parvin aziznejadroshan

Venous catheterization is one of the most common invasive interventions that lead to pain and anxiety in children. This study was conducted with the aim of the effect of aromatherapy of lavender essential oil on pain and anxiety caused by the placement of peripheral venous cannula in school-age children.

A clinical trial on 96 school-age children in the emergency department of Amirkla Children's Hospital, Babol; was selected through available sampling and randomly assigned to the control and aromatherapy groups in a block of four. The level of pain and anxiety was measured immediately, five and ten minutes after the completion of the venipuncture by the evaluator using a Visual analog scale and Observational Scale of Behavioral Distress.

The average pain score of children in the lavender group immediately and five minutes after the insertion of the peripheral venous cannula was not significantly different from the placebo group. But ten minutes after placing the peripheral venous cannula in the lavender group, it was significantly less than the placebo group. Also, the average anxiety score of children in the lavender group was not significantly different from the placebo group.

Only the average pain score ten minutes after placement of peripheral venous cannula in school-aged children in the lavender group was lower than the placebo group. It seems that the effect of aromatherapy will be different depending on the age group, the level of need, and the type of lavender species from which the essential oil is extracted.

Fetal and neonatal health is of particular importance in pregnant women. Secondhand smoke (SHS) can jeopardize the health of the mother, fetus, and neonate. The present study was conducted to determine the relationship between exposure to secondhand smoke during pregnancy and neonatal-related outcomes. This retrospective cohort study was conducted in 2022 on 270 mother-newborn pairs through convenience sampling in two equal groups (n=135), including exposure and non-exposure to SHS at  Rohani Hospital, Babol, Children's Hospital, Amirkola, and Imam Ali Hospital, Amol. In order to collect the data, a checklist including the demographic characteristics, medical variables, questions related to the exposure of mothers to cigarette smoke, the neonatal outcomes questionnaire, and the SNAPPE-II scale were used. Data analysis was performed using STATA statistical software (version 17), and the significance level of all tests was considered less than 0.05. The mean age of mothers was 28.30±5.83 years, and 61% of births were by cesarean section. The SNAPPE-II score was 8.23​±5.29 in the non-exposure group and 20.68±13.53 in the exposure group (P=0.005). The prevalence of neonates with a birth weight of less than 2500gr was higher in mothers exposed to SHS (P=0.033).  Considering confounding variables, the neonates in the non-exposure group were, on average, 1.46 cm taller than those in the exposure group (P=0.005). Exposure to smoking increases the risk of premature birth by 1.65 times (P=0.032).   Exposure of pregnant mothers to SHS is associated with adverse neonatal outcomes. Therefore, it is recommended to train families to avoid exposure to cigarette smoke, especially during pregnancy, and also for health centers to pay special attention to this matter in the care of pregnant mothers.

Nurses who are involved in the caring of COVID-19 patients, are at risk of mental distress. The present study was conducted with the purpose of demonstrating the relationship between stress, anxiety, depression and characteristics of nurses who provide care to COVID-19 patients.

This descriptive cross-sectional study was conducted using the census method from May to June, 2020 on 224 clinical nurses who were working in hospitals affiliated with Babol University of Medical Sciences and were involved in caring for COVID-19 patients. The data collection instruments included the Depression, Anxiety and Stress Scale - 21 items (DASS-21) and the individual characteristic questionnaire. Bivariate and multivariate binary logistic regressions were computed to identify the associated factors.

The mean and the standard deviation for stress, anxiety and depression scores were 9.47±7.30, 9.29±7.51 and 8.84±7.22 respectively. 17.4% had stress, 54% had anxiety and 43% had a degree of depression. There were significant relationships between the nurses’ stress level and characteristics including age (OR =3.009, 95%CI 1.46–6.16, P=0.003), having children (OR=0.26, 95%CI 0.11-0.63, P=0.003), work experience (OR=4.50, 95% CI 2.17-9.96, P=0.000) and employment status (OR=0.39, 95% CI 0.16-0.95, P=0.04). Moreover, along with these characteristics, job satisfaction (OR =3.03, 95%CI 5.64– 1.63, P=0.000), level of physical activities (OR =0.26, 95%CI 0.08–0.82, P=0.02), exercising (OR =2.27, 95%CI 1.31-3.90, P=0.003) and violence in the workplace (OR =0.27, 95%CI 0.12– 0.56, P=0.001) also had significant relationships with the nurses’ anxiety level. Furthermore, the relationships between the nurses’ level of depression and characteristics including age (OR =2.07, 95%CI 1.15 – 3.72, P=0.014), work experience (OR =21.79, 95%CI 1.04 – 3.10, P=0.03), job satisfaction (OR=3.03, 95%CI 1.63–5.64, P=0.000), exercising (OR =1.76, 95%CI 1.02–3.04, P=0.04), having chronic diseases (OR =0.35, 95%CI 0.15–0.81, P=0.014), violence in the workplace (OR =0.39, 95%CI 0.20–0.75, P=0.005) and sleep (OR =1.77, 95%CI 1.00–3.16, P=0.050) were significant.

