فصلنامه پرستاری، مامایی و پیراپزشکی
سال هفتم شماره 3 (زمستان 1400)

Today, disorders such as depression, stress and anxiety they are the most common diseases of the century. Health system employees are exposed to risk factors for depression and stress due to work characteristics such as lack of independence of employees in performing tasks and high work demands. The aim of this study was to determine the Prevalence of depression, stress and anxiety and its relationship with demographic characteristics in the staff of comprehensive health service centers in Gorgan, 2021.

In this cross-sectional study, the statistical population included all employees of comprehensive health service centers in Gorgan in 1400 that 192 people were selected by stratified random sampling. Two questionnaires were used to collect data: Demographic Information Questionnaire and Stress, Depression, Anxiety Scale (DASS-21). Data were analyzed by SPSS-23 software.

The prevalence of depression (59.9%) was relatively high and in terms of the prevalence of stress and anxiety, 96.9% and 88% of employees had no disorders, respectively. Only a significant relationship was observed between employees' education and depression (P=0.01). In terms of depression in individuals with undergraduate and graduate education (P=0.003), there was a significant relationship between master's and doctorate (P=0.003). There was no significant relationship between any of the demographic and contextual variables with stress and anxiety.

The prevalence of depression in the population of comprehensive health service centers was relatively high and depression was related to the level of education, so that with increasing the level of education, the rate of depression decreased

Many people who undergo surgery will experience a degree of anxiety and pain, and the vital signs of people will fluctuate due to anxiety due to their surgery, which may disorder the patient's recovery process. This study was carried out with the aim of determine the effect of white noise on anxiety, pain and hemodynamic indices in patient's candidates for open heart surgery.

This study was a quasi-experimental study and was performed in Kashani Hospital in Shahrekord in 2018-2019. In those 44 patients who were hospitalized in intensive heart care, with a simple random procedure was selected and divided into two groups that consisted of 22 control group and 22 test group. Data were collected based on patient profile checklist, Spielberger Anxiety Inventory with a numerical scale of 20 to 80 and pain assessment checklist, sphygmomanometer, thermometer, standard cardiac pulse oximetry. Data were analyzed using SPSS 18 software and one-way chi-square covariance and Fisher's exact test.

blood pressure, pulse and pain in the intervention group were significantly less than control groups. Also, the differences observed were not statistically significant, even though the volume of oxygen was greater after intervention in the intervention group than the control group. The average number of anxiety scores of patients after intervention decreased significantly.

White noise can reduce anxiety, blood pressure and pain in patients, which can be used as a simple and inexpensive supplement to care for patients.

Cardiopulmonary resuscitation is one of the most important hospitals procedures to save patients' lives, and it is very important removing conditions that disrupt its process. Presence of family patient during resuscitation (FPDR) can be a negative or positive factor in the performance of the resuscitation team. In various studies, contradictory results have been obtained from the presence of the family during resuscitation.

In this descriptive-analytical study, 294 nurses from 3 teaching hospitals in Sanandaj were entered in the study. The samples were selected as available and the demographic information questionnaire and a special questionnaire to examine the nurses' views on the presence of the family during resuscitation with two parts of the harms (12 questions) and the benefits of their presence (8 questions) were given to them by the researcher. After completing them, the data were analyzed by SPSSv.20 software.

Most Nurses Disagree with Family presence about ”family interfering in resuscitation” and " difficulty in deciding team leader to off resuscitation that patient is death" and also about benefits, The most  factor that agreed upon by nurses is " family Ensuring that everything can be done for their patient by the resuscitation team, is done"

According to the nurses' views, since the presence of the  family during resuscitation has more harmful rather than its benefits, therefore, a decision must be made in medical centers, especially hospitals, to prevent the presence of the patient's family in the resuscitation room

The quality of services provided in the field of health has a special place. Since the health of any society depends on the health of women, especially pregnant mothers, and the provision of quality services can greatly reduce maternal and infant mortality, so this study aims to examine the views of pregnant mothers on the quality of pregnancy care the presentation was based on the SERVQUAL model in Ardabil health centers.

The present study was a descriptive study in which 300 pregnant mothers referred to health centers in Ardabil in the period of March 2016 to May 1400 were studied. Sampling was done in several stages. The data collection tool consisted of a two-part questionnaire: the first part included demographic information and the second part included the standard SERVQUAL questionnaire. To achieve the results, the data were statistically analyzed using SPSS-18 software and descriptive statistical tests and independent t-test.

There was a negative gap in all aspects of the quality of services provided and the highest gap was reported in the empathy dimension (-2.51) and the smallest gap in the guarantee dimension (-1.12).

The results of the study showed that the expectations of service recipients from their perception was higher than the quality of services received. Therefore, the cooperation of managers and policy makers in the field of health in order to meet these needs and improve the quality of services provided is essential.

