نشریه توسعه پرستاری در سلامت
سال چهاردهم شماره 44 (بهار و تابستان 1402)

Gastrointestinal complications after open heart surgery are rare, but can lead to re-surgery in the postoperative period. The purpose of this study is to report a rare case of intestinal dilatation due to bezouar after CABG.                                                                    

Case report:

 A 76-year-old female patient came to the emergency department of the hospital with complaints of chest pain, shortness of breath and sweating. During the angiography report, the heart vessels were blocked. CABG was performed for him. After the operation,  the patient suffered from nausea and vomiting and lost the ability to swallow. Following the continuation of the patient's condition, after CT SCAN, intestinal obstruction was diagnosed as a cause. After open abdominal surgery, the mass was removed and the patient was discharged from the hospital with recovery.  

Based on the findings of a case report of bezoar after open heart surgery, the treatment staff should consider the possibility of gastrointestinal complications, especially intestinal obstruction in patients who have nausea, frequent vomiting and inability to swallow. Therefore, after heart surgeries, to ensure early diagnosis and appropriate treatment to prevent further complications and adverse outcomes, pay attention to the importance of the event.

Academic engagement, which is also referred to as student engagement, academic learning time, or academic engagement, is known as an important indicator of high-quality education. The purpose of this study is to investigate academic engagement in nursing students and its relationship to some other factors.

This descriptive and cross-sectional study was conducted on 183 nursing students at Golestan University of Medical Sciences in 2018. Nursing students were enrolled in the study using convenience sampling. The data were collected using the Academic Engagement Questionnaire in three cognitive, emotional, and behavioral domains. The data were analyzed using SPSS 18 and descriptive and inferential statistics, including Mann-Whitney, Kruskal-Wallis and correlation tests, with significance level of p<0.05.

The mean age of the participants was 21 years. According to the study results, the mean academic engagement of nursing students was 366.81 ± 70.96, which was at an average level. There was no significant correlation between academic engagement and age (p= 0.183) or academic performance (p= 0.196), but a significant correlation was found between ethnicity (p= 0.031) and being native with academic engagement (p= 0.001).

The academic engagement of nursing students was at an average level, and an increase in academic engagement was associated with an increase in academic performance. It is essential for nursing students to engage in student-centered activities in the cognitive, emotional, and behavioral domains of learning, and for nursing educators to use coherent and learner-centered teaching strategies.

According to the positivie psychology perspective, negative psychological experiences during pregnancy can be justified by their counterpart, ie the experience of happiness will reduce negative experiences and unreasonable fears of pregnant women and improve their immune system, creativity and decision making ability. The aim of this study was to determine the level of happiness and desire of pregnant women for natural childbirth and the factors affecting on it during the year 2021.

This descriptive study was performed on 312 pregnant women in Kordkoy in 2021. Sampling was total counting. The data collection method was the Oxford Happiness Questionnaire and the propensity to the type of child birth was measured by a two-choice question.

According to the results of the current study, the tendency of cesarean delivery among pregnant women is 59.3 which has an inverse relationship with the level of education and a direct relationship with a history of mental disorder. The mean and standard deviation of the total happiness score in this study was 43.57 ± 7.74. According to the obtained score, the level of happiness of women seems to be normal. Factors affecting happiness were age, history of mental disorder and education, while variables of abortion and job were not significantly associated with happiness in pregnant women. (P˂0.001)

According to the results of the present study and the level of desire for cesarean delivery in pregnant women, it is necessary for health managers to make efforts to increase the level of desire for natural delivery.

Nursing is one of the most stressful professions and studies show that hardiness that can be learned is an effective method in controlling stress and maintaining general health.  The aim is assessing the effectiveness of hardiness training on the general health of nurses working in Shahrekord hospitals.

The present research is a quasi-experimental study with two intervention and control groups (57 people). After matching intervention and control groups, nurses were trained about hardiness and its effect in dealing with tension, the general health status and hardiness of the nurses were measured before and after the training. Data was collected by demographic information and Goldberg generall health questionnaire (GHQ) (28 items) hardiness(50items) with three dimensions, challenge, commitment and control. Data was analyzed by using independent T test, Mann Whitney and pair T test in SPSS version22.

