نشریه توسعه پرستاری در سلامت
سال ششم شماره 10 (بهار و تابستان 1394)

Many patients undergoing hemodialysis are not fully aware of the restrictions on the use of fluids Therefore afoul Problems such as overweight and hypertension. Increased awareness can correct the behavior and knowledge for the proper operation. The study on the effect of instructing small groups of over weight and blood pressure changes between the two sessions of hemodialysis in hemodialysis patients. In this quasi-experimental study، data from 42 hemodialysis patients who were selected through census sampling was collected by check- list. Research environment was teaching hospital in Hamedan city. Before intervention the mean of intradialysis weight gain due one week was measured. Then Small Group education performed in 4 sessions. The variable measured again after one week and one month after intervention. In order to analyze data، SPSS Software and descriptive and inferential statistics tests were used. The mean weight gain between dialysis sessions before، one week and one month after the end of training sessions was respectively، 3. 64، 1. 34 and 1. 71 kg (P<0. 00). The mean systolic blood pressure before، one week and one month after training، was 139. 7، 129. 6 and 129. 5 respectively (P<0. 00) that In both، the differences were significant. Small group teaching methods can be used as an effective and cost-reduced weight and systolic blood pressure in dialysis patients is between two sessions thus this technique to increase the awareness and training to other chronic patients can be used.

Addiction is a chronic, progressive and decisive destruction disease. Substance abuse is associated with many problems such as mental health problems that can induced to relapse in addicted individuals. The purpose of this study was to investigate the effectiveness of group cognitive-behavioral therapy on anxiety and relapse prevention in addicted persons. In this clinical trial study with semi-experimental method, 30 individuals who had been successfully detoxified at the Aligoodarz Clinics were divided into an experimental (15 subjects) and a control (15 subjects) group randomly. The experimental group underwent twelve 90 minutes sessions of cognitive-behavioral group. Both group received Beck's anxiety questionnaire and morphine test in pretest-posttest times. Data were analyzed by SPSS software 16 version using descriptive and inferential statistics. Results showed significant decrease in anxiety scores at experiment group after cognitive-behavioral group therapy (P<0.001). Also there was a significant difference in relapse rate between two groups after intervention (P<0.05). The results showed that Cognitive behavioral group therapy is effective on anxiety and relapse prevention in addicted persons.

Today's one way to treatment of patients is surgery that causes postoperative complications such as sleep and comfort disorders. The purpose of this study is determining the effect of surgical complications management training on quality of sleep among patients undergoing abdominal surgery. In this quasi experimental study 80 patients (40 people in exam group, 40 people in control group) were selected randomly from candidate patients for abdominal surgical operations in surgical wards of Ganjavian hospital of Dezful city. Data were collected by questionnaire included individual characteristic, disease and Pitsburgh sleep quality questionnaire and type of intervention was face to face training about surgical complication management. Sleep quality of patients was measured in two groups after surgery and the obtained results were compared. Data were analyzed by descriptive and inferential statistics methods through SPSS software. In this research, between the average of sleep quality scores after patients surgery in both exam and control group, there was a significant statistical difference (p<0/001) and sleep quality in the control group was weaker. preoperative training program about surgical complication management is effective in improving sleep quality after patient's surgery and can be used to improve the comfort of the patient's physical and mental health as a result of the proposed noninvasive nursing interventions.

Non adherence to treatment regimen and its negative consequences has always been a major problem and multifaceted in health. The current study was conducted to determine the effectiveness of information-motivation-behavioral skills (IMB) model on adherence to treatment of patients with type 2 diabetes who referring to Mazandaran Diabetes prevention and suppression Association. In this quasi-experimental study, 72 patients with type 2 diabetes were selected by available sampling and then randomly divided into control and intervention groups, according to Random numbers table, in each group, 36 patients were assigned. The data was carried out at pre-test, post-test (one month later) and track (three months later) by diabetic patients adherence information, motivation and behavioral skills scale (α=0.87), general adherence (α=0.81) and specific adherence (α=0.87) scales in Babol Diabetes Association office. The intervention group received four sessions (80 minute) of IMB –based psycho– educational intervention in groups of nine members, whereas control group were given the usual intervention with supportive counseling psychology. Data were analyzed by descriptive statistics and analysis of covariance by SPSS software version 20. After the intervention, mean values of general and specific adherence to treatment significantly increased in intervention group from 13.75, 18.62 (pre-test) to 15.1, 22.5(post-test) and 16.25, 22.5 (follow-up) respectively (p<0.05). Based on the findings, it appears IMB- based intervention to be as an effective intervention in promoting adherence to treatment in diabetic patients.

