Journal of Holistic Nursing and Midwifery
Volume:21 Issue: 2, 2012

Cardiovascular disease is one of the leading major causes of death in the world. Coronary angiography is the most important routine diagnostic procedure for coronary artery disease. The aim of this study is to assess the effect of bed-rest duration time and sandbag time on hematoma and hemorrhage after coronary angiography. This study is a randomized clinical trial. Patients undergoing nonemergency angiography via the femoral artery are randomly assigned into intervention (65 patients) or control group (65patients). The patients in the intervention group are allowed to be out of bed after 4 hours. The sand bags are taken off two hours later. The patients in the control group received routine care. Hematoma and hemorrhage were measured at regular intervals after the procedure. In intervention group bleeding occurred in one patient in four hour and one patient immediately after coming to ward in control group. In intervention group hematoma occurred in one patient in two hour and in control group one patient in one and two hours and two patients in four hours. The Chi square test showed no statistically significant difference between groups. This study showed no relationship between increased chance of hematoma and hemorrhage and bed-rest for four hours and sandbag applied for two hours in patients undergoing angiography.

Adolescence is an important period of cognitive occupancy with body image because in addition to sexual attraction، body also experiences appearance changes. This study aims to determine the satisfaction with body image female adolescents in high school in Rasht city in 2010. This is a cross sectional descriptive study on 450 high school females in Rasht city chosen by random cluster sampling in the 2010. Data were collected using Multidimensional Body-Self Relations Questionnaire-Appearance scale)MBSRQ-AS) including four domains: appearance evaluation)AE)، appearance orientation (AO)، body areas satisfaction (BASS)، overweight preoccupation (OWPREOC) was completed and data were analyzed using SPSS software version 16، and descriptive statistics were used for data analysis. Mean satisfaction with body image in domains of appearance orientation (49. 2±4. 85) appearance evaluation (23. 75±3. 82) and body areas satisfaction (36. 31±6. 33) were high and in overweight preoccupation domain (17. 27±4. 82) was low. Female adolescents in high school of Rasht city، beside appearance orientation were satisfied with body image in appearance evaluation، body areas satisfaction and overweight preoccupation domains.

Nurses are the largest care delivering group. They have to judge in clinical setting and by team work detect and solve patients’ problem in nursing function domains. Collaboration in decision making helps this function. Present study aims to determine the level of nurses’ collaboration in clinical decision making employed in educational health care centers in Rasht city. The population of this cross sectional study was nurses’ employed in educational health care centers in Rasht city and 193 nurses were chosen by stratified random sampling. They took part in this study by filling a two part questionnaire containing demographic data، and collaboration in raising the issue and clarifying the problem in clinical decision making. Data was analyzed by descriptive and inferential statistics such as c2 and Fisher exact test. Data was analyzed using SPSS version16. In the view of most nurses; their collaboration in clarifying the problem in clinical decision was satisfactory. Factors such as long working experience، high level of education and managerial role can help increase nurses’ collaboration in raising the issue and clarifying the problem in clinical decision making.

Burnout is a specific kind of occupational stress among human service profession like nursing. It is characterized by feeling emotional exhaustion، depersonalization and reduced personal accomplishment. The purpose of this study was to examine the Level of burnout in nurses and its related factors in Medical Educational Hospitals in Rasht in 1389. In this descriptive correlational study، samples were chosen by random classification. Sample consisted of 257 nurses from eight medical educational hospitals. Instrument used was the standard Maslach burnout inventory. T- test، chi-square test، exact fisher test and logistic regression were used for data analysis. Emotional exhaustion was low in (%51. 4) and it was moderate to high in (%48. 6)، depersonalization was low in (%94. 2) and it was moderate to high in (%5/8)، reduced accomplishment was low in %33/9 and it was moderate to high in (%66. 1). There was positive correlation between dialysis unit and depersonalization and a negative correlation was shown between age and depersonalization. Findings indicated that nursing managers can increase organizational support and prevent nursing burnout to make high level of nursing care and job satisfaction.

In recent years attention to elderly is progressing rapidly in countries. Special attention to their mental and physical need is necessary. Loneliness may occur in all age groups، but this is more a problem peculiar to the elderly. Loneliness is a complex concept، specially affecting the psychosocial well-being of the elderly. The feelings of loneliness have serious consequence on the health of older adults. The purpose of the study was to determine loneliness and general health of members of the elderly pensioners association of Gilan University of Medical Science in Rasht. This study was a descriptive– correlational research. Sampling performed، through easy sampling method. 100 members of pensioners association from both gender (female and male) took part in the study. Data collection instrument was a questionnaire consisted of three parts. Part one was about demographic data، part two about loneliness that was measured by the UCLA loneliness scale، and part three was general health status with 28 questions. Data were analyzed by descriptive-analytical methods، using SPSS 16. In this study it was found that married elderly people (p<0. 02) who were satisfied with living area (p<0. 045) felt less lonely than others. According to the results of this study the elderly who defined their general health status as good felt less lonely (p<0. 00). It was demonstrated that loneliness is an important factor decreasing general health and therefore، early identification of loneliness may help maintain the general health of older adults. Health care professionals should be alert to the association of loneliness and adverse health outcomes.

Low birth weight is considered one of the world''s most serious health problems that put tremendous pressure on health care system and family. Maternal lifestyle during pregnancy among maternal factors associated with low weight has the most important role on birth weight. This research is a Cross-sectional study. Subjects included 83 mothers who referred to the health-care centers and had underweight infants (2500 gram or less). Questionnaires were completed from maternal health records and organized interview with mothers. Research results showed that significant relationship between type of treatment and low birth weight (p<0/008). Among the problems of pregnancy، having nausea and vomiting were most associated with low birth weight (p<0/027). In attention to maternal factors associated to infant low birth weight، the role of health care personnel in increasing public awareness regarding paying more attention to pregnant women during pregnancy is important in prevention of low birth weight in infants.

Bowel feeding is an effective and safe method for patients who are admitted to intensive care wards but despite its many benefits has side effects such as respiratory aspiration. Pneumonia caused by aspiration is responsible for 15-20% of hospital infections، 24% increase in length of hospitalization، and 39% increase of expenses. It is one of the ten reasons of death in USA that can be prevented by appropriate method of feeding.

This study aims to determine the chance of respiratory aspiration in intermittent bolus tube feeding in patients admitted to ICU and trauma wards.

In this quasi- experimental study 36 patients admitted to ICU and trauma wards were fed by intermittent tube bolus method، for 3 days. Each time 150-300cc food liquid was administered for 7 times a day every 3 hours to patients with a 60 cc syringe in 10-15 minutes. In order to measure the respiratory aspiration، 0. 5 cc methylen blue 1% was added to 500 cc of each meal. In case of patient''s need for suction، when the blue color of methylen blue was observed in patients secretion they appeared to have respiratory aspiration.

Data analysis showed that respiratory aspiration occurrence in bolus method was 5. 6%.

According to results، it is obvious that bolus method as mentioned in texts is still the standard method and risk of respiratory aspiration decreases if it is used properly.