2024-03-28T21:40:38+04:30 http://ijn.iums.ac.ir/browse.php?mag_id=61&slc_lang=fa&sid=1
61-1181 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 The problems of nursing faculty in clinica l evaluation of nursing students F.Moezi   A survey was conducted to study the nursing faculty,s problems in clinical evaluation of nursing students in Iran Medical Sciences-University, School of nursing and Midwifery (Tehran 1994) The especific purposes of this study were to identify the personal characteristics of the subjects. To identify the problems they faced in clinical evaluation in relation to certain personal characteristics of the nursing students, the evaluation tool itself, the physical facilities of the clinical area and the time of evaluation, and finally to estimate the correlation between the problems of clinical evaluation and the personal characteristics of the subjects. The population of this study were all the nursing faculty involved in clinical teaching of nursing students in medical - surgical nursing, pediatrics, psychiatry, nursing administration and maternal-child health care. The tool was a four-part questionnaire, with 50 close ended items. The first part posed II questions regarding the personal charactersitics of the subjects. The second part questioned about evaluation problems in relation to certain characteristics of the students with 16 questions and finally it posed 11 questions regarding problems arising from physical facilities or time of evaluation. The data is presented in 27 tables. Both descriptive and inferal statistics were employed for data analys is. Findings regarding personal characteristics of the subjects revealed that a greater number fall in 40-44 years age group, the mean being 39 years. Of the subjects, 97% were women, most were married and had children. Their educational level was mainly at master degree in nursing in differnt field of nursing speciality, particularly medical-surgical nursing. The majority were employed as full timers and had experience as long as 10-19 years in nursing practice or education. The mean, for years of service, was 15 years. 25.6% had previous clinical nursing experience for more than 9 years. The mean for this measure was 6.02 years. 40.4% of the subjcts had been in clinical teaching for more than 15 years with a mean of 11.7 years. 46.4% had been in theoretical teaching for more than 15 years the mean being 11.4 years. The majority of clinical teachers (74.8%) supervised a group of 10 or more female nursing students, and 43,4% supervised a group of 10 or more male students. The faculty members, most experienced problems were those related to the evaluation tool (55.2%), the least complaint (36%) was evaluation in relation to certain personal characteristics of the nursing students. The k2-statistical test showed a significant correlation between evaluation problems and the students sex (p < 0.05). the k2 test also showed a significant correlation between the faculty problems and their being a part-time, master degree student (p<0.05). On the basis of the findings, the possibilities of implementing corrective measures in nursing administration, education and clinical services were discussed and suggestions for further research in these areas were made. Clinical evaluation Nursing faculty Nursing 1995 12 01 4 11 http://ijn.iums.ac.ir/article-1-1181-en.pdf
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Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 Identifying demographic characteristics of pregnancy and conditions of delivery of mothers who gave birth to mentally retarded child Z feizi ES Hajikazemi H Ameli M Mahmoodi This is a discriptive study with the main goal to identify personal, pregnancy and delivery characteristics of mothers given birth to mentally retarded child. This study has been conducted in the rehabilitation center in Tehran in 1994. A total of 150 women took part in this research, and the tool of was a check list which was completed by researcher through interview. The findings were illustrated in 34 tables and descriptive statistical were used to demonstrate the results. Considering demographic charactristics of mothers, it was revealed that during their pregnancy, 38% of subjects were between 20-30 years of age, 10% of subjects has had history of previous illness, 36.7% of subjects were closly related to their husbands and 33% had the history of handicap among their  relatives. Considering the charactristics of pregnancy it was revealed that 12.7% of subjects didn,t receive any perinatal care, 37.3% of them had history of illness during their pregnancy and 11.3% of subjects have used drugs not prescribed by physician while 6% of these drugs were hotmons. Considering the condition of delivery, the results revealed that 14% of subjects had pre-term delivery and 6.7% of subjects has had forceps and vacuum delivery. Based on the findings, suggestion for further research and implementations of findings in health care practice were made. Mental retardation Demographic characteristics Pregnancy 1995 12 01 12 19 http://ijn.iums.ac.ir/article-1-1182-en.pdf
61-1183 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 Investigate scale and ways of doing breast self examination (1993) S faghyeh safaii A Nagaf yarandi ES Hajikazemi P Kamali The present research is a field study in order to investigate scale and ways of doing breast self examination (BSE). 270 nurses employed by the medical sciences university’s hospitals related to the Ministry of Health, and Medical Education in city of Tehran are selected and involved in research on the basis of simple random sampling. The data collection tool was a protrayed questionnaire which was supplied by the researcher. The data is presented in statistical diagram and 24 tables. Relative and absolute frequency distribution descriptive Tables, Plus inferal statistics were employed for data analyzing. The results of the research indicated that most units being researched are between age groups of 25-29, married and mostly in fruitfulness age. therefore they had monthly periods and a few of them were pregnant or in past menoposal stage. Accordingly, most of them were uninformed of a mass existance in their breasts or a breast cancer experience in their near relatives. Findings cleared that, there is a meaningfull correlation between factors such as: age, the presence of breast cancer in near relatives and monthly periods , with the score of doing BSE. but, there was a reversed relation between age and score of doing BSE. Meanwhile, there was a direct and positive relation between factors such as: near relatives experienceing breast cancer and monthly periods, with the score of doing BSE. in other words, the samples who had monthly periods or had some experiences of breast cancer in their near relatives, scored more in doing BSE. According to the findings suggestion were made for further researches on other health care areas Breast self examination Breast cancer cancer 1995 12 01 20 28 http://ijn.iums.ac.ir/article-1-1183-en.pdf
