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  Most popular articles (Since August 13, 2018)

 
 
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ORIGINAL ARTICLES
Evaluation of the nursing process utilization in a teaching hospital, Ogun State, Nigeria
Foluso O Ojewole, Ambari O Samole
July-September 2017, 4(3):97-103
DOI:10.4103/JNMS.JNMS_13_17  
Context: Nursing process is the systematic method of thinking used by nurses to develop an individualized plan of care for patients. Effective use of the nursing process depends on a nurse's familiarity with the standardized nursing language. Aim: This study evaluates the utilization of nursing process on the day of admission and within 24 h of patient admission in a teaching hospital. Setting and Design: Descriptive and Retrospective design was utilized. Materials and Methods: Systematic sampling technique was adopted to evaluate 959 patients' records from 2014 to 2016 in 2 medical and 2 surgical wards over 3 months period using a self designed checklist. Statistical Analysis Used: Data collected was analyzed using SPSS version 21 and presented as frequencies and percentages. T test was used to test the significant difference between variables with P value set at ≤ 0.05. Results: Only 24.9% of the medical records contained the nursing process form. On the day of admission, <25% of the charts included a complete record of nursing assessment, nursing diagnoses, nursing intervention, and the evaluation. The highest phase of nursing process recorded is nursing diagnosis followed by patient assessment. At 24h postadmission, no significant increase was noted in the phases of nursing process recorded. There was a significant difference between the frequencies of documentation of nursing diagnosis and the nurses' area of practice (P = 0.001). Conclusions: Nursing process utilization remained poorly incorporated into the activities of nurses in this institution. Therefore, continuing professional education on nursing process and supervision should be mandated.
  1,150 111 -
Experience of nurses about barriers to pain management in pediatric units: A qualitative study
Parvin Aziznejadroshan, Fatemeh Alhani, Eesa Mohammadi
July-September 2017, 4(3):89-96
DOI:10.4103/JNMS.JNMS_2_17  
Context: Children's pain in hospital settings has not yet been managed well. Although nurses play an important role in pain management, its extent is limited with respect to clinical nurses in Iran. Aims: This study was conducted to explore the experience of nurses' barriers to pain management in pediatric units. Settings and Design: This qualitative study was conducted at two teaching hospitals in Amirkola Children's Hospital in Babol and Children's Medical Centers in Tehran, Iran. Data were collected from 19 nurses, using unstructured and deep interviews during 2014–2015. Material and Methods: Sampling was purposeful with maximum variation. Data analyzed by conventional content analysis method simultaneously data collection based on five steps of Granheim and Lundman (2004). To ensure about the accuracy and reliability of data, four criteria namely credibility, confirmability, dependability, and transferability, were used according to Lincoln and Guba's criteria. Before the interviews, participants were ensured about the confidentiality of their information and voluntarily nature of the study. In addition, written informed consents of the nurses were obtained. Results: Data analysis extracted five themes of barriers to pain management, including: Inappropriate organizational structure, interruption in pain relief activities, inadequate competency of the nurses, individual characteristics of child and parents, and inefficacy of companions. These themes indicated the barriers to pediatric pain management based on research conditions and experience of nurses in the pediatric ward. Conclusions: Therefore, modification of organizational structure, elimination of causes of delay in pain relief measures, promotion of nursing competencies, paying attention to child and parents' characteristics, and improvement of companions' effectiveness should be prioritized to achieve an optimal pain management
  847 95 -
Effect of auditory stimulation on consciousness in coma patients with head injury: A randomized clinical trial
Esmaeel Hoseinzadeh, Gholam Reza Mahmoodi Shan, Mohammad Ali Vakili, Kazem Kazemnejad
July-September 2017, 4(3):82-88
DOI:10.4103/JNMS.JNMS_15_17  
Context: Brain injury can cause coma and organized auditory stimulation (OAS) is thought to be associated with improvements in the level of consciousness. Aims: Determine of the effect of OAS on levels of consciousness in comatose patients with head injury Setting and Design: This study was a randomized clinical trial and conducted from July 2012 to February 2013 in the Panje Azar Hospital of Gorgan, Iran. Materials and Methods: The patients from critical care units were enrolled and randomly allocated into two groups, each group 20 patients. The intervention group underwent OAS using a nurse's voice who tried to call the patients' attention to their place, time, identification, family, and profession. This stimulation was conducted thrice daily for 10 days, and patient consciousness was measured by the Glasgow Coma Scale (GCS). Statistical Analysis Used: We used mean and standard deviation, Chi square, t test, and repeated measures to analysis of data. Results: The level of consciousness increased in both intervention and control groups, but the increase in the intervention group was more than the control group (P < 0.01). A significant difference in GCS between the intervention and control groups was observed on day 10 (P < 0.001). Repeated measures ANOVA showed significant differences within groups including time effect, interaction of time and intervention (P < 0.001). Conclusion: The level of consciousness of patients improved following an organized OAS by the nurses. Therefore, OAS likely will be a useful and applicable intervention for patients in Intensive Care Units.
