Evaluation of effectiveness Benson’s relaxation method on anxiety level of patients undergoing heart surgery

اضطراب دارای سابقه ای به قدمت حیات انسان است. عمل جراحی، بخصوص جراحی قلب، نوعی تهدید سلامتی است. بیماران کاندید جراحی قلب مستعد نگرانی و اضطراب می باشند، لذا تامین سلامتی و کاهش اضطراب آنان امری واجب و ضروری است. پژوهش حاضر یک کارآزمایی بالینی است که بر روی 105 نفر (در دو گروه آزمون و شاهد) از بیماران کاندید جراحی قلب و به منظور بررسی تاثیر آرامسازی بر میزان اضطراب بیماران تحت عمل جراحی قلب بستری در بیمارستان قلب شهید رجایی تهران انجام گرفته است. ابزار گردآوری اطلاعات شامل پرسشنامه، اسفیگمومانومتر، استتوسکوپ و ترمومتر بود. جهت تجزیه و تحلیل اطلاعات از آمار توصیفی (فراوانی مطلق و نسبی) و آمار استنباطی (آزمون آماری X² و T-test) استفاده گردید. نتایج تحقیق نشان داد با بکارگیری آرامسازی، میزان اضطراب آشکار و پنهان واحدهای پژوهش در گروه آزمون کاهش معنی داری یافت درحالی که میزان اضطراب آشکار واحدهای پژوهش در گروه شاهد در روز قبل از عمل نسبت به بدو پذیرش افزایش قابل توجهی داشته است. همچنین با بکارگیری آرامسازی در گروه آزمایش مقادیر علایم حیاتی بیماران شامل فشار خون سیستولیک، فشار خون دیاستولیک، نبض، تعداد تنفس و درجه حرارت در روز قبل از عمل نسبت به بدو پذیرش به طور معنی داری کاهش یافت درحالی که در گروه شاهد این مقادیر شامل فشار خون سیستولیک، فشار خون دیاستولیک، نبض، تعداد تنفس و درجه حرارت در روز قبل از عمل نسبت به بدو پذیرش افزایش معنی داری داشته است. همچنین باتوجه به نتایج حاصل از این پژوهش با بکارگیری آرامسازی در گروه آزمون پس از عمل میزان داروی ضد درد کمتری مصرف شده است و تعداد بیمارانی که در این گروه از داروی ضد درد استفاده کرده اند، نسبت به گروه شاهد کمتر بوده است. با عنایت به نتایج حاصله، اهمیت نقش پرستاران در کاستن اضطراب در بیماران تحت عمل جراحی قلب با بکارگیری تدابیر مختلف مشخص می گردد

The Study of Nursing Personnel, s Workload Caused by Patient Transferring

Background and aims: One of the nursing staff’s responsibilities is patient transferring. The disproportionate burden imposed on the person according to his ability is the most important causes of occupational accidents and injuries. This study was aimed to evaluate nurses' workload caused by patient transferring in khatam ol anbiya hospital (s) in Tehran. Methods: This was a descriptive- analytic study. Its research community is all Khatam (s) nursing staff 260 of which were selected using convenience sampling and Morgan table. Using patient transfer assessment index (PTAI), the staff’s scores were calculated in terms of transfer and finally the data were analyzed using descriptive statistics (average and standard deviation), inferential statistics (Pearson correlation coefficient, Anova) and SPSS. Results: The people involved in the study had the average age (35.40±6.65yrs), work experience (11.36±5.71yrs), hight (1.73±5.79m) and weight (73.82±8.72kg), and body mass index (24.57±2.4). Statistical test results showed that none of the participants uses relocation equipment when transferring patients and based on PTAI, workload at danger level equaled to 0% at level 1, 8.07% at level 2, and 91.93% at level 3. Besides, nurse and nurse aid’s average PTAI score was equal to (32.83±17.14) and (42.25±12.46), respectively, which was significantly related to workload (P=0.001). Conclusion: The results showed that the workload caused by patient transferring in nursing personnel is at a high risk. Thus, it is recommended to teach proper ergonomics principles and to use transfer equipment (non-mechanical and mechanical) in order to reduce the workload caused by patient transferring

The Impact of Signs and Symptoms on the Quality of Life in Patients with Rheumatoid Arthritis Referred to the Hospitals of Tehran University of Medical Sciences in Year 2005

