@article { author = {Sharif, Farkhondeh and Moshkelgosha, Fariba and Molazem, Zahra and Najafi Kalyani, Majid and Vossughi, Mehrdad}, title = {The Effects of Discharge Plan on Stress, Anxiety and Depression in Patients Undergoing Percutaneous Transluminal Coronary Angioplasty: A Randomized Controlled Trial}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {60-68}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: Angioplasty is one of the most common methods for treating coronary artery diseases. However, a large number of those undergoing this treatment face psychological problems that negatively affect the quality of their life and recovery. We aimed to determine the effects of discharge planning on stress, anxiety, and depression in patients undergone percutaneous transluminal coronary angioplasty (PTCA).Methods: In this randomized controlled trial, 80 candidates for PTCA during January to April 2013 were randomly assigned to equal experimental and control groups. The patients in the experimental group participated in two training sessions before and after the procedure and an informative booklet was used for their training. These patients were followed by phone during the two weeks after discharge. The depression anxiety stress scale (DASS-21) was completed by all subjects upon admission, at discharge, and one month after discharge. Data were analyzed using SPSS software, version 18. t test was used as appropriated.Results: The experimental group showed a statistically significant decrease in their stress, anxiety and depression a month after receiving the planned discharge (P<0.001). Although scores of stress (P=0.696), anxiety (P=0.110), depression (P=0.073) of the experimental group did not differ significantly on the day of discharge, the decrease was considerable compared with that of the control group.Conclusion: Using a planned discharge program in patients undergoing PTCA lowered their stress, anxiety, and depression.Trial Registration Number: IRCT201302182812N12}, keywords = {Discharge Plan,Angioplasty,Stress,Anxiety,depression}, url = {https://ijcbnm.sums.ac.ir/article_40661.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40661_931292aa85080e760ecf273d1ddd6659.pdf} } @article { author = {Alami, Ali and Khosravan, Shahla and Moghadam, Leila Sadegh and Pakravan, Fateme and Hosseni, Fateme}, title = {Adolescents’ Self-Esteem in Single and Two-Parent Families}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {69-76}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: Self-esteem is one of the basic needs for all individuals especially in adolescence. The aim of this study was to determine associations between adolescents’ self-esteem and perceived maternal parenting styles as well as its dimensions in terms of family type.Methods: In this analytic cross-sectional study, 356 high school students (250 two-parent nuclear family and 106 single-parent family) participated and filled out the Coppersmith self-esteem and the Robinson and colleagues (2001) perceived parenting styles questionnaires. Data were analyzed by SPSS software, version 18. To assess the relationship between participants’ self-esteem and parenting styles and dimensions, Mantel–Haenszel Chi-square test was used to adjust the effect of potential confounder variables. P≤0.05 was considered statistically significant.Results: From a total of 370 questionnaires, 356 questionnaires were completed. The mean±SD of the participants’ self-esteem score was 38.49±6.55. Mean±SD of self-esteem score among the two-parent and single-parent students was 39.06±6.36 and 37.42±7.28, respectively (P=0.034). Dominant parenting style in both families was authoritative style. There were significant associations between the respondents’ self-esteem and their perceived parenting styles, after matching sex, family income, level of education, and parents job (P<0.005).Conclusion: The results of this research can be used in educational interventions to modify the dimensions of parenting styles and improve self-esteem. Therefore, considering the relationship between child-rearing style and adolescent self-esteem, assessing other relating factors with adolescent self-esteem especially in single-parent family, such as father absence stigma, is suggested.}, keywords = {Adolescence,Parenting Behavior,Nuclear Family,Self-esteem,Single-Parent Family}, url = {https://ijcbnm.sums.ac.ir/article_40662.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40662_02386eb3c97dd20e22a97f36a24e190e.pdf} } @article { author = {Hadianfard, Habib}, title = {Child Abuse in Group of Children with Attention Deficit-Hyperactivity Disorder in Comparison with Normal Children}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {77-84}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: Children suffer from attention deficit hyperactivity disorder (ADHD) are very difficult to handle. It can be very frustrating and needs an outstanding tolerance. Behavioral difficulties in ADHD children may increase the risk of child abuse for them. The aim of this research was to compare child abuse, and neglect between ADHD group and normal children.Methods: In this cross-sectional study, 30 ADHD students (10 girls and 20 boys) were selected from regional mental behavior disorder clinics and matched with 30 normal students. Data were collected using Child Abuse Self Report Scale. Descriptive statistics, one-way multivariate analysis of variance (MANOVA) and Least Significant Difference (LSD) was performed by using SPSS software.Result: The result of the research showed that almost 60% of participants had experienced neglect and 35% psychological abuse. Neglect and psychological abuse are more frequent than other maltreatments. Neglect, psychological and physical abuses are significantly higher in the ADHD group.Conclusion: The findings showed that the rates of neglect and psychological abuse are higher in the ADHD group. Therefore, it can be suggested that the society and families should be trained to deal better with ADHD children.