نشریه پرستاری و مامایی ارومیه
سال هفدهم شماره 9 (پیاپی 122، آذر 1398)

Heart failure is considered one of the most common chronic illnesses in the whole world and is associated with many symptoms due to heart failure in the bloodstream. This study was a clinical trial with the aim of determining the effect of sleep health education on the quality of sleep in patients with heart failure hospitalized in cardiac care units of Orumiyeh educational centers in.

In this quasi-experimental study with pre-test-posttest design,70 eligible patients were randomly assigned to intervention and control groups. During the first session, the researcher for both groups of the St. Petersburg quality of life questionnaire and Demographic questionnaire was completed. The sleep hygiene program was then performed for the intervention group in five sessions (one session per week). In the control group, routine measures were taken at the time of discharge and no specific intervention was performed.Four weeks after discharge, both groups were summoned to the heart clinic simultaneously and the researcher's sleep quality questionnaire was completed again for both groups. The data were collected using the Demographic Specification Form and Pittsburgh Sleep Quality Index and analyzed using the spss version 16 software. Data were analyzed using descriptive statistics (frequency distribution tables and percentages) and analytical statistics including independent t-test, t-correlation and ankova.

Based on the findings, the average sleep quality score in the intervention group after the sleep hygiene education improved significantly (p<0.001). Also, the mean sleep quality score of the intervention group after the sleep hygiene education improved significantly before the intervention (p<0.001).

The findings of the study indicated that sleep hygiene education is effective in improving the quality of sleep in patients with heart failure hospitalized in the intensive care unit of Orumiyeh hospitals.

Primary ovarian insufficiency or premature ovarian failure refers to a spectrum of impaired ovarian function that includes cessation of menses prior to the age of 40 years. POF has a strong genetic component with X chromosome abnormalities playing a primary role mainly in the cases with ovarian dysgenesis. Fragile X-associated primary ovarian insufficiency is one of the fragile X-associated disorders that can affect some premutation carriers. Fragile X syndrome is due to CGG expansion (>55 repeats) at the 5'UTR of FMR1 gene.The expansion of CGG repeats is associated with gene silencing resulting in male mental retardation and in POF with secondary amenorrhea in female carriers. In this paper we report a middle age woman with POF and premuation in her FMR1 gene who experience pregnancy after 5 year ovarian failure and her infant has a same genotype in FMR1 gene with developmental delay. Experiences of POF in the family with fragile x syndrome or permutation dost mean that family could not have a healthy child but heterozygote daughter could have some symptom such as developmental delay genetic counseling of these family could lead the family to right decision and in some cases could help prepare for subsequences of their decision.

Effective communication between nurse and patient creates a positive relationship throughout the care process. Various factors affect the communication between the nurse and patient, and some of them prevent effective communication with the patient.  Identifying these barriers will help nurses recognize the factors that prevent effective communicate with the patient. Therefore, the aim of this study was to investigate the barriers of nurse-patient communication between nursing students.

In this descriptive-cross sectional study, the sample size includes 136 nursing students of Urmia Nursing and Midwifery Faculty. Data were collected through a barriers to effective communication between nurses- patients questionnaire. The first part of the questionnaire consisted of questions about the demographic characteristics and the second part included five-point Likert scale questions concerning the viewpoint of nurses. Data were analyzed using SPSS software and descriptive and inferential statistics.

The results of this study showed that the mean age of students was 23.31 ± 4.43. The range of occupational features with a mean of 3.62 ± 1. 1 was the highest and the clinical conditions of the patient with an average score of 3.7 ± 1/3 were the lowest. The average score for the presence of barriers was3.35 ±1.1, indicating that the score was moderate to high (average of2.5), and the barriers of communication between the nurse and the patient were strong from the viewpoint of the students.

Occupational factors have the greatest impact on barriers to effective communication. Educational and therapeutic departments should reduce or minimize these factors in order to improve this relationship and ultimately improve the quality of nursing education.

Asthma is a common respiratory disorder that reduces the quality of life in patients. Furthermore, due to importance of preventing and treating diseases through non-pharmacological interventions, the purpose of this research was to investigate the effect of aerobic and resistance training on physical fitness, body composition, and pulmonary function in women with asthma.

