فصلنامه سلامت و مراقبت
سال شانزدهم شماره 3 (پاییز و زمستان 1393)

The thesis is an original research on important matter، which leads to the development of nursing science. With regard to this point that، the evaluation of any program in stage of implementation is essential to promote and find their strengths and weaknesses as well as performing it، the aim of this study was to review the PhD thesis and compare it to the Britain thesis. This descriptive-comparative method is called George Brady. By this method، current status of doctoral dissertations in all medical universities in Iran were investigated، following the same position in the UK top 10 in 2013 were conducted، then، The similarities and differences in the context of these programs was compared، and finally according to this for improving a PhD dissertation in Iran، the recommendations presented. In Medical Sciences Universities in both countries، there were mandatory units such as qualitative and quantitative research methods to pass before obtaining a thesis، determine the time for the process، get document shall be subject to written and oral presentations، and publication of the thesis. PhD dissertation in University of Medical Sciences in Iran، mostly in the form of qualitative research and few researches are mixed، whereas، in most British Medical Sciences Universities، this project is a quantitative research that is relevant to clinical work. In this study، it was found that a doctoral dissertation in the field of nursing in the UK often performed in clinical issues and in Iran qualitative research was often performed. If nursing doctoral dissertation in the operational research goes ahead، it could solve the problems of the nursing community and promote the discipline of nursing and could help to solve the problems of the Iranian nursing community and improve and promote the discipline of nursing.

Tubal ligation is recommendable for women completed their family. The existence of the menstrual disorders following this procedure has been the subject of debate for decades. The aim of this study was to compare menstrual cycle pattern and quality of life in women who have undergone tubal ligation and women without tubal ligation. A retrospective study was carried out on 150 subjects with tubal ligation and on 150 subjects using condom as contraceptive method. Simple random sampling was used to collect data from health care centers in Rudsar, Iran during 2012-2013. Data collection tool was a questionnaire including questions regarding demographic, menstrual and obstetrical characteristics. The participants were also asked to fill out the Short Form Health Survey (SF-12). The analysis was performed using SPSS v.16. Statistical analysis was carried out using Chi-square and t-test. Women with TL (29 (19.3%)) had more menstrual irregularity than those without TL (14 women (9.3%)) (p=0.02). Women with tubal ligation had more duration of bleeding menstrual than those without the tubal ligation (p=0.03). Also there was a significant difference in menstrual cycle length between women with and without tubal ligation (p=0.01). Similarly, in the analysis of SF-12 scores, two groups were different in all domains of quality of life (p<0.0001). We found significant differences in menstrual characteristics and quality of life between women with and without tubal ligation. Therefore, the consultation on these methods should be performed by health care providers.

increasing trend of Childhood obesity is worrying in recent years and decreases the ir quality of life now and in the future. Therefore, the present study aimed to investigate the impact of health promotion programs with collaborative approach on the quality of life of overweight school children. This quasi-experimental study was conducted in 2013, in which 80 overweight students at elementary school in Firozabad, selected by non- randomized method and divided into case group and control group. The data gathering tool was consisted of demographic information questionnaire of child and their parents, the general quality of life questionnaire (ped SQl version 4) in two forms (Child & Parent). Then in case groups, health promotion programs with 3 stages assessment, support ive and planning childhood overweight trend is increasing worryingly and evaluation was administered for 3 months. It's a one-hour sessions over a period of 3 to 6 weeks was held. (2 sessions per week for children, parents, schools members). Quality of life for children in both groups before and 3 months after intervention were examined and analyzed by using the SPSS software version 16 through (Independent and paired T-test). There were no significant difference before the intervention between the two cases and control groups in terms of demographic characteristics and quality of life in children, (p>0. 05). While after intervention "independent T test" showed a significant different between the two groups in means of quality of life before and after intervention (p<0.05) also paired T-test showed significant different in case group after intervention (p<0. 05). It can be concluded that, implementation of health promotion programs with collaboration of children, parents and teachers, could improve the quality of life of children. Therefore, it is proposed that, with implementation of health programs, we can prevent the growing trend of overweight, obesity and low quality of life in children and adolescents.

Despite the long history of neonatal resuscitation program, there are still major concerns about poor neonatal resuscitation performance (NRP) in hospitals. Since addressing the barriers to successful NRP may help preventing the potential risks to future neonates, the present study aimed to identify such barriers from the perspective of nurses and physicians. In a descriptive-analytic study in 2013, 119 nurses and 85 physicians, employed at five teaching hospitals affiliated to Shahid Beheshti and Iran University of Medical Sciences were selected based on criteria for the study. Data were collected through a researcher-made questionnaire. All data were analyzed by SPSS v.16, descriptive (frequency, mean, and standard deviation) and inferential statistics (Fisher exact test, T test and chi-square). From total samples, 95 nurses (80%) and 75 physicians (88%) had an experience of doing resuscitation. The most important barriers to successful NRP from nurses and physicians point of view were: stress and tension in resuscitation (88.6%), failure to select team members based on work experience and skills in resuscitation (88.2%), and organize them to perform the steps of resuscitation (84.9%), abnormalities and serious respiratory problems (84.9%), low gestational age of newborn (81.5%), lack of safety (80.7%) and sufficiency of equipments (79%), high workload (79.8%), lack of training courses (78.2%) and inadequate skills (79.8%). According to the perspectives about NRP, greater attention of hospital officials would be necessary to form a team of competent and coherent NR and personnel training who involved in NR by emphasizing and clarifying these barriers.