  696 104 -
Acupressure for nausea-vomiting and fatigue management in acute lymphoblastic leukemia children
Sima Ghezelbash, Maryam Khosravi
July-September 2017, 4(3):75-81
DOI:10.4103/JNMS.JNMS_11_17  
Context: Chemotherapy induced nausea vomiting and fatigue are prevalent problems following chemotherapy and pharmacologic methods are moderately efficient in alleviating them. Acupressure is a substitute approach. Aims: This paper sought to determine the effectiveness of acupressure application in relieving nausea vomiting and fatigue among children with acute lymphoblastic leukemia in compression with a placebo treatment. Settings and Design: In this single blind, randomized, placebo controlled clinical trial, 120 hospitalized school age children with ALL, randomly divided into experimental and placebo groups. Subjects rated the intensity of nausea and fatigue by visual analog scales. Material and Methods: In the experimental group, finger acupressure on p6 and ST36 (true points) and in the placebo group on SI3 and LI12 (sham points) was applied. Symptoms of nausea and fatigue intensity immediately and an hour postintervention evaluated. Then variable of nausea vomiting and Fatigue was also measured 12 h postintervention by the instruments of Adapted Rhodes Index of Nausea and Vomiting for Pediatrics by Child and Fatigue Scale Child, Respectively. Statistical Analysis Used: Data were analyzed by SPSS version 16.0. Results: Significant differences were observed between two groups based on the fatigue and nausea intensity immediately and an hour postintervention with confidence interval 95% and P < 0.001. Conclusions: Applying one time acupressure may reduce the intensity of nausea immediately postintervention and fatigue and nausea at one hour post treatment. Hence, acupressure could be recommended as a helpful, nonpharmacologic method for some cancer related fatigue and chemotherapy induced nausea vomiting management.
  637 108 -
REVIEW ARTICLE
Challenges of reporting child abuse by healthcare professionals: A narrative review
Marzieh Azizi, Zohreh Shahhosseini
July-September 2017, 4(3):110-116
DOI:10.4103/JNMS.JNMS_3_17  
Child abuse is one of the most challenging social problems worldwide. Failure to report child abuse may lead to the aggravation of the situation and increase the probability of further abuses. This study aimed to determine the challenges of child abuse reports by healthcare professionals. This narrative review study was conducted through searching the databases such as Google Scholar, PubMed, Web of Science, Scopus, and ProQuest. The inclusion criterion was studies in Persian and English languages which published in scientific journals between 1978 and 2017 and also refer to reporting child maltreatment. Studies which, despite referring to a child abuse, did not refer to the barriers to the reporting of child abuse were discarded from further analysis. 56 papers were used to write the present paper. The results of this study organized into four categories: individual barriers (knowledge of healthcare professionals, their attitudes and beliefs, their inadequate experiences, and uncertainty of the diagnosis), interpersonal barriers (fear of disconnecting therapeutic relationships and violation of privacy and secrecy principles), organizational barriers (poor communication and weak legal processes for reporting), and situational barriers (victims' characteristics and available evidence). Given the reporting of child abuse by healthcare professionals is affected by multiple factors such as individual, interpersonal, organizational, and situational factors, so considering a comprehensive and collaborative program for this public problem in all levels is important.
  627 77 -
ORIGINAL ARTICLES
Effect of telephone follow-up on postdelivery breastfeeding and maternal attachment
Mohsen Adib-Hajbaghery, Tayebeh Hashemi-Demneh
October-December 2017, 4(4):117-124
DOI:10.4103/JNMS.JNMS_6_18  
Context: Encouraging breastfeeding is a public health priority. However, no study is available from Iran on the effect of telephone follow-up on postpartum maternal attachment to the newborn. Aims: To assess the impact of postpartum telephone follow-up on breastfeeding and maternal attachment. Setting and Design: A clinical trial was conducted on 120 mothers who had a delivery at Alborz Hospital of Karaj during the spring of 2014. Material and Methods: Mothers were randomly assigned into three groups of 40. The groups one and three received breastfeeding training (BFT) and the groups one and two received telephone follow-up. Data were collected using a questionnaire. All groups had a pretest and a posttest on their knowledge, attitude, and performance toward breastfeeding. Mothers' attachment to their newborn was assessed at the end of the study. Statistical Analysis Used: Analysis of variance, Tukey, and Paired t tests were used for data analysis. Results: The BFT plus telephone follow-up could increase the mothers' scores in breastfeeding. However, telephone follow-up could not affect the maternal attachment scores. The mean attachment score was significantly higher in mothers with a planned pregnancy (P < 0.001), higher financial income (P < 0.01), and a girl baby (P < 0.014). Conclusions: This study confirmed the beneficial effect of BFT and telephone follow-up on mothers' knowledge, attitude, and performance toward breastfeeding. Therefore, integration of BFT and telephone follow-up in postpartum care programs are suggested.
