Pub Date : 2021-08-23DOI: 10.22038/EBCJ.2021.58054.2513
H. Moghaddam, Zahra Khojastehfard, M. Abdollahi, F. Karimi
Background: Postpartum hemorrhage is one of the most common causes of maternal mortality globally. Aim: In this systematic review and meta-analysis, we aim to evaluate the effectiveness of herbal medicines on postpartum hemorrhage. Methods: In this systematic review and meta-analysis, relevant articles from 2000 to 2020 were included using PubMed, Scopus, ISI Web of Science, Cochrane, Magiran, SID and Google Scholar databases. The relevant English keywords, "postpartum hemorrhage، PPH control, PPH prevention, phytotherapy, herbal medicine, complementary medicine, traditional medicine” were used to search for the eligible studies. Data analysis was done using STATA software version 11. Results: the result of the Meta-analysis indicatesthat there was heterogeneity in the studies (I2=0.87). Standardized mean difference was (SMD= -1.08, 95% CI: (-1.31, -0.85), p <0.001), (SMD= -0.80, 95% CI: (-1.03, -0.58), p <0.001), (SMD= -1.13, 95% CI: (-1.36, -0.90), p <0.001) in the first, second and third hour after delivery, respectively. There was a statistically significant difference between the control and intervention groups; as the bleeding rate was lower in the intervention group than the control group. Implications for Practice: This meta-analysis showed a positive role for the herbal medicines in reduce postpartum hemorrhage. Therefore, herbal medicine might be a proper substitute for chemical medicine and can be used in combination with pharmaceutical drugs such as oxytocin to reduce early postpartum hemorrhage
背景:产后出血是全球孕产妇死亡的最常见原因之一。目的:在本系统综述和荟萃分析中，我们旨在评估草药治疗产后出血的有效性。方法:采用PubMed、Scopus、ISI Web of Science、Cochrane、Magiran、SID和Google Scholar数据库，对2000 - 2020年的相关文献进行系统评价和meta分析。使用相关英文关键词“产后出血，PPH控制，PPH预防，植物疗法，草药，补充医学，传统医学”搜索符合条件的研究。数据分析采用STATA软件11版。结果:meta分析结果显示各研究存在异质性(I2=0.87)。标准化平均差异分别为(SMD= -1.08, 95% CI: (-1.31， -0.85)， p <0.001)， (SMD= -0.80, 95% CI: (-1.03， -0.58)， p <0.001)， (SMD= -1.13, 95% CI: (-1.36， -0.90)， p <0.001)分娩后第1、2、3小时。对照组和干预组之间的差异有统计学意义;干预组出血率明显低于对照组。实践意义:本荟萃分析显示草药在减少产后出血方面具有积极作用。因此，草药可能是化学药物的合适替代品，并可与催产素等药物联合使用，以减少产后早期出血
{"title":"The effect of herbal medicines on postpartum hemorrhage in Iran: A Meta-Analysis","authors":"H. Moghaddam, Zahra Khojastehfard, M. Abdollahi, F. Karimi","doi":"10.22038/EBCJ.2021.58054.2513","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58054.2513","url":null,"abstract":"Background: Postpartum hemorrhage is one of the most common causes of maternal mortality globally. Aim: In this systematic review and meta-analysis, we aim to evaluate the effectiveness of herbal medicines on postpartum hemorrhage. Methods: In this systematic review and meta-analysis, relevant articles from 2000 to 2020 were included using PubMed, Scopus, ISI Web of Science, Cochrane, Magiran, SID and Google Scholar databases. The relevant English keywords, \"postpartum hemorrhage، PPH control, PPH prevention, phytotherapy, herbal medicine, complementary medicine, traditional medicine” were used to search for the eligible studies. Data analysis was done using STATA software version 11. Results: the result of the Meta-analysis indicatesthat there was heterogeneity in the studies (I2=0.87). Standardized mean difference was (SMD= -1.08, 95% CI: (-1.31, -0.85), p <0.001), (SMD= -0.80, 95% CI: (-1.03, -0.58), p <0.001), (SMD= -1.13, 95% CI: (-1.36, -0.90), p <0.001) in the first, second and third hour after delivery, respectively. There was a statistically significant difference between the control and intervention groups; as the bleeding rate was lower in the intervention group than the control group. Implications for Practice: This meta-analysis showed a positive role for the herbal medicines in reduce postpartum hemorrhage. Therefore, herbal medicine might be a proper substitute for chemical medicine and can be used in combination with pharmaceutical drugs such as oxytocin to reduce early postpartum hemorrhage","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85724095","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}
Pub Date : 2021-08-08DOI: 10.22038/EBCJ.2021.58384.2522
Sarina Aeen, Fatemeh Esmaelzadeh, T. Sadeghi, N. Davoudi
