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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: cancer,Death,palliative care,Child,Bereavement
- چکیده:
- چکیده انگلیسی: Background
Death of a child with cancer is one of the most painful events that results in traumatic reactions of bereavement. Care should be taken into account during the bereavement period. The present study aimed to develop bereavement care in Iran and comparing it with Jordan, England, Australia and Canada, which have achieved the desired situation in the above area.
Materials and Methods
In this comparative study, the necessary data was made to databases of reputable and sovereign centers of the countries and palliative care programs. After accessing the pioneering patterns of world-wide palliative care, Iran's palliative care program, which came from children's service centers and access to the databases of those centers, was also examined.
Results
In the developed countries of Canada, England and Australia, a wide range of bereavement care is provided in care facilities. for example following the death of a child, in Canada family members are covered by all the bereavement care, in Australia formal caregivers increase their relationship with parents and are available to listen to feelings and in England all family members are supported. Jordan provides significant services in this regard such as visits at the bereavement ceremony, however, it is provided limitedly only in one center in Iran.
Conclusion
In the developed countries, pediatric palliative care is well developed. But in some developing countries, including Iran, there are only a few of these services for dying children and their families. As a result, the traumatic results emerge in social and family life activities.- انتشار مقاله: 09-08-1396
- نویسندگان: Maryam Pakseresht,Shahram Baraz,Maryam Rasouli,Nahid Reje,Shahnaz Rostami
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,readmission,Phone counseling,Pre-mature infant
- چکیده:
- چکیده انگلیسی: Background
Despite the progress made in the care transition program from the hospital to home with an emphasis on telephone counseling, an effective and safe care transition process has not been provided to patients and their families.The aim of this study was to investigate The Effect of Phone Counseling for Mothers of Premature Infants Discharged from the Hospital on Infants’ Readmission.
Materials and Methods
In this quasi experimental study, 100 mothers of premature infants were selected using convenient sampling and randomly assigned to two intervention and control groups. A demographic data questionnaire and the check list of the causes and readmission rate of premature infants were used for data collection. In the intervention group, after the discharge of premature infants, three phone calls in a week in the first four weeks, and two phone calls a week in weeks five to six were made via the landline and mobile phone for providing necessary education to mothers regarding the provision of care to infants. The communication time varied between 10 and 15 minutes in each phone call. Lastly, the rate of hospital readmission of the infants 4 weeks, 6 weeks, and 12 weeks after the intervention were assessed by phone. Telephone communication to the mothers in the control group was performed for raising their awareness of the causes and rate of hospital readmission in the neonatal intensive care unit (NICU).
Results: Each group (case and control groups) was consisted of 50 Mothers of Premature Infants and no statistically significant difference was reported between the two groups in terms of the mean age mothers, infant age, and birth weight when discharging from the hospital and hospitalization time. The rate of hospital readmission in the intervention group 4 weeks (P=0.004), six weeks (P=0.005) and 12 weeks (P=0.006) after the intervention was significantly lower than the control group.
Conclusion
Telephone consultations are an affordable way for engaging and supporting the mothers of premature infants. More study is warranted to determine if these results can be applied to multiple sites and in more diverse populations, as well as if this intervention can reduce infants’ Readmission.- انتشار مقاله: 25-03-1396
- نویسندگان: Mona Akbarian,Forouzandeh Dashti,Shahram Baraz
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,children,Parents,depression,Blood diseases
- چکیده:
- چکیده انگلیسی: Background
Existence the children with blood diseases in family could cause lots of stress and anxiety for parents, this stress among parents would negative effects on children's disease process and his response to treatment.
Materials and Methods
This is a descriptive-analytical study which carried out on 480 parents with children affected to blood disease referring to Shafa hospital of Ahvaz, Iran. The parents’ level of anxiety was evaluated using the Hospital Scale for Anxiety and Depression. In this study Sample size by using statistical formulas was selected 480 persons by available sampling. Data were analyzed using SPSS-16 software.
Results
Results showed that in 20.4% (98 cases) of parents level of anxiety was intense, in 50.7% (243 cases) level of anxiety was middle, in 15.6% (75 cases) level of anxiety was low and 13.3% (64 cases) of parents were lack of anxiety. Additionally the results of level depression study showed that 8.6% (41cases) of parents had severe depression, 35.7% (171 cases) moderate depression, 15.7% (76 cases) low depression and 40% (192 cases) no depression. According to the results of this study, there was a significant difference between level of anxiety and depression of parents and the duration of child's hospitalization (P<0.05).
Conclusion
According to the results, high prevalence of anxiety and depression was among parents; so with treatment and management of anxiety and stress in parents of children; it can be achieved to better treatment in children with blood disease.- انتشار مقاله: 26-03-1395
- نویسندگان: Hadis Ashrafizadeh,Mohammad Adineh,Shahram Baraz,Marzieh Darvishi
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Growth,Sleep Habits
- چکیده:
- چکیده انگلیسی: Background: Exact determination between children's sleep habits and their growth could help us to prevent this risk factor of children's growth disorders. Thus this research was performed to investigate the correlation between sleep habits and growth of preschool children in Ahvaz- Iran.
