2024-03-28T14:22:50+03:30 http://hnmj.gums.ac.ir/browse.php?mag_id=7&slc_lang=en&sid=1
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Epidemiologic variables in Multiple sclerosis patients in Zanjan Mohammad Hossein Pourmemari M.hossein pourmemari@gmail.com Soheila Rabie Siahkali Hossein Bagheri GholamAli Taghiloo Fereydoon Eskandari Introduction: After trauma, multiple sclerosis (MS) is the most common cause of disability in ‎young adults. Epidemiologic findings provide health care managers with vast information.‎  Objective: Study was designed to determine some of the Epidemiologic variables in MS ‎Patients in Zanjan hospitals in ‎‏2007‏‎. ‎ Methods: In this descriptive study, all ‎‏96‏‎ MS patients were chosen and data were collected ‎by phone and a questionnaire consisted of demographic characteristics, history of MS in ‎family members, age of first admission, chief compliant, number and season of admission, ‎total cost of hospitalization and use of Avonex and Rebife at home.‎ Results: Mean age of samples was ‎‏33.5‏‎ years and duration of illness was ‎‏6.2‏‎ years. Majority ‎‎(‎‏66.6%‏‎) was female, married (‎‏77.8%‏‎), lived in Zanjan city (‎‏72.9%‏‎), owned house (‎‏74%‏‎), ‎unemployed (‎‏74%‏‎) and had familial history of MS (‎‏7.3%‏‎). The ratio of disease in women to men ‎was ‎‏2.7‏‎ to ‎‏1‏‎. Treatment cost in ‎‏46.9%‏‎ of samples was between ‎‏100-250‏‎ thousands Tomans and ‎‏34.4%‏‎ use medications such as Avonex and Rebife. ‎ Conclusion: MS is not uncommon in Zanjan. In order to improve the lives of these patients, ‎more comprehensive information regarding their clinical and demographic aspects are needed. ‎ Multiple Sclerosis Epidemiology Disability 2011 4 01 1 6 http://hnmj.gums.ac.ir/article-1-187-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Deperssion after traffic –accident in Poursina educational- threaputic‏ ‏center ‎ Naeima Khodadadi n_khodadady@yahoo.com Atefeh Ghanbari Khanghah Kobra Salami kohan Mohammad Taghi Moghadamnia Minoo Mitra Chehrzad Seyedeh Noshaz Mirhaghjoo Introduction: Post traffic accident depression is one of the most prevelant mental disorders ‎which increased in recent years and its occurance in early years of life affects daily living ‎productivity and also family and society. Therefore it’s important to promptly detect it and ‎refers them to psychiatrist for diagnosis and treatment. ‎  Objevtive: The goal of this study was to determine the level of depression one week and also ‎two months after traffic accidents.  ‎ Methods: This study had descriptive-cross stional design.‎‏ ‏Participants were chosen from ‎orthopaedic and trauma wards in Poursina hospital in Rasht city. Data were collected in two ‎time periods (one week and two months after the traffic accident ) from ‎‏89‏‎ patients using ‎demographic and Beck Depression Inventory questionnaires. Data were collected in ‎‏2010‏‎ and ‎T- test was used as statistical test for analysis.‎ Results: Findings showed that the majority(‎‏37‏‎.‎‏1‏‎%) had mild depression one week after the ‎accident but the level of depression significantly increased two months after as ‎‏38‏‎.‎‏5‏‎% of ‎samples had severe depression. ‎ Conclusion: Study results indicated that a significant percent of patients experience ‎depression after traffic accident which is related to symptoms two months after. Health care ‎personnel in emergency and other wards need to assess patients for these symptoms. Early ‎detection and referring patients for depression treatment can prevent it from becoming ‎chronic.