مجله پرستاری گروه های آسیب پذیر
سال سوم شماره 2 (پیاپی 7، تابستان 1395)

Fibrinolysis and coagulation are two main components of homeostasis. There is conflicting information available regarding the effect of regular exercise, particularly aerobic training on these factors
The purpose of this study was the effect of 8 weeks of combined training (aerobic-resistance) on blood coagulation, fibrinolytics factors in adult men.
In this quasi-experimental study, 30 subjects of elderly men (age 64.95±3.54 years) were randomly divided into 2 groups: experimental (n=15) and control (n =15) group. Experimental group, participated in a program of combined training (3 days a week for 8 weeks). To compare changes inside and outside group of the body weight, body mass index and levels of fibrinogen, PT, PTT, platelet counts and D-dimer fibrinolytic agent dependent and independent t-test and SPSS statistical software (version 21) was used.
After 8 weeks of combined training (Aerobic-Resistance) of fibrinogen and platelets count were significantly decreased in experimental group when compared to control group (0/001, 0/023) concurrently increased PT, PTT and D-dimer fibrinolytic factor (0/038, 0/005, 0/001).
The results of the present study suggest that participation in combined activities can be very useful for prevention of threatening complications hemostatic system and the aging process and To maintain good health as proper exercise protocol used in these patients. It is recommended that new training protocols and a variety of others, especially at the elderly and vulnerable to be investigated.

The growing population of older adults mandates attending to their health and socioeconomic factors that affect it. Furthermore, it is potentially important to study the underlying factors that affect life status in this period.
The aim of the present study was to investigate the relationship between socioeconomic status and health in older adults of Azarshahr.
The current cross-sectional descriptive study recruited 312 older adults of 65 years and older from Azarshahr city using stratified random sampling method. Goldberg General Health Questionnaire was used to evaluate the mental health of older adults. Furthermore, General Health Questionnaire and another questionnaire were used to assess physical ability to perform activities of daily living and Keynesian Social Health Questionnaire was used to measure social health. Data were analyzed in SPSS22 using descriptive and analytical tests including independent t test and one-way analysis of variance.
A significant relationship was found between education and health (physical, social and psychological) of respondents (p = 0.026), which means that people with higher education enjoyed a better health than those with lower education levels. Furthermore, a significant relationship was found between mean health and family living expenses (p = 0.000), such that people who declared their living expenses to be higher than 2000000 rials were healthier than others. A significant difference also existed among different jobs in terms of health status (p = 0.000), which means that older people with middle class jobs were healthier than others.
Older people with high socioeconomic status enjoy higher physical, psychological and social health than other older people. In fact, older adults’ health status and health problems are major concerns in most societies and require careful and right policies and planning.

Drugs and Psychotropic feasts to cause psychological damage among patients addicted been so many different aspects of their mental health is a serious risk. Religious psychotherapy approaches can improve public health and social vitality is effective.
This study aimed to increase the effectiveness of services psychotherapy for mental health patients taking the drug religious centers, addiction treatment and harm reduction is Bvshhrmy University of Medical Sciences.
For this purpose, between patients taking the drug addiction treatment centers affiliated to Bushehr University of Medical Sciences, 60 patients randomly assigned to experimental and control groups with an equal volume of psychotherapy interventions religious test on the experimental group for 8 sessions 60 experts led by psychologist minutes for the control group did not receive any services. In order to assess the subject's mental state before applying the necessary interventions ghq28 test and diagnostic interviews were conducted by a psychologist. The tools used in this research, mental health and a demographic questionnaire.
The analysis of data based on the analysis of covariance (MANCOVA) were analyzed. The results showed that mental health services increased religious therapy among patients taking the drug. It also increases the effectiveness of services psychotherapy for mental health and religion somatic, anxiety, social dysfunction and depression among patients.
The mental health therapist religious and spiritual approach can be effective in reducing psychological problems patients seeking drug treatment and mental health is improving.

Quality of life (QoL) has received particular attention by nurses as a holistic approach to realize the status of cancer patients in recent decades. However, few studies have examined the quality of life in nurses working in oncology centers, particularly in Iran.
This study aimed to assess the quality of life in oncology nurses in a selected center in Isfahan.
This study is a part of a larger study conducted in 2013. The 26-item World Health Organization Quality of Life Brief (WHOQoL-BREF) questionnaire was used . All items are rated on a 5-point Likert scale. The validity and reliability of this questionnaire have been approved in previous studies in and out of Iran. The questionnaire was completed by 50 nurses in a selected center affiliated to Isfahan University of Medical Sciences. Seventy percent of eligible nurses took part in the study using consensus sampling. The mean QoL score of oncology nurses was calculated (based on the score of 20) across four domains: physical, psychological, social relationship and environmental. The frequency distribution of 2 items measuring “the status of overall quality of life” and “general health status” was also measured. Demographic and clinical information of nurses was also collected in a form.
The QoL mean scores of nurses were 13.47, 12.63, 13.05 and 11.70 in physical, psychological, social relationship and environmental domains, respectively. In response to the question “How satisfied are you with your health?”, the item “neither satisfied nor dissatisfied” was selected by the majority of nurses (42.6 precent). Also, in response to the question “How would you rate your quality of life?”, the item “neither poor nor good” was selected by the majority of nurses (48.9 precent).
Results indicate that QoL of oncology nurses in different domains is at a moderate level. Paying less attention to QoL of oncology nurses and not resolving their reasonable concerns may have a negative impact on the quality of care and quality of life of cancer patients.

Nowadays, the rate of cesarean section has surpassed the rate recommended by World Health Organization. One of the reasons for this increase is women’s request for cesarean section.
Given the increase in cesarean section rates as a health problem in Iran and its effects on maternal mortality, this study aimed to predict the type of delivery based on the theory of planned behavior.
This cross-sectional study recruited 200 pregnant women presenting to rural health centers of Urmia using random cluster sampling in 2014. The data collection tool was a questionnaire containing constructs of the theory of planned behavior, including knowledge, attitude, perceived behavioral control, subjective norms and behavioral intention. Data were analyzed in SPSS 16 using paired t-test, chi-square test and logistic regression.
Women’s mean age was 27.9±4.8 years, 68.5% of mothers stated that they intended to have normal delivery and 31.5% were inclined to cesarean section. Significant relationships were observed between the delivery choice and education level P, trimester of pregnancy P, conception type (wanted, unwanted) P, history of abortions and previous stillbirths Pand type of previous deliveryP. Among the constructs of the theory of planned behavior, subjective norms was the most effective (P It is recommended that intervention programs based on constructs of the theory of planed behavior be implemented with emphasis on subjective norms to help pregnant women choose natural deliver

Prostitution has a strong relationship with substance use. In addition, lifestyle has a key role in prevalence of social problems such as prostitution and addiction.
The current study aimed to investigate the differences between health-promoting lifestyles between prostitute women drug users and non-prostitute women drug users.
This cross-sectional descriptive-analytic study recruited 120 women including 60 prostitute drug users and 60 non-prostitute drug users selected by convenience sampling in Tehran in 2015. They completed the Health-Promoting Lifestyle Profile. Data were analyzed using multivariate analysis of variance in SPSS version 20.
The results indicated a significant difference between prostitute and non-prostitute women drug users in terms of health-promoting lifestyle (p These findings emphasize that health promoting lifestyle can play an essential role in health and therapeutic interventions (primary and secondary) in prostitute and non-prostitute women drug users.