نشریه پرستاری و مامایی ارومیه
سال شانزدهم شماره 8 (پیاپی 109، آبان 1397)

The age at which the first menstrual period occurs (menarche) is affected by many environmental and genetic factors. The purpose of this study was to determine the age at menarche and its relationship with some biosocial variables. This study was a descriptive-correlational study on 630 middle school students (grade 7-9) in Mazandaran province. Students were selected using randomized multistage cluster sampling. Stadiometer, weight scale, demographic and socioeconomic status questionnaires were used to data collection. Data analysis was performed using SPSS23 software at a significance level of 0.05. The mean age at menarche in adolescent girls was 11.77 ± 1.05 years. The lowest and highest age of menarche was 8.33 and 14.33 years, respectively. The highest and lowest frequency of the start of the menarche was summer (49%) and winter (8%) respectively. The menarcheal age of the girls was correlated with mother’s age at menarche and physical activity directly and body mass index, socioeconomic status and weight inversely. Mean age at menarche in this study was reduced compared to the previous research in adolescent girls Mazandaran cities and the biosocial factors associated with the age of menarche were mother’s age at menarche, physical activity and body mass index as predictor variables, respectively.

The most common pattern of assessment in educational systems is the accreditation model. The accreditation system has been tested and evolving around a century ago in the United States, then in Britain and some other countries. The commonality of all accreditation systems is based on pre-designed standards, and these standards are of particular sensitivity and importance, since they are the yardstick for judging and defining a new framework for colleges. The purpose of this study was to compile and provide a validation model for nursing faculty with continuous undergraduate nursing courses in Iran's medical sciences Universities. This integrated review study was conducted using the Broome method. In this regard, studies that were in line with the research goal were written in English or Persian, and access to their full text, and their year of publication, from 2000 to 2018, were included in the study. A wide range of keywords such as accreditation of health care organizations, baccalaurate nursing education, school of nursing, and evaluation of education were used separately and in combination. To find studies with the library of authentic Persian and international databases SID, Magiran, Iranmedex, Google Scholar, Pubmed, Science direct, ProQuest, Ovid, EBSCO, Scopus was used. Finally, 14 papers were included in the study, as well as articles from 8 external and internal references and one book were used. Data were analyzed using Broome's method. In the first phase, 7 general standards of nursing undergraduate nursing faculties include: mission and management capacity, college and staff, students, curriculum, resources and physical space, expected outcomes, research in education from the accreditation program of organizations The publisher of global accreditation, articles, and published books as well as the guide lines were extracted. Organizations that have institutionalized the process of accreditation in the body of education, awareness and organizational culture can achieve a higher level of quality in providing health care services. Hence, it is hoped that the results of this research can be provided by providing a general guide to planners and policymakers. Nursing is a small step, in order to strengthen and develop the accreditation of nursing faculties, and ultimately attract the attention of experts.

Considering the key role of midwifes as an effective component of the health system for providing midwifery services to vulnerable communities in the community, mothers and infants, this study aimed to investigate the relationship between job satisfaction and job performance among midwives employed in Qazvin maternity hospitals. In this descriptive-analytical study, 100 midwives working in maternity hospitals in Qazvin city were selected by census method and entered into the study. The data collection tools consisted of the Wysocki & Kromm Job Satisfaction Questionnaire, Paterson's Job Performance Questionnaire, and demographic information form. Validity and reliability of the questionnaires were confirmed in previous studies. Data were analyzed using descriptive and inferential statistical tests. The significance level was considered to be less than 0.05. The results showed that there was no significant correlation between job satisfaction score and job performance score. Most of the research units (60%) had a low job satisfaction. The highest satisfaction level was in supervisor satisfaction (55%). And the lowest was in terms of salary and benefits (34%). Also, the results showed that there was a positive correlation between job satisfactions with all its dimensions. The results of this study also showed that there is a significant relationship between general job satisfaction with age, education and employment status (p <0.05). The results of this study can be used for accurate planning in order to increase the job satisfaction and reparation of their salary and benefits. Because the results of this study indicate that the job satisfaction of the midwifery is low, although there is not a meaningful relationship between this finding and the job performance, this can be a danger to the authorities, because inadequate job satisfaction can lead to inadequate care and ultimately affect the health of mothers and infants.

Medication errors are the main cause of harm to hospitalized patients. Medication reconciliation is an intervention designed to reduce adverse drug events. It is also a strategy to identify a wide variety of medication discrepancies. This study aims to compare the medication history obtained by medical team with the best possible medication history (BPMH) among cardiac patients hospitalized at Seyyed-Al-Shohada Therapeutic Educational Center in Urmia in 2018. In this descriptive study, the BPMH of 220 patients was obtained and then compared with the medication history obtained by nurses and assistants. The samples were selected using convenience sampling from mid-February, 2017 to late April, 2018. The data collection tool included a researcher-made questionnaire consisting of demographic information, medication history form of the medical team, and the medication discrepancies checklist. Data were analyzed using SPSS 20. According to the results, the discrepancies identified by comparing the medication history obtained by the medical team (nurses and assistants) with the BPMH were considerable. The medication discrepancies were observed in all examined areas such as the generic name, trade name, form, dosage, consumption time, frequency, and deletion of medication. The results also showed a statistically significant difference between the medication history obtained by the nurses and the one obtained by the assistants. (p<0.05). Given the difference observed between the medication history obtained by the nurses and assistants and the BPMH, medication errors are likely to occur. Thus, the role of administration authorities in medication reconciliation and consequently reducing medical errors is of great significance.

