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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: skin,Injury,neonate,NICU,Related Factors
- چکیده:
- چکیده انگلیسی: Background: Skin is the most important defense mechanism of the neonate's body. The admission to the Neonatal Intensive Care Unit (NICU) is a risk factor for neonatal skin injuries. Therefore, to prevent these complications, it is essential to identify the risk factors. The present study aimed to investigate the incidence of skin injuries and its related factors in neonates admitted to the NICU.
Methods: This cohort study was conducted in two NICUs in one perinatal hospital in Tehran, Iran, from January 2018 to June 2018. The sampling was performed using the census method. The data were collected through a demographic characteristics form, a risk factor assessment checklist, and the European Pressure Ulcer Advisory Panel (EPUAP) tool. The data were analyzed in SPSS software (version 19) through Fisher's exact test and chi-square test.
Results: Out of 368 neonates, 126 cases had skin injuries, and the others were healthy. The mean values of weight and age of the neonates with skin injuries were 796.68±1606.82 g and 5.18±30.82 days, which was significantly lower than those of the infants without skin injury (p <0.05). The results of the risk factors analysis also showed that the second-grade injuries were the most frequent. Moreover, the drug leakage (14.2%, n=33) and nasal continuous positive airway pressure (12.06%, n=28) had the highest prevalence. The results of the effect of risk factors on the wound grade also showed that drug leakage, diaper rash, and surgical injuries had a significant effect on the wound grade.
Conclusion: The results showed that in addition to neonatal conditions, equipment, and neonatal care play a significant role in the incidence of skin injuries. Skin is the most important defense barrier of the neonate's body and it is vitally important to take care of it. Therefore, it is necessary to identify and prevent such injuries.
- انتشار مقاله: 05-10-1398
- نویسندگان: Maryam Javaheri Abkenar,Leila Khanali Mojen,Fateme Shakeri,Maryam Varzeshnejad
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: premature infant,Intensive Care Unit,nurse,Developmental care,Neonatal physician,NIDCAP
- چکیده:
- چکیده انگلیسی: Background: "Newborn Individualized Developmental Care and Assessment Program )NIDCAP(" is a caring approach based on individual neonatal behaviors that provides preventive measures for injuries caused by environmental stimuli. The present study aimed to investigate the barriers to the implementation of NIDCAP from the perspectives of nurses and physicians.
Methods: This descriptive-comparative included 100 nurses and 21 physicians working in the Neonatal Intensive Care Unit (NICU). They were selected using a complete enumeration sampling method. Data were collected using a researcher-made questionnaire. The validity and reliability of the questionnaire were determined in this study. The data were analyzed in SPSS software (version 25) through descriptive and inferential statistics.
Results: According to the nurses' perspective, the most imperative hurdles to the implementation of NIDCAP were environmental-structural, human resources, and communicational barriers. On the other hand, environmental-structural barriers obtained the highest score by the physicians and were placed in the first rank contrary to the management and human resources barriers that were placed in the second rank with equal scores. Furthermore, family-based care and communication were not considered obstacles to the implementation of the NIDCAP.
Conclusion: According to the findings of this study, environmental-structural barriers were considered the main hurdles to the implementation of NIDCAP. Therefore, hospital administrators should make efforts to eradicate the existing barriers by making appropriate decisions in order to improve the quality of this method of care.
- انتشار مقاله: 06-11-1398
- نویسندگان: Nahid Foladi,Azam Shirinabadi Farahani,Manijeh Nourian,Elham Faghihzadeh,Leila Khanali Mojen,Sara Gholami,Fateme Goudarzi
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: premature infant,quality of care,Neonatal intensive care unit (NICU),Length of stay (LHS)
- چکیده:
- چکیده انگلیسی: Background: Length of hospital stay (LHS) is the most important and practical indicator in hospitals, which largely reflects the level of hospital performance and activity. It is also an important indicator for resource planning. Moreover, the quality of care can theoretically be related to LHS. The aim of this study was to investigate the relationship between LHS and quality of nursing care in the neonatal intensive care unit (NICU).
Methods: In this descriptive correlational study, the samples were 205 premature infants hospitalized in the NICU and 80 nurses working in the NICUs of selected hospitals. They were selected based on the inclusion criteria. The data were gathered using the demographics of nurses and neonates through Quality Patient Care Scale (QUALPAC). The data was analyzed in SPSS (version 21) using Spearman correlation coefficient.
