فهرست مطالب علی عزیزی قادیکلایی

Enoxaparin using in cardiac patients to prevent the development, of coronary artery bypass grafting. The pain of the injection location is an unfavorable result subcutaneous injection of enoxaparin, causes patient discomfort. The aim of this study was to evaluate the effect of lavender oil on pain and comfort in cardiac patients after injection of enoxaparin.

This clinical trial study was performed on 50 heart patients in Shahid Beheshti Hospital in Kashan. For collected information used a researcher-made checklist including two parts: demographic, pain scale and comfort. Patients were specified to intervention and control groups, rate of pain and comfort were measured immediately and 5 minutes after two intermittence injections with VAS visual scale. Data by using software SPSS version 16 and Statistical tests including t-test and chi-square were analyzed.

Findings showed that the two groups not differ significantly in demographic characteristics. In the intervention group in the second injection, the patient's pain was decreased immediately (P < 0.001) and 5 minutes (P < 0.001) after the first injection, also comfort level of the patients in the intervention group was significantly higher than the control group (P < 0.001).

Lavender oil has a significant effect on the pain decreasing and increasing the level comfort of patients taking enoxaparin, so it can be used to relieve pain and increase the level comfort of patients taking enoxaparin.

Nursing profession faces a shortage of human resources due to increasing demand for health services. However hard working and some special problems in nursing increased intention to leave in nursing. Therefore, one of the most important challenges in the healthcare system is having employees with a strong commitment to the organization. This research conducted to determine organizational commitment and related factors among novice nurses.
This was an analytical, descriptive, cross-sectional study conducted on March to May 2018. Research samples consisted of 600 novice nurses who were selected through quota consensus sampling from 26 hospitals affiliated to Guilan University of Medical Sciences. Data were collected using tools including personal work-related characteristics, the workplace incivility (Cortina, 2001), the workplace bullying behaviors (Escartín, 2010), the negative affectivity (Price, 2001), the positive affectivity (Price, 2001), the promotional chance (Price, 2001) and the organizational commitment (Price, 2001) that were completed by novice nurses. Data analysis was carried out using Spearman’s rho, Mann-Whitney, Kruskal-Wallis, and Stepwise (LR) multiple logistic regression.
The mean score of organizational commitment was 3.14 ± 0.66 (range: 1-5). The results of linear regression indicated that workplace incivility (OR= 0.70, C.I.95%= 0.55-0.89, P= 0.004), negative affectivity (OR= 0.75, C.I.95%= 0.59-0.97, P= 0.030), positive affectivity (OR = 1.33, C.I.95% = 1.01-1.74, P= 0.038), promotional chance (OR = 3.41, C.I.95% = 2.33-5.00, P˂ 0.001), satisfaction with the salary (OR = 2.65, C.I.95% = 1.62-4.31, P˂ 0.001) and interest in the nursing profession (OR= 2.19, C.I.95%= 1.32-3.62, P= 0.002) could significantly predict nurse’s organizational commitment.
According to the results of this study, nursing managers can increase organizational commitment in novice nurses by increasing their chances of promotion, improving nurse’s affections, eliminating mistreatments and increasing nurses' salaries.