Medical-Surgical Nursing Journal

Permanent URI for this collection

https://repository.brieflands.com/handle/123456789/27953

In Collaboration with Zahedan University of Medical Sciences

News

Medical-Surgical Nursing Journal has been launched aimed to publish the most recent findings of scientific research in the fields of medical-surgical nursing care in acute and chronic situations with an emphasis on evidence-based nursing. This journal publishes papers to health promotion, prevention, disease management, and improvement of the health status of patients and their families in different forms of articles (As mentioned in the Authors Guide) in the below headings:

Clinical research in Medical-Surgical Nursing
Advanced evidence-based care in medical-surgical nursing
Nursing care in acute disorders
Care and rehabilitation in chronic disorders
Nursing care of adult patients
Nursing care of elderly patients
Pharmacological and non-pharmacological interventions in nursing
Patient safety in medical-surgical wards
Professional relationship
Medical-surgical care in High-Risk Pregnancy (HRP)
Professional ethics in medical-surgical wards
Medical-surgical care in women

Browse

Now showing 1 - 20 of 307

The Effect of Web-Based Training on the Caregiving Burden of Family Caregivers of Patients with Breast Cancer Undergoing Chemotherapy: A Quasi-Experimental Study
(Brieflands, 2023-11-30) Leyla Mohammadifard; Zeynab Zolfaghari; Majid Dastras; Nasrin Rezaei
Background: Recognizing the family’s role as a vital source of support and care for cancer patients, along with the psychological burden borne by family caregivers, is crucial. Utilizing modern technologies presents a new approach to assisting these families. Objectives: This study aimed to evaluate the impact of web-based training on the caregiving burden of family caregivers of patients with cancer undergoing chemotherapy. Methods: This quasi-experimental study was conducted on family caregivers of patients with breast cancer visiting the hematology department of Khatam Al Anbia Hospital in Zahedan in 2023. A total of 70 caregivers were randomly assigned to intervention and control groups (35 participants each). Caregivers in the intervention group received web-based training via a researcher-developed website for 20 days. The Caregiver Burden Inventory (CBI; Novak & Guest, 1989) was administered to participants in both groups before and one month after the intervention. Data were analyzed using independent samples t-test, paired samples t-test, chi-square test, Fisher’s exact test, and analysis of covariance (ANCOVA) with SPSS-27 software. A significance level of P < 0.05 was set for statistical analysis. Results: No significant difference was observed in the mean psychological burden scores between the two groups before the intervention (P = 0.68). However, ANCOVA analysis, controlling for the pre-test effect, revealed that the mean psychological burden score in the intervention group (77.42 ± 11.87) was significantly lower than that in the control group (85.82 ± 9.69) after the web-based training intervention (P = 0.001). Conclusions: The web-based training intervention significantly reduced the psychological burden of family caregivers of patients with breast cancer. This study demonstrates that a web-based training approach can effectively support family caregivers of cancer patients who are unable to attend in-person training sessions.
