نشریه پرستاری و مامایی ارومیه
سال بیستم شماره 11 (پیاپی 160، بهمن 1401)

Many patients with cancer suffer from fatigue, which may be related to their disease or treatment process. Fatigue aggravates the condition and increases the burden of the disease. Acupressure can be effective as a complementary method for patients' fatigue. Therefore, this study was conducted to determine the effect of acupressure on the SP6 point on fatigue in the patients with leukemia hospitalized in Imam Khomeini Hospital in Urmia, Iran in 2022.

This study was conducted on 102 patients with leukemia admitted to Imam Khomeini Hospital in Urmia, Iran. The samples were selected by convenience sampling method and randomly assigned into acupressure intervention (n=34) and control (n=34) groups. First, a pre-test was conducted using a demographic questionnaire and fatigue scale of the patients. In the acupressure group, using SP6 point, acupressure was performed for four weeks and every day (5 minutes), along with routine care for each participant. In the control group, no intervention was done, and the participants only received routine care. After the intervention, a post-test with the above instruments was conducted in both groups. To evaluate the obtained data, coded research units were used and the results were analyzed by statistical software SPSS version 25 and by chi-square, Fisher, t-test and paired t-tests.

The results showed that the implementation of acupressure was effective in the intervention groups, and reduced their fatigue (P<0.001). However, the independent t-test showed no significant difference between the two groups in the overall fatigue score and its dimensions before the intervention (P>0.05).

The acupressure method is suggested as an inexpensive, easy, and non-complicated complementary method for managing fatigue in the patients with leukemia. This method reduces fatigue, leading to increased relaxation and improved quality of life in the patients with cancer.

In the sensitive environment of the hospital, the organizational climate affects many employees' behaviors in achievement of organizational goals. Nurses are the largest group of healthcare providers, and the quality of nursing care directly affects the efficiency of the health system. Development of nursing services requires the presence of motivated nurses in a suitable working environment. Therefore, the present study was conducted to determine perception of the nurses from organizational climate of teaching hospitals affiliated with Urmia University of Medical Sciences in 2022-2023.

In this descriptive-analytical study, 200 nurses working in medical education centers of Urmia city, Iran were selected by quota sampling method and completed the questionnaire. Data was collected using the Halpin and Craft Organizational Climate Questionnaire (OCDQ). This study was conducted during a 6-month period. Data were analyzed by SPSS Statistics version 22, using descriptive statistics as well as one-way analysis of variance, Pearson correlation coefficient and independent t-test.

The results showed that the mean score of the organizational climate was 101.72 ± 14.91, showing that the organizational climate of Urmia teaching hospitals was at a medium level. The dimensions of "teamwork morale" and "annoyance" had the highest (14.85) and lowest (11.13) mean scores, respectively. The difference in the mean score of the organizational climate was found to be statistically significant only in Imam Khomeini and Seyyed al-Shohad hospitals (p = 0.025). This finding indicated that the mean score of organizational climate in Imam Khomeini Hospital was lower than it in other hospitals, while it was the highest in Seyed al-Shohda Hospital compared to other hospitals.

According to the results, the organizational climate of the teaching hospitals affiliated to Urmia University of Medical Sciences is at a medium level, so hospital managers are recommended to create a favorable and constructive organizational atmosphere for achieving the highest level of performance among nurses.

Determining the Minimum Data Set (MDS) is necessary to improve the quality of health care services and is the first important step in development of the hospital information system (HIS). The discharge information system is one of the essential sub-structures of a hospital, and its performance is critical regarding hospital costs and deductions. This research aimed to determine the minimum data set necessary for the discharge information system.

This was a descriptive-applied study. The data collection tool was the questionnaire of the minimum data set of the discharge information system. In each determined case, the set of minimum data of the discharge information system was determined by users based on the five-point Likert scale and using the opinions of 11 experts in two stages of the Delphi technique. SPSS v.21 and Atlas TI softwares were used for data analysis.

