فصلنامه پرستاری، مامایی و پیراپزشکی
سال هفتم شماره 4 (بهار 1401)

Background &

Dysmenorrhea has a severe impact on health, quality of life, and work productivity due to its debilitating effect and high treatment costs for most women. This study aims to determination the prevalence of dysmenorrhea and its relation with demographic characteristics in female nursing and midwifery students of the Kurdistan University of Medical Sciences.

In this cross-sectional study, the targeted population was 240 female nursing and midwifery students of the Kurdistan University of Medical Sciences who were studying the 2019/2020. The required information was extracted through a questionnaire that had two sections. The first section included demographic information i.e. age, marital status, place of residence, the status of dysmenorrhea, etc. which was answered by the students. In case of the presence of dysmenorrhea, the case subject was asked to fill the second section of the questionnaire, which contained two parts. The first part was related to some questions regarding menstruation, the pattern of their dysmenorrhea, and the second part of the questions were about pain management. The data were analyzed using SPSS software version 22.

Based on the findings of the study, 175 people (72.9%) reported that they have dysmenorrhea. Accordingly, 65 of them (27.1%) did not report having dysmenorrhea. In this study, a significant correlation was seen between dysmenorrhea and exercising (P = 0.01) and a history of dysmenorrhea in the family (p = 0.0001).

Considering the high prevalence of dysmenorrhea and its impact on the students' functional activities, it is suggested that educational programs in the field of demographic factors affecting dysmenorrhea and correct pain control methods be planned and implemented for students.

Assessment of progress of labor is a key primary healthcare during labor. The main goal of this assessment is to predict problems, such as abnormal progress of labor, so that the conditions of both mother and child could be improved using early interventions. Therefore, the goal of the present study was to effect of honey saffron syrup on the duration of labor of nulliparous women.

This single-blind clinical trial study was performed in 2019 on 126 nulliparous women referred to Beset Hospital in Sanandaj. Participants were selected by available methods and then randomly assigned using closed envelopes divided into honey saffron syrup group (63 person) and control group (63 person). Each participant received a maximum of 150 cc of honey saffron syrup or placebo syrup. The syrups were provided at the start of the study (4 cm dilation), and then, every 30-60 minutes until the end of the active phase of the first stage of labor based on patient's desire. Data analysis was performed using Chi-square and t-test with SPSS software (version 24).P value less than 0.05 was considered significant.

The results showed that the mean duration of the active phase of the first, second and third stages of labor after the intervention in the intervention group of honey saffron syrup (176.83±48.29, 35.92±13.85 and 13.55±7.26) compared to The control group (289.42±73.95, 74.92±29.35 and 18.92±8.7) was shorter (P <0.001).

Consumption of honey saffron syrup is effective in reducing the length of the active phase of the first stage of labor, the second and third stages of labor.

Today, cancer as a chronic disease causes many changes in the physical, functional and psychological-social status of patients and their families. Self-esteem as one of the most important psychological concepts in these patients should be considered. The aim of this study was to determine the effect of self-care training program on self-esteem of cancer patients referring to Tohid Hospital in Sanandaj, 2020.

The present study was a before and after intervention that was performed on 162 patients with cancer referred to the oncology ward of Tohid Hospital in Sanandaj in two groups of intervention (n = 80) and control (n = 82). In order to collect data, demographic characteristics checklist and Rosenberg standard self-esteem questionnaire were used. The intervention was performed in the experimental group in groups of 5-10 patient for 45 minutes in 4 sessions during one week. Data analysis was performed using SPSS-16 software Chi-square and t-test were used to compare the variables between the two groups and Paired t-test and analysis of covariance (ANCOVA) were used to compare the values of variables within the group before and after the intervention.

The mean and standard deviation of age in the intervention and control groups were 44/27± 12/55 ،  40/07± 11/17   years, respectively. There was no statistically significant difference between the two groups in terms of demographic characteristics (P> 0.05), except history of cancer in other family members. The results showed that the mean score of self-esteem in the two groups of intervention and control before and after the test did not show a significant difference (P=0.230).

Given that self-care training had no effect on self-esteem, therefore, it is suggested that self-esteem be assessed over a longer period of time.

Breast cancer is one of the most common and deadly cancers among women around the world, which can be reduced by changing a healthy lifestyle and proper education. The aim of this study was to investigate the effect of problem-based education on the lifestyle of breast cancer patients.

In a clinical trial study, 50 patients with breast cancer admitted to the oncology ward of Tohid Hospital in Sanandaj were studied. First, using the demographic characteristics questionnaire and the standard lifestyle questionnaire: Patients' lifestyle was assessed. Then the samples were randomly divided into experimental and control groups, patients in the experimental group were trained based on problem solving and no special action was taken on the control group. Immediately at the end of this period, patients' lifestyles were measured again using the mentioned questionnaire. The obtained data were analyzed using statistical tests.

The mean age of the samples was 44.22 32 10.32 years. Findings showed that there is a statistically significant difference in all aspects of lifestyle in the two groups, before and after the intervention (p <0.05).

