دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
PRESSURE SORE INCIDENCE AND RISK FACTORS IN PATIENTS ADMITTED IN MEDICAL, SURGICAL AND ORTHOPEDIC WARDS IN AFFILIATED HOSPITALS OF SHIRAZ UNIVERSITY OF MEDICAL SCIENCES
8
13
FA
Mogarehi, M
Y
Zarif Sanaiey, N
N
Background: The Problem of pressure sores has been a challenge for nurses since long ago.
Objective: Identifying the Pressure sore incidence and risk factors in patients admitted in medical, surgical and orthopedic wards of hospitals affiliated to Shiraz university of medical sciences.
Design: This was a descriptive study, in which 602 patients in mentioned wards were assessed through using a questionnaire collection of data had a continuous pattern during the hospitalization of the patients.
Sample: 602 hospitalized Patients were selected to Participate in this study.
Result: Results indicated that the incidence of pressure sore was 19.1%. Medical wards were in the top of list from the point to most frequency and the surgical wards were the least. There were also significant relationships between heart failure, low level of hemoglobin and hematocrit, serum albumin level, systolic blood Pressure from than 130 mmHg and less than 90 mmHg and the incidence rate of pressure sores.
Conclusion: Considering the high occurrence rate of pressure sores, and also meaning full correlations between many factors contributed to pressure sores occurrence. It is recommended to use proper criterion for deforming risk factors in patients.
Pressure sore, Risk factors, Prevention of pressure sore in hospitalized patient
http://ijn.iums.ac.ir/article-1-79-en.html
http://ijn.iums.ac.ir/article-1-79-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
TUBERCULOSIS CONTROL
14
18
FA
Allami, M.L
Y
The resurgence of tuberculosis in recent years has made an effective control strategy in indispensable. The strategy exists and is called Directly Observed Treatment, Short-course (DOTS) which is the worldwide best and Practical approach.
In a five year period since the (DOTS) was adopted by WHO as a strategy to combat tuberculosis worldwide, more than 1.2 million people have received this treatment, most of which are young and middle-aged adults, and more than 900000 of them had had the infection, smear-positive form of the disease. If these patients had only access to the conventional treatments, available in their countries, many of them would almost certainly had died and many more would have become chronic cases, spreading the disease in their communities. It is, in fact, these chronic cases remained from poor and or interrupted treatments, that become the main sources of deadly drug resistant strains of tuberculosis.
Key components of the (DOTS) strategy
1. A network of trained workers able to administer, directly observed therapy at least for the first two months of the onset of the disease.
2. Laboratories equipped with trained personnel to recognize tubercle bacilli in sputum smear samples.
3. A dependable supply of high-quality drugs.
4. An accurate record-keeping and cohort analysis system for monitoring, case-finding, treatment and outcomes.
5. Sustained political commitment and funding.
Tuberculosis, Control of tuberculosis, (DOTS) Treatment
http://ijn.iums.ac.ir/article-1-80-en.html
http://ijn.iums.ac.ir/article-1-80-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
KNOWLEDGE AND ATTITUDE OF STUDENT NURSES TOWARDS AIDS
19
24
FA
Mogarehi, M
Y
Shokranian, N
N
Background: AIDS, one of the most perilous infectious diseases which has killed lots of victims all over the world. Considering the fact that nowadays, this disease is incurable, the only way of challenging it, is prevention. Since student nurses are in continuous contact with these Patients. A survey is conducted to assess their knowledge and attitude towards HIV and AIDS.
Objective: To determine the knowledge and attitude of student nurses to wards AIDS.
Design: This was a cross – sectional descriptive study.
Sample: 147 senior student nurses contributed in this study.
Result: Finding revealed that 61.8% of the students were not knowledgeable enough about the ways of the transmission of the disease, and 71.9% of them did not know the time of transmission from mothers to their fetuses, regarding the prevention pathways 68% of the sample group were not familiar with the necessity of isolation and 73.9% of them did not know how to establish protective measures, while doing physical examination of patients suffering from AIDS.
Concerning their attitudes towards disease 80.6% of the student nurses belived that the patients should be cared in special hospitals and 74.5% of them mentioned that they will avoid mouth to mouth respirations for these patients if it is needed. On the other hand 97.3% of them were eager to obtain more information about this disease.
Conclusion: The results of this research illustrated the importance of sufficient teaching programs for student nurses which may improve the qullity of care for patients and decrease the likelihood of transmission of the disease.
