Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Effectsofprogressivemusclerelaxationtechniqueonfatigueandsleepquality in patientswithmultiplesclerosis
5
14
FA
Shams-ol-molok
Jalal manesh
Islamic Azad University, Unit of Tehran. Tehran, Iran
sh.jalalmanesh@yahoo.com
Y
fateme
zargarani
Islamic Azad University, Unit of Tehran. Tehran, Iran
fatemezargarani@yahoo.com
N
Background:Fatigue and sleep disorders are experienced by most patients with Multiple Sclerosis (MS). Since these problems can interfere with a patient's daily functioning, this research examined the effects of Progressive Muscle Relaxation Technique (PMRT) on fatigue and sleep quality in patients with MS.
Methods:This quasi-experimental study adopted a pretest-posttest single group design. A total of 67 individuals with MS received a PMRT intervention for seven weeks. A demographic questionnaire, a PMRT form, the Fatigue Severity Scale (FSS), and the Pittsburgh Sleep Quality Index were used to collect data. Descriptive statistics, Wilcoxon test, and Spearman’s correlation analysis were used to analyze the data.
Result:The mean FSS scores were 5.25± 0.13 before the intervention 4.37 ± 0.13 after the intervention. Moreover, the mean sleep quality scores decreased from 8.34± 0.446 in pretest to 5.18± 0.345 in posttest (P < 0.001).
Conclusion:This study supported the beneficial effects of PMRT on reducing fatigue and improving sleep quality in patients with MS.
Fatigue , MultipleSclerosis,Muscle Relaxation,SleepDisorders
http://nmj.umsha.ac.ir/article-1-1395-en.html
http://nmj.umsha.ac.ir/article-1-1395-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
The effect of the peers’ support on self efficacy level type II diabetic patients
15
26
FA
kobra
Rashidi
School of Nursing Boroujerd, Lorestan University of Medical Sciences
krashidi2010@yahoo.com
Y
Mahboobeh
Safavi
Department of Nursing and Midwifery, Islamic Azad University of Medical Sciences
msafavi@iautmu.ac.ir
N
Syed Hussain
Yahyavi
Department of Nursing and Midwifery, Islamic Azad University of Medical Sciences
hyahyavi@iautmu.ac.ir
N
Hojatolah
Farahani
Department of Nursing and Midwifery, Islamic Azad University of Medical Sciences
hfarahani@iautmu.ac.ir
N
Abstract Background: Diabetes is one of the most common and most costly chronic diseases Treatment and prevention of diabetes, largely dependent on the patient;#39s sense of self-efficacy for self-management and adherence to self-care behaviors.. This study was conducted to evaluate the effect of peer on knowledge level in type II diabetic patients. Materials and Methods: In this clinical trial study convenient sample of 80 patients who suffer from diabetes was divided randomly into two equal groups, experimental and control. Peers held ten training -supportive sessions for experimental group during three following months. A valid and reliable (Content validity and Retest) questionnaire DMSES was used for data collection, which interview with the researcher was completed by both of the groups before, and three months after the test. Finally, data analyzed through Chi-square, paired T, and independent T tests. Results: Chi-square test results showed no significant difference between experiment and control groups in demographic characteristics (p<0.05).The results of independent T test did not show any significant difference between self efficacy scores of experimental and control group before intervention (p=0.1). While a statistically significant difference was observed after intervention between the scores of two groups (p<0.001). Paired t test showed a statistically significant difference in self efficacy level in experimental group after intervention (p<0.001). Whereas the same test showed no statistically significant difference in control groups (p =0.001). Conclusion: The finding of this study showed that for completing the formal sanitary caregivers Performance of support peers’ support within the community, Can be used as a method of support - educational effective and affordable, in order to improve the level of self efficacy and self-management behaviors of patients. Key words: type II diabetes, peers’ support, self efficacy level
diabetes mellitus type2, self care, self efficacy,peer group
http://nmj.umsha.ac.ir/article-1-1262-en.html
http://nmj.umsha.ac.ir/article-1-1262-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Correlation of demographic characteristic with learning organization in intensive care units nurses of Therapeutic and Educational Centers of Hamadan University of Medical Sciences
27
39
FA
Ali
Bikmoradi
Hamadan University of Medical Sciences
bikmoradi@umsha.ac.ir
N
Javad
faradmal
Hamadan University of Medical Sciences
javad.faradmal@umsha.ac.ir
N
Yousef
Torabi
Hamadan University of Medical Sciences
torabi@yahoo.com
Y
Background: Understanding the relationships between demographic variables and learning organization is crucial to promoting the quality of educational and therapeutic services. The current study assessed the correlations between nurses' demographic variables and learning organization in intensive care units of teaching hospitals in Hamadan, Iran.
