نشریه پرستاری و مامایی ارومیه
سال هجدهم شماره 11 (پیاپی 136، بهمن 1399)

One of the most important issues in the health care system is the observance of patient safety indicators, especially in special sections.  In this regard, the evaluation of patient safety assessment in intensive care wards is an important issue. This study aimed to evaluate the patient safety assessment indicators in the intensive care wards of private hospitals and educational hospitals of Ahvaz University of Medical Sciences in 2019.

The present study was descriptive-comparative. The statistical population included all nurses in the morning, evening and night shifts in the intensive care units of private hospitals and educational hospitals of Ahvaz University of Medical Sciences. 230 nurses were examined by targeted census. To collect research data, the standard questionnaire of patient safety indicators was used. After collecting data, the research data were analyzed using statistical tests of Mann-Whitneychr('39')s U-analysis in SPSS software.

The results showed that there was a significant difference between the mean index of drug measures, nursing care, patient injury during care, patient identification, patient decline, patient-to-patient training, diagnostic-therapeutic methods, infection control, and blood transfusion. in the intensive care wards of private hospitals and educational hospitals of Ahvaz University of Medical Sciences.

Patient safety assessment indicators in the intensive care wards of educational hospitals of Ahvaz University of Medical Sciences are better observed compared to private hospitals.

Evidence-based practice, as a new paradigm for healthcare practice and medical education, has become a core competence for the new century healthcare professionals and thereby, it is now possible for healthcare professionals to easily retrieve, critically appraise, and apply evidence from primary and secondary quantitative research. However, despite the increasing growth of qualitative research in the field of healthcare and the importance of the use of evidence from qualitative research in clinical decision-making and practice, the retrieval, appraisal, and application of qualitative evidence have been neglected in the principles of evidence-based practice. This editorial briefly introduces the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework as an alternative to the PICO (Population/Problem, Intervention/Exposure, Comparison/Control, Outcome) framework for systematic retrieval of qualitative evidence.

Diabetes mellitus is one of the most common metabolic disorders worldwide, and a lack of proper management can result in serious consequences for patients. Adherence to treatment can have a significant effect in preventing the consequences. This study was carried out to determine the effect of family-centered education on treatment adherence in patients with type 1 diabetes mellitus (T1DM).

This randomized controlled trial was conducted in Urmia Diabetes Association in 2019. Sixty patients with T1DM were selected using convenience sampling and were randomly allocated into intervention (n=30) and control (n=30) groups. Demographic Questionnaire and Modanloo Adherence to Treatment Questionnaire (MATQ) were used to collect data. The patients in the control group only received the routine educations of the Urmia Diabetes Association. However, the patients in the intervention group received these routine educations along with 12 family-centered educational sessions. Data were analyzed with SPSS software ver. 20, using descriptive and inferential statistics.

There was a significant difference between the mean score for treatment adherence of the two groups after the intervention (p<0.001). The mean score of treatment adherence significantly increased in the intervention group after family-centered education.

Family-centered education can positively affect adherence to treatment in patients. Hence, educating and empowering patients with T1DM and their families can significantly reduce the negative consequences of disease and medical costs, and it also improves their quality of life.

Iran has been one of the countries hardest hit by the health crisis caused by the COVID-19 pandemic. The pandemic of this disease has put considerable physical and emotional on frontline healthcare workers that can impair the quality of services provided to patients. Therefore, this study aimed to investigate the effect of caring for COVID 19 patients on productivity and burnout of nurses.

The present study is a descriptive-analytical cross-sectional study that was conducted in 1399 in Farhikhtegan Hospital in Tehran. 120 nurses with at least six months of experience, no use of psychotropic drugs in the past year and no managerial position were selected by available sampling method. Data was collected using the Maslach Burnout Questionnaire and Hersey and Goldsmith Human Resources Productivity Questionnaire and they were analyzed using descriptive statistics, one-way analysis of variance, Pearson correlation test, and independent t-test and SPSS version 22.

productivity in nurses caring for COVID 19 patients (61.11± 9.7) was less than productivity of other nurses (79.7± 7.7) and Job burnout in nurses caring for COVID 19 patients (66.07± 13.13) was more than Job burnout of other nurses (45.7± 11.07). There was meaningful difference in nurseschr('39') productivity in caring conditions for COVID19 patients. There was meaningful inverse relationship between burnout and employee productivity (r = -0.58) and (P < 0.001).

Caring for COVID 19 patients reduces the productivity and increases the burnout of nurses. Managers need to adopt the supportive, encouragement, and training interventions to increase the productivity and job burnout of nurses in health crisis.

 Menstrual distress and menstrual irregularities are dimensions of menstrual disorders that have a significant impact on women's life. The aim of this study was to investigate the relationship between menstrual distress and its dimensions with menstrual patterns in female students in Sardasht, 2019.