}, keywords = {Attention Deficit Hyperactivity Disorder,Child abuse,Psychological Abuse,Neglect}, url = {https://ijcbnm.sums.ac.ir/article_40663.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40663_a0bff8ca0148630019da569ae4e30db2.pdf} } @article { author = {Seyedfatemi, Naiemeh and Peyrovi, Hamid and Jalali, Amir}, title = {Relapse Experience in Iranian Opiate Users: a Qualitative Study}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {85-93}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: To understand the relapse process, it is required to notice the clients learned behaviors and environmental contexts. We aimed to explore and describe relapse experiences of Iranian drug users.Methods: This is a grounded theory study and twenty two participants were selected using purposive sampling, snowball and theoretical sampling. After obtaining written informed consent, data gathering was done by means of in-depth semi-structured interviews. According to Strauss and Corbin three phases of open coding, axial coding and selection coding were done for qualitative analysis and continuous comparison. During the research period Guba and Lincoln criteria were used to be reassured of the accuracy and rigor of the study findings.Results: The main categories of this study were craving and conflict, family stress and psychological indicators of relapse that emerged in three phases including recovery, tension and pre-relapse. High anxiety, withdrawal, rationalization and lying were the most common symptoms. Conclusion: Family reactions and social conditions play a key role in relapse. Relapse process is an active and multidimensional event in which the clients experience a psychosocial status continuum from recovery to relapse. Most psychological problems are seen in the tension phase.}, keywords = {Relapse,Drug Users,Psychosocial Experience,Qualitative study}, url = {https://ijcbnm.sums.ac.ir/article_40664.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40664_57f9a550a0614958288d231bafef69dd.pdf} } @article { author = {Kaviani, Maasumeh and Rahnavard, Tahereh and Azima, Sara and Emamghoreishi, Masoumeh and Asadi, Nasrin and Sayadi, Mehrab}, title = {The Effect of Education on Sexual Health of Women with Hypoactive Sexual Desire Disorder: A Randomized Controlled Trial}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {94-102}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {AbstractIntroduction: Sexuality constitutes an important part of women's life. Healthy and proper sexual functioning is one of the signs of physical and mental health. The aim of this study was to identify effect of training on sexual health of women with reduced sexual desire. Methods: This study was a randomized clinical trial. The participants were 80 married women at reproductive age who were randomly assigned to two groups of placebo and training and participated in this study after completing Hurlbert index of sexual desire. To analyze the data, independent and paired t-test and Chi-square test were used.Results: The results showed that increased score of sexual desire in the intervention group (67.43±75.48) was significantly higher than that of the control group (43.8±42.7) (p<0.05). Conclusion: According to the results of this study, it seems that sexual health training was effective for women with reduced sexual desire. Keywords: training, sexual health, reduced sexual desire}, keywords = {education,Sexual Health,Hypoactive sexual desire disorder}, url = {https://ijcbnm.sums.ac.ir/article_40665.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40665_28bd99de32f262b26e44e093a446d7fd.pdf} } @article { author = {Kalateh Sadati, Ahmad and Tabei, Seyed Ziaaddin and Salehzadeh, Hamzeh and Rahnavard, Farnaz and Namavar Jahromi, Bahia and Hemmati, Soroor}, title = {The Relationship between Neutralization Techniques and Induced Abortion}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {103-111}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: Induced abortion is not only a serious threat for women’s health, but also a controversial topic for its ethical and moral problems. We aimed to evaluate the relationship between neutralization techniques and attempting to commit abortion in married women with unintended pregnancy. Methods: After in-depth interviews with some women who had attempted abortion, neutralization themes were gathered. Next, to analyze the data quantitatively, a questionnaire was created including demographic and psychosocial variables specifically related to neutralization. The participants were divided into two groups (abortion and control) of unintended pregnancy and were then compared.Results: Analysis of psychosocial variables revealed a significant difference in the two groups at neutralization, showing that neutralization in the control group (56.97±10.24) was higher than that in the abortion group (44.19±12.44). To evaluate the findings more accurately, we examined the causal factors behind the behaviors of the abortion group. Binary logistic regression showed that among psychosocial factors, neutralization significantly affected abortion (95% CI=1.07-1.35). Conclusion: Despite the network of many factors affecting induced abortion, neutralization plays an important role in reinforcing the tendency to attempt abortion. Furthermore, the decline of religious beliefs, as a result of the secular context of the modern world, seems to have an important role in neutralizing induced abortion.