A total of 29 asthmatic women in Urmia participated in the study voluntarily with Convenience Sampling. They were randomly assigned into control group (n= 9, age= 29± 4.03 years, BMI= 23.52±2.34 kg/m2), aerobic exercise group (n= 10, age= 27.25 ± 3.10 years, BMI= 23.47 ± 3.16 kg/m2) and resistance exercise group (n= 10, age= 26.11 ± 4.83 years, BMI= 25.12 ± 2.90 kg/m2). Experimental groups exercised during 3 sessions for 8 weeks. Exercise sessions consisted of 10 minutes for warm-up, 30-40 minutes for aerobic or resistance exercises and 5-10 minutes for cool-down. Body composition and pulmonary functions were measured by caliper and spirometer and clinical signs were evaluated using Santanello’s questionnaire. Statistical analysis was conducted using independent t-test, dependent t-test, and one-way ANOVA by setting pretest as an intervening factor through SPSS-23  (p<0.05).

The results of intragroup evaluation indicated that in aerobic exercise group increased aerobic power (p = 0.02), anaerobic power (p = 0.01), flexibility (p = 0.03), muscular endurance (p = 0.02) and decreased clinical signs were significant (p = 0.01).  In resistance exercise group, increased flexibility (p = 0.00), muscular endurance (p = 0.00), and body fat percentage (p = 0.02) were significant. There was a significant increase in FVC, FEV1 / FVC and FEF75% (p <0.05) and also a significant decrease was observed in clinical signs (p = 0.05). The results of intergroup evaluation indicated that changes in flexibility, muscular endurance, and FEV1/FVC, FEF75% were significant between the exercise groups and the control group (p <0.05).

  It is concluded that both types of aerobic and resistance exercises can lead to both increased physical fitness and decreased clinical signs in women with asthma. However, the positive changes in body composition were the result of resistance exercise. Therefore, the participation of women with asthma in physical activity, especially resistance training, can improve their pulmonary function, body composition, and physical fitness.

Infertility and its treatment bring about such consequences as disturbance, frustration, depression, anxiety, hopelessness, feeling of guilt, and feeling of worthlessness in life. Using adaptive emotion regulation strategies in the face of stressful life tasks reduces negative emotions and increases individual adjustment.Therefore, the aim of this study was to predict marital adjustment based on cognitive strategies of emotion regulation among infertile couples.

The present research was a descriptive correlational study. All infertile couples presenting to the Mother and Child Hospital of Shiraz in the summer of 2013 constituted the statistical population of this study. The research sample consisted of 122 infertile couples who were selected via convenience sampling method. Spanier's Dyadic Adjustment Scale and Cognitive Emotion Regulation Questionnaire were employed to collect data. Data analysis was performed through Pearson correlation and multiple regression analysis.

The results showed that there is a significant negative relationship between marital adjustment and Catastrophising (r = - 0.31, P = 0.000). Also, there is a significant positive relationship between marital adjustment and putting into perspective (r = 0.19, P = 0.003), marital adjustment and positive refocusing (r = 0.36, P = 0.000), marital adjustment and positive reappraisal (r = 0.32, P = 0.000) and marital adjustment and refocus on planning (r = 0.30, p = 0.003). Multiple linear regression results also showed that positive refocusing (B = 0.211, P = 0.01) and Catastrophising (B = - 0.287, P = 0.000) are predictive power of marital adjustment in infertile couples and explain for 22.6% of the variance of infertile couples' marital adjustment.

The findings of this study confirmed the relationship between cognitive emotion regulation strategies and marital adjustment of infertile couples. Therefore, it is suggested that the necessary conditions be provided for the collaboration of infertility specialists with psychologists in infertility treatment centers and it is also recommended that psychological counseling centers be established in these centers in order to improve the psychological problems and marital adjustment of these patients.

One of the challenges of cesarean section is the control of pain in the mother. Whether neonatal-related complications occur with pethidine if the mother's pain is relieved? or not ,   It should be given more attention.
The aim of this study was to investigate the effect of pethidine on physiological parameters of newborns of Non-emergency cesarean section mothers in spinal anesthesia in Amir al-Momenin Hospital of Gherash in2017.

