فصلنامه پرستاری، مامایی و پیراپزشکی
سال دوم شماره 4 (بهار 1396)

Different factors are involved in the reduction of MS disease and can help the patient in the process of disease. Therefore, the present study aimed to predict the psychosocial adjustment in patients with MS based on the components of coping strategies and religious orientation.
Methods & Materials: The research method was descriptive and is one of the correlation studies. The statistical population is all of the patients with MS who referred to the associations in Tehran in the first quarter of 2016. A sample of 100 patients with MS (at least 19 years old and without psychiatric disorders) were selected through convenience sampling. Data were collected by Lazarus and Fulkman coping styles questionnaire, Dreguits psychological and social adjustment scale, and Allport religious orientation. To analyze the data, correlation coefficients and hierarchical multi-variable regression analysis were used.
The results showed that there was a positive and significant relationship between religious orientation and psychological compilation (p According to the results, it can be concluded that religious orientation and coping strategies are related to adaptation in patients with MS.

Musculoskeletal disorders associated with patient transport are one of the most common occupational diseases in nursing staff. The objective of this study was to determine the understanding of nursing staffs about the risk factors of musculoskeletal disorders associated with carriage of patients in educational centers of Kermanshah University of Medical Sciences in 2017.
Methods & Materials: In this descriptive cross-sectional study, 270 nursing staff were studied in 2017. The sampling method was proportional in this stratified study. In order to assess nurse's understanding about the risk factors that cause the development of musculoskeletal disorders, a 17-item questionnaire, which was based on a survey of Nigerian nurses working on musculoskeletal disorders, was used. After entering the data in SPSS 21, descriptive and inferential statistics such as Chi-square, independent t-test, ANOVA and Pearson correlation coefficient were used to achieve the goals and to answer the research questions.
The average working hours per week was 14.44±13.17 hours. 53.7% of nursing staff had self-treatment due to work-related problems. The most painful organ of the nursing staff was the lower back (42.8%) and neck (20.4%). The understanding of the majority (85.6%) of nursing staff was minimal in relation to the risk factors for musculoskeletal disorders associated with carrying the patient. Work experience (P=0.031), work situation in the last 12 months (P=0.40) and job position (P=0.005) had a significant relationship with understanding.
According to the results of this study, considering the musculoskeletal disorders related to patients’ carriage among the nursing staff, education and improvement of existing conditions were necessary in order to reduce and prevent these disorders.

Radiographic tests are used to diagnose various types of diseases, but they are potentially dangerous for patients and radiographers who work in radiology departments. These risks are minimized if the protective measures are observed. The purpose of this study was to determine the level of knowledge, attitude and the performance of radiographers working in the radiological departments of Sanandaj city with regard to radiation protection guidelines.
Methods & Materials: This cross-sectional descriptive-analytical study was carried out using a 30-item questionnaire completed by all radiographers working in Radiology Centers in Sanandaj. The questionnaire included demographic information and questions about the level of knowledge, attitude and performance of radiologists on radiation protection. The data of the questionnaire was analyzed using SPSS18 and descriptive statistics including absolute frequency, relative frequency, mean, standard deviation, range, knowledge, performance, and attitude of the radiologists with gender and degree, age group and work experience.
The rate of participation of radiographers was 94.16%, and the mean and standard deviation of knowledge, attitude and practice regarding radiation protection were 20.65±2.725, 16.59± 2.09, 592.22, 11.43±1. The mean and standard deviation of age and work experience were 34.19±7, 158, 9.96±931.3, respectively.
The results of this study showed that with increasing age and reduction of educational degree, the knowledge and awareness of the radiographers with regard to radiation protection was reduced and also there was a direct relation between the knowledge and awareness of the radiographers and their performance in the field of radiation protection.

