2024-03-29T08:25:47+03:30 http://hnmj.gums.ac.ir/browse.php?mag_id=8&slc_lang=en&sid=1
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Related factors to continued breastfeeding in infants Masomeh Gafari Asl Reyhaneh Fadakar Sogheh fadakar83@yahoo.com Arezo Ghavi Monireh Ahmad Shear bafi   Introduction: Breast milk is the best nutrition for infants. Although feeding mostly begins with breast milk but its continuation is ignored in some cases. In this regard, identification of related factors to breastfeeding is important.  Objective: The purpose of this study is to determine related factors to continuing breastfeeding in hospitalized infants.    Methods : This cross-sectional descriptive study was conducted on 470 mothers of infants younger than 2 years referring to 17-Shahrivar medical-educational hospital in Rasht. Data were collected during a four months period from September to December of 2012. Data collection tool included a questionnaire consisting of three parts. First and second parts included mother and child's socio-demographic information and related factors to breastfeeding continuation which were researcher made, and third part covered related factors influencing continuation of breastfeeding and mother’s attitude toward breastfeeding. Data were analyzed using descriptive statistics (Mean, SD) and analytical statistics (Chi-square, Fisher test and ANOVA). Multiple logistic regression was applied to estimate effect factors and relative chance.  Results: Findings showed that most mothers (57.6%) continued breastfeeding even after six months but unfortunately 42.4% breastfeed for less than six months. Mothers who continued breastfeeding after six months, results showed a significant relationship between length of breastfeeding and premature newborn (P<0.003), mother’s employment (P<0.014), insufficient breastfeeding (P<0.0001), newborns’ refusal to breastfeeding, consuming contraceptive pills (P<0.0001) and mother’s attitude about breastfeeding (P<0.008).    Conclusion: Results show that the most important factors related to incontinous breastfeeding are related to mothers' misbelief regarding signs of adequacy of breast milk and consumption of oral contraceptives. Breast Feeding Infant Mothers 2014 7 01 1 8 http://hnmj.gums.ac.ir/article-1-130-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Related factors to onset of post-traumatic stress disorder after road accidents N Khodadadi A Ghanbari Khanghah at_ghanbari@gums.ac.ir S M Mousavi T Khaleghdoost S M J Mousavi   Introduction: Traffic accidents are one of the most common causes of mental disorders associated to trauma, According to the prevalence, importance and complications of post traumatic stress disorder after the accident, examining the related factors can be a useful aid in screening and treatment of people at risk.   Objective: This study aimed to determine some variables related to post traumatic stress disorder after traffic accident.   Methods: In this descriptive cross sectional study, participants were chosen from orthopaedic and traumatic units of Poursina hospital in Rasht city. Data were collected at 1week and 2 months post-injury for 89 patients hosptalized in 2008. Instruments used included personal and psycho-social questionnaire, health related quality of life (SF 36 item), Self- Scale for PTSD Rating (SRS-PTSD) and Beck anxiety test   Results : Statistical results showed that 21 victims (22.5%) suffered from post-traumatic stress disorder one month after the accident. Depression mean score and SD was significantly higher in PTSD group (p=0.001). In addition the mean score and SD of duraion of hospitalization was higher in PTSD group ( p=0.03). Conclusion: The findings suggest that some factors, such as depression and duration of hospitalization are related to post-traumatic stress disorder after an accident. Therefore it is recommended to avoid long-term and unnecessary hospitalization. In addition, psychiatric counselling immediately after accident and follow up of psychological symptoms, especially depression is recommended post-discharge . Stress disorders / Post-Traumatic Accidents / Traffic Wounds and Injuries 2014 7 01 9 17 http://hnmj.gums.ac.ir/article-1-131-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Correlation between self-care and self-efficacy in adolescents with type 1 diabetes A Rezasefat Balesbaneh N Mirhaghjou n.haghjou@gums.ac.ir M Jafsri Asl SH Kohmanaee E Kazemnejad Leili A Monfared   Introduction: Diabetes Type 1 is one of the most common pediatric chronic conditions. Metabolic control and adherence to medications is weaker in adolescents with diabetes type 1 than preadolescent children. Lack of follow up of treatment regime causes short and long term complications in adolescents with diabetes type 1. So this disease demands special self-care behaviors lifelong. One of the most effective factors on self care is self-efficacy.   