فصلنامه سلامت و مراقبت
سال بیستم شماره 1 (بهار 1397)

Managers are seeking job satisfaction in their organization since it providesa background of efficiency enhancement. Thus, the goal of the present research was to determine the role of organizational justice in job satisfaction mediating burnout among nurses.
A descriptive correlationalinvestigation was conducted on nurses of Vali-asr hospital of Birjand (165 persons) who were employed in 2016. The samples were chosen by randomized sampling. Minnesota job satisfaction questionnaire (1992), Niehoff and Mormon organizational justice questionnaire (1993), and Maslach and Jackson job burnout questionnaire (1993) were used formeasuring studying variables. Data were analyzed by using the SPSS software and multiple regression coefficients and Pearson correlation coefficient.
Results showed that job burnout (2.34±0.41), organizational justice (2.14±0.79), and job satisfaction (2.73±0.53) of nurses were lower than average level. The organizational justice was responsible for 25% percent of job satisfaction and 32% of the of job burnout. Also, 27% of job satisfaction’s nurses were related to their job burnout.
Organizational justice causes job satisfaction improvement and job burnout reduction in nurses. So, improving the justice in therapeutic organizations can reduce job burnout and increase job efficiency in nurses.

Inappropriate collaboration between nurse-physician effects on patient outcomes, job satisfaction of nurses, and hospital costs. This study aimed to determine nurses and physicians attitude toward nurse-physician collaboration in intensive care units of Ardabil.
This descriptive correlational study was performed on 126 nurses and 61 physicians working in intensive care units of educational and therapeutic centers of Ardabil University of Medical Sciences. Data were collected using the Jefferson scale of attitudes toward the nurse-physician collaboration. Descriptive statistics (mean, standard deviation and frequency) and inferential statistics (T-test and one-way ANOVA) were used to analyze the data.
The mean scores of the nurse-physician collaboration from nurses and physicians viewpoints were 47.83±3.9 and 47.85±4.25, respectively. There was no significant difference between attitudes of nurses and physicians toward collaboration (p=0.97). Comparing the scores of nurses-physicians in the four areas showed asignificant difference in “care vs. treatment” (p=0.025) and “nurses autonomy” (p=0.008) areas.
The results showed that nurses and physicians had a positive attitude toward nurse-physician collaboration. However, in some areas of collaboration, there are still differences in the attitudes of nurses and physicians. Given the importance of nurse-physician collaboration, especially in intensive care units, planning is needed to improve their attitude toward collaboration.

Visfatin is a newly characterized adipocytokine with an insulin-like effect which may play a role in decreasing diabetes. Visfatin level can be influenced by exercises like Pilates. The aims of this study were to assess the changes in plasma level of Visfatin and insulin resistance index in obese women with type 2 diabetes after eight weeks of Pilates exercise.
This semi-experimental study was done in the year 2015. 20 obese women with type 2 diabetes (age 52.15±2.60 yr, body mass index 33.85±2.46 kg/m2) were randomly divided into experimental (10 individuals) and control (10 individuals) groups. Experimental group performed Pilate’s exercises for 8 weeks and 3 times per week, each session lasting 60 min, while the control group did not do any regular exercise. Body composition, Glucose, insulin, insulin resistance index, Visfatin, and VO2max were measured in two groups before and after eight weeks. Paired andindependent t-test were used for inter-group and intra-group comparisons (significance level p 8 weeks of Pilates exercises significantly reduced weight (p=0.001), fat percentage (p=0.021), glucose (p=0.004), insulin (p=0.002), insulin resistance (p=0.000), Visfatin (p=0.025) while VO2max was increased (p=0.036) in obese women with type 2 diabetes comparing to the control group.
Pilates training decreases plasma Visfatin and insulin resistance in obese women with type 2 diabetes; therefore these exercises can decrease blood sugar and complications of diabetes.

Pregnancy accompanies with physiological and psychological alternations during women''s life. These changes influence the overall dimensions of couple’s life, especially marital and sexual relationships. The aim of this study was to study the sexual function and behavior in pregnant women.
This descriptive-analytical study was conducted among 100 pregnant women. Samples were divided into three groups based on pregnancy trimester. The behavior and sexual function of the cases were studied in each group. Data were collected using an instrument containing three parts as demographic characteristics; sexual behavior assessment and Female Sexual Function Index (FSFI).Data were analyzed by and Pierson correlation using SPSS-18 software. Differences were considered to be significant at p The results showed that women had intermediate sexual dysfunctions in the first trimester (about 40%) and the secondtrimester (about 27.3%) while mild sexual dysfunction became dominant in the third trimester (about 35.2%).The sexual behaviors were 10 percent via oral, 10 percent via anal and 10 percent by mandatory in pregnant women.
Considering the importance of health issues in pregnant women, it is necessary to give consultation in hygienic clinic centers about the sexualbehavior of partners.

