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Showing 106 results for Iran

Mitra Payami Bousaria , Hosein Ebrahimi, Gholam Ali Taghiloo, Heydar Ali Abedi, Fazlo Allah Ahmadi, Hosein Bagheri,
Volume 1, Issue 1 (9-2011)
Abstract

Introduction: Conflict among nurses has been identified as a significant issue within healthcare settings all around the world. Nurses confront with different types of interpersonal conflicts in their work. It's important to know causes and effects of conflicts in nursing units before deciding to manage them. Aim: describing the experiential aspects of nurses' inter group conflicts focused on causes and effects. Methods: Unstructured and in-depth interviews were conducted according to the grounded theory method. Data were transcribed, coded and categorized in order to generate conceptual categories using constant comparative method. Results: 310 codes extracted from 18 interviews resulted in a model describing the nature and causes of inter group conflicts within nursing: Extra and intra organizational elements with personal and environmental characteristics provide the instincts for creating the conditions which lead to inter group conflicts. Discussion: According to findings context and work place atmosphere must be consider before any try to manage inter group conflicts properly.


Amir Vahedian Azimi , Somaye Ghasem Kashani , Azar Avazeh, Mansore Sepehri Nia , Mahin Rohani,
Volume 1, Issue 1 (9-2011)
Abstract

  Background and Objectives: Patients’ rights are the patients’ expectations from health services. Patients’ rights declaration is to protect individuals’ rights in order to be ensured, in case of being sick they will receive enough qualified care in a respectful context regardless of their age, gender, and economic situation. The purpose of this study was to determine the level of nurses’ awareness from patients’ rights and the extent to which they respect such rights in Mashhad’s hospitals.

  Material and Methods: This was a cross-sectional study. The participants were 486 nurses who were selected based on the random simple stratified sampling . The instrument used for data collection was a questionnaire including two main sections: 1) demographic information and 2) situational rights of the patients. Data were analysed in the SPSS.

  Results: The results of the study revealed that the level of awareness and the degree to which the nurses observe patients’ rights were at excellent level in more than 50% of the cases. The study also demonstrated that awareness and observation of the patients’ rights were not significantly correlated to age, experience, and educational level ( P>0/05) .

  Conclusion: According to the results of the study, observation of the patients’ rights were at excellence level in more than half of the cases however, regarding the importance of the issue in question, it is essential that policymakers set legislating rules which protect patients’ and nurses’ rights, so as to expect improvements in the quality of health and clinical services.


Maryam Sakkaki, Khadije Hajimiri,
Volume 1, Issue 2 (3-2012)
Abstract

  Background and Objectives: Normal vaginal delivery is the best type of delivery in most cases and cesarean section is restricted to cases in which vaginal delivery is accompanied with risks for mother and baby. The aim of this study was to determine rate and causes of cesarean delivery in an educational hospital in 2009.

  Material and Methods: This was a cross-sectional study. Data were gathered using 467 patients' medical files and interviews with 391 women who underwent cesarean section and were recorded in a data sheet. Data were analyzed using the SPSS.

  Results: The rate of cesarean section was 31.5% of all live births. The most causes of cesarean section were repeated cesarean section (29.6%), mecuneum staining (15%), breech presentation (14.1%), and placenta previa (10.9%).

  Conclusion: The findings of the study showed that the rate of cesarean section in our selected hospital was more than the reported rates by the WHO. Based on the results, we should decrease the rate of the first cesarean sections. In order to achieve this goal, it is essential to implement interventional programs in order to change women’s attitudes towards benefits of vaginal delivery. Moreover, we should admit low risk mothers in active phase of labor.


