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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Nurses,Moral sensitivity,ICU,Euthanasia,Moral Distress
- چکیده:
- چکیده انگلیسی: Background: Considering the religious and legal structures in Iran, the occurrence of euthanasia seems to be impossible; however, the attitude of nurses towards euthanasia and its related factors may also affect creating moral distress conditions for nurses. Therefore, this study aimed to investigate of the moral distress and attitude of Adult and Neonatal Intensive Care Units (AICU/ NICU) nurses toward euthanasia.
Materials and Methods: In this descriptive-analytical study, all the nurses working in intensive care units of Educational Hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences (Ahvaz city, Iran) were selected by census. Data were collected using Corley's Moral Distress Scale and Holloway’s Euthanasia Attitude Scale. Single-variable and multivariate linear regression tests were used to analyze the data and to determine the relationships between independent and dependent variables. Analyses were done using SPSS software (version 22).
Results: The attitude of all nurses towards euthanasia was negative (min score=20, max score=73, mean score= 43.78±7.99). The mean Moral distress frequency and Moral distress intensify were 47.01±12.90 and 48.42±11.62, respectively (indicates moderate ethical distress). In AICU nurses, there was a significant relationship between the frequency of moral distress and the nurses’ attitudes. However, there was no significant relationship between the intensity of moral distress and the nurses’ attitudes. In NICU nurses, there was no significant relationship between the frequency of moral distress and intensity of moral distress with nurses’ attitude toward euthanasia.
Conclusion: The religious and cultural conditions of the country have caused all nurses did not consider euthanasia to be acceptable under any circumstances. Further studies are needed to better understand the attitude of nurses towards euthanasia, especially with regard to the culture of Iranian society.- انتشار مقاله: 14-09-1396
- نویسندگان: Jila Alborzi,Fahimeh Sabeti,Shahram Baraz,Mojtaba Miladinia,Vahid Saidkhani,Asaad Sharhani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Review,Leukemia,Pediatric,Complementary Medicine
- چکیده:
- چکیده انگلیسی: Background
For using of complementary and alternative medicine methods (CAM) in the leukemia pediatrics than other types of cancer, we have two great challenges; first challenge is their safety and risks and second challenge is study gaps in this field. Regarding to these challenges, this study is a narrative review of some CAM methods in the leukemia pediatrics from the perspective of their safety, risks and study gaps.
Materials and Methods
In this narrative review study searched both international electronic databases including ISI Web of science, PubMed, PsycINFO, CINAHL, ISC, Embase, Scopus, Google Scholar and also, Iranian electronic databases including Magiran, Medlib and SID. Also, searches were performed separately in the specialized journals in the field of leukemia pediatrics and complementary and alternative medicine research.
Results
Music therapy, gentle yoga movements, gentle massage types are quite safe for leukemia pediatrics. But, use of heavy yoga movements, massages with deep pressure, acupressure and acupuncture can be dangerous for leukemia pediatrics (risks of bleeding and or infection). Also, this study showed that, the number of investigations about the use of CAM in the leukemia pediatrics is very limited; especially in the field of yoga and acupuncture.
Conclusion
The results of this study can be a basis both for chose of safe CAM method in these children and a basis for future studies on the basis of identified study gaps in this review study.- انتشار مقاله: 10-04-1395
- نویسندگان: Mojtaba Miladinia,Zohore Lamoochi,Parisa Lamoochi,Kourosh Zarea,Marzieh Shayesteh Fard,Hojjat Zareh Houshyari Khah
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Complementary Medicine,Music therapy,Post-operative pain
- چکیده:
- چکیده انگلیسی: Background: Despite the development of pediatric post-operative pain management and use of analgesic/narcotic drugs, post-operative pain remains as a common problem. Some studies suggested, the most effective approach to controlling immediate post-operative pain may include a combination of drug agents and non-drug methods. The aim of this study was to investigate the effect of music therapy on the acute post-operative pain in Iranian children.
Materials and Methods: A quasi-experimental, repeated measure design was used. In this study, 63 children were placed in the music and control groups. In the music group, pain intensity was measured before start intervention (baseline). Then, this group listened to two non-speech music for 20 minutes. Then, pain intensity was measured with numeric rating scale, immediately after intervention, 1 hour, 3 hours and 6 hours after intervention, respectively. Also, in the control group, pain intensity was measured in times similar to music group.
Results: The mean of pain intensity did not significantly different between the 2 groups at baseline (P>0.05). The results of repeated measure ANOVA showed that, trend of pain intensity between 2 groups was significant (P<0.05), so that pain intensity in the music group had more decrease than control group. Also, mean of used narcotic (Pethidine) in the music group was significant lower than the control group (P<0.05).
Conclusion: The current study showed that music therapy as a non-drug, cheap and easy method, can improve acute post-operative pain in children and also inducing lower use of narcotic in children.- انتشار مقاله: 16-01-1395
- نویسندگان: Mojtaba Miladinia,Shahram Baraz,Kourosh Zarea
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Nurses,medication errors,Pediatric,Self-report,Drug events
- چکیده:
- چکیده انگلیسی: Background
Medication errors (MEs) are the most common types of medical errors which effecting on pediatric safety. For decrease MEs, we should to have information about difference aspects of MEs. We have no study which assessed the frequency, types and causes of MEs made by pediatric nurses, in Iran.
