Z. Khakbazan, M. Damghanian, A. Zareiyan, F. Abbaszadeh
Background: Improving the quality of maternal care is considered a key strategy for improving maternal and neonatal outcomes. However, available definitions do not clearly define this concept. Objective: The aim of this study was to clarify the concept of maternal care quality (MCQ) for women with low-risk pregnancy in the maternity ward and to determine its attributes. Methods: This integrative review was conducted using Whitmore and Knafl's method. An online literature search was done in Medline, Embase, Web of Sciences, Scopus, SID, Magiran, and IranMedex databases as well as the websites of health-care and midwifery organizations and associations. Data were analyzed in the four steps of data reduction, data display, data comparison, and conclusion drawing and verification. Results: The two main attributes of MCQ are effective communication and interaction and professional care. Effective communication and interaction between the care provider and pregnant women in the maternity ward is the most important attribute of MCQ. The first category included three subcategories, namely informational interaction, human interaction, and participatory interaction. The two subcategories of the second category were adherence to standards during care delivery and delivering accessible care. Conclusion: MCQ in maternity ward is defined as “the process of delivering safe, fair, accessible, and standard professional care to women during childbirth through human, informational, and participatory interactions.”
背景：提高产妇护理质量被认为是改善孕产妇和新生儿结局的关键战略。然而，现有的定义并没有明确定义这一概念。目的：本研究旨在阐明产科病房低危妊娠妇女的产妇护理质量（MCQ）的概念，并确定其属性。方法：采用Whitmore和Knafl方法进行综合评价。在Medline、Embase、Web of Sciences、Scopus、SID、Magiran和IranMedex数据库以及医疗保健和助产组织和协会的网站上进行了在线文献搜索。数据分析分为数据还原、数据显示、数据比较、结论得出和验证四个步骤。结果：MCQ的两个主要特征是有效的沟通和互动以及专业的护理。产科病房护理人员和孕妇之间的有效沟通和互动是MCQ最重要的属性。第一类包括三个子类，即信息互动、人类互动和参与式互动。第二类的两个子类是在提供护理期间遵守标准和提供可获得的护理。结论：产科病房的MCQ被定义为“通过人类、信息和参与性互动，在分娩期间为女性提供安全、公平、可获得和标准的专业护理的过程。”
{"title":"The concept of maternal care quality for women with low-risk pregnancy in the maternity ward: An integrative review","authors":"Z. Khakbazan, M. Damghanian, A. Zareiyan, F. Abbaszadeh","doi":"10.4103/nms.nms_2_21","DOIUrl":"https://doi.org/10.4103/nms.nms_2_21","url":null,"abstract":"Background: Improving the quality of maternal care is considered a key strategy for improving maternal and neonatal outcomes. However, available definitions do not clearly define this concept. Objective: The aim of this study was to clarify the concept of maternal care quality (MCQ) for women with low-risk pregnancy in the maternity ward and to determine its attributes. Methods: This integrative review was conducted using Whitmore and Knafl's method. An online literature search was done in Medline, Embase, Web of Sciences, Scopus, SID, Magiran, and IranMedex databases as well as the websites of health-care and midwifery organizations and associations. Data were analyzed in the four steps of data reduction, data display, data comparison, and conclusion drawing and verification. Results: The two main attributes of MCQ are effective communication and interaction and professional care. Effective communication and interaction between the care provider and pregnant women in the maternity ward is the most important attribute of MCQ. The first category included three subcategories, namely informational interaction, human interaction, and participatory interaction. The two subcategories of the second category were adherence to standards during care delivery and delivering accessible care. Conclusion: MCQ in maternity ward is defined as “the process of delivering safe, fair, accessible, and standard professional care to women during childbirth through human, informational, and participatory interactions.”","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"1 - 10"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41471008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of cesarean section rates based on robson's classification and its outcomes at a governmental tertiary referral teaching hospital in the Sistan and Baluchestan Province, Iran","authors":"Z. Moudi","doi":"10.4103/nms.nms_135_21","DOIUrl":"https://doi.org/10.4103/nms.nms_135_21","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837700","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}
Zohreh Nematollahzadeh, Simin Jahani, S. Ghanbari, N. Sayadi
Background: Handover from the operating room (OR) to the intensive care unit (ICU) is a complicated process that may endanger patients' lives. Objectives: The present study determined the effect of a standard patient handover protocol on the quality of transfer from the cardiac OR to the cardiac ICU. Methods: A quasi-experimental study was conducted in 2020 at an adult cardiac surgery center in Ahvaz city, Iran. Sixty-two handover cases were assessed before (n = 31) and after (n = 31) a training intervention on the nursing staff in the OR and ICU. The training intervention covered the process of standard handover. A checklist was used to evaluate the quality of care through the process of handover. The checklist consisted of three subscales. The independent samples t, Fisher's exact or chi-square tests were used to analyze the data. Results: The mean score of the technical errors was 10.61 ± 1.20 before the intervention and changed to 12.61 ± 0.80 after the intervention (P < 0.001). The mean score of ignoring information was 10.21 ± 1.78 before the intervention and changed to 14.00 ± 1.92 following the intervention (P < 0.001). Conclusion: Implementation of a standard handover protocol for post-cardiac surgery patients can decrease the intermission and improve the quality of care during patient handover.