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Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 Midwives involvement in preparing the primigravida women for breast-feeding sh. Sabagh molla hosaini   A survey was made, to study the midwives involvement in preparing the primigravida women for breast feeding, in health centers associated with the Ministry of Health and Medical Education (Tehran 1993) A total of 50 practicing midwives took part in this study. The tool was a check-list containing two sections. The first part had six items pertaining to the subject,s demographic characteristics. The second part covered 28 items pertaining to the midwives practices of examining breasts, teaching breast-feeding methods, teaching sessions for choosing a balanced and adequa te diet and providing psychological support to the primigravida woman. The findings are presented in 46 tables while descriptive and inferal statistics are used to demonstrate the results. The midwives mostly fell in the 30-39 years age of group, 'and were married. The mean for past experience was 12 years. About 50% of them stated they had personal experience in breast feeding. Yet the findings revealed that few of them practiced breast examination. Only half of them were weakly involved in teaching breast-feeding methods, but a considerable number held teaching sessions regarding a balanced diet. It was also found that only a few of the subjects gave adequate psychological support to the women. The overall rating showed that the majority of the subjects gave satisfactory care to prepare the primigravide for successful breast-feeding and only %2 obtained higher scores. No significant correlations were estimated between the personal characteristics of the subjects and their practice score, with exception of past breast feeding experience and having had courses on the needs of a balanced diet. Based on the findings. Suggestions for further research and implementations of the findings in different areas of practice were made. Breast feeding primigravida Midwife 1995 12 01 28 34 http://ijn.iums.ac.ir/article-1-1184-en.pdf
61-1185 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 The effect of self-care training in reducing the epileptic seizure attacks of epileptic patients T Hakimi gilani S Nikpour ES Hajikazemi M Mahmoodi This research is a quasi, experimental study in order to especify the effect of self-care training in reducing the epileptic seizures appearing in the epileptic patients referred to nerves clinics of the Medical science universities hospitals related to the Ministry of health, remedy and medical training of the city of Tehran in the year (1993-94) This research is done on a random basis on 68 epileptic patients suffering from the grandma epilepsy who have been referred to 5 nerves clinics. A 3-sections questionaire was completed by each patient at the presence of the researcher. 2 sections of which were designed to especify the individual especifications and the number of seizures appearing during 6 months before training, after appearance of seizure, and the kind of accidents created during the seizure. Then the neccessary coordination for a class establishment was organized with the subject group and the self care training class was held descriptively. later an educational booklet was given to the subject group.Three months after training, the third section of the questionaire which was included in the number of the seizures appearing during 3 months after the self care training, the reason and the kind of accidents created during the seizures, was completed by the units being researched and finally the findings were arranged in 29 tables. In reply to the second 'goal of the research: "to especify and to compare the number of seizures appearing during 6 months before self-care training in the subject group with the witness group at the same time, findings presented that majority of the units under research had 3-4 seizures and the comparison of the averages of seizures for both subject and witness group revealed no meaningful difference. And in reply to the third goal: "to especify the effect of self-care training through defining and comparing the occurances of seizures appearing in the same time in the subject and witness group during 3 months after self-care training and to test the research hypotheses" findings revealed that the majority of the subject group had 1-2 attacks while the majority of the withness group had 3-4. The comparison of the average number of attacks for both groups during 3 months, revealed a demographic meaningful difference and thus the hypotheses of the research was proved. In other words, the self-care training was effective in reducing the numbers of epileptic seizures appearance. In reply to the fourth goal "the reason behind appearance of seizures and the kind of accidents created during the attack along 6 months before and 3 months after the self-care training", findings confirmed that the most occurances of epileptic seizures were because of a stop or a change in drug usage, and the accident were mostly of the head stroke kind. In reply to the fifth goal "to especify the correlation between the individual characteristics and number of epileptic attacks in SUbject and withness group after self-care training". Demographic tests revealed no meaningful correlation. Based on the findings, suggestions for further research and implementations of the findings in different areas of health care practice were made Self care training Self care Seizure Epileptic patients 1995 12 01 35 44 http://ijn.iums.ac.ir/article-1-1185-en.pdf
