@article{ author = {Baghaie, mojgan and bakhshi, roholah and ghanbari, atefeh and rahimi, abas and atrkarruoshan, zahr}, title = {Survey the effect of Aloevera cream on severity of radiotherapy induced ‎dermatitis in cancer patients in Razi hospital in Rasht in ‎‏2008‏‎ ‎}, abstract ={Introduction: Radiation Therapy as a cancer treatment method has special acute and late side ‎effects specially alteration in skin tissue health that needs caring with different products ‎which can have other side effects. Therefore natural products are considering decreasing side ‎effects severity.‎ Objective: This research is conducted to determine the effect of Aloevera cream on severity ‎of radiotherapy induced dermatitis in cancer patients.‎ Methods: The present research is a clinical trial study that is done on ‎‏120‏‎ cancer patients who ‎were randomly classified in ‎‏2‏‎ groups of case (‎‏60‏‎ samples using topical Aloevera cream, ‎‏35%‏‎ ‎TID until ‎‏25‏th session of treatment) and control (with Routine care). Data collection ‎instrument was a two – section questionnaire including ‎‏1‏‎) researcher – made section ‎related to personal, disease and treatment characteristics and ‎‏2‏‎) modified RTOG index to ‎assess the severity of skin reaction gathered by interview, observation and measurement of ‎patients' weight and height. By using Chi-square, it was shown that both groups were ‎matched in all variables. Data related to the second part of the tool was gathered by an ‎observer in first and ‎‏25‏th session of radiotherapy. Data were analyzed by descriptive and ‎deductive statistics by SPSS software version ‎‏14‏‎.  ‎ Results: The findings indicated that the severity of skin reaction in majority of case group ‎‎(‎‏41.6‏‎ %) was grade ‎‏1‏‎ whereas in control group, most samples (‎‏33%‏‎) had skin severity of ‎‏1.5‏‎ ‎degrees. Also Mean and SD of skin severity in case and control group were ‎‏0.98‏‎± ‎‏0‏‎.‎‏77‏‎ and ‎‏1.27‏‎± o.‎‏81‏‎ respectively. There was a significant difference shown by U Man Whitney test ‎between skin reaction severity (p = ‎‏0‏‎.‎‏02‏‎) in two groups. ‎ Conclusion: This research showed that topical Aloevera cream ‎‏35%‏‎ has decreased ‎radiotherapy induced skin reaction. Therefore in case of results confirmation by future studies, ‎topical use of this cream may decrease pain and discomfort and promote patients' quality of ‎life.‎ }, Keywords = {Introduction: Radiation Therapy as a cancer treatment method has special acute and late side ‎effects specially alteration in skin tissue health that needs caring with different products ‎which can have other side effects. Therefore natural products a}, volume = {18}, Number = {1}, pages = {1-8}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-263-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-263-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {Panahandeh, Zahra and DousdarSanaye, Mehrnaz}, title = {Infants\' complementary food pattern and mothers\' knowledge in rural areas in ‎Rasht city}, abstract ={Introduction:‎‏ ‏Prompt start of complementary food and mothers' knowledge regarding it is ‎very important for the child’s nutritional status.‎ Objective: The purpose of this study was to assess infants' pattern of complementary food ‎and nutritional knowledge of mothers in rural areas in Rasht city.‎ Methods: In a cross-sectional study in summer of ‎‏2006‏‎, among a group of women who ‎attended rural public health centers for infantile care in Rasht, we selected ‎‏269‏‎ women, by ‎random multi-stage cluster sampling. Demographic data, introduction time and type of ‎complementary food, knowledge and source of information were collected during interview ‎and recorded in a questionnaire. Depending on knowledge scores, the knowledge was ‎categorized in three levels: weak, intermediate and good. We used Fisher’s Exact‏ ‏and Chi-‎square tests for statistical analysis and p<‎‏0.05‏‎ as significant. ‎ Results: In this study ‎‏91.8%‏‎ of mothers had good nutritional knowledge. Rate of exclusive ‎breast feeding was ‎‏93%‏‎. For more than ‎‏80%‏‎ of children Fereni (combination of milk and rice ‎powder) was the first complementary food at the beginning. About ‎‏93%‏‎ of children were ‎predominantly fed with homemade-food after the first year of their life and ‎‏33%‏‎ ate less than ‎‏5‏‎ meals a day. Rate of breast milk weaning was ‎‏17%‏‎ at the end of the first year. The first ‎source of nutritional knowledge of mothers was local health centers. ‎ Conclusion: Women in this study had appropriate knowledge and performed according to ‎advised complementary food pattern. In attention to the important role of health centers in ‎increasing mothers' knowledge level regarding complementary food, giving more attention to ‎these centers is necessary.