ORIGINAL_ARTICLE
Identification and assessment of common errors in the admission process of patients in the Central Emergency Department of Imam Reza Hospital applying the prospective approach of "Failure Mode Effects Analysis" (FMEA)
Background and Aim : Emergency ward is among hospital areas with high risk of errors, thus, implementing measures to identify and correct the errors is essential. The object of this study is to identify and assess the errors of the process of admitting patients in Emergency Department of Imam Reza Hospital using Failure Mode Effects Analysis, as one of the tools to assess and manage risk, as well as proposing actions to improve the process. Method: In this descriptive study, the potential modes of error related to the admission process was evaluated and analyzed by FMEA methodology. The data was collected through group interviews and holding weekly meetings with group members using the techniques of brainstorming and fishbone diagram, and the results were registered in the final FMEA worksheet. Results: Using FMEA methodology, 37 modes of potential errors in admission process of the Emergency Department were identified and analyzed, with the reliability of 85%, 13 modes of error with RPN≥140 as high risk errors were identified in three areas of errors related to nurses, doctors and errors associated with patients, then measures and solutions were proposed to reduce each of these errors. Conclusion: Applying Failure Mode Effects Analysis in a critical and high demanding ward such as Emergency Department helps to identify and correct the errors, while proposed measures for each of the errors are highly applicable regarding team composition.
https://ebcj.mums.ac.ir/article_2015_ec424ee9cc3aa49708dc21fbce3febd2.pdf
2014-01-01
7
18
10.22038/ebcj.2013.2015
Admission Process
Emergency Department
Failure Mode Effects Analysis
risk management
Seyedreza
Mazlom
mazloomr@mums.ac.ir
1
PhD candidate in Nursing, department of medical-surgical nursing, School of nursing and midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Masoomeh
Hashemizadeh
hashemizadehm901@mums.ac.ir
2
MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Bita
Dadpoor
dadpoorb@mums.ac.ir
3
Assistant Professor of Clinical toxicology and poisonings department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Mohsen
Ebrahimi
ebrahimimn@mums.ac.ir
4
Assistant Professor of Emergency Medicine department, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Thomoson R, Pryce A. Patient Safety: Epidemiological Considerations. In: Hurwitz B, Sheikh A, editors. Health Care Errors and Patient Safety. 1st ed. Oxford: Willy Blackwell; 2009:8
1
2. Wachter RM. Underestanding Patiant Safety. United State of America: The McGraw-Hill Companies, Inc; 2008: 10.
2
3. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, et al. Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado. J Med Care. 2000; 38(3): 261-71.
3
4. Jafarian A, Parsapour AR, Haj-Tarkhani AH, Asghari F, Emami Razavi SH, Yalda AR. A Survey of the Complaints Entering the Medical Council Organization of Tehran in Three Time Periods. J Med Ethic His Med 2009; 2(2): 9 (Persian).
4
5. Spath PL. Using Failure Mode and Effects Analysis to Improve Patient Safety. AORN J 2003; 78(1):16-37
5
6. Bahadori M.K and et al. Assessment of Structure, Process and Activities in Emergency Ward of Bagheatallah Medical University Hospitals. J Tebe nezami. 2007; 9(4): 257-63
6
7. Gharachorlou N. Risk Assessment & Risk Management. Tehran: Oloom-o-Fonoon Publication; 2005: 16-49. (Persian)
7
8. Smith IJ. Failure Mode and Effects Analysis in Healthcare:Proactive Risk Reduction. 2nd ed. United States of America:Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 2005; 1, 5, 12, 18-9.
8
9. Greenall J, Walsh D, Wickman K. Failure Mode and Effects Analysis: A Tool for Identifying Risk in Community Pharmacies. Can Pharm J .2007; 140:191-3.
9
10. Kunac DL, Reith DM. Identification of Priorities for Medication Safety in Neonatal Intensive Care. Drug Saf J .2005; 28(3):251-61.
10
11. Mirhaghi A.H, Roudbari M. A Survey on Knowledge Level of the Nurses about Hospital Triage. Iranian Journal of Critical Care Nursing. 2011; 3(4): 165-70
11
12. Goransson KE, Von Rosen A. Interrater agreement: A Comparison between Two Emergency Department Triage Scales. Eur J Emerg Med. 2010; 18(6): 83-8 Aug2.www.ncbi.nlm.nih.gov/pubmed/20679900
12
13. Malekshahi F, Mohammad zadeh M. Assessment of knowledge and Activity of Nurses in Triage of Patients with Trauma Admitted to Shohada Ashayer Hospital. Proceedings of the 6th Nationwide Congress of Nursing and Midwifery; the Role of Nurses and Midwives in Emergency Medicine. 2004 Feb 24-25; Tehran, Iran. (Persian)
13
14. Andersson AK, Omberg M, Svedlund M. Triage in the Emergency Department – A Qualitative Study of the Factors Which Nurses Consider when Making Decisions. Journal of BACN Nursing in Critical Care. 2006 Apr 20; 11(3): 136-45.
14
15. Golipoor K, Sabaghi R, Nasiri S, SHerkati S, Hassannegad N. Auditing the Credit of Conducted Triages in First Quarter at Tabriz Shahid Madani Hospital. First Clinical Audit and Quality Improvement Conference.2012; 8(4): 33-9
15
16. Considine J, Botti M, Thomas S. Do knowledge and Experience Have Specific Roles in TriageDecision-Making? Acad Emrge Med. 2007 Aug; 14(8):722-6.
16
17. Abbasi A, SHahri S, Emami A, Heshmati H. Analysis of Effective Causes and Risk Factors Culminating in Medical Malpractice and Errors and Ways to Prevent Them. First National Student Conference on Clinical Governance and Continuous Quality Improvement.2012; 1(3): 12-8
17
18. Kahooee M, Sadeghi F, Askarimagdabadi H. The Rate of Knowledge and Residents and Medical Students Practice in Semnan University of Medical Sciences than Documentation of Care Provided to Patients from the Perspective of the Forensic. Journal of forensic Mwdicine.2007;13(2): 92 -7
18
ORIGINAL_ARTICLE
The Effect of Spirituality Counseling on Anxiety and Depression in Hemodialysis Patients
Background: In attention of increasing prevalence psychological problems, complications and consequences of hemodialies and important role of nurses in psychological support of patients, application of complementary therapies such as spirituality counseling is very important. Aim: This study investigates the effect of spirituality counseling on anxiety and depression in hemodialysis patient. Methods: This randomized clinical trial study included 90 patients with chronic renal failure undergoing hemodialysis in Amin Hospital, Isfahan (2013), which were randomly assigned into two groups. The experimental group received 8 sessions of spiritual counseling and the control group took routine care. Data were collected with the Hospital Anxiety and Depression Scale (HADS) and were analyzed using independent and paired t-test and exact fisher test in SPSS software version 11.5. Results: Statistical results showed no significant difference in demographic variables between intervention and control groups (p>0/05). In addition, independent t-test showed no significant difference between the mean anxiety and depression scores in the intervention and control groups (p>0/05). However, after applying spiritual counseling, average scores of anxiety and depression decreased in intervention group in comparison with the control group. Paired t-test showed significant differences between average scores of anxiety and depression scores before and after the spiritual counseling in an intervention group (p<0/05), while in the control group, this difference did not reach statistical significance (p>0/05). Conclusion: Spiritual counseling could decrease the anxiety and depression in dialysis patients; therefore it is recommended that this approach performed as a complementary, effective, non-invasive, low cost nursing intervention to decrease the psychological problems of these patients.
https://ebcj.mums.ac.ir/article_2016_ba9ef8853436cde5355742275850450e.pdf
2014-01-01
19
28
10.22038/ebcj.2013.2016
Anxiety
Depression
Randomized Clinical Trial
Spiritual Counseling
Mohammad
Aghajani
aghajani1362@yahoo.com
1
Instructor of Nursing, Department of Psychiatric Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
LEAD_AUTHOR
Mohammad Rezal
Afaze
2
Instructor of nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
Fahimeh
Morasai
3
MS in Nursing, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
AUTHOR
Hagren B, Pettersen IM, Severinsson E, Clyne N, Lutzen K. Maintain Hemodialysis Patients Experiences of Their Life Situation. Clin J Nurse 2005; 14: 294-300.