The authorities should consider a number of the individual characteristics of nurses including age, work experience, gender, marital status, having children, job satisfaction, sleep, violence in the workplace and history of chronic disease in their planning and provide psychological support for them. Psychological support services may be needed for nurses in order to protect and promote their mental

The COVID-19 pandemic put a lot of strain on staff and the health care system. The aim of this study was to determine the stressors in nurses involved in caring for COVID-19 patients in the hospitals of Babol University of Medical Sciences.

This cross-sectional study was conducted on nurses working in the care of COVID-19 patients (Rohani and Yahainejad hospitals) in Babol University of Medical Sciences in 2020. The number of samples was estimated using Cochran's statistical formula was 224 people. Then, the proportion of nurses involved in corona in each hospital, stratified sampling of corona departments was done. Data collection tools were a researcher-made questionnaire. The Stressors Questionnaire in Nurses was in five areas (interpersonal, patient care, physical and environmental, individual and managerial) and the questionnaire was about the demographic characteristics. The collected data were analyzed using SPSS software version 23 and parametric statistical tests of one-way analysis of variance and independent t-test were also performed in the absence of non-parametric Kruskal-Wallis and Mann-Whitney tests.

Physical and environmental stressors with an average of 29±10.12 and the patient care stressors with 13.38±5.02 had the highest and lowest intensities of stress, respectively. The most important stressors in nurses are insufficient support (68.2%), high workload (63.9%), tight work schedule (63.5%), heaviness and discomfort of the nurse with protective clothing and boots (63.3%), lack of nurses (61.5%), lack of suitable space to change protective clothing (60.2%), etc. Nurses' occupational stressors were significantly associated with gender, work experience and type of hospital, physical and environmental stressors with shift work, interpersonal stressors with education and patient care stressors with overtime (P<0/05).

Since physical and environmental factors were recognized as the most source of stressors, with appropriate measures, it is possible to eliminate or correct these factors, to help reduce stress and improve the health of nurses.

 High adherence to antibiotic therapy is essential for complete cure, reduction of treatment costs, and prevention of drug resistance.

 The aim of this study was to evaluate adherence to antibiotic treatment and its associated factors in patients after hospital discharge.

 This was a cross-sectional study. This study was conducted on 313 patients discharged from the hospital on antibiotics from October 6 to December 21, 2020. Demographic information of the participants was obtained at the time of discharge from the hospital, and the Morisky medication adherence scale was completed one week after discharge. Data were analyzed using descriptive statistics and the chi-square test at a significance level of < 0.05.

 The mean age of patients was 44.17 ± 19.51 years, and 95% of them were discharged with only one oral antibiotic. The mean score of drug adherence in this research was 6.45 ± 1.41. Those under 40 years of age had poorer adherence to antibiotic treatment than patients aged over 40 years (P = 0.04). The patients who should have consumed antibiotics thrice a day forgot taking their medications more than others (P = 0.02). The patients who received antibiotics twice a day were less likely to discontinue their medication without informing their physicians (P = 0.03).

 Adherence to antibiotic treatment after hospital discharge is poor among patients. All patients, especially those under 40 years of age and those who should receive medications more often, must be given serious considerations for treatment adherence.

Peers are influential people who can enhance self-efficacy (SE) factors by verbal encouragement and common experience sharing and affect maternal SE in promoting and maintaining breastfeeding (BF). This study aimed to determine the effect of peer education on BF SE among primiparous mothers.

This randomized clinical trial study was conducted on nulliparous mothers with hospitalized neonates in the neonatal ward of Amirkola Children's Hospital, Mazandaran Province, Iran, within May-September 2018. The statistical population of this research (n=120) was selected using the convenience method and randomly divided into two groups of intervention and control (n=60 each). The control group received the usual and standard center's education. However, the mothers in the intervention group received, two one-hour sessions of BF education from peers in addition to the usual training. These peers were qualified and experienced in two years of successful BF. The tools used for data collection were the demographic form and Breastfeeding Self-Efficacy (BE SE) Scale. The BE SE questionnaire was completed at the time of enrollment and the eighth week after primiparous delivery. The collected data were analyzed in SPSS software (version18) using an independent t-test and paired t-test. A p-value of less than 0.05 was considered significant.

