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The present research is a descriptive - analytic study about the rate of use, reasons of use or refusal of Hormone Replacement Therapy in menopausal women referred to gynecology clinics in selected hospitals of Tehran University of Medical Sciences in the year 2001. Samples of research included 400 women age between 40-65 years which selected on accidental basis and collected means was questionnaire which contain demographic characteristics (age, job and education), receiving information, information source, the reasons for use or refusal of Hormon Replacement Therapy. Research findings showed that 8.75% of menopausal women used Hormone Replacement Therapy. Their reasons are as follow: 28.57% due to physician recommendation. 26.37% due to improvement of hot flash. 23.08% for prevention of osteoporosis 16.48% due to hysterectomy. 3.3% due to prevention of cardiovascular diseases. 2.2% because of improvement of sexual activities. The reasons for non-useres are as follows: 46.96% having no information about such a method, 16.4% thinking about menopuae as a natural phenomenon and no need for treatment, 10.53% not-suffering from menopausal effects, 7.08% medical recommendation, 5.6% fear of hazardous effect leading to cancer. In the present research, there is no significant relationship between age, job and the method of Hormone Replacement Therapy but have significant relationship between education rate and receiving information about the method of use.

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Background & Aim: Due to the fact that family centered care have a crucial role in pediatric nursing, it seems compatibility of nurses&apos and parents&apos perception about parents&apos needs can lead to deliver higher quality care. The aim of this study was to compare parents&apos and nurses&apos perceptions about needs of hospitalized children&aposs parents.

Methods & Materials: This is a cross-sectional survey. One hundred and fifty parents and 80 nurses were selected using convenient sampling method. Data was gathered using Kristjánsdóttir&aposs "parental needs of hospitalized children" questionnaire. Data were analyzed using descriptive and analytical (Chi-squared & Mann-Whitney U tests) methods.

Results: Research findings showed that there was significant difference between both parents&apos and nurses&apos perceptions about parents&apos needs (P=0.012). Both groups believed that parents&apos needs are met partially in hospitals. There was not meaningful difference between the parents&apos and nurses&apos perceptions concerning meeting parental needs (P=0.666). Based on their perceptions, understanding of parents&apos needs help them to meet their requirements in health care facilities. There was a significant difference between parents&apos and nurses&apos perceptions regarding parents&apos need (P=0.018).

Conclusion: Parents and nurses recognized all of the parents&apos needs to be important there were also deficits in meeting these needs. Therefore, parents&apos cooperation with health care team is necessary to facilitate the recovery of sick children as well as meeting parents&apos needs.

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Background & Aim: Hypothermia is a main side effect during surgery in which blood pressure, heart rate, intra cranial pressure, oxygen consumption, pain and discomfort increase. The rate of cesarean section in Iran is three times more than global standard. This study aimed to investigate effect of pre-warmed intravenous fluid therapy on prevention of shivering after general anesthesia in cesarean section.

Methods & Materials: A total of 62 women undergoing general anesthesia for elective cesarean section were randomly allocated into two intervention and control groups. In the intervention group, patients received pre-warmed serum (37°C) and in the control group, patients received serum at room temperature (25.5°C). The postoperative shivering and some homodynamic parameters of the participants were assessed in recovery room.

Results: The mean of body temperature in the intervention and control groups were 35.9°C±0.48 and 35.42°C±0.6, respectively (P<0.05). The incidence of post operative shivering in the intervention and control groups were 13% and 35%, respectively (P<0.05).

Conclusion: Infusion of pre-warmed serum (37°C) would prevent postoperative shivering and could improve nursing care for women underwent general anesthesia in cesarean section.

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Background & Aim: Pain is an unpleasant experience related to potential or actual tissue damage. Distraction is an effective technique to control pain. This study aimed to examine the effect of pressing a small soft ball during intravenous catheter insertion on pain related behavioral responses of children.

Methods & Materials: A randomized clinical trial study was conducted in surgical ward of the Qods hospital in Qazvin, Iran in 2010. Sixty children aged 4-6 were selected through a simple randomized sampling method. The children were allocated into two equal intervention and control groups. Data were collected using the FLACC scale. In the intervention group, children were asked to press a soft ball during IV catheter insertion. The researcher marked the FLACC during the procedure. In the control group, no distraction was made during the IV catheter placement. The data were analyzed using descriptive statistics, independent-sample t-test, Chi square at P<0.05.

