فهرست مطالب

Modern Care Journal
Volume:13 Issue: 4, Oct 2016

  • تاریخ انتشار: 1395/10/01
  • تعداد عناوین: 8
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  • Kobra Soheilipour, Zahra Farajzadeh * Page 1
    Background
    Evaluating the clinical competence of nurses plays a significant role in managing the care process and determining their educational needs. This study aimed to evaluate the clinical competence of junior nursing staff in Valiasr hospital of Birjand based on self-assessment.
    Methods
    In this descriptive analytical study, all nurses working in Valiasr hospital of Birjand (90 nurses), who qualified with the inclusion criteria, participated. The data collection tool included 2 questionnaires, which consisted of demographic information and clinical competence of nursing (CIRN) that were completed by nurses. Data were analyzed using SPSS 15 statistical software, independent t-tests, One-way ANOVA, Tukey range follow-up, U Mann-Whitney test, as well as Kruskal-Wallis and Friedman tests.
    Results
    The mean score of clinical competence in the nurses was 2.98 ± 0.50. The highest mean was related to the ethical and legal activities component (3.18 ± 0.56) and the lowest mean was devoted to the professional development component (2.89 ± 0.63). The mean score of nurse's clinical competence in general and its components in terms of gender, marital status, age, work experience, location of work, type of employment, and overtime hours was not significantly different (P > 0.05), however, the mean score of clinical competence in interpersonal relationships component for nurses with 2 - 3 years of work experience was significantly higher than nurses with more than 3 years of work experience (P
    Conclusions
    According to the results, reviewing the curricula for improving clinical competence of nurses and applying new educational methods for junior nurses by nursing managers are recommended.
    Keywords: Clinical Competence, Nursing Staff Hospital, Self, Assessment
  • Maryam Kazemi Naeini, Morteza Hajhosseini, Hamid Abbasi, Ghodratollah Roshanaei * Page 2
    Objectives
    The Internet is a global system that is increasingly used by the public, especially university students, as a useful tool to access information sources. The aim of this study was to investigate the relationship between Internet addiction and general health in students of Hamadan University of Medical Sciences, during year 2015.
    Methods
    This cross-sectional study was conducted on 650 students of Hamadan University of Medical Sciences, west of Iran, during year 2015. The participants were volunteers and were selected by stratified sampling. The data collection tool was the Young internet addiction test and general health questionnaire (GHQ28). Data was analyzed by logistic regression and analysis of variance methods.
    Results
    Mean age of students was 22 ± 4.01 years old. The mean score of Internet addiction was 77.08 ± 17.24 and mean score of general health was 59.38 ± 9.54. Analysis of variance method showed that the score of all general health aspects (except social functioning) was increased significantly in the addicted group in comparison with normal and suspected groups (all Ps
    Keywords: Internet Addiction, General Health, Medical Students
  • Ali Taghipour, Mohammad Reza Miri, Mahdieh Sepahibaghan *, Mohammad Vahedian-Shahroodi, Elahe Lael-Monfared, Sakineh Gerayloo Page 3
    Background And Aim
    Adolescence is among the most critical periods of growth and development. In this period, the quality of nutrition goes down with age. Thus, it is really important to pay special attention to adolescents’ nutritional status. This study aimed at identifying the predictors of eating behaviors among high-school students based on the theory of planned behavior.
    Methods
    This descriptive-analytic study was conducted in 2013 - 2014 in Birjand, Iran, on 457 female students. Participants were selected through two-stage cluster random sampling. A three-part instrument was used for data collection. The instrument contained items on participants’ demographic characteristics, TPB constructs (namely attitude, subjective norms, perceived behavioral control, and behavioral intention), and eating behaviors. The data were analyzed by employing SPSS software (v. 16) and through conducting Pearson correlation and multiple linear regression analyses at the significance level of less than 0.05.
    Results
    The constructs of the Theory of Planned Behavior predicted 53.8% and 30% of the variances of behavioral intention and eating behaviors, respectively. The strongest and the weakest predictors of behavioral intention were perceived behavioral control (P
    Conclusions
    The findings of the present study suggest that the Theory of Planned Behavior can successfully predict students’ behavioral intention and eating behaviors. The power of the theory in predicting intention is greater than its power in predicting behavior. All constructs of the theory were significant predictors of behavioral intention and therefore, all these constructs need to be taken into account when developing interventions.
    Keywords: Theory of Planned Behavior, Eating Behaviors, Students
  • Ghodsiyeh Azarkar, Tayebeh Zeinali, Gholamreza Sharifzadeh, Farshid Abedi, Morteza Hajihosseini, Masood Ziaee * Page 4
    Background
    Fatty liver is one of the most common liver diseases across the world. Fatty Liver is characterized by deposition of fat in liver cells. Therefore, the aim of this study was to determine the prevalence of fatty liver and some related factors in Birjand, Iran.
    Methods
    This was a cross sectional study and was performed on 520 individuals in Birjand, Iran. Ultrasonography, cholesterol (CHOL), low density cholesterol (LDL), high density cholesterol (HDL), triglyceride (TG), fasting blood sugar (FBS), and tests of liver enzymes were performed. Results were analyzed using SPSS version16 software by Mann-Whitney, chi-square (Fischer exact test) and Kruskal-wallis with significance level of α = 0.05.
    Results
    The mean age of participants was 41.6 ±13.7 (15 - 70). Males made up most of the subjects. Prevalence of fatty liver was estimated as 47.5% in Birjand. Results showed that fatty liver was associated with age, education, and marital status. People with primary education had a higher prevalence of fatty liver. Also, with elevated grade of fatty liver, ammonium aminotransferase (ALT) level had a significant increase (34.89 ± 29.3).