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Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 New born infants’ anomalies in Rafsanjan Niknafas hospital in 1991-1995 Raftari, Z Shahabinejad, M In this descriptive study, researchers determined rate and type of newborn infants’ anomalies in Rafsanjen Niknafas hospital in 1991-1995.  This study is resulted from medical records of mothers referring to above mentioned center during five years. Total number of child birth was 21187. 17321 was normal vaginal delivery and 3866 was cesarean section. Because of unknown reasons, 57 infants were died in first 24 hours. From the total number of live infants, 91cases had anomalies. The most common anomalies were congenital hip dislocation and clubfoot and other anomalies were observed single or with other types of anomalies. From the total number of infants had various anomalies, 44 were girl and 47 were boy and 24 cases died in first 24 hours. The complement study will perform by use of checklist in next year (1996) in order to examination of effective factors in incidence of infant anomalies. Infant anomalies Congenital anomalies New born infants 1995 12 01 44 52 http://ijn.iums.ac.ir/article-1-1186-en.pdf
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Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 Failure to report of chest pain Navvabi, S 55 patients, who admitted during three month to CCU ward of one academic hospital, participated in this study. 80% of these patients had delay to report of their chest pain and 4% of them had complete failure to report it. Reasons for didn’t report of pain and its signs were unawareness of nurse and physician about problem that is occurring and unawareness of patient about need to saying this problem and finally was difficulty in nurse-patient communication.  Why patients don’t report onset of chest pain in CCU ward? Researchers showed that many of these patients experienced pneumonia and … in their childhood. Appropriate and enough use of analgesic drugs in CCU is very important because high level of anxiety due to chest pain cause to increase catecholamines’ secretion and also increase consumption of reserved oxygen of myocardium. Increased chest pain was occurred as a result of myocardial ischemia and probably arrhythmia was happened.  Patients who had severe and prolonged pain need to more use of analgesic. These patients may be faced with extensive ischemia and even recurrence of myocardial infarction. On the other hand, patients with prolonged pain had lower mortality than patients who had not pain. There are many problems related to pain in CCU ward because nature of disease was determined by chest pain. This type of pain was ranged from inconvenience feeling to compression state. Pain radiated to arms, back, jaw, neck and shoulder. One study was performed in America and 19 patients who admitted to CCU ward participated in this study. 80% of women, namely from each five women, four cases and 71.4% of men namely, from each 14 men, 10 cases didn’t report their chest pain. Four reasons were found about this failure to report: 1- Pain was not enough severe. 2- Patient didn’t want annoys ward’s personals with his/her complaint. 3- Patient tries to find method of pain relief. 4- he/she has had error, confusion and misconception about diagnosis of pain Chest pain Myocardial infarction Pain Pain report 1995 12 01 52 55 http://ijn.iums.ac.ir/article-1-1187-en.pdf
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Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 1995 9 13 Comparison of changes of blood sugar levels during regional and general anesthesia in non insulin dependent diabetic patients undergoing elective eye surgery in selected hospitals in Tehran Mirza mohamadiy   This quasi experim ent al study is a survey to compare changes of blood suger levels during regional and general anesthesia in non insulin dependent diabetic patients undergoing elective eye surgery in selected Tehran,s hospi tals. In this study 60 non insulin dependent diabetic patients were selected and devided into two groups of 30 each. 30 Patien ts had operation with general anesthesia and second group had eye operation under retrobulbar block (local anesthesia). Premedication in genearl anesthesia was fontanyl e 1-3 mg/kg and atropine 0.01 mglkg body-weight 15 minutes before surgery. Drugs used for induct ion of anesthesia were nesdonal 3-5 mglkg and succynile 1-2 mg/kg and maintenance of anesthesia was oxygen 50% nitrous oxide 50% and halothane 0.3-2%. As patient needed intravenous solution 100cc of D.W %5 every hour was used for both groups. Patients under local anesthesia had retrobulbar block with xylocain %2, 4cc or xyloca in 5%(2cc) and for long duration syrgery marcaine %0.75 (1.5 cc) with 3 cC xylocain 2% was used. Akin ezia was done by 8_lOcc injection of xylocain 2% . Blood glucose were meas ured with blood test strip (glucose - V3 times. once before operation, second time one hour after operation and the last time after finishing of operation in recovery room). For the purpose of data collection the patients records and check list were used. Findings of this study were summerized in to 19 tables, and they were analyzed by T-tes t and paired observation. Findings confirmed hypothesis of this study. Based on hypothesis the level of Blood glucose rises during general anesthesia and the survey demonstra ted during local anesthesia indicated that blood glucose had no sever tlactuation. Based on the findings investigator suggests regional anesthesia for eye surgery in patients with non insulin dependent diabetes mellitus. Blood sugar Regional anesthesia General anesthesia Eye surgery Diabetes 1995 12 01 55 59 http://ijn.iums.ac.ir/article-1-1188-en.pdf