Methods: This descriptive cross-sectional study was conducted in 2014. The 30-item Dimensions of the Learning Organization Questionnaire (DLOQ) was distributed among 277 critical care nurses in teaching hospitals of Hamadan. The collected data were analyzed using Pearson’s correlation coefficients and analysis of variance in SPSS/18.
Result: The mean age of the nurses was 32.0 ± 5.56 years. Most nurses were female (83.4%) and married (67.7%). The majority of the participants had a work experience of ≤10 years (71.47%) and held a Bachelor’s degree (97.8%). The mean total score of learning organization was 128.3 ± 29.18. The subjects obtained moderate scores in continuous learning, inquiry and dialogue, team learning, embedded systems, empowerment, systems connection, and strategic leadership dimensions of the DLOQ (24.46±5.04, 18.72±4.68, 16.81±4.97, 18.9±4.59, 16.93±5.09, 16.34±5.15, and 18.1±5.2, respectively). Moreover, while learning organization had no significant correlations with age, sex, work experience in intensive care units, and employment condition, it was significantly related with marital status, overall work experience, intensive care units, and teaching hospitals.
Conclusion: Moderate scores of learning organization are not appropriate for intensive care units. Therefore, managers of teaching hospitals should develop strategies to improve learning organization scores and promote nursing care quality in intensive care units.
Knowledge Management , Intensive Care Units , Nurses
http://nmj.umsha.ac.ir/article-1-1418-en.html
http://nmj.umsha.ac.ir/article-1-1418-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Assessment of intensive care unit nurses’ knowledge, attitude, and practice of physical restraint use
40
49
FA
S. Z.
Saeidi
Y
M.
Khatiban
mahnaz.khatiban@gmail.com
N
A.
Khazaei
N
A. R.
Soltanian
a sultanian@yahoo.com
N
F.
Rahimi Bashar
Fr_rahimibashar@yahoo.com
N
Background:The use of physical restraints is a major challenge in all healthcare systems throughout the world. The presentstudy aimed to investigate the knowledge, attitude, and performance of intensive care unit nurses toward the use of physical restraints and to determine the factors affecting the mentioned variables.
Methods:In this descriptive-analytical research, the study population included nurses working in intensive care units of teaching hospitals in Hamadan, Iran. Questionnaires containing demographic characteristics and knowledge, attitude, and self-report practice of physical restraint usage were developed to collect data. Descriptive and inferential statistics were used to analyze the data in SPSS/16.
Result:Most nurses were female (81.7%), aged 31-40 years (58.5%), and held a Bachelor’s degree in nursing (90.0%). Moreover, 87.8% of the participants had an experience of physical restraint use and facing its complications. The nurses’ mean scores of knowledge, attitude, and practice were 6.65 ± 1.73 (out of 13), 26.32 ± 4.94 (out of 52), and 20.79 ± 4.17 (out of 30). Knowledge and attitude were significantly related with education and practice. Furthermore, significant positive relationships were observed between of gender and practice and also practice and attending an educational course.
Conclusion:Nurses did not show acceptable levels of knowledge, attitude, and practice of physical restraint use. Therefore, nurse education programs need to pay more attention to the significant issue of physical restraint usage.
Background:The use of physical restraints is a major challenge in all healthcare systems throughout the world. The presentstudy aimed to investigate the knowledge, attitude, and performance of intensive care unit nurses toward the use of physical restraints and to determine the factors affecting the mentioned variables.
Methods:In this descriptive-analytical research, the study population included nurses working in intensive care units of teaching hospitals in Hamadan, Iran. Questionnaires containing demographic characteristics and knowledge, attitude, and self-report practice of physical restraint usage were developed to collect data. Descriptive and inferential statistics were used to analyze the data in SPSS/16.
Result:Most nurses were female (81.7%), aged 31-40 years (58.5%), and held a Bachelor’s degree in nursing (90.0%). Moreover, 87.8% of the participants had an experience of physical restraint use and facing its complications. The nurses’ mean scores of knowledge, attitude, and practice were 6.65 ± 1.73 (out of 13), 26.32 ± 4.94 (out of 52), and 20.79 ± 4.17 (out of 30). Knowledge and attitude were significantly related with education and practice. Furthermore, significant positive relationships were observed between of gender and practice and also practice and attending an educational course.
