scholarly journals Evaluating the Effect of Positive Touch on Moods of Mothers of Premature Infants Hospitalized in NICU: A Randomized Clinical Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Seyedeh Fahimeh Alijanzadeh Zaferani ◽  
Ali Zabihi ◽  
Seyedeh Roghayeh Jafarian Amiri ◽  
Zahra Akbarian ◽  
Karim' Allah Hajian
Keyword(s):  
Clinical Trial ◽  
Standard Deviation ◽  
Randomized Clinical Trial ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Mood States ◽  
Control Group ◽  
Northern Iran ◽  
The Mean ◽  
Positive Touch

Background: The birth and hospitalization of a premature infant in the neonatal intensive care unit (NICU) can cause mood swings in mothers. Improving these mothers’ moods and reducing their stress is a care priority, which can be achieved by applying some innovative = strategies like using positive touch. Objectives: The purpose of the present study was to investigate the effect of positive touch on mood states of mothers of premature infants hospitalized in the NICU. Methods: The present randomized clinical trial was conducted on 80 mothers whose premature infants were hospitalized in the NICU of two hospitals in northern Iran in 2018. The participants were divided into two equal groups (n = 40) of experimental and control. All participants received a Profile of Mood States (POMS) questionnaire both at the time of admission and discharge. The experimental group received positive touch from the beginning of admission to the NICU until the time of discharge, while the control group only received the routine care. Results: The mean and standard deviation of mothers’ mood scores before the intervention (74.35 ± 36.27) were significantly higher compared to after the intervention (48.63 ± 16.02) (P = 0.001). Moreover, the mean and standard deviation for the sub-components were as follows: (1) tension before intervention (13.6 ± 7.49) vs. after intervention (7.45 ± 4.107) (P < 0.001); (2) depression before intervention (15.73 ± 13.11) vs. after intervention (7.5 ± 8.85) (P < 0.001); (3) fatigue before intervention (7.5 ± 6.47) vs. after intervention (3.95 ± 2.88) (P < 0.001); (4) confusion before intervention (9.63 ± 4.65) vs. after intervention (6.73 ± 2.42) (P < 0.001); (5) anger before intervention (12.97 ± 9.58) vs. after intervention (6.07 ± 4.42) (P < 0.001); and (6) vigor before intervention (14.93 ± 4.59) vs. after intervention (16.93 ± 3.21) (P = 0.001). As the figures show, there were significant differences in all of the sub-components before and after the intervention. Conclusions: It is recommended that mothers be given more opportunities in the NICU to employ positive touch and establish a closer interaction with their infants.

Compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section: A double-blinded randomized clinical trial

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
Ali Abbasijahromi ◽  
Hamed Hojati ◽  
Saeid Nikooei ◽  
Hossein Kargar Jahromi ◽  
Hamid Reza Dowlatkhah ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Essential Oil ◽  
Essential Oils ◽  
Randomized Clinical Trial ◽  
Control Group ◽  
Content Type ◽  
Gate Control Theory ◽  
Significant Difference ◽  
The Mean ◽  
Damask Rose

AbstractBackgroundAnxiety is the most common psychological reaction in women during labor. Similar to numerous other surgeries, postoperative pain is also reported following cesarean section (C-section). According to the (Gate) Control Theory, there is a relationship between pain and psychological problems such as anxiety. Accordingly, the present study aimed to compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section.MethodsThis triple-group randomized clinical trial was performed on 90 mothers who visited Motahari Hospital of Jahrom, Iran, for C-section in 2017. The incidence and severity of pain and anxiety were measured and recorded for all three groups prior to intervention. The intervention groups underwent aromatherapy with lavender and Damask rose essential oils. Patients were asked to inhale cotton balls, separately stained with three drops of each essential oil at a distance of 10 cm for 30 mins. The severity of pain and anxiety was measured using the visual analogue scale (VAS) and the Spielberger State-Trait Anxiety Inventory (STAI) 5 min after the specified process, respectively. The control group underwent aromatherapy in a similar fashion with normal saline. Finally, data were analyzed using descriptive statistical indices and ANOVA and Kruskal–Wallis tests in SPSS 21.ResultsThere was no significant difference between the three groups in the mean severity of pain and anxiety before the intervention (p>0.05). The mean severity of pain and overt anxiety in the lavender and Damask rose aromatherapy groups was significantly different than the control group after the intervention (p<0.001). In addition, no significant difference was observed between the overt and overall anxiety levels of the two intervention groups after the intervention (p>0.05).ConclusionsThe findings suggested that inhalation aromatherapy can reduce the severity of overt anxiety and pain after C-section, with Damask rose essential oil showing a larger effect than lavender.

