Zeinab Balouchi, Saied Pahlavanzadeh, N. Alimohammadi
Background: Long-term care of the children with epilepsy and lack of psycho-educational training will lead to caregiver burden. Objectives: The aim of this study was to evaluate the effect of a psycho-educational training program on caregiver burden in families with pediatric epileptic children. Methods: This is a clinical trial study with two groups of experimental and control with three stages of Before, Immediately later, One month after the intervention. The population of the study consisted of family caregivers of children with epilepsy referring to Imam Hossein and Kashani Hospitals in Isfahan, Iran. Seventy families of children (ages 6 - 18years) with epilepsy participated in this study in 2018. The samples were randomly assigned to experimental (35) and control (35) groups using sequential convenience sampling method. The experimental group received a psycho-educational training program in eight sessions (90-minute) in four groups (8 - 9 members), and training was held two sessions a week. The control group participated in three sessions and expressed their problems and experiences. Data were collected using a demographic questionnaire and Zarit Burden Interview (ZBI) that consisted of 22 items and a 5-point Likert scale. Descriptive and inferential statistical methods and SPSS18 were used for data analysis. Results: Before the intervention, there was no statistically significant difference between the two groups of experimental and control in terms of caregiver burden (P = 0.917). However, there was a significant difference between the three time stages in the intervention group after the intervention (P < 0.05; f = 3.511). Meanwhile, the mean score of caregiver burden decreased during the intervention period than before the study (P < 0.05; f = 166.60), while the mean score of caregiver burden did not increase significantly in the control group over time (P = 0.036). Conclusions: The results showed that in a family with school-age epileptic children, appropriate programs and training methods are needed to decrease caregiver burden; so it is necessary to develop and use such programs by the treatment team members.
{"title":"Efficacy of Psycho-educational Program on Burden of Caregivers of Children with Epilepsy: A clinical trial","authors":"Zeinab Balouchi, Saied Pahlavanzadeh, N. Alimohammadi","doi":"10.5812/msnj.119961","DOIUrl":"https://doi.org/10.5812/msnj.119961","url":null,"abstract":"Background: Long-term care of the children with epilepsy and lack of psycho-educational training will lead to caregiver burden. Objectives: The aim of this study was to evaluate the effect of a psycho-educational training program on caregiver burden in families with pediatric epileptic children. Methods: This is a clinical trial study with two groups of experimental and control with three stages of Before, Immediately later, One month after the intervention. The population of the study consisted of family caregivers of children with epilepsy referring to Imam Hossein and Kashani Hospitals in Isfahan, Iran. Seventy families of children (ages 6 - 18years) with epilepsy participated in this study in 2018. The samples were randomly assigned to experimental (35) and control (35) groups using sequential convenience sampling method. The experimental group received a psycho-educational training program in eight sessions (90-minute) in four groups (8 - 9 members), and training was held two sessions a week. The control group participated in three sessions and expressed their problems and experiences. Data were collected using a demographic questionnaire and Zarit Burden Interview (ZBI) that consisted of 22 items and a 5-point Likert scale. Descriptive and inferential statistical methods and SPSS18 were used for data analysis. Results: Before the intervention, there was no statistically significant difference between the two groups of experimental and control in terms of caregiver burden (P = 0.917). However, there was a significant difference between the three time stages in the intervention group after the intervention (P < 0.05; f = 3.511). Meanwhile, the mean score of caregiver burden decreased during the intervention period than before the study (P < 0.05; f = 166.60), while the mean score of caregiver burden did not increase significantly in the control group over time (P = 0.036). Conclusions: The results showed that in a family with school-age epileptic children, appropriate programs and training methods are needed to decrease caregiver burden; so it is necessary to develop and use such programs by the treatment team members.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72910081","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}
Mahya Ahmadii, Fateme Jafari, F. Ahmadinezhad, Fatemeh Khabazzadeh, Malihe Kabusi, N. Hekmati Pour
Background: The crisis caused by the child's illness and hospitalization affects all family members. Fear, worry, and anxiety are common issues of hospitalized children’s mothers. Betty Newman's system model plays a vital role in adapting to stress detection and control. Objectives: This study aimed to examine the effect of the behavioral systems model on the concerns of mothers of children admitted to the surgical ward. Methods: This quasi-experimental study was conducted on 60 mothers of children admitted to the surgical ward of the Mousavi Hospital, Gorgan, Iran, in 2020. The participants were selected using convenience sampling and then divided into test and control groups using non-probability sampling. According to Neuman's systems model, participants in the test group received nursing care in 3 - 4 sessions (each lasting 30 - 45 minutes). Participants in the control group received only routine ward care. Data were collected using the Parental Concern Scale and analyzed with IBM SPSS Statistics 21 software using statistical tests (analysis of covariance, unpaired samples t-test, and paired sample test). Results: The mean score of maternal concerns before the intervention was 42.6 ± 3.06 in the control group and 43.21 ± 2.27 in the test group. The results of the independent samples t-test did not show any significant difference between the groups in terms of maternal concerns (P = 0.11). The mean post-intervention maternal concern score was 37.6 ± 2.71 and 41.716 ± 2.55 in the test and control groups, showing a significant difference between the groups as indicated by the t-test results (P < 0.01). However, the paired t-test outcomes showed no difference in the mean maternal concern score in the control group before and after the intervention (P = 0.92). In contrast, there was a significant difference in the mean maternal concern score in the test group before and after the intervention (P < 0.01). Conclusions: Given the effectiveness of Betty Neuman’s systems model, it can be used as a low-cost, effective care method to reduce maternal stress as the model was developed for understanding clients’ and caregivers’ needs and reducing their stress.