  597 100 -
The effect of acceptance and commitment therapy on the life expectancy in patients with multiple sclerosis
Sahar Asqari, Reza Donyavi
July-September 2017, 4(3):69-74
DOI:10.4103/JNMS.JNMS_8_17  
Context: MS is a chronic and debilitating disease, in which the immune reactions damage myelin sheath of axons in the central nervous system. Psychological consequences of MS and the treatment have been the subject of many research activities Aims: The present study examines the effectiveness of acceptance and commitment therapy (ACT) based on the life expectancy in patients with multiple sclerosis (MS). Setting and Design: This study was a randomized clinical trial and conducted from September 2016 to May 2017 in the MS patients of North Khorasan Province and Shirvan city in 2016. Methods and Material: This is an applied and quasi experimental research with pretest, posttest, and control group. Using the available sampling method, 30 samples were selected by random assignment and included in experimental and control groups (15 people per group). The instrument used in this study was Schneider's life expectancy questionnaire. The experimental group received eight sessions of therapeutic intervention. Statistical Analysis Used: We used mean and standard deviation, regression line, analyze covariance to analysis of data. Results: The results of covariance analysis showed that ACT significantly improves life expectancy in patients with MS. Conclusions: According to the results, it is expected that ACT maintains its effects in the long run with features such as encouraging people to live in the present moment, mindfulness, commitment to the pursuit of worthwhile goals, and an emphasis on process rather than the outcome.
  575 94 -
Iranian women's knowledge and attitude regarding preconception health: 12 years after integration into the primary health care network
Fatemeh Jafari, Samaneh Rashidi
July-September 2017, 4(3):104-109
DOI:10.4103/JNMS.JNMS_14_17  
Context: Despite the emphasis on the preconception care, the majority of people are not aware of how environmental and lifestyle factors influence reproductive and fetal health. Aims: The objective of this study was to determine knowledge and attitude of women in reproductive age about preconception health in the context of free and universal access to preconception health care. Setting and Design: A cross-sectional study in public health centers. Materials and Methods: This study was performed using a convenient sample of 400 women presenting to public health centers in Abhar, Iran. Knowledge and attitude were assessed using researcher-made questionnaire. Questionnaire went through validity and reliability process. Statistical Analysis Used: Data were analyzed using SPSS version 19. The knowledge and attitude scores among subgroups according to demographic characteristics were studied using ANOVA test. Results: Over two third (68.8%) of women had adequate knowledge about preconception care. Sixty nine percent had positive attitude towards preconception care. Education and age were significantly associated with knowledge and attitude. Conclusion: Despite the relatively high level of knowledge, nearly half of the women perceived preconception health optimization as difficult that may lead to not engaging in preconception health behaviors. The younger women and those with fewer years of education should be focus of preconception health program.
  502 84 -
The effectiveness of acceptance and commitment therapy on the fear of death in patients with multiple sclerosis
Sahar Asqari, Reza Donyavi
October-December 2017, 4(4):125-129
DOI:10.4103/JNMS.JNMS_7_17  
Context: Considering the psychological component of multiple sclerosis (MS) in intervention could play a key role in patient compliance with their physical condition. Aims: This study examines the effectiveness of acceptance and commitment therapy (ACT) based on the fear of death in patients with MS. Setting and Design: The present study is a quasi-experimental study with a pretest, posttest, and control group. Material and Methods: The study population included 57 patients with MS who were members of MS association in North Khorasan Province, Shirvan city in 2016. Using the available sampling method, 30 samples were selected by random assignment and included in experimental and control groups (15 per group). The instrument used in this study was Templer fear of death questionnaire. The experimental group received eight sessions of therapeutic intervention. Statistical Analysis Used: Analytical and statistical analyzes are done by SPSS21.due to the nature of the plan and the two groups (control and test), the statistical method of analysis of covariance, and the effect size were used. Results: The results of covariance analysis showed that treatment based on acceptance and commitment has a significant effect on the fear of death in patients with MS (P < 0.001). In addition, the level of fear of death in the pretest stage was also significant on the fear of death in the posttest (P< 0.001). Conclusions: According to the results, it is expected that ACT maintains its effects in the long run with features such as: Encouraging people to live in the present moment, mindfulness, commitment to the pursuit of worthwhile goals, and an emphasis on process rather than the outcome.