Payman Janani, Masoud Roudbari, Iman Tahamtan, Shahram Sedghi,
Volume 2, Issue 1 (7-2012)
Abstract

Background and Objectives: The journal articles published in the Iranian journals are valuable resources for nurses and midwives. This article aimed to analyze the content of the articles published in the nursing and midwifery journals of Iranian universities of medical sciences. Material and Methods: In this cross-sectional descriptive study, 565 articles published during 2005-2007 in the 20 Iranian nursing and midwifery journals were collected. Data were collected using a checklist and were presented using descriptive statistics in the SPSS-16. Results: Most articles were published equally in nursing classification (12/4%) and miscellaneous articles (12/4%). Most of the articles were conducted using descriptive methodologies. The most cited subjects were nursing education (20%) and pregnancy (16.6%) in the nursing and midwifery subheadings, respectively. The Magiran database indexed the most nursing and midwifery articles. Conclusion: There were few scientific nursing and midwifery journals published by the medical sciences universities. A majority of the articles published in the nursing and midwifery universities were related to other medical fields. It seems that there should be a distinct publishing policy in nursing and midwifery journals. Creating a specific database for indexing nursing and midwifery articles is recommended.


Zahra Sadeghi, Mitra Payami, Seyed Nooredin Moosavinasab,
Volume 2, Issue 2 (2-2013)
Abstract

Background and Objectives: Hospitalization of patients in ICU can be stressful for both patients and their families. This study aimed to assess the effect of family participation in ICU patients care on family’s anxiety level. Material and Methods: This is a quasi-experimental before-after study. Family members of patients hospitalized in ICU of Ayatollah Mousavi Hospital, Zanjan were randomly divided into two experimental and control groups. Family members of the experimental group patients collaborated with the nurses in their patients care two hours a day from the 3rd day to the 7th day of the hospitalization. The control group patients were treated according to the ICU routine. Participants in both groups filled out the DASS-21 questionnaire before and after the intervention. Data were analyzed using the t-test in the SPSS-16. Results: There was a significant difference in the anxiety score among the participants in the intervention group before (21.6±8.4) and after the intervention (12.6±7) (p<0.001). Conclusion: The result of the study indicated that the participation of the family members of patients hospitalized in the ICU in patients care can be effective in decreasing their stress and anxiety.


Tahere Dehdari, Maryam Chegni, Lale Dehdari,
Volume 2, Issue 2 (2-2013)
Abstract

Background and Objectives: There are high tendency among adolescence for consuming junk foods. The aim of this study was to predict the junk food consumption based on the theory of planned behavior among female student in Kermanshah, 2011. Material and Methods: In this descriptive-analytical study, 207 female students studying in middle schools of Kermanshah were selected using multi stage sampling method. The students filled out a self-structured questionnaire provided based on the theory of planned behavior. Statistical analysis of the data was done in the SPSS using correlation analysis, regression analysis and One-way ANOVAs. Results:Most of the students had consumed junk foods. The findings showed that behavioral intention, perceived behavioral control and subjective norms could predict 44 percent of the variation in junk food consumption behavior. Among constructs of the theory of planned behaviors, only perceived behavioral control was able to predict 44 percent of the variation in junk food consumption intention. Conclusion: Regarding more consumption of junk foods than nutrient foods and fruits among students, it is essential to conduct educational interventions based on theories of behavioral sciences. students is high and various interventions based on behavioral change theories (for example, the theory of planned behavior) it is necessary.


Masoume Alidosti, Zeynab Hemati,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Regarding the important role of peers in health behaviors of adolescents suffering from chronic diseases such as diabetes, this study aimed to assess the effects of an educational program on the knowledge and behaviors of the peers of students with Type 1 diabetes in Shahre kord in 2012. Material and Methods: In this experimental study, 64 students were randomly assigned to the experiment and control groups. Data were measured using the knowledge questionnaire (14 knowledge questions and six demographic questions) and the 8-item behavior scale at baseline and one month after the intervention. The Cronbach's alpha coefficients were calculated for the knowledge questions (0.82), and the behavior items (0.76). Data were analyzed using the t-test, and the Chi-squared test with a confidence level of 95%. Results: The mean scores of the knowledge and behavior scales did not differ significantly after the intervention in the control group. After the intervention, the mean scores of the knowledge and behavior scales were increased in the experimental group (p<0.001). There were no relationships between the educational levels of parents with the knowledge and behavior. There was a significant positive correlation between the knowledge and behaviors of the students (r=0.65). Conclusion: Given the positive effects of peer education, peers training programs are recommended to be implemented in schools.


