The Effect of Massage Therapy by Patients’ Companions on Severity of Pain in the Patients Undergoing Post Coronary Artery Bypass Graft Surgery: A Single-Blind Randomized Clinical Trial
Sied Saeed
Najafi
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Fazlola
Rast
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Marzieh
Momennasab
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mahmood
Ghazinoor
Department of Cardiac Surgery, Nemazee Teaching Hospital , School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
Fereshteh
Dehghanrad
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Sied Ali
Mousavizadeh
Social Determinants Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
author
text
article
2014
eng
Background: Pain on mid sternotomy incision site after Coronary Artery Bypass Graft Surgery (CABG) is a common problem that causes sleep disturbance, delayed wound healing, and increased use of analgesic drugs. Massage therapy which is mostly performed by healthcare providers is a non-pharmacological approach for managing this pain. The present study aimed to determine the effect of massage therapy by patient’s companion on the severity of pain in post CABG patients.Methods: In this randomized single-blind clinical trial, 70 post CABG patients were randomly divided into an intervention and a control group. The intervention group received massage by one of their relatives who was trained by an expert nurse. The control group, on the other hand, received routine care. The pain intensity was assessed by Visual Analogue Scale (VAS) before and immediately, 30, 60, and 120 minutes after the intervention. Then, the data were entered into the SPSS statistical software (version 16) and analyzed using repeated measures ANOVA and post-hoc test (Scheffe).Results: At the beginning of the study, no significant difference was found between the two groups regarding the pain severity. In the intervention group, the pain severity significantly decreased in all the four time points after the intervention (P=0.001). However, no significant difference was observed in this regard in the control group.Conclusion: Massage therapy by patient’s companion trained by a nurse was an effective strategy for pain management in post CABG patients. This could also promote the patient’s family participation in the process of care. Trial Registration Number: IRCT201208218505N3.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
128
135
https://ijcbnm.sums.ac.ir/article_40669_ef502779e5bd6a71c13beab2b604d380.pdf
Prevalence of Hypertension and Associated Factors in Ahvaz School Age Children in 2013
Ashrafalsadat
Hakim
Chronic Disease Care Research Center, Department of nursing, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
author
Roya
Bagheri
Razi Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
author
text
article
2014
eng
Background: The underlying cause of high blood pressure in adulthood is rooted in childhood. The evidence points to higher prevalence of hypertension among children in recent years. This study aims to investigate the prevalence of high blood pressure among Ahvaz children, as a sample of Iranian kids, and compare it with relevant reports from other countries. Methods: This cross- sectional study was conducted in various parts of Ahvaz city on school children aged 6-12 from March to June 2013. We measured the height, weight, systolic and diastolic blood pressure, using standardized methods. Systolic and diastolic blood pressure ≥95 percentile for age and sex was identified as hypertension. To analyze the data, statistical tests such as Chi-square, T-test, ANOVA, and Pearson correlation coefficient were used.Results: Overall, 1100 school children (564 boys and 536 girls) participated in the study. The highest level of blood pressure was found among obese children (26.4%) aged 11-12 years. Systolic blood pressure of 9.7% of children was in the pre-hypertension phase and 23.6% of them in the hypertensive phase. Also, with regards to diastolic pressure, 13.5% and 17.1% of the children had pre-hypertension and hypertension, respectively.Conclusion: Considering the high prevalence of hypertension in school children in Ahvaz, we suggest developing a sustainable training program based on intervention for proper nutrition and physical activity in this age group to the Ministry of Health and the Ministry of Education.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
136
141
https://ijcbnm.sums.ac.ir/article_40671_2b391b8891d0da067a637cc588978521.pdf
The Effect of Omega-3 Fatty Acid Supplementation on Maternal Depression during Pregnancy: A Double Blind Randomized Controlled Clinical Trial
Maasumeh
Kaviani
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Laleh
Saniee
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
author
Sara
Azima
Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Farkhondeh
Sharif
Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mehrab
Sayadi
Department of Biostatistics, School of Public Health , Behbahan University of Medical Sciences,
Behbahan, Iran
author
text
article
2014
eng
