Somaye Pouy - Academia.edu (original) (raw)

Papers by Somaye Pouy

Asian Pacific Journal of Cancer Prevention, Sep 30, 2023

Journal of Nursing Reports in Clinical Practice, Dec 25, 2023

The present study aims to determine the effect of Orem's self-care model on the quality of life i... more The present study aims to determine the effect of Orem's self-care model on the quality of life in adolescents with diabetes type 1. A randomized controlled trial was conducted at Guilan University of Medical Sciences in Rasht, Iran. Adolescents diagnosed with type 1 diabetes constituted the study's participants. The research enrolled 80 diabetic patients, divided randomly into two groups: the control group and the intervention group. The study employed four blocks labeled A, B, C, and D, selecting the initial block through a lotterybased method. The intervention group received a series of eight training sessions structured by the Orem's self-care model. In contrast, the control group received standard routine education without the structured sessions aligned with the aforementioned model. The data collection instruments used in this study comprised a demographic information questionnaire, an Orem's health status questionnaire, and an SF-36 quality of life questionnaire. The study comprised 80 diabetic type 1 patients, with 40 assigned to the control group and 40 to the intervention group. The average age of the participants was 13.40 (SD=2.25). Notably, a substantial difference was observed in the change of scores about the physical dimension between the intervention and control groups (P=0.03). Additionally, a significant disparity in mental dimension scores was observed between the intervention and control groups (P=0.02). Our investigation demonstrated that the development and execution of an educational training program grounded in the Orem's self-care model yielded an enhancement in the quality of life among adolescent patients diagnosed with type 1 diabetes.

Journal of Neonatal Nursing, Jun 1, 2019

Introduction: Nurses are in close contact with patients and their knowledge of pain assessment an... more Introduction: Nurses are in close contact with patients and their knowledge of pain assessment and management plays a key role in enhancing patients health. The purpose of this study was to investigate theassesment and management of pain bynursing staff in neonatal intensive care units (NICU). Materials and methods: A descriptive cross-sectional study was conducted in 2018. The study population consisted of nurses with at least six months experience of working in the NICU of Ilam hospitals. The data were collected using a demographic questionnaire and a pain management questionnaire. Then, using spss16 software, descriptive statistics and independent t-test were performed with a significant level of less than 0.05. Results: The results showed that only a few nurses (7.1%) answered "always" to setting up measures for reducing pain or discomfort of neonatal. In the "Parents were allowed to relieve pain" item, many nurses 18 (31.0%) used this strategy only occasionally. Regarding non-pharmacological methods to reduce pain, only a small number of nurses 8 (13.8%) used this item "always". Conclusion: Regarding the fact that pain assessment and management were not at the appropriate level for nurses, it is necessary to have appropriate educational interventions in this field.

Korean journal of transplantation, Mar 31, 2022

PubMed, 2020

Introduction: World Health Organization has declared COVID-19 a pandemic and a global health emer... more Introduction: World Health Organization has declared COVID-19 a pandemic and a global health emergency. Thus, it is necessary to clearly characterize clinical manifestations and management of COVID-19 infection in children to provide accurate information for healthcare workers. Accordingly, the present study was designed to review articles published on clinical manifestations and characteristics of children and infants with COVID-19. Methods: In this systematic review, medical databases including Cochrane Library, Web of Science, Embase, Scopus, SID, Medline, WHO and LitCovid were searched using English and Persian keywords including COVID-19, Pediatrics, Newborn, Coronavirus 2019, 2019-nCoV, SARS-CoV-2. Finally, data of 14 related articles were included in the study. Results: A total of 2228 children, newborns and infants were studied. Clinical manifestation in children may be mild (72%), moderate (22%) or severe (6%), and the most common symptoms include dry cough (91%) and fever (96%). According to the included articles, two children had died, one of which was a 14-year-old boy and his exposure history and underlying disease were unclear, and the other was a male newborn with gestational age of 35 weeks and 5 days, birth weight of 2200, Apgar score of 8, 8 (1 min and 5 min) and his first symptom was increased heart rate. No differences were found between male and female children regarding infection with COVID-19. Conclusion: Most pediatrics were infected with COVID-19 due to family cluster or history of close contact. Infected children have relatively milder clinical symptoms compared to infected adults. We should pay special attention to early diagnosis and early treatment in children infected with COVID-19.

