در هنگام جستجو کلمه در قسمت عنوان میتوانید کلمات مورد جستجو را با کاراکتر (-) جدا کنید.
کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: premature infant,Neonatal Intensive Care Unit,Kangaroo mother care,Breast milk expression
- چکیده:
- چکیده انگلیسی: Background: Breastfeeding is a two-way interaction between mother and infant, the sustainability of which requires the presence of both parts given their complementary roles. Aim: The present study was conducted to investigate the effect of breast milk expression during kangaroo mother care (KMC) on milkvolume in mothers with premature neonates. Method: This quasi-experimental study was performed on 40 mothers with premature newborns admitted to a neonatal intensive care unit in a city in the west of Iran in 2019. The participants were randomly assigned into two groups of intervention and control. Breast milk in both groups was expressed 8 times a day from day 4 to day 6 after birth using a 20-cc syringe and recorded in a checklist. In the intervention group, two milking sessions were performed during the KMC. However, in the control group, milking was conducted according to the ward routine. Data were analyzed in SPSS software (version 23) using repeated-measures ANOVA. Results: The mean ages of the participants in the intervention and control groups were 29.05±4.09 and 27.85±3.58 years, respectively. There was a statistically significant difference between the milkvolume of the intervention and control groups on days 4 (P=0.04), 5 (P=0.02), and 6 (P=0.007) and between the total volume of milkduring the three days (P=0.01). Implications for Practice: Breast milk expression duringKMC could have a positive effect on increasing milkvolume. Therefore, can be recommended as an intervention to support mothers with insufficient milk.
- انتشار مقاله: 29-10-1398
- نویسندگان: Mahdiye Mansoori,Naiire Salmani
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Bilirubin,massage,Newborn,Jaundice,Baths
- چکیده:
- چکیده انگلیسی: Background: Jaundice is one of the most common health problems among neonates, involving almost 60% of full-term newborns, therefore requiring consequent phototherapy. Since phototherapy has several complications, considering alternative treatments has long been of pivotal importance. Therefore, the present study aimed at comparing the effectiveness of bath and massage in bilirubin levels in neonates.
Methods: This was a randomized clinical trial conducted on neonates who were born in Zeyaei Hospital in Ardakan, Iran, in 2018. A total of 90 neonates were selected using the convenience sampling method and then assigned into two intervention groups (i.e., bath group and massage group) and a control group through random allocation method. In the bath group, the neonates were bathed immediately after birth. In the massage group, the neonates received field massage twice a day each lasting 15 min for 5 consecutive days. The neonates belonging to the control group were served with routine care. The jaundice meter China 800 (jk) device was used to measure the skin bilirubin levels of the neonates in the three groups in a scheduled manner (i.e., days 1, 3, 5, and 7) at 9 a.m. The data were analyzed using the ANOVA, Chi-square test, Tukey's post hoc test, and repeated measures ANOVA in SPSS software (version 18).
Results: There was no significant difference between the mean bilirubin scores of the three groups over the first, third, and fifth days. A significant difference was found between the mean bilirubin scores of the bath and massage groups compared with that of the control group on the seventh day (P=0.001). Also, no significant difference was seen between the mean bilirubin levels of the bath and massage groups on the seventh day.
Conclusion: The findings revealed that there was no difference between the bath and massage techniques in reducing neonatal jaundice. Therefore, both techniques can be utilized in this regard.- انتشار مقاله: 31-04-1397
- نویسندگان: Khadijeh Dehghani,Effat Nouroozi,Zahra Mandegari,Naiire Salmani,Mehrdad Shakiba
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: transfer,Temperature,Newborn,Premature,Oxygen saturation
- چکیده:
- چکیده انگلیسی: Background: The sudden exposure of premature newborns to a cold and dry environment can lead to hypothermia. This study aimed at comparing the effectiveness of two polyethylene covers on the body temperature and oxygen saturation of premature neonates.
