[Effect of "Roy adaptation model" in physiologic aspect on the level of consciousness of patients in intensive care unit: a clinical trial]

Background and Aim: One of the indicators of recovery in the patients admitted to intensive care units is improvement of the level of consciousness. Various factors, including the type of care are effective in the changes of consciousness level of the patients. This study was conducted to determine the effect of nursing care plan based on "Roy adaptation model" in physiologic aspect on the level of consciousness of the patients in the intensive care unit

Material and Methods: This triple-blind clinical trial included 100 patients in the intensive care unit in 2017. Two ICU units in Sanandaj hospitals were selected randomly as intervention and control groups. Eligible patients in each unit were randomly assigned to intervention and control groups. The intervention group received nursing care plan based on "Roy adaptation model" and the control group received routine care. We measured level of consciousness for every patient based on the GCS for 7 days, twice a day. We used SPSS version 21 for data analysis

Results: The mean level of consciousness in the first three days and nights did not show any significant difference between the intervention and control groups. But there was a significant difference between the mean levels of consciousness from the fourth day and night on, between intervention and control groups [p <0.05]

Conclusion: Roy adaptation model was effective in increasing the level of consciousness after three days in the patients in the intensive care unit. Therefore, we recommend organized nursing care based on standard nursing models for all of the patients in the intensive care units

[Pathology of the principles and philosophy of education course in nursing doctoral degree: a qualitative study]

Philosophy of education is one of the epistemological domains of human science and one of the important courses in the curriculum of nursing doctoral degree. Quality of nursing education depends on the periodical assessment and improvement of this course. Therefore, the aim of this study was the pathological assessment of the principles and philosophy of education course in nursing doctoral degree. A qualitative design using a content analysis approach was used. Using a purposive sampling method, 11 doctoral degree students and 2 lecturers were interviewed. The interviews were transcribed verbatim and analyzed. Five categories were developed: educational planning, promoting motivational strategies, modification of the process of mutual evaluation, compliance of the content with philosophy and content compliance with students' needs. The main theme was the reform of the process of educational administration. Results of this study show the importance and necessity of review and revision of the principles and philosophy of education course. In order to improve the quality of this course, the course content should be designed based on the needs of nursing students to be applicable in education, research and practice

effect of interventional measures for cessation of smoking on FEV[1] rate of the patients with COPD in medical health centers of sanandaj city in 1384

Cigarette smoking is the most important risk factor for COPD. Cessation of smoking is the most effective way for prevention or treatment of COPD. The study group consisted of 160 patients which was divided into 2 equal groups [intervention and control]. Sampling method was simple. In intervention group counseling for cessation of smoking was performed. The data were collected by use of the questionnaires, Fagrostrom test, registered FEV[1] rate and smoking rate. Measurement of FEV[1] before and 3 months after the study, was performed by using a hand spirometer device. Data were analyzed by means of descriptive and inferential methods, such as x[2] exact fisher test, t-test and ect... usting SPSS Statistic program. After 3 months of study, reduction in smoking rate in intervention group was%66, while this figure for control group was 41.3% [p=0.001]. 41.3% and 26.3% of the subjects of the intervention and control groups respectively, quitted smoking. 3 months after study the rate of FEV[1] in intervention group was significantly [%13.2] higher than those of control group [0.5%] which revealed a significant statistical difference [p<0.05%].The result of this study supported the use of such measures encouraging cessation of smoking which can lead to an increase in FEV[1] and a decrease in FEV[1] reduction with improvement of pulmonary function in COPD patients