دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Kidney Transplant
5
9
FA
Nosrat Aria
A field survey was conducted to study kidney transplant patients ' satisfaction from education in Tehran (1994). A total of 100 patie nts were selected seque ntially. The tool was a 4 part questionnaire including age, sex, marital status , work status, education, the duration of the haemodialysis received before the trans plant and the duration of the transplant. The second part posed twelve questions regarding the nursing care they received during hospitalization. The third part with eight questions inquired about the care they received from the health team other than nurses and finally their satisfaction from the care they received immediately before discharge was evaluated with ten questions. The subjects were asked to check in columns indicating highly satisfied, moderat ely satisfied and the least satisfied answers to the test questions regarding satisfaction from the nursing care received while hospitalized. The findings are presented in thirty-eight tables and a line graph. Further values such as mean and standard deviations and inferal statistical test were employed. 82% of the subjects said they were highly satisfied with the nursing care they received from nurses during hospitalization, 16% were moderately satisfied and only 2% were the least satisfied. On the other hand 64% were highly satisfied from the care they received from other members of the health team, 35% were moderately satisfied and 1% the least satisfied. Finally regarding the care rendered to patients immediately before discharge, 56% were highly satisfied, 37% moderately satisfied and 7% the least satisfied. The overall estimation revealed that 76% of the subjects were highly satisfied, 22% moderately satisfied and only 2% the least satisfied. To correlate the demographic data with the subjects ' satisfaction score X2 and pierson correlation al test and regression equation were employed. The findings showed no significant correlation between subjects level of satisfaction from nursing care received while hospitalized and immediately before discharge with the demographic characteristics except the duration of kidney transplant. The longer the duration the higher was the subjects' satisfaction. Based on the findings recommendations for implication of the findings in all health fields and further research was made. It is hoped that the findings will serve for providing better nursing care for patients with kidney transplant.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Determination of learning needs of patients with pace maker
10
16
FA
Nasrin Imanzadeh
A field study was made to investigate the learning needs of patients with pacemaker in Shahid Rajaii Heart Hospital's out-patient clinic (1994). A total of 60 patients with pacemaker were selected sequentially from the total population that had a pacemaker and attended the out-patient clinic in shahid Rajaii Hospital. The subjects met the criteria for participating in this study. The tool was a questionnaire consisting of three parts that would gather the information needed to cover the purposes of this study. The first part posed 22 questions regarding the subject's personal characteristics, the second part with 20 questions covered information about self-care in patients with pacemaker and the third part examined the respondents' orientation with pacemaker site, its care, improper functioning and related warning signs, with 20 questions. The findings were presented in 32 tables. Both descriptive and inferal statistics were employed for data analysis. The mean age of the subjects was 58.68 years, the majority were married, most of them said that no previous instruction was given to them about self-care. A positive correlation was estimated between having previous information on self-care and knowledge about pacemaker placement site care, improper functioning of pace makers and related warning signs. Most of the subjects, regardless of the length of pacemaker insertion said their self -care learning needs were high, their knowledge on the care of pacemaker placement site, its improper functioning and related warning signs was satisfactory. Their level of education and learning needs were significantly correlated, but occupation was not related with those matters mentioned above. The range of pacemaker insertion and length varied, most of them had it for 1-39 months and the longer they had the pacemaker the less were their learning needs, thus a slightly reverse correlation was estimated between these two sets of variables. The fmdings also revealed that the majority of those who were better oriented to the care of pacemaker site, malfunctioning and warning signs claimed less learning needs on the subjects. Based on the findings suggestions were made for implaementing the results in nursing services and recommendations for further research were made.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Personal, Familial and Socio • Economic Charachteristics of adolescents with Rheumatic fever (1993)
17
22
FA
Ehteram - Hajihady
This is a descriptive study of personal, familial, and socio - economic characteristics of adolescents with rheumatic fever referred to clinics of Medical Universities in Tehran. For the purpose of this research a questionnaire consisting of three parts including 33 qquestions was completed by 56 adolescents who were referred to the clinics due to rheumatic fever. The findings were presented in thirty - two tables and further values such as mean and standard deviations were employed. The result indicated that the majority of subjects was male, between 6 - 19 years of age, student suffering repeated sore throat and using antibiotics inconsistantly. They lived in crowded families and parents were either illiterate or had only primary education. The income status of the family was low and had general poor nutrition. Based on the results from nursing services , recomendation for further research was made
