نشریه پرستاری و مامایی ارومیه
سال هفدهم شماره 3 (پیاپی 116، خرداد 1398)

The formation of identity is influenced by interpersonal and acquired factors. In this regard, higher education can provide an opportunity for the formation of a stable identity and a framework for decision-making and problem-solving. The question now arises, is there an association between exposure to clinical field in training courses and identity styles of students?. hence, the study was conducted to survey the identity styles of students in clinical nursing education. This was a descriptive cross-sectional study. The research samples were nursing students from semesters of 4 to 7 at the end of clinical courses in 2018. Sampling method was census in this study. Data were collected using a demographic form and Identity Style Inventory (ISI-6G, Berzonsky). Data were analyzed by SPSS software version 19 using Chi-square and Kruskal-Wallis statistical tests. In this study, 165 nursing students participated. The mean age of participants was 22 ± 6.2 years. 26.2% of male students had informational style and 27.2% of female students had normative identity style, but the results of this study suggested that there is no association between gender and identity styles (p> 0.05). In this study, there was a statistically significant difference between academic semester and identity styles (P = 0.04) and no s statistically significant difference between identity styles and age, marital status and place of residence (P >0.05).
  Surveying identity styles of students in different semesters at the end of clinical courses shows that identity formation may be affected by increasing the students' academic semester in clinical nursing education. This is a reminder of this point that training qualified students depends on the development of identity and attention to its formation. In this regard, it is necessary to pay attention to the factors of identity formation in undergraduate nursing education.

Preventive measures for psychiatric preparation are one of the nursing practices and are part of their duties before painful procedures. The aim of this study was to investigate the problems of nurses in the use of child and maternal psychological preparation before painful procedures for the child. This is a descriptive study that was conducted randomly in hospitals of Mashhad in 2017 in a random sample of 81 nurses working in pediatric wards who had a history of at least 3 months working. The data collection tool was a researcher-made questionnaire containing questions about demographic characteristics and the most important barriers and problems of nurses regarding the use of child and maternal psychological. Data were analyzed by SPSS 11.5 using descriptive statistics. Most of samples are women (96.7%) and the level of education were bachelors (90.7%). Nurses reported their problems from the most disturbing as:large amount of work in the section comparing to the number of nurses (93%), management not supporting nurses (86.75%),lack of sufficient toys and entertainment tools (73.3%), improper arrangement of working shifts (70%). Nurses in pediatric wards, can play a significant role in the psychological preparation of the child and the mother before the painful procedure by using the findings of this research, which itself improves the quality of the procedure.

Happiness is one of the most important determinants of mental health that decreases in depressed patients; the goal of present study is to assess the effect of scheduled appointments on happiness of hospitalized depressed patients. This was a quasi-experimental study (IRCT20180224038839N1) was conducted on 70 hospitalized depressed patients in the Baharan psychiatric hospital of Zahedan in summer 2017. Samples were selected through convenience sampling method and divided into two intervention and control groups of 35 each. Patients in the interventions group received the 6 sessions of scheduled family appointments with first_ degree relatives. The control group received freely and without any planning appointments. Happiness level was measured and compared before and after intervention for two groups. The data was analyzed by SPSS using the chi-square test, the independent t-test , the paired t-test and the analysis of covariance . There was no statistically significant difference in the mean scores of happiness between the two groups before the intervention (P>0.05). However, after the intervention in the experimental group, the mean scores of happiness (25.08±7.28), increased (P<0.05) compared to the mean scores happiness (11.71±4.24) in the control group. Considering the effect of scheduled appointments on promotion happiness of hospitalized depressed patients, it is recommended that This type of intervention is used in the treatment of depressed patients.

The purpose of this study was to investigate the effectiveness of suicide prevention program based on SOS program on suicidal thoughts and depression among female students of Imam Khomeini International University in Qazvin. The present study is a randomized controlled clinical trial with pre-test and post-test control group. 26 female students of Imam Khomeini International University of Qazvin between the ages of 18 and 20 years old were selected based on Beck's Suicide Inventory and Beck Depression Inventory and a clinical interview and assigned randomly and equally to two interventional and control groups. The control group without participation in the program participated in the pre-test, post-test and follow-up training. Data were analyzed using SPSS 21 software and covariance analysis. The findings showed a significant difference between the scores of the intervention group compared to the control group in suicidal tendency and depression scores. The results showed a significant difference between the two groups in suicide and the positive and decreasing effect of educational intervention on decreasing suicidal tendency in the intervention group (F = 46.47, P <0.01) and reducing depression in the intervention group. Suicidal follow-up scores (F = 22.15, 0.01, P <0.01) and scores for follow-up of depression (F = 40.03 and P 0.01) Indicates a significant difference between the scores of the two groups and the effect of educational intervention on the scores of the intervention group in the depression variable (F = 15.75 and P 0.01). Overall, the results show that suicide prevention program is effective in depression and suicidal tendencies. Accordingly, suicide prevention is possible and psychiatric nurses can play a role in this regard.