  484 86 -
Translation and psychometric properties of the Persian version of the center for Epidemiological Studies Depression Scale for Children
Abass Ebadi, Zeinab Habibpour
October-December 2017, 4(4):130-135
DOI:10.4103/JNMS.JNMS_21_17  
Context: Psychological disorders afflict a great number of youths throughout the world. The early beginning of psychological disorders not only affects all of the life of a person but also affects Children's, Depression Questionnaire (Center for Epidemiological Studies Depression Scale for Children), Iranian Version, Psychometric properties the welfare of next generations. It is necessary to develop acceptable psychometric tools to measure the depression of children and youths. Aims: This study deals with the psychological properties of the Persian version of the Center for the Epidemiological Studies Depression Scale for children. Setting and Design: This study is a cross sectional study with a methodological design. 342 students with the age range of 11–17 were selected by random cluster sampling in multiple stages from among students in Khoy. Material and Methods: Original version of the scale was translated from English to Persian language using Backward Forward translation method. Statistical Analysis: The validity of the instrument was determined using face validity and exploratory factor analysis. Reliability was reported by Alpha Cronbach coefficient and test–retest and intraclass correlation coefficient (ICC). The SPSS was used to analyze the data. Results: The confirmatory factor analysis confirmed the construct validity of the scale with four factors and a cumulative variance of 50.443. The correlation with Beck's Depression Test for Children is quiet strong r= 0.738. Cronbach's alpha = 0.872, ICC = of 0.97 that both show a good validity for the Persian version. Conclusion: The Persian version of the Children's Depression Questionnaire has a good reliability and validity and can be used as a proper tool for the screening of the depression of children and youth
  476 65 -
Comparing the effect of Qur'an recitation and scheduled visits on hemodynamic status and oxygen saturation of acute myocardial infarction patients
Mohammad Reza Abdoli Nejad, Masoumeh Bagheri Nesami, Hedayat Jafari, Nouredin Mousavi Nasab, Sima Kaheni
January-March 2018, 5(1):1-8
DOI:10.4103/JNMS.JNMS_11_18  
Context: Various factors can hamper the hemodynamic status and the arterial oxygen saturation (SpO2) percentage in patients. Aims: The study has been performed pursuing the goal to compare the effect of two methods, namely, Qur'an recitation and scheduled visits on the hemodynamic status and SpO2of acute myocardial infarction (AMI) suffering patients. Setting and Design: This study was conducted in myocardial infarction patients of Mazandaran heart center. Materials and Methods: The present study is a single-blind clinical trial. One hundred and twenty (n = 120) AMI patients were randomly divided into three groups. For one group, the chanting of the surahs “Ya Sin and Al-Hashr” was played. The intervention group had a 30-m scheduled visit with the desired individuals and the control group did not receive the usual cares. The patients' symptoms of hemodynamic and SpO2percentage were measured before, during, and after the intervention. Statistical Analysis Used: The data analysis was performed using the statistical tests (multiple comparison test of Bonferroni, ANOVA test, and repeated-measure variance analysis). Results: The changes in the respiratory rate and arterial blood SpO2percentage in the pre- and post-Qur' a recitation intervention group patients were meaningful. Quranic recitation improved the symptoms of hemodynamic and the arterial blood SpO2percentage more than the scheduled visit. Conclusion: The medical team can employ Quranic recitation to enhance the symptoms of hemodynamic, to reduce the anxiety, and to improve the arterial blood SpO2percentage.
  432 92 -
The validity and reliability of sexual and reproductive health needs questionnaire among Persian infertile women
Maryam Hajizade-Valokolaee, Soghra Khani, Sepideh Peivandi
January-March 2018, 5(1):15-20
DOI:10.4103/JNMS.JNMS_9_18  
Context: Infertile women may have a lot of problems in the sexual and reproductive health (SRH) area. Some of these problems are sexually transmitted infections, sexual risky behaviors, high-risk pregnancy history, HIV/AIDS, and sexual violence. There are some reliable questionnaires for infertility health needs, but no comprehensive instrument was available to address their SRH needs. Aims: This article aimed to assess validity and reliability of Persian version of SRH needs questionnaire among Iranian infertile women. Settings and Design: In this psychometric study, validate SRH needs questionnaire in infertility Center of Imam Khomeini Hospital in Sari. Material and Methods: The Persian version of the SRH needs questionnaire by Khani et al. was selected to validate for infertile women. Face validity, content validity and reliability were assessed. Impact score to assess quantitative face validity, content validity ratio (CVR) and content validity index (CVI) to assess the content validity and Cronbach's alpha and intera-class correlation coefficient (ICC) to assess its reliability were calculated. Statistical Analysis: Analysis of ICC, Reliability was used for data analysis. Results: In the qualitative content validity process, 25 questions were added and 5 questions were omitted in the panel of experts. Furthermore, 29 questions achieved a CVR <0.62 and 13 questions had a CVI <0.79. The Cronbach's alpha and ICC of the questionnaire were 0.895 and 0.945, respectively. Conclusions: The Persian version of SRH questionnaire prepared for infertile women is a valid and reliable questionnaire and can be used by healthcare providers for assessing of infertile women's SRH needs. Context: Infertile women may have a lot of problems in the sexual and reproductive health (SRH) area. Some of these problems are sexually transmitted infections, sexual risky behaviors, high-risk pregnancy history, HIV/AIDS, and sexual violence. There are some reliable questionnaires for infertility health needs, but no comprehensive instrument was available to address their SRH needs.
  421 74 -
Academic self-regulation and its relationship with Sternberg's thinking styles, academic achievement, and course of disease in adolescents with cancer
Mohammad Mehdi Mohammadi, Roghayeh Poursaberi
October-December 2017, 4(4):136-141
DOI:10.4103/JNMS.JNMS_20_17  
Context: Adolescents with cancer are involved with a disabling disease that affects their various educational dimensions. Aim: The present study aimed at determining academic self-regulation and its relationship with Sternberg's thinking styles, academic achievement, and course of disease in adolescents with cancer. Setting and Design: The current study is a cross-sectional study Indeed, the participants were selected via simple random sampling method in the academic year of 2016–2017. Material and Methods: This study was carried out on 269 adolescents with cancer who were covered by Mahak Hospital and Rehabilitation Complex. Statistical Analysis: Data analysis was performed by descriptive statistics (frequency, percentage, and mean with standard deviation) and analytical statistics (multiple regression coefficients and path analysis approach). Results: From the thinking styles, the legislative thinking style (b =0.301, P = 0.001) made the highest contribution to the prediction of academic self-regulation. With regard to the other research variables, the grade point average could significantly predict academic self-regulation (b =0.301, P = 0.001). However, the duration of cancer could not predict academic self-regulation (P> 0.05). Conclusion: The adolescent cancer patients with the legislative thinking style were more talented in learning self-regulation than the other students. In this regard, it is possible to take measures with regard to the identification of such students in schools and other educational centers in order to lay higher emphasis on the teaching of academic self-regulation to them.
