فهرست مطالب

Nursing and Midwifery Research - Volume:12 Issue: 2, Spring 2007

Iranian Journal Of Nursing and Midwifery Research
Volume:12 Issue: 2, Spring 2007

  • 42 صفحه،
  • تاریخ انتشار: 1386/02/11
  • تعداد عناوین: 8
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  • Mahboubeh Safavi, Fakhri Sabuhi, Mahmoud Mahmoudi Pages 35-39
    Background
    Hypertension is one of the most important, non-contagious diseases. Every year many people either dieor suffer from it. Therefore, the first step is to screen prehypertensive people and change the manner of their life styleNowadays, prayer in complementary alternative medicine (CAM) is known as an important factor in changing people''slives. This study is done with the goal of defining the effects of prayer on blood pressure of women in Isfahan.
    Methods
    This study is a random controlled clinical trial. There were 60 pre hypertensive women aged 25-45 yearsrandomly selected. They were divided into 2 groups of intervention and non-intervention based on their criteria to beincluded in the study. In intervention group, they were given tapes of selected prayers but in non intervention groupthey were not. The data were collected by questionnaires, checklist and interviews.
    Results
    Both groups were not identical regarding age, occupation, marital status, and educational level. The findingsshowed that in intervention group, systolic blood pressure before intervention was 132.93 mm/Hg and after that128.70mm Hg (with a decrease of 4.23 mm/Hg). Diastolic mean blood pressure before intervention in interventiongroup was 84/42 mm/Hg and after 83.48mm/Hg with a nearly 1 m/Hg decrease. The difference between the mean ofsystolic and diastolic blood pressures before and after intervention was significant (P
  • Roshanak Hassan Zahraei, Faranak Safdari Dehcheshmeh, Soheila Ehsanpour Pages 40-45
    Background
    Today, moving toward high quality and efficient education is essential in educational systems. Toachieve it, management, research and educational programs should evolve consistent with the produced knowledge,professional developments and standards. Regarding the important role of midwifery education in improvement of socialhealth, the current study was carried out to identify the international organizational and management standards inmidwifery education and to recommend appropriate national standards.
    Methods
    This is a triangulation study which was fulfilled in 1381 and 1382, in seven steps. In first three steps, followingsearch and collection of standards of various countries, the survey tool which consists of the fields and recommendedstandards was designed. In steps four to seven, these fields and standards were surveyed through an opinionpoll; using Delphi’s method. Sampling population was all the midwifery national board members and heads of midwiferydepartments in governmental university which at least offer B. Sc of midwifery. The standards should be markedas appropriate, relatively appropriate and inappropriate by participants. Finally, the data was analyzed using descriptiveanalysis methods.
    Results
    After analyzing the opinions; using Delphi’s method, the results were proposed as 37 recommended standards.They were grouped as 13 standards in the field of missions and objectives and 24 standards in the field of organizationaland management structure.
    Conclusions
    Extracting organizational and management standards of midwifery and recommending the proper nationalstandards help the planners in defining the missions, visions and goals of the systems. It would also help the authoritiesin designing proper organizational and management structure and evaluating the midwifery management system.
  • Nasim Roohparvarzadeh, Shahla Shahidi Pages 46-49
    Background
    The new maternal health care program has been designed in order to improve the quality of the currentnational program. Standard protocol along with the methods of physicians'' and midwives'' intervention clearly defined inthis program. This study was carried out to examine the effectiveness of this program in terms of improving child birth,pregnancy indicators and solving relatedproblems.
    Methods
    The historical cohort study started in Ardestan since 2003 and continued until the midyear of 2005. Motherswho labored were randomly selected and categorized in two groups who received care based on the new program andwho didn''t receive care. A checklist was prepared for each subject using health files and hospital records. The collecteddata were analyzed by SPSS software.
    Results
    The results showed that the frequency of caesarian section in two groups was the same. The frequency ofL.B.W in group who received new care services was lower than the other group. Pregnancy age indicator at the time ofdelivery to determine the frequency of full term birth was promoted in first group. In case of stillbirth indicator, someimprovements were seen in group who received new cares.
    Conclusions
    Preterm labor is one of the most prevalent problems in society resulted in immaturity and low weightedinfants and high costs for families and government. Presenting compiled cares and providing appropriate services usingthe new guidelines can be effective to improve child birth indicators especially in reducing the number of preterm andstill births.
  • Heidar Ali Abedi, Jalil Eslamian, Shayesteh Salehi, Sayad Mohsen Alame Pages 50-55
    Background
    Today prevalence of overweigh and obesity is increasing in most parts of the world. Obesity plays animportant role in creating health poverty in women and decreasing life span. The most common formula to assessphysical health is body mass index (BMI). The present research was conducted to determine related factors (personaland reproductive characteristics) with women''s BMI.
    Methods
    This was a descriptive–analytic study in which data were collected cross-sectional. The samples were 384people in Isfahan. They were selected by cluster sampling and referred to 10 health centers in the city. In this research,the evaluation instruments were a questionnaire and the tools of measuring height and weight which were standard andunique. Collected data were analyzed by SPSS software and descriptive-analytic statistical methods.
    Results
