نشریه پرستاری ایران
پیاپی 103 (دی 1395)

Falling is one of the most common events that threats physical and psychological safety in patients, as well a factor that increases duration of hospitalization and treatment costs. The aim of the study was to investigate patient fallings kinds, characteristics and related factors to reduce risk factors in patients admitted to hospitals affiliated to Tehran University of Medical Sciences.
Material & In this descriptive study, 285 patients’ records were selected by cluster sampling method. Data were collected through a standard form including demographic and patient fall characteristics. Then data were analyzed by using SPSS software (v.16), chi-square test, and frequency tables.
Our results showed that the majority of fallen patients were male with a mean age of 60 years, also the most of cases had bed falling (58.6%) in night (4Am-7Pm). In 35.8% of falling cases, there were no witness and 75.8% of patients were not able to rise after falling. Scratches, head injury, soft tissue injuries and fractures were the reported complications of the patients falling.
Given the high rate of falling patients’ incidence, it is essential to offer effective management strategies to provide more safety situation for patients.

Psychological variables play an important role in job burnout of nurses. This research aimed to investigate the relationship of some variables such as perceived social support, social capital and quality of life with job burnout of nurses.
This is a descriptive analytical study of correlation type. The statistical population of this research was include all nurses in hospitals Affiliated to Urmia University of Medical Sciences, Urmia, Iran in 2015. For this research, 290 nurses (33 male and 257 female) were selected using cluster randomly sampling method. All of them completed the questionnaires of perceived social support, social capital, quality of life and job burnout. Data were analyzed by method of Pearson correlation and multivariate regression with enter model methods and with using the SPSS-19 software.
Perceived social support (r=-0/619), social capital (r=-0/462) and quality of life (r=-0/590) had a negative significant relationship with job burnout of nurses (P According to the findings of present research the variables of perceived social support, social capital and quality of life had a negative significant relationship with job burnout of nurses. Therefore it is recommended that authorities focus on these variables in design of programs for decrease the job burnout of nurses.

Most of women experience premenstrual syndrome in their reproductive age. This syndrome has a periodic occurrence with combination of physical, psychological and behavioral symptoms. The purpose of this study was to evaluate the effect of a selected intermittent training on symptoms of pre-menstrual syndrome in non-athletes girls.
Material & This quasi-experimental study with pre-test/post-test control group design conducted in 2014-15. Participants were 30 non-athlete girls (18-23 years old) with premenstrual syndrome from Ayatollah Boroujerdi University, Broujerd, Iran that randomly assigned to experimental (15) and control (15) groups. The experimental group performed selected intermittent training three sessions per week for six weeks. The participants were assessed before and after training period, using a premenstrual symptoms screening tool (Iranian version). All data were analyzed using Independent Samples T test and Paired Samples T test (p≤0.05).
Results showed that there were no significant differences between the groups before intervention, but after intervention, the severity of mood (p Intermittent training improves the severity of premenstrual syndrome in participants of present study.

The formation of self-perception during this period can have a significant effect on adolescents’ growth and development; as such, diabetes can be a serious hazard for adolescents’ self-perception. This study aimed to investigate the effect of group training and e-learning on self -perception among adolescents with diabetes.
Material & This clinical trial study conducted. The study sample consisted of 80 teenagers between 11-19 years old in the Iran Diabetes Association .Patients randomly allocated in two groups, including a control group (n=40) and experimental groups (n=40) . The training content was similar in both groups. In the control group, the educational contents were trained in three sessions of 4 hours by researcher and in the experimental group, they were trained by a CD. Then the score of their self-concept was measured using the 80-item Piers-Harris questionnaire, both before and after intervention. For data analysis, t-test, X2 and paired t-test were used with the SPSS software Ver.16.
Finding showed that adolescents with a mean age in the experimental group and the control group were 15.87 ± 2.62 15.85 ± 2.51, respectively. There were not significant differences regarding self-perception in two groups before the intervention. However, there was a significant difference between self-concept scores of the Piers-Harris test in two control and experience groups after the intervention (P=0.001).
According to the results of this study, the mean ± SD was more intended towards self-concept by e-learning CD. Using E-Learning, the self-concept of adolescents with diabetes can be increased and blood glucose levels reduce and diabetic complications will be reduced, too. It is recommended that this method be used to train and reinforce the self-perception of diabetes adolescents.