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Assess the effect of population control programs on National HeaIth Development in Islamic Republic of Iran (1986-1998)
23
34
FA
F. Dabbaghi
This survey is a descriptive analytic study which was carried out to assess the effects of population control programs on National Health Development in Islamic Republic of Iran (1986-1998). The objectives of the study are: 1)To determine the effects of family planning program on National Health Development ( 1986-1998). 2) To indicate the relationship between family planning coverage and some health indicators. This study was conducted at two stages: 1) Presentation of a simulation modle 2) Prediction of population size by large scale clinical trial (1986-1998). Prediction method is used to determine the differences of population at two stages: 1) Stability of total fertility rate (5.6) 2) Gradual decrease of total fertility rate. The findings show that stability of T.F.R and decrease in developmental indices (such as literacy of women and employment of women) has led to an increase in population size (17494391) has added to population between (1986-1998). By T.F.R gradual decrease and other developmental indices increase, population size increase to 563228415 between (1986-1998). In this survey by using the results of simulation and health indicators the relationship of Health variables and family planning coverage is computed. Findings show that: 1) There is a significant relationship between the health variables and family planning coverag. 2) There is a positive significant correlation between family planning coverage and 1M.R., under 5 mortality rate and crude death rate. 3) There is a significant correlation between literacy of women, employment of women and marriage. 4) Other findings emphasize the significant relationship between family planning coverage and immunization of children.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Investigating the reasons for using or not using family planning measures by women living in rural area of west Tehran (1994)
35
44
FA
Mahvash Roushan Jahromy
A survey was made to study the rational given by women living in rural area of west Tehran for using or not using family planning measures (1994). The purposes of this study were to investigate the reasons for using or not using family planning measures and it's relation to personal characteristics of the subjects. The Samples were grouped in smaller groups: - Those using effective family planning methods - Those using less effective family planning methods at all A total of 427 fertile women randomly were selected from the population of the study. The health clinic's records were used to choose the subjects that fulfilled the conditions for participating in the study. A questionnaire was employed to gather the information, further, the data was analyzed The finding were presented in 43 tables and 10 graphs. Both descriptive and inferal statistics were employed. For further analysis of the findings Xz, Mantel Hanzel and Fisher's exact tests were taken. The overall findings revealed that the rationals for using either method were: belief in planning for desired number of children, availability of contraceptive methods where they lived, satisfaction with the number of children they already had, and economic reasons, respectively. On the other hand the rationals for not using any method were: having children of the same sex, thus desirling for a child of the opposite sex, not having boys specifically, husband not willing and post partum breast feeding. In correlating the personal characteristics of the subjects with the rationals given for either method (effective or less effective) it was assumed that the subjects' age upon marriage, first pregnancy and number of pregnancies were significantly correlated with such rationals as being satisfied with the number of children they had, and being able to limit child bearing as they desired. It was also gathered.ithat age on marriage and first pregnancy, number of pregnancies and level of education were significantly correlated with all the rationals given for not using any method except for post-partum breast feeding. Comparisons of the three groups were made. It was found that a high percentage (65%) of 25-29 years old women were using the effective methods. On the other hand a high percentage (56.6%) of 14-19 year old women were not using either method. Further it was noticed that the less effective methods were practiced by older age groups and those with a history of eight pregnancies or more. In general, of those who did not have a male child, 43.3% were not using any contraceptive method where while only 37% of those who did not have a female child did not use any method. It was also noticed that those who were married to literate men followed family planning means more than those whose husbands were illiterate. Based on the findings suggestions for improving family planning practices were made and further research recommended.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Effect of education on knowledge of mothers in preventing childhood poisoning and providing flrst aid when encountered with such incidences
45
52
FA
Zarifeh Rashid