The two groups were similar in demographic variables. The mean score of BF SE after the education in the control and intervention groups were obtained as 48.38±7.85 and 60.25±8.32, respectively, which was significant (P<0. 001).

Based on the results, breastfeeding through peer education increased SE in primiparous women. Therefore, it is recommended to adopt it as an appropriate educational method to improve the quality of BF education among mothers with newborns hospitalized in the neonatal ward.

 The birth of a premature infant as a stressful event and severe emotional crisis disrupts the functioning of parents and endangers the physical and mental health of mothers. Muslim mothers tend to recite the Holy Qur’an in such circumstances. Therefore, the aim of this study was to investigate the effect of Qur’an recitation on improving the health status of mother and infant.

 In this review study, by using SID, Magiran, Google Scholar, PubMed and Science Direct databases, the keywords including mother, infant, Qur’an recitation and health in Persian and English were searched in studies published from 2010 to 2020. Out of 243 titles obtained during two stages of review based on inclusion and exclusion criteria including reviewing a) the title and abstract and b) the whole article, 15 articles were finally selected for the current study.

 The articles used in the present study were categorized as clinical trial (11), review (1) and qualitative (3) articles. The focus of the studies was on the effect of reciting Qur'an on various aspects of maternal and preterm infant health. According to the studies, reciting Qur'an for infant stabilized physiological parameters, reduced pain level and facilitated comfort and growth levels of infant. For mother, it declined stress, anxiety, depression and pain, improved physical, mental and psychological characteristics as well as empowered mother to play her role and control stressful life situations.

 Recitation of the Holy Qur’an is suggested as one of the powerful strategies in meeting the health needs and accelerating the improvement of mothers and infants.

 Infants’ discharge from neonatal intensive care unit (NICU) creates high level of anxiety for parents, especially mothers; therefore, some strategies are needed to reduce parental anxiety. The aim of this study was to investigate the effect of home-visit training program on the anxiety of mothers of preterm infants.

In this clinical trial study, 70 mothers whose preterm infants were discharged from the NICU of Ayatollah Rouhani and Amirkola Children's Hospitals in 2018 were divided into intervention and control groups (n=35 in each) based on inclusion criteria. The premature infant care package was presented to the mothers in the intervention group using lectures, practical education, and pamphlets through four sessions held twice a week at their homes. The mothers of both groups completed the State-Trait Anxiety Inventory (STAI) after infants’ discharge and one month after training sessions.

Mean age of mothers was 29.17±6.05 and 29.09±6.56 years in intervention and control groups, respectively. Mean gestational age was 33±2.27 and 32.76±2.92 weeks in intervention and control groups, respectively. The mothers of the two groups did not differ in age and other demographic factors (P>0.05). In the intervention group, the mean anxiety decreased from 88.77± 15.53 before the intervention to 64.02 ±11.9 after the intervention, but in the control group, it enhanced from 80.25±20.33 to 103.05±26.69 the difference was significant (p >0.001). Conclusion It seems that home-visit training program decreases maternal anxiety of preterm infants; it can be used as a supportive care to decrease maternal anxiety.

Adult children of elderly and sick parents face many challenges and may experience the compassion fatigue, which can affect the care process. The aim of this study was to investigate the dimensions and symptoms of compassion fatigue in children who take care of their elderly and sick parents.

In this study, data bases including SID, Magiran, IranMedex, Google Scholar, Elsevier and PubMed were searched for studies published between 2000 and 2019 with the following keywords: Parent, Family Caregivers, Compassion Fatigue, Adult Children and Elderly. By this means, a number of 426 articles were acquired which were reviewed in two stages (first, the title and the abstract and then the whole article) based on the inclusion and exclusion criteria. In the end, 17 articles entered the present study.

The type of articles used in this study were as follows: descriptive-analytical and correlational (7 articles), review (3 articles), qualitative (5 articles) and case study (2). The focus of the studies was on the different aspects of compassion fatigue. According to the reviewed studies, compassion fatigue is often accompanied by the symptoms of anxiety, helplessness, disappointment, insomnia, social isolation, reluctance as well as physical and mental fatigue. Ethical Considerations: Publication of the results is carried out honestly without bias and by citing the original reliable resources and references.

