مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و ششم شماره 1 (پیاپی 61، فروردین و اردیبهشت 1397)

Introduction & Aim: The purpose of this study was to investigate the associations among cancer coping, symptom-management self-efficacy, uncertainty, optimism and perceived social support in Iranian breast cancer survivors.
This study was a descriptive-analytical cross-sectional study .The data of 150 breast cancer survivors in Urmia were collected by cancer coping questionnaire, symptom-management self-efficacy scale for breast cancer related to chemotherapy, short form of the Mishel uncertainty in illness scale, life orientation test –revised and the multidimensional scale of perceived social support questionnaires during 2016. Data were analyzed with using SPSS software version 20 by applying descriptive statistics and Pearson’s correlation coefficients.
The symptom-management self-efficacy, optimism and perceived social support all correlated significantly with cancer coping. Significant negative correlation was identified between uncertainty and cancer coping (Significant at the 0.01 level (.). Results of stepwise multiple regression analysis demonstrated that 0.517% of the variance in cancer coping was elucidated by perceived social support, symptoms management self-efficacy, optimism and uncertainty.
The results of the study clarified the perceived social support, symptom-management self-efficacy, uncertainty and optimism is significant with the cancer coping among Iranian breast cancer survivors. Cancer coping should concentrate on these variables in designing plans to promoting their lives.

Health promotion is one of the best ways to maintain health. Correction of health promoting behaviors is essential for students. Therefore, the present study was conducted to evaluate the effect of peer education on nursing student's health promoting behaviors.
In this quasi-experimental study, 80 nursing and midwifery students were selected by available sampling method. Data gathering tool was Pender Health Promotion Questionnaire. Before education, health promoting behaviors were examined. Then, the first and second semester students were educated in a 4-hour 1.5-hour session, with peer education. Two months after education, post-test was done. Data were analyzed by SPSS/16 software.
There were no significant differences between the two peer groups in terms of the mean score of health promotion behaviors and their related dimensions (P> 0.05) before education. However, after education, the mean score of health promotion behaviors and their dimensions in the peer group with MSc student had a statistically significant increase compared to the peer group with bachelor's degree students (P The effectiveness of health promoting behaviors education which the leader of peer group is a MSc student was better than that peer group whose leader is under graduated students.

The mission of nursing care, in highest level of nursing standard, needs to consider the patients’ rights. Orientation with patients’ rights must be started from student time. This study shaped with the aim of comparing electronic and work shop education on knowledge of nursing student about patients’ rights.
This is a semi- experimental with two groups. With simple random 60 nursing students were chosen, and allocated in electronical and work shop education. Educational content about privacy and informed consent were taught to students in a four hour work shop. This content with compact disk were taught to electronical group. Before and after educational intervention, the level of knowledge were assessed with questionnaire and data were analyzed with SPSS software.
showed that after intervention, the mean level of knowledge were increased. But in the workshop group statistical meaningful (p=0.001)
Ethics and patient rights are one of the issues that have particular sensitivity, and needs to using special educational ways in order to attract the nursing students. Training workshop may be successful due to nature of educational environment and human interaction, while the lack of access to educational outcome with electronical education, may be because of lack of management in order to use of educational content. So educational workshop, due to effects of interaction between instructor and student can be effective in teaching some topics such as ethical issues.

Puberty is a prominent feature of teenage period that is associated with Sudden and unexpected onset of symptoms such as Menstruation or menarche. Due to the importance of the health of today’s girls that actually is an investment for achieve to personal and social health The present study was aimed to determine affecting demographic factors on Menstrual Health Knowledge and Practices among High School Girls in Hamadan City, 2014.
During this cross sectional study, totally 200 female students of a high school selected by cluster sampling in Hamadan city in 2014. The data were collected through knowledge and practice of menstrual health questionnaires and statistical analysis was performed using SPSS 16 software through independent t-test, ANOVA and Pearson correlation coefficient.
Findings:The mean and standard deviation of respondent’s age were 13.33 and 0.61 years, and the mean and standard deviation of first menstrual period (menarche) were 12.36 and 0.95 years, respectively. About 65% of students were moderately aware about menstruation health. Also, About 69% of students have moderate performance about menstruation health. The results further showed a statistically significant relationship between Maternal education level and practices of menstrual hygiene, (p 0.05) but results did not show a statistically significant relationship between demogeraphic factors and practices of menstrual hygiene.
Discussion and Due to the statistically significant relationship between Maternal education level and Knowledge and practices of menstrual hygiene Teach mothers with low education level is the priority of Health education programs.

