مجله پژوهش پرستاری ایران
پیاپی 66 (امرداد و شهریور 1399)

Satisfaction with sexual intercourse causes warmth of marital relations, vitality and vitality of spouses, preventing the disorders associated with it. The purpose of this study was to determine the effectiveness of sex therapy training on reducing marital burnout and increasing marital quality of married female nurses aged 25-40 years working in hospitals of Hamadan.

This study was a quasi-experimental with pre-test and post-test design with control group. The statistical population of the study was all female nurses aged 25-40 years working in hospitals of Hamadan city in 1398, 160 of whom were the sample of the study. Of the nurses who scored high on the Couple Burnout Measure (CBM) and Revised Dyadic Adjustment Scale (RDAS) scores (n = 97), 32 were randomly selected into two groups (intervention group and control group). The intervention group received sex education based on the Masters and Johnson 2012 Sex Therapy Package for 8 sessions of 90 minutes and the control group did not receive any intervention. At the end of training sessions, both groups received post-test. Data were analyzed by analysis of covariance.

The results showed that in the pre-test and post-test stages, there was a significant difference between the intervention and control groups in marital burnout (F = 33.01, P <0.001) and marital quality (F = 68.33, P <0.001). ). There was a significant difference. In other words, sex therapy training reduces marital burnout and enhances marital quality.

The results of this study showed the effect of sex therapy training on reducing marital burnout and increasing marital quality. It is recommended that family therapists and counselors use this treatment in counseling centers and family education classes to resolve coupleschr('39') marital problems.

The Patientchr('39')s health and improvement depends on the quality of nursing care. The purpose of this study was to determine and evaluate the quality of nursing care from the perspective of the elderly undergoing hemodialysis in educational-therapeutic centers affiliated to Iran University of Medical Sciences that done in 2018.

this cross-sectional descriptive study, conducted on 170 elderly people who were undergoing hemodialysis in educational centers affiliated to Iran University of Medical Sciences. Sampling method was questionnaire completion by interview. Data collection tools was included demographic information form, AMT questionnaire, and nursing care quality questionnaire (QUALPAC). For data analysis, Descriptive and inferential statistics including Pearson correlation coefficient, independent t-test were used for data analysis. p≤0.05

In this study, the disease duration was 78.8% of the elderly over one year. More than half of the elderly (67.6%) reported having a serious illness. The highest prevalence of serious comorbidities in the elderly under hemodialysis in this study was related to hypertension with 60% frequency. The The quality of nursing care from the perspective of the elderly was 61/2 in the psychosocial dimension and was 80% in the communication dimension which is desirable and quality of nursing care was 91/8% in physical dimension which is somewhat desirable. Generally the quality of nursing care was 64/1% of the elderly which is somewhat desirable.

Based on the findings of the present study, the quality of nursing care in hemodialysis elderly patients was somewhat favorable and far from optimal and standard status. Health and Nursing managers focus on improving the quality of nursing care to the optimal level in this group of vulnerable patients.

 Fractures, especially Hip fractures, are common events in old age that lead to disabilities, loss of functional independence in activity of daily living and patient dependence on family Caregivers, especially family Caregivers. Since the Care-Related Quality of Life of Caregivers is one of the influential and guaranteeing components of Quality of care high in the Older adults, The aim of this study was to determine Care-Related Quality of Life of Hip Fracture Older adults female Caregivers’ attending to the Clinics of Shafa Yahyaeian Hospital, 2019.

 This descriptive cross-sectional study was conducted on 175 Hip Fracture Older adults female Caregivers. The patients were selected via convenience sampling. The sampling took three months (August to October 2019). Data were collected using a questionnaire including demographic data of female caregivers’ and Older adult, Care-related Quality of Life (CarerQol) (Care-related Quality of Life-7 Dimensions and Care-related Quality of Life - visual analogue scale). The data were analyzed by descriptive and inferential statistics in SPSS software version 16 at the significant level of p≤0.05.

