نشریه پرستاری و مامایی ارومیه
سال شانزدهم شماره 5 (پیاپی 106، امرداد 1397)

Despite the prevalence of delirium after the coronary artery bypass graft surgery, inadequate studies were conducted on the prevention of delirium after this surgery. This study was undertaken to evaluate the effects of environmental simulation on delirium incidence after coronary artery bypass graft surgery. A clinical trial was done in the cardiac ICU of Shahid Beheshti Hospital, Kashan, Iran. A sample of 100 patients who were candidate for coronary artery bypass graft surgery were randomly allocated to a control and an intervention group. For patients in the intervention group, postoperative environmental simulation was used to simulate their household environments, while patients in the control group were cared in usual postoperative environment. The Mini-Mental State Examination test was used to assess delirium three hours after regaining postoperative consciousness and then, twice a day until the third postoperative day. Data analysis was performed via the independent-sample t, the Chi-square, the Fisher’s exact, and the Mann-Whitney U tests. The number of patients with delirium or at risk for it in the intervention group was lower than the control group at different measurement time points. Although the between group differences were not statistically significant. The number of patients with or at risk of delirium was less in the intervention group. This finding is clinically important. However, as the results were not statistically significant, further investigations are needed in this area.

This article is based on bibliometric features exploring the rate of visibility of 32 Iranian Nursing Journals articles In Scopus. The research data were extracted from Scopus database based on advanced search features and then transferred to Microsoft Excel for further data manipulation. The result showed that of 990 times of citation, Iranian Journal of Nursing and Midwifery Research with 358 times of citation took the first place, followed by Iranian Journal of Nursing Research (IJNR) and Journal of Urmia Nursing and Midwifery Faculty each with 94 and 86 times of citation, respectively. Unfortunately 9 of 32 journals under investigation did not received any citation yet and 2 of 32 journals just received 1 citation.
Hayat with 77, Journal of Mazandaran University of Medical Sciences with 54 and International Journal of Pediatrics with 34 times of citation are the sources that much cited Iranian nursing journals, respectively.
Except Iranian researchers which have been cited Iranian nursing articles 557 times, researchers of other countries that are cited Iranian nursing papers are as follow: United States 72, Australia 38, United Kingdom 36, Turkey 25, South Korea 22 and China 18. Researchers of Tehran University of Medical Sciences with 125, Shahid Beheshti University of Medical Sciences with 73, Iran University of Medical Sciences with 70, Mashhad University of Medical Sciences with 43 and Mazandaran University of Medical Sciences with 42 times of citation to articles published in the Iranians nursing journals were universities that their researchers are benefited from the internal publications. 22 percent of citation to Iranian nursing journals articles were foreign publications. In order to boost the rate of visibility some practical recommendations were given.

Organizations always struggled to reach the highest levels of employee performance in line with their goals. Hospitals are no exception to this rule too, especially nurses who are the most important occupational groups in the hospital. The purpose of this study was to evaluate the dimensions of the internal environment and the five personality traits in nurses' job performance in an educational hospital. Nurses working in a teaching hospital proportional to different wards were selected and 89 person entered the research. The three internal organizational questionnaires (Weisbord), Five Personality traits (NEO) and Job Performance Evaluation (Paterson) were data collection tools. 185 nurses entered the study as samples by using appropriate allocation in each hospital ward. Data were analyzed by SPSS20 software using descriptive statistics and artificial neural networks. In Personality trait questionnaire, the dimensions of accountability (44.13 ± 5.60) and neuroticism (32.86 ± 4.93) were the most and the lowest mean scores. In the internal organization questionnaire, the dimensions of rewards (3.81 ± 1.11) and communication (4.74 ± 1.14) were respectively the best and worst of the studied dimensions. Comparison of importance coefficients in neural networks showed that the dimensions of purpose (from the interior of the organization, 100%) and type of employment (from demographic characteristics, 7.20%) had the highest and the least importance in nursing job performance. Since in this research, purpose (from the interior of the organization) has the highest significance factor in nurses' performance, it is suggested that formulating clear goals and this group should interfere in organizational goals in order to achieve the highest level of job performance.

Family is a fundamental structure in a society that its health causes health of society. Family education is an approach for acquiring to this aim. Due to this purpose the main purpose of this research was to study the effectiveness of Prevention of Divorce Training Package on marital satisfaction and emotional divorce on couples. The purpose of this research was developing of prevention of divorce training package and determination of its effectiveness on satisfaction and emotional divorce on employees of education organization of Urmia city. The method was qualitative - quantitative. Research environment of qualitative part was couples who were applicant for divorce. They were interviewed by Narrative inquiry and based on this interviews, the package was developed. In quantitative part of the research the population was employees of Urmia education organization (452person) and the method was quasi-experimental (pretest-posttest and control group) and the sample includes 60 married male and female (experimental group- 30 persons) (control group -30 persons) who was selected by convenience sampling method and assigned randomly in experimental and control groups. Dependent variables of the study were marital satisfaction and emotional divorce. Research instruments were afrooz marital satisfaction (2010) and gottman emotional divorce (1988) questionnaires which completed by both groups. Intervention was conducted on experimental group but control group received no intervention. After two month each groups followed again. The data were analyzed by using repeated measurement variance analyses in SPSS 24. The results showed that training of the package could increase marital satisfaction and decrease emotional divorce in experimental group. However, there was no significant difference in the control group after the intervention (p>0/05). Based on research results, it was suggested for the Iranian family court, marriage and family counseling centers and family training centers to implement this package in their training program.

