Comparing problems of patients with chronic renal failure undergoing hemodialysis and peritoneal dialysis referring to medical university's hospitals

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Comparing problems of patients with chronic renal failure undergoing hemodialysis and peritoneal dialysis referring to medical university's hospitals7575MSc, Department of Fundamental Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113  Background: Renal failure affects patients' physical, psychological and social health. Various treatments prolong the life of these patients, but they face many physical, emotional, social and economical difficulties. This study aims to investigate and compare the problems of these patients undergoing hemodialysis (HD) and peritoneal dialysis (PD). Methods: This is a descriptive comparative study on 72 patients in two groups of hemodialysis (36 patients) and peritoneal dialysis (36 patients) referring to Al-Zahra and Noor hospitals in Isfahan. Data were collected using five questionnaires on sleeping disorders, depression, marital satisfaction, tiredness and readjustment with society. The questionnaires were completed either by the patients themselves or by interview and data were analyzed using independent t-test and chi square test. Results: Demographic data were the same in both groups and diabetes and blood pressure were the most common causes of kidney failure in both groups. The mean scores of sleeping disorders and tiredness in hemodialysis group was higher than peritoneal dialysis group, but there was no significant difference between the mean scores of depression, social readjustment and marital satisfaction of two groups. Conclusion: Dialysis is a complicated problematic treatment, causing patients lots of tension and stress. The results of this study showed that hemodialysis and peritoneal dialysis patients have sleep disorders and tiredness, but the severity of tiredness and sleep disorder is higher in hemodialysis patients. Therefore, nurses should pay more attention to these patients and provide them more support and care. KEY WORDS: Chronic renal failure, hemodialysis, peritoneal dialysishttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/75http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/75/75

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Effects of exposure to cigarette smoke on the ovarian response to ovarian stimula-tion in infertile couples referred to the Isfahan Reproductive Fertility Center dur-ing 2007-20087676MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing and Midwifery, Sari University of Medical Sciences, Mazandaran, IranMSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Psychiatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113  BACKGROUND: The first step and a necessary prerequisite for a successful treatment of infertility is an adequate ovarian response to ovarian stimulation and it is a major challenge for both patients and health system. Therefore, it is very important to determine the factors related to ovarian response failure. One of the peripheral factors considered in the recent studies on infertility, is exposure to cigarette smoke. This study compares the ovarian responses to ovarian stimulation in infertile couples exposed and not exposed to cigarette smoke. METHODS: It is a retrospective cohort study on 144 infertile women referred to the Isfahan Reproductive Fertility Center in 2007. Data were collected using a questionnaire, patient's medical files, tape measure and scale. Content validity and test re-test were used for validity and reliability and chi square and T test used for data analysis. Data were analyzed by SPSS software. RESULTS: Findings showed that exposure to cigarette smoke increases poor response to ovulation induction (p = 0.001) in women under assisted reproduction treatment. However, it doesn't increase the number of injections necessary for ovarian stimulation. CONCLUSION: Based on the results of this study, volunteers for the assisted reproduction techniques should be educated about the harmful effects of exposure to cigarette smoke on fertility. Also, there should be plans to increase the public awareness about the harmful effects of cigarette especially on fertility. KEY WORDS: Exposure to cigarette smoke, ovulation induction, ovarian response failurehttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/76http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/76/76

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Efficiency of training programs on quality of physical life in implantable cardioverter defibrillator patients7777MSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMD, Associate Professor of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Operating Room Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113  BACKGROUND: Implantable defibrillator is one of the methods used in curing arrhythmias and preventing sudden cardiac death. Despite rescuing patients, applying this device can cause mentionable effects including increase the patient's anxiety and fear to do normal physical activities again. In spite of these problems, there isn't enough intervention in accommodating the patient with the device. This study focuses on determining effects of training program on quality of physical life in patients with ICD. METHODS: This study is a semi- experimental study (before and after). About 45 patients with ICD were examined. The collecting data tools were Fran's and Power's quality of life questionnaire and interviewing method. For analyzing data the SPSS software, independent t and t- test were used. RESULTS: Assessing the data gave us an average score for life's quality in two importance and satisfaction dimensions before and after training programs. Even t-test (p < 0.001) shows meaningful differences between the average score of quality of life before and after training courses. CONCLUSION: Considering the efficiency of these programs on patient's quality of life, it is recommended that these programs become a part of nursing process and be continued. KEY WORDS: Training program, implantable defibrillator, quality of lifehttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/77http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/77/77

