فهرست مطالب

Scientific Journal of Medical Sciences
Volume:1 Issue: 3, Summer 2022

  • تاریخ انتشار: 1401/04/10
  • تعداد عناوین: 8
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  • A. Malekhoseini*, M. Rostamkhani, M. Ahmadlou, G. Malekhoseini, S. Abdii, S. Abdeii Pages 107-111
    Aims

    Silver-containing dressings are the latest and biggest invention in wound care products. There are many dressing materials available to treat  burn wounds but none of them has strong evidence to support their use. This study was done to compare the efficacy of nanocrystalline silver (Acticoat) and silver sulfadiazine (SD-Ag) in the treatment of burn wounds.

    Instrument & Methods

    This clinical trial was done in Arak city. Sixty-nine burn patients were enrolled and divided into two groups of the Acticoat group and silver sulfadiazine group. Acticoat was changed once every 3 days. Silver sulfadiazine was used as control group whose members were treated under the usual clinical routine. Healing time was observed up to 15 days. Healing percentage was determined on the 15th day after treatment.

    Findings

    By comparing the mean values of the size of the wound in three turns, it was observed that the size of the wound significantly decreased over the difference of the size between the two groups (p=0.000, F=143.716).

    Conclusion

    Acticoat with nanocrystalline silver promotes the healing process of wounds post-burn effectively. No adverse reaction of Acticoat was observed during the study.

    Keywords: Wound Healing, Dressing, Acticoat, Bandages
  • Sh. Rahmani, M. Mohsenpour, F. Haresabadi*, F. Azinfar, E. Nazemi, Z. Mohammadi, A. Mashhadi Pages 113-118
    Aims

    one of the essential needs of every human being is happiness, and moral intelligence is related to emotions and intellect, and moral behaviors depend on integrated emotions, intuition, and argument. In addition to transferring knowledge and skills, promoting ethical values is also one of the tasks of the universities.

    Instrument & Methods

    In this descriptive study, 120 undergraduate students in the fields of speech therapy (n=41), physiotherapy (n=40), and optometry (n=39) were included by random sampling and filled out the Oxford Happiness and Moral Intelligence Questionnaire. Data were analyzed using Pearson, independent T, and ANOVA tests by SPSS 21 software.

    Findings

    The mean scores of moral intelligence and happiness were 52.65±7.85 and 51.77±12.41, respectively. There was a significant weak relationship between moral intelligence and students' happiness (r=0.41; p≤0.001). There was a significant difference between moral intelligence according to marital status (p<0.05). There was no statistically significant difference between moral intelligence and happiness scores in terms of other demographic variables.

    Conclusion

    Moral intelligence of rehabilitation students of Mashhad University of Medical Sciences was at a low level and their happiness was above average. No significant difference was observed between ethical intelligence and happiness in the students. The findings can be considered in education, research, and management.

    Keywords: Ethics, Intelligence, Happiness, Students, Rehabilitation
  • F. Monjazebi, M. Nikravan Mofrad, M. Pazokian, M.S. Hosseini* Pages 119-123
    Aims

    The aim of this study was to evaluate the effectiveness of a training program developed for shock for nurses in the intensive care unit (ICU).

    Materials & Methods

    The present study was performed on 200 nurses working in the ICUs of selected medical sciences hospitals in Mashhad (Imam Reza, Shariati, and Ghaem) in 2016, based on the Kern educational model. The instruments used in the study included a demographic information questionnaire, an observational checklist, and a researcher-made clinical reasoning skills questionnaire. In order to evaluate the training program developed after the pilot training, the results of clinical reasoning and shock management of participating nurses were reviewed. The difference between the mean scores of nurses was determined using the Wilcoxon test and t-test.