1
Davison SN. End of Life Care Preferences and Needs Perception of Patients with Chronic Kidney Disease. Clin J Am Soc Nephrology 2010;5: 195-204.
2
Ko B ،Khurana A, Spancen J, Scott B, Hahn M. Religious Belief and Quality of Life an American Inner-City Hemodialysis. Oxford J medicine Nephrology Dialysis Transplantation 2005; 22: 2985-90.
3
Gilbar O, Or-Han K, Plivazky N. Mental Adjustment، Coping Strategy and Psychological Distress among End-Stage Renal Disease Patients. J of psychosom Res 2005; 58(6):471-6.
4
Koo j, Yoon J, Kim s, Lee Y. Association of Depression with Malnutrition in Chronic Hemodialysis Patient. Am J Kidney Dis 2003; 41(5):1037-42.
5
Marvi A, Bayazi M ,Rahmani M, Kazemi A. Studying the Effect of Cognitive Behavioral Group Training on Depression In Hemodialysis Patients. Science direct j 2011; 30: 1831-6.
6
Cukor D, Coplan J, Brown C, The Associations Between Depression, Health Related Quality of Life, Social Support, Life Satisfaction and Disability In Community - Dwelling Us Adults. J Nerve Ment Dis 2009; 197: 61-4.
7
Rebecca A, Drayer M, Piraino B, Reynolds C, Houck P, Mazumdar S and et al. Characteristics of Depression in Hemodialysis Patients: Symptoms, Quality of Life and Mortality Risk. General Hospital Psychiatry 2006; 28: 306-12.
8
Kimmel Pl, Weishes K, Peterson R. Survival in Hemodialysis Patients the Role of Depression. J Am soci- Nephrol 1993; 4: 12-27.
9
Drayer R ,Piraino B, Reynolds C, Houck P, Mazumdar S, Bernardini J and et all. Charactristics of Depression in Hemodialysis Patients: Symptom, Quality of Life and Mortality Risk. J General Hosp Psychiatry 2006; 28(4): 306-12.
10
Tavallaie S, Ebrahimnia M, Shamspour N, Assari S .Effect of Depression on Health Care Utilization in Patients With End – Stage Renal Disease Treated With Hemodialysis. Euro J of internal med 2009; 20: 411-4. (Persian)
11
Farsi Z, Salsali M. Metaparadaim Conceptual and Nursing Care in Islam 2008; 1(66-68):8-21. (Persian)
12
Rezaie M, Fatemi N, Hoseini F. Spiritual Wellbeing in Cancer Patients Who Undergo Chemotherapy. Hayat J 2008; 14(3-4):33-9. (Persian)
13
Davison S, Simpson C. Hope and Advance Care Planning in Patients With End Stage Renal Disease. British Med J 2006; 333(757): 886.
14
Hematimaslak M, Ahmadi F, Anoosheh M. Spiritual Beliefs and Quality of life: A Qualitative Research about Diabetic Adolescent Girl's Perception. Koomesh J Golestan medical University 2011; 12(2):144-51. (Persian)
15
Bolhari J, Naziry y, Zamaniyan S. Effective Spiritual Healing Therapy for Decrease Depression, Anxiety, Stress Woman with Breast Cancer. J of socialliaty2012; 3(1):85-116. (Persian)
16
Richards P, Hrdman K, beret M. Spiritual Approaches in Treatment of Women with Eating Disorders Washington. American Psychological Association 2006;304
17
Moghimian M, Salmani F. The Study of Correlation between Spiritual Well-Being and Hope in Cancer Patients Referring to Training – Therapy Center of Isfahan University Medical Sciences. J Qom Med Univer 2012; 6(3):40-5. (Persian)
18
Eatemadi A. Faith Spirituality in Counseling and Psychotherapy. Quarterly J Psychotherapy 2005; 10(36،35):131-146. (Persian)
19
Moritz S, Kelly M, Xu T, Towes J, Rickhi D. Teaching Spirituality in Depression. Commentary Therapies in Med J 2011;19:201-7
20
Boscaglia N, Clarke D, Jobling T, Quinn M. The Contribution of Spirituality and Spirituality Coping to Anxiety and Depression in Women with a Recent Diagnosis of Gynecological Cancer 2005. Int J Gynecol cancer;15:755-761
21
Taylor E, Outlaw F. Use of Prayer among Persons with Cancer. J Holistic Nurse 2002;16(3): 46-60
22
Thuneboyle I, Stygall J, Keshtgar M, Newman S. Do Religious/ Spiritual Coping Strategies Affect Illness Adjustment in Patients with Cancer? A Systematic Review of the Literature. J Socia& scie Med 2006;63: 151-64
23
Ironson G, Stuetzle R, Fletcher M. An Increase in Religiousness/ Spirituality Occurs after HIV Diagnosis and Predicts Slower Disease Progression over 4 Years in People with HIV2006. J Gen intern Med;21:62-8
24
Hojjati H, Taheri N, Akhundzadeh G. Resorting to Pray Rate in Hemodialysis Patients of Goldstone Province. Iranian J of critic care Nursing 2010; 3(2):75-9. (Persian)
25
Akhbardeh M. Role of Spiritual Beliefs and Prayer in Health Promotion of Chronic Patients: A Qualitative Study .Quart J of Quran Med 2011; 1(1):1-9. (Persian)
26
Wink P, Dillon M. Religiousness, Spirituality and Psychosocial Functioning in Late Adulthood Finding from a Longitude Study. Psych and aging J 2003; 18:916-24.
27
Piedmont L, Ciarrochi W, Wlliams J. The Empirical and Conceptual Value of The Spiritual Transcendences Religious Involvement Scales for Personality Research. Psycholog Relig Spiritual 2009; 1(3):162-79.
28
Bahrami H, Tashk A. Relation between Religious Orientation and Mental health and Evaluation of Religious Orientation Scales. J of Psychology and Educa2005; 34(2): 41-63. (Persian)
29
Miller W, Thoresen E. spirituality, Religious and Health. An Emerging Research Field. Am Psychol J2003; 58:24-35.
30
Kao T, Lai M, Tsai T. Economic, Social and Psychology Factors Associated with Health – Related quality of life Chronic Hemodialysis Patient in Northern Taiwan. J Art Organs2009; 33(1):61-8.
31
Breitbart W, Rosenfeld B, Pessin H. Depression, Hopelessness and Desire for Hastened Death in Terminally Ill Patients with Cancer. JAMA 2000; 284(22): 2907-11.
