Research Article-Nursing


Evaluation of Hope in patients with cancer in hospital of Shahid gazie’s Tabrize.

esfandyar Baljani, Marlin Arax, Sakeenah Mohammad Alizadeh

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 1-8

 

 

 

Abstract

Background and Aim

 

Materials and methods

 

Results

 

 

: 51.3% of participants were female. 51% of patients had leukemia and 71/7% were receiving chemotherapy. 30.4% were promising and 53.1%

of patients had moderate hopes and none of them were not disappointed. Between patient gender, cancer type, education level, marital status, type of

treatment, treatment duration and type of cancer associated with hope scores were not statistically significant correlation, but correlation were found

with financial status, living arrangement, level of activity, physical energy, problem with sleep, health care delivery and ostracism from family

members

Discussion: Among the factors associated with cancer patients hope, caregivers and family behavior, level of activity, employment status, problem with

sleep, and ostracism from family members are agents correlated with hope scores. Nurses and family members of patients with promotion of conditions

associated with these variables can help to maintain hope in these patients.

Keywords: Cancer- Hope- Coping

Quality of life of cervical cancer survivors and its association with clinical and pathological factors

Shahnaz Tork Zahrani1, leila rastegari, nahid khdakarami, ali Ghanbari Motlagh, Alireza Akbarzadeh Bagbn, alireza Tabatabaee far

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 9-14

Abstract

Background and aim :

 

Material and methods:

 

Findings

 

: Mean age of participants was 57.85 with standard deviation 11.02. Mean age of participants’ at the time of diagnosis was 54.83 with

 

standard deviation of 11.33. Quality of life scores for these patients was 46.98 with standard deviation of 7.60 , which is considered a moderate level of

quality of life. Scores of physical functioning ,emotional ,and social functioning sub scales were 25±9.61 -53.8±14.53 and 61.34±18.33

respectively.Therer was a significant association between quality of life scores and socioeconomic status .A significant association was also found

between quality of life scores and duration of time from diagnosis and treatment completion.

Conclusion: Findings of this study showed that quality of life of cervical cancer survivals was affected by cancer. Improving physical function and

recovery form symptoms may improve quality of life of these patients.

Key words : Quality of life. Cervical cancer. Cancer survivors

A descriptive correlational design was used. 65 cervical cancer survivors who had completed their treatment during the time

 

period from 2001 to 2008 participated in the study. Data were collected by two questionnaires:” European Organization for Research and Treatment of

Cancer Quality of Life Questionnaire –Cervix 24 “ and “ European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-

Core30-Version 3”. Medical records were reviewed for pathologic and clinical features of these patients. Validity of these questionnaires was assured

by content validity. Questionnaires were completed by phone interview with the patients. Reliability of these questionnaires was obtained by

computing internal consistency (Cronbach alpha) and test re test. Data were analyzed by SPSS 17.

Cervical cancer is one of the most common cancers of women in developing countries. Disease and its treatments affect

 

different aspects of patients’ life. The aim of the present study was to assess the quality of life among long term cervical cancer survivors and its

association with clinical and pathological features in patients attended to cancer centers in Shahid Beheshti university of medical sciences,Tehran,Iran.

Attempt to compromise: The Live Experience of Kermanian Fathers who have a Child,

Maryam Sheikhpourkhani, Abbas Abbaszadeh

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 15-32

Abstract

Background and Aim:

There is a very limited research about unique experience of fathers, who

have a child, suffering from cancer at the diagnostic stage. So we seldom know anything about this

experience. This study aimed to discover, live experience of kermanian fathers who have a child,

suffering from cancer, at diagnostic stage.

Method:

This is a qualitative and phenomenology study, using purposive sampling, Data were

collected via observation and semi-structured depth interview, with 7 fathers having children under

15 years old. The children were suffering from cancer and they were in ward of infant oncology

department in Afzalipour hospital. Scale for samples sufficiency was saturation of data. After,

recording interviews, data were coded in three stages and were contemporaneously analyzed with

Colaizzi phenomenological method.

Results:

-Sustaining injuries with cancer diagnosis are as following: shock, denying, feeling of pain

(sadness & feeling of guilt), anxiety (uncertainty).