Knowledge, Attitude, AIDS
http://ijn.iums.ac.ir/article-1-81-en.html
http://ijn.iums.ac.ir/article-1-81-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
IMPACTS OF TEACHING ON THE ANXIETY LEVEL OF PATIENTS HAVE UNDERGONE CORONARY ARTERY BYPASS GRAFT IN NEMAZEE HOSPITAL IN SHIRAZ
25
29
FA
Navvabi, E
Y
Derakhshan, A
N
Sharif, F
N
Amirghofran, A
N
Tabatabaei, H
N
Background: Coronary obstructive heart diseases have a great incidence in the world and Coronary Artery Bypass Graft (CABG) Surgery is one of the most effective treatments for these disorders.
CABG is a crisis and a threat for patient and his family which produces a great deal of anxiety. Anxiety can produce mental, physiological and behavioral disorders.
Researches indicated that pre- admission education can decrease the anxiety level and stress of the patient and his family. Nurse as a member of this health care team is responsible for this teaching.
Objective: To assess the impact of teaching on the anxiety level of patients have undergone Coronary Artery Bypass Graft surgery.
Design: This was an–experimental study and informations were obtained through Hamilton questionnaire.
Sample: 60 subjects with required criterias were selected randomly and divided into experimental (30) and control (30) groups.
Result: findings showed that in the experimental group, the mean of anxiety level was 22 in the first stage and 6.4 in the second stage which had a statistically significant relationship (p=0/0001) while in the control group, the mean of anxiety level was 18.6 in the first stage and 28.3 in the second stage which was not found significantly related (p=0/134).
Conclusion: A significant difference was found between the experimental and control groups from the Point of their anxiety level. (p= 0/0001) showing the positive effect of teaching on reducing the anxiety level in patients have undergone Coronary Artery Bypass Graft Surgery
Teaching, Anxiety, Coronary Artery Bypass Graft (CABG).
http://ijn.iums.ac.ir/article-1-82-en.html
http://ijn.iums.ac.ir/article-1-82-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
FREQUENCY OF HEAD AND NECK INJURIES ALONG WITH SPEECH AND LANGUAGES DISORDERS.
30
36
FA
Jalileh Vand, N
N
Kashani Arani, Z
Y
Background: Citizens are always facing injuries caused by accidents, and the most vulnerable Parts of the body are the head and the neck. These kinds of injuries often are accompanied by language and speech disorders. Objective: The study of frequency of head and neck injuries caused by accidents and it’s related speech and language disorders. Design: This descriptive research was carried out in nine hospitals of Iran University of Medical Sciences, informations were collected and extracted according to international coding system (ICD.10.1992) Sample: 1143 Patients being admitted in 1378 were selected to contribute in this study. Result: Findings showed that: the most frequent injury was related to head 83.1% and the most involed group age was 16-45 years old (58.2%). Gender frequency was respectively 77%, 23% in male and female groups. Different types of speech and language disorders such as: Aphasia, Dysarthria, Articulation disorders and Phonations were found to exist after injures. Conclusion: Considering that the frequency of head and neck injuries is almost high among younger people, whom are responsible for supporting families and also the high incidence of speech and language difficulties accompanied by these injuries, providing rehabilitation programs is of great importance.
Accidents, Head and neck injuries, Speech and tangoage disorders
http://ijn.iums.ac.ir/article-1-83-en.html
http://ijn.iums.ac.ir/article-1-83-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
RISK FACTORS OF MYOCARDIAL INFARCTION IN WOMEN AND MEN
37
45
FA
Roohani, M
mahroo2_85@yahoo.com
Y
Farahani Nia, M.
N
Hakimi Gilani
N
Hagghani, H
N
Background: Myocardial infarction is one of the most common causes of hospitalization in industrial countries, and the most common cause of myocardial infarction is the formation of thrombosis on atherosclerotic plaques. There are many risk factors which affect atherosclerosis formation process. It seems that sex plays an important role in development of myocardial infarction. Objective: To determine and compare myocardial infarction risk factors in women and men. Design: This was a case – control study. Sample: Using the consecutive sampling method, 250 women and 251 men suffering from myocardial infarction for the first time, admitted in Coronary Care Units (CCUs) were assigned to the case group while 249 and 248 respectively women and men in surgical units formed the control group. Result: Findings indicated that stress, positive family history, smoking, diabetese in women, meanwhile in men stress, positive family history, diabetese, smoking, were the major risk factors of myocardial infarction considering that the ratio of factors were stress (28/9) positive family history (21/9), smoking (12/9) and diabetes (12/23) in women, and for the opposite sex it was stress, (53/59) positive family history (30/75) diabetese (12/59) and smoking (11/3). It is revealed that the least important factor was inappropriate diet regimen in both sexes. Conclusion: Results showed that the most important risk factors for both sexes were stress, positive family history, smoking and diabetese. It is recommended to control these factors in order to prevent myocardial infarction which will result to a diminished direct and indirect costs of this disease.