Yosof Mortazavi, Asieh Khalilpour Marz, Omleyla Rabiee, Zahra Rohi , Samaneh Ghomi,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Patient satisfaction is an important concept and priority in health system. The aim of this study was to assess patients' satisfaction from nursing care in hospitals of Iran University of Medical Sciences. Materials and Methods: In this cross-sectional study, 450 patients who had undergone surgery during six months were selected to the study. Data were collected using a self-structured questionnaire. Patients' satisfaction was measured in a 5-point Likert scale. Results: The overall satisfaction of patients pre- and post operation was at an optimum level of 83.6% and 89.1%, respectively. The mean overall satisfaction with nursing care was not statistically significant before and after the surgery. Patients' satisfaction after the surgery was significantly related to the education, gender and residential area (p<0.05). Conclusion: Most patients were satisfied with the nursing care before and after the surgery. Patient satisfaction should be measured at the time of discharge as an evaluation index.


Sina Valiee, Golrokh Moridi, Shahnaz Khaledi,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Since the barriers to the clinical education can adversely affect nursing profession goals the purpose of this study was to investigate apprenticeship and internship nursing students' views about facilitators of and barriers to the clinical education in Sanandaj School of Nursing and Midwifery. Materials and Methods: In this cross-sectional study, viewpoints of all 160 apprenticeship and internship nursing students studying at Kurdistan University of Medical Sciences were investigated. Data were collected using a self-structured questionnaire including demographic characteristic and 64 questions about facilitators and barriers of clinical education in eight domains using five-point Likert scale. The validity of the questionnaire was confirmed using content validity based on the expert views and the reliability was investigated using the Cronbach's alpha (0.78). Data were analyzed using the descriptive and inferential statistics with 95% confidence interval in the SPSS. Results: The most cited facilitator of the clinical education from views of the apprenticeship (n=64 57.1%) and internship (n=33 68.8%) students was the relationship between instructors and students. The lack of facilities in hospitals was the most cited barrier of the clinical education from the apprenticeship students viewpoint (n=45 40.2) whereas the attributes of the clinical instructors was the most cited barrier among the internships (n=22 45.8%). There were statistical differences between the apprenticeship and internship students viewpoints on the students' satisfaction from rules and regulations and the teaching methods (P<0.05). Conclusion: Regarding the effectiveness of the clinical education in acquisition of nursing skills, it is necessary to improve clinical education to reduce the existing challenges.


Masoumeh Moqaddam, Soudabeh Mehdizadeh, Vahid Pakpour, Nastaran Heidari Khayyat, Mahnaz Afshinjoo,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Obesity is a social dilemma. Lack of adequate physical activity in adolescence is one of the main causes of obesity. This study aimed to determine the relationship between the obesity and physical activity among female adolescents in west region of Tehran. Material and Methods: In this descriptive correlational study, 385 students were recruited to the study using the multistage random sampling. Physical activity status was assessed using the standardized 7-item physical activity questionnaire. The obesity status was calculated with body mass index and the Triceps skin-fold thickness according to the NHANES1. Data were analyzed using the ANOVA, Chi-squared test, Spearman correlation and Kappa coefficient in 95% confidence level. Results: According to the Triceps skin-fold thickness, 18 per cent of the participants were overweight and obese. This per cent was increased when the obesity was measured according to the body mass index (15 per cent). About half of the participants had low levels of physical activity. The third graders had the lowest levels of the physical activity. There were no statistically significant relationship between the anthropometric indices with the physical activity. Conclusion: High-graders had less physical activity. Physical activity should be encouraged among the students.