32
Shirmohamadi M.The Effect of Consultation on the Symptom of PMS. (Thesis Msc Midwifery), Tehran Uni of Med Sci; 2009. (Persian)
33
Kermanshahi S, Hoseynzadeh SH, Alhani F. The Effect of the Group Counseling Program on the Status of Primary Dysmenorrheal, Dietary Condition and Exercise in Shahreyar Girl’s High School. J Zanjan Uni Med Sci. 2008; 16(65): 49-59. (Persian)
34
Mcshery W, Cash K, Ross L. Meaning of Spirituality: Implications for Nursing Practice. J of Clin Nurs 2004;13: 934-41
35
Ahmadvand A, Saie R, Sepehrmanesh Z, Ghanbari A. Effect of Cognitive Behavioral on Anxiety and Depression in Hemodialysis Patients. Qom med Sci Uni 2010; 6(1):35-9. (Persian)
36
Moarefzadeh S, Sodani M, Shafiabadi A. The Study of the Effect of Teaching of Contrastivetraining Skills Originated of Quran on Reducing Anxiety Among High School Girl Student in Ahwaz. Quart J of Edu Psychol Islamic Azad Uni Tonekabon Branch 2010;1(3):19-26(Persian)
37
Drayer R, Piraino B, Reynolds S, Houck P, Mazumdar S, Bernardini J and et al. Charactristics Depression Hemodialysis Patient. Psych-Med J 2006; 4(24):306-12.
38
Ebadi A, Moradian T, Feyzi F, Asiabani M. Comparison of Hospital Anxiety and Depression among Patients with Coronary Artery Disease on Proposed Treatment. Iranian J of Crit Care Nursing 2011;2(4):97-103.(Persian)
39
Montazeri A, Vahdaninia M, Ebrahimi M, Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): Translation and Validation Study of the Iranian Version. Health Quality Life Outcomes.2003; 28(1):14. (Persian)
40
Davis T, Kerr B, Kurpius S. Meaning, Purpose and Religiosity in At- Risk Youth. The Relationship between Anxiety and Spirituality. J of Psychol 2003; 6:132-40.
41
Yagoubih, Sohrabi F, Mohammadzadeh A. The Comparison of Cognitive Behavior Therapy and Islamic Based Spiritual Religion Psychotherapy on Reducing of Student's Overt Anxiety. Behav Res J2011; 10(2): 99-107. (Persian)
42
Stanley M, Bush A, Jameson , Philips L, Barber C and et al. J Aging and Ment health 2011;5(3): 334-43.
43
Wachholtz A, Pargament K. Is Spirituality A Critical Ingredient of Meditation? J of Med Behav 2005; 28(4): 369-84.
44
Moritz S, Kelly M, Xu T, Towes J, Rickhi D. Teaching Spirituality in Depression. J Commentary Therap in Med 2011; 19:201-7.
45
Bormann J, Aschbacher K, Wetherell J, Roesch S and Redwine L. Effect of Faith Assurance on Cortisol Levels are enhanced by a Spiritual Mantram. Intervention in Adults with HIV: A Randomized Trial. J of Psychosom Res 2009; 66(2): 161- 71.
46
Rahmati M, Ghanbari V, Khaledi P, Mohammadi B. Effective Spirituality-Religious Healing intervention on Depression Schizophrenic Patients. J Nurs and Midwif Tabriz 2011. (Persian)
47
Mcclain C, Rosenfeld B, Breitbart W. Effect of Spiritual Wellbeing on End of Life Despair in Terminally- Ill Cancer Patients. Lancet j 2003; 361:1603-07.
48
Mirbagher N, Aghajani M, Shahshahani M. The Effect of Music and Holy Quran on Patient Anxiety and Vital Sign before Abdominal Surgery. J Mashhad Evidence Based Medical 2010:1(1):65-76.(Persian)
49
Asayesh H, Heidary F .Prayer like Spirituality Approach in Psychological Intervention Sajjadieh Sahifeh. Gorgan Nurse and midwifery J 2006;4(2):50-5.(Persian)
50
Bussing A, Michalsen A, Grunther R. Are Spirituality and Religiosity Resources for Patients With Chronic Pain Condition? J Pain Medicine 2009; 10(2): 327-39.
51
Ando M, Morita T, Akechi T, Okamoto T. Efficacy of Short Term Life Review Interviews on Spiritual Well-Being of Terminally Ill Cancer Family Patients. J of pain and symptom Management 2010; 39(6):993-1002.
52
Hojat M, Zehadatpour Z, Nasr Esfahani M. The Effect Quran Sound with Normal, Quiet, Arabic Music and Irani Music on dialysis Efficacy. Iranian j of Criti Care Nurs 2010; 3(2): 69-74. (Persian)
53
KO B ،Khurana A, Spancen J, Scott B, Hahn M. Religious Beliefe and Quality of Life an American Inner_City Haemodialysis. oxford J medicine Nphrology Dialysis Transplantation 2005;22: 2985-90
54
Breitbart W, Rosenfeld B, Pessin H. Depression, Hopelessnsee and Desire for Hastened Death in Terminally Ill Patients with Cancer. JAMA 2000;284(22): 2907-11
55
Momeni T, Musarezaie A, Karimian J, Ebrahimi A. Relationship between Spiritual Well-Being And Depression in Iranian Breast Cancer Patient. Health Inf Manag J 2012; 8(8):1007-16.
56
Norwati M, Nur Syahidah K. Spiritual Well-Being of INSTED, IIUM Students and Its Relationship with College Adjustment. Procedia Soc Behav Sci2012; 1314– 23.
57
Nur Syahidah KhalidKarren KJ, Hafen BQ, Smith NL, FrandsenKJ. Mind-Body Health: The Effects of Attitudes, Emotions and Relationship. 3th Ed, Pearson: Sanfrancisco, 2006.
58
Fehring RJ, Miller JF, Shaw C. Spiritual Wellbeing, Religiosity, Hope, Depression, and Other Mood-States in Elderly People Coping with Cancer. Oncol Nurs Forum1997; 24: 663-71.
59
Asayesh H, Heidary F .Prayer like Spirituality Approach in Psychological Intervention Sajjadieh sahifeh. Gorgan Nurse and midwifery J2006; 4(2):50-5. (Persian)
60
ORIGINAL_ARTICLE
Evaluation of Temperament–based diet education on Quality of Life in patients with GERD
Background: Gastroesophageal reflux disease is one of the most common chronic disorders of the digestive system. Almost anyone experiences heartburn or reflux (the two main symptoms of the disease) in a situation. Nutritional changes education as the first step of nursing intervention is the easiest, cheapest and the safest treatment approach. Aim: The aim of this study was to determine the effect of Temperament–based diet education on Quality of Life in patients with GERD who was admitted to Qaem Hospital in city of Mashhad. Methods: This clinical trial was a pretest/posttest experimental design with control group. A sample of 60 patients with gastroesophageal reflux disease, who had admitted to Qaem hospital from 5th March 2013 to 20th June 2013, was divided into two groups by random assignment. After verifying the patient temperament, the intervention consisted of holding nutrition education classes in accordance with temperament for 1.5 hours and accomplishing the diet as possible for two weeks. Research tools were GasroEsophageal Reflux Syndrome Health Related Quality of Life (GERD-HRQL) questionnaire and performing diet checklist. The data was analyzed by SPSS software version 11.5 and by using Independent T test, Paired T test and ANOVA test. Results: With respect to the higher score of this questionnaire, it was shown to be equal to the lower quality of life situation, comparison of the mean scores difference of quality of life. One-way ANOVA in both groups showed that quality of life scores in education group (8.80 4.22) was significantly lower than the quality of life scores in the control group (14.53 5.98) after an intervention (p<0.0001). Conclusion: Considering temperament in the diet education by nurses can play an important role in increasing the quality of life in patients with Gastroesophageal Reflux Disease.
https://ebcj.mums.ac.ir/article_2046_402b6589074e4d271138335fd3019358.pdf
2014-01-01
29
38
10.22038/ebcj.2013.2046
nutrition education
Gastroesophageal reflux disease
GERD
nurse
Quality of life
Temperament
Hamid
Chamanzari
chamanzarih@mums.ac.ir
1
Instructor of Nursing, Department of medical-surgical, School of nursing and midwifery, Mashhad University of Medical sciences, Mashhad, Iran
AUTHOR
Seyyed Ahmad
Saqebi
saghebia@mums.ac.ir
2
Associated Professor of Urology, Chief of Traditional Iranian Medicine School, Mashhad University of Medical sciences, Mashhad, Iran
AUTHOR
Khadije
Harati
sahar.harati@yahoo.com
3
Ms in Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Seyyed Musa
Hoseyni
hoseinimr@mums.ac.ir
4
Assistant professor in Medical Department, School of Medical, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Nazila
Zarqi
zarghin@mums.ac.ir
5
Instructor of Nursing, Department of Medical-Surgical, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Seyyed Reza
Mazlum
mazlomr@mums.ac.ir
6
Instructor of Nursing, Department of Medical-Surgical, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
1. Biddle W. Gastroesophageal Reflux Disease: Current Treatment Approaches. Gastroenterol Nurs. 2003;26(6):228-36; quiz 36-7. Epub 2003/12/17.
