مجله مراقبت پرستاری و مامایی ابن سینا
سال هفدهم شماره 1 (پیاپی 32، بهار و تابستان 1388)

Introduction & Human beings, depending on their inner needs and desires perform social activities. They try to fulfill those needs that are important to them in specific times. Therefore in an organization, pay attention to the personnel needs is very important and necessary. An organization trains and guides its employees in many different skills so that if their basic needs dont satisfy, their motivation will decrease and it causes depression and despondency. These results, have negative effects on their efficiency. The present survey is a descriptive study done in order to determine opinion of Hamadan educational hospitals operation room staffs about basic needs satisfaction. The subjects were all of operation room personnel in Hamadan educational hospital. The units of survey included eighty one operation room personnel selected Through convenient sampling. The instrument for gathering data was a questionnaire consists of two parts. The first part were included questions about phsychological and social needs. The results showed the psychological needs of most samples(76.5%) were satisfied Low, in 22.5% of samples were average, and in 1.3% were high. Regarding the personnel social needs satisfaction, findings showed 80.3 percent was low, 24.8 percent was average, and 4.9 percent was high. The results of this survey also showed that There was a significant relationship between number of children and duration of work in a week with the satisfaction of the personnel basic needs. The findings of present survey indicated that basic needs satisfaction of operation room staff were very low. But, managers of health care facilities can enhanced satisfaction of these needs with fulfils many appropriate services.

Introduction & The third stage of labor, which begins immediately after delivery of the fetus, involves the separation and expulsion of the placenta. The purpose of study was to determine some Factors on duration of third stage of labor. This was a descriptive and analytical study that was carried out in university-affiliated teaching hospital, Hamadan city, Iran. A total of 456 parturient women were recruited and immediately after delivery of fetus, duration of third stage of labor (separation and expulsion) was recorded. Data processing and statistical analysis were performed using EPI/ PC. The results revealed that duration of third stage of labor in majority of selected women (49.6%) was 5-7 minutes. A considerable percentage of selected women had 21-30 years old. Higher percentage of women (41.9%) had primary education. Nearly 58.3% of selected women did not use analgesic and episiotomy performed in majority of selected women (67.5%). Majority of women (84.6%) of selected women had normal anthropometrics profile. Regression analysis showed no significant relation between third stage of labor with mother's parity (P> 0.05). But there are significant relation between episiotomy, usage analgesic and newborn weight with third stage of labor (P= 0.00). Regression analysis presented that usage analgesic, birth weight and episiotomy had first, second and third ranks on duration of third stage of labor. Maternal age, gestational age and life style were followed. These parameters can be applied in prediction of duration of third stage of labor.

Introduction & Chronic diseases with its prolonged period and disabilities have significant effect on the patients’ quality of life at all ages. Asthma is one of these chronic diseases, With an inflammatory respiratory system accompanied with significant morbidity and, an important personal, social and economic impacts. This study aimed on assessment of quality of life in asthmatic patients of hospitalized at the educational hospitals of Karaj in Iran. A cross – sectional study was conducted with 400 Asthmatic patients which were clients of the educational Karaj`s hospitals during 2008-2009. Samples were randomly selected and a questionnaire was used for data collection. The questionnaire consisted of two section; demographic characteristics, and six aspects of quality of life in asthmatic patients (physical health, symptoms, daily activities, social, economic and emotional status). The results showed that the major of patients(58.3%) stated a desirable quality of life. The assessment of relationship between quality of life and variables such as age (p=0.00), gender from aspect of daily activities (p=0.019), married status (p=0.00), number of child (p = 0.00), educational level (p= 0.00), employed (p=0.008), duration of disease (p=0.033), hospitals admission (p=0.003), severity of symptoms (p=0.00), previous Addiction from aspect of emotional status(p=0.004).. The goal of treatment for chronic diseases are to diminish the burden on the patient and to prevent or slow down disease progression. It has been recommended to evaluate the treatment programs by periodically quality of life assessment in Asthmatic patients as a part of comprehensive care.

Introduction & The nosocomial infection is great medical problem and caused infectious disease, increased hospitalization time, pert of time, energy, and economical source and death. This research for evaluation microbial contamination level of different hospital instrument In medical training center of Hajar shahrekord. This is a descriptive cross sectional research carried out for a period of 3 years at Hajar educational hospital. Sample were selected judgmental sampling. For data collection based on the goals of research the 137 microbial culture from different hospital wards and equipments (medical and non medical) were done. The finding frame 137 cultures were showed that125 microbial culture was positive (91%) and 12 microbial cultures was negative (9%). The among microbial culture the highest bacterial contamination is related to bacillus bacteria (32.1%). The among different hospital wards highest bacterial contamination is related to heart, neonate, internal, intensive care unit 1 and 2 and dialysis is(96%) labor (95.5%)- neonate (90.5%) operation room (80%)-the among different hospital instrument highest microbial contamination for non medical instrument is related to phone device and patient document cover (100%) and handle refrigerator (90%) and for medical instrument is related to O2 manometer and personal hand is (100%). The findings of this research showed that microbial contamination of Hajar hospitals equipment (medical and non medical) is high. Their for indication of appropriate disinfectant agent for equipment and suitable hand washing before nursing procedures and randomized microbial culturing from hospital equipment and used from arteriogram test for reduce of microbial contamination-mortality- morbidity are suggested.