Materials and Methods: In this cross-sectional study, the data was obtained by using available sampling from 208 children of 3-6 years old that came to a private pediatric clinic in Ahvaz, South West of Iran in 2015 without regard to their gender. Measurement of height and weight of all patients with the meter and scale was performed. After measuring height and weight, stature-for- age and weight-for- age percentiles was calculated using child growth chart calculator of CDC for each child. Information on the onset time of night sleep, time to wake up in the morning and nap duration of children were gathered using researcher made questionnaire. Data analysis was performed with descriptive statistic and Kendall's tau-b statistical test using SPSS-19.
Results: Results of this study showed of the 208 children that were evaluated, 32 of them (15.38%) was stunted, underweight, or both and 176 (84.6%) of them hadn`t any growth disorder. Results of Kendall's tau test showed that there is no significant relationship between the onset time of night sleep, waking up time in the morning, nap duration and neither height-for-age percentile nor weight-for-age percentile of preschool children (P>0.05).
Conclusion
The results of this study showed that children sleep habits does not affect their stature and weight- percentile. But this isn`t mean that going to sleep late has no effect on children's health, since the establishment of a normal sleep-wake rhythm is essential for both physical and mental development in children, so it is necessary to educate parents regarding the importance of children's sleep.- انتشار مقاله: 04-02-1395
- نویسندگان: Sara Moradnia,Mohammad Adineh,SHahla Esferanjani,SHahram Baraz
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Student,Lordosis,Backpack,scoliosis,Kyphosis
- چکیده:
- چکیده انگلیسی: Background
Carrying heavy backpacks by school students at growth age can cause irreversible physical harms. This study aimed to investigate the relationship between backpack weight and the incidence of lordosis, kyphosis, scoliosis, and dropped shoulders in elementary school students.
Materials and Methods
This descriptive-analytical study was conducted in 2015 in Abadan, Iran, and 383 elementary school students were selected and enrolled using the cluster sampling method. Data was collected through the grid method and a demographic questionnaire. The weights of students’ backpacks were recorded, and it was determined whether they were standard or not. Statistical analysis was conducted using SPSS version 22, descriptive statistics, and the Chi-square test.
Results
Findings showed that 36.9% of public school students’ backpacks and 55.1% of private school students’ backpacks were non-standard with respect to weight. A significant relationship was also found between non-standard backpack weight and prevalence of dropped shoulders, kyphosis and lordosis (P<0.05) among students.
Conclusion
Findings showed that non-standard backpack weight increases the prevalence of dropped shoulders, kyphosis and lordosis in elementary school students that can endanger the physical health of the future society; therefore, parents, teachers and health workers must give needed training to students about carrying the bags and backpacks.- انتشار مقاله: 04-02-1395
- نویسندگان: Yadollah Zakeri,Shahram Baraz,Mahin Gheibizadeh,Vahid Saidkhani
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: Pediatrics,Family,General Health,ICU
- چکیده:
- چکیده انگلیسی: Background
A child's hospitalization in intensive care units causes stress and worry in other family members. This study aimed to determine the effect of family presence during pediatric ICU bedside on family general health.
Materials and Methods
In this clinical trial study, 46 family members of the pediatrics hospitalized in the ICU in Teaching hospital affiliated with the Lorestan University of Medical Sciences in Khorramabad in April to November 2014 were divided into two groups using the stratified block randomization. Family members of the intervention group were present at the bedside of their patients two hours a day for six days, but family members of the control group did not visit their patients during six day. The general health status of the family members in the two groups was evaluated immediately before and after the visit on the first, sixth and twelfth visit, by using the General Health Questionnaire (GHQ). The data was analyzed using the repeated measure tests and independent t-tests.
Results
Results showed there was a significant difference between the groups in terms of the means of the GHQ scores of the family members before and after the intervention (P<0.05).
Conclusion
The presence of family members at pediatrics’ bedside and their cooperation in care can improve their general health.- انتشار مقاله: 29-01-1395
- نویسندگان: Mohammad Adineh,Tahereh Toulabi,Yadollah Pournia Pournia,Shahram Baraz
- 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: Iran,Prevalence,Student,Primary School,Skeletal disorders
- چکیده:
- چکیده انگلیسی: Background
If skeletal system does not have a correct form in childhood, certainly person will face many problems in the later stages of life. This study aimed to evaluate the prevalence of skeletal disorders in primary school students in Abadan, 2015.
Materials and Methods
This cross-sectional study was conducted on 383 primary school students in Abadan, Iran, which were selected by cluster sampling method. Data was collected by checkerboard and a demographic questionnaire. Statistical analysis was performed using SPSS software version 22 with descriptive methods and Chi-square test.
Results
The most common skeletal disorder in female and male students was drooping shoulders (81.7%) and scoliosis (85.4%). The overall prevalence of musculoskeletal disorders was significantly related to gender and age (P<0.05).
Conclusion
Due to high prevalence of musculoskeletal disorders in schoolchildren, screening programs in schools has been recommended for prevention. To reduce the rate of musculoskeletal disorders in students of primary school, identification and follow up of students at early stages of disorders seems a necessary solution.- انتشار مقاله: 14-10-1394
- نویسندگان: Yadollah Zakeri,Shahram Baraz,Mahin Gheibizadeh,Darioush Bijan Nejad,Saied Mahmood Latifi
- مشاهده