Independent t-test shows a significant difference between the average score of the intervention group and the control group (p=0.0001). Also, the Mann-Whitney test shows a significant difference in the mean scores of general health before and after training in the intervention and control groups (p=0.004).

According to the results, the application of hardiness behavior training in improving the hard character and improving the general health of nursing staffs are confirmed and explained.

The prevalence of Diabetes Mellitus is increasing, and its acute and chronic complications can increase disability and mortality of patients. The present study was conducted to investigate the relationship between attachment styles and blood sugar control in patients with type 2 diabetes.

The present study was cross-sectional (descriptive analytical type) study which 240 people with type 2 diabetes referring to the endocrinology clinics of Mazandaran University of Medical Sciences in 2018 were evaluated in the study using convenience sampling. Subjects with psychiatric disorders based on the SCL90-R, were excluded. Collins's Adult Attachment Scale Revised was used to evaluate attachment styles. Information related to disease control, including fasting blood sugar, 2hpp (postprandial), glycosylated hemoglobin, and the presence of retinopathy, neuropathy, and nephropathy, were extracted from the patients' medical records. The data were analyzed through SPSS version 22 and using the analytical and descriptive tests (mean, standard deviation, frequency) and inferential statistics (Pearson, stepwise regression).

The results of the correlation matrix have shown that neither of the attachment styles had a significant relationship with glycemic control(P>0.05).

Considering that people with psychiatric disorders were excluded from this study, suggested that future researches should investigate this population as well.

One of the most important concerns related to children with cancer is to pay special attention to increasing the quality of life, which is one of the most important ways to improve it, palliative care. The present study was conducted with the aim of investigating the barriers to implementing palliative care in pediatric oncology departments from the perspective of nurses and doctors working in pediatric oncology departments.

The population of this descriptive study include; All the nurses and doctors working in the pediatric oncology departments of selected hospitals of medical sciences universities in Tehran, which was carried out by the full enumeration method. The data collection tool was a questionnaire of demographic characteristics and a researcher-made questionnaire of palliative care obstacles. The data were analyzed using descriptive statistics and one-way ANOVA and t-test.

According to the findings; Lack of a palliative care consultant (38%), lack of a separate department (38%), lack of staff (27%), family's desire for life-sustaining treatments (24%) and parents' discomfort with delaying death (24%) It hinders the implementation of palliative care.

In the present study, organizational and managerial factors as well as factors related to the family's lack of knowledge, which can be solved directly with their training and support from medical staff, as obstacles to the implementation of palliative care in pediatric oncology departments from the perspective of doctors and nurses working in this Sections were identified. Therefore, this seems to require planning at the top management levels.

Multiple sclerosis is a progressive chronic disease, which is associated with negative emotions, confusion, and a decrease in a person's abilities.This study was conducted with the aim of investigating the role of mindfulness in tolerance of disturbance, emotional dysregulation and self-compassion in patients with multiple sclerosis.

This descriptive-correlational study investigated patients with MS in Gilan province in 2022. 240 MS patients were included in this study using convenience sampling. Research tools include Mindfulness Questionnaire (2006), self-compassion Questionnaire (2003), Simmons and Gaher Emotional Distress Tolerance Questionnaire (2005) and Toronto Emotion Dysregulation Questionnaire (1994). To analyze the data, descriptive statistics, Pearson's correlation test and step-by-step regression were used in SPSS software version 22.

Based on the findings of this study, mindfulness has a statistically significant direct relationship with disturbance tolerance (r=0.67) and self-compassion (r=0.79) and a significant inverse relationship with emotional dysregulation (r=-0.50) (P≥0.01). Also, mindfulness, disturbance tolerance and emotional dysregulation have the most predictive role in self-compassion in patients with MS (P≥0.05).

It seems that mindfulness can improve disturbance tolerance, self-compassion and reduce emotional dysregulation in multiple sclerosis patients. It is suggested to include mindfulness training programs in the process of caring for these patients.