TELLINGTON TOUCH EFFECT ON FASTING BLOOD SUGAR LEVEL IN TYPE 2 DIABETIC PATIENTS

Introduction and Goal: today, one way of treating type 2 diabetic patients is complementary or alternative therapy aside the common medical therapies. Massage therapy is one of the most useful complementary or alternative therapies and it is known as one of the nursing special techniques. A high percent of type 2 diabetic patients uses complementary or alternative therapy. The purpose of the current study was to examine the impact of tellington touch on fastingblood sugar level of type 2 diabetic patients. Materials and Methods: This is a quasi-experimental study with two groups, two steps [before and after] plan. Sample of this research comprise 70 type 2 diabetic patients who refers to endocrinology and metabolism research center of Shiraz University of medical sciences that had criteria for entering the study. Samples were randomly assigned to control and experimental groups. Data were analyzed using statistical SPSS software and statistical tests such as [mean and standard deviation], Independent-T and paired T test. Results: Results showed that the level of fastingblood sugar of type 2 diabetic patients had reduced meaningfully in the massage group after the intervention than before it [p 0.05]. Conclusion: Results showed that massage had a positive effect on decreasing of the level of fastingblood sugar of type 2 diabetic patients; so, we can recommend this method as a complementary or alternative therapy aside the routine medical therapies in order to reduce the level of fastingblood sugar of type 2 diabetic patients. Key words: tellington touch, fastingblood sugar, type 2 diabete

ASSESSMENT OF THE EFFICACY OF PROPRANOLOL AND DILTIAZEM ON THE INTENSITY, DURATION AND PERIODS OF PAIN IN THE ANGINA PATIENTS REFERRED TO THE HEART CLINIC OF THE SHAHREKORED UNIVERSITY OF MEDICAL SCIENCES

ASSESSMENT OF THE EFFICACY OF PROPRANOLOL AND DILTIAZEM ON THE INTENSITY, DURATION AND PERIODS OF PAIN IN THE ANGINA PATIENTS REFERRED TO THE HEART CLINIC OF THE SHAHREKORED UNIVERSITY OF MEDICAL SCIENCES KHaledi A1, Elahei N2,Moradi M3, Salehi SH4* Received: 7 Sep , 2013 Accepted: 16 Nov , 2013 Abstract Background & Aims: Ischemic heart disease is one of the most common, chronic and deadly diseases in the world. Ischemic heart disease treatment consists of ensuring the patient, its identification, eliminating risk factors, lifestyle changes and drug therapy. The study tries to compare the efficacy of propranolol and diltiazem on the intensity, duration and periods of pain in the angina patients referred to the heart clinic of Shahrekored University of Medical Sciences. Materials & Methods: In a cross sectional study 60 patients with stable angina were selected with convenience sampling. Initially after receiving exercise testing, and completing the questionnaire to determine angina class, the patients were randomly divided into A and B groups by using the questionnaire and related chart recording of physiological variables. Demographic characteristics, types of drugs, the number of angina attacks and the results of the stress test were registered. The patients were treated with 20 mg propranolol every 8 hours daily, and with 30 mg diltiazem for 6 weeks, and they were considered as Group A, and Group B respectively. The patients were examined by a cardiologist for 6 weeks. Inclusion criteria to the survey were typical angina pain, positive exercise test, patient satisfaction, and dwelling in the provincial capital. Exclusion criteria were negative exercise test, treated with cardiac drugs, drug complications, diabetes, severe ischemic attacks, and cutting off medication. Hospitalization data were recorded by a questionnaire, and the collected papers were analyzed by using SPSS statistical software. Results: The results showed that from the 60 stable angina patients in both groups of A, and B, 68.3 % were male, and 31.7 % were females. The most abundant minor pain, was angina pain, with 50% , and the least pain, was terrified angina pain with 10%. The most abundant Angina class was class 2 with 80%, and lowest was class 3 with 8.3%. There was a significant differences between the two groups of treatment concerning the drug’s effectiveness, number of attacks of pain, and the effect of pain. Fisher's exact test indicated that there was a significant difference between negative exercise test in the two groups. Conclusion: Although both Ayndral and diltiazem had an effective role on the quality of pain, number of attacks, period of pain in patients with stable angina, but this effect was more effective in diltiazem group. More investigations with bigger sample size are needed

