فصلنامه پرستاری، مامایی و پیراپزشکی
سال دهم شماره 1 (تابستان 1403)

Bedsore is one of the special health-therapeutic problems and one of the basic problems of hospitalized patients in hospitals worldwide. This study aimed to determine the knowledge and performance of nurses in using Braden's pressure ulcer risk assessment scale.

In this descriptive-cross-sectional study, the research population consisted of all the nurses working in the educational-therapeutic centers of Rasht city. The sampling method was stratified random and the sample size was 200 nurses. A three-part questionnaire including a demographic .2information form, and a researcher-made questionnaire was used to evaluate the knowledge level of nurses and the Braden criterion. Independent t-test and multiple linear regression were used to analyze the data. The data was analyzed using SPSS version 16 software and the significance level was considered 0.05.

The majority of subjects in this research were women (92.5%) with an average age of 33.87±7.23 years and work experience of less than 10 years (57.5%). The average knowledge score of nurses was 7.92±2.7, and except for the variables of clinical and post-nursing experience, other factors did not have a significant relationship with the knowledge score of nurses. The correlation between the performance scores of the nurses and the researcher showed a moderate amount of agreement (r = 0.626, P < 0.001).

In this study, nurses' knowledge about the Braden scale was not at the appropriate level, suggesting the need to pay more attention to effective educational methods

Nurses are responsible for a number of important tasks, and this can change the attitude towards fertility due to the interference of family responsibilities as a mother and the professional responsibilities and duties. The present study aimed to investigate the attitudes of nurses about fertility and childbearing.

This descriptive study was conducted in 2023, in  Imam Jafar Sadegh Hospital in Meybod and Ziyai Hospital in Ardakan, Iran on 155 female nurses selected through available sampling. Data were collected using the Attitudes to Fertility and Childbearing Scale. Data were analyzed using SPSS statistical software version 23.

The mean score was 26.81±5.35 for “child as the base of life” subscale, 14.19±4.67 for “child as a barrier”, 14.50±4.30 for "postponing fertility to the future”, and 10.11±1.94 for “fertility after the fulfillment of preconditions "subscale. Moreover, the overall mean score of the attitudes to fertility and childbearing was 68.85±11.74. Besides, nurses with more than 5 years of work experience with poor economic status, and having one to three children reported a lower attitude score.

According to the results it is recommended to develop training programs to improve their attitude with a focus on explaining the importance of childbearing as the core of life, not considering children as an obstacle, and not postponing fertility to the future.

Management in nursing is critical, and the effort to improve this course has a vital role in nursing. Therefore, the present study was conducted to investigate the degree of satisfaction of nursing students with the management internship unit.

The current study is a cross-sectional study conducted in 1401. The research samples included all undergraduate nursing students of the Kurdistan University of Medical Sciences who used the total number method. The inclusion criteria included being an undergraduate nursing student, having a nursing management theory unit, and being willing to participate in research.The exclusion criteria included guest and transfer students in the final year of study and incomplete questionnaire completion. The data was collected using demographic and management internship satisfaction questionnaires. Data were analyzed using Spss-16 software and descriptive statistical tests.

In this study, 105 undergraduate nursing students in the eighth semester completed the questionnaire. Among the students, 55 (52.38 %) were male and 50 (47.62%) were female. The study results showed that most participants (76.32 %) were dissatisfied with the current method of conducting nursing management unit internships in the hospital.

The results of the present study showed that the student's satisfaction with the current method of conducting nursing management internship is shallow, so it is suggested that new approaches to clinical education to improve students' satisfaction with the management internship. Nursing should be done.

Individuals with physical disabilities often have characteristics that hinder the optimal use of their physical or bodily abilities. Therefore, the aim of the present study was to determine the effect of eight weeks of selected Tai Chi exercises on balance and lower limb muscle strength in young male physical rehabilitation clients.

This study was a semi-experimental research with a pre-test and post-test design. Thirty young male physical rehabilitation clients were randomly divided into two equal groups: an experimental group (15 participants) who underwent Tai Chi exercises and a control group (15 participants). The experimental group performed Tai Chi exercises for 8 weeks, with three sessions per week. To measure balance and lower limb strength, the Y-Balance Test and the 30-Second Chair Stand Test were used, respectively.

The results of the research showed that there is a significant difference in balance (0.002) and lower limb strength (0.001) in the Tai Chi training group (P< 0.05) of the young men seeking physical assistance. Meanwhile, there was no significant difference in the variables in the control group (P< 0.05).

The findings of the study demonstrated that eight weeks of Tai Chi exercises can improve balance and lower limb muscle strength in young male physical rehabilitation clients. Therefore, Tai Chi is recommended as a safe, easy, and practical exercise method for individuals with physical disabilities.

Many patients may experience unexpected clinical deterioration during hospitalization, and the severity of this clinical deterioration is associated with in-hospital mortality. Therefore, an effective triage tool for quick identification of risk factors and in-hospital mortality is essential. Currently, several scoring systems are used to predict clinical deterioration and in-hospital mortality. This study was conducted with the aim of investigating the accuracy of early warning score tools in predicting in-hospital mortality.

