Background: Pain is a process of daily burn dressing changes. Evidence shows the effect of God’s name on reducing pain. Objectives: This study aimed to evaluate the effect of Islamic dhikr on pain severity and quality of burn dressing change. Methods: This clinical trial was performed on 71 patients with burns in 2017. Patients were selected by convenience sampling and randomly assigned to intervention and control groups. Then, 10 minutes before the start of the dressing change, the participants were asked to repeat the praises of Hazrat Fatima (PBUH). Patients in the control group received routine care. Pain severity was measured in patients before and 15, 30, 45, and 60 minutes after the dressing change with the Visual Analog Scale (VAS). The pain quality of patients was measured 15 minutes after the dressing change with the modified McGill Pain Questionnaire (MPQ). Data were analyzed using SPSS version 22 software with descriptive and analytical statistics. Results: The independent t-test showed a statistically significant difference between the experimental and control groups in terms of mean pain severity 15, 30, and 45 minutes after the dressing change (P = 0.001, P = 0.04, and 0.007, respectively). Also, the repeated-measures analysis showed that the variation of the mean pain severity scores was statistically significant across all phases of the study (F = 30.42, P < 0.001). The results showed a statistically significant difference in the mean scores of sensory and emotional dimensions and the total score of pain quality between the two groups (P = 0.003, P = 0.07, and P = 0.047, respectively). Conclusions: Islamic dhikr can reduce pain during burn dressing changes.
背景:疼痛是一个每天更换烧伤敷料的过程。证据表明上帝的名字对减轻疼痛有效果。目的:本研究旨在评价伊斯兰迪克尔对烧伤换药后疼痛程度和质量的影响。方法:选取2017年烧伤患者71例进行临床试验。采用方便抽样法将患者随机分为干预组和对照组。然后，在换衣服开始前10分钟，参与者被要求重复哈兹拉特·法蒂玛(PBUH)的赞美。对照组患者接受常规护理。用视觉模拟量表(VAS)测量患者在换药前、换药后15、30、45和60分钟的疼痛严重程度。在换药后15分钟用改良的McGill疼痛问卷(MPQ)测量患者的疼痛质量。数据分析采用SPSS 22软件，采用描述性统计和分析性统计。结果:独立t检验显示实验组与对照组在换药后15、30、45分钟的平均疼痛严重程度差异有统计学意义(P = 0.001、P = 0.04、0.007)。此外，重复测量分析显示，在研究的各个阶段，平均疼痛严重程度评分的变化具有统计学意义(F = 30.42, P < 0.001)。结果显示，两组患者感觉、情绪维度平均得分和疼痛质量总分差异有统计学意义(P = 0.003, P = 0.07, P = 0.047)。结论:伊斯兰dhikr能减轻烧伤换药时的疼痛。
{"title":"Effect of Islamic Dhikr on Pain Severity and Quality During Dressing Change in Patients with Burns","authors":"Hanieh Bahadori, M. Hosseini amiri","doi":"10.5812/msnj-129924","DOIUrl":"https://doi.org/10.5812/msnj-129924","url":null,"abstract":"Background: Pain is a process of daily burn dressing changes. Evidence shows the effect of God’s name on reducing pain. Objectives: This study aimed to evaluate the effect of Islamic dhikr on pain severity and quality of burn dressing change. Methods: This clinical trial was performed on 71 patients with burns in 2017. Patients were selected by convenience sampling and randomly assigned to intervention and control groups. Then, 10 minutes before the start of the dressing change, the participants were asked to repeat the praises of Hazrat Fatima (PBUH). Patients in the control group received routine care. Pain severity was measured in patients before and 15, 30, 45, and 60 minutes after the dressing change with the Visual Analog Scale (VAS). The pain quality of patients was measured 15 minutes after the dressing change with the modified McGill Pain Questionnaire (MPQ). Data were analyzed using SPSS version 22 software with descriptive and analytical statistics. Results: The independent t-test showed a statistically significant difference between the experimental and control groups in terms of mean pain severity 15, 30, and 45 minutes after the dressing change (P = 0.001, P = 0.04, and 0.007, respectively). Also, the repeated-measures analysis showed that the variation of the mean pain severity scores was statistically significant across all phases of the study (F = 30.42, P < 0.001). The results showed a statistically significant difference in the mean scores of sensory and emotional dimensions and the total score of pain quality between the two groups (P = 0.003, P = 0.07, and P = 0.047, respectively). Conclusions: Islamic dhikr can reduce pain during burn dressing changes.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73002631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Policies in Nursing Education During the COVID-19 Pandemic in 2020-2021","authors":"M. Taghadosi, Tayebeh Moradi","doi":"10.5812/msnj-130400","DOIUrl":"https://doi.org/10.5812/msnj-130400","url":null,"abstract":"<jats:p />","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88584363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Pregnancy-induced hypertension, preeclampsia, and eclampsia syndrome are multisystem disorders associated with adaptive changes in the fetal circulation and cause a marked imbalance in the hemostatic system of the mother and fetus. Objectives: This study aimed to compare hematological parameters in newborns of mothers with and without preeclampsia. Methods: This prospective case-control study included 30 newborns