The high prevalence of oral and dental diseases and its high cost of treatment for the patient and health system has already become an important health issue that requires special attention of policymakers and health system administrators. The aim of this study was to determine the cost effectiveness of varnish fluoride therapy intervention. This descriptive analytic study was conducted to compare the cost effectiveness of two strategies of varnish fluoride therapy and doing nothing in primary schools in Urmia and from the service provider perspective. The research population was the total number of primary school children aged 7-12 years in Urmia. After collecting the required information, data analysis was done by decision tree model and TreeAge pro 2011 software. The incremental cost effectiveness cost ratio (ICER) was calculated and analyzed after determining the expected costs and effectiveness. Finally, sensitivity analysis was performed to evaluate the power of the results by plotting the Tornado diagram. The incremental cost effectiveness ratio was 12039637 Rials per QALY, varnish fluoride therapy intervention is cost effective based on the threshold defined by the WHO in this study. This means that varnish fluoride therapy can save 12039637 Rials per QALI. Also, in this study, the results were not sensitive to the chosen parameters based on results of one-sided sensitivity analysis. This study suggested the implementation of the varnish fluoride therapy intervention because of reduced caries and increased quality of life for individuals, as well as household savings in long run than not doing any intervention. The results of this study can also be helpful in resource allocation to prevent oral and dental illness.

The aim of present study was to compare the effect of group therapy based on family systems theory and short-term object relations couple therapy on the women’s marital intimacy. The research design in this study was pre-test, post-test experimental method with control group. The statistical population was included female clients of 25-55 years old with marital conflict referring to two Tehran psychological counseling centers in 2017. Sampling was done by selecting 36 volunteer women who answered to MIS scale, randomly assigned to two experimental and one control groups. One of experimental groups attended 16 sessions group therapy based on family system theory and the other one, group therapy based on short-term object relations couple theory that lasted nearly 90-120 minutes, hold once a week. Collected data was analyzed by using one way analysis of variance. Research findings demonstrated both of interventions were effective on the women’s marital intimacy in post-test and follow up test of experimental groups (p<0.05) and there was no significant difference between two experimental groups (p>0.05) Research findings indicated that group therapy based on Bowen family systems theory and short-term object relations couple therapy leads to improvement of women’s marital intimacy in the both of experimental groups and these results have been also consistent enough in the follow-up period (p<0.05) and there was no significant difference between two experimental groups (p>0.05).

Nowadays, the quality of life and how coping and treatment of patients with an implantable cardiac defibrillator has led to concern and attempts to reduce or eliminate the problems of these patients in the people who provide health care services. This study aimed to determine the effect of nurse-peer-led support intervention on quality of life in patients with an implantable cardioverter defibrillator in Seyyed-Al-Shohada Hospital in Urmia. In this clinical trial study, 120 Patients with an implantable cardioverter defibrillator who had referred to the dysrhythmic clinic and eligible for inclusion of study, were randomly divided into two groups of 60 patients (nurse-peer-led support intervention) and control (routine care). In the intervention group, a nurse-peer-led support intervention was implemented for five months from the beginning of February to the end of July and quality of life rate in patients with an implantable cardioverter defibrillator in the two groups before and after the appalling the nurse-peer-led support intervention were analyzed. Data collection tools included two parts: Demographic characteristics and MacNew quality of life questionnaire. The data were analyzed by SPSS v. 20 and descriptive statistics (mean, standard deviation) and inferential statistics (Chi-square, independent t-test, and paired t-test). The mean score of quality of life before appalling of nurse-peer-led support intervention in the intervention group was 89.10 ± 21.37 and in control group 83.86 ± 23.45 that there was no statistically significant difference between the two groups (P-value= 0.204). But after appalling of nurse-peer-led support intervention, the mean score of quality of life in the intervention group (124/83 ± 10/83) was significantly higher than the control group (84/83 ± 27/67), (P <0.0001). According to the findings of this study, it follows that the appalling of nurse-peer-led support intervention can lead to improving the quality of life of patients with an implantable cardioverter defibrillator.

Myocardial infarction (MI) is known to be a leading cause of death and disability in the world, which can harm the patient physically, socially, emotionally or psychologically. Anxiety as an adjunct to psychological disorders can also affect the lifestyle of the individual and increase the cost of treatment, recurrence and increase mortality. Regarding the importance of this disease and the effect of anxiety in its intensification process, the use of relaxation as an independent treatment can have desirable outcomes such as reducing stress. This study was carried out to determine the effect of Benson relaxation method on the anxiety level of patients with myocardial infarction admitted to CCU wards of educational and treatment center of Seyyed Shahada, Urmia, Iran. This experimental study was performed on 60 patients were randomly selected and divided into intervention and control groups. In the intervention group, Benson's relaxation technique was performed for each patient for 2 consecutive days and 2 times in the morning and evening and each session lasted 15 minutes (A total of 4 sessions) There was no intervention in the control group and this group of patients received routine care. The data gathering tool were demographic questionnaire and the Spielberger Standard Anxiety Scale Questionnaire. The questionnaires were completed before and after e intervention. To analyze the data, covariance analysis and paired t-test were used by using of SPSS-21 software. The mean of anxiety scores in the intervention group before and after the intervention were different, while in the control group, these scores did not differ significantly. There was a significant difference between the anxiety level of the two intervention and control groups after the implementation of the Benson relaxation method (p = 0.0001). Considering the positive effects of Benson's relaxation on reducing anxiety, easy and low cost utilization and the availability of this method, it is recommended to use this method to relieve anxiety problems in patients with myocardial infarction.