Introduction & Maternal-fetal attachment is a term used to describe the relationship between a pregnant woman and her fetus. Mothers that have high maternal-fetal attachment? display more confidence in their new role and show better postpartum adjustment. The present study was conducted to determine the effect of training attachment behaviors on maternal-fetal attachment. This interventional study was conducted on 83 pregnant women selected through purposive sampling from among the population of pregnant women admitted to health centers, and were divided randomly into case and control groups. Data collection instruments included interview checklist, maternal-fetal attachment scale. Participants in the experimental group received an intervention that included four sessions of 2 hours classes weekly, selected maternal-fetal interactive activities and recording them. But controls received only the routine pregnancy care. Scores of maternal-fetal attachment before and after intervention were compared across the two groups. Data were analyzed by spss 11. The results indicated that mean score of maternal-fetal attachment before intervention in case and control groups were 3.52±0.5 and 3.45±0.43, and there was not significant difference between them(p=0.78). After intervention these scores were 3.96±0.38 and 3.42±0.41, that there was significant difference between them(p<.001 The result indicated that simple interventions such as training maternal-fetal attachment behaviors can increase maternal-fetal attachment and increasing attachment can improve maternal-neonatal relationship and forms the basis for the child s future social, emotional and cognitive development Keywords: Education / Maternal Fetal Attachment Behavior / Primipara

Introduction & Menstrual disorders in early years after menarch are common among the adolescent girls. Menarch age, has been mentioned as a factor which effect on menstrual disorders. Therefore the aim of this study was to determine of menstrual disorders and these relationship with menarch age. Is a cross-sectional study which was undertaken on 1000 highschool girls selected randomly from 20 highschools in hamedan, Iran. The average age of menarch was 13.7yr.the menstrual disturbances were: hypermenorrhea (clot) 73.9%, intermenstrual bleeding(18.4%),hypermenorhea(long bleeding) 15.2%, polymenorrhea 9.1%, oligomenorrhea 5.9% andhypomenorrhea 1.7% prevalence of dysmenorrhea was 78%. There was significant correlation between menarch age and menstruation interval(and its regullarity),intermenstrual bleeding (IMB) and dysmenorrhea (p<0.05). Menometrorrhagia (in the form of long and heavy bleeding with irregullar intervals and IMB)was the most common manifestation of menstrual disorders. Thus the authers rcommended the evaluating of hormonal and gynecological causes of this disorders and preventing of heavy bleeding complications.generally,considration about adolescent;s nutrition exercises,public healths and psychotic situation can guaranty thir transition from childhood to adolescence period.

Introduction & Previous studies showed that anxiety disorders are common in fertility ages. This studies estimate about 15 percent of Iranian women experience anxiety during pregnancy. The anxiety during pregnancy can make important outcome such as decrease Apgar score and low birth weight (LBW). This study was done to survey the relationship between women's anxiety during pregnancy and Apgar score and birth weight of newborns. This study is a cross sectional and descriptive analytical design that was done to survey relationship between women's anxiety during pregnancy and Apgar score and birth weight of newborns. A convenience sampling procedure adapted to selecting subjects (n=150). Instruments for data collection were State and trait anxiety inventory and demographic variables form that competed by subjects immediately after stabilizations of their post partum conditions. The mean of state and trait anxiety scores respectively in women were 42.26 ± 13.33 and 38.70± 10.75.results of this study showed significant relationship between low birth weigh and woman’s trait anxiety (r= - 0/41, p= <.05) and also between infant Abgar scores in the times of 1 and 5 after birth and woman’s state anxiety score (r= - 0/33. – 0/31, p= <. 05). According to the results of this study can concluded that women's anxiety during pregnancy have negative effects on labors outcomes, therefore applying specific approach to reducing anxiety among pregnant women is necessary.

Introduction & One of the most usual methods for access to blood vessels are intravenous catheters, which can cause some complications, therefore prevention of them is one of the most important medical goals. This study was performed to determining the incidence of superficial phlebitis with shelf life of intravenous catheters in hospitalized patients at Mobasher Kashani hospital of Hamadan city. This study is a descriptive study which complete by participation of 67 patients in the neurosurgery ward of Mobasher Kashani's hospital. Check list and questionnaire were used to collection data; variables such as demographic data, medical diagnosis, solution infusion type, drug, and catheter type were assessed. After the placement of catheter, its site evaluate for signs of phlebitis include pain, tenderness, warmth, redness, swelling every 12 hours. Results showed that the highest incidence of phlebitis occurred 48 hours after catheter placement and there is no statistical correlation between the incidence of phlebitis and demographic profile. Based on the finding of this study it suggests that the intravenous catheter should be change during the first 48hours of insertion.