of mothers with preeclampsia and 30 newborns with normotensive mothers matched for age and sex as a control group. Umbilical cord blood samples were collected from all newborns, and complete blood count and ferritin levels were measured. The data were analyzed using SPSS version 21, and the difference between the two groups was compared using the independent t-test and Mann-Whitney test. Results: The newborns of mothers with preeclampsia had higher mean corpuscular volume, mean corpuscular hemoglobin, red cell distribution width, mean platelet volume, and platelet distribution width but lower white blood cell counts, platelet counts, and ferritin level than those of the control group (P < 0.05). Also, the mean red blood cell count, hemoglobin, and hematocrit was higher in the preeclamptic mothers’ newborns compared to those of the control group, although not significant (P > 0.05). Conclusions: Newborns of mothers with preeclampsia should be carefully evaluated and monitored regarding hematologic abnormalities and early diagnosis of possible complications.
背景:妊高征、先兆子痫和子痫综合征是多系统疾病，与胎儿循环的适应性改变有关，并导致母体和胎儿的止血系统明显失衡。目的:本研究旨在比较有和无先兆子痫母亲的新生儿血液学参数。方法:本前瞻性病例对照研究纳入30例先兆子痫母亲的新生儿和30例年龄和性别匹配的血压正常母亲的新生儿作为对照组。收集所有新生儿的脐带血样本，并测量全血细胞计数和铁蛋白水平。数据采用SPSS version 21进行分析，采用独立t检验和Mann-Whitney检验比较两组间的差异。结果:子痫前期母亲新生儿平均红细胞体积、平均红细胞血红蛋白、红细胞分布宽度、平均血小板体积、血小板分布宽度均高于对照组，白细胞计数、血小板计数、铁蛋白水平均低于对照组(P < 0.05)。子痫前期产妇新生儿的平均红细胞计数、血红蛋白和红细胞压积均高于对照组，但差异无统计学意义(P > 0.05)。结论:子痫前期母亲的新生儿应仔细评估和监测血液学异常和早期诊断可能的并发症。
{"title":"Hematological Parameters in Newborns of Mothers with and Without Preeclampsia","authors":"Ghasem Miri Aliabad, Fatemeh Dahmardeh","doi":"10.5812/msnj-128840","DOIUrl":"https://doi.org/10.5812/msnj-128840","url":null,"abstract":"Background: Pregnancy-induced hypertension, preeclampsia, and eclampsia syndrome are multisystem disorders associated with adaptive changes in the fetal circulation and cause a marked imbalance in the hemostatic system of the mother and fetus. Objectives: This study aimed to compare hematological parameters in newborns of mothers with and without preeclampsia. Methods: This prospective case-control study included 30 newborns of mothers with preeclampsia and 30 newborns with normotensive mothers matched for age and sex as a control group. Umbilical cord blood samples were collected from all newborns, and complete blood count and ferritin levels were measured. The data were analyzed using SPSS version 21, and the difference between the two groups was compared using the independent t-test and Mann-Whitney test. Results: The newborns of mothers with preeclampsia had higher mean corpuscular volume, mean corpuscular hemoglobin, red cell distribution width, mean platelet volume, and platelet distribution width but lower white blood cell counts, platelet counts, and ferritin level than those of the control group (P < 0.05). Also, the mean red blood cell count, hemoglobin, and hematocrit was higher in the preeclamptic mothers’ newborns compared to those of the control group, although not significant (P > 0.05). Conclusions: Newborns of mothers with preeclampsia should be carefully evaluated and monitored regarding hematologic abnormalities and early diagnosis of possible complications.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87313576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahmoud Saadatian, Nazanin Yoosefian, Fatihe Kerman Saravi, F. Yaghoubinia
Background: Coronary artery disease (CAD) is a chronic disease. These patients need a high level of illness perception and self-care behaviors until the end of their lives. Objectives: The present study aimed to examine the effect of the teach-back method on illness perception and self-efficacy in patients with CAD. Methods: This quasi-experimental study was conducted on 100 patients with CAD hospitalized in the coronary care units (CCUs) of Zahedan University of Medical Sciences in southeast Iran in 2021. The patients were selected through convenience sampling and divided into two intervention and control groups using simple randomization. The self-care training program was implemented individually for the patients in the intervention group in three sessions (30 - 45 minutes) on three consecutive days 24 hours after the patient’s admission to the hospital. The Brief Illness Perception Questionnaire (Brief IPQ) and Cardiovascular Management Self-efficacy Scale (CMSES) were completed by the patients in the two groups before and one month after the intervention. The collected data were analyzed in the statistical package for the social sciences (SPSS v.22) software using the independent samples t-test, paired samples t-test, chi-square test, Fisher’s exact test, regression test, and analysis of covariance (ANCOVA) at a significant level of P < 0.05. Results: In pre-test, the two groups had no significant difference in the mean score of illness perception (P = 0.49). However, the mean score of self-efficacy was significantly higher in the intervention group (P = 0.01). In the post-test, the two groups had significant differences in both illness perception (P = 0.002) and self-efficacy (P = 0.001). The results of ANCOVA showed that by controlling the effect of the pre-test, the mean scores of illness perception (P < 0.001) and self-efficacy (P = 0.007) were significantly different between the two groups after one month of the intervention. Conclusions: The teach-back method improved illness perception and self-efficacy in patients with CAD. Thus, following the insights from this study and given the vital role of nurses in patient education, nurses and medical staff can use the teach-back method to improve illness perception and self-efficacy in these patients.
