[ comparison effect of CD-ROM and demonstration method of measuring of vital signs skills in nursing students]

Development of clinical skills for nursing students is a critical component of nursing education programs. CD-ROM is as a valuable teaching and learning strategies in theory learning but more research is needed in practical courses. This study aimed to evaluate the effect of two educational methods demonstration and CD-ROM showing on the measure vital signs skills of nursing. This research was before and after experimental study. The sample was consists of 70students. Nursing students to be selected purposeful and then randomly assigned to two groups.The intervention was a group demonstration and a group showing CD-ROM about vital sing measurement. Data were collected via questionnaire and rating scale consisting of vital sing. Data analysis was performed using SPSS software 16 versions. The results showed the average score in CD 66.88 +/- 5.60 and in demonstration 62.66 +/- 8.41, temperatures score in CD 85.44 +/- 15.73 and in demonstration 81.94 +/- 13.50, respiratory assessment score in CD 15.44 +/- 1.61 and in demonstration 13.22 +/- 2.58, score of blood pressure in CD 45.22 +/- 4.165 and demonstration 44.19 +/- 4.14 and vital signs in CD 212.98 +/- 27.1 and in demonstration 203.01 +/- 28.63, which was significant difference T=23.45, P=0.05. Using of compact disc is improving the skills of measuring vital sign in nursing student. Therefore, computer-assisted instruction can be implemented with other teaching methods such as demonstration or this should be used an independent method to meet educational goals in Practical training courses such as measuring vital sign

[ effect of Kegel exercise on pain relief post hemorrhoidetomy]

Hemorrhoid is a common disorder causing pain and its standard treatment is Hemorrhoidetomy. Also, pain is a common problem after surgery and control of it prevents physiologic and psychiatric complications. Kegel exercise is one of the relaxing and none invasive methods for reduction of pain. In this study the effect of kegel exercise on pain relief post hemorrhoidetomy is investigated. This study is a single blind randomized clinical trial. Samples were patients admitted for hemorrhoidetomy to Shahid Sadooghi hospital of Yazd. They were randomly divided in two experiment and control groups [each group 30 persons]. Before operation, Kegel exercise was educated to experiment group and after surgery pain range were recorded. Data was analyzed using descriptive and analythic statistics [T test and Pearson]. Findings showed that the mean score of post surgery pain in the first 48 hours after operation in experimental group was 26.50 +/- 5.82 and in control group 31.26 +/- 5.94, that have meaningful difference [P=0.003]. Regarding the amount of analgesics, the mean use of analgesics after surgery, in experimental group was 18.9 +/- 14.83 and in control group 52.83 +/- 29.89 which has meaningful difference [P=0.00001]. Type of analgesics in the two groups, 18, 24 and 48 hours after surgery with p=0.04, p=0.04 and p=0.05, had significant difference. There were not any correlation between pain intensity and numbers of Kegel exercise. Based on results, Kegel exercises decreased post hemorrhoidetomy pain and using analgesic drugs was decreased in experimental group. Preoperative education of this method is useful in pain management postoperatively