scholarly journals Effect of lavender aromatherapy on well-being among hemodialysis patients: A randomized clinical trial

2018 ◽  
Author(s):  
Masoumeh Bagheri Nesami ◽  
Seyed Afshin Shorofi ◽  
Attieh Nikkhah ◽  
Hossein Roohi Moghaddam ◽  
Ali Mahdavi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Well Being ◽  
Underlying Disease ◽  
Hemodialysis Patients ◽  
Control Group ◽  
Significant Difference ◽  
The Mean ◽  
And Control ◽  
Experimental Group

  In spite of the improvement of dialysis techniques, hemodialysis patients still experience debilitation. Impaired functioning, well-being, and quality of life are among the factors that are of a great concern in these patients. The current study aimed to examine the effects of lavender essential oil on well-being among hemodialysis patients. This randomized clinical trial was conducted on 30 hemodialysis patients. For each patient in the experimental group, five cotton balls were prepared using two drops of lavender essence diluted with sweet almond oil. Lavender was used at five concentrations of 10%, 20%, 30%, 40%, and 50%, administered through pinning the soaked cotton ball on the patients' collar on the first, second, third, fourth, and fifth weeks of the intervention, respectively. The patients were asked to breathe normally for 20 min. On the other hand, the control group received only routine nursing care. The perceived sense of well-being was measured in both groups at the end of each week using a visual analog scale. The mean ages of patients were obtained as 58.9 ± 14.31 and 53.03 ± 15.84 years for the experimental and control groups, respectively. Hypertension was reported to be the most common underlying disease in both groups. The results showed a significant difference in the mean level of well-being in the experimental group in the fourth and fifth weeks of the intervention, compared to that before the intervention. Inhalation aromatherapy with 40% and 50% lavender essence had a positive effect on the perceived sense of well-being in hemodialysis patients. However, lower concentrations of 10%, 20%, and 30% did not exert a comparable effect.

scholarly journals Effectiveness of Counseling for Infertile Couples on Women's Emotional Disturbance: A Randomized Clinical Trial

2021 ◽  
Vol 43 (11) ◽  
pp. 826-833
Author(s):  
Tayebeh Mokhtari Sorkhani ◽  
Atefeh Ahmadi ◽  
Moghaddameh Mirzaee ◽  
Victoria Habibzadeh ◽  
Katayoun Alidousti
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Emotional Disturbance ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Infertile Women ◽  
Primary Infertility ◽  
Significant Difference ◽  
The Mean