Methods: This experimental study was conducted on 72 premature newborns in the neonatal intensive care unit (NICU) of Shahid Sadoughi Hospital in Yazd, Iran. The study subjects were randomly assigned into three groups, including the neonates with polyethylene head cap, polyethylene body bag, and routine care. The data were collected using a thermometer and a pulse oximeter. The data analysis was performed through descriptive statistics, Chi-square test, analysis of variance (ANOVA), repeated measures ANOVA, and Tukey test using SPSS (version 18) software.
Results: There was a significant difference in the mean body temperature of control and intervention groups immediately after their NICU admission and 1 h later. Other significant differences were found in the mean of oxygen saturation belonging to the control group and the hat group upon admission and 1 h later. Also, the mean scores of oxygen saturation belonging to the control group were compared with those of the bag group, and the differences were significantly different 1 h after the admission.
Conclusion: In the light of these findings, the application of both polyethylene head cap and body bag can maintain the body temperature and oxygen saturation in the premature neonates transferring to the NICU. In particular, the head cap seems to better improve than oxygen saturation.- انتشار مقاله: 01-04-1397
- نویسندگان: Naiire Salmani,Zahra Dehghan,Zahra Mandegari,Azita Aryaee,Shima Dehghan
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Neonatology
- نوع مقاله: Journal Article
- کلمات کلیدی: Parents,palliative care,Neonatal Intensive Care Unit,Health Personnel,Delivery of health care
- چکیده:
- چکیده انگلیسی: Palliative care is a series of actions aiming to offer support to parents and their infants in order to improve their quality of life. Despite optimal outcomes, the provision of palliative care for infants and achieving these outcomes may be hardly feasible. The present study aimed to investigate the barriers to palliative care and gain insight into the solutions. Accordingly, the obstacles were identified and classified into three categories of parent-related barriers (parental request for continuing treatment, cultural background, and religious beliefs), barriers concerning healthcare providers (attitude toward palliative care, death, and life values, religious beliefs, knowledge and skills in palliative care, and ethical distress), and barriers within the healthcare system (unclear policies regarding the implementation of palliative care, inadequate support from caretakers, lack of educational programs, insufficient personnel, unprepared environment, lack of technological requirements, and lack of access to consultants). Each category was discussed, and relevant solutions were provided.
- انتشار مقاله: 09-03-1397
- نویسندگان: Naiire Salmani,Maryam Rassouli,Zahra Mandegari,Imaneh Bagheri,Bahareh Fallah Tafti
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Parents,Behavior,perception,trust,Nursing care
- چکیده:
- چکیده انگلیسی: Background
The professional nurses’ activities, behaviors, and manners are classified as nursing care behaviors. Nurses spend considerable amounts of time taking care of patients and their families; however, their opinions about their caring behaviors are different from the care receivers’ views. Hence, this study aimed to elaborate the nursing care behaviors perceived by the parents of hospitalized children.
Materials and Methods
This qualitative study was a conventional content analysis. Eighteen parents of hospitalized childrenin Yazd hospitals (Governmental and Private) were selected on the basis of a purposive sampling method and interviewed using the semi-structured interview (with the questions such as : "Why was your child hospitalized in this ward?", "How was the nurses’ behavior during the hospitalization regarding nursing care?"). The data were analyzed using the qualitative content analysis method.
Results
The data analysis resulted in the main theme of "fluctuation of trust in care", comprising the 8 subcategories of themes including "relieving/agitating presence", "attraction/rejection of parental participation", "respecting/ disrespecting" and "constructive/agitating communication".
