فهرست مطالب سیده فاطمه جلالی نیا

Type 2 diabetes mellitus is a major public health problem which is a key goal in managing diabetes is to enable patients to perform self-care. The purpose of this study was to investigate the relationship between health literacy and self-care behaviors in type 2 diabetic patient in the year 1392. This cross-sectional study was done on 200 patients referred to the Diabetes Research Center, Tehran University of Medical Sciences in 1392. Sampling was simple and based on inclusion criteria. Data were collected using three questionnaires: demographic characteristics, health literacy, diabetes self-care behaviors and using SPSS version 16. Data analyzed by using descriptive statistics, frequency tables, statistical tests (t test, ANOVA) and SPSS version 16. Average health literacy score was 71.0 9±14.01, 24% of participants have inadequate, 34% borderline and 42% had adequate health literacy. Average score for health literacy and self-care was 71.09±14.01 and 70.96±13.17. There was no significant association between health literacy and self-care behavior (r= 0.027 and p= 0.705). Health literacy only significantly associated with dimensions diet (p= 0.0003) and adherence to medication regimen (p= 0.004). Since the study results showed no significant relationship between health literacy and self-care, teaching of this two concepts and inclusion in the school resources to improve public health proposed.

Approximately 75% of patients with cancer experience acute nausea and vomiting (24 hours after chemotherapy). The aim of this study was to determine the effect of auricular acupressure in relieving acute nausea and vomiting among women with breast cancer receiving chemotherapy. Methods & Materials: This study was a posttest only randomized clinical trial conducted on 48 women with breast cancer receiving chemotherapy in Imam Khomeini and Hazrat Rasoul Akram hospital. Before chemotherapy and after obtaining informed consent، the patients were randomly allocated into intervention and control groups. Intervention group received routine medications for controlling nausea and vomiting as well as auricular acupressure. Meanwhile، the control group received only the routine medications. The data were gathered using demographic and Morrow Standard questionnaire; and were compared using statistical tests in the SPSS-21. T he results showed that using auricular acupressure led to a decrease in the number and the intensity of nausea at acute phases (P=0. 001). Acupressure application did not lead to any complications in the patients. According to the results of this study، using auricular acupressure on Shenmen، Point zero، stomach، Brainstem، and cardia points can relieve nausea and vomiting at acute phase of chemotherapy. It is suggested that nurses use this pressure technique as a complementary treatment for relieving nausea and vomiting caused by chemotherapy.

Clinical education is the heart of professional education and the most important part of nursing education، because scholar was attained sufficient opportunity for practicing of theoretical learning and professional skills. This research aimed at pathological explanation of medical-surgical nursing courses. This qualitative content analysis was performed during December-March period of 2013 in Nursing & Midwifery School of Tehran University of Medical Sciences. Four faculty members، two clinical supervisors and five final baccalaureate nursing students were participated، who were selected by the purposive sampling method. Interviews were transcribed verbatim with MAXQD، codified and analyzed. Four main themes were extracted، containing “tutor efficiency”، “munificence”، “educational planning” and “self-sufficiency”. Also، 11 sub categories were extracted، including “sufficient and related course knowledge”، “loyalty”، “clinical experience”، “respect”، “effective communication”، “insufficient support”، “need-based course plan”، “scheduling courses time’s”، “effective monitoring”، “independence” and “role ambiguity”. Officials’ proper planning and increasing abilities of nursing tutors are of the effective factors on clinical education of medical-surgical nursing courses.

There is a need for revising our nursing educational curriculum regarding emergencies and crisis management. This study aimed to explore students and instructor's experiences and perspectives about emergency and crisis management in nursing. In this qualitative study by using a content analysis approach four faculty members,and seven senior and junior undergraduate nursing students were selected through purposeful sampling method. Semi-structured interviews were held to gather data. All interviews were transcribed andanalysed manually. The analysis of the transcripts showed four main themes including management and coordination, management and planning of theoretical instruction, management and planning of clinical instruction, student's knowlegeability. One final theme as management Was recognised. The compromising factors in the process of emergency nursing education are related to ineffective management and lack of continuous evaluation of the final product of the process. Evaluating the educational process and conducting studies in order to employ their results in practice will be precious in empowering students and promoting their capabilities.

Depression is a mood disorder that is considered as a world epidemic problem. The prevalence of depression among women is twice of men. It accompanies some complications such as immobility and obesity. Literature shows women are at greater risk of obesity and consequent depression which both contribute in worsening women’s physical, emotional and health problems. Physical activities are ways to reduce depression. Conducing the present study which aimed to determine effect of physical activity on depression in obese women in Iran is therefore necessary. A quasi-experimental study was conducted. 222 depressed and obese women, referred to healthcare centers located in zone 17 of Tehran for their healthcare issues were recruited to the study. They were randomly allocated to two groups of intervention and control after being diagnosed by Beck standard questionnaire. Intervention group had physical activities as study intervention. The effects of physical activities were assessed before and after the intervention in both groups. All statistics were computed by the SPSS software, using Pearson, Chi-square, Kolmogrov - Smirnov and Mann Whitney tests. The study demonstrated that after exercise, 70.1% of samples had reached to normal level. Depression level of obese women in intervention and control groups were found to be significantly different (P=0.001, NNT=2). The study showed that doing exercise was effective in reducing the level of depression in women and the number of women in need of treatment and prevention of bad outcome was two persons. So the study recommends including excersice to daily plans of Iranian women. This is a key point for adding exercise program to Iranian women daily activity living. All organization who have health affairs need to consider the correlation between life style and mental health as part of mental health plans for the society in order to present the complication of depression.