‎ Post troumatic‏ ‏Stress Disorder Depression Traffic accidents Trauma 2011 4 01 7 12 http://hnmj.gums.ac.ir/article-1-188-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Survey Relationship between demographic factors and stress, anxiety and ‎depression in nurses working in selected hospitals in Tehran city ‎ Feryal Khamseh khamseh_‎‏110‏@yahoo.com Hadi Roohi Abbas Ebaady Zahra Hajiamini Hasan Salimi Shokoufeh Radfar Introduction: Nowadays, emotional reactions such as stress, anxiety and depression are ‎known as inseparable component of modern nursing, which cause problems for nurses and ‎patients. ‎ Objective: This study aims to determine the level of depression, anxiety and stress in nurses in ‎selected educational hospitals affiliated to a chosen university in Tehran city. Methods: In this cross-sectional study, ‎‏413‏‎ employed nurses in educational hospitals ‎affiliated to a selected university were chosen and a two part questionnaire was used which ‎included demographic characteristics and Depression, Anxiety and Stress Scale questionnaire.‎  ‎ Results: Study findings showed that ‎‏25‏‎.‎‏8%‏‎ of nurses suffered depression, ‎‏21‏‎.‎‏6%‏‎ had anxiety ‎and‏47‏‎.‎‏6%‏‎ had stress. Results showed significant relationship between depression, anxiety and ‎nurses’ marital status (P<‎‏0.05‏‎) and also a meaningful relation was shown between level of ‎depression, stress and gender (P<‎‏0.05‏‎).‎ Conclusion: In attention to study findings, it can be concluded that presence of job and ‎environmental related stress factors in university increases emotional reactions such as ‎depression, anxiety and stress. Since nurses have important role in health promotion, ‎eliminating ground factors is a priority. ‎ Nurse Job Stress Depression Anxiety 2011 4 01 13 21 http://hnmj.gums.ac.ir/article-1-189-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Evaluation of Body posture Ergonomyic during work in intensive care units ‎nurses in teaching hospitals of Guilan University of Medical Sciences in Rasht city ‎in ‎‏2010‏ Maryam Khoshbakht Baghaie@gums.ac.ir Mojgan Baghaie Lakeh Farideh Hasavari Ehsan Kazemnejad leili Mehdi Blourchian Introduction: Work-related musculoskeletal disorders, with their high incidence, especially in ‎jobs with activities such as patient change position, have attracted specialists’ attention to ‎ergonomic science for nurses. ‎ Objective: This research was conducted with the aim of evaluation of nurses’ body posture ‎ergonomic during work with patients change of position in intensive care units.‎  Methods: This descriptive analytic-cross sectional study was conducted on ‎‏91‏‎ ICU nurses and ‎data were gathered using a two-part tool consisting demographic data and REBA worksheet.‎‏ ‏Data were gathered by self-report(for demographic data) and observation(for environmental ‎factors and REBA) and descriptive and analytical tests were used data analysis using ‎SPSS‏17‏software.‎ Results: This survey showed that REBA score in the majority of intensive care units nurses ‎‎(‎‏77‏‎.‎‏7%‏‎) was ‎‏4-7‏‎(medium risk with necessary need to change). The most ergonomic problem ‎with level of moderate or more was seen in wrist area. Unfortunately, only ‎‏19‏‎.‎‏4‏‎% of samples ‎had desirable ergonomic posture that had significant relationship with sample's work position ‎‎(P>‎‏0‏‎.‎‏007‏‎) and less work experience years in ICU(P>‎‏0‏‎.‎‏0001‏‎). ‎  Conclusion: In attention to unsatisfactory ergonomic in more than ‎‏80‏‎% of nurses while ‎changing patients’ position, it is necessery to pay more attention and determine effective ‎factors and necessery plans to improve body ergonomic to improve body posture and finally ‎decrease injuries in nurses.‎ Ergonomic Body posture Intensive Care Unite Nurse 2011 4 01 22 29 http://hnmj.gums.ac.ir/article-1-190-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Study Factors related to report the needle stick and sharps injuries report by ‎nursing staffs of the Educational and Therapeutic Centers of Guilan University of ‎Medical Sciences, Rasht Farnaz Rahnavard Masouleh@gums.ac.ir Shadman Reza Masouleh Seyedeh Fatemeh Seyed Fazelpour Ehsan Kazemnejad Leili Introduction: Blood born infectious diseases (HBV, HCV and HIV) are common ‎occupational hazards which threaten medical workers‏.‏‎ Sharps and needle stick injuries are ‎common problems for nurses at work places but sometimes these injuries remain unreported.