Arezoo Imani, Elham Imani,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Self-care training is an important issue among patients. The aim of this study was to assess the educational needs for self-care training among patients with coronary artery disease. Material and Methods: In this cross-sectional study, 200 patients were recruited from the Shahid Mohamadi hospital in Bandar Abbas in 2011. Data were collected using a 22-item questionnaire including demographic characteristics and needs assessment items (four dimensions) in a Likert-type scale. The validity and reliability of the questionnaire was confirmed using the content validity and the Cronbach's alpha (0.81). Data were analyzed using descriptive statistics, Mann-Whitney U, Kruskal-Wallis and one-way ANOVA tests with 95% confidence coefficient. Results: The results showed that of 18% (36) of patients were the least. The educational needs were moderate in 44% (88) of patients and high in 38% (76) of the patients. The most educational items in the dimensions of cardiac disease, activity and rest, cardiovascular drugs and diet were the symptoms of cardiac disease 82% (164), exercising program 90% (180), medications 76% (152) and limitation of food supply 76% (152), respectively. There was a significant relationship between the educational needs and the literacy levels (P=0.04). Conclusion: The findings showed that most of the patients had moderate to high educational needs about the cardiac diseases and its conditions. It is necessity to provide educational programs based on the need assessments, especially in patients with low literacy.


Dr Rahim Sorouri Zanjani , Dr Saeideh Mazloomzadeh, Dr Azadeh Koocheki, Dr Mohammad Noori,
Volume 3, Issue 1 (9-2013)
Abstract

Background and Objectives: Providing safe blood and prevention of blood-borne infections are among the most important purposes of the Blood Transfusion Organization. The aim of this study was to describe the prevalence of Hepatitis B, C and HIV infection and their determinants in Zanjan blood donors from 2005 to 2006. Material and Methods: In this cross-sectional study, the prevalence of Hepatitis B, C and HIV infection was determined for a total sample of 29716 blood donors. Information on age, gender, educational level and marital status of the donors were collected. Eliza and confirmatory tests including RIBA and Western Blot were used to detect the positive samples for the infections. The data was analyzed using descriptive statistics and frequency tables. Results: From 29716 blood donors, 104 (0.3%) were positive for HBsAg, 33(0.1%) for HCVAb and none for HIVAb. The prevalence of Hepatitis B increased with increasing age it was greater in married than single and in illiterate than literate donors. Both B and C viral infections were more prevalent in the first time donors compared to the repeat donors. Conclusion: Although the prevalence of Hepatitis B, C and HIV infection was low in Zanjan blood donors, for providing a safe blood supply, educational programs and screening strategies among high risk groups such as those with lower levels of education, married and first time donors are recommended.


Ahad Alizade, Akbar Mohammadi , Hadi Hosseini, Mohammad Khadmloo,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: The aim of this study was to compare the viewpoints of medical and nursing students on development of telemedicine procedures at Mazandaran University of Medical Sciences. Materials and Methods: This was a cross-sectional study. Ninety medical students and 55 nursing students were selected using stratified random sampling in the first semester of 2011-2012. The students' viewpoints on creation and development of telemedicine were measured using a questionnaire. The questionnaire included demographic section, and the students' viewpoints on telemedicine and different telemedicine tools. The reliability of the questionnaire was assessed using the Cronbach's alpha coefficient. Statistical tests were used to analyze the data including the t-test and ANOVA for quantitative variables and Mann-Whitney and Kruskal-Wallis and Chi-squared tests for qualitative variables. Results: There were significant relationships between information literacy and organizational factors with gender (P≤0.001). There were also significant relationships between the stakeholders' factors with gender and family location (P≤0.001). There were significant differences between the medical and nursing students' viewpoints on the factor of stakeholders (p=0.029). Conclusion: Medical and nursing students' viewpoints were similar except for the stakeholders factor. Community and family support for development of telemedicine tended to develop differences in the viewpoints of the students


Abdulaziz Aflakseir, Somaieh Jamali,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Mother-child bonding is vital for psychological development of children. Previous studies have shown that mothers' mental health can impact mother-child bonding. The purpose of this study was to investigate the relationship between postpartum depression with mother-child bonding in a group of mothers in Shiraz. Materials and Methods: In this correlational study, 140 mothers referred to health centers to check their children's health status were recruited using convenience sampling method. Participants completed the questionnaires including the Postpartum Bonding Questionnaire (BPQ) and the Edinburgh Postnatal Depression Scale (EDPS). The statistical indexes including means, standard deviation, Pearson correlation coefficient and logistic regression analysis were measured to analyses the data using the SPSS. Results: Findings showed that about 25% of mothers experienced symptoms of postpartum depression and 23% had mother-child bonding disorder. The results also indicated that mothers with symptoms of postpartum depression were more likely to have mother-child bonding problems. The findings also showed that postpartum depression predicted mother-child bonding problems significantly. Conclusion: The study showed that mothers with more symptoms of postpartum depression were more likely to have bonding impairment with their children.


