ABSTRACT
Nausea and vomiting are from the most common complications of surgery during recovery. Adenotonsillectomy is a common surgery among children, which can be followed by some complications such as nausea, vomiting, bleeding, and even death in some cases. There are some medical and nonmedical remedies to decrease nausea and vomiting. A nonmedical therapeutic procedure is reduction of abdominal pressure using oral gastric tube. This study aims to assess effects of gastric tube insertion during anesthesia induction on nausea and vomiting of adenotonsillectomized patients. This study was a clinical trial on 72 adenotonsillectomised children aged 6 to 12 years old in Shahid Montazeri hospital of Najaf-Abad. Patients were randomly divided to two groups of case group [36 Children with oral gastric tube] and controls group [36 children without oral gastric tube]. Anesthesia method for both groups was similar. Frequency of nausea and vomiting were measured during the 24 hours following adenotonsillectomy. Data was analyzed using SPSS 15 and Mannwhithney U, Chi square, Spearman, Friedman and wilcoxon tests. Two groups were not significantly different regarding their demographic characteristics such as age, sex and weight [p>0.05]. Frequencies of nausea and vomiting were significantly lower in the intervention group comparing to the control group in the first 2 hours in recovery room as well as in the first 2, 6, and 14 hours of patient attendance in the postsurgical ward [P
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Nurses must be able to recognize and manage emotions and feelings of themselves and clients; also, they must have good empathic and communication skills. These capabilities are part of the constituent elements of emotional intelligence. The aim of this study was to determine the level of emotional intelligence, its components and its correlation with some demographic variables in nurses working in the hospitals of Kurdistan University of Medical Sciences in 2010. This descriptive study included 344 nurses. Bar-On questionnaire was used to collect required information. Data were analyzed by use of SPSS-18 software. 86.6% of the subjects were female and 13.4% were male. The majority of nurses [77.8%] had a good level of emotional intelligence. Of the five components of emotional intelligence, interpersonal component with a mean value and SD of 77.2% +/- 12.5% had the highest score. Among the 15 factors related to emotional intelligence, social responsibility, empathy and interpersonal skills with mean values and SD score of 82.16% +/- 14.14, 76.84% +/- 13.74%, and 73.59% +/- 15.64% had the highest score, respectively. Emotional intelligence had no correlation with demographic variables of gender, work background, marital status, university and university degree. The nurses had a good level of emotional intelligence in regard to empathy, social responsibility and interpersonal relationships, but improvement of other skills such as problem solving, control of impulsivity and toleration of psychological pressure are also important because of their importance in nursing care
Subject(s)
Humans , Male , Female , Nurses , Surveys and QuestionnairesABSTRACT
Due to the necessity of using the Internet as a source of important information by scientific community is increasing, thus determining the factors affecting faculty member's intention to use the Internet according to their position must be knowledge and important sources of information are familiar, has been considered. Therefore this study to determine the rate and factors relation to use the Internet to use intention by faculty members based on the theory of reasoned action was done. This descriptive correlation study that was conducted in 1388, the theory of rationed action was selected as the theoretical foundation and relation of the three factors: attitude to internet vise, subjective norms to internet use and external variables [demographic characteristics] with intention to use the internet was measured. Sampling method was sensuous and samples included all faculty members of the one of school of Nursing consisting of 29 persons. For attitude measurement to use the internet was used validated and reliable questionnaire 40 items and measurement of subjective norms to use the internet [8 items] and intention to use the internet [6 items] was done by making researcher questionnaire after acquisition of validity and reliability. Statistics tests were performed as Spearman, Pearson, Linear Regression Analysis, Multiple Regression Analysis and Multicollinearity analysis. In most samples, attitude was average and subjective norms were high and in half the samples, intention to the internet was average. According to the theory of reasoned action, between attitude and subjective norms to use of internet was existed direct correlation and was predictable [P<0.01]. Significant correlation between gender and attitude to use of internet [P=0.012] and also level of education had significant correlation with intention [P=0.014]. Also between clinical experience and attitude to use of internet was seen correlation [r=O.56, P=0.003]. Increasing of positive attitude and subjective norms to internet use will culminate intention to internet use [factors of the Theory of reasoned action]
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Although drug treatment for hypertension is available, but just 30% hypertensive patients have controlled hypertension. Nowadays non adherence to recommended health regimen is accepted as a nursing diagnosis by American Nurses Association. The aim of this study was to determine correlation between self-concept [according to Roy Adaptation Model] and adherence to therapeutic health regimen in hypertensive outpatients who attended to one of hospitals affiliated to Uremia University of Medical Sciences and health Services. In this descriptive-correlational study, 120 hypertensive outpatients, who had inclusion criteria, were selected by quota purposive sampling method. Data were collected by a demographic and disease related questionnaire, "Self-Concept Questionnaire in Heart Disease Patients based on [RAM]" and "Hill-Bone Compliance to High Blood Pressure Therapy Scale". Validity and reliability of questionnaires were assessed with content validity and Cronbach's Alpha coefficient. Cronbach's alpha coefficients of "Hill-Bone Compliance to High Blood Pressure Therapy Scale" and threat and challenge perception "Self-Concept Questionnaire in Heart Disease Patients based on [RAM] were calculated 0.71, 0.87, 0.90 respectively. the questionnaires were completed by interview and data were analyzed by SPSS 16. Findings showed that adherence to recommended health regimen had significant negative relationship to total threat perception with perception of threat of self-concept [P<0.001]. Also, Adherence to recommended health regimen had a positive significant relationship with total challenge perception. Similarly, perception of challenge for body sensation, self consistency, self ideal [P<0.001] with self ethical-spiritual of self concept [P=0.027] had a positive significant correlation. According to the correlation between adherence with threat or challenge perception for dimensions of self concept in this study, nurses need to identify methods that cause patients perceive stimuli as a challenge to self-concept. As it guides person to problem solving ways that should be overcame stressful stimuli and leads to integrated adaptation