‎  Objective: The main objective of this research is to identify the factors related to report the ‎needle stick and sharps injuries among nursing staffs.‎ Methods: In this cross-sectional-descriptive and analytical study,‎‏ 500‏‎ nursing staffs of the ‎educational and therapeutic centers in Rasht were selected by stratified random sampling ‎method. Data were collected by completing the questionnaire.‎‏ ‏In order to analyze the data we ‎utilized Chi-square, Fisher exact test, Mann Whitney, multiple logistic regression statistical ‎tests.‎‏ ‏We analyzed relationship between independent, dependent and background variables, ‎and related factors on reporting were determined.‎ Results: Findings indicated that from ‎‏386‏‎ nurses (‎‏77.2%‏‎) who experienced the injuries, only‏ ‏‏209‏‎ (‎‏54.1%‏‎) of them reported the accident. Reporting rate was increased ‎‏4.37‏‎ times when ‎recommended by others, awareness of the existence of reporting system (‎‏1.59‏‎ times) and work ‎load (‎‏1.54‏‎ times). Existence of a specific person for reporting decreased the chances of ‎reporting by ‎‏2.3‏‎ times.  ‎ Conclusion: Not-reporting the sharps injuries are an important event for health care workers. ‎Increasing awareness among nurses about risk of exposure and transmission of blood born ‎viral diseases and improvement of infection control services for post exposure follow up can ‎reduce non reporting rate.‎ Sharps injuries Needle stick Nurse 2011 4 01 30 37 http://hnmj.gums.ac.ir/article-1-191-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Behavioral risk factors for cardiovascular diseases in Bonab city employees Akram Ghahramanian ghahramaniana@gmail.com Mehdi Heidarzadeh Hossein Rostami Rabee Rahimi Introduction:‎‏ ‏Cardiovascular diseases are causes of death in many industrialized countries. ‎This disease is among the most common, serious and deadly diseases in Iran.‎  Objective:‎‏ ‏This study was performed to determine some of the behavioral risk factors ‎associated with cardiovascular diseases in Bonab city staffs. ‎ Methods:‎‏ ‏This study was a cross-sectional study. Research population consisted of all city ‎employees. Cluster sampling method was used and the inclusion criteria were performed. Data ‎of total of ‎‏241‏eligible employees selected were collected by questionnaire which validity and ‎reliability of it was confirmed through content validity and Alpha Cronbach. The data were ‎analyzed by descriptive and inferential statistics (Chi-square, t with independent samples)‎‏ ‏in ‎SPSS software.‎  Results:‎‏ ‏The results showed that ‎‏65.2%‏‎ of samples weren’t compliant with specific nutritional ‎principles and the type of oil of consumption was saturated in ‎‏70%‏‎ of samples, ‎‏47.1%‏‎ and ‎‏11%‏‎ ‎of the samples respectively were overweight and obese, ‎‏19.5%‏‎ smokers, ‎‏6.2%‏‎ regularly use ‎bubble and ‎‏49.5%‏‎ had contact with environmental tobacco smoke. ‎‏43.8%‏‎ were not screened for ‎diabetes and hyperlipidemia, and ‎‏54‏‎.‎‏8%‏‎ of them didn’t exercise. Chi-square test showed ‎significant difference between the sexes in the variables of smoking (P=‎‏0.006‏‎), athletic ‎activities (P=‎‏0.001‏‎) and adherence to principles of specific nutrition (P=‎‏0.006‏‎).  Conclusion: In attention to study findings on possible decreasing risk factors and low ‎sensitivity of samples regarding healthy life styles and screening for diabetes and ‎hyperlipidemia, programmed education is necessary to lower risk factors,‎‏ ‏Change knowledge ‎and attitude of people on self health and ultimately correcting life styles.‎ Cardiovascular Disease Behavioral Risk Factors Body Mass Index Employees 2011 4 01 38 45 http://hnmj.gums.ac.ir/article-1-192-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Assessment of retired elderly’s people autonomy and its affecting factors in Rasht Nasrin Masoumi S_Gafroudi@ gums.ac.ir Shirin Jafroudi Atefeh Ghanbari Khanghah Ehsan Kazemnejad Leili Introduction: In elderly, autonomy is threatened due to physical and mental disability. This ‎disability in activity of daily living is a chronic condition that causes cost disbursement in ‎society and reduce older people’s quality of life. ‎ Objective: The aim of this study is to determine and compare retired elderly’s ability in ‎activity of daily living based on demographic characteristics in Rasht.