نشریه پرستاری و مامایی ارومیه
سال بیستم شماره 6 (پیاپی 155، شهریور 1401)

In the conditions of the COVID-19 epidemic, due to the excessive tension and stress of the nurses in the units caring these patients, it is very important to identify and improve the effective components in the quality of the working life of the nurses; In this regard, the present research was conducted with the aim of identifying and prioritizing the personal and professional components of the quality of work life of the nurses in the COVID-19 patients care units in Isfahan.

The present study was a qualitative- quantitative type. In the qualitative part, the content analysis method was used and in the quantitative part, the descriptive-survey method was used. The statistical population included nurses working in the COVID-19 patients care unit in the hospitals in Isfahan, Iran. In the qualitative part of the content analysis method, a semi-structured interview was conducted with 12 nurses in a purposeful manner. In the quantitative part, 300 nurses were selected by available sampling method and the components identified by Friedman test were prioritized using a researcher-made questionnaire.

The individual components of the quality of working life, were categorized in the form of 8 subcategories including: Work-family balance, acceptance of the sufferings and distress of the current reality of the workplace, flexibility and adaptation to the current conditions of the COVID-19 crisis in the workplace, job-personality fit, work conscience, self-sacrifice and self-sacrifice in the workplace, hope and positively thinking in the workplace, and taking risks in the workplace. Occupational components of quality of work life ere categorized in the form of 8 sub-categories in order of priority include; Workload, job benefits and benefits, job and family worries and stresses, job burnout, job security, job enthusiasm and attachment, the imposition of restrictions on social relationships, independence, and job autonomy.

The results of the present study may be used in health policies to increase the quality of work life of nurses in the care of patients with COVID-19.

Proper implementation of the patient handover process by prehospital personnel to the hospital emergency personnel plays an important role in ensuring continuity of care of the patients and guaranteeing their safety. The aim of this study was to investigate the opinions of the prehospital emergency personnel on the status of the patient handover process to the hospital emergency department.

The present study is a descriptive study that was carried out by census selection method on 150 prehospital emergency personnel in Tabriz in 2018. The data collection tool was a researcher-made questionnaire that evaluates the patient delivery process in 6 areas, including: clinical delivery of the patient, communication between the hospital emergency staff and the pre-hospital, information related to registration, confirmation and reporting of the forms, facilities related to patient delivery, existing standards during patient delivery, and the performance of the triage section of the emergency department. Validity of the study was calculated by the form and content method and its reliability was calculated with Cronbach's alpha coefficient (0.80).

In the examination of the average scores of the six areas effective in the patient delivery process, the highest score was related to the performance area of the triage part of the emergency department with a mean of 50.92 ± 13.78 (minimum score of 12 and maximum score of 60), and the lowest score was related to the hospital facility with a mean of 15.10 ± 4.52 (minimum 10 and maximum 50). Lack of adequate parking spaces for ambulances in front of the emergency department of the hospital, lack of stretchers and wheelchairs at the entrance of the emergency department for patient transfer, overcrowding in the emergency department, and the condition of special departments in terms of empty beds and the number of medical staff were among the most important factors that had an impact on the patient delivery process.

Based on the findings of the present study and from the perspective of the prehospital emergency personnel, the status of the patient handover process to the hospital emergency department is moderate, and this can be a reason for incorrect transfer of the patient's medical information and the lack of optimal continuity of patient care. In this regard, proper patient delivery training for hospital and pre-hospital emergency personnel, and effective cooperation between hospital and pre-hospital emergency centers in removing obstacles and developing comprehensive national guidelines on the patient delivery process are necessary and essential.

With quickly spread of the Covid-19 pandemic across the world and the necessity of social distancing, the use of virtual education in universities of medical sciences has grown more and more. Considering that the quality of virtual education provided in this era plays an important role in the learning process of the students, this research was conducted with the aim of evaluating the quality of virtual education during the Covid-19 pandemic from the students' viewpoint in Urmia University of Medical Sciences.

