Pub Date : 2020-07-01DOI: 10.22038/EBCJ.2020.44906.2218
Mahnaz Shahverdi, A. Sabertanha, Fahimeh Nikraftar, Gholamhossein Mahmoudirad
Background: Spinal anesthesia is the most prevalent anesthetic method used for transurethral resection of the prostate (TURP) surgery. Lower motor block and fewer side effects can be achieved by lower doses of anesthesia. Aim: The present study aimed to compare the effects of Spinal anesthesia with a low dose of hyperbaric bupivacaine plus fentanyl with hyperbaric bupivacaine for TURP surgery on hemodynamic effects, duration of analgesia, and Motor block. Method: This randomized-controlled study was conducted on 62 patients undergoing TURP surgery within 2017-18. BF group received 0.5% hyperbaric bupivacaine(1mg) 0.2 ml+fentanyl (20µg) 0.4 ml+5% dextrose 1.4ml, while B group received 0.5% hyperbaric bupivacaine (10mg)2ml. Bromage scale and Visual Analog Scale of pain and Nausea were used. The obtained data were analyzed in SPSS software version (20). Results: Groups were homogenous in terms of demographic characteristics. The time to reach the sensory level of T10 was significantly longer in the BF group, compared to the B group (P<0.001). The motor block score was less in the BF group than the B group. The mean total recovery time of the sensory block to L5 in the BF group was significantly lower than that of the BF group (P<0.001). The mean score of nausea severity during surgery was significantly lower in the BF group, compared to the B group (P=0.02). The hemodynamic stability was higher in the BF group. Implications for Practice: A combination of 1mg bupivacaine with 20μg fentanyl could be used for anesthesia in TURP surgery as an effective method to provide sufficient analgesic effects, as well as lower motor block and side effects.
{"title":"Spinal Anesthesia with a Low Dose of Hyperbaric Bupivacaine plus Fentanyl versus Hyperbaric Bupivacaine for Transurethral Resection of Prostate surgery: Hemodynamic Effects, Duration of Analgesia and Motor Block","authors":"Mahnaz Shahverdi, A. Sabertanha, Fahimeh Nikraftar, Gholamhossein Mahmoudirad","doi":"10.22038/EBCJ.2020.44906.2218","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.44906.2218","url":null,"abstract":"Background: Spinal anesthesia is the most prevalent anesthetic method used for transurethral resection of the prostate (TURP) surgery. Lower motor block and fewer side effects can be achieved by lower doses of anesthesia. Aim: The present study aimed to compare the effects of Spinal anesthesia with a low dose of hyperbaric bupivacaine plus fentanyl with hyperbaric bupivacaine for TURP surgery on hemodynamic effects, duration of analgesia, and Motor block. Method: This randomized-controlled study was conducted on 62 patients undergoing TURP surgery within 2017-18. BF group received 0.5% hyperbaric bupivacaine(1mg) 0.2 ml+fentanyl (20µg) 0.4 ml+5% dextrose 1.4ml, while B group received 0.5% hyperbaric bupivacaine (10mg)2ml. Bromage scale and Visual Analog Scale of pain and Nausea were used. The obtained data were analyzed in SPSS software version (20). Results: Groups were homogenous in terms of demographic characteristics. The time to reach the sensory level of T10 was significantly longer in the BF group, compared to the B group (P<0.001). The motor block score was less in the BF group than the B group. The mean total recovery time of the sensory block to L5 in the BF group was significantly lower than that of the BF group (P<0.001). The mean score of nausea severity during surgery was significantly lower in the BF group, compared to the B group (P=0.02). The hemodynamic stability was higher in the BF group. Implications for Practice: A combination of 1mg bupivacaine with 20μg fentanyl could be used for anesthesia in TURP surgery as an effective method to provide sufficient analgesic effects, as well as lower motor block and side effects.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"30 1","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79040514","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 : 2020-07-01DOI: 10.22038/EBCJ.2020.45570.2243
H. Zendehtalab, Z. Vanaki, R. Memarian
Background: The elderly health care services provided in public health centers neglect the care and education of the healthy elderly. Aim: This qualitative study aimed to improve the quality of public health services for the healthy elderly. Method: This participatory action research was conducted on 11 health care workers, 54 elderly participants, and 54 family members in Motahhari Comprehensive Health Services Center of Mashhad, Iran, within 2016-2019. Data collection tools were the SERVQUAL questionnaire, interview, focus group discussion, and field note-taking. After the identification of the problems through interviews with participants, the sessions of focus group discussions were held to design the program. After executing the change programs, evaluations were repeated to compare pre-change and post-change situations. Qualitative content analysis was performed using the reality description method, and quantitative content analysis was