Background: Pain is the most common complication of arterial sampling that leads to fear, anxiety, and dissatisfaction, and non-cooperation by patients reducing the success of sampling. Objective: To compare the effect of two methods of Hugo point massage with ice and without ice on pain intensity, anxiety, and success of arterial blood sampling Methods: This quasi-experimental study was performed on 90 patients in Imam Reza (AS) Hospital in Mashhad/ Iran in 1399. In the ice Hugo massage group, 5 minutes before sampling, the Hugo point was massaged with ice marbles. Hugo point massage group without ice, the massage was done only with the thumb. In the control group, the routine method was performed. The patient's pain intensity and anxiety were assessed before and immediately after sampling. Also, the time and number of attempts for arterial blood sampling were recorded. Data were analyzed using SPSS software using Kruskal-Wallis and Chi-square tests. Results: The mean pain intensity in the Hugo point massage group with ice was significantly lower than the Hugo point massage group without ice (P = 0.019), and also in the control group (P <0.001). The mean score of anxiety after the intervention in the Hugo point massage group with ice was significantly lower than the ice-free massage group (P = 0.040), and also in the control group (P <0.001). Clinical application: The use of Hugo point massage with ice can be considered as an available, effective, and low-cost method in nurses' care programs before arterial blood sampling.
{"title":"Comparison the Effect of two methods of Hogu point massage with ice and without ice on pain intensity, anxiety and success rate on Arterial blood sampling in patients admitted to Imam Reza hospital.","authors":"Sarina Aeen, Fatemeh Esmaelzadeh, T. Sadeghi, N. Davoudi","doi":"10.22038/EBCJ.2021.58384.2522","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58384.2522","url":null,"abstract":"Background: Pain is the most common complication of arterial sampling that leads to fear, anxiety, and dissatisfaction, and non-cooperation by patients reducing the success of sampling. Objective: To compare the effect of two methods of Hugo point massage with ice and without ice on pain intensity, anxiety, and success of arterial blood sampling Methods: This quasi-experimental study was performed on 90 patients in Imam Reza (AS) Hospital in Mashhad/ Iran in 1399. In the ice Hugo massage group, 5 minutes before sampling, the Hugo point was massaged with ice marbles. Hugo point massage group without ice, the massage was done only with the thumb. In the control group, the routine method was performed. The patient's pain intensity and anxiety were assessed before and immediately after sampling. Also, the time and number of attempts for arterial blood sampling were recorded. Data were analyzed using SPSS software using Kruskal-Wallis and Chi-square tests. Results: The mean pain intensity in the Hugo point massage group with ice was significantly lower than the Hugo point massage group without ice (P = 0.019), and also in the control group (P <0.001). The mean score of anxiety after the intervention in the Hugo point massage group with ice was significantly lower than the ice-free massage group (P = 0.040), and also in the control group (P <0.001). Clinical application: The use of Hugo point massage with ice can be considered as an available, effective, and low-cost method in nurses' care programs before arterial blood sampling.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75586916","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}
Pub Date : 2021-08-07DOI: 10.22038/EBCJ.2021.57542.2503
M. Pazokian, M. Motamedzadeh, Hanieh Molaee
Background: Accepting the death of others is inherently difficult and painful for humans, so throughout history, humans have avoided facing the reality of death and their inability to control it, but even now death reveals itself through a virus called Covid-19 which has given that the Families who, in addition to grieving the lost loved one, must bear this tragedy alone. Lost mourning is a difficult experience in itself, and with Covid-19 it may become more complicated. Aim: This study aimed to explain the experience of bereaved families of patients with Covid-19. Methods: In this qualitative descriptive study by using conventional content analysis method, 20 participants were purposefully selected and included in the study. Overall, the data were obtained through in- depth semi-structured interviews. Participants' contact numbers extracted from the archives of deceased Covid-19 patients that hospitalized in the Covid-19 wards of educational hospitals of Shahid Beheshti University of Medical Sciences from 22August 2020 to 21 May 2021,Tehran, Iran. The interviews continued until the data were saturated, which means no newer information was obtained. The interview lasted between 35 and 40 minutes. MAXQDA 10 software was used to analyze information. Results: The final theme of adaptation to the new world including three categories of psychological symptoms including subcategory (Disbelief mourning and disease and social stigma), role conflict including subcategory (Threatening context of multiple roles , Bottleneck of mental and work hazards, and Uncertain future) and Miracle of belief and faith included subcategory (inner peace with praying and distraction of thoughts). Implications for Practice: Given that one of the main concerns of the world after the Coronavirus era is incomplete mourning and the resulting psychological disorders in the family, it is important to find a solution to support bereaved families to adapt to the new world without the deceased.