{"title":"The effect of standard patient handover intervention on improving the quality of transfer from the operating room to the intensive care units","authors":"Zohreh Nematollahzadeh, Simin Jahani, S. Ghanbari, N. Sayadi","doi":"10.4103/nms.nms_24_21","DOIUrl":"https://doi.org/10.4103/nms.nms_24_21","url":null,"abstract":"Background: Handover from the operating room (OR) to the intensive care unit (ICU) is a complicated process that may endanger patients' lives. Objectives: The present study determined the effect of a standard patient handover protocol on the quality of transfer from the cardiac OR to the cardiac ICU. Methods: A quasi-experimental study was conducted in 2020 at an adult cardiac surgery center in Ahvaz city, Iran. Sixty-two handover cases were assessed before (n = 31) and after (n = 31) a training intervention on the nursing staff in the OR and ICU. The training intervention covered the process of standard handover. A checklist was used to evaluate the quality of care through the process of handover. The checklist consisted of three subscales. The independent samples t, Fisher's exact or chi-square tests were used to analyze the data. Results: The mean score of the technical errors was 10.61 ± 1.20 before the intervention and changed to 12.61 ± 0.80 after the intervention (P < 0.001). The mean score of ignoring information was 10.21 ± 1.78 before the intervention and changed to 14.00 ± 1.92 following the intervention (P < 0.001). Conclusion: Implementation of a standard handover protocol for post-cardiac surgery patients can decrease the intermission and improve the quality of care during patient handover.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"17 - 23"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45367158","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}
Huthaifah Khrais, Ibrahim Khrais, M. Khalil, A. Khalifeh, F. Alhalaiqa
Background: Some health care providers feel uncomfortable to lead cost communication. They spend most of their time providing psychological and physiological care, while the willingness to discuss costs with their patients is uncertain. Objective: We aimed to explore Jordanian nurses' and physicians' attitudes toward cost communication with patient and explore potential predictors of this action. Methods: Descriptive correlational survey design was conducted in 2019. A questionnaire was used to measure attitudes regarding the cost communication. A total of 122 Jordanian nurses and physician from a governmental hospital were participated in this study. Pearson's r coefficient correlation and multiple regression were used to analyze the data. Results: Jordanian health care providers demonstrated a positive attitude toward communicating cost issues with their patients. Most of them (68%), preferred to explain the cost that patients have to pay. The years of experience significantly predicted health care provider's positive attitude in cost discussion (β = 0.214, P < 0.05). Conclusion: Findings support the importance of discussing treatment-associated costs with patients. Jordanian healthcare providers are comfortable with and desire to discuss treatment-associated costs. Furthermore, the present findings emphasize to develop educational programs for health care provides to improve their financial and communication management skills.
