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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
8
16
article
Risk Factors in Patients with Myocardial Infraction Hospitalized in Fatemieh Hospital in Semnan
Mohammadreza Asgari
1
Fatemeh Alhani
Alhani_f@modares.ac.ir
2
Monireh Anoosheh
3
Background and Aim: Coronary artery diseases are the most common cardiovascular diseases and considered as the main cause of mortality in the world and in Iran. A set of risk factors interfere to make these diseases. The aim of this study was to evaluate risk factors of coronary artery diseases in patients with myocardial infraction. Material and Method: This case-control study was conducted on 60 patients with myocardial infarction admitted in cardiac care unit of Fatemieh hospital (as case group) and other 60 patients admitted in ENT and eye ward of Amiralmomenin hospital (as control group) in Semnan, Iran. The data collection tool was checklist, and the patients were evaluated regarding four main modifiable risk factors of coronary artery diseases as smoking, hypertension, diabetes, and hypercholesterolemia. Results: The findings showed that 71.7% of the patients with myocardial infarction were male, the mean age of patients with myocardial infarction was 62.9 years, and the most common risk factors were smoking and hypertension, diabetes, and hypercholesterolemia, respectively. There was a statistically significant difference between two groups relative to the prevalence of the risk factors as smoking, hypertension, and hypercholesterolemia, but the difference was not statistically significant for diabetes. Odd's ratio relative to smoking, hypertension, hypercholesterolemia and diabetes were 2.95, 2.25, 2.78, and 2, respectively. Odd's ratio relative to smoking, hypertension, and hypercholesterolemia were significant, but it was not significant relative to diabetes. Conclusion: The results indicated that smoking, hypertension, and hypercholesterolemia are the most common risk factors in patient with myocardial infarction. Smoking with the highest Odd's ratio is the most important risk factor. Because these risk factors are modifiable, therefore, knowing them and taking actions to modify them are very important in reducing the risk of myocardial infarction and related mortality.
http://ijn.iums.ac.ir/article-1-788-en.pdf
Myocardial infraction - Risk factors – Prevalence - Odd\'s ratio
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
17
28
article
Knowledge, Attitude, and Practice of ICU Nurses about Nosocomial Infections Control in Teaching Hospitals of Tabriz
Atefeh Allah-Bakhshian
abakhshian@yahoo.com
1
Sima Moghaddasian
2
Vahid Zamanzadeh
3
Kobra Parvan
4
Maryam Allah-Bakhshian
5
Background and Aim : Nosocomial infections have increasingly resulted in death and the patients should bear high treating costs. About 25 percent of all nosocomial infections have been reported from ICUs. Members of the medical team, especially nurses, could play an important role in prevention and control of nosocomial infections. This research has been done to determine the knowledge, attitude, and practice of ICU nurses working in teaching hospitals of Tabriz. Material and method : In this descriptive research, 115 nurses working in ICU units with at least one year working experience were selected as samples. The data collection tool was a self-made questionnaire to assess knowledge and attitude and also included a behavioral check list. Content validity was established. Reliability was examined by test-retest (for nowledge and attitude section) and split-half technique (for practice section). Results : Findings showed that 93.9% of nurses had average knowledge and 94.7 % had positive attitude towards nosocomial infections control. Almost all nurses (99.1%) had moderate practice to control nosocomial infections. There was not a statistically significant relationship between knowledge, attitude, and practice and demographic characteristics of samples (P>0.05). Conclusion : Considering the average level of knowledge and practice of most nurses, paying more attention by authorities to this specific topic is essential in order to apply the necessary actions for training of nurses.
http://ijn.iums.ac.ir/article-1-789-en.pdf
Knowledge – Attitude – Practice - Nosocomial infections - Nurse
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
29
36
article
The Incidence and Related Factors of Low Birth Weight
Masoumeh Delaram
masoumehdelaram@yahoo.com
1
Background and Aim: Considering the importance and the role of low birth weight in the mortality and morbidity of neonates and the costs of care, the aim of this study is to determine the incidence and related factors of low birth weight in Hajar hospital in Shahr-e-Kord Material and method: This cross-sectional study was carried out on 5102 infants who were born in Hajar hospital during the year 2005. Data was gathered from mother, pediatrics physician (physical examination), and mothers’ and infants’ records. SPSS was used for data analysis (Chi-square and multiple logistic regression tests) and P<0.05 was considered significant. Results: Out of 5102 infants, 434 (8.5%) were low birth weight (CI=7.5%-9.5%). The Odds ratio of low birth weight was about 16.5 in multifetal pregnancy versus singleton pregnancy, and about 10 in the gestational age less than 37 weeks versus gestational age more than or equal to 37 weeks (P<0.0001). Low birth weight was seen 2.5 folds in females infants compared with the males (P=0.04). Also, it was 2.75 folds in the mothers aged less than 20 years versus the mothers aged more than or equal to 20 years (P=0.04). Primiparous women had Low birth weight infabnts 3.69 folds incomparison with the multiparous women (P=0.01). In logistic regression, multifetal pregnancy, prematurity and sex were determined as the most important factors related to low birth weight. Conclusion: The incidence of low birth weight in Hajar hospital in shahrekord was similar to the other sites in Iran. Prevention of preterm labor, educational intervention programs for high risk mothers specially the young women aged less than 20 years and primiparous and promotion of the quality of prenatal cares in multifetal pregnancis can be effective in prevention of low birth weight.