Iranian Journal of Nursing and Midwifery Research1735-906614120090420The relation between social support and postpartum physical health in mothers7878MSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing and Midwifery, Azad University of Shahre Kord, Shahre Kord, IranMSc, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran, Associate Professor, Department of Psychology, Isfahan University, Isfahan, Iran20101113  BACKGROUND: Women face many physical and emotional changes after childbirth and social support may be important for their health condition, especially because of postpartum special needs. This study aims to determine the relation between social support and postpartum physical health of women referred to the health centers of Isfahan. METHODS: This is a descriptive-correlation study. Samples of 296 mothers were selected from women referred to the health centers of Isfahan, 6-7 weeks after delivery. Sampling method was simple. Received social support was measured by a researcher- made questionnaire and their physical health was evaluated by the physical health dimension of the quality of life questionnaire. Content validity and Cronbach's alpha were used for validity and reliability of the questionnaire assessment. Questionnaires were completed by interview. Descriptive and inferential statistics were used for data analysis via SPSS software. RESULTS: The results showed a significant direct relation between the total social support and the postpartum physical health of women (r = 0.194, p < 0.001). CONCLUSION: In this study, among various components of social support, just the support of health care personnel clearly improved the physical health of mothers and these findings showed the significance of health care personnel's role. KEY WORDS: Social support, postpartum period, quality of life, physical healthhttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/78http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/78/78

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Comparison among some effects of sexual dysfunction in female spouses of fertile and infertile couples7979MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Scienses, Isfahan,IranMSc, School of Nursing & Midwifey, Islamic Azad University of Falavarjan,Isfahan, IranMSc, School of Nursing & Midwifey, Islamic Azad University of Falavarjan,Isfahan, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Scienses, Isfahan,IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Scienses, Isfahan,Iran20101113   BACKGROUND: Infertility causes a lot of physical and emotional stresses for infertile couples. If couples suppose infertility threatens their marital life, their sexual relations will be affected. As study on the degree of sexual dysfunctions in female spouses of infertile couples, helps in understanding these disorders, their prevalence and treatment, the current study aimed at comparing the lack of sexual inclination (desire), sexual abhorrence and controlled orgasm in female spouses of fertile and infertile couples. METHODS: This was a case – control study on 140 female spouses of infertile couples referring to Isfahan infertility clinics as case group and 140 female spouses of fertile couples as control group in 2006. Sampling was done via easy method. Data was gathered through a questionnaire including two sections of demographic characteristics and sexual disorders. Data were analyzed via SPSS software using χ2 test. RESULTS: The lack of sexual inclination and controlled orgasm in female spouses of infertile couples was more than female spouses of fertile couples (p < 0.01) and there was significant difference between sexual abhorrence in two groups. CONCLUSION: This study concluded that infertility may cause sexual dysfunctions and even in an incorrect cycle may intensify their infertility problem; so diagnosis and treatment of sexual dysfunctions is important in improvement of marital life. KEY WORDS: Infertility, sexual dysfunction, sexual abhorrence, lack of sexual inclinationhttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/79http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/79/79