Conclusion:Nurses did not show acceptable levels of knowledge, attitude, and practice of physical restraint use. Therefore, nurse education programs need to pay more attention to the significant issue of physical restraint usage.
Intensive Care Units ,Knowledge ,Nurses, Restraint,Physical
http://nmj.umsha.ac.ir/article-1-1416-en.html
http://nmj.umsha.ac.ir/article-1-1416-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Comparison of clustered care with four and five procedures on behavioral responses of preterm infants: A randomized crossover clinical trial
50
61
FA
Leila
Valizadeh
Valizadehl@tbzmed.ac.ir
N
Marziyeh
Avazeh
M.avazeh@yahoo.com
Y
Nasib
Babaei
Nasib.babaei@yahoo.com
N
Mohammad
Asghari Jafarabadi
M.asghari862@gmail.com
N
Mohammad Bagher
Hosseini
Hosseini_mb@yahoo.com
N
Nikk
Conneman
n.conneman@erasmusmc.nl
N
Background: High levels of stress caused by various medical procedures can affect developmental outcomes in preterm infants. Therefore, clustered care and direct observation of infant behaviors during care provision have been emphasized. The present study aimed to compare the behavioral responses of preterm infants to clustered care with four and five noninvasive procedures.
Methods: This randomized crossover clinical trial was performed in Al-Zahra Teaching Hospital (Tabriz, Iran) during 2013. The behavioral symptoms of 31 preterm 32-week old infants were assessed following the administration of clustered care with four procedures (taking axillary temperature, changing the location of the pulse oximeter probe, gavage, and position change) and five procedures (the four mentioned procedures plus weighing). Data were analyzed with generalized linear mixed models and negative binomial link function in STATA 10. P values less than 0.05 were considered significant.
Result: The mean scores of behavioral symptoms indicating stability during clustered care with four and five procedures were 4.23 ± 2.33 and 4.03 ± 3.67, respectively. The mean scores of behavioral symptoms indicating stress during clustered care with four and five procedures were 4.03 ± 3.01 and 3.29 ± 2.67, respectively. There were no significant differences between the two groups before, during, or after the two interventions (P > 0.05).
Conclusion: Clustered care with four and five noninvasive procedures led to behavioral symptoms indicative of acceptable stability in infants. Therefore, both care methods could be equally recommended for preterm infants.
InfantBehavior, InfantCare , Infant, Premature
http://nmj.umsha.ac.ir/article-1-1319-en.html
http://nmj.umsha.ac.ir/article-1-1319-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Evaluation of factors affecting emergency department length of stay
62
71
FA
a.khazaei91@yahoo.com
N
mahnaz.khatiban@gmail.com
Y
saedi@umsa.ac.ir
N
N
kimiaeimd@yahoo.com
N
soltaian@umsha.ac.ir
N
rasoulsl@yahoo.com
N
Background: The mean emergency department length of stay is an important indicator of the effectiveness of health services. It can be affected by several patient-related factors including gender, age, time of visit, main complaint, and allocated triage level. This study evaluated the relationships between these factors and emergency department length of stay.
Methods: The present descriptive-analytical study applied convenience sampling to recruit 408 adult patients who presented at the emergency department of Besat Hospital (Hamadan, Iran) during a three-month period in 2013. A chronometer was used to measure the time interval between the patients’ presentation at the emergency department and their discharge (i.e. length of stay in the emergency department) through direct observation. The determined values were recorded in a relevant form. The Emergency Severity Index (ESI) form was also completed by triage nurses in charge. Analysis of variance (ANOVA), Kruskal-Wallis and independent-t tests, were performed to analyze the data. All analyses were conducted in SPSS/16 at a confidence interval of 95%.
Result: The mean emergency department length of stay was 133.26±41.91 minutes. There were no significant relationships between length of stay and the patients’ gender (P=0.52), referral type (P=0.14), and history of hospitalization (P=0.80). However, length of stay was significantly related with the patients’ age, time of admission, and main complaint (P<0.001).
Conclusion: Considering the role of patients’ age, time of visit, main complaint, and level of triage in determining emergency department length of stay, these factors should be incorporated as indicators of effectiveness of healthcare centers.