Maryam Mahmoudi, Tahereh Dehdari, Davood Shojaeezadeh, Ladan Abbasian, Seeyd Saleheh Mortazavi,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Patients with HIV/AIDS have different experiences regarding coping with stress. Understanding these experiences is essential to design tailored interventions. The aim of this study was to explore experiences of patients with HIV on coping with stress strategies. Materials and Methods: In this qualitative content analysis study, 26 participants with HIV were selected using purposive sampling from counseling of behavioral diseases center, Imam Khomeini hospital in Tehran in 2012. In-depth semi-structured interviews were used to collect data during nine months. The transcripts were analyzed using the Diekelmann’s method. Results: The participants were aged 20 to 73 years. Analyzing the data emerged two themes including emotional–based coping strategy with two sub-themes including adaptive and maladaptive coping strategy and the problem–based coping strategy with three sub-themes including seeking education and counseling, medication adherence and healthy life style. Conclusion: Clarification and explanation of coping with stress strategies can be used to design and implement effective intervention for reducing stress in patients with HIV/AIDS.


Fereidoun Eskandari, Mehrnoosh Pazargadi, Mansoureh Zagheri Tafreshi, Soheila Rabie Siahkali, Ali Reza Shoghli,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Nurses are the largest group of health workers whose professional abilities play important role in realization of health sector mission. Nurses' perceptions of their work environment forms their sense of empowerment and commitment to the organization. This study aimed to determine the relationship between psychological empowerment and affective commitment among nurses. Materials and Methods: In this descriptive-correlative study, 491 nurses working in Zanjan province hospitals were selected to the study in winter 2010. The data collection tool included the "Sprietzer psychological empowerment questionnaire" and the "organizational commitment questionnaire of Allen and Meyer". The validity and reliability of the questionnaire were assessed through appropriate methods. Data were analyzed using the ANOVA, t-test, Pearson correlation, and linear regression method in the SPSS-16. Results: Most of the participants (%90.6) were female. The mean age of the participants was 30.7 years. The mean score of the empowerment perception among %85.7 of nurses was high. The mean score of the affective commitment was moderate (3.17±0.88). The correlation and linear regression tests indicated that psychological empowerment was statistically correlate with the affective commitment of nurses and could predicted it. Conclusion: Based on the findings of this study, psychological empowerment was a predictive factor for affective commitment. In order to improve affective commitment of nurses, hospital managers should try to increase independency and participation of nurses in organizational decision-makings.


Alehe Seyyedrasoly, Kobra Parvan, Azad Rahmani, Zhale Rahimi,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Promoting illness perception could improve quality of life in hemodialysis patients. According to the high rates of renal diseases and hemodialysis in Iran, and importance of illness perception in these patients, this study assessed the effect of an illness perception promoting intervention on quality of life of hemodialysis patients. Materials and Methods: In this clinical trial, 71 hemodialysis patients were randomly allocated into two control (n=33) and intervention (n=38) groups. The patients in the intervention group received the illness perception intervention through 45-minute sessions per week for six weeks. Eight weeks later, patients in both groups completed the post test questionnaire of quality of life (KDQOL-SFTM). This questionnaire is reliable and valid for Iranian population. Results: Although the illness perception promoting intervention could enhance the quality of life of patients in dimensions of job situation, dialysis staff encouragement, physical role, pain, public health and emotional role, there were only significant differences between the two groups in job situation (p=0.04) and emotional role (p=0.03) dimensions on the patlents' satisfaction from rules and regulations and the teaching methods (P<0.05). Conclusion: Illness perception promotion interventions can improve only limited dimensions of the quality of life in hemodialysis patients. Further studies are needed to assess the effectiveness of illness perception promoting intervention on quality of life.


