نشریه توسعه پرستاری در سلامت
سال یازدهم شماره 30 (بهار و تابستان 1399)

Due to the nature of nursing practice, nurses face a variety of stressful situations in the workplace. They are at risk of insomnia since they work irregularly in the morning, evening and night shifts. The irregular sleep-wake pattern in nurses decreases their sleep quality and sleep duration, and also leads to their poor occupational performance. The present study was conducted to determine the correlation between sleep quality and general health of nurses affiliated to Saveh University of Medical Sciences.

The present descriptive study was conducted on 200 employed nurses. The data were collected through a questionnaire covering the participants’ demographic information, the Pittsburg Sleep Quality Index (PSQI), and the Short Form Health Survey (SF-36). Finally, the collected data were analyzed through SPSS, version 21, software.

The results indicated a significant inverse correlation between sleep quality and total life quality scores of the participants, so that their life quality decreased as the quality of their sleep decreased.  Moreover, the results showed a significant difference between sleep quality of nurses with a fixed shift schedule and those with rotating shifts (p=0.001), so that nurses working the same shift had higher sleep quality.

The results of this study signified that reduced sleep quality of nurses could affect different aspects of their life quality.

Recently, palliative care has become more important in relation to the quality of life of cancer patients, and there are studies that determine the optimal quality of life for the patient and his family. The aim of this study is to systematically review the Effect of palliative care on the quality of life of cancer patients.

In this systematic review, we used keywords such as "Palliative", "Sedative", "Care", "Cancer", "Patient" and "Quality of Life "in reputable sites and databases such as SID, PubMed, Science Direct and Scopus between 2000 and 2016. Among the databases and searched sites, 755 articles were obtained, which 26 of them were used.

Providing palliative care for cancer patients of all ages is necessary to provide  patient-centered care. In the present study, the early palliative care and the fact that palliative care should be started as soon as possible to maximize its benefits to patients and caregivers was reported  as important issue.

Palliative care will lead to  quick recovery, reduce the length of hospital stay, and reduce hospital and medical costs. It  isnecessary to establish and strengthen supportive institutions, to create a culture of adaptation to the various problems of  cancer patients, and to provide palliative care for  these patients.

Professional identity is a reflection of personal and social identity. The professional identity is formed when the values and beliefs of a profession are internalized and socialized by its members. The aim of this study is to answer the following questions: what is the Nursing Professional Identity and how it is formed in nurses?

In this systematic review, the keywords such as Professional Identity, Nursing identity, Professional identity formation, were investigated through the scientific informational databases such as CINAHL, Science Direct, Ovid, Scopus, SID, Magiran, Pubmed, and Google Scholar from 2000 to 2017. Finally, 25 articles including keywords , which were both in Persian and English, were selected, reviewed and analyzed.

By developing nursing science and knowledge and increasing nurses professional autonomy, their professional identity has neen promoted and their work commitment to the organization and community has been increased.Moreover, the community's view and attitude related to nursing profession has greatly changed and it has been more respected compared to the past.Plus, the nursing profession has been more supported by the health system administrators.

Nurses' professional identity over the time, has been developing. In order to achieve a progressive professional identity, nursing education and research are required to be developed in academic levels .

One of the main challenges in controlling tuberculosis is the interruption of tuberculosis treatment, which occurs under the influence of various factors including social ones. The aim of this study was to determine the demographic characteristics and social factors affecting the interruption of tuberculosis treatment based on studies conducted in the last ten years.

This study was carried out by reviewing studies published in Pub Med, Scopus, Google scholar, SID and Magiran from 2009 to 2019. The main English keywords were Interruption of Tuberculosis Treatment and their equivalent Persian translation was also used for searching Persian studies. From among 575 surveyed studies, a total of 56 were considered appropriate from which data were obtained. Demographic characteristics and social factors were extracted from each study.