Material and Methods
This was a cross-sectional study, which performed on 53 Pediatric Nurses. Data were collected by a self-structured questionnaire for assessment of MEs contained 3 parts: 1- one question about the fact that, do you had MEs in past 3 months; 2- types of MEs occurred (12 items); 3- causes of MEs from nurses’ perspective (20 items). The MEs in past 3 months gathered through pediatric nurses’ self-report. Descriptive statistics and Chi-square test were used for analysis. Data were analyzed using the SPSS.
Results
The majority of participants were female (77.3%), and initial (novice) nurses (33.9%). The results showed that, 31 (58.4%) of nurses were reported at least one MEs history and totally, 131 MEs were occurred in past 3 months. Most prevalent of MEs types were reported: wrong dose (36.6%) and wrong drug preparation (14.5%). Also, most prevalent of MEs causes from Nurses’ perspective were reported: poor medication knowledge (96.2%) and poor calculation skills (73.5%).
Conclusion
With using of this study results, we can program for prevention/decrease MEs and enhancing pediatric safety. On the basis of this study, actually we should enhancing level of nurses knowledge by education and to carry out special courses for pediatric nurses.- انتشار مقاله: 16-12-1394
- نویسندگان: Mojtaba Miladinia,Kourosh Zarea,Shahram Baraz,Elham Mousavi Nouri,Amir Hosein Pishgooie,Mehdi Gholamzadeh Baeis
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,children,Leukemia,massage,Complementary Medicine,Non-drug
- چکیده:
- چکیده انگلیسی: Background
Among all malignances, leukemia has the greatest effects on patients 'psychological aspects. Anxiety is common problem in leukemia patients (especially in children). Since no study has addressed the effect of Slow-stroke back massage (SSBM) on anxiety in the pediatrics with chronic leukemia, this investigation aimed to controlling anxiety through a non-drug method (such as SSBM) in children with chronic leukemia.
Materials and methods
In this Randomized double-blind trial, 35 children with chronic leukemia were placed in the intervention or control groups. The intervention group received 5-minute SSBM sessions, 3-time a week (every other day) for 4 weeks. The data were collected using the Revised Children’s Manifest Anxiety Scale (RCMAS). Before the investigation, anxiety levels were measured in both groups, at the 2th, 4th weeks and also two weeks after the end of intervention (6th weeks). Chi-square, repeated measure, and t-test were used for analysis with using SPSS-16.
Results
Most of children were suffered from chronic myeloid leukemia (62.8%). The repeated measure ANOVA showed that, the SSBM significantly reduced progressive mean of anxiety over time (P<0.05). While in the control group, mean of anxiety did not change over time. Also, the mean of anxiety increased in the massage group two weeks after end of the intervention, however, it was still lower than the baseline (P<0.05).
Conclusion
The findings of this study are suggesting that SSBM, as a non-drug, easy and safe method, is effective for controlling anxiety in chidren with chronic leukemia. Therefore, caregivers should pay attention to this method.- انتشار مقاله: 17-10-1394
- نویسندگان: Mojtaba Miladinia,Leila Fakharzadeh,Kourosh Zarea,Elham Mousavi Nouri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality of Life,SF-36,adolescence,Thalassemia Major
- چکیده:
- چکیده انگلیسی: Background
The chronic genetic blood disorder, thalassemia, affects Quality of life (QOL) negatively. Regarding this, if adolescences with thalassemia are treated well, they will grow into an adult who will have a good potential for participating in society. Objectives: to determine the strongest predictor of QOL, compare QOL between the adolescents with beta-type major and their peers in Abadan city.
Materials and Methods
This was a cross-sectional study; the population consisted of 65 beta thalassemia major patients and 65 healthy peers with the same ages as the witness group. The data collection tools included SF-36 questionnaire and a questionnaire for demographic information. Data analysis was performed using independent t-test, correlation and linear regression by SPSS-16.
Results
The results of the study revealed that there is a significant difference (P < 0.05) in the average quality of life between the two groups of the study. On the other hand, the results showed that there was a meaningful relation between different aspects of life quality and family history of thalassemia (P< 0.05). Also, there was a negative correlation between quality of life and the frequency of blood transfusion per year (P< 0.05).