An experimental clinical trial study was performed on 116 neonates Whose mothers underwent non-emergency cesarean section by spinal anesthesia,. Study mothers randomly assigned in intervention and control groups with binary blocks design. Intervention included routine care (100mg of diclofenac suppository) for control group and a single dose of 100 mg pethadine administered intervention group by an anesthetist as an intravenous infusion.  The physiological parameters of neonates in both groups were recorded by the researcher and her assistant within 48 hours of hospitalization.

Despite the fact that the mean heart rate of neonates in the group of pethidine (141.12) during the first 48 hours of birth was higher than that of the control group (40.41), the independent t-test did not show any significant difference between the two groups in terms of the mean of neonatal heart rate (p = 0.354) and the percent of arterial blood oxygen (p = 0.580). The mean of respiratory rate in the 48 hours of birth in the control group was higher than that of the pethidine group (p = 116). The mean of body temperature of infants in the two groups was negligible (p = 0.335).

The administration of single dose of pethidine on the physiological parameters of newborns of non-emergency cesarean mothers by spinal method had no statistically significant effect.

Pain management is a complex process realized through teamwork and interdisciplinary collaboration. Nurses, as the people who spend the most time with the patient, play an important role in controlling their pain; this requires knowledge, skill and deep understanding of the multiple dimensions of pain management. Choosing the appropriate educational method is one of the most important stages in the design of education. The purpose of this study was to investigate the effect of pain management training in both lecture and electronic methods on nurses' performance in surgical wards.

 This study was a randomized controlled trial that was performed on 78 nurses working in surgical wards of Tabriz educational centers. The samples were selected through convenience sampling. Then, the samples were randomly divided into two groups (one group receiving lectures and one group receiving electronic training) by random blocking with blocks 4 and 6. In order to hide the allocation, a blank opaque packet of 1 to 78 containing the type of intervention was used. The intervention consisted of four sessions of one-hour training for both groups. Their information was collected in two steps before and two weeks after training using demographic information questionnaire and nurses' checklist. Data analysis was done using SPSS version 24  using descriptive and analytical statistics including Factor, Fisher, T-test, and ANCOVA. The p-value less than 0.05 was considered significant.

The two groups were similar in terms of socio-demographic characteristics (p <0.05). The mean score of nurses' performance scores in intervention group with baseline control after intervention increased compared to control group (Adjusted Mean Difference (MD) = 3.2: 95% CI = 2.7 to 3.6, p<0.001). Also, after educational intervention, in the e-learning group, the use of opioid and non-narcotic drugs based on prescribing physician (p = 0.47), the use of non-pharmacological pain control (p = 0.006), and the relationship of nurses with the patient (0.001> p) was more than the lecture group.

E-learning is more effective than lectures in increasing nurses' performance in relation to pain management. Therefore, this method is recommended for effective education and policymaking to assess and measure pain by nurses.

The rate of depression, anxiety, and stress increased in people with subclinical hypothyroidism. It seems that the use of non-pharmaceutical methods such as exercise has a beneficial effect on depression, anxiety, and stress. Therefore, the aim of this study was to investigate the effect of Aerobics exercise on depression, anxiety, and stress in women with subclinical hypothyroidism.

In this semi-experimental study, Forty-one women with subclinical hypothyroidism were selected through convenience sampling and randomly divided into experimental (n=23) and control groups (n= 18). The experimental group participated in an Aerobics exercise program for three sessions (60 min) per week for eight weeks. The control group did not participate in any exercise training regularly. The data-gathering tool was the DASS-21 questionnaire. Independent and paired samples t-test were used in the significance level 0.05 to analyze the data.

The results of paired samples t-test in the experimental group showed that depression (P=0.002), anxiety (P= 0.006) and stress (P= 0.004) significantly decreased. But the results of paired samples t-test in control group showed that depression (P= 0.613), anxiety (P= 0.818) and stress (P=0.862) did not change significantly. Independent samples t-test showed that aerobics exercise led to significant decreases in depression (P= 0.037), anxiety (P= 0.032) and stress (P= 0.005) in experimental group compared to control group.

Based on the findings of this study, it can be concluded that eight weeks of Aerobics exercise can effectively improve depression, anxiety, and stress in women with subclinical hypothyroidism.