فصلنامه نوید نو
پیاپی 89 (بهار 1403)

Access to the patient's circulation to perform hemodialysis can be temporary or permanent. However, arterial-to-venous vascular access is associated with the risk of dialysis-associated steal syndrome (DASS), which carries complications such as tissue or organ loss and increased mortality. This study aimed to present arterial steal syndrome suspicious in a patient.

A 49-year-old male patient had an arteriovenous fistula between the radial artery and cephalic vein in the distal right wrist. The patient had been experiencing cramps and pain in his hand during hemodialysis for about a month. At the time of referral, the patient had swelling, coldness, and numbness in his fingertips and was advised to undergo further diagnostic tests in the non-invasive diagnostic department of the hospital. The Doppler ultrasound showed a blood flow rate of 2205 milliliters per minute in the fistula, which was higher than normal. The finger pressure when pressure was applied to the fistula was higher than when no pressure was applied. The electromyography showed abnormal nerve conduction in the right median nerve. The right hand had no pathological muscle atrophy, weakness or numbness, and the muscle strength was good.

Finally, even though the diagnostic tests were done in favor of Steele's syndrome, but according to the opinion of the expert and the results of the electrodiagnosis tests, as well as considering that the patient's capillary oxygen saturation was within the normal range (96 to 99%), the final diagnosis of the patient's syndrome Carpal tunnel (CTS) was placed and the patient underwent surgery. After the surgery, the patient's symptoms such as cramps during hemodialysis, swelling, coldness and numbness in the fingertips have been resolved.

Women's screening for uterine cancer screening is inappropriate despite the desirable effectiveness of screening programs. This study aimed to determine the effectiveness of educational intervention based on health belief model on performing cervical cancer screening behavior in female teachers in Minoodasht City.

In this quasi-experimental study, 120 female teachers from the city of Minoodasht were selected using stratified sampling and randomly divided into intervention and control groups. The training was conducted over a period of one month using appropriate educational methods and materials regarding cervical cancer screening behavior. The data collection tool was a researcher-made questionnaire. The questionnaire was completed in three stages: before the intervention, immediately after the intervention, and three months post-intervention in both groups. Data were analyzed using descriptive and analytical tests (repeated measures ANOVA and t-tests) with SPSS software version 19.

After the implementation of the educational program, there was a significant difference in the mean score of knowledge and constructs of the health belief model among the teachers in the intervention group (P <0.001). The intention to perform Pap smear test was significantly higher in the experimental group than in the control group (P <0.001). However, there was no significant relationship between the performance status of teachers in the two groups after the intervention.

Educational interventions based on the constructs of the Health Belief Model can be effective in influencing the intention to undergo Pap smear testing. However, to effect behavior change, it is recommended that further research be conducted over an extended period and based on other educational models.

Patients with heart failure need to do their self-care behaviors to cope with the complications of their illness. Self-efficacy and self-control are the most important determinants of compliance with proper self-care behaviors in patients. This study aimed to determine the correlation between self-care, self-efficacy, and self-control in patients with heart failure in the specialized Farshchian Heart Center of Hamadan province.

This descriptive correlational study was performed on 181 patients with heart failure who were referred to the specialized Farshchian Heart Center of Hamadan. Data were collected using a demographic questionnaire and three questionnaires of self-care behaviors questionnaire, self-efficacy questionnaire (SUPPH), and Julian Rater's Self-Control Questionnaire. After determining the validity and reliability of the tools, the data were collected and analyzed by statistical software Spss/16.

55.2% of the samples were in the age group of 45-60 years old and 82.9% of them were male. The mean self-care score 4.44 ± 0.512 (good), self-efficacy 3.88 ± 0.533 (good), and self-control 3.15 ± 0.306 (good) was obtained. In correlation between all three components, there was only a direct correlation between self-care and self-efficacy (r = 0.376, p < 0.001).

Self-care, self-efficacy, and self-control in patients with heart failure are good and acceptable. Regarding the relationship between self-care and self-efficacy, proper measures are needed to improve these patients' self-efficacy and strengthen self-care behaviors.

Today, despite the use of protocols and checklists related to surgical safety, the phenomenon of "retained surgical items" is still reported as one of the complications of surgeries. Despite its low incidence, this complication has irreparable consequences for the patient and the health system. Therefore, this study was conducted to explain the lived experience of operating room nurses regarding the phenomenon of "retained surgical items" in patients' bodies.

This qualitative study used a descriptive phenomenological method in 2023-2024 in all Hamedan University of Medical Sciences affiliated hospitals. Ten operating room nurses were selected using purposeful and snowball sampling methods. Data was collected using semi-structured interviews, and then data analysis was done using the Colaizzi method.

After analyzing the data, 2 main themes and 5 sub-themes related to "retained surgical items" were extracted. The two main themes are mental and emotional reactions and professional attitude.