1
2. Campos GM, Peters JH, DeMeester TR, Oberg S, Crookes PF, Mason RJ. The Pattern of Esophageal Acid Exposure In Gastroesophageal Reflux Disease Influences The Severity Of The Disease. Arch Surge (Chicago, Ill : 1960). 1999;134(8):882-7; discussion 7-8. Epub 1999/08/12.
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3. Vaca KJ, Daake CJ, Marquez SA, Lambrechts DS. The Role Of Laparoscopic Nissen Fundoplication In Gastroesophageal Reflux Disease. Medsurg Nurs. 1998;7(6):364.
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4. Dunmore F. Care Modes For The Older Adult With Gastroesophageal Reflux Disease. Geriatr Nurs. (New York, NY). 2002;23(4):212-6. Epub 2002/08/17.
4
5. Ray SW, Secrest J, Ch'ien AP, Corey RS. Managing Gastroesophageal Reflux Disease. Nurse Pract. 2002;27(5):36-53; quiz 4-5. Epub 2002/05/31.
5
6. Alinejad Khorram M, Chupanian N, Alinejad Khorram Z, Nuri F, Rafizade Sh. Gastroesophageal Reflux Disease And Response To Therapy Of Patients In Both Groups With And Without Upper Gastrointestinal Endoscopy. Govaresh. 2003;8(4):134-7. )Persian(
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7. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's Textbook of Medical-surgical Nursing. 11 ed. Tehran: Salemi and Jamenegar; 2008. )Persian(
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8. Williams JL. Gastroesophageal Reflux Disease: Clinical Manifestations. Gastroenterol Nurs. 2003;26(5):195-200. Epub 2003/11/07.
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9. Reimer C, Bytzer P. A Population-based Survey To Assess Troublesome Symptoms In Gastroesophageal Reflux Disease. Scand J Gastroenterol. 2009;44(4):394-400. Epub 2008/12/10.
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10. Rey E, Moreno-Elola-Olaso C, Rodriguez Artalejo F, Locke R, Diaz-Rubio M. Association Between Weight Gain and Symptoms of Gastroesophageal Reflux in the General Population. Am J Gastroenterol. 2006;101:229–33.
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11. slazenger M. Smith-Their. Gastrointestinal Pathophysiology. Tehran: Tehran university; 1986. )Persian(
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12. Redmond MC. Perianesthesia Care of The Patient With Gastroesophageal Reflux Disease. J Perianesth Nurs. 2003;18(5):335-44; quiz 45-7. Epub 2003/10/22.
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13. Jansson C, Wallander MA, Johansson S, Johnsen R, Hveem K. Stressful Psychosocial Factors And Symptoms of Gastroesophageal Reflux Disease: A Population-based Study in Norway. Scand J Gastroenterol. 2010;45(1):21-9. Epub 2009/12/08.
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14. Heartburn, Gastroesophageal Eeflux (GER), and Gastroesophageal Reflux Disease (GERD). J Pract Nurs. 2008;58(3):21-3. Epub 2009/02/03.
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15. DiPalma JA. Management of Severe Gastroesophageal Reflux Disease. J Clin Gastroenterol. 2001;32(1):19-26. Epub 2001/01/12.
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16. Rayhorn N. Patient Education Series. Gastroesophageal reflux disease (GERD). Nursing. 2004;34(7):54-5. Epub 2004/07/24.
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17. Middlemiss C. Gastroesophageal Reflux Disease: A Common Condition in The Elderly. J Pract Nurs. 1997;22(11):51-2, 5-9; quiz 60-1. Epub 1997/12/24.
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18. Rayhorn N, Argel N, Demchak K. Understanding Gastroesophageal Reflux Disease. Nursing. 2003;33(10):36-41; quiz -2. Epub 2003/10/07.
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19. Abolhabib A. Traditional Medicine And Nutrition Courses And Recognition of Human Nature. Tehran: doctor seyyed Ali Abolhabib; 2008. )Persian(
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20. Shadzi S, A.F. N. Natural Methods of Disease Prevention And Control: Health With Vitamins, Minerals, Herbs and Dietary Supplements. Esfehan: Jahad daneshgahi 2008. )Persian(
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21. Naseri M, Rezayizade H, Chupani R, Anushiravani M. General Overview of Iranian Traditional Medicine. 2nd ed. Tehran: City Publication Institute in collaboration with the Iranian Traditional Medicine Publications; 2001. )Persian(
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22. Naseri M, Rezayizade H, Taheripanah T, Naseri V. Temperament Theory Based Therapy Response Variability in Iranian Traditional Medicine and Pharmacogenetics. Journal of Traditional Medicine in Islam and Iran. 2010;1(3):237-42.
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23. Navidi AA, Qasemi Soleymanie K. Encyclopedia Of Holistic Medicine: Traditional and Modern Medicine Methods. Tehran: Cultural Institute Tymvrzadh publishers - publishing Physician; 2003. )Persian(
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24. Mohammad-Ibne-zakariaye-Razi. Alhavi. Velayati AA, editor. Tehran: Medical Sciences of Shahid Beheshti university; 2011. )Persian(
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25. Dibley LB, Norton C, Jones R. Non-pharmacological Intervention For Gastro-oesophageal Reflux Disease in Primary Care. The British journal of general practice : the journal of the Royal College of General Practitioners. 2010;60(581):459-65.
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26. Zarei M, Javadi A. The Effect of Temparament Modifying of Hypertension. Teb o Al Reza. 2011:23. )Persian(
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27. Atarodi A, Kianmehr M, Abbasnezhad A, Masoumzadeh M, Rasekhi H. Effect of Food with Hot and Cold Nature on Students’ Learning. Journal of Islamic and Iranian Traditional Medicine. 2011;2(3):221-8. )Persian(
27
28. Mokhtarifar A, Akbari Kamrani M, Salari P, Mazlum R. The Effect of Training "Lifestyle Change" and Taking "The Pill Sucralfate» on Burning Under The Sternum Pregnant Women. Journal of the Mashhad University of Medical Sciences. 2000;43(70):37-44. )Persian(
28
29. Iranian Traditional Medicine And Its Development Using The World Health Organization guidelines. Bimonthly scientific - medical research scholar.11(52):53-68. )Persian(
29
30. Luthy KE, Peterson NE, Wilkinson J. Cost-efficient Treatment For Uninsured or Underinsured Patients With Hypertension, Depression, Diabetes Mellitus, Insomnia, and Gastroesophageal Reflux. J Am Acad Nurse Pract. 2008;20(3):136-43. Epub 2008/03/14.