{"title":"Attitudes of health care providers toward discussing treatment-associated costs with patients in the clinical settings: A cross-sectional study","authors":"Huthaifah Khrais, Ibrahim Khrais, M. Khalil, A. Khalifeh, F. Alhalaiqa","doi":"10.4103/nms.nms_32_21","DOIUrl":"https://doi.org/10.4103/nms.nms_32_21","url":null,"abstract":"Background: Some health care providers feel uncomfortable to lead cost communication. They spend most of their time providing psychological and physiological care, while the willingness to discuss costs with their patients is uncertain. Objective: We aimed to explore Jordanian nurses' and physicians' attitudes toward cost communication with patient and explore potential predictors of this action. Methods: Descriptive correlational survey design was conducted in 2019. A questionnaire was used to measure attitudes regarding the cost communication. A total of 122 Jordanian nurses and physician from a governmental hospital were participated in this study. Pearson's r coefficient correlation and multiple regression were used to analyze the data. Results: Jordanian health care providers demonstrated a positive attitude toward communicating cost issues with their patients. Most of them (68%), preferred to explain the cost that patients have to pay. The years of experience significantly predicted health care provider's positive attitude in cost discussion (β = 0.214, P < 0.05). Conclusion: Findings support the importance of discussing treatment-associated costs with patients. Jordanian healthcare providers are comfortable with and desire to discuss treatment-associated costs. Furthermore, the present findings emphasize to develop educational programs for health care provides to improve their financial and communication management skills.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"71 - 77"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44553490","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}
Y. Moradi, Samira Al Shara, Farideh Namadi, Farzin Mollazadeh
Background: Self-efficacy and the health locus of control (HLC) are the most important determinants of compliance with self-care behaviors in patients with heart failure (HF). However, there is still a lack of studies in this area. Objective: This study aimed at investigating the relationship between HLC and self-efficacy in patients with HF. Methods: This cross-sectional study was conducted on 170 patients with HF in 2019 in Urmia, Iran. The participants were enrolled by using a consecutive sampling method. Data collection was conducted by using a demographic questionnaire, the questionnaire for assessing the Strategies Used by People to Promote Health (SUPPH), and the Multidimensional Health Locus of Control (MHLC) Scale. Descriptive statistics, the Pearson correlation coefficient, and stepwise linear regression analysis were used to analyze the data. Results: The mean age of the participaants was 67.47 ± 11.27 years. The majority of participants were male (59.8%) and married (76.8%). Among the components of the MHLC, the internal and powerful others obtained the highest mean scores (28.52 ± 5.97 vs. 26.6 ± 4.01). On average, the patients possessed about half of the self-efficacy scores. The internal HLC (IHLC) only had a direct correlation with the overall score of self-efficacy (r=0.24, P = 0.03), and the powerful others HLC (PHLC) was directly correlated with a positive attitude (r=0.39, P = 0.001) and the overall score of self-efficacy (r=0.32, P = 0.004). In regression analysis, only the scores of IHLC and PHLC were associated with the self-efficacy scores. Conclusion: Patients' self-efficacy improves as the mean scores of the IHLC and PHLC increase.
{"title":"The relationship between health locus of control and self-efficacy in patients with heart failure","authors":"Y. Moradi, Samira Al Shara, Farideh Namadi, Farzin Mollazadeh","doi":"10.4103/nms.nms_75_21","DOIUrl":"https://doi.org/10.4103/nms.nms_75_21","url":null,"abstract":"Background: Self-efficacy and the health locus of control (HLC) are the most important determinants of compliance with self-care behaviors in patients with heart failure (HF). However, there is still a lack of studies in this area. Objective: This study aimed at investigating the relationship between HLC and self-efficacy in patients with HF. Methods: This cross-sectional study was conducted on 170 patients with HF in 2019 in Urmia, Iran. The participants were enrolled by using a consecutive sampling method. Data collection was conducted by using a demographic questionnaire, the questionnaire for assessing the Strategies Used by People to Promote Health (SUPPH), and the Multidimensional Health Locus of Control (MHLC) Scale. Descriptive statistics, the Pearson correlation coefficient, and stepwise linear regression analysis were used to analyze the data. Results: The mean age of the participaants was 67.47 ± 11.27 years. The majority of participants were male (59.8%) and married (76.8%). Among the components of the MHLC, the internal and powerful others obtained the highest mean scores (28.52 ± 5.97 vs. 26.6 ± 4.01). On average, the patients possessed about half of the self-efficacy scores. The internal HLC (IHLC) only had a direct correlation with the overall score of self-efficacy (r=0.24, P = 0.03), and the powerful others HLC (PHLC) was directly correlated with a positive attitude (r=0.39, P = 0.001) and the overall score of self-efficacy (r=0.32, P = 0.004). In regression analysis, only the scores of IHLC and PHLC were associated with the self-efficacy scores. Conclusion: Patients' self-efficacy improves as the mean scores of the IHLC and PHLC increase.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"31 - 36"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44607204","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}
