نشریه پرستاری و مامایی ارومیه
سال شانزدهم شماره 2 (پیاپی 103، اردیبهشت 1397)

Pregnancy is a situational crisis and in cases that are not well managed the stress is great for the mother and her relatives. Pregnancy classes include group classes with the aim of educating pregnant women. The aim of this study was Assessment of pregnant women Satisfaction of Pregnancy Preparation Classes and its Relationship with Anxiety Level in this Women.
Material & This study was a descriptive -correlational study of health system research. In this study, 80 pregnant women entered the study randomly. These women participated in Pregnancy Preparation Classes. After the end of the last session, the questionnaire was completed by the participants. The questionnaire consisted of three sections: demographic characteristics and satisfaction surveys from these classes and the Spielberger Anxiety Inventory. The data were analyzed using SPSS software.
Most women (53.8%) were fully satisfied with the way they were preparing their childbirth classes. The paired t-test showed that the anxiety score decreased significantly after intervention in pregnant women (P = 0.000) and Paired t-test showed that there was no significant relationship between satisfaction rate and anxiety level in these women (p≤0.05).
Participating in Pregnancy Preparation Classes is recommended to increase the satisfaction of pregnant women and reduce pregnancy anxiety.

Cancer has a negative impact on the various aspects of life in patients with cancer in varying degrees. The purpose of this study was to investigate the effectiveness of religious-spiritual psychotherapy with emphasis on the importance of prayers No. 15 and 23 of SahifehSajjadieh on the attitude toward illness and mental health in cancer patients in Ahvaz city.
Material & In a pre-test-post-testdesign with control group, 30 cancer patients in Ahwaz were selected using available sampling method and randomly assigned to two intervention and control groups (each group consisted of 15 subjects).The intervention group received 6 sessions (weekly 2 sessions)of 90 minutes religious-spiritualpsychotherapy intervention with emphasis on the importance of prayers No. 15 and 23 of SahifehSajjadieh. The instruments used were Goldberg and Hillier mental health questionnaire and the Illness Attitude Scales (IAS) of Kellner, completed in two stages before and end of intervention. Descriptive statistics were used to analyze the data and to determine the significance level, the test ANOVA, (p The results of multivariate analysis of covariance showed thatspiritual / religious psychotherapy - emphasizing the importance of 15th and 23th prayers of SahifehSajjadiyeh-increased mental health (P>0/005) and positive attitude toward illness (P>0/002) in cancer patients of the experimental group in comparison to the control group in post-test.
Considering the positive effect of this intervention on improving mental health and also strengthening the positive attitude toward illness, this intervention can be appropriate for cancer patients along with other treatments and could be used as a treatment approach in hospitals and counseling centers.

Health care providers assist the family physicians in providing health services. Satisfaction of health care providers will play a significant role in sustaining and providing more comprehensive and qualitative services. This study was conducted to determine the level of satisfaction of health care providers in Fars and Mazandaran provinces from the urban family physician program.
This cross-sectional study was carried out in winter 2016. 15% of health care providers in Fars and Mazandaran provinces were randomly selected and studied. The data collection tool was a researcher-made questionnaire including personal variables with 16 open and closed questions; satisfaction from the family physician program was analyzed by 13 closed questions in Likert scale; the validity and reliability of questionnaire were confirmed.
Among 228 health care workers, 133 cases (58.3%) were employed in Fars province and 219 cases (96.1%) were female. The average satisfaction level of the urban family physicians was 3.90 ± 0.9 from 5 score and 3.22 ± 1.0 of population under coverage. Overall satisfaction of 54.8% of health care providers was higher than the average (above 3.5 from the total 5 score). There was no significant difference between the satisfaction of health care providers and the province of service place in any of the variables (p The results of this study showed that satisfaction of health care providers with family physician's performance was higher than the average and moderate for the population under coverage. It is suggested to design and implement interventional programs for different levels in order to improve satisfaction.

Virtual social networks have become an unrivaled means in the field of information and communication technology and are one of the effective factors plays an important role in the academic achievement of students in today's modern world. Accordingly, this study aimed to determine nursing student's perspective toward the role of virtual social networks on their academic achievement.
This study was a descriptive survey conducted on 356 nursing students in Tabriz University of Medical Sciences in 2017. The participants were recruited using stratified random sampling. A researcher-made questionnaire was used for collecting data. Descriptive statistics were applied to the data by SPSS ver. 13 Software.
while the majority of the participants expressed that virtual social networks have had a constructive and positive role in both "inquiry" and "assignment writing" domains, they disclosed that virtual social networks were destructive in the two other "grade promotion" and "concentration" domains of academic achievement. Also, from the student's perspective, virtual social networks have had a neutral impact on the "academic motivation".
It is a necessary requirement for officials of nursing education and other stakeholders to adopt preplanned measures in line with guiding the students to make the most of the positive points of virtual social networks and to prevent potential pitfalls and malicious consequences that their misuse could bring with them.