conducted by descriptive statistics and paired t-test. Results: The mean values of age and work experience of the health care workers were reported as 32.4±2.7 and 8.1±1.7 years, respectively. Using the developed care files, the non-specialist routine care was transformed into standardized organized care based on the needs of the healthy elderly. In the pre-intervention phase, the mean scores of service quality from the perspective of the elderly participants and their families were 63.0±9.4 and 61.8±9.0, respectively. In the post-intervention phase, the aforementioned figures statistically increased (P=0.001) to 130.1±14.7 and 122.6±13.5, respectively. Implications for Practice: The quality of health care services for the healthy elderly improved by encouraging the participation of the elderly and their families in the care process. This approach can be used in other public health centers.
{"title":"Improving the Quality of Healthy Aging Care: A Participatory Action Research","authors":"H. Zendehtalab, Z. Vanaki, R. Memarian","doi":"10.22038/EBCJ.2020.45570.2243","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.45570.2243","url":null,"abstract":"Background: The elderly health care services provided in public health centers neglect the care and education of the healthy elderly. \u0000Aim: This qualitative study aimed to improve the quality of public health services for the healthy elderly. \u0000Method: This participatory action research was conducted on 11 health care workers, 54 elderly participants, and 54 family members in Motahhari Comprehensive Health Services Center of Mashhad, Iran, within 2016-2019. Data collection tools were the SERVQUAL questionnaire, interview, focus group discussion, and field note-taking. After the identification of the problems through interviews with participants, the sessions of focus group discussions were held to design the program. After executing the change programs, evaluations were repeated to compare pre-change and post-change situations. Qualitative content analysis was performed using the reality description method, and quantitative content analysis was conducted by descriptive statistics and paired t-test. \u0000Results: The mean values of age and work experience of the health care workers were reported as 32.4±2.7 and 8.1±1.7 years, respectively. Using the developed care files, the non-specialist routine care was transformed into standardized organized care based on the needs of the healthy elderly. In the pre-intervention phase, the mean scores of service quality from the perspective of the elderly participants and their families were 63.0±9.4 and 61.8±9.0, respectively. In the post-intervention phase, the aforementioned figures statistically increased (P=0.001) to 130.1±14.7 and 122.6±13.5, respectively. \u0000Implications for Practice: The quality of health care services for the healthy elderly improved by encouraging the participation of the elderly and their families in the care process. This approach can be used in other public health centers.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"55 1","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76472918","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 : 2020-07-01DOI: 10.22038/EBCJ.2020.45945.2254
Firuzeh Faridpour, A. Farahani, M. Rassouli, M. Shariat, M. Nasiri, Mina Ashrafzadeh
Background: The scoring systems evaluate neonatal outcomes based on perinatal factors in the Neonatal Intense Course Unit (NICU). Aim: This study aimed to predict mortality risk in preterm neonates for the first time, using the Clinical Risk Index for Babies (CRIB II). Method: This cross-sectional, descriptive-analytical, longitudinal study was conducted on 344 preterm neonates with the gestational age of 23-32 weeks and birth weight of 500-1500 g in a referral center in Tehran, Iran, from winter 2016 to spring 2017. Some neonatal variables were completed within the first 12 h of life, and the final scores were calculated based on CRIB II. Then, the correlation of these variables with mortality outcome was evaluated using logistic regression. Sensitivity, specificity, and positive and negative values were also calculated via SPSS software (version 23). Results: According to the results, 253 (73.57%) neonates, including 122 girls (48%), survived in the first 24 h after birth. The total CRIB II score in the surviving neonates was 6.1±2.6. The area under the receiver operating characteristic curve was estimated at 0.84 with the cut-off point of 8.5. In addition, the sensitivity, specificity, positive predictive value, and negative predictive value of the CRIB II system were obtained as 75%, 78%, 55%, and 89.5%, respectively. The results revealed a significant correlation between the CRIB II score and mortality outcome. In this regard, an increase in the CRIB score coincided with a 0.67 increase in the risk of death (OR=1.671, P<0.001). Implications for Practice: Based on the findings of the present study,CRIB II can be concluded to be an appropriate scoring system. Consequently, the result of this tool can be used for routine investigations.