Evaluation of metabolic control and its related factors in patients with type 2 diabetes mellitus
(Brieflands, 2014-05-31) mehdi Sadeghi
Background and Objective: The role of desirable control of diabetes in preventing disease outcomes is well-known. Considering the importance of identificating the effective factors on control of diabetes, the present study was conducted to determine the importance of metabolic control and related factors in patients with type 2 diabetes mellitus attending in Shahroud city diabetes center, Iran. Materials and Method: This analytical-descriptive study was conducted on 156 patients with type 2 diabetes mellitus refered to Shahroud city diabetes center in 2013. Metabolic control was determined based on hemoglobin A1C and divided into three levels of poor, intermediate and appropriate controlled. Then, its relationship with individual characteristics and disease-related factors was evaluated. Data analysis was done via SPSS16 software using Pearson correlation coefficient, independent samples t and One-Way ANOVA tests. Results: Mean of hemoglobin A1C was 8.14 ± 1.62 and most of the patients had a moderate level of metabolic control (7-10%). There was a significant relationship between level of metabolic control and marital status (P < 0.001), lifestyle (P < 0.001), level of education (P < 0.001), jobs (P < 0.001), income (P < 0.001), smoking (P < 0.001), exercise (P < 0.001), the time of diagnosis (P = 0.010), associated complications (P < 0.001) and the type of drugs (P = 0.010). But there was no significant relationship between the level of metabolic control and sex (P = 0.110). Conclusion: Considering that most of the patients did not have optimum control and according to the relationships of factors such as marital status, lifestyle, smoking and exercise with metabolic control in these patients, it seems that the implementation of educational programs for patients and influence of families to support them, make achieving appropriate levels of metabolic control easier which results reduction of complications and problems of patients with type 2 diabetes mellitus
The effect of retraining of nurses on cardiopulmonary resuscitationsuccess rate and short-term and long-term survival in patients revived
(Brieflands, 2015-02-28) mastaneh Dahi
Background and Objective: Cardiopulmonary resuscitation (CPR) is performed in order to restore the functioning of two most important body organs the heart and brain. The present study was performed to investigate the effect of retraining of nurses on CPR success rate and short-term and long-term CPR survival. Materials and Method: The study population of the present quasi-experimental study consisted of all nurses of Taleghani Hospital affiliated with Shahid Beheshti University, Tehran, Iran, in 2011. The study subjects (n = 400) were selected using convenience and purposive sampling method. The patient survival rate during the first 24 hours (short-term survival) and discharge from the hospital (long-term survival) after CPR were reported. Then, the study subjects, in groups of 20, participated in CPR training courses. Short-term (24 hours) and long-term (discharge from hospital in good mental status) survival subsequent to CPR were reevaluated and compared with pre-training results. Data were analyzed using SPSS software version 20, and t-test and chi-square test. Results: Retraining promoted CPR success rates. This increase in the short-term success rate was not significant, but the increase in long-term success rate was statistically significant (P = 0.007). Conclusion: Periodic retraining of nurses may improve CPR success rate particularly long-term survival or discharge from hospital. Therefore, further studies on long-term success of CPR considering confounding factors are recommended
Effect of Continuous Care Model on the Self-Efficacy of Patients with Myocardial Infarction in Controlling Disease Complications
(Brieflands, 2015-02-28) seyed abolfazl Vagharseyyedin
Background and Objective: Improving the self-efficacy of chronic patients is necessary to achieve self-management and behavioral changes. Thus, the present study was aimed to evaluate the effect of the continuous care model on the self-efficacy of patients with myocardial infarction.
Effect of Continuous Care Model on the Self-Efficacy of Patients with Myocardial Infarction in Controlling Disease Complications
(Brieflands, 2015-02-28) seyed abolfazl Vagharseyyedin
Background and Objective: Improving the self-efficacy of chronic patients is necessary to achieve self-management and behavioral changes. Thus, the present study was aimed to evaluate the effect of the continuous care model on the self-efficacy of patients with myocardial infarction.
Effect of continuous care model on sleep quality and dialysis adequacy of hemodialysis Patients: a clinical trial study
(Brieflands, 2015-05-31) mehdi Karimyar Jahromi
Background and Objective: Chronic renal failure can eventually lead to various complications such as impaired sleep quality of patient, so the adequacy of dialysis in these patients is very important .This study was done aimed to determine the effect of continuous care model on sleep quality and dialysis adequacy of hemodialysis patients in Jahrom.
Comparing the effect of acupressure points shenmen (HE7) with a third eye on anxiety in patients undergoing coronary angiography
(Brieflands, 2015-08-31) majid kazami
Background and Objective: Coronary angiography is one of the most common diagnostic procedures in cardiac patients that can increase the level of anxiety. Anxiety also is a risk factor for cardiac disease. The present study aimed to determine the effect of acupressure at the hearts shenmen (HE-7) and the third eye (Yintang) on anxiety in patients undergoing coronary angiography.