{"title":"The Effect of the Behavioral Systems Model on the Concern of Mothers of Children Admitted to the Surgical Ward","authors":"Mahya Ahmadii, Fateme Jafari, F. Ahmadinezhad, Fatemeh Khabazzadeh, Malihe Kabusi, N. Hekmati Pour","doi":"10.5812/msnj.116676","DOIUrl":"https://doi.org/10.5812/msnj.116676","url":null,"abstract":"Background: The crisis caused by the child's illness and hospitalization affects all family members. Fear, worry, and anxiety are common issues of hospitalized children’s mothers. Betty Newman's system model plays a vital role in adapting to stress detection and control. Objectives: This study aimed to examine the effect of the behavioral systems model on the concerns of mothers of children admitted to the surgical ward. Methods: This quasi-experimental study was conducted on 60 mothers of children admitted to the surgical ward of the Mousavi Hospital, Gorgan, Iran, in 2020. The participants were selected using convenience sampling and then divided into test and control groups using non-probability sampling. According to Neuman's systems model, participants in the test group received nursing care in 3 - 4 sessions (each lasting 30 - 45 minutes). Participants in the control group received only routine ward care. Data were collected using the Parental Concern Scale and analyzed with IBM SPSS Statistics 21 software using statistical tests (analysis of covariance, unpaired samples t-test, and paired sample test). Results: The mean score of maternal concerns before the intervention was 42.6 ± 3.06 in the control group and 43.21 ± 2.27 in the test group. The results of the independent samples t-test did not show any significant difference between the groups in terms of maternal concerns (P = 0.11). The mean post-intervention maternal concern score was 37.6 ± 2.71 and 41.716 ± 2.55 in the test and control groups, showing a significant difference between the groups as indicated by the t-test results (P < 0.01). However, the paired t-test outcomes showed no difference in the mean maternal concern score in the control group before and after the intervention (P = 0.92). In contrast, there was a significant difference in the mean maternal concern score in the test group before and after the intervention (P < 0.01). Conclusions: Given the effectiveness of Betty Neuman’s systems model, it can be used as a low-cost, effective care method to reduce maternal stress as the model was developed for understanding clients’ and caregivers’ needs and reducing their stress.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87416500","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}
N. Sadeghi, Seyyd Amir Hossein Hesami, S. Sadeghi, M. Sadeghi
Background: The American Academy of Pediatrics and the National Association of Neonatal Nurses recommend that palliative care be provided as standard care in neonatal intensive care units (NICUs). Objectives: The present study aimed to explain the nurses' experiences of barriers to palliative care in NICUs. Methods: This qualitative study was conducted using the content analysis approach in NICUs of Beheshti and Amin hospitals in Isfahan in 2020. The data were collected using semi-structured in-depth interviews with 12 nurses who had palliative and end-of-life care experiences for infants and families. The nurses were selected using purposive sampling. The duration of each interview varied from 25 to 50 minutes. Data were analyzed using conventional qualitative content analysis conducted inductively with Graham and Lundman’s approach. The criteria proposed by Guba and Lincoln were used to ensure the credibility and reliability of the data. Results: Three main categories were extracted from the data, including unfavorable conditions (subcategorized into “unsuitable physical environment” and “shortage of nurses”), nurse's mental problems (with the subcategories of “nurses’ mental problems in providing neonatal care” and “nurses’ mental problems in providing family care”) and challenges ahead (with the subcategories of "parental presence challenge” and “doctor's instructions challenge”). Conclusions: The findings of the present study revealed the barriers to palliative care for infants and families in NICUs. Given the importance of palliative care in NICUs, effective measures must be taken to overcome these barriers.