Sakine Zahiri, Simin Jahani, N. Sayadi, B. Cheraghian, Elham Rajaei
Background: Fatigue and decreased activities of daily living (ADL) are important problems in patients with systemic lupus erythematosus (SLE) and reduce their quality of life. Objectives: This study was conducted to examine the effect of fatigue and activity management education (FAME) program on fatigue severity and ADL in patients with SLE. Methods: A quasi-experimental study was conducted on 40 patients with SLE. The patients were selected consecutively and randomly allocated into an intervention (n = 20) and a control group (n = 20). The control group was treated as usual. However, in addition to the usual treatment, the intervention group received the FAME program. Data collection was done before and 8 weeks after the intervention using the Swedish Occupational Fatigue Inventory-20 (SOFI-20) questionnaire, the daily physical activity questionnaire, and a demographic characteristics form. Descriptive statistics, independent- and paired-samples t tests, and analysis of covariance were used to analyze the data. Results: The two groups were homogenous in terms of demographic characteristics (P > 0.05) unless their job (P = 0.002). The mean baseline fatigue and ADL scores were significantly different between the two groups (P < 0.0001). Hence, analysis of covariance was used to control the confounding effect of the aforementioned variable. Then, significant differences were found between the two groups respecting the mean fatigue (P < 0.0001) and mean ADL (P = 0.009) after the intervention. Conclusion: Considering the effectiveness of the FAME program in reducing fatigue and increasing ADL in patients with SLE, nurses are recommended to use similar programs in the care for these patients and help them improve their own fatigue and ADL.
{"title":"The effects of an educational intervention on fatigue and activities of daily living in patients with systemic lupus erythematosus","authors":"Sakine Zahiri, Simin Jahani, N. Sayadi, B. Cheraghian, Elham Rajaei","doi":"10.4103/nms.nms_109_21","DOIUrl":"https://doi.org/10.4103/nms.nms_109_21","url":null,"abstract":"Background: Fatigue and decreased activities of daily living (ADL) are important problems in patients with systemic lupus erythematosus (SLE) and reduce their quality of life. Objectives: This study was conducted to examine the effect of fatigue and activity management education (FAME) program on fatigue severity and ADL in patients with SLE. Methods: A quasi-experimental study was conducted on 40 patients with SLE. The patients were selected consecutively and randomly allocated into an intervention (n = 20) and a control group (n = 20). The control group was treated as usual. However, in addition to the usual treatment, the intervention group received the FAME program. Data collection was done before and 8 weeks after the intervention using the Swedish Occupational Fatigue Inventory-20 (SOFI-20) questionnaire, the daily physical activity questionnaire, and a demographic characteristics form. Descriptive statistics, independent- and paired-samples t tests, and analysis of covariance were used to analyze the data. Results: The two groups were homogenous in terms of demographic characteristics (P > 0.05) unless their job (P = 0.002). The mean baseline fatigue and ADL scores were significantly different between the two groups (P < 0.0001). Hence, analysis of covariance was used to control the confounding effect of the aforementioned variable. Then, significant differences were found between the two groups respecting the mean fatigue (P < 0.0001) and mean ADL (P = 0.009) after the intervention. Conclusion: Considering the effectiveness of the FAME program in reducing fatigue and increasing ADL in patients with SLE, nurses are recommended to use similar programs in the care for these patients and help them improve their own fatigue and ADL.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"24 - 30"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48344461","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}
Y. Moradi, R. Baghaei, A. Feizi, R. Hajialibeigloo
Background: The global health crisis caused by the COVID-19 pandemic has led many institutions and universities around the world to bring about a sudden shift to virtual education to continue their educational activities. Objectives: This study aimed to explain the challenges of the sudden shift to asynchronous virtual education in nursing education throughout the COVID-19 pandemic. Methods: A qualitative study was conducted during 2020, on nursing faculty members and undergraduate nursing students in the Urmia School of Nursing and Midwifery, Iran. A total of 12 faculty members and 8 students were enrolled in the study using purposive sampling. Data were collected using semi-structured face-to-face interviews and then analyzed through the content analysis method. Results: Participants identified “inappropriate groundwork” and “low inclination to virtual education” as the main challenges of the sudden shift to asynchronous e-learning in nursing education during the COVID-19 pandemic. Conclusion: The authorities of nursing schools should provide the appropriate groundwork for virtual education by the provision and upgrading of the required hardware and software, teaching how to use the facilities, and developing standard protocols for virtual education.
