@article{ author = {Heydari, Fatemeh and Tabari, Rasoul}, title = {Identify direct and indirect nursing care time in a medical and surgical ward}, abstract ={Abstract Introduction: Classifying the average nursing care time is an independent measure for regulate the quantity and quality of the nursing staff in hospitals because, it allows hospitals to evaluate the condition of the existing human resources. This study aimed to identify direct and indirect nursing care time in a medical and surgical ward. Methods: In this cross - sectional study 44 medical and surgical nurses from East Guilan Hospitals were reviewed. Data gathering instrument was made of three parts: demographic data, time ranging, nursing and non-nursing care. Each nurse was evaluated within 5 alternative shifts. Data analysed using statistical methods in the form of descriptive statistics (frequency tables, mean, standard deviation) ANOVA. Results: The average time spent on direct nursing care 21/5±11/1 and on indirect nursing care 22/1±10 minutes per patient. The origin time in direct and indirect nursing care was different between the wards, hospital, work experience and marriage status. Conclusion: The spending time on direct nursing care for each patient was less than standard. The time spent on direct and indirect nursing care was variable in different wards, depends on organization of the hospital. Although, through changes between human organization and how to use support workers could increase direct nursing care time.}, Keywords = {Nursing Care, Nursing/organization and administration, Hospital Nursing Staff }, volume = {25}, Number = {1}, pages = {1-9}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-399-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-399-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Rabiei, zeynab and Najjar, Shahnaz and Abbaspour, Zahra and Jokar, Zeynab and Masoumi, Masoomeh}, title = {The Effect of Tinidazole Tablets via Amsel Criteria in Patients diagnosed Bacterial Vaginosis}, abstract ={Abstract Introduction: Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge in women during reproductive age. Diagnosis of bacterial vaginosis via clinical Amsel criteria remains widely competent. Objective: The aim of the study was to evaluate the effect of tinidazole tablets via Amsel criteria in Patients diagnosed Bacterial Vaginosis. Methods: In This randomized clinical duble-blind trial study, 110 non-pregnant women aged between 15-45 years old were referred to specialist clinic in Kangan city in 2012. Following their diagnosis confirmed bacterial vaginosis via Amsels criteria they divided in two groups for treatment. 52 woman received 2g tinidazole tablet one per day for 2 days and 48 women treated with 500mg metronidazole table twice per day for 7 days. Patients were evaluating two weeks following their treatment. For statistical analysis, descriptive statistics, t-test, McNamara, x2 and Fisher's exact test were performed. Results: After two week consumption of tinidazole tablet 19.2% of cases had abnormal vaginal discharge, 15.4% had positive whiff test, 21.2% had vaginal PH>4.5 and in 9.6% of cases, clue cell was more than 20% in vaginal discharge (p<0.001). After two week consumption of metronidazole tablet 16.7% of cases had abnormal vaginal discharge, 16.7% had positive whiff test, 29.4% had vaginal PH>4.5 and in 8.3% of cases, clue cell was more than 20% in vaginal discharge (p<0.001). Conclusion: This study showed that oral tinidazole and metronidazole were efficient on all four Amsel criteria. As a result, these medicines still effective in the treatment of bacterial vaginosis.}, Keywords = {Bacterial Vaginosis, Tinidazole, Metronidazole}, volume = {25}, Number = {1}, pages = {10-17}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-400-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-400-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Abdeyazdan, Zahra and Nematollahi, Monirosadat and Ghazavi, Zohreh and Mohamadizadeh, Maji}, title = {Investigation of oxygenation in premature infants under mechanical ventilation in supine position compare to side lying}, abstract ={Abstract Introduction: Changing position is an important aspect within nursing care. Prone positioning amongst premature infants could improve their oxygenation compared to supine position. Side lying position leads to developed support between premature infants, however there is few studies about effects of this position on premature infants 'oxygenation. Objective: This study was conducted to hemoglobin oxygen saturation (SPO2) in the side lying position compare to supine position in infants under mechanical ventilation. Methods: In a clinical trial 32 preterm infants hospitalized under mechanical ventilation in Neonatal Intensive Care Unit (NICU) on university hospitals of Isfahan city. they were processing in randomized method, 120 minutes in supine position and then turn to side lying position for another 120 minutes .Their SPO2 were monitored by pulse ox meter and the results recorded every one minute. Data analysis was done by ANOVA, one way ANOVA and post hoc LSD tests. Results: Means of SPO2 in time of 0 were 95.6±2.4 and 95.5±2.4, and in time 0f 120 were 95±5.5 and 94.8±2.6 in supine versus lateral position. There were no significant differences between mean of SPO2 during 120 minute in each position .The differences of mean of SPO2 between the supine and lateral position were not significant except at the time of 45 and 105 minute. Conclusion: Side lying position was well tolerated by preterm infants under mechanical ventilation. Therefore, since Side lying position promote midline motor skills development, it is suggested that NICUs’ nurses think about this position during changing newborn’ position.