The effect of Self-care educational program on sexu al function and quality of life in patients with ischemic heart disease

Sexual activity is a multi-dimensional relationship, which affected by many factors such as psychological, individual and social factor. Sexual education in patients with ischemic heart disease can reduce many of the consequences of it. Therefore, this study was performed to investigate the effect of Self-care education program on sexual function and quality of life in patients with ischemic heart disease. This semi experimental study was performed on 60 patients with ischemic heart disease, in Holy vali asr hospital in Qom, Iran in 2017. Patients were divided into control and intervention groups by Randomize sampling. Self-care education was provided through CD. Data collection was done through using the “demographic and clinical data questionnaire”, “Seattle Angina questionnaire”, and “Arizona Sexual Experiences Scale”. Questionnaires were completed in both groups, Before and at least one month after education,. Data were analyzed using central indexes, mann-whitney test and Wilcoxon Test. The average age of intervention and control participants were 58.1±5.8 and 57.66±4.5, respectively. Quality of life and sexual function, before and after education, in the intervention group had a significant difference. But the quality of life and sexual function, before and after the education, in control groups were not significantly. The results show that sexual educational programs as film for cardiac patients can improve sexual function and quality of life of these patients. Therefore; it is recommended that nurses must pay attention to education concerning the sexual function and quality of life in patients with Ischemic heart

Mental Health and Job Burnout Among Pre-Hospital Emergency Care Personnel

Background: Work environment dictates physical, social and mental tensions each of which affect the staff’s health. Likewise, pre-hospital emergency care staff, due to the special nature of their job, are exposed to the tensions of emergency situations which can affect their health. Therefore, this study was conducted to scrutinize the relationship between the job burnout and mental health in pre-hospital emergencies of Qom Province. Materials and Methods: In this descriptive sectional study, 150 employed personnel of Qom 115 Emergency Care entered the study using census method. Data were gathered using questionnaires of “Background and Clinical Information”, “Mental Health”, and “Job Burnout”, and then based on central indices, Pearson correlation test and multiple linear regression statistical tests were run through software SPSS13 and then analyzed. Results: The average age of the participants was 30.8±5.8. The averages of the values of burnout and mental health were 69.43±12.4 and 60±14.1, respectively. According to Pearson correlation test, the values of the burnout and mental health have a significant negative correlation (r=-0.8). The results of multiple linear regression test showed that the correlation of the burnout and mental health considering the confounding variables is significant. (P=0.05) Conclusion: Pre-hospital employed personnel have desirable mental health and [low] burnout. Furthermore, improved mental health results in decreasing job burnout. Therefore, it is advisable to consider necessary facilities for caring for oneself

The Correlation between Spiritual Health and Pleasure in Students of Qom University of Medical Sciences (Iran)

Background and Objectives: Spiritual health is the newest dimension of health without which other dimensions of health cannot be optimally efficient. Pleasure is an extended state of mind that people experience as a positive or valuable need. It includes certain psychological states such as happiness, joy, ecstasy, and feeling of satisfaction. Our aim was to investigate the correlation between spiritual health and pleasure in students of Qom University of Medical Sciences (QUMS). Methods: In this study, 250 students of QUMS were randomly selected and then completed Snaith–Hamilton Pleasure Scale and Ellison and Paloutzian Spiritual Well-Being Scale if they provided informed consent to participate in the study. Data analysis was conducted by the SPSS version 16. Results: The scores on total Ellison and Paloutzian Spiritual Well-Being Scale and religious and spiritual well-being subscales were significantly associated with pleasure in students (p0.05). Conclusion: Spiritual health and its dimensions were significantly associated with pleasure among QUMS students such that pleasure and joy, pivotal factors for prevention of depression, and mental health increased in the students with increasing their spiritual health. &nbsp

Needs of Family with Hospitalized Infant in Neonatal Intensive Care Unit: A Comparison between Mothers’ and Nurses’ Viewpoint

Background and Objectives: Medical conditions required intensive care usually occur suddenly. Hospitalization of a family member in these wards is a stressful event for all members of family and causes new immediate needs. The purpose of this study was to investigate the needs of family members with a child hospitalized in the neonatal intensive care unit from the perspective of mothers and nurses working in these wards.   Methods: This descriptive analytical study was conducted in 2017. A total of 24 NICU nurses of Hazrate Masoume hospital, were studied using census method and 38 mothers that had a hospitalized child were studied by random method. In this study, 42-item version of Critical Care Family Needs Inventory (CCFNI) was used to assess the family needs. The data were analyzed using descriptive statistical tests and independent t-test.   Results: From the mothers’ point of view (97.6 percent) most of the needs on the CCFNI were rated as very important (mean > 3) and from the nurses' viewpoint, 59.5% of the family's needs were very important. The mean score of the importance degrees of importance of total needs among NICU nurses, were lower than mothers, and the difference was statistically significant (p < 0.05).   Conclusion: The findings of this research revealed that family members, specially mothers have specific identifiable needs. The gap between mothers’ and nurses’ viewpoints on family needs is significant and this finding could provide proper insight in nurses working in NICUs to meet the family need

Investigating the Effect of Training With the Method of Simulation on the Knowledge and Performance of Nursing Students in the Pre-Hospital Triage

