[Performance of the operating room personnel in following of the standards of infection control in the educational hospitals of Yasuj university of medical sciences in 2009]

Surgical wound infection is one of the common nosocomial infections. During operation, members of the surgical team which are in contact with the tissue incision should observe the standards of infection control in the operating room since it has a great role in prevention and control of these infections. The present study aimed to determine the performance of the operating room personnel in observing the standards of infection control in educational hospitals of Yasuj University of Medical Sciences in 2009. Forty two operating room personnel participated in this cross-sectional analytic-descriptive study. A check list was used for unnoticeably collecting the data about the performance of personnel in respect of infection control standards at three different times. Their performances were classified into four levels [very weak, weak, moderate and good] and the results were shown as absolute and relative frequency distribution. Data were analyzed using Chi-square and Fischer exact test by the SPSS software. Performance of personnel in following the standards of infection control in this study was moderate. The results indicate that the participants of the study do not follow some of the standards of infection control in the operating rooms. Therefore, further activities of the committees of infection control and using of new antiseptic for surgical scrub are recommended

Pre-induction sedation with intranasal midazolam in children

Surgical procedures are one of the most stressful experiences in life, especially in children, and different methods are used preoperatively to decreasing this stress. Intranasal midazolam is an effective method for preparing the children before operation and prevents separation irritability. Sixty patients aged 2-6 years that have elective surgery for the first time were chosen randomly. Subjects were randomly allocated into two groups. For the patients in group 1, intranasal midazolam [0.2 mg/kg] and for the patients in group 2, the equal volume of normal saline 0.04ml/kg was administered intranasally. Patients' cries, irritability, hand moving during IV canulla insertion, consciousness before anesthesia and cooperation during face mask ventilation were evaluated. In group 1, 93.3% of children did not cry or cried mildly when separated from parents, 90% of children in group 2 cried moderately or severely [P<0.05]. Ninety percent of patients in group 1 cooperated well, but resistance was moderate or severe in group 2 [76.6%] [P<0.05]. Before anesthesia 73.4% of patients in group 1 were asleep, but woke up with stimulation. In contrast, 63.3% of patients in group 2 were awake and 30% of patients were irritable [P<0.05]. Ninety percent of patients in group 1 moved their hands slightly during IV canulla insertion but hand moving was exaggerated in 83.3% of patients in group 2 [P<0.05]. All patients in group 1 cooperated well during face mask ventilation but 76.6% of patients in group 2 refused it [P<0.05]. The results of the present study suggested that intranasal midazolam was an effective drug for pre-induction sedation in children

study of nursing students attitudes towards patients training

Patient training has many benefits and positive results such as: decreasing health cares expenses, increasing their quality and helping patient to gain independency and self-sufficiency. This study is done to determine the importance of patients training from nursing student's point of view. This is a cross-sectional and descriptive study in which 50 nursing students [3[rd] and 4[th] year] from Yasouj nursing and midwifery college participated. The instrument of data collection was a questionnaire consisting of three parts: [the importance of patient training, the most important causes of preventing and facilitating of performing patient training]. The questionnaire validity and reliability was determined using content validity and test-retest respectively. Data were analyzed using SPSS software and descriptive statistical indexes. Results indicated that, 48 students [96.0%] were absolutely agree with patient training, 46 persons [92.0%] with effective communication of nurse with patient in relation with training acceptance by patient and 45 students [90.0%] were agree with using different training methods. 45 of them [90.0%] believed that, educational level and culairal background of patients and their accompanies influence in their learning. The most important preventive and facilitative training factor based on students attitude includes; patient's lack of physical and psychological readiness during training [94.0%] and trainer's interest and motive [98.0%]. Considering the research results based on recognition of the preventive and facilitative training factors, performing nursing process at internship period based on patient training, using different educational methods for readiness and attracting patient's confidence for training, executing training programs while servicing and appointing sufficient personnel are necessary

Relation between school's stressor factors and physical-psychological complaints in high school students of Yasouj City, 2003-2004

Human being is usually facing a series of stressor factors in each step of his life. Specially in case of students whom stimulation will be arise in reaction with school's environment in order to prepare them to promote their psychological hygiene or psychological and behavioral disorders. In this respect, the present study was done in order to determine the school's stressor factors and their relation with student's physical complaints which was also measured according to age, sex, last year's average, etc variables. This is a correlation type of study in which 340 students [girls and boys] from pre-university level of Yasouj city with simple way based on objective were selected. The tools of data collection is a three section questionnaire consisting of information regarding personal characteristics, questions about stressors factors of the school [34 cases] and questions about physical complaints [19 cases] in students, which was done by questionnaire presenting at schools. Then, with the use of SPSS software descriptive and deductive statistics the data were analyzed. Results showed that, 50.3% of cases were boys and 49.7% of them were girls. The mean age and last year's average of samples was 17.54 +/- 1.11 and 16.25 +/- 2.03 respectively. The most stressor factors was anxiety for their future's studying and business, less average comparing with last year's average, to be deferred from studying, etc respectively and the most prevalent physical complaints of students was fast angriness, angst, headache, forgetting of lesson, etc. Also Pearson's correlation coefficient between school's stressor factors and students physical-psychological complaints showed significant relation [r=0.43, P<0.01]. Meanwhile, girls were facing stressor factors and physical complaints more than boys [t=-2.94, P<0.01, t=-3.15, P<0.01 respectively]. As it was mentioned in findings, there was a significant relation between school's stressor factors and student's physical complaints. Therefore stressor factors can be introduced to the students by teaching, helping them to select the ways of facing those factors. So that, an efficient step can be take up to promote the physical and psychological hygiene of this group of society

[Women's level of knowledge, attitude and practice about osteoporosis in Yasouj 2006]

Osteoporosis is a multifactor chronic disease that is recognized by low bone concentration and substructure disorder of bone tissue and is a major health problem. This disease is preventable and curable to a large extent by recognition of attitude, daily habits living method, etc of people .So, this research was done in order to determine the women's level of knowledge, Attitude and practice about Osteoporosis so that an important work for the health of this great group of society. In this descriptive study, 320 women 15-65 years old from Yasouj referred to the health centers in the year 2006 were studied. Using convenient sampling method, data collection was done through a questionnaire including individual characteristic [age, education level, marriage and employment status] and three parts of knowledge, attitude and practice. Data analysis was done using SPSS software and descriptive statistical and Mann- whitney tests to study the relation between basic variables and level of knowledge, attitude and practice of samples. Results showed that, from employment point of view, 226[70.6%] of samples were housekeeper and 94[24%] were employed, from education point of view, 318[68.4%] illiterate or primary and 102[31.6%], had diploma or higher levels. the knowledge of 41.0%of samples was medium, attitude of 72.3% was positive and practice of 64.3% was good. Regarding the relation between basic variables and level of knowledge, attitude and practice of samples, there was a meaningful relation between employment and practice [p<0.05], in such a way that, persons who were out at work had a better practice and there was direct linear relation between knowledge and education level, but no relation existed between knowledge and attitude. Considering the results of the research, extending women's education by general communications gynecologists, health centers and family health personnels regarding the Osteoporosis prevention measures such as proper food habits, abstaining from alcohol, smoking and bone erosive drugs, proper physical activity, using of calcium rich diet, being exposed to the sunlight and using of hormonal and non -hormonal drugs are suggested