In recent years, the ominous phenomenon of the emotional divorce has shaken the foundation of families and consequently the moral and social foundations of the whole society. This phenomenon diverted the society into various problems. The purpose of this study was to determine the relationship between identity styles and spiritual intelligence with emotional divorce in married students of the Islamic Azad University of Gonabad.
This study was conducted using the descriptive and correlational design. The statistical population of this study was all married students studying at the Islamic Azad University of Gonabad. The sample size was 313 people (160 males and 153 females) who were selected by available sampling method. The data were collected using questionnaire of Berzonsky Identity Styles Questionnaire, King's Spiritual Intelligence Scale, and Gottman Emotional Divorce Questionnaire. Data analysis was performed using Pearson correlation coefficient and regression analysis.
Findings indicated that the information identity style (r=-0.264), normative (r=-0.154), confusion- avoidance (r=0.138), commitment (r=-0.181), and spiritual intelligence (r=-0.181) were correlated with emotional divorce. In addition, regression analysis results were significant for predicting emotional divorce based on identity styles and spiritual intelligence.
It can be concluded that style of identity and spiritual intelligence are effective factors in emotional divorce. Therefore, studying the type of identity style and spiritual intelligence of couples can provide useful information to family counselors and psychologists.

Affective and Emotional Composite Temperament (AFECT) model Poses a combination of affective and emotional temperament structures with clinical applications, psychological- biological and treatment of mental disorders. The aim of current study was to investigate the role of the AFECT model in predicting the symptoms of social anxiety disorder (SAD) in students.
In a descriptive correlational investigation, all students studying in the academic year 2013-2014 at Azarbaijan Shahid Madani University were included in statistical population, of which 400 were selected using stratified cluster sampling method. Selected students were assessed using scale combined with emotional temperament and the Fear Savory Scale-I­I­I questionnaire. Data were analyzed using Pearson correlation coefficient and multiple regression analysis by Spss-16 and Lisrel-8.5.
The results showed that dimensions of emotional coping, volition, sensitivity and fear (p Considering that some dimensions of affective and emotional composite Temperament (AFECT) model can predict the symptoms of social anxiety disorder indicating that this model can be used in clinical interventions.

Cervical cancer is the second most common cancer after breast cancer in women, despite being preventable, a large number of women lose their lives as a result of this disease every year. This study aimed to determine the effect of the educational intervention based on Health Belief Model on performing Pap smear in 20-65 years old women in Yazd.
This study was a quasi-experimental in 2014. The study population included women who referred to health centers in Yazd, among them, 87 women were selected using randomized cluster sampling and divided into case and control groups. Data collection tool was the questionnaire. Two training sessions were performed by means of lectures and group discussions on overviews of cancer, cervical cancer; the serious consequences of the disease, and Pop Smear; its procedures and benefits. Both groups were evaluated before and two months after intervention. Data were analyzed using SPSS software version 20 and statistical independent t-test and pairwise t-test.
The results showed that before the intervention, there was no significant difference between the mean score of the model constructs in control and experimental groups. After intervention, the mean scores of perceived susceptibility (p The results of the study showed the efficiency of the health belief model on performing Pap smear test in women in Yazd. Based on this model, designing and implementing educational interventions improve the Pap smear performance in women.

In spite of existing documentations and contemporary theories emphasizing on both science and art aspects of nursing, literature review reveals that most of published studies rely on scientific side of nursing. The aim of this study is to explain the concept of nursing as art in the experiences of patients with open heart surgery.
In current study with an Interpretative Phenomenology approach twenty patients were selected and entered into the study after open heart surgery in open heart surgery units of Vali-e-asr and Fatemeh Al-Zahra Hospitals (Mazandaran-Iran) in 2017. Patients were chosen by purposeful sampling method with maximum variety (age, sex, education…). Data were collected with deep, semi-structured, and individual interviews. All interviews were recorded, handwritten, and interpreted based on the van Manen interpretation phenomenology.
Three main themes were derived after analysis of phenomenon of nursing art as; a) “care by mother as an angel” with sub-themes of compassion, intimacy, sympathy, hope and morale, b) “care beyond expectations and profession” with sub-themes of technical merit and moral merit and c) “permanent presence” with sub-themes of physical presence and psychological presence.
The findings confirmed that participants considered nursing as an art when they received professional nursing care described as "care by mother as an angel". Patient experiences provide a beautiful perspective of nursing which achieving such level of maturity and promotion requires fundamental changes in nurse education with serious consideration to ethical issues, humanity and artistic concepts of nursing.