فهرست مطالب

Journal of Research Development in Nursing and Midwifery
Volume:14 Issue: 2, Autumn Winter 2017

  • تاریخ انتشار: 1396/08/22
  • تعداد عناوین: 9
|
  • Shohreh Ayoubi, Nabi Bostan * Pages 1-9
    Background
    Pregnancy and postnatal period are associated with significant psychological and physiological changes, which might sometimes induce pathological variations, as well. This study aimed to evaluate the effect of physiologic delivery education on mental health of pregnant women.
    Methods
    This clinical trial was conducted on 50 pregnant women, who were referred to three healthcare centers and Motazedi Hospital of Kermanshah, Iran, in 2015. The samples were selected through simple random sampling and divided into two groups of intervention and control. The intervention group received eight 90-minute sessions, whereas no intervention was administered to the control group. The data collection tools consisted of a demographics form and Goldberg’s General Health Questionnaire (GHQ-28), which were filled out by the participants in a pretest-posttest design. Data analysis was performed in SPSS, version 20, using analysis of covariance.
    Results
    Given the difference in mean scores of the intervention and control groups before (23.6) and after (20.55) the intervention, it could be concluded that reduction of three scores after the training sessions was indicative of improved mental health of the participants. Thus, physiologic delivery education could enhance mental health of pregnant women (P
    Conclusion
    Physiologic delivery education improved mental health in pregnant women.
    Keywords: Physiologic delivery education, Mental health, Pregnant women
  • Elham Khoori, Katayoun Jalaliaria * Pages 10-20
    Background
    Youths and adolescents are considered as valuable assets of any society. The preservation and promotion of health in this population is an issue of significant importance from the social and economic dimensions. Globalization has resulted in the emergence of several health risks for this age set. Sexual curiosity and sexual experiences are some of these dangers, which can cause irreparable damages if neglected. Regarding this, the present narrative review was conducted to identify the guidelines from different parts of the world for the preservation and promotion of sexual and fertility health among the Iranian adolescents and youths. The integration of these strategies can provide appropriate solutions conforming to the Iranian culture.
    Methods
    This narrative review was conducted on the articles and sources published within 1958-2015. The search was performed using the valid international databases, including Pubmed, Google Scholar, Google, WHO, ProQuest, and the Persian databases, such as Iranmedex and SID. In addition, we performed library research to obtain the papers investigating the issue of interest. The keywords used during the searching process entailed: “Reproduction Health”, “Youth”, “Adolescents”, and “Sexual Health”. In this review, out of 85 evaluated sources, 53 articles, books, thesis, and websites were selected.
    Results
    As the reviewed studies indicated, the lack of knowledge, an unclear horizon of the future, and inaccessibility to reproductive health services threaten the health of the youths and adolescents. Therefore, the provision of sex education by parents, schools, or peers can have a significant impact on the promotion of sexual health in this population. Moreover, screening and identifying the adolescents and youths at risk and educating the necessary skills to this age set can prevent the occurrence of high-risk sexual behaviors. Similar to other countries but with a lower prevalence rate, there are some problems in sexual and fertility health of the youths and adolescents in Iran. Therefore, it is recommended to teach the sexual health promotion techniques to this population according to their religion and culture.
    Keywords: Adolescents, Fertility health, Sexual health, Youth
  • Maryam Mansoor Bostani, Ali Akbar Abdollahi *, Ganbar Rouhi, Navisa Sadat Seyedghasem, Millad Mansoor Bostani, Farnaz Abdollahi Pages 21-26
    Background
    School age is a sensitive period in the child growth. Backpack weight has an important impact on physical growth and neuromuscular development of the children. Regarding this, the present study was conducted to determine the ratio of backpack weight to body weight and investigate its relationship with some factors among the elementary school students of Gorgan, Iran, within 2013-14.
    Methods
    This cross-sectional descriptive-analytical study was conducted on 258 elementary school students of Gorgan, Iran, in academic year of 2013-14. The participants were selected via stratified random sampling. The data were collected using a digital scale, a meter, and a checklist. The body weight and height of the students were measured once in the presence of the researcher. Data analysis was performed using the Mann-Whitney, Kruskal-Wallis, and analysis of variance through the SPSS version 16.
    Results
    According to the results, 57.4% of the participants were female. Regarding the bag type, the backpack and other types of bags, such as file-box, had the highest (89.5%) and lowest (0.8%) frequencies, respectively. The mean ratio of students’ bag weight to their body weight was 9.4±3.78. Furthermore, the ratio of bag weight to body weight had a significant difference (P
    Conclusion
    Although this study indicates that the ratio of bag weight to students’ body weight is in the standard limit, but neck pain was common, and this issue could be considered and taught in school schedules by managers of educational settings.
    Keywords: Body weight, Elementary schools, Gorgan, School bag, Students
  • Shirin Madadkar Dehkordi *, Mehdi Basiri Moghadam Pages 27-33
    Background
    Dialysis adequacy is one of the determining factors for survival in elderly patients. Improving the dialysis adequacy highly affects the remission and prognosis of old dialysis patients. Current study was conducted to evaluate the effects of Jacobson relaxation technique on dialysis adequacy in elderly people, who are under dialysis treatment.
    Methods