{"title":"Clinical Risk Index for Babies (CRIB-II) Scoring System in Prediction of Mortality Risk in Preterm Neonates in the First 24 Hour","authors":"Firuzeh Faridpour, A. Farahani, M. Rassouli, M. Shariat, M. Nasiri, Mina Ashrafzadeh","doi":"10.22038/EBCJ.2020.45945.2254","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.45945.2254","url":null,"abstract":"Background: The scoring systems evaluate neonatal outcomes based on perinatal factors in the Neonatal Intense Course Unit (NICU). \u0000Aim: This study aimed to predict mortality risk in preterm neonates for the first time, using the Clinical Risk Index for Babies (CRIB II). \u0000Method: This cross-sectional, descriptive-analytical, longitudinal study was conducted on 344 preterm neonates with the gestational age of 23-32 weeks and birth weight of 500-1500 g in a referral center in Tehran, Iran, from winter 2016 to spring 2017. Some neonatal variables were completed within the first 12 h of life, and the final scores were calculated based on CRIB II. Then, the correlation of these variables with mortality outcome was evaluated using logistic regression. Sensitivity, specificity, and positive and negative values were also calculated via SPSS software (version 23). \u0000Results: According to the results, 253 (73.57%) neonates, including 122 girls (48%), survived in the first 24 h after birth. The total CRIB II score in the surviving neonates was 6.1±2.6. The area under the receiver operating characteristic curve was estimated at 0.84 with the cut-off point of 8.5. In addition, the sensitivity, specificity, positive predictive value, and negative predictive value of the CRIB II system were obtained as 75%, 78%, 55%, and 89.5%, respectively. The results revealed a significant correlation between the CRIB II score and mortality outcome. In this regard, an increase in the CRIB score coincided with a 0.67 increase in the risk of death (OR=1.671, P<0.001). \u0000Implications for Practice: Based on the findings of the present study,CRIB II can be concluded to be an appropriate scoring system. Consequently, the result of this tool can be used for routine investigations.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"201 1","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82830642","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.43801.2185
Tetti Solehati, Cecep Eli Kosasih
Background: It is essential to keep the reproductive organs and surrounding areas hygienic during menstruation to prevent health issues. Inadequate menstrual self-care knowledge, poor attitudes, and behavior among female adolescents can lead to increased morbidity and other complications among them, such as reproductive tract infections. Aim: This study aimed to investigate the effect of the jigsaw technique on menstrual self-care knowledge, attitude, and behavior among adolescents. Method: This quasi-experimental research was performed on 100 female students who were divided into control (n=50) and intervention (n=50) groups (jigsaw intervention) in Al-Musaddadiyah boarding school in Garut, in 2016. The jigsaw technique was performed by dividing the students into small groups of 5-6 where students worked together using interdependent and responsible independent methods to receive education on menstrual self-care. The required data were collected using a questionnaire about knowledge, attitude, and behavior and they were analyzed using independent and paired t-test. A p-value of less than 0.05 was considered statistically significant. Results: Based on the results, mean difference of the intervention group before and after the intervention regarding the level of knowledge, attitude, and behavior were -7,08 (P=0.001), -11.54 (P=0.001), and -16.62 (P=0.001), respectively. While the mean difference of the control group, before and after the intervention regarding the level of knowledge, attitude, and behavior were -0.240 (P=0.06), -0,180 (P=0.37), -3,4 (p=0.21), respectively. Implications for Practice: The jigsaw method could be effective in increasing menstrual self-care knowledge, attitude, and behavior among female adolescents.