{"title":"Adaptation to the New World: Experiences of bereaved families of the patients with Covid-19","authors":"M. Pazokian, M. Motamedzadeh, Hanieh Molaee","doi":"10.22038/EBCJ.2021.57542.2503","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.57542.2503","url":null,"abstract":"Background: Accepting the death of others is inherently difficult and painful for humans, so throughout history, humans have avoided facing the reality of death and their inability to control it, but even now death reveals itself through a virus called Covid-19 which has given that the Families who, in addition to grieving the lost loved one, must bear this tragedy alone. Lost mourning is a difficult experience in itself, and with Covid-19 it may become more complicated. Aim: This study aimed to explain the experience of bereaved families of patients with Covid-19. Methods: In this qualitative descriptive study by using conventional content analysis method, 20 participants were purposefully selected and included in the study. Overall, the data were obtained through in- depth semi-structured interviews. Participants' contact numbers extracted from the archives of deceased Covid-19 patients that hospitalized in the Covid-19 wards of educational hospitals of Shahid Beheshti University of Medical Sciences from 22August 2020 to 21 May 2021,Tehran, Iran. The interviews continued until the data were saturated, which means no newer information was obtained. The interview lasted between 35 and 40 minutes. MAXQDA 10 software was used to analyze information. Results: The final theme of adaptation to the new world including three categories of psychological symptoms including subcategory (Disbelief mourning and disease and social stigma), role conflict including subcategory (Threatening context of multiple roles , Bottleneck of mental and work hazards, and Uncertain future) and Miracle of belief and faith included subcategory (inner peace with praying and distraction of thoughts). Implications for Practice: Given that one of the main concerns of the world after the Coronavirus era is incomplete mourning and the resulting psychological disorders in the family, it is important to find a solution to support bereaved families to adapt to the new world without the deceased.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80406250","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}
Pub Date : 2021-08-04DOI: 10.22038/EBCJ.2021.58644.2527
Pataraporn Yubonpunt, Jadsada Kunno, P. Viwattanakulvanid, K. Rungsihirunrat
Background: Family caregivers’ role in promoting safety for hospitalized children is an important issue in the area of safety improvement. There are limited studies related to the innovative programs. Aim: This study aimed to investigate effects of the multi-component program family caregiver’s knowledge and engagement in promoting safety. Method: A quasi-experimental study was performed on 160 female family caregivers in two pediatric wards of two public hospitals, Thailand, in 2019. Participants were recruited with consecutive sampling into two groups of intervention (n=80) and control (n =80). The program was developed based on standardized guidelines of child patient safety. Participants were provided by education and training. Knowledge and engagement were measured by validated questionnaires. The ANCOVA was conducted to assess effects of the program. Results: Family caregivers have more knowledge, such as noticing something wrong, and checking nurse’s medication administration. Engagement in promoting safety was enhanced in each domain. Mean and standard deviation of engaging advocate to ask was 4.61±0.26, report and response was 4.48±0.19, and dimension monitoring was 4.76±0.25. After adjusting the length of stay, the post-test score of knowledge and engagement had statistically significant differences between the groups (P < 0.001). Implication for Practice: The LPTVS program can enhance family caregiver’s ability to take responsibility for children. The findings indicated possible roles of safety behaviors that family caregiver can perform during the childcare process. Healthcare providers should consider this program as a part of promoting child safety in hospital settings.