{"title":"Barriers to Palliative Care in the Neonatal Intensive Care Unit from Nurses’ Perspective: A Qualitative Study","authors":"N. Sadeghi, Seyyd Amir Hossein Hesami, S. Sadeghi, M. Sadeghi","doi":"10.5812/msnj.120664","DOIUrl":"https://doi.org/10.5812/msnj.120664","url":null,"abstract":"Background: The American Academy of Pediatrics and the National Association of Neonatal Nurses recommend that palliative care be provided as standard care in neonatal intensive care units (NICUs). Objectives: The present study aimed to explain the nurses' experiences of barriers to palliative care in NICUs. Methods: This qualitative study was conducted using the content analysis approach in NICUs of Beheshti and Amin hospitals in Isfahan in 2020. The data were collected using semi-structured in-depth interviews with 12 nurses who had palliative and end-of-life care experiences for infants and families. The nurses were selected using purposive sampling. The duration of each interview varied from 25 to 50 minutes. Data were analyzed using conventional qualitative content analysis conducted inductively with Graham and Lundman’s approach. The criteria proposed by Guba and Lincoln were used to ensure the credibility and reliability of the data. Results: Three main categories were extracted from the data, including unfavorable conditions (subcategorized into “unsuitable physical environment” and “shortage of nurses”), nurse's mental problems (with the subcategories of “nurses’ mental problems in providing neonatal care” and “nurses’ mental problems in providing family care”) and challenges ahead (with the subcategories of \"parental presence challenge” and “doctor's instructions challenge”). Conclusions: The findings of the present study revealed the barriers to palliative care for infants and families in NICUs. Given the importance of palliative care in NICUs, effective measures must be taken to overcome these barriers.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87032391","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: Depression associated with diabetes increases the possibility of non-adherence to care and treatment programs. The use of psychological approaches can improve patients’ self-management ability. Objectives: This study aimed to examine the effect of cognitive-behavioral training combined with motivational interviewing on treatment adherence and hemoglobin A1c (HbA1c) in patients with diabetes and depressive symptoms. Methods: This randomized clinical trial was performed on two groups of 45 patients (n = 90) with type 2 diabetes and depression in a diabetes clinic affiliated with a teaching hospital in Iran in 2021. The participants were selected using convenience sampling and randomly divided into two intervention groups. The patients in the cognitive-behavioral intervention group with motivational interviewing attended eight face-to-face training sessions three times a week, and the patients in the cognitive-behavioral group attended only four cognitive-behavioral training sessions two times a week. Twelve weeks after the intervention, the personal information and HbA1c levels reported by the laboratory were collected using an information form. Other data were collected using the Morisky Medication Adherence Scale. The collected data were analyzed with SPSS software (version 22) using paired samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). Results: The results of ANCOVA showed that the mean score of medication adherence of the patients in the cognitive-behavioral group with motivational interviewing after receiving the intervention (5.54 ± 1.05) was significantly higher than the medication adherence score of the patients in the cognitive-behavioral training group (4.87 ± 1.01) (P = 0.002). Moreover, the mean HbA1 level of patients in the group receiving cognitive-behavioral training combined with motivational interviewing (8.42 ± 0.69) was significantly lower than the corresponding value for patients in the cognitive-behavioral training group (9.47 ± 1.28) (P = 0.001). Conclusions: Cognitive-behavioral training combined with motivational interviewing had a greater effect than cognitive-behavioral training alone on increasing medication adherence and reducing HbA1c levels in patients with diabetes and depression. Thus, motivational approaches can be incorporated into routine psychological training to better manage diabetes and depression symptoms.
