Showing 53 results for Care
Masomeh Delaram, Ali Hasanpoor Dehkordi, Kobra Noriyan, Afsaneh Kazemyan, Nasrin Fouroozandeh,
Volume 0, Issue 0 (2-2008)
Abstract
Background and Objectives: Emergency contraception methods used in a specilic time after an unprotected intercourse can reduce the incidence of unwanted pregnancy. Considering the role of health care provider's intercourse can extremely reduce the incidence of unwanted pregnancy, Considering the role of health- care providers in preventing unintended pregnancy, we decided to assess their knowledge, Attitude and Practice about emergency contraceptive methods in Shahr-e-kord, Irun.
Material and Methods: The subjects of this descriptive study were 102 lealth care providers engaged in all heath centers (N=9) and Hajar hospital of shahr-e-kord. After collecting the data by a researcher- made questionnaire, we used Chi-square and Pearson correlation coefficient to analyze the data
Results: The results show that their knowledge of emergency contraceptive methods is inadequate (5.9%), moderate (37.3 %) and adequate (59.9%). Their attitude (80%) is positive and believe that these methods can not be considered abortion. More than 70% of them try to recommend these methods to the women. There is signilicant correlation between the level of knowledge and education level (P=0.002).
Conclusion: We recommend updating the people's knowledge about emergency contraceptive methods, mainly jud
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.
Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale having two dimensions of problem-focused part (15 questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.
Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).
Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.
Material and Methods: In this descriptive and analytical study, 120 Caregivers of chronic renal failure patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).
Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities (p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).
Conclusion: According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .
Hossein Rahmani Anaraki, Dr Gholam Reza Mahmoodi, Ghanbar Rouhi, Hamid Asayesh, Hossein Nasiri, Hossein Rakhshani,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Chronic neurologic diseases due to associated disabilities and high cost of their medical services are considered as a crisis for patients and family. The stress caused by these problems can jeopardize the health of the caregivers. Thus, the aim of this study was to determine the general health status of neurologic patients’ caregivers and the related factors.
Material and Methods: In this cross-sectional study conducted in 2009, the caregivers of the patients with neurological disorders (n=200) were selected via convenience sampling. The data was gathered by a demographic checklist and general health questionnaire (GHQ-28) completed by caregivers and analyzed by descriptive statistic, Pearson correlation coefficient and chi square, using SPSS-16.
Results: The mean age is 31.78±9.94 and 59.5% of the subjects are males. The caregivers (72.5%) general health is disturbed (Score more than 23 based on GHQ-28 cut of point). General health of male and female caregivers is significantly different (P<0.05). Between the subscales of GHQ-28, female caregivers compared to males have higher depression score, which is significant (P<0.05). The caregivers’ general health are correlated with (P<0.05) the patient’s care dependency and the income of family. There is no significant relationship between general health and demographic variables such as marital status, history of the disease and educational level.
Conclusion: Based on the results, significant percent of caregivers of the patients with neurological disorders suffer from disrupted general health. Thus, the presence of supportive resources and effective coping skills can be effective in improving the health.
Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (9-2013)
Abstract
Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.
Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.
Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).
Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.
Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.
Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.
Results: The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.
Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of the level of consciousness in comatose patients .
Dr Mahshid Forooghan, Danial Amanian, Dr Mohammad Ali Hosseini,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: With increasing older people population, the need to provide health care services in nursing homes is increasing. The aim of this study was to determine the effect of an educational program about the management of common problems in old age on the level of job stress in the caregivers of Golestan province nursing homes.
Material and Methods: This pre-experimental study was conducted on all 24 caregivers (11 males and 13 females) working in the nursing homes of Golestan province. The valid and reliable instruments were a researcher-made questionnaire to evaluate the knowledge and Osipow's job stress questionnaire, the intervention was an educational package to increase their knowledge and skills about the management of old age problems. The questionnaires were completed before, immediately after, one month and three months after the training. The data was analyzed by analysis variance, Pearson correlation, independent t-test and paired t-test.
Results: With increasing the knowledge of the caregivers, a significant reduction in job stress scores (p<0.001) was found after three months. Two components of job stress including overload (p<0.001) and insufficiency (p=0.002) showed significant decreases after three months compared to the mean scores before training.
Conclusion: Due to The effect of training on stress reduction, providing comprehensive training programs for caregivers may lead to higher quality services and health promotion for both elders and their caregivers.