{"title":"The effect of multi-component program on knowledge and engagement in promoting safety of hospitalized children among family caregivers in public hospitals, Thailand: a quasi-experimental study","authors":"Pataraporn Yubonpunt, Jadsada Kunno, P. Viwattanakulvanid, K. Rungsihirunrat","doi":"10.22038/EBCJ.2021.58644.2527","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.58644.2527","url":null,"abstract":"Background: Family caregivers’ role in promoting safety for hospitalized children is an important issue in the area of safety improvement. There are limited studies related to the innovative programs. Aim: This study aimed to investigate effects of the multi-component program family caregiver’s knowledge and engagement in promoting safety. Method: A quasi-experimental study was performed on 160 female family caregivers in two pediatric wards of two public hospitals, Thailand, in 2019. Participants were recruited with consecutive sampling into two groups of intervention (n=80) and control (n =80). The program was developed based on standardized guidelines of child patient safety. Participants were provided by education and training. Knowledge and engagement were measured by validated questionnaires. The ANCOVA was conducted to assess effects of the program. Results: Family caregivers have more knowledge, such as noticing something wrong, and checking nurse’s medication administration. Engagement in promoting safety was enhanced in each domain. Mean and standard deviation of engaging advocate to ask was 4.61±0.26, report and response was 4.48±0.19, and dimension monitoring was 4.76±0.25. After adjusting the length of stay, the post-test score of knowledge and engagement had statistically significant differences between the groups (P < 0.001). Implication for Practice: The LPTVS program can enhance family caregiver’s ability to take responsibility for children. The findings indicated possible roles of safety behaviors that family caregiver can perform during the childcare process. Healthcare providers should consider this program as a part of promoting child safety in hospital settings.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"244 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76530862","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}
Pub Date : 2021-07-07DOI: 10.22038/EBCJ.2021.56806.2486
Seyedeh Fatemeh Gheiasi, Marzieh Beik Verdi, F. Sharifi, H. Navid, M. Moghadam, E. Navab
Fear of falling as one of the factors inhibiting the activities of daily living causes disability and dependence in the elderly with heart failure. This study aimed to determine the fear of falling among elderly with heart failure and its related factors. This descriptive correlational study was performed on 445 elderly patients with heart failure. Participants were randomly selected. Demographic information and Falls Efficacy Scale-International (FES-I) questionnaires were used to collect data. Data were analyzed using STATA 14. The mean fear of falling among participants was 36.7 (ST=0.27 and CI: 95%). The level of fear of falling was moderate in 61% of participants. Fear of falling had no statistically significant correlation with gender, education, smoking, and marriage (P>0.05) but had a statistically significant correlation with age, heart failure class, residence, and history of falls (p <0.05). It is recommended to develop a comprehensive care program to prevent and reduce the fear of falling.
