فصلنامه پرستاری، مامایی و پیراپزشکی
سال نهم شماره 1 (تابستان 1402)

Background &

COVID-19 is a global disease that affects pregnant women who are in a special state of immunosuppression due to the physiological conditions of pregnancy; exposes a lot of danger. For this reason, this study was conducted with the aim of determining the awareness and attitude related to the covid-19 pandemic in pregnant women.
Materials &

The present study was a descriptive-cross-sectional study in which 250 pregnant mothers of Ardabil city were studied. Sampling was done in a multi-stage manner. The data collection tool was a demographic information checklist and a researcher-made questionnaire with 22 knowledge and attitude questions. Data were statistically analyzed using SPSS version 21 software, and parametric t-tests of two independent samples, one-way analysis of variance and Pearson's correlation test were used for statistical analysis of data.

The total attitude score of pregnant women was 39.33±5.73 in the range of 21 to 50, and the total knowledge score of pregnant women was 7.36±2.31 in the range of 0 to 13. The score of awareness and attitude towards the corona virus did not show a statistically significant relationship with age classification, but it showed a significant relationship with job status and education (P<0.05).

Mothers were worried about the methods of transmission of corona virus to the fetus and breastfeeding, etc., which was due to lack of awareness. Therefore, cooperation between specialists and health officials regarding the development of educational programs is necessary in order to increase awareness and attitude.

Background &

In addition to physical health, the disease of COVID-19 is also considered a threat to mental health. Therefore, the present study was conducted to Prediction of Corona anxiety based on resilience and cognitive regulation of emotion with regard to the mediating role of coping strategies in people with experience of Corona.
Materials &

The current research method was descriptive and the correlational research design was of structural equation model type. The statistical population studied in this research included 500 patients with experience of corona in 2021 and 2022 who were discharged with partial recovery from Imam Khomeini Hospital in Ardabil City and were selected by the available sampling method. To collect data, four coronavirus anxiety questionnaires, cognitive emotion regulation questionnaire, a resilience scale, and coping strategies questionnaire were used. Pearson correlation method, structural equations, path analysis, and multiple regression analysis were used to test the hypotheses. In this regard, two statistical software SPSS-23 and AMOS were used.

The results showed that cognitive regulation of emotion and resilience could explain and predict corona anxiety through the mediating role of coping strategies (p<0.01), and the results of statistical analysis showed that cognitive regulation of emotion has a significant relationship with corona anxiety. has (p<0.01). It was also found that there is a positive and significant relationship between coping strategies and corona anxiety (p<0.01).

According to the research findings, it can be concluded that the cognitive regulation of emotion and resilience have the ability to cany of Corona according to the mediating role of coping strategies in the studied statistical population.

Background &

Burns are one of the most common problems worldwide. Burn wound in cases of hospital infection is one of the main causes of death of these patients. This study was conducted with the aim of determining the prevalence and type of wound infection in burn patients admitted to 5 Azar Hospital in Gorgan.
Materials &

In this retrospective descriptive study, out of a total of 99 cases of patients with 2nd degree burns and above who were hospitalized, 62 cases were included in the study and 37 cases were excluded due to the death of the patients or incomplete information. Demographic information, underlying disease history, duration of hospitalization, percentage of burn, type of burn and type of infection were monitored with the help of HIS system and recorded in the checklist. Data were analyzed with SPSS22 software and mean, frequency, chi-score, Fisher's exact and U-Man-Whitney tests at a significance level of 0.05.

Out of 62 patients, 55 (88.7%) patients had an infection and 7 (11.3%) patients did not have an infection. The most common cause of infection were Gram-negative bacteria (32.3%). Infection had a statistically significant relationship with the total length of hospitalization (p=0.009), burn percentage (p=0.004) and burn site in the upper limbs (p=0.022). Infection had no significant relationship with demographic characteristics including gender, previous history, age and body mass index.

The percentage of burns and the place of burns in the upper limbs and the duration of the patient's stay in the hospital are effective in causing and the rate of infection. As a result, reducing the time of the patient's stay in the hospital prevents the infection to some extent.

Background &

Family caregivers of stroke survivors due to the care burden; They suffer physical and mental erosion. Resilience is one of the factors that can help them in facing these changes and adversities. In this regard, the present study was conducted with the aim of determining the relationship between care burden and resilience in family caregivers of stroke survivors in 2023.
Material &

In this descriptive cross-sectional correlational study, 116 family caregivers of stroke survivors in Hamadan Be,sat Hospital were selected by convenience method. Data collection tools included: Modified Rankin disability scale, Novak & Guest care burden and Connor-Davidson resilience questionnaires and demographic profile form. Data analysis was done by descriptive statistics and Pearson correlation coefficient in SPSS 25.

The results of study showed that the mean and standard deviation of care burden and resilience scores were 86.24 ± 13.47 and 40.18 ± 9.15; respectively, which means that they had severe care burden and lower resilience than average. It was also found that there is a negative and statistically significant relationship between their care burden and resilience (p < 0.05, r = - 0.255).

The care burden for most of the surveyed people was high which can be reduced by investigating and solving its causes. It is suggested that health care providers with provide appropriate training; focus on reducing the burden of care and strengthening the resilience of these people and in this way play an effective role in increasing their physical and mental stability.