{"title":"Effect of Cognitive-behavioral Training Combined with Motivational Interviewing on Treatment Adherence and Hemoglobin A1c in Patients with Diabetes and Depressive Symptoms","authors":"Zahra Miri, N. Rezaee, Hamed Faghihi, A. Navidian","doi":"10.5812/msnj.120496","DOIUrl":"https://doi.org/10.5812/msnj.120496","url":null,"abstract":"Background: Depression associated with diabetes increases the possibility of non-adherence to care and treatment programs. The use of psychological approaches can improve patients’ self-management ability. Objectives: This study aimed to examine the effect of cognitive-behavioral training combined with motivational interviewing on treatment adherence and hemoglobin A1c (HbA1c) in patients with diabetes and depressive symptoms. Methods: This randomized clinical trial was performed on two groups of 45 patients (n = 90) with type 2 diabetes and depression in a diabetes clinic affiliated with a teaching hospital in Iran in 2021. The participants were selected using convenience sampling and randomly divided into two intervention groups. The patients in the cognitive-behavioral intervention group with motivational interviewing attended eight face-to-face training sessions three times a week, and the patients in the cognitive-behavioral group attended only four cognitive-behavioral training sessions two times a week. Twelve weeks after the intervention, the personal information and HbA1c levels reported by the laboratory were collected using an information form. Other data were collected using the Morisky Medication Adherence Scale. The collected data were analyzed with SPSS software (version 22) using paired samples t-test, independent samples t-test, chi-square test, and analysis of covariance (ANCOVA). Results: The results of ANCOVA showed that the mean score of medication adherence of the patients in the cognitive-behavioral group with motivational interviewing after receiving the intervention (5.54 ± 1.05) was significantly higher than the medication adherence score of the patients in the cognitive-behavioral training group (4.87 ± 1.01) (P = 0.002). Moreover, the mean HbA1 level of patients in the group receiving cognitive-behavioral training combined with motivational interviewing (8.42 ± 0.69) was significantly lower than the corresponding value for patients in the cognitive-behavioral training group (9.47 ± 1.28) (P = 0.001). Conclusions: Cognitive-behavioral training combined with motivational interviewing had a greater effect than cognitive-behavioral training alone on increasing medication adherence and reducing HbA1c levels in patients with diabetes and depression. Thus, motivational approaches can be incorporated into routine psychological training to better manage diabetes and depression symptoms.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85635195","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}
Elahe Fayyazian, Farnoosh Khojasteh, Farshid Saeedinezhad, M. Haghighi
Background: Pregnancy care and screening programs are very important, especially in high-risk pregnancies. However, few interventional studies have addressed mental and sexual health in women with gestational diabetes mellitus (GDM). Objectives: The present study aimed to examine the effect of a sexual health promotion training program on sexual function of pregnant women with GDM referring to comprehensive health centers in Zahedan, Iran, in 2020. Methods: This quasi-experimental study was performed on 80 pregnant women with GDM (gestational age: 24 - 30 weeks). The participants were selected using multi-stage sampling method and randomly assigned into intervention and control groups. The participants in the intervention group received sexual health promotion training in four sessions (60 - 90 minutes) two sessions per week. The participants in the control group received routine care. The demographic information questionnaire was completed by the participants at the beginning of the study, and the Female Sexual Function Index (FSFI) was administered before and four weeks after the completion of the sexual health promotion training program. The collected data were analyzed in SPSS software (version 22) using independent samples t-test, paired samples t-test, analysis of covariance (ANCOVA), and chi-square test. Results: The results showed a statistically significant difference between the intervention and control groups in all subscales of sexual function (P < 0.05). Moreover, the results of ANCOVA for the total sexual function score showed that the women in the intervention group had significantly higher levels of sexual function (22.89 ± 3.24) compared to the women in the control group (16.78 ± 3.16) (P = 0.001). Conclusions: Given the positive and significant effect of sexual health promotion training on the sexual function of pregnant women with GDM, it is recommended to integrate this training program in prenatal care of these vulnerable women.