Impact of Pain Management Algorithm on Pain Intensity of Patients with Loss of Consciousness Hospitalized in Intensive Care Unit: A Clinical Trial
(Brieflands, 2018-11-30) Zahra Dehghani; Asadollah Keikhaei; Fariba Yaghoubinia; Aliakbar Keykha; Masoom Khoshfetrat
Background: Pain management programs in the case of patients with loss of consciousness could be advantageous inasmuch as they reduce the use of sedatives, prevent long hospitalization, and diminish the cost of treatment, medications, and hospitalization. Objectives: The present study aims to evaluate the effect of pain management algorithm on pain intensity in patients with loss of consciousness who had been hospitalized in an intensive care unit (ICU) in 2017. Methods: In this randomized single-blind clinical trial, 90 patients with loss of consciousness who were under mechanical ventilation and admitted to the ICU of Khatam al-Anbiya Hospital, Zahedan were chosen through convenience sampling. Using permuted block randomization, the subjects were then assigned into intervention and control groups. Pain management algorithm was implemented in the intervention group for 24 hours during the morning shift between 8 a.m. and 10 a.m., during the evening shift between 3 p.m. and 5 p.m., and during the night shift between 10 p.m. and midnight. On the other hand, participants in the control group only received the routine care provided in the ward. Pain intensity was measured and recorded in both groups before and after the intervention. The tools used in this study included a demographic information form and the Behavioral Pain Scale (BPS). The data were analyzed in SPSS 15 using descriptive statistics, paired and independent t-tests, and chi-square. Results: There was no significant difference between the two groups in terms of gender, age, marital status, and the infused medications. The mean value of pain intensity in patients of the intervention group decreased after receiving the intervention for three shifts, and a significant difference was detected in the mean of this value before and after implementing the intervention. Conversely, the difference of the same variable in the control group was not significant before and after the intervention. In addition, the two groups significantly differed with regard to the mean changes of pain intensity during each of the three shifts (P < 0.001). Conclusions: Implementation of the pain management algorithm can significantly improve pain management in patients with loss of consciousness.
Comparing the Impact of Three Follow-Up Methods (Telephone, Educational Booklet, and SMS) on Self-Care Ability of Patients with Acute Coronary Syndrome: A Quasi-Experimental Study
(Brieflands, 2020-02-29) Ebrahim Ebrahimi Tabas; Hamed Sarani; Hamed Faghihi; Zahra Nezamjoo
Background: Continuous follow-up is one of the most essential factors in patient participation, self-care, continuity of care, and ultimately improved quality of care. Objectives: This study aimed to compare the effect of three methods of follow-up through telephone, educational booklet, and SMS on the self-care ability of patients with acute coronary syndrome (ACS). Methods: A quasi-experimental study was performed on 120 patients with ACS admitted to the CCU and PCCU of two teaching hospitals affiliated to the Zahedan University of Medical Sciences. The subjects were chosen via convenience sampling and randomized into three intervention groups, including educational booklet, SMS (daily), and telephone (twice a week, 15 - 20 minutes per session). Data collection tools included a demographic questionnaire and the Kearney and Fleischer Self-Care scale. The interventions were sustained for four weeks after discharge. Six weeks after the program, the questionnaires were completed again. Data were analyzed in SPSS 21 using the chi-square test, paired t-test, and ANOVA at a significance level of below 0.05. Results: A total of 120 patients completed the study. The results showed a significant difference in the self-care scores after the intervention between all of the three groups (P = 0.0001). There was a significant difference between the booklet and SMS groups (P = 0.0001) and between the booklet and telephone groups (P = 0.0001) after the intervention. However, self-care scores were not significantly different between the SMS and telephone groups after the intervention (P = 0.19). Conclusions: The use of SMS was associated with the highest score of self-care in patients with ACS, and it is proposed as the best follow-up method. Therefore, health care providers can enhance patients’ self-care ability through this simple technique and thus, help patients recover sooner and show reduced disease complications.