Considering the importance of patient safety on the one hand and the increasing spread of surgeries worldwide on the other, the results of our study are expected to increase by revealing the attitude and psychological reactions of operating room nurses while helping them improve their weak points. The quality of care in the surgery field will help increase patients' safety in the mentioned field.

Considering that parents of children with autism spectrum disorders are more susceptible to psychiatric disorders compared to parents of typically developing children, this study aimed to determine the Quality of Mental Health and Quality of Life in Parents of Children with Autism Spectrum Disorder in Shahrood city.

The research conducted is a descriptive-analytical study of a cross-sectional nature from 2021 to 2022. The sample size in this study included all parents who were members of the Autism Center and met the study criteria. A total of 35 individuals were surveyed, and the sampling method was purposive sampling. To assess the level of mental health, the General Health Questionnaire (GHQ) was used, and to evaluate the quality of life, the World Health Organization Quality of Life questionnaire (WHO-QOL) was utilized. Data were analyzed with SPSS software version 19.

In the study population, consisted of 30 mothers and 5 fathers. There was no significant difference in the subscales of quality of life between fathers and mothers of children with autism, only the mean score for social functioning was significantly higher in mothers compared to fathers. Additionally, no significant associations were observed between variables such as age, level of education, number of children, and the level of quality of life and mental health.

In general, it can be stated that the quality of life and mental health of parents with children diagnosed with autism spectrum disorder are not at an optimal level, indicating the need for comprehensive healthcare and treatment programs to be developed.

Postpartum grief and depression is a common mental disorder. Many studies that have been conducted in the field of complementary and alternative treatments for mood disorders show that there is a greater acceptance of non-medicinal compounds. The aim of the present study is to review nutritional supplements in the prevention of postpartum depression and grief.

This review study, in order to find related studies, PubMed, Magiran, SID, Cochrane, SIS, PsycINFO, Medline, Scopus, Google Scholar databases using the keywords prevention, prevention of depression, postpartum depression. , nutritional supplements, postpartum depression and its combination with AND and OR operators were searched in Persian and English languages from 1996 to 2021.

7 articles were included in this study. The results of the review of the articles showed that the use of food supplements such as aroma therapy with orange essential oil, orange spring capsule, evening primrose oil capsule, designed food supplement package, selenium supplement is effective in preventing depression and grief after childbirth, and regarding the effect of omega supplement 3- On depressed mood, the use of different protocols in the study method has led to different results in different studies.

The results of the reviewed articles in this study show that the use of food supplements in the prevention of postpartum depression and childbirth grief is moderately effective and promising, but there is still a basic need to create a food supplement with flexibility against period mood changes. There is after childbirth.

Even though the concept of humanism is openly evident in nursing texts and theories, few researchers have discussed and comprehensively reviewed this topic. A better understanding of the concept of humanism in nursing can improve nursing practice in teaching, research, and clinical settings. Therefore, the purpose of this study was to review the role of the humanistic philosophy in the development of the nursing profession.

The current narrative review was conducted by initially searching scientific databases (Google Scholar, Scopus, PubMed, and Web of Knowledge) using the MeSH terms of inquiry practice, caring, care, research, teaching, education, nursing, and humanism. The initial comprehensive search retrieved 372 articles, out of which only 19 articles entered the final review, and others were excluded according to our entry and exit criteria.

The role of humanism in the development of the nursing profession can be scrutinized under three broad dimensions, including research methods, nursing education, and nursing practice and care. Humanism, as a suitable philosophical basis for nursing knowledge and research, can contribute to the improvement of holistic and quality nursing care.

The humanistic nursing approach, which seems to be one of the main needs of today’s nursing practice, can be a good guide to achieving maximum quality and standard nursing care.

The COVID-19 pandemic has shown that an important priority for advancing nursing education is to ensure that nurses are competent to provide effective care during a pandemic or other disasters. This study aimed to determine the clinical competencies required by nurses during the COVID-19 crisis and determine the factors affecting these competencies.

A systematic review was used to carry out this project. First, the keywords of clinical competence, COVID-19, and nurse were searched in the title and abstract of the articles available in PubMed, Scopus, and web of Science databases, using AND and OR operators.

10 related studies were included in the present study. Based on the findings of this systematic review, the clinical competencies needed by nurses in the care of patients with COVID-19 are placed in 4 dimensions: knowledge and experience about COVID-19 disease, prevention ability, preparation ability, medical care and rescue ability. Factors affecting these competencies include: education level, work experience, work experience in infectious or isolation departments, age, sex, job rank, and experience in practicing emergency skills.

The results of this study showed that nurses have poor to average performance in terms of knowledge, experience and preparation against the Covid19 crisis, so training programs and skills development should be designed in such a way that nurses can be empowered to provide the best care and prevention