Emergencies , Length of Stay , Patients , Triage
http://nmj.umsha.ac.ir/article-1-1387-en.html
http://nmj.umsha.ac.ir/article-1-1387-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
Effects of counseling on adherence to exclusive breastfeeding in mothers of hospitalized late preterm infants inFatemieh hospital, Hamadan, Iran, 2014
72
81
FA
Zahra
Masoumi
Hamadan University of Medical Sciences
zahra.masoomi@ umsha.ac.ir
N
shiler
ahmadi
ahmadi.sh64@gmail.com
N
Parisa
Parsa
Hamadan University of Medical Sciences
Pparsa2003@yahoo.com
Y
Ghodrtolleh
Roshanaei
Hamadan University of Medical Sciences
gh.roshanaei@umsha.ac.ir
N
Behnaz
Basiri
Hamadan University of Medical Sciences
B.basiri@umsha.ac.ir
N
Background: The exclusive breastfeeding effects on growth and weight gain in infants. This study evaluated the effects of counseling on adherence to exclusive breastfeeding inmothers of late -preterm infants.
Methods: This randomized experimental study was recruited 124 mothers of hospitalized late preterm infants in Fatemiyeh Hospital (Hamadan, Iran) during 2014. The participants were randomly allocated to the intervention and control groups. A checklist on lactation performance was completed by both groups. Five daily counseling sessions on lactation were then held for the intervention group. All analyses were performed in SPSS/21 at a significance level of P<0.05.
Result: The mean age of mothers was 27.13 ± 0.527 years in the intervention group and 27.19 ± 0.596 years in the control group. While 86 infants (69.4%) were born at 33-35 weeks of gestation, and 38 infants (30.6%) were born at 35 weeks to 36 weeks and six days of gestation. In the one-month follow-up, the two groups had a significant difference in terms of adherence to exclusive breastfeeding, i.e. frequency of breastfeeding and avoiding the use of formula, liquids other than breast milk, and supplements and lactation performance (P < 0.001). Moreover, the infants’ mean weight was 2818.62 ± 588.54 and 2422.58 ± 607.175 g in the intervention and control groups, respectively (P<0.001).
Conclusion: According to our findings, breastfeeding-related counseling mothers can increase mothers’ adherence to exclusive breastfeeding, improve their lactation performance, and enhance weight gain in their late preterm infants. Therefore, lactation counseling sessionsare recommended for mothers of all preterm infants.
BreastFeeding , Counseling ,Infant,Premature
http://nmj.umsha.ac.ir/article-1-1432-en.html
http://nmj.umsha.ac.ir/article-1-1432-en.pdf
Hamadan University of Medical Sciences
Avicenna Journal of Nursing and Midwifery Care
2676-5748
2676-5748
23
3
2015
12
1
The effect of pre-discharge education and telephone follow-up on illness perception and lifestyle in patients with myocardial infarction
82
91
FA
narges
faraji
tehran univercity tehran univercity of medical science
nargesfaraji114@yahoo.com
N
shahzad
Pashaeypoor
tehran univercity tehran univercity of medical science science
pashaeypoor.sh@gmail.com
N
reza
negarandeh
tehran univercity of medical science ity of medical science ity of medical science
negarandeh@gmail.com
Y
Abstract
Background: Lifestyle modification is an integral component of secondary prevention of cardiovascular diseases. Lifestyle is greatly influenced by the perception of disease. This study sought to evaluate the effects of pre-discharge education and telephone follow-up on illness perception and lifestyle in patients with myocardial infarction (MI).
Methods: This non randomized controlled trial was performed in Imam Khomeini Hospital, Broujerd, Iran during 2014. Convenience sampling was applied to select 70 hospitalized patients with MI (35 patients in the intervention group and 35 in the control group). A demographic and disease characteristics questionnaire, the Brief Illness Perception Questionnaire (IPQ), and a lifestyle questionnaire were administered to collect data. Data analysis was conducted using descriptive and inferential statistics (independent t, paired t, chi-square, and Fisher’s exact tests) in SPSS/16. P values less than 0.05 were considered significant.
Result: In pre-test, the two groups had no significant difference in the mean score of illness perception (P=0.528). However, the mean score of lifestyle was significantly higher in the intervention group than in the control group (P=0.018). In the post-test, the two groups had significant differences in both illness perception (P=0.04) and lifestyle (P=0.01). Comparison of the mean differences between pre- and post-test scores revealed statistically significant differences in illness perception (P=0.018). In contrast, no significant difference was observed in case of lifestyle (P=0.826).
Conclusion: According to our findings, pre-discharge education and telephone follow-up can correct illness perception in patients with MI. However, it seems that lifestyle changes will require long-term interventions.
Follow-up Studies ,Life Style ,Myocardial Infarction , Patient Education
http://nmj.umsha.ac.ir/article-1-1414-en.html
http://nmj.umsha.ac.ir/article-1-1414-en.pdf