Context: Labor is among the most painful events in females' lives. Labor pain (LP) is alleviated using both pharmacological and non -pharmacological methods. The current study aimed at reviewing clinical trials in Iran as well as other countries on the effects of acupressure, aromatherapy, and massage therapy on LP.Evidence Acquisition: In the current review study, online databases such as SID, Iranmedex, Magiran, IranDoc, Cochrane library, PubMed, and Google Scholar were searched to retrieve studies published before 2017 in Persian or English language. Search keywords were labor pain, acupressure, aromatherapy, and massage as well as their Persian equivalents. Retrieved clinical trials were appraised using the Jadad checklist. Data were analyzed qualitatively. Results:In total, 46 clinical trials were enrolled. Most studies reported the positive effects of acupressure, aromatherapy, and massage therapy on labor pain. The most frequently used therapies were aromatherapy with lavender essential oil and acupressure on the LI4 and SP6 points.Conclusions: Acupressure, aromatherapy, and massage therapy were effective in alleviating labor pain. These techniques are mostly safe without serious side effects for parturient females and their babies. Therefore, they can be used to alleviate labor pain.
AimsThis study aims to determine the effect of teaching Orem's self‐care model on nursing students’ clinical performance and patient satisfaction.DesignThe study was a quasi‐experimental, non‐randomized, two‐group design with posttest.MethodsIn this quasi‐experimental study, 66 nursing students were selected via convenience sampling method. The intervention group was trained based on Orem's self‐care model and the control group based on the routine nursing process method. Both groups cared patients for a week. Students’ performance was evaluated during the clinical course by performance observation checklist and patient satisfaction was assessed at the end of clinical course using patient satisfaction form. Data were analysed in SPSS software using chi‐squared, Fisher Exact test, Mann–Whitney, t test and two‐way ANOVA.ResultsClinical performance evaluation mean score in the intervention group was significantly higher than that of the control group. However, patient satisfaction scores in both the control group and intervention group did not show statistically significant differences. Orem's self‐care model showed a 23% improvement in students’ performance. It is recommended to use Orem's self‐care model for undergraduate courses, especially in clinical training.
Several studies have aimed to compare the early and late survival rates and the related factors in patients who undergo coronary artery bypass grafting (CABG). Among such factors are age, gender, arrhythmia, stroke, serum procalcitonin level, number and type of grafts, diabetes mellitus, chronic kidney disease, chronic obstructive pulmonary disease (COPD), addiction, ejection fraction, transfusion of blood products, and the kind of technique (off-pump versus on-pump). Controversies surround early and late survival and some of the associated factors in patients undergoing CABG. Therefore, it appears vital to compare the early and late survival chances and the related factors after CABG.
Background and Aim: Organizational effectiveness is the main goal of organizational development and excellence. Improvement of staff's quality of work life may improve organizational effectiveness. The aim of this study was to analyze the relationship between quality of work life and organizational effectiveness among hospital nurses. Methods: This descriptive-analytical study was conducted on 225 hospital nurses who worked in teaching hospitals affiliated to Birjand University of Medical Sciences, Birjand, Iran. Nurses were recruited through random multi-stage cluster sampling. Data were collected using a demographic questionnaire, Brooks and Anderson quality of nursing work life questionnaire, and parsons organizational effectiveness questionnaire. SPSS software (v. 16.0) was used for data analysis via Mann-Whitney U, Kruskal-Wallis, and independent-sample t tests, one-way analysis of variance, and Pearson and Spearman correlation analyses.
Background: Breast cancer is the most common cancer in women and the fifth leading cause of cancer death worldwide. In developing countries, early diagnosis of breast cancer through available screening methods is the main strategy to reduce mortality. Objectives: This study aimed at investigating the barriers to breast cancer screening methods in nursing and midwifery personnel of hospitals of Birjand, Iran. Methods: In this cross sectional study, a total of 202 female nursing and midwifery personnel working in hospitals of Birjand (lasted from July 2015 to September 2015) were selected using the stratified sampling method. The barriers to breast self-examination and clinical breast examination were investigated using a researcher-made questionnaire. The data were analyzed with the SPSS software (V. 16) using descriptive statistic and chi-square test. P values of < 0.05 were considered significant. Results:The results showed that only 11.3% (N = 16) of the participants, who performed breast self-examination, did it on a monthly basis. Intervals between CBE performance in 35.5% of women was 5 or more than 5 years. The main barriers to breast self-examination and clinical breast examination in women were, respectively, lack of time, negligence, lack of symptoms of breast cancer, fear of potential surgery for cancer, and fear of losing beauty. There was a significant association between age, marital status, educational field of study, tenure, and BSE. History of having a child increases performance of CBE yet results also showed that females, who had a history of benign breast diseases, were less prone to perform CBE. Conclusions: According to the results of this study, it seems that interventions, such as changes in psychological and educational programs, to increase the performance and knowledge and create a positive attitude towards these methods in females are needed.
Background. The increased serum procalcitonin (PCT) level in cardiac patients is known as a sign of postoperative complications. Objective. Considering the importance of predicting the incidence of both complications and mortality caused by coronary artery bypass graft (CABG) surgery, this study was conducted to determine the serum PCT level and its relationship with one-year morbidity and mortality among CABG patients. Methods. This descriptive-analytical study was performed on 100 patients who underwent CABG surgery in Vali-e-Asr Hospital of Birjand, Iran. They were selected by a census sampling method from March 2014 to March 2015. The Elecsys BRAHMS PCT kit (Roche Company) was then used to measure the patients’ serum PCT level. The required data were collected using the patients’ medical records and telephone interviews with the patient or his/her relatives by passing one year from their discharge. The outcomes of this study comprised of mortality and morbidity causes (e.g., dysrhythmia, infection, and stroke). The data were then analyzed in SPSS version 16 by Mann–Whitney, chi-squared, and Fisher exact tests. Results. The postoperative serum PCT level is significantly correlated with sternum wound infection ( p = 0.001 ), packed cells (PC) transfusion ( p = 0.003 ), and death ( p = 0.003 ). In addition, a significant relationship was found between dyslipidemia and hypertension and early mortality rate in patients with high levels of PCT. Of note, risk-adjusted death did not differ significantly between the serum PCT levels after one year (RR, 0.068; 95% CI 0.008–0.566). Conclusion. Higher PCT serum levels in CABG patients are associated with the increased early mortality rate, sternum wound infection, and PC transfusion. Additionally, the other factors associated with mortality in the patients under study included dyslipidemia and hypertension.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.