2024-03-28T19:42:37+04:30 http://ijn.iums.ac.ir/browse.php?mag_id=99&slc_lang=fa&sid=1
99-2497 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 The Effectiveness of Individual Counseling on Preoperative Perceived Stress in Patients with Cholelitiasis Surgery R Jalali F Dehghan Abstract Background & Aim: Tensions have become one of the main problems in societies. Studies of pre-surgery stress and anxiety have raised the attention of many researchers. The aim of this study was to determine the effect of individual counseling on perceived stress in patients before cholelithiasis surgery. Materials & Methods: In this quasi-experimental study, 40 pre-operative patients were selected by convenience sampling in Emam Reza Hospital (Kermanshah -2016). Then, they were assigned randomly to experimental (n=20) and control group (n=20). The intervention group received cognitive coping strategies but the control group received routine care. Data were collected by perceived stress scale and analyzed by descriptive statistics and analysis of covariance using SPSS software version 16. Results: After intervention, the mean of total perceived stress score in the experimental group (33.07 ± 9.22) was lower than that of the control group (39.33 ± 7.76), and the difference between mean and standard deviation of the data was significant at (P<0.05) level in the post-test. Conclusion: Based on the findings, individualized counseling was effective in reducing perceived stress in patients before surgery. Therefore, this approach can be used to reduce the perceived stress of patients before the surgery. Stress Surgery Counselling 2017 10 01 1 10 http://ijn.iums.ac.ir/article-1-2497-en.pdf 10.29252/ijn.30.108.1
99-2504 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 The Role of Family in Young Women’s Engagement in Risky Sexual Behaviors: A Qualitative Study A Rahmani E Merghati-khoei L Moghaddam Banaem R Gholami A Torabi Abstract Background & Aim: Risky sexual behaviors are a great threat for youth's physical and social health. Family has an important role in young women’s engagement in risky sexual behaviors. This study was designed to explore the role of family in young women’s engagement in risky sexual behaviors. Materials & Methods: This qualitative study used conventional content analysis and was conducted in university and non-university dormitories and recruited 65 young women aged 18-35. Data were collected, using focus group discussions (7 sessions) and individual interviews (12 interviews) in 2012 through snowball sampling. Focus group discussions were held in the students’ dormitories and the place of individual interviews were determined by the participants. We employed content analysis to analyze the data (Graneheim and Lundman's approach). In order to enhance the validity of the data, multiple data collection methods, maximum variation sampling, and external check were applied. Results: The results of the present study were categorized into three subcategories: "family monitoring", "family emotional support", and "family upbringing". "Family upbringing" has 2 subcategories: "open family upbringing" and "purely religious upbringing". Family is the first context in which young women grow up. Participants considered family support and monitoring as protective factors in engagement in risky sexual behaviors. Moreover, they stated that the two sides of this spectrum ("open family upbringing" and "purely religious upbringing") are risk factors for engagement in risky sexual behaviors. Conclusion: The results of this study suggest that family has an important role in young women's sexual behaviors. The findings of the present study can be applied to provide solutions (including family education in the media, schools, and organizations) to alert families to prevent premarital and risky sexual behaviors. Youth Women Sexual Risk-taking Behaviors Family 2017 10 01 11 22 http://ijn.iums.ac.ir/article-1-2504-en.pdf 10.29252/ijn.30.108.11
99-2507 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 The Effectiveness of Partners’ Learning Method on Anxiety and Stress in Mothers of Children with Cystic Fibrosis Z Daneshvar Ameri T Taghavi Larijani A Kazem Nejad S Jafari Abstract Background & Aim: Diagnosis of cystic fibrosis and hospitalization of a child can cause severe anxiety and stress in the parents, especially for the mother. Anxiety and stress consequently affect the treatment course of the child. The aim of this study was to determine the effect of partners’ learning method on anxiety and stress in mothers of children with cystic fibrosis in 2016. Materials & Methods: In this quasi-experimental study, 86 mothers of children with cystic fibrosis were selected by convenience sampling method. Mothers were randomly assigned to experimental group (n = 44) and control group (n = 42). The intervention group received three sessions in one week education by partners in learning method. Control group received the usual care. Data were collected by Spielberger Anxiety Inventory and Parenting Stress Index-Short Form and analyzed by SPSS software version 16, paired t-test, independent sample t-test and Chi-square. Results: No significant difference was found between the two groups in the level of anxiety and stress before intervention (P> 0.05). After intervention, the level of anxiety and stress in the intervention group was significantly decreased, compared to the control group (P < 0.05). Conclusion: Based on the findings, partners’ learning method was effective in reducing anxiety and stress in mothers of children with cystic fibrosis. Therefore, this method can be used to reduce the anxiety and stress of mothers. Anxiety Stress Cystic Fibrosis 2017 10 01 23 32 http://ijn.iums.ac.ir/article-1-2507-en.pdf 10.29252/ijn.30.108.23