    Findings

    The results showed that the mean score of clinical reasoning for shock diagnosis skills in nurses in pre-test was equal to 1.591±0.287 and in post-test was equal to 1.889±0.136. Also, the average control skills of nurses in the pre-test were 3.158 ±0.752 and in the post-test was 4.151±0.762. In addition, the results of the Wilcoxon test and t-test showed that educational intervention had a positive and significant effect on both diagnosis and control scores of nurses (P=0.001).

    Conclusion

    The results of this study indicate the importance and positive effect of developing continuing education programs in the field of clinical reasoning skills (diagnosis and control) in order to monitor shock effectively.

    Keywords: Shock, Nursing Education, Intensive Care, Shock Management
  • R. Mokhtari*, M. Jaras, A. Safdari Pages 125-131
    Aims

    The aim of this study was to investigate the observance of professional ethics codes for nurses and nursing students of Kashan University of Medical Sciences.

    Materials & Methods

    This descriptive cross-sectional study was performed on 200 students and 360 nurses after convenience sampling after adapting to the inclusion criteria. The data collection tool was a valid and reliable researcher-made questionnaire, which included two sections of demographic information and 20 questions on a 5-point Likert, in order to comply with the codes of ethical regulations of the nursing profession. Data were analyzed using SPSS software version 16 According to the results of this study, the mean scores of professional ethics in both groups of nurses (3.99) and students (4.25) were higher than the average (i.e., hypothetical average = 3). In other words, the level of professional ethics was above average. The mean scores of professional ethics in nurses and students were not significantly different except for education and research. Statistical tests did not show a significant relationship between the demographic characteristics of nurses and nursing students and the mean scores of compliance with professional ethics codes.

    Conclusion

    Considering the relatively favorable level of professional ethics codes in nurses and nursing students, it seems that maintaining and improving the current situation should be considered by the authorities through the adoption of appropriate strategies.

    Keywords: Codes of Ethics, Nurses, Nursing Students
  • F. Rashidifakari, Z. Kiani, F. Aghaei Meybodi, Z. Abasi, M. Kordi* Pages 133-136
    Aims

    Pregnancy affects all organs of pregnant women, including the skin. Although changes in the skin of pregnancy rarely affect a person's physical health, its psychological aspects are likely to affect the quality of the skin. Therefore, this study assessed the quality of the skin of postpartum women.

    Materials & Methods

    The present study is a cross-sectional study on 145 women who were referred to health centers in Mashhad. Sampling was done by convenience method. Data collection tools included the demographic questionnaire, Skin Quality Index, and Fitzpatrick Classification. The demographic questionnaire and skin quality index were completed through interviews in the 6th week after delivery and Fitzpatrick Classification through observation. Data were analyzed by SPSS software version 16 with descriptive statistics and Mann-Whitney test.

    Findings

    Mean and standard deviation of skin quality index score were 58.24±17.76 and its emotional dimension was 19.41±6.20, symptoms dimension was 15.0±4.54, and function dimension was 23.67±7.46. The mean and standard deviation of the skin quality index score was 62.20±18.08 in primiparous women and 58.74 ±11.20 in multiparous women.

    Conclusion

    The results of the present study showed that the quality of skin in postpartum women was poor. Also, the mean scores and standard deviation of skin quality and its dimensions in primiparous women were higher than multiparous women, which means poorer skin quality in primiparous women.

    Keywords: Quality of Life, Skin, Postpartum
  • H. Gholizadgougjehyaran*, H. Motaarefi, Sh. Sakhaei Pages 137-141
    Aims

    The recent emergence and reemergence of infectious diseases have made the knowledge and practice of standard infection control precautions in developing countries more important than ever. However, schools of nursing in Jordan do not have a prescribed curriculum in Standard Precautions.

