Advances in Nursing & Midwifery
Volume:20 Issue: 71, 2011

Background and aimThe first minutes after birth are a very vulnerable period for both mother and newborn. The care that is provided during this time is critical to improve their longer-term health. Mother- infant Skin to skin contact immediately after birth creates an optimal environment for the adaptation of newborn infants to extra uterine life and should be a routine method in hospitals. The Purpose of this study was to evaluate the effect of skin to skin contact between newborn and mother immediately after birth on mother’s satisfaction in Taleghani hospital in Arak on 2008–2009.Materials and methodsA randomized controlled trial was designed to study the effect of early skin –to- skin contact between mother and newborn. 80 pairs of newborns and their mothers who delivered in Taleghani hospital Arak, Iran were included in the study. They were randomly assigned to two groups (skin to skin contact and routine care). In skin-to-skin contact group, immediately after birth naked newborns were placed in prone position on skin contact with their mothers and in routine care group newborns were placed in cot under warmer. A questionnaire was used to assess mothers’ satisfaction. In the end of breastfeeding mothers’ satisfaction were assessed. Data were collected by a questionnaire, which included questions about the mothers’ satisfaction with the care they received during labor and their tendency to skin to skin contact in future. The validity of questionnaire was determined by content validity method and reliability was obtained by internal consistency (consistency coefficient 0.90). Data were analyzed by SPSS software. FindingsA larger proportion of mothers in skin to skin contact group were very satisfied (70%) and satisfied (20%) with their care, and a larger proportion of mothers in routine care group were very unsatisfied (35%) and unsatisfied (35%).There was a significant difference between two groups in terms of their tendency for skin-to-skin contact in future.ConclusionSkin-to-skin contact between mother and newborn results in mother’s satisfaction.

Background and aimclinical teaching provides a unique opportunity for learning professional skills. In order to be effective it needs enough equipments, correct communications and precise educational planning. It is clear that any deficiencies in this procces have negative consequences. Assessing students’ point of view about clinical teaching can provide useful insights for development.The purpose of this study was to assess nursing and midwifery students’ point of view about effective clinical teaching in Semnan Azad University in 2009.Materials and methodsIn this descriptive study, a total number of 160 nursing and midwifery students, studying at Semnan Azad University participated. The sampling was done through census. For collecting data a questionnaire was used. The questionnaire consisted of two sections. The first section assessed demographic variables and second part was designed to assess students’ perception of effective clinical teaching and related factors. Validity of questionnaire was assessed by content validity (panel of experts) and reliability was determined by calculating Cronbach alph with a coefficient of 0.90. The data were analyzed using SPSS software. Findings The majority of students were studying in third semester (58.1%) and were midwifery students and (41.9%) were nursing students. According to our participants point of view learner’s personal characteristics domain (24/35±3/6) and learning environment (16/36±2/94) were the most and the least important factors related to effective clinical teaching. in overall expert clinical teacher had the main role in effective clinical teaching. ConclusionWith regard to what were found in this study, the most important factors for learning of professional skills is interest and motivation, so education system should support this internal feelings and find the methods that prevent these drives.

Background and aimThe complex and rapid changes in health care require using the best available evidences to have essential performance in caring. Considering nursing as an academic discipline, utilizing the results of research for improving nursing care and creating more satisfaction in patients is important so this study was designed to determine nurse’s perspectives about the concept of evidence based nursing.Materials and methodsThe approach of current study was descriptive phenomenology which was designed to study the perspective of nurses about the concept of evidence based nursing. Data collection method was semi structured interview and 7 participants were chosen by to purposive sampling. The study was conducted in Shahid Beheshti university affiliated hospitals and data were analyzed using Strubert’s phenomenological method.Findings The findings about evidence based nursing were codified in three main categories as improvement of quality of care evidences and values. In the case of second question about influencing factors two main categories as facilitating and interceptor factors were narrowed down. All indicated that knowledge of nurses about evidence based nursing is low therefore the utilization of research results as evidences were low alsoConclusionConsidering the findings of this study introducing the concept and utilization of research results should have patient’s higher satisfaction of received care.