    The results showed that there was significant statistical relation between age, education level, family economicsituation, menarche age, the number of pregnancies and deliveries, OCP (LD) use of LO contraceptives and historyof deliveries with less than two years interval and BMI (P
  • Mahnaz Noroozi, Sharareh Davazdah Emami, Nasrollah Bashardoost Pages 56-60
    Background
    Today prevalence of overweigh and obesity is increasing in most parts of the world. Obesity plays animportant role in creating health poverty in women and decreasing life span. The most common formula to assessphysical health is body mass index (BMI). The present research was conducted to determine related factors (personaland reproductive characteristics) with women''s BMI.
    Methods
    This was a descriptive–analytic study in which data were collected cross-sectional. The samples were 384people in Isfahan. They were selected by cluster sampling and referred to 10 health centers in the city. In this research,the evaluation instruments were a questionnaire and the tools of measuring height and weight which were standard andunique. Collected data were analyzed by SPSS software and descriptive-analytic statistical methods.
    Results
    The results showed that there was significant statistical relation between age, education level, family economicsituation, menarche age, the number of pregnancies and deliveries, OCP (LD) use of LO contraceptives and historyof deliveries with less than two years interval and BMI (P
  • Fariba Fahami, Marjan Beygi, Roshanak Hassan Zahraei, Soroor Arman Pages 61-64
    Background
    Socioeconomic problems, would affect the people in all stages of life, especially the menopausal period.In this stage of life, the women experience loss of social positions, and responsibilities. The current study was carriedout to assess the relationship between the socioeconomic state and sexual dysfunction in menopausal period.
    Methods
    This is an analytic, cross-sectional study, carried out on 174 menopausal, married women who were selectedfrom the patients visited in heath centers and social security centers in Isfahan. The data was gathered by questionnaireand analyzed using chi square and Mantel haenszel tests, by SPSS software.
    Results
    Findings of the study demonstrated that there is a significant statistical correlation between the sexual dysfunctionand the family''s economic state, the housing, education level of women and her husband and women''s occupation.In contrast, husbands'' occupation did not correlate with the sexual dysfunction.
    Conclusions
    It could be concluded that higher education level result in higher income and better jobs and social positions.So, better socioeconomic state could be mentioned as an effective factor in preventing menopausal sexual dysfunction
  • Habibollah Hosseini, Khosrow Tavakol, Ahmad Mashhadizadeh Pages 65-68
    Background
    As the nurses working in emergency ward are the first group who make early interventions to save critical patients, this is considered as a need for them to get enough knowledge and skills in this field. On the other hand, standards show nurses to the appropriate level of care quality (the meaning of sentence is not clear). Ignoring structural and process standards can result in personnel dysfunction and their low nursing services. This study has tried to define the mean obedience of structural and process standards such as physical environment, facilities and manpower as well as process standards like patient care in an emergency ward of a selected hospital of Isfahan university of medical science.
    Methods
    This was a descriptive cross-sectional study carried out in a selected hospital of Isfahan university of medical science. First, a checklist for physical environment, facilities and manpower was designed and the data were collected from the emergency ward personnel (nurses and nurse aids) working in the ward through direct and indirect methods. Then, the collected data were analyzed by descriptive statistics after being classified.
    Results
    The findings of the study showed the ward had obedience level of 83.8% for physical environment, 75% for facilities and equipments and 64.5% for manpower. About 46% of the personnel had excellent efficacy and 32.9% had low to moderate efficacy.
    Conclusions
    According to the results, we have good manpower programs; efficient records control tools and adequate facilities. Meanwhile, strategies of motivation and job satisfaction enhancement which need a board attitude should not be ignored but considered as well. KEY WORDS: Processes Standard, structure standard, nursing care standard
  • Shayesteh Salehi, Mahin Gheibizadeh, Khosrow Tavakol Pages 69-74
    Background
    In countries like Iran in that most of the population consists of young people, designing and implementingcomprehensive health programs targeted at young people must become a priority in national programs. More thanhalf of high school students in Isfahan are female. Because of their more vulnerability, and their role in health of futuregenerations, it is essential for health community to be aware of what they are experiencing about their health needs, andbased on this awareness, designing and implementing accurate programs should be done in order to improve theirhealth. This study was carried out with the aim to describe experienced health needs of female high school students.
    Methods
    A phenomenological qualitative approach was used with participants chosen amongst the female high schoolstudents from five districts of Ministry of Education – in Isfahan. Purposeful sampling was adopted in the study andsample size was composed of a total of 15 participants selected and went until data saturation. Deep interviews wereused through Straubert method.
    Results
    From the findings of the interviews, 77 codes expressing participants'' experiences were emerged. At the endthese codes were categorized in 3 themes. As 1) school and school performance 2) social security 3) interactions withopposite sex.
    Conclusions
    Social interactions are crucial during adolescence and have great impact on students'' health. In fact,female adolescents express and define their health according to their interactions and communications with the environment.