Caring for patients with tracheostomy requires high self-efficacy and self-confidence. Since post-discharge training methods do not seem to be sufficient in this field, the present study was conducted to detemine the effect of training with participatory approach on coping self-efficacy and self-confidence of patients with tracheostomy

This research is a quasi-experimental study of two groups before and after. The study sample consisted of 76 caregivers of patients with tracheostomy who were available in the study and were randomly divided into two groups of 38 patients. A questionnaire was used in three sections of demographic, coping self-efficacy and self-confidence. The intervention group was trained in a participatory manner and the control group received conventional training during hospital discharge. The questionnaires were completed again after six weeks and the data were analyzed by SPSS software version 22.

The results showed that in the control group, there was no statistically significant difference in the mean score of self-efficacy before and after training, but in the experimental group, after training, this mean was significantly higher than the score before training (P = 0.0001). The self-esteem score was significantly different in the control and test groups. (P=0/048). In the experimental group, the mean score of self-confidence before and after training was significantly different (P = 0.0001).

Considering that the mean scores of self-efficacy and self-confidence were significantly increased due to participatory training, so it is recommended to use this method in training caregivers of patients with tracheostomy.

Episiotomy is the most common operation in obstetrics. Perineal pain is the main complication of the episiotomy. Postoperative pain reduces patient satisfaction, increases the need for analgesia and alters patient’s vital signs. Hence, considering the importance of pain relief, this study was conducted to determine the effect of transcutaneous electrical nerve stimulation (TENS) on the vital signs and the pain severity post-episiotomy.

This randomized clinical trial was performed on 120 primiparous women referred to Sanandaj Besat Hospital in 2018. Patients were randomly divided into three groups: intervention (TENS-On), placebo (TENS-Off), and control groups. TENS electrodes were located in the genitofemoral and pudendal nerves. The pain severity was assessed using NRS in four times (before intervention, 30, 60 and 120 minutes after intervention), in resting, sitting and activity positions. Vital signs were assessed with a monitoring device in two times (before and afterintervention). Data were collected and analyzed using SPSS software version 20.

  In placebo and control groups, there was no significant difference in pain score. A significant difference was observed in mean pain severity for the intervention group with walking activities (P = 0/04) and resting position (P=0/008). Mean systolic blood pressure (p=0/008) and respiration rate (p=0/015) were significantly different between groups.

TENS decreases the post-episiotomy pain and improve the blood pressure and respiration rate in women which can be the indicator of their relaxation and decreasing stress

Low back pain is one of the most common pains that about 80% of people experience in their lifetime. Millions of dollars are spent annually on the treatment of chronic low back pain, so proper and timely treatment is essential. This study aimed to determine the effect of McKenzie-based and Pneumatic Lumbar Unloading Orthosis on pain and disability in patients with chronic low back pain.

In this clinical trial, 27 patients with chronic low back pain who referred to the clinic of Shahid Adabian in Kermanshah in 2018 were included in the study by convenience sampling method and were randomly assigned to one of the study groups, which included the McKenzie-based group with Pneumatic Lumbar Unloading Orthosis, the McKenzie-based group, and the control group.

In both McKenzie-based and McKenzie-based groups with Pneumatic Lumbar Unloading Orthosis, pain and disability were significantly reduced. Although the intervention in the McKenzie-based group receiving Pneumatic Lumbar Unloading Orthosis resulted in a further reduction in pain and disability compared to the McKenzie-based group, the difference between the two groups in terms of pain relief was statistically significant (P< 0.05) but it was not significant in terms of the reduction of disability.

The Pneumatic Lumbar Unloading Orthosis with McKenzie-based reduced the pain and disability of people with chronic low back pain more effectively, so the simultaneous use of these therapeutic interventions in these people is recommended.

Nursing students usually experience incivility in the clinical environment and in relation to nurses. The aim of this study was to determine the incivility of staff nurses towards baccalaureate nursing students of Hamadan University of Medical Sciences.

In this descriptive-analytical cross-sectional study, 330 undergraduate Nursing students of Hamadan University of Medical Sciences were enrolled in the census method in 2021. To collect information, a two-part questionnaire was used, the first part of which included demographic characteristics and the second part was the Iranian version of Uncivil Behavior in Clinical Nursing Education tool. Data analysis was performed by SPSS software version 24 and t-test and analysis of variance.

Based on the results, in general, the mean of non-civility behaviors was 11.76±10.60. There was a statistically significant difference between the mean scores of incivility behaviors towards students with age, academic semester, internship department and grade point average (P<0.05).

Based on the findings, students reported the most incivil behaviors of nurses in the dimension of deprivation behaviors such as being ignored and not being allowed to participate in care decisions, which shows the difference between the actual and expected views of nursing students about Support and respect in the clinical setting.