The minimum data set of this system was 128 data elements in seven main categories, including patient identification and personal information, clinical, administrative-financial and identity user access levels, patient insurance information, health service providers, financial data, Patient billing, patient discharge data, billing and patient discharge from the center, which were determined and approved by experts.

Discharge information systems with MDS at the national level can play an important role in reducing costs, evaluating treatments, and improving quality, and can be considered a standard tool for collecting and recording hospital information.

Nurses are at the forefront of care for Covid-19 patients. Continuous care and direct contact with patients with Covid-19, fear of infection, death, and uncertain future cause nurses stress and anxiety. On the other hand, due to their familiarity with psychiatric drugs, nurses sometimes treat themselves to escape anxiety. This study aimed to investigate the knowledge, attitude, and practice of arbitrary use of anti-anxiety drugs in nurses exposed to Covid-19 patients.

This descriptive, cross-sectional and correlational study was carried out by selecting 300 nurses working in isolated corona wards in Urmia Teaching Hospitals using quota sampling method. Demographic information questionnaire and a questionnaire for evaluation of knowledge, attitude, and practice of the nurses for arbitrary use of anti-anxiety drugs were used to collect data. Data were analyzed by descriptive and inferential statistical methods. A significance level of less than 0.05 was considered as significant for all statistical analyzes.

In this study, the mean score of attitude, practice, and knowledge of the nurses participating in this study was 18.93±7.245 (from an obtainable range of 11-55), 20.54±5.476 (from an obtainable range of 10-50), and 34.06 ±5.586 (from an obtainable range of 10-50), respectively. Also, the results of correlation tests showed that there was a positive and significant correlation between attitude and practice (r = 0.612, p <0.001) and also between knowledge and practice (r = 0.191, p <0.001). In addition, multiple linear regression showed that attitude and knowledge could predict 47.8% and 51.7% of performance, respectively.

The findings of this study showed high knowledge, negative attitude, and relatively poor practice of nurses working in isolated coronary wards about the of arbitrary use of anti-inflammatory drugs. In addition, the results of this study showed that knowledge and attitude are related to nurses' performance in the field of self-medication and can predict it. Therefore, it is suggested that raising knowledge and improving nurses' attitudes toward self-medication be used to minimize arbitrary drug use.

The mother's body mass index can change the incidence of preterm delivery, although there are many studies on the relationship between body mass index and preterm delivery, no study has reviewed these results in the Iraninan study. Thus, this review aimed to investigate the relationship between maternal body mass index and the incidence of preterm delivery in Iranian pregnant women.

In this review study, PubMed, Scopus, Science direct, SID, Magiran, Iranmedex, Irandoc, Medlib, and Google scholar databases were searched to find published articles from 2000 to August 2022 by using related keywords. The STROBE checklist was used to assess the quality of articles. From 383 articles obtained from search engines, 21 articles that achieved a score of ≥15.5 were entered into the study. Two reviewers reviewed the full text of the selected articles.

The results of studies, in this case, are contradictory. Out of 21 studies with a sample size of 33527 people, the results of 33.33% of the studies showed that high body mass index can be one of the main variables in the incidence of premature birth, while the other 33.33% of the studies in individuals with a lower body mass index, they reported a higher rate of preterm delivery. In another third of the studies, they generally did not observe a relationship between the pregnant mother's BMI and the incidence of premature birth.

Body mass index is related to the incidence of preterm delivery, and in people with low and high body mass index, the incidence of preterm delivery is higher. Therefore, in pre-pregnancy counseling, mothers' BMI should be given special attention as an important risk factor in pregnancy outcomes.

Increasing positive psychological strategies such as positivity, social health, tenacity, and flexibility in nurses can help their health and society. The purpose of the present study was to determine the effectiveness of group schema therapy on social health and psychosocial resilience of nurses working in Afzalipur Hospital, Kerman.