Dr Hassan Babamohamadi, Dr Mahdi Kahouie, Soheila Bayat, Sedigheh Fooladian, Maryam Shahsavane Toghan,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: This study aimed to assess nurses' attitude toward the effect of nursing electronic reports on patient care.
Material and Methods: This descriptive-analytical study was conducted on 316 nurses in the hospitals affiliated to Semnan University of Medical Sciences and social security organization, 2012. The instrument was a researcher-made questionnaire, valid and reliable. The data was analyzed by Chi Square, Fisher and Phi test.
Results: Forty-seven five point percent of the nurses completely disagreed with the impact of electronic reporting on patient assessment (1.8± 1.06) and 54.4% completely disagreed with its impact on the selection of clinical intervention (1.8 ± 1.06). On the other hand , 50% of nurses agreed with the effect of the computer program on patient care (2.2±0.99), 42.4% were satisfied with its effect on patient's diet planning (2.1±1.5) and 40.7% with the computer program on nursing diagnosis (2.01±1.09).There was significant relationship between some of the nurses’ demographic characteristics and their attitude (P<0.05).
Conclusion: Based on the results, nurses’ attitudes can be attributed to some defects in the computer programs and to the nurses’ compliance with information technology. To improve the effectiveness of electronic reporting, first, the quality of computer programs of clinical settings should be enhanced, and then changes should be occurred in organizational policies and in electronic documentation. Further, we should consider the impact of Levine's theory of change, indicating the staff’s resistance to technology adoption in workplace.
Neda Mirbagher Ajorpaz, Mahboube Kafaei Atrian,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Unstable angina (UA) patients account for more than half of hospitalized patients in CCU. Very often, re-hospitalization of these patients is due to lack of enough information and compliance with medical advice, having negative effect on quality of life. Thus, we aimed to determine the effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti hospital in 2010.
Material and Methods: This quasi-experimental study was conducted on 80 unstable angina patients divided randomly into control and intervention group. The instruments were demographic and quality of life questionnaire (SF36), used before and after intervention. For intervention group, we carried out two face-to-face 2-hour sessions. The first session was performed at admission and the second at the time of discharge with the presence of patient’s family. Finally, the two groups were compared and analyzed by SPSS 14 version, using paired t test and independent t test.
Results: The results in two groups showed that there were significant differences in dimensions including General health, physical health, mental health, social function, limitation in activities, and vitality (p≤0.05). But the difference was not significant for health changes and body pain.
Conclusion: Nurse follow-up and patient-centered self-care education can be useful for improving quality of life in unstable angina patients.
Leila Davari, Dr Ahmad Ali Eslami, Akbar Hassan Zadeh ,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Diabetes is the most common metabolic disorder associated with long-term complications. social and psychological factors have a crucial role in its management . the treatment of Diabetes mainly depends on the patient and self-care is one of the most important factors in controlling this disease. This study aimed at evaluating the self-care related factors in type 2 diabetic patients.
Material and Methods: This descriptive-analytical study was conducted on 95 patients with type 2 diabetes in Khorramabad city in 2013. The data collected by a demographic questionnaire and Glasgow and tobert Self-care scale was analyzed by spss 20 software using independent t-test, Pearson correlation and One Way ANOVA.
Results: Considering all areas, the average self-care score was 53.6±11.7. The lowest score was in the areas of glycemic control, physical activity, and the highest one in diet and foot care. Based on marital status, education, income and type of treatment, The average self-care was significantly different (P< 0.05).
Conclusion: In accordance with the real need unique characteristics of the patients, comprehensive and practical training related self- care behavior should be considered.
Alireza Shariati , Hosein Rahmani Anaraki , Mohammad Parvareshmasoud, Moslem Hesam, Hamid Asayesh, Dr Seyed Mojtaba Mousavi, Dr Gholamreza Mahmoodi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Burnout has negative effects on nurses' health, and also onpatients’ satisfaction and safety. This study was conducted to determine the relationship between Burnout and nurses' job characteristics in teaching and therapeutic hospitals affiliated to Golestan university of medical sciences.
Material and Methods: In this descriptive-analytical study, 206 nurses who engaged in the teaching and therapeutic centers of Golestan university of medical sciences were selected via random sampling. The data was collected by demographic data sheet and Copenhagen burnout questionnaire and analyzed by descriptive statistical, logistic Regression.