Comparing the effect of warm moist compress and Calendula ointment on the severity of phlebitis caused by 50% dextrose infusion: A clinical trial
(Brieflands, 2017-05-31) Neda Jourabloo; Tahereh Nasrabadi; Ebrahim Ebrahimi Abyaneh
Background: One of the important hypertonic solutions is 50% dextrose. Phlebitis is the most common complication of this solution, the management of which is quite necessary. Regarding this, the present study aimed to compare the effect of warm moist compress and Calendula ointment on the severity of phlebitis caused by 50% dextrose infusion.
The Effect of the Behavioral Systems Model on the Concern of Mothers of Children Admitted to the Surgical Ward
(Brieflands, 2021-02-28) Mahya Ahmadi; Fatemeh Jafari; Fatemeh Ahmadinezhad; Fatemeh Khabazzadeh; Malihe Kabusi; Nafise Hekmati Pour
Background: The crisis caused by the child's illness and hospitalization affects all family members. Fear, worry, and anxiety are common issues of hospitalized children’s mothers. Betty Newman's system model plays a vital role in adapting to stress detection and control. Objectives: This study aimed to examine the effect of the behavioral systems model on the concerns of mothers of children admitted to the surgical ward. Methods: This quasi-experimental study was conducted on 60 mothers of children admitted to the surgical ward of the Mousavi Hospital, Gorgan, Iran, in 2020. The participants were selected using convenience sampling and then divided into test and control groups using non-probability sampling. According to Neuman's systems model, participants in the test group received nursing care in 3 - 4 sessions (each lasting 30 - 45 minutes). Participants in the control group received only routine ward care. Data were collected using the Parental Concern Scale and analyzed with IBM SPSS Statistics 21 software using statistical tests (analysis of covariance, unpaired samples t-test, and paired sample test). Results: The mean score of maternal concerns before the intervention was 42.6 ± 3.06 in the control group and 43.21 ± 2.27 in the test group. The results of the independent samples t-test did not show any significant difference between the groups in terms of maternal concerns (P = 0.11). The mean post-intervention maternal concern score was 37.6 ± 2.71 and 41.716 ± 2.55 in the test and control groups, showing a significant difference between the groups as indicated by the t-test results (P < 0.01). However, the paired t-test outcomes showed no difference in the mean maternal concern score in the control group before and after the intervention (P = 0.92). In contrast, there was a significant difference in the mean maternal concern score in the test group before and after the intervention (P < 0.01). Conclusions: Given the effectiveness of Betty Neuman’s systems model, it can be used as a low-cost, effective care method to reduce maternal stress as the model was developed for understanding clients’ and caregivers’ needs and reducing their stress.
Exploring the Experiences of Patients with Psoriasis: A Phenomenological Study
(Brieflands, 2022-08-31) Farshid Saeedinezhad; Hanie Dahmardeh; Fariba Yaghoubinia; Jamshid Hossein Zehi Zamani
Background: Psoriasis is an inflammatory skin disease that leads to mental complications followed by the patient’s isolation. Therefore, understanding patients’ perceptions of this disease can be effective in planning their care. Objectives: The present study sought to explore the experiences of patients with psoriasis. Methods: This qualitative study was conducted using a descriptive phenomenological approach within 2018 - 2019 on psoriasis patients admitted to the skin clinics of hospitals in Zahedan, Iran. The participants were 10 patients with psoriasis who were selected via purposive sampling. The data were collected using in-depth and individual semi-structured interviews, and data analysis was performed simultaneously with data collection using Colaizzi’s content analysis model. Results: The main themes describing the experiences of patients with psoriasis were the progression of the disease in the shadow of the ignorance of the medical staff, physical and psychological suffering, and the ominous shadow of fear of the disease recurrence. Conclusions: The results showed that the progression of the disease due to inadequate knowledge of the medical staff is an important challenge for patients with psoriasis. Furthermore, the recurrence of the disease can be a serious threat to trust in the current treatments of this disease. Physical and mental suffering can lead to the isolation of these patients and makes bearing the burden of the disease very challenging for the affected individuals. Therefore, psychiatrists, doctors, and nurses should try to raise the patients’ morale and improve their body image, self-confidence, and physical care by increasing their awareness of patients’ experiences and understanding them.
