per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
1
8
article
Effect of the occupational health training on knowledge level of hairdressers toward HIV and HBV transmission and prevention in Rasht
zahra panahandeh
Z_panahandeh@yahoo.com
1
mehrnaz dostdar sanaye
2
Introduction: Information on knowledge related to HIV/AIDS and HBV is essential in identifying populations most at risk for infection and in better understanding the dynamics of the epidemic.
Objective: Determination of knowledge about HIV and HBV infection in trained and untrained hairdressers in Rasht.
Methods: In a cross- sectional study in spring of 2006, 456 hairdressers completed a self- administered questionnaire about routes of transmission and prevention of HIV and HBV infection. The questions were designed according to the standard questionnaire of WHO. It contained three parts, demographic, knowledge and source of knowledge. Level of knowledge was classified to weak, moderate and good according to the knowledge scores. Data analysis was done by SPSS version 11.5. We used chi-square test for statistical analysis. P-value<0.05 was considered significant.
Results: About 59% of hairdressers were trained about occupational health. More than 90% of subjects believed that AIDS and Hepatitis-B are an important public health problem in Iran. Knowledge level of most of subjects (76%) was in moderate level. In trained group level of appropriate knowledge toward HBV and HIV was 17.3% and 29% and in untrained women 3.6% and 9.4% respectively (P<0.001). The most important source of knowledge in trained hairdressers was health training classes and in second group was TV.
Conclusion: Knowledge level of trained subjects was higher than others but not adequate.
http://hnmj.gums.ac.ir/article-1-272-en.pdf
Knowledge
Hairdressers
AIDS
Hepatitis-B
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
9
16
article
Clinical decision making: its relation with critical thinking
nazyla javadi
Nazy_JP@ yahoo.com
1
ezat paryad
2
kolsoum fadakar
3
zahra atarkar ruoshan
4
shahla asiri
5
Introduction: Clinical decision making as a fundamental part of nursing profession effects quality of nursing care the most. Nurse as a clinical decision maker uses critical thinking in providing proficient care. Evaluation of data and choosing proper intervention to reach a correct decision needs skillful thinking. Present studies related to critical thinking and clinical decision making didn't show similar results.
Objective: The goal of this study was to determine the relationship between critical thinking (CT) and clinical decision making of senior nursing students of Gilan University of Medical sciences.
Methods: In this descriptive study, all 50 senior nursing students of Shahid Beheshti faculty of nursing and midwifery and East Gilan faculty who were spending their last term of internship were chosen. Data collection questionnaire consisted of three parts of demographics, California critical thinking questions, and clinical thinking questions.
Results: Findings indicated majority of samples (86%) had poor CT and their mean score was 11.86±3.25. Chi square test showed significant relationship (p=0.001) between CT score and mean average of previous terms. In addition, mean score of clinical decision making was 66.7±4.9. Most students (70%) had systematic-analytic decision making and 30% had analytic-observational decision making. Also there was a significant relationship between clinical decision making score and mean average of previous terms (p=0.02). Fisher test did not indicate a relationship between CT score and clinical decision making.
Conclusion: In attention to lack of relationship between CT and clinical decision making score, the study hypothesis is rejected. Due to low score of CT and relation of clinical decision making with job experience, it is necessary to use new methods of theory and clinical teaching in order to promote students' CT and providing more clinical opportunities.
http://hnmj.gums.ac.ir/article-1-273-en.pdf
Nursing education
nursing students
decision making
Critical thinking
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
17
22
article
Survey effective personal and familial factors on absenteeism in nursing professionals at educational – therapeutic centers in Rasht in 2007-2008
saedeh ranjbar
SRanjbar49@gmail.com
1
shirin jefruodi
2
tahereh khaleghduost
3
fariba asgari
4
zahra atrkarruoshan
5
Introduction: Absenteeism is a side effect of personnel problems. Researches in different societies show nursing professionals experience high level of sickness absence in comparison with other occupational professionals. Absenteeism adversely affects patient care both directly and indirectly and nurses also as members of health care systems suffer from it.