{"title":"The Effect of the Teach-Back Method on Illness Perception and Self-efficacy in Patients with Coronary Artery Disease","authors":"Mahmoud Saadatian, Nazanin Yoosefian, Fatihe Kerman Saravi, F. Yaghoubinia","doi":"10.5812/msnj-130535","DOIUrl":"https://doi.org/10.5812/msnj-130535","url":null,"abstract":"Background: Coronary artery disease (CAD) is a chronic disease. These patients need a high level of illness perception and self-care behaviors until the end of their lives. Objectives: The present study aimed to examine the effect of the teach-back method on illness perception and self-efficacy in patients with CAD. Methods: This quasi-experimental study was conducted on 100 patients with CAD hospitalized in the coronary care units (CCUs) of Zahedan University of Medical Sciences in southeast Iran in 2021. The patients were selected through convenience sampling and divided into two intervention and control groups using simple randomization. The self-care training program was implemented individually for the patients in the intervention group in three sessions (30 - 45 minutes) on three consecutive days 24 hours after the patient’s admission to the hospital. The Brief Illness Perception Questionnaire (Brief IPQ) and Cardiovascular Management Self-efficacy Scale (CMSES) were completed by the patients in the two groups before and one month after the intervention. The collected data were analyzed in the statistical package for the social sciences (SPSS v.22) software using the independent samples t-test, paired samples t-test, chi-square test, Fisher’s exact test, regression test, and analysis of covariance (ANCOVA) at a significant level of P < 0.05. Results: In pre-test, the two groups had no significant difference in the mean score of illness perception (P = 0.49). However, the mean score of self-efficacy was significantly higher in the intervention group (P = 0.01). In the post-test, the two groups had significant differences in both illness perception (P = 0.002) and self-efficacy (P = 0.001). The results of ANCOVA showed that by controlling the effect of the pre-test, the mean scores of illness perception (P < 0.001) and self-efficacy (P = 0.007) were significantly different between the two groups after one month of the intervention. Conclusions: The teach-back method improved illness perception and self-efficacy in patients with CAD. Thus, following the insights from this study and given the vital role of nurses in patient education, nurses and medical staff can use the teach-back method to improve illness perception and self-efficacy in these patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78658710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Due to the crisis of shortage of specialized nurses and high workload in intensive care units and emergency departments of hospitals during the COVID-19 pandemic, hospital managers had to use nurses and staff in other departments as reinforcements despite their lack of necessary competency to work in those departments. Hence, this study investigated surgical technologists' work experiences during the COVID-19 disaster. Methods: This qualitative study was conducted using the conventional content analysis method at Alborz University of Medical Sciences. The participants were 42 surgical technologists selected using purposive sampling from 14 hospitals in 10 cities of Iran. Data were collected through semi-structured interviews and analyzed in MaxQDA2 software using the content analysis method. Results: The results of this study were classified into two main categories, "challenges" and "coping strategies. The first main category consists of three subcategories, "psychological-emotional stress," "managerial crises," and "physical injuries." The second main category also includes three subcategories, "emotion-based strategy," "cognition-based strategy," and "problem-based strategy." Conclusions: The surgical technologists' experience indicated that the COVID-19 crisis posed serious challenges, mostly related to the shortage of protective facilities and the lack of adequate training about self-care and patients in wards with no work experience. Therefore, managers of hospitals should offer appropriate purposive training courses to sufficiently develop their staff's knowledge and competence to manage the crisis in pandemics or epidemics.