The Role of Social Support in Adherence to Treatment Regimens: Experiences of Patients with Chronic Diseases
(Brieflands, 2018-02-28) Hakimeh Vahedparast; Eesa Mohammadi; Fazlollah Ahmadi; Akram Farhadi
Background: One of the main issues regarding the management of chronic diseases is patients’ non-adherence to treatment regimens. An important factor affecting treatment adherence is social support. This qualitative study was aimed at exploring the role of perceived social support in adherence to treatment regimens among patients with chronic diseases. Methods: A qualitative study was carried out on 34 patients with chronic diseases, who were purposively recruited from the targeted cities of Bushehr and Tehran, Iran. In-depth non-structured interviews were conducted for the process of data collection from June 2014 to November 2015. Data were constantly and simultaneously analyzed as they were being collected, using the content analysis approach. Results: The data collected in this study yielded four themes that included: having the wholehearted support of a spouse, living with supportive family members and significant others, obtaining information, and confiding in physicians. These themes showed the dimensions and the types of patients’ perceived social support. Conclusions: The study’s findings imply that the most important and common sources of perceived social support among Iranian patients with chronic illness are their spouses, relatives, and friends. According to the results, the participants realized that social support could help them in adhering to their treatments and coping with their illness. Identifying types of perceived social support allows health professionals, especially nurses, to use such information for developing and implementing evidence-based care plans and organizing support systems in order to enhance patients’ adherence to treatments.
Experience of living with Systemic Lupus Erythematosus: A phenomenological study
(Brieflands, 2015-05-31) fereshte Mazhari Azad
Background and Objective: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease. Addition to various clinical manifestations it has spiritual, psycho-social and economic consequences. The present research was conducted aimed to describe the lived experiences of patients living with systemic lupus erythematosus.
Activities of Daily Living in Patients with Chronic Obstructive Pulmonary Disease: A Hybrid Concept Analysis
(Brieflands, 2023-05-31) Fateme Monjazebi; Vahid Zamanzadeh; Fereshteh Najafi
Background: Limitations of activities of daily living (ADLs) are well-known in chronic obstructive pulmonary disease (COPD) patients. However, a lack of consensus regarding the concept of ADL in COPD patients causes problems in their measurement. This study was conducted to clarify and conceptualize the concept of ADLs in COPD. Methods: The hybrid model of concept analysis consisting of a literature review phase, a fieldwork phase, and an analytical phase was applied. In the first phase, an extensive literature review was performed by searching the accredited databases for relevant articles published within 2000-2022. In the second phase, 18 in-depth interviews with COPD patients were carried out in Tehran, Iran. Field observational notes were transcribed verbatim, and qualitative content analysis was performed. In the analytical phase, attributes of ADLs were derived from the previous two phases. Results: Based on the attributes derived from the final analytical phase, ADLs in COPD patients are complex and multifactorial and are affected by dyspnea and factors influencing it. The pattern of daily activities, communication, and self-care in COPD patients changes toward living normally and independently. Conclusions: The concept analysis of ADLs in COPD patients revealed some key attributes. The results might be useful for designing nursing models, developing theories and measurement tools, and increasing the capacity to perform ADLs in COPD patients.