This study was a descriptive-cross-sectional one that was conducted in 2021. The research population included 370 students of Urmia University of Medical Sciences, who were selected by stratified-proportional sampling method. The data collection tool was a researcher-made questionnaire, that its validity and reliability were obtained. The data were analyzed using SPSS version 16 software.

More than 62% of the students participating in the study reported their computer skills at an average level; the amount of students using offline training (42%) was more than online training (29%). The average points obtained in the 6 dimensions of evaluating the quality of virtual education from the students' viewpoint were: learning management system (4.32), evaluation (4.14), support services (4.07), interaction between students and teachers (3.47), provided electronic content (3.32), and online training (3.63).

The results of this research show that the quality of electronic content provided, online education, and interaction between professors and students in virtual education provided at Urmia University of Medical Sciences were at medium and low levels. Therefore, it seems necessary that university professors pay attention to students' learning needs in preparing electronic content and produce this content in multimedia form. It is also necessary for professors to hold more online meetings by creating the necessary executive infrastructures and increase the level of their interaction with students by establishing face-to-face communication and using the discussion forum of the learning management system.

Considering the relationship between the mother's young age and the fear of childbirth, the need for emotional support during labor is greater in teenage mothers than in older ones. This study aimed to compare the supportive effect of a doula during childbirth with a selected trained companion on the fear and satisfaction of childbirth in teenage mothers.

This randomized clinical trial was conducted on 54 primigravid teenage mothers who referred to Taleghani educational-therapeutic center, affiliated to Tabriz University of Medical Sciences. The participants were randomly divided into two groups of doula support (intervention) and selected companion support (control) during the active phase of labor up to two hours after delivery. The data collection tools included demographic and midwifery characteristics, Wijma's fear of childbirth questionnaire, McKay's childbirth satisfaction scale, and mothers' childbirth records. The data were analyzed by SPSS version 21 software using chi-square and ANCOVA tests.

The mean score of fear of birth was 64.11±20.1 in the doula group and 73.26±20.5 in the selected companion group; the difference between two groups was no significant (MD: -9.15, CI 95%: -19.9 to 1.65, p=0.1). However, the level of satisfaction with childbirth in the intervention group (73±14.7) was significantly higher than the control group (63.4±6) (MD: 9.6, CI 95%: 3.6 -15.6, p =0. 003).

Considering the effectiveness of the presence of a doula on reducing the fear of childbirth and on increasing the satisfaction of teenage mothers, it is suggested that the support by a doula be considered as one of the interventions of the Labor Department in teenager mothers.

One of the most important pre-angioplasty cares is patient education. The aim of this study was to compare the effect of educational intervention in angiography with CCU on duration of immobility and incidence of hematoma and ecchymosis in the patients undergoing coronary angioplasty admitted to CCU.

In this experimental study, 105 patients who were candidates for coronary angioplasty were randomly divided into two intervention groups (intervention 1, CCU training and intervention 2, angiography training) and one control group (routine training). Intervention groups 1 and 2 also received routine training. Patients in all three groups were evaluated for hematoma, ecchymosis, and duration of immobility at specific hours using a demographic questionnaire, checklist for bleeding and hematoma, as well as duration of immobility. Data were analyzed using one-way ANOVA, Chi-squared test and Fisher's exact test examinations using SPSS 18 software. Significance level was considered p <0.05.

Findings of the study did not show any significant difference between the three groups in terms of hematoma, ecchymosis, and duration of immobility after angioplasty in the mentioned hours (p> 0.05).

Despite the reduction of complications such as ecchymosis and hematoma in the intervention groups compared to the control group, no significant difference was observed between the three groups. The very low number of complications of angioplasty can be considered as an important limitation that influenced the findings of the study.

Cyber harassment is facilitated and therefore is increased by the ease of online content production, the possibility of sending messages anonymously, rapid and widespread dissemination, and the absence of pressures related to face-to-face communication. This new form of abuse deserves more attention of researchers, because it may cause numerous harms to students and young people. The present study aimed to determine the effect of trans-diagnostic treatment on anxiety and self-care behavior of cyberbullied nursing students.

