study was performed on patients in Imam Khomeini Hospital in Behshahr, affiliated to Mazandaran University of Medical Sciences selected via census sampling. Data were collected using a researcher-based questionnaire, and data analysis was performed in SPSS version 22 using descriptive statistics.

From 918 patients, 559 (60.89%) were male and 359 (39.10%) were female, and the mean age for subjects aged below and above 18 years was estimated at 8.5 and 37.8, respectively. According to the results, the rate of discharge with personal consent was reported to be 5.74%. In addition, the emergency ward and ICU had the highest (27.3%) and lowest (1.3%) rates of discharge with personal consent, respectively.

There was the highest rate of discharge with personal consent in the emergency department. To alleviate this problem, it is necessary to explain the consequences of discharge with personal consent to patients.

Pregnancy is often associated with various psychological problems, such as anxiety. However, these problems are often overlooked and not treated. This study aimed to determine the effect of mindfulness-based stress reduction (BMSR) on anxiety in pregnant women in Sanandaj, Iran.

This semi-experimental research had a pretest-posttest design and control group. In total, 500 pregnant mothers referred to clinics and delivery ward of Besat Hospital in Sanandaj were selected by convenience sampling. After completing the Spielberger Anxiety Inventory, 250 individuals with a high anxiety level were detected, 50 of whom were selected and randomly divided into intervention and control groups. The intervention group participated in eight MBSR teaching sessions, whereas the subjects in the control group received no treatment. Data analysis was performed in SPSS version 22 using independent and paired t-tests.

In this study, 35% of the participants had an MSc and 40% had a diploma. In addition, 90% of the subjects were housewives, and the mean age at marriage was 24.4+60.95 years. Moreover, 77.5% had the intention to choose natural delivery. According to the results, obvious and hidden anxiety was reported at a moderate-to-high level in 50% of the cases. Furthermore, the mean obvious anxiety changed from 45.9 to 49.8 (P>0.05) and from 46.9 to 37.8 (P<0.05) in the control and intervention groups, respectively. On the other hand, hidden anxiety changed from 42.9 to 47.8 (P>0.05) and from 44.9 to 38.8 (P>0.05) in the control and intervention groups, respectively. While the intervention was significantly effective in terms of reduced obvious anxiety, there is insignificant reduction in hidden anxiety in the participants.

Given the effectiveness of MBSR on anxiety of pregnant mothers, this method can be used to reduce anxiety in these individuals.

Regarding the sensitivity and consequences of cognitive deficits in nurses, it is necessary to consider the factors associated with cognitive impairment and intervention. The present study examined the role of meta-cognitive beliefs and cognitive avoidance in predicting cognitive failures of nurses.

This study was a descriptive-correlational study. The statistical population included all nurses working in hospitals in Tabriz in 2018. The sample size consisted of 100 nurses working in 5 specialized educational and specialized centers of Tabriz who were selected by cluster random sampling method. Participants were evaluated using Wales and Hatton meta-cognitive beliefs questionnaire, Sexton and Dougas cognitive avoidance questionnaire and Bradbent cognitive failures questionnaire , and data were analyzed by using Pearson correlation, multiple regression tests and SPSS version 24.

The results showed that there is a significant positive correlation between cognitive impairment of nurses with metacognitive beliefs (P <0.01) but there is no significant relationship with cognitive avoidance variable. Regression results also showed that the model was meaningful and%32 of the variance of cognitive failures was predicted by the model.

Considering that nurses play an important role in improving the health of the community, In particular, meta-cognitive beliefs in this study have a significant relationship with cognitive failures of nurses, eliminating the underlying factors is considered as a health priority.