نشریه پرستاری و مامایی ارومیه
سال پانزدهم شماره 5 (پیاپی 94، امرداد 1396)

one of the most effective factors on organizational behavior is the staff’s job satisfaction. Spirituality and spiritual wellbeing of staff is an inseparable personal element that influences on their job satisfaction. The aim of this study is deterring role of staff spiritual wellbeing on job satisfaction in Khoy health and treatment system.
Material & In this descriptive- correlational study, 330 staffs of khoy health and treatment system entered in the study by strata random sampling. Data were gathered by two tools, Paloutzian and Elisson spiritual wellbeing scale (1983) and Herzberg job satisfaction scale (1996). Then data were coded and entered into SPSS 18 and analyzed through descriptine and inferential statistics indices. All of ethical issues was considered by authors.
10.7% of samples were medical doctors, 85% B.S and 4.3% M.S. 17% of them were in high social class and 31% were satisfied from economic status. 68.5% of nurses, 66.32% of laboratory and radiology experts, 48% of headquarter staff and 31.42% of doctors and managers had high spiritual wellbeing and 0%, 0%, 65 and 8.58% of them had low spiritual wellbeing respectively. Doctors and managers, laboratory and radiology experts, nurses and headquarter staff had the most job satisfaction orderly. There was meaningful direct positive correlation between spiritual wellbeing and job satisfaction of samples. There was a positive meaningful correlation between satisfaction from economic status with spiritual wellbeing and age with job satisfaction only.
Nurses had the highest spiritual wellbeing and the lowest job satisfaction and doctors had the lowest spiritual wellbeing and the highest job satisfaction. The positive correlation between spiritual wellbeing and job satisfaction showed that using spiritual and religious rituals can promote staff job satisfaction and lead to high organizational productivity. According to results staff education to create commitment, stress reduction, increase spirituality, stabilizing staff employing status and increase their salary is recommended.

One out of every five deaths that occur in the world linked to coronary artery disease. Depression, anxiety and stress are the most common consequences of this disease are more severe course of the disease. One way to deal with stress, anxiety and depression positive thinking as a new branch of psychology is the scientific study of human strength and joy intends.This study aimed to determine the effect of positive thinking on stress, anxiety and depression in patients with coronary artery heart of the city TAKAB has done.
This study is a clinical trial pretest-posttest that 60 patients with coronary heart disease who met the inclusion criteria were randomly assigned to two groups: control (n = 30) and intervention (n = 30) were studied allocation. Data through demographic questionnaire and DASS-21 questionnaire has collected. SPSS software through descriptive and analytical data (t-test) analyzed.
The mean scores of depression, anxiety and stress before the study intervention and control groups showed no significant difference but after the intervention indicated a significant difference in the scores of the two groups of intervention and control has observed. (P The results showed that depression, anxiety and stress in patients with coronary heart disease after training the experimental group with different control i.e. positive thinking positive thinking training reduces depression, anxiety and stress in coronary heart disease.

The most common reaction is patient pain during veniopuncture. Some studies have shown that local heating effect, but the effect on overweight patients who have more fat tissue has not been.This study aimed to determine the effect local heating on severity pain casuded by interavenous cannulation in patient with overweight.
This randomized clinical trial was done on 70 patients with overweight, aged 18-60 years and hospitalized in internal department of Imam Reza (AS) hospital in Mashhad. They met inclusion criteria including the need for venipuncture. Subjects allocated randomly in two groups of experimental and control. For experimental group, local dry heat of 39.5 applied for 10 minutes before venipunctureat the site of venipuncture.The control group had venipuncture without local heating. Severity pain casuded by interavenous cannulation in two groups measured by Visual Analogue Scale. Data were compared by independent sample t-test.
Average pain caused by the intravenous cannulation between intervention and control groups respectively was 4.2±1.4 and 5.2±2 score that were significant statistically (p Local heating can be used in venipuncture overweight patients to decrease severity pain casuded by interavenous cannulation in patients.

To improve the quality of care provided to patients with chronic renal failure undergoing hemodialysis, patients’ partnership with medical team is essential. Patient's involvement approaches and generally, the patient-centered approaches are resulted in the increase of patient satisfaction, costs reduction and results improvement. Due to the importance of partnership with medical team in patients undergoing hemodialysis treatment, the current study aims to assess the effects of group discussion on partnership with medical team in hemodialysis patient
In this study of quasi -experimental clinical trial (with two groups of experimental and control) 60 patients with inclusion criteria through convenience sampling with random allocation were arranged in two experimental and control groups. In the experimental group, the educational intervention to promote partnership with medical team was made in 4 sessions by group discussion. The control group received routine interventions. Data were collected through using standard questionnaire before and 3 months after intervention. Data were analyzed via SPSS software version 18and with the use of chi-square tests, t-test, and Mann-Whitney nonparametric tests such as Wilcoxon test.
The results regarding to demographic and contextual characteristics showed that both experimental and control groups were homogeneous in all variables before intervention (p>0.05) except for (age,diagnosis age of renal failure and source of education acquisition about dialysis).The analyzed results through using the Mann-Whitney test, and Wilcoxon test also showed that the mean scores of partnership with the medical team after the implementation of group discussion between the experimental and control groups were significantly different(p Group discussion was an effective teaching method to promote partnership with the medical team in chronic hemodialysis patients. Therefore, group discussion to reinforce the partnership with the medical team in patients undergoing hemodialysis is recommended by nurses.