Since fatigue compassion creates various physical, psychological and social dimensions in adult children of elderly and sick parents, Support centers, counselors, and nurses need to consider this in regard to the families of elderly patients in their support program.

Context: 

Pain management is one of the main clinical challenges that health-care jobs encounter with it. The nurses play a pivotal role in providing pediatric pain management.

This study was conducted to determine nurses’ strategies for managing pain in pediatric units in Iran. Settings and Design: This qualitative study was conducted with a content analysis approach at one teaching hospital in Amirkola Children’s Hospital in Babol, Iran.

Data were collected from 16 nurses, using semi-structured interviews during the year 2015–2016. The inclusion criteria were the nurses with at least 3 years of work experience in children’s departments. Sampling was purposeful with maximum variation. Immediately after each interview and recording, the content was transcribed using Word software. Interviews were individually conducted in the hospital nurses restroom. Statistical Analysis Used: Data analyzed by conventional content analysis method simultaneously data collection based on five steps of Granheim and Lundman. To ensure the accuracy and reliability of data were used according to Lincoln and Guba’s criteria.

The data analysis showed that the main them was nurses’ undeveloped clinical judgment. The contents included sixth subthemes such as “incomplete investigation of the presence and severity of real pain,” “priority to pain pharmacological actions,” “inadequate understanding of nurse to the time and lack of analgesics,” “nurse’s inadequate attention to the conditions of the use of nonpharmacological and pharmacological interventions,” “inappropriate assignment of nonpharmacological pain to the mother,” and “incomplete evaluation and record of pain relief.”

Nurses use the strategy of underdeveloped clinical judgment to manage pain in pediatric units. Due to this determined fact, it is necessary to design a practical model for improving the clinical judgment of nurses in pediatric pain management.

Several factors contribute to the effectiveness of phototherapy. The aim of this study was to compare the effect of kangaroo mother care (KMC) and field massage on bilirubin level of term neonates with hyperbilirubinemia under phototherapy in the neonatal ward.

This double-blind clinical trial was performed on 90 term neonates aged 48 hours with hyperbilirubinemia, hospitalized in Fereydunkenar Hospital during 2018-2019. The infants were randomly divided into 3 groups of massage with phototherapy, KMC with phototherapy and control (received conventional phototherapy without KMC and massage). The massage group used field technique for three 15-minutes in 3 days and the KMC group received KMC for five 30 minutes in 3 days as well. In three groups, the serum bilirubin levels were compared at baseline, 24, 48, 72 hours after the onset and at the end of phototherapy. Moreover, the mean duration of phototherapy and hospitalization was compared during the treatment.

Serum bilirubin levels at baseline in the control, field massage and KMC groups were (17±1.38, 17.01±1.46 and 16.97±1.27mg/dl) and at the end of phototherapy were (6.97±0.47, 5.56±0.48 and 5.91±0.52 mg/dl) respectively. There was a significant difference between the intervention and control groups (p<0.001). The mean duration of phototherapy and hospitalization had no significant difference between two intervention groups (p>0.001), but it was significantly higher in control group than intervention groups (p<0.001).

The use of massage or KMC with phototherapy, compared to the phototherapy alone, can reduce the bilirubin level, phototherapy duration and hospital stay.

Depression is the most common psychological problem in patients with chronic renal failure, which has a negative effect on the outcome of treatment and life quality. The aim of this study was to compare the symptoms of depression in patients referring to the Kidney Transplant Unit of Babol Shahid Beheshti Hospital before transplantation, at discharge and three months after transplantation.
This descriptive analytical study was conducted on 51 patients receiving renal transplant from November 2014 to February 2015 in Babol Shahid Beheshti Hospital. The non-random sampling method was used. Data were collected using demographic questionnaire and Beck Depression Inventory distributed in three stages. Descriptive and inferential statistics and SPSS18 were used to analyze the data. P=0.05 was considered significant level.
Before, at and three months after renal transplantation, 70.6%, 56.9% and 52.9% of the patients had mild to very severe depression, respectively. Mean scores of depression were 19.25 ± 11.99, 14.78 ± 11.45 and 12.82 ± 9.96 before transplantation, at discharge and three months after transplantation, respectively. Paired t-test showed a significant difference between the mean scores of depression before transplantation and at discharge after transplantation (P=0.006), before and three months after kidney transplantation (P = 0.000). There was no significant difference between the time of discharge and three months after transplantation (P=0.135). In addition, no significant difference was found between the scores of depression with gender, marital status, education, occupation and income (p = 0.391).
The results indicated a lower incidence of depression in kidney transplanted patients. It is recommended that the patients awaiting transplantation and subsequently their depression status should be intermittently examined and drug or non-drug treatment should be designated for these patients based on the results.