<p><strong>Background and objectives</strong></p><p>Rheumatoid arthritis is one of the most common chronic diseases of unknown cause leading to significant disabilities especially in the adult patients. The physical signs and symptoms of this chronic disease can considerably affect the patients’ quality of life.</p><p><strong>Methods</strong></p><p>In this relationship survey, 190 randomly selected patients with rheumatoid arthritis. The data were collected through self-reports, interview and observation by questionnaire, and using the pain and fatigue severity scales, which consisted of eight items. Statistical analyses using descriptive and inferential methods were performed by SPSS software (version 11.5).</p><p><strong>Results</strong></p><p>The results showed that the quality of life was high to moderate in half of the subjects (%50) and low in the other 50%. The status of physical dimensions, socio-economic, mental, sleep and rest, and general health was high to moderate in 50% and low in the other 50% of patients. The intensities of pain, fatigue, anxiety, and depression were severe in most cases, but the disability in mobility was mild. There was a significant relationship between intensity of pain, intensity of fatigue, disability in mobility, intensity of anxiety, intensity of depression and the quality of life.</p><p><strong>Conclusion</strong></p><p>The results showed that the quality of life in half of the subjects (50%) was low. There was a significant relationship between pain, fatigue, disability in mobility, anxiety and depression and the quality of life.</p&gt

Investigation Quality of Self Care in Patients Members of Families Which Have Simplex and Multiplex Hepatitis B

Background & Aim: Family history of one member suffering from hepatitis B of family is one of the most important ways of illness transmission in Iran. Thus attention to quality of self care of patients of hepatitis B family has vital role in prevention and control in family and society. Methods & Materials: This research is descriptive study. Samples of this research included 250 patients which 160 persons belonged to simplex hepatitis B families and 90 persons belonged to multiplex hepatitis B families. Patients refer to the center of blood transfusion organization from all of area of Gillan province. In this study data has collected by patens’ questionnaire include: demographic qualifications that were designed in two parts 1- individual qualifications and illness qualifications and questions were about quality self care of drug regimen meal regimen, addictions, precautions standard, fallow up disease and diagnostic quality self care in these groups has been analyzed in SPSS statistical soft ware by statistical tests such as &#61539;2 test and fisher test. (p<0.005). Results: Our results show that (%64) patients of simplex family and (85.6%) patients of family multiplex have not suitable quality self care. In response to hypothesises (there is relationship between quality of self care of patiens members in family and increasing of HBSAg cases) findings show that exists meaningful relation between self care about hepatitis B and increasing cases HBSAg in families (p<0.05). Discussion: Regarding to dimensions of quality selfcare about hepatitis B disease has important role in preventing from increasing cases HBSAg in families. Particularly regarding to results of research which indicate unsuitable quality self care of patients about drug regime “diet or therapy” “addictions” follow up disease. Therefore in order to control the hepatitis B in family according to the results of this study it is suggested further efforts should be down. The results of this study can be used for other patients infectious such as hepatitis c and Aids

The Survey of Educational Facilities and Present the Kinds of Program Staff Development of Nursing Staff in Hospitals of University of Medical Sciences & Health Services in Tehran

This study is a descriptive research in order to determine educational facilities and present the kinds of program staff development of nursing office in hospitals of university of medical sciences and health services in Tehran, IRAN. The purpose of this research was determinated of the educational space (clossroom, library, Lecture and conference room), educational equipment, educational staff patterns, kinds of nursing staff development program and comparing between educational facilities and present the kinds of nursing development program of nursing office in three medical science university in Tehran. The units that participated in this research was 41 educational facilities and kinds of nursing staff development program of nursing office in three medical science university in Tehran (Tehran, Iran and shahid Beheshti) and no samphing was made. The tools was check list and Questionnarie. Each variable compared with educational standards of hospitals. (Standard 1100% excellent, desire was above 75% and undesired was under 75% and each 100 active bed haveing one educational supervisor)."nThe finding indicated that scale confirmity with standard about educational space in three university was 50% (undesirable) and about educational equipment was 56% (undesirable) and about educational staffing pattern was 79% (desirable) and present kinds of nursing staff development was 56.5% (undesirable). The finding indicated that university medical of science Iran 66.5%, Shahid Beheshti 59.76% and Tehran 55.3% Scale confirmity with stundards have prossess

Internal evaluation in Faculty of Nursing and Midwifery, Tehran University of Medical Sciences

Introduction: Evaluation is a systematic process for collecting, analyzing and interpretation of the obtained information for the purpose of investigating how much the objectives in mind can be achieved. Education in an academic educational system means bringing about proper and increasing changes that affect the outcome of this system, that is affecting the students, and the aim of such evaluation was promotion of the quality of an education process. Materials and Methods: In this study faculty of nursing and midwifery, Tehran University of Medical Sciences, benefiting from opinion poll of university lectures, student and graduates have evaluated their system of educational in the year 2004 and their aim was to remodel and adjust educational system with the society’s needs and promotion of the quality of such education’s. The employed method was cross sectional and descriptive and analytical on the basis of 10 procedural steps and with in 8 sections dealing with evaluated factors. Such as faculty board members, management and organizational capability, students, manpower and logistic affairs, educational environments research work centers, health and therapeutic sections, educational equipment, research equipment, laboratory and diagnosis centers, educational courses and programs, teaching and learning process as well as satisfaction expressed by students. Results: the results of the research showed that general average of 8 investigating sections, based on SWOTs model were respectively 80.4% (nursing department), 81.5% (Midwifery department) and 82.1% (Ph.D nursing) that may well be interpreted as a desirable research work. Conclusion: Educational evaluation is the best indicator showing how much we should go to achieve certain aims, analyzes quality of the activity if such a system and by which we achieve logical and routine results

