Journal of Holistic Nursing And Midwifery
Year:2013 | Volume:22 | Issue:2 (68)|Papers Count:8

Introduction: Coronary artery diseases are the primary and most common cause of death in all ages. Coronary artery bypass grafting (CABG) surgery as a common treatment intervention is considered necessary in patients with coronary artery disease. Complications may occur during and after (CABG) surgery. Among major complications are hemodynamic changes after surgery which is still an important matter.Objective: The aim of this study is to determine level of hemodynamic changes after coronary artery bypass grafting and its related factors in patients undergoing CABG admitted to post cardiac intensive care unit and the effect of related factors on severity and weakness of complications.Methods: In this descriptive cross – sectional study, 288 (CABG) patients who had coronary artery bypass grafting (CABG) and admitted to the post cardiac intensive care unit in Dr. Heshmat educational-therapeutic hospital in Rasht were selected by sequential sampling method and studied using questionnaire. Statistical analysis performed with appropriate tests chi square test, fisher exact test and logistic regression and correlations between dependent and independent variables were identified.Results: According to the research findings, 36% of patients after surgery had systolic blood pressure changes out of normal range, 49% had diastolic blood pressure changes, 65% heart beat changes, and 34% had central venous pressure changes out of normal limits. A significant relationship was observed between interfering factors such as Body Mass Index, ejection fraction, history of Myocardial- infraction, number of grafts, duration of the connection to ventilator, duration of cardiopulmonary machine use, duration of aorta clamp, hypothermia, and level of hemoglobin and hematocrit with hemodynamic variables.Conclusion: The research findings may be considered in planning for prevention, diagnosis and early treatment of any possible complications, consequently the quality of care for CABG patient will improve.

Introduction: Research conducted without any need assessment not only helps solve problems but also increase the current problems and result in waste of limited resources.Objective: The aim of this research was to determine the research needs of a social insurer organization based on their managers' attitude.Methods: This is a mixed and cross-sectional study that was conducted in 2011. A purposeful sample of 11 participants from social insurer organization in Iran was selected. Data gathering was done using interview and analysis of data was conducted using Atlas.Ti 5.0 software. Also, the topics were prioritized using the Analytical Hierarchy Process (AHP) method through Expert Choice 11.0 software.Results: Titles of “Design of strategic planning,” “Pathology of structure,” and “Evaluation of family physician and referral system” with scores of 0.96, 0.85, and 0.82, respectively earned the priority of one to three.Conclusion: Since the resources are limited and needs are unlimited, in order to prevent research resource wasting in insurance organization, resources must be prioritized and this can assist organization achieving their goals.

Introduction: Multiple sclerosis disease is the result of delimitation of central nervous system which can harm fatigue is among the most common symptom of Multiple Sclerosis. Although exercise is administered to Multiple Sclerosis patients, comparison type of exercise on the fatigue level has not been established.Objective: This research has been conducted to evaluate the effect of stretching with aerobic on fatigue levels in Multiple Sclerosis patients.Methods: In this quasi-experimental study, sample included 80 MS patients referring to MS society in Tehran who were chosen by simple sampling according to inclusion criteria and were randomly divided into two groups (stretching with aerobics and control group). Data gathering tool included a two part questionnaire covering demographic variables, disease related information and fatigue severity scales (FSS). Exercise was done for six weeks (18 sessions) and immediately after sessions completed, fatigue severity was measured by FSS. The gathered data was analyzed using statistical method: chi-square, paired& independent T, Analysis of covariance by SPSS software.Results: Findings showed severe fatigue (35%), moderate and slight fatigue (12.5%) before stretching and aerobics. But most samples (92.5%) had slight fatigue after stretching and aerobics and in control group most samples (40%) remained in the state of before study. The Independent TTest showed a significant difference between two groups' severity of fatigue (P<0.001).Conclusion: Aerobics with stretching is very effective in reducing fatigue. Perhaps aerobics with stretching in addition to increasing energy relieves muscle spasms and decreases harm and also increases flexibility and decreases fatigue.

Introduction: Spouse abuse is a major human health and lawful problem and it refers to any violent sex related behavior that results in women’s physical, sexual and mental suffering. In attention that spouse abuse has complications and unsatisfactory social and family outcomes, it is necessary to identify factors which hinder family function.Objective: The study assessed and compared the relationship between spouse abuse, social support and perceived stress in women with addicted and non-addicted husbands in Rasht city.Method: This is a descriptive analytical study. The sample consisted of 100 women (50 with addicted husbands and 50 with non-addicted husbands) who were selected by convenience sampling and answered the questionnaires of perceived stress, social support, and spouse abuse. The data was analyzed using statistical tests of independent T test, and correlation.Result: The analyzed data showed that there was a significant difference between variables of spouse abuse and its subscales (physical, emotional, sexual, behavioral), social support, perceived stress, and its subscales (tangible support, emotional support, giving information, kindness, social interaction and total perceived stress score) in women with addicted and non-addicted husbands (p<0.01).Conclusion: The results showed that the amount of social support, perceived stress and spouse abuse is different between women with addicted husbands and women with non-addicted husbands.Therefore, training programs are more required for making a supportive environment to reduce vulnerability and damage on families with addicted individuals.