Results: The results showed that 47.5% of the nurses were within the age range of 29-36 years and 68.8% of nurses had a working experience of 1-5 years. There was an inverse correlation between the neonate's length of stay and the quality of care (r=-0.507, P<0.0001).
Conclusion: The findings revealed an inverse relationship between the length of stay and quality of care. By improving the quality of care, we can decrease the LHS.- انتشار مقاله: 24-11-1397
- نویسندگان: Narges Nikuee,Maryam Rassouli,Houman Manuchehri,Abolfazl Payandeh,Leila Khanali Mojen
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Prevention,neonate,Nursing care,Ventilator-associated pneumonia,Mechanical Ventilation
- چکیده:
- چکیده انگلیسی: Background: Ventilator-associated pneumonia (VAP) is the second common nosocomial infection in NICUs leading to some complications. Nurses are one of the main resources in health care that directly influence neonatal health care. Responsibility of most of preventive strategies related to VAP complications lies with nurses; therefore, nursing care should be assessed until the nurses show standard level of performance in hospitals. The aim of this cross-sectional study, conducted within 2015-2016, was to assess nursing care regarding VAP prevention in neonatal intensive care units (NICUs) in selected hospitals affiliated to Shahid Beheshti University of Medical Sciences.
Methods: In this descriptive cross-sectional study, 100 observations of nursing care regarding VAP were selected by convenience method in NICUs of Mahdiyeh, Mofid, and Imam Hossein hospitals affiliated to Shahid Beheshti University of Medical Sciences within 2015-2016. The data collection tools included demographic information questionnaire and a developed checklist related to VAP prevention. The observations were assessed and documented with two sampling methods, including time and event sampling. The data were analyzed in SPSS software (version 16).
Results: According to the results of the current study, the rate of compliance of nursing care with the standards for prevention of VAP in neonates under mechanical ventilation in NICU with developed standards was estimated at 62.81 percent.
Conclusion: Authorities should pay more attention to nursing cares especially incompetent cares explained in this study to increase the health of hospitalized neonates, decrease complications, length of stay, and costs. Moreover, future research is needed to investigate the reasons of this incompetency.- انتشار مقاله: 19-10-1397
- نویسندگان: Leila Khanali Mojen,Maryam Rassouli,Saleheh Tajalli,Ahmad Reza Baghestani,Zahra Jafari
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Parents,Interaction,neonate,nurse,Neonatal Intensive Care Unit
- چکیده:
- چکیده انگلیسی: Background: This study aimed to identify the most important obstacles to proper interaction of parents with their neonates who were hospitalized in neonatal intensive care units (NICUs).
Methods: This descriptive cross-sectional study was conducted on 90 NICU nurses and 400 female and male parents using census and convenience sampling methods. To collect data, in a period of three months, a researcher-made questionnaire was prepared, including the factors threatening the parents' interaction with their neonates in NICUs. Data analysis was performed using the descriptive statistics including the number, percentage and mean scores of responses in SPSS software (version 16).
Results: By calculating the mean scores of responses, from the nurses' points of view, "feeling of emotional discomfort due to being away from the neonate" (3.63) and "nurses’ not understanding parents since they have no children" (1.42) were the most and the least important factors, respectively. From the mothers' points of view, "parental stress due to the neonate’s hospitalization" (3.47), and "the maternity wards being away from NICUs" (1.37) were the most and the least important factors, respectively. Also, the most and the least important obstacles in the perspectives of the fathers were "parental stress due to the neonate’s hospitalization" (3.09) and "the unwanted neonate", respectively.