Results: There was no significant difference between the two groups in terms of demographic variables including gender, birth order, race, age and type of disease. In the intervention group, none of the children experienced severe pain during IV catheter insertion and 63.3% of the children had moderate pain. In the control group, 50.0% of children had moderate pain and 23.3% of them experienced severe pain during IV catheter insertion. There was a significant difference in perceived pain between the children of two groups (P<0.001).

Conclusion: Distraction is an effective, non-expensive, and easy-to-access technique to control and reduce pain in children during IV catheter placement. This study showed that distraction through pressing a soft ball was effective in reducing the behavioral responses of pain in children who underwent IV catheter placement.

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  Background & Aim: Depression is common among nursing and midwifery students. Problem-solving is a short-term intervention that can be used to treat psychological problems. This study was carried out to evaluate the effect of problem-solving skills training on depression scores among nursing and midwifery students .

  Methods & Materials: This was a clinical trial. Nursing and Midwifery st udents (n=900) studying at Tabriz and Urmia universities were recruited in the study during 2 010-2011. The Beck Depression Scale was administered in both schools. Ninety two students who achieved a score above 10 in the Beck Depression Scale were selected. One school was randomly allocated to the intervention group and the other one was allocated to the control group. Students in the intervention group received six sessions of problem-solving skills training within three weeks. T he questionnaire was completed by the participants in both schools after the intervention. Data were analyzed using the independent t-test . 

  Results: After the intervention, the Beck Depression Inventory score in the intervention group decreased from 18.60 to 13.41 (P<0.01). There were no differences in the control group before and after the intervention (P<0.01) .

  Conclusion: The problem-solving skills training program reduced depression scores. Providing information and using the problem-solving skills training are recommended .

  

 

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Background & Aim: Preterm infants are at increased risk for readmission after discharge from the neonatal intensive care unit. Some factors and characteristics of preterm infants have an effect on their readmissions. This study aimed to determine neonatal factors related to preterm infants’ readmissions to the neonatal intensive care unit.

Methods & Materials: This correlational study was conducted on a sample of preterm infants admitted to the neonatal intensive care unit at three teaching hospitals of Shahid Beheshti University of Medical Sciences in 2013. Samples were studied using a questionnaire on possible factors and characteristics related to readmission including sex, gestational age, birth weight, multiple birth and length of stay in the neonatal intensive care unit after discharge. The infants were also followed for readmission thirty days after discharge. The data were initially analyzed by univariate analysis and then by the logistic regression model.

Results: The results of univariate analysis revealed that the infants readmitted at the time of follow up were significantly more premature and had lower birth weight and a longer initial hospital stay in the neonatal intensive care units (P<0.001). In the logistic regression model, only gestational age and birth weight had a significant statistical association with infants’ readmission (R: 0.805, P=0.001 and odds ratio: 0.998, P=0.001 respectively).

Conclusion: Infants’ gestational age and birth weight were associated with hospital readmission within thirty days after discharge, so that the infants with lower gestational age and birth weight were more likely to be hospitalized again after discharge.

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Background & Aim: Medication errors are one of the most common medical errors and these errors have a double importance in neonatal intensive care unit. The aim of this study was to determine the frequency and type of medication prescribing errors in neonatal intensive care unit.

Methods & Materials: This study is a descriptive-analytical research. A census sample of 71 nurses from the neonatal intensive care unit of 5 hospitals in Yazd was included in study in 2015. The tools of data collection were the demographic and occupational data questionnaire and “medication errors” questionnaire. Data were analyzed by descriptive statistics and the Chi-square statistical test, using SPSS software v.18.

Results: 47.9% of nurses (34 persons) had made medication errors. 35.2% of samples had made 1-2 errors, and 51.51% of errors had occurred on the night shift. The most frequent nonparenteral medication errors were errors in drug calculation, drug dosage, the drug route of administration, and incorrect medication. In parenteral medications, errors in the drug infusion rate, drug calculation, drug dosage, and the Lack of attention to drug-drug interactions were frequently reported. Nurses declared that the large number of patients was the first main cause of medication errors.