Problem-based education had a positive effect on all aspects of lifestyle of breast cancer patients. Therefore, this method can be performed for patients as part of routine procedures along with other therapeutic measures

Anxiety is the most common psychological response of hospitalized patients. One of these techniques is nursing counseling and providing the patient with the necessary information about the procedure. The aim of this study was to determine the effect of nursing counseling on anxiety and patient satisfaction of candidates for abdominal hysterectomy surgery.

This quasi-experimental study was performed on 60 patients who were candidates for abdominal hysterectomy. The intervention group, in addition to receiving the usual hospital care in the control group, received a special preoperative nursing counseling program designed by the anesthesia nurse.The data collection tools was demographic and clinical form, visual anxiety scales and surgery satisfaction questioner. Data analysis was performed with SPSS 16.

Based on the results, the mean score of anxiety at the entrance to the operating room was in the intervention group (3.17±1.36) and control group (4.37±1.86). The mean score of anxiety before induction of anesthesia in the intervention group (2.7±1.53) and control group (3.57±0.97) which was shown a significant difference in each group (P=0.01). Also, the mean score of satisfaction between the intervention group (2.97± 0.61) and control (17.37± 0.53) that showed a significant difference (P=0.0001).

Considering that, preoperative nursing counseling was effective in reducing anxiety and increasing the satisfaction of patient’s candidates for abdominal hysterectomy. It is recommended that preoperative counseling be performed in the care program of all patients undergoing surgery and other invasive procedures.

Various researchers identified genetic, environmental, and epigenetic parameters as the pathogen of preeclampsia. Therefore, this study was performed to determine the influential paternal factors in the incidence of preeclampsia in pregnant women referred to the midwifery clinic of Shahid Motahari Hospital in Urmia, 2021.

In this retrospective case study, 49 pregnant women with preeclampsia were considered the case group, and 49 women without preeclampsia were considered the control group. The effect of various paternal factors such as smoking, duration of sex before pregnancy, occupation, Body Mass Index was examined. All nominal data were analyzed using the Chi-square test, and quantitative data were analyzed using the T-test in SPSS software.

In the preeclampsia group, smoking (P = 0.04), body mass index (0.024 There was a statistically significant difference between education level (P = 0.042) and age in patients' spouses (P = 0.041). But the spouses' occupation (P = 0.08), place of residence (P = 0.71), duration of sex before pregnancy (P = 0.09), systolic and diastolic blood pressure (P= 0.06) were not statistically significant.

The present study showed that the father's decrease in education level, the father's high body mass index, smoking, and increasing the father's age are associated with an increase in the incidence of preeclampsia. Therefore, determining, measuring, and controlling these factors can be helpful in the prevention and early diagnosis of the disease.

Diagnosing cancer poses many challenges for the family, especially the mother. The aim of this study was to evaluation of adaptive behaviors and its correlation with quality of life and self-efficacy in mothers of children who has cancer referred to the oncology ward of Beset Hospital in Sanandaj, 2021.

In this descriptive-analytical study, 78 mothers with children with cancer hospitalized in Beset Hospital in Sanandaj were included in the study through census sampling. Data were collected using demographic questionnaires, parent health compliance checklist, caregivers' quality of life of cancer patients, and Scherer's general self-efficacy. The obtained data were analyzed by SPSS version 22, descriptive and inferential statistics.

The mean of the total "health adjustment checklist for parents" in the mothers under study was 17.71, the mean of the total score of "quality of life" of mothers was 34.87 and the mean of the total score of "general self-efficacy" in mothers was 51.52. The correlation results showed that there was a positive and significant correlation between the pattern of total adaptive behaviors and self-efficacy (P = 0.02) but there was no significant relationship with quality of life (p = 0.8).

The results can be helpful to health care group managers in planning to meet their care needs, So that the family of the child with cancer and the child themselves can achieve a higher level of quality of life and care with appropriate quality and low cost and family-oriented by taking advantage of better care.

Work-family conflict leads to reduced productivity, increased employee tardiness, absenteeism, reduced work and organizational commitment. This study aimed to determine the relationship between work-family conflict and the desire to stay in the job from the perspective of employees of comprehensive health service centers in Gorgan.

This descriptive- analytic, cross-sectional study was conducted in 2021. 344 employees of Comprehensive Health Service Centers in Gorgan participated in the study. After sampling by stratified random method, Nete Meyer work-family conflict questionnaire and the tendency to stay in the job of Wiener & Vardi were collected and with the help of descriptive and inferential statistical methods in SPSS-23 software at a significance level of 0.05 Were analyzed.

The mean of work-family conflict was 32.77 ±10.32. The mean of work-family conflict (16.97 ±7.31) was higher than family-work conflict (15.80 ±6.55), (P = 0.014).  The mean desire to stay in the staff of comprehensive health service centers was strong (13.17 ± 3.51). 9.3 percent tended to stay in a weak job, 33.4% had a moderate tendency and 57.3 percent had a strong tendency. There was a significant weak and inverse correlation between the overall score of work-family conflict with the tendency to stay in the job (P <0.001).

The rate of work-family conflict in this study was moderate to low. The desire to stay on the staff of Gorgan Comprehensive Health Service Centers was evaluated as strong.