Conclusion: The results showed that the stress and tension of parents were the most influencing factor on the interaction of neonate-parent in NICUs. Some neonatal and organizational factors were considered less important as the barriers to neonate-parent interactions in these wards.- انتشار مقاله: 03-01-1397
- نویسندگان: Azardokht Kazemi,Lida Nikfarid,Leila Khanali Mojen,Maliheh Nasiri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Community Based Nursing and Midwifery
- نوع مقاله: Journal Article
- کلمات کلیدی: Growth,Neoplasms,Child,mothers,Post-traumatic stress disorders
- چکیده:
- چکیده انگلیسی: Background: Posttraumatic growth resulting from a stressful factor such as the diagnosis and treatment of cancer can positively affect various aspects of a mother’s life as the child’s main caregiver. The present study aims to determine the level of posttraumatic growth in the mothers of the children with cancer.Methods: In the present descriptive study, the statistical population consisted of the mothers of the children with cancer referring to oncology clinics or hospitalized in the oncology departments of selected hospitals from June 2016 to October 2016. The samples included 180 eligible mothers selected by convenient sampling. The data were collected using “Posttraumatic Growth Inventory” (PTGI) that determines the psychological growth following exposure to traumatic events with 21 items in 5 domains of new possibilities, relationship with others, appreciation of life, personal strength, and spiritual changes and scored by 6-point Likert scale, ranging from 0 to 105; the higher scores indicate greater growth. The data were analyzed in SPSS-20 using descriptive and inferential statistical tests.Results: The mean age of the participating mothers was 34±5.3, 83.3% of whom were housewives. The majority of the children suffered from leukemia, and cancer onset age was between 3 and 6 in 33.9% of the children. The mothers’ mean score of posttraumatic growth was 62.4±18.9, and the highest percentage of scores in various dimensions belonged to “spiritual change” (3.59), “appreciation of life” (3.04), and “relating to others” (3.02).Conclusion: Results showed that the experience of having a child with cancer can lead to posttraumatic growth in mothers.
- انتشار مقاله: 22-06-1396
- نویسندگان: Mina Behzadi,Maryam Rassouli,Leila Khanali Mojen,Mohamad Amin Pourhoseingholi,Fatemeh Alaie Karahroudy
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,Adolescent,Psychometrics,sibling,needs assessment
- چکیده:
- چکیده انگلیسی: The sibling cancer needs instrument (SCNI) is the first developed specifically for assessing psychosocial unmet
needs of adolescents having a sibling with cancer. The aim of this study is to evaluate the psychometric properties of its
Persian version. Methods: For this methodological study, the SCNI was translated into Persian using back-translation
and revised according to the comments of the developer of the instrument. Then face validity, content validity, construct
validity, internal consistency and the stability of the Persian version of the instrument were measure, by examining
a population of 180 adolescents having a sibling with cancer in six hospitals in Tehran, Iran. The data were analyzed
using SPSS version 16 and EQS version 6.1. Results: Confirmatory factor analysis approved the construct validity of
the instrument and its seven domains. Cronbach’s alpha was measured as 0.97 for the total instrument and 0.80- 0.92
for its seven domains. In order to evaluate ttest-retest reliability, the intra-class correlation coefficient (ICC) was also
calculated (0.94). Conclusions: The Persian version of SCNI has acceptable psychometric properties. It can be used
for measuring the unmet psychosocial needs in adolescents who have a sibling with cancer in the Persian-speaking
population.- انتشار مقاله: 15-11-1396
- نویسندگان: Zeynab Masoudifar,Leila Khanali Mojen,Maryam Rassouli,Maliheh Nasiri,Pandora Patterson,Fiona Mc Donald,Peyman Eshghi
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: palliative care,Pediatric,regionalization,health system
- چکیده:
- چکیده انگلیسی: Background: Establishing palliative care services is a priority in the health system of Iran. Considering the necessity
of integrating these services into the health system, this study aimed to explore the stakeholders’ perceptions about the
provision of a conceptual framework for palliative care services for children with cancer according to the health system
in of Iran. Methods: The present qualitative study was conducted through in-depth semi-structured interviews held
with 29 participants including palliative care specialists, policy-makers, health care providers, the parents of children
with cancer selected through purposive sampling, between August 2016 and February 2017. Interviews continued
until saturation of data. All interviews were recorded, transcribed and analyzed using MAXQDA10 software. Results:
The codes extracted from interviews produced the main theme “ classes of palliative care services” with the two main
categories “comprehensive care” including, strengthening family shelter, maintaining the child in a familiar environment,
achieving stability and “establishing social justice” including, easy access to services, financial relief and quality care.
Conclusion: Presenting a framework based on level of palliative care services, the findings of this study paves the way
for integrating these services into Iranian health system.- انتشار مقاله: 09-08-1396
- نویسندگان: Leila Khanali Mojen,Maryam Rassouli,Peyman Eshghi,Kazem Zendedel,Ali Akbari Sari,Majideh Heravi Karimooi,Mamak Tahmasebi,Azam Shirin Abadi Farahani
- مشاهده