{"title":"Work Experience of Surgical Technologists Under the COVID-19 Disaster: A Qualitative Study","authors":"L. Sadati, Z. Nouri Khaneghah, R. Abjar","doi":"10.5812/msnj-130355","DOIUrl":"https://doi.org/10.5812/msnj-130355","url":null,"abstract":"Background: Due to the crisis of shortage of specialized nurses and high workload in intensive care units and emergency departments of hospitals during the COVID-19 pandemic, hospital managers had to use nurses and staff in other departments as reinforcements despite their lack of necessary competency to work in those departments. Hence, this study investigated surgical technologists' work experiences during the COVID-19 disaster. Methods: This qualitative study was conducted using the conventional content analysis method at Alborz University of Medical Sciences. The participants were 42 surgical technologists selected using purposive sampling from 14 hospitals in 10 cities of Iran. Data were collected through semi-structured interviews and analyzed in MaxQDA2 software using the content analysis method. Results: The results of this study were classified into two main categories, \"challenges\" and \"coping strategies. The first main category consists of three subcategories, \"psychological-emotional stress,\" \"managerial crises,\" and \"physical injuries.\" The second main category also includes three subcategories, \"emotion-based strategy,\" \"cognition-based strategy,\" and \"problem-based strategy.\" Conclusions: The surgical technologists' experience indicated that the COVID-19 crisis posed serious challenges, mostly related to the shortage of protective facilities and the lack of adequate training about self-care and patients in wards with no work experience. Therefore, managers of hospitals should offer appropriate purposive training courses to sufficiently develop their staff's knowledge and competence to manage the crisis in pandemics or epidemics.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84162997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Narjes Tavakoli, Mohammad Kazem Momeni, H. Sarani, Salehoddin Bouya, J. Imani, H. Askari
Background: Many families of dialysis patients consider the lack of knowledge about the disease and type of care as the main reason for the difficulty in providing effective care to patients. Objectives: The present study aimed to assess the effectiveness of family-centered care education in the care knowledge of caregivers of hemodialysis patients. Methods: This quasi-experimental study was conducted on 80 primary caregivers of hemodialysis patients in two hospitals associated with Zahedan University of Medical Sciences, Zahedan, southeast Iran, in 2021. The family caregivers were randomly assigned to intervention and control groups (40 in each group) using permutation blocks. The experimental group received the family-based training program, and the control group received the usual care plan. The data were collected using the care knowledge questionnaire before and immediately after the intervention. Then, the data were analyzed using the chi-square test, independent t-test, paired samples t-test, and analysis of variance (ANOVA) by SPSS software (version 22) with a significance level of less than 0.05. Results: The mean scores of caregivers’ knowledge in the intervention group before and after the intervention were 10.42 ± 3.23 and 21.47 ± 3.21 (P = 0.001) and in the control group were 11.27 ± 3.90 and 12.45 ± 3.40 (P = 0.12). Furthermore, the results of the independent samples t-test showed that the care knowledge of the participants in the intervention group improved significantly after the intervention (P = 0.001), compared to that of the control group (P = 0.29). The results of ANOVA showed that the mean scores of care knowledge of caregivers in the two groups were significantly different after the intervention (P = 0.001) Conclusions: Providing family-centered care education with the involvement of family caregivers can improve the care knowledge of the caregivers of hemodialysis patients. Given the significant role of caregivers in providing care services to these patients, special attention needs to be paid to the education of caregivers in educational programs.