Background: Depression is one of the most debilitating disorders during pregnancy and its recovery and treatment are among the concerns of obstetrics and gynecology experts. The present study aimed to determine the effect of omega-3 supplement on mild depression during pregnancy among primiparous women. Method: In this double-blind clinical trial, 80 primiparous women were randomly divided into 2 groups of omega-3 and placebo. The experimental group received 1 g omega-3 capsules for 6 weeks. The study data were collected by completing Beck Depression Inventory before and 6 weeks after the intervention.Results: The results revealed a significant difference between the two groups regarding the mean score of depression before and after the intervention (P<0.001). Besides, the mean difference of depression score before and after the intervention was significantly higher in the omega-3 group (P<0.001).Conclusion: Considering the study results, using omega-3 supplement is a suitable method for recovery from mild depression during pregnancy with no complications for mothers and infants. Trial Registration Number: IRCT2012121011717
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
142
147
https://ijcbnm.sums.ac.ir/article_40672_fadfebd02f3e0760d365fe573feed2c8.pdf
Comparison of Personality Traits, Coping Styles, and Psychiatric Disorders in Adult Suicidal and Non-Suicidal Individuals
Farkhondeh
Sharif
Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Azam
Parsnia
Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Arash
Mani
Psychiatry and Behavioral Research Center, Department of Psychiatry, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mehrdad
Vosoghi
Department of Statistics, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
Giti
Setoodeh
Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2014
eng
Background: Suicide is a major health problem accounting for 9% of all deaths. Thus, suicide prevention is of particular importance in high-risk groups. Taking care of the individuals who have committed suicide is also considered as a major problem for health professionals. In general, individuals’ personality and attitude toward problems are involved in the incidence of suicide. Human personality is an integrated but complex phenomenon characterized by its extensiveness and large variety of concepts. The present study aimed to evaluate personality traits and coping styles among suicidal and non-suicidal individuals referring to the hospitals and health centers affiliated to Shiraz University of Medical Sciences. Methods: In this cross-sectional study, 100 suicidal patients and 100 non-suicidal individuals (mean age: 27.21 years) were randomly selected and matched in terms of demographic variables. All the participants completed Neuroticism, Extraversion, Openness (NEO) personality questionnaire, Lazarus coping strategies questionnaire, and SCL-90-R. Then, the data were analyzed using T-test, chi-square test, and stepwise liner regression. Results: The study results showed that the highest scores in the case and control groups were related to neuroticism (32.35±3.21) and conscientiousness (36.87±3.26), respectively (P<0.001). The two groups were also compared with respect to the two main types of coping styles. In both coping styles, the mean scores of the control group were higher than those of the case group although the difference was only significant regarding the problem-focused coping style. Conclusion: The results revealed a significant relationship between coping styles and extroversion as well as nervousness. Nervousness and extraversion scores could predict the coping style. In addition, suicidal individuals obtained higher scores in nervousness and emotion-focused coping style compared to the control group.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
148
156
https://ijcbnm.sums.ac.ir/article_40673_cc4bb7882f638c367f3452d096b4b6ee.pdf
Medical Paraclinical Standards, Political Economy of Clinic, and Patients’ Clinical Dependency; A Critical Conversation Analysis of Clinical Counseling in South of Iran
Ahmad
Kalateh Sadati
Health Policy Research Center (HPRC), Shiraz University of Medical Sciences, Shiraz, Iran; and Department of Sociology and Social Planning, College of Economics, Management, and Social Sciences, Shiraz University, Shiraz, Iran
author
Mohammad Taghi
Iman
Department of Sociology and Social Planning, College of Economics, Management, and Social Sciences, Shiraz University, Shiraz, Iran
author
Kamran
Bagheri Lankarani
Health Policy Research Center (HPRC), Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2014
eng
Background: Despite its benefits and importance, clinical counseling affects the patient both psychosocially and socially. Illness labeling not only leads to many problems for patient and his/her family but also it imposes high costs to health care system. Among various factors, doctor-patient relationship has an important role in the clinical counseling and its medical approach. The goal of this study is to evaluate the nature of clinical counseling based on critical approach.Methods: The context of research is the second major medical training center in Shiraz, Iran. In this study, Critical Conversation Analysis was used based on the methodologies of critical theories. Among about 50 consultation meetings digitally recorded, 33 were selected for this study.Results: Results show that