Objective : Present study aims to determine the correlation between self-care and self-efficacy among adolescents with type 1 diabetes.   Methods : This cross-sectional study was conducted over a period of three months from January to March 2011. Subjects included all adolescents with type 1 diabetes (about 50 patients) who referred to the clinic of Pediatric Hospital in Rasht. Data were collected through interview using a three part questionnaire covering demographic data, self-efficacy and self-care in adolescents with type 1 diabetes. Data were analyzed using SPSS software version 19, and descriptive and analytical statistics (Pearson correlation square, one way variance).   Results : Mean score of samples’ self-efficacy was 32.91± 11.79 and self-care mean was 131.86 ± 15.88. In this study, Pearson correlation square showed a significant positive correlation between self-care and self-efficacy (p<0.0001).   Conclusion : This study showed a significant positive correlation between self-care and self-efficacy. Therefore self-efficacy is significant pre factor for successful self-care behavior and promotion of self-efficacy methods can improve self-care of diabetic adolescents. Self-efficacy Self-care Diabetes Mellitus / type1 Adolescent 2014 7 01 18 24 http://hnmj.gums.ac.ir/article-1-132-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Knowledge level of nurses employed in orthopedic units on osteoporosis disease M Solimanha K Asadi S Shabani shabani_azad@yahoo.com AR Mirblock A Karimi E Kazemnezhad lili   Introduction : Osteoporosis is a common problem of musculoskeletal system. Awareness of people about the etiology and risk factors could play an important role in taking care of themselves and others for prevention of osteoporosis.   Objective : This study was performed to determine Knowledge level of nurses employed in orthopedic units on osteoporosis disease   Materials and Methods : This was a cross-sectional study conducted on 130 orthopedic nurses employed in hospitals of Poursina, Emam Khomeini, Akhtar and Shariati who entered the study by consensus during 2011. Data collection tools included a researcher-made questionnaire consisting of personal and social information and awareness level on Osteoporosis in four domains: prevention, risk factors, nutrition and treatment. Data were analyzed using Frequency, Mean, Standard Deviation, T-test and ANOVA.   Results: The average score of awarenesswas14.57±2.81 (out of 20 scores) . Level of awareness was average in participants. In studying the relationship between the awareness level of all mentioned factors of Osteoporosis and also obtained total score of awareness and demographic characteristics (age, gender, work history, education level), a significant relationship was found between age and level of awareness of treatment (P=0.020), education and level of awareness of prevention (P=0.043), risk factor (P=0.031) and total awareness score (P=0.010).   Conclusion : In most cases knowledge level of nurses were low. Considering their role in health of society, they should have higher scientific abilities, therefore their knowledge level should be increased regarding osteoporosis and demands exact planning. Osteoporosis Nursing Staff / Hospital Awareness 2014 7 01 25 32 http://hnmj.gums.ac.ir/article-1-133-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Midwives\' Satisfaction with family physician plan in Rasht K Ghorbani Kambiz Ghorbani@gmail.com H Najaf Zadeh A Sedighi SM Mousavi MH Mahdavi F Monajemi   Introduction: Job satisfaction reflects a favorable institutional atmosphere in any organization. Job satisfaction causes attraction, survival and employers job motivation. It is important to note job satisfaction of midwives as a key component of health system for promoting mother and children health care processes.   Objective : This study was designed and implemented to determine the satisfaction of midwives in family physician program.   Methods : In this descriptive cross sectional study, 42 midwives employed in Rasht health center were selected by census in 2008. Data collection instrument was a researcher made questionnaire based on Smith JDI including two parts covering socio-demographical and 26 items on workplace environmental factors, management aspects, education and welfare aspects and job time structure. Descriptive and inferential tests such as Chi-Square , U Mann Whiteny and Spearman were used for data analysis.   