http://ijn.iums.ac.ir/article-1-790-en.pdf
Prevalence - Low birth weight - Related factors
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
37
43
article
The Relationship between Migraine Headache and Iron Deficiency Anemia in Patients Referred To Neurology Clinic of Shahrekord University of Medical Sciences
Zahra Keivani
keivaniz@yahoo.com
1
Mahmood Mirzaei
2
Mehdi Mahmoudzadeh
3
Shahram Etemadifar
4
Majid Avijgan
5
Mahmood Rafieian
6
Background and Aim: Migraine is one of the common forms of headaches, but there is no recognized mechanism and etiology for these headaches, although iron deficiency anemia is the important related factor. This study was carried out to find the relationship between migraine headache and iron deficiency anemia. Material and method: In this case-control study, 200 female in the reproductive age (15-45 years old) referred to neurology clinic of Shahrekord University of Medical Science were selected. Patients in control group (N=100) didn’t have migraine headache and patients in case group (N=100) have migraine headache. Patients were selected by simple sampling and according to standardized questionnaire (IHS) by neurologis and clinical manifestations of iron deficiency anemia, CBC and Ferritin level by hematologist. Data were analyzed by SPSS software. Results : The finding showed that among 100 patient of case group, 15 patients were anemic (iron deficiency anemia), but in control group, only 6 patients had iron deficiency anemia and a statistically significant correlation was found between migraine headache and iron deficiency anemia (P <0.05) Conclusion : According to findings, it is suggested to conduct a prospective study to examine the effects of treatment of iron deficiency anemia on migraine headache.
http://ijn.iums.ac.ir/article-1-791-en.pdf
Iron deficiency anemia - Migraine headache
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
44
51
article
Spirituality and Anxiety in Nursing Students of Faculty of Nursing and Midwifery Iran University of Medical Science -2006
Tahereh Ganji
T_K_Ganji@yahoo.com
1
Agh Fatemeh Hosseini
2
Background and Aim: Anxiety is a widespread human phenomenon accompanying the painful expectation of an undesirable event (1), and it’s a common response to tension, an unpleasant mental situation. Stress and anxiety would result in hopelessness, lacking power, proficiency and control over life. We can reduce the affects of anxiety by applying some methods. The research results, as an example, showed that we can reduce the negative affects of anxiety through increasing the religious beliefs, and generally there is a strong relation between people’s religious beliefs and their health. The purpose of this study was to determine the relation between spirituality and level of anxiety in nursing students of Faculty of Nursing and Midwifery Iran University of Medical Science 2005-2006. Material and Methods: the research society was all of the students of Faculty of Nursing and Midwifery Iran University of Medical Science who were studying in the Faculty of Nursing and Midwifery Iran University of Medical Science at the time of this research. Among them 108 students were selected by chance. We had 3 questionnaires for data collection. The first was concerned with personal characteristics. The second was concerned with the spirituality and. Third questionnaire was anxiety scale. Results: finding have shown that most of samples had highly spirituality (76.9%).consequently there was a meaningful relation between spirituality and religious activities (P = 0.000). Results�were indicating that 51.9% of samples had no anxiety (mean ± 12.86 ± 10.87). There was a meaningful statistical relation between anxiety and crisis experience within the last 6 months (P = 0.001). Concerning the relation between spirituality and level of anxiety. Spearman’s test showed that the higher the level of spirituality, the lower the level of anxiety (r = -0.398, P = 0.001). as a result, the hypothesis was accepted.
