مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و هشتم شماره 1 (پیاپی 73، فروردین و اردیبهشت 1399)

Quality of life is one of the influencing factors in children with hemophilia. The quality of life of children with hemophilia is affected by complaints of permanent pain, bleeding, and discomfort related to treatment complications. The aim of this study was to determine the effect of family-centered empowerment on quality of life of children with hemophilia in Ahvaz city in year 2018.

In this quasi-experimental study, 50 children with hemophilia who referred to hematology clinic of Baqaei Hospital, Ahwaz, Iran, were randomly selected. The experimental group received 9 training sessions based on the family-centered empowerment model comprising four steps of threat perception, problem solving, educational participation and evaluation by the researcher with the presence of primary caregivers and children with hemophilia. The control group received only the routine care program. At baseline and one month after the intervention, both groups completed the demographic and quality of life questionnaire for hemophilic children. Data were analyzed using descriptive and inferential statistics (independent t-test, paired t-test, Fisher exact test, and Chi-square test) using SPSS 22.

The study showed no significant difference in total score of quality of life in children (P=0.444) before intervention between the two groups; but after the intervention a significant difference was observed in terms of quality of life (P=0.030) and family dimension (P=0.019), friends (P=0.015) and perceived support (P=0.011) between the two groups.

According to the results of this study, it can be said that family-centered empowerment can be used as a low cost and easy way to improve the quality of life of hemophilia patients by nurses.

Patients with multiple sclerosis (MS) suffer from pain. Usually, the severity of other symptoms causes the pain of these patients to be ignored or considered to be normal. This study was carried out to determine the impact of telephone counseling and follow-up on pain in patients with MS.

This randomized clinical trial was conducted on 70 MS patients attending the multiple sclerosis Clinic at Sina (Farshchian) Hospital, Hamadan, Iran. A two-month intervention was administered, with the phone calls organized as follows: Week 1 (two calls revolving around medication schedule Week 2 (two calls about a diet plan, Week 3 (two calls about the exercise schedule،Week 4 (two calls about the role of stress in MS; and Weeks 5 to 8 (four weekly reminder calls to ensure patient compliance with the contents delivered within the first 4 weeks. Pain assessment scale was completed before and after the intervention.

The mean of pain severity in the experimental group before and after the consultation with telephone follow up was statistically significant (P=0/001). The mean of pain severity in the experimental group after intervention was reduced to 4.32 with a standard deviation of 0.17. However, the mean and standard deviation of pain in the experimental group also showed a downward trend. The comparison of the mean pain severity in the two groups after the intervention showed a significant difference (P<0.001).

Telephone counseling together with telephone follow-up reduces pain in patients with multiple sclerosis and improves patient health. Therefore, counseling with telephone follow up is recommended in reducing pain intensity of patients.

This study aimed to determine relationship between team working and organizational agility among nurses of Shahid Chamran Hospital in Saveh, Iran.

This study was a descriptive-analytical research. The statistical population consisted of nurses who worked in the Shahid Chamran Hospital in Saveh, Iran. From whom 120 were randomly selected. The Sharifi and Zhang organizational agility standard questionnaire and the Lichoni teamwork questionnaire were used to measure the variables of the study. Data was analysed by SPSS 21 using descriptive analysis and linear multiple regression analysis at a significance level less than 0.05.

Results

Based on the findings, ddimensions of teamwork including commitment, trust, responsibility, constructive attitude and purposefulness influenced the organizational agility in nurses (P<0.05).

Therefore, encouraging teamwork is essential to promote organizational agility.

In many parts of the world, and especially in Iran, there has been a fundamental change in the attitude of women towards reducing fertility. Although family planning and various social, cultural and social changes, and changes related to fertility behaviors and desires, have had the greatest role in reducing fertility. But, given the importance of changing the attitude of women as the most important factor in Pregnancy and childbirth of women The aim of this study was to investigate the effect of group counseling on the attitude toward the child as a living element of women referring to Hamedan comprehensive health centers. In this cross-sectional study, 116 non-child married women referred to Hamedan comprehensive health centers were randomly selected. And in two groups, the test and control (each group was 58) In the experimental group, for each group of 7-8 people, 4 consecutive consultations were held every two weeks. Data were collected using a questionnaire containing demographic information and fertility and childbirth attitude questionnaire. Data analysis was performed using SPSS software version 24 at 95% confidence level. The findings of this study showed that group counseling has been effective in changing the attitudes of women toward fertility and childbearing "the child as a living pillar p<0/01 Therefore, it is recommended that counseling sessions on the status of the child in life be held in different age groups and women's academic backgrounds

Sleep has a soothing effect on the health and well-being of patients with multiple sclerosis. It seems that nurses have an important task in improving their condition. Therefore, this study was designed to determine the effect of spiritual care on sleep quality in patients with multiple sclerosis.

