Background: High blood pressure is the most important public health problem in developed countries. It is one reason for early mortality and risk factors for cardiovascular diseases like stroke and kidney failure. This study aimed to determine the effect of educational intervention based on BASNEF in blood pressure control in 1395.Methods and Materials: This study was a quasi-experimental study on 160 patients in two groups (each n = 80) suffering from hypertension in urban health centers of Urmia. Data collection questionnaire included: demographic questions, knowledge base questions, self-control behaviors questions and structures of BASNEF model. Validity and reliability were respectively 80% and 79%. Intervention group had taken three 45 minutes sessions using speeches, questions and answers, posters, booklets, pamphlets and whiteboard. Before training, information collected through questionnaires and after training questionnaires were completed again after 3 months. The data were analyzed in SPSS software with chi-square tests, Fisher, independent and paired sample t-test.Results: The average age of case and control group were 99.11 ± 01.56 and 75.12 ± 66.53 years. That there was no statistically significant difference (p=0.1). After intervention average systolic blood pressure significantly decreased in the intervention group from 43.157 to 24.147 mm Hg and diastolic blood pressure significantly decreased from 21.93 to 52.87 mm Hg (P <0.05)Conclusion: The training program using BASNEF model has provided better results in controlling blood pressure than conventional trainings.
This study indicated that, TTM constructs such as self-efficacy, processes of change, and decisional balance are good predictors for FV consumption.
Background Nurse‐to‐nurse (N2N) horizontal violence has been documented among the main determinants of nurses' turnover intention. Even with its utmost importance, inadequate attention has been thus far drawn to the way crisis‐induced pressure added to work environments, such as the coronavirus disease 2019 (COVID‐19) pandemic, can impact horizontal violence, and then give rise to turnover intention. Aim The present study was to investigate the relationship between N2N horizontal violence along with its dimensions and turnover intention among clinical nurses. Methods A cross‐sectional survey was conducted utilizing the Turnover Intention Questionnaire (TIQ), developed by Kim et al. (2007), and the Negative Acts Questionnaire‐Revised (NAQ‐R; Einarsen, Hoel, & Notelaers, 2009). The participants, recruited by random sampling, included 295 clinical nurses working in referral hospitals for COVID‐19. The data were also analysed using the SPSS software package (ver. 19), via descriptive and inferential statistics, Pearson correlation test and multiple linear regression. Results The study participants obtained the mean scores of 52.50 ± 11.85 and 45.38 ± 13.24 for turnover intention and horizontal violence, respectively. Among the dimensions of horizontal violence, the highest value belonged to “work‐related bullying,” with the mean score of 51.04 ± 15.23, and the lowest was associated with the “physically intimidating bullying” dimension, with the mean value of 15.90 ± 5.96. The Pearson correlation test results correspondingly showed that turnover intention was positively correlated with work‐related bullying ( r = 0.73), person‐oriented bullying ( r = 0.72), physically intimidating bullying ( r = 0.53) and overall horizontal violence ( r = 0.74). The regression analysis outcomes additionally demonstrated that the work‐related and person‐oriented bullying dimensions of N2N horizontal violence could predict turnover intention in nurses ( F = 184.66, p < 0.001). Implications The study findings help nursing managers and policymakers to immediately formulate sound measures and guidelines to prevent or at least manage the problems, viz., N2N horizontal violence and turnover intention. These measures can be thus in the form of training programs focused on communication, stress reduction and conflict resolution techniques, especially during crises, together with obvious procedures for reporting the incidents of horizontal violence.
Background: Non stress test (NST) is the most common and the first recommended test to assess the health of the fetus especially in high risk pregnancies in most studies. This study aimed to determine the effectiveness of non-stress test on fetal, neonatal and maternal outcomes to prevent chronic consequences in delivery health centers of West Azerbaijan. Methods: This was a classic case-control study conducted on 984 subjects in West Azerbaijan. The method of sampling was census during the last two years (2014-2015). Of 984 subjects, 500 subjects had undergone NST (case group) and 484 subjects had not been undergone NST (control group). Data were collected using records of mothers and checklist including variables related to maternal characteristics such as fetus characteristics, and the results of the NST. The data were analyzed using SPSS version 24 software. A P value of less than 0.05 was considered significant. Results: In the case group, 71.6% had a positive or reactive response and 28.4% had non-reactive test response. The rate of fetal death in centers without NST was 2.18% and fetal deaths were higher in centers without NST and all deaths in centers with NST occurred when this test was non-reactive (P < 0.05). There was a statistically significant relationship between NST with exposure to meconium and fetal distress. The main cause of NST was the premature rupture of the membranes (PROM) (41.7%). Post-term, meconiumstained amniotic fluid, decreased fetal movement (DFM) and post-term were other common causes. Meanwhile, 24.4% of mothers had abnormal movement tests, and this result was more non-reactive NST compared with reactive NST (P = 0.001). Conclusions: Using non stress test to observe the abnormal results of this test, midwives working in centers can quickly decide on appropriate referrals of mothers to hospitals and delivery centers, in such a way that this referral prevents mothers from developing adverse fetal and neonatal outcomes.
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