Subject(s)
Humans , Patient Compliance , Outpatients , Hypertension/drug therapyABSTRACT
The prevalence of congestive heart failure [CHF] continues to rise and nearly 5 million people in the United States have CHF, with more than one-half million new cases diagnosed each year. The readmission rate within 3-6 months after discharge in these patients is 10-50 percent. The aim of this study was to determine factors contributing to readmission of patients with congestive heart failure [class 2 and 3] who were admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran 2009. In this correlation -descriptive study, 110 patients with congestive heart failure based on 2 and 3 New York Heart Association Classification [NYHA] were included. Subjects were selected by quota purposive sampling and were divided into two groups [readmission and no readmission]. Data were collected by a questionnaire. Content validity of the questionnaire was assessed by 10 nursing experts, 5 persons with congestive heart failure and 2 cardiologists. Reliability was measured by ted-retest [0/86]. Data were analyzed by SPSS 15. Results showed that,% 61.8 of samples was readmitted to the hospital during the previous 6 months period. In addition, two individual factors [age and literacy level] and two disease related factors [NYHA class and having other disease] contributed to readmissions. Therefore, age and higher NYHA class and having co morbidities had direct and also literacy level indirect relationship with readmissions. The readmission rate of patients with congestive heart failure in this study was high. Therefore, attention to contributing factors is needed
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One of the most important challenges in today's societies is the increase of alzheimer patients. Caring these people is also an important matter for health system. Care givers perform most of their caring responsibilities and face with many problems to meet their needs in terms of their cognitive and behavioral problems. This descriptive study was conducted to determine the problems of main caregivers of alzheimer patients referring to Alzheimer Association in Tehran. 100 main caregivers were selected by census. Data collection tool was a questionnaire validated by content validity. Its reliability was measured by internal consistency [d = 0.96] and test-retest [d=0.96] methods. Findings of the study showed that mean ages of caregivers and patients were 58 and 81.53 respectively. 66% of caregivers were female and 34% were male. Mean duration of the disease was 4.2 years [SD = 2.7]. The average hour of providing care was 10.84. Most of the caregivers complained of sleep problems [63%], fatigue [63%] and severe burden [68%]. Most of them expressed communication problems with patients [74%], communication problems with families [65%], house keeping problems [60%], social relationship problems [64%], educational problems [43.3%] and occupational problems [55.3%]. Regarding economical problems, most of them, [55%] had them moderately. With respect to the increase of alzheimer patients in our society, health workers should devise programs to reduce care givers' problems for preventing bum out and decreasing burden of caregivers
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Background: Mastectomy can disturb body image of women, which can lead to anxiety, depression, low self-confidence, agoraphobia and low functionality. Knowing body image changes postoperatively can help these women cope with the problems better
Purpose: This descriptive study was conducted to identify body image of women undergoing mastectomy and referring to clinics of Imam Khomeini and Imam Hossein Hospitals in Tehran
Method: 90 mastectomy women with at least a 21-day post this surgery participated in the study. They were between 30 - 55 with no other history of surgery and chronic or mental conditions. They attended to the clinics to continue their medical regimen before starting complementarytherapies in chiding chemotherapy and radiotherapy. A questionnaire validated by content validity was used to collect data on demographics, operation history and Characteristics body image
Results: Findings showed that the body image of most women [%44.4] within 1 - 3 months after mastectomy was in moderate range and, in %43.3 of women, it was in desirable range. Meanwhile, the opinion of most women [%40] about their appearance and fitness was moderate and about breast role was very desirable [%51.1]. Their opinion about sex relations in most cases [%31.1] was not desirable. Most women [%34.4] had desirable opinion about others' views in this regard and moderate opinion about familial relationships [%40]
Conclusion: In general, body image of most women in the study was between moderate and desirable range. Since the study was performed 1 - 3 months after surgery and the clients were at the recovery stage, the sense of victory over cancer at this period might make them have less attention to their appearance with moderate to desirable body image
ABSTRACT
Background: Intramuscular injection is one of the most important routes for medication
Purpose: This randomized cross-over controlled clinical trial was conducted to compare the severity of pain following intramuscular injection by Z and routine methods in patients at selected clinics in Tehran
Method: A Convenient sample of 90 men and women between 18 - 58 years old were selected. Subjects were randomly assigned to groups A and B. A demographic questionnaire, Mc Gill pain scale, and a numerical scale for seepage of drugs and blood were used to collect data. Patients were instructed to identify their pain by the 10-point McGill scale and the seepage of drug as well as blood was observed by the researchers and measured according to the numerical scale. The patients received a single injection of 1ml gentamycin in each method at a 30-minute interval
Results: It was found that there was no significant differene between the two methods in severity of pain and seepage [P>0.05]. Drug seepage in Z method was 0.19 - 0.39cc and in routine method, 0.31 - 0.51cc. There was no significant correlation between the body mass index of participants and pain severity or seepage in each method [P>0.05]
Conclusion: There was no significant difference in pain following the Z and routine methods. However, due to slightly less drug seepage in Z method, it is recommended