{"title":"The Effect of a Sexual Health Promotion Training Program on Sexual Function of Pregnant Women with Gestational Diabetes Mellitus","authors":"Elahe Fayyazian, Farnoosh Khojasteh, Farshid Saeedinezhad, M. Haghighi","doi":"10.5812/msnj.118769","DOIUrl":"https://doi.org/10.5812/msnj.118769","url":null,"abstract":"Background: Pregnancy care and screening programs are very important, especially in high-risk pregnancies. However, few interventional studies have addressed mental and sexual health in women with gestational diabetes mellitus (GDM). Objectives: The present study aimed to examine the effect of a sexual health promotion training program on sexual function of pregnant women with GDM referring to comprehensive health centers in Zahedan, Iran, in 2020. Methods: This quasi-experimental study was performed on 80 pregnant women with GDM (gestational age: 24 - 30 weeks). The participants were selected using multi-stage sampling method and randomly assigned into intervention and control groups. The participants in the intervention group received sexual health promotion training in four sessions (60 - 90 minutes) two sessions per week. The participants in the control group received routine care. The demographic information questionnaire was completed by the participants at the beginning of the study, and the Female Sexual Function Index (FSFI) was administered before and four weeks after the completion of the sexual health promotion training program. The collected data were analyzed in SPSS software (version 22) using independent samples t-test, paired samples t-test, analysis of covariance (ANCOVA), and chi-square test. Results: The results showed a statistically significant difference between the intervention and control groups in all subscales of sexual function (P < 0.05). Moreover, the results of ANCOVA for the total sexual function score showed that the women in the intervention group had significantly higher levels of sexual function (22.89 ± 3.24) compared to the women in the control group (16.78 ± 3.16) (P = 0.001). Conclusions: Given the positive and significant effect of sexual health promotion training on the sexual function of pregnant women with GDM, it is recommended to integrate this training program in prenatal care of these vulnerable women.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82450547","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}
M. Zarei, F. Rostami, Mehri Bozorghnejad, F. M. Ardebili, L. Mamashli, Sona Eliasi, A. Khachian
Background: Cesarean section is one of the most important and common surgeries, and surgical incision wound disorders are one of the medical problems. Self-care behaviors can be effective in accelerating the wound healing process. Objectives: This study was conducted to determine the effect of a self-care training program on surgical incision wound healing in women undergoing cesarean section. Methods: This study was a quasi-experimental clinical trial on 72 women undergoing cesarean section in 2017 at one of the medical centers of Sarpol-e Zahab. Sampling was continuous, and subjects were randomly assigned to control or intervention groups based on inclusion criteria. The mothers of the experimental group were given a surgical wound care booklet, and the contents were taught by the researcher in 45 - 60 minutes one day before cesarean section. The learning rate was measured before and after the intervention at the clinic. Cesarean section wound healing was assessed 24 hours and nine days after cesarean section using REEDA tools in both groups. The collected information was analyzed by statistical indices (standard deviation and mean) and tests (independent t-test, Fisher's exact test, Wilcoxon and Friedman tests) by using IBM SPSS software version 20. Results: The mean score of cesarean section wound healing 24 hours after surgery was 1.1 ± 39.38 in the intervention group and 1.1 ± 92.60 in the control group that had no significant differences (P < 0.13). However, the mean score of cesarean section wound healing nine days after surgery was 0.0 ± 53.65 in the intervention group and 1.1 ± 43.28 in the control group, which showed a significant difference (P = 0.001). Conclusions: According to the findings, it can be concluded that a self-care training program is effective in accelerating the surgical incision wound healing in women undergoing cesarean section. Thus, we propose to use this self-care training program in pregnant mothers undergoing cesarean section.
{"title":"Effect of Self-care Training Program on Surgical Incision Wound Healing in Women Undergoing Cesarean Section: A Quasi-Experimental Study","authors":"M. Zarei, F. Rostami, Mehri Bozorghnejad, F. M. Ardebili, L. Mamashli, Sona Eliasi, A. Khachian","doi":"10.5812/MSNJ.108800","DOIUrl":"https://doi.org/10.5812/MSNJ.108800","url":null,"abstract":"Background: Cesarean section is one of the most important and common surgeries, and surgical incision wound disorders are one of the medical problems. Self-care behaviors can be effective in accelerating the wound healing process. Objectives: This study was conducted to determine the effect of a self-care training program on surgical incision wound healing in women undergoing cesarean section. Methods: This study was a quasi-experimental clinical trial on 72 women undergoing cesarean section in 2017 at one of the medical centers of Sarpol-e Zahab. Sampling was continuous, and subjects were randomly assigned to control or intervention groups based on inclusion criteria. The mothers of the experimental group were given a surgical wound care booklet, and