  428 65 -
The status of nutrition and physical activity in the students of medical sciences
Fatemeh Nabinezhad-Male, Masoumeh Bagheri-Nesami
October-December 2017, 4(4):142-146
DOI:10.4103/JNMS.JNMS_8_18  
Context: Diet and nutrition status has an important role in life and humans' health. Regular physical activity create health promotion and prevent diseases. Aim: Considering the importance of the health of students as young members of the society, the present study was designed to determine the status of nutrition and physical activity and its related factors among students at Mazandaran University of Medical Sciences, Sari, Iran. Setting and Design: this Cross- sectional study conducted on 435 students of Mazandaran University of Medical Sciences. Materials and Methods: This cross-sectional study was conducted on the students were selected via multistage random sampling at Mazandaran University of Medical Sciences. Data collection tools included a demographic and physical activity questionnaire and a food frequency questionnaire (FFQ). Statistical Analysis Used: For data analysis, descriptive statistic and t-test were performed using SPSS version 21. Results: The mean age of the participants was 21.11 ± 3.06 years. Consumption of dairy (P = 0.008) and fruits (P = 0.02) was significantly more in female students compared to male students. A total of 188 persons (43.2%) had physical activity every day. A total of 178 persons (40.9%) had physical activity always on a day, 11 persons (2.5%) had no physical activity, and others (56.6%) had physical activity sometimes. A total of 100 persons (23%) had weight increasing, 113 persons (26%) had weight decreasing, and others (51%) had neither increase nor decrease weight. Conclusion: Based on the findings, the students had optimal nutrition condition. Thus, more attention is important to be paid by authorities to this specific topic, and some measures are essential in training students to maintain and continue optimal nutritional status. Students physical activity wasn't optimal level so it is needs to more educational measures.
  422 70 -
Assessing nurses' moral distress and patients' satisfaction with the observance of the patients' rights charter
Darush Rokhafrooz, Ali Hatami, Akram Hemmatipour, Elham Abdolahi-Shahvali, Masomeh Salehi Kamboo
October-December 2017, 4(4):147-153
DOI:10.4103/JNMS.JNMS_1_18  
Context: Patient's rights are one of the most fundamental rights that should be considered by the health-care providers, especially nurses. On the other hand, moral distress in nurses can lead to problems in the provision of health services for patients. Aims: This study aimed to determine the correlation between nurses' moral distress (NMD) and patients' satisfaction with the observance of the patients' rights charter (PRC). Setting and Design: In this descriptive-analytic study, 82 nurses were selected using purpose-based method, and 200 patients were selected in quotas in proportion to the number of beds available in the general and special wards in 2 months. Materials and Methods: Data collection tools consisted of demographic information form, the moral distress scale-revised, and a researcher-made questionnaire on patient satisfaction with the observance of PRC. Statistical Analysis Used: Data were analyzed using descriptive statistical in SPSS version 16. Results: The mean score of moral distress in nurses was11 ± 33 that 59 (72%) of them had moderate distress level and the mean score of satisfaction with the observance of the charter of patients' rights was 71.6± 18.2. It was found that 120 (60%) of the patients had a satisfactory moderate level of the observance of their rights charter. There was a reverse statistically significant positive correlation between NMD and satisfaction with the observance of the PRC (P < 0.05). Conclusion: In the present study, it was found that there is a moderate correlation between the patients' satisfaction with the observance of the PRC and the NMD.
  410 78 -
The effectiveness of core stability exercises on nurse fatigue
Ardashir Afrasiabifar, Asadolah Mosavi, Masoumeh Mohammadian-Behbahani, Nazafarin Hoseinichenar
January-March 2018, 5(1):9-14
DOI:10.4103/JNMS.JNMS_12_18  
Context: Despite reporting a high prevalence of fatigue among nurses, few studies have been examined the impact of measures to reduce their fatigue. Aims: The present study aims to examine the impact of core stability exercises on nurses' fatigue. Settings and Design: The present study is a field trial study. The study population has been included all nurses who are employing in Shahid Rajaie hospital of Gachsaran. Materials and Methods: A total of 46 eligible nurses were selected through convenience sampling but allocated between experimental and control groups based on block randomization. Nurses in the experimental group did a core stability exercise based on the protocol as three times a week for 6 weeks. The impact of exercise was evaluated using multidimensional fatigue inventory before and after the intervention. Statistical Analysis Used: The collected data were analyzed using SPSS software through descriptive and analytical statistics such as the Chi-square test and t-test, taking into account the 95% confidence intervals. Results: No statistically significant difference was observed in the mean score of total fatigue and its dimensions between two groups on precore stability exercises (P > 0.05). However, the statistical significant difference was observed in mean scores of total fatigue and physical and mental subscales between the two groups after core stability exercises (P < 0.05). Within-group comparison in the experimental group also showed the statistically significant difference by total fatigue, physical, and mental fatigues after core stability exercises compared to before one (P < 0.05). Conclusions: Core stability exercises were able to reduce nurses' fatigue, particularly mental and physical fatigues.
