مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و سوم شماره 2 (پیاپی 49، تابستان 1394)

Job satisfaction is affected by several variables. Among these most important variables could be considered leadership styles، organizational commitment and happiness. This study aimed to examine the relationship of leadership styles، organizational commitment and happiness with job satisfaction among nurses.

This research is descriptive–analysis from type of cross-sectinal. The statistical population all nurses of 15 Khordad and Shahid Mofatteh hospitals in Varamin suburb. Totally 110 nursing were selected through simple random sampling. All of them completed the questionnaires include multiple leadership، organizational commitment، Oxford happiness and job satisfaction. Data was analyzed using Pearson correlation and stepwise regression and with using of SPSS/19.

Transformational leadership (r=0. 44 & p<0. 001)، transactional leadership (r=0. 36 & p<0. 001)، affective commitment (r=0. 39 & p<0. 001)، continuance commitment (r=0. 27 & p<0. 001)، normative commitment (r=0. 21 & p<0. 005) and happiness (r=0. 53 & p<0. 001) showed a significantly positive relationship with job satisfaction. In a predictor model، happiness، transactional leadership، affective commitment and transformational leadership predicted about 44 percent of variance of job satisfaction. The share of happiness in prediction job satisfaction was higher compared to other variables (Beta=0. 48).

findings showed، happiness، transactional leadership، affective commitment and transformational leadership was the most important predictor of job satisfaction. Therefore، managers، programmers and counselor regarded to symptoms of mention variables and based those design programs for promote job satisfaction among nurses.

Since the self -medication it can make an important problem for the individual and society. Especially in young children due to the fact that the development were double importance، the aim of this study was to measure the theoretical constructs theory of planned behavior model in behavior has been investigated. This is an analytical and cross-sectional study that was carried out on 231 mothers of children under 6 years of attending urban health centers، city Azadshahr. Sampling performed as cluster in 2014. Data collection، via questionnaire، including information and construct theory of planned behavior is that attitudes، subjective norms، perceived behavioral control and behavioral intention and performance was reliability، validity and reliability، before the study was conducted and data finallay analyzed through SPSS/22. Based on finding the mean and standard deviation of knowledge (61. 31±16. 82)، attitude (74. 13±11. 23)، subjective norm (72. 74±9. 1)، perceived behavioral control (75. 74±9. 9)، behavioral intention (85. 32±11. 82)، practice (85. 84±12. 89) observed. The direct and significant correlation was observed between practice and attitude (p=0. 019، r-0. 15). Between attitudes and other constructs were significantly correlated with performance (p<0. 05). The results of this study the direct correlation between attitude and behavior it is proposed to amend the design of self- medication interventions emphasizing positive attitude and the consequences of maternal behavior and negative consequences caused by self-medication in children be considered.

Self- care has an important role in management of patients with chronic renal failure. The present study was implemented to determine self-care agency among patients with chronic renal failure undergoing hemodialysis. In this descriptive cross-sectional study، 139 End stage renal disease patients undergoing hemodialysis in Boali hospital of Ardebil (22 June -22 July 2013)، were included in the study with census. The necessary data was collected through interview by using the modified form of Chinese version of appraisal Self-Care agency Scale (ASA). This scale has 11 items about demographic characteristic and 28 items were used to measure self-care agency. Data were analyzed with descriptive statistics and independent T-Test and ANOVA. The overall Self-care agency of research units was moderate (61. 46 ± 8. 2). Factors such as age (P=0. 0 0 1)، education status (P=0. 0 0 0)، marital status (P=0. 02) and living place (P=0. 009) had a significant relationships with self-care agency. In This study Self-care agency of End stage renal disease patients was undesirable، therefore given the crucial role of self-care behaviors in maintaining life and health and prevention the effect of the disease، it is required to patients care responsibility transferred. The results can help health planners and nurses in designing self-care training programs for End stage renal disease patients، with respect to needs and level of self-care agency of patients.

Sexual dysfunction caused serious problems in family life and the quality of life. Many factors effect on sexual function. In this context، the present study was to Evaluation of sexual dysfunctions and its related factors in women experiencing domestic violence had been referred to Forensic Medicine Center of Shirazis written. This cross-sectional، descriptive study was conducted on victims of domestic violence had referred to Forensic Medicine Center of Shiraz with a three month period، 197 patients randomly selected in 2014. The study data were collected using demographic information questionnaire، a questionnaire assessing violence against women، General Health Questionnaire (GHQ-28)، and Female Sexual Function Index (FSFI). The data were entered into the SPSS/18 statistical software and analyzed using T-test، chi-square test، Pearson’s correlation coefficient and regression analysis. Mean age was 30. 42 ± 6. 72 and mean score of sexual function in women 77. 9 ± 80. 15 mean general health of the 07. 18 ± 31. 43 were reported. A total of 197 women suffering from domestic violence، 91. 9% impaired sexual function، and 85، 3% with mental disorders. Physical symptoms (p=0. 027)، anxiety and insomnia (p =0. 004) and total public health (p =0. 041) with the dependent variable of sexual dysfunction in women، and the relationship was significant Also reverse the negative findings indicate that sexual dysfunction is a direct relationship with family involvement and Age of husband. Sexual dysfunction have the undeniable role on mental health and marital life and Several factors affect on it. consideration these disorders is particular importance.