{"title":"Effect of Jigsaw Technique on the Education of Menstrual Self-care Behaviour to Female Adolescents","authors":"Tetti Solehati, Cecep Eli Kosasih","doi":"10.22038/EBCJ.2020.43801.2185","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.43801.2185","url":null,"abstract":"Background: It is essential to keep the reproductive organs and surrounding areas hygienic during menstruation to prevent health issues. Inadequate menstrual self-care knowledge, poor attitudes, and behavior among female adolescents can lead to increased morbidity and other complications among them, such as reproductive tract infections. Aim: This study aimed to investigate the effect of the jigsaw technique on menstrual self-care knowledge, attitude, and behavior among adolescents. Method: This quasi-experimental research was performed on 100 female students who were divided into control (n=50) and intervention (n=50) groups (jigsaw intervention) in Al-Musaddadiyah boarding school in Garut, in 2016. The jigsaw technique was performed by dividing the students into small groups of 5-6 where students worked together using interdependent and responsible independent methods to receive education on menstrual self-care. The required data were collected using a questionnaire about knowledge, attitude, and behavior and they were analyzed using independent and paired t-test. A p-value of less than 0.05 was considered statistically significant. Results: Based on the results, mean difference of the intervention group before and after the intervention regarding the level of knowledge, attitude, and behavior were -7,08 (P=0.001), -11.54 (P=0.001), and -16.62 (P=0.001), respectively. While the mean difference of the control group, before and after the intervention regarding the level of knowledge, attitude, and behavior were -0.240 (P=0.06), -0,180 (P=0.37), -3,4 (p=0.21), respectively. Implications for Practice: The jigsaw method could be effective in increasing menstrual self-care knowledge, attitude, and behavior among female adolescents.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"44 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88956001","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.42136.2120
A. Taghipour, F. Karimi, R. L. Roudsari, S. Mazlom
Background: Infertility affects women more profoundly than men, even when the male partner is the cause of infertility. Therefore, identifying the coping strategies of women in confrontation with their husbands' infertility is very important. Aim: This study aimed to explore women’s coping strategies following the diagnosis of infertility in their husbands. Method: This qualitative study was performed on 18 women whose husbands were diagnosed with infertility. The subjects were selected from those who referred to Milad Fertility Clinic and public health centers in Mashhad, Iran, through purposive sampling within 2014-2016. The data were collected by conducting semi-structured interviews. Data analysis was manually carried out using conventional content analysis. Results: The main theme emerged from the content analysis was the attempts to overcome the threat, including two categories, namely emotional coping and active coping. Emotional coping included strategies like attributing infertility to herself and others, selective disclosure, religious coping, seeking emotional support, as well as being considerate and offering verbal support to the spouse. active coping consisted of strategies namely attempting to verify the diagnosis, accepting infertility, searching for information, adhering to medical and surgical treatments, trying fertility superstitions, using alternative medicine, and changing lifestyle. Implications for Practice: Women may use a diverse set of coping strategies to adapt to their husbands’ infertility. A deep perception of these strategies is critical for controlling and managing the consequences of this diagnosis, designing interventions to strengthen preferred actions and strategies, as well as facilitating women’s coping with the infertility crisis of their spouses.