  394 73 -
Changes in age and sex trend of patients undergoing coronary artery bypass graft surgery: A 17-year retrospective study
Arezoo Monfared, Masoumeh Hesabi, Ezzat Paryad, Ehsan Kazemnezhad-Leili
October-December 2017, 4(4):154-158
DOI:10.4103/JNMS.JNMS_4_18  
Context: Coronary artery bypass graft (CABG) decreases the signs and symptoms of ischemic heart disease, but it cannot treat the disease completely. Aim: The purpose of this study was to determine the changes in age and sex trend of patients undergoing CABG surgery from 1996 to 2013 in the north of Iran. Setting and Design: This retrospective study was done in an educational therapeutic center in the north of Iran. Material and Methods: The medical records of 8544 patients who underwent CABG surgery during 1996–2013 were assessed and age and sex of all patients who underwent CABG were recorded. Statistical Analysis Used: All data were analyzed by descriptive statistics and t-test, analysis of variance, and linear regression analysis in SPSS version 16. Results: The mean values of age were increased in both men and women in this period and this increase was statistically significant by t-test (P = 0.0001). Nearly 65.2% of patients were male and 34.8% were female. The results of linear regression analysis showed that by increasing 1 year, 0.35 year has added to patient's age (P = 0.0001). Conclusion: Considering the age and gender pattern of patients undergoing surgery due to coronary artery disease can affect the therapeutic planning of these patients. The results of this 17-year study confirmed the increased age of patients undergoing CABG surgery. Providing education services to enhance lifestyle may prevent the practice of CABG surgery at an advanced age. Context: Coronary artery bypass graft (CABG) decreases the signs and symptoms of ischemic heart disease, but it cannot treat the disease completely.
  372 43 -
The effect of concurrent endurance and resistance training on cardio-respiratory capacity and cardiovascular risk markers among sedentary overweight or obese post-menopausal women
Anahita Shabani, Ramin Shabani, Setila Dalili, Afagh Hassanzadeh Rad
October-December 2018, 5(4):123-129
DOI:10.4103/JNMS.JNMS_34_18  
Context: Exercise training has been inversely associated with cardiovascular risk factors. However, the clinical trials examining the effect of exercise training on reducing cardiovascular risk factors have produced conflicting results. Aims: We aimed to assess the effect of concurrent exercise training on cardiorespiratory capacity and cardio-vascular risk factors among sedentary overweight or obese post-menopausal women. Settings and Design: This randomized controlled trial was done in 2016. Materials and Methods: This study was conducted on 22 healthy post-menopausal overweight and obese females, which randomly divided into concurrent endurance and resistance (ER) exercise (n = 12) and control (n = 10) groups. The participants did not have any history of any serious medical condition or using drugs. Demographic questionnaire was completed, vital signs and biochemical tests were measured, and Rockport one-mile submaximal exercise test for assessing maximal oxygen consumption (VO2max) was performed before and after the study. Statistical Analysis Used: Mean, standard deviation, and paired and independent t-test were used for statistical analysis. Results: The data from the ER groups showed that the body mass index (BMI), heart rate (HR), systolic and diastolic blood pressure, triglyceride, high-sensitivity C-reactive protein (CRP) decreased, high-density lipoprotein, and VO2max increased significantly, during the 8 weeks (P < 0.05). Moreover, no changes were found in the cardiovascular risk factors of women who did not exercise (P > 0.05). Conclusion: Concurrent ER training can be a suitable exercise program for improving plasma lipid profile as well as reducing body composition, high-sensitivity CRP, and increasing VO2max in postmenopausal women.
  343 72 -
The prevalence of sharp object injuries among the operating room staff
Negar Mehregan, Mohammad Adineh, Bayan Saberipour, Parvaneh Ghorbani, Akram Hemmatipour, Milad Alasvand, Arman Jafari
January-March 2018, 5(1):25-31
DOI:10.4103/JNMS.JNMS_10_18  
Context: Identification and investigation of the prevalence of factors that may cause needlestick injuries can provide a field ground about preventive planning. Aims: The purpose of this study is to determine the prevalence of sharp object injuries among the operating room staff of Ahvaz educational hospitals in 2017. Settings and Design: In the present cross-sectional descriptive study, attempts are made to assess the prevalence of needlestick injuries among 104 operating room staff (Bachelor of Science) of Imam Khomeini, Razi, Golestan hospitals of Ahvaz. Materials and Methods: Researcher-made questionnaire was sued for data collection. Statistical Analysis Used: The collected data were analyzed using SPSS version 21 and descriptive statistical tests (mean, standard deviation, and relative frequency) and analytical tests (independent t-test, Chi-square, and Fisher test). Results: The results of this study showed that suture needle is the most common cause of needlestick injury. Factors that affect the frequency of needlestick injuries include overhastiness (76%), significant workload (70.2%), and not taking precautions (63.5%). Most needlestick injuries occur during surgery (90.4%), removal of needle (19.2%), washing of contaminated instruments (13.5%), and blood drawing and injection (6.7%). The most frequent taken measure after sustaining needlestick injuries is washing of hands with soap and water (82.7%). Conclusion: Due to the high prevalence of needlestick in the operating room, it is necessary to develop programs to prevent this problem.