This is a semiexperimental research to study effect of education on knowledge of mothers with children under six years of age about preventing their child from being poisoned and providing first aid in case of such an inctdent in Tehran. 100 mothers between 18-38 years old were surveyed, The range of their education was from elementary to high school diploma. The tool for collection of data was a questionnaire which included demographic and 16 questions about prevention and 7 questions about providing first aids. After completion of questionnairs an educational booklet about prevention and first aid was also provided. For the purpose of this study two days later the same questionnaire was given and collected again. The result of both questionnaires was evaluated and factors such as age, job, number of children, level of education, resourses for obtaining health information were also studied. Statistical analysis and application of test (r)l, Z and K2 (x2) and tchouproff coefticient showed that factors such as age, job, number of children, and educational certificates had effects on mother's knowledge level in prevention of childhood poisoning and providing first aid, but the resource for obtaining information had no effect on their knowledge level. Statistical analysis by reviewing every question showed that knowledge of mothers in the field of provided eduction has been increased.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Eva lua tion of the effect of preoperative Lorazepam on post. operative vomiting
53
57
FA
Fereshteh Salmani
Lorazepam is widely used preoperatively for anxiolysis/sedation. Lorazepam has been reported to decrease the incidence of chemotherapy induce vomiting. However, the effect of lorazepam on postoperative vomiting has not been studied. The purpose of this study was to evaluate the effect of preoperative lorazepam on postoperative vomiting. This study is a semi-experimental survey about the antiemetic effect of lorazepam as a premedication after cataract surgery in one of the hospitals of Iran Medical Sciences University in 1994. Samples were 80 ASAI,II (7-81) year old patients who went under to cataract extraction under general anesthesia. 40 samples were randomized to receive 25 ~g/kg Lorazepam orally as premedication within 30 min. prior to anesthetic induction. A control group was included. Anesthesia consisted of thiopentan, fentanyl, halothane, nitrousoxide in oxygen and succinylcholine. Patients were observed for vomiting in the early phase «2 hr post-op) and late phase (>2 hr post-op) • Results of the study were presented in 20 tables. Statistical test used to calculate the results were "I" test, chi-square, and cochran. The first hypothesis survey of the antiemetic effect of preoperative lorazepam orally on postoperative vomiting of early phase after cataract surgery with G.A is not supported by results. (X2 = 2.58).But the second hypothesis, (the antiemetic effect of preoperative lorazepam orally on postoperative vomiting of late phase after cataract surgery with G.A) is supported (X2 = 9.02). Lorazepam as premedication resulted in a significantly lower incidence of postoperative vomiting in late phase (p<O.OOl). Based on the findings of the research recommendations for further research are presented and application of results in nursing service are made.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Whatever we should know about inflammatory bowel diseases
58
64
FA
Asemi, S
Inflammatory bowel diseases are a general term for a group of chronic inflammatory diseases with unknown etiology that involve gastrointestinal system. The diagnosis of these diseases is possible with rule out of other diseases because there are not special diagnostic tests for them. Nevertheless, clinical feature of these diseases are very specific and in most cases definite diagnosis are possible. Inflammatory bowel diseases are divided in two grand groups: ulcerative colitis and crohn’s disease. Epidemiologic and etiologic background of these two groups is similar and must be discussed together. These diseases are most prevalent in Caucasians and Asian race people. Also, these diseases in Jewish people are three to sixth time more than the others and in two genders are equal
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Research the settlement of communication between nurses and the patients confmded in the internal cardiac wards of the related hospital affiliated to ministry of Health, Therapy and Medical Education, Tehran, 1992
65
71
FA
Farideh Joze Kabiry
This research is a descriptive study which had been performed in order of settlement of communication between the nurses with the confinded patients in the internal cardiac wards in the hospital affiliated to Ministry of Health and Medical Educations of Tehran. This research has been done in twelve internal cardiac. wards of the hospital affiliated to the Ministry of Health and Medical Education. The research subjects are thirty graduated nurses who have been working for three or four years and at the time of research performance have been working as clinical nurses in the internal cardiac wards of the above mentioned hospitals in morning and afternoon shifts. The research has been conducted using two questionnaires of verbal and semiverbal communications in which there is even a place for determination of time and a particular hour for timing, wristle and quantity of communication in respect of establishment both verbal and semiverbal communication between the nurses and patients confinded in internal cardiac wards of the hospitals. The findings of this research showed that the number of nurses who were involved in discussing in different matters and establish verbal and semiverbal communications are very few. From the point of view of communication settlement also the time used in this respect is very little.To evaluate the number of times the verbal and semiverbal communications is established between the nurse and the material status and shift hours of mornings or afternoons, the number of hospitalized days, etc. the T test and Piersonian correlation coefficrent are used in this respect. The findings of this research reveal that there is no relation or correlation between verbal and semiverJlal communication and the aforesaid changes between number of times of establishing the verbal and semiverbal communications