30
31. Kaltenbach T, Crockett S, Gerson LB. Are Lifestyle Measures Effective In Patients With Gastroesophageal Reflux Disease? An Evidence-based Approach. Arch Intern Med. 2006;166:965-71.
31
32. Salyers WJ, Jr., Mansour A, El-Haddad B, Golbeck AL, Kallail KJ. Lifestyle Modification Counseling In Patients With Gastroesophageal Reflux Disease. Gastroenterol Nurs. 2007;30(4):302-4. Epub 2007/08/29.
32
ORIGINAL_ARTICLE
The Effectiveness of Aquatic Exercises on Pain and Disability of the Patients with Chronic Low Back Pain
Background: One of the common socioeconomic problems of today’s world is back pain and its chronic type can cause severe pain and disability in patients. Aquatic exercise is one of the complementary therapies which are used in diseases treatments. Aim: To determine the effectiveness of aquatic exercise on pain intensity and disability of the patients with chronic low back pain. Methods: This experimental study was performed on 48 women with chronic low back pain. Sampling method and division samples into the case and control groups were performed using simple random sampling method. Data collection tools included demographic characteristic check list, VAS pain intensity control scale and Oswestry disability index questionnaire (ODI). The patients in the case group were asked to perform some special back aquatic exercise in the pool, with temperature of 30-31°C, along with the coach, three times a week (every other day) and each session lasted for 60 minutes for three months. The control group waited only for three months. The questionnaires were filled by both groups before and after the intervention. Results: Mean age of the subjects was 43 years. Mean pain intensity scores between case and control group had a significant difference before and after the aquatic exercise (P < 0.001). In the control group, there was also a significant difference after 3 months of waiting (P < 0.013). Mean disability intensity before and after the aquatic exercise had a significant difference between the case and control groups (P < 0.04), but no significant difference was observed in the control group. Conclusion: Aquatic exercise was shown to be effective on the intensity of pain and disability in patients with chronic low back pain and, if considered as a treatment, can reduce the pain and disability of such patients.
https://ebcj.mums.ac.ir/article_2055_d3482eb8a595ee092d1d17162b13d0fc.pdf
2014-01-01
39
46
10.22038/ebcj.2013.2055
chronic low back pain
Aquatic exercise
Pain
Disability
Zahra
Rafeeyan
z_rafeeyan@pnu.iaun.ac.ir
1
Instructor of Nursing, Department of Nursing, School of Nursing and Midwifery, Islamic Azad University, branch of Najaf Abad, Isfahan, Iran
LEAD_AUTHOR
Farhad
Mostafa Musa
farhadmustafa@yahoo.com
2
Assistant Professor of Orthopedic Surgeon, Sport Medicine Fellowship, Isfahan, Iran
AUTHOR
1. Ibrahimzade A .Low backs Pain and Its Treatment, Isfahan Medical University in Iran, 2006, p: 1. (Persian)
1
2. Waller B. Therapeutic Aquatic Exercise in the Treatment of Low Back Pain: Systematic Review .Clinical rehabil 2009; 23: 3.
2
3. Wheeler H A. Pathophysiology of Low Back Pain. Pain and Orthopedic Neurology; 2009 Available from www.medscape.com/article/114430.
3
4. Maniadakis N, Gray A. The Economic Burden of Back Pain in the UK. Pain 2000; 84: 95-103.
4
5.Kent M Peter, Keating L Jennifer .The Epidemiology of Low Back Pain in Primary Care.Chiropr osteopat,2005; 13: 13.
5
6. Zali. 65 Percent Iranians Have Back Pain. Available from www.khabaronline.ir/news. (Persian)
6
7. Balague F, Mannion FA, Cedraschi C .Clinical upDate: Low Back Pain .Lancet, 2007; 369: 726-8.
7
8. Nachemson A, Waddell G, Nourlund AL. Chronic Low Back Pain, Neck and Back Pain: The Scientific Evidence of Causes, Diagnosis and Treatment. Published by Lippincott William & Wikins. Pilladelphia, 2000: 18.
8
9. Whit M. Aquatic Exercise.Published by Isfahan Industry University, 2009: 20. (Persian)
9
10. Dundar U, Solak O, Yigit I, Evcik D, KavuncuV.Clinical Effectiveness of Aquatic Exercise to Treat Chronic Low Back Pain: A Randomized Controlled Trial .Spin, 2009; 34Jun.
10
11. Olson D, Kolber M, Patel C, Pabian P, Hanney W. Aquatic Exercise for Treatment of Low-Back Pain: A Systematic Review of Randomized Controlled Trials. Am J Lifestyle Med, 2013; 7(2):154-60.
11
12. Mehrdad R. Exercise and Theraputice Laser in Chronic Low Back Pain.TUMJ, 2004:63(4)322-30.
12
13.Mousavi SJ,Parnianpour M,Mahdian H,Montazeri A,Mobini B.The Oswestry Disability Index ,The Roland Moris Disability Questionnair and the Quebec Back Pain Disability Scale:Translation and Validation Studies of the Iranian Versions.spine ,2006;31(14):454-9.
13
14. Sjogren T, Long N ,Story I ,Smith J .Group Hydrotherapy Versus Group Land-Based Treatment for Chronic Low Back Pain .Physiother Res Int ,1997;2:207-17.
14
15. Ariyoshi M and et al .Efficacy of Aquatic Exercises for Patients with Low Back Pain. Kurme Med J, 1999; 46 (2): 91-6.
15
16. Battie MC ,Cherkin DC ,Dunn R, Coil MA , Wheeler KG.Managing Low Back Pain : Attitudes and Treatment Preferences of Physical Therapists.Phys ther, 1994;74(3):219-26.
16
17. Walsh MJ, Jamison JR. Comparison of Patient and Patient Complains at Chiropractic Teaching Clinics and Private Clinics. Chiropr j Aust, 1992; 22(3):87-91.
17
18. Hurwitz EL, Morgenstern H: The Effect of Comorbidity and Other Factors on Medical Versus Chiropractic Care for Back Problem. Spin(phila pa 1976), 1997oct1; 22(19):2254-63.
18
ORIGINAL_ARTICLE
Providence during pregnancy; a qualitative content analysis
Background: Pregnancy and birth are very important for the most communities and childbearing women make decisions depends on their context during pregnancy. Aim: The aim of this study was to explore the perception and inner experiences of Iranian pregnant women. Methods: A qualitative content analysis was conducted in 2013. Participants consisted of 18 mothers who had experienced pregnancy in Tehran. Sampling was purposeful and continued until data saturation. Finally, 28 interviews were conducted with an average of 50 minutes. Analysis of collected data was performed concurrently with a constant comparative approach. Results: Two major themes emerged during the analysis process involving "in the hope of a brighter future for the unborn child" and” in the hope of a brighter future for themselves". These concepts are important childbearing women’s perspectives of "Providence" for themselves and their unborn children. Conclusion: Understanding subjective resources of Iranian women’s experiences results in correct understanding of their true needs. It should be followed by more effective planning and caring with practitioners of the community health centers.
https://ebcj.mums.ac.ir/article_2073_72012295dd3845e14a7e43b896e390c3.pdf
2014-01-01
47
58
10.22038/ebcj.2013.2073
Childbearing
Future
Qualitative research
unborn child
Tooba
Heidari
heidari.m.831@hotmail.com
1
Phd candidate in Reproductive Health, Department of Midwifery & Reproductive Health, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
saeede
Ziaei
ziaei_sa@modares.ac.ir
2
Professor of Midwifery & Reproductive Health, Department of Midwifery & Reproductive Health, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
LEAD_AUTHOR
Fazlollah
Ahmadi
ahmadif@modares.ac.ir
3
Professor of Nursing, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
Eesa
Mohammadi
mohamade@modares.ac.ir
4
Associate Professor of Nursing, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
Kitzinger S. Childbirth and Society. Oxford: Oxford University Press; 1989.