the nature of doctor-patient relationship in these cases is based on paternalistic model. On the other hand, in all consultations, the important values that were legitimated with physicians were medical paraclinical standards. Paternalism in one hand and standardization on the other leads to dependency of patients to the clinic.Conclusion: Although we can’t condone the paraclinical standards, clinical counseling and doctor-patient relationship need to reduce its dominance over counseling based on interpretation of human relations, paying attention to social and economical differences of peoples and biosocial and biocultural differences, and focusing on clinical examinations. Also, we need to accept that medicine is an art of interaction that can’t reduce it to instrumental and linear methods of body treatment.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
157
168
https://ijcbnm.sums.ac.ir/article_40674_4e3a8d6b989f168a00f55eb96e25a7ad.pdf
The Effect of Conditioning Exercise on the Health Status and Pain in Patients with Rheumatoid Arthritis: A Randomized Controlled Clinical Trial
Iran
Jahanbin
Community Based Psychiatric Care Research Center, Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mahboobeh
Hoseini Moghadam
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Mohammad Ali
Nazarinia
Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
Fariba
Ghodsbin
Department of Community Health Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Zahra
Bagheri
Department of Epidemiology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
Ali Reza
Ashraf
Department of Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2014
eng
Background: Rheumatoid Arthritis (RA) is a systemic and inflammatory disease of unknown etiology which is mostly characterized by inflammation of the synovial joints. Studies have proved that most people with RA avoid doing physical activities due to fear that it may worsen the pain or cause pressure on joints, resulting in decreased muscle strength and ultimately leading to disability of patients. We aimed to investigate the effects of conditioning exercises on the health status and pain in patients suffering from RA.Methods: In this randomized controlled clinical trial, we enrolled 66 women with confirmed RA referred to the rheumatology clinic of Hafez hospital, Shiraz, southwest Iran during May-July 2013. Balanced block randomization method was used to randomize the participants into case and control groups (two groups of 33 each).Data were collected using visual analog scale (VAS), Arthritis Impact Measurement Scales 2 short form (AIMS2-SF), and demographic questionnaire. After obtaining written informed consent, the participants in the case group were asked to participate in conditioning exercise programs including aerobic, isometric, and isotonic exercises and received a training booklet explaining the exercises that they could do at home after the intervention.Results: There was a statistically significant difference between the health status scores of the patients in the case groups before and after the intervention (P=0.001). The pain score also decreased significantly in the case group compared with the control group after the intervention (P=0.003).Conclusion: We concluded that physical training programs, especially conditioning exercises, could improve the health status and reduce pain in patients with RA.Trial Registration Number: IRCT201308187531N3
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
169
176
https://ijcbnm.sums.ac.ir/article_40675_f05e60430cf66996443c6601f84bdec5.pdf
The Level of Depression and Assertiveness among Nursing Students
Fatemeh
Rezayat
Department of Psychiatric Nursing, Tehran University of Medical Sciences, Tehran, Iran
author
Nahid
Dehghan Nayeri
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
author
text
article
2014
eng
Background: Nursing students are susceptible to a higher risk of depression. Recognition of depression, assertiveness and the relationship between them is important since if a relationship exists, probably enhancing the level of assertiveness can reduce depression in this high risk group. We aimed to investigate depression and assertiveness levels and the relationship between them in nursing students of Tehran University of Medical Sciences.Methods: The target population of this cross-sectional study was bachelor nursing students of Tehran University of Medical Sciences, as the largest and one of the most prestigious Iranian universities. For selecting samples, the convenience sampling method was used. Having no previous information about classes, the researcher selected the students from the courses held while the researcher was present for sampling at the faculty and studied all the students willing to participate in the study in selected classes. The questionnaire consisted of demographic information, Gambrill and Richey assertion inventory, and Beck’s depression inventory. SPSS software, version 16, was used to analyze the data. ANOVA and independent samples t test were used for as appropriated.Results: 55.6% of students indicated average and low levels of assertiveness and 38.7% were suffering from mild to severe depression. Pearson correlation test showed a significant inverse relationship (r=0.314 and P<0.001) between assertiveness and depression. There were significant relationships between depression and interest in the field of study (P=0.001) and between assertiveness and gender (P=0.035). Conclusion: There was an inverse significant relationship between depression and assertiveness among nursing students. We suggest a cohort study design that can determine the effect of these variables on each other completely.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