{"title":"Coping Strategies of Women Following the Diagnosis of Infertility in Their Spouses: A Qualitative Study","authors":"A. Taghipour, F. Karimi, R. L. Roudsari, S. Mazlom","doi":"10.22038/EBCJ.2020.42136.2120","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.42136.2120","url":null,"abstract":"Background: Infertility affects women more profoundly than men, even when the male partner is the cause of infertility. Therefore, identifying the coping strategies of women in confrontation with their husbands' infertility is very important. Aim: This study aimed to explore women’s coping strategies following the diagnosis of infertility in their husbands. Method: This qualitative study was performed on 18 women whose husbands were diagnosed with infertility. The subjects were selected from those who referred to Milad Fertility Clinic and public health centers in Mashhad, Iran, through purposive sampling within 2014-2016. The data were collected by conducting semi-structured interviews. Data analysis was manually carried out using conventional content analysis. Results: The main theme emerged from the content analysis was the attempts to overcome the threat, including two categories, namely emotional coping and active coping. Emotional coping included strategies like attributing infertility to herself and others, selective disclosure, religious coping, seeking emotional support, as well as being considerate and offering verbal support to the spouse. active coping consisted of strategies namely attempting to verify the diagnosis, accepting infertility, searching for information, adhering to medical and surgical treatments, trying fertility superstitions, using alternative medicine, and changing lifestyle. Implications for Practice: Women may use a diverse set of coping strategies to adapt to their husbands’ infertility. A deep perception of these strategies is critical for controlling and managing the consequences of this diagnosis, designing interventions to strengthen preferred actions and strategies, as well as facilitating women’s coping with the infertility crisis of their spouses.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"144 1","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80371804","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.46225.2264
Tahere Sarboozi Hosein َAbadi, M. N. Nia, S. Mazlom
Background: Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients. Aim: This study aimed to determine the effect of this program on the lifestyle and readmission of patients with heart failure. Method: This clinical trial was performed on 60 patients with heart attack in a city in north-east of Iran, during 2018-19. The participants were selected by convenience sampling method and divided randomly into intervention and control groups. Subsequently, the intervention group was subjected to a 12-week SDT-based discharge program. However, the control group received the routine program. The data were collected using a demographic characteristics form, the Health-Promoting Lifestyle Profile II questionnaire, and the readmission questionnaire. Moreover, the data were analyzed in SPSS software (version 20) using the Chi-square, independent t-test, paired t-test, and Wilcoxon. Results: In total, 20.0% and 46.7% of the subjects in the intervention and control groups were re-hospitalized, respectively. The Chi-square showed a significant difference in this regard (P=0.028).The results also showed a significant increase in the lifestyle score of the patients at post-test stage, in the intervention group (164.6±16.9), compared to the control group (119.1±17.2) (P<0.001). Furthermore, the mean score of various lifestyle subscales significantly increased in the intervention group, compared to the control group, three months after discharge (P<0.01). Implications for Practice: The design and implementation of a SDT-based discharge program could be included in the nursing care program as an effective method to create and maintain health-promoting behaviors.
{"title":"Effect of Self-determination Theory-based Discharge Program on Lifestyle and Readmission of Patients with Heart Failure: A Clinical Trial","authors":"Tahere Sarboozi Hosein َAbadi, M. N. Nia, S. Mazlom","doi":"10.22038/EBCJ.2020.46225.2264","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.46225.2264","url":null,"abstract":"Background: Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients. Aim: This study aimed to determine the effect of this program on the lifestyle and readmission of patients with heart failure. Method: This clinical trial was performed on 60 patients with heart attack in a city in north-east of Iran, during 2018-19. The participants were selected by convenience sampling method and divided randomly into intervention and control groups. Subsequently, the intervention group was subjected to a 12-week SDT-based discharge program. However, the control group received the routine program. The data were collected using a demographic characteristics form, the Health-Promoting Lifestyle Profile II questionnaire, and the readmission questionnaire. Moreover, the data were analyzed in SPSS software (version 20) using the Chi-square, independent t-test, paired t-test, and Wilcoxon. Results: In total, 20.0% and 46.7% of the subjects in the intervention and control groups were re-hospitalized, respectively. The Chi-square showed a significant difference in this regard (P=0.028).The results also showed a significant increase in the lifestyle score of the patients at post-test stage, in the intervention group (164.6±16.9), compared to the control group (119.1±17.2) (P<0.001). Furthermore, the mean score of various lifestyle subscales significantly increased in the intervention group, compared to the control group, three months after discharge (P<0.01). Implications for Practice: The design and implementation of a SDT-based discharge program could be included in the nursing care program as an effective method to create and maintain health-promoting behaviors.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"4 1","pages":"25-35"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73310471","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.45519.2238