Conclusion: Given the high frequency of medication prescribing errors particularly on the night shift, as well as considering the disproportionate nurse-to-patient ratio as a major cause of the errors, future research is needed to further evaluate the causes and prevention strategies of the medication errors.

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Background & Aim: Mechanical ventilation is one of the most common treatments in neonatal intensive care unit and is however associated with many complications. One of the ways to reduce complications is providing nursing care according to standards. This study was conducted with the aim of determining the conformity of nursing care related to weaning neonates from mechanical ventilation to the standards in neonatal intensive care units.

Methods & Materials: In this descriptive study (the audit), 105 nursing cares related to weaning neonates from mechanical ventilation in neonatal intensive care units at the selected hospitals affiliated to Shahid Beheshti University of Medical Sciences were selected and observed by the event sampling method in 2015. Data were gathered through a demographic questionnaire for nurses and hospitalized newborns, a checklist of nursing care related to weaning from mechanical ventilation. The data were analyzed using descriptive statistics and Chi-square test at the significance level less than 0.05.

Results: Conformity rate of nursing care related to weaning neonates from mechanical ventilation to standards, was 68.3 percent, and compliance with the standards of care was 71.4 percent before weaning, 65.7 percent during weaning and 66.4 percent after weaning.

Conclusion: Nursing cares related to weaning neonates from mechanical ventilation are far from standards, and for its improvement, applying clinical guideline for neonatal nursing care and clinical supervision by managers for optimizing its implementation are suggested.

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Background & Aim: Unhealthy snacks consumption has an important role in childhood obesity. The aim of this study was to evaluate the effect of an educational intervention for mothers on the consumption of healthy snacks in children aged 1-5 years using social cognitive theory.

Methods & Materials: This quasi-experimental study was (IRCT2013062912456N2) conducted on 126 mothers who had children 1-5 years old in 2013. The mothers were selected from Hamadan health centers and divided into two groups of intervention and control. The intervention consisted of four sessions, a booklet, a short video, and 6 written messages. The constructs of SCT and food consumption frequency were assessed at baseline, 10 days after the last session and 2-months after the intervention. The data were analyzed by Chi-square test, independent t-test, repeated measures and covariance analysis using SPSS software version 16.

Results: At baseline, the two groups were similar in the demographic characteristics, the constructs of SCT, and unhealthy snacks consumption frequency (P>0.05). Considering that the interaction effects of group and time in the repeated measurement analysis of variance were significant, the means of two groups were compared at each stage using independent t test and significant differences between the two groups were observed at two stages after the intervention.

Conclusion: This intervention had a positive effect on the consumption of healthy snacks. Therefore, SCT and the implemented procedure could be used to develop interventions to modify snack consumption patterns in children.

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Background & Aim: Prostate carcinoma is the most common cancer among men and the second lethal cancer. The present study aimed to investigate the prostate cancer screening behaviors and its related cognitive psychological factors among men over 50 years of age using the health belief model.
Methods & Materials: This cross-sectional study was performed on 300 men over 50 years of age in Hamadan, selected by cluster sampling method. Data collecting tool was a questionnaire consisted of three sections: demographic information, prostate cancer screening behaviors and health belief model constructs. Data were analyzed using Chi-square test, Fisher's exact test and logistic regression through the SPSS software version 18.
Results: Findings revealed that 12% and 9% of the participants reported having a digital rectal examination (DRE) and prostate specific antigen (PSA) testing respectively. Perceived benefits and perceived barriers were the predictors of prostate cancer screening behaviors (P<0.05). Also, there was a significant relationship between prostate cancer screening behaviors and age and a history of prostate problems (P<0.05).
Conclusion: Given that the health belief model is effective in predicting prostate cancer screening behaviors, using these findings in designing educational interventions for people over 50 is recommended.
 

