Quality of Life in Nurses; Case Study of Shahid Beheshti Hospital of Kashan City, Iran

Abstract Aims: Nurses are the greatest group of healthcare system service providers and lack of sufficient attentions to their quality of life will lead to the challenge of their service providing. The present study was designed to evaluate the quality of life in all nurses of different wards of a Hospital in Kashan City, Iran. Instrument & Methods: This cross-sectional descriptive study was carried in all nearly 500 nurses of Shahid Besheshti Hospital of Kashan City, Iran, in 2015-2016. Sampling was done at all different wards of the hospital and 200 nurses were selected randomly. Data was collected by the standard version of Quality of Life and Short Form of Heath Survey. The collected data was entered into the SPSS 16 software and were analyzed using descriptive statistics and independent T test. Findings: There were no significant differences in physical health, mental health, environmental health, social communications and the quality of life according to nurses wards but significant differences were observed between the scores according to their position and working shift. There were significant differences in the status of mental and physical health according to gender (between males and females), marital status (between singles and marrieds) and employment status. Conclusion: The status of nurses’ quality of life is moderate in Shahid Beheshti Hospital of Kashan and it has relationship with work shift, position and workplace

A Model of Noncommunicable Diseases Determinants in Iran; a Qualitative Study

Aims: Non-communicable diseases have become an emerging pandemic globally with disproportionately higher rates in developing countries. This study aimed to design a representative model of non-communicable diseases determinants in Iran according to the viewpoint of experts. Participants & Methods: The statistical population of this qualitative study was experts and academic member informants, who were worked at Kashan, Esfahan and Tehran Universities of Medical Sciences in March to June 2016. 20 participants were selected through purposeful sampling method. Experts were asked to explain their opinion regarding to the most effective factors of noncommunicable disease in developing countries. Findings: Social, environmental, and physiological factors, besides the life style were affecting factors on non-communicable diseases in developing countries. Conclusion: Social, environmental, and physiological factors, besides the life style are affecting factors on non-communicable diseases in developing countries

Surgical management of patients with von Willebrand disease: summary of 2 systematic reviews of the literature

von Willebrand disease (VWD) is the most common inherited bleeding disorder. The management of patients with VWD who are undergoing surgeries is crucial to prevent bleeding complications. We systematically summarized the evidence on the management of patients with VWD who are undergoing major and minor surgeries to support the development of practice guidelines. We searched Medline and EMBASE from inception through October 2019 for randomized clinical trials (RCTs), comparative observational studies, and case series that compared maintaining factor VIII (FVIII) levels or von Willebrand factor (VWF) levels at >0.50 IU/mL for at least 3 days in patients undergoing major surgery, and those with options for perioperative management of patients undergoing minor surgery. Two authors screened and abstracted data and assessed the risk of bias. We conducted meta-analyses when possible. We evaluated the certainty of the evidence using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. We included 7 case series for major surgeries and 2 RCTs and 12 case series for minor surgeries. Very-low-certainty evidence showed that maintaining FVIII levels or VWF levels of >0.50 IU/mL for at least 3 consecutive days showed excellent hemostatic efficacy (as labeled by the researchers) after 74% to 100% of major surgeries. Low- to very-low-certainty evidence showed that prescribing tranexamic acid and increasing VWF levels to 0.50 IU/mL resulted in fewer bleeding complications after minor procedures compared with increasing VWF levels to 0.50 IU/mL alone. Given the low-quality evidence for guiding management decisions, a shared-decision model leading to individualized therapy plans will be important in patients with VWD who are undergoing surgical and invasive procedures

Sedative and analgesic effects of propofol�ketamine versus propofol�fentanyl for emergency department procedures