Assessment of educational needs of patients and their families after coronary artery bypass graft (CABG) surgery at discharge and one month later

Introduction:It is necessary to give the essential educations to the patients and their families during hospitalization and after discharge. We conducted this study with objective of determining educational needs of patients undergoing CABG and their families at discharge and one month later. Materials and Methods: This research is a survey study. 60 patients and 60 members of their family who were selected by simple randomization. Data were collected by questionnaire. The questionnaire was prepared in two parts; questions about disease and demographic characteristics and specific educational needs about wound care, activity and rest, drugs, nutrition and other needs of patients and their family. The data were collected in two stages: at discharge and one month later and analyzed with SPSS software. Descriptive and inferential statistical methods (t test, &amp;#61539; test and variance analysis) were used to analyze the data. Results: At discharge, most of the patients and their families had respectively moderate and high levels of educational needs. Both groups had moderate educational needs about rest and activity, drugs use (general educational needs), nutrition and other needs. Patients have low but their families have high educational needs about drugs use (special educational needs). At one month after discharge, most of the patients and their families had moderate educational needs in all of the mentioned categories. The t statistical test didn’t show significant correlation between educational needs at discharge and one month later in patients and families. The &amp;#61539; test showed significant differences between educational needs of the patients and their families (p=0.036) at discharge but didn’t show such a difference one month after discharge (p= 0.558). Results showed a significant relationship between educational needs and level of education. Conclusion: Since most educational needs of the patients and their families concern the uses of drugs and wound care, and also most patients were unable to count their pulse, we suggest nurses pay more attention to these problems and give the essential training to the patients and their families

Evaluation of the Quality of Life in newly Recognized Cancer Patients

Background &amp;amp; Objective: The chronic diseases such as cancer could seriously affect health and consequently quality of life of individuals. The purpose of this study is to evaluate the quality of life in the patients who have been recently diagnosed with caner.&quot;nMethods &amp;amp; Materials: This research is a descriptive - analytical study aims to determine quality of life in newly diagnosed cancer patients in selected oncology clinics of Tehran University of Medical Sciences. In this research, 196 newly diagnosed cancer patients were selected by simple sampling method and based on aim. The data were collected by a questionnaire including demographic data, disease characteristic and questions about quality of life in physical, physiological and socioeconomic aspects. The socioeconomic questionnaire presented to the patients after his/ her permission and giving necessary descriptions to him/ her about the objectives of the research. The questions were read for illiterate patients by researcher. The SPSS program was used for data analysis. Descriptive statistics such as absolute/ relative and average sufficiency and deductive statistics such as 2 test were used as well.&quot;nResults: The research results show that the quality of life in physical aspect is desirable in majority (67/9%) of patients. The quality of life in physiological aspect is desirable in majority (63.3%) of patients and as well the quality of life in socioeconomic aspect is desirable in majority (76.5%) of patients. The research conclusion shows that there is a meaningful relationship between number of children and economic status (P&amp;lt;0.001) and quality of life in physical aspect. There is a meaningful relationship between economic status with quality of life in psychological aspect and with quality of life in socioeconomic aspect (P&amp;lt;0.05). There is a meaningful relationship between type of cancer, disease stage at the time of diagnosis (P&amp;lt;0.001), and quality of life in physical aspect. There is a meaningful relationship between disease stage (P=0.002), and quality of life in psychological aspect and quality of life in socioeconomic aspect (P&amp;lt;0.05).&quot;nConclusion: The research result shows that the quality of life in physical, psychological and socioeconomic aspects is desirable in the society. Thus the nurses can play an important role in increasing the quality of life of such patients

Coping with stress

Introduction: Stress is a complex and physiologic phenomenon that sometimes can be a source of problem. If an individual could not cope with stress, it would be a threat to physical and psychological health. Inclination to cope with stress is a positive way which helps one to improve his/her health. Materials and Methods: This research is a quasi-experimental study with the aim of determining the effect of education of methods of coping with stress on rate of stress among women working at Tehran University of Medical Sciences. After primary study, 138 cases were chosen through census sampling. The collection tool was Chaudron stress scale. The statistical tests included t test and &amp;#61539;2. Data were analyzed by SPSS software. Result: The result showed that there was no significant difference between level of stress before and after education in domains of job stress (p=0.22), life health stress (p=0.53), personal life stress (p=0.44) and personality stress (p=0.1). Also the statistical result of X2 did not show significant correlation between variables such as type of school, age, duration of work, marital status, number of children, educational level and housing condition with job stress. Conclusion: The result showed that work environment is an important source of stress for working women. It could have undesirable effects on physical and emotional health of women. It seems that short term education can not decrease the stress of women; therefore it is necessary to organize different long-term education programs, consultation and other strategies to reduce stress