M. Mansoori, N. Salmani
Background: Breastfeeding is a two-way interaction between mother and infant, the sustainability of which requires the presence of both parts given their complementary roles. Aim: The present study was conducted to investigate the effect of breast milk expression during kangaroo mother care (KMC) on milkvolume in mothers with premature neonates. Method: This quasi-experimental study was performed on 40 mothers with premature newborns admitted to a neonatal intensive care unit in a city in the west of Iran in 2019. The participants were randomly assigned into two groups of intervention and control. Breast milk in both groups was expressed 8 times a day from day 4 to day 6 after birth using a 20-cc syringe and recorded in a checklist. In the intervention group, two milking sessions were performed during the KMC. However, in the control group, milking was conducted according to the ward routine. Data were analyzed in SPSS software (version 23) using repeated-measures ANOVA. Results: The mean ages of the participants in the intervention and control groups were 29.05±4.09 and 27.85±3.58 years, respectively. There was a statistically significant difference between the milkvolume of the intervention and control groups on days 4 (P=0.04), 5 (P=0.02), and 6 (P=0.007) and between the total volume of milkduring the three days (P=0.01). Implications for Practice: Breast milk expression duringKMC could have a positive effect on increasing milkvolume. Therefore, can be recommended as an intervention to support mothers with insufficient milk.
{"title":"Effect of Breast Milk Expression during Kangaroo Mother Care on Milk Volume in Mothers with Premature Infants Admitted to Neonatal Intensive Care Unit","authors":"M. Mansoori, N. Salmani","doi":"10.22038/EBCJ.2020.45519.2238","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.45519.2238","url":null,"abstract":"Background: Breastfeeding is a two-way interaction between mother and infant, the sustainability of which requires the presence of both parts given their complementary roles. \u0000Aim: The present study was conducted to investigate the effect of breast milk expression during kangaroo mother care (KMC) on milkvolume in mothers with premature neonates. \u0000Method: This quasi-experimental study was performed on 40 mothers with premature newborns admitted to a neonatal intensive care unit in a city in the west of Iran in 2019. The participants were randomly assigned into two groups of intervention and control. Breast milk in both groups was expressed 8 times a day from day 4 to day 6 after birth using a 20-cc syringe and recorded in a checklist. In the intervention group, two milking sessions were performed during the KMC. However, in the control group, milking was conducted according to the ward routine. Data were analyzed in SPSS software (version 23) using repeated-measures ANOVA. \u0000Results: The mean ages of the participants in the intervention and control groups were 29.05±4.09 and 27.85±3.58 years, respectively. There was a statistically significant difference between the milkvolume of the intervention and control groups on days 4 (P=0.04), 5 (P=0.02), and 6 (P=0.007) and between the total volume of milkduring the three days (P=0.01). \u0000Implications for Practice: Breast milk expression duringKMC could have a positive effect on increasing milkvolume. Therefore, can be recommended as an intervention to support mothers with insufficient milk.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"13 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82158573","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.44422.2205
Toktam Ayyari, Raha Salehabadi, Sedighe Rastaghi, M. Rad
Background: Spiritual health is one of the dimensions of health. Currently, studies have identified a link between happiness and spiritual health; however, the effects of spiritual interventions on happiness have not been evaluated among the elderly. Aim: This study aimed to evaluate the effects of spiritual interventionson the happiness of the female elderly. Method: A total of 40 subjects were randomly allocated to two intervention and control groups in Madar Nursing Home in Sabzevar, Iran, in 2019. In the intervention group, spiritual interventionswere performed as active listening, supporting religious rituals, using supportive systems, and arousing hope for 4 weeks. The happiness level of the participants was assessed before, immediately after, and a month after the intervention using the Oxford Happiness Questionnaire. Data analysis was performed by SPSS software (version 21) using descriptive and inferential statistics. Results: The mean scores of happiness before the intervention were 45.6±1.2 and 36.5±11.9 in the intervention and control groups, respectively. However, the scores altered to 65.1±9.9 and 35.3±9.4 immediately after the intervention, as well as 64.7±9.7 and 35.1±8.9 a month following the intervention, in the intervention and control groups, respectively. The repeated measures analysis of variance indicated a significant difference among the groups by determining the effect of the happiness score before the intervention (P<0.0001). Implications for Practice: According to the obtained results, spiritual interventions increased the happiness level of the female elderly. Therefore, it is concluded that spiritual interventions can be considered practical approaches to improve the happiness of the elderly.