The Effect of Preventive-Care Education on Radiotherapy-Induced Dermatitis in Patients with Breast Cancer: A Quasi-Experimental Study
(Brieflands, 2020-08-31) Vahideh Ganjali; Fatemeh Kiyani; Farshid Saeedinezhad; Pegah Sasanpoor; Hasan Askari
Background: Breast cancer is the most common on the list and the leading cause of cancer death in women worldwide. Although radiation therapy is a key component of cancer treatment, it causes several complications, including radiodermatitis. Objectives: The current study aimed to investigate the effect of preventive-care education on radiotherapy-induced dermatitis in patients with breast cancer. Methods: In this quasi-experimental study, 80 patients with breast cancer who were candidates for radiation therapy were selected by convenience sampling and randomly assigned to the groups of intervention and control. Data were collected using a demographic form and a scale for assessing skin complications developed by the Radiation Therapy Oncology Group (RTOG). Patients in the intervention group were trained individually in three 30-minute sessions on treatment methods, chemotherapy, and prevention as well as radiodermatitis care. While the control group received routine care. Data were analyzed in SPSS 22 using the Mann-Whitney test, chi-squared test, Fisher's exact test, independent t-test, and generalized estimation equation (GEE) at a significance level of < 0.05. Results: No statistically significant difference was found between the two groups concerning the marital status, smoking, education level, age, BMI, plasma albumin level, and disease stage. After providing the intervention, the prevalence of radiodermatitis grade 1 was 27.5 and 7.5% in the control and intervention groups, respectively. After six weeks, 30% and 10% of patients in the control group developed radiodermatitis grades 3 and 4, respectively, but only 7.5% of patients in the intervention group had radiodermatitis grade 3. The results of GEE indicated that over time, the probability of developing higher grades of radiodermatitis increases by 1.074. This probability was 1.355 higher in the control group than the intervention group (P value = 0.03). Conclusions: This study demonstrated the positive effect of the educational intervention on the severity of radiodermatitis in patients with breast cancer undergoing radiotherapy. Along with medication, implementing an educational program that teaches patients how to prevent radiodermatitis helps to reduce the incidence of radiodermatitis.
The effect of music on anxiety and pain in patients undergoing cholecystectomy
(Brieflands, 2015-02-28) mehdi Aghakeshizadeh
Background and Objective: Today, the control or reduction of pain and anxiety is considered to be of great importance. Thus, the use of complementary medicine therapies has gained much attention. The present study was performed with the aim to investigate the effect of music on anxiety and pain in patients undergoing cholecystectomy. Materials and Method: This single-blind randomized clinical trial was performed on 60 patients undergoing cholecystectomy in Sina Hospital of Tabriz, Iran, in 2013. Subjects were selected through simple random sampling method and divided into intervention (n = 30) and control groups (n = 30) using a random number table. For the intervention group, 8 and 16 hours after surgery, the music was played for 15-30 minutes. For the control group, routine care was performed. Data collection tools included demographic information form and a visual analogue scales (VAS) for anxiety and pain. Data analysis was performed using SPSS software version 13, and chi-square, Students’ independent t-test, and repeated measures ANOVA. Results: Comparison of changes in anxiety and pain in the two groups showed a significant decrease in anxiety 8 hours (6/27 ± 3.23) and 16 hours (5.33 ± 3.03) after surgery (P = 0.001). Moreover, the reduction in pain 8 hours (7.51 ± 1.83) and 16 hours (6.61 ± 1.86) after surgery was greater in the intervention group than the control group (P = 0.001). Conclusion: The results illustrated the positive impact of music on anxiety and pain reduction 8 and 16 hours after cholecystectomy. Therefore, this method can be used as an inexpensive and non-invasive nursing care technique.