the contents were taught by the researcher in 45 - 60 minutes one day before cesarean section. The learning rate was measured before and after the intervention at the clinic. Cesarean section wound healing was assessed 24 hours and nine days after cesarean section using REEDA tools in both groups. The collected information was analyzed by statistical indices (standard deviation and mean) and tests (independent t-test, Fisher's exact test, Wilcoxon and Friedman tests) by using IBM SPSS software version 20. Results: The mean score of cesarean section wound healing 24 hours after surgery was 1.1 ± 39.38 in the intervention group and 1.1 ± 92.60 in the control group that had no significant differences (P < 0.13). However, the mean score of cesarean section wound healing nine days after surgery was 0.0 ± 53.65 in the intervention group and 1.1 ± 43.28 in the control group, which showed a significant difference (P = 0.001). Conclusions: According to the findings, it can be concluded that a self-care training program is effective in accelerating the surgical incision wound healing in women undergoing cesarean section. Thus, we propose to use this self-care training program in pregnant mothers undergoing cesarean section.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86316738","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}
Abdolhamid Jamshidzehi, F. Kiyani, Salahuddin Boya, H. Askari, Farshid Saeedinezhad
Background: Patients with renal insufficiency who receive hemodialysis should be continuously monitored to avoid possible complications, as they are at increased risk of several problems, including pruritus, as one of the most annoying problems. It seems that dialysis adequacy affects the pruritus of hemodialysis patients. Objective: The current study aimed to investigate the effect of dialysis solution temperature and stepwise ultrafiltration profile on dialysis adequacy and pruritus of hemodialysis patients. Methods: Following a single group quasi-experimental design, 34 eligible hemodialysis patients admitted to the hemodialysis ward of Zahedan Medical Center (Iran) in 2020 were recruited using the convenience sampling technique. All patients attended three standard dialysis sessions (at a temperature of 37°C) and three cold dialysis sessions (36°C) with a stepwise dialysis ultrafiltration profile. Dialysis adequacy was measured at the end of each session, and Yosipovitch’s Pruritus Severity Scale (PSS) was filled before and after each dialysis session. Data were summarized using descriptive statistics (i.e., frequency, mean, and standard deviation). Mean scores before and after dialysis were paired by t-test using SPSS version 22. Statistical significance was considered when P-value < 0.05. Results: The mean and standard deviation of dialysis adequacy in both standard dialysis and cold dialysis techniques with stepwise ultrafiltration profile were 1.18 ± 0.36 and 1.44 ± 0.48, respectively, indicating that dialysis adequacy of the cold dialysis method with stepwise ultrafiltration profile was significantly higher (P = 0.001). Besides, the mean pruritus scores in the standard dialysis and cold dialysis methods with stepwise ultrafiltration profile were -0.73 ± 0.80 and -1.73 ± 1.16, respectively, showing a significant difference (P = 0.001). Conclusions: Cold hemodialysis with a stepwise ultrafiltration profile can be used as a simple and low-cost technique to improve both dialysis adequacy and relieve pruritus in hemodialysis patients.
{"title":"The Effect of Dialysis Solution Temperature and Stepwise Ultrafiltration Profile on Dialysis Adequacy and Pruritus in Hemodialysis Patients: A Quasi-experimental Study","authors":"Abdolhamid Jamshidzehi, F. Kiyani, Salahuddin Boya, H. Askari, Farshid Saeedinezhad","doi":"10.5812/MSNJ.114664","DOIUrl":"https://doi.org/10.5812/MSNJ.114664","url":null,"abstract":"Background: Patients with renal insufficiency who receive hemodialysis should be continuously monitored to avoid possible complications, as they are at increased risk of several problems, including pruritus, as one of the most annoying problems. It seems that dialysis adequacy affects the pruritus of hemodialysis patients. Objective: The current study aimed to investigate the effect of dialysis solution temperature and stepwise ultrafiltration profile on dialysis adequacy and pruritus of hemodialysis patients. Methods: Following a single group quasi-experimental design, 34 eligible hemodialysis patients admitted to the hemodialysis ward of Zahedan Medical Center (Iran) in 2020 were recruited using the convenience sampling technique. All patients attended three standard dialysis sessions (at a temperature of 37°C) and three cold dialysis sessions (36°C) with a stepwise dialysis ultrafiltration profile. Dialysis adequacy was measured at the end of each session, and Yosipovitch’s Pruritus Severity Scale (PSS) was filled before and after each dialysis session. Data were summarized using descriptive statistics (i.e., frequency, mean, and standard deviation). Mean scores before and after dialysis were paired by t-test using SPSS version 22. Statistical significance was considered when P-value < 0.05. Results: The mean and standard deviation of dialysis adequacy in both standard dialysis and cold dialysis techniques with stepwise ultrafiltration profile were 1.18 ± 0.36 and 1.44 ± 0.48, respectively, indicating that dialysis adequacy of the cold dialysis method with stepwise ultrafiltration profile was significantly higher (P = 0.001). Besides, the mean pruritus scores in the standard dialysis and cold dialysis methods with stepwise ultrafiltration profile were -0.73 ± 0.80 and -1.73 ± 1.16, respectively, showing a significant difference (P = 0.001). Conclusions: Cold hemodialysis with a stepwise ultrafiltration profile can be used as a simple and low-cost technique to improve both dialysis adequacy and relieve pruritus in hemodialysis patients.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80271240","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}