Paederus is a genus of small beetles of the family Staphylinidae (rove beetles), widely distributed around Northern Iran and known as Dracula in this region. It releases a potent vesicant and notorious toxin called pederin which results in mitosis blockage by inhibiting protein and DNA synthesis and causes a self-limiting form of acute irritant contact dermatitis known as Paederus dermatitis. Since there isn't any specific antidote to neutralize the toxin and its effects, the treatment is largely conservative, focusing on relieving symptoms. It seems the best method to prevent these complications is to avoid contact with the beetles in the first place and in case of contact, the affected area should be immediately washed with soap and water and/or alcohol-based rub-in cleanser to remove the irritant. Unfortunately, the lack of proper notification by healthcare officials and providers to the local inhabitants and the coincidence of high rates of traveling to this region with the peak season of Paederus activity leads to a larger population to be exposed to this insect and subsequently a high incidence of the disease. On the other hand, there are no precise statistics available for the incidence rate of Paederus dermatitis, characteristics of affected patients, and distribution patterns of insects due to a lack of a comprehensive system for recording and reporting the cases of this disease.

Cardiovascular diseases are the most common cause of death in the world. Despite numerous pharmacological treatments, coronary artery bypass grafting surgery is still known as the first and best treatment choice for these patients. Fear and anxiety are the most prevalent psychological complications of patients undergoing coronary artery bypass grafting surgery. It seems that social support is a factor affecting these two variables. Hence, the present study was conducted to assess the correlation of perceived social support with preoperative fear and anxiety among the patients undergoing elective CABG in 2015. Among the elective patients undergoing coronary artery bypass grafting in the special departments of Imam Ali Hospital in Kermanshah, 100 patients (age: 55.80 ±2.9 yr) were selected as subjects. Data were collected using questionnaires of individual characteristics, perceived social support of Sherborne-Stewart, coronary artery bypass graft scales (BGFS) and Spielbergers. The Spearman correlation test was used to examine the relationship between variables at the significance level of 0.05. Social support outcomes (57.78 ± 10.4), pre-operative anxiety (51.11 ± 5.8) and fear (57.77 ± 7.7) were shown. There was an inverse and significant relationship between perceived social support and anxiety level (r = -0.3). There was also a significant and inverse relationship between social support perceived variables and fear (r = -0.2). The results of this study indicate the importance of perceived social support for decreasing the amount of fear and anxiety in these patients. Therefore, identifying the patient's support resources and promoting it, is necessary. Supportive nursing care can improve mental health of patients.

Evaluation is an overall process of systematic analysis that can lead to arbitration and offering the quality assurance of one higher education institution that yields continuous quality improvement. So this study aimed to evaluate the status of Boukan Nursing Educational Center. This cross-sectional study was done by the inclusion of all of the managers, faculties, students, and staff using the national educational accreditation tool for Iranian university of medical sciences. First, the descriptive analysis was done on data and the obtained results reported as frequency and percentage for qualitative variables, the mean and standard deviation for quantitative. The results categorized and reported for all dimensions separately after determining cutoff points. The study results showed that the mean desirability level for the students, faculties, managers, and the staff was 65, 79, 76, 70 and 70 percent respectively. The highest compliance level was allocated to the faculties and the lowest level was among the students. The mean compliance level was 72 percent. Results regarding the evaluation of various dimensions indicated that the highest compliance level was allocated to “Mission and Goals”, “Continuous education of educated people” and “students’ education”; and the lowest level was for “management”, “faculty members” and “clinical education” respectively. Finally, the study results show that the status of this faculty is relatively desirable, but with some needs for improvement in some areas such as management and education.

Infertility is a major crisis that has many psychological and emotional consequences for women and men; therefore, the aim of this study was to determine the effectiveness of Transactional Analysis Therapy on Emotion regulation strategies and Sexual Function of Infertile Women. The present study is a semi-experimental pretest-posttest with the control group. A total of 30 infertile women referred to the Mehr Infertility Clinic in Rasht city during the 6 months of 2017-2018 were selected by available sampling method and randomly assigned to two groups of Transactional Analysis Therapy (n = 15) and control group (n = 15). They completed the Cognitive Emotion Regulation Questionnaire of Garnefski and et al and the sexual function of women Rosen questionnaire before and after the intervention and 2 months follow-up. Mancova showed that the TA therapy in posttest stage has a significant effect on Positive and negative emotion regulation strategies Strategies (p <0.01) and The results of repeated measures analysis of variance showed that the effect of TA was Remained on to follow up. Also, Results showed that the TA therapy in posttest stage has a significant effect on Sexual Function (p <0.05). According to the results, it is suggested that TA therapy be used as a Therapeutic Plan to reduce emotional and sexual problems among women infertility in treatment clinics.