@article{ author = {Hoseinzadeh, Tooba and Paryad, Ezat and Asiri, Shahla and KazemNezhadLeili, Ehs}, title = {Relationship between perception of illness and general self-efficacy in coronary ‎artery disease patients}, abstract ={Introduction: Coronary artery disease is one of the most prevalent cardiovascular diseases. ‎Promotion of general self-efficacy after a cardiovascular event is the outcome that plays a ‎pivotal role in increasing rehabilitation skills to modify healthy behaviors. Having desirable ‎illness perception may have promoted this capability.‎  Objective: This study aims to determine the relationship between perception of illness and ‎general self-efficacy in coronary artery disease patients. ‎ Methods: In a cross-sectional study, ‎‏195‏‎ patients with coronary artery disease, chosen by ‎simple sampling method, were asked to complete questionnaires of perception of illness and ‎general self efficacy. Chi-square test was used to assess the relationship between dependent ‎and independent variables and associated factors in coronary artery disease patients’ ‎general self-efficacy.‎  Results‏:‏‎ Findings of this study revealed that ‎‏74.9%‏‎ of samples had desirable general self-‎efficacy. In most cases (‎‏73.8%‏‎) the level of perception of illness was satisfactory. Survey of ‎variables indicated a significant relationship between perception of illness and age, level of ‎education, occupation status, and previous training regarding self-care. General self-efficacy ‎was significantly related to age, gender, marital status, education level , diagnosis of cardiac ‎disease, living conditions, occupation status, previous training regarding self-care (p<‎‏0.05‏‎). In ‎addition chi-square test indicated that there was a significant correlation between perception of ‎illness and general self-efficacy in coronary artery disease patients. ‎  Conclusion: Designing clinical educational programs and nursing interventions is effective in ‎improving illness perception and also promotion of patients’ general self-efficacy for better ‎self-care.‎}, Keywords = {Self-efficacy / perception/Coronary Artery Disease ‎}, volume = {22}, Number = {1}, pages = {1-8}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-171-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-171-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {Hakimi, Hamideh and Shafipoor, Seyedeh Zahri and KazemNezhadLeili, Ehs}, title = {Characteristics of burn children in Guilan Province}, abstract ={Introduction: Burn is one of the most important incidents that threaten children’s health and ‎it is the most common and the third reason of mortalities in children as well.‎ Objective: The purpose of this study was to determine the characteristics of burn children in ‎Guilan province.‎ Methods: This cross-sectional study was conducted on ‎‏175‏‎ one to six year old children who ‎were admitted to Velayat Burn Center. Sampling method was sequential. The instrument was ‎categorized into two sections including: a) participants' demographic information and b) ‎clinical information which were collected by interview,  ‎ Results: The research findings revealed that the majority of participants were boys (‎‏52%‏‎) ‎and the mean of their age was calculated as ‎‏30.6±‏‎ ‎‏2.18‏‎ month. ‎‏79.4‏‎ % of burns happened by ‎hot liquid, and ‎‏32.6%‏‎ of them had burned lower limbs. ‎‏78.9%‏‎ had first aid at home. Most of ‎burns happened on workdays (‎‏60.6%‏‎) at ‎‏5‏‎_‎‏8‏‎ in the evening (‎‏26.9%‏‎).  ‎ Conclusions: In brief, the result of this research can be used in children burn prevention ‎programs in Guilan. Due to the fact that majority of participants received first aid at homes, a ‎training course about the effects of first aid and different kinds of it seems to be useful.