مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و چهارم شماره 4 (پیاپی 55، زمستان 1395)

Sleep disorders are the most important problems which hemodialysis patients faced with them. On the other hand, medication is the most common way to treat sleep disorders these days. Thus, an uncomplicated and effective intervention is particularly important in order to overcome sleep disorders in these patients. The aim of this study was to evaluate the effect of foot reflexology massage on sleep quality in hemodialysis patients.

This study is a randomized clinical trial that was conducted on 62 hemodialysis patients in Qazvin. Patients randomly divided into two groups of control and intervention. Before the intervention Pittsburgh Sleep Quality Index Questionnaire for all patients in both groups was completed. In intervention group, foot reflexology massage was implemented by the researcher assistants for 12 sessions (Three times a week for 4 weeks) and 30 minutes in each session (15 minutes each leg). After the intervention, sleep quality questionnaire was completed for patients again. Data were analyzed using SPSS version 24 and statistical tests including chi-square, independent t, repeated measures and general linear model. P

There was a significant increase in sleep quality for the intervention group. Foot Reflexology Massage in the intervention group showed good improvement over time (P=0.001). However, no significant difference was observed in sleep quality over time for the control group (P=0.096).

The results of the present study indicated that the use of foot reflexology massage improves sleep quality in hemodialysis patients. Therefore, it can be recommended as a useful and effective intervention for improvement of sleep quality in patients on .hemodialysis

Breast cancer is the most common cancer among women in the various aspects of individual health, psychological and quality of life and sexual function to endanger. The aim of this study was to evaluate sexual function and mental health of women with breast cancer.

This study was a cross - sectional study is cross-sectional. The sample size of 104 women with breast cancer referred to the MRI center of the city of Hamedan in 1394. To gather the data included demographic questionnaire, General Health Questionnaire (GHQ-28) and sexual function questionnaire (FSFI) was. Data analysis using SPSS software version 21, and descriptive statistics and Pearson correlation test was used.

The mean age of women, 50.02 ± 12.07 years. Given the cut-off point, 81.6 percent (n = 84) had mental health problems and 85.8 percent (89) were men with sexual dysfunction. Based on the average listed highest prevalence of pain during intercourse and sexual desire was the lowest. Based on Pearson correlation between all dimensions of sexual function and general health of the place and there was a significant relationship.

Regarding the relationship between sexual function and mental health, sexual function in these patients is necessary status and the type of changes are discussed and advice on how to problems with the patient and his wife, and emotions to be done.

Rural women due of the ongoing activities are exposed to sunlight and skin cancer. Protection motivation theory effectively preventive behaviors of skin cancer are predicted. This study aimed to protection motivation theory of skin cancer preventive behaviors in rural women was carried out.

In this cross-sectional study of 230 rural women from 4 villages Nahavand city with a population of over 1000, were determined randomly. Referring to health centers in selected villages, rural women were selected through simple random .Data to the protection motivation theory was based on a questionnaire, interviews with rural women collect and then use the linear regression (stepwise) and Pearson were analyzed.

Mean age participations were 30.55±7.50 years. In the regression model motivation (ß=0.21, p

According to constructs of the theory associated with the use of means of protection against the sun's rays, educational programs and health promotion using the theory to increase the motivation of rural women to use protective equipment, is emphasized.

Nurses’ Job satisfaction and burnout are two important components of health care organizations. Nurses are the majority of hospital personnel so these two important organizational variables have a direct relation to quality of nursing services and community health and also have crucial role in organizational goal achievement.

This is an analytic-descriptive study which was done in 2015 on 299 nurses who worked in Hamadan educational and treatment centers. They were selected based on stratified proportional random sampling. Data were collected by Minnesota job satisfaction and Maslach's burnout questionnaires. Using descriptive statistics and inferential statistics (Pearson Correlation Coefficient and Stepwise Multiple Regression) data were analyzed by SPSS 16 software.

Findings showed that nurses regarding their job satisfaction were moderately satisfied and had low level of burnout. There was a significant and negative correlation between nurse's job satisfaction and emotional exhaustion (r=-.664, p).

job satisfaction dimensions were significant predictors of nurse's burnout. So, paying more attention to factors that increase job satisfaction by health system policy-makers can decrease nurse's burnout.

Since the outset of nursing care, group work processes have evolved into essential components of a nurse's role and responsibilities within the health care system.The aim of this study was to analyze the factors facilitating teamwork among nurses working in teaching hospitals, affiliated to University of Medical Sciences Ahvaz have taken place.

This descriptive study was conducted in 1394 applied. The population of all levels of school nurses undergraduate and graduate university medical centers that Simple random sampling using Cochran formula, 294 persons were studied. Instruments in this research made questionnaire whose validity and reliability were verified. In order to analyze the data, descriptive statistics, inferential and exploratory factor analysis were used in statistical software SPSS21.

The factors facilitating teamwork among nurses working in teaching hospitals, treatment consists of seven components that were 64.75 of the variance. The role of organizational support (13%), team working skills (13%), flexible structure (10%), participative leadership (9%), group ethics requirements (7%), affecting teamwork (7%), and control lever (5%), facilitating teamwork among nurses.

Facilitate teamwork as one of the fundamental problems in organizations related to the health field is transformed and investment in this area will result in useful and beneficial for organizations.

