نشریه پرستاری کودکان
سال دوم شماره 2 (زمستان 1394)

Assess the needs of families is essential component to promote family centered care perception of parents’ need by nurses also has effective importance This study was designed to meet the needs of mothers admitted to neonatal intensive care unit. This study is a descriptive analytic study; sample size based on pilot study was 96 mothers. In this study data were collected by using demographic data of mothers, fathers and infants check list and a 56-item questionnaire CCFNI that has 5 subscale sub- support, comfort, information, proximity, and confidence. The data were nalyzed by using Independent t-test, Pearson correlation coefficient. The findings of the study showed that the mean (± SD) age of the mothers 27/87 (6/01 ±). The most important need “to have questions answered honestly about neonatal “, and the least important was “Have friends nearby for support “generally based on perception of mothers assurance needs was the most important subscale Confidence whit mean (± SD) 3/79 (0/22) and supportive needs was the least important subscale 3/28 (0/38). Base of the result assurance of health and welfare of child are very important to mothers, in charge of NICU have to give sufficient information regarding neonate situation and the treatments, in this was assurance comes to mothers and lower stress of mothers in duration of hospitalization of neonate.

aggression and anxiety are the main trait of externalizing disorders, providing untreated it leads to negative effects on individual and social relationship specially in adulthood Therefore, this research investigates the influence of painting on aggression and anxiety among male students (8-9 aged). This study is a quasi-experimental study with pre and post- tests. Thirty male students (8-9 aged) who were obtaining scores higher than cut-off in Conner's parents form questionnaire were selected, and then they were assigned randomly to the control and experimental groups. The experimental group received techniques of painting therapy for ten treatment sessions (45minutes for each session). The aggression and anxiety were measured at the beginning and at end of therapeutic session, utilizing the Spence Children's Anxiety Scale and Children's Inventory of Anger (ChIA). Statistical analysis conducted by analysis of covariance. There is significantly difference in scores of pretest (53/2±41/131) and posttest (87/114±239/7) aggression (p<0.001, F= 28.313) and in scores of pretest (27/80±587/5) and posttest (93/75± 497/6) anxiety (p<0.001, F= 15.698) between elementary school boys in pre and post-test. Findings indicated that painting therapy has effective in improving behavioral problem such as externalizing disorders in elementary school. So, it can be utilized as the therapeutic interventions for decreasing behavioral problems in children.

IV insertion is one of the stressors and painful sources for thalassemia children so achievement to pain relief methods in particular the use of none invasive methods is necessary. this study aims to compare the efficacy of acupressure and massage with ice in huko point on pain intensity of iv insertion in children with thalassemia. In this experimental research, 129 children 6 to 12 year’s old thalassemia childern selected and randomly divided into three groups. First group: acupressure, Group II massage and Group III ice massage. The control group received no intervention. Data collection included demographic questionnaire and Child Behavior Scale FLACC (Faces Legs Activity Cry Consolability Scale), respectively. Statistical data using Spearman and Kruskal-Wallis tests by SPSS version 22 was analyzed. The intensity of pain during and after the intervention in the group of acupressure and massage with ice was less than the control group significantly, (p=0.0001) There was no significant difference among the three groups in terms of demographic variables (P>0.05). Both acupressure and ice massage relieves pain during catheter insertion in children with thalassemia, but the impact ice massage was more (P <0.05). Ice massage can reduce pain during iv insertion in children, Therefore, it is recommended that nurses are comfortable taking children as a basic requirement to use non-pharmacological methods of pain relief for children.

The discharge process begins upon the admission of the infant in neonatal intensive care unit and continues to even after the infant is discharged and taken home. This study was conducted to audit the process of infant discharge from the neonatal intensive care unit of a selected center in Shahid Beheshti University of Medical Sciences and Health Services. In this study, 90 infants admitted to the neonatal intensive care unit were selected using convenience sampling method. The data were collected using demographic information of the nurses, infants, and parents; and a checklist formulated on the basis of existing standards for infant discharge process. The checklist consisted of six parts: 1- available evidence-based guidelines to support the clinic and treatment, 2- documentation, 3- an available plan for individual discharge of every infant simultaneous to the admission according to the ward’s guidelines, 4- training the parents, 5- the plan of the discharge day, and 6- parent questionnaire. The validity and reliability of the checklist was examined using content and face validity (94%) and the inter-rater correlation coefficient (ICC=95%). The results of the study showed that the implementation rate of the discharge process in the first, second, third, fourth, fifth, and sixth part were weak(score=33), moderate(68), moderate(64), weak(29), moderate(61), and weak(37), respectively. The discharge process cares in all the studied areas were moderate. The entire provided care was of a moderate level. Mann-Whitney test revealed a significant difference between the status of specialized training courses for neonatal intensive care and implementing discharge standards in the second part (P<0.001), third part (P=0.004), fourth part (P=0.004), fifth part (P<0.002), and sixth part (P=0.025). Regarding the importance of the neonatal intensive care unit and also the comparison made between results of this study and those of other studies performed in other countries, the provided care were not qualified and there was a need to more attempts for improving the quality of discharge process in Iranian hospitals, especially in neonatal intensive care units.