Context: Children's pain in hospital settings has not yet been managed well. Although nurses play an important role in pain management, its extent is limited with respect to clinical nurses in Iran.
Aims: This study was conducted to explore the experience of nurse's barriers to pain management in pediatric units. Settings and Design: This qualitative study was conducted at two teaching hospitals in Amirkola Children's Hospital in Babol and Children's Medical Centers in Tehran, Iran. Data were collected from 19 nurses, using unstructured and deep interviews during 2014–2015.
Material and Sampling was purposeful with maximum variation. Data analyzed by conventional content analysis method simultaneously data collection based on five steps of Granheim and Lundman (2004). To ensure about the accuracy and reliability of data, four criteria namely credibility, confirmability, dependability, and transferability, were used according to Lincoln and Guba's criteria. Before the interviews, participants were ensured about the confidentiality of their information and voluntarily nature of the study. In addition, written informed consents of the nurses were obtained.
Data analysis extracted five themes of barriers to pain management, including: Inappropriate organizational structure, interruption in pain relief activities, inadequate competency of the nurses, individual characteristics of child and parents, and inefficacy of companions. These themes indicated the barriers to pediatric pain management based on research conditions and experience of nurses in the pediatric ward.
Therefore, modification of organizational structure, elimination of causes of delay in pain relief measures, promotion of nursing competencies, paying attention to child and parent's characteristics, and improvement of companion's effectiveness should be prioritized to achieve an optimal pain management

Accurate and complete documentation of nursing records is one of the preconditions of the evidence-based cares and is considered as one of the most important professional tasks in nursing. The aim of the present study was to audit the nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani hospital, Babol.
In this cross-sectional study, 100 nursing reports were randomly selected from the neonatal intensive care unit. Data were collected by a researcher using a checklist which was developed in accordance with the standard and indicators of nursing documentation in national and international reliable sources and then compared after determining the content validity and reliability (observer's agreement coefficient). Data were analyzed using SPSS20, and statistical methods of Man-Whitney and Kruskal-Wallis were used at a significant level of p The quality of 93%, 1% and 6% of nursing records was good, moderate and poor, respectively. Overall, the quality of nursing records was desirable in terms of content and structure and there was no significant difference in nursing documentation record in dimensions of structure and content according to overtime (P=0.92 and P=0.11), work experience (P=0.61 and P=0.16) and age group (P=0.09 and P=0.76).
The quality of nursing records in neonatal intensive care unit of Ayatollah Rouhani Hospital of Babol has been improved according to the Accreditation of Health Care Centers. In addition, the increase of nurse's knowledge about legal and professional issues has also been effective on improving the quality of the documentation.

BackgroundThe absence of pain relief in infants can lead to harmful effects; so, this study aimed to investigate the effect of local heat on the pain of vitamin K injection in the infants.
Materials and MethodsThis randomized clinical trial was conducted on 80 healthy infants. For the control group, 1 mg vitamin K was injected into the vastus lateralis muscle by a nurse. In the 3 intervention groups, respectively 5, 10 and 15 minutes before the injection, hot-water bag at 37 °C was placed on the quadriceps muscle and then injection was done with the same condition as in the control group. Immediately after the injection, the Neonatal Infant Pain Scale (NIPS) was completed. Data analysis was done using SPSS version 21.0 software.
Results41(51.25%) girls and 39 (48.75%) boys were participated. First-minute Apgar of all samples were 8.64±0.557. Birth weight was 3335.37±339.51 grams and the minimum gestational age 36.37±1.01 weeks. The mean pain score in the first minute in the control group was 3.6± 2.136, which was 3.3± 1.976 in the 5-minute warm-up group, and this amount was reached to 1.6± 1.569 in 10-minute warm up group, and 0.6± 0.821 in 15 minute warm-up group (P=0.008). The mean pain scores in the control group for the second minute was 1.0±1.835, which was reduced to 0.25± 0.716 in the 10-minute and 15-minute warm-up group (P=0.023).
ConclusionLocal heating before the injection procedure can be effective in reducing pain in infants and the pain will reduce by increasing the local heating time (15 minutes).