}, keywords = {Induced Abortion,Unintended Pregnancy,Neutralization,Religion,Sociological Theory}, url = {https://ijcbnm.sums.ac.ir/article_40666.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40666_7826d83a38c455ab785d4c7a248d6f22.pdf} } @article { author = {Akbarzadeh, Marzieh and Ghaemmaghami, Mehrnoush and Yazdanpanahi, Zahra and Zare, Najaf and Azizi, Amir and Mohagheghzadeh, Abdolali}, title = {The Effect Dry Cupping Therapy at Acupoint BL23 on the Intensity of Postpartum Low Back Pain in Primiparous Women Based on Two Types of Questionnaires, 2012; A Randomized Clinical Trial}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {112-120}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background and Objectives: Continuous low back pain is obviously related to the symptoms of the pregnancy period. In spite of the spontaneous improvement of the pain in less than 6 months after the delivery, some women experience chronic problems. Thus, the present study aimed to investigate the effect of dry cupping therapy at the BL23 point on the intensity of low back pain in the primiparous using visual analogue scale and short-form McGill pain questionnaire. Materials and Methods: In the present clinical trial, 100 samples were randomly allocated randomly to either the cupping therapy or the control group. Cupping therapy was performed for 15-20 minutes every other day up to 4 consecutive times. Visual analogue scale and short-form McGill pain questionnaire were completed by the two groups before the intervention and immediately, 24 hours, and 2 weeks after that. Then, the data were entered into the SPSS statistical software (v. 16) and analyzed using chi-square test and repeated measures ANOVA.Results: According to the visual analogue scale, the mean intensity of low back pain in the cupping therapy group decreased from 7.8+2.7 before the intervention to 3.7+1.8, 2.5+1.7, and 1.4+1.4 immediately, 24 hours, and 2 weeks after the intervention, respectively. Besides, these measures were respectively obtained as 31.8+10.8, 9.0+6.7, 7.5+6.6, and 3.6+4.1 in the short-form McGill pain questionnaire. According to repeated measures ANOVA, a significant difference was observed among the various stages of follow-up (P=0.01).}, keywords = {Dry cupping,Acupuncture Point BL23,Low back pain,Postpartum}, url = {https://ijcbnm.sums.ac.ir/article_40667.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40667_ffdfd56f617ced912742c9284fcae7ac.pdf} } @article { author = {Kargar, Marzieh and Jamshidi, Zahra and Beheshtipour, Nooshin and Pishva, Narjes and Jamali, Maryam}, title = {Effect of Head Covering on Phototherapy-Induced Hypocalcaemia in Icterus Newborns; A Randomized Controlled Trial}, journal = {International Journal of Community Based Nursing & Midwifery}, volume = {2}, number = {2}, pages = {121-126}, year = {2014}, publisher = {Shiraz University of Medical Sciences, Shiraz, Iran}, issn = {2322-2476}, eissn = {2322-4835}, doi = {}, abstract = {Background: Although phototherapy has been used for more than 60 years it has some complications. The light waves produced from phototherapy reduce melatonin concentration in newborns with subsequent hypocalcemia. We aimed to assess the effect of head covering on calcium and magnesium levels in full term newborns during phototherapy.Methods: In this randomized controlled trial, 72 full-term icterus newborns weighing >2500 gr with indirect hyperbillirubinemia who received phototherapy at the phototherapy ward of Moslemin Hospital, Shiraz, southwest Iran, during March to September 2010 were recruited and divided randomly into two groups. The neonates in the case group received phototherapy while wearing a hat, while phototherapy was performed without hats for the control group. The newborns were in perfect health during the tests. The calcium and magnesium levels of each newborn were tested at baseline, and 24 hours after phototherapy and 48 after treatment. The variables were compared using Student’s t, Chi-square and repeat measurement tests.Results: 14 (38.8%) newborns in the control group and 5 (13.8%) in the case group had hypocalcemia after phototherapy. A significant difference was found between the incidence of hypocalcemia in these two groups (P=0.03). However, magnesium levels did not change significantly (P>0.05). Conclusion: Phototherapy caused hypocalcemia but it had no effect on magnesium levels. This can be prevented by covering the head during phototherapy with no need for prophylactic administration of calcium. Trial Registration Number: IRCT2013102315134N1}, keywords = {Head Covering,Phototherapy,Hypocalcaemia,Jaundice,Newborn}, url = {https://ijcbnm.sums.ac.ir/article_40668.html}, eprint = {https://ijcbnm.sums.ac.ir/article_40668_834188ef3d155c1b46ef6ed830997ffd.pdf} }