Iranian Red Crescent Medical Journal, 2021

Background: Coronavirus disease 2019 (COVID-19) has been introduced by the World Health Organizat... more Background: Coronavirus disease 2019 (COVID-19) has been introduced by the World Health Organization as a pandemic and emergency for human health. Objectives: This study aimed to investigate the clinical characteristics of patients infected with COVID-19 in Guilan Province, Iran. Methods: This retrospective study was conducted on 1,000 patients with a definitive diagnosis of COVID-19 pneumonia admitted to six hospitals in Guilan Province, Iran, from April 13 to June 14, 2020. This study evaluated the patients' clinical information, demographic characteristics, laboratory results, and chest computed tomography scans. Results: The mean age of the patients was obtained at 55±1.3 years, and the majority (n=800; 80%) of the cases were male. Furthermore, most patients had underlying diseases, including respiratory system disease (n=173; 17.3%), cardiovascular disease (n=711; 71.1%), and malignancy (n=146; 14.6%). Some of the most common causes of infection with coronavirus were being in crowded places (n=733; 73.3%), close contact with an infected person (n=370; 82.2%), possession of pets (n=107; 23.2%), and family gatherings (n=822; 82.2%). In addition, the most common clinical symptoms in patients included fever (n=911; 91.1%), cough (n=900; 90%), and dyspnea or shortness of breath (n=889; 88.9%). Other less common symptoms were diarrhea (n=160; 16%), vomiting (n=168; 16.8%), and headache (n=217; 21.7%). Dyspnea was developed in 889 patients (88.9%), and 660 (66%) cases had increased leucocytes. Conclusion: Coronavirus would cause mild to fatal pneumonia in patients. Therefore, early detection and treatment is of significant importance for these patients. Timely treatment of this disease could reduce the severity of the symptoms and prevent further spread of the disease.

Journal of Comprehensive Pediatrics, Feb 17, 2019

Background: Triage nurses are the first people in the emergency department providing care to pati... more Background: Triage nurses are the first people in the emergency department providing care to patients. Their knowledge is very important in efficient triage. According to the few studies on the factors affecting triage, the current study aimed at investigating the nurses and nursing students' knowledge about the triage of children. Objectives: Accordingly, the current study aimed at determining the level of knowledge of nursing students and nurses about pediatric triage and the impact of knowledge on the triage performance, in Guilan University of Medical Sciences, Iran. Methods: The current descriptive, cross sectional study was conducted on 88 nurses and 88 nursing students selected through a census sampling from a selected hospital. The data were collected over one month in 2017, by means of a researcher-made questionnaire that included: Demographic characteristics (age, gender, degree, etc.) and knowledge level of staff. The validity of the questionnaire was determined by content validity and its reliability was measured by a test-retest method. After transferring the data into SPSS, statistical analysis was performed by descriptive and inferential statistical tests such as the Wilcoxon and Kruskal-Wallis. The level of significance was P < 0.05. Results: A total of 176 questionnaires were completed. A review of the responses given in the knowledge section revealed that 94.3% of the nurses and students were within the weak range. There was no significant relationship between demographic characteristics and triage knowledge in nurses and nursing students (P > 0.05). Conclusions: According to the current study results, knowledge of nurses and nursing students should be reinforced to better accomplish patient's triage. Since emergency nurses are among the most important staff in providing the prioritizing triage, therefore, nursing education programs should include triage courses that retain mastery in this scope.

Epidemiology and Health, May 13, 2020

studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, ... more studies conducted among emergency ward nurses in Iran. The studies were restricted to full-text, peer-reviewed studies published from inception to December 2019, in the Persian and English languages, that evaluated MEs among emergency ward nurses in Iran. RESULTS: Eight studies met the inclusion criteria. Most of the nurses (58.9%) had committed MEs only once. The overall mean rate of MEs was 46.2%, and errors made during drug administration accounted for 41.7% of MEs. The most common type of administration error was drug omission (17.8%), followed by administering drugs at the wrong time (17.5%) and at an incorrect dosage (10.6%). The lack of an adequate nursing workforce during shifts and improper nurse-patient ratios were the most critical factors affecting the occurrence of MEs by nurses. CONCLUSIONS: Despite the increased attention on patient safety in Iran, MEs by nurses remain a significant concern in EDs. Therefore, nurse managers and policy-makers must take adequate measures to reduce the incidence of MEs and their potential negative consequences.