{"title":"Fear of falling and its related factors in the older adults with heart failure","authors":"Seyedeh Fatemeh Gheiasi, Marzieh Beik Verdi, F. Sharifi, H. Navid, M. Moghadam, E. Navab","doi":"10.22038/EBCJ.2021.56806.2486","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.56806.2486","url":null,"abstract":"Fear of falling as one of the factors inhibiting the activities of daily living causes disability and dependence in the elderly with heart failure. This study aimed to determine the fear of falling among elderly with heart failure and its related factors. This descriptive correlational study was performed on 445 elderly patients with heart failure. Participants were randomly selected. Demographic information and Falls Efficacy Scale-International (FES-I) questionnaires were used to collect data. Data were analyzed using STATA 14. The mean fear of falling among participants was 36.7 (ST=0.27 and CI: 95%). The level of fear of falling was moderate in 61% of participants. Fear of falling had no statistically significant correlation with gender, education, smoking, and marriage (P>0.05) but had a statistically significant correlation with age, heart failure class, residence, and history of falls (p <0.05). It is recommended to develop a comprehensive care program to prevent and reduce the fear of falling.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83198151","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}
Pub Date : 2021-06-14DOI: 10.22038/EBCJ.2021.56920.2488
Sajad Salehipour, M. Ghaljeh, A. Navidian, H. Sarani
Background: Major thalassemia has a significant impact on the personal performance and life of the affected person and leads to reduced quality of life of the patient. One of the ways to improve quality of life is to use the Continuous Care Model (CCM). Aim: This study aimed to determine the impact of CCM on the QoL of patients with thalassemia major. Method: A clinical trial was performed with 60 thalassemia patients referred to Aliasghar Hospital in Zahedan. Eligible candidates were selected by convenience sampling method and were randomly assigned to intervention and control groups (n=30 per group). Data collection tools comprised a demographics, the quality of life questionnaire WHOQOL-BREF, and self-control checklist. The continuous care model was administered for the intervention group. The program initiated with the orientation and sensitization sessions in the hospital (six educational sessions) followed by the control phase(three months twice weekly by phone and in person) and the evaluation step(one and three months after the care model was administered).No intervention was performed in the control group. Data analysis was performed through IBM SPSS Statistics 21. Results: There was no significant difference between intervention and control groups concerning the mean score of QoL and its dimensions before the intervention (P>0.05).One and three months after the implementation of the model, It has seen a significant difference between intervention and control groups concerning the mean score of QoL and its dimensions (P<0.05). Implications for Practice: The finding indicated that the CCM improves the QoL in patients with major thalassemia. The model can be suggested as an intervention in nursing care to increase patients’ QoL
{"title":"The Impact of Continuous Care Model on the Quality of Life of patients with Thalassemia Major: A Clinical Trial Study","authors":"Sajad Salehipour, M. Ghaljeh, A. Navidian, H. Sarani","doi":"10.22038/EBCJ.2021.56920.2488","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.56920.2488","url":null,"abstract":"Background: Major thalassemia has a significant impact on the personal performance and life of the affected person and leads to reduced quality of life of the patient. One of the ways to improve quality of life is to use the Continuous Care Model (CCM). \u0000Aim: This study aimed to determine the impact of CCM on the QoL of patients with thalassemia major. \u0000Method: A clinical trial was performed with 60 thalassemia patients referred to Aliasghar Hospital in Zahedan. Eligible candidates were selected by convenience sampling method and were randomly assigned to intervention and control groups (n=30 per group). Data collection tools comprised a demographics, the quality of life questionnaire WHOQOL-BREF, and self-control checklist. The continuous care model was administered for the intervention group. The program initiated with the orientation and sensitization sessions in the hospital (six educational sessions) followed by the control phase(three months twice weekly by phone and in person) and the evaluation step(one and three months after the care model was administered).No intervention was performed in the control group. Data analysis was performed through IBM SPSS Statistics 21. \u0000Results: There was no significant difference between intervention and control groups concerning the mean score of QoL and its dimensions before the intervention (P>0.05).One and three months after the implementation of the model, It has seen a significant difference between intervention and control groups concerning the mean score of QoL and its dimensions (P<0.05). \u0000Implications for Practice: The finding indicated that the CCM improves the QoL in patients with major thalassemia. The model can be suggested as an intervention in nursing care to increase patients’ QoL","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84902475","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}
Pub Date : 2021-04-14DOI: 10.22038/EBCJ.2021.55893.2462
T. H. Tehrani, Maedeh Karamisefat, F. Cheraghi, A. Soltanian
Background: Foot massage is a distraction technique can be used during invasive procedures to direct children's attention away from the painful stimuli. Aim: This study aimed to assess the effect of foot massage on pain intensity among hospitalized preschool children undergoing venipuncture. Methods: In these clinical trial study, at the internal pediatric ward of Besat Hospital, Hamadan, Iran, 70 children aged 3-5 years were selected using convenience sampling and randomly allocated into the experimental (n=35) and control groups (n=35). The experimental group was received foot massage 5 minutes before venipuncture. Pain intensity was measured using the Face, Legs, Activity, Cry/ Consolability scale immediately and two minutes after catheter insertion. Heart rate and arterial oxygen saturation were measured as pain physiological indicators using a pulse oximeter five minutes before, immediately, and two minutes after catheter insertion. Results: The mean pain intensity scores immediately and two minutes after intravenous catheter insertion were 2.71±1.36, and 1.11±0.86, respectively, in the experimental group, and were 7.54±1.33, and 4.20±1.52, respectively in the control group. The mean of pain intensity between the experimental and control groups revealed a significant difference immediately and two minutes after venipuncture (p <0.001). The mean heart rate and arterial oxygen saturation between the two groups were only significantly different immediately after venipuncture (p <0.001). Practice Implications: This finding is clinically important in nursing care because reduced pain and anxiety. Therefore can decrease drug-related complications and adverse effects. The training and use of this method suggested to medical personnel, especially nurses.
