Effect of twice-weekly iron supplementation on attention of female high school students

Document Type: Original Quantitative and Qualitative Research Paper

Authors

Abstract

Background: Achieving quality care is an important issue which is often paied attention to in providing nursing care. It seems that communication skills can affect the quality of care.
Aim: This study investigated the effect of training the communication skills on the quality of nursing care in patients.
Methods: The study was a pretest/posttest experimental design with control group. 60 nurses working in Qhaem and Emamreza hospitals were selected using stratified sampling and then randomly allocated to one of the two groups. In addition, three patients per each nurse were selected using convenience sampling before and also one, two and three weeks after the intervention. The intervention included communication skills training workshop which was held for eight hours over two days in 2012. Data collection tools included demographic data sheet, Quality Patient Care Scale (QUALPAC) and communication skills Check list. The data were analyzed by SPSS software version 16 using t student test, Mann-Whitney, Wilcoxon and ANOVA tests.
Results: The mean score for overall quality of care in communication skills training group was significantly higher at the 2nd, 3rd, and 4th weeks after the intervention compared with the control group (p<0/001). This increase was not similar in different dimensions of quality care. It was 50.8% in the individual psychosocial, 63.8% in the group psychosocial, 54.4% in the relationship, 50/6% the physical, 41% in the general and 98% in the professional dimension. In both intervention and control group, the mean score for overall quality of care significantly decreased at the 2nd, 3rd, and 4th weeks after the intervention compared with preintervention period (p<0/001).
Conclusion: As communication skill training is an effective method to improve the quality of care, it is suggested that managers and staff should consider it to improve the quality of patients' care.

Keywords


1.   Lutter CK. Iron Deficiency in Young Children in Low-income Countries and New Approaches for Its Prevention. J Nutr. 2008 Dec;138(12):2523-8. PubMed PMID: ISI:000261038300037.

2.   Kliegman RM, Stanton BMD, Geme JS, Schor N, Behrman RE. Nelson text book of Pediatrics. Philadelphia: Saunders; 2011.

3.   Bobonis GJ, Miguel E, Sharma CP. Iron Deficiency Anemia and School Participation. Poverty Action Lab Paper. 2004; Poverty Action Lab Paper:6.

4.   Rezaeian A. pediatric nursing 1ed. mashhad mashhad medical university 1391.

5.   DelPriore HS, PW DV. The cognitive consequences of envy: attention, memory, and self-regulatory depletion. J Pers Soc Psychol 2011;101(4):13.

6.   Bruner AB, Joffe A, Duggan AK, Casella JF, Brandt J. Randomised study of cognitive effects of iron supplementation in non-anaemic iron-deficient adolescent girls. Lancet. 1996 Oct 12;348(9033):992-6. PubMed PMID: ISI:A1996VM02700012.

7.   Murray-Kolb LE, Beard JL. Iron treatment normalizes cognitive functioning in young women. Am J Clin Nutr. 2007 Mar;85(3):778-87. PubMed PMID: ISI:000244917900018.

8.   Falkingham M, Abdelhamid A, Curtis P, Fairweather-Tait S, Dye L, Hooper L. The effects of oral iron supplementation on cognition in older children and adults: a systematic review and meta-analysis. Nutr J. 2010 Jan 25;9. PubMed PMID: ISI:000275468300001.

9.   Schultink W, Gross R, Gliwitzki M, Karyadi D, Matulessi P. Effect of Daily Vs Twice Weekly Iron Supplementation in Indonesian Preschool-Children with Low Iron Status. Am J Clin Nutr. 1995 Jan;61(1):111-5. PubMed PMID: ISI:A1995QA88800017.

10. Rezaiyan A, Mohammadi E, Fallah PA. Effect of computer game intervention on the attention capacity of mentally retarded children. International journal of nursing practice. 2007 Oct;13(5):284-8. PubMed PMID: 17883714. Epub 2007/09/22.

11. pasha G, bakhtiar-pour s, akhavan g. The effect of active music on memory and the attention of schizophrenia Patient. Quarterly Scientific Research  Journal of Women and Culture. 1389;2(5):12.

12. Iravani m. Empirical psychology. 4 ed. tehran: Arvin vijeh; 2008.

13. O'Donnell A, Premawardhena A, Arambepola M, Allen SJ, Peto TEA, Fisher CA, et al. Age-related changes in adaptation to severe anemia in childhood in developing countries. P Natl Acad Sci USA. 2007 May 29;104(22):9440-4. PubMed PMID: ISI:000246935700064.

14. Prevention CfDCa. Recommendations to prevent and control iron deficiency in the United States. MMWR Morb Mortal Wkly Rep. 1998. p. 29.

15. Rimon E, Kagansky N, Kagansky M, Mechnick L, Mashiah T, Namir M, et al. Are we giving too much iron? Low-dose iron therapy is effective in octogenarians. Am J Med. 2005 Oct;118(10):1142-7. PubMed PMID: ISI:000232472300015.

16. Morton JB, Bosma R, Ansari D. Age-related changes in brain activation associated with dimensional shifts of attention: An fMRI study. Neuroimage. 2009 May 15;46(1):249-56. PubMed PMID: ISI:000265723800027.

17. Wu AC, Lesperance L. Screening for Iron Deficiency. Pediatrics in Review. 2005;23(5):8.

18. Frith-Terhune AL, Cogswell ME, Khan LK, Will JC, Ramakrishnan U. Iron deficiency anemia: higher prevalence in Mexican American than in non-Hispanic white females in the third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nutr. 2000 Oct;72(4):963-8. PubMed PMID: ISI:000089494200012.

19. Hatton TJ, Martin RM. The effects on stature of poverty, family size, and birth order: British children in the 1930s. Oxford Econ Pap. 2010 Jan;62(1):157-84. PubMed PMID: ISI:000272688500008.

20. Moestue H, Huttly S. Adult education and child nutrition: the role of family and community. J Epidemiol Commun H. 2008 Feb;62(2):153-9. PubMed PMID: ISI:000252301900011.

21. Ajao KO, Ojofeitimi EO, Adebayo AA, Fatusi AO, Afolabi OT. Influence of family size, household food security status, and child care practices on the nutritional status of under-five children in Ile-Ife, Nigeria. African journal of reproductive health. 2010 Dec;14(4 Spec no.):117-26. PubMed PMID: 21812205. Epub 2011/08/05.