نشریه مراقبت امروز
پیاپی 22-23 (بهار و تابستان 1390)

Physical inactivity is one of the major causes of illness and about 2 million deaths in the world each year. This study was carried out to determine the effect of educational intervention through the theory of planned behavior on the physical activities of reproductive women. Study was designed as a randomized control trial. The study was carried out on 174 women (15-45 years old) who refered to No 3 Ahvaz health center were divided‚ randomly, into two equal intervention and control groups. The data were collected before and after intervention through the International Physical Activity Questionnaire, short form, and the questionnaire structure theory of planned behavior. The educational intervention was used on the intervention group‚ for 4 weeks and control group did not receive the intervention. Then questionnaires were completed by participants after 4 and 12 weeks. Data were analyzed using Chi-square, Independent t-test and general linear model repeated measures tests. After educational intervention the mean score of attitude, subjective norms, perceived behavioral control, intention (P=0.015) and Physical activity (P=0.0001) in the intervention group significantly increased in comparison to the control group at 4 and 12 weeks later. Educational intervention through the theory of planned behavior has an acceptable influence on promotion of physical activity.

This study investigates the relationship between, parenting and cognitive styles (Independence - field dependence) with creativity. This is a correlative Study. The Samples who selected randomly, were 219 students in Khaje Nasir Toosi University of Technology (120 female, 99 male). For data collection the Parenting style questionare, Creativity test exam forms, and Latent forms of the test group were applied. To investigate the relationship of these variables stepwise regression method and to compare the research variables relating to boys and girls MANOVA and t-tests were used. Rational authority parenting style variables and cognitive style with creativity were in P<0.01 significant. These two factors predict 15.6 of the total variance related to creativity. Sex, Permissive, and authoritarian parenting variables could not predict creativity and therefore were deleted them from the regression model. Also the overall index of creativity and components of the flexibility, cognitive style and fluidity of girls and boys had not differed significantly. Boys were better than girls in component inventiveness (P=0.012). Parents were more relaxed and permissive to boys with their parenting style (P=0.044). Parents should create a welcoming atmosphere and endeavor to promote children's creativity. Parenting style is a important factor in a Childs creativity.

Job satisfaction is a factor that increases productivity, organizational commitment, physical and mental health guarantees, increase morale and ultimately makes people satisfied with life. This study was done to determine employees job satisfaction rate in Kurdistan University of Medical Sciences and its related factors in 1390. In this descriptive - analytical study 591 employees of Kurdistan University of Medical Sciences participate by randomized Systematic sampling. Data collection was done using the staff Job satisfaction questionnaire whis is an Likret scale. Descriptive statistics, on sample T and chi square were used data analysis. Prevalence of low satisfaction (11%), moderate satisfaction (74.1%) and high satisfaction (16.9%). There was a significant relation between employee job satisfaction whit in which center they are working (p=0.01). There was a significant relation between age and employee satisfaction (p=0.003). The job satisfaction of Universitys staff was in an acceptable limit.

Pain management is an important children right and a priority in treatment. Nurses have a key role in the treatment of a child's pain, especially in the case of non-pharmacological treatment. In this regard, it is vital that Nurses have the necessary skills, information and knowledge to undertake this important role. The aim of this study is to determine the Knowledge and clinical practice of nurses in relation to proper non-pharmacological pain management. This study is a descriptive design that was conducted in pediatric hospital in Tabriz, 2010. All of nurses in the medical-surgical wards (n=50) were asked to take part in the study. We collected information by using researcher made Questionnaire that the first part contained a demographic of nurses, the second part contained 18 questions of Nurse's knowledge for using non-pharmacological methods and the third part contained. (18 questions) of nurse's practices. The Questions were ranked on a 3-point Likert-type. The data were statistically analyzed utilizing descriptive statistics and Pearson correlation test. The result of the study showed that all of the nurses were female. The majority of the nurses (60%) were married. Mean ±SD of age was 32.06±6.57. 88% of them held a BSc degree in nursing. Mean ±SD of experience in pediatric department was 8.12±6.73. In the area of nurse's Knowledge and practice for proper non-pharmacological pain management, 15.6% and 22.2% of nurses had optimal scores respectively. Proper non-pharmacological pain management depends nurse's knowledge and practice. So there is a clear need for further education. Also nurses should be encouraged to use non-pharmacological methods.

