BackgroundOrem’s self-care model is a nursing model that was introduced with the purpose of improving the self-care of individuals, especially patients suffering from chronic diseases.ObjectivesTo determining the effect of Orem’s self-care model on fatigue in multiple sclerosis patients.Patients and MethodsThis research involved a clinical trial. Sixty-three multiple sclerosis patients at the vice-chancellor in treatment affairs of Yasuj University of Medical Sciences were selected based on nonrandom sampling, but they were allocated to the two groups based on random allocation. In the intervention group, Orem’s model was applied during six sessions of 45 - 60 minutes in length, and the process continued for 1 month. The data were collected 1 week before and 7 weeks after the end of the intervention using the Orem’s self-care model-based assessment form and fatigue severity scale, the validity and reliability of which have beenResultsBefore the intervention, 11.11% of the participants had a good knowledge of self-care. In addition, self-care willingness and skills were observed in 76.19% and 4.76% of participants, respectively. The mean difference in fatigue reduced significantly in the intervention group after the intervention (P < 0.05). After the intervention, a statistically significant difference was observed in the mean difference of fatigue between the two groups (P < 0.05).ConclusionsOrem’s self-care model is significantly effective in reducing the fatigue of multiple sclerosis patients.

Objective: The aim of this study was to investigate the moderating role of job control in relation to mental workload and job satisfaction of healthcare workers.Methods: This cross-sectional study was carried out on 480 nurses, midwives, and administrative workers in four educational hospitals of Ardabil, Iran. Research tools were included demographic information questionnaire, NASA-TLX questionnaire, job description index (JDI) questionnaire and job control inquiry.Results: Compared with administrative workers, mental workload of nurses and midwives was significantly higher and likewise mental workload of nurses was significantly difference compared to midwives (P &lt; 0.001). Nurses and midwives had substantially higher job satisfaction than administrative workers (P &lt; 0.001). Also, nurses and midwives had higher job control than administrative workers (P &lt; 0.001 and P = 0.002, respectively). Based on the designed model, the correlation between mental workload and job satisfaction was negative and significant (r = −0.22); which in the presence of job control, the relationship between the two variables of workload and job satisfaction slightly increased (r = −0.19, P &lt; 0.001). These conditions were the same in the three job groups separately.Conclusion: Mental workload is inversely related to job satisfaction and job control. Job control plays an important role in improving working conditions in healthcare workers.

Background: While the application of anti-pruritus medications may be useful for hemodialysis (HD) patients, they are at risk of drug toxicity because of their renal inability to eliminate drug metabolites.

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Background: There is few evidence about the effect of almond oil on uremic pruritus. Objectives: The study aimed at examining the effect of topical application of sweet almond oil on itchy quality of life (QoL) in patients with uremic pruritus. Methods: The current randomized, controlled, clinical trial was conducted on 42 patients referring to hemodialysis unit of Shahid Beheshti Hospital affiliated to Yasuj University of Medical Sciences, Yasuj, Iran. The samples were selected based on the inclusion criteria and randomly allocated to intervention and control groups. In the intervention group, 7-10 mL of sweet almond oil was locally applied on the areas of pruritus once a day for two weeks. Pruritus-specific QoL instrument was used to data collection at three times as pre-intervention, and end of the first and second weeks of intervention. The collected data were analyzed with SPSS using descriptive and inferential statistics with 95% confidence interval (CI). Results: Repeated measures analysis of variance showed a significant difference in the mean score of itchyQoL between two groups before and after the intervention (P = 0.001). Intragroup comparison showed significant changes (P = 0.001) from baseline measure (50.3 ± 16.7) by the mean score of itchyQoL at the end of the first (41.7 ± 18.7) and second weeks (31.7 ± 8.9) of applying sweet almond oil in the intervention group. Conclusions: In the current study, topical application of sweet almond oil significantly improved itchyQoL in patients with uremic pruritus.

Orem’s self-care model has been introduced as a nursing model to empower participants with chronic diseases. This study aims to investigate the effectiveness of nursing interventions using Orem’s self-care model with multiple sclerosis participants’ balance and motor function. Sixty-three participants with multiple sclerosis were randomly assigned to intervention and control groups. The nursing intervention using Orem’s self-care model was performed for eight sessions of 45–60 minutes in the intervention group. In the intervention group, a significant increase (improvement) was observed in the mean scores of balance before (17.09 ± 1.97) and after the intervention (33.75 ± 6.01). A significant decrease (improvement) was observed in the mean of motor functions before (4.12 ± 0.34) and after the intervention (1.59 ± 0.71) ( p = 0.001). However, no significant difference existed in the mean scores of balance ( p = 0.10) and motor function in the control group ( p = 0.20). The nursing intervention using Orem’s self-care model improved balance and motor function of participants with multiple sclerosis.

Background labor increases the chances of cesarean section delivery and creates maternal and neonatal complications (like fetal heart rate drop). Objective This study aimed to investigate the effect of acupressure on sp6, He-7, LI4, and NEIMA points on the duration and outcome of delivery in nulliparous women. Methods This randomized clinical trial was performed on 130 mothers admitted to the Maternity Ward of Razi Hospital in Qazvin City, Iran. The samples were randomly assigned to the intervention (n=64) and control groups (n=66). The intervention group received Transcutaneous Electrical Nerve Stimulation (TENS) on four acupressure points (SP6, LI4, He-7, and NEIMA) in the unilateral upper and lower extremities during the delivery stages and the control group was received routine labor care. Durations of the first and second stages of delivery were measured using a digital clock. The obtained data were analyzed by the Chi-square, t-test, and Mann-Whitney tests. Findings The Mean±SD age of the participants was 24.48±4 years. Acupressure intervention did not produce a significant effect on the mean duration of the first and second stages of delivery in the intervention group compared to the control group (P<0.05). Also, the outcome of delivery in the two groups did not show a significant difference (P<0.05). Conclusion The application of TENS on specific acupuncture points could not reduce the length of labor stages and the outcome of childbirth. Further studies are recommended in this regard.

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