In this semi-experimental study,70 patients with multiple sclerosis referred to the MS Society of Hamadan were selected as available and randomly divided into two groups of control and experimental (each group included 35). Data were collected through a demographic questionnaire and Pittsburgh Sleep Quality. The intervention was held in the form of group meetings during the 4 weekly sessions of 45 to 60 minutes. Data were analyzed by SPSS software version 16 and descriptive and inferential statistics (independent t-test and paired t-test).

There was no significant difference between the two groups in terms of demographic variables (p>0.05). There was no significant difference between the two groups before intervention in the sleep quality variable (p = 0.678). There was a statistically significant difference between the two groups in the after intervention phase (p <0.001). Findings of the study showed that the effectiveness of spiritual care on improving the quality of sleep in patients with multiple sclerosis.

Regarding the effect of spiritual care on improving the quality of sleep, it is suggested that nurses and health care providers pay attention to the spiritual needs of patients and use spiritual care as a safe and cost effective way to improve patients' sleep.

Increasing the level of knowledge about X-ray protection can play an important role in reducing the effects of radiation. The aim of this study was to investigate the effect of virtual education of nurses on adherence to X-ray protective principles.

This study was a randomized clinical trial on 90 nurses. Educational intervention was virtualized through social network. Questionnaires were completed before and after the intervention in both groups and the data were analyzed by paired and independent t-test using SPSS 24.

The mean and standard deviation of the level of protection against xrays in the intervention group before and after the intervention were 15.84±3.64, 30.2±26.3 and in the control group before and after the intervention was 14.08±4.45, 48.14±4.27, respectively. Mean and standard deviation of nurses' performance score before and after intervention in the intervention group were 2.8±1.03, 5.62±0.96 and 3.82±1.07, 3.93±1.03 in the control group before and after the intervention, respectively. The results of paired and independent t-test showed that the mean of performance and the mean score of nurses' knowledge about the application of the principles of X-ray protection before and after the intervention in the intervention group were significantly different; the mean score of nurses' performance and knowledge after intervention was increased (P=0.000).

Learning based on cyberspace increases the level of protection knowledge and the performance of nurses against X-rays.

Current data on changes in contraceptive use is required to prevent unintended pregnancies. This study aims to study trends, and patterns of contraceptive use over the past fourteen years.

This survey research uses data from three fertility surveys conducted in 2000, 2009, and 2014 respectively among representative samples of 1396, 2,934 and 3012 married women aged 15-49 living in the capital city of Tehran. The prevalence of contraceptive methods was estimated according to women’s socio-economic and demographic characteristics.

In 2014, 82% of women used contraceptive methods (48% modern methods, and 34% traditional methods). Withdrawal (33%) and condoms (21%) had the highest prevalence, compared with female sterilization (9%), IUD (7%) and Pills (7%). Over 2000-2014, the use of withdrawal and condoms increased by 69% and 20%, respectively. In contrast, the prevalence of female sterilization, pills, male sterilization, and IUD  decreased respectively by 20%, 42%, 45% and 51% over the same period. The use of withdrawal method increased with women’s age. Withdrawal and condom were used by 67% of contraceptive users, who mostly hold higher education levels, were employed, and lived in upper residential districts. In contrast, Users of modern methods, namely sterilizations, IUD and pills, mostly hold lower levels of education and income, were unemployed, lived in the lower residential districts, and had two or more children. 

The increasing prevalence of withdrawal and condom signifies a need for provision of effective family planning education and counseling to prevent unintended pregnancy.

Maternal age of 35 years or older can be a risk factor for a significant increase in pregnancy complications. The aim of this study was to determine the effect of self-care counseling on the health practices in pregnant women aged 35 or older who were referred to Hamadan comprehensive health centers.

A randomized controlled clinical trial study was performed on 100 pregnant women aged 35 years and over referring to Hamedan health centers in 2018. The research instrument was a demographic questionnaire, and Health practices questionnaire that completed both groups before and after the intervention. The type of allocation of people in each clinic was done randomly using a random number table. The test group received consultation sessions in the form of GATHER in four sessions of 45-60 minutes. Data analysis was performed using SPSS software 20 and (P<0.05) was considered significant.

According to the results, the mean scores of health practices in the test group before and after the intervention were changed from (110.38 ± 20. 41) to (120.82 ± 19.36) and the difference was statistically significant (P<0.05), while in the control group were changed from (112.12 ± 20.91) to (113.54 ± 16.33) and the difference was not statistically significant (P >0.05).

The present study showed the health practices of maternal aged in high risk pregnant women.