    This is a clinical trial performed on 80 hemodialysis patients in two hemodialysis centers of Gonabad and Yazd, Iran, in 2013. The patients were selected through purposive sampling method, and randomly assigned into the two groups of control (n=40) and intervention (n=40). The participants in intervention group were provided by three sessions of relaxation training, and were asked to perform the relaxation daily for six weeks, while the control group just received the routine cares. Afterwards, the adequacy of dialysis was compared between the two groups. The data was collected using the demographic information, and the dialysis adequacy was calculated by KT/V equation.
    Results
    A significant statistical difference was found between groups regarding the mean difference of dialysis adequacy in pre- and post-intervention (P
    Conclusion
    Training and performing the relaxation method lead to an improved dialysis adequacy in elderly patients under hemodialysis.
    Keywords: Dialysis adequacy, Hemodialysis, Jacobson relaxation, Old patients
  • Mahdi Heidarzadeh, Masoumeh Agh Amohammadi * Pages 34-44
    Background
    The investigation of spiritual growth and its dimensions in the diabetic patients can help these individuals adjust to the stressful event of this disease. Regarding this, the present study aimed to explore the spiritual growth and its dimensions in the patients with type II diabetes mellitus.
    Methods
    This qualitative study was conducted on the adult patients with a history of at least one year of type II diabetes mellitus, who referred to the Diabetes Clinic of the Imam Khomeini Hospital in Ardabil, Iran, using an interpretive phenomenological approach. The sampling was performed using the purposive sampling and the data was collected through semi-structured interview. Each interview was transcribed verbatim and analyzed based on the Van Manen’s method.
    Results
    The data analysis led to the emergence of 237 codes, 3 main themes, and 7 subthemes. The basic themes included tendency to spirituality, God-centeredness, and moral growth.
    Conclusion
    As the findings of this study indicated, the diabetic patients had turned to spirituality more than ever and used it as a powerful tool to cope with their disease. The emerging new categories highlighted the new aspects of diabetes consequences that can help develop the concept of spirituality in the nursing science, and also have clinical applications in this discipline. The care providers can take advantage of these findings to enhance the patients’ spiritual growth and improve their compliance with the stressful events of diabetes.
    Keywords: Diabetes mellitus, Phenomenology, Spirituality, Spiritual growth
  • Rezaali Mohamadpour, Nasser Behnampour, Fateme Abdollahi, Amenesadat Sheykholeslami *, Zahra Mehrbakhsh, Somaie Barzanuni Pages 45-50
    Background
    Breast milk is the most suitable nutrition for the neonates. Breast milk and breastfeeding duration can contribute to decreased mortality rate, intestinal bleeding, and various neonatal diseases (e.g., digestive and respiratory diseases). It can also reduce the risk of diabetes and obesity in childhood and adulthood. Therefore, the estimation of breastfeeding duration and recognition of the effective factors in this regard can lead to designing and implementing appropriate programs, which can provide the foundations for the modification of breastfeeding behavior.
    Methods
    This survival study was conducted on 501 mothers with healthy and single birth neonates born within March 21, 2011-September 21, 2012 with active medical records in Aqqala city, Golestan province, Iran, in the second half of 2014. The data were collected from the information registered at the archives of health centers by in-person visiting. In addition, some of the information was collected through phone contacts. The duration of breastfeeding was estimated in month. Data analysis was carried out using the Cox regression in the STATA software, version 11.
    Results
    According to the results, the mean and median of breastfeeding were 20.44 and 22 months, respectively. According to the Cox regression, maternal ethnicity, living with family, birth spacing, type of milk consumed along with complementary nutrition, and type of neonatal nutrition during the hospital stay of the infant had a significant relationship with the early cessation of breastfeeding.
    Conclusion
    Based on the findings of the present study and the identified factors affecting the breastfeeding duration, it seems necessary to provide the essential trainings for the young mothers and pregnant women to avoid of reducing the duration of breastfeeding. These educations can be included in the programs of the Health centers of the universities and urban and rural medical clinics.
    Keywords: Cox regression, Duration of breastfeeding, Effective factors, Survival analysis
  • Mohammad Moradi *, Reza Zeighami, Hossein Tuzandeh Jani, Mahmud Alipur Pages 51-56
    Background
    A headache is the most common post-traumatic complaint in patients. Nurses can help to relieve the pain and to improve the quality of the care through non-pharmacological methods. The aim of this study was to determine the effect of pressure on Hugo point on the severity of a headache after head injury.
    Methods
    In this clinical trial, 60 patients were randomly divided into two intervention and control groups after accessible sampling. At first, the severity of a headache was measured by Visual Analogue Scale. In experimental group, the pressure was applied to Hugo point for 2 minutes followed by rest for 2 minutes; this procedure was repeated for 7 times. During this period, the control group received only routine care. The patient's pain scores were measured again after the intervention. Data analysis was performed using SPSS v.20 software.
    Results
    There was a significant difference between the scores of pain in the experimental group before and after the intervention (P
    Conclusion
    Considering the ease of performing and the safety of this method, it is suggested to be used as an effective method to reduce the headache in patients.
    Keywords: Hugo point, acupressure, headache
  • Sharareh Zeighami Mohammadi *, Parvin Farmani, Esmat Danesh Pages 57-64
    Background