 The present study was a descriptive-analytical cross-sectional study. Participants were 393 female students of Sardasht universities, who were enrolled in the study. After obtaining informed consent, participants completed a checklist for demographic and menstrual characteristics and a menstrual distress questionnaire (MDQ). Data were analyzed using descriptive statistics, ANOVA and t-test with SPSS software (version 16). (P=0/05)

 The mean age of participants was 23 ± 4.08 years. 75.5% of participants had normal menstrual duration, 73.5% had normal menstrual blood volume, and 89.4% had.normal interval between two menstrual cycles. Examination of menstrual distress score showed that the majority of participants (50.6%) had mild menstrual distress. Menstrual distress score was related to water retention dimension (2.98 ± 2.78) and pain score was related to pain dimension (9.75± 4.66). There was no significant relationship between the duration of menstrual bleeding and menstrual distress and the interval between two menstrual cycles with menstrual distress (p>0.05). There was a significant relationship between menstrual blood volume and menstrual distress (p <0.05). There was a significant relationship between pain, behavioral changes and autonomic reactions with menstrual blood volume (p <0.05), but there was no significant relationship between concentration, negative emotions, water retention, arousal and control with menstrual blood volume (p>0.05).

 This study demonstrated that menstrual distress was associated with menstrual blood volume. Increased menstrual blood volume is associated with increased distress and its dimensions, except of water retention and arousal. Therefore, necessary interventions should be taken to treat high menstrual blood volume.

The aim of this study was to compare the effectiveness of structural couple therapy and couple therapy by re-decision method on reducing marital boredom of infertile couples in Sanandaj.

To implement this goal, pre-test and post-test research methods were used using two experimental groups and a control group. The statistical population of this study was infertile couples referring to the infertility center of Besat Hospital in Sanandaj in 2018 who were selected using available sampling method and randomly placed in three groups of 12 people. Marital boredom questionnaire was used to collect data. Data were analyzed using one-variable analysis of covariance and SPSS-22 software.

The results showed that structural couple therapy and couple therapy by decision-making method compared to the control group had a significant effect on reducing marital boredom of infertile couples (p≤0.001).

The results showed the importance of paying attention to structural couple therapy interventions and couple therapy through re-decision-making in reducing marital boredom of infertile couples.

Nursing is one of the stressful jobs that may be related to the negative consequences of pregnancy for female nurses due to the nature of day and night work. Considering the differences between workload in different wards, this study was conducted to compare the pregnancy outcomes in nurses working in general and special wards in hospitals affiliated to Yasouj University of Medical Sciences.

This descriptive-analytical study was conducted retrospectively at hospitals affiliated to Yasouj University of Medical Sciences in 2020. The study population consisted of all nurses working in general wards and special wards. A researcher-made questionnaire was developed and it had three sections: demographic information, pregnancy information, and job characteristics. Questionnaires were completed by 110 nurses working in general wards and 65 nurses working in special wards. Data analysis was performed using SPSS software version 22 with the chi-square test, Fisher's exact test, and odds ratio calculation.

There was no difference between demographic variables in the two groups. The results showed that the rate of spotting and intrauterine growth restriction in nurses working in intensive care units was higher than nurses working in general wards. However, according to the results of Fisher's exact test, a significant difference was observed between the two groups of nurses working in general and special wards in terms of the type of shift, the number of nurses with rotating shifts, the amount of physical activity in the workplace, and rest between working hours (p < 05).

The results of this study showed that nurses working in the intensive care units may experience more negative consequences in pregnancy compared to nurses working in general wards. This discrepancy may be due to the anxiety and stress that these nurses in special wards endure. It is recommended that nurses be employed in general wards during pregnancy.

Implanting a permanent pacemaker (inserting an electronic device into the heart) is an important event in a patientschr('39') life that affects their body image and impairs their socio-psychological adaptation and quality of life. Moreover, it can cause concern in their families due to the lack of knowledge about the disease, patientchr('39')s needs, and patient care. Accordingly, the provision of effective patient care would be affected, so that as a vicious cycle, this can lead to poor quality of life in these patients. Considering these concerns, it is necessary to examine the educational needs and provide educational support for the patients and their families. The present study aimed to determine the effect of family-centered educational support on the quality of life in patients with permanent cardiac pacemaker who were referred to Seyed-al-Shohada Hospital in 2019-2020.

In this quasi-experimental study, a total of 80 patients with permanent cardiac pacemaker were randomly assigned into two groups of intervention and control. The intervention group received family-centered educational-supportive interventions in two main steps. The control group received only routine training. Data were collected using a demographic characteristic questionnaire and the MacNew Heart Disease Health-related Quality of Life Questionnaire, and entered into SPSS Statistics for Windows, version 16.0 (SPSS Inc., Chicago, Ill., USA). Data were analyzed using the χ2 test, studentchr('39')s t-test, and repeated measures ANOVA. A p-value of less than 0.05 was anticipated for rejecting the null hypothesis.

The results of repeated measures ANOVA showed a statistically significant difference in the mean score of quality of life and its dimensions (physical, emotional and social performance) between the intervention and the control group during five measurements (P ≤0.0001). Based on the comparison of the mean scores between the two groups, it was found that the mean score of quality of life and its dimensions increased in the intervention group during the measurement intervals which has led to the significance of these differences between the two groups.

Based on the results of the present study, it is concluded that the implementation of family-centered educational support is effective in improving the quality of life in patients with permanent cardiac pacemaker.