‎}, Keywords = {Complementary nutrition, women, infancy, Child}, volume = {18}, Number = {1}, pages = {9-15}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-262-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-262-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {khodadady, naiema and shikholeslami, farzaneh and ahmadi, shohreh and FARZAM, aliyeh and sharif, zahr}, title = {The relationship between}, abstract ={Introduction: Schizophrenia is a common and chronic mental disorder. Many of ‎Schizophrenia clients for some reasons stop taking anti psychotic drugs which results in ‎relapse and repeated hospitalizations, inability to keep a job and stigmatization and it can ‎decrease their quality of life. In attention to the point that follow up care at home can effect ‎clients' QOL, this study is designed to surcey it.‎ Objective: This study aims to determine the relationship between "home follow up" care and ‎quality of life in clients with schizophrenia reffering to health centers in Rasht in ‎‏2006‏‎.‎ Methods: This was a descriptive study with ‎‏29‏‎ patients with schizophrenia attending a ‎psychiatry outpatient clinic,using a convenience sampling in Rasht. In addition, a sample of ‎‏23‏‎ patients with home follow up were selected from the home visit list who had the inclusion ‎criteria. Socio-demographic questionnaire and standard questionnaire of QOL were completed ‎through face to face interview.‎ Results: From the total ‎‏52‏‎ participants in this study, most were single and unemployed. There ‎was a statistically significant relationship between home follow up and statement of quality ‎of life (p<‎‏0.005‏‎), satisfaction with health (p<‎‏0.001‏‎), satisfaction with sleep ( p< ‎‏0.01‏‎) and ‎satisfaction with home environmenr (p<‎‏0.049‏‎). ‎  Conclusion: The findings suggest that patients with schizophrenia underlie home follow up ‎have high quality of life in Rasht city.‎}, Keywords = {Home follow up, Quality of life, Schizophrenia}, volume = {18}, Number = {1}, pages = {16-21}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-264-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-264-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {rezamasouleh, shadman and zare, azam and chehrzad, minoomitra and atrkarruoshan, zahr}, title = {Comparing two methods of evaluation, objective structured practical ‎examination and traditional examination, on the satisfaction of students in Shahid ‎Beheshti faculty of nursing and midwifery}, abstract ={Introduction: Nursing education consists of theoretical and practical courses. Practical ‎courses provide opportunity for student to convert their theoretical knowledge to ‎psychomotor abilities. More than ‎‏50%‏‎ of nursing and midwifery curriculum in two and four ‎year programs are designed for practical activities. Evaluation is one of the most important ‎issues in nursing education. Application of precise evaluation methods can identify the ‎strength and weakness of the educational program and help to find suitable strategies to ‎improve it.‎  Objective: The aim of this study was to compare the effects of two methods of evaluation: ‎Objective structured practical examination (OSPE) and Traditional Practical Examination ‎‎(TPE) with students' satisfaction in Shahid Beheshti faculty of nursing and midwifery.