The purpose of this research was to evaluate the effectiveness of the maternal and child mental health training on anxiety and mental health of nulliparous pregnant women in Ahvaz Naft (Oil) Hospital. The research method of this study was pretest-posttest and control group. The sample consisted of all nulliparous pregnant women who visited the health centers in Ahvaz Naft (Oil) Hospital in the winter of 1394. In terms of selecting samples, first a public announcement was made to all volunteers willing to participate in this study. Then those who possessed pregnancy entry criteria of 12 to32, were nulliparous pregnant women, and volunteered to attend the mental health training sessions, were asked to complete the pregnancy anxiety test. From among those who volunteered, 24 who scored higher than one standard deviation from the mean in the test, were selected and randomly divided into two groups as experimental control. The experimental group administered, 8 sessions of maternal and child mental health training but the control group did not receive any intervention. The results indicated that there was a significant difference between experimental and control group in mental health and pregnancy anxiety (P<0/001). The rate of pregnancy anxiety in experimental group significantly decreased in comparison with pretest and control group, but The rate of mental health in experimental group significantly increased (P<0/001) in compare with pretest and control group. maternal and child mental health training significantly decreased the anxiety and increased the mental health of nulliparous pregnant women.

Gestational diabetes has many complications for mother and baby. Therefore, preventing and recognizing of mothers in the pre-diabetic stage is very important in promoting the health of the mother and the baby. The aim of this study was to determine the effect of group counseling on the quality of life of pre-diabetic mothers in Karaj in 1396. The aim of this study was to determine the effect of group counseling on the quality of life of pre-diabetic mothers in Karaj in 2017. This is a quasi-experimental clinical trial performed on 90 pre-diabetic pregnant women referring to selected health centers in Karaj in 2017. The sample were divided into two groups, intervention group (n = 45) and the control group (n = 45). The control group received only routine care and the intervention group received group counseling in 4 sessions per week. In both groups, quality of life and fasting blood glucose were before and after intervention. Data were analyzed using SPSS software (version 16), independent t-test, paired t-test and ANCOVA were used. The results showed that group counseling in the experimental group had a significant effect on improving the quality of life of pregnant mothers in terms of physical and mental health (P <0.05). But there was no change in the quality of life of the mothers in the control group. The mean of fasting blood glucose level after the study significantly decreased in the experimental group (P <0.05), but fasting blood glucose changes in the control group were not significant. Group counseling was effective on quality of life and fasting blood glucose control in pre-diabetic pregnant women Therefore, counseling strategies for this group of pregnant mothers should be used to improve their quality of life.

Social health along with physical and mental health is one of the components of health. This study aimed to investigate social factors affecting social health in nurses of teaching hospitals of Shiraz University of Medical Sciences. This cross-sectional descriptive-analytical study was performed on 340 nurses of teaching hospitals of Shiraz University of Medical Sciences. in 2018. The data collection tool was the Keyes Health Social Safety Questionnaire. The questionnaire has five dimensions of social cohesion, social flourishing, social acceptance, social participation and social solidarity. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and multivariate linear regression using SPSS-23 software at a significant level of α = 0.05. The average score of nurses' social health was 64.43 ± 6.37. The social cohesion component with the mean of 3.52 ± 1.02 was the highest and the social flourishing component with the mean of 3.05 ± 0.8 in the social health dimensions. There was a significant relationship between educational level variables (F = 2/28, P = 0.001) and employment relationship (F = 1/40, P = 0.03) with social health level. Also, there was a significant statistical relationship between gender variables (t = 1.16, p = 0.02) and marital status (t = 0.21, p = 0.04). The social health of nurses was estimated to be "good." However, in order to promote this level of health to an "excellent" level, the implementation of educational interventions on social health among nurses in hospitals is recommended.

Lung cancer is one of the most common types of cancers and one of the leading causes of death worldwide. The purpose of this study was to determine the role of death anxiety andAnxiety sensitivity in Prediction of Intolerance of Uncertainty in patients with lung cancer. This study was correlational. The research population consisted of all patients with lung cancer in hospitals of Ardabil province in 2017. 93 individuals were selected as the total available sampling and responded to Intolerance of Uncertainty, death anxiety and anxiety sensitivity questionnaires. Data were analyzed by descriptive statistics, Pearson correlation coefficient and multiple regression. The results of correlation coefficients showed that Intolerance of Uncertainty has a negative relationship with death anxiety, Anxiety sensitivity and its components Regression analysis also showed that 27 Percent of the total variance of Intolerance of Uncertainty is explained by death anxiety and Anxiety sensitivity. The results of this study indicate that death anxiety and Anxiety sensitivity have a meaningful ability to predict Intolerance of Uncertainty. The results of this study suggest the need for educational and psychological programs along with medical programs to reduce and deal with stress and death anxiety to increase the Intolerance of Uncertainty in patients with lung cancer.