Background and aimIn women with cancer, the quality of life and their performance level would be affected, thus awareness about patient quality of life helps the nurses to lead their care for improving the patients’ quality of life. Despite of majority of performed studies, the emphasis is on patients’ problems rather than families, So it is necessary for improving the patient quality of life to take into consideration those factors which are important for family. The purpose of this study was to determine the effect of consultation with family on performance scale of women’s quality of life with breast cancer undergoing chemotherapy.Materials and methodsThis research is a semi-experimental study,70 married women aged 30-55 years old who had at least 1child older than 15 year, undergoing chemotherapy with previous record of mastectomy and they have been referred to clinics located in two cities, Qazvin and Zanjan, were included in the study. Participants were allocated in two -experiment and control-groups. For subjects in experiment group 8 consultation sessions with family was designed, the sessions were held with the presence of patient, spouse and children. The patients’ quality of life in both groups was measured at the beginning and at the end of final consultation session. Quality of life was assessed by the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and its supplementary breast cancer measure (QLQ-BR23). The data were analyzed using SPSS version 15.Findings Results showed that quality of life of patients who had participated in consultation sessions was improved (P<0/05).The improvement was seen in physical functioning, emotional, role functioning, cognitive and social functioning subscales of quality of life measure, andin body image, sexual functioning, sexual enjoyment and future perspective subscales of BR 23 questionnaire. Conclusionwith respect to present research’s findings which demonstrate the effect of consultation with family on improvement of patients’ performance level, hence the family can have a particular position on protecting patients and improvement quality of life, therefore it is offered the designed program of taking consult with family would be applied as an affective way on improvement quality of life for these patients.

Background and aimNeonatal mortality rate is one of the main health problems which is affected by prenatal status, maternal, fetal and perinatal conditions. Low Birth weight (LBW) is one of the main causes of neonatal and infantile mortality & is one of the important problems in all of communities. The aim of this study is an evaluation of LBW causes in neonates born to mothers in teaching hospitals in Tehran.Materials and methodsThis case-control study was conducted to estimate LBW causes in born babies in Taleghani, Mahdieh & Hedayat hospitals, Tehran, Iran. Data such as birth weight, sex, maternal age, gestational age, birth interval, history of abortion, prenatal care, maternal occupation, level of education, systemic and underlying diseases, history of infections and smoking were extracted from medical records. Data were statistically analyzed by SPSS ver.15 using Chi-square,t-test and fisher exact test.Findings 7.7% of neonates were LBW newborns. Maternal age, gestational age, maternal weight and height, and the interval between births of LBW neonates were significantly lower compared with normal birth weight neonates. Multiple logistic regressions model was used to estimate the effects of most important predictors on low birth weight. The logistic model showed that the highest risks for low birth weight were related to low interval between 2 birth (OR=0.54, CI=0.32-0.91), Low maternal weight gain during pregnancy (OR=1.4, CI=0.73-2.061), maternal depression or Anxiety (OR=1.62, CI=1.21-2.805) –mother preeclampsia (OR=2.98, CI=2.09-4.32) preterm delivery (OR=3.95, CI=2.38-5.52).ConclusionThe Results revealed that Low birth weight rates increases in the presence of short interval between two births,–mother preeclampsia, depression or anxiety, & preterm delivery.

