نشریه پرستاری و مامایی ارومیه
سال پانزدهم شماره 11 (پیاپی 100، بهمن 1396)

The health promoting behaviors is an important topic in the study of chronic diseases, especially cancer. Therefore, this study, aimed to determine the effect of peer support on health-promoting behaviors of breast cancer patients, was conducted in 2015-16.
In this clinical trial, 140 patients with breast cancer were selected with convenice sampling and then randomly allocated into two control and intervention groups. Six discussion sessions were held for the intervention group by two survivors of breast cancer with the highest score in HPLP-II questionnaire. Data were collected before and after the intervention, using demographic data questionnaire, Beck Depression Inventory and health-promoting lifestyle questionnaire of Walker.
Collected data in the intervention and control groups, before the intervention, showed no significant difference in overall average score of health promoting behaviors of the patients (P=0.99). However, after the intervention, the difference between the mean score of health promoting behaviors in two the groups was significant (P Peer-led support increased health promoting behaviors score in breast cancer patients. It is proposed that peer support should be used in patients with breast cancer to improve the health promoting behaviors.

Most patients who undergo coronary angiography have f ear and anxiety before procedure and their lives are endangered by some Complications such as dysrhythmia,spasm and vessels rupture.The non-pharmacological treatment such as aromatherapy can effective in reducing anxiety and thus prevent these complications of anxiety. The aim of this study is to assess the effect of aromatherapy on the anxiety of patients experiencing coronary angiography.
IN this clinical trial study, 78 patients, who hospitalized in sari Fatemeh-Zahra Hospital for Coronary angiography were interred in to the study and were divided to two groups. Ten people were excluded from study. In the control group (33 patients) we used sterile water as placebo and in case group (35 patients) we used oil inhalation by non absorbent polyethylene paper impregnated by two drops of essential oil for 20 minutes. The levels of anxiety were measured in to groups by Spill Berger state –trait anxiety scale before and after aromatherapy.
The data were analyzed using Spss-19 and chi-square test and Fisher s exact test and pair test.
The results showed that the level of anxiety in case group after aromatherapy was lower than the control group and this reduction was statistically significant difference (p = 0.025) and the level of anxiety in aromatherapy decreased after treatment (p >0/001) but control group we did not any between the level of anxiety before and after treatment (p=0/831).
This study showed the effects of inhalation aromatherapy with orange essence for reduction of anxiety in patients experiencing coronary angiography. Thus, it can be used for decreasing anxiety in clinical situation.

Ageing critical period of human life is the increasing number of non-communicable diseases such as cancers are predictable cases. In most cases Elderly Patients with cancer addition to cancer chemotherapy for the treatment of diseases and syndromes associated with cancer of various medicines that can increase the likelihood of drug interactions, toxicity and side effects are. The aim of leading the prevalence of moderate and severe drug interactions in the elderly undergoing chemotherapy in cancer patients referred to Imam Khomeini hospital in Ardebil.
Cross - sectional study on 102 elderly people who are aged 60 years and older was conducted. A list of medications the patient by using medical records, relatives and patient himself prepared, Drug–drug interactions were screened with Drug Interaction Facts software, version 7.0.5.1. Potential interactions were graded by levels of severity (severe, moderate) and Onset of action (rapid and delayed). The data were entered into SPSS software and descriptive statistics were presented.
Of the potential interactions, 72/5% Total drug interactions, 16/7% were classified as major and 55/9% as moderate. 44/1% is potential drug interactions between dexamethasone and Abitanti. Most drugs prescribed chemotherapy, adjuvant chemotherapy drugs and drugs used to treat Comorbidities with warfarin drug interactions.
With increasing scientific knowledge of nurses and doctors from drug interactions, alternative medicines may interact with other medications and by reducing the number of drugs can limit the number of drug interactions and consequences of reduced.

Adolescence is a critical and most vulnerable age in terms of mental health problems a crucial period for developing obesity and associated mental health problems. Inappropriate eating behaviors and obesity in adolescence is a great concern which can be associated with the risk of many chronic diseases in adulthood and in fact main base of obesity in adolescents is wrong eating behaviors. The purpose of this study is to investigate the relationship between eating behaviors with body mass index among high school female adolescents in Khoy.
The method of study is descriptive- correlation. 264 girl's high school students in Khoy to multi stage random sampling were selected and enter the study. The Data were collected with Dutch Eating Behavior Questionnaire DEBQ, meters and digital scale. The Data were analyzed with using Spearman correlation.
Our results indicated that 64/8% of body mass index to normal levels and a total of 35/2% of samples are non-normal body mass index. A negative relationship existed between eating external stimuli and body mass index (-0/13) and positively associated between dietary restraint and body mass index (0/46)(p Results show that eating external stimuli and dietary restraint is effective on body mass index. Therefore Because the critical period of adolescence is important, focusing on eating behaviors and eating styles is important for the prevention of overweight and obesity in adolescents.

