نشریه پرستاری مراقبت ویژه
سال سوم شماره 3 (پیاپی 8، پاییز 1389)

Preparation of nurses plays an important role in nuclear events and reduces the nuclear consequences. Training is an important part of preparation process which is provided in various ways. This research was done to examine the efficacy of nuclear nursing care training by multimedia software on cognitive learning levels. In this quasi-experimental study, 30 nurses of Shahid Sadoughi hospital in Isfahan were selected by purposive sampling in year 2009.A Multiple choice researcher-designed questionnaire with 30 questions about three levels of cognitive learning including knowledge, comprehension and application was prepared and the test was done in three stages before, immediately after and 4 weeks after nuclear nursing care training by multimedia software. Scores were compared by repeated measure ANOVA test using SPSS17. Knowledge scores’ mean in three stages, before, immediately after training and after four weeks were 4.5 ± 1.5, 7.43 ± 1.7, 7.6 ± 1.7, respectively and comprehensive scores’ mean were 3.93 ± 2.05, 8.73 ± 2.03, 7.93 ± 2.3, respectively and application scores’ mean were 2.72 ± 1.53, 7.4 ± 1.5, 6.4 ± 2.1, respectively. The average total scores were 10.73 ± 4.02, 23.5 ± 4.25, 21.8 ± 4.96, respectively and showed a significant difference for all stages and at all levels of learning (p<0.001). Results prove that multimedia software is effective; therefore, nuclear nursing care training by multimedia software can be a good alternative to other methods.

Amis: Tallasemic population is mainly young; therefore, family plays a very important role in providing care for them. Considering the chronic nature of thalassemia, it is necessary for patients and their families to have addequate information on the disease proccess and related therapeutic measurements. This study was performed to determine the knowledge level and educationl needs of thalassemic patients’ parents. This descriptive study was performed on 300 thalassemic patients’ parents who reffered to Kerman special diseases center in year 1384. Data was collected based on a researcher-made questionnaire by interviewing with parents and was analyzed by SPSS 15 using frequency table, ANOVA, student T tests and Spearman correlation coefficient. The mean age of fathers was 42. 02 ± 9 years and for mothers it was 35. 9 ± 8. 4 years. The mean score range of 20 items in need questionnaire was between 2. 79 and 2. 96 (from the maximum score of 4). Parents’ knowledge was under 50% considering all items and they gained 37% of the total score. There was a positie correlation between parents’ level of education and knowledge as well as their educational needs. Mothers’ educational needs were more than that of fathers. Thalassemic patients’ parents don’t have adequate information on the disease and need a high level of education.

Having comprehensive knowledge and skill of Cardio Polmunary Resuscitation (CPR) is necssary for all medical staff nowadays. Use of simulation training is a good method for improving students’ clinical skills in resuscitation. This method develops participants’ skills and helps them learn about new equipment and procedures. This study was designed to examine the effect of station training on students’ skills in CPR. In t his interventional study data was gathered in two phases, before and after intervention. Units of study were 37 senior students of nursing and midwifery in faculty of Booyeh. Data was gathered in standard checklists by observing students’ performance in basic and advanced CPR in stations of Objective Station Clinical Evaluation (OSCE) before and after station training. Data was analyzed by SPSS 11.5 software using descriptive statistic indices and Wilcoxon non-parametric test. Students’ performance in basic and advanced CPR demonstrates a significant difference before and after station training, considering their average information. Station training will enhance nursing and midwifery students’ knowledge of basic and advanced CPR, if taught correctly and practically.

Nowadays nurses are involved in cases of brain death and organ donation and they play a critical role confronting such cases. Data provided by nurses can increase organ donation rate if they have enough information on the subject. This study was designed to determine the effect of training about brain death and organ donation on nursing students’ attitude and knowledge. This quasi-experimental before-after study was performed on nursing students of selected universities of medical sciences in Tehran. Sample size was 147 (72 cases and 75 controls) who were selected with purposive sampling. Data was collected by a researcher-designed questionnaire including demography, attitude and knowledge questions. Its validity was determined by content validity method and its reliability by test/retest and Cronbach’s alpha. Data was analyzed by SPSS 15 using paired and independent T and Chi-square tests. The attitude (p=0.18) and knowledge (p=0.71) of nursing students in two groups did not differ significantly before training. Education group students had a significant improvement in attitude (p=0.02) and knowledge (p=0.001) after training compared to the control group. Considering the effect of training on nursing students’ attitude towards brain death and organ donation, it seems necessary to make changes in nursing curriculum in Iran.