Fever unknown origin a localized source in history or examination hearse lab tests are useful as a final diagnosis. Fever unknown origin almost always caused because of transient bacteremia; so there is no need for any special treatment. The goal of this study was to determine the management way to of the cases of fever unknown origin in children. In this study 95 children; age between 3-36 month, who were primarily diagnosis with fever, but no local source for their fever was determined were examined. These children were admitted to Shahid Madany Hospital in Khoramabad, they were analyzed via a questionnaire and the analysis of their medical records, this study was carried out over a 5 year period. The prescription of third generation cephalosporin was 95.8% in group lower than 12 months age group and 38.5% in the age group of 24-36 months. Only in 60% of referred children daily physical examination was done. 100% of the children who did not have received proper medication upon dismissal from the hospital, moreover, 87.3% of the children who had fair condition and did not need any medication also received medication upon discharge from the hospital. 23.9 children who′s body temperature was lower than 39Ċ and had negative blood culture prescription of antibiotic was continued. for 42.9% of Febrile children who were in a bad condition and had a body temperature above 39Ċ Lumbar puncture was not carried out. The management way of unknown origin Fever increases probability of antibiotic resistance, and cost Also it impelled the diagnosis and treatment of meningitis. So it need to be revised the management of unknown origin fever.

this study was performedin line with customer orientationto measure student's satisfaction from the education unit performance of some schools of Lorestan University Education. IN this cross-sectional study, 310 students of Lorestan University of Medical Sciences were selected byrandom multistage stratified sampling. Data collected by the researcher with use of questionnaire with 27 closedquestions in four areas of education performance, teachingquality, Administrative and Supervision. Facial and contextual validity of the questionnaire verified by faculty masters andexpertsand their reliability confirms by preliminary Study and Cronbach's alpha coefficient of 0.895. Satisfaction with less than 33.3% was considered as low satisfaction, 33.3-66.7% as medium satisfaction and more than 66.7%as high satisfaction. Results were analyzed using mean, standard deviation, variation range test and repeated measures analysis. Thehighest satisfaction was dedicated to administrative domain (p=0.001).In the area of education performance, Registration and taking courses within the stipulated time (68.8±25.3), in the area of teaching quality having ordered appearance (66.9 ± 27.1),In the administrativearea maintainingstudents’ educational records by the administrative staff (65.1 ± 26.1) and in supervision and guiding area, supervision of education unitin on-time courses (63 ± 27.2) had the highest level of satisfaction. Satisfaction in the area of educationin the point of gender (p=0.04) and in all areasin term of level ofeducation (p=0.001) andschool of education (p=0.001) had a meaningful difference. Students have the averagelevel of satisfaction to education unit performance of schoolsthat was involved in this study.Therefore, it is recommended senior managers of universities can help to improve the quality of educational services by utilizing more monitoring and evaluating, honoring customers, encourage qualified personnel, holding briefing sessions for students in university admission andholding training classes for staff, providing equipment, facilities and training.

High levels of anxiety can affect student's clinical performance, presenting a clear threat to success in a clinical rotation. However, humor can act as a buffer against stress and anxiety. The purpose of this study is to determine the effects of humor training on Anxiety status in nursing students of Islamic Azad university of Estahban. This is an experimental study in which 190 nursing students of Islamic Azad University of Estahban were sampled randomly and then assigned to intervention and control groups. Humor training class hold up for experimental group in 4 sessions of 3 hours. The subjects completed three questionnaires before starting and after finishing interference, on question had 24 questions about humor (Mc.Ghee), and another consisted Anxiety scale of General Health Questionnaire (Goldberg and Hiller) and demographic data form. The obtained were analyzed data using descriptive statistics such as frequency and distribution tables and analytical such as T-test and paired T-test. In pretest mean humor score of the experimental group was 125.3±24.71 and in control group 120±19.43. Results showed there was no significant differences between the control and experimental group (p=0.13). Mean Anxiety score of the Experimental group was 13.07±3.81 and control group 10.21±3.49.Which was non significant (p=0.32) In post test mean humor score in experimental group was 144.6±11.50 and in control group 119.91±19.57. The mean Anxiety score was in Experimental group 9.60±2.8 and control group 14.04±3.7. The Mean humor and anxiety scale scores with result (p=0.01) after the intervention had a significant difference to the pre-test scores. Humor teaching method can reduce nursing student's anxiety. So teachers can use it meaningful in order to create a positive atmosphere for clinical and educational, purposes and they can use humor in a creative approach in the classroom to create a safe learning environment.