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Background & Aim: Female genital cancers are the third most common type of malignancy among women. Considering the importance of these cancers, the present study was conducted to determine the age-standardized rate (ASR) of female genital cancers in Iran.
Methods & Materials: In this systematic review, six international databases (Medline/PubMed, ProQuest, Scopus, Embase, ScienceDirect, and Google Scholar), and four national databases (Scientific Information Database, MagIran, IranMedex, and IranDoc) were searched in 2017. Thereafter, Persian and English papers referring to the ASR of female genital cancers in Iran were included. The Joanna Briggs checklist was used to evaluate the quality of studies. Data were independently extracted by two reviewers.
Results: A total of 264 papers were found in the initial search of the databases, and 27 papers were included for final analysis. Based on the random-effect model, the ASR was 2.07 (95% CI, 1.83-2.31) for cervical cancer, 3.15 (95% CI, 2.75-3.54) for ovarian cancer, and 1.52 (95% CI, 1.32-1.73) per 100,000 for uterine cancer.
Conclusion: The ASR of female genital cancers in Iran was lower than other countries of the world. It should be noted that the results of this review must be judged with caution because of the high heterogeneity of the studies.
 

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Background & Aim: Nursing is a shift-working job at different hours of the day. Therefore, sleep disorders caused by disruption of sleep-wake cycle and circadian rhythm commonly occur in this group. The Benson’s relaxation technique is an easy, non-invasive, and non-pharmacological method that can affect the sleep quality in people. Therefore, this study was conducted to evaluate the effect of Benson's relaxation technique on sleep quality among shift-working nurses in hospitals.
Methods & Materials: In this quasi-experimental study, 80 nurses working in three hospitals in Rafsanjan in 2019, who had poor sleep quality score on the Pittsburgh Sleep Quality Questionnaire were selected by the convenience sampling method, and were assigned into either intervention- or control group, using stratified random sampling method. The intervention group was taught the Benson’s technique and they were asked to perform it before sleeping for one month. After one month, the Pittsburgh Sleep Quality Questionnaire was completed again by the both groups. The data were analyzed by independent t-test, paired t-test, Chi-square and fisher exact test using the SPSS software version 18.
Results: the mean and standard deviation of sleep quality score for the intervention group and control group before the intervention were 7.79±2.53 and 7.95±2.78 respectively and there was no significant difference between the two groups. One month after performing the technique, the mean and standard deviation of the sleep quality score for the intervention group were 5.58±2.32 and for the control group were 8.53±2.93, and the two groups were significantly different from each other (P<0.0001).
Conclusion: In this study, the Benson’s relaxation technique, which is a simple, low-cost, and non-invasive method with no side effects, improved the sleep quality of shift-working nurses. Therefore, nurses’ education and the implementation of this technique is recommended to improve their sleep quality.
Clinical trial registry: IRCT20180306038981N1
 

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Background & Aim: Proper recording of the nursing report indicates the nurse’s optimal clinical performance and compliance with the standards. Nanda Nursing Diagnosis is one of the most important and widely used international standard terms for recording nursing care. The aim of this study was to determine the degree of compliance and frequency of nursing diagnoses registered in the pediatric oncology department with the statements of nursing diagnoses of the Nanda classification system.
Methods & Materials: In this descriptive study, the nursing reports recorded in the files of children hospitalized in the pediatric oncology wards of two hospitals affiliated to Shahid Beheshti University of Medical Sciences in the first quarter of 2016, were reviewed. Sampling was done by the census method for 3 consecutive months. Overall, 86 files and 3701 nursing reports were reviewed. Nurses' documentation was analyzed through the manifest content analysis. The obtained expressions were adapted to the nursing diagnoses of the Nanda classification system and the degree of adaptation and frequency of nursing diagnoses were determined.
Results: The overall compliance between the diagnoses extracted from the nursing reports and the Nanda nursing diagnoses was 14.7%. The most frequent nursing diagnoses were diagnoses related to safety/protection classification with a frequency of 47.95%, followed by diagnoses related to nutrition classification with a frequency of 24.42% and finally a frequency of 12.8% for nursing diagnoses related to comfort classification.
Conclusion: The findings of the present study indicated the low levels of compliance with the Nanda nursing diagnoses and nursing process in the nursing reports. Therefore, practical training is suggested to increase nurses' knowledge and motivation to apply Nanda nursing diagnoses.
 