Results: The mean age was 34.66±7.38 and 68% of the participants were female. Overall, 34% of the nurses had burnout. The prevalence of personal, work-related and client-related burnout was 33.5%, 41.3% and 22.3%, respectively. Age, job experience and type of employment were the risk factors of personal, work and client-related burnout. Being supervisor, working in the psychiatric ward and having private job, were the causes of increased personal burnout.
Conclusion: In line with the increase of age and job experience increasing, the officials should pay more attention to burnout, and in some ward of the hospitals and job positions, they need considering a unique career planning.
Dr Masoud Fallahi Khoshknab , Mahdi Farzadmehr, Dr Mohammd Ali Hosseini, Dr Hamid Reza Khankeh, Zahra Noorabadi,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.
Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.
Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).
Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.
Mohammad Rajabpoor, Seyed Reza Mazlom, Gholamhosein Zarifnejad, Seyed Mostafa Mohsenizadeh, Fatemeh Heshmati Nabavi , Simin Sharafi ,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.
Methods: This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.
Results: The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P<0.05).
Conclusion: Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.
Soheila Zabolypour, Kourosh Dastan, Saeed Ghorbani, Amir Anbari, Sepideh Mohammadi,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Caring is the core of Nursing and holistic high-quality care is considered as one of the main concerns of nursing managers. Evaluation by main care recipients and assessment of their satisfaction with different levels of care is a way to determine and improve the quality of nursing care. The aim of this study was to determine the relationship between the quality of nurses’ caring behaviors with patient satisfaction in four areas of nursing knowledge and skills, patient education, communication and nursing ethics.
Methods: This descriptive study was performed on 150 patients hospitalized in the Shahid Beheshti Hospital of Yasuj, in 2013. Subjects were selected by convenience sampling and from the departments of general surgery, neurosurgery, infectious diseases, neurology and burn center. Data were collected and analyzed using quality of caring behaviors and patient satisfaction questionnaires.
Results: The quality of caring behaviors was reported as moderate by the patients. Subscale of quality of caring behaviors was reported as good in area of nursing knowledge and skills, and as moderate in areas of patient communication and nursing ethics. The mean score of satisfaction was relatively favorable. Satisfaction regarding the subscale of nursing knowledge and skills was at a favorable level and patient education, communication and nursing ethics were reported as relatively favorable.
Conclusion: Considering the moderate quality of nursing care, patient satisfaction level and level of the subscales, nursing managers and officials at faculty of nursing are expected to pay more attention to the aspects of patient education, communication and nursing ethics in addition to nursing knowledge and skills.
Seyed Hamid Seyed Bagheri, Hadi Khoshab, Hossein Rafiee, Abbas Abbaszadeh, Fariba Borhani,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Participation of nurses in research studies is a requirement of achieving evidence-based nursing, but studies in this regard are limited. This study aimed to determine the viewpoints of nurses regarding the facilitating factors and obstacles of participating in research and utilization of its results in clinical practice.
Methods: This descriptive study was done in 2013 at teaching hospitals affiliated to Kerman University of Medical Sciences. Study subjects included 210 clinical nurses with at least a bachelor's degree who were selected by stratified random sampling method. Data collection tools included a researcher-made 3-section questionnaire. The first section consisted demographic information and the second and third sections contained 21 questions each that evaluated the motivational factors and obstacles of research, respectively. Data were analyzed using descriptive statistics (mean and standard deviation).
Results: Of all the participants, 87.6% were female with average age of 38.08 ± 4.93 years. Regarding the research facilitating factors, the highest score was given to the intrinsic interest for knowledge acquisition and increased practical work ability. In this section, the lowest scores were given to interaction with other colleagues and the existence of competitive conditions. In terms of the research obstacles, the highest scores were reported for problems at work including staff shortages and high workloads, while the lowest scores were reported for low self-confidence and lack of interest and unwillingness to do research.
Conclusion: The results of this study can provide information for nursing policymakers to establish measures that constructively motivate nurses to do research and utilize its results by the managers.
Amin Haghgoo , Mohammad Zoladl, Khairollah Nooryan , Shirali Kharamin, Soleiman Afrooghi,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
Methods: In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p< 0.05).
Results: The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P< 0.05).
Conclusion: Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.
Masumeh Hemmati Maslakpak , Mehdi Torabi, Moloud Radfar, Vahid Alinejad,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Chronic renal failure has a progressive nature and there is always a need for a person to care for them. A caregiver, who is usually a patient's family member, may face many problems during the care process, which ultimately causes burnout. The aim of this study is to determine the effect of psycho-educational intervention on the caregiver burden of patients undergoing hemodialysis.