Marital satisfaction may reduce during pregnancy due to the outbreak of some sexual problems. Sexual consultation with pregnant women may decrease the side effects of pregnancy. The present study is designed to investigate the effect of sexual consultation on marital satisfaction of pregnant women.
Analysis

The present study, is a randomized clinical trial along with a control group, the participants were 80 pregnant women who went to medical centers of Malayer City. Forty women were in consultation group for four 45-90 minutes session and forty women were in control group .Sampling was done randomly. The questionnaires included demographic questionnaire and marital satisfaction questionnaire (ENRICH) which had 47 questions. The statistical analysis of the data was done by using the SPSS 22 software.

The mean of marital satisfaction scores in the experimental group revealed significant differences between the week before and the two and four weeks after the consultation (P

By providing sexual consultation for partners, we can prepare them to deal and cope with pregnancy changes, and in this way prevent tension and argument during this period.

Today spiritual care is one aspect of holistic care. The role of nurses in providing services to patients is important. Attention to the variables involved in this type of care can be a basis for many training programs, especially in health care and treatment. The researchers decided to investigate the relationship between spiritual intelligence and happiness of nursing students that they are health providers service in country's future.

This cross-sectional study with quota sampling was conducted in the School of Nursing and Midwifery, Qazvin. 107 nursing students in different academic semesters complete Oxford Happiness Questionnaire and spiritual intelligence. Data analysis did by using spss, 16, and descriptive and inferential statistics were used.

The average age of nursing students was 21.61 ± 5.25. The majority of participants (63.6%) were female. Total score of spiritual intelligence and happiness with mean and standard deviation 145.29±16.44 and 39.32±16.44 respectively. It was not Significant differences between any of the socio demographic variables, except age and Happiness (P =0.031, R=0.209). Significant differences observed between spiritual intelligence & happiness (P = 0.000, R=0.427).

It seems that promote happiness and spiritual intelligence in nursing students can improve their knowledge and ultimately improve the quality of care with an emphasis on pastoral care patients.

Introduction and goal: Sexual problems are highly prevalent among women, which affects the different aspects of women's lives. Consultation in the early stages can solve many of their problems, and in case of detection of female sexual disorder to be treated by specialists. This study aimed to investigate the effect of counseling on sexual function has been done.

This semi-experimental case-control study, which focuses on women referred to health centers in Hamadan, was at a distance of at least 4 weeks after giving birth . Patients were divided randomly into two groups. The intervention group received four sessions. To gather the data, FSFI (Female Sexual Function Index) was used. The questionnaire was in two stages provide clients. Score of sexual function were measured before and after the intervention. The results were analyzed by chi-square and Mann-Whitney.

The mean score of sexual function prior consultation in the intervention group 44.10 and After consultation was 17/54. And 28.53 in the control group and after consultations was 34.27. The test results show, The two groups did not exist before the intervention, after intervention in case there was a significant difference between the two groups.

The results can be acknowledged that the advice to postpartum women can improve their sexual performance is.

Considering the neonatal mortality rate is a marker of health in community, thus this study was performed to assess the rate and main causes of neonatal death in Hamadan province.

In this cross-sectional study, 333 died infants in the Hamadan province were studied. Data has been collected by the registration of infants' deaths software of Hamadan University of medical sciences and the data of death of babies at home has been collected from their records. The data was analyzed by SPSS-16 software using Chi-Square and Fisher's exact tests.

Of the 32113 live births in the Hamadan province in 2012, 333 cases of neonatal deaths were occurred. The most frequent causes of neonatal death were respiratory distress syndrome %55.5, sepsis %10.2, Asphyxia %8.7, congenital anomalies %6.6 and DIC %5.7 and the lest frequent causes were hypoglycemia %0.3 and convalesce %0.9. The relationship between birth weight (p=0.002), gestational age (p=0.001), infant age (p<0.001), maternal age at delivery (p<0.001) and congenital abnormality (p<0.001) with the cause of death were found. But the relationship between mode of delivery, infant sex, history of drug use by mother, mother medical history, number of pregnancies with the cause of death were not found (p>0.05).

According to the findings, main causes of infant death rate were respiratory distress syndrome, Sepsis, Asphyxia and congenital anomalies. So for prevention of infant death, care plan for prevention and treatment of these problems should be performed.

The purpose of education is developing an appropriate level of knowledge and skills of nursing students.Educational problems are the major barrier for appearance of potential abilities and capacities of students. The purpose of this study was to determine the barriers of the clinical education from the nursing students’ view.

This analytical-sectional study was done in the year 2015 on 100 nursing students in the 4th to 8th term , Hamadan Faculty of Nursing and Midwifery. Samples were selected available. Necessary information collected by 4 researcher-made questionnaire with 32 same questions (in five field of objectives and program, mentor work, contact with students, instructional environment, supervision and evaluation) that was designed for 4 novitiates. Students allocated numbers one to four to each question with the use of four degrees Likert scale. In every novitiate based on each field whatever was higher score indicate barriers clinical education in the novitiate was low. Therefore, in the each field average score barriers of the clinical education were compared between novitiate different groups . Data analysis was performed with SPSS16.

Although in every novitiate reported some of the clinical education barriers but in the each field average score barriers of the clinical education were similar between novitiate different groups (p>0.05).

Some of the clinical education barriers was observed in five field. Therefore coaches, professors, clinical staff and those responsible for educational planning should pay special attention to these barriers.