‎ Methods: This is a quasi – experimental study and ‎‏67‏‎ nursing, midwifery and operating room ‎students participated. Sampling was performed according to census method and students ‎were divided in two groups. ‎‏33‏‎ students were evaluated by objective structured practical ‎examination (OSPE) and ‎‏34‏‎ students were evaluated by traditional practical examination ‎method (TPE). In order to measure the level of students' satisfaction with the evaluation ‎methods, a ‎‏16‏‎ item self administered questionnaire based on Likert scale were completed at ‎the end of each evaluation. Data was analyzed by SPSS soft wear using appropriate statistical ‎test.‎  Results: The most desirable statement of traditional practical examination group was the item ‎of "This method of evaluation decreases stress and anxiety" and the most satisfying statement ‎of Objective Structured Practical Examination group was the item of "In this evaluation ‎method chance doesn’t interfere". Over all ‎‏60.6‏‎ percent of students who were evaluated by ‎OSPE method and ‎‏14.7‏‎ percent of students who were evaluated by TPE method were ‎satisfied with the evaluation (P< ‎‏0/005‏‎).‎ Conclusion: It is concluded that Objective Structured Practical Examination (OSPE) can ‎evaluate more practical skills and gain more students’ satisfaction. ‎}, Keywords = {Nursing Education, Nursing students, Personal Satisfaction, Practical evaluation ‎}, volume = {18}, Number = {1}, pages = {22-30}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-265-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-265-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {majdeteimoori, zahra and sedghisabet, mitra and hasavari, farideh and rezapuor, mitr}, title = {The study of bodily, mental, social , and economical problems of major ‎thalassemia infected patient that referred to Somesara Imam Khomeini Hospital}, abstract ={Introduction: At present century, hereditary illnesses are most common illnesses of today’s ‎human. Our country, Iran from the ‎‏250‏‎ million patients affected to a type of hereditary ‎anemia in the world has the first rank. According to recent statistics, there are more than ‎‏30000‏‎ thalassemic patients in Iran. The important point is that most of these patients are in the ‎north provinces and their treatment costs are more than ‎‏35‏‎ million Rials per year. ‎ Objective: Study aims to determine physical, mental and socio-economic problems of ‎thalassemic patients referring to Emam Khomeini Hospital SomeaSara. ‎ Methods: In this descriptive analytic study all patients with Major thalasemia who referred to ‎thalassemia ward of Imam Khomeini Hospital in SomeaSara were selected in (‎‏77‏‎ individual) ‎and received necessary information by questionnaire. In this questionnaire in addition to ‎population characteristics, their physical, mental and socio-economic problems were assessed. ‎ Results: Study results showed that most physical problem (‎‏58.4%‏‎) included " largeness of ‎spleen and spleenectomy", most mental problem (‎‏51.9%‏‎) was " feeling in depression and ‎disappointment", most social problem included " long distance from place of living to health ‎center" and finally most economic problem (‎‏67.5%‏‎) included insufficient financial support of ‎Thalassemia Patient Protection Community. ‎  Conclusion: In general results of this research show that more than ‎‏50%‏‎ of thalassemia ‎patients suffer from physical, mental, and socio-economic problems. Therefore, since our ‎country has the highest rate of thalassemic patients and most of them are young, requires ‎better attention of those responsible in order to promote their quality of life and also decrease ‎the high costs. ‎}, Keywords = { Major Thalassemia, bodily, mental, social, economic problems ‎}, volume = {18}, Number = {1}, pages = {31-37}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-268-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-268-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {motevaselyan, monireh and nasiriyani, khadijeh and tavangar, hoosein and amrolahi, mooham}, title = {Survey level of patient anxiety pre and post hemodialysis ‎}, abstract ={Introduction:‎‏ ‏Hemodialysis is an alternative treatment in chronic renal failure and patients ‎with such conditions suffer poor compliance and stress due to long term treatment, unfamiliar ‎utilities and their dependence that can affect their physical and psychosocial condition. ‎ Objective: This study was conducted to determine