OTHERS_CITABLE Patients’ Cognitive Status and Its Related Factors Before Coronary Artery Bypasses Grafting Introduction: Cognitive status of patients before Coronary Artery Bypass Grafting (CABG) affects their activities of daily living. Evaluation of cognition status and its related factors can help caregivers to plan suitable care programs. Objective: This study aimed to evaluate the patient’s cognition status and its related factors before CABG. Materials and Methods: This cross-sectional study was done in 2016 on 139 patients before CABG who were selected by convenience sampling method. The study data were collected by Cognition Failure Questionnaire (CFQ), Hospital Anxiety and Depression Scale (HADS), and a sociodemographic questionnaire. CFQ scores range from 0-100, and higher score shows the weaker status of cognition. The obtained data were analyzed by descriptive and inferential statistics of the Man-Whitney U test, the Chi-squared test, and logistic regression. Results: The Mean±SD score of cognitive status of the samples was 12.92±12.73. The findings showed significant relationship between cognitive status and age (P=0.002) and anxiety (P<0.05). The results of logistic regression showed that age (P=0.020, OR =1.070, 95%CI=1.011-1.133), moderate anxiety (P=0.007, OR =6.067, 95%CI=1.62-22.60), and case of anxiety (P=0.001, OR=14.331, 95%CI=2.82-72.72) are the patients’ cognitive status predictors before CABG. Conclusion: Based on the findings, age and preoperative anxiety are related to the cognitive status before CABG. These variables should be emphasized in preoperative nursing care in cardiac surgery wards. http://hnmj.gums.ac.ir/article-1-831-en.pdf 2019-10-01 184 191 10.32598/JHNM.29.4.184 Coronary artery disease Coronary artery bypass graft surgery Cognitive impairment Ali Reza Balaafkandeh alibala58@gmail.com 1 Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0003-4936-0798 Ezzat Paryad eparyad@gmail.com 2 Instructor, GI Cancer Screening and Prevention Research Center (GCSPRC), Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0001-8823-3471 Atefeh Ghanbari khanghah at_ghanbari@yahoo.com 3 Associate Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-7949-5717 Ehsan Kazemnezhad Leili eh_kazem@yahoo.com 4 Associate Professor, Bio-Statistics, Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-9195-9094
OTHERS_CITABLE Effect of Progressive Muscle Relaxation Training on Postpartum Blues in High-risk Pregnant Women Introduction: Postpartum blues is one of the complications that can affect the health of the mother and how she communicates with the baby, and as a result, her physical and mental health. Therefore, its prevention can influence the mental health of the family. Objective: This study aimed to determine the effect of Progressive Muscle Relaxation (PMR) therapy on the postpartum blues of high-risk pregnant women. Materials and Methods: This randomized clinical trial was conducted on 150 women with high-risk pregnancy referred to health centers in Shahreza City, Isfahan Province, Iran. They were selected by multi-stage sampling technique and randomly assigned into two groups of PMR (n=75) and control (n=75). The control group received only routine pregnancy care, while the PMR group, in addition to routine pregnancy care, received PMR education (Jacobson Method). The severity of postpartum blues was assessed by Zung’s self-rating depression scale on days 1, 3, and 10 after delivery. For analyzing data, we used the Chi-squared test, t-test, and the Mann-Whitney U test. Results: Both groups had no significant difference with each other in terms of demographic and obstetric factors. No significant difference was observed between the control and PMR groups in the severity of postpartum blues on the first day; however, the difference was significant on days 3 and 10 (P<0.05). Conclusion: Progressive muscle relaxation therapy can be useful in reducing the severity of postpartum blues in women with a high-risk pregnancy. http://hnmj.gums.ac.ir/article-1-665-en.pdf 2019-10-01 192 199 10.32598/JHNM.29.4.192 Progressive muscle relaxation High-risk pregnancy Postpartum blues Mahboobeh Ahmadi 1 Instructor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AUTHOR https://orcid.org/0000-0002-3289-9474 Farzaneh Rahimi 2 Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Iran.; Instructor, Department of Midwifery, Najafabad Branch, Islamic Azad University, Najafabad, Iran. AUTHOR https://orcid.org/0000-0002-2410-3480 Firoozeh Rosta 3 Instructor, Master of Midwifery, Department of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. AUTHOR Hamid AlaviMajd 4 Assistant Professor, Department of Biostatistics, Shahid Beheshti university of Medical Sciences, Tehran, Iran. AUTHOR Mahboobeh Valiani 5 Assistant Professor, Department of Midwifery, Isfahan university of Medical Sciences, Isfahan, Iran. AUTHOR