{"title":"Effectiveness of Family-Centered Care Education in Care Knowledge of Caregivers of Hemodialysis Patients","authors":"Narjes Tavakoli, Mohammad Kazem Momeni, H. Sarani, Salehoddin Bouya, J. Imani, H. Askari","doi":"10.5812/msnj-130292","DOIUrl":"https://doi.org/10.5812/msnj-130292","url":null,"abstract":"Background: Many families of dialysis patients consider the lack of knowledge about the disease and type of care as the main reason for the difficulty in providing effective care to patients. Objectives: The present study aimed to assess the effectiveness of family-centered care education in the care knowledge of caregivers of hemodialysis patients. Methods: This quasi-experimental study was conducted on 80 primary caregivers of hemodialysis patients in two hospitals associated with Zahedan University of Medical Sciences, Zahedan, southeast Iran, in 2021. The family caregivers were randomly assigned to intervention and control groups (40 in each group) using permutation blocks. The experimental group received the family-based training program, and the control group received the usual care plan. The data were collected using the care knowledge questionnaire before and immediately after the intervention. Then, the data were analyzed using the chi-square test, independent t-test, paired samples t-test, and analysis of variance (ANOVA) by SPSS software (version 22) with a significance level of less than 0.05. Results: The mean scores of caregivers’ knowledge in the intervention group before and after the intervention were 10.42 ± 3.23 and 21.47 ± 3.21 (P = 0.001) and in the control group were 11.27 ± 3.90 and 12.45 ± 3.40 (P = 0.12). Furthermore, the results of the independent samples t-test showed that the care knowledge of the participants in the intervention group improved significantly after the intervention (P = 0.001), compared to that of the control group (P = 0.29). The results of ANOVA showed that the mean scores of care knowledge of caregivers in the two groups were significantly different after the intervention (P = 0.001) Conclusions: Providing family-centered care education with the involvement of family caregivers can improve the care knowledge of the caregivers of hemodialysis patients. Given the significant role of caregivers in providing care services to these patients, special attention needs to be paid to the education of caregivers in educational programs.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87424070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Context: The most common cause of bilateral lower extremity edema during pregnancy is venous insufficiency, that is a physiological process. Although it is not a serious complication, it can lead to substantial pain, heaviness, nocturnal cramps, tingling, and numbness. In this regard, foot massage is a prominent non-pharmacological practice among healthcare providers. Objective: This study aimed to evaluate non-pharmacological interventions utilized to alleviate the symptoms of lower extremity edema during pregnancy. Methods: This narrative review included all randomized controlled trials during 2011 - 2021 evaluating the symptoms of lower extremity edema during pregnancy. For literature review, databases including MEDLINE, PubMed, EMBASE, Cochrane, and SID were searched using the following keywords: “management,” “pregnancy,” “obstetric”, “oedema”, “edema”, “pharmacological treatment”, “lower-extremity edema”, “late pregnancy”, and “non-pharmacological treatment”. Results: In terms of analyzed outcomes, there were substantial differences between the assessed trials. The trials had a high risk of performance and detection bias and were essentially unclear for selection bias. Finally, seven studies were included and analyzed. Compression stockings and external massage appeared to reduce lower extremity edema. Conclusions: There is not enough evidence for managing physiological lower extremity edema during pregnancy. Further trials with appropriate methodology and analysis of outcome are needed.