  340 65 -
Effects of roy's adaptation model in nursing practice on the quality of life in patients with type II diabetes
Sayed Reza Borzou, Safura Khan Mohammadi, Gholam Hossein Falahinia, Saeed Mousavi, Zahra Khalili
October-December 2015, 2(4):1-7
DOI:10.18869/acadpub.jnms.2.4.1  
Background and Purpose: Diabetes has adverse effects on the quality of life of patients. Roy's adaptation model could be used to enhance quality of life among diabetic patients. This study aimed to evaluate the effects of Roy's adaptation model in nursing practice on the quality of life in patients with type II diabetes. Methods: This quasi-experimental study was conducted on 60 diabetic patients randomly divided into two groups of experiment and control (N=30) at Hamadan Diabetes Research Center. Data were collected using Diabetes-Specific Quality of Life Scale (D-39) in five dimensions, which was completed before and after intervention in both groups. Educational care programs were executed based on Roy's adaptation model only for experimental subjects in five sessions during one month. Data analysis was performed using independent and paired t-test in SPSS. Results: At the beginning of the study, both groups were matched in terms of demographic characteristics and quality of life dimensions (P>0.05). Comparison of mean scores of quality of life areas between the two groups before and after intervention was indicative of a significant difference in the aspects of diabetes control, energy and mobility and social support (P<001). However, there was no significant difference in the dimensions of stress, anxiety and sexual activity (P>0.05). Conclusion: According to the results of this study, use of Roy's adaptation model has positive effects on some dimensions of quality of life in patients with type 2 diabetes; these domains were diabetes control, energy and mobility, and social support. However, further studies with longer durations are required as to investigate the efficacy of this model in the areas of anxiety and sexual activity.
[ABSTRACT]   Full text not available  [PDF]
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Evaluation of possible risk factors in the development of gastric cancer
Akram Hemmatipour, Iman Naderzadeh, Bayan Saberipour, Sogra Rouholamini, Farzad Taban
January-March 2018, 5(1):21-24
DOI:10.4103/JNMS.JNMS_13_18  
Context: Gastric cancer is the most prevalent among gastrointestinal cancers, and one of the deadliest diseases in Iran. It is very important to understand the factors that affect this disease. Aims: The purpose of this study was to investigate the factors affecting gastric cancer patients in Ahvaz in 2018. Settings and Design: In this descriptive cross-sectional study, 105 gastric cancer patients were included in this study within 3 months after obtaining the signed informed consent from them. The study population was selected using the census. Materials and Methods: The data gathering tool was a researcher-made questionnaire on the factors affecting the disease. Statistical Analysis Used: Data were analyzed using descriptive statistical tests, one-dimensional Chi-square and binomial and SPSS-16. Results: Of 105 patients with gastric cancer, 75 (71.4%) were male, 85 (81%) were married, 15 (14.3%) had an alcohol history, and 75 (71.4%) had a history of fast food consumption. A positive blood group with the number 25 (23.8%) was the most common type of blood. In examining the effective variables, it was also found that gender, residence, smoking, and alcohol were significantly affected by the binomial test on gastric cancer (P < 0001). Conclusion: The results of this study indicate that many factors, such as fast food and urban life, smoking and alcohol, and a positive blood-type A group affect the disease.
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REVIEW ARTICLE
Nurses challenges in health assessment skills in Iran and another country: An integrative review
Mohammad Khoran, Fatemeh Alhani, Ebrahim Hajizadeh
January-March 2018, 5(1):38-45
DOI:10.4103/JNMS.JNMS_3_18  
Health assessment skills lead to enhancement of nurses' self-confidence at work. The aim of the present study is to investigate the challenges that nurses face in conducting health assessments in Iran and another country. This study was conducted in integrated review study based on Russell's method. The inclusion criteria were; related to the objectives of the study, English or Persian writings, published during the past 35 years and access to their full text. The nonscientific articles as well as the articles that lacked a specific name or transparent data were excluded from the study. Health assessment, nurse, history taking, and physical examination were used as keywords. We used Persian and international databases such as SID, Magiran, Iranmedex, Google Scholar, Medline, Scopus, Elsevier, PubMed, and Science Direct. Finally, 20 articles were included in the study. the scattered data were summarized for data analysis and interpretation purposes. All of the data reviewed, obtained, compared, and finally, classified into six groups. The most important challenges in the use of these skills in order are Individual -motivational, professional, environmental, educational, cultural, and communicational factors as well as factors that are related to patients and their culture. The results showed that the challenges that nurses face in performing clinical health assessment skills are mostly shared in Iran and across the world. Although all of the factors have been involved in execution of these skills, the health assessment skills are significantly dependent on the need for them as felt by the nurses themselves.