OTHERS_CITABLE The Effect of Mirror Therapy on the Walking Ability of Patients After Stroke Introduction: Stroke is the most prevalent debilitating neurological disease in adults, which damages the motor system. Therefore, rehabilitation programs are essential to improve the condition of these patients. One of the novel rehabilitation methods is Mirror Therapy (MT). Objective: This study aimed to evaluate the effect of MT on the walking ability of patients after stroke. Materials and Methods: In this clinical trial, 93 patients with stroke were studied in one of the physiotherapy centers in Rasht City, Iran, in 2016. They were assigned into three groups using block randomization technique. In the MT and nonreflective groups, the rehabilitation exercises besides routine rehab program were administered in twenty 15-min sessions every other day in front of the mirror (reflective plane for the MT group) and wood (nonreflective plane for the nonreflective group). The control group received only routine physiotherapy program. The walking ability of the samples was evaluated by the Functional Ambulation Category (FAC) test before and after the intervention. For analyzing the collected data, we used the Chi-squared test, ANOVA, Shapiro-Wilk test, Kruskal-Wallis test, Friedman test, Mann-Whitney U test, and Generalized Estimating Equation (GEE) model. Results: There were no significant differences between the three groups before the intervention in terms of FAC test score and confounding variables. But all three groups showed a significant difference compared to their pretest scores (P<0.05). Also, the MT group showed more significant improvement in walking ability compared to the other two groups. Conclusion: Mirror therapy, as a simple and client-centered treatment, combined with the routine rehabilitation programs, can improve patients’ ability to walk after a stroke. http://hnmj.gums.ac.ir/article-1-703-en.pdf 2019-10-01 200 209 10.32598/JHNM.29.4.200 Mirror therapy Walking ability Stroke Rehabilitation Maryam Shabaani Mehr khaleghdoost@gums.ac.ir 1 Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0001-9264-6180 Tahereh Khaleghdoost Mohammadi khaleghdoost@gums.ac.ir 2 Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-5951-0115 Shirin Jafroudi khaleghdoost@gums.ac.ir 3 Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR Ehsan Kazemnezhad Leyli khaleghdoost@gums.ac.ir 4 Associate Professor, Social Determinants of Health Research Center (SDHRC), Bio-Statistics, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR Zahra Majd Teimoori 5 Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR
OTHERS_CITABLE Effect of Home Care on Husband’s Support During the Postpartum Period Introduction: The role of Fathers’ involvement and support in the care of mother and child during postpartum is crucial. This support promotes the health of the mother and the family. Objective: This study aimed to determine the effect of home care on the husband’s support during the postpartum period. Materials and Methods: This is a clinical trial conducted on 64 women given birth in one of the hospitals in Isfahan, Iran. They were randomly assigned into two groups of intervention and control. A researcher-made questionnaire was used for collecting data. The validity and reliability of the questionnaire were already evaluated. For analyzing the collected data, descriptive statistics, and independent t-test, Fisher’s exact test, Chi-square test, and Mann-Whitney U test were used considering the significance level of P≤0.05. Results: After receiving home care, the husband’s support in the intervention group (96.74±9.11) was significantly different (P=0.001) from the control group (81.17±14.43). There was also a significant difference between the intervention and control groups in the areas of “confidence in wife”, “listening to her”, “attention to her care needs”, “attention to her financial needs”, “attention to her problems and trying to fix them”, “buying necessary things for her”, “buying gifts for her”, “helping with housekeeping”, and “helping with childcare” after the intervention (P<0.05). Conclusion: Home care program could desirably increase husband’s support leading to a safe postpartum period. Providing home services requires careful planning and proper management by midwives. http://hnmj.gums.ac.ir/article-1-982-en.pdf 2019-10-01 210 217 10.32598/JHNM.29.4.210 Home care Husband Social sciences Postpartum period Zahra Baghersad za.midwifery@yahoo.com 1 Midwifery(MSc), Department of Midwifery, Najaf Abad Branch, Islamic Najaf Abad University, Iran. AUTHOR https://orcid.org/0000-0002-0269-8639 Fatemeh Mokhtari f.mokhtary@ymail.com 2 Instructor, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. AUTHOR https://orcid.org/0000-0002-8293-1831 Parvin Bahadoran bahadoran@nm.mui.ac.ir 3 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. AUTHOR https://orcid.org/0000-0003-3162-6551