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2. Johnsen D. A New Threat to Pregnant Women's Autonomy. Hastings Cent Rep 1987;17(4):33-40.
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3. Besser A, Priel B. Trait Vulnerability and Coping Strategies in the Transition to Motherhood. Curr Psychol 2003;22(1):57-72.
3
4. Ricci S. Essentials of Maternity, Newborn, and Women’s Health Nursing. USA: Lippincott Williams and Wilkins; 2007.
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5. Mead M, Newton N. Cultural Patterning of Perinatal Behavior. Baltimore: Williams & Wilkins; 1967.
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6. Darvill R, Skirton H, Farrand P. Psychological Factors that Impact on Women's Experiences of First-Time Motherhood: A Qualitative Study of The Transition. Midwifery 2010;26(3):357-66.
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7. Rice PL, Naksook C. The Experience of Pregnancy, Labour and Birth of Thai Women in Australia. Midwifery1998; 14(2):74-84
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8. Shaho R. Kurdish Women's Experiences and Perceptions of Their First Pregnancy. BJM 2010;18(10):650-7.
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9. Reyes NR, Klotz AA, Herring SJ. A Qualitative Study of Motivators and Barriers to Healthy Eating in Pregnancy for Low-Income, Overweight, African-American Mothers. J Acad Nutr Diet.In press. 2013.
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10. Najman JM, Williams GM, Keeping JD, Morrison J, Anderson MJ. Religious Values, Practices and Pregnancy outcomes: A Comparison of The Impact of Sect and Mainstream Christian Affiliation. Soc Sci Med 1988;26(4):401-7.
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11. Kost K, Landry DJ, Darroch JE. Predicting Maternal Behaviors during Pregnancy: Does Intention Status Matter? Fam Plann Perspect 1998;30(2):79-88.
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12. Burdette AM, Weeks J, Hill TD, Eberstein IW. Maternal Religious Attendance and Low Birth Weight. Soc Sci Med 2012;74(12):1961-7.
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13. Kowalcek I. Stress and Anxiety Associated with Prenatal Diagnosis. Best Pract Res Cl Ob 2007;21(2):221-8.
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14. Suzuki J, Kikuma H, Kawaminami K, Shima M. Predictors of Smoking Cessation during Pregnancy among The Women of Yamato and Ayase Municipalities in Japan. Public Health 2005;119(8):679-85.
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15. Wood L, France K, Hunt K, Eades S, Slack-Smith L. Indigenous Women and Smoking during Pregnancy: Knowledge, Cultural Contexts and Barriers to Cessation. Soc Sci Med 2008;66(11):2378-89.
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16. Lothian JA. Listening to Mothers-The First National U.S. Survey of Women's Childbearing Experiences. J Perinat Educ 2003; 12(1):vi–viii.
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17. Listening to Mothers III Pregnancy and Birth,Report of The Third National U.S. Survey of Women’s Childbearing Experiences 2013; Available at:URL:http://WWW.childbirthconnection.org.
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18. Declercq ER, Sakala C, Corry MP, Applebaum S. Listening to Mothers II: Report of The Second National U.S. Survey of Women's Childbearing Experiences: Conducted January-February 2006 for Childbirth Connection by Harris Interactive(R) in Partnership with Lamaze International. J Perinat Educ 2007;16(4):15-7.
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19. Streubert S, Carpenter D. Qualitative Research in Nursing, Advancing The Humanistic Imperative. Philadelphia: Lippincott; 2010
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20. Holloway I, Wheeler S. Qualitative Research in Nursing. 2nd ed. Edinburg: Blackwell Science; 2002.
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21. Adibhajbagheri M, Parvizi S, Salsali M. Qualitative Research Methods. 2 ed. Tehran: Boshra; 2010.(Persian)
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22. Thomas E, Magilvy JK. Qualitative Rigor or Research Validity in Qualitative Research. JSPN 2011;16(2):151-5.
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23. Graneheim UH, Lundman B. Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Educ Today 2004;24(2):105-12.
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24. Lincoln Y, Guba EG. Naturalistic Inquiry. Beverly Hills: CA: Sage; 1985.
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25. Holloway I, Wheeler S. Qualitative Research in Nursing and Healthcare. Edinburg: Oxford:Blackwell; 2010.
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26. Cutcliffe JR, McKenna HP. Expert Qualitative Researchers and The Use of Audit Trails. J Adv Nurs 2004;45(2):126-33.
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27. Elo S, Kyngäs H. The Qualitative Content Analysis Process. J Adv Nurs 2008;62(1):107-15.
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28. Arizmendi TG, Affonso DD. Stressful Events Related to Pregnancy and Postpartum. J Psychosom Res. 1987;31(6):743-56.
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29. Affonso DD, Mayberry LJ. Common Stressors Reported by A Group of Childbearing American Women. Health Care Women Int 1990;11(3):331-45.
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30. Wang JF, Billings AA. Instrument Development for Measuring Stress during Pregnancy among Women in Beijing, China. SOJNR. 2011;11(1).
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31. Oken E, Kleinman KP, Berland WE, Simon SR, Rich-Edwards JW, Gillman MW. Decline in Fish Consumption among Pregnant Women after A National Mercury Advisory. Obstet Gynecol 2003;102(2):346-51.
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32. Chuang CH, Hillemeier MM, Dyer A-M, Weisman CS. The Relationship Between Pregnancy Intention and Preconception Health Behaviors. Prev Med. 2011;53(1–2):85-8.
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33. SobhaniTabrizi J. Lobbol Asar Feljabre Valghadr. Qom: Maarefe Ahlebeit Institute; 1929. (Persian).
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34. Makaremshirazi N. Ethics in The Qur'an(Principles of Ethical Issues). Qom: Imam Ali ibn Abi Talib; 2008. (Persian).
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35. Makaremshirazi N. Tafsire Nemuneh. Tehran: Darolketaboleslamieh; 1974. ( Persian).
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36. Bertucci V, Boffo M, Mannarini S, Serena A, Saccardi C, Cosmi E, Andrisani A, Ambrosini G. Assessing The Perception of The Childbirth Experience in Italian Women: A Contribution to The Adaptation of The Childbirth Perception Questionnaire. Midwifery 2012; 28(2):265-74.