Background and aimMultiple sclerosis is a progressive demyelization disease which can progress to physical disability in many patients. People with multiple sclerosis face many problems and complications which require appropriate education and interventions. Multidisciplinary neurorehabilitation is an effective treatment for quality of life improvement in MS patents. The purpose of this study is to examine the effect of Hayate Noo center rehabilitation protocol on quality of life of MS patents.Materials and methodsIn this clinical trial 130 MS patients (65 patients as treatment group and 65 as control group) were studied. Participants were randomly selected from patients attending Iran MS society in Tehran. The two groups were matched in terms of sex, age and education, type of MS, marital status, time of onset of MS, and disability status. A questionnaire was used for data collection. The questionnaire consisted of three parts. Part one is demographics information and the 2nd part consisted of Persian version of MSQOL-54 questionnaire. This questionnaire has been translated and validated in previous studies, with 0.96 coefficient (alpha cronbach) reliability. The 3rd part included Persian version of PDDS questionnaire. This test is designed to measure the disability status and has a correlation coefficient of 0.80 (spearman correlation) with EDSS (expanded disability status scale). Patients in treatment group participated in the multidisciplinary rehabilitation protocol. This protocol was designed in Hayate Noo center. Each patient in treatment group attended in at least 8 sessions of Hayate Noo multidisciplinary neurorehabilitation protocol for 3 months. All participants were assessed in terms of their disability status prior to the study. Participants in both groups completed MSQOL-54 before and after the study. The data were analyzed using SPSS software, version 16. Student t-test was used to compare means and Pearson correlation coefficient was used for measuring the correlations.Findings Changes in Quality of life scores in treatment group were statistically significant (p<005). Scores of all subscales in Quality of life measure (except for cognitive domain) increased in treatment group compared with the control group. Physical health composite score increased 8.04 point and mental health composite score improved 7.7 point (P<0.001). Also the social activity of treatment group increased comparing with the control group.ConclusionUse of Hayateno center protocol has increased quality of life scores in MS patients. This improvement is comparable with another center in the world.

Background and aimAdherence is important for the health and well-being of patients on long-term hemodialysis therapy. Many factors such as spirituality and prayer have been hypothesized to have an effect on adherence in these patients. Therefore the aim of this study was to determine relationship between adherence and prayer in hemodialysis patients.Materials and methodsA descriptive - correlational, cross-sectional design was used in this study. Two hundred patients with renal failure on hemodialysis, being treated at educational centers of Iran University of medical sciences, participated in the study. The subjects were selected by census method. Data were collected using the Adapted Prayer Scale (APS) based on Poloma and Pendleton’s (1991) prayer scale, a demographic form and reviewing medical charts. Validity of the questionnaire was determined by content validity method and reliability of this instrument was demonstrated by a Cronbach’s alpha (r = 0.80). The data were analyzed by SPSS-14.Findings Overall patients had dietary and medication adherence (> 50%). But less than half had compliance to fluid restriction (44%). Many of them used prayer (62%). There were relationship between blood urea nitrogen and intra-dialytic weight gain with prayer p<0.05). But, prayer was not correlated with potassium and phosphorus (p>0.05).ConclusionThis study indicated the association between dietary and fluid adherence with prayer. Therefore nurses and health worker for should encourage patients to practice prayer to improve adherence and quality of life.

Background and aimDevelopment of technology in health care and its threats to providing holistic care has resulted in a tendency of medical team specially nurses to use complementary and alternative medicine. Massage therapy is used widely by health care providers. In this article effects of massage therapy are discussed.Materials and methodsThe Pub Med, CINAHL, Science Direct, SID an Iran doc databases were searched using the keywords “massage” “complementary therapy” and “alternative medicine”. The current review summarizes the findings of 40 articles, which were published between 1990 to 2009.Findings Effects of massage therapy include: relieving pain, specially Masculo-skeletal pains, positive effect on gastrointestinal signs such as indigestion and constipation, effect on physiological indexes including blood pressure, pulse, respiratory, temperature and oxygen saturation; infant's weight gain and decreasing sleep problems, improvement in range of motion and functions of respiratory and m asculo- skeletal systems beside immune system through reducing depression and increasing number of CD4 and ratio of CD4/CD8. Positive effects of massage have also been shown during pregnancy and labour.ConclusionUse of complementary therapies such as massage is part of professional goal of nursing. With understanding effects of massage as a one of the most common and safest complementary therapies we can provide holistic nursing care.