Abstract Objective The psychosocial burden of infertility among couples can be one of the most important reasons for women's emotional disturbance. The goal of the present study was to investigate the effect of counseling on different emotional aspects of infertile women. Methods The present randomized clinical trial was performed on 60 couples with primary infertility who were referred for treatment for the first time and did not receive psychiatric or psychological treatment. Samples were allocated to an intervention group (30 couples) and a control group (30 couples) by simple randomization. The intervention group received infertility counseling for 6 45-minute sessions twice a week, and the control group received routine care. The Screening on Distress in Fertility Treatment (SCREENIVF) questionnaire was completed before and after the intervention. Samples were collected from November to December 2016 for 3 months. For the data analysis, we used the Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Armonk, NY, United States) software, version 19.0, and the paired t-test, the independent t-test, the Mann-Whitney test, the Wilcoxon test, and the Chi-squared test. Results The mean age of the participants was 33.39 ± 5.67 years. All studied couples had primary infertility and no children. The mean duration of the couples' infertility was 3 years. There was a significant difference regarding depression (1.55 ± 1.92; p < 0.0001), social support (15.73 ± 3.41; p < 0.0001), and cognitions regarding domains of fertility problems (26.48 ± 3.05; p = 0.001) between the 2 groups after the intervention, but there was no significant difference regarding anxiety (25.03 ± 3.09; p = 0.35). Conclusion The findings showed that infertility counseling did not affect the total score of infertile women' emotional status, but improved the domains of it except, anxiety.

scholarly journals Effect of Abdominal Massage with and without Salvia officinalis on Nausea and Vomiting in Patients with Cancer Undergoing Chemotherapy: A Randomized Clinical Trial

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Farshid Rafiee Sarbijan Nasab ◽  
Parvin Mangolian Shahrbabaki ◽  
Mahlagha Dehghan ◽  
Haleh Tajadini ◽  
Hamideh Baniasadi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Considerable Effect ◽  
Salvia Officinalis ◽  
Nausea And Vomiting ◽  
Control Group ◽  
Patients With Cancer ◽  
Abdominal Massage ◽  
The Mean ◽  
And Control

Objective. The aim of this study was to determine the effect of abdominal massage with and without Salvia officinalis on nausea and vomiting in patients with cancer undergoing chemotherapy. Methods. In this randomized clinical trial, 60 patients undergoing chemotherapy were placed in one of two intervention groups or in a control group. Abdominal massage with and without Salvia officinalis was performed for 15 minutes twice a day for 3 consecutive days by the patient’s companion. The rate of nausea and vomiting was measured with a Visual Analog Scale. Results. Findings showed that immediately after the intervention, the mean score of nausea in abdominal massage with Salvia officinalis group was lower than that of the control group. The mean score of nausea was not different between abdominal massage and control groups. One week after the intervention, the mean score of nausea was not different among the three groups. In addition, the frequency of vomiting was not different among the three groups. Conclusion. Abdominal massage with/without Salvia officinalis as a complementary medicine has not considerable effect on reducing nausea and vomiting in patient with cancer undergoing chemotherapy. More studies are needed to achieve better and more accurate results.

Comparing the effectiveness of mother’s live lullaby and recorded lullaby on physiological responses and sleep of preterm infants: a clinical trial study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Razyeh Namjoo ◽  
Roghayeh Mehdipour-Rabori ◽  
Behnaz Bagherian ◽  
Monirsadat Nematollahi
Keyword(s):  
Clinical Trial ◽  
Heart Rate ◽  
Sleep Duration ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Physiological Responses ◽  
Physiological Parameters ◽  
Control Group ◽  
Significant Difference ◽  
The Mean

Abstract Objectives Environmental stimuli in neonatal intensive care units can disrupt the physiological stability and sleep of infants. It is essential to perform nursing interventions to reduce the adverse effects of such stimuli. This study aimed to compare the effect of recorded lullabies and mothers’ live lullabies on physiological responses and sleep duration of preterm infants. Methods This study was a randomized clinical trial. The participants were 90 preterm infants selected using convenience sampling. In the intervention groups, music (recorded lullabies and mother’s live lullabies) was played for 14 days, 20 min a day, while the control group did not receive any intervention. The data were collected using physiological criteria and infant sleep checklists before, during, and after the intervention. The data were analyzed using SPSS software (Version 21.0). Results The mean scores of physiological parameters (O2 saturation and heart rate) were not significantly different in the three groups before, during, and after the intervention (p>0.05). However, there was an improvement in O2-saturation and a decrease in the heart rate in two intervention groups. The mean duration of the infants’ overnight sleep was not statistically significant between the groups before the intervention (p>0.05). However, there was a statistically significant difference in the intervention groups after the intervention, (p<0.05), and the infants’ overnight sleep was longer in the recorded-lullaby group than the other two groups. Conclusions Although performing interventions, including recorded lullaby and mother’s live lullaby did not differ significantly with that of the control group in physiological criteria, it can be clinically important. In addition, recorded-lullaby increased the infants’ overnight sleeping. Thus, it is suggested that further studies be conducted to confirm the effect of recorded lullaby and mother’s live lullaby interventions on physiological parameters and sleep duration of hospitalized infants.