‎}, Keywords = {Burns/ Children/ Risk Factors}, volume = {22}, Number = {1}, pages = {9-15}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-172-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-172-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {RezaSoltani, Parvaneh and Hosseinjani, Adele and Etebari, Sahabeh}, title = {Causes of cesarean section performed in an educational health care center}, abstract ={Introduction: Cesarean section is the most common surgery among women. According to ‎World Health Organization, the rate of cesarean section in each area should not exceed ‎‏10‏‎ –‎‏15‏‎ ‎percent. In our country, one of the targets in maternal health program is reducing the rate of ‎unnecessary cesarean delivery to ‎‏25‏‎ percent by ‎‏2015‏‎.‎ Objective: This study was designed to determine the causes recorded by the physician to ‎perform a cesarean section in an educational - care center in Rasht/Iran.‎ Methods: In this descriptive study, we used a questionnaire based on the particular research ‎setting to collect the necessary data according to physicians’written statements from ‎‏600‏‎ cases ‎via a simple random sampling in a referral educational health care center specialist in obstetrics ‎and gynecology in Rasht. Data were analyzed by using statistical software and descriptive ‎statistics. ‎ Results:‎‏ ‏The highest frequency of cesarean section was in the age group ‎‏20-29‏‎ years. ‎‏83‏‎ ‎percent of mothers had their first or second pregnancy. In this educational center ‎‏63.38‏‎ ‎percent of deliveries were performed by Caesarean during ‎‏2004‏‎ and ‎‏2005‏‎. The most common ‎causes recorded by the physician to perform a cesarean section were respectively fetal distress ‎‎(‎‏42.7%‏‎),‎‏ ‏repeated cesarean section(‎‏20.3%‏‎),‎‏ ‏cephalopelvic disproportion(‎‏10.7%‏‎), meconium ‎stained (‎‏8.2‏‎%),‎‏ ‏breech presentation(‎‏7.5%‏‎),‎‏ ‏placenta previa(‎‏1.8%‏‎)‎‏ ‏and lack of progress in ‎labor(‎‏1.8%‏‎).‎  Conclusion: The findings of this study‏ ‏showed that the frequency of cesarean section in this ‎center in ‎‏2004‏‎ and ‎‏2005‏‎ was high compared with the standards. It seems that the study of ‎causes of cesarean and its results may help the authorities to plan some strategies on behalf of ‎reducing the number of unnecessary cesarean birth.‎}, Keywords = {cesarean section/ Pregnant Women/ Gynecology}, volume = {22}, Number = {1}, pages = {16-22}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-173-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-173-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {Zandiyeh, Mitra and Borzo, Seyed Rez}, title = {The level of hand hygiene compliance by operating room personnel of ‎Educational Hospitals in Hamadan University of Medical Science}, abstract ={Introduction: Health care associated infections (HCAIs) are among challenges to health care ‎facilities. Hand hygiene is well known as the most efficient, cost benefit and simplest ‎technique for decreasing these infections. In operating room, surgical procedures as invasive ‎techniques affects patients more than patients in other wards. Hence hand hygiene compliance ‎has a substantial importance in these units.  ‎ Objective: This study aims to determine the level of hand hygiene compliance by operating ‎room personnel of Hamadan Educational Hospitals.  ‎ Methods: The study sample included all surgical operating room nurses of educational ‎hospitals of Hamadan. A ten item check list which included all hand hygiene compliance by ‎operating room team was used for data collection. Each study sample was observed four times ‎and totally ‎‏296‏‎ operating room nurses were observed. ‎  Results: Mean score of general hand hygiene was ‎‏61.3%‏‎ of total score. In most samples (‎‏53%‏‎) ‎the quality of general hand hygiene performance was average and mean score of general hand ‎hygiene in Besat, Maternity and ekbatan hospital respectively were ‎‏60.1%‏‎, ‎‏64.5%‏‎ and ‎‏62.3%‏‎ ‎of total score. There was no significant difference between mean score and different hospitals, ‎type of surgery and personel level of education. The least compliance with hand hygiene was ‎regarding hand wash with soap before(‎‏4.4%‏‎) and after(‎‏12.5%‏‎) patient care and after ‎removing gloves(‎‏10.8%‏‎). Also most of samples (‎‏67.9%‏‎) wear gloves for patient care. ‎ Conclusion: In this study average score of general hand hygiene were greater than ‎‏50%‏‎(‎‏61.3%‏‎) of