Spirituality is the most important dimension of existence in more than a third of the people and it has been at the center of their life as a strong force so, may have an influence on a person's quality of life. Religious and spiritual well-being is comprised of two dimensions that existential dimension is trying to understand the meaning and purpose of life. Aim of this study was to investigation the relationship between spiritual existential dimension of well-being and quality of life in women with infertility referred to Isfahan Infertility Centers. This cross-sectional study was conducted in 2013, 190, 20 to 45 years old infertile women who were referred to Isfahan Infertility Centers were selected through convenience sampling. To assess the existential dimension of spiritual well-being and quality of life, the Spiritual Health Questionnaire (SWBS) and Quality of Life Questionnaire summarized by the World Health Organization were used. Date was analyzed using spss v.18 and descriptive and analytical tests. The results of this study showed that, the mean of quality of life score was 87.9 ± 12.4, the physical dimension of quality of life was 27.2 ± 4.5, the psychological dimension was 20.9 ± 3.5, and existential dimension of spiritual well- being was 44.8 ± 8.9, and total spiritual health was 97.7 ± 14.8. There was a direct relationship between existential dimension of spiritual well- being and the total score (r =0.613, p<0.001), physical (r=0.386, p<0.001) and mental (r =0.66, p<0.001) quality life. As infertility is a multi-faceted problem and can cause several damage s to women and influence the quality of life; we can improve quality of life in infertile women with promotion of spiritual well- being.

Family is the most important social unit. Marital satisfaction among the couples plays a very important role in formation and continuity of family. Several factors have influence on the marital satisfaction and intimacy in couples. The aim of this study was to investigate the effect of employment status of women on their husbands’ marital satisfaction in the city of Kermanshah, 2014. A cross-sectional design was used to conduct the study. Sampling was performed in two stages. At first stage cluster sampling and at the second stage simple random sampling was used to select 250 male teachers from the high schools in three educational districts in Kermanshah city. A questionnaire contains of demographic information and Enrich inventory was used to collect the data. Data were analyzed by using descriptive statistics, Chi square test, t-test and correlation coefficients in SPSS v.18. P-values less than 0.05 were considered as statistically significant. There was a significant difference in marital satisfaction of men with employed wives and marital satisfaction of men who are living with unemployed wives (p = 0.00). Also, results showed a significant correlation between marital satisfaction and the level of education in men with employed women (p=0.008). In contrast, there was no significant correlation between educational level and marital satisfaction in men with unemployed spouses. Findings showed that in men with employed wives, unlike men who had unemployed wives, there was significant correlation between age at marriage time (p=0.003) and age difference between the couples (p=0.007) with marital satisfaction. Also, in the men who had employed wives, there was a significant relationship between their work experience and the level of marital satisfaction (p=0.002). According to the findings, there was a significant relationship between marital satisfaction and its various aspects among men with employed wives. However, this study supports that the men who are living with their employed wives have greater marital satisfaction rather than the men who are living with their unemployed housekeeper wives.

The theory of emotional intelligence provides new perspective on how to predict the influential factors on success as well as the early prevention of mental disorders. Based on the evidences, the people with special emotional skills are unique in various areas of life. Considering the important role of emotional intelligence (EI) in emotional and mental health disorders, this study was conducted to evaluate the relationship between emotional intelligence and mental health. A correlation design was used to conduct the study. Using stratified random sampling method, 420 male and female employees of petrochemical center in Bandar-e-Imam Khomeini, Khuzestan, Iran were selected to participate in the study. Data were collected by the researcher using questionnaires including demographic form, the Goldenberg’s mental health inventory and the Emotional Intelligence Bar-on scale. The data were analyzed by descriptive and analytical statistics in SPSS-16. Statistical tests were considered significant at p-value less than 0.05. The Results of the study indicated the mean score of emotional intelligence (EI) and the mean score of mental health of petroleum employees were 198.75±29.22 and 20.34±10.88, respectively. In addition, there was a significant relationship between emotional intelligence and mental health (r= 0.66, p<0.001). Based on the results there was a significant and direct relationship between mental health and emotional intelligence. However, because petroleum employees work in a stressful condition, it is recommended for them to involve in physical and recreational activities as well as in related educational courses to cope with stress and consequently to improve their mental health status.

Students are one of the vulnerable parts of the community. They mostly will be future managers or planners. Given the importance of nursing student's mental health, this study was planned to determine the mental health status and its relations with demographic factors among nursing students in Ahvaz. In this descriptive study, a consensus sampling method was used to choose 149 students of the school of Nursing and Midwifery during 2013-2014. Data were gathered by a demographic form and the Goldberg’s General Health Questionnaire (GHQ-28), and was analyzed using descriptive statistics, ANOVA and t-test in SPSS v.19. Statistical tests were considered significant at p-value less than. 05. Based on the GHQ scores, 59.7% of students were healthy, 34.2% were susceptible and the rest of them, 6.1% fell under the poor mental health. There were significant association between gender, interest in the field of study, accommodation status and parent's level of education with mental health (p<0.05). According to the results, the large numbers of nursing students are susceptible to mental health problems. Therefore, careful planning is essential in order to identify the factors affecting mental health and consequently improvement of mental health in nursing students.