36
ORIGINAL_ARTICLE
The Effect of Partnership Caring Model on Diabetic Adolescence’ Metabolic Control Referring to Diabetes Center of Arbil city
Background: Metabolic control of diabetics Type 1 in each period of life, like adolescence is stressful and using partnership caring model is eesential. Aim: The aim of the present study was to determine the effect of using partnership caring model on Diabetic adolescence s’ Metabolic Control. Methods This research is a semi- empirical study performed in a Diabetes Center of Arbil city (2012-2013). Forty diabetic adolescents have been designated into two groups of 20 members. The partnership caring model was performed in four stages of motivation, preparation, execution and evaluation in an intervention group for three months. Control index of diabetes was the amount of used HbA1C and Insulin level which was measured in both groups before and after the interference. Data were analyzed by SPSS version 16.0 using paired-t and independent-t tests. Results: T-test revealed that before interference, both groups were similar regarding the amount of HbA1C (p= 0.77) and Insulin level (p= 0.10). However, after interference, the T-test indicated a statistically significant difference between two groups regarding the amount of HbA1C (p< 0.000) and Insulin level (p= 0.02). Conclusion: According to the results, using this model in Diabetic adolescence for controlling Metabolic is recommended.
https://ebcj.mums.ac.ir/article_2075_8e522a1880a3570d30a03e6c5c4857c0.pdf
2014-01-01
59
64
10.22038/ebcj.2013.2075
Diabetes
adolescence
partnership caring model
Ghariba
Hassanali
fariba.hasanali@yahoo.com
1
MS in Pediatric Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
AUTHOR
Sima
Mohammad Khan Kermanshahi
kerman_s@modares.ac.ir
2
Assistant Professor of Nursing, Department of Nursing, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran
LEAD_AUTHOR
Dalir
Anvar Kakil
deleranwarkakil@yahoo.com
3
Internist Specialist, Department of Diabetes, Arbil hospital, Arbil, Iraq
AUTHOR
1. Wild S, Roglic G, Green A, Sicreen R, King H. Global Prevalence of Diabetes. Diabetes care. 2004; 5(27): 1047-53
1
.2.Afshar M,Eshagh Hossaini M.What is Diabetes Disease: Publications Morsel. Sixth edition, 2010, kashan. (Persian)
2
3. Helene A. Sairany Helene A. Journal of Diabetes Skyrocketing in the Kurdistan Region of Iraq; 2012, April 29.
3
4. Canadian Diabetes Association. Incidence of Type 1 Diabetes in Canada. 2007 May. Available at: http://www. Diabetes.ca/ lit/diabetes answers/ what is type 1 diabetes/ risk factors for type 1 diabetes.aspx
4
5. Huang GH, Palta M, Allen C, LeCaire T, D'Alessio D; Wisconsin Diabetes Registry. Self-rated Health among Young People with Type 1 Diabetes in Relation to Risk Factors in a Longitudinal Study. Am J Epidemiol. 2004; 159(4): 364-72.
5
6. Holling H, Erhar TM, Ravens S, Schlak R. Behavioral Problems in Children and Adolescence. J Psychol Gesundheitsschutz. 2007; So (S-6) 784-93.
6
7. Mohammadi E, Design and Evaluation of Partnership Care Model in Control of High Blood Pressure.Doctor Dissertation in Nursing, Tarbiat Modares University: 2002.
7
8. Gagliardino JJ, Etchegoyen G. A Model Educational Program for People with Type 2 Diabetes: A Cooperative Latin American Implementation Study (PEDNID-LA). Diabetes Care 2001; 24(6):1001-7.
8
9- Khoshab H, Bagheryan B, Abbaszadeh A, Mohammadi E, Kohan S, Samareh R H. The Effect of Partnership Care Model on Depression and Anxiety in the Patients with Heart Failure. J Evidence Based Care 2012; 2(2):37-45. (Persian)
9
10- Alijany-Renany H, Tamaddoni A, Haghighy-zadeh M, Pourhosein S. The Effect of Using Partnership Care Model on the Quality of Life in the School-age Children with β-thalassemia. J Shahrekord Univ Med Sci 2012; 14 (1):41-9. (Persian)
10
11- Borhani F, Khoshab H, Abbaszadeh A, Rashidinejad H, Mohammadi E. Study of the Effect of Partnership Care Model on the Quality of Life in Patients with Heart Failure. IJCCN. 2012; 5 (1):43-8. (Persian)
11
12- Mohammadi E, Rezapour R, Sistanehei F. Evaluation of Long-Term Care Based on the Partnership Care Model in Quality-of-Life and Metabolic Control of Diabetic Patients. J of Am Sci 2011; 7(10):607-16.
12
13. Najimi A1, Azadbakht L2, Hassanzadeh A3, Sharifirad GH. The Effect of Nutrition Education on Risk Factors of Cardiovascular Diseases in Elderly Patients with Type 2 Diabetes: a Randomized Controlled Trial.Iranian Journal of Endocrinology and Metabolism 2011; 8(3),2011, p. 256-63.(Persian)
13
14. Moatari M, Ghobadi A, Baygi P, Pishdad GH. Self on the Parameters of Metabolic Control in IDDM Patients. Journal of Diabetes and Lipid Disorders, 2011; 10 (5): 528-35. (Persian)
14
15- Azadi F, Mohammadi E.Effect of Using Partnership Care Model on Quality of Life in Coronary Artery Disease Patients. Iran J Nurs Res 2006; 1(2):23-9.(Persian)
15
ORIGINAL_ARTICLE
A Comparison of the effect of open and closed endotracheal suctioning on hemodynamic status of patients in the ICU
Background: If not done properly, suction causes complications such as hypoxia, cardiac arrhythmias or even death. Suction is being used in most hospital wards. Closed Suction appears to have fewer side effects, although studies have reported dissimilar results. Aim: The aim of this study was to compare the effect of open (control) with closed (test) endotracheal suctioning on patients’ Hemodynamic state. Methods: This study was a randomized clinical trial in 86 patients admitted in the ICU of Besat hospital of hamedan in 2013, being divided into two groups: open (control) and closed (test) endotracheal suctioning. Systolic and diastolic blood pressure, mean arterial pressure (MAP), heart rate, arterial O2 saturation (SPO2), respiratory rate and the incidence of disrrythmia were recorded in patients´ questionnaires immediately, and afterwards 2 and 5 minutes after endotracheal suctioning by open and closed methods. Data analysis was performed by Repeated Measure ANOVA, t test, chi-square and Fisher's exact test. Results: A total of 102 patients were included in the study. Sixteen patients were excluded from the study and data from 86 patients were analyzed. No statistically significant differences in age (15/0P =) and sex (33/0P =) were found between the two groups. Hemodynamics index in two groups was similar before the suctioning (P >0.05). In the open group, there was an increase in diastolic blood pressure (P=0.017), mean arterial pressure (P=0.019), heart rate (P=0.003) and respiratory rate (P<0.0001) immediately, 2 and 5 minutes after suctioning in comparison to the closed group (P>0.05). Systolic blood pressure, SPO2 and incidence of disrrythmia were similar in the two groups. Conclusion: Endotracheal suctioning by closed method had lower effects on patients´ Hemodynamic status rather than the open system. Hence, closed endotracheal suctioning is recommended in the ICU.
https://ebcj.mums.ac.ir/article_2132_e307dc6301dfde141e8827831c6a69c4.pdf
2014-01-01
65
74
10.22038/ebcj.2013.2132
Closed suctioning
Hemodynamic state
open suctioning
nasim
alipour
alipour.0289@yahoo.com
1
MS in critical care nursing Sciences, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran
AUTHOR
Tahereh
Toulabi
tolabi.t@lums.ac.ir
2
Assistant Professor of nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran
LEAD_AUTHOR
Nahid
Manouchehrian
nmanouchehrian@yahoo.com
3
Assistant Professor in Aesthesia, School of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran
AUTHOR
Khatereh
Anbari
kh_anbari@yahoo.com
4
Assistant Professor in Community Medicine, School of Medicine, Lorestan University of medical sciences, Khoramabad, Iran
AUTHOR
Farshid
Rahimi Bashar
fr_rahimibashar@yahoo.com
5
Assistant Professor in Community Medicine, School of Medicine, Lorestan University of medical sciences, Lorestan, Iran
AUTHOR
1. Vincent JL, Abraham E, Moore F, Fink M, Kochanek PM. Critical Care.6nd ed. Amsterdam: Elsevier Publishers; 2011.P.464-80.
1
2. Mandell G.L, Douglas R, Benntt J.E. Principles and Practices of Infectious Diseases. Volume 2, 7nd Ed, United States, Elsevier Publishers.2010, P.1750-65.