{"title":"Effects of Spiritual Interventions on Happiness Level of the Female Elderly Residing in Nursing Home","authors":"Toktam Ayyari, Raha Salehabadi, Sedighe Rastaghi, M. Rad","doi":"10.22038/EBCJ.2020.44422.2205","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.44422.2205","url":null,"abstract":"Background: Spiritual health is one of the dimensions of health. Currently, studies have identified a link between happiness and spiritual health; however, the effects of spiritual interventions on happiness have not been evaluated among the elderly. Aim: This study aimed to evaluate the effects of spiritual interventionson the happiness of the female elderly. Method: A total of 40 subjects were randomly allocated to two intervention and control groups in Madar Nursing Home in Sabzevar, Iran, in 2019. In the intervention group, spiritual interventionswere performed as active listening, supporting religious rituals, using supportive systems, and arousing hope for 4 weeks. The happiness level of the participants was assessed before, immediately after, and a month after the intervention using the Oxford Happiness Questionnaire. Data analysis was performed by SPSS software (version 21) using descriptive and inferential statistics. Results: The mean scores of happiness before the intervention were 45.6±1.2 and 36.5±11.9 in the intervention and control groups, respectively. However, the scores altered to 65.1±9.9 and 35.3±9.4 immediately after the intervention, as well as 64.7±9.7 and 35.1±8.9 a month following the intervention, in the intervention and control groups, respectively. The repeated measures analysis of variance indicated a significant difference among the groups by determining the effect of the happiness score before the intervention (P<0.0001). Implications for Practice: According to the obtained results, spiritual interventions increased the happiness level of the female elderly. Therefore, it is concluded that spiritual interventions can be considered practical approaches to improve the happiness of the elderly.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"92 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83397468","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.46285.2265
M. Moradi, Azin Niazi, E. Mazloumi, S. Mousavi, V. Lopez
Background: Perineal pain is the most common post-episiotomy complication, and delay in episiotomy wound healing can lead to infection. Linalool and linalyl acetate are the most effective compounds of lavender. The present systematic review was performed on the effect of lavender on episiotomy wound healing and pain relief. Aim: Systematic review of clinical trials to determine the effect of lavender on episiotomy wound healing and pain relief Method: In the present study, the research question was determined based on PICO, and search process to screen the related articles was conducted on electronic databases of SID, Iran Medex, Pubmed, EMBASE, Scopus, Science Direct, and Google Scholar using English keywords and Persian equivalents of Episiotomy, healing, Pain, Lavender, and Complementary Medicine from inception until March 2020. Inclusion criteria entailed randomized human clinical trials published in Persian and English on the effect of lavender on episiotomy wound healing and pain relief with a Jadad score of 3≥. Irrelevant, duplicate, descriptive, or qualitative studies were excluded. Cochrane risk-of-bias tool was used for the quality assessment of included articles. Results: Out of 143 articles found in the primary search, five clinical trials were systematically reviewed. All five studies examined the effect of lavender essential oil on episiotomy pain relief, while the effect of lavender essential oil on episiotomy wound healing was measured only in three studies. Implications for Practice: Lavender essential oil (sitz bath twice daily) can be suggested as the treatment of choice in episiotomy wound healing and pain relief. Further studies are suggested to obtain stronger scientific evidence on the effective dose, complications, and the feasibility of meta-analysis.