Conclusion
Adolescences with beta thalassemia major do not have a desirable quality of life, therefore, this fact shows the necessity of serious reforming in various fields of health care, treatment, family, social and financial support, and rehabilitation that need more attention from health care policymakers.- انتشار مقاله: 01-10-1394
- نویسندگان: Shahram Baraz,Mojtaba Miladinia,Elham Mosavinouri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Leukemia,Pediatric,massage,Complementary Medicine,Vomiting,Nausea
- چکیده:
- چکیده انگلیسی: Introduction
Nausea and vomiting are the most common side effects of chemotherapy in the pediatrics with cancer which affect their quality of life. Use of some methods of complementary medicine in leukemia patients is problematic. Because, leukemia patients are at risk of infection and bleeding, therefore the use of acupressure, acupuncture, and deep massage can be risky in these patients. Slow- stroke back massage is applied on the surface of body, so does not have complications. No study has addressed the effect of massage therapy on chemotherapy-induced nausea and vomiting in pediatrics with acute leukemia in the world.
Material and methods
This study was a two-group randomized controlled trial (RCT), double blind and repeated measures design. In this RCT, 45 school age children with acute leukemia were placed in the massage and control groups. Before start of the study, at the day of chemotherapy administration (day 1th), only nausea and vomiting were measured. Then during 6 days next (day 2 through 7), the intervention group received 5-minutes Super Smash Bros. Melee (SSBM), immediately before start of each session of chemotherapy. Nausea was measured during chemotherapy, 0.5 h and 3 h after each session of chemotherapy in the two groups. Also vomiting was recorded during 24 h after each session of chemotherapy. Repeated measures ANOVA, Chi-square, and t-test were used for analysis.
Results
Most of pediatrics were male (58.13%), and suffered from Acute myeloid leukemia (AML) (81.7%). The repeated measure analysis showed that in the intervention group, the SSBM reduced progressive mean of nausea severity and frequency of vomit over time. While, this side effects have slightly increased over time in the control group.
Conclusion
The results of this study are suggesting that SSBM, as a non-pharmacologic, easy and safe method, is effective in controlling Chemotherapy-induced nausea and vomiting (CINV) in the pediatrics with acute leukemia.- انتشار مقاله: 15-09-1394
- نویسندگان: Mojtaba Miladinia,Shahram Baraz,Elham Mousavi Nouri,Mehdi Gholamzadeh Baeis
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: smoking,Infant,Breastfeeding,Bed-sharing,SIDS
- چکیده:
- چکیده انگلیسی: Background:
Infant mortality is often used as a standard measure of a population’s health. Until cause of Sudden Infant Death Syndrome is unknown (SIDS), the best strategy to decrease SIDS, is programming to decrease facing with risk factors. The aim of this study was to find the SIDS risk factors among families during their child care in Iran. The study is the first in Iran to examine the risk
Material and methods:
In the observational cross-sectional study, 878 mother-infant pairs who visited governmental health clinics were included by convenience sampling. The inclusion criteria was, all mother-infant pairs which infants Results:
Most common risk factors of SIDS was determined: co-sleeping (92.03%), bed sharing (49.31%), side lying position (47.49%) and non-exclusive breastfeeding (45.5%). A significant relationship was found between bed-sharing and head covering (p=0.001); bed-sharing and prone position (p=0.001); bed-sharing and breastfeeding (under 4 months) (p=0.001); mothers' age and co-sleeping (p=0.038) mothers' age and prone position (p=0.001).
Conclusion:
SIDS risk factors were common during child care. Hygienic teams and nurses have a key role in SIDS prevention through enhancing level of parental awareness by education to family about risk factors and its prevention is necessary. Further studies to identify risk factors and incidence of SIDS in different regions country are recommended.- انتشار مقاله: 26-08-1394
- نویسندگان: Mojtaba Miladinia,Shahram Baraz,Elham Mousavi Nouri
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: risk factors,Infant,Bed-sharing,SIDS,sudden infant death syndrome
- چکیده:
- چکیده انگلیسی: Introduction
Sudden Infant Death Syndrome (SIDS) is a disease which causes unexpected death of infants aged less than 1 year. Given the undeniable role of parents in the presence or absence of SIDS risk factors, the present study aimed to studythe prevalence and the relationship between characteristics and conditions of parent’s infants with SIDS risk factors.
Materials and Methods
In this cross-sectional descriptive-analytic study, 1,021 infants aged 1 to 12 months in the health centers in Qom-Iran in 2014 were selected as the sample by stratified random sampling method. The required data were collected using an author-made questionnaire on SIDS risk factors. The obtained data were analyzed by descriptive and inferential statistics in SPSS 18 at a significance level of 95%.
Results
4.5% of mothers were younger than 20 years, 92.3% infants had a co-sleeping with their parents, and 35.7% of infants had a bed-sharing with their parents. 19% of infants used Soft pillow. Study findings showed that there is no significant relationship between the age of mothers and using a shared bedroom (P>0.05), while such a relationship exists between education backgrounds of parents and sharing a bedroom (P<0.05).
Conclusion
The results showed that socioeconomic and educational status of parents play a significant role in the development of SIDS risk factors. Therefore, the incidence of such factors can be reduced through improving parental awareness and education.- انتشار مقاله: 04-09-1394
- نویسندگان: Mehdi Gholamzadeh Baeis,Mojtaba Miladinia,Mohammadreza Talayian,Masomeh Vahedi,Somayeh Vafayi,Maryam Tashvighi
- مشاهده