99-2515 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 Health Literacy Level and its Related Factors among the Elderlies in Ilam in 2015 M Borji A Tarjoman M Otaghi E Salimi A Naseri Abstract Background & Aim: People with low health literacy have less knowledge about their health status, receive fewer preventive services, and their chronic diseases are less controlled. This study aimed to investigate the relationship between health literacy and physical health status of the elderlies in Ilam in 2015. Materials & Methods: In this descriptive study, 250 elderlies were selected by two-stage cluster sampling in Ilam. The tools were Adult Health Literacy Questionnaire, Activities of Daily Living (ADL), And questions about the physical performance of the SF-36 Quality of Life Questionnaire. Validity and reliability of these tools have been confirmed in previous studies. Data were analyzed by SPSS version 16, statistical t-test (for variables in the two groups) and ANOVA (for variables more than the two groups). Results: The results showed that 50.4% of the elderlies had inadequate health literacy. There were significant relationships between health literacy and age, sex, occupation, education, residence, previous chronic disease and readmission (P < 0.05); however, there was no significant relationship between health literacy and income. The elderlies who were independent or had any limitations in physical activity had higher health literacy (P= 0.001). Conclusion: Regarding the low level of health literacy of older people in Ilam, it is necessary to implement interventions to enhance their health literacy for improving their physical health status and, consequently, the quality of their lives.     Health literacy Health Status Eldery 2017 10 01 33 43 http://ijn.iums.ac.ir/article-1-2515-en.pdf 10.29252/ijn.30.108.33
99-2516 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 ‌The Effect of Nurses’ Triage Training Based on Stabilization Model on the Patient’s Waiting Time in Emergency Department H Mahmoudi A Mohammadalizadeh M Khaghanizade Abstract Background & Aim: Speed of service delivery in health centers, especially in emergency ward, is very important in reducing mortality and disabilities. One of the most important indicators in evaluating emergency centers is the waiting time. This study aimed to evaluate the effect of nurses’ triage education based on stabilization model on the patient’s waiting time in the emergency department of selected hospital in 2015. Materials & Methods: In this quasi-experimental before-and-after study, the waiting time for 35 patients admitted to the emergency department, was recorded using a certain timer device before the intervention. Triage training was taught to nurses based on stabilization model in a 2-hour face-to-face lecture in the triage room of emergency department for one week. After a week, the patients’ waiting time in different shifts was measured using the same timer. Data were analyzed by descriptive and inferential statistical tests through the SPSS software version 19. Results: There was a significant difference between the mean waiting time before and after the intervention. In a way that the mean of first waiting time before the intervention was 15.34 minutes that reduced to 8.42 minutes after the intervention (P<0.0001). Moreover, the mean of second waiting time before the intervention was 14.58 minutes which decreased to 14.17 minutes after the intervention. However, the difference was not statistically significant (P = 0.82). Conclusion: Nurses’ triage training based on stabilization model reduces the patient’s waiting time in the emergency department and in turn, accelerates service delivery. Therefore, we emphasize providing triage education to the emergency nurses. Emergency Service Hospital Model Triage 2017 10 01 44 51 http://ijn.iums.ac.ir/article-1-2516-en.pdf 10.29252/ijn.30.108.44