{"title":"Non-pharmacological Interventions for the Management of Lower Extremity Edema During Pregnancy: A Narrative Review Study","authors":"Fatemeh Mollaelahi, S. Shahali","doi":"10.5812/msnj-123284","DOIUrl":"https://doi.org/10.5812/msnj-123284","url":null,"abstract":"Context: The most common cause of bilateral lower extremity edema during pregnancy is venous insufficiency, that is a physiological process. Although it is not a serious complication, it can lead to substantial pain, heaviness, nocturnal cramps, tingling, and numbness. In this regard, foot massage is a prominent non-pharmacological practice among healthcare providers. Objective: This study aimed to evaluate non-pharmacological interventions utilized to alleviate the symptoms of lower extremity edema during pregnancy. Methods: This narrative review included all randomized controlled trials during 2011 - 2021 evaluating the symptoms of lower extremity edema during pregnancy. For literature review, databases including MEDLINE, PubMed, EMBASE, Cochrane, and SID were searched using the following keywords: “management,” “pregnancy,” “obstetric”, “oedema”, “edema”, “pharmacological treatment”, “lower-extremity edema”, “late pregnancy”, and “non-pharmacological treatment”. Results: In terms of analyzed outcomes, there were substantial differences between the assessed trials. The trials had a high risk of performance and detection bias and were essentially unclear for selection bias. Finally, seven studies were included and analyzed. Compression stockings and external massage appeared to reduce lower extremity edema. Conclusions: There is not enough evidence for managing physiological lower extremity edema during pregnancy. Further trials with appropriate methodology and analysis of outcome are needed.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74102746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Diabetes is one of the most common metabolic diseases leading to debilitating complications. One of the most important causes of complications in diabetic patients is non-adherence to the medication regimen due to forgetfulness and negligence. Objectives: This study aimed to investigate the effect of education with an automatic SMS reminder system on type 2 diabetes patients’ medication adherence. Methods: This quasi-experimental study was performed on 120 patients with type 2 diabetes referring to the Diabetes Clinic in Zahedan in 2021. The participants were randomly assigned to the control and intervention groups. The participants in the intervention group were reminded to take their medications using the automatic SMS service. The data were collected using a demographic information questionnaire and the Morisky Medication Adherence Scale (MMAS). The MMAS items were completed by the participants in both groups before the intervention and one month after the intervention. The collected data were analyzed using SPSS-26 software at a significance level of 0.05. Results: The results indicated that the mean scores of medication adherence in the two intervention and control groups before training with the automatic SMS reminder system were not significantly different (P = 0.052). However, after the intervention, the mean score of medication adherence for the patients in the intervention group was significantly higher than that of the patients in the control group (P = 0.001). Conclusions: Drug reminders using the automated SMS reminder system can improve medication adherence in diabetic patients.
{"title":"The Effect of Education with an Automatic SMS Reminder System on Type 2 Diabetes Patients’ Medication Adherence","authors":"H. Askari, Somayeh Azarang, N. Moulaei","doi":"10.5812/msnj.126447","DOIUrl":"https://doi.org/10.5812/msnj.126447","url":null,"abstract":"Background: Diabetes is one of the most common metabolic diseases leading to debilitating complications. One of the most important causes of complications in diabetic patients is non-adherence to the medication regimen due to forgetfulness and negligence. Objectives: This study aimed to investigate the effect of education with an automatic SMS reminder system on type 2 diabetes patients’ medication adherence. Methods: This quasi-experimental study was performed on 120 patients with type 2 diabetes referring to the Diabetes Clinic in Zahedan in 2021. The participants were randomly assigned to the control and intervention groups. The participants in the intervention group were reminded to take their medications using the automatic SMS service. The data were collected using a demographic information questionnaire and the Morisky Medication Adherence Scale (MMAS). The MMAS items were completed by the participants in both groups before the intervention and one month after the intervention. The collected data were analyzed using SPSS-26 software at a significance level of 0.05. Results: The results indicated that the mean scores of medication adherence in the two intervention and control groups before training with the automatic SMS reminder system were not significantly different (P = 0.052). However, after the intervention, the mean score of medication adherence for the patients in the intervention group was significantly higher than that of the patients in the control group (P = 0.001). Conclusions: Drug reminders using the automated SMS reminder system can improve medication adherence in diabetic patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78728229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Rafeie, Zahra Pishkar Mofrad, Mohammad Kazem Momeni, Ebrahim Ebrahimi Tabas
Background: Reducing the anxiety in spouses suffering from cardiovascular diseases is essential for themselves and improving treatment outcomes by increasing adherence to treatment and medication. Objectives: This study aimed to examine the effect of couple education on spouses' anxiety, and treatment adherence in patients with acute coronary syndrome (ACS) admitted to the cardiac intensive care unit. Methods: This quasi-experimental study was conducted on 70 couples, including the spouses and patients with ACS admitted to the cardiac intensive care units of Khatam al-Anbia and Ali Ibn Abitaleb hospitals of Zahedan University of Medical Sciences in 2021. The participants were selected using convenience sampling and randomly divided into intervention and control groups. The participants in the intervention group attended three training sessions for three consecutive days based on their clinical diagnosis and treatment following the educational table of content. The instructions in the training sessions were provided to the patients and their spouses for 40 to 60 minutes in the clinic. In contrast, the patients in the control group received only routine ward care. Twelve weeks after the intervention, data were collected using two self-report instruments, including the Medication Adherence Scale and Spielberger State-Trait Anxiety Inventory. The collected data were analyzed by SPSS software (version 22) using paired-samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). Results: The ANCOVA showed that after the couple education intervention, the mean anxiety score of the spouses of ACS patients in the intervention group was significantly lower than the score of the participants in the control group (P = 0.001). Moreover, the mean score of patients' treatment adherence in the intervention group (58.54 ± 5.00) was significantly higher than that of the control group (39.05 ± 9.11) (P = 0.001). Conclusions: The present study indicated that couple education reduces anxiety in the spouses of ACS patients and increases treatment adherence in the patients. Thus, integrating interventions such as couple education in the rehabilitation programs for ACS patients can improve treatment adherence in patients and reduce anxiety in spouses.
