Ghasmee, F, S Khanjari, Vasefi, M, Haghani, H,
Volume 13, Issue 27 (Summer 2001)
Abstract
Background : Child hospitalization is one of the anxiety producing factors for both the child and his/her parents. Anxiety will delay the child recovery and decrease the parent's abilities in caring for their children. The anxiety may be present long after discharge.
Objective : To determine the level of maternal anxiety after child's hospitalization and also before and after child's discharge from hospital.
Design : This was a longitudinal study. The level of mother's anxiety was measured using spilbarger questionnaire at three stages of after hospitalization, before and after child's discharge .
Samples : 70 mothers of hospitalized children (age 1-3) were selected through continuo's sampling.
Results : There was a significant difference between the level of mother's anxiety after child hospitalization and before and after his/her discharge (PV= 0.000).
Conclusion : According to mother's anxiety in three stage (after hospitalization, before and after discharge) researcher recommend that nurses, take a complete demographic history of mothers at the time of admission so that they can plan a program to decrease mother's anxiety and also provide them with a telephone number so that in case of any question they can in touch after their child's discharge.
Mola, F, S Khanjari, Davachi, A, Haghani, H,
Volume 13, Issue 27 (Summer 2001)
Abstract
Background : Hospitalization is a fear producing even in children and their families. There are many ways to reduce the fear of hospitalized children, one of which is play, but it's effect is not longstanding.
Objective : To determine the effect of play on the fear of hospitalized children.
Design : This study was a randomized clinical trial with control group. At the beginning of trial the fear intensity of both groups were measured by Broom's questionnaire. Then the children of trial group had the chance of playing in play room for half an hour. One and five hours after playing both groups answered questionnaire again.
Samples: 82 school age hospitalized children were randomly assigned in two groups. Forty six children in control group (without play) and 46 in case group (with play).
Results : The finding indicated that the play reduced the fear of children in case group after one hour (p= 0.026), but the effect did not lasts long (5 hours afterwards).
Conclusion : By providing play room in children's ward we can decrease the fear and anxiety of hospitalized children. Play is the ''work'' of children. Nurses should provide opportunity for hospitalized children to play. For the continuity of play it is suggested that the hospitals, play rooms be active during the day.
Dabbaghi, F , Sadeghi, H , Jahaanfar, Sh , Haghani, H ,
Volume 14, Issue 28 (Autumn 2001)
Abstract
Background : Pregnant women with high level of anxiety are likely to give birth to babies who are irritable, restless, have sleep disorders and low birth weight.
Objective : To determine the relation of psychosocial status of women during pregnancy and pregnancy outcomes.
Design : This was a comparative study. Data were collected using a questionnaire.
Samples : 360 subject nuliparas to multiparas 4, were selected through consequative sampling, 180 in each group (appropriate and inappropriate psycholocial status).
Results : There was a relation between psychosocial status of mothers and LBW (p=0.005), IUGR (p=0.028) and preterm labor (p=0.000).
Conclusion : Emotional support by family and health care providers should be targeted at women with poor psychosocial status during pregnancy in order to decrease their emotional distress and to enhance their self- esteen and self- confidence.
S Khanjari, Mola, F , Davachi, A , Haghani, H ,
Volume 14, Issue 28 (Autumn 2001)
Abstract
Background : Hospitalization is an anxiety producing event for children and their families, There are many strategies to reduce the anxiety of hospitalized child one of which is play.
Objective : To determine the effect of Play on the anxiety of hospitalized children.
Design : This study was a randomized clinical trial with control group. At the beginning of trial the anxiety of both groups were measured by "spiel Berger's questionnaire". Then the children of trial group had the chance of playing in play room for half an hour. One and five hours after playing both groups completed the same questionnaire again.
Samples : 92 school age children in hospital were randomly assigned in two groups. 46 in control group.
Results : The findings indicated that the play reduced the anxiety of children in case group after one hour, but the effect of play did not last long (5 hours afterwards)..