In this randomized clinical trial, 30 nursing students of Urmia University of Medical Sciences were selected by convenience sampling and randomly divided to two experimental and control groups (15 people in each group). Both groups completed Beck's anxiety scale and researcher-made self-care behavior questionnaire in the pre-test and post-test. The students of the experimental group underwent diagnostic metacognitive intervention for 4 months (from February 1400 to May 1401) in 12 sessions each for 1 hour. The comparison between the two groups was investigated using the analysis of covariance test.

The results showed that meta-diagnostic treatment has a significant effect on decreasing anxiety and increasing self-care behavior of cyberbullied nursing students; the intensity of the impact is very high (p˂0.05).

Meta-diagnostic therapy can be used as an effective method to reduce anxiety and increase the self-care behavior of cyberbullied nursing students, and it can be used to develop programs to increase the level of self-care and treat anxiety in medical, especially nursing students.

The need for amino acids increases significantly during pregnancy, and receiving sufficient amounts of different amino acids can prevent the pregnancy outcomes in the women fertilized by IVF. The present study investigated the effect of nutrition education on amino acid intake in women fertilized by IVF.

The present study is a quasi-experimental study with participation of 170 women fertilized by IVF, referred to the selected infertility clinic in Tehran in 2018. Sampling was performed using convenience method, and allocation of intervention and control groups was done by simple random method. Two questionnaires including lifestyle questionnaire in terms of nutrition and eating habits and questionnaire of 24-hour food recalls before and after the educational intervention in 6 sessions were used to collect information. Data were analyzed using descriptive statistics and T test by SPSS 20 and Nutritionist 4 (N4).

Based on the findings of this study, women aged 19 to 45 years in the two investigated groups showed significant changes in the intake of two amino acids, tyrosine, and valine, as in the intervention group, the amino acid tyrosine increased by 173 units (P=0.004), and in the control group, the amino acid valine had a decrease of 529 units (P=0.005)..

It seems that educational interventions can be effective in the intake amount of different amino acids. So, to confirm the findings of this study, it is suggested to conduct more studies in this field.

One of the first and most common causes of death in HIV-positive patients is tuberculosis (TB). Due to immunodeficiency and reduced CD4+ cell count in the people with HIV/AIDS, they are susceptible to other infections such as tuberculosis. Although increased access to antiretroviral therapy has led to reductions in HIV-related opportunistic infections and mortality, concurrent management of HIV/TB infection remains a challenge for treating these patients due to side effects, complex drug interactions, and overlapping toxicities. The purpose of this study was to investigate the effect of tuberculosis prevalence in the HIV patients.

This descriptive study was conducted on the records of 100 patients with AIDS infection who had been on antiretroviral therapy for more than 6 months. First, in order to evaluate the simultaneous infection of AIDS and tuberculosis, microscopic examination of patients' sputum samples was performed at three time points. Then, the patients' blood samples were analyzed to count CD4+ cells and viral load by real-time PCR molecular method. The statistical analysis of the obtained results was done by ANOVA and homogeneity of variance using SPSS software and drawing figures was done by R and Excel softwares.

The prevalence rate of tuberculosis infection in HIV patients in the target population was reported as 2%. The gender of both patients with HIV/TB co-infection was female, and their average age was 47 years old. Both of them were unemployed, separated from their spouse, and with education level below diploma. The method of transmission of AIDS disease to both of them was drug use. The amount of CD4 and viral load in both patients had a significant inverse relationship (p<0.01). According to the data of this study, the main method of transmission of AIDS disease was sexual intercourse (52%) and among young people.

Based on the findings of this study, it seems that the co-infection of AIDS and tuberculosis has decreased in the target community, which is confirmed by international experiences. This reduction may be related to the change in the pattern of disease transmission from drug use (16%) to sexual intercourse (52%). In order to generalize the results of this study to the entire statistical population of patients in the country, a wider investigation is needed.