Background: Triage is the key for success in management of large numbers of injured and limited resources, and without preparedness of nurses to would seem an impossible task. This study has been conducted with the aim of determining the effect of training through the method of simulation on the knowledge and performance of nursing students in carrying out the pre-hospital triage. Materials and Methods: This semi-experimental study was conducted on 70 students of nursing who were selected based on the study inclusion criteria and through the randomized sampling method. The researcher tools included &ldquo;triage test having 10 questions of four options each and practical test including examining the correct performance of triage based on START criteria by using 10 designed simulated mockup models and based on the injury received by the victim and the level of injury&rdquo;. The validity of the test was verified through the formal and content validity method, and the reliability of the knowledge questionnaire based on the Cronbach-Alpha Coefficient was obtained to be equal to 0.87. After examining the level of knowledge on triage before training, the triage training workshop was held in two sessions of two hours each and through the simulation method, and again the scientific test and practical test were performed. For data analysis, the paired t-test and independent t-test were used, and the Kolmogorov Smirnov test was used to examine data normality. Data were analyzed using SPSS software-version 16. Results: The results of statistical analysis showed that the level of students knowledge significantly increased from 4.6&plusmn;1.94 before training to 7.40&plusmn;1.35 after training. Their performance significantly increased from 4.90&plusmn;1.6 to 8.30&plusmn;1.5. Conclusion: The results of the study showed that training with the simulation method on mockup model was effective on the preparedness of nurses for triage when accidents and emergencies occur. It was also found that training improves their preparedness in this regard. It is recommended that for better preparedness of nurses in triage in case of accidents and medical emergencies, this training method should be used

Epidemiology of Road Accident Death in Qom Province, 2014 (Iran)

Background and Objectives: Every year a large number of our countrymen lose their lives due to traffic accidents. Traffic accidents lead to considerable social and economic burden, and in case of serious neglect, it may be turned into a national disaster. This study was carried out to investigate the epidemiology of road accident deaths in Qom Province. &nbsp; Methods: This cross-sectional study was performed to investigate the road driving accident deaths in Qom Privince in the first 5 months of 2014 (March 21 to July 23 using the data provided by the Legal Medicine Organization. Data were analyzed by Chi square test (for comparison of differences in number of deaths in terms of gender and age). &nbsp; Results: The total number of deaths was reported 80 individuals in the first 5 months of 2014. The highest statistics of death was related to the Qom&ndash;Aveh road with 11 deaths, and 29 deaths were due to vehicle rollover. Most of the victims (17 cases), were in the age group of 0-10 years, followed by 21-30 and 31-40 age groups, each with 15 cases; 59 deceased individuals were male, and 28 individuals had primary education level, while this rate was two cases in individuals with bachelor's degree. Forty-one deceased individuals, were drivers. Fifty-seven subjects died at the scene of the accident. Multiple fractures and head trauma, were the most common cause of death with 38 and 36 subjects, respectively. Seventy deaths were related to the main roads and 17 deaths occurred on Thursday. &nbsp; Conclusion: Due to high incidence of traffic accidents and death cases, there is a need for comprehensive programming by responsible organizations, such as traffic center, relief and rescue systems, and cultural institutions to deal with this phenomenon. &nbsp;Therefore, investigation of death causes and comparison of its mechanism can lead to good results. &nbsp; &nbsp; &nbsp

The Tendency to Leave Nursing Profession and Some Related Factors at the Therapeutic and Educational Centers of Qom City, (Iran)

Background and Objectives: The tendency to leave nursing profession can exacerbate the shortage of nursing workforce and ultimately will have negative effects on the quality of health care provision. The aim of this study was to determine the tendency to leave nursing profession at the therapeutic and educational centers of Qom city.   Methods: This cross-sectional study was carried out on nurses working in therapeutic and educational centers affiliated to Qom University of Medical Sciences. After preparation of the list of nurses, 207 nurses were selected by simple random sampling method from 6 therapeutic and educational centers. First, the participants completed the demographic information questionnaire, then, the tendency to leave nursing profession was assessed as one question. Descriptive statistical indexes and multivariate logistic regression were used for data analysis.   Results: The tendency to leave nursing profession among the participants was 54.6%. The rate of tendency to leave nursing profession among male nurses was 2.5 times higher than that of females (OR: 2.55, 95% CI: 1.03-6.31). Moreover, multivariate logistic regression analysis indicated that working in the fix morning shift in internal-surgical ward, having less than 10 years of work experience, and having overtime significantly increases the tendency to leave nursing profession.   Conclusion: Based on the findings of the present study, tendency to leave nursing profession in therapeutic and educational centers of Qom city is significant; therefore, given the variables affecting the increase of this phenomenon among nurses, a comprehensive program should be designed to improve this variable and its consequences

A collection of the novel coronavirus (COVID-19) detection assays, issues, and challenges

The global pandemic of COVID-19 has rapidly increased the number of infected cases as well as asymptomatic individuals in many, if not all the societies around the world. This issue increases the demand for accurate and rapid detection of SARS-CoV-2. While accurate and rapid detection is critical for diagnosing SARS-CoV-2, the appropriate course of treatment must be chosen to help patients and prevent its further spread. Testing platform accuracy with high sensitivity and specificity for SARS-CoV-2 is equally important for clinical, regional, and global arenas to mitigate secondary transmission rounds. The objective of this article is to compare the current detection technology and introduce the most accurate and rapid ones that are suitable for pandemic circumstances. Hence, the importance of rapid detection in societies is discussed initially. Following this, the current technology for rapid detection of SARS-CoV-2 is explained and classified into three different categories: nucleic acid-based, protein-based, and point of care (PoC) detection testing. Then, the current issues for diagnostic procedures in laboratories are discussed. Finally, the role of new technologies in countering COVID-19 is also introduced to assist researchers in the development of accurate and timely detection of coronaviruses. As coronavirus continues to affect human lives in a detrimental manner, the development of rapid and accurate virus detection methods could promote COVID-19 diagnosis accessible to both individuals and the mass population at patient care. In this regard, rRT-PCR and multiplex RT-PCR detection techniques hold promise