}, Keywords = { Premature Infant, Artificial Respiration, Patient Positioning}, volume = {25}, Number = {1}, pages = {18-25}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-401-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-401-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Asgari, Fariba and Khoshnazar, Taherehsadat and Sedighi, Asiyeh}, title = {Comparison of efficiency management training using lecturing and small group teaching on learning rate of Nursing and Midwifery student’s}, abstract ={Abstract Introduction: Teaching principles of management is important because it empowers the students in the field of midwifery and nursing. This aspect would improve the quality of care in health system significantly. Therefore, achieving the potential teaching method is great importance. This strategy involves techniques to facilitate the learning process and growth critical thinking in students. Objective: This study aims to determine the effectiveness of management teaching within two learning process techniques using tutorials and small group teaching for Nursing and Midwifery student. Methods: In this quasi-experimental study, all students (Term 3 and Term 6 Bachelor Students of nursing and midwifery, from Guilan University of Medical Sciences) approved management tutorial courses were studied (93 individual's census). During 8 theory sessions, two ways of teaching and discussion in small groups (4 sessions) were designed. The results of the quiz scores (for teaching time in lectures and teach in small groups) were compared. Data using descriptive statistics (frequency distribution and mean) and inferential statistics (t-test). Results: The results suggested that teaching Average Quizzes mean score was significantly higher in group discussion method then teaching as a lecture (p<0.001).It showed nursing students (48±3.8), students of Bachelor Students(69±87.7), students of Midwifery (71±7.7), Bachelor Students nursing student (73±72.7). Conclusion: As a result, average scores for medical students in small group teaching were higher. It seems teaching within discussion in small group is more effective on tutorial management among Midwifery and Nursing student.}, Keywords = {Teaching methods, Lectures, Students}, volume = {25}, Number = {1}, pages = {26-34}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-402-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-402-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {KouchakzadehTalami, Sobhaneh and Namazi, Asiyeh and Zarkesh, Marjaneh}, title = {Symptoms Related to Attention Deficit Hyperactivity Disorder among Preschool Children based on parents report}, abstract ={Abstract Introduction: Attention-Deficit Hyperactivity disorder (ADHD) is one of the most common neurological problems throughout childhood. All symptoms start from preschool age, consequently delay on treatment could create sever complications. Objective: This study has planned to determine ADHD symptoms among preschool children based on rate of recurrence by parents report. Methods: this cross-sectional study were carried out for 8 months on 300 children at age of 3-6 years old who referred to children’s clinic in 17 shahrivar hospital in Rasht. Data collection were carried out using Pavuluri,s questionnaire method which contained two section, in the first section, demographic information of the patients and family , in the second section, children’s symptoms were recorded. Date analysis performed via descriptive and analytic, x2 and t-student. Results: In the present study the Age’s distribution were between 3-6 years old which 60.3% of the symptoms were found among 5 year old children. The boys (58.3%) were highest participant. Frequency of ADHD was 67.3%. The most symptoms reported by parents were producing high sound in the play field and jump in middle of conversation and intervention in other children play field. Statistical communication was significant, between age (P=0.004) and father education level (p=0.001) and between birth number (p=0.001), sex (p=0.001) and family’s money rate (p=0.05) with frequency ADHD. Communication wasn’t between age and mother education, job, parent relative, breast feeding during. Conclusion: According to the results of this study and rate of recurrences of the symptoms of ADHD between children, holding training sessions for parents and teachers is essential.}, Keywords = {Attention Deficit Disorder with Hyperactivity, Preschool child, Parents}, volume = {25}, Number = {1}, pages = {35-44}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-403-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-403-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Madarshahian, Farah and Hasanabadi, Mohsen and Khazaei, Soheil}, title = {The Effect of preoperative cares with holistic approach prior to surgical procedure on the patient’s anxiety and fulfillment}, abstract ={Abstract Introduction: Although integrating the patients’ needs physically and psychologically within their socio-cultural beliefs during providing cares is the source of holistic nursing, but the effectiveness on the patient’s anxiety and fulfillment still unclear. Objective: The objective of this study was to determine the effect of preoperative cares with holistic approach prior to surgical procedure on the patient’s anxiety and fulfillment. Methods: In this quasi experimental study 78 patient facing prostate surgeries were selected through convenience sampling method during 2010 at Birjand Emam Reza Hospital and allocated to two groups of 39 patients. The involvements consist of determine patients’ needs physically, socially, psychologically, religious and cultural such as prevent hospital infection and providing holistic cares prior operation using 5 questions. The control group received routine cares. Data were gathered with the Amsterdam Anxiety Scale and one researcher-developed patients’ satisfaction questionnaire then were analyzed by descriptive statistics, Chi-square, independent and paired t-tests. Results: Experimental and control groups in relation to age, education and place of residence were similar. After intervention the total mean anxiety score of experimental group (14.30±2.66) was lower than control (15.38±1.51) group (p<0.031). The satisfaction of experimental group (91.15±5.35) was higher than control (80.69±11.89) group (p<0.0001). Conclusion: Preoperative holistic cares for reduction of anxiety and improve satisfaction between patients prior to prostate surgery was efficient. Therefore this procedure could be recommended for anxious patients.