-Confrontation with cancer diagnosis includes two groups of mechanism as: optimistic mechanisms

like relationship with God, cognitive redefinition) & escape mechanisms like (use of opium, increase

of job commitments as multi jobs & multi shifts)

-Discovery of support sources as: Rooty family and spouse

Conclusion:

Findings of this study, show clear picture of fathers experience in diagnostic stage of

their children cancer. In addition, provide oncology nurses, with new insight and knowledge about

holistic and unique cares. Limitations of the study and recommendations for further research and

nursing practice improvement, has been presented.

Key word:

live experience, Diagnostic Stage, Childhood Cancer

Assessment of quality of life and supportive care in women with

Samereh Eghtedar, Sima Moghadasyan, Hosein Ebrahimi, Shiva Haydari

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 33-40

Abstract

Background and Aim

: The diagnosis of breast cancer is very stressful event having extensive

impact on different aspects of daily life and increase the need for support from care providers. The

aim of this study was to examine the association between quality of life and supportive care in

women with breast cancer.

Materials and Methods: A descriptive - correlational design was used for this study. One hundred

patients with breast cancer, who attended to clinic of Hematology and Oncology in Tabriz

University of Medical Sciences, participated in this research. The sample of the study consisted of

100 women with breast cancer who were selected by judgmental sampling .Data was collected using

a validated questionnaire consisting of 3 parts: socio–demographic and clinical characteristics,

quality of life and nursing supportive care. Validity of the questionnaire was obtained by content

validity. Reliability was assessed through Cranach's alpha. Data were analyzed by SPSS statistical

software (version 14.

Results

: Mean age of participants was 45.78±8.99 , a majority of the participants (21%) were

between 35 to 39 years of age .The duration of illness was 1 to 4 years in 50% of the

participants(M=2.08, SD=1.46) . 63.6% of participants reported that they receive moderate

supportive care from nurses . Overall quality of life was undesirable in 52.5% of the women.

Finding indicated a direct and significant association between quality of life scores and supportive

care(r=0.2 P<0.05)

Conclusion

: Cancer and its treatment influence integrity of person. The results of this study can help

nurses in their supportive care. By providing supportive care , nurses can promote the quality of life

of breast cancer patients.

The effect of cold pack on pain reduction during sub cutaneous injection of

Anahita massoompour, Farid Zaeeri, Akram Dabirian

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 41-47

Abstract:

Background and aim

: Cancer is the most common cause of morbidity in children over 1 year in the

west and is also prominent in the developing countries in the world. The disease and its treatment

consisting of chemotherapy, radiation therapy and surgery can cause pain. The nurses are

responsible to reduce the mental and physical effects of the pain. Localized cooling may reduce the

pain of sub cutaneous injections considerably. The aim of this study was to determine the effect of

cold pack on pain induced by GCSF injection in cancerous children attended to selected hospital in

Tehran(Iran) in 2010.

Method and materials

:

A cross-over clinical trial was conducted to assess the usefulness of ice pack for relieving pain

induced by GCSF injections . A convenience sample of 35 children with cancer receiving GCSF

injections were included in the study. These children were randomly assigned to either application

of ice pack for a duration of 3 minutes prior to s.c injection of GCSF or routin care. crossing over

for the next day of injection .The site of injection was The upper most of the of arm and the amount

of prescribed GCSF was atmost 0/5-1 cc for each injection . All injections was carried out by the

same nurse. The data collection tools were a demographic questionnaire (age, sex, and birth

order,and etc) and behavioural criteria of cheopes for pain assessment .The injection was done by

one nurse and pain evaluation was evaluated by another nurse who had no idea about the manner of

injection each time.Data were data analysed by SPSS 16 .

Result

:

The analysis of repeated measures showed The mean age of children was 8.5 years with Standard

deviation of 2.17.Repeated measures analysis showed a significant difference of pain score between

ice pack and control group .

The analysis also showed that the only contributing variable was the age of childe (P=0.023). The

older children, reported more pain severity after and during injection.

Conclusions:

The result of this study showed the useful effect of ice pack in reduction pain during subcutaneous

injections in children. Using this method for reducing pain will result in better cooperation of

children in following-up their treatment appoinments .It is recommended that more research should

be done in this area.