Ms Narges Moradi, Ms Farahnaz Addollahzadeh, Dr Azad Rahmani, Dr Vahid Zamanzadeh, Dr Iraj Asvadi, Mr Karim Ghaleban,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Patients with breast cancer have many pshychological needs. The spouses are main resources for meeting the psychological needs of the patients. The aim of present study was to assess the effects of psychoeducation to spouses on psychological needs of women with breast cancer. Materials and Methods: In this randomised clinical trial, 94 couples were recruited to the study from Tabriz support group for breast cancer patients. The couples were randomly allocated to experimental (47 couples) and control (47 couples) groups. After the baseline measurements, three educational sessions were held for men on psychological needs of their spouses with breast cancer in the experimental group. One month later, all women were asked to complete the 22-items psychological subscale of the Supportive Care Needs Survey instrument. The validity and reliability of the instrument was assessed using content validity, and test-retest reliability. Data were analyzed using paired and independent samples t tests. Results: Data from 27 women in the experimental group and 28 women in the control group were collected. The mean of scale in the experimental group was significantly more than control group (p=0.010). Conclusion: Although the psychological needs of patients with breast cancer were decreased via the intervention in our study, further studies are recommended.


Mehdi Bassiri Moghadam, Shirin Madadkar Dehkordi, Ali Mohammadpour, Amir Abas Vaezi, ,
Volume 3, Issue 2 (2-2014)
Abstract

Background and Objectives: Fatigue is a common complaint among patients who undergo hemodialysis. Fatigue influences their somatic, mental, sentimental and cognitive states. This study aimed to determine the effect of progressive muscle relaxation technique on fatigue among patients treated with hemodialysis. Materials and Methods: In this clinical trial, 90 patients undergoing hemodialysis were recruited from two hemodialysis centers in Gonabad and Yazd and were randomly allocated into control (n=45) and trial (n=45) groups. The progressive muscle relaxation technique was presented to the trial group during three sessions. The patients were asked to make calm once a day for six weeks and at the end complete the relaxtion form. No trainings were provided for the control group patients. The intensity of fatigue was compared between the two groups. Data were collected using a questionnaire including demographic specifications, tools for assessing the severity of fatigue and self-reported checklists. Data was analyzed using the statistical methods in the SPSS. Results: The results showed no significant differences in the level of fatigue between the two groups before the intervention (p=0.12). There was significant difference in level of fatigue between the two groups after the intervention (p<0.001). Conclusion: Using the progressive muscle relaxation technique is recommended for patients of the hemodialysis wards.


Sona Pashaee, Sima Lakdizaji, Azad Rahmani, Vahid Zamanzadeh,
Volume 4, Issue 1 (9-2014)
Abstract

Background and Objectives: Caring is central to the nature of nursing. Due to the special conditions of patients in the critical care wards, caring behaviors are important to be considered. Despite the important role of nurses in quality of care, viewpoints of nurses on the caring behaviors are unclear. This study investigated the views of critical care nurses toward caring behaviors priorities. Materials and Methods: In this descriptive-correlative study, 200 critical care nurses were selected based on the stratified random sampling. Data were collected using the Caring Questionnaire developed by Larson. Caring behaviors were ranked on a 5-point Likert-type scale with 57 caring behavior items ordered in six subscales. The data were analyzed using the statistical methods in the SPSS-21.0. Results: Results showed that the highest priority was related to the "confident communication with patients" and the lowest priority was related to the "being accessible" and "anticipation". Furthermore, nurses ages had significant relationship with physical relaxation, confident relationship and follow-ups through subgroups (p=0.01). Female nurses ranked "monitors and follow-ups through" higher than male nurses (p=0.01). Conclusion: Most nurses based their work according to the confident communication with patients. The availability and anticipated needs of the patients care were identified as the lowest priorities. Providing long-term and short-term programs by policymakers in order to conduct appropriate trainings are recommended.



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