golamreza bazmandegan

Labor pain is the most unbearable pain and can be relieved by painless delivery. This study aimed at investigating the effect of intrathecal sufentanil on some labor parameters in primiparous women.

In this clinical trial study, 126 primiparous women, who were candidates for vaginal delivery in Niknafs Hospital of Rafsanjan, were enrolled based on the table of random numbers in two intervention and control groups equally. The intervention group received 0.1 µg/kg sufentanil in the L5-S1 space, and the control group did not receive painless delivery. Then, the length of the first stage of labor, pain score, perineal laceration, frequency of cesarean section, mother's satisfaction, Apgar of neonate, delivery with vacuum, and need for analgesic in postpartum period were investigated. To compare numeric variables, two-way repeated measures analysis of variance (ANOVA), and to compare the categorical variables chi-square test were used.

The average length of the first stage of labor in the intervention and control groups were 141.33±58.43 and 278.61±140.81 minutes, respectively, and the difference was statistically significant (p<0.001). In the intervention group, average pain score, perineal laceration, cases leading to caesarean section, and the frequency of need for analgesic in postpartum were significantly less than the control group (p<0.05).

Painless delivery with saddle block and sufentanil drug reduced length of the first stage of delivery and pain score. Also it improved other delivery parameters, so it is recommended for painless delivery.

The professional quality of life (ProQOL) and occupational burnout are two central factors related to nurses' job performance. Nurses' job performance might be affected by work stress and compassion. In the present study, the association of ProQOL of nurses with burnout, depression, anxiety, and stress was investigated.

In this descriptive study, 282 nurses were invited to help with the survey. Demographics Scale, Maslach Burnout Questionnaire, Depression, Anxiety and Stress Scale (DASS-21), and ProQOL Questionnaire were used to collect the data.

Most participants have an average degree of compassion satisfaction (CS) (63.2%) and compassion fatigue (CF) (57.1%). Also, most nurses had low scores for occupational burnout (39.3%). A significant negative correlation was found between CS with CF (p < 0.001). Occupational burnout (p = 0.019), anxiety (p = 0.015), and depression (p < 0.008) subscales had a significant negative correlation with CS. There was a significant correlation between the CF and subscales of occupational burnout, anxiety, stress, and depression (p < 0.001). The CF predicted 18% of variance in CS (R2 = 18%) (p < 0.001). The CS, depression, and occupational burnout predicted 25% of variance in CF (R2 = 25%) (p < 0.001).

In this study, the CS, depression, and occupational burnout were important variables affecting the level of CF. Healthcare service leaders and nurse managers should make efforts promoting emotional wellbeing among nurses. Therefore, future studies need to pay more attention to the CF and its associated factors.