Methods: This study was a clinical trial that carry out on 105 caregivers of patients undergoing hemodialysis. The burnout questionnaire of Zarit was completed by the participants. The Caregivers were allocated randomly in two groups of intervention (discussion, workshops) and control. Two weeks after the completion of 6 sessions of the group discussion and 4 sessions of the workshop, caregiver burdon questionnaire of Zarit was completed again. Data was analyzed by using version 16 of spss software and parametric and non-parametric tests.
Results: Results showed that there was no significant difference between the three groups before intervention in the mean scores of burden (p=0.423). However, after the intervention there was significant difference in the mean scores of burden between intervention groups with control group (p<0.001). Tukey post hoc test showed no significant difference between the two intervention groups in the mean scores of burden (P=0.204).
Conclusion: The results of this study can be found that training classes such as group discussion had a significant reduction in the severity of caregiver burden. Therefore, it is recommended that in the health system planning attend to the role of family members in the treatment of these patients also benefit from this training method.
Shahla Biglar , Abolhassan Rafiee , Maryam Puryaghoob, Fariba Sharafi , Fatemeh Moghaddam, Zahra Nisari,
Volume 16, Issue 2 (11-2019)
Abstract
Background: The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).
Methods: The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.
Results: The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).
Conclusions: According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.
Tayebeh Ebadi, Borghei Narjes Sadat , Roghieh Bayrami , Zahra Mehrbakhsh ,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Preconception care is an opportunity to change unhealthy behaviors which in turn reduces unplanned pregnancy and plays an important role in reducing maternal and infant mortality. The aim of this study was to determine the level of preconception care and its related factors in pregnant women.
Methods: This cross-sectional study was conducted on 394 pregnant women referred to Gorgan health centers in 2017. Samples were selected by multi-stage stratified sampling method from Gorgan health centers in Golestan province. Data was gathered using self-report questionnaire. Data analysis was performed using chi-square test, Fisher's exact, and Kruskal-Wallis tests in SPSS-16. The P-value less than 0.05 were considered significant.
Results: 32.7% of women were received complete preconception care and 17.8% had no pre-pregnancy care. Only 44.2% of women used folic acid daily since the first trimester of pregnancy. Most of pregnant women (63.7%) performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was more successful in mothers with higher level of education (p<0.001), having health insurance (p<0.001), history of disease (p=0.027), higher family income (p=0.044), and nulliparity (p= 0.049).
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems necessary to plan more precisely on how such services need to be provided. The identification of factors associated with this care showed that far less attention was paid among low-income, without assurance coverage and low-educated people. Since these people do not have enough money to take care of mother and infant during pregnancy, health policymakers should provide the related services for free.
Tayebeh Ebadi, Narjes Sadat Borghei , Roghieh Bayrami, Zahra Mehrbakhsh,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Preconception care is an opportunity to change unhealthy behaviors, and reduces unplanned pregnancies and plays important role in reducing maternal and infant mortality. Considering the importance of these care services, this study was conducted to determine preconception care and its related factors in Groan's pregnant women.
Methods: This cross-sectional descriptive study was conducted on 394 pregnant women referring to Gorgan health centers. Samples were selected by multi-stage Stratified sampling. Bayrami's researcher-made questionnaire, that validity and reliability Steps has been accomplished in Mashhad urban community, was used to collect information. Data analysis was performed by using SPSS16 software and chi-square test and KruskalWallis. P value less than 0.05 was considered significant.
Results: 32.7% (129) of women was received complete preconception care and 17.8% (70) had no pre-pregnancy care, only, 44.2% (174) of women used folic acid daily from the previous three months of pregnancy. Also, 251 (63.7%) of pregnant women performed triple screening laboratory test (FBS, CBC, TSH). Preconception care was done better in mother's with high education (P <0.001), health insurance (P <0.001), illness history (P <0.005), high family income (P <0.001) and nulliparity (P = 0.001).
Conclusions: Preconception care coverage and acid folic consumption is not optimal. It seems to be necessary to plan more precisely how such services are provided. The identification of factors associated with this care, showed that less attention was paid for low-income, without assurance coverage and low-educated people. Although these people will not have enough money to take care of their during pregnancy, health policymakers should take care of these services for free.