total score but what is of importance is the non compliance with hand washing ‎before and after patient care (although it is among most important and effective means of ‎prevention of micro organism transmission). In addition due to the importance of complete ‎compliance of hand hygiene, it is essential to implement all necessary measures. ‎}, Keywords = {HealthStatus‏/‏‎ Cross Infection‏/‏‎ Infection Control/Surgical Procedures, Operative‏/ ‏Nursing ‎Staff, Hospital}, volume = {22}, Number = {1}, pages = {23-29}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-174-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-174-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {Zeinali, Jaleh and Mirhaghjou, Seyedeh Noshaz and Mirzaei, Mahshid and Alhani, Fatemeh and KazemNezhadLeili, Ehsan and Dehghani, Maryam}, title = {The effect of family centered care on meeting parental information needs of ‎hospitalized children}, abstract ={Introduction: Information about the nature of disease decreases the anxiety and unusual ‎behaviors of parents specially mothers, and reduces their problems in recurrence of disease, ‎which occurs in at least ‎‏30%‏‎ of cases. Parents want correct information about the status of ‎their hospitalized child and also want to be involved in their child’s care and expect health ‎care providers to let them know about the expected changes that may occur in children’s ‎physical condition.  ‎ Objective: The present study aims to determine the effect of family centered care on meeting ‎parental information needs of hospitalized children. ‎ Methods: In this quasi experimental study, ‎‏76‏‎ mothers of hospitalized children admitted to ‎emergency ward of ‎‏17‏Shahrivar educational hospitals in Rasht were chosen by sequential ‎sampling and divided into two groups of experimental and control group. Informed consent ‎forms were given to selected mothers and after their agreement, family centered care was ‎performed for experimental group based on developed protocol with participation of mothers. ‎The control group received routine cares. ‎ Results: Research findings showed that the level of meeting parental needs for information ‎was ‎‏%21.1‏‎ in control group and % ‎‏81.6‏‎ in experimental group. The t-test (p< ‎‏0‏‎.‎‏0001‏‎ t=‎‏6.922‏‎ ‎df=‎‏74‏‎) showed significant difference between the two groups. ‎  Conclusion: According to the study results family centered care was effective on the level of ‎meeting parents need for information and also lead to its increase.‎}, Keywords = {Parents/Child Care/ information‏ ‏seeking behavior/ Child, Hospitalized}, volume = {22}, Number = {1}, pages = {30-37}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-175-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-175-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {Ghodsi, Hasan and MokhtariLake, Nasrin and Asiri, Shahla and KazemNezhadLeili, Ehs}, title = {Prevalence and correlates of cigarette smoking among male students of Guilan ‎University of Medical Sciences ‎}, abstract ={Introduction: Smoking is one of the most important risk factors of noninfectious diseases. ‎The period of studying at the university, with its specific characteristics from the view point ‎of health politicians, is one of a great importance in regard to the prevention of smoking. ‎ Objective: The aim of this study was to determine the prevalence of cigarette smoking among ‎male student in Guilan University of Medical sciences and its related factors.‎ Methods: This descriptive analytical study was done on male students enrolled in Guilan ‎University of Medical Sciences who were selected through systematic sampling. Data ‎gathering was done by using a questionnaire including demographic features and cigarette ‎smoking variables. Data was statistically analyzed by SPSS software using chi-square and ‎logistic regression. ‎ Results: ‎‏51‏‎ students (‎‏23%‏‎) were current smokers. There was a positive relation between age ‎‎(OR=‎‏1.32‏‎), having close smoking friends (OR=‎‏3.36‏‎) and mothers with high education ‎‎(OR=‎‏7.5‏‎) with cigarette smoking in students (P<‎‏0.05‏‎). ‎  Conclusion: Considering the high prevalence of cigarette smoking among university students, ‎it appears logical to implement educational programs and proper interventions at university ‎level.