Depression is the fourth leading cause of community disability in the world and it has high prevalence among students. Since spirituality is positively associated to physical and mental health, this study aimed to determine the relationship of spiritual well-being and depression among nursing students in Qom and Kashan Universities of Medical Sciences.
This cross-sectional study was conducted on nursing students of Kashan and Qom Universities of Medical Sciences. Using a two-stage sampling method, 250 nursing students were randomly selected. Data were collected by Beck’s Depression questionnaire, and Paloutzian and Ellison’s spiritual well-being questionnaire. Data analysis was performed using SPSS 11.5. Descriptive statistics, Pearson correlation coefficient, independent samples t-test and ANOVA were used.
The mean total score on the spiritual well-being of students was 71.62 ± 9.09. The mean depression score of the students was 32.40 ± 9.93. Overall, 14.04% of the students had mild depression, 97.6% had a moderate spiritual well-being. Pearson correlation coefficient showed no significant association between the scores of spiritual well-being and depression (P No significant relationship was found between spiritual well-being and depression in nursing students. Most of the students had a moderate spiritual well-being. Educational authorities should pay more attention to the students’ spiritual well-being.

Despite the fact that pregnancy after In Vitro Fertilization is often the end of infertility treatment and investigations, some of pregnant women experience high level of anxiety and stress. The aim of this study is to determine the relationship of perceived social support and anxiety in women conceived via Assisted Reproduction Technologies (ARTs).
Material & In this cross sectional study, a total number of 100 pregnant women conceived Assistedthrough ARTs in three infertility centers in Tehran were included. Data collected through Beck Anxiety Inventory (BAI), and Multidimensional perceived social support Questionnaire and analyzed statistically using the SPSS version 14.
There was no significant relationship between anxiety and perceived social support.
According to the findings, "family" and "special person" were most frequent statements of perceived social support questionnaire. Therefore a strong support from these sources has positive effects on mental health of pregnant women conceived through ARTs.

End stage renal disease (ESRD) is one the chronic and threatening life disease. The disorders of the disease and its treatment reveal the need to help these patients in various dimension of health. As paying attention to spiritual dimension can have a great impact on health gain; this study was performed to examine the spiritual health in patients undergoing hemodialysis treatment.
Material & This descriptive analytical study was done in 96 patients selected by census sampling, from three hemodialysis centers of Isfahan University of medical science. Information collected through a questionnaire with two parts: demographics part & Palutzian and Ellison spiritual health questionnaire. The data analyzed by SPSS 16, ANOVA, independent t test, Spearman and Pearson correlation coefficient test.
The results indicated that 25 % of patients had high level, 74% had moderate level and 1% had low level spirituality. There was a significant correlation between the level of education (P =0.002) and marital status (P =0.033) with the level of mental health, but it had no significant relationship with the sex (P=0.28), age (P =00104), the number of children (P =0/465), history of other diseases (P =0.56) and hospitalizations (P =00407).
Findings showed that the level of Spiritual health was moderate in hemodialysis patients and Spirituality health was higher in married and educated patients. As a result for promotion of spirituality health, it is suggested to provide religious-based interventions in people with lower spiritual health.

Injection is one of the most common nursing procedures in nursing profession that requires compliance with specific standard of safety. The aim of this study is determination the effect of multi-media education program on knowledge and practice of nurses about injection safety.
Material & It was a quasi-experimental, one group (before and after) design. The census sample consisted of 50 nurses whom worked in Minoodasht, Hospital affiliated to Golestan University of Medical Sciences that had been. The tool for data gathering was knowledge questionnaire and observational practice checklist. The knowledge questionnaire completed by nurses before and six weeks after educational intervention and practice were observed using a checklist. The intervention was a two- week multimedia educational program. Data was analyzed by descriptive statistics and paired T test, using SPSS-PC (v.16).
The results showed that, the mean knowledge score, after intervention was significantly increased (P The results showed that multimedia educational program increased the knowledge and improved the practice of nurses about safe injection. As regards, the safe injection is one of the most important duties of nurses, so it is recommended that they use these strategies to enhance their clinical practice.