OTHERS_CITABLE The Relationship of Health Literacy and Adherence to Self-care Behaviors in Patients With Metabolic Syndrome Introduction: The rising prevalence of metabolic syndrome and its serious side-effects have drawn the attention of researchers to the importance of adherence to self-care behavior and recognizing its related factors such as patients’ health literacy. Objective: This study aimed at determining the relationship of health literacy with adherence to self-care behaviors in patients with metabolic syndrome living in Rasht City, Iran, in 2016. Materials and Methods: This analytical cross-sectional study has been conducted on 184 patients with metabolic syndrome who referred to selective specialist clinics of Rasht. The subjects were recruited by consecutive sampling method. The study data were collected with a three-part research instrument consisting of a disease-related and demographic questionnaire, hypertension self-care activity level effects, and health literacy for Iranian adults. The obtained data were analyzed by descriptive and inferential statistics (The Chi-square test and multiple logistic regression). Results: The findings have shown that a high percentage of samples have adhered to not smoking (90.2%) and avoidance of alcohol consumption (98.9%), and a low percentage to diet (21.2%) and physical exercise (18.5%). Most samples had adequate health literacy (44.6%). Their total health literacy had only a significant relationship with self-care behaviors related to losing weight (P=0.0001). On the whole, regression test analyses confirmed the predicting ability of decision making and health literacy behaviors in adherence to medication (β=0.006; 95%CI=1.269-2.948; P=0.001), diet (β=1.525; 95%CI=2.108-10.006; P=0.001), smoking (β=1.244; 95%CI=1.814-6.632; P=0.001), and weight control (β=0.931; 95%CI=1.458-4.415; P=0.001). Conclusion: The findings of the research call for further attention to health literacy promotion, especially in decision making and behavior dimension in patients with metabolic syndrome. http://hnmj.gums.ac.ir/article-1-774-en.pdf 2019-10-01 218 227 10.32598/JHNM.29.4.218 Health literacy Patients Self-care Metabolic syndrome Reza Zahedi rezazahedi1991@gmail.com 1 Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0001-7383-6069 Mojgan Baghaei 2 Instructor, Department of Nursing (Medical-Surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-9898-0486 Mohammad Reza Yeganehfarzand 3 Instructor, Department of Nursing (Medical-Surgical), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0001-5579-722X Ehsan Kazemnezhad Leili 4 Associate Professor, Social Determinants of Health Research Center (SDHRC), Bio-Statistics, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-9195-9094
OTHERS_CITABLE Malnutrition and Its Relation to General Health and Multimorbidity in the Older People Introduction: Nutrition is one of the essential determinants of health in the elderly so that in older age, malnutrition and chronic diseases become prevalent, and one leads to another and vice versa. Objective: This study aimed to investigate the prevalence of malnutrition and its association with general health and multimorbidity among older people living in nursing homes in Ahvaz City in 2016. Materials and Methods: This analytical cross-sectional study was conducted on 184 older people living in nursing homes located in Ahvaz. The participants were assessed using a demographic form, mini nutritional assessment tool, and the 12-item general health questionnaire. The collected data were analyzed in SPSS V. 18 using descriptive statistics as well as the Spearman correlation coefficient, independent t-test, and one way ANOVA. Results: Of 184 participants, (66.2%) were female and (33.8%) male with a Mean±SD age of 68.9±7.8 year. Also, (19.2%) had malnutrition, (52.17%) risks of developing malnutrition, (28.8%) normal nutritional state, and (99.26%) undesirable general health status. There was no statistically significant relationship between their general health and nutritional status. About (35%) of the elderly had 3 or more diseases, where their most common disease was depression. Based on the results, their nutritional state had a significant correlation with multimorbidity (r=0.92, P=0.02) and between high-protein food intake and skin problems (r=0.71, P<0.001). Conclusion: Regarding the undesirable nutritional status and the low level of general health in the elderly, nutritional, and psychological interventions for this group seems necessary. http://hnmj.gums.ac.ir/article-1-1022-en.pdf 2019-10-01 228 235 10.32598/JHNM.29.4.228 Nursing home Nutritional status Aging General health Shahab Papi : shahabpapi@yahoo.com 1 PhD Student of Gerontology, Department of Health Education and Promotion, School of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran. AUTHOR https://orcid.org/0000-0001-9917-7364 Zeynab Karimi karimi_z315@yahoo.com 2 Instructor, Department of Health Education and Promotion, School of Health, Qom University of Medical Science, Qom, Iran. AUTHOR https://orcid.org/0000-0002-4563-9014 Marzie Zilaee marziezilae@yahoo.com 3 Assistant Professor, Department of Nutritional Science, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AUTHOR https://orcid.org/0000-0002-6853-109X Parvin Shahry shahry_2001@yahoo.com 4 Instructor, Social Determinants of Health Research Center, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. AUTHOR https://orcid.org/0000-0003-2070-2133