The birth of Premature infant is a very stressful and critical situation for parents.protection and support family of such newborns seems to be necessary and important issue. The objective of this study was to assess the relationship between parents recieved social support with satisfaction of the caring premature infants hospitalized in neonatal Intensive care units in Tehran city. This was a descriptive -correlational study. Study participants were 130 parents of premature infants hospitalized in intensive care units of 3 selected hospitals of Tehran Medical sciences university during year1393. sampling was done by convenience sampling method. Data gathered using 2 questionnaire s as followes: 1- Social Support Questionnaire Tarkan et al (2000). 2- satisfaction with care questionnaire Mitchell (1996). demographic questions were added to these questionnaires. Data analysis was done by spss v. 20 using Test and regression test. findings revealed that affectional support was reported as the most received support aspect by mothers and fathers respectivly (mean 3/65,3.29).The least received support aspect mentioned by mothers and fathers was concrete Support hospital respectively (mean 3/24,,3.15)Mothers received more social support and satisfaction of provided care. findings showed direct and significant relationship between received social support in affirmational aspect with satisfaction of provided care among parents (P<0/05). Accordind to the findings premature infant parents need more support especially in concrete special aspect. The planning creating opportuuities Program and giving support by health care team seems to be necessary.

Thalassemia patients in the path of life, interferes. While the complexity and difficulty of increasing self-efficacy will decrease. This study was designed to determine social, emotional and academic self efficacy in 7- 12 aged children with major thalassemia in mashhad (2013). This cross sectional descriptive study. The sample include 60 child with major thalassemia. To gather data, the standard Muris self efficacy was used. Content validity was confirmed and its reliability was 0.72 self efficacy with Mean and Standard deviation 75.1±6.9, Social 23.9±4.6 and emotional 19.9±2.3 were modrate. Academic self efficacy with mean and standard deviation 31.1±3.9 was high. The results of this study showed these children with major thalassemia had low self-efficacy. In order to improve the quality of life for children with thalassemia and social success improving believe of their abilities is necessary.

Experience of stress in children have important role in development of physical, psychological and social problems. If children cannot use properly coping strategy against the stressors, concern to complex family and social problems in future. Therefore, this study aimed to investigate stress coping strategy in school age of children. This study was a descriptive analytical design and study sample were 600 primary school age students in Khoy 2013, who were selected by multistage sampling. Data collection questionnaires were 1- demographic characteristics of children and family 2- School-ager's Coping Strtegies Inventory (SCSI). Content validity of the instrument was performed by faculty of nursing and also an educational advisor in Khoy and reliability was done by test-retest (0.84). Data analysis was performed by SPSS (ver 16) and using descriptive and inferential statistics. More than fifty percent of children use ten adaptive method further than other, that among of them the option of "pray", "to tell the truth and apologize", "trying to calm down and remain silent", "looking at the television or listen to music", "thinking about", "drawing, reading or writing something " and " playing ", were most methods are used by students. There were a significant correlation between the variables of age and grade of students with stress coping strategy (P<0.05). Identify stress coping strategy can be help to professional groups designed the school-based interventions or programs to reduce stress that commonly causes many physical and behavioral problems in school-age children.

Mothers have a significant role on forming eating habits of toddlers. The aim of this study is detrmined the effect of mother's feeding behavior education on eating habits of their toddler children in Hamadan kindergartens. In this semi-experimental study, 130 mothers of 12 – 36 month years old children were selected by a multi-stages probability cluster sampling from Hamadan kindergartens and were divided into the case and control group (65 persons) by simple sampling Group educational sessions were done case group. Before intervention and one month after that, data was collected with Dietary questionnaire and analyzed by SPSS software version 16 and with descriptive statistics, independent T-test, paired samples t-test and covariance test. There was a significant between the mean of dietary behaviors scores of two groups before and after the intervention (p<0/05). Covariance test was done for omitting the effect of the viewing statistical different before of the intervention between the case and control group on the different after that. The result showed the significant different between two groups (p<0/001). There was a significant different between the mean of toddler's weights before and after the intervention in case group (P<0.05). However, there was not a any significant statistics different between the case and control group before (P=0.1) and after (p=0.4) intervention. feeding behaviors education to mothers could improve the eating habits of their toddler. Improving toddler's eating habits is an important step for enhanced the toddler's growth and development.