Objective: The purpose of this study was to determine the effective personal and familial factors on absenteeism in nursing professionals at educational – therapeutic centers in Rasht.
Methods: In this cross – sectional and descriptive study, 600 nursing professionals were studied. A self – administered questionnaire survey method was used to collect data and it was analyzed with SPSS 11.5, chi square and exact fisher test.
Results: Analyses revealed that 78.8 % of nursing professionals were not absent in the last 6 months. In addition 71% of all absences were 1-3 days (short – term). The main cause of absence was illness (69.4%) and back pain had the highest rate (33.9%) among who were absent in the last 6 months. Double booked with another facility were associated with short term absence (p<0.05) but none of other factors associated with absence. Conclusion: These results suggest that nurse managers should recognize the factors that cause nurses to work in double facilities that can be related to financial demands or staffing status of nurses. Also because the main cause of absence was illness they should plan for promotion of nurses' health.
http://hnmj.gums.ac.ir/article-1-274-en.pdf
Absenteeism
sick leave
nurses
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
23
31
article
Effect of complete bed rest duration on vascular complication after angiography in hospitalized patients in post angiography units in health centers in Rasht
rabiolah farmanbar
Farmanbar@gums.ac.ir
1
maryam guozliyan
2
mojgan Baghaie
3
moohamad taghi moghadamniya
4
majid chinikar
5
zahra atrkarruoshan
6
Introduction: Coronary artery angiography is an important diagnostic method in patients with coronary disease which like other diagnostic methods has side effects. The important complication of it is vascular side effects (hematoma and bleeding) in place of sheet insertion. In order to control it, one must be in complete bed rest (CBR) and in no reference an exact time is mentioned for it.
Objective: This study was conducted to determine the effect of CBR duration on vascular complication after angiography.
Methods: This is a clinical trial method with random sampling. 120 patients were divided into two groups of experiment (2 hour CBR) and the control group (6 hours CBR) and were compared regarding vascular side effects. Arterial sheet was removed in both groups immediately after patients transfer to post-angio and maintaining primary hemostasis by applying manual pressure with a transparent dressing for observation. Vascular complications were controlled in both groups up to 24 hours after procedure.
Results: Findings revealed that both groups were matched regarding age, sex, BMI, sheet size, coagulation tests, and length of manual pressure and duration of angiography. There was no significant statistical difference in rate of vascular complications in both groups.
Conclusion: It is possible to take patient out of CBR after two hours past angiography done through femor. Implementing this method of care can shorten the time of hospitalization, provide more comfort to the patient, decrease bed occupancy and decrease costs.
http://hnmj.gums.ac.ir/article-1-275-en.pdf
Coronary angiography
vascular complication
ambulation
bed rest
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
32
37
article
Performance of female teachers employed in education center in Rasht city regarding prevention of osteoporosis and their attitude on the role of mass media
shadman reza masouleh
Masouleh@ gums.ac.ir
1
masoumeh jafari asl
2
moohamadali yazdani
3
Introduction: Osteoporosis is a silent disease that can cause decreased bone mass and put it at risk of fracture. Therefore prevention at younger age can prevent its consequences.
Objective: The aim of this study was to determine the performance of female teachers about osteoporosis and their attitude toward the role of media in its prevention.
Methods: In this descriptive study, 141 high school female teachers were randomly chosen. The data collection instrument was a 43 item questionnaire which was completed through interview. The data were analyzed by SPSS.
Results: Findings indicated that the majority of teachers (81.6%) had poor performance in prevention of osteoporosis. Also the majority (50.4%) thought that the role of mass media was poor in prevention of osteoporosis.