Multiple sclerosis is a progressive disease of the central nervous system، that for a reason a variety of symptoms can cause destructive effects on quality of life. The aim of this study was to determine the effect of applying Orem’s self-care model on mental aspect of quality of life in patients with multiple sclerosis. In this quasi-experimental study، 74 patients with multiple sclerosis were selected by convenience sampling referred to the Hamadan MS Society office in 1393 and randomly divided into experimental and control groups. At first، demographic information and Multiple Sclerosis، Mental Quality of Life (MSMQOL-54) questionnaire were completed by experimental and control groups. 2-4 educational sessions for the experimental group were performed according to the patient needs. Two months after the self care performance by experimental group MSMQOL-54 questionnaires were completed by two groups. Data were analyzed by using Chi-Square، paired and independent t-tests. In the experimental group، the mean of all mental aspect QOL was 57. 2±20. 5 before and 67. 5±15. 3 after intervention، that showed statistically significant difference before and after intervention (P<0. 001). In the control group there was no significant difference in mental aspect QOL between before and after intervention. This study revealed that applying Orem’s Self-care Model could improve the mental aspect quality of life in patients with multiple sclerosis. It is recommended that this model be used to improve the mental aspect quality of life in these patients.

Nurses experience several occupational stresses because of the nature of their jobs. Paying attention to nurses’ mental health and keeping them healthy is of great importance. This study implemented with the aim to compare happiness، Psychological well- being and job perfectionism among 3 groups of women’s nurses of the cancer، dostetrics and internal wards. This was comparative - cross sectional study. population was all nurses who have worked at Isfahan hospitals in 2014. 300 women’s nurses that were selected by convenience sampling. (100 nurses in cancer ward، 100 nurses in dostetrics ward and 100 nurses in internal ward). Data were collected by MUNSH happiness، Ryff’s Psychological Well - Being and Hewitt’s & Flett Job Perfectionism Questionnaires. Data were analyzed by using in SPSS/18 software. The findings of study showed that in happiness and psychological well being there is not a significant difference among 3 groups (p>0. 05). And also in subscales of other- oriented perfectionism there is a significant diffrences between nurses of internal and dostetrics and in the subscales of socially- prescribed perfectionism in cancer and internal ward (p<0. 05). Since Job perfectionism is different in Hospital various wards. Therefore، working in each of wards can be effective on nurses experience، states and behaviors. As a result of، it decrease in their Job perfectionism. Also، some stressful factors are inevitable in cancer، dostetrics wards.

Cardiac catheterization as a cardiac diagnostic test may lead to anxiety and fear in patients. High levels of anxiety can cause changes in the hemodynamic parameters of patients. Foot reflex zone massage is a method of alternative medicine may be useful in the reduction of anxiety. The aim of this study was to investigate the effect of foot reflex zone massage on anxiety and hemodynamic parameters in patients waiting for cardiac catheterization. In this randomized clinical trial conducted in 2014، 90 patients waiting for cardiac catheterization were randomly divided into control and experimental groups. Patients in the experimental group received foot reflex zone massage 20 minutes for each patient، while the control group received routine care. Levels of anxiety using the Spielburger questionnaire and hemodynamic parameters were measured before and after cardiac catheterization in both groups. The collected data was analyzed using descriptive and inferential statistics. The data were analyzed by independent t-test using SPSS (v. 16). The mean age of patients in the intervention and control groups was 56. 89±10. 737 59. 33± 10. 405 years، respectively. The mean score of anxiety of patients in the experimental and control groups was 34. 89±6. 929 and 36. 36±5. 874، respectively (p =0. 282) In terms of physiologic parameters، pulse rate، respiratory rate، systolic blood pressure in the experimental group showed a significant reduction after the intervention (p < 0. 05) According to this study’s findings، foot reflex zone massage as a non-pharmacologic، safe، and effective method helped in stabling and reducing patients'' hemodynamic parameters in patients who waited for cardiac catheterization.

Chronic obstructive pulmonary disease (COPD) is an important cause of morbidity and mortality in the modern world and has been labeled a debilitating disease. This study aimed to assess the effect of self-care education on self-efficacy in patients with COPD. This quasi-experimental study with pre- post test design was conducted on 60 patients with COPD on Hemadan Shahid Behsti and Beast centers in 2013. Data was collected with demographical check list and COPD self-efficacy scale. Patients were selected randomly and were divided into control and intervention groups. At first، both groups fulfilled the questionnaire and then intervention group was trained face to face in 3 sessions (about 45 minutes in each session) with 3 days intervals، however، control group just received routine cares. Immediately and 1 month after ending the intervention، related information was collected again. Data were analyzed by SPSS20 software. In test group in comparison among before، immediately after and after one month of intervention there was significant difference in increasing score of self-efficacy and all dimensions (P<0. 0001). But this difference was not significant in evidence group (P>0. 05) and independent t-test (P>0. 05) showed no significant difference in self-efficacy and all dimensions between test group، and evidence group before intervention. Immediately and after one month of intervention between two groups with independent t-test، was seen significant difference in mean score of self-efficacy and all dimensions (P<0. 05). Self-care education as an effective method on self-efficacy of patients with COPD، this low-cost and effective method are recommended for these patients to increase their self-efficacy and consequently improve their health status.