Effect of the nursing process using via "accessible care cards" on the patients' satisfaction of nursing care in intensive care units of Golestan Hospital, Ahvaz

Background and aims: Nursing process is performance Standard for nursing cares. According to their conditions and facilities, various centers can choose and implement a nursing process that is more efficient for them. This study was aimed to determine the effect of nursing process the way "accessible care cards" on patients' satisfaction from care in intensive care units. Methods: This is a cross-sectional interventional study with plan case-control study that was conducted in Golestan hospital in Ahwaz in 2014. Considering the inclusion criteria and available sampling method, a total of 38 controls and 38 cases were selected for the intervention group were evaluated. Data were collected questionnaire made by researcher, which was assess the scientific validity, the content validity method were used validated. As well as its reliability using Cronbach's alpha test (α= 0.9) was determined. Intervention was conducted by accessible care cards in nursing process for two weeks and its impact on patient satisfaction was measured. The control group was routine care. The collected data was analyzed by SPSS 19 and statistical tests. Descriptive statistics such as mean, and standard deviation was used. Chi-square test, Mann-whitney and t-test were used to compare groups. Results: Results showed that 28.90% of patients in the control group had great satisfaction of care, while the 97.36% of patients in the intervention group reported nearly excellent satisfaction. The observed difference in patients' satisfaction with nursing care in both the experimental and control group was statistically significant (P<0.001). Conclusion: Implementation of nursing process, in a manner of available cards led to an increase in patient satisfaction compared with the routine manner and the use of these cards makes the nursing process of a greater degree of mental state, to objectively state, that can help in saving a lot of time for nurses

A comparative study of the mini-punch grafting and hair follicle transplantation in the treatment of refractory and stable vitiligo

Background: Some vitiligo lesions are resistant to all medical treatments. Objective: We sought to compare the efficacy of hair follicle transplantation and mini-punch grafting for the treatment of refractory vitiligo lesions. Methods: A total of 25 patients with stable and resistant vitiligo participated in the study. In each patient, a resistant vitiligo patch was divided into 2 equal parts. One part was treated with hair follicle transplantation and the other part with mini-punch grafting. Postsurgically, the recipient areas were exposed to narrowband ultraviolet B twice a week for 6 months. The diameter of the repigmentation around each graft was measured monthly. Results: At the end of the sixth month, 68% of follicle grafts, and 72% of mini-punch grafts, had repigmentation. The mean diameter of repigmentation around follicle grafts was 5 +/- 1.7 mm and around punch grafts was 5.3 +/- 1.6 mm. There was no significant difference between the 2 groups statistically (P = .18). Limitations: Small sample size and short time of follow-up are limitations. Conclusions: Because the results of the 2 methods are not statistically different and mini-punch grafting is much easier to do than follicular transplantation, we recommend mini-punch grafting to treat drug-resistant vitiligo

The impacts of Beliefs, Attitude, Subjective Norms, Enabling Factors-based educational program on cardiovascular risk factors through enhanced nutritional behaviors in water and wastewater organization employees

Introduction: Cardiovascular disease is the main cause of disability and morbidity in many countries. Considering the significance of education in correcting unhealthy eating habits and improving nutritional behaviors that prevents cardiovascular diseases, the current study has been carried out to investigate the impacts of Beliefs, Attitude, Subjective Norms, Enabling Factors (BASNEF)-based educational program on the employees' nutritional behaviors. Materials and Methods: This study was carried out on 120 randomly selected employees of Water and Wastewater Organization of Kermanshah. Individuals were divided into the control and intervention groups. Questionnaires devised based on BASNEF model and food frequency questionnaires were collected preintervention and 3-month postintervention. Educational program was performed in four training sessions. Results: Significant differences between mean scores of knowledge and other items of BASNEF model as well as nutritional improvements were observed in the intervention group after 3 months (P < 0.01). Conclusion: BASNEF educational model positively affected nutritional behaviors of the employees to reducing cardiovascular risk factors

Which is Better for Pain Reduction before Venipuncture: Glucose, Lidocaine or Expressed Breast Milk? Introduction and Aim

Abstract Aim: The aim of this study was to compare effects of 2 cc oral glucose (50%), topical application of lidocaine, 2 cc of expressed breast milk (EBM), and nothing per oral for reducing of pain before painful procedures. Patients and methods: In this case-control study, 121 term neonates were included. There were 3 groups of cases and one control group. Inclusion criteria were: term neonates (38-42 weeks); stable condition; per oral feeding; five minutes APGAR&gt;7; and no history of narcotic usage. Neonates were randomly divided in 4 groups. Two milliliter of glucose solution (50%), topical application of lidocaine, and 2 cc of expressed breast milk via syringe were used for group I, II, and III respectively. Group IV is the control group. For control group, no additional measure was done. Data analysis was performed using SPSS ver 11.0 (SPSS Inc, Chicago, IL, USA). Chi-square, t-test, and ANOVA were used for analysis. P&lt;0.05 was considered significant. Results: Score of Douleur Aiguë Nouveau-né was significantly lower in group III compared to other group (P&lt;0.05, Tukey). Crying time in group III was significantly lower than group IV. Respiratory rate in group II was significantly lower than group IV (P=0.018). Pulse rate was significantly lower in group III compared to other group. Conclusion: Expressed breast milk is the safe and natural agents for reducing pain of neonates. Another clinical trial study with more samples is recommended