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Determination of learning needs of hospital myocardial Infarction patients and its relation with demographic data
72
77
FA
Zahra Farzanegan
This is a field study to determine the learning needs of hospitalized myocardial infarction (M!) patients, about activity, exercise, diet, medications, follow-up and recurrence predisposing factors, and their relation with demographic data in these patients, when they were discharged from cardiac unit. The study population comprised 92 randomly selected MI patients (77 men,26 women) on discharge time from the cardiac units of Iran University educational hospitals in Tehran. One set of data was collected and the tool was a two part questionnaire developed by the researcher consisting of two parts. The first part included 5 questions on subject demographic data and the second consisted of 32 questions on learning needs of patients. The collected data is presented in 40 tables and the descriptional and inferential statistics were used to analyze them. The findings of investigation showed that the men age of the subjects was 58.5 years. The majority of subjects was male, illiterate and married. 50% of subjects were employed. The statistical test showed there was a meanful significant correlation between all of the demographic variables of sample except of age and subject's learning needs such as activity. There was a significant correlation between the demographic variables of the sample such as age with job satisfaction factors and managers function and managers function and the average for social dysfunction with nurses mental health, in comparison with other factors, were consideraly high. Path analysis was applied, and a meaningful and direct correlation between nursing service managers and hospital's manager, on one hand, and an indirect correlation with nurses stress, on the other hand were obtained. Based on the findings, some recommendations for future studies and application of the [mdings were made.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Study of Management Role and Nurses Mental Hea lth in General Hospitals in Tehran
78
85
FA
Rakhshandeh Mohammadi
This was a correlational study with its primary aim to study the relation between management role and nurses mental health in general hospitals in Tehran. 574 Nurses and 53 managers were surveyed in this study. Two. types of questionnaires were distributed among them. Nurses questionnaire consisted of 4 parts, i.e.demographic data, different aspects of job satisfaction, mental health and factors involved in creation of stress and levels of stress at work. Managers questionnaire dealt with demographic data, different factors related to their function and finally, three open questions regarding managers recommendations were posed. The findings showed that the majority of nurses, who belonged to age group between 20-24, were women holding B.S. degree and with less of than 10 years of work experience. Half of them were working rotating shifts and a high percentage of them were working extra shifts. It was also revealed that the majority of managers were over 46 years of age and married, had a B.S. degree with 21 years of work experience. They had completed two terms of management training units, but with less than 5 credits. The findings also showed that nurses job satisfaction (57.29%), was almost negligible. 29.58 percent of all nurses, based on "almost high" and "very high" scale carried symptoms of nonmental health. The majority of them (62.4%) complained of stress at work. But managers believed that their efficiency, from different points of view, was almost high and very high (93%). The findings also revealed that there existed a meaningful and direct correlation among physical, welfare, social, mental, educational and managerial and supervisory factors related to job satisfaction and also with the general demographic of the incumbent. It was also found that the correlation between different aspects of mental health and overall demographic factor was meaningful. It was also found that the greatest degree of correlation existed between managerial and supervisory factors and all social factors related to job satisfaction and managerer ' s function obtained. Other factors, such as anxiety, sleep disorder with depression symptoms and psycho-somatic disorder were also observed. Overall the average for managerial and supervisional with job satisfaction factors and managers function and managers function and the average for social dysfunction with nurses mental health, in comparison with other factors, were consideraly high. Path analysis was applied, and a meaningful and direct correlation between nursing service managers and hospital's manager, on one hand, and an indirect correlation with nurses stress, on the other hand were obtained. Based on the findings, some recommendations for future studies and application of the [mdings were made.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Determine how teaching dietary and therapeutic regimen to hypertensive patients may affect their practices of the issues mentioned
