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Showing 13 results for محمدی

Dr Leila Jouybari, Dr Akram Sanagoo, Mis Zahra Mohammadi,
Volume 7, Issue 2 (11-2010)
Abstract

  Background and Objective : Spouse abuse, which has physical and psychological consequences on victims, is one of the most important health problems in many countries. The purpose of the present study was to investigate wife abuse among the women referred to health care centers of Gorgan, 2008.

  Material and Methods : The subjects of this descriptive analytical study were 300 married women selected by easy sampling. Data collection was performed by using "Spouse Abuse" questionnaire, consisting of 27 items which are related to emotional, physical and sexual domains. The validity was confirmed by faculty members and reliability by alpha cronbach (=0.86).

  Results : The results show that wife Abuse is severe (6.5%), no report of Spouse Abuse (16.5%), sexual abuse (23%), physical punishment (54.5%), and psychological abuse (82.5%). The rate of Spouse Abuse is lower in younger couples. There is significant relationship between wife Abuse and the age of women, smoking and drug abuse of their husbands (P=0.000).

  Conclusion : All kind of wife abuse has devastating health effects on women
well-being. Regarding the high rate of psychological abuse in relationships, it is necessary to consider marital counseling as a priority for mental health of families.


Sharareh Zeighami Mohammadi , Md Mandana Shahparian,
Volume 8, Issue 2 (2-2012)
Abstract

 Background and Objective : Several study show that health related quality of life in heart failure patients is significantly impacted by disease. The aim of the present study was to determine quality of life and some related factors in males with heart failure.

  Material and Methods : This is a descriptive-­analytical study conducted on 100 males with systolic heart failure in Karaj and Shahriar social security hospitals of Alborz province in 2010. Data was collected through convenience sampling and interview.­The instruments were demographic data sheet and MLHFQ (Minnesota Living with Heart Failure) Questionnaire. Data was analyzed by descriptive statistics (frequency distribution, mean, standard deviation) and independent T- test, Anova and Pearson correlation coefficient(p<0.05).

  Results: The findings indicat that the mean score of quality of life is­ 41.61 ± 21.30 51% of males quality of life is poor, 26% moderate and 23% good. There is significant positive correlation between quality of life and age (p<0.001), and negative correlation between Qol and ejection fraction (p=0.006) and hemoglobin level (p<0.001). Statistical significant difference is found between quality of life and education level (p=0.001), economic status (p=0.010), cigarette smoking (p=0.031), asthma (p=0.022), use of digoxin (p=0.040), angiotensin receptor blocker (p=0.035) and Spironolactone (p=0.002).

  Conclusion: This study indicates that males with systolic heart failure have poor quality of life. The nurse can help to improve quality of life by performing appropriate intervention teaching patients about self-care intervention and monitoring side effects of treatment.


Phd Jalil Fathabadi, Phd Alireza Mohammadi Arya, Yazdan Kakaie, Mohammad Nozari,
Volume 8, Issue 2 (2-2012)
Abstract

  Background and Objective : Evaluation is considered as an integral component of academic planning system and the process of determining and providing necessary information about desirability of development program targets. The aim of present study was comprehensive evaluation of Islamic Azad University of Gorgan based on CIPP Model to provide useful information to help people to judge and improve the curriculum and develop the policy of programs .

  Materials and Methods: The type of this study is educational evaluation. First, for conducting the evaluation, four domains of CIPP model including context, input, process and product was divided into more detailed parts, then primary standards were developed based on viewpoints of deans, head of department and faculty members of the university. After that, based on primary standards, measurement tools were created and administrated.

  Results: The results showed that the average score of context, input, process and product from the perspective of faculty members, students, head of department, university administrators, professionals and graduates, is 2.55, 2.714, 3.208 and 2.91, respectively, which indicates the relative desirability of the university in these four factors. The total score of four factors is 2.845 indicating the relative desirability of the university in general.

  Conclusion:­ Given the youth of Gorgan Azad University and­ low proportion of faculty members with full professor and associate professor degree, this level of desirability is acceptable.


Mis Fatemeh Kafame, Mis Farahnaz Mohadi, Mis Kian Norouzi, Mr Mehdi Rahgozar,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective: Multiple sclerosis is one of the most common chronic diseases in Central Nervous system.­ its chronic nature, absence of known cure and onset in young adults results in deteriorating effect on the heath of these people. This study was carried out to determine the effect of self-management program on Health Status of patients with multiple sclerosis (­MS).