Nurses' and Physicians' Experiences of the Pattern of their Professional Relationship with Each Other: A Phenomenological Study

Introduction: Given the common work scope of nurses and physicians, and the complementarity of the two professions, professional communication is inevitable. Effective communication between physicians and nurses is shown to enhance patient care and increase professional successfully and satisfaction. This study aimed to assess nurses' and physicians' experiences of the pattern of their professional relationship with each other. Method: This was a qualitative research using phenomenological method. 15 semi-structured interviews were carried out with 8 nurses and 7 physicians. They described their experiences related to professional communication. The interviews were recorded and transcribed and the data were then analyzed using Colaizzi analysis method. Results: 317 codes, 4 themes, and 19 subthemes which influenced the nurse-physician relationship were emerged from data analysis. One of the main themes was perception of the relationship pattern. Professional relationships between physicians and nurses were described based on this theme. Conclusion: Based on the experience lived by nurses and physicians, to understand the professional relationship, perception of the relationship pattern should be known. It is an exponential relationship that improves the quality of patient care and nurses' and physicians' job satisfaction. Nurse-physician professional relationship improves via cooperation, interaction, and dealing, and threatens by authoritarian and relationship, lack of cooperation and interaction, and scapegoating. Keywords: Professional practice, Nurses, Physicians, Qualitative researc

Iranian Nursing Instructors’ Perceived Experiences of Challenges of Effective Education: A Qualitative Content Analysis

Introduction: Any shortcoming and deficiency in training has direct impacts on clinical knowledge and skills of nurses. Such impacts will eventually affect community health. The purpose of the present study was to explore nursing instructors’ perceptions about challenges of effective education in Iranian nursing. Method: A qualitative content analysis approach in-depth Semi-structured interviews and purposeful sampling were conducted in 2011 with 15 participants to better understand their perceptions of the effectiveness education In Ahvaz and Tehran University of Medical Sciences. Results: The data analysis resulted in three main themes achieved: ‘Non-care-centered education, inadequate technical competence ‘Evaluation not conducted, were considered as important challenges of in effectiveness education in Iranian nursing. Conclusion: The findings can be helpful for international nurse instructors and educational planners to be exposed to the unheard perspectives of nursing faculties and reconsider the weakness of effective education in nursing planning and evaluation process conducted by them. We suggested that educational goals in nursing are designed base on “care”. If the weaknesses have improved, it can lead to achieve technical competency of nurses and community health will promote. Keywords: Effectiveness education, Qualitative content analysis, Nursing instructor\'s experiences, Educational base car

The Effectiveness of Nursing Interventions Based on King’s Theory: A Systematic Review

AbstractIntroduction: King’s Conceptual Model and Goal Attainment Theory can applicate as an effective framework in all fields of nursing such practice, education, management and research. The purpose of this study was to evaluate effectiveness of nursing interventions based King's theory.Methods: In this systematic review, the databases as Scopus, Web of Sciences, Pub Med and search engine of Google Scholar have been searched. Then the review has been done in terms of the study criteria, and merely 10 articles have met the criteria.Results: Our findings indicate, the common form of theory that has been applied in articles was goal attainment theory, except in one case. In 40% of the articles, the theory was used in educational fields and 60% were related to the clinical area.Conclusions: According to this systematic review, King's Conceptual System and Theory of Goal Attainment has the potential to give an effective approach for nursing practice and it is recommended that this framework can be used in different clinical situations to attract the patients to better compliance, leading to an improvement in quality of life and reduce complications in patients