2
3. Richard D, Branson R. Secretion Management in the Mechanically Ventilated Patient. Respir Care2007; 52(10):1328-43.
3
4. Pagotto IM, Rogerio L, Oliveira C, Flavio C.Comparison between Open and Closed Suction Systems: A systematic review. Rev Bras Ter Intensiva 2008; 20(4): 331-8.
4
5. Irene P, Jongerden MS,Maroeska M,Rovers D, Mieke H, Marc J. Open and Closed Endotracheal Suction Systems in Mechanically Ventilated Intensive Care Patients: A meta-analysis.Crit Care Med 2007;35(1):260-70.
5
6. Nobahar M. Principle and Arts of Nursing. 1st ed. Tehran: Boshra; 2007. Pp.230-4. (Persian)
6
7.Deven J,Yash J, Omender S,Prashant N,Rameshwar P,Bhupesh U. Comparing Influence of Intermittent Subglottic Secretions Drainage with/without Closed Suction System on the Incidence of Ventilator-Associated Pneumonia.Indian J Crit Care Med 2011;15(3):168-72.
7
8. Arlene Coughlin. Let's Clear the Air about Suctioning. 2nd Ed, London, Lippincott: Williams & Wilkins. 2006, P. 135-40.
8
9. Subirana M, Solà I, Benito S. Closed Tracheal Suction Systems Versus Open Tracheal Suction Systems for Mechanically Ventilated Adult Patients. Lancet 2008:45(2):127-30.
9
10.Carsten M,Mette R,Jeanette H,Ingrid E. Endotracheal suctioning of the adult intubated patient- What is the evidence?Intensive and Crit Care Nursing 2009;25(1):21-30.
10
11. Phipps WJ, Monaham FD, Sand's JK. Medical Surgical Nursing; Health and Illness Prospective. 7th ed. Philadelphia, Mosby, 2011, P. 454-9.
11
12. Ruben D Joel M, John M. Endotracheal Suctioning of Mechanically Ventilated Patients with Artificial Airways 2010, American Association for Respiratory Care Clinical Practice Guidelines Steering Committee. Respir Care 2010; 55(6):758-64.
12
13. Heyland D, Mount Sinai. Hospital Critical Care Research - Current Studies VAP Study. Am J Respir Crit Care Med 1999; 159(4): 1249-56.
13
14. Ebrahimi Fakhar H, Rezai K, Kohestani H. Effect of Closed Endotracheal Suction on Incidence of Ventilator-Associated Pneumonia SJKU 2010; 15(2):79-87. (Persian)
14
15. Brendam, M.Closed-System Suctioning: Why is the Debate Still Open? Indian J Med Sci 2007; 61(4):177-8.
15
16. Powers J. Managing VAP Effectively to Optimize Outcomes and Costs. Nursing Management 2006; 37(1): 48-53.
16
17. Sole ML, Poalillo FE, Byers JF, Ludy JE. Bacterial Growth in Secretions and on Suctioning Equipment of Orally Intubated Patients: A Pilot Study. Am J Crit Care 2002; 11(2):141-9.
17
18. Woo Jung J, Hee Choi E, Hee Kim J, Kyung Seo J, Yeon Choi J. Comparison of a Closed With an Open Endotracheal Suction: Costs and the Incidence of Ventilator-associated Pneumonia .Tuberculosis and Respiratory Diseases 2008; 65(3):198-206.
18
19. Combes P, Fauvage B, and Oleyer C. Nosocomial Pneumonia in Mechanically Ventilated Patients: A Prospective Randomised Evaluation of the Stericath Closed Suctioning System. Intensive Care Med 2000; 26(7):878-82.
19
20. Nazmiyeh H, Mirjalili MR, Emami Maibodi R. Comparison of the Effect of Open and Closed Endotracheal Suction on Cardiovascular and Ventilation Parameters for Patients Undergoing Mecanichal Ventilation. Iran J Nurs Midwifery Res 2010:9(2):97-106. (Persian)
20
21. Zolfaghari M, Nikbakht Nasr Abadi A, Karimi Rezve A, Haghani H. The Open and Close Suctioning Effect on Patients’ Vital Sign. Hayat 2003:14(1):20-3. (Persian)
21
22. Jongerden IP, Rovers MM, Grypdonck MH, Bonten MJ. Open and Closed Endotracheal Suction Systems in Mechanically Ventilated Intensive Care Patients: a Meta-Analysis. Crit Care Med2007; 35(1): 260-70.
22
23. Asgari M.Critical Nursing Care in CCU, ICU and Dialysis. 9st ed. Tehran: Boshra; 2005.Pp.242-5. (Persian)
23
24. Kalyn A, Blatz S, Sandra Feuerstake , Paes B, Bautista C. Closed Suctioning of Intubated Neonates Maintains Better Physiologic Stability: A Randomized Trial. J Perinatol 2003; 23(3): 218-22.
24
25. Seyyed Mazhari M., Pishgou’ei A. H., Zareian A., Habibi H. Effect of Open and Closed Endotracheal Suction Systems on Heart Rhythm and Artery Blood Oxygen Level in Intensive Care Patients. IJCCN. 2010; 2 (4):1-2. (Persian)
25
26.Lasocki S, Lu Q, Sartorius A, Fouillat D, Remerand F, Rouby JJ. Open and Closed-Circuit Endotracheal Suctioning in Acute Lung Injury: Efficiency and Effects on Gas Exchange. Anesthesiology 2006; 104(1): 39-47.
26
ORIGINAL_ARTICLE
Comparison of the Effect of Mathernal Education via Newsletter and Group Discussion on the Nutritional Quality of Preschoolers
Background: Proposing an appropriate model of feeding behavior to mothers plays an important role in creating an accurate child feeding conduct. Studies have shown that mothers have low level of knowledge and practice regarding their childrens’ nurishment. Newsletter is an educational media providing families with easy access to information resources. Group discussion is one of the best ways to change behavior. Aim: This study aimed to compare the effects of training mothers by either newsletter or discussion groups in nutritional quality of preschoolers. Methods: In this study, 192 mothers having preschoolers were selected by a convenient method and randomly assigned to discussion, newsletter and control groups. A newsletter was sent for 4 weeks. The discussion group was trained with similar educational content one hour per week. Data were collected immediately after the intervention and then one month later using a Healthy Eating Index (HEI). Data analysis was performed with Repeated Measurements. Context validity index and test re-test (r=0.82) was used. Results: There were no significant differences before the intervention, and between the HEI (Healthy Eating Index) score groups. HEI scores after education and one month later were significantly higher in the discussion and newsletter groups compared to control group (p<0.001). No significant difference was found between the discussion and the newsletter groups regarding HEI score after education and one month later (p>0.005). Conclusion: Effect of maternal training with newsletter and group discussions on children’s nutritional quality was equal. Given the ease of use of newsletter as an effective alternative method, it can be utilized in preference to group discussions.
https://ebcj.mums.ac.ir/article_2141_73d23466bd6c190dc3df74bf8f8f0d84.pdf
2014-01-01
75
84
10.22038/ebcj.2013.2141
Newsletter
Group discussion
food quality
Preschooler
Healthy Eating Index
maternal education
Nasrin
Baghdari
baghdarin@mums.ac.ir
1
Instructor of Nursing, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Ashraf
Ashrf Bahrami morghmaleki
ashrafbahrami60@yahoo.com
2
MS in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
LEAD_AUTHOR
Abdolrezs
Norouzi
3
Assistant Professor in clinical nutrition and metabolism, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
AUTHOR
Hossien
Karimi Moonaghi
karimimounaghih@mums.ac.ir
4
Associate professor of nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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