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Background & Aim: Operating room personnel are always exposed to blood-borne infections because of Needlestick Injuries (NSIs). Thus, this study was conducted to determine the effectiveness of an educational intervention to promote NSIs preventive behaviors among the operating room personnel based on the health belief model (HBM).
Methods & Materials: This is an interventional study with a pre-test/post-test, control group design, conducted on 90 operating room personnel (45 personnel in each group) from four hospitals in Hamadan City in 2018. The participants completed a self-administered questionnaire including demographic and professional variables and HBM constructs. The intervention included four educational sessions held for the experimental group within one month. Both groups were followed up for three months after the intervention. Data were analyzed by the SPSS software version 18 using independent t-test, chi-square, Fisher exact test, and analysis of covariance (ANCOVA).
Results: The results showed that before the educational intervention, there was no statistically significant difference in the mean scores of HBM constructs between the experimental and control groups (P>0.05). However, after the educational intervention, both the experimental and control groups had a statistically significant difference between before and after changes in the mean scores of knowledge, perceived vulnerability, perceived benefits, perceived self-efficacy, and NSIs preventive behaviors (P<0.05).
Conclusion: According to the results, applying the educational intervention based on the HBM is an appropriate and effective approach in preventing NSIs among the operating room personnel.
 

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Background & Aim: Being diagnosed with cancer during adolescence can cause disabilities and disrupt the achievement of important tasks during this period. Given the complex spiritual issues that adolescents face, emphasizing them can provide a unique framework for understanding and coping with illness. The purpose of this study was to determine factors related to spiritual coping in adolescents with cancer based on the "Reed self-transcendence theory".
Methods & Materials: In this descriptive, correlational study, 270 adolescents with cancer referred to hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran in 2018-19 were selected using the convenience sampling method. Data was collected using the demographic and clinical characteristics questionnaire, the “Adolescents Spiritual Coping Scale”, “Adolescents Hope Scale”, “Self-transcendence Scale: Adolescent version and “Adolescent Coping Scale”. Data was analyzed using the SPSS software version 19 through descriptive statistical methods, Kruskal–Wallis test, Kolmogorov-Smirnov test, the Spearman's correlation test and Path analysis.
Results: Based on the Spearman correlation coefficient, the relationship of hope (r_s=0.440, P<0.001), coping (r_s=0.149, P=0.015) and self-transcendence (r_s=0.143, P=0.019) was positive and significant with the spiritual coping. Also, the results of path analysis of the Reed self-transcendence model showed that hope and self-transcendence had direct effects on spiritual coping and coping had an indirect effect on spiritual coping in adolescents through the intermediate variable of self-transcendence.
Conclusion: The variables hope, coping and self-transcendence are the factors related to spiritual coping in adolescents with cancer, and the model of self-transcendence in Iranian adolescents with cancer is appropriate. Therefore, nurses as the first providers of care can enhance spiritual coping in adolescents by focusing on this model and manipulating its various variables.
 

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Background & Aim: Children are a particularly vulnerable group, and mothers' knowledge and awareness play a crucial role in fostering their developmental progress. Insufficient knowledge of the cognitive, emotional, and social aspects of child development may lead to a decrease in parental self-efficacy. This study aims to investigate the effect of a family-centered empowerment model on mothers' self-efficacy regarding the growth and development of toddlers.
Methods & Materials: This quasi-experimental study was conducted in 2022 at Amir Kabir Hospital in Arak. A total of 72 mothers of hospitalized toddlers were selected and randomly assigned to either a control group (n=36) or an intervention group (n=36) through block randomization. The control group received standard hospital care, while the intervention group participated in a five-session, family-centered empowerment model program, with each session lasting 60 minutes. Data were collected using demographic questionnaires and parenting self-efficacy assessments, administered before the intervention, immediately after, and one month post-intervention. Analysis was performed using SPSS version 26, incorporating both descriptive and inferential statistics.
Results: The results showed that the mean self-efficacy scores before the intervention had no statistically significant difference between the two groups (P=0.416). However, post-intervention, the mean parenting self-efficacy scores demonstrated a statistically significant difference between the groups (P<0.001). Additionally, the mean parenting self-efficacy scores measured one month after the intervention also showed a statistically significant difference (P<0.001).
Conclusion: The family-centered empowerment model significantly improved mothers' self-efficacy. It is recommended as an effective approach for improving the management of children's growth and development.