    Identify factors affecting medication adherence is effective in the planning of patient care, education and follow-up of heart failure patients. This study aimed to investigate the correlation between type D personality and medication adherence in patients with systolic heart failure was performed.

    Methods

    This was a descriptive -correlational study . 100 patients with systolic heart failure at least one year experience of developing heart failure and ejection fraction below 40% admitted to hospital Alborz Social Security of Karaj and the Social Security Hospital of Shahriar in 2013 using convenience sampling were entered into the study. Demographic data and type-D personality questionnaire, medication adherence scale in patients with heart failure, was completed by interview. Data was analyzed by SPSS software version 18 and using descriptive statistics and coefficient Pearson correlation.

    Results

    75% of total systolic heart failure patients had type D personality. The %65 of total patients was poor medical adherence. There was a significant negative moderate correlation between Type D personality and medical adherence (p

    Conclusion

    Patients with systolic heart failure with type D personality had lower drug adherence. Screening of type D personality in patients with heart failure and referral for counseling and appropriate treatment can help to enhance medication adherence of heart failure patients.

    Keywords: Systolic heart failure_Medication adherence_Type D personality
  • Zahra Royani, Ghanbar Roohi, Zahra Sabzi, Hamideh Mancheri, Einollah Mollaei * Pages 65-71
    Background
    Fatigue is among the most common complications for hemodialysis patients. The theory of unpleasant symptoms is associated with fatigue in hemodialysis patients. According to this theory, fatigue has three physical, mental and situational factors. Considering this theory, we aimed to determine some factors related to fatigue in hemodialysis patients.
    Methods
    In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
    Results
    The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P
    Conclusion
    Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
    Keywords: fatigue, anxiety, depression, hemodialysis