Preventive Care in Nursing and Midwifery Journal

Background and Objectives: Oral care is a fundamental activity in nursing care. Providing oral care for ill patients, who are not able to keep their oral care, would provide comfort for patients and prevented them from oral lesions. This study was conducted to compare of the effect of Ozone water with Chlorhexidine in prevention of oral lesions in patients in critical care units.

Materials and Methods: This randomized controlled trial was carried out on 74 patients under mechanical ventilation in intensive care unit of Mousavi hospital in Zanjan. The participants were selected preliminary using convenience sampling, and then allocated randomly to two groups of intervention (n=39) and control (n=35) groups. Data was collected using the Beck Oral Assessment Scale (BOAS) scale. The data were analyzed using univariate statistical analysis (independent t statistical tests, Fisher's exact test, and Cochran Q (in SPSS16.

Results: The results of the study showed that the mean score of oral lesions according to BOAS in intervention group was almost the same as control groups by the third day of intervention. However, the mean score of oral lesions in the intervention group was reduced statistically compared to control group (P=0/013) on the fourth day.

Conclusion: The results of the current study revealed that Ozone water is more effective than chlorhexodone in prevention of oral lesions.

Background: Osteoporosis is the most common metabolic bone disease in postmenopausal women. It seems necessary to determine the factors affecting the adoption of preventive behaviors of osteoporosis in postmenopausal women using the patterns that identify the factors influencing behavior.

Objectives: To investigate preventive behaviors of osteoporosis in postmenopausal women in Fasa, Fars Province based on the Health Belief Model.

Methods: A cross-sectional study was conducted on 380 postmenopausal women aged over 50 under the coverage of Fasa health centers. Out of the 6 health centers in Fasa, 2 of them were selected based on cluster sampling method. Then, 190 postmenopausal women were selected from each health centers based on simple random sampling by the household number recorded in the health records. The required data were collected using questionnaire including demographic information, awareness inventory, the Health Belief Model scale, and diet and walking performance questionnaire. The data were statistically analyzed in SPSS 22.

Results: The construct of perceived susceptibility for diet and walking performance was predictive. In this study, walking performance had a significant relationship with perceived susceptibility (P=0.001, r=0.76), motivation (P=0.001, r=0.65), perceived benefits (P=0.001, r=0.88), and self-efficacy (P=0.001, r=0.69). In addition, diet performance presented a significant relationship with perceived benefits (P=0.001, r=0.68) and self-efficacy (P=0.001, r=0.28).

Conclusion: The study results showed that the higher the perceived susceptibility of individuals, the better the preventive behavior of osteoporosis they adopt. The Health Belief Model can be used as an appropriate framework for the design and implementation of educational programs in order to adopt the preventive behaviors of osteoporosis by postmenopausal women.

Background: Breast cancer is the most common cancer that endangers the women's mental health.
Objectives: The purpose of this study is to evaluate the effectiveness of stress management consulting on coping strategies in women with breast cancer.
Methods: This is a quasi-experimental, with pre- and post-test design and follows up with control and intervention groups. 104 women with breast cancer referring to MRI Center of Mahdieh in Hamadan-Iran in 2015 were divided randomly into two groups that the number of each group using permutation blocks was 52. The intervention group received the stress management counseling sessions through. Data collection tools were demographic questionnaire and general health questionnaire and the questionnaire of coping strategies of Lazarus & Folkman. For data analysis, the descriptive statistics and repeated measures analysis were used.
Results: The results of this study showed that the intervention can improve the general health and its sub-scales in intervention group. After intervention, a significant difference in average scores of the general health in two groups was observed (P<0.000). Also, there was a remarkable difference in average scores of the coping strategies in two groups before and after intervention (P<0.000), the problem-focused coping strategies in intervention group through post-test and follow up steps increased but the emotion-focused coping strategies in intervention group decreased.
Conclusion: The cognitive-behavioral group therapy of stress management can improve general health and increase coping strategies in patients with breast cancer, so this method can be used in oncology centers as the complementary therapy alongside the medical treatments.