Domestic violence is a global and universal problem that is the third leading cause of death or physical disability in women after cancer and road accidents. In pregnant women who are under violence, abortion, diabetes, hypertension, bleeding, Placenta previa, preeclampsia and the risk of early birth and weight loss in the fetus have been reported. The aim of this study was to determine the relationship between domestic violence and pregnancy outcomes in mothers referring to community health centers in Sanandaj from 2015 to 2016.
Methods & Materials: This cohort study was descriptive-analytic and was conducted in 2015-2016. The aim of this study was to collect data from 750 women who referred to health centers in Sanandaj for the first time after delivery. Mother's questionnaire and health records were completed by interview and observation. Data analysis was done using SPSS software version 20, independent t-test and Chi-square test. P-value was less than 0.05.
Comparison of the findings showed that the mean weight (2957±335, 3201 43±6) of newborns in the experimental group was significantly lower than the control group (P Violence in pregnant women causes complications for them and their fetus. In this study, domestic violence in pregnant women caused weight loss for the infant and early delivery.

sexual skills training and the importance of learning it can prevent conflicts, disorders and sexual problems. The purpose of this study was to investigate the effectiveness of sexual skills training on women's sexual schemas, sexual self-esteem and sexual satisfaction referring to Isfahan counseling centers.
Methods & Materials: The research method was a semi-experimental design with pre-test, post-test design and control and experimental group. The statistical population of the study consisted of women referring to the one of the counseling centers in Isfahan who had a case about sexual problems in the center. Using convenience sampling, 30 women who had the conditions of the study were randomly assigned into two experimental (15) and control (15) groups. The data collection tool was Questionnaire of cognitive schema activation in sexual context (QCSASC), Sexual Self-Esteem (SSFIW), and Inventory of Sexual Satisfaction (ISS). Duration of applying the independent variable (sexual skills training) on the experimental group was 15 hours, which was performed in a weekly format and one session per week. In the post-test part, the two groups (control and experimental) were tested for the effectiveness of the intervention using the questionnaires.
Using the covariance analysis, the findings of this study showed that the training of sexual skills was effective on sexual self-esteem and sexual satisfaction of women, but it was not effective on women's sexual schemas.
training of sexual skills was effective on sexual self-esteem and sexual satisfaction.

The prevailing atmosphere for teaching and learning is a determinant and effective factor in motivating learners to learn. The atmosphere can vary, as far as learning standards are concerned and can be close or far from these standards. The purpose of this study was to determine the Kurdistan University of Medical Sciences student's perceptions of the learning environment based on the DREEM model in 2015.
Methods & Materials: In this cross-sectional study, the population was Kurdistan University of medical sciences students. Among them, 300 people were selected by stratified sampling method. The data gathering tool was Dundee's questionnaire. The questionnaire had two parts. The demographic section included age, gender, marital status, educational level, and students’ school. Data was analyzed using SPSS version 20. To describe the collected data, descriptive statistics including frequency, mean and standard deviation, and the Mann-Whitney test were used to examine the relationship between students’ perception of university campus and binary variables such as gender. Kruskal Wallis statistical test was used to examine the relationship between student perception of the environment of the Educational system of university and variables of more than two states such as education level, and school.
The mean score of student's perceptions about university education was 109.04±22.03. The minimum and maximum mean scores of the studied areas were 2.52±0.46 and 2.75±0.56, respectively, related to the student's perception of their own social conditions and the student's perception of their own academic ability. There was a significant difference between the school and the student's perception regarding educational environment (p=0.02). There was no significant difference between the other variables studied and the student's viewpoints about the educational environment of the university (p Although a small percentage of students reported university environments badly, this low percentage could gradually lead to more discontent among them, and may even affect their academic achievement.

Nurses due to sensitive nature of professional are constantly exposed to stress. Stress is a known component of modern nursing and has become a challenge for this profession. This study aimed to evaluate the mean score of job stress among nurses using systematic review and meta-analysis has been done.
11research papers were obtained using the key words “job stress, occupational stress, Workplace stress, nurse and their possible combination” through the nationally available databases of SID¡ Magiran, PubMed, Scopus and Science direct. Analysis of data was performed using meta-analysis (random effects model). Heterogeneity among studies was assessed using the I2 index.
The mean score of job stress with sample size of 2682 people in all the 11 papers estimated 96.56 (95% CI: 64-129). Highest prevalence of job stress was reported in correlational studies (114.54, 95% CI: 61.5-167.5).
Given the high job stress score among nursing, stress reduction programs implementing seems necessary.