نشریه پرستاری و مامایی ارومیه
سال پانزدهم شماره 7 (پیاپی 96، مهر 1396)

Epistaxis is defined as acute hemorrhage from the nostril, nasal cavity, or nasopharynx. It is a frequent Emergency Department (ED) complaint and often causes significant anxiety in patients and clinicians. Accordingly, this study aimed to compare the administration of topical Phenylephrine with topical Tranexamic Acid (TXA) in management of epistaxis.
This double-blind, randomized clinical trial was conducted on 120 patients with epistaxis referred to Imam-Khomeini University in Urmia, Iran. Patients who met the inclusion criteria, were randomly allocated into two intervention and control groups. Sixty patients in the intervention group received one pledget soaked with TXA for 10 minutes in each nasal cavity. Sixty patients in the control group received Phenylephrine 0.5% with the same way. The cessation of bleeding in ED were evaluated by 10 minutes after the administration of the above-mentioned drugs.
Nasal hemorrhage was stopped in 17 out of 60 patients of control group received Phenylephrine (28.3%) while in the intervention group received TXA, 40 out of 60 patients (66.7%) experienced the cessation of their nosebleed that the difference was clinically and statistically significant (P According to study results, topical application of injectable form of TXA (500mg/5mL) can be used as an ideal drug in management of epistaxis in prehospital and hospital settings and subsequently leads to a reduction of extra costs and length of stay in the EDs.

Mental Health is one of the Important Dimentions of Health. Studies have revealed that individual, personality, social, Familial and … Factors Influence Mental Health. In this study the Relationship between perfectionism and Mental Health in urmia university of Medical sciences students was conducted.
Material and In this descriptive study 190 student selected by cluster Random sampling and they Completed Mental Health and perfectionism questionnaires. Data was Analyzed through Descriptive statistical Methods and pearson Correlation coefficient.
The Finding Revealed 45.8% of students have different Degrees of Mental Health problem.1.1% of students in somatic symptom, 0.5% in anxiety and insomnia and 3.2% in depression have sever disorder. There is significant Relation between Perfectionism and Mental Health.
According to the Results, it can be said perfectionism is one of the predictive Factor of Mental Health and psychological Interventions For its Modification have effective Role in Improving of Individuals Mental Health.

Patient education is one of the most important roles of nurses and has an important role in diabetes control. Tele-nursing is effective, due to the elimination of­­ both space and time limitation and establishing an effective relationship with client care. Half of people with diabetes-inject insulin; do not have good information on how to inject insulin. The purpose of this study was to investigate the effect of nurse telephone calls on glycemic parameters HbA1C and adherence to diabetes control recommendations.
This study was a randomized clinical trial Double-blind in patients with diabetes treated with insulin, on 64 patients with diabetes treated with insulin, in the intervention group (n = 32) and control (n = 32). Intervention group received insulin injection education, followed by telephone and short message control, for 12 weeks(The first month, twice a week and the second and third months, once a week for 10 minutes). Control group received only insulin injection education. To assess the intervention, before and after the intervention of A1C hemoglobin and Fasting blood sugar measured in the two groups were compared. Data were analyzed using SPSS 16 and descriptive and inferential statistical testes.
The results showed that the intervention was not statistically significant effect on HbA1c level after intervention, but intervention has been the FBS level after intervention only in the fourth week (P=0.04) and fifth (P = 0.007) after the treatment effect is statistically significant.
Telephone follow-up and tele-education by nurse has important effects on patient's hemoglobin A1C and fasting blood sugar control in people type 2 diabetes.

Nurse Practitioners (NP) are vital members of the health care system. Their knowledge and skills in the quality of care that patients receive is very important. In order to achieve more success in the Master’s of Science of Neonatal Intensive Care Nursing in Iran and identify its weaknesses and strengths, comparative studies and utilization of successful universities’ strategies and experiences are necessary. The present research compares the Master’s curriculum of Neonatal Intensive Care Nursing in Iran and Pennsylvania University of United states.
This descriptive-comparative study was carried out in 2017. After searching the network on the master curriculum of Neonatal Intensive Care Nursing in well-known international universities, we selected Pennsylvania University of United states due to relative similarities between two courses and Both curriculums were compared using Bereday’s four-stage model: description, interpretation, juxtaposition and comparison.
The program of both universities is based on the principles of strategic planning with values ​​and mission, vision. The philosophy of the Pennsylvania School of Nursing has included cultural and ethnic differences, while nursing care in Iran has not been given due attention to different cultures and ethnicities. The entry criteria for this degree at Pennsylvania Nursing School are volunteer's work experience in infants wards and interviews in terms of examining personality and psychological characteristics before entering the field. It is also possible to offer courses in addition to being full-time, but also part-time possible.
the Master's program of neonatal intensive care nursing, due to its clinical nature has much strength. In order to improve the quality of the course, it is recommended to take into account the work experience of the volunteers, to conduct the interview in terms of psychological characteristics before entering the course and offering part-time courses.