Long-term effects of the use of a step count-specific smartphone application on physical activity and weight loss: a randomized clinical trial (Preprint)

2021 ◽  
Author(s):  
EIICHI YOSHIMURA ◽  
Eri Tajiri ◽  
Ryota Michiwaki ◽  
Naoyuki Matsumoto ◽  
Yoichi Hatamoto ◽  
...  
Keyword(s):  
Physical Activity ◽  
Clinical Trial ◽  
Weight Loss ◽  
Body Weight ◽  
Standard Deviation ◽  
Randomized Clinical Trial ◽  
Step Count ◽  
Smartphone App ◽  
Control Group ◽  
Intervention Period

BACKGROUND Some studies on weight loss promotion using smartphone applications (smartphone app) including mobile applications have shown a weight loss effect, but not an increase in physical activity, and they have not been rigorously examined for longer periods. OBJECTIVE To assess whether the use of a smartphone app will increase physical activity and reduce body weight. METHODS In this parallel randomized clinical trial, participants recruited between April 2018 and June 2019 were randomized in equal proportions to a smartphone app group (n=55) or control group (n=54). The intention-to-treat approach was used to analyze the data from December 2019 through November 2021.　Before the intervention, an hour-long lecture on weight loss instruction and increasing physical activity was conducted once for both groups. Participants in both groups were instructed to weigh themselves immediately after waking up at least once daily from the start of the intervention. Monthly e-mails were sent advising the participants on how to lose weight and increase physical activity in order to maintain or increase motivation in both groups. Participants in the smartphone app group were instructed to launch the app at least once a day to check their step count and rank. The primary outcome was daily accelerometer-measured physical activity (step count) and secondary outcomes was body weight. RESULTS The 109 participants had a mean (standard deviation) age of 47 (8) years. At baseline, the mean (standard deviation) daily total steps were 7259 (3256) for the smartphone app and 8243 (2815) for control groups, respectively. After the 32-week intervention period, the step count per wear time was significantly higher in the smartphone app group than in the control group [average difference (95%CI): 65 (30 to 101) vs. -9 (-56 to 39), p=0.042]. The weight loss was -2.2 kg (-3.1%) in the smartphone app group and -2.2 kg (-3.1%) in the control group, with no significant difference between the groups. During the intervention period, the step count per wear time on Saturdays [615 (545 to 684) vs. 554 (483 to 624), p=0.006] and Sundays [623 (553 to 694) vs. 556 (485 to 627), p=0.004] was significantly higher in the smartphone app group than in the control group. CONCLUSIONS In this trial, the smartphone app group showed increased physical activity, especially on weekends. However, this increased physical activity did not lead to weight loss. CLINICALTRIAL UMIN000033397 https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr.cgi?function=brows&action=brows&recptno=R000037956&type=summary&language=J

scholarly journals Impact of Mild Hypothermia on Final Outcome of Patients with Acute Stroke: A Randomized Clinical Trial