{"title":"Challenges of the sudden shift to asynchronous virtual education in nursing education during the COVID-19 pandemic: A qualitative study","authors":"Y. Moradi, R. Baghaei, A. Feizi, R. Hajialibeigloo","doi":"10.4103/nms.nms_82_21","DOIUrl":"https://doi.org/10.4103/nms.nms_82_21","url":null,"abstract":"Background: The global health crisis caused by the COVID-19 pandemic has led many institutions and universities around the world to bring about a sudden shift to virtual education to continue their educational activities. Objectives: This study aimed to explain the challenges of the sudden shift to asynchronous virtual education in nursing education throughout the COVID-19 pandemic. Methods: A qualitative study was conducted during 2020, on nursing faculty members and undergraduate nursing students in the Urmia School of Nursing and Midwifery, Iran. A total of 12 faculty members and 8 students were enrolled in the study using purposive sampling. Data were collected using semi-structured face-to-face interviews and then analyzed through the content analysis method. Results: Participants identified “inappropriate groundwork” and “low inclination to virtual education” as the main challenges of the sudden shift to asynchronous e-learning in nursing education during the COVID-19 pandemic. Conclusion: The authorities of nursing schools should provide the appropriate groundwork for virtual education by the provision and upgrading of the required hardware and software, teaching how to use the facilities, and developing standard protocols for virtual education.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"44 - 50"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41524965","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}
Backgrounds: Relaxation techniques can help reduce stress. However, few studies are available on the effects of jaw relaxation on stress and physiological indicators of patients with acute coronary syndrome (ACS). Objectives: This study aimed to examine the effect of jaw relaxation on stress and physiological indicators of patients with ACS. Methods: A randomized controlled trial was conducted on 64 patients with ACS hospitalized in two hospitals affiliated with Isfahan University of Medical Sciences, Iran. The patients were selected using consecutive sampling and were randomly assigned to an intervention (n = 32) and a control (n = 32) group. Jaw relaxation was performed for the subjects in the intervention group twice a day and for 3 days. The subjects in the control group received their routine care. The data were collected using Cohen's Perceived Stress Scale and a checklist for recording physiological indicators. Data analysis was performed using descriptive statistics, the chi-square, and the independent samples t test. Results: The mean stress score in the intervention group decreased from 26.03 ± 15.97 to 11.45 ± 14.75 (P < 0.001). However, the difference was not significant in the control group. The mean diastolic blood pressure, systolic blood pressure, heart rate, respiratory rate, and arterial oxygen saturation were not significantly different between the two groups before the intervention (P > 0.05). However, after interaction, the mean of these variables was significantly different between the two groups (P < 0.05). Conclusion: The use of jaw relaxation together with medical treatments has a positive effect on the recovery of patients with ACS and helps them manage their stress.
{"title":"The effects of jaw relaxation on stress and physiological indicators in patients with acute coronary syndrome: A randomized controlled trial","authors":"Z. Ghanbari, Hojatollah Yousefi, M. Moeini","doi":"10.4103/nms.nms_40_21","DOIUrl":"https://doi.org/10.4103/nms.nms_40_21","url":null,"abstract":"Backgrounds: Relaxation techniques can help reduce stress. However, few studies are available on the effects of jaw relaxation on stress and physiological indicators of patients with acute coronary syndrome (ACS). Objectives: This study aimed to examine the effect of jaw relaxation on stress and physiological indicators of patients with ACS. Methods: A randomized controlled trial was conducted on 64 patients with ACS hospitalized in two hospitals affiliated with Isfahan University of Medical Sciences, Iran. The patients were selected using consecutive sampling and were randomly assigned to an intervention (n = 32) and a control (n = 32) group. Jaw relaxation was performed for the subjects in the intervention group twice a day and for 3 days. The subjects in the control group received their routine care. The data were collected using Cohen's Perceived Stress Scale and a checklist for recording physiological indicators. Data analysis was performed using descriptive statistics, the chi-square, and the independent samples t test. Results: The mean stress score in the intervention group decreased from 26.03 ± 15.97 to 11.45 ± 14.75 (P < 0.001). However, the difference was not significant in the control group. The mean diastolic blood pressure, systolic blood pressure, heart rate, respiratory rate, and arterial oxygen saturation were not significantly different between the two groups before the intervention (P > 0.05). However, after interaction, the mean of these variables was significantly different between the two groups (P < 0.05). Conclusion: The use of jaw relaxation together with medical treatments has a positive effect on the recovery of patients with ACS and helps them manage their stress.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"11 1","pages":"11 - 16"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46311838","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}