Background: To manage and reduce painful procedures in the emergency wards, procedural sedation as well as analgesia can be used. Propofol combinations are the most common short-acting intravenous sedative drugs in the field of emergency medicine. Objectives: This research aimed to compare the effectiveness, safety, and complications of intravenous infusion of ketofol with fentofol in painful emergency procedures. Methods: This study was a randomized, double-blind clinical trial. Sampling was simple and used random assignment; 196 participants were randomly assigned to two groups of 98 patients each. In each group, injection was done with fentanyl�propofol or ketamine�propofol. For data gathering, pre-procedure, and procedure, modified Aldrete�s scoring checklist was used. In order to determine the levels of sedation, we used the Ramsay Sedation Scale. Data analysis was performed via SPSS Version 20 using statistical tests such as mean ± standard division, t-test, chi-square test, and analysis of variance. Results: Among the participants in this study, shoulder procedure was performed more than other procedures (56.6). The mean of recovery time was significantly different in the two groups (ketofol: 5.65 ± 0.35 vs fentofol: 9.33 ± 0.78); the recovery time in group B (fentofol) was longer than that in group A (ketofol) (p = 0.001). Drug complications were statistically significant in the two groups, and complications by ketofol were less than those by fentofol (p = 0.001). �Hypotension and bradycardia� were observed with fentofol and �tachycardia� was observed with ketofol. The performance of these two drugs was not the same when subject to various procedures. Conclusion: Results of this study revealed that ketofol provided better analgesia and sedation, faster recovery time, lesser complications and adverse events, and reduced bradycardia and hypotension. © The Author(s) 2020

Correlation between Anger and Job Motivation among Psychiatric Nurses in Kashan Psychiatric Hospital

Abstract Aims: In general, nurses who work in department of psychiatric are in fact interacting with emotional disorders of patients once providing their care services. higher levels of job motivation and satisfaction can markedly foster service improvement. The aim of this study was to evaluate the correlation between anger and job motivation in nurses of a psychiatric hospital. Instrument & Methods: In this cross-sectional descriptive research in 2014, all 50 psychiatry nurses working at Kargarnejad Hospital of Kashan City, Iran, were entirely studied. A demographical questionnaire, the Anger Multiple Scale and the Job Motivation Scale were used for data gathering. Data were analyzed by SPSS 19 software using Pearson correlation coefficient. Findings: The mean score of anger was 3.01±0.36 and of job motivation was 1.70±0.86. There was a significant relationship between job motivation and the number of family members and conditions of employment of nurses (p=0.001). There was a significant inverse relationship between scores of anger and job motivation of psychiatry nurses of the hospital (r=-0.712; p=0.001). Conclusion: There is a relationship between anger and job motivation in nurses of Kashan Psychiatric hospital

The effect of orange essence aromatherapy on anxiety in school-age children with diabetes

This study aimed to determine the effect of orange essence aromatherapy on anxiety in school-age children with diabetes, as anxiety reduction would be expected to have a positive impact on health in this population. This clinical trial enrolled 60 children with diabetes, who were randomized to either the experimental or the control group (30 in each group). For the children in the experimental group, two drops of orange essence were poured on to a strip of gauze inside an open box, which was then held at a 5-cm distance from the child's nose. The children were then asked to breathe deeply for a span of 2 minutes. The control group received only routine care for diabetes. Data were collected using the Spielberger State-Trait Anxiety Inventoryand the Revised Children's Manifest Anxiety Scale. Data were analyzed using SPSS version 19 to perform descriptive and analytical statistical tests. No significant difference was observed between children's anxiety inthe experimental and control groups (P>.05) prior to the use of orange essence aromatherapy. After the therapeutic intervention, the anxiety of the experimental group significantly decreased compared to that before the intervention (P<.05). Orange aromatherapy, which is nonpharmacological and non-invasive, may be a useful complementary medical treatment for the management of anxiety in children with diabetes

Etrolizumab versus infliximab in the treatment of induction phase of ulcerative colitis: a systematic review and indirect comparison

OBJECTIVES: There is still a need to develop new effective medications for the treatment of ulcerative colitis, particularly for patients who are intolerant or resistant to first line therapies. This article compared the efficacy and safety of etrolizumab and infliximab in moderate to severe ulcerative colitis. METHODS: This meta-analysis was performed according to the PRISMA statement protocol. A systematic literature search of three major bibliographic databases (Scopus, PubMed, and Cochran) was performed until June 30, 2018. This review included studies that evaluated the efficacy of etrolizumab or infliximab in ulcerative colitis and were placebo controlled randomized trials. Pooled data from each treatment were indirectly compared using Bucher's method. RESULTS: Seven trials were sufficiently homogeneous to be used for indirect comparison of the induction phase of the treatment. There were no significant differences in clinical remission and serious adverse events between etrolizumab and infliximab. Moreover, adverse events of etrolizumab were significantly less than those of infliximab. However, further trials are required to compare other parameters of efficacy such as the clinical response and mucosal healing of etrolizumab with infliximab in anti-TNF alpha naïve patients