Conclusion : We can decrease the anxiety of hospitalized children by providing play room. Nurses should provide opportunity for hospitalized children to play. For the continuity of play it is suggested that the hospitals' play rooms be active during day. It id recommended that effect of play on anxiety of hospitalized children who are isolated or on complete bed rest or are in ICU be assessed
Najaf-Yarandi, A , Tanourifard, M , Nikpoor, S , Haghani, H ,
Volume 14, Issue 28 (Autumn 2001)
Abstract
Background : Disorder in diffusion of blood gases almost always is clue to collection of secretion in respiratory airways. So protecting the airway, correct suctioning to remove the secretion and maintenance of air way potency are necessary interventions in patient with end tracheal tube .
Objective : To determine and compaire arterial blood gas in patient with open heart surgery with and without use of normal saline in suctioning end tracheal tube.
Design : The study was a single group clinical trial. The end tracheal tube of each subject were suctioned once with normal saline and once without it. The arterial blood gases were compaired before and after each suctioning.
Samples : 40 patient with open heart surgery were selected according to research purpose.
Results : Instillation of normal saline bolus prior to end tracheal tube suctioning has an adverse effect on oxygen saturation (p=0.01) but it's effect on pao2 and paco2 was not significant.
Conclusion : Use of normal saline in suctioning of end tracheal tube may cause disorder in gas exchange and tissue oxygenation. It is recommended that normal saline be used in low dose and only when there is a need for stimulation of cough reflex.
Ghorbani, S, Mohammadi, R, Malakzadegan, A, Haghani, H,
Volume 15, Issue 32 (Winter & Spring 2002)
Abstract
Background: Placing I.U.D is a very effective method in the prevention of pregnancy, which has increasingly became popular. Women have found it an effective, safe and comfortable method all over the world. I.U.D is also a safe and suitable anti- pregnancy device for breast feeding period. However some reports concerning its’ effects on breast feeding period are available. Objective: Determination of I.U.D complications’ and its’ impacts on breast feeding at time of placement. Design: This was a field study in which the complications of I.U.D were assessed and compared in breast feeding and non breast feeding mothers. Sample: All 731 women which were undergone I.U.D placement, were selected through a census method, among those 451 were breast feeding mothers and the rest did not breast fed their babies. Results: Findings showed that the complication of I.U.D placement were respectively as follow: infection(43.7%), spotting between menstruation cycles (2304%) and cervicitis (22.2%). Also there were significant relation between menstruation bleeding amount (P= 0.001), the menstruation time period (P= 0.00), cervicities (P= 0.005) and breast feeding situation at the time of I.U.D placement. Overall, the result indicated that the impacts of I.U.D placement in breast feeding period are very slight. Conclusion: More investigations are suggested to clear the safety of I.U.D in breast feeding and nonbreast feeding mothers. Improvement of programs such as consultation, riddling, treatment and training of mothers using this device is also recommended.
Ghyiacy, P, Jahanfar, Sh, Mokhtar Shahy, Sh, Haghani, H,
Volume 15, Issue 32 (Winter & Spring 2002)
Abstract
Background: Intrauterine fetal death is a traumatic event for the family which occurs in about 1% of all pregnancies. In comparison with other countries this rate is increasing in Iran. Statistical reports from health centers of Firoozabad estimated the rate of 2.2% per year. Although obstetrical management has improved significantly, more than 50% of these cases are still unexplained. Objective: To determine maternal risk factors for intra uterine fetal death. Design: This research was a case-control study. A standard questionnaire was designed consisting of two major parts: maternal characteristic and pre pregnancy and prenatal events. The questionnaire was filled by using medical records, between 1996-2000. And for each given case two controls were chosen simple randomly at the same day. Sample: Samples included 450 records, of which, 150 were case (IUFD) and 300 considered as control group (non IUFD). Results: Findings suggested that, illiterately (P=0.000), gestational age lesser than 37 wk (P=0.000) and consanguinity (P=0.000) were maternal factors. History of stillbirth (P=0.005) and premature rupture of membrane more than 12 hours (P=0.007) were the risk factors related to pregnancy events. Conclusion: According to the results of this study, illiterately, low gestational age, consanguinity, history of stillbirth and premature rupture of membrane were found as maternal risk factors for IUFD, however consultation, prenatal care, early diagnosis of complications, and careful evaluation may decrease the incidence of IUFD. Educating women for IUFD risk factors and use of preventive modalities is also recommended.