Following a special diet, restricting liquids, and taking medicine to cure patients suffering from chronic kidney failure who are being treated by hemodialysis are crucial. The present study was carried out to study the relationship between self-efficacy and following a special diet among these patients.
A case-control study was carried out on 310 patients receiving hemodialysis at Taleghani Educational and Healthcare Center in Orumiyeh. In this research, the patients were sampled through full enumeration and were divided to two groups_ a group with members who followed their diet, and the other group in which the members did not follow the diet_ according to their average results from laboratory parameters. The self-efficacy of the patients was measured and compared by a valid and reliable tool made by the researcher.
The results obtained from comparing the demographic data (age, gender, and ...) indicated that there was not a significant statistical difference between the two groups. The results from comparing the average values for self-efficacy in the following group (64.41±30.6) and non-following group (08.36±83.6) indicated a meaningful difference between these two groups (p˂0.05).
The members of the following group had a higher self-efficacy compared to the members of the non-following group. Therefore, taking some actions in order to boost the self-efficacy in the patients of the latter group may accompany an increase in their accepting a special diet which can lead to better therapeutic results.

Training for ventilator-associated pneumonia prevention on the basis of clinical guidelines can be effective in preventing it, but what will be the effect of training on different grades. Therefore, we aimed to study the effect of training based clinical guidelines on performance of nurses in the prevention of ventilator-dependent pneumonia in special wards of Urmia teaching hospital during night shifte.
In this semi-experimental study, 60 nurses (control and intervention groups) who working in intensive care unit of Urmia-hospital were included in study. For training group, four sessions of training, overhead posters and giving pamphlet were used. Chi-Square and t-test were used to analyze data.
The overall performance score of nurses in prevention of ventilator-associated pneumonia was 16.23 ± 2.28 for control group and 24.43 ± 2.12 for intervention group, which indicating there was significant difference between two control and intervention groups (P By consideration of positive effect of education on reducing incidence of ventilator-associated pneumonia in this study, it is necessary to give pamphlets, use of posters and participate in educational courses.

Pregnancy worry and anxiety are recognized as barriers in labor progress. This study was conducted to determine the effect of couple counseling based on marital support on anxiety and worry during pregnancy who referred to the selected Health centers in Urmia.
This clinical trial study was performed on 60 pregnant women and their spouses with gestational age between 18-32 weeks at Urmia selected health care centers in 2014. Data collection tool was individual information form, Cambridge worry and Spielberger anxiety inventory. Those women were randomly entered into the study groups (30 couple in each group). The intervention group in once a week, to 6 Session, was counseled. The non-intervention group received the normal prenatal care. Data was analyzed by SPSS-20, Mann- Witney-U, and T-test Wilcoxon rank tests. P-value less than 0.05 was considered significant.
A randomized controlled trial was conducted. Sixty pregnant women and their spouses during 18-32 gestational weeks were randomly assigned into intervention (n=30) and control group (n=30) in 2014.
The couples in intervention group invited to attend in couple counseling based on marital support sessions, and the control group received only routine prenatal care. State/trait anxiety was measured with the Spielberger State-Trait Anxiety Inventory, worry during pregnancy was measured with the Cambridge Worry Scale.
Mean score of total worry in pregnant women was significantly different in two groups of intervention group and control group (P˂ 001). Also, mean score of socio-medical, socio-economic, Health and Relationships were significantly different in two groups of intervention group and control group (P˂ 001). Also, mean score of state anxiety and trait anxiety in pregnant women were significantly different in two groups of intervention group, and control group (P Couple counselling Based on marital support reduced their worry and anxiety during pregnancy. For reduction of worry and anxiety of pregnant women, during pregnancy counseling with Women with husbands was suggested.

Multiple Sclerosis as a chronic disease causes stress, anxiety, depression and other mental health problems for reasons such as sudden onset, lack of prognosis and definitive treatment. Therefore, the present study was carried out aimed at the role of illness perception and perceived social support in predicting psychological distress of MS patients.
The method used in this research was descriptive-correlation. The statistical population included all of the MS patients who referred to the welfare center of Ardabil to obtain the medical services and formed the file in the first half of 2014. Of this population, 60 individuals were selected as the total available sampling. The multidimensional scale of perceived social support, questionnaire of illness perception and the measures of depression, anxiety and stress (DASS-21) were used to collect data. Also, in order to analyze the data Pearson correlation test and multiple regression were used on the software SPSS -16 (p The results showed that in patients with MS, all components of illness perception except (outcome of disease, personal control and illness integrity) have a significant correlation with (anxiety, stress and depression) (p The results of this research support the role of illness perception and perceived social support in predicting psychological distress in MS patients. So, given the higher levels of psychological injuries and disturbances in patients with multiple sclerosis, identification of causal and underlying factors seems necessary in maintaining and improving the health and psychological well-being in this group of chronic patients.