{"title":"Effect of Using Foot Massage on Relief of Pain intensity among Preschool Children Undergoing Venipuncture: A Clinical Trial Study","authors":"T. H. Tehrani, Maedeh Karamisefat, F. Cheraghi, A. Soltanian","doi":"10.22038/EBCJ.2021.55893.2462","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.55893.2462","url":null,"abstract":"Background: Foot massage is a distraction technique can be used during invasive procedures to direct children's attention away from the painful stimuli. Aim: This study aimed to assess the effect of foot massage on pain intensity among hospitalized preschool children undergoing venipuncture. Methods: In these clinical trial study, at the internal pediatric ward of Besat Hospital, Hamadan, Iran, 70 children aged 3-5 years were selected using convenience sampling and randomly allocated into the experimental (n=35) and control groups (n=35). The experimental group was received foot massage 5 minutes before venipuncture. Pain intensity was measured using the Face, Legs, Activity, Cry/ Consolability scale immediately and two minutes after catheter insertion. Heart rate and arterial oxygen saturation were measured as pain physiological indicators using a pulse oximeter five minutes before, immediately, and two minutes after catheter insertion. Results: The mean pain intensity scores immediately and two minutes after intravenous catheter insertion were 2.71±1.36, and 1.11±0.86, respectively, in the experimental group, and were 7.54±1.33, and 4.20±1.52, respectively in the control group. The mean of pain intensity between the experimental and control groups revealed a significant difference immediately and two minutes after venipuncture (p <0.001). The mean heart rate and arterial oxygen saturation between the two groups were only significantly different immediately after venipuncture (p <0.001). Practice Implications: This finding is clinically important in nursing care because reduced pain and anxiety. Therefore can decrease drug-related complications and adverse effects. The training and use of this method suggested to medical personnel, especially nurses.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77508063","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}
Pub Date : 2021-04-03DOI: 10.22038/EBCJ.2021.53217.2405
N. Razaghi, Fahimeh Khazaee, H. Behnam, M. Esmaeili
Background: The quality of life of children with chronic kidney disease is low. The Orem model emphasizes on self-care. Therefore, it is necessary to further study the usefulness of this model in children Objective: To determine the effectiveness of self-care program based on Orem model on quality of life in children undergoing hemodialysis. Method: This clinical trial (quasi-experimental) with pre-test and post-test design was performed on 27 children aged 8 to 15 years undergoing hemodialysis in Sheikh Hospital of Mashhad who met the inclusion criteria in 1398. The Orem Self-Care Questionnaire, and the Adolescent Standard Quality of Life Questionnaire were completed prior to enrollment, and the needs for general self-care and health care were identified. Then, the self-care support-educational program designed based on the Orem model was implemented individually in the form of 8 to 10 sessions of half to one hour and with various educational methods. Data were analyzed using SPSS statistical software. Results: The mean and standard deviation of the total quality of life score before the intervention was 24.9± 0.118 and immediately after the intervention was 27.3±0.177.A significant difference between immediately after the intervention and before the intervention (P <0.001). The difference between tow weeks and six weeks after the intervention and immediately after the intervention was also significant . Implications for Practice:Since the educational program designed in this study based on the Orem model was effective, the findings of this study can be used in planning to increase the quality of life of children undergoing hemodialysis.