Starting solid foods is a big step in the development of eating habits that affect on children health. Due to the risk of early or late complementary feeding, this study was designed to determine the effect of onset time of complementary feeding on physical growth of infants under 1 year who referred to Dezful health centers. This Cross-sectional study was performed on 200 infants under 1 year who referred to the Dezful health center in 2013. Samples were selected by available sampling. Data collected by researcher made questionnaire, interview, health records documents and anthropometric characteristics Growth index such as: standard deviation scores for height, weight, head circumference, ratio of height to weight based on the NCHS (National Center For Health Statistics). The data were analyzed using Spss software v20 by statistical tests such as analysis of Variance, independent t test and f test. The significance level was considered below 0.01(P<0.01). The results showed that there is not significant statistical difference between early onset of complementary feeding(4-6 month) compared to the onset of complementary feeding at the end of 6 month and its effect on anthropometric factors(p>0.01). There was a significant differences between mean scores of weight and head circumference, The ratio of height to weight of male and female infants at the end of the one year old (p<0.01). according to results of this study, proper education to parents of health children about starting complementary feeding during the transitional period (4-6 months), maybe reduce malnutrition in children.

Adolescents, as a largest proportion from world population, in their puberty period faced with many physical, mental andsocial problems.So, implementation of health education programs for adolescent girls about puberty health is essential. The present study aimsto describe the student’s satisfaction of puberty health inBabol City. Thepresent research was a cross-sectional study that was conducted in 2013 year in the Babol city;reference population included allgirl students at fifth and sixth elementary classes (according with classification schools in Islamic Republic of Iran), these subjectswere selected by census method (2535 participants). The toolsstudy was based-researchers, which validity and reliability was measured (cronbach’salpha=0.86). Data analyzed using SPSS software version 18.In total of the students, 42.6%were urban residence and 52.9% of participantsaregraduating in school with health keepers. The mostproportion sources ofreceiving information about puberty health were, respectively, health staffs, families, health educators and media. Almost two-third of students have been declaredthe educationcourse provided to by health center is benefit, however, this beneficial in rural region schools was higher (p≤0.001). About two-third of students hadn’t beenreceived any information about puberty health by their parents and more than 40 percent of students hadn’t been satisfied from length time of education and it’s length duration was very short. The findings of this study showed the effectiveness of education programs in promoting awareness of adolescent girls about puberty health by health centers. Therefore, this study emphasizes onincreasing numbers and length of education.

Sleep disorder is associated with considerable problems in educational, vocational and social performance. This study was performed to assess the prevalence of sleep disorders among medical students of Yasuj university of Medical sciences in 2014. This cross–sectional descriptive study was performed on 151 medical students of yasuj university of medical sciences who were selected by available sampling. For data collection, a two-part questionnaire was used, the first part was demographic information and the second part was Pittsburgh Sleep Quality Questionnaire. The data were analyzed by SPSS 21 software, using T-test, Chi-square, and descriptive test. the results showed that sleep duration of medical students was 5.9±0.7 hours and 69.95% of medical students had poor sleep quality. There were negative significant relationship between sleep duration and age (p=0.01) and academic level (p=0.026), as sleep duration decreased with increasing the age and academic level especially in clinical courses. Interns had the shortest sleep duration among medical students, the effective sleep duration in majority of medical students was less than 7 hours. The results showed that the majority of students had poor sleep quality. Since a large percentage of students suffer from sleep disorders, It is hoped be determined programs to assess and diagnose sleep disorders.

Identifying the mental disorders is the one of the factors that can help health care providers to recognize the addict persons who have higher possibility of relapse and guide them to planning for helping to high risk people. The purpose of this study was to determine the prevalence of psychiatric disorders and its related factors in addicted persons refereed to substances withdrawal centers. This study is a cross-sectional study. 150 clients who refereed to Dezful withdrawal addiction centers,enrolled randomly with classified (by the allocation ratio) method. After completing Informed consent, participants completed SCL-90 and demographic questionnaire. The data was analyzed by Spearman, Pearson, MANOVA, DUNCAN tests with use software SPSS(version 15). 123 of participants had mental disorders. The most common substance used was opium and the most common of mental disorders was depression. There were significant relationship between psychiatric disorders and age (0.006) and the type of substance (0.001)But there were no statistically significant relationship between psychiatric disorders and duration of substance use (0.6) and education (0.13). The results show that prevalence of psychiatric disorders among drug abusers is high. These problems more seen in lower age and Methamphetamine abusers.

Although the majority of research has shown a positive attitude towards evidence-based care, but in practice this care is not used. Nurses who act based on the scientific evidence have been able to make better decisions. this study aims to review the barriers to implementing evidence-based care from the perspective of nurses in the literatures. In this study, a review was carried out by searching the Iranian data bases of Magiran, SID, and English language; Google scholar, Scopus, Ovid, Science Direct, ProQuest, Ovid, PubMed with the key words of "evidence-based nursing" and "nursing". 38 articles that had the inclusion criteria were evaluated. The review of literature showed that the barriers for applying evidence based practice included in five categories including: personal obstacles, management and educational issues, related to the evidence, and environmental factors. The issue of evidence-based nursing is facing a lot of problems in implementation. effective searching databases, access to libraries in hospitals improving the professional knowledge of nursing managers, organizing the shifts, the provision of efficient human resources and encourage the employees to provide evidence-based care are recommended to promote the use of Scientific and updated evidences among nurses.