The standards for accreditation in specific sectors reduce the frequency of preventable mortality and costs. In Iran, standardization and the importance of its implementation 1 special parts have gained little or no attention. The purpose of this study is to determine compliance with accreditation standards in specific sectors of the educational centers of Medical Sciences University of Urmia.
This study has been conducted through a descriptive cross-sectional approach in four educational centers of Medical Sciences University of Urmia. The data has been collected by the check list taken from the Accreditation Guide assessment standards of the Ministry of Health, which has adapted the standards of the Joint Commission International (JCI). Comparative charts and descriptive statistical methods were used for more data analysis.
From a total of 139 points, in 8 evaluated scales of intensive care units (ICU), the highest score in all these sectors was 109 and the lowest was 64. Altogether, from 121 points in cardiac care unit (CCU) in 8 evaluated scales, the highest goes to 89.5 and the lowest was76. Accreditation standards in CCU have been observed more than in ICU units.
Despite acquiring the first rank in the previous year’s assessment of all hospitals, in this study the average of the total scores in special care units of each four health training centers was 57.9 percent, showing a low mark considering the general standards in standardization rating. The difference in acquired marks in the Ministry of health’s assessment and the evaluation of international standards in specific sectors, shows incompetence in the acquired rank and to solve this incompetence urgent actions must come to practice.

One of the global reproductive health priorities is adolescent reproductive health. In Iran, as the adolescents form a large part of the population, this issue has a special importance. Getting aware properly from puberty and sexual and reproductive health issues prevents many problems that can be risks. This study aimed to the effects of group counseling on reproductive health knowledge in adolescent girls living in welfare boarding centers.
This study a Semi- experimental interventional study (single band) did in 2016 on adolescent girls living on welfare boarding centers of in Hamadan. All eligible persons (n =30) were Therefore were enrolled with census. The intervention was conducted as group counseling. The data collection tool was questionnaire that three times (before, immediately after and one month after treatment) were used. Validity of questionnaires through the content and Ostensible, and Their reliability was confirmed by alpha Chronbach. Data using descriptive and inferential statistical methods using SPSS-20 software was analyzed. P-value was considered significant if it was less than 0.05.
The results showed that knowledge in immediately and a month after the intervention at over time compared to before the intervention significantly increased (P The results showed that the intervention of group counseling on knowledge of different aspects of reproductive health of adolescent girls boarding centers effectively.

Patient education is one of the important aspects of nursing care and key roles of nurses. In this context, recognizing its barriers can greatly influence on the process of improving the quality of patient education. The aim of this study was to investigate the barriers to patient education from the viewpoint of nurses in Iran.
Material & In this review study, research articles related to barriers of patient education from the viewpoint of nurses were searched in Persian and English languages and without time limitation in these databases: PubMed, ISI, ERIC, Science Direct, Scopus, Proquest, Google Scholar, MagIran, SID, IranDoc and IranMedex. Doing research in Iran was the main inclusion criterion. After evaluating entry criteria and quality of the articles, 24 articles were analyzed.
A wide range of barriers were presented in studies. After the categorization, five main areas were identified: 1) Barriers related to nurses: Lack of time due to workload of nursing staffing; 2) Barriers related to patients: the patient's unfavorable physical and psychic status; 3) Management barriers: lack of manager's support; 4) Organizational obstacles: the inappropriateness of nurse-patients ratio; 5) Environmental barriers: lack of cooperation of the medical team members to implement educational programs.
Most of the barriers to patient education are those of related to nurses. To improve the status of patient education, it is essential for managers to encourage nurses in this important task by adopting measures such as increasing in nursing staffing, allocating sufficient funds and proper supervision.

Ventilator associated pneumonia account for about a third of all nosocomial infections, nurses have a key role in the prevention of pneumonia associated with ventilator. This study aimed to assess the effects of education based clinical guidelines on function of nurses in the prevention of Ventilator-associated pneumonia.
Material & In this quasi-experimental study in which the post-test was conducted with intervention and control groups, 60 nurses working in the special section of Imam Khomeini and Taleghani hospitals were enrolled in an accessible manner.. In the intervention group (30 Imam Khomeini hospital nurse), educating nurses by putting up posters in all patients was above the bed, as well as pamphlets and booklets were given to nurses. Also holding four training sessions with practical display at the top of a patient's bed to take care of ventilated patients were ventilator. Tools for data collection, was check list with 32 items and 6 care domains. Function of nurses in two groups in the end of study, morning shift in each dimension was evaluated using check list. To analyze the data, chi-square and t tests were used.
Results of this study showed that the mean scores of nurses’ function was in the control group 20.20±2.36 and in the intervention group 25.56 ± 2.02 and independent t-test results showed significant difference between the control and intervention groups. (p =0.001). These findings suggest that the relatively good performance of nurses in the control group 7/96 percent and 3.3 percent had a poor performance in the intervention group, whereas 3/53 7/46% of the performance of favorable and relatively favorable performance in the prevention of pneumonia related to the ventilator.
The results of this study showed that nurses after the intervention compared to the control group had significant improvement, so educating nurses, and to provide feedback to them in the form of posters and pamphlets in the critical care units is necessary.