‎  Methods: This study is a cross- sectional descriptive study that includes ‎‏194‏‎ retired elders in ‎governmental organizations. Data collection is done by Katz questionnaire and for assessment ‎of activity of daily‏ ‏living (ADL) ability and instrumental activity of daily living (IADL) ‎Lawton questionnaire was used. Collected data were analyzed using SPSS version ‎‏16‏‎.‎  Results:‎‏ ‏Study results showed that although elderly needed help in activity of daily living ‎such as bathing, walking and appearance conditions but‏ ‏none were in completely dependent ‎group after scoring. In independency domain in instrumental ADL, ‎‏86‏‎.‎‏6‏‎% of them were ‎independent, ‎‏10‏‎.‎‏3‏‎% of them needed help and ‎‏3‏‎.‎‏1‏‎% of them were completely dependent. In ‎demographic characteristics, autonomy in activity of daily living correlates with age, marital ‎status, education and illness.‎ Conclusion: Because of significant correlation between disability in activity of daily living by ‎increasing age, female gender and morbidity, planning for education classes, providing posters ‎and pamphlet based on life style correction and prevention of musculoskeletal diseases is an ‎important step in getting elders to effective and healthy life.‎ Elderly Retirement Activity of daily living ‎ 2011 4 01 46 51 http://hnmj.gums.ac.ir/article-1-193-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2011 21 1 Study the role of personal factors on life satisfaction of nurses employed in ‎hospitals affiliated to Guilan University of Medical Sciences Nastaran Mirfarhadi Saghi_M‏80‏@yahoo.com Saghi Mousavi Rasool Tabari Ehsan Kazemnejhad leili Introduction: Life satisfaction is primier purpose of human’s life and it provides sufficient ‎basis for progress and confident basis to achieve higher levels. On the other hand, life ‎satisfaction brings out successes. Many studies have shown different factors such as ‎individual factors can affect life satisfaction. In attention to the role of nursing as key member ‎of healthcare, identifying effective factors on their satisfaction can have a direct effect on the ‎quality of healthcare and also on the society.‎  Objective: This study was done to determine the role of personal factors on life satisfaction of ‎nurses employed in hospitals affiliated to Guilan University of Medical Sciences.‎ Methods: In this descriptive-correlated study, ‎‏309‏‎ nurses in eight educational centers in ‎Guilan University of Medical Sciences were selected by stratified sampling and were ‎investigated by a two part questionnaire including life satisfaction index and personal ‎demographics. Data were analyzed using descriptive and inferential statistics tests (Multiple ‎Regression, Spearman, Mann-Whitney U test and Kruskal-Wallis) with SPSS ‎‏16‏‎ software. ‎ Results: Findings of this study shows most of research cases (‎‏79.6%‏‎) are satisfied with their ‎lives and there is a significant relation between life satisfactions with gender (p<‎‏0.01‏‎) and ‎average monthly income (p<‎‏0.008‏‎) while there was no significant relation between life ‎satisfaction with other personal factors (age, level of education, type of employment, position, ‎work experience, ward working, work experience in present ward and work shift). ‎  Conclusion: In attention to findings of study which shows a relative significance of personal ‎factors (gender and mean monthly income) on nurses, life satisfaction, it seems that a plan to ‎increase income can promote nurses’ life satisfaction.‎ Personal Satisfaction Life Nurses 2011 4 01 52 58 http://hnmj.gums.ac.ir/article-1-194-en.pdf