نشریه پرستاری و مامایی ارومیه
سال سیزدهم شماره 11 (پیاپی 76، بهمن 1394)

Schizophrenia as a complex psychiatric syndrome has profound destructive influence on different aspects of patient’s behaviors. Psychological interventions in combination with antipsychotic agents are effective on clinical symptoms and social functions of schizophrenic patient. The purpose of the present study was to test the effectiveness of poetry group therapy on communicational skills of schizophrenic patient.
Material and in this clinical trail, 29 schizophrenic patients were selected via convenience sampling and then subjects were randomly assigned to poetry therapy group, (n=14) and control group (n=15). For experimental group, poetry group therapy was held in one hour session, twice weekly for 6 weeks. The Activity daily living impairment scale (communicational skills) was used as research instrument. Statistical analysis was done by using independent t-test and paired t-test.
After the poetry group therapy program, the patients in the experimental group showed significant improvement in the communicational skills comparing to the controls (P0.05). After intervention, we found significant differences between poetry therapy and control group (P The study findings indicate poetry therapy group is effective in improvement of communicational skills of schizophrenic patient.

Clinical decision making in professional nursing practice, distinguishes essential part of professional nursing care staff with that of unprofessional. Each factor in clinical decision making, had a significant effect on the quality of care and clinical decision-making process to identify the needs of patients, and it determines the nursing care. Therefore, this study aimed to determine the level of participation in clinical decision making by nurses in hospitals affiliated to Shahid Beheshti University of Medical Sciences.
This study is a descriptive cross-sectional study on 200 nurses working at the hospitals of Shahid Beheshti University of Medical Sciences. The samples were selected through stratified random sampling. The tools for data collection were personal data and standardized questionnaires to assess the activities of clinical decision making (PDAQ). Data were analysis with SPSS 19 software and descriptive test.
Statistical tests showed that the participation of nurses in clinical decision making in selected hospitals of Shahid Beheshti University of Medical Sciences, were moderate (36.3), (p=0.001). The clinical decision making is influenced by factors such as age, sex, marital status, work experience and type of employment.
The variables affecting nurse's participation in clinical decision making can be a way to improve clinical decision .Therefore, identification of factors in clinical decision making in this context can be helpful.

Most women experience the premenstrual syndrome at their reproductive ages. This syndrome is a combination of psychological, physical In this double-blind clinical trial, 70 students with PMS were randomly assigned to either the curcumin or placebo groups. Each participant received two capsules daily from seven days before menstruation to three days after menstruation for three cycles. They recorded severity of the symptoms by daily record questionnaire. The data of before interventions, and 1, 2 and 3 months after interventions and P Before intervention, there were no significant differences between the mean scores of PMS symptoms in the two groups (103.6 ±39.19 in curcumin group VS 106(.
Based on results of this study, curcumin is effective in reduction of severity of psychological, physical and behavioral symptoms of PMS, and we suggest curcumin as treatment for PMS.

The most important causes for mortality rate and re admission in patients with heart disease arise from insufficient education and inappropriate self care. This study determines the effect of applying Orem self-care model on self care ability in patients hospitalized in the internal cardiac unit in Emam Reza hospital of Sirjan.
In this clinical trial study, 80 patients with known heart disease were selected randomly, and they were divided in to two groups of experimental and control. A pre test was performed. The patients, in the experiment group, received 5 education sessions by implementing Orem's model, each lasting twenty minutes during the hospital stay, and also they were given an educational pamphlet. The control patients received routine care the patients in both groups. Post test was performed. The data were analyzed via SPSS soft ware version 16.
The mean score for self care cognitive abilities in the experimental group before the intervention increased from 2/03 ± 0/15 to12 ±0/001 after the intervention. The mean score of self care performance ability in the experimental group, increased from 32/28 ± 9/51 to 105/43 ± 3/96 after the intervention. Significant differences between self care ability before and after the intervention were observed (p 0/05).
Applying of Orem's self care model had a positive influence on raising the self care ability of the patients with heart disease. Therefore, the application of Orem's model is suggested in the care of patients with chronic, especially heart patients.

Nurses are responsible for a noticeable number of invasive procedures of hospitalized neonates in ICU, and recently, making error has risen in guarding endangered infants. Nurse has maximum relational friction surface, care and therapeutic contact with human client; therefore, they could be one of the most problematic parts of the management of human errors.
The purpose of this study is determining the types of nursing errors in gastric tube insertion procedure of preterm infants in neonatal intensive care units in Sanandaj in 2013.
In this descriptive study, 28 employed nurses were chosen in neonatal intensive care units in Besat and Tamin Ejtemaei hospitals. The data were gathered through a researcher-made checklist by direct observations of the nurses. Each nurse was observed four times. The data were analyzed through SPSS software version 13.
The findings revealed that in all observations the most common error in gastric tube insertion of preterm infants is related to implementation stage, registration stage, and preparation stage respectively.
The results showed that the most common type of nursing error in gastric tube insertion of preterm infants occurs in implementation stage. These errors can be prevented to a large degree by changing and improving the educational process and through an educational planning by officials of nursing education.

Infertility is a global problem that inflicts serious damage to the body's reproductive health. This study aimed to determine the status of marital adjustment and it’s relationship with thinking styles in infertile women referred to Alzahra hospital of Tabriz, from Auguest until October 2014.
This cross-sectional study was conducted on 160 infertile women (aged 15-49 years). Samples were selected based on census. Data were collected by Dyadic Adjustment scale (DAS), Sternberg’s thinking style scale and socio-demographic questionnaire. Pearson correlation test was used to explore the association between thinking styles and marital adjustment.
The mean scores of marital adjustment in infertile women was 100.0 ± 22.3 from possible range score of 0-151. There were a moderate correlation between marital adjustment with legislative thinking style (r=0.47) and judicial thinking style (r=0.34) and low correlation between marital adjustment with executive thinking style (r=0.28).
The findings of this study show that correlation of legislative and judicial thinking style with marital adjustment is more than executive thinking style. The findings of this study can be used by consultants to inform the women of their thinking style, and it's impact on marital adjustment and psychological support through adjustment or change current thinking style in order to promote women's marital.