Different occupational environments affect the quality of life and occupational stress has serious effects on health and life quality. Paying attention to nurses’ health and quality of life and keeping them healthy is of great importance, first of all as a human being and then as people who are responsible for health of other society members. This study was performed to compare the quality of life in nurses of special care units and internal-surgical wards. This descriptive-cross sectional study was performed on 250 nurses working in special care units and internal-surgical wards in two of Tehran’s educational hospitals in 2008. Study units were selected by systematic random sampling. Data collection tools were demographic data questionnaire and SF-36 quality of life questionnaire. Data were analyzed using descriptive statistical indices and inferential non-parametric statistical tests including Chi square, Mann-Whitney, Kruskal Wallis and Spearman test by SPSS 15 software. Mean scores of physical and mental health and total quality of life scores, showed significant difference between nurses of special care units and internal-surgical wards (p<0.05). There was a significant correlation between type of ward, economic, social and occupational satisfaction and quality of life (p<0.05). Regarding some inevitable stressful factors in nursing occupation and the necessity of preventing physical, mental and behavioral consequences of stress on nurses, measures should be taken in order to develop their occupational environment and quality of life. Also, teaching oppositional methods to nurses is suggested.

Rhythm dysfunction is one of the important cardiovascular problems and pacemakers have been used increasingly during past decade. Complications and pacemakers’ dysfunction can be prevented by providing necessary information and nursing care to patients. This study was designed to examine nurses’ performance in giving care to patients with temporary and permanent pacemakers. This cross-sectional descriptive study was performed on nurses of Kerman University affiliated hospitals in 2007. Data was collected by a researcher-made questionnaire with 36 questions on nursing care (15 items on hospital care and 21 items on discharge time nursing care) after determining its Validity and reliability. Data was analyzed using descriptive statistics indices and Chi square, Pearson and mean comparison tests by SPSS 15. The mean score of postoperative care was 23.30±6.27. The discharge time mean score was 44.66±14.30. Pearson test demonstrated significant relationship between postoperative and discharge time caring scores (r=0.577; p=0.0001). There was no relationship between postoperative and discharge time care scores with cardiac re-education courses. Considering nurses’ lack of information on patient education and the critical situation of these patients, establishing nursing re-education courses and adding courses with functional content to nursing curriculum are suggested.

Quality of Life (QOL) is a strong predictor of mortality for end stage renal disease patients. This has resulted in QOL becoming the most important measure by which to present the outcome of these patients. The aim of this study was to measure QOL in renal transplant patients in Tehran. This is a descriptive-analytic study which was performed on 220 renal transplant patients referred to transplantation and nephrology clinic of two Tehran city selected hospitals in year 2009. A demographic and a Kidney Transplant Questionnaire (KTQ-25) were used in order to collect data. The reliability of KTQ-25 was determined 0.93 by Cronbach Alpha method and the questionnaire was filled by patients. Data were analyzed by SPSS 16 and descriptive and analytic statistics. The mean of QOL in this study was 4.9±1.27, the maximum score was obtained in appearance dimension and the minimum score was obtained in fear dimension. Relation between QOL score and gender (p<0.001), cause of End Stage Renal Disease (p=0.02), occupation (p=0.002) and economic satisfaction (p=0.02) was significant. Tehran city kidney transplant patients’ QOL level is moderate.

Having equal access to healthcare services is one of the basic rights of all people. Kidney transplant beds are one of the most important and valuable resources of healthcare system which their unequal allocation can cause irrecoverable complications in addition to emergency patients’ transportation. Present study was designed to evaluate the access to kidney transplantation services in different provinces of Iran. In this applied descriptive-analytical study, number of kidney transplant beds for each province in portion with province population in year 2006 was analyzed using Gini coefficient and Lorenz curve with Excel 2007 software. The total number of kidney transplant beds in Iran was 295, which 163 (55%) of them were located in Tehran. Approximately, half of population, only has access to 20% of kidney transplant beds and the other half has access to 80%. Gini coefficient was 0.4 which demonstrated the non-equality. There isn’t equal accessibility to kidney transplant services in Iran due to unequal distribution of kidney transplant beds.