    Conclusions
    Several factors were associated with fatty liver that should be considered effectively. Also, increased awareness of the general population about non-alcoholic fatty liver is recommended.
    Keywords: Fatty Liver, Prevalence, Non, Alcoholic Fatty Liver Disease
  • Moosa Abbaspour *, Seyed Saeid Mazloomy, Gholamreza Sharifzadeh, Effat Javadifar, Mozhgan Kardan Page 5
    Background
    Pregnancy and delivery are among the leading causes of mortality, morbidity, and disability worldwide. This study aimed to analyze the effectiveness of an educational intervention based on the health belief model in preventing high-risk behaviors among pregnant women.
    Methods
    This randomized controlled field trial was done in 2015 on 88 pregnant women who referred to two main healthcare centers in Sarbisheh, Iran. Women were purposively recruited and randomly allocated to an intervention and a control group. For data collection, a questionnaire was developed based on the components of the health belief model. Participants completed the questionnaire both before and three months after the intervention. Women in the intervention group were offered three educational and counseling sessions on high-risk pregnancies, prenatal care, and high-risk behaviors during pregnancy. The SPSS software (v. 22) was used to analyze the data by running the Wilcoxon, the Mann-Whitney U, and the Chi-square tests.
    Results
    The age mean values in the intervention and the control groups were 27.66 ± 5.30 and 26.6 ± 5.33, respectively (P = 0.2). At baseline, groups did not differ significantly from each other regarding the mean scores of knowledge, health belief model components, and behavior (P > 0.05). However, three months after the intervention, the scores of knowledge, health belief model components, and behaviors were significantly better in the intervention group than in the control group (P
    Conclusions
    Health education programs based on the health belief model can effectively prevent high-risk behaviors among pregnant women.
    Keywords: Health Belief Model, High, Risk Pregnancy, Education
  • Esmat Taleghani, Fatemeh Abdoli *, Ali Ravari, Seyyed Alireza Saadatjoo Page 6
    Background And Aim
    Sleep disorder is one of the most prevalent health problems among elderly people. Regular physical exercise can promote calmness. The current study aimed at comparing the effects of morning and evening walks on nighttime sleep quality among elderly people.
    Methods
    The current 2-group randomized, crossover trial was conducted on 50 eligible elderly people. Participants were randomly assigned to morning-evening and evening-morning walk groups. In the first phase of the study, cases in the groups went on morning and evening walks, respectively, for 4 weeks. After a 4-week washout period and in the second phase of the study, cases in the groups went on 4-week evening and morning walks, respectively. Sleep quality was measured using the Pittsburg sleep quality index (PSQI) at 4 assessment time points, namely before the intervention, immediately after the first intervention, immediately after the washout period (i e, immediately before the second intervention), and immediately after the second intervention. The SPSS software version 18.0 was employed to analyze the data by the paired- and the independent-samples t tests and the intergroup repeated-measures analysis of variance (ANOVA). Significance level for all statistical tests was 0.05.
    Results
    At both baseline assessments (i e, before the first and the second interventions), groups did not differ significantly regarding the mean scores of sleep quality (P >0.05).However, after both morning and evening walks, the mean score of sleep quality decreased significantly compared with the baseline readings (P
    Conclusions
    The findings of the current study showed that morning and evening walks similarly improved sleep quality. Thus, elderly people can be recommended to include walking exercise in their daily schedule in order to improve their sleep quality.
    Keywords: Morning Walk, Evening Walk, Elderly People, Sleep Quality
  • Zahra Abootorabi, Maliheh Poorgholami, Mohammad Yahya Hanafi-Bojd, Reyhane Hoshyar * Page 7
    Recently, synthesis of gold nanoparticles (AuNPs) is the subject of a lot of studies due to various applications in medicine, agriculture, and industry. The development of non-toxic and safe methods such as green chemistry to produce AuNPs is obviously recommended. In the current study, 2 antioxidant rich herbs of barberry and saffron stigma were applied as reducing agents for the 1-pot synthesis of size-controlled AuNPs. These AuNPs were characterized through ultraviolet-visible spectrophotometry (UV-vis), transmission electron microscopy (TEM), and X-ray diffraction (XRD) techniques. Optimal temperature and pH for the biosynthesis of AuNPs conjugated with herbs were 50°C and 7.5, respectively. XRD and TEM results authorized AuNPs production in 5 - 15 nm for barberry and 5 - 10 nm for saffron and confirmed the stability, sphericity, and uniformity for both the nanoparticles.
    Keywords: AuNPs, Barberry, Saffron, Antioxidan
  • Toba Kazemi, Marjan Farzad*, Seyedalireza Javadinia Page 8
    Introduction
    Although cardiac glycosides toxicity is common in patients taking these kinds of drugs, poisoning occurs rarely in healthy individuals. This case report describes a one-month duration of mistaken consumption of digoxin tablets in a patient that referred to the hospital with gastrointestinal poisoning manifestations.
    Case Presentation
    The case was a 75-year-old female with a history of hypertension, hyperthyroidism, and digestive problems with common symptoms of gastrointestinal toxicity, nausea, and vomiting; mild digoxin toxicity was found rather than a simple gastrointestinal poisoning based on further investigations.
    Conclusions
    Careful examination and EKG evaluation are essential to exclude drug toxicity in all patients referring to the hospital with gastrointestinal symptoms.
    Keywords: Digoxin, Medication, Drug Use Error