2020 ◽  
Vol 17 (01) ◽  
pp. 17-23
Author(s):  
Abbas Rouzbahani ◽  
Esmail Khodadadi ◽  
Marjaneh Fooladi
Keyword(s):  
Clinical Trial ◽  
Acute Stroke ◽  
Randomized Clinical Trial ◽  
Mild Hypothermia ◽  
Intervention Group ◽  
Final Outcome ◽  
Control Group ◽  
Risk Of Death ◽  
Significant Difference ◽  
The Mean

Abstract Background and Aim Stroke is a sudden neurological disorder caused by disturbances in the brain blood flow and loss of normal brain function. Stroke is also the second leading cause of death worldwide. In the last two decades, among the various treatment options for stroke, hypothermia has shown the promise of improving the final outcome. This study aimed to investigate the effect of noninvasive hypothermia on the final outcome of patients with an acute stroke in Iran. Methods In a randomized clinical trial, 60 Iranian patients diagnosed with acute stroke were enrolled in 2018. Patients were selected by convenience sampling method and then randomized in two groups as experimental (n = 30) and control (n = 30). Mild hypothermia was applied using a cooling device for 72 hours on the patients’ heads and intervention results were compared with the control group. Data were collected by using Acute Physiology and Chronic Health Evaluation III (APACHE III), Full Outline of Un-Responsiveness (FOUR), and National Institutes of Health Stroke Scale (NIHSS), and later analyzed by Statistical Package for the Social Sciences (SPSS) software version 22. Results No significant difference was found in the mean scores of all three scales before and after the intervention in control group (p > 0.05) but statistically significant difference was found in the mean scores of all three scales for the intervention group (p < 0.05). The intervention group had an increased mean score in FOUR, while APACHE and NIHSS values dropped. Researchers found statistically significant difference between the mean scores after the intervention in the experimental group compared with the control group in all three scales (p < 0.05). Conclusion The findings of this study indicate that hypothermia has a significant statistical and clinical effect on the acute stroke outcome and it can be argued that hypothermia therapy can increase the level of consciousness and reduce the risk of death in stroke patients.

scholarly journals Effect of submucosal injection of ketorolac versus dexamethasone on postoperative pain after third molar surgery: a randomized clinical trial

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Dariush Hasheminia ◽  
Reyhaneh Faghihian ◽  
Farhad Mardani
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Third Molar ◽  
Study Groups ◽  
Third Molar Surgery ◽  
Control Group ◽  
Impacted Third Molar ◽  
Significant Difference ◽  
The Mean ◽  
The Difference

Abstract Background One of the most common dentoalveolar surgeries is the removal of impacted third molars. Moderate to severe pain is predictable after these surgeries, usually leaving the patient in need of an effective analgesic for at least 24 h. Corticosteroids and NSAIDs are well-known medications used to reduce pain. This prospective, randomized clinical trial aimed to assess the effectiveness of two types of analgesics, ketorolac and dexamethasone, on pain experienced after unilateral impacted third molar surgery. The analgesics were injected sublingually after profound anesthesia was confirmed in 60 healthy adult patients. During this study, the patients were divided into three groups. The patients in group K received 1 mL of ketorolac (30 mg), while the patients in group D received 1 mL of dexamethasone (4 mg) sublingually. The patients in group C (the control group) received 1 mL of normal saline solution as a placebo. Results The mean pain scores reported by the patients in groups K and D were significantly lower than group C (P = 0.002 and P < 0.001, respectively). However, the difference between groups D and K was not significant (P = 0.158). The mean number of analgesics taken by patients in groups K and D 24 h after surgery was significantly lower than the control group (P < 0.05). At 48 and 72 h postoperatively, however, the difference was not significant between the study groups (P > 0.05). The mean time of the first analgesic taken by the patients in groups K and D was 200.94 and 214.74 min after surgery, respectively. Exhibiting a significant difference, it was 132.65 min for the patients in group C (P = 0.003). Conclusions Under this study’s limitations, preoperative sublingual injection of ketorolac and dexamethasone were similarly effective in pain control after impacted third molar surgery.

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