99-2517 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 The Effect of Valsalva Maneuver on Pain Intensity and Hemodynamic Changes during Intravenous (IV) Cannulation M Babaei R Jalali A Jalali M Rezaaei Abstract Background & Aims: Venous cannulation is a painful and stressful methodin health care sitting that various medical and non pharmacological methods are used in to reduce its pain. This study was conducted to investigate the effect of Valsalva maneuver on pain intensity and hemodynamic changes during IV cannulation. Materials & Methods: In a clinical trial, 80 patients scheduled for elective surgery who were admitted to surgical wards,in Hazrat Rasol (Javanroud 2016) were studied. Convenience Sampling was used and assignment to two groups was randomly. In Valsalva group (blowing the plastic tube connected to a mercury sphygmomanometer and raising the mercury column up to 20 mm Hg for at least 20 seconds) 39 patients and 38 patients in control group (usual procedure) cannula was inserted on the back of the non-dominant hand. The pain intensity was measured by a Numerical Rating Scale (NRS). Hemodynamic responses to pain were measured by controlling blood pressure, heart rate and arterial blood oxygen saturation five minutes before and immediately after cannulation. The data was analyzed with chi-square tests, ANOVA, Tukey, Kruskal-Wallis and Mann-Whitney tests using SPSS software (version 16). Results: The Mean NRS in Valsalva group was 2/75 ± 1095 and in control group was 4.86 ± 2.30, which showed a significant decrease in pain severity (P≤0.05) The heart rate decreased from (80.53 ± 14.71) to (77 ± 13.36) after cannulation in the control group (P≤0/05). While other hemodynamic variables did not show significant difference. Conclusion: The Valsalva maneuver is a non-pharmacological method that can be easily performed and reduces cannulation pain without making hemodynamic changes. Pain Intravenous (IV) Cannulation Valsalva Maneuver Hemodynamic Change 2017 10 01 52 59 http://ijn.iums.ac.ir/article-1-2517-en.pdf 10.29252/ijn.30.108.52
99-2521 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 Perception of Illness in Patients Undergoing Hemodialysis: A Qualitative Study M Saeedi R Ghafarzadeghan D Hekmatpou Abstract Background & Aim: End- stage renal disease and hemodialysis dependence affect all aspect of patients’ life and bring them different experiences. The aim of the present study is to explore the perception of illness in hemodialysis patients. Materials & Methods: This qualitative research was conducted, using inductive and conventional qualitative content analysis approach. Data were collected through semi-structured interview with 21 patients in the hemodialysis ward of Valiasr hospital, selected by purposeful sampling. All interviews were performed by one researcher within two months. Each interview lasted 40 minutes. The data were analyzed along with data collection process. Results: During the data analysis process, five categories were extracted, i.e. disabling complications of disease, hopelessness, life dissatisfaction, the sense of dependence, and turbulent thoughts. “Helplessness caused by the disease” was emerged as the theme of this research. Conclusion: The findings of this research showed that hemodialysis patients often encounter unpleasant experiences, leading to helplessness and a decreased quality and hope of life. Therefore, the physicians and nurses of hemodialysis ward should pay more attention to the problems of these patients. End Stage Renal Disease Perception Qualitative Research 2017 10 01 60 71 http://ijn.iums.ac.ir/article-1-2521-en.pdf 10.29252/ijn.30.108.60
99-2530 2024-03-28 10.1002
Iran Journal of Nursing IJN 2008-5931 2008-5931 10.52547/ijn 2017 30 108 The Effect of Using an Asthma Inhalers With and Without Spacer on O2 Saturation in Patients with Asthma T Mohammadi Khoshboo B Tabarsy F Moeeni Abstract Background & Aim: Asthma is the most common respiratory tract disease. One of the drugs prescribing in the patients with asthma is inhalation spray or inhaler that is used with or without spacer. The effect of spacer on improving patients with asthma has always been under discussion. Hence, the aim of the current study was to determine the effectiveness of using inhaler on arterial O2 saturation (SaO2) with and without a spacer in patients with asthma. Materials & Methods: This study was an interventional–experimental research that was conducted at hospitals affiliated to Kermanshah University of Medical Sciences in 2016. Sampling was done by random sampling method and 60 patients were selected and included in two groups, i.e. with spacer and without spacer. The data was collected within three consecutive days using questionnaire and data recording forms. The analyses were performed using SPSS 21 by two-way analysis of variance and independent t-test. Results: The average oxygen saturation in the asthmatic group increased from 87.7667 ± 6.03257 on the first day to 88.9 ± 5.86251 on the third day; and in the asthmatic group, it increased from 89.9667 ± 5.01366 on the first day to 94.8 ± 3.38760 on the third day. Between the levels of time, there was a significant difference between the two groups in asthmatic and non-asthmatic groups (P < 0.001). Conclusion: Given the results obtained from this study, it seems that using spacer with inhaler has a significantly positive impact on pulmonary function improvement and increasing blood oxygen saturation. Asthma Inhaler O2 Saturation Spacer 2017 10 01 72 78 http://ijn.iums.ac.ir/article-1-2530-en.pdf 10.29252/ijn.30.108.72