مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و ششم شماره 4 (پیاپی 64، مهر و آبان 1397)

Satisfaction of patients’ families is one of the criteria for assessing the quality of nurses’ performance. Considering the low satisfaction of stroke patient’s families in received information, the present study was done to determine effect of informational support on satisfaction of family caregivers of patients with hemiplegic stroke from received Information. In this semi-experimental study, 78 family caregivers of patients with hemiplegic stroke admitted to the neurology department of Farshchian (Sina) Hospital of Hamadan (2017), were selected by Convenience sampling, and were divided continuously into two groups: control (n=38) and intervention (n=40). The research intervention was conducted from third to eleventh day of hospitalization. Information was provided about the department, equipment, patient status, home care individually and as a group method. The control group received routine care. Satisfaction of family caregivers was measured before and after the intervention in both groups. The data collecting tool was a questionnaire of demographic characteristics of the caregiver and patient, a researcher-made questionnaire to assess the satisfaction analyzing the received information. Data were analyzed using SPSS16. Groups were similar in terms of demographic variables. There was a significant difference between before (79.15±21) and after (121.4±9.93) intervention at satisfaction scores in intervention group, and between the two groups (intervention and control) after intervention (P<0.001). Informational support is effective on increasing the satisfaction of family caregivers of patients with stroke. Therefore, informational support is recommended as an important nursing intervention.

  Reduction of the quality of sleep is one of the most common complaints of women during pregnancy that leads to negative consequences on the mental health of pregnant women. Some factors that associate with quality of sleep are how to use cognitive emotion regulation strategies and brain-behavioral systems. This investigation aims to study the relationship between sleep quality with cognitive emotion regulation strategies and brain-behavioral systems in pregnant women. This study was conducted in the first half of 2016 on 302 pregnant women who referred to health centers in Kermanshah city and were chosen using cluster sampling method. Subjects completed the Pittsburgh sleep quality questionnaire, Garnefski cognitive emotion regulation strategies questionnaire and Carver and White BIS/BAS questionnaire with a self- assessment method. Data was analyzed using descriptive statistical, Pearson’s correlation and regression and statistical and SPSS22. The significant level considered as: (P< 0/05). There was significant relationship between sleep quality with emotion regulation strategies and behavioral inhibition system; the use of negative and maladaptive cognitive emotion regulation strategies and high activity in the behavioral inhibition, decrease the quality of sleep in pregnant women. Using some of the negative and maladaptive cognitive emotion regulation strategies such as rumination and disaster concept, and high activity in behavioral inhibition system can decrease sleep quality in pregnant women.

Cardiovascular diseases are associated with individual behaviors in childhood, adolescence and youth. This article aimed to study the effect of education based on HBM on the prevention of heart disease in female students. This pre and post-test semi-experimental study which has two groups was conducted on 126 girls of high schools in 2017. A randomized cluster sampling method and relative randomize method were used in the first and second stages respectively. At first both groups completed a questionnaire and then instructions were given to intervention group in three sessions (1 hour) on the basis of HBM. Two months later, data was collected via questionnaires in two groups again. Statistical analysis of the data was performed by SPSS software, using independent and paired t-test and Chi-square test. The two groups were similar in terms of demographic characteristics and knowledge and constructs of the health belief model at the beginning of the study and there was no significant difference in analysis (P>0.05). After intervention, the mean scores of knowledge and model constructs, sensitivity, benefits, self-efficacy and behavior had significantly increased in the test group (P<0.05). The perceived barriers were significantly reduced in the test group (P<0.05). There were no significant differences between the perceived severity and the areas of practice according to the t-test results in both the experimental and control groups before and after the training (P>0.05). According to the results, education based on health belief model increases knowledge and practice in girls; so it is recommended to use this model in programs for the prevention.

The purpose of this study is to determine the relationship between hardiness, personality traits and coping styles with job satisfaction among nurses in state hospitals in Tabriz. This is a descriptive- correlational study and the statistical population is consisted of nurses working in Tabriz hospitals. The sample consisted of 320 people selected by multi-stage random sampling who responded to four questionnaires: job satisfaction, neo personality, hardiness and coping with the stressful situation. The questionnaires were analyzed by SPSS 16. The results of this study showed that job satisfaction and neuroticism have a negative and meaningful relationship. On the other side, job satisfaction has a positive and meaningful relationship with flexibility, conscientiousness and extraversion. There is no meaningful relationship between pleasure and job satisfaction. Also a positive relationship exists between the problem-oriented coping style and pleasure. There is a negative relation between the emotional-avoidance, coping styles and avoidance with the job satisfaction. Hardiness components had a positive and meaningful relationship with job satisfaction. Also, multivariate regression showed that among predictor variables only the psychoanalytic, flexibility and conscientious variables were able to predict the job satisfaction of nurses. Among the coping styles, the problem-based and avoidance style pre-emptive variables on job satisfaction were effective. All three hardiness components were able to predict the job satisfaction of nurses. The results showed that two dimensions of flexibility and neuroticism had a predictive role in the job satisfaction of nurses. According to the results, in addition to evaluating the public talents and abilities in employee selection, these two dimensions of personality may be more noteworthy.