Results: The mean of midwives' job experience was 3.6 ± 1.5. Least satisfaction in job welfare aspect obtained 44% of satisfaction score and highest satisfaction in job managing aspects received mean score of 70%. There was no correlation between marries and job satisfaction except in job welfare aspect where that singles were more satisfaction (p<0.05). Conclusion : In assessment of midwives' satisfaction, it is shown that job does not exist in welfare aspect. In attention to the fact that lack of satisfaction can affect the quality of health care, it is necessary to reconsider midwives' payment and decrease their work hours. Job Satisfaction Midwifery Health Services 2014 7 01 33 39 http://hnmj.gums.ac.ir/article-1-134-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Barrier of implementing non-pharmacological pain management in children and presented intereventions by nurses P Mohebbi pmohebbi@yahoo.com R Azimzadeh   Introduction : Researches indicate that children's pain is still not managed well. Pain relief with non pharmaceutical methods in addition to being cost effective it is uninvasive and it only depends on nurses' performance.   Objective: This study aims to determine important barriers and presented interventions by nurses for non pharmaceutical pain management in children.   Methods : This descriptive study was conducted in all nurses of medical-surgical wards (50 nurses) in Tabriz educational-therapeutic hospital in 2010. Data collection instrument included a researcher made questionnaire that the first part covered nurses' demographics, second part contained items (20 questions) on problems and barriers of using non- pharmaceutical methods from nurses' viewpoints and the third part included items (20 questions) on pain management strategies . Questions were ranked on a 3-point Likert scale. Questionnaire was used after determining its validity and reliability. The data were statistically analyzed utilizing descriptive and Pearson correlational analytic statistics.   Results : Nurses considered the following important barriers respectively: frequency of working hours (2.84±0.3), Lack of time and heavy work load (2.76±0.5), staff shortages (2.72±0.5). And they mentioned the following important strategies respectively: increase the number of personnel (2.82±0.4), parent education to understand and apply these methods (2.78±0.4), personnel education to improve communication skills with children (2.76±0.5).   Conclusion : Study findings showed nurses evaluate many alternatives in personnel, training, management and environmental domains in order to manage pain properly by non- pharmaceutical methods. Data analysis indicated that the best alternative is to increase the number of personnel. Therefore, it's suggested that managers and professional staff use these strategies to solve problems. Pain Management Child Nursing Staff Hospital 2014 7 01 40 48 http://hnmj.gums.ac.ir/article-1-135-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Solid Waste Management of Hospitals affiliated to Kashan Medical University M Motaghi GH Mostafai Mostafai_gr@kaums.ac.ir J Salmani   Introduction : Hospital waste always has been tallied as one of the important path for environmental contamination. Technology improvement and growth of population, eventually increases the hospital waste products, besides inadequate management could place healthcare workers, patients, communities and their environment at risks.   Objective : The aim of present study was valuation of hospital waste product management state in Kashan.   Methods : This study was a cross sectional-descriptive survey. Protocol of the survey was carried out in all of the training public hospitals including 850 active beds, in city of Kashan. Method applied for collecting the data was remarking (visiting each hospital).The weight and volume of the waste product were measured according to quality and quantity. Obtained data were analyzed using Mean (µ) ch- square and(X2).   Results : The results of the study showed that the daily hospital waste product were 2461 Kg per 24 hours, approximately 895804 kg per year, on average 219 kg per each bed. Most of the hospital waste products were collected from gynecology (62 kg), ENT (ear, nose and throat, 3 kg), medical (0/6kg) and dialysis (3kg).   