Introduction: College students continuously confront stresses and psycho environmental pressures such as educational, family, social and economic problems. It is obvious that outcome of stress affects their educational functioning and mental health. And for this reason they use methods to confront stress in order to decrease its effect. An influential factor modifying stress and stress coping mechanism is regular physical activity.Objective: The goal of this study was to determine the effect of regular exercise activity on methods of problem centered coping mechanism in nursing students of Guilan University of Medical Sciences.Methods: This is an interventional study of randomized controlled trial. In this study, 76 students eligible for the study were chosen and assigned by systematic random sampling into case and control groups. The case group performed intervention program (6-week exercise) but control group received no intervention. Methods of coping were examined in both groups before and after intervention using WCQ instrument. Data were analyzed using SPSS version 16 and descriptive statistics (Frequency, Mean and Standard deviation) and analytical statistics (Paired and Independent T) with significant level of P<0.05.Results: Findings showed no significant difference between the two groups regarding age, marital status, place of living, mothers’ education level, fathers’ and mothers’ job, family level of income, and number of family members, but there was a significant difference between year of entrance and level of education. In addition findings showed a significant difference between problem-centered coping method before and after intervention in experiment group.Conclusion: Regular exercises affects problem-centered stress coping mechanism and decrease negative outcomes of stress and have an important role on maintenance of students' mental health.

Introduction: Anxiety is among the most prevalent mental disorder which people in any society may encounter. This vague and uncomfortable feeling may affect all aspects of one's life and also can accompany unlimited number of disorders such as depression.Objective: The aim of this study was to determine the frequency of anxiety in college students and its relation with depression and other personal characteristics.Methods: This is a descriptive co- relational study. The study population included all nursing college students of Azad university of Lahijan and East Guilan Nursing & Midwifery Faculty from which 150 students were randomly selected. Data collection instrument consisted of a questionnaire. Data were analyzed using descriptive and analytical statistics such as Chi-square and Fisher's test by SPSS software.Results: This study included 121 female and 29 male students. Results showed that %68 of college students were anxious and in regard to depression, 52% showed no sign of depression. Results showed significant relationship between anxiety and depression (p<0.05), also between anxiety and depression and sex, marital status, satisfaction with major, positive attitude of family to major, well fair and family history of depression (p<0.05). But there was no significant relationship between anxiety and depression with age, place of living and living parents.Conclusion: According to research results, it seems more focus must be on this population and favorable condition should be provided for their success in education. Anxiety and depression can influence college students’ functions in various aspects of personality and social life.

Introduction: Pain management after Coronary Artery Bypass Graft surgery (CABG) is an important nursing care which can result in faster recovery and patient satisfaction.Objective: The aim of study was to determine post CABG patients’ perception on pain management quality.Methods: This cross-sectional study was conducted on 108 CABG patients, who were chosen by sequential sampling method in Rasht. The instrument was a 3-part questionnaire consisted of demographic information, pain management and satisfaction. Data were gathered by observing the patient's charts and interview. Data were analyzed using Anova, Spearrman, T-test and Wilcoxon by SPSS 16 software.Results: The mean and SD of patient perception on pain care was 3.56±0.84 which indicates need for special attention. This data was directly significant with age above 70 years (P<0.022), female sexuality (P<0.001), widow patient (P<0.025) and without surgery history (P<0.001). Patient’s satisfaction of pain management was 8.4±1.68 that male patient (P<0.015) and read & write level of education (P<0.032) have higher mean satisfaction of pain management.Conclusion: Partially low mean of perceived post CABG pain management highlights the need of planning for improving personal and organizational aspect of pain management, especially in married men and with no history of surgery.

There are two qualitative and quantitative research paradigms in the methodological debates.Phenomenological approach is one of the most important methods in the qualitative researches.Depending on researcher’s view on study phenomenon, this approach is divided into two main methods of descriptive and interpretive. Despite the many similarities between the two methods, there are differences; that understanding them helps the researcher on proper choice of the two phenomenology methods for different areas.Therefore, this article tries while passing on the philosophical origins of phenomenology; clarifies applied features of both descriptive and interpretive approach.