Studying the effect of entonox gas on the APGAR of the neonates

Delivery is one of the greatest events in the life of a pregnant woman. Although it is considered to be a natural phenomenon, it is potentially dangerous. Entonox gas used for pain relief and is reasonably effective in labor analgesic practice. The purpose of this study was to compare the APGAR score of the neonates were born to mothers who treated with entonox gas with those who their mothers did not received this gas. In this semi-experimental study, 270 pregnant women hospitalized at the labor ward of Shahidan Mobini Hospital of Sabzavar were included using simple available sampling method. They were then separated into two groups, case and control, based on their specifications. The data gathering tool for this study was a questionnaire of [investigating the effect of entonox gas as a no-pain labor agent on Neonates' APGAR] which is individually filled out for each patient by obstetrician colleagues. The APGAR scores of infants were recorded at 1[st], 5[th], and 20[th] minutes. The statistical analysis of data was performed by t-test, Chi-Square and Fisher tests using SPSS software. That there were no significant differences between the two groups in terms of age, pregnancy period, and using labor induction. The APGAR scores of the case group at 1[st], 5[th], and 20[th] minutes postpartum were significantly higher than the control group [p< 0.05]. Regarding the importance of controlling pain during delivery and its effect on reducing the mother's stress, using of entonox gas can be a good option for relieving pain during delivery moreover, it can improve the APGAR score

[ effect of pain management by nurses on the satisfaction rate of patients after abdominal surgery]

Annually more than hundreds of million people undergo surgical operations and experience postoperative pain. Pain is one of the most common problems in postoperative nursing cares. This study was aimed to determine the effect of pain management by nurses on the satisfaction rate of patients undergone abdominal surgery.In this quasi experimental study, data gathering was done by using demographic and pain questionnaire, a questionnaire for patients satisfaction of nursing care and pain control visual scale [0-10]. Study samples included hospitalized patients of Sabzevar Emdad Shahid Beheshti hospital who were candidates of surgery. They were selected according to Poisson distribution and the sample qualifications [aged 15-65 years']. First control group sampling was done and patients [65 patients] were asked to fill out the demographic questionnaire. Then three training sessions of 45-60 minutes about systematic management of pain were conducted for the personnel and the care process was performed on 60 experimental cases for one month. Then the satisfaction rates of patients in both groups were obtained within the first 24 hours and 72 hours after admission. The two groups were matched in regard to age, sex and surgery type [P>0.05]. According to the obtained results, 98% of the control group were not satisfied of the first systematic pain management and 2% were relatively satisfied. While in the second pain management, 71% were not and 29% were satisfied of the pain management. In the experimental group, 94% were relatively satisfied and 6% were satisfied of the first pain management, while 65% were relatively satisfied and 35% were satisfied of the second pain management. Independent t-test revealed a significant difference between the two groups in regard to their satisfaction rate of systematic pain management in the first 24 hours and 72 hours after admission [P<0.05]. According to the findings, it seems that pain management by nurse increases the satisfaction rate of the patients undergoing abdominal surgeries and by increasing their satisfaction rate, they will be able to participate in their treatment process and consequently more comfort for the patients and higher levels of health will be provided for the community