Myocardial infarction, Risk factors, Comparison
http://ijn.iums.ac.ir/article-1-84-en.html
http://ijn.iums.ac.ir/article-1-84-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
COMPARATIVE STUDY OF MOTHER’S HEALTH BEHAVIORS IN HOSPITALIZED INFANTS WITH DIARRHEA OR WITHOUT IT
46
50
FA
Raftari, Z
Y
Tavakoli, M.A
N
Zarrin Naal, A
N
Background: Although, many efforts have been carried out regarding infant ’ s health in recent years, consistent infections such as diarrhea is a cause of pathogenecity or even death among infants under 2 years old according to not have done which is attributed to inadequate nutrition and health care. Objective: To compare mother ’ s health behaviors in hospitalized infants with diarrhea or without it, in pediatric department of Ali- Ebn- Abitaleb hospital. Design: This was a descriptive study. For gathering information, check lists were used. Sample: 434 mothers of infants which were under the age of two contributed in this study. Result: There was just a significant difference between infants nutritional status and the cause of admission ( P=0.0002), in that, breast fed babies had the lower occurrence of diarrhea, in comparison with those who were not. No significant relationship was found between sex and the cause of admission, but the number of boys suffering from diarrhea was more than the girls. Conclusion: Regarding the findings, as breast feeding, in comparison to animal or industrial milk, decrease the risks of diarrhea, it is recommended to breast fed babies till the end of age two. Which will inhibit the risk of diarrhea and it ’ s complications.
Health behaviors, Infant’s nutrition, Diarrhea
http://ijn.iums.ac.ir/article-1-85-en.html
http://ijn.iums.ac.ir/article-1-85-en.pdf
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
16
34
2003
7
1
ASSESING THE OUTCOMES OF PROLONGED PREGNANCY
51
57
FA
F
Oskouie
Y
Ramezani, KH
N
Taavoni, S
N
Hagghani, H
N
Background: Lengthened pregnancy after the 41st week will create problems for mother, fetus and newborn. Assessing the outcomes of prolonged pregnancy are research priorities. Objective : To determine the maternal, fetal and neonatal outcomes of prolonged pregnancy. Design: This was a case -control study in which the data were collected through record sheets. Sample: There were 1800 samples in this research of which 600 women (prolonged pregnancy) made the case group and were se lected through continuous sampling. Control group included 1200 women (normal pregnancy) which were chosen by simple random sampling. Result: The findings indicated there was significant relationship between maternal outcomes (i.e. such as induction of labour, responding to induction in the 1st and 2nd days, spontaneous and cesarean child birth, postpartum hemorrhage, and duration of second stage of delivery) and prolonged pregnancy (P<0.05). There were also significant relationship between prolonged pregnancy and fetal outcomes such as fetal distress, meconium passage, decreased fetal movements in admission time, and decreased volume of amniotic fluid (P<0/05). Regarding to neonatal outcomes, there was a significant relationship between prolonged pregnancy and admission in neonatal intensive care unit (NICU), and infant weight at birth (P< 0.05). Conclusion: Based on the findings, increased labour induction, responding to induction in the second day, preference of child birth through cesarean, increased postpartum hemorrhage, prolonged second stage of delivery, fetal distress, meconium passage, decreased fetal movements in admission time, decreased volume of amniotic fluid, and increased infant birth weight were known adverse outcomes of prolonged pregnancy. Therefore, the termination of prolonged pregnancy after 41st is recommended. This termination is recommended to be done at areas equipped with special cares and facilities (i.e. child birth, after child birth, infant resuscitation, and NICU facilities).
Prolonged pregnancy, Outcomes of prolonged pregnancy, Maternal outcomes, Fetal outcomes, Neonatal outcomes
http://ijn.iums.ac.ir/article-1-86-en.html
http://ijn.iums.ac.ir/article-1-86-en.pdf