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ORIGINAL ARTICLES
Incidence and risk factors of pressure ulcers among general surgery patients
Ensieh Ramezanpour, Amir Emami Zeydi, Mohammad Ali Heidari Gorji, Jamshid Yazdani Charati, Mahmood Moosazadeh, Vida Shafipour
October-December 2018, 5(4):159-164
DOI:10.4103/JNMS.JNMS_23_17  
Context: Pressure ulcers are among the main postoperative complications which isassociated with an increased length of hospitalization. Determining risk factors of postsurgical pressureulcers is crucial for developing prevention and treatment strategies. Aims: This study aimed to investigate the incidence rate of pressure ulcer and related risk factors after general surgery. Settings and Design: This descriptive cross-sectional study was carried out in three hospitals in Mazandaran province in 2016. Materials and Methods: The sample size was 191 surgical patients undergoing general surgery by using census method. Data were collected in pre-, intra-, and post-operative period using demographic and clinical questionnaires and also, through the Braden Scale for Predicting Pressure Ulcer Risk. Statistical Analysis Used: Descriptive statistics, t-test, Chi-square, and univariateand multivariate logistic regression were used to analyze the data. Results: The incidence rate of postoperative pressure ulcers in patients was 17.8% (34 out of 191 patients). Based on the multivariate logistic regression model, significant correlations existed between the incidence of pressure ulcers and the following variables: age over 70 years old (P = 0.003), history of hypertension (P = 0.035), history of heart diseases (P = 0.029), Braden score <15 (P = 0.017), type of surgery (P = 0.003), and type of anesthesia (P = 0.015). Conclusions: Since it is critical to consider the incidence of postoperative pressure ulcers among patients, further measurements are required to identify high-risk people and use preventive protocols by nurses at pre-, intra-, and post-operative levels. Moreover, it requires extra attention in patients over 70 years, those with a history of hypertension and heart diseases, and those undergoing emergency surgery and spinal anesthesia.
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A comparison between nurses' and patients' views on barriers to pain management
Akram Hemmatipour, Faezeh Karami, Ziya Sadouni, Ali Hatami, Azam Jahangirmehr, Bayan Saberipour
April-June 2018, 5(2):47-52
DOI:10.4103/JNMS.JNMS_16_18  
Context: Persistence of pain will be the cause of the disorder in the process of recovery, sleep, and reduced life quality of patients; therefore, pain management is important in this respect. Aims: This study aimed to compare the nurses' and patients' views about barriers to pain management. Settings and Design: This cross-sectional descriptive-analytic study was conducted in teaching hospitals affiliated to the Shoushtar Faculty of Medical Sciences in 2017. Materials and Methods: Thirty nurses from the surgery department were selected by the census method and 150 patients were selected in the quotas. The data collection tool was a researcher-made questionnaire consisting of two sections: demographic information and four areas of barriers (organization, nurse, patient, and physician). Statistical Analysis Used: Data were analyzed using descriptive statistics, Chi-square test, Tukey's test, and t-test using SPSS-16. Results: The mean age of the participants (31.3 ± 7.3) and the mean score of the pain management barrier questionnaire were obtained from the patients' view (109.97 ± 16.65) and nurses' view (106.88 ± 13.96). In the nurses' group, there was a significant relationship between work experience and employment status with pain management barriers (P < 0.05). Furthermore, there was no significant difference in the nurses' and patients' view about the pain management barriers (P > 0.05). Conclusion: Due to the high percentage of patient-related barriers in the present study, it is essential to recognize these obstacles and to overcome them, and the importance of providing information to patients as part of the management of pain control is emphasized.
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The level of awareness of the emergency department nurses of the triage principles in teaching hospitals
Zahra Reisi, Bayan Saberipour, Mohammad Adienh, Akram Hemmatipour, Elham Abdolahi Shahvali
January-March 2018, 5(1):32-37
DOI:10.4103/JNMS.JNMS_5_18  
Context: Awareness of types of triage methods in different situations and locations is one of the most important needs of the medical staff, especially due to the high number of patients, and is necessary for nurses in the emergency department. Aims: This study aimed to determine the level of awareness of nurses working in the emergency department. Setting and Design: In this descriptive cross-sectional study, conducted in 2017, the study population was all nurses working in the emergency departments of educational hospitals affiliated to Ahvaz University of Medical Sciences, who were included by the census method (n = 73). Materials and Methods: The data collection tool included a questionnaire on individual characteristics and an assessment of the emergency department personnel's awareness level of triage systems in Iran. Statistical Analysis Used: Data were analyzed using descriptive-inferential statistics in the SPSS version 16. Results: Totally 47 female nurses (64.4%) and 26 male nurses (35.6%), with a mean age of 30.37 ± 3.83, participated in the study. The results showed that 64 nurses (87.7%) had poor awareness, 9 nurses (12.3%) had a moderate awareness about different methods of triage, and the mean score of total knowledge of nurses was poor (20.75 ± 8). There was a significant statistical relationship between knowledge score and marital status, employment status, and teaching methods of triage principles (P < 0.05). Conclusion: Due to the employed nurses' knowledge low score, it is necessary to organize training courses of the triage.
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