[Effect of stress management on job stress and work-family conflict among nurses]

Stress is a main problem among nurses which affects their professional performance and personal life resulting in conflict between work and life. The aim of this study was to determine the effect of stress management on work-family conflicts. In a quasi-experimental two-group study, 64 medical nurses were selected randomly to the study from Shahid lavasani hospital in Tehran. Data were gathered using a questionnaire including demographic characteristics, work-family conflict items, and nursing stress scale. Then, the experimental group participated in a 2- day stress management course. The questionnaire was completed by the participants one month later. Data were analyzed in the SPSS v.18. The mean work-family conflict score was 3.97 in the experimental group at baseline. It declined after the intervention to 3.357 [P<0.001]. There was statistically significant difference between the two groups on work-family conflict after the intervention [P=0.007]. There was a significant decrease in the job stress from baseline [46.52] to the post-intervention measurement [35.61] in the experimental group [P<0.001]. There was a statistically significant difference between the two groups in the mean of job stress after the intervention [P=0.014]. Stress management education declined work-family conflict and job stress among nurses. This education should be used in nursing clinical and educational training programs

How effective is Swedish massage on blood glucose level in children with diabetes mellitus?

This study was conducted to determine the effect of Swedish massage on blood glucose level in children with diabetes mellitus [DM]. It was prospective randomized controlled trial study that conducted on 36 children, 6-12 years old with DM, recruited from a hospital in Qom City, Iran. The children were randomly assigned to intervention and control groups. Swedish massage was performed 15 minutes, 3 times a week, for 3 months in intervention group. The blood glucose levels were evaluated immediately after every session of massage in two groups. The mean ages of children in the intervention [n=18] and control [n=18] groups were 9.05 +/- 1.55 and 9.83 +/- 2.03 years respectively. There was statistically no significant difference in blood glucose levels before intervention between two groups [P=0.586], but the blood glucose levels were lower significantly in intervention group in comparison with control group after intervention [P<0.0001]. Addition of Swedish massage to daily routines; exercise, diet and medication regimens, is an effective intervention to reduce blood glucose level in diabetic children

effect of kangaroo care on physiologic responses to pain of an intramuscular injection in neonates

Pain in neonates can be associated with various risks. So, it seems essential to find a simple and acceptable method for relieving pain. Pharmacologic agents are not recommended in neonates for pain relief in minor procedures but nonpharmacologic interventions like Kangaroo Care [KC] is found to be effective. The objective of this study was to assess the efficacy of KC on physiologic responses to the pain of an intramuscular injection of vitamin K in term neonates. One hundred healthy term neonates were enrolled for this study during 2 months. The inclusion criteria were gestational age 37-42 weeks, normal vaginal delivery, birth weight 2500-4000 gr, age more than 2 hours and Apgar score more than 7 at 1 minute. They were randomly assigned to intervention and control groups. In the intervention group, the neonate was held in KC for 10 minutes before the injection until 3 minutes after injection. In the control group, the neonate was in the prone position in the isolette. The primary outcome measures were heart rate and blood oxygen saturation rate before, during and 3 minutes after injection. The heart rate during and 3 minutes after injection for neonates given KC were significantly lower than for neonates in control group [P<0.00l]. The blood oxygen saturation rate during and 3 minutes after injection for neonates given KC were significantly higher than for neonates in control group [P<0.001]. KC given before injection seems to effectively decrease pain from injection. It is a simple, safe and effective analgesic and should be considered for minor invasive procedures in term neonates