and compare the level of patient anxiety ‎pre and post hemodialysis. ‎  Methods: This research is a descriptive study done on fifty hemodialysis patients in Shahid ‎Rahnemoon of Yazd in ‎‏2002‏‎. The data gathering tool consisted of a two-part questionnaire ‎consisted of demographic data and Spilburger anxiety test. ‎ Results:‎‏ ‏The findings indicated that the mean score of stress pre hemodialysis was ‎‏44.48‏‎± ‎‏16.61‏‎ which was in moderate level and mean score in post dialysis was ‎‏39‏‎±‎‏11.1‏‎. The ‎statistical tests of independent t and one-way analysis variance indicated no significant ‎difference between variables and pre and post stress but there was a significant difference ‎between pre and post stress mean score. ‎ Conclusion:‎‏ ‏On the basis of our findings, anxiety of pre hemodialysis was more than post ‎hemodialysis, therefore it is suggested to use alternative intervention such as exercise, ‎consultation, music therapy, stress management before hemodialysis to decrease anxiety level ‎and increase the quality of life and satisfaction.‎}, Keywords = {anxiety, hemodialysis, dialysis patient}, volume = {18}, Number = {1}, pages = {38-42}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-269-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-269-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {nadembuoeni, mahin and ramzani, taherh and haghduost, aliakbar}, title = {Survey knowledge of caregivers of patients of schizophrenia about home care in ‎}, abstract ={Introduction: More than ‎‏70%‏‎ of patients with schizophrenia are cared by family at home. ‎Knowledge deficit of caregivers is basically the basic and fundamental problem regarding the ‎signs and symptoms of disease.  ‎ Objective: This study was to assess the knowledge level of schizophrenic patients' caregivers ‎referring to Shahid Beheshti hospital in Kerman city regarding home care. ‎  Method: This descriptive study was conducted on ‎‏196‏‎ caregivers of schizophrenic patients in ‎Shahid Beheshti hospital. The data collection tool consisted of a researcher made ‎questionnaire and information was obtained through face to face interview. The data were ‎analyzed using SPSS, t-test, ANOVA, and Spearman rank correlation. ‎ Results: The mean knowledge score of caregivers and standard deviation were‏10.66‏‎ and ‎SD=‎‏2.04‏‎ respectively. The maximum knowledge was observed in physical area (X=‎‏13.96‏‎, ‎SD=‎‏4.32‏‎) and the minimum knowledge was in psychological area (X=‎‏9.11‏‎, SD=‎‏1.62‏‎). ‎There was a significant association between knowledge and the level of education in patients ‎‎(p<‎‏0.01‏‎).‎ Conclusion: Our findings showed that caregivers had poor knowledge level. Programs for ‎promoting the knowledge of caregivers are necessary.‎}, Keywords = {schizophrenia, knowledge, caregiver}, volume = {18}, Number = {1}, pages = {43-50}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-270-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-270-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} } @article{ author = {hadadi, suodabeh and salmani, atefeh}, title = {Management of the difficult Airway}, abstract ={The appropriate airway management is the important point during the anesthesia. For it dose, ‎taking history, physical examination (head and neck, mandible, mouth opening, neck ‎movements …) must be done completely and they are helpful in estimating difficult ‎intubation.‎ It is necessary to note that one case from every ‎‏5000‏‎ cases of anesthesia, not only intubation is ‎not possible but also ventilation is impossible. Direct difficult laryngoscopy happens in ‎‏1.5-‏‏8.5%‏‎ of cases and failed intubation occurs in ‎‏0.13-0.3%‏‎ of cases.‎ Above mentioned points indicated that airway management is important and vital and in the ‎airway difficulties, ventilation auxiliaries such as LMA, combitube, TTJV, and tracheostomy ‎must be used to save patient's life.‎}, Keywords = {Airway, ventilation, anesthesia, airway management}, volume = {18}, Number = {1}, pages = {51-54}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-271-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-271-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2008} }