مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و سوم شماره 4 (پیاپی 51، زمستان 1394)

Increases in vital signs are common problems in burn patients. It is useful to decrease these changes within the normal limit in cardiac patients and older adults. This study aimed to investigate the effect of inhalation aromatherapy with Damask Rose essential oil on vital signs after dressing changes in burn patients.
A randomized clinical trial was conducted with 50 patients in burn unit of Beast Teaching Hospital in Hamadan from September to October¡ 2013. Patients were selected by convenience sampling and randomly assigned to experimental or control groups. The vital signs of the patients were recorded thirty minutes before entering the dressing change room¡ where patients in the experimental group inhaled five drops of Damask Rose essential oil 40% as aromatherapy and patients in the control group inhaled five drops of distilled water as placebo. After changing the dressing¡ the vital signs were recorded 15 and 30 minutes after exiting the dressing change room. Data were analyzed in SPSS/16 using statistical tests.
Although aromatherapy with Damask Rose essence significantly decreases increased pulse rates after dressing changes (p>0.05)¡ it does not decrease systolic and diastolic blood pressure and respiratory rate.
Inhalation aromatherapy with Damask Rose can decrease increased pulse rates due to dressing changes¡ and can be used in critical situations as a safe complementary treatment.

Nowadays, spiritual intelligence, as a modern approach, has an important role in improving mental health, reducing job stress and improving social functioning. This role is well recognized by organizations, and its improvement has increased staff’s better understanding of their jobs and their satisfaction with their jobs in this context, the present is study aimed to investigate the relationship of spiritual intelligence with mental health and job stress among nurses.
This correlation-descriptive study was conducted among all nurses in Imam Khomeini Hospital in Mahabad (n=270), where 160 nurses were randomly selected to answer the questionnaires. Three questionnaires were used for data collection and the reliability and validity of the tools were tested and confirmed. MANOVA was used to analyze the data in SPSS/22.
Results showed that spiritual intelligence had a significant relationship with mental health (P = 0.001), spiritual intelligence had a significant relationship with job stress (P= 0.001), and mental health had a significant relationship with job stress (P = 0.001).
In sum, attending to and emphasis on spiritual intelligence and its dimensions can fill the hospital with mental health, and reduce job stress among nurses. Therefore, attending to spiritual intelligence and improving it in nurses seems necessary to improve the quality of patient care.

Preterm labor is considered one of the major health concerns and seconds congenital anomalies for infant morbidity and mortality. So far, various methods have been used to predict preterm labor; one of these methods is to measure mother’s serum alpha-fetoprotein level. This study was conducted to investigate the relationship between maternal serum alpha-fetoprotein level in weeks 11 to 13 of pregnancy and preterm labor.
This nested case-control study was conducted with 105 pregnant women during their 11-13 gestation week presenting to Fatemieh Hospital in Hamedan for their routine prenatal care from 2013 to 2014. Maternal serum alpha-fetoprotein level was measured by Biomerieux standard kits through Vidas system in laboratory. Pregnancy outcomes were followed up after delivery and recorded in a checklist. The data were entered into SPSS/21 software and were analyzed using the t-test, Mann-Whitney U test and Chi-square test. P-value less than 0.05 was considered significant.
Maternal serum alpha-fetoprotein level at 11-13 weeks was significantly higher in pregnant women experiencing preterm labor than that in women with term pregnancy (P Maternal serum alpha-fetoprotein level in 11-13 weeks of pregnancy can help predict preterm labor in pregnant women.

Sleep is one of the essential needs for all human. It seems that age and education level are important factors in sleep quality in the retired elderly. But there is not enough study in this field. Therefore, this study aimed to assess Quality of sleep and its related factors in elderly and retired teachers of Kashan.
This cross-sectional study was conducted on 370 elderly and retired teachers in Kashan (2015). Data was collected by a questionnaire with two parts. The first part included demographics and the second part included the Pittsburgh Sleep Index. Statistical analysis was conducted by t-test, ANOVA, chi-square, Fisher's exact test and linear regression in SPSS/11.5 software.
The mean age of participants was 63.55 ± 2.23. 72% of retired teachers had a good sleep quality.There was significant difference between the two genders in terms of sleep disturbing factors (p=0.013). T-test showed men have better sleep quality than women (p=0.01). Significant differences were observed in terms of sleep quality in two genders (p=0.01) and having or not having daily naps (p=0.01.( The results showed that sleep quality in older and retired teachers is better than the general population.
Approximately one-third of elderly and retired teachers had inappropriate sleep quality. We can decrease sleep disorders by teaching sleep hygiene and emphasis on preventive measures.