Conclusion
The parents of hospitalized children are experiencing a variety of caring behaviors that might build or destroy their trust in nursing cares. Therefore, modification of caring behaviors can promote parents’- trust and their consequent satisfaction with the nursing cares.- انتشار مقاله: 05-02-1396
- نویسندگان: Naiire Salmani,Shirin Hasanvand,Imane Bagheri,Zahra Mandegari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Nurses,medication errors,Pediatric ward
- چکیده:
- چکیده انگلیسی: Background
Medication errors are among the most common medical errors which are used as an indicator to assess patients’ safety in hospitals. Thereby the aim of this study was to investigate the frequency, type and causes of medication errors in children's ward at hospitals in Yazd- Iran.
Materials and Methods
This descriptive-analytical study was conducted during 6 months from Jan to Jun 2015. A total number of 63 nurses working in the pediatric ward of the hospitals in Yazd city were enrolled in this study using census method. Data collection tools included demographic questionnaire and "Wakefield medication administration errors" questionnaire. Data were analyzed using SPSS-18.
Results
Medication errors had been made by 44.4% of the nurses once to twice in the 6 months preceding the study. 30.2% of the errors had occurred on the night shift. Errors with high incidence in non-injectable medication included wrong patient (1.6%),wrong dosage (7.9%) , drug adminstration without doctors ordedr (1.6%) and in injectable medication included wrong dosage (7.9%),mistake in medication calculation (6.4%) and wrong infusion rate (9.5%). The most common causes were communication, packaging, transcription, working conditions and pharmacy conditions respectively.
Conclusion
Considering the frequency of errors on the night shift, dosage calculation and administration as well as the identified causes, it is necessary that nursing managers to negotiate with medical and pharmaceutical professionals in order to design and implement operational guidelines for preventing medication errors.- انتشار مقاله: 06-06-1395
- نویسندگان: Naiire Salmani,Bahare Fallah Tafti
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Grounded Theory,satisfaction,Nursing care
- چکیده:
- چکیده انگلیسی: Purpose: Satisfaction is the result of a process; to assess satisfaction, the care recipients’ experiences of the services received should be understood and efforts should be made to understand how these experiences have formed that satisfaction.The purpose was to understand the processes of satisfaction with nursing care in parents of hospitalized children.
Methods: The present grounded theory study was conducted on 25 participants selected through theoretical sampling and examined using in-depth semi-structured interviews. Interviews where promptly transcribed after they each ended. The data obtained were analyzed concurrently with their collection based on Strauss and Corbin’s method of data analysis (1998) in three steps: open, axial and selective coding.
Results: The main concern of the parents in the process of satisfaction with nursing care was the “influence of insecurity”. The parents were put in an unstable context of care, upon which they resorted to the “prudent gaining of certainty” strategy. In this process, intrapersonal and extra personal triggers acted as facilitators and personal weaknesses as inhibitors, and “fluctuating trust” was the result of the process.
Conclusions: Gaining certainty plays an important role in the formation of satisfaction with nursing care, and the particular characteristics of the context of care have a crucial effect on the intensity or weakness of the developed trust; eventually, the developed certainty results in trust in the received care, which further emphasizes the importance of nurses' efforts for facilitating an ascertaining care.- انتشار مقاله: 10-07-1394
- نویسندگان: Naiire Salmani,Abbas Abbaszadeh,Maryam Rasouli,Shirin Hasanvand
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,qualitative research,experience,Child,Mother,Fever
- چکیده:
- چکیده انگلیسی: Background
One of the most common symptoms of diseases in infancy period is fever, and the concerns occurred could lead to encouraging parents to control fever as soon as possible. This study has been conducted to explore experiences of mothers caring children with fever.
Materials and Methods
This qualitative study was conducted using conventional content analysis. The data were collected through 14 unstructured individual interviews with a purposive sampling among the mothers having children with fever admitted to pediatric ward of Shahid Sadoughi hospital, Yazd-Iran. Data analysis was performed on a continuous and consistent comparisons basis.
Results
The mean and standard deviation of variables of mothers’ age (year), length of hospitalization of children (day), and age of children with fever (year) were 5.17 ± 28.25, 2.7 ± 4.2, and 2.3 ± 1.7, respectively. The experiences of participants were revealed in three themes of "concern penetration", "in search of fever control", and "discomfort".