{"title":"The effectiveness of self-care program based on the Orem pattern on the quality of life of children undergoing hemodialysis","authors":"N. Razaghi, Fahimeh Khazaee, H. Behnam, M. Esmaeili","doi":"10.22038/EBCJ.2021.53217.2405","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.53217.2405","url":null,"abstract":"Background: The quality of life of children with chronic kidney disease is low. The Orem model emphasizes on self-care. Therefore, it is necessary to further study the usefulness of this model in children Objective: To determine the effectiveness of self-care program based on Orem model on quality of life in children undergoing hemodialysis. Method: This clinical trial (quasi-experimental) with pre-test and post-test design was performed on 27 children aged 8 to 15 years undergoing hemodialysis in Sheikh Hospital of Mashhad who met the inclusion criteria in 1398. The Orem Self-Care Questionnaire, and the Adolescent Standard Quality of Life Questionnaire were completed prior to enrollment, and the needs for general self-care and health care were identified. Then, the self-care support-educational program designed based on the Orem model was implemented individually in the form of 8 to 10 sessions of half to one hour and with various educational methods. Data were analyzed using SPSS statistical software. Results: The mean and standard deviation of the total quality of life score before the intervention was 24.9± 0.118 and immediately after the intervention was 27.3±0.177.A significant difference between immediately after the intervention and before the intervention (P <0.001). The difference between tow weeks and six weeks after the intervention and immediately after the intervention was also significant . Implications for Practice:Since the educational program designed in this study based on the Orem model was effective, the findings of this study can be used in planning to increase the quality of life of children undergoing hemodialysis.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"111 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77139427","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}
Pub Date : 2021-04-01DOI: 10.22038/EBCJ.2021.55307.2454
Hodad Naderi, M. Moradi, M. Mobarhan, M. Sardar, A. Shahi, H. Esmaily
Background: Postpartum weight retention is known as a public health challenge that causes obesity in women in the long term. Aim: The present study aimed to determine the effect of nutrition education and physical activity interventions on weight changes and anthropometric indices among postpartum women. Method: This quasi-experimental randomized controlled trial (RCT) was conducted as a two-group pre/posttest research design in Bandar Abbas, Hormozgan, Iran, in 2020. A total of 64 women were randomly selected in their postpartum period. Multi-stage sampling was conveniently performed. The training sessions were held for the intervention groups of 5-7 participants in four sessions of 45-60 minutes and once a week by using a pedometer. The control group received routine postpartum care. Maternal weight and anthropometric indices were measured by the end of weeks four and eight. Results: The study findings showed no significant difference in the mean weight of the two groups before the intervention (p=0.47). However, comparing the results of the fourth and eighth weeks after the intervention with the pre-intervention stage revealed that the mean weight in the intervention group had respectively reduced by -3.28±5.57 and -3.75±0.65 which was statistically significant (p˂0.001). The mean waist and hip circumferences also decreased significantly before and after the intervention in both study groups, but such a reduction in the intervention group was significantly higher than that in the controls .(p˂0.05). Implications for Practice: Using a pedometer in nutrition and physical education is simple, low-cost, and uncomplicated. Promoting nutritional behaviors and physical activity in postpartum women is recommended by extensively implementing this intervention program which moderates their weight and improves their anthropometric indices.