Conclusion: Female teachers' poor performance whom themselves have the role of teaching young girls should attract attention of responsible. Also TV with the most audiences had poor performance according to the samples.
http://hnmj.gums.ac.ir/article-1-276-en.pdf
osteoporosis
media
females
performance
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
38
43
article
The Affect of Ginger on the Severity of Nausea and Vomiting induced by Chemotherapy in Cancer\' Patient Referred to Razi Hospital in Rasht 2007-2008
akramsadat montazeri
a1.2005@ yahoo.Com
1
atefeh ghanbari
2
maryam niknami
3
zahra atrkarruoshan
4
abdorasuol sobhani
5
farideh hasavari
6
behruoz najafi
7
fariborz moatar
8
tabasom fakheri
9
Introduction: nausea and vomiting caused by chemotherapy is the most important complication and discomfort for cancer patients. Nausea and vomiting causes physiologic and electrolyte disorders, Immunity system changes, Nutrition disorders and rupture of esophagus and effect in the quality of life and continuing of patient's treatment. Ginger is one vegetable and effective drug for the treatment of nausea and vomiting and doesn’t have any special side effects and some countries use it for producing of antiemetic drugs. Objective: This study aims to determine the affection of ginger on the severity chemotherapy –induced nausea and vomiting of cancer patients. Methods: This study is a randomized, cross-over, double – blinded, similarization clinical trial, done on 44 cancer patients undergoing chemotherapy. In the first cycle of the study, Patients randomly assigned by four block random allocation to receive one of the antiemetic regimen (regimen A (routine + 1 gr ginger) and regimen B (routine +1gr Placebos). In the next cycle of chemotherapy, 28 days after the previous cycle another regimen (A or B) administrated together with chemotherapy drugs. The severity of the nausea and vomiting were measured in 4h (1, 2, 3, 4(hours)) after second dose and at the end of the 24h after receiving first dose by using of VAS and kortila tools. Results: Finding indicated that on totally , we didn't achieve any difference on number of nausea and vomiting on two treatment regimens .But on the different hours, findings showed decrease of nausea and vomiting on ginger group patients Conclusion: According to achieved finding, Researcher believed that no significant difference between treatment regimens might be related to low sample size, time prescribtion of ginger different kind cancer and different dose of ginger
http://hnmj.gums.ac.ir/article-1-277-en.pdf
Nausea
Vomiting
Oncologic Nursing
Pharmotherapy
Ginger
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
44
50
article
Consulting addicted in women during pregnancy
shahin savadzadeh
Shahinsavadzadeh@ yahoo.com
1
Introduction: Drug addiction as bio – psycho – social phenomena is a sad tragedy which has unpleasant economic, cultural and social out comes. Drug use during pregnancy has various complications for both mother and fetus and involves great economic and health costs.
Methods: Present study is a review of literature in reliable scientific sites from 1996 – 2008.
Content: Drug addiction is a cute and chronic condition that needs continuous use and results in psychological and physical dependence. Drug use in pregnancy increases the risk of mortality and morbidity during prenatal period. Problems due to drug abuse during pregnancy include spontaneous abortion, premature delivery, fetal distress, low birth weight, premature umbilical separation and growth retardation. These problems accompany economic, social, physical and family complications, therefore active intervention of cultural, security, economic and health committees are necessary. The essential part of addiction management in addicted pregnant women is to motivate them to receive prenatal care, take methadone, and necessary consultation.
Conclusion: Findings show that increased knowledge and understanding of drug abuse makes us powerful to decrease shortcomings. Key words:
http://hnmj.gums.ac.ir/article-1-278-en.pdf
Addiction
Pregnancy
Complication
Consultation
per
Journal of Holistic Nursing And Midwifery
2588-3712
2008-10
18
2
51
53
article
moohamad abasikakruodi
1
atuosa rahbar
2
aliyeh yaghoobi
3
shahrbanoo eskandari
4
http://hnmj.gums.ac.ir/article-1-279-en.pdf