The most common demographic characteristics related to the interruption of tuberculosis treatment were being male, low educational level, unemployment and low income .The most common social factors affecting the interruption of tuberculosis treatment included problems associated with the health care system, addiction, stigma, poverty, and lack of social support.

Apart from the problems related to the health care system, what makes it difficult to control tuberculosis is the social context, which remains unchanged and has a negative effect on the persistence of the disease and the difficulty of treating it.

education via SMS and telegram reminder system can be used as a way of providing medication adherence education programs and can be considered as an alternative approach to individual and group education programs. The purpose of this study was to determine the effect of SMS and telegram reminder education on adherence to medication regimen in teenager with Type 1 Diabetes.

This study was an experimental before and after type study which performed on 68 teenagers 12-16 years with type 1 diabetes in Gorgan, Iran. Samples were randomly divided into two groups of experimental (n = 23 SMS , n = 22 telegram) and control (n = 22). The SMS and Telegram groups received a 12-week medication adherence education program (3 messages per week). Data were collected using demographic questionnaire and medication regimen scale and using SPSS V.21 software, were analyzed by descriptive and inferential statistical tests.

The results showed that the mean adherence to the medication regimen showed no significantly different among the telegram (P = 0.74), SMS (P = 0.56) and control (P = 0.45) groups.

According to the results, designing educational interventions with an emphasis on increasing patientschr('39') awareness of drug adherence to drug regimen seems necessary. Therefore, the findings of this study can be used to educate patients in clinics and health centers.

Chronic diseases increase significantly with age. Therefore, self-care activities can lead the elderly to maintain health and increase dignity. The aim of this study was to determine self-care behaviors and intrinsic dignity and its relationship with some demographic and clinical factors in the elderly with chronic heart failure.

 This descriptive-analytical study was performed on 109 elderly patients with chronic heart failure referred to heart clinics of Golestan University of Medical Sciences. Data were collected in the form of demographic and clinical factors, standard questionnaires of intrinsic dignity and self-care behavior. Data were analyzed by SPSS - 18 and statistical tests of mean, standard deviation, independent t - test, Mann - Whitney, one - way variance and Kruskal - Wallis at a significance level of 0.05.

The mean score of self-care behaviors was 22.4±2.52 (from 12-60) and inherent dignity was 121.44±9.89 (from 24-144) Education level had a significant difference with both self-care and dignity behaviors (P = 0.030), (P = 0.040), while ethnicity (P = 0.001), employment status (P = 0.020), Type of insurance (P = 0.009) showed only statistically significant difference with dignity. The among of clinical factors, only body mass index showed a statistically significant difference (P = 0.020), However, clinical factors did not differ significantly with self-care behaviors.

In the present study, the score of self-care behavior and intrinsic dignity was at the desired level. Also, demographic factors showed more correlation with self-care behavior and innate dignity than clinical variables.

In this study the role of vitamin E and KATP channels and corelation between them has been evaluated on acute induced chemical convulsion by PTZ in rats.

36 male wistar rats were divided into six groups with six rats. In control group, animals experienced convulsion by PTZ (60 mg/kg, i.p. injection, in acute model). Rats in other groups were injected by vitamin E (E group), Diazoxide (Diazoxide group), 5-Hydroxy Decanoic Acid (5HD group), and binary compound of this drugs (E,Diaz and E,5HD groups) half hours before seizuring. Seizure parameters including time of stage 2 , time of stage 5 , duration of stage 5 and finally seizure stage has been measured after interference of drug 30 minute prior to PTZ injection in different groups.

in every three stages of convulsion in two groups treating by vitamin E and Diazoxide has been increased significantly comparing to control group. There were no significant change in all stages comparing to control group and the group which has taken both E,Diaz and E,5HD groups shown no significant change in favor of seizure control by E vitamin in presence of blockers or openers of KATP channels.

This study indicates effective vitamin E and Diazoxide role by individual in control of seizure but rejected this vitamin direct relationship with KATP channel and also reject vitamin E cooperative role and KATP channels in acute seizure control that show synergist effect for them.