OTHERS_CITABLE Nurses’ Knowledge of Palliative Care and Its Related Factors Introduction: Palliative care is the science of promoting the patient’s quality of life. It can improve the quality of life of a patient, which is effective not only in patient’s late-life but also useful in dealing with a chronic illness over many years. In this regard, nurses, as the largest providers of health care services, play an important role in palliative care. Objective: This study aimed to investigate the palliative care knowledge of nurses and its contributing factors. Materials and Methods: This cross-sectional study was conducted on 280 nurses working in different departments of hospitals affiliated to Guilan University of Medical Sciences (GUMS). They were recruited using the stratified random sampling technique. Their data were collected by a demographic form and the Palliative Care Quiz for Nursing (PCQN) instrument. The collected data were analyzed by Kruskal-Wallis and Mann-Whitney U tests. Results: The Mean±SD score of palliative care knowledge of study nurses was reported as 7.86±2.16 indicating their imperfect knowledge. Among studied factors, only the personal study about palliative care had a significant association with the nurses’ knowledge (P=0.038). Conclusion: Nurses had poor knowledge of palliative care and its subscales that is one of the main obstacles in providing optimal palliative care. So, increasing their quality of palliative care services by improving their knowledge through in-service education and on the job retraining could promote the quality of palliative care services for the patients. http://hnmj.gums.ac.ir/article-1-804-en.pdf 2019-10-01 236 242 10.32598/JHNM.29.4.236 Palliative care Knowledge Nurse Fatemeh Paknejadi firuzeh.paknejadi@gmail.com 1 Nursing (MSN), School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-7090-6137 Farideh Hasavari f.hasavari@gmail.com 2 Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0003-2426-5807 Tahereh Khaleghdoost Mohammadi khaleghdoost@gums.ac.ir 3 Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-5951-0115 Ehsan Kazemnejad Leili kazem_eh@yahoo.com 4 Associate Professor, Social Determinants of Health Research Center (SDHRC), Biostatistics, Guilan University of Medical Sciences, Rasht, Iran. AUTHOR https://orcid.org/0000-0002-9195-9094
OTHERS_CITABLE Self-efficacy and Self-esteem in Wives With Addicted Husbands Introduction: Husband’s addiction often leads to the disruption of family roles and duties. In this process, women as wives in families with addicted husbands may tolerate pressures from everywhere and are emotionally, physically, mentally, and behaviorally at risk.  Objective: Armed with a qualitative approach, the present study tries to recognize the nature of the problem, defines and investigates this phenomenon deeply and describe the self-efficacy and self-esteem of the women with drug addict husbands. Materials and Methods: This study was a qualitative study using content analysis method. The data gathering process consisted of 20 semi-structured interviews with women who referred to social support centers in Isfahan City, Iran. The sampling was done by purposive sampling method until data saturation. The obtained data were analyzed using qualitative content analysis method. Results: According to the results of the data analysis, 16 subcategories and 4 main categories, including “glass roof”, “from injury to relief”, “hope for empowerment”, and “silent victim” were extracted. Conclusion: The results of the present study indicate that the wives of addicted men have a low level of self-efficacy and self-esteem; thus, they require supportive attention and counseling of psychologists. Since women play an essential role in the formation of a family, authorities should adequately know about their mental and psychological problems and support them concerning their husband’s addiction. http://hnmj.gums.ac.ir/article-1-994-en.pdf 2019-10-01 243 251 10.32598/JHNM.29.4.243 Husband Drug users Addiction Self-efficacy Self-esteem Mahsa Shaali m.shaali93@yahoo.com 1 Midwifery(MSc), Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. AUTHOR https://orcid.org/0000-0003-4068-055X Ziba Farajzadegan farajzadegan@nm.mui.ac.ir 2 Associate Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. AUTHOR https://orcid.org/0000-0001-8548-2843 Alireza Turk Nezhad Azerbaijani m.shaali93@yahoo.com 3 Psychiatrist, Imperial College London, England. AUTHOR Zahra Boroumandfar boroumandfar@nm.mui.ac.ir 4 Assistant Professor, Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. AUTHOR https://orcid.org/0000-0002-4383-692X