The current research was a semi-experimental pre-test-post-test study with a control group. The statistical population consisted of all nurses working in Afzalipur Hospital in Kerman in 1400. The study population of this research included 30 people from the mentioned society who were selected using the convenience sampling method and were assigned into two experimental (15 people) and control (15 people) groups using simple random method. The experimental group underwent ten sessions of schema therapy, but no action was taken on the control group. Keyes' (1988) Social Health Questionnaires and Kubasa's (1979) Psychological Toughness Questionnaires were used to collect data. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis using SPSS version 24 software. A p-value less than 0.05 was considered significant.

In the post-test stage, there was a significant difference between the experimental and control groups (P<0.01). There was a significant difference between mean social health score in the experimental group (52.59) and control group (48.71) in the post-test. There was also a significant difference in the psychological toughness variable between mean scores of experimental (49.13) and control (40.27) groups in the post-test, which indicates the effectiveness of group schema therapy on social health and psychological toughness.

The results indicated the importance of group schema therapy on nurses' social health and psychological toughness. Therefore, it is suggested that counselors and therapists use group schema therapy to reduce the psychological problems of nurses.

In the patients undergoing hemodialysis, infection is one of the most common complications that may occur after the insertion of a central venous catheter, and if happens, may lead to death and disability, increase the length of the patient's stay in the hospital, and increase costs. Therefore, this study aimed to determine the effect of chlorhexidine-impregnated dressings compared to usual dressings on the bacterial colonization rate of temporary hemodialysis catheters in hemodialysis.

In this clinical trial, 80 patients admitted to Taleghani, Imam Khomeini, Azarbaijan hospitals, and Omid Azarbaijan Dialysis Center in Urmia, Iran were randomly selected and placed in one of the two groups of chlorhexidine-impregnated dressings (Intervention Group) and povidone-iodine dressings (Control Group); then the two groups were compared with skin culture in terms of bacterial colonization. The collected data were analyzed using SPSS software version 24 and Fisher's exact statistical tests, chi-square test, and independent t-test.

Bacterial colonization was 5% in the alcoholic chlorhexidine group and 15% in the betadine group. The Exact Fischer test showed a significant difference between the two groups, regarding bacterial colonization (p = 0.003).

The chlorhexidine-impregnated dressings are more effective than povidone-iodine dressings in reducing bacterial colonization of temporary catheter exit sites in hemodialysis patients.

Job burnout is a delayed reaction to chronic stressors in the workplace, which has many adverse effects on the nurses and the organization in which they work. The present study aimed to predict job burnout based on job satisfaction, organizational commitment, emotional intelligence, and the types of nurses’ personalities.

The current study was cross-sectional analytic research conducted using quota sampling on 250 nurses working in Teaching Hospitals in Kermanshah, Iran. Initially, Maslach’s job burnout questionnaire was completed by all the people studied in the research, and then the people who had high job burnout entered the second stage of the research. Then, they completed Berfield’s job satisfaction, Neo’s 5-fold personality traits, Schering’s emotional intelligence, and Blaw’s job commitment inventories. Data were entered into SPSS software v.23 and were analyzed statistically.

The findings showed that 84% of nurses had burnout. The level of job satisfaction, emotional intelligence, organizational commitment, and scores of five personality traits in the nurses was higher than the average. None of the variables of job satisfaction, organizational commitment, emotional intelligence, and personality type could predict job burnout, and job burnout was higher in the group of nurses with less than five years of experience than the other groups. Also, job commitment had a significant relationship with age and work experience. Regarding the five personality traits and in all five categories, most people were in the average group. The most job burnout was in female and married people and in nurses with low income.

The present study showed that none of the variables of job satisfaction, organizational commitment, emotional intelligence, and personality type could predict job burnout, and no significant relationship was found between these variables and job burnout. The results of this study help nursing managers and officials to consider the lack of relationship between the variables in the management planning of the health organization to reduce job burnout in this way and preventing wasting of financial and time resources in the wrong direction to reduce job burnout.