Stress not only disrupts the health of mothers, but also disrupts the relationship between mother and child. This study was conducted to determine The Effect of Family Support Based Counselling on Postnatal Perceived Stress and mother-child bonding in Nulliparous Women Reffered to Health Centers in Urmia in 2016-2017.
The randomized clinical trial study was conducted in 2016. A group of 330 nulliparous women randomly allocated in intervention (165) and control (165) groups. Data collection tools were personal information form, Multidimensional Scale of Perceived Social Support (MSPSS), Postpartum Bonding Questionnaire and Postnatal Perceived Stress Inventory.
The findings revealed a significant increase in total postpartum perceived stress and in it’s all subscales including Fatigue, Relationship with baby, Relationship with body, Feeding the baby, Future plan, Relationshi with partner and in total mother-child bonding and in it’s all subscales including general bonding difficulties, Threatened rejection, infant-focused anxiety and incipient abuse. But there is no significant difference after intervention in control group.
Consultation with newly delivered women, during postpartum period reduces the perceived stress and mother-child transplantation problems. Counseling based on family support is suggested.

Nursing process is the important pivot of nursing, and it is an icon of the art and science application in the prevention of disease and promotion and maintaining of health. The aim of this study was to examine the impact of evidence-based nursing education in executive skill of nursing process among Khoy faculty of nursing students.
Methods & This quasi-experimental study was conducted on 40 students in Khoy faculty of nursing with convenience sampling and then randomly divided into two groups: control (20), and intervention (20). We provided a workshop as two sessions in two hours associated with team work and critical thinking practices for experiment group. We do not provide any intervention in control group. They were evaluated how to write a nursing process, before the intervention, by providing the scenario and after the intervention on patient care at the bedside, by using a check list. To determine the validity of the checklist, the formal and content validity and reliability of the Cronbach's alpha (α= 0.75) and test-retest (r=0.70) were used. The data were analyzed by using independent T test and paired T test of SPSS software.
The mean age of students was 22.16 ± 1.23. The results of independent T test showed that there was no significant relationship between two group before intervention (p Regarding to the impact of training in executive skills of nursing process, it is recommended that patients care in educational centers provided by using nursing process and evidence - based nursing. It can cause to improve the quality of nursing care and effectiveness in gaining professional autonomy and enhancement of nurse's capabilities.

Study of sex education can prevent some sexual disorders, conflicts and complains. Due to this reason, the aim of this study was an effectiveness of sex education on women sexual schemas, women sexual self-esteem and sexual satisfaction on women who had refereed to counseling centers of Isfahan city.
This research was a quasi-experimental with per test, post test study with control group. Participants were selected from women who had refereed to counseling centers of Isfahan city. Participants were randomly assigned to the experimental (15 pairs) and control group (15 pairs). Data was gathered by Questionnaire of cognitive Schemas Activation in Sexual Context (QCSASC), Women Sexual Self-esteem Questionnaire (SSFIW) and Women Sexual Satisfaction (ISS). Sex education as independent criteria was applied on experimental group lasted 15 hours that culminated along 6 weeks including 1 section in each week. Then 3 questionnaires as above was told, examined on both groups (experimental and control).
The results on ANCOVA analysis showed that sex education intervention effected on women sexual self-esteem and sexual satisfaction but had no effect on women sexual schemas.
Sex skills training can improve and increase the sexual satisfaction of women.

Empathy is an essential element in midwifery practice, which also has an essential role in creating and quality communication with the patient. Effective, warm and Empathy communication, improved clinical outcomes in the treatment and it is important to increase patient motivation to participate in treatment. Given the importance of empathy in relationship quality and outcomes treatment, this study aimed to evaluate the performance of Empathy in midwifery students.
This descriptive study was conducted in Mashhad University of Medical Sciences in 1394. In this study, all midwifery students in semester 5 and 7, and 219 pregnant mothers participated. For each student, three pregnant women were enrolled. In order to assess the student's Empathy performance, a modified questionnaire for the patient-perceived of the physician's empathy (JSPPPE) was completed by the participating pregnant mothers and to assess empathy, the Jefferson Scale of Empathy Physician Health Professional version (JSPE-HP) was completed by student self-assessment method.
The mean scores of JSPPPE were (89.38±9.58) and the mean scores of JSE-HP were (80.36±60.1). Statistical tests showed that there is a significant relationship between Empathy performance and some demographic data.
The results of this study show that is good Empathy skills in Midwifery students, however, given the importance of empathy in improving clinical outcomes, strengthening empathy between students and patients seems necessary.