86
92
FA
Fateme h-Kaveyani
A quasi - experimental study was made to determine how teaching dietary and therapeutic regimen to hypertensive patients may affect their practices of the issues mentioned. A total of 80 patients were selected sequentially from clients attending the outpatient clinics in hospitals affiliated with the Ministry of Health Services and Medical Sciences (Tehran, 1995). The tool was questionnaire posing 7 questions regarding personal characteristics of the subjects (i.e, age, sex, marital status, etc.) and 26 items regarding client's practices related to food and drug regimen. The findings were presented in 48 tables reflecting frequency distribution and percentages further central tendency values (mean and standard deviation) and inferal statistical lists were employed for further analysis (12, Mc nemar and Pierson's correlation coefficient). The results showed that the majority of the subjects were married women who had not completed highschool, most of them of 50-69 years age group and had been hypertensive for one to four years. More than half of them (50) had another member of their family with high blood pressure. In analysing the results, it was found that prior to instruction the mean score was 8 and the standard deviation 3.34, where 17.5% 01 the subjects had obtained 8 scores. These values changed when the test was repeated after a certain time to mean of 13.23 and standard deviation 2.23 and 27% gained 13 scores on clients'dietary practice. Regarding therapeutic regimen also befor the instruction took place 27.5% gained 4 scores with a mean of 3.27 and standard deviation of 1.49, where post - instruction examination showed that 55% gained a score as high as 5 or 6, the mean was 5.63 and the standard deviation 1.48. Mc.Nemar and 12 statistical tests were employed for determining the significance of patient teaching affecting clients' practice of dietary and therapeutic regimen. The findings supported the hypothesis, thus instruction affected client's practice. To correlate personal characteristics of the subjects like sex, age marital status, level of education and duration of illness with the difference of scores gained pre-and post-instruction. The statistical tests revealed no significant correlation. The based on the findings the implementation of certain nursing measures were discussed and suggestions for further research were made.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Why pregnant women delay prenatal care?
93
97
FA
Hasan, M
Maternity child health is one of the important and essential aspects of health services that must be considered as a priority in administrative programs because mothers and their children more than other people in the community are affected by perilous environmental factors. They are very vulnerable that lead to disease, failure to thrive, inability and death. Every year, poor hygiene leads to death of 500000 young women and illness and agony of millions of other women. Hence, for health promotion of mothers and children, attention to prenatal health is very important.
دانشگاه علوم پزشکی ایران
Iran Journal of Nursing
2008-5931
12
16
1998
5
1
Managers ' Personality and Sex DitTerences Effect on Employee Performance Appraisal Tehran, Iran and Shahid Beheshti Medical Sciences Universities (Tehran, 1996)
98
106
FA
Maryam Nouri Tajer
This correlational study focused on formal organizations' administrative performance values. It examined the managers' (unit supervisors') employee performance appraisal process in relation to sex and personality differences among unit supervisors in Tehran, Shahid Beheshti and Iran Medical Sciences University hospitals (Tehran, 1996). First 537 male and female managers performing as unit supervisors or head officers in different units of Tehran, Shahid Beheshti and Iran University hospitals, meeting the population criteria were tested by Cattell's non-clinical personality questionnaire and classified in enthusiastic, extrovert, sensitive, tough-minded, self-sufficient, and indecisive personality types. Demographic data was also gathered. Further a total of 220 male and female managers were selected in accordance with their personality type from the total 537 members and were asked to cany out performance appraisal on one of their employees. The tool consisted of two packs: A) Cattell's personality test-questionnaire and B) two employee performance appraisal forms, produced by the staff and labor Organization in 1367 software. The findings indicated a significant correlation between supervisors - sex and personality type and his/her employee performance appraisal, emphasizing the performance appraisal formats strategy and performance, ethical and processing factors. Further, the study outlined two models. One a linear regression, indicative of the managers' employee performance appraisal influencing factors, and the other, a factor analysis model upon which the ethical, processing and performance criteria could be related to the male and famale managers - personality as enthusiastic, extrovert, sensitive, tough-minded, self-sufficient and indecisive type, in Iran, Tehran, and Shahid Beheshti medical sciences university hospitals. In conclusion, based on the findings and their analysis, the researcher suggested the following: 1) Reformation and amendment of the employee appraisal form 2) Re-inforcement of employee appraisal performance Execution of further studies by other researchers.