  In this review study, the  related  articles searched by using the keywords Early warning score, Triage early warning score, and Inhospital mortality and their persian equivalents in Jahad Daneshgahi Database, Iran Scientific Research Institute, Database of Iranian Journals, Springer, Medline, PubMed, and Google Scholar.

Based on the prisma diagram, 95 articles were found. And according to the aim of the study, 32 related articles were selected. The results showed that the triage early warning score tool is more accurate in predicting in-hospital mortality.

Early warning score systems are useful tools in patient risk management. Meanwhile, triage early warning score has more power in predicting clinical deterioration and in-hospital mortality, considering that age is one of its parameters.

Infertility is a stressful event in human life and nowadays it is a relatively common problem among couples. The purpose of this research is the effectiveness of the cognitive-behavioral coping training package with the stress of infertility on hope and tolerance of distress in infertile women

  This study was a semi-experimental type with a control group, with a pre-test-post-test design and a two-month follow-up. The statistical population of this research was infertile women who referred to infertility centers and the office of gynecologists and infertility treatment in Kermanshah city in 2022. Among the infertile women and in order to control the effect, 60 people were selected using the available sampling method based on informed consent as a sample and randomly selected in three groups (2 experimental groups under cognitive-behavioral coping training with infertility stress and 1 control group ) were replaced and the experimental groups were trained in 12 sessions using the cognitive-behavioral coping training package with infertility stress (Ghobadi, Kakabraei and Guderzi, 2024). In this research, to measure the scales, from the infertility stress questionnaire of Newton et al. The data collection tool is Newton et al.'s infertility stress questionnaire (1999), Simmons and Gaher's emotional distress tolerance (2005) and Schneider's hope (1991). Data analysis in SPSS-24 software is from repeated measurement analysis of variance and checking its defaults.

Examining the effectiveness of the educational package on the tolerance of distress and hope of infertile women showed that there is a difference between the three stages of pre-test, post-test and follow-up in tolerance of distress and hope and their components (p=0/001), and this significant difference continued until the follow-up stage (p=0/001). The size of the effect of education on hope and distress tolerance is equal to 0.831 and 0.967, respectively.

The cognitive-behavioral coping training package with infertility stress of infertile women can be effective in bearing the distress and hope of infertile women, and this program can be used to reduce the stress of infertile women

Early detection of developmental delays is essential for designing and implementing appropriate and timely interventions for all children, particularly those facing challenges at birth, such as low birth weight and the need for admission to the Neonatal Intensive Care Unit (NICU). Therefore, this study aimed to compare the developmental test scores of low birth weight infants with a history of NICU hospitalization to those of normal weight infants at a corrected age of 18 months.

This case-control study was conducted with 100 children in 2021. The children in the case group were selected using a census method, while those in the control group were selected through a simple random method. Data were collected using a screening questionnaire focused on age and developmental stages. Data analysis was performed using SPSS software version 26. Descriptive statistics were employed to description of the data, and the chi-square test was utilized to compare the percentage of developmental status across various areas based on demographic characteristics between the two groups, with a 95% confidence level.

According to the chi-square test, there was no significant difference between the two groups in children's development across the areas of communication, gross motor skills, fine motor skills, problem solving, and social personality. However, in the area of problem solving, underweight children scored significantly lower than overweight children (p = 0.001). The gender of the children was significantly related only to developmental disorders in the area of problem solving (p < 0.02). Additionally, there was no significant relationship between a history of ventilator use and any of the areas of the developmental assessment (p < 0.05).

The study revealed that most developmental areas of underweight children fell within the normal range and did not differ significantly from their normal-weight peers. However, underweight children demonstrated significantly lower problem-solving skills. Additionally, gender significantly influenced developmental challenges in problem-solving, whereas a history of ventilator use had no impact on development. It is recommended to create and implement intervention programs aimed at enhancing problem-solving skills in underweight children, particularly among girls.

Operating room personnel are exposed to all kinds of mental and physical pressures due to the stressful conditions of the work environment, their job duties, and responsibilities. Since the health and mental and physical health of people working in the operating room plays a significant role in the correct performance of duties and effective and safe care of patients; The present study was conducted to determine the level of anxiety, sleep quality, and the relationship between them in operating room and anesthesia nurses.

This descriptive-cross-sectional study was performed on 254 operating room and anesthesia nurses working in educational and non-educational hospitals. The data was collected using the demographic information questionnaire, the BAI - Beck Anxiety Inventory (BAI) questionnaire, and the Pittsburgh Sleep Quality Index. The data were then analyzed using descriptive and inferential statistics using SPSS software version 22.

The findings showed that 40.6% of anesthesia and operating room nurses did not have anxiety, while 32.7% of people had mild anxiety, 21.3% had moderate anxiety, and 5.5% had severe anxiety. 42.1 % of people reported good sleep quality and 57.9 % reported poor sleep quality. Spearman's correlation coefficient showed that there was a significant positive relationship between anxiety and sleep quality (r = 0.37).

Due to the correlation between anxiety and sleep quality, it is recommended to regularly monitor the anxiety and sleep quality of the operating room and anesthesia nurses, and if necessary, by determining the cause-and-effect relationship, appropriate intervention measures should be designed to improve the health of operating room and anesthesia nurses.