  Material and Methods: ­ the participants of this pre-experimental study were 82 MS patients referring to Iranian society of MS in Tehran selected via convenience sampling. ­The data was collected by a demographic data sheet and the health status questionnaire, and analyzed by descriptive and inferential statistics.

  Results: Before intervention, the mean of health status subscales show that there is no significant difference between two groups of case and control, While after intervention and two months later(except of pain and social function) , there are significant differences in the health subscales of two groups (p≤0.05). Furthermore, in three times of measurement , there is a meaningful difference between two groups.

  Conclusion: ­­ the results show that the self-management program ­results in improving the health status of patients with multiple sclerosis therefore, application of this supportive method could be useful to empower the MS patients and help them to manage their problems.
   Key words: Multiple sclerosis, Self-Management, Health status


Narges Asgari, Parvin Taheri, Mehri Golchin, Dr Majid Mohammadizadeh,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: Mechanical ventilation is used for some infants in neonatal intensive care unit (NICU) due to many physiological and clinical causes. The practice of endotracheal suctioning of ventilator- treated patients is necessary to remove secretions to prevent obstruction of the endotracheal tube and lower airways. This study aimed at determining the effect of open and closed suctioning methods on cardio-respiratory parameters of infants undergoing mechanical ventilation.

  

  Material and Methods: In this clinical trail, forty-four infants underwent mechanical ventilation in NICU were selected by simple continuous sampling. The samples were randomly divided into two groups. In the first group: first, open suctioning and then after three hours of cleaning, closed suctioning was performed. In the second group, first closed suctioning and after three hours of cleaning, open suctioning was implemented. Respiratory rate (RR), oxygen saturation, pulse rate and blood pressure were assessed before ( in three, two and one minutes ) , during and after ( in one , two and three minutes ) each type of suctioning. The Data was analyzed by Software SPSS-16 using ANOVA with repeated measures and independent t-test.

  

  Results: There was a significant difference between mean respiratory rate and oxygen saturation in infants during and after the closed and open suctioning (p<0.05). Oxygen saturation had a significant reduction in open method compared to closed method during and immediately after suctioning. Respiratory rate had a significant reduction in 3 minutes after open suctioning in both steps. The mean of diastolic pressure in second step of open method and in both steps of closed method was significant (p<0.05). There was a significant difference between the mean pulse rate in different times of open suctioning in the first step (p<0.05), Pulse rate drop significantly was lower in closed suction than open one (p<0.05).

  

  Conclusion: because of little changes caused by closed suctioning in hemodynamic condition, it is recommended using the closed suctioning to prevent from respiratory complications and pulse rate dropping in infants.

 


Hiva Mohammadi Bolbolanabad, Dr Ahmad Reza Yazdan Nik, Dr Mohsen Mirmohammad Sadeghi , Asghar Khalifeh Zadeh,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: After coronary artery bypass surgery, pulmonary complications and oxygenation disorders are common, which have an important role in disablement and mortality. Different methods are used for improvement of pulmonary function and oxygenation. In this study we aimed at evaluating the effect of deep breathing exercise on arterial blood gases after CABG.

  

  Material and methods: This clinical trial was conducted on fifty patients who had CABG in Chamran hospital and Sina heart center of Isfahan, 2012. The patients were randomly located in groups of intervention and control. The intervention was the use of deep breathing exercises initiated after extubation while just the routine breathing exercises were used for control group. Arterial blood gases of all patients were measured before surgery, after extubation, second and the third postoperative days, and analyzed by independent t test.

  

  Results: the arterial blood gases measured in before surgery, after extubation, first and second days were the same in intervention and control groups. In the third postoperative day, there was a significant difference in the mean of arterial blood oxygen (81.3±4.6 vs. 72.7±7.1 respectively, p=0.01), arterial blood carbon dioxide (37 ±1.9 vs. 43.7±3.2 respectively, p >0.001) and oxygen saturation (96.8±1/4 vs. 90.5±2.1 respectively, p >0.001).

  

  Conclusion : in terms of the results, the deep breathing exercise is significantly more effective in improvement of blood arterial gases parameters.

 


Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.

  Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.

  Results: ­ The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.

  Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of ­the level of consciousness in comatose patients .


Morteza Badeleh, Dr Mahdi Fathi, Dr Hamid Reza Aghamohammadian, Mohammad Taghi Badeleh,
Volume 10, Issue 1 (4-2013)
Abstract

 Background and objective : ­ Adolescence is a significant stage of social and psychosocial development. This particular period of crisis involves some problems, one of the most important ones is the loss of self-esteem . Hence, this study aimed at investigating the effect of group cognitive behavioral hypnotherapy on increasing adolescents' self-esteem .

 Material and Methods: The research population ( n= 250) of the current study is the ­adolescents living in a boarding school of Taibad city, Iran, in 2012 academic year. Using convenience sampling, the subjects were selected and asked to fill out Copper Smite self-esteem Inventory, and considering the cut-off point of 23, 30 adolescences with the lowest self-esteem were randomly placed in two groups of control and experimental .The subjects of experimental group were taken part in 8 two- hour- long sessions of cognitive behavioral hypnotherapy while the ones of control group did not receive any training . At the end of this period, the subjects’ self-esteem was measured again and compared with pre-test by Ancova test, using SPSS soft ware (version 19).

 Results: Ancova test analysis indicates that the self-esteem score in group cognitive behavioral hypnotherapy compared with the control group is significantly increased (p<0.01).

  Conclusion :­­ Group cognitive behavioral hypnotherapy can lead to increased self-esteem in teenagers. Further researches accompanying by periods of follow-up are recommended.

 


Dr Hassan Babamohamadi, Dr Mahdi Kahouie, Soheila Bayat, Sedigheh Fooladian, Maryam Shahsavane Toghan,
Volume 10, Issue 2 (10-2013)
Abstract

Background and Objective: ‌This study aimed to assess nurses' attitude toward the effect of nursing electronic reports on patient care. Material and Methods: This descriptive-analytical study was conducted on 316 nurses in the hospitals affiliated to Semnan University of Medical Sciences and social security organization, 2012.‌ The instrument was a researcher-made questionnaire,‌ valid and reliable. The data was analyzed by Chi Square, Fisher and Phi test.
Results: Forty-seven five point percent of the nurses completely disagreed with the impact of electronic reporting on patient assessment‌ (1.8‌± 1.06) and 54.4% completely disagreed with its impact on the selection of clinical intervention (1.8 ± 1.06). On the other hand , 50% of nurses agreed with the effect of the computer program on patient care (2.2±0.99), 42.4% were satisfied with its effect on patient's diet planning (2.1±1.5) and 40.7% with the computer program on nursing diagnosis (2.01±1.09).There was significant relationship between some of the nurses’ demographic characteristics and their attitude (P‌<0.05).
Conclusion: Based on the results, nurses’ attitudes can be attributed to some defects in the computer programs and to the nurses’ compliance with information technology. To improve the effectiveness of electronic reporting, first, the quality of computer programs of clinical settings should be enhanced, and then changes should be occurred in organizational policies and in electronic documentation. Further, we should consider the impact of Levine's theory of change, indicating the staff’s resistance to technology adoption in workplace.
Dr Alireza Mohammadi Arya , Mahdiyeh Pakdaman, Dr Shahnam Abolghasemi, Dr Mansour Rezaee, Dr Tahereh Pashaee, Amaneh Ghareh Tapeh ,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Breast cancer is the most common cancer among women worldwide. Thus, we aimed to determine the effect of stress inoculation group training on the hope and quality of life in women with breast cancer. 
Material and Methods: This experimental study was conducted on 60 randomly selected women in chemotherapy ward of Razi hospital in Rasht, 2011. The instruments were Schneider hope and quality of life (SF-36) questionnaires. Of 60, 30 eligible patients were randomly divided into control group with no training and experimental group with stress inoculation training. 
Results: Before intervention, the two groups were matched with demographic variables, hope and quality of life score. The results showed that the stress inoculation group training is effective both on hope and quality of life. Furthermore, the effect of this approach on quality of life was more than hope score (P=0.001). 
Conclusion: Stress inoculation group training is highly effective in improving the hope and quality of life in women with breast cancer. To be sure about its permanent effect, further research with follow-up period is needed.