Key words:

Chemotherapy – Ice pack- pain- GCSFinjection. S.C injection

Abstract
Background
Pemphigus is a rare and potentially life-threatening disease. It produces blisters in the skin and
mucous membranes. In more than 81% of cases, pemphigus involves oral mucosa. This study
assessed the efficacy of mouthwash with honey compared with hydrogen peroxide on oral lesions
healing in Pemphigus patients.
Materials and methods
A randomized design clinical trial was carried on 49 patients with oral pemphigus lesions. Patients
randomly divided into experimental and control groups. Patients were assessed for 10 days. Data
were collected by questionnaire, Oral Mucositis Visual Assessment Guide of WHO, visual analog
scale of pain intensity and time Diaries.
Results
Age, sex, educational level, marital status, history of crisis in the past 6 months, history of
autoimmune disease and history of pemphigus disease in their family, were not statistically
significant differente in experimental (honey mouthwash) and control (hydrogen peroxide
mouthwash) groups. Degree of oral lesions faster was improved in experimental (honey mouthwash)
group compared with control (hydrogen peroxide mouthwash) group. Reducing pain intensity in the
experimental group was significant from the third day(P = 0.001), while it was not statistically
significant in the control group until the tenth day of assessment.
Conclusion
Honey mouthwash compared with hydrogen peroxide has had faster effect on oral lesions healing
and more effective on reducing pain in pemphigus patients. Honey mouthwash has no complication
in this group of patients.
Key words: pemphigus, oral lesions, honey, Hydrogen peroxide

The effects of lecture-demonstration with self-learning methods on

Roxana Karbaschi, Jacqueline Jacqueline Vartanoosian

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 58-63

Abstract:

Background and aim: New teaching methods have not received much attention in practical and

laboratory classes for nursing students. With respect to the importance of nursing education ,

improving traditional methods of teaching and application of new methods are of concern. The aim

of this study was to compare two teacher centered and active learning methods- lecturedemonstration

with self-learning- in working with microscope in a group of nursing students in

Shahid Beheshti Faculty of nursing and midwifery, Tehran Iran.

Materials and Methods:

50 freshman students were selected and randomly assigned in two groups.

After completing a demographic questionnaire, the students were taught microscopic application as a

part of their physiology laboratory course. The contents were the same in the two groups but, in the

self-learning method, the students were given educational pamphlet. Before and after session,

students took part in an evaluation test for their learning. In addition, they were tested after 8 months

for recalling evaluation. Data were analyzed by SPSS statistical software.

Results:

Findings showed that students ’ scores increased significantly in lecturedemonstration(

25.41) and self-learning(19.16) groups. In addition, no significant difference was

found in the recalling of the two groups. In lecture-demonstration group, most of the students leveled

on good and excellent echelon(62.5%) and in self-learning on intermediate and low echelon(68%).

Conclusion: In general, both methods were effective in learning and recalling of nursing students

with no significant difference.

Keywords: Teaching method , lecture- demonstration , self-learning ,nursing students,

Marital satisfaction and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of Medical Sciences and Health Services in 1388- 89.

Fereshteh Zoriasatein, Sima Sadat Hejazi, Zhila abedsaeedi, Navideh Nassiri Oskuee, Farideh yaghmaei

Advances in Nursing & Midwifery, Vol. 21 No. 75 (2012), 6 July 2012, Page 64-68

Abstract
Backgrounds and aim
Therapeutic regimen non compliance is a common problem in hemodialysis patients. It is associated with
many side effects. Marital satisfaction and conflictions in dyadic relationships have an important effect on
compliance of a complex regimen. This study aims to determine the correlation between marital satisfaction
and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of
Medical Sciences and Health Services in 1388-89.
Materials and Methods
In this descriptive correlatiional study 100 hemodialysis patients were selected through the judgmental
sampling method. Data gathering tool was a questionnaire consisting three parts: demographic data, disease
and ENRICH Marital Satisfaction Inventory. The latter part is validated by content validity method. The
reliability of ENRICH Marital Satisfaction Inventory was determined by Chronbach’s = method. The
questionnaires were completed by patients during hemodialysis. In order to determine the compliance of
therapeutic regimen, the researcher recorded the mean of the last three months’ values of P, K, interdialytic
weight gain, and the numbers of missed dialysis sessions using patient’s documents. Data were analyzed by
SPSS statistical software
Findings
While 56% of patients had compliance in therapeutic regimen. 59% had low and very low and 41 % of
patients had moderate and high marital satisfaction. There was a significant correlation between marital
satisfaction and therapeutic regimen compliance and marital satisfaction in patients with therapeutic regimen
compliance was high.
Conclusion
Planning for counseling and supportive programs concerning marital satisfaction can be beneficial for patients
and their families in order to increase their therapeutic regimen compliance.
Keywords: Marital satisfaction, Compliance, Hemodialysis, Chronic renal failure