Comparison of the Effect of Hot and Cold Massage at Spleen 6 on Pain Relief During Active Labor Phase: A Clinical Trial
(Brieflands, 2019-08-28) Sanaz Nehbandani; Maryam Koochakzaei; Fereshteh Keikhaie; Farnaz Jahantigh
Background: Delivery is a major event that the vast majority of women experience during their lives with inevitable pain. Uncontrolled pain can prolong the labor process and cause multiple injuries to the mother and fetus. Thus, introducing measures to relieve labor pain, especially by noninvasive procedures, should be a priority in obstetrics and gynaecology. Objectives: This study aimed to compare the effect of hot and cold massage at spleen 6 (SP-6) on pain relief during active labor. Methods: This clinical trial was conducted in 2017 on 80 primiparous women who had referred to Amir Al-Momenin Hospital in Zabol, Iran. The subjects were randomly assigned to two groups of hot and cold massage. The effects of hot and cold massage (four sessions of 30 minutes) at SP-6 on pain relief were studied during the active labor before the intervention, 5 and 30 minutes after the start of the intervention, and 30 minutes after the end of the intervention. The results were compared between the two groups. A demographic form was used to collect demographic and midwifery characteristics and McGill Pain Questionnaire was adopted to evaluate pain intensity. Data were analyzed in SPSS V. 21 using descriptive and analytical statistics. Results: There was no statistically significant difference in the mean pain intensity between the two groups before the intervention (P = 0.606). Similarly, no significant difference was observed in terms of pain intensity between the two groups 4 minutes after the intervention (P = 0.248). However, 30 and 60 minutes after the end of the intervention, the reduction in pain intensity was significantly more in the cold massage group than in the hot massage group (P < 0.001). Conclusions: The results showed that cold massage at SP-6 significantly relieved labor pain more effectively than hot massage. Thanks to its low cost and non-specialized equipment, it is recommended that treatment teams utilize this method to help mothers experience less pain during their labor process.
Comparing the Effect of Foot Reflexology Massage and Familiar Sensory Stimulation on the Level of Consciousness of Trauma Patients Admitted to Intensive Care Units: A Clinical Trial Study
(Brieflands, 2023-02-28) Roghaye Rooin; Ali Navidian; Hamed Sarani; Zahra Pishkar Mofrad; Omar Pourbaluch
Background: Traumatic brain injury (TBI) is an acquired brain tissue injury with different severities that leads to a change in the patient’s level of consciousness. Objectives: The present study aimed to compare the impact of foot reflexology massage and familiar sensory stimulation on the level of consciousness of trauma patients admitted to the intensive care units (ICUs) of Khatam Al-Anbia Hospital in Zahedan in 2021. Methods: This quasi-experimental study was conducted with a pretest-posttest design on 135 trauma patients with an altered level of consciousness admitted to the ICUs of Khatam Al-Anbia Hospital in Zahedan in 2021. The participants were selected using convenience sampling from the patients who met the inclusion criteria and were randomly assigned to 3 groups: Foot reflexology massage, familiar sensory stimulation, and control groups (each with 45 patients). The foot reflexology massage group received reflex massage on both feet for 30 minutes, the familiar sensory stimulation group received familiar sensory stimulation for 45 minutes, and the control group received ICU routine care. The interventions were carried out for 1 week in 2 morning and evening shifts. The patient’s consciousness level was measured and recorded using the Glasgow Coma Scale (GCS) 5 minutes before and 30 minutes after the intervention. The data were analyzed using SPSS version 22, as well as using analysis of variance (ANOVA), paired samples t-test, independent samples t-test, and analysis of covariance (ANCOVA) at a significance level of 0.05 (P < 0.05). Results: The data showed that the average consciousness score for the patients in both foot reflexology massage and familiar sensory stimulation groups increased significantly after the intervention compared to the control group (P = 0.001), but the 2 interventions were not significantly different in improving the level of consciousness of the patients. Conclusions: Foot reflexology massage and familiar sensory stimulation were both equally effective in increasing the level of consciousness of trauma patients with an altered level of consciousness, and none of them was superior to the other. Thus, nurses can use these 2 complementary medicine methods to speed up the improvement of consciousness of patients with TBI.
Evaluation of the effects of foot reflexology massage on vital signs and chemotherapy-induced anxiety in children with leukemia
(Brieflands, 2016-01-31) Akram Ghazavi; Batool Pouraboli; Sakineh Sabzevari; Moghadameh Mirzaei
Background: Cancer is a common disease among children. One of the most important treatment methods in this regard is chemotherapy, which leads to anxiety and negative physiological reactions in patients. This study aimed to evaluate the effects of foot reflexology massage on vital signs and chemotherapy-induced anxiety in children with leukemia.

Browse

Recent Submissions