Epidemiology and Health, 2020

Journal of Neonatal Nursing, 2019

Background: Optimizing thermal care is essential for premature neonates and is a major problem am... more Background: Optimizing thermal care is essential for premature neonates and is a major problem among researchers. Monitoring of skin temperature in premature neonates is usually done in neonatal intensive care units (NICUs). This study searched the skin temperature at 7 locations and then addressed the correlation of these locations with axillary temperature in order to identify the ideal skin temperature probe (STP) placement. Methods: This diagnostic clinical trial was performed on 203 premature neonates cared under a radiant warmer (RW) with servo-control mode. STP was placed at different locations, including the chest, forehead, right axillary, arm, right hypochondrium of abdomen, thigh, and foot, in all the neonates. The total duration of measurement for the neonates was seven minutes. Concurrently, a digital thermometer was used at each location, recording 1428 measurements. In addition, agreement of STP with digital axillary thermometer measurements was also assessed. The significance level was P < 0.05. Results: The probe-measured temperature at the right hypochondrium of abdomen was consistent with the digital axillary temperature, compared to temperature measured at other sites. Conclusion: In premature neonates, proper placement of STP is necessary to monitor skin temperature safely and accurately. NICU nurses have this unique opportunity to determine the best STP placement site and to improve safe practice for optimal outcomes in neonates. * Corresponding author. 1 Initiation of the study, study design, data collection, data analysis, interpretation of the data, and writing the manuscript. 2 Study design, main supervision of the project, data analysis, revision of draft papers.

Journal of Comprehensive Pediatrics, 2019

Pediatric Anesthesia, 2005

SummaryBackground : This study assessed current medical practice in preventative analgesia and se... more SummaryBackground : This study assessed current medical practice in preventative analgesia and sedation for invasive procedures in neonatal intensive care units (NICU) in Italy.Methods : A questionnaire was sent to level II and III Italian NICUs to investigate pain management, pharmacological treatment and the use of pain scores during invasive procedures.Main outcome measures were the extent to which analgesia and sedation are currently used for invasive procedures in Italian neonatal units.Results : The rate of response to the questionnaire was 88%. Written guidelines were available on acute pain control in 25% of the NICUs, and on prolonged pain control in 50%. Routine use of preventative pharmacological and nonpharmacological measures for painful procedures ranged from 13% for elective tracheal intubation to 68% for chest tube insertion. Thirty‐six percent of NICUs routinely use sedation with opioids for mechanical ventilation; 14% prevent distress and pain for tracheal suctioni...

The Lancet, 2020

Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on ... more Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre-including this research content-immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

Indian journal of forensic medicine and toxicology, 2018

shiraz e medical journal, Aug 31, 2021

Background: Cerebral palsy is a leading cause of disability among children, and most of these chi... more Background: Cerebral palsy is a leading cause of disability among children, and most of these children depend on their care provider or parents all the time. Mothers of these children spend a great amount of time taking care of them, which could have adverse effects on their mental health. Objectives: The present study was conducted to investigate the impact of the continuous care model (CCM) on the mental health of mothers with children suffering from cerebral palsy. Methods: This randomized clinical trial was performed among 80 mothers of hospitalized children with cerebral palsy. Subjects were randomly divided into the two groups of intervention and control. In the intervention group, the CCM was administered to the mothers up to eight weeks after discharge, and for the control group, only routine nursing education was provided to the mothers at hospital discharge. Before and one and eight weeks after the intervention, in both groups, the mothers' mental health was assessed using the General Health Questionnaire. Data were analyzed using SPSS version 21 through descriptive and inferential statistics. Results: The mean age of the mothers was 33.2 ± 2.1 years and 34.3 ± 2.2 years in the intervention and control groups, respectively. In the intervention group, the CCM had a positive effect on the mental health of mothers one and two months after discharge from hospital compared to before the intervention (P = 0.04, P = 0.02, respectively); however, in the control group, the mean score of mothers' mental health was decreased over time. No significant relationship was found between mental health and the demographic characteristics of the mothers (i.e., age, education, participation in any child caring programs, having anxiety, having any other children with cerebral palsy, and experiencing depression due to having a child with cerebral palsy) (P > 0.05). Conclusions: The CCM had a positive effect on the mental health of mothers of children with cerebral palsy. Thus, this intervention might be useful, but further studies are needed about the cost effectiveness of this intervention and its long-term impact on a larger sample.