Dr Seyed Mehran Hosseini, Dr Sepideh Bakshandeh Nosrat , Dr Reza Rahmati, Zeinab Siahmarzkohee, Rasoul Mohamadi,
Volume 11, Issue 1 (5-2014)
Abstract

Background and Objective: Breastfeeding has contraceptive, behavioral, hormonal and metabolic positive outcomes, and it can affect on maternal blood pressure, hypotension and hypertension. We aimed to assess the impact of breastfeeding on maternal brachial artery pulse pressure in the women with natural labour and those with a history of preeclampsia. 
Material and Methods: The participants were 34 women with natural pregnancy (group I) and 18 with the history of preclampsia (group II). Mother’s blood pressure was recorded 3 times simultaneously from right and left brachial artery in supine position. The repeated measure ANOVA was used for statistical analysis.
Results: There was no significant change in pulse pressure ( PP) with respect to time between two groups. This condition was similar in right and left side. In either sides, significant difference was observed for systolic, diastolic or PP values between two groups. A uniform trend including an increase of blood pressure at 5 minutes and a decrease after 30 minutes was also observed.
Conclusion: The brachial PP is abnormally higher in mothers with preeclampsia. Similarly in both sides, breastfeeding leads to systolic and diastolic changes but that is not the case for PP.

Masood Moghimi, Sima Mohammad Hossini , Zohreh Karimi, Mohammadali Moghimi, Ebrahim Naimi, Somaya Mohammadi, Maryam Behroozi,
Volume 11, Issue 2 (11-2014)
Abstract

Background and Objective: The ideal value of clinical training in personal and professional development, as well as the clinical nursing skills is undeniable. Hence, we aimed at investigating the obstacles of clinical education and strategies for improving the quality of education in Yasuj University of Medical Sciences. 
Material and Methods: This cross-sectional study was conducted on 108 nursing students who had attended at least one term of practical work in Hospital, 2010. The instrument was a questionnaire, including questions related to demographic characteristics and barriers of clinical skills, whose validity and reliability were approved (R = 0.81). The data was analyzed by SPSS 17. 
Results: The main obstacles were absence of learning objectives (85.9%), students' failure to maintain discipline (77.8%), lack of adequate training period (66.6%), lack of appropriate communication between students and personnel (62.1%). There was significant difference between male and female students about the importance of training records of instructors. (P <.001). But students' view was not significantly correlated with their demographic characteristics (P >0.05). 
Conclusion: There are major obstacles in four areas of clinical education that can be effective in students' practical skills. Thus, it is important for education officials to perform some appropriate interventions to provide a suitable clinical setting having education facilities, clinical environments and modified evaluation instruments.

Alam Imani Giglou , Sharareh Zeighami Mohamadi , Fatemeh Gholi, Dr Ahmad Mahdavi, Dr Mohammad Reza Torabi, Zahra Abbasi Validkandi ,
Volume 12, Issue 1 (4-2015)
Abstract

Background and Objective: Obstructive sleep apnea (OSA) is an important risk factor for cardiovascular disorders. The aim of this study was to determine the frequency of OSA in myocardial infarction patients in the CCU of Karaj Hospitals, 2009. 
Material and Methods: This cross-sectional study was conducted , via convenience sampling , on 140 acute myocardial infarction patients in two cardiac care units of Shariati and Rajaei hospital in Karaj, 2009. We assessed demographic data, history of cardiovascular risk factors, STOP-Bang questionnaire through interview, information related to the type of myocardial infarction and laboratory parameters from medical records, and also we measured anthropometric indices with balance scale and meter tap. 
Results: Mean score of STOP-BANG questionnaire was 4.9 ± 1.2 in the range of 2 to 8 points and in 64% of the participants was higher than 4 points. The Score of STOP-BANG questionnaire was statistically significant considering age, smoking, hypertension, dyslipidemia, extensive infarction, BMI, waist-to-height ratio, Waist to Hip Ratio, Waist Circumference, neck circumference, cholesterol and left ventricular ejection fraction (P=0.001), sex (P=0.044), Diabetes(P=0.019), inferior infarction (P=0.006), anterior wall (P=0.048) and triglyceride levels (P=0.031). 
Conclusion: OSA is common among patients with myocardial infarction and is associated with anthropometric indices, cardiovascular risk factors, the location of infarction and left ventricular ejection fraction. Thus, Screening, evaluating the symptoms of OSA and referring for counseling and treatment is necessary.


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