Given the prevalence and outcomes of gestational depression and anxiety and the important role of midwives in psychological support of pregnant women, alternative treatments like spiritual counseling can play an important role. This study investigated the effect of spiritual counseling on depression, anxiety and stress in pregnant women.
This randomized clinical trial recruited 80 pregnant women in antenatal preparation courses for physiologic delivery in Fatimah Hospital, Hamadan (2015). Participants were selected based on inclusion criteria and clinical interviews, and were randomly assigned to intervention (n=40) and control (n=40) groups. Data were collected through a demographic questionnaire and DASS-21. Both groups were followed immediately after and two months after the intervention. Data were analyzed by descriptive and analytical statistic in SPSS/16.
Before the intervention, no significant difference was observed in the mean score of depression, anxiety, stress and spiritual intelligence between intervention and control groups (p>0.05). After the intervention and two months later, the results showed a significant difference between the two groups on depression, anxiety, and stress, so the intervention was effective (p0.05).
Spiritual counseling can control depression, anxiety and stress in pregnant women; therefore, it is recommended that spiritual counseling be used as a complementary, effective and non-invasive intervention to control psychological problems of pregnant women.

Educational interventions are alternative strategies for promoting health and come across better in menopause symptom. Menopause is a physiological change for a woman which occurs in life of all women. The purpose of this study was evaluated of skill life training on the quality of life in menopausal women in Arak city.
This was an semi experimental study.40 women inclusion criteria referring to retirement center and five clinics in Arak in 2015 were selected through normal sampling and were randomly divided into equal case (skill life training) and control groups (20 in each). Data was collected by means of a Menopause Quality of Life (MENQOL).The scores for quality of life level achieved before the counseling and a month after that were compared using menopause specific quality of life questionnaire(MENQOL).No intervention was done in control group. The data was analyzed SPSS/16.
Comparison of the quality of life (p=0.01), vasomotor symptoms (p=0.01) and sexual health (p=0.008) between two groups before and one months after skill life training revealed a significant difference between them. But psychosocial aspect (p=0.14), physical wellbeing (p=0.06) were not significant difference.
Thus according to the results of the study recommitted applied some session of skill life training in menopausal women for improve of quality of life and vasomotor symptoms and sexual health in health intervention and health care in clinics.

Hemodialysis patients are the problems, the main cause of these problems is the high level of toxins in the blood such as: urea excretion and Ceratinin and anemia. This study performed to determine the effect of physical activity during dialysis to prevention of anemia in hemodialysis patients.
In this clinical trial, 76 hemodialysis patients in Spring 2015, at Besat and Shahid Beheshti hospitals in Hamadan University of Medical Sciences, Hamadan, Iran Whose met the inclusion criteria were selected and randomly divided into 2 groups: experimental and control. First the levels of RBC, HGB and HCT were evaluated in both groups, then experimental group patients performed Pedaling 4 weeks during 3 sessions per week 15 Minutes twice with foot during dialysis. After 12 session's dialysis, RBC, HGB and HCT of both groups checked again and data were analyzed with software SPSS16 and t-test, paired t-test and covariance.
The mean difference of RBC, HCT and HGB before intervention, in two groups with test (t-test) was not significant (p>0.05), The mean difference in blood parameters RBC , HCT and HGB after the intervention in two groups was not significant in patients undergoing hemodialysis (p>0.05), HCT and RBC blood parameters in the experimental group after the intervention is not changed and the test (t-test) was not significant (p>0.05), But the mean difference HGB in the experimental group after the intervention was significant (p=0.03). Parameters in the control group before and after the intervention, was not change, and tests (t-test) was not significant (p>0.05).
According to the results of physical training relatively improve HGB , and is effective to prevention anemia in hemodialysis patients, it is recommended that the results of research in education, treatment and health promotion could be used in hemodialysis patients.

The clinical decision-making is a process of critical thinking to choose the best practice to achieve the desired objectives. Nurses in the health system known as one of the important health service providers that clinical decision-making is one of their duties in the field. Therefore, they should have the ability to make appropriate clinical decisions. This study was conducted to assess the relationship between self-efficacy and clinical decision-making of nurses working in hospitals in Bushehr in 2015.
This was a descriptive analytic study, which have been done cross section on the 247 nurses working in hospitals in Bushehr that were selected by stratified random sampling method. Schwartz & Jerusalem General Self-Efficacy Questionnaire and Jenkins clinical decision questionnaire were used as data collection tools. Data were analyzed by SPSS/22.
The study findings showed that the nurses have been in good condition in term of self-efficacy (21.33) and clinical decision-making (45.61). There were significant relationship between clinical decision-making with age (r=0.198, p Based on the importance of clinical decision-making for nurse and its significant relationship with their self-efficacy and the effect of both of them on performance improvements, Recommended in the policy-making process to improve the quantity and quality of services, improving of the self- efficacy and clinical decision-making of nurses should be considered in the health system.