ABSTRACT
Anxiety is one of the psychological problems before surgery. Providing information and training of patients are vital components of nursing care for reducing anxiety level. This study was performed aiming at comparing routine education and Video CD on anxiety level before general surgery. In this study, 60 surgery candidate patients were randomly assigned into three 20 person groups. All patients completed demographic data and Spielberger questionnaires in their admission day. Then, Patients' education was performed by two methods of lecture and video CD in the day before surgery. Then, patients again completed Spielberger questionnaire two hours before surgery. Data were analyzed using t-, ANOVA, and Tukey tests. A p < 0.05 was considered significant. The mean total score of anxiety in three groups, in the day before surgery had no significant difference [p=0.51], but, a significant difference was seen among the three groups, in terms of anxiety 2 hour before surgery [p < 0.032]. Also, Tukey test showed a significant difference between the education and control groups [p < 0.01]. The results of this study showed that both routine and video CD educations decrease anxiety level before surgery. It is suggested that these educations to be placed in nursing care before surgery
ABSTRACT
A significant proportion of the women in reproductive ages suffer from problems such as menstrual irregularities. The aim of this study was to determine the association between menstrual cycle regularity and obesity-related anthropometric indices in students of Kashan University of Medical Sciences in 2012. This cross-sectional descriptive study was conducted using a questionnaire through systematic random sampling at dormitory of Kashan University of Medical Sciences from September to October 2012. The questionnaire contained demographic questions, menstrual cycle characteristics, anthropometric measurements and Visual Analog Scale questionnaire for pain. A midwifery student measured obesity-related anthropometric measurements included waist, pelvis, thigh and mid-arm circumference, height and weight. A total of 250 students entered in the study. Mean +/- Standard deviation [SD] age of students was 21.295 +/- 1.585 years. Irregular menstruation was seen in 17 students [6.8%]. Results showed a significant statistical between menstrual cycles regularity with height [MD = -3.37, confidence interval [CI] = -6.039 to 0.703, P = 0.013], body mass index [BMI] [MD = 1.654, CI = 0.1993.109, P = 0.026], and pelvic-to-height ratio [MD = 0.027, CI = 0.0030.051, P = 0.023]. Mean +/- SD duration and interval of menstrual cycles were 6.564 +/- 1.3014 and 29.301 +/- 4.821 days, respectively. Based on the Pearson correlation index, menstrual intervals showed significant statistical between waist-to-thigh [P = 0.010] and arm-to-thigh [P = 0.019] ratio, but showed no correlation with other anthropometric indices. In the univariate analysis to assess the unadjusted relationships, there were significant statistical between waist-to-thigh and arm-to-thigh ratio with menstrual interval. Due to association between menstrual cycle regularity and obesity-related anthropometric indices, control of weight and BMI may lead to a reduction of menstrual irregularity
ABSTRACT
Surgery is an important stressor, which causes some harmful physiological responses such as increased breath and heart rate and blood pressure. The aim of this study was to investigate the effects of music on the anxiety and some physiological responses of patients before general surgery. A clinical trial study designed and 60 patients who were scheduled to undergo general surgery were selected using convenience sampling method in Shahid Beheshty hospitals of Kashan in 2009. They were randomly allocated into intervention and control groups. The level of anxiety was measured using Spilberger questionnaire. Blood pressure measured using mercury sphygmomanometer, respiratory and heart rate determined before music intervention. The intervention group listened to nonspeech- music for 20 minutes in a quiet environment. The anxiety level and physiological responses were measured again after the intervention. The same measurements were carried out for the control group without music intervention. The results showed a statistical significant differences in the anxiety level as well as the systolic blood pressure in the intervention group [P=0.04]. There was no significant difference in heart and respiratory rate between the two groups [P=0.2, P=0.11]. Considering the alterations in physiological responses during listening to music, we suggest music listening to be considered as an intervention to relieve preoperative anxiety and fear