{"title":"Effect of Lavender on Episiotomy Wound Healing and Pain Relief: A Systematic Review","authors":"M. Moradi, Azin Niazi, E. Mazloumi, S. Mousavi, V. Lopez","doi":"10.22038/EBCJ.2020.46285.2265","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.46285.2265","url":null,"abstract":"Background: Perineal pain is the most common post-episiotomy complication, and delay in episiotomy wound healing can lead to infection. Linalool and linalyl acetate are the most effective compounds of lavender. The present systematic review was performed on the effect of lavender on episiotomy wound healing and pain relief. \u0000Aim: Systematic review of clinical trials to determine the effect of lavender on episiotomy wound healing and pain relief \u0000Method: In the present study, the research question was determined based on PICO, and search process to screen the related articles was conducted on electronic databases of SID, Iran Medex, Pubmed, EMBASE, Scopus, Science Direct, and Google Scholar using English keywords and Persian equivalents of Episiotomy, healing, Pain, Lavender, and Complementary Medicine from inception until March 2020. Inclusion criteria entailed randomized human clinical trials published in Persian and English on the effect of lavender on episiotomy wound healing and pain relief with a Jadad score of 3≥. Irrelevant, duplicate, descriptive, or qualitative studies were excluded. Cochrane risk-of-bias tool was used for the quality assessment of included articles. \u0000Results: Out of 143 articles found in the primary search, five clinical trials were systematically reviewed. All five studies examined the effect of lavender essential oil on episiotomy pain relief, while the effect of lavender essential oil on episiotomy wound healing was measured only in three studies. \u0000Implications for Practice: Lavender essential oil (sitz bath twice daily) can be suggested as the treatment of choice in episiotomy wound healing and pain relief. Further studies are suggested to obtain stronger scientific evidence on the effective dose, complications, and the feasibility of meta-analysis.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"21 1","pages":"61-69"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86195338","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 : 2020-04-01DOI: 10.22038/EBCJ.2020.40806.2074
R. Jarrahi, N. Golmakani, S. Mazlom
Menstrual hygiene education in adolescence is an important factor to prevent fertility problems. The present study aimed to compare the effect of menstrual hygiene education based on peer and small group teaching methods on hygiene behaviors in female adolescents. This randomized controlled clinical trial was performed on 90 high school students in 2018. Three high schools in Mashhad, Iran, were allocated to three groups by drawing lots. The peers and small groups were provided with educational content within a month and over four sessions, respectively. Moreover, the control group received routine education. The data were collected by a researcher-made questionnaire before and after the intervention and analyzed by SPSS software (version 16) using the analysis of variance, as well as Chi-square and Kruskal-Wallis tests. According to the Kruskal-Wallis test, the three groups were homogeneous regarding age (P=0.12). Furthermore, the mean scores of hygiene behaviors in the intervention groups (after the intervention) were significantly higher than in the control group (P<0.001) and higher in the peers than in the small groups (P<0.001). It is recommended to employ peer teaching on menstrual hygiene by health planners.
{"title":"Effect of Menstrual Hygiene Education Based on Peer and Small Group Teaching Methods on Hygiene Behaviors in Female Adolescents: A Comparative Study","authors":"R. Jarrahi, N. Golmakani, S. Mazlom","doi":"10.22038/EBCJ.2020.40806.2074","DOIUrl":"https://doi.org/10.22038/EBCJ.2020.40806.2074","url":null,"abstract":"Menstrual hygiene education in adolescence is an important factor to prevent fertility problems. The present study aimed to compare the effect of menstrual hygiene education based on peer and small group teaching methods on hygiene behaviors in female adolescents. This randomized controlled clinical trial was performed on 90 high school students in 2018. Three high schools in Mashhad, Iran, were allocated to three groups by drawing lots. The peers and small groups were provided with educational content within a month and over four sessions, respectively. Moreover, the control group received routine education. The data were collected by a researcher-made questionnaire before and after the intervention and analyzed by SPSS software (version 16) using the analysis of variance, as well as Chi-square and Kruskal-Wallis tests. According to the Kruskal-Wallis test, the three groups were homogeneous regarding age (P=0.12). Furthermore, the mean scores of hygiene behaviors in the intervention groups (after the intervention) were significantly higher than in the control group (P<0.001) and higher in the peers than in the small groups (P<0.001). It is recommended to employ peer teaching on menstrual hygiene by health planners.","PeriodicalId":37304,"journal":{"name":"Evidence Based Care Journal","volume":"11 1","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76463294","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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