Fatemeh Kord Salarzehi, Alireza Rahat Dahmardeh, Seyed Mohammad Nasiodin Tabatabaei, F. Yaghoubinia
Background: Patients’ oral health is impaired in Intensive Care units (ICUs) due to loss of consciousness, open mouth, intubation, and mechanical ventilation. Objectives: The current study aimed to compare the effects of comprehensive and combined programs on oral health in patients under mechanical ventilation. Methods: This single-blind clinical trial with three groups was performed on 90 patients with mechanical ventilation admitted to ICUs of medical centers affiliated to the Zahedan University of Medical Sciences, Iran, in 2020. Patients under mechanical ventilation were randomly divided into three groups, including those receiving a comprehensive program, those receiving a combined program, and controls through permutated blocks. In the two intervention groups, oral care was performed for 5 minutes, three times per day, during the 5 days of the study with a specific method. The control group received routine oral care. The patients’ oral health was measured once before the intervention and then every day until the fifth day of the intervention using the Beck Oral Assessment scale. The data were analyzed using the analysis of variance and chi-square in IBM SPSS Statistics software version 26. Results: The mean oral health score in the three groups was not significantly different before the intervention and on the second day of the study (P > 0.05). However, on the third to fifth days of the study, the oral health score in the two intervention groups showed a significant decrease compared to the control group, indicating an oral health improvement in these groups (P = 0.001). The mean oral health score in the control group increased during the study days. Conclusions: Comprehensive care and combination methods can improve oral health in patients under mechanical ventilation. Nurses are recommended to use regular and codified oral care methods.
{"title":"Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial","authors":"Fatemeh Kord Salarzehi, Alireza Rahat Dahmardeh, Seyed Mohammad Nasiodin Tabatabaei, F. Yaghoubinia","doi":"10.5812/MSNJ.114194","DOIUrl":"https://doi.org/10.5812/MSNJ.114194","url":null,"abstract":"Background: Patients’ oral health is impaired in Intensive Care units (ICUs) due to loss of consciousness, open mouth, intubation, and mechanical ventilation. Objectives: The current study aimed to compare the effects of comprehensive and combined programs on oral health in patients under mechanical ventilation. Methods: This single-blind clinical trial with three groups was performed on 90 patients with mechanical ventilation admitted to ICUs of medical centers affiliated to the Zahedan University of Medical Sciences, Iran, in 2020. Patients under mechanical ventilation were randomly divided into three groups, including those receiving a comprehensive program, those receiving a combined program, and controls through permutated blocks. In the two intervention groups, oral care was performed for 5 minutes, three times per day, during the 5 days of the study with a specific method. The control group received routine oral care. The patients’ oral health was measured once before the intervention and then every day until the fifth day of the intervention using the Beck Oral Assessment scale. The data were analyzed using the analysis of variance and chi-square in IBM SPSS Statistics software version 26. Results: The mean oral health score in the three groups was not significantly different before the intervention and on the second day of the study (P > 0.05). However, on the third to fifth days of the study, the oral health score in the two intervention groups showed a significant decrease compared to the control group, indicating an oral health improvement in these groups (P = 0.001). The mean oral health score in the control group increased during the study days. Conclusions: Comprehensive care and combination methods can improve oral health in patients under mechanical ventilation. Nurses are recommended to use regular and codified oral care methods.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78665822","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}
N. Bigdeli, F. Bagheri, Fatemeh Pouladkhay, Tayebeh Azarmehr, M. Sahebi
: Hydatid disease has been introduced as a crucial health issue in the Eastern Mediterranean by the World Health Organization. Surgery is the standard gold treatment for hydatid disease. Here, we reported a case of a large hydatid cyst involving the lung in a 13-year-old girl complaining of shortness of breath and cough for 8 months. Early symptoms include fever, cough, and shortness of breath. After admission, computed tomography verified giant lung hydatid cysts. Complete collapse of the right lung and progressive respiratory distress of the patient were treated with thoracotomy considering the size of the hydatid cyst in the lung. It should be noted that in such patients, the preservation of lung tissue function is very significant, and also, the less part of the lung is removed after surgery, the fewer complications the patient will suffer.