Journal of Comprehensive Pediatrics, May 7, 2019

Background: Tonsillectomy is regarded as one of the most commonly used pediatric surgical procedu... more Background: Tonsillectomy is regarded as one of the most commonly used pediatric surgical procedures whose anxiety-related consequences can bring about several changes in the physiological characteristics of children. Therefore, the use of low-cost anxietyrelieving techniques in this domain can be of utmost importance to stabilize vital signs in this age group. Objectives: Accordingly, the purpose of the present study was to investigate the effects of acupressure on physiological indicators of pain including respiratory rate, heart rate, and levels of arterial oxygen saturation in children undergoing tonsillectomy. Methods: This study was a three-group single-blind clinical trial conducted on 144 children aged five to 12 years undergoing a tonsillectomy. To this end, the subjects were allocated into three groups of 48 individuals including control, intervention, and placebo ones. In this respect, the intervention (experimental) group received acupressure applied to three pressure points three times a day for one hour, two to four hours, and six to eight hours following a tonsillectomy. However, in the placebo group, acupressure was applied to a false (sham) acupoint. The control group also received only routine care services. Before and after all three phases of the intervention, the physiological indicators of pain (heart and respiratory rate, blood pressure) were measured and recorded in all three study groups. The data were finally analyzed using descriptive statistics (mean and standard deviation) and inferential ones (Wilcoxon signed-rank test, chi-square test, one-way analysis of variance (ANOVA), and Kruskal-Wallis test). Results: The results of this study revealed significant differences in heart rate (P = 0.001), respiratory rate (P = 0.001), and levels of arterial oxygen saturation (P = 0.001) after three intervals of acupressure in the intervention group compared to those in other two groups. Accordingly, the means of heart rate and respiratory rate decreased and the levels of arterial oxygen saturation increased in the intervention group indicating a small number of fluctuations and much more balance in physiological indicators of pain. Conclusions: The findings of the present study showed that parasympathetic activity, following acupressure in the intervention group, could cause several changes in physiological responses, and also create a sense of relief and moderate anxiety in children. Therefore, anxiety in children undergoing a tonsillectomy could be lowered with the use of a simple, low-cost, and non-invasive technique contributing to the maintenance of physiological indicators of pain as well as decreased complications driven by vital signs, not in a normal range.

International journal of adolescent medicine and health, Jul 9, 2019

Introduction: Tonsillectomy is one of the most common pediatric surgeries in the world and pain c... more Introduction: Tonsillectomy is one of the most common pediatric surgeries in the world and pain control following tonsillectomy is very important. Objective: The aim of this study is to investigate the effect of acupressure on the amount of pain following tonsillectomy in children. Method: One hundred and forty-four children aged 5-12 years old were assigned into one of three groups: interventions, control and placebo. In the intervention group, acupressure was applied at three acupoints and in the placebo group, sham acupressure was applied. In the control group routine care only was applied. Results: There was a significant difference between an average of changes in pain score before and after the intervention during the 3 time periods after the tonsillectomy operation in the acupressure group (p = 0.002). Conclusion: The results showed that acupressure had a positive effect on pain reduction after tonsillectomy in children in the intervention group.

Research Square (Research Square), Dec 2, 2020

Nursing Open

AimThis study aims to investigate experiences of frontline nurses about human caring during COVID... more AimThis study aims to investigate experiences of frontline nurses about human caring during COVID‐19 pandemic based on the Ten Caritas Processes® of Watson's Human Caring Theory.DesignA directed content analysis was performed.MethodsA total of 15 frontline nurses were recruited by purposive sampling from Razi hospital (north of Iran), in 2020 and semi‐structured interviews were conducted.ResultsExtracted categories based on Ten Caritas Processes® included feeling satisfied in providing care to patients, effective presence with patients, moving towards self‐actualization (moving towards transcendence), care with trust and compassion, experience positive and negative emotions, creativity in providing care, self‐directing learning experience in the field of care, unfavourable environment for providing care, feeling acceptance and worth, uncertainty (facing the unknown). This study showed that communication skills, self‐sensitivity, patient dignity, teaching‐learning and problem‐sol...

DOAJ (DOAJ: Directory of Open Access Journals), 2022