http://ijn.iums.ac.ir/article-1-792-en.pdf
Spirituality – Anxiety -Nursing student
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
52
58
article
Effect of Relaxation on Insomnia during Third Trimester among Pregnant Women
Aghdas Malekzadegan
aghdas_m24@yahoo.com
1
Maryam Moradkhani
2
Hassan Ashayeri
3
Hamid Haghani
4
Background and Aim : Insomnia is one of the most prevalent disorders of pregnancy that can results in many problems before, during and after delivery. Insomnia management should be attempted to provide comfort during pregnancy. The aim of study was to determine the effect of relaxation on insomnia during third trimester among pregnant women. Material and Method : This was a randomized field trial in which 95 pregnant women, referred to Health and Medical Center in Zanjan and were diagnosed to suffer from insomnia, were randomly assigned to either experimental (n=47) or control (n=48) group. Control group only received routine educationa, but participants in experimental group were trained in relaxation over two sessions and were given a hand out reviewing the relaxation procedure, relaxation log for recording home practice and tape–recorded version of the relaxation. The relaxation treatment lasted 4 weeks. Results : Findings showed that relaxation reduced insomnia intensity in 80.9% of the women in experimental group (P≤0.0001) and also alleviated insomnia in 51.1% of them (P≤0.0001) Conclusion : It can be concluded that insomnia is common in late pregnancy and relaxation can be considered effective in treatment of insomnia. Providing education about relaxation for treatment of insomnia during third trimester is recommended.
http://ijn.iums.ac.ir/article-1-793-en.pdf
Insomnia- Third trimester of pregnancy- Relaxation
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
59
71
article
Effect of Education about Preconception Care on Awareness and Health Locus of Control about Healthy Nutrition in Women Attending Premarital Counseling Centers
Farideh Bastani
faridehbastai@yahoo.com
1
Background and Aim: Providing preconception care with proper education is a wholistic health care program in the field of reproductive health. In fact, iron and folic acid deficiency anemia are the common disorders worldwide that can be resulted from inadequate micronutrients intake, secondary to knowledge deficit and low perceived control of healthy behaviors. As education is an aspect of health promotion and adopting health behavior, the purpose of this study was to determine the effect of a workshop about preconception care on awareness and health locus of control about healthy nutrition in women attending premarital counseling centers . Material and Method: The current study is a randomized controlled field trial with two groups. The study population was all women in the reproductive age attending to premarital counseling centers and planning pregnancy within the first two years of marriage . A consecutive sampling method was used and the subjects were randomly assigned into two groups . The sample size was estimated 104 subjects . Data collection instrument was a questionnaire which was completed at two times, pre-intervention and post-intervention. Results: The findings showed that after the intervention, there was a positive increase in some determinants factors regarding nutrition behaviors such as awareness ( P≤0.001 ) and internal health locus of control ( P≤ 0.04) in the experimental group compared to the control group. Conclusion: Regarding the effectiveness of the intervention on the related indexes of nutrition behavior and significant relationship of maternal nutrition in the pregnancy and even pre-pregnancy, implementation of this educational intervention in the premarital centers is recommended.
http://ijn.iums.ac.ir/article-1-794-en.pdf
Preconception education – Nutrition - Locus of control – Awareness
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دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
2008-5931
2010-06
23
64
72
80
article
The Effect of Home Visit after Cesarean Delivery on Exclusive Breastfeeding in Neonatal Period
Maryam Sakkaky
mar_294@yahoo.com
1
Mahvash Danesh kojury
2
Masoumeh Khairkhah
3
Agha Fatemeh Hosseini
4
Background and Aim: Home visit is one of the trials to promotion of exclusive breastfeeding.Several factors have a negative effect on start and continuation of breastfeeding, one of them being mode of delivery. Cesarean sectioned mothers need more help education and support, especially in positioning of infant on their breast. The aim of this study was to determine the effect of home visit after cesarean delivery on exclusive breastfeeding in the neonatal period at one of the hospitals of Iran University of medical sciences in Tehran , year 2008. Material and method: The study was arandomized controlled trial with 100 mothers who admitted in an educational hospital of Iran University Medical Sciences and gave birth through cesarean delivery. Patients were selected continually and allocated randomly in two groups of experimental and control. During the trial some of samples excluded from research and finally 67 pair of mother and infant remained Data collection tools included a questionnaire was completed via interview with mothers about infant’s feeding. Inclusion criteria were being Iranian mother with healthy singleton baby between2500-4000 gram.Three home visits were performed at 3rd, 10th and 30th day after discharge from hospital in the experimental group. In these days the type of infant’s feeding in control group was recorded after telephone interview with mothers. Then data were analyzed and exclusive breastfeeding was compared in two groups by use of Chi- squire test. Results: According to the results, Chi- squire test indicated that there was no significant difference between experimental group and control group (in demographic variables such as age, education, income, etc.). The rate of exclusive breastfeeding at one month in experimental group was 82/4% and in control group was 57/6% which significantly differ from each other. (P= 4/91, ײ= 0/02). Conclusion: According to the findings, it can be claimed that using home visit program could be an effective approach to promote the exclusive breastfeeding in neonatal period. Therefore it can be concluded that education at home environment, supporting and helping cesarean sectioned mothers after discharge is an appropriate strategy in promoting of exclusive breastfeeding and prevention of unfavorable outcome result from early onset of supplementary food.
http://ijn.iums.ac.ir/article-1-795-en.pdf
Exclusive breastfeeding - Home visit - Cesarean delivery