Iranian Journal of Nursing and Midwifery Research1735-906614120090420The effect of telephone follow-up on different domains of quality of life in patients with pacemaker at pacemaker implantation clinic in Chamran Hospital of Isfa-han in 20078080MSc, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, in Midwifery, School of Nursing and Midwifery, Shahre Kord University of Medical Sciences, Shahre Kord, IranMSc, Department of Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Operating Room Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113  BACKGROUND: Acute cardiac diseases are a hazardous problem that threats the human life. Pacemaker is one of the curative and preventive maneuvers in treating the patients with arrhythmia. It can cause physical and psychological problems for patients, so following-up the treatment of these patients after discharge is crucial. Telephone follow-up can be used as an effective method for this reason. The purpose of this study was to assess the effect of telephone follow-up on different domains of quality of life in patients with pacemaker. METHODS: This was a prospective quasi experimental study that covered 40 patients that were divided into two groups. The subjects were selected by convenience sampling. The data were collected through";SF-36"; questionnaires and were analyzed with SPSS software. RESULTS: Data analyses show that the mean score of the quality of physical life in case group was significantly higher than control group and the difference between two groups were significant (p < 0.001, t = 20.23). CONCLUSION: The case group's health after the telephone follow-up was in a better condition than control group's. Therefore the application of this method for following-up the patient after discharge is beneficial to patient's health and quality of life. KEY WORDS: Telephone follow-up, nurse, quality of life, patient with pacemakerhttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/80http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/80/80

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Family psychoeducation: An adjunctive intervention for mood disorder patients8181MSc, Department of Nursing, School of Nursing and Midwifery, Aligodarz University of Medical Sciences, Lorestan, IranMSc, Department of Psychiatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113  BACKGROUND: In recent years, several controlled studies have showed that family psychoeducational interventions have been effective for improving family function and recovery course in mood disorders. Therefore, we established a family psychoeducational group intervention with 6 sessions to provide information about the illness, early warning signs, cognitive and behavioral strategies for stress management , problem solving and communication skills. We offered group intervention for the patients' relatives. The objective of this study was to evaluate the psychoeducational intervention outcome in mood disorder patients and their relatives in Iran. METHODS: Seventeen relatives of mood disorder patients attended at 8 sessions (each 90 min) of family psychoeducational group therapy. Relatives' knowledge about mood disorder and their adaptation level were assessed using Understanding Mood Disorder questionnaires (UMDQ) and Family Assessment Device (FAD) before and after the group intervention in two groups. No interventions were done for patients. We assessed demographic variables, symptom severity, drug compliance and global function in patients at the beginning of the study, on discharge and 3 months after the family intervention. RESULTS: The relatives' knowledge about mood disorders was significantly improved. They also have benefited from the discussions and exchanging information about the useful coping strategies. Relatives also felt significantly better after being informed about the illness. Symptom severity, drug compliance and global function in patients showed no significant differences in follow ups. CONCLUSION: These findings showed that family psychoeducational interventions in relative of Iranian mood disorder patients, improve their knowledge about the illness and the adaptation level in family is increased. KEY WORDS: Mood disorder, family psychoeducation, intervention, relatives.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/81http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/81/81

Iranian Journal of Nursing and Midwifery Research1735-906614120090420Prevalence of attention deficit/ hyperactivity disorder and associated symptoms among primary school students in the city of Isfahan8282MSc, Health Deputy, Tehran University of Medical Sciences, Tehran, IranPhD student of Nursing, School of Nursing and Midwifery, Medical Education science Center (MERK), Isfahan University of Medical Sci-ences, Isfahan, IranMSc, Department of Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc , School of Nursing and Midwifery, Ahvaz University of Medical Sciences, Ahvaz, IranMSc, School of Nursing and Midwifery, Islamic Azad University of Falavarjan, Isfahan, Iran20101113  BACKGROUND: Behavioral and emotional disorders are common disorders during childhood and adolescents. Attention deficit and hyperactivity disorder (ADHD) is common among children, which result in behavioral problems and weak performance in school. METHODS: A cross-sectional study on 450 primary school students in Isfahan in 2006. Sampling was stratified random and data were collected using Vanderbilt Assessment Scale - Parent Informant. RESULTS: 2.1% of the students had the criteria for attention deficit disorder, 7.7% had hyperactivity disorder and 2.4% had both disorders (ADHD). Also, 5.6% had oppositional defiant disorder (ODD) and 9.1% had criteria of depression and anxiety disorder. CONCLUSION: Primary school students' health leads to the health of society. It is necessary to check up students for common disorders, because if these disorders are not diagnosed and cured on time, may lead to delinquency in adolescence or  anti-social personality disorder in adulthood. KEY WORDS: Attention deficit/ hyperactivity disorder, primary school studentshttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/82http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/82/82