Conclusion
Since the occurrence of fever is associated with concerns of parents and self-medication to control fever and discomfort of mothers, it is essential for the health care providers to design and implement the appropriate family-centered interventions to improve awareness and the performance of parents.- انتشار مقاله: 07-11-1395
- نویسندگان: Bahare Fallah Tafti,Naiire Salmani,Sara Afshari
- مشاهده
- جایگاه : پژوهشی
- مجله: Evidence Based Care Journal
- نوع مقاله: Journal Article
- کلمات کلیدی: premature infant,Neonatal Intensive Care Unit,Kangaroo mother care,Breast milk expression
- چکیده:
- چکیده انگلیسی: Background: Breastfeeding is a two-way interaction between mother and infant, the sustainability of which requires the presence of both parts given their complementary roles. Aim: The present study was conducted to investigate the effect of breast milk expression during kangaroo mother care (KMC) on milkvolume in mothers with premature neonates. Method: This quasi-experimental study was performed on 40 mothers with premature newborns admitted to a neonatal intensive care unit in a city in the west of Iran in 2019. The participants were randomly assigned into two groups of intervention and control. Breast milk in both groups was expressed 8 times a day from day 4 to day 6 after birth using a 20-cc syringe and recorded in a checklist. In the intervention group, two milking sessions were performed during the KMC. However, in the control group, milking was conducted according to the ward routine. Data were analyzed in SPSS software (version 23) using repeated-measures ANOVA. Results: The mean ages of the participants in the intervention and control groups were 29.05±4.09 and 27.85±3.58 years, respectively. There was a statistically significant difference between the milkvolume of the intervention and control groups on days 4 (P=0.04), 5 (P=0.02), and 6 (P=0.007) and between the total volume of milkduring the three days (P=0.01). Implications for Practice: Breast milk expression duringKMC could have a positive effect on increasing milkvolume. Therefore, can be recommended as an intervention to support mothers with insufficient milk.
- انتشار مقاله: 29-10-1398
- نویسندگان: Mahdiye Mansoori,Naiire Salmani
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Quality of Life,cancer,reliability,validity,Psychometric Evaluation
- چکیده:
- چکیده انگلیسی: Objective: Over the past three decades, more than 100 instruments have been developed that measure the quality of
life. In order to ensure accuracy and authenticity of the measurements, it is essential to utilize the instruments that have
proper psychometric properties. Therefore, this critical review study aimed at comparing the instruments that measured
the life quality of cancer patients in Iranian studies. Methods: In this study, Persian articles published in Iranian databases
(IranMedex, Irandoc Magiran, SID) from 2006 to 2016 were searched, using the following keywords: nursing, cancer,
tools, scale, and quality of life. A total number of 159 articles were obtained, of which 33 articles complied with the
inclusion criteria of this study and thereby were reviewed. Results: Sixty nine percent of the articles explored the life
quality of adult females with breast cancer, and the most-commonly used instrument was a quality-of-Life instrument
for use in international clinical trials in oncology belonging to the European Organization for Research and Treatment of
Cancer. More than half of the studies referred solely to Iranian studies to address psychometric properties. Though, no
method was introduced in order to address the validity and reliability of instruments in the articles under consideration.
Conclusion: According to the findings, the studies which explored the validity and reliability of instruments concerning
the life quality of cancer patients were scarce. Therefore, the researchers should pay further attention to the validity
and reliability of instruments for selection of an appropriate instrument in this area of research. Also, the researchers
are encouraged to further study the psychometric properties of relevant instruments so that optimal generalizability
and authenticity of their findings can be attained.- انتشار مقاله: 31-01-1397
- نویسندگان: Shirin Hasanvand,Maryam Rassouli,Zahra Mandegari,Naiire Salmani,Farzaneh Moghimkhan
- مشاهده