背景:减少患有心血管疾病的配偶的焦虑对他们自己和通过增加对治疗和药物的依从性来改善治疗结果至关重要。目的:本研究旨在探讨夫妻教育对急性冠脉综合征(ACS)患者配偶焦虑和治疗依从性的影响。方法:拟实验研究对象为扎黑丹医科大学附属Khatam al-Anbia医院和Ali Ibn Abitaleb医院2021年心内科重症监护病房收治的ACS患者及其配偶70对夫妇。采用方便抽样法，随机分为干预组和对照组。干预组参与者根据临床诊断和治疗情况，按照教育内容表，连续三天参加三次培训。患者及其配偶在诊所接受40至60分钟的培训指导。相比之下，对照组患者仅接受常规病房护理。干预12周后，使用两种自我报告工具收集数据，包括药物依从性量表和Spielberger状态-特质焦虑量表。收集的资料采用SPSS软件(version 22)进行配对样本t检验、独立样本t检验、卡方检验和协方差分析(ANCOVA)。结果:方差分析显示，经夫妻教育干预后，干预组ACS患者配偶的平均焦虑得分显著低于对照组(P = 0.001)。干预组患者治疗依从性平均得分(58.54±5.00)明显高于对照组(39.05±9.11)(P = 0.001)。结论:本研究表明，夫妻教育可减少ACS患者配偶的焦虑，提高患者的治疗依从性。因此，在ACS患者康复项目中整合夫妻教育等干预措施可以提高患者的治疗依从性，减少配偶的焦虑。
{"title":"Effect of Couple Education on Spouses' Anxiety and Treatment Adherence in Patients with Acute Coronary Syndrome Admitted to Cardiac Intensive Care Unit","authors":"R. Rafeie, Zahra Pishkar Mofrad, Mohammad Kazem Momeni, Ebrahim Ebrahimi Tabas","doi":"10.5812/msnj.123617","DOIUrl":"https://doi.org/10.5812/msnj.123617","url":null,"abstract":"Background: Reducing the anxiety in spouses suffering from cardiovascular diseases is essential for themselves and improving treatment outcomes by increasing adherence to treatment and medication. Objectives: This study aimed to examine the effect of couple education on spouses' anxiety, and treatment adherence in patients with acute coronary syndrome (ACS) admitted to the cardiac intensive care unit. Methods: This quasi-experimental study was conducted on 70 couples, including the spouses and patients with ACS admitted to the cardiac intensive care units of Khatam al-Anbia and Ali Ibn Abitaleb hospitals of Zahedan University of Medical Sciences in 2021. The participants were selected using convenience sampling and randomly divided into intervention and control groups. The participants in the intervention group attended three training sessions for three consecutive days based on their clinical diagnosis and treatment following the educational table of content. The instructions in the training sessions were provided to the patients and their spouses for 40 to 60 minutes in the clinic. In contrast, the patients in the control group received only routine ward care. Twelve weeks after the intervention, data were collected using two self-report instruments, including the Medication Adherence Scale and Spielberger State-Trait Anxiety Inventory. The collected data were analyzed by SPSS software (version 22) using paired-samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). Results: The ANCOVA showed that after the couple education intervention, the mean anxiety score of the spouses of ACS patients in the intervention group was significantly lower than the score of the participants in the control group (P = 0.001). Moreover, the mean score of patients' treatment adherence in the intervention group (58.54 ± 5.00) was significantly higher than that of the control group (39.05 ± 9.11) (P = 0.001). Conclusions: The present study indicated that couple education reduces anxiety in the spouses of ACS patients and increases treatment adherence in the patients. Thus, integrating interventions such as couple education in the rehabilitation programs for ACS patients can improve treatment adherence in patients and reduce anxiety in spouses.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88617555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Arbabisarjou, Mojtaba Khamar, Pegah Sasanpour, F. Kiani
Background: One of the most important complications of cancer treatment is mucositis, whose prevention is essential because, in some cases, the presence of mucositis leads to the cessation of the treatment and the progression of cancer. Objectives: This study aimed to examine the effect of self-care training on the severity of oral mucositis in patients with breast cancer who underwent chemotherapy in 2020. Methods: The present study was conducted using a quasi-experimental design with two groups of 74 patients with breast cancer in selected hospitals of Zahedan University of Medical Sciences in the southeast of Iran in 2020. The patients were selected using convenience sampling and randomly assigned to the control and intervention groups. Considering the inclusion criteria, an oral assessment was performed on the patients at the beginning of the study using standard tools. Then, the patients in the intervention group received individual training in the first four weeks of the study. Oral mucositis was assessed for the