{"title":"The Effect of Nutrition Education and Physical Activity on Weight Changes and Anthropometric Indices among Postpartum Women with High BMI","authors":"Hodad Naderi, M. Moradi, M. Mobarhan, M. Sardar, A. Shahi, H. Esmaily","doi":"10.22038/EBCJ.2021.55307.2454","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.55307.2454","url":null,"abstract":"Background: Postpartum weight retention is known as a public health challenge that causes obesity in women in the long term. Aim: The present study aimed to determine the effect of nutrition education and physical activity interventions on weight changes and anthropometric indices among postpartum women. Method: This quasi-experimental randomized controlled trial (RCT) was conducted as a two-group pre/posttest research design in Bandar Abbas, Hormozgan, Iran, in 2020. A total of 64 women were randomly selected in their postpartum period. Multi-stage sampling was conveniently performed. The training sessions were held for the intervention groups of 5-7 participants in four sessions of 45-60 minutes and once a week by using a pedometer. The control group received routine postpartum care. Maternal weight and anthropometric indices were measured by the end of weeks four and eight. Results: The study findings showed no significant difference in the mean weight of the two groups before the intervention (p=0.47). However, comparing the results of the fourth and eighth weeks after the intervention with the pre-intervention stage revealed that the mean weight in the intervention group had respectively reduced by -3.28±5.57 and -3.75±0.65 which was statistically significant (p˂0.001). The mean waist and hip circumferences also decreased significantly before and after the intervention in both study groups, but such a reduction in the intervention group was significantly higher than that in the controls .(p˂0.05). Implications for Practice: Using a pedometer in nutrition and physical education is simple, low-cost, and uncomplicated. Promoting nutritional behaviors and physical activity in postpartum women is recommended by extensively implementing this intervention program which moderates their weight and improves their anthropometric indices.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"10 1","pages":"16-24"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83553435","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}
Pub Date : 2021-04-01DOI: 10.22038/EBCJ.2021.57110.2493
H. Nasrabadi, Fahimeh Nikraftar, Mojtaba Gholami, Gholamhossein Mahmoudirad
Background: Families play a peculiar role in adherence to treatment in diabetic patients; therefore, it seems that interference in motivational, psychological, and self-issued characteristics based on the family-centered empowerment model (FCEM) affects this adherence. Aim: The present study aimed to determine the effect of FCEM on eating habits, weight, hemoglobin A1C, and blood glucose control in Iranian patients with type 2 diabetes. Method: This semi-experimental study was conducted on 70 participants with type 2 diabetes in a diabetes clinic in Birjand, Iran, in 2018. The participants were selected via purposive sampling and randomly assigned to two groups of control (n=35) and intervention (n=35) using block randomization. The intervention group received family-centered empowerment training for four weekly-held 90-min sessions. Data were collected using demographic and disease characteristics form and Azartel et al.’s Dietary Behaviors Questionnaire and analyzed in SPSS software (version 19). Results: The mean age scores of participants in the intervention and control groups were 49.66±6.37and 49.46±5.98 years, respectively. The intervention group showed an increasing trend through time, where the mean scores for eating habits and blood glucose had insignificant improvement one month (P>0.05) and three months (p 0.05). Implications for Practice: The FCEM can improve nutritional behaviors, hemoglobin A1C, and blood glucose in type 2 diabetic patients. This intervention can guide health care providers on how to improve the eating habits of diabetic patients through family empowerment training.
{"title":"Effect of Family-centered Empowerment Model on Eating Habits, Weight, Hemoglobin A1C, and Blood Glucose in Iranian Patients with Type 2 Diabetes","authors":"H. Nasrabadi, Fahimeh Nikraftar, Mojtaba Gholami, Gholamhossein Mahmoudirad","doi":"10.22038/EBCJ.2021.57110.2493","DOIUrl":"https://doi.org/10.22038/EBCJ.2021.57110.2493","url":null,"abstract":"Background: Families play a peculiar role in adherence to treatment in diabetic patients; therefore, it seems that interference in motivational, psychological, and self-issued characteristics based on the family-centered empowerment model (FCEM) affects this adherence. Aim: The present study aimed to determine the effect of FCEM on eating habits, weight, hemoglobin A1C, and blood glucose control in Iranian patients with type 2 diabetes. Method: This semi-experimental study was conducted on 70 participants with type 2 diabetes in a diabetes clinic in Birjand, Iran, in 2018. The participants were selected via purposive sampling and randomly assigned to two groups of control (n=35) and intervention (n=35) using block randomization. The intervention group received family-centered empowerment training for four weekly-held 90-min sessions. Data were collected using demographic and disease characteristics form and Azartel et al.’s Dietary Behaviors Questionnaire and analyzed in SPSS software (version 19). Results: The mean age scores of participants in the intervention and control groups were 49.66±6.37and 49.46±5.98 years, respectively. The intervention group showed an increasing trend through time, where the mean scores for eating habits and blood glucose had insignificant improvement one month (P>0.05) and three months (p 0.05). Implications for Practice: The FCEM can improve nutritional behaviors, hemoglobin A1C, and blood glucose in type 2 diabetic patients. This intervention can guide health care providers on how to improve the eating habits of diabetic patients through family empowerment training.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"15 1","pages":"25-34"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85955936","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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