‎}, Keywords = {Smoking‏/‏‎ Students medical/ prevalence}, volume = {22}, Number = {1}, pages = {38-43}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-177-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-177-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {Momeni, Maryam and GhanbariKhanghah, Atefeh and Joukar, Farahnaz and KazemNezhadLeili, Ehs}, title = {Predictive Factors of Quality of Life in Patients with Colorectal cancer}, abstract ={Introduction: Colorectal cancer is one of the most common invasive cancers, and is ‎responsible for physical and psychosocial morbidity. Therefore, Quality of Life (QOL) is an ‎important outcome for these patients. Although extensive research has examined QOL in ‎patients with colorectal cancer, less research has examined factors that predict QOL. ‎  Objective: The aim of the present study was to determine the predictive factors of QOL in ‎patients with colorectal cancer.‎  Methods: In this cross-sectional study,‎‏ ‏we assessed ‎‏110‏‎ patients with colorectal cancer who ‎referred to Razi hospital. Data were collected by interview with patients and review of ‎medical records. Health related QOL was evaluated by SF‏-36‏‎. The Data were analyzed with ‎descriptive and deductive statistic methods (Generalized Linear Models) at α‏ ‏‎<‎‏ 0.05‏‎ using ‎SPSSv.‎‏16‏‎ software.‎  Results: Out of ‎‏110‏‎ patients with colorectal cancer, ‎‏58‏‎.‎‏2‏‎ % of them were men. Mean age of ‎patients was ‎‏58.33‏‎ ± ‎‏12.39‏‎ years.‎‏ ‏Mean of Karnofsky performance status was ‎‏87.64‏‎ ± ‎‏9.27‏‎ ‎and mean of comorbidity was ‎‏1.31±1.89‏‎. Mean of health related QOL was ‎‏70.92‏‎ ‎‏±15.56‏‎. In ‎regression analysis gender, job status, living condition, insurance, hospitalization number, ‎performance status and comorbidity were predictors of health related QOL in patients with ‎colorectal cancer. ‎ Conclusion: Predictors of health related QOL was socio-demographic factors included ‎gender, job status, living condition, insurance and health/disease factors included ‎hospitalization number,‎‏ ‏comorbidity and performance status in patients with colorectal cancer. ‎}, Keywords = {Colorectal Neoplasm/ Quality of Life/ Patients ‎}, volume = {22}, Number = {1}, pages = {44-53}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-178-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-178-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} } @article{ author = {EmamiSigaroodi, Abdolhosein and Salsali, Mahvash and Basiri, HAdi}, title = {Comparative survey between quantitative and qualitative paradigms (part II)‎}, abstract ={As stated in the first part of article, we have stated the four major philosophical paradigms ‎which make up the basis for knowledge(epistemology), the nature and reality(ontology) and ‎the acquisition methods of knowledge(methodology). Thus, according to each paradigm, ‎approach to knowledge is determined. ‎‏ ‏ In a more general category, we have two quantitative and qualitative paradigms. Today that ‎method is called quantitative or scientific method, derived from positivism. On this basis, only ‎the experimental scientific method is valid method of research. On the other hand, qualitative ‎methods focused on natural position therefore, these studies are sometimes called naturalistic ‎study. ‎ Since paradigmatic confrontation occurs in fundamental questions of each paradigm, ‎researchers use different sources to determine two paradigms' answer to basic questions, and ‎tables are made to comprise them. Finally the importance of each was emphasized.‎}, Keywords = {Qualitative Research/research/Philosophy,Nursing}, volume = {22}, Number = {1}, pages = {54-60}, publisher = {}, url = {http://hnmj.gums.ac.ir/article-1-179-en.html}, eprint = {http://hnmj.gums.ac.ir/article-1-179-en.pdf}, journal = {Journal of Holistic Nursing And Midwifery}, issn = {2588-3712}, eissn = {}, year = {2012} }