Salehi Taly, Sh, Akbarsharifee, T, Gholam Araghi, M, Haghani, H,
Volume 15, Issue 32 (Winter & Spring 2002)
Abstract
Background: Teaching is an important intervention in patients under hemodialysis, because they have to cope with different drug therapies, specific diet regimen and limitation of fluid intake. In order to prepare them physically and mentally to adjust to these changes, teaching plays an important role to increase their knowledge, improve their sense of responsibility to follow up diet regimen and limitation fluid intake and finally the better consequences of hemodialysis. Objective: To study the impact of teaching about diet regimen on laboratory index and weight gain between two sessions of hemodialysis. Design: This study was a randomized clinical trial. Sample: 76 patients were selected and randomly were put into two groups of experimental and control. Results: Findings indicated a meaningful statistical difference between level of phosphorus and weight again in experimental group before and after teaching P=0/000, and also between experimental and control groups P=0/001 Conclusion: According to this research teaching about diet regimen in patients under hemosialysis has an impact on phosphorus level and weight gain. So proper and serious teaching sessions provided by nurses in health centers is recommended.
Motevally, E, Faizi, Z, Ganji, T, Haghani, H,
Volume 15, Issue 32 (Winter & Spring 2002)
Abstract
Background: Increased serum level of catecholamines due to anxiety, has deleterious effects on pregnancy outcome. While, one of the causes of anxiety during pregnancy is fear of unknowns and childbirth process, especially among primigravida mothers, we assumed that, viewing videotape about childbirth may reduce their anxiety. Objective: To determine the effect of viewing videotape about childbirth on anxiety level of primigravida mothers. Design: This was a field trial study with control group. Sample: 62 primigravida mothers with 37-40 weeks of gestation receiving prenatal care, were selected and assigned randomly to experimental and control groups (31 in each group). Result: There was no significant difference between two groups considering level of anxiety. Conclusion: Although, there was no significant difference between two groups considering level of anxiety, the results showed reduction of the level of anxiety in experimental group, after one week and this finding support viewing of childbirth process. Overall, in order to increase the position effects of this kind of films it is recommended to provide sessions of prenatal teachings on respiratory exercises, during delivery, and attitude modification toward childbirth process.
Askari, M, Taavoni, S, Haghani, H, Allami, M, Taftachi, F,
Volume 16, Issue 35 (Autumn 2003)
Abstract
As basic coordinators between families and the health care units, midwives have important roles in the reproductive health of the community. Being able to prevent any problem in the course of their professional life, they must be aware of the legal aspects of their occupation.
Therefore, inorder to determine the knowledge level of the midwives about the proceeding trial for disciplinary violations a cross-sectional study was conducted, in which the data were collected by self-report questionnaires.
The sample consisted of 274 midwives including faculty members of nursing & midwifery schools (N=18) and evenly distributed midwives employed in the university hospitals and health centers (N=256).
The results of the study showed that the mean knowledge level of the employed midwives was weak. Significant relations were obtained between knowledge of the proceeding trial for different disciplinary violations and the place of employment (on midwifery ethics) and also secondary employment in the private sector (on reproductive healthcare) respectively (P=0.04) and (P=0.031).
So, according to the findings only 2.2% of the Midwives had a good knowledge of the proceeding trial for different disciplinary Violations. Therefore it is recommended to revise the syllabus of the course "Midwifery History, Ethics and Regulations" in order to include topics of the kind, discussed in this study and enhance the level of medico-legal knowledge of the midwives. Presentation of different rules and regulations in a simple language to all emplgees, emphasizing on violation penalties is another suggestion.