Violence against women during pregnancy is rising as reptile and has been an intangible social problems. Based on various studies, obtained various statistics about violence during pregnancy. In the present study we attempted comprehensive statistics and Reliable of this problem Systematic review and meta-analysis method is presented to be able to problem solve with the broader view.
Material & Thirty-two study using keywords Domestic violence, violence against women, violence during pregnancy,The databases in the country, including Magiran, medlibe - sid – iranmedex databases and latin pubmed, - google scholar- science direct – scopus were collected Data were analyzed using the software STATA (version 11/1) and meta-analysis (random effects model). Heterogeneity between studies was assessed using the I2 test.
After statistical analysis of the prevalence of violence in 15610 pregnant women is 52% (95% CI: 43 to 62) and the types of physical violence, sexual and psychological in order Physical violence, 19% (95% CI: 12 to 26) Sexual violence, 31% (95% CI: 23 to 38) and psychological violence, 45% (95% CI: 38 to 51) respectively.
Results showed that the high prevalence of violence in pregnancy is very dependent by level of education and job in both sexes, and a strong relationship between the two categories with the Social and cultural level. Thus the increase in education and employment facilities can be a fundamental solution to the problem is in decline.

Artificial airway standardization cares could reduce the incidence of Ventilator Associated Pneumonia (VAP). This study aimed to evaluate the effect of an artificial airway standardization cares on the VAP.
In this clinical trial, 64 patients were selected among those who had undergone mechanical ventilation in the ICUs of Al-Zahra Hospital, Isfahan, Iran using convenience sampling method. Then, the subjects were randomly allocated to intervention and control groups. In the intervention group the artificial airway standardization cares and in the control group the routine cares were done. Modified Clinical Pulmonary Infection Score (MCPIS) was completed for all the subjects in the stages before, third, fourth and fifth day of study.
The results of this study showed that until fourth days of study, the mean score of MCPIS were similar in both intervention and control groups. But on the fifth day of study the mean score of MCPIS in the intervention group was significantly lower than control group. Therefore, in order to prevent VAP, the nurses are recommended to perform this cares.
The results of this study showed that in patients undergoing mechanical ventilation, the artificial airway standardization cares could lead to the lower increasing in the mean score of MCPIS. Therefore, in order to prevent VAP, nurses are recommended to perform these cares.

Sleep disorders are common in hemodialysis patients; it can decrease the quality of life and increase the rate of death. In some studies, the calming effect of lavender has been pointed out, so this research was conducted to examine the effects of aromatherapy with Lavender Essential oil on sleep quality of hemodialysis patients.
This clinical trial was performed on 60 patients undergoing hemodialysis treatment From May to June 2014. The patients were randomly divided into two groups: intervention and control. To evaluate sleep quality, the researchers applied the Pittsburgh Sleep Quality Index. In the intervention group, the patients were requested to inhale a piece of cloth smeared with three drops of the Lavender Essential oil during dialysis sessions. In the control group, only the usual care was given. At the end of the fourth week, the patients’ sleep quality was measured again.
Before intervention, the mean total score of sleep in the intervention group was 8.55 ± 4.75, and in the control group, it was 9.00 ± 5.00 that was not statistically significant. After intervention, the mean total score of sleep in the intervention group changed to 7.62 ± 4.07, and in the control group, it changed to 8.46 ± 5.46 which did not show a significant difference. In within-groups comparison the total score of sleep in both groups before and after intervention was not statistically significant.
The findings of the study demonstrated that aromatherapy with Lavender cannot improve sleep quality in hemodialysis patients.

Hypertension, with high prevalence in the elderly, is one of the most important and the most common chronic disease that require the self-care behaviors in patients. The purpose of this study was to determine the impact of the empowerment program based on the Telephone Follow-up (Tele-nurses) on Self Care Self efficacy in elderly patients with hypertension.
In this quasi-experimental study, 88 elderly patients with hypertension were admitted to the outpatient clinic of the Sayyad Shirazi Hospital in Gorgan. The subjects was selected by sequential sampling method, and they were divided to the experimental (n=44) and control (n=44) groups. Data were collected through a questionnaire. All the subjects in the experimental and control groups were participated in the self-care workshops. However, the experimental group received telephone counseling and follow-up intervention for 12 weeks. Data was analyzed using SPSS-16 Software, and descriptive and inferential statistics.
The study findings showed that there were no significant differences between the two groups in terms of demographic and disease-related variables. The means and standard deviations on the scores of Self - Efficacy in self-care behaviors, pre–post intervention, were [3.5 (SD=0.4) & 4.1(SD=0.3)] in the experimental, and [3.4 (SD=0.3) & 3.6 (SD=0.3)] in control groups, respectively. There was no significant difference between the groups regarding the mean scores of Self - Efficacy in self-care behaviors on before intervention (P=0.44). Whereas, at post-intervention, the elderly patients with hypertension participating in the empowerment program (workshop and telephone follow up) showed statistically significant increases in self-efficacy (p≤ 0.05) compared with the control group.
The findings of the present study showed that empowerment program based on tele-nursing care was effective in promoting the Self - Efficacy in self-care behaviors of elderly patients with hypertension. Thus, the important role of tele-nursing in promoting Self - Efficacy in self-care behaviors in this group of the elderly was emphasized and confirmed.