IMPACT OF NURSES' PERFORMANCE EVALUATION BY THE COMPILATION METHOD ON THEIR JOB SATISFACTION: RESULTS OF A PILOT STUDY

Introduction: performance evaluation is as one of the principal tasks of managers to achieve organizational goals and promote the quality of services. It can have an impact on job satisfaction. This study aimed to determine the impact of performance evaluation by compilation method on nurses’ job satisfaction. Methods: forty eight nurses working in hospitals in Ramhormoz were enrolled with census. In the first phase, their job satisfaction was measured using JDI questionnaire. Then, before the intervention, samples were taught about the new way of compilation performance evaluating was made by researcher during a workshop session, then using the compilation evaluation form, their evaluation was for two months. At the end of the evaluation and feedback to subjects, again their job satisfaction were measured and job satisfaction scores after the intervention than before the intervention were compared and evaluated. Data were analyzed using the software SPSS-22. Results: The results of this study showed that the performance evaluation scores of subjects after intervention [researcher made compilation performance evaluation] compared to pre-intervention three dimensions work, colleagues and supervisors of JDI job satisfaction separately and as a whole increased and there are significant differences meaningful. The results showed that there are significant difference in the scores of size [P <0/001], supervisor [P <0/001], college [P = 0/002] and job satisfaction [P <0/001]. Conclusions: Using new evaluation methods for nurses according to the clinical situation not only will increase the job satisfaction but also will improve the quality of patient care. Its application for Nursing Management Changes in the traditional evaluation systems and using new nurses’ evaluation methods and involving all in the evaluation can increase the level of the quality of care services. The implementation of this new method promotes the sense of confidence and job satisfaction. Keywords: performance evaluation, nurse, job satisfaction

How Do the Nurses Cope with Job Stress? A Study with Grounded Theory Approach

Introduction: Due to the adverse effects of job stress on health of nurses and the importance of coping process of nurses in management of job stress, the present study was carried out with the aim of exploring the experiences of the nurses in order to reveal the original coping process of the nurses in the case of encountering occupational stress. Methods: This qualitative study was conducted with grounded theory approach. Research participants were 15 clinical nurses and four directors of nursing. Sampling method of study were purposive and theoretical sampling. Data collection done with unstructured interviews and field notes and continued until data saturation. Data analysis was performed using the Strauss and Corbin 1998 constant comparative method. Results: The results of the analysis led to four axial concepts: "feeling stress at nursing work", "situational coping", "and the effect of personal and environmental factors in coping with job stress" and "Grey outcome of coping". The core variable in the nurse’s process of coping with job stress was "comprehensive effort to calm stressed condition". Conclusion: Explaining the basic and original psychosocial process of nurses to cope with job stress, revealed context-based nature of the coping processes that nurses adopt, which that can help in taking appropriate measures to lighten up the grey consequences of coping of nurses

Exploration of the Quality of Life in Iranian Morbid Obese People: A Qualitative Study

Background: Morbid obesity (body mass index≥40 kg/m2 or >35 kg/m2 with co-morbidity) is an important factor in reducing the quality of life which is influenced by the characteristics of the individual, his social, cultural, and environmental conditions; also, each disease has unique effects on it. Although most of the studies have been conducted on obesity (25>BMI>40), how to prevent it and improve life quality, there is lack of knowledge about what morbid obese people really experience about their life quality. Thus, this qualitative study aimed to explore the viewpoints of morbid obese people about life quality. Methods: In this conventional content analysis, data were collected using semi-structured interviews with 20 morbid obese patients who were referred to nutrition and obesity clinics of Shiraz and Ahvaz Jundishapur University of Medical Sciences. Purposeful sampling was processed from May 2016 to January 2017. The sampling continued until data saturation. Each interview was recorded by audio recorder and typed in the MAXQDA10 software. Data were analyzed after each interview. The meaning units were encoded and the codes were categorized. This trend continued until the main and sub-categories emerged. Results: Data analysis indicated 1835 codes, 76 sub-subcategories, 26 subcategories and 6 main categories including physical changes, psychological experiences, socio-personal dysfunction, negative body image, financial pressure, and change in the spirituality. Conclusion: Final results indicated that life quality had a special definition in morbid obesity and includes very different dimensions. This study can promote health care providers’ knowledge (nurses) for supporting obese people and improving their quality of life by community-based care approaches