Mother's health literacy is a key and important factor in ensuring prenatal cares, prenatal health, and the successful outcomes of this period. This study was aimed to determine the level of Functional Health Literacy in pregnant women in health centers of Urmia city.
This cross-sectional study done on 400 pregnant women referred to health centers, which had the inclusion criteria. Data Collection tool includes two-parts; first part of questionnaire, questions about demographic characteristics and second part was Functional Health Literacy Inventory short form) S-TOFHLA). We used the software SPSS (version 17) and descriptive statistical analysis was performed. Significant level was considered less than 0.05.
The mean age of participants in the study, 27.3 ± 5.99 years. The majority of participants are primary school (42.3%), housewives (84%) and Underpaid daily life (83.6%). The mean gestational age was 21.9 ± 7.65 weeks and 24% had inadequate levels of literacy, 25% border literacy and 51% adequate literacy.
The results indicate that the level of functional literacy of most mothers in this study is sufficient. However, considering the effect of mother's health literacy on the health of the child and the family, and according to the results of this study, the income of the household and the mother's occupation and education plays an important role in promoting health literacy, So, in order to promote the health literacy of all pregnant women; macroeconomic, social and health policies should be taken. And then we can see an improvement in the health literacy of all mothers, including mothers living in the city and rural areas, at every level of economic income and all sections of society.

With increasing elderly population, the incidence of visual impairment and its related problems are also increasing that impacts their quality of life. This study aims to determine the quality of life among the elderly with visual impairment referring to low vision clinic in Booali Sina Hospital, Qazvin.
Material and This descriptive-analytic study was conducted as cross-sectional. Through convenience sampling method, 94 visually impaired elderly admitted to the visual clinic with acuity less than 6/18 were selected to participate in this study. The VFQ-25 questionnaire was used for collecting the data. The data were analyzed by Pierson,
The results of the study showed that the quality of life of the participants was in moderate level (53.24±23.29). The highest mean score was for driving (10.71±2.80) and near vision (7.76±2.86) and the lowest mean score was for daily living activities (1.67±1.39), general health (3.37±1.24) and independency (4.09±2.82). Furthermore, it was observed a significant association between quality of life and age (p= 0/03, r = -0.22) and marital status (p= 0/00, r= -0.32).
Due to low level of quality of life of the studied participants, their life quality promotion should be considered as an essential plan for policymakers. Providing the programs to introduce the rehabilitation services and how to use them could be led to obtain this goal.

Premarital education and counselling programs are considered as an important factor to promote the quality of married life. This study was performed to determine satisfaction of premarital couples about the quality of the premarital education and counselling program provided by Urmia health centers.
This descriptive analytical cross sectional study was performed on 50 couples referring to health centers in Urmia during 3 months. The data gathering tool was a questionnaire containing 2 parts. The first part included demographic questions and the second part included 22 questions related to dimensions of satisfaction of quality containing tangibility, reliability, responsiveness, assurance, and empathy. The data were analysed by the path analysis method by Mplus-5 software.
Mean age of marriage for men was 26.48.55 and 21.91.29 for women. The results indicated that education level (β2 = -0.292), location (β2 = -0.075), and sex (β2 = -0.106) had indirectly a negative effect on the satisfaction of couples. It also showed that responsiveness (β1 = 0.404), assurance (β1=0.316), reliability (β1= 0.312), and tangibility (β1=0.0207) had a direct and positive effect on the satisfaction of pre -marriage couples about the quality of premarital education and counselling program respectively.
According to the results, couple’s viewpoints should be considered in designing the premarital program. It is also recommended that all dimensions of quality of the premarital counseling and training program particularly empathy dimension should be identified and improved.

One of the key goals in the care of patients with diabetes, elevated levels of adherence to treatment and recommendations offered by group therapy. The family as the basic unit of society is responsible for the proper health care to his patient. This study aimed to determine the effectiveness of family centered care on laboratory examinations in patients with type II diabetes in Khoy Shahid Madani Hospital has been done.
This study is a quasi-experimental study. The number of 80 patients with type II diabetes and one of his family members from Khoy Shahid Madani Hospital selected by convenience sampling and randomly assigned to intervention and control groups. At first degree was measured laboratory values (Fasting blood glucose, Random blood glucose and hemoglobin A1C) before the study. Then family centered care was conducted for the experimental group and again After 3 months follow-up was measured laboratory values (Fasting blood glucose, Random blood glucose and hemoglobin A1C) in Patients in both groups. For data analysis using spss-20 descriptive and inferential statistical tests were performed.
The results of the study showed that the mean scores in Fasting blood glucose, Random blood glucose and hemoglobin A1C in each group before the intervention was not significantly different. (p0/05).
According to the results of this study Family-centered care could reduce levels of in Fasting blood glucose, Random blood glucose and hemoglobin A1C. Therefore it is recommended that the care provided to patients with diabetes.