}, Keywords = {Preoperative Care, Anxiety, Patient Satisfaction }, volume = {25}, Number = {1}, pages = {45-53}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-404-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-404-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Mahmoodalilo, Majid and HashemiNosratabad, Touraj and FarshbafManisefat, Farnaz}, title = {The effectiveness of play therapy according levy approach in reduction of anxiety in children with diagnosed cancer}, abstract ={Abstract Introduction: The diagnosis of cancer may create considerable psychological distress between children and their families. Studies indicated that anxiety is the most side effect conditions among kids with cancer. Play therapy has a special conclusion in psychotherapy approaches for children. Objective: The purpose of this research was to determine the effectiveness of play therapy according levy approach to condense anxiety among two kids with leukemia. Methods: This research was performed on only 2 kid's diagnosed leukemia. A framework of single subject designed with single baseline in 8 session play therapy according to Levy approach for one month follow-up period. Data collections were performed by reviewing kid's anxiety scale (RCMAS). Data analyzing was carried out using visual analysis of enhancement. Results: There was vital decrease of anxiety by play therapy according levy approach in kid's diagnosed cancer, also the result maintain the same after one month of action. Conclusion: The results indicated that play therapy could influence on anxiety among kids diagnosed leukemia.}, Keywords = {Play Therapy, Anxiety, Cancer, Child}, volume = {25}, Number = {1}, pages = {54-62}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-405-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-405-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Maghsoodi, Shahrokh and Hesabi, Masoumeh and Emamisigaroudi, Abdolhosein and Kazemnejadleili, Ehsan and Monfared, Arezou}, title = {General health and related factors in employed nurses in Medical-Educational Centers in Rasht}, abstract ={Abstract Introduction: Health is the essential right of every human and a social goal to be considered by all states and organizations. Among this the health of nurses who are important part of country health system is under greater danger than other social groups due to a variety of reasons. Objective: This study aims to determine the level of health and its related factors in nurses employed in medical-educational hospitals in Rasht. Methods: In this cross sectional study, 374 employed nurses in 8 Medical- Educational Centers affiliated to Guilan University of Medical Sciences were selected by stratified sampling and evaluated using Bio- data questionnaire, and Goldberg General Health (GHQ) Questionnaire. Data were analyzed by using descriptive (mean, median, standard deviation) and inferential statistics (Mann-Whitney U, Chi square). Results: Findings showed that 111 (29.7%) nurses were healthy while 263 of them (70.3%) were unhealthy. The highest mean score of unhealthy nurses was related to social performance domain (11.35 ± 3.13) and the lowest mean was related to depression area (2.18 ± 2.86). The results also indicated a significant statistical relationship between the variables of general health with marital status (p=0.057), care of elderly and handicapped child (p<0.001), partnership (p=0.010), job status (p=0.013), organizational post (p=0.04), second job (p<0.001), and job interests (p<0.001) in nurses. Conclusion: Since nurses are in danger of losing their health due to the nature of their jobs which can affect their quality of service, thus some precautions should be taken regarding personal as well as organizational dimensions to promote and improve their general health.}, Keywords = {Hospital Nursing Staff, Health, Nursing}, volume = {25}, Number = {1}, pages = {63-72}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-406-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-406-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} } @article{ author = {Mansourghanaie, Mandana and Asgari, Alaedin and Bostanikhalesi, Zahra and Dalilheyrati, Fatemeh}, title = {Related factors associated with urinary incontinence in women who had cystocel and rectocel surgery}, abstract ={Abstract Introduction: Urinary incontinence is a common problem in women which may cause some restrictions in daily activities, mental health problems and social isolation. Objective: This study aimed to compare some factors associated with urinary incontinence in women with and without urinary incontinence. Methods: This descriptive case-control study was conducted on all women who had rectocel and cystocel surgery from 1997 to 2007 in Al-Zahra and Poursina Hospital. In this study all cases for cystocel and rectocel (480cases) were considered as case group and twice as many (960 cases) normal women were selected as control groupand compared after matcting variable of age, number of deliveries, blood pressure, diabetes, menopusal status and hormon replacement thrapy. Dara were analyzed using descriptive statistical methods (mean and percent) and analytical tesrs such as T-test and Chi-squre. P-value under 0.05 was considered significant. Results: The mean age of patients with urinary incontinence was 43.10 ± 11.89 years. Average number of parity in case group was higher than the control group (3.81 ± 1.26 vs 1.98 ±0.75) and statistically significant differences were observed between the two groups (p=0.0001 ). Patients in both groups had no significant differences considering diabetes, hypertension, menopause and hormon replacement therapy. But there was statistically significant differences in type of delivery between the two groups (p=0.0001). Conclusion: It was observed that urinary incontinence in women with higher parity and vaginal delivery was higher than the control group. It seems that these two factors are the main risk factors for urinary incontinence in women.}, Keywords = {Urinary Incontinence, Cystocele/surgery, Rectocele/surgery}, volume = {25}, Number = {1}, pages = {73-77}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-407-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-407-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2015} }