The aim of this study was to investigate factors affecting on relapse of addiction in substance abuse patients referred to Malayer Narcotics Anonymous Population. This cross-sectional study was performed on 340 substance abuse patients from Narcotics Anonymous population of Malayer recruited with a simple sampling method, in 2014. The standard questionnaire was used for data collection including demographic variables and causes of relapse via self-report method. Data analysis was performed using SPSS18 by Pearson Correlation test. Age of respondents ranged from 13 to 71 year; with a mean age of 36.47 years (SD=11.4). According to the results, 58.2 percent of the respondents had 1-3 relapse, 30.9 percent 4-10 relapse and 10.9 percent more than 10 relapse. The participants reported their viewpoints regarding the other factors as follows: Among individual factors; enjoyment and fun (%46.2), and among familial factors, poor parental relationships (%25.6) had been reported by the addicts. With regard to the social factors, the existence of addicts’ friends (52.4%), and related to the economic factors, lack of job was the major element with (34.1%). Considering cultural factors, recreational use of drugs and loss of function obscenity (%55) were leading factors mentioned by the addicts. Findings indicated that all factors related with relapse (personal factors, family factors related to spouse, social factors, economic factors and cultural factors) are significant positive correlation with each other at level in 05/0 and 01/0 respectively. According to the findings, exploring these correlates may predict the likelihood of relapse among drug users.

Nursing practice is highly dependent on head nurses’ effectiveness. And one of their most important missions is to maintain the continuing clinical competence of nurses in line with real professional needs .Development of nursing competence will be accomplished during the time when a newly graduated nurse moves towards being a professional nurse. The aim of this study is to determine changes in the clinical competence of beginner nurses in terms of Leadership Competencies of theirs Head Nurses. The present study is done via cohort method; it was conducted in educational hospitals of Mashhad University of Medical Sciences from 2014 to 2015. 37 nurse managers, 72 beginner nurses were chosen by census method and who in addition to 283 non-beginner nurses participated in this study. In order to assess the superiority of the head nurse, the Ezeukwu leadership empowerment tool was used. The qualifications of the nurses were evaluated in three stages: the beginning of the study, two and four months after the start of the study via self-assessment and peer-assessment using the Mortojja qualitative study questionnaire. The change in beginner nurses, clinical competency were evaluated in terms of their head nurses, leadership competencies. Data were analyzed using SPSS16 by Chi-Square , Fisher exact, ANOVA, Kruscal Wallise, Repeated Measure, Pearson linear correlation and relative risk calculation. Average score of clinical competency of beginner nurses based on their head nurses, leadership competency in second and third evaluation stages have significant difference (P<0/05). The Relative Risk of second stages with CI=0/92-2/13, RR=1/40, P=0/141 was no significant but relative risk of third stages with CI=1/38-2/66, RR=1/92, P<0/001 was significant. There was significant positive relationship between leadership competency of nurses and clinical competency of beginner nurses based on their head nurses, leadership competencies.

  Adherence to treatment programs is a major challenge in patients with chronic heart failure. In the event of non-compliance, these patients will be associated with adverse health outcomes. Since the interventions such as training to improve adherence to health regimens have a special place, this study aimed to compare the effect of the patients’ education with or without their families’ participation, to evaluate the effect of this education on adherence to the treatment regimen in patients with chronic heart failure. In this quasi-experimental study, 60 patients with chronic heart failure were selected from those referred to the heart clinic of Farshchian Hospital in Hamadan, Iran. The subjects were randomly divided into two groups of 30 patients and their families and 30 patients alone. The training was performed in six 30-minutes sessions with same conditions in both groups. Information was collected using questionnaire before and six weeks after the intervention, and analyzed using SPSS 16. Before training, the two groups had no significant deference in the rate of adherence to the treatment regimen (P>0.05). After training, the rate of adherence to the treatment regimen in the patients’ education group with family participation was higher than the patients’ education group alone (P <0.05). According to the results, it seems that patient education with family participation is more effective than patient education alone. Therefore, educational interventions related to the treatment program in chronic heart failure patients with family participation are recomended.

Nausea and vomiting after surgery are the most common complications associated with surgical procedures. This study has been done to evaluate the effect of inhalation of lavender aroma on nausea and vomiting after ventral hernia surgery. In this RCT study, 110 patients with ventral hernia surgery were selected and randomly assigned in intervention (55 patients) and control (55 patients) group. For each of samples in the intervention group, oxygen was administered using face mask at a flow rate of 6 liters per minute (LMP) in combination with lavender essential oil for 20 minutes, and in control group oxygen container contained pure distilled water. Immediately after leaving the recovery, 2, 6 and 24 hours after the intervention, nausea and vomiting were measured in experimental and control groups. The data were analyzed using descriptive statistics (Mean, standard deviation, absolute and relative frequency) and inferential statistical tests (independent t-test, paired t-test, analysis of variance with repeated measures, Chi-square) by SPSS19. In control group the mean of the severity of nausea in all measured stages was more than experimental group. Also, in both experimental and control groups as the time measurement increased, the severity of nausea showed a decreasing trend. The difference in the severity degrees of nausea between the two groups of experimental and control was significant. The severity of nausea in experimental group was less than control group (P<0.001). Significant difference was observed in the frequency of vomiting between two groups after intervention (P<0/001). Upon to results, use of inhalation of lavender aroma to reduce nausea and vomiting after ventral hernia surgery, is recommended.