patients in both groups during weeks 2, 4, 6, and 8 after the intervention. The patients in the control group did not receive any special training. The collected data were analyzed using SPSS software and the chi-square test and independent samples t-test. The generalized estimating equation (GEE) was used to compare the two groups and to examine the effective variables and time-group interaction. Results: The results of the chi-square test indicated no significant intergroup difference after four training sessions in terms of the presence of mucositis in weeks 2, 4, and 6 (P = 0.6 in the second week, P = 0.18 in the fourth week, and P = 0.16 in the sixth week). However, the chi-square test indicated a statistically significant difference between the two groups at the end of the eighth week (χ2 = 12.67; P = 0.005). In addition, the odds ratios for the severity of mucositis in patients using the GEE test showed that the only variable that played a significant role in preventing mucositis was the self-care intervention (OR = 0.02; P = 0.03). Other variables, such as smoking (OR = 0.2; P = 0.04), BMI (OR = 6.6; P = 0.08), and age (OR = 0.9; P = 0.3) had no effect on the possibility of developing mucositis. Conclusions: Self-care training with an emphasis on personal health and especially oral health to cancer patients can be effective in preventing mucositis. Therefore, medical staff should focus on oral health self-care training as a priority in training programs.
{"title":"The Effect of Self-Care Training on the Severity of Oral Mucositis in Breast Cancer Patients Undergoing Chemotherapy","authors":"A. Arbabisarjou, Mojtaba Khamar, Pegah Sasanpour, F. Kiani","doi":"10.5812/msnj.123386","DOIUrl":"https://doi.org/10.5812/msnj.123386","url":null,"abstract":"Background: One of the most important complications of cancer treatment is mucositis, whose prevention is essential because, in some cases, the presence of mucositis leads to the cessation of the treatment and the progression of cancer. Objectives: This study aimed to examine the effect of self-care training on the severity of oral mucositis in patients with breast cancer who underwent chemotherapy in 2020. Methods: The present study was conducted using a quasi-experimental design with two groups of 74 patients with breast cancer in selected hospitals of Zahedan University of Medical Sciences in the southeast of Iran in 2020. The patients were selected using convenience sampling and randomly assigned to the control and intervention groups. Considering the inclusion criteria, an oral assessment was performed on the patients at the beginning of the study using standard tools. Then, the patients in the intervention group received individual training in the first four weeks of the study. Oral mucositis was assessed for the patients in both groups during weeks 2, 4, 6, and 8 after the intervention. The patients in the control group did not receive any special training. The collected data were analyzed using SPSS software and the chi-square test and independent samples t-test. The generalized estimating equation (GEE) was used to compare the two groups and to examine the effective variables and time-group interaction. Results: The results of the chi-square test indicated no significant intergroup difference after four training sessions in terms of the presence of mucositis in weeks 2, 4, and 6 (P = 0.6 in the second week, P = 0.18 in the fourth week, and P = 0.16 in the sixth week). However, the chi-square test indicated a statistically significant difference between the two groups at the end of the eighth week (χ2 = 12.67; P = 0.005). In addition, the odds ratios for the severity of mucositis in patients using the GEE test showed that the only variable that played a significant role in preventing mucositis was the self-care intervention (OR = 0.02; P = 0.03). Other variables, such as smoking (OR = 0.2; P = 0.04), BMI (OR = 6.6; P = 0.08), and age (OR = 0.9; P = 0.3) had no effect on the possibility of developing mucositis. Conclusions: Self-care training with an emphasis on personal health and especially oral health to cancer patients can be effective in preventing mucositis. Therefore, medical staff should focus on oral health self-care training as a priority in training programs.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76122801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：