The results on various aspects of hospital waste management indicated that, all of the hospitals had cleared strategies for disposal of wastes except ENT wards. Similarly, the segregation process was inefficient.   Conclusion : Improvement of proper waste management systems and policies are strongly recommended . This can be achieved only by the training according the guidelines and required codes of practice to develop skills, understanding control, storage, transport and disposal of hospital waste product policy. Medical Waste Disposal Medical Waste Hospitals 2014 7 01 49 58 http://hnmj.gums.ac.ir/article-1-136-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Comparison of ambulance use in urban and rural patients with Acute Myocardial Infarction M Momeni AF Zand Parsa zandparsa@tums.ac.ir A Salari A Ghanbari Khanghah T Moghadas   Introduction: Acute Myocardial Infarction is a clinical condition for which delays in seeking care can have significant and adverse consequences on patients’ prognosis . Minimizing AMI treatment delays remains a priority for emergency medical services (EMS). Rural residents often have limited access to local health care providers and hospitals, which may affect their use of the ambulance. Comparison of ambulance use in urban and rural patients with AMI is essential for planning and appropriate EMS use.   Objective: The aim of this study was to compare ambulance use between urban and rural patients with AMI in Guilan province.   Methods: This cross-sectional survey was conducted on 162 consecutive patients with AMI (100 urban and 62 urban) admitted to Cardiac Care Unit (CCU) in Dr. Heshmat hospital in Rasht city 2011. Data were collected by using a four-part questionnaire (demographic, clinical, situational and cognitive) by interview. Data was analyzed by SPSS.V.16 using statistical tests (Chi-square, T test, logistic regression).   Results: Findings indicated that (9.9%) urban and (7.4%) rural patients used ambulance but this difference was not significant (P<0.58). Regression analysis showed that older age (P<0.039, OR=1.95, CI=1.901-2.997), greater knowledge about prompt medical care seeking (P<0.003, OR=7.97, CI=2.02-31.44) were related to quicker seek for medical care ambulance transport in urban patients. Whilst, only greater knowledge was significantly related to quicker seek of medical care (P<0.005, OR=7.09, CI=1.79-28.02) of ambulance transport in rural patients.   Conclusion: The results of present study showed that ambulance use did not differ based on place of residence in Guilan province. This may indicate this fact which community health care system in Iran is a universal and coordinate system and provides fair access to health care for all Iranians regardless of place of residence. Ambulance utilization may improve by providing public education. Ambulances Myocardial Infarction Urban Population Rural Population 2014 7 01 59 67 http://hnmj.gums.ac.ir/article-1-137-en.pdf
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Journal of Holistic Nursing And Midwifery JHNM 2588-3712 10.32598 2014 24 2 Medical adverse events during patient’s hospitalization at training Hospitals in Kerman M Moosazadeh MR Yegane I Aghaei S Mahmoodi F Mehrzad MR Amiresmaili mohammadreza.amiresmaili@gmail.com   Introduction: Medical errors are one of important and noticeable challenges of health care, which threaten the health system of all countries. On the other hands this issue is a global, costly with serious complications for patients and society.   Objective: The present study aimed to determine the rate of medical adverse events during patients' hospitalization.   Methods : In this cross sectional study, 390 patients in training hospitals affiliated with Kerman University of Medical Sciences were studied in winter of 2011. Validity and reliability of the patients was determined, using a questionnaire method. Data analysis was carried out using descriptive statistics (mean and standard deviation) and chi square test.   Results: 50.3% of participants were male. Interpersonal problems happened for 31.8% of patients, medical errors and problems related to treatment process happened for 26.4% and 40% of patients respectively. Total incidence of adverse events for patients was 62.3% during their hospitalization.   Conclusion: The findings of this study indicated that the incidence of adverse events is common during patient's hospitalization. Therefore, studying medical errors and learning more or how to prevent, monitor and respond to them is essential. Medical Errors Inpatients Hospitals 2014 7 01 68 76 http://hnmj.gums.ac.ir/article-1-138-en.pdf