Aims: The aim of this study was to examining the Factors affecting the duration of weaning from mechanical ventilation based on nurses guide in the intensive care units.
In this sectional -analytic study and single group , 65 intensive care unit patients who required mechanical ventilation for more than 72 hours were selected by convenience sampling. Patients with Burns Wean Assessment Program tools with the nurses guidance in three shifts were investigated. Patient's age, sex, the cause of the connect to mechanical ventilation, The level of awakening based on the Ramsay sedation scale,and duration of mechanical ventilation were recorded. The SPSS22 was used for conducting statistical tests such as the Descriptive statistics and Indipendent T- tests.
The mean duration of mechanical ventilation based on Burns Wean Assessment Program (the nurses guidance) was 111/75±33/46. The test results showed that confounding factors of Sex (p=0/03) and Ramsay sedation scale scor (p=0/0001) had significant effect on the duration of mechanical ventilation but Age (p=0/2) and the cause of the connect to mechanical ventilation (p=0/319) No significant effect on the duration of mechanical ventilation.
To weaning from mechanical ventilation , more attention should be paid to reducing the time of mechanical ventilation and the impact of confounding factors.

Job satisfaction is one of the key factors maintaining nurse's mental and psychological health that affects performance and service quality of care provided by nurses. Therefor studying these main organizational variables have been considered by many researchers.This study analyzes nurse's job satisfaction in Hamadan educational hospitals based on their demographic characteristics.
This is an Analytic-Descriptive study that was performed on 304 nurses in Hamadan university of medical science's hospitals. Data collection tools included Spector job satisfaction questionnaires.Using descriptive statistics (Mean and Standard Deviation) and inferential statistics (Independent sample t-test, ANOVA and Tukey post-hoc) data were analyzed.
The results showed the majority of participants (%5.47) had moderat job satisfaction level, 3.4 percent had high job satisfaction level and 35.4 percent had low job satisfaction level. And majority of participants in areas of supervision (51%), coworkers (51%) and nature of work (53%) have high level of job satisfaction, interms of promotion (46/7%) and communication (48/4%) have moderate level of job satisfaction, and regarding pay(69/1%), Contingent rewards (79/6%), Operating conditions (91/4%) and fringe benefits (79/6%) have low level of job satisfaction. there was a statistical significant difference in nurse's job satisfaction based on their gender (t=2.8, p=0.005) and job experience (F=4.95, p=0.005). there was not a statistical significant difference in nurse's job satisfaction based on their age.

Mood disorders are one of the most traumatic psychiatric illness, low self-esteem to suffer even after discharge from the hospital. This study aimed to determine the effect of occupational therapy on self-esteem activities in housewives with mood disorders after discharge from the hospital.
In this randomized clinical trial, 70 housewives with mood disorders discharged from a Ibn-Sina psychiatric hospital in Mashhad in 94-95 years were studied in the two groups (n = 35) and control (n = 35). Occupational therapy intervention group (according to the model of psychosocial occupational therapy Cara), during 20 sessions twice a week for 120 minutes and the control group received no intervention. Self Esteem Questionnaire tool was completed immediately before the intervention and 2/5 months after discharge from the hospital. Data analysis was performed using SPSS version 11.5 and Fisher's exact test, and paired t-test.
In the pre-intervention between groups in mean scores of self-esteem (4/11 ± 2/97) and control (4/10 ± 9/95) there was no significant difference (17/0 = p). But the change in the mean scores of self-esteem before and after the intervention, the intervention group (2/11 ± 8/13) and control (6/9 ± 3/3) were significantly different (001/0> p).
Implementation of occupational activities can be combined to enhance self-esteem in patients with mood disorders.

Patients report painful and unpleasant experiences when removing chest tube. The purpose of this study was to investigate the use of cold compresses before removing the chest drainage tube on the comfort of patients after cardiac surgery.
This is a randomized clinical trial with 120 patients undergoing cardiac surgery in Farshchian Hospital in Hamadan. Patients were randomly divided into 3 intervention, placebo and control groups. Cold compression and placebo were placed around tubes for 20 minutes before removing the chest tubes. The patient's comfort level was measured using the visual analog scale (VAS) before, immediately after and 5 minutes after removal of the chest tube. Data analysis was done by SPSS software version 16 and Chi-square, ANOVA.
There was no significant difference between demographic data in the studied groups. However, the average comfort score before, immediately after and 5 minutes after removing chest tube was significantly different in the groups (P = .000). The mean systolic and diastolic pressure in the three groups did not differ significantly in all three stages. However, the mean heart rate immediately after removal of the tube, heart rate was significantly higher in the control group(p = 0.04).
The results showed that the use of cold compresses around the chest tube before to the removal of tubes in patients undergoing heart surgery increases the comfort of the patients.