{"title":"A Giant Pulmonary Hydatid Cyst in a 13-Year-Old Child: A Case Report","authors":"N. Bigdeli, F. Bagheri, Fatemeh Pouladkhay, Tayebeh Azarmehr, M. Sahebi","doi":"10.5812/msnj.119312","DOIUrl":"https://doi.org/10.5812/msnj.119312","url":null,"abstract":": Hydatid disease has been introduced as a crucial health issue in the Eastern Mediterranean by the World Health Organization. Surgery is the standard gold treatment for hydatid disease. Here, we reported a case of a large hydatid cyst involving the lung in a 13-year-old girl complaining of shortness of breath and cough for 8 months. Early symptoms include fever, cough, and shortness of breath. After admission, computed tomography verified giant lung hydatid cysts. Complete collapse of the right lung and progressive respiratory distress of the patient were treated with thoracotomy considering the size of the hydatid cyst in the lung. It should be noted that in such patients, the preservation of lung tissue function is very significant, and also, the less part of the lung is removed after surgery, the fewer complications the patient will suffer.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"198 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82574203","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: One of the main stressors for patients admitted to the intensive care unit (ICU) is being away from family members and severe appointment time limits. Currently, the treatment environment is made of family members and patients, and the presence of family members plays an important role in the patient’s health. Objective: This study aimed to determine the effect of scheduled family appointments on the agitation of ICU patients. Methods: This quasi-experimental study was performed on 70 patients admitted to the ICU of medical centers affiliated to Zahedan University of Medical Sciences, Iran, in 2020. The patients were selected using convenience sampling from among those who met the inclusion criteria. The selected patients were randomly assigned into two equal groups of control and intervention (n = 35 in each). The patients in the control group were visited via routine appointments. In contrast, the patients in the intervention group were visited both routinely and via scheduled appointments by a fixed member of the family for 20 minutes at 10-12 AM and 8-10 PM for three days. The data were collected using a demographic information form and Richmond Agitation Sedation Scale (RASS), which was completed by the researcher for each patient on the first day before and the third day after the intervention. The collected data were analyzed using IBM SPSS software (version 24) with the chi-square test, Fisher’s exact test, independent samples t-test, and Mann–Whitney U test. The significance level was considered less than 0.05. Results: The two groups were similar in terms of age, sex, level of consciousness, and history of hospitalization in the ICU and there was no statistically significant intergroup difference (P > 0.05). According to the results of Mann–Whitney U and chi-square tests, there was a significant difference between the groups in terms of agitation at the end of the study (P < 0.05). Conclusions: Scheduled appointments for ICU patients can reduce patients’ agitation without affecting nurses’ care activities. This accelerates the recovery process for patients. Hence, the appointment-based policy needs to be implemented in ICUs.
{"title":"Evaluation of the Effect of Scheduled Family Appointments on Agitation of ICU Patients: A Quasi-experimental Study","authors":"Esmaeell Shahriyari, A. Salar, A. Payandeh","doi":"10.5812/msnj.118394","DOIUrl":"https://doi.org/10.5812/msnj.118394","url":null,"abstract":"Background: One of the main stressors for patients admitted to the intensive care unit (ICU) is being away from family members and severe appointment time limits. Currently, the treatment environment is made of family members and patients, and the presence of family members plays an important role in the patient’s health. Objective: This study aimed to determine the effect of scheduled family appointments on the agitation of ICU patients. Methods: This quasi-experimental study was performed on 70 patients admitted to the ICU of medical centers affiliated to Zahedan University of Medical Sciences, Iran, in 2020. The patients were selected using convenience sampling from among those who met the inclusion criteria. The selected patients were randomly assigned into two equal groups of control and intervention (n = 35 in each). The patients in the control group were visited via routine appointments. In contrast, the patients in the intervention group were visited both routinely and via scheduled appointments by a fixed member of the family for 20 minutes at 10-12 AM and 8-10 PM for three days. The data were collected using a demographic information form and Richmond Agitation Sedation Scale (RASS), which was completed by the researcher for each patient on the first day before and the third day after the intervention. The collected data were analyzed using IBM SPSS software (version 24) with the chi-square test, Fisher’s exact test, independent samples t-test, and Mann–Whitney U test. The significance level was considered less than 0.05. Results: The two groups were similar in terms of age, sex, level of consciousness, and history of hospitalization in the ICU and there was no statistically significant intergroup difference (P > 0.05). According to the results of Mann–Whitney U and chi-square tests, there was a significant difference between the groups in terms of agitation at the end of the study (P < 0.05). Conclusions: Scheduled appointments for ICU patients can reduce patients’ agitation without affecting nurses’ care activities. This accelerates the recovery process for patients. Hence, the appointment-based policy needs to be implemented in ICUs.","PeriodicalId":18480,"journal":{"name":"Medical-Surgical Nursing Journal","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86935204","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}
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