177
184
https://ijcbnm.sums.ac.ir/article_40676_6641ce58abeeda15017112c254280b3e.pdf
The Effect of Conflict Resolution Training on Children’s Behavioral Problems in Shiraz, Southern Iran: A Randomized Controlled Trial
Sara
Soleimanii
Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz Iran
author
Farkhondeh
Sharif
Community Based Psychiatric Care Research Center, Department of Mental Health and Psychiatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
author
Arash
Mani
Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran
author
Sareh
Keshavarzi
Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2014
eng
Background: There is evidence that marital problems can contribute to child behavior problems. In fact, the way that parents solve their conflicts, such as aggression, physical violence, and poor communication skills, can eventually culminate in aggression and emotional problems in children. This study aimed to evaluate the effectiveness of conflict resolution training on children’s behavioral problems in a sample of Iranian couples. Methods: This randomized controlled trial study was carried out on the couples who referred to counseling centers in Shiraz, Iran. In this study, 56 couples were selected through convenience sampling and assigned to an intervention and a control group. The intervention group received 10 sessions of communication skills training. All the participants filled out conflict resolution questionnaire and Child Behavior Problem Checklist (CBCL). To analyze the data we used the SPSS statistical software (version 16), using repeated measurement test, paired t-test, and independent t test. Results: In this study, no statistically significant differences were found between the two groups regarding the demographic characteristics. Also, no significant difference was observed between the two groups regarding the mean score of child behavior problems. Besides, a significant difference was found in the intervention group’s mean score of marital conflict in post-test compared to the pre-test; however, no such trend was observed in the control group.Conclusion: Conflict resolution skill training was effective in reducing marital conflict. Also, it showed a slight reduction in the score of child behavior problems after the intervention. But this reduction wasn’t statisticaly significant. Trial Registration Number: IRCT201109112812N2
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
185
195
https://ijcbnm.sums.ac.ir/article_40677_1ab1bc029f61b8cd684747ef581b12f6.pdf
A Study of Head Lice Infestation (Pediculosis Capitis) among Primary School Students in the Villages of Abadan in 2012
Shayesteh
Salehi
Department of Nursing, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran
author
Maryam
Ban
Department of Nursing, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran
author
Minoo
Motaghi
Department of Nursing, Khorasgan (Isfahan) Branch, Islamic Azad University, Isfahan, Iran
author
text
article
2014
eng
Head lice contamination has a global distribution and it is regarded as a main health problem throughout the world. Given the importance of physical health of students and head lice prevalence at school age, we aimed to examine the rate of head lice contamination among primary school students in the villages of Abadan in 2012. In this descriptive study, 624 students were randomly selected from primary schools. The hair of all students under the study was examined by the researcher (community health nurse) and the result was registered in the checklist confidentially. Moreover, one questionnaire including personal and family information was filled out for each student. The obtained data were later analyzed in SPSS software, version 18, using statistical test Chi-square and central qualitative and distribution statistics. The frequency of lice contamination was 27 cases (4.33%) in total, all of whom were girls. Although the difference between the head lice contamination and gender was statistically significant (P=0.00), the difference between this contamination type and grade of students and their parents’ education and fathers’ occupation was not significance. The highest rate of contamination (6.73%) was, however, observed in fifth graders. All contaminations were seen in girls, which could be due to their longer hair or wearing scarf as compared with boys. Unfavorable health condition and regional hot weather can be effective as well. Therefore, it is essential to provide the students, especially girls, with health training.
International Journal of Community Based Nursing & Midwifery
Shiraz University of Medical Sciences, Shiraz, Iran
2322-2476
2
v.
3
no.
2014
196
200
https://ijcbnm.sums.ac.ir/article_40670_e133ca90e33859544ad377bf7449db38.pdf