P. Karimi, Y. Moradi, Farzin Mollazadeh, H. Jafarizadeh, H. Habibzadeh, R. Baghaei, Y. Mohammadpour
{"title":"Challenges of living with an implantable cardioverter-defibrillator: A qualitative content analysis","authors":"P. Karimi, Y. Moradi, Farzin Mollazadeh, H. Jafarizadeh, H. Habibzadeh, R. Baghaei, Y. Mohammadpour","doi":"10.4103/nms.nms_27_22","DOIUrl":"https://doi.org/10.4103/nms.nms_27_22","url":null,"abstract":"","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70837901","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. Mohammadifard, Mahla Salarfard, Marzieh Samieean
Background: Amniocentesis is the most common invasive procedure for diagnosing fetal abnormalities. Most pregnant women are anxious about fetal abnormalities and screening tests. Objectives: This study was conducted to determine the effect of H7 acupressure on amniocentesis anxiety in pregnant women. Methods: This clinical trial was conducted on 56 pregnant women candidates for amniocentesis. In the intervention group, acupressure was performed at H7 acupoint for 5 min in each hand, 30 min before amniocentesis, and then daily for 10 days. The control group did not receive any intervention. Data collection was done using a demographic questionnaire, the Spielberger state-trait anxiety inventory, and a daily acupressure recording checklist. Data were analyzed using the independent samples t-test, Chi-square test, repeated measures analysis, Bonferroni post hoc test, and paired t-test. Results: The mean state anxiety scores in the intervention group were 38.70 ± 5.64 and 30.22 ± 6.70 immediately and 10 days after amniocentesis. However, at the same times, the mean state anxiety scores in the control groups were 49.03 ± 2.30 and 50.86 ± 2.01, respectively, which were significantly higher than the intervention group (P < 0.001). The mean scores of trait anxiety were significantly lower in the participants of the acupressure group than the control group 10 days after amniocentesis (P < 0.001). Conclusion: The H7 acupressure could be effective in reducing state and trait anxiety in pregnant women during amniocentesis and when they are waiting for the test results.
{"title":"The effect of H7 acupressure on amniocentesis anxiety in pregnant women: A randomized controlled trial","authors":"M. Mohammadifard, Mahla Salarfard, Marzieh Samieean","doi":"10.4103/nms.nms_114_21","DOIUrl":"https://doi.org/10.4103/nms.nms_114_21","url":null,"abstract":"Background: Amniocentesis is the most common invasive procedure for diagnosing fetal abnormalities. Most pregnant women are anxious about fetal abnormalities and screening tests. Objectives: This study was conducted to determine the effect of H7 acupressure on amniocentesis anxiety in pregnant women. Methods: This clinical trial was conducted on 56 pregnant women candidates for amniocentesis. In the intervention group, acupressure was performed at H7 acupoint for 5 min in each hand, 30 min before amniocentesis, and then daily for 10 days. The control group did not receive any intervention. Data collection was done using a demographic questionnaire, the Spielberger state-trait anxiety inventory, and a daily acupressure recording checklist. Data were analyzed using the independent samples t-test, Chi-square test, repeated measures analysis, Bonferroni post hoc test, and paired t-test. Results: The mean state anxiety scores in the intervention group were 38.70 ± 5.64 and 30.22 ± 6.70 immediately and 10 days after amniocentesis. However, at the same times, the mean state anxiety scores in the control groups were 49.03 ± 2.30 and 50.86 ± 2.01, respectively, which were significantly higher than the intervention group (P < 0.001). The mean scores of trait anxiety were significantly lower in the participants of the acupressure group than the control group 10 days after amniocentesis (P < 0.001). Conclusion: The H7 acupressure could be effective in reducing state and trait anxiety in pregnant women during amniocentesis and when they are waiting for the test results.","PeriodicalId":45398,"journal":{"name":"Nursing and Midwifery Studies","volume":"10 1","pages":"222 - 228"},"PeriodicalIF":0.8,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48213635","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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