Title: Necrotizing fasciitis after caesarean section and review of necessary therapeutic measures, Case report

Necrotizing fasciitis is an invasive soft tissue infection with a high risk of mortality rate. The infection involves skin tissue, subcutaneous tissue, fascia or muscles. In most cases, the site of infection is in the organs, abdomen, genital area, and groin. The present study describes a case of necrotizing fasciitis at the incision site of cesarean incision, which is presented with the aim of reviewing main diagnostic and therapeutic measures in this disease.

The patient was a 27-year-old woman who came to the hospital after 20 days of emergency caesarean section with complaints of discharge, swelling and pain at the incision site of her caesarean section. She mentioned a history of rheumatoid arthritis and epilepsy and was under medical treatment since before pregnancy. According to the symptoms and infection at the operation site, he was diagnosed with necrotizing fasciitis in the caesarean section incision area.
 After hospitalization, the wound was debrided. The dressing changed regularly. With continued care, the patient recovered without the need for re-debridement and extensive incision and repair in the operating room and was discharged in good general condition.

Timely diagnosis and invasive surgical treatment are cornerstones of FN disease management. If diagnosis and treatment intervention includes wound debridement, derange, antibiotics treatment, pain relief, and electrolyte disorders performed, the prevention of morbidity is possible. Thus, the diagnosis and correct management of FN is essential.

Background &

Exposure to sudden public health incidents such as infectious diseases, including the corona disease, can affect people's mental health. Worry and anxiety about illness, fear of contracting oneself or family members, creating isolation, and a relative drop in people's general mood can significantly affect the quality of life and reduce people's happiness and satisfaction in their daily lives. Based on this, the present study was conducted with the aim of determining the relationship between Corona anxiety and quality of life in the campus employees of Hamedan University of Medical Sciences.
Materials &

In this correlational study, 194 employees of the Hamedan University of Medical Sciences campus were examined in 2019 using available sampling method. Data were collected using demographic information questionnaire, Corona Anxiety Scale Alipour et al and Quality of Life sf-36 questionnaire. Entry criteria included: having at least one year of work experience, being employed at the campus of Hamedan University of Medical Sciences, no history of diagnosed mental disorders, and exit criteria included incomplete completion of the questionnaire and non-attendance of employees at their workplace on the sampling day. Data analysis was done with SPSS-16 software and Pearson correlation coefficient and independent t statistical tests. A significant level (p<0.05) was considered.

The average age of the participants in the study was 38.47±8,59. 68% of the studied units reported mild anxiety, 27.8% moderate anxiety and 4.1% severe anxiety. The average quality of life in different areas was (69,04±23,29), also the findings showed that anxiety There is a significant relationship between Corona and all areas of quality of life (r=-0.27 p<0,05).

anxiety caused by the epidemic of covid-19 can endanger the mental health of employees and affect different aspects of their lives; Therefore, it is suggested that the country's health authorities pay special attention to the mental health and quality of life of employees during an epidemic, like the outbreak of Corona, and take steps to improve the mental health of employees by holding workshops and training courses

Background &

In the future, the field nursing student will be responsible for managing a ward alone, so having the ability to manage and provide safe care is one of the requirements of this profession. This study was conducted with the aim of comparing the effect of two educational methods on the ability to manage care and to document the provision of safe care in nursing intern students.
Materials &

The number of samples in the first part (retrospective - face-to-face training) was 112 students and in the second part(intermittent-virtual training)169 students had the conditions to enter the research. To collect information, a part of the reliable and valid questionnaire tool "Clinical Competence of Nursing Students in Arena" by Jouzi and colleagues (2014) was used, which included the management dimension of clinical competence. To analyze the data, SPSS 24 software was used at the level of (P>0.05).

The results showed that there was no significant difference in the mean scores of ability in care management and documentation of safe care provision of nursing students in two courses of virtual and face-to-face training (p>0.05).

The nursing intern students in the virtual education course, like the students in the face-to-face course, were able to obtain high grades in terms of their ability to manage care and document the provision of safe care, which shows that the training provided to students during the Corona era was effective in maintaining students' competence.

Background &

Self-care education is one of the main pillars to prevent complications in patients undergoing transplanted cells. This study was designed with the aim of determining the effect of self-care education with smart phone applications on the severity of anxiety and depression after stem cell transplantation in leukemia patients: a clinical trial study.
Materials &

In this clinical trial study, 104 leukemia patients were subjected to stem cell transplantation with random block allocation in two intervention and control groups. In the patients of the control group of routine care and in the intervention group, in addition to routine care, self-care training was given to the patient with a smart mobile phone gadget. Two weeks, one month and three months after the start of the intervention, the hospital anxiety and depression scale (HADS) were completed by the control and intervention groups. Data analysis was done with chi-square and t-test under SPSS version 25 software.

The two groups had a significant difference in terms of average anxiety scores two weeks, one month and three months after transplantation (P<0.05), but in terms of average depression scores only one month after transplantation (P=0.038).

self-care training with smart gadgets reduces anxiety and depression after stem cell transplantation.