    Instrument & Methods

    This was a two-group before-after quasi-experimental design which all final year students were selected by census. Data collection tools include demographic questionnaire and Kirk Patrick evaluation model. For the intervention group, an educational program was implemented based on the Kirk Patrick model and for the control group, an educational booklet was given to the students. Its effectiveness was evaluated in four levels of Kirk Patrick model. The amount of learning was assessed using a researcher-made test before and after the test. To evaluate the performance, an observational checklist was used which was invisibly checked by the researcher on different days before and one month after the intervention and the checklist was completed and determine the level 4, exposure to needle stick, blood and body fluids, the exposure questionnaire was distributed among studied subjects, and they were asked to report their incidents of exposure before and during the next 1 months. For data analysis, we used descriptive statistics, a chi-square test, a paired t-test and the independent samples t-test.

    Findings

    The findings of this study show that the average learning score and performance of nursing students increased significantly after the training program and exposed to needle stick injury and blood and body fluids was reduced after intervention.

    Conclusion

    The results indicate the effectiveness of the course held for nursing students and it seems that Kirk Patrick model can be a suitable way to evaluate the effectiveness of health education.

    Keywords: Kirkpatrick Model, Precautions Standard, Nursing Student
  • S. Ghalandari, Sh. Zolala, S. Dadshahi* Pages 143-148
    Aims

    Polycystic ovarian syndrome is a highly prevalent disorder. The worldwide prevalence of polycystic ovarian syndrome ranges from 4% to 21%. Depression and anxiety are more common and more severe in women with polycystic ovarian syndrome than in women without the disorder. This study aimed to systematically review the literature for polycystic ovarian syndrome.

    Information & Methods

    A systematic search of EMBASE, Cochrane, PubMed, CINAHL, Google Scholar, Scopus, and International Pharmaceutical Abstracts from inception until January 2019 utilizing the terms polycystic ovarian syndrome was conducted.

    Findings

    Polycystic ovarian syndrome and insulin resistance share a common genetic background. Metabolic dysfunction can exist among people even when controlling for BMI and body fat distribution. Obesity is common in women with polycystic ovarian syndrome and exacerbates metabolic stress. Infertility was noted by 72% of women reporting polycystic ovarian syndrome. Depression and anxiety are more common and more severe in women with polycystic ovarian syndrome. Cardiovascular disease markers point to a higher risk of Cardiovascular disease in women with polycystic ovarian syndrome. Obstructive sleep apnea is common in clinical samples of women with polycystic ovarian syndrome.

    Conclusion

    A complication of polycystic ovary syndrome is insulin resistance, metabolic dysfunction, obesity, Infertility, cardiovascular disease, obstructive sleep apnea, Depression, and anxiety.

    Keywords: Polycystic Ovary Syndrome, Midwives, Gynecologists
  • S. Shariat Moghani, M. Dolatian*, M. Nasiri Pages 149-155
    Aims

    Menopause is one of the most important health issues in women's health. Postmenopausal health problems are affected by psychosocial categories. This study aimed to investigate the correlation between intermediate determinants of health and experiences of postmenopausal women in Iran.

    Instrument & Methods

    This is a descriptive correlational study that was carried out on 300 women referring to health centers in Mashhad city from 2018 to 2019. Sampling was performed by multi-stage and random sampling methods. Data were collected through menopausal experiences, access to health services and perceived social support, and Enrich marital satisfaction questionnaires. Data were analyzed using SPSS 25 software by Pearson correlation coefficient and regression model. In the statistical test, a 95% factor of safety (p<0.05) was considered.

    Findings

    The average age of the subjects was 54.07±5.26. The averages score of marital satisfaction, access to services, social support, and women menopausal experiences were 105.76±18.30, 11.14±7.51, 58.92±15.68, and 40.47±21.83%, respectively. The results showed an inverse linear relationship between marital satisfaction and social support with women's experiences (r=-0.067; p=0.024), (r=-0.176; p=0.002). There was a significant inverse linear relationship between access to services and women's experiences in menopause (r=-0.347; p=0.001).

    Conclusion

    According to the findings, perceived support and access to services predict 15% of the variance in menopausal experiences.

    Keywords: Marital Satisfaction, Access to Services, Women's experiences, Support, Menopause