 The results showed that the mean age of the female was 44.0 (SD = 11.709). The mean score of Care-related Quality of Life among the female was 53.38 (SD = 32.62) that represents low level of Care-related Quality of Life. The mean happy score of Care-related Quality of Life among the female was 5.77 (SD = 2.57) that represents low level of happy. Some personal characteristics of female Caregiver such as ratio with the Older adult (p <0.001), education level (p = 0.022), marital status (p <0.001), job status (p = 0.033), period of time Older adult care (p <0.001), access to alternative for the Older adult care (p <0.001), insurance coverage status (p <0.001) and economic status (p <0.001) were significantly correlated with Care-Related Quality of Life of Older adults female Caregivers.

 According to the results, Care-Related Quality of Life of female caregiver was low level. Therefore, it is necessary to use educational and supportive interventions to improve the Care-Related Quality of Life in this group of female. Considering that Most female caregiver have multiple family, economic, and social roles and they facing many stresses in the care of hip fracture Older adult, require more attention and prosperity from community planners and officials.

The world is now in the process of passing on health to Non-communicable diseases, is a major cause of changes in the lifestyle of people. The purpose of this study was to identify the relationship between socio-economic status of living environment and health related lifestyle.

This study was performed on 1000 residents of 55 neighborhoods of Rasht by analytical cross-sectional method. Data were collected using a questionnaire including demographic characteristics, International Behavioral Health Questionnaire and a questionnaire from the British General Household Survey (GHS) Social Capital questionnaire. Data analysis using descriptive statistics indexes and Statistical tests Pearson correlation coefficient, independent t-test and linear regression.

According to the results of the present study, the average age of the samples were (43.73 ± 15.55). According to the linear regression model among environmental indicators, dissatisfaction with facilities were introduced as a predictor of physical activity (B=-0/17، P<0.001), smoking (B=0/07، P<0.001) and alcohol consumption (B= 0/08، P <0.001).

The current study shows living environmental indicators play a significant role in health related lifestyle among people. Hence, there is a need for more attention to both physical and social aspects of living places to strengthen healthy lifestyle of people.

 Religious coping, contributed to the quality of life of individuals. The aim of this study was the relation between religious coping styles of each of the parties of the infertile couple to each other’s quality of life.

 A cross-sectional study was among 200 couples who referred to the infertility center of the Qom University of medical sciences. The data collection tool was demographics questionnaire, general quality of life questionnaire (SF-36) and questionnaire of the religious coping styles Pargament (R-Cope). Significance level was considered at 0.05.

Compare each dimension of quality of life questionnaire showed that in all aspects except for the mental health the women is significantly lower than their wives. Among the aspects of religious coping styles just the after positive coping style between two groups was significant. Univariate analysis showed that the positive and negative coping style of the women is significantly associated with their quality of life. Negative coping styles of men and women were also significantly associated with quality of life of men. The results of multivariate analysis showed that negative coping style of the women was significantly related to their quality of life.  While there is an inverse relationship between the quality of life’s men and the positive coping style of the women.

 Regarding the results of the present study education and improving positive religious coping strategies was offered to improve the quality of life.

Nurses encounter challenging ethical issues in practice that can make decision making tough for them. Sometimes they are placed in a situation to choose one between the two interests of truth and life. Such dilemmas cause human developed and applied white lies.

The present study aimed to investigate the relationship between use of white lies in patient care and moral sensitivity in the decision making process among nurses.

This descriptive study was a cross-sectional one conducted in 2018 in Tehran (Iran). 300 nurses were recruited as the research sample using stratified random sampling method. Data were extracted from the sample questionnaires of demographic data, Lutzen moral sensitivity for decision making and white lie. Descriptive statistics and inferential statistical methods including Kolmogorov-Smirnov test, Spearman correlation coefficient, Kruskal-Wallis test, t-test and Mann Whitney U test were used. P<0.05 represented as significant level.

Mean age of the participants was 35±6.14 years, and the majority were female (60.4%) and married (64%). Mean score of use of white lie in patient care was 62±7.61 and the mean score of the moral sensivity of nurses was estimated at 171±5.6 (favorable). A significant correlation was observed between the use of white lie in patient care and moral sensivity (P<0.023)(r= -0.68).

In view of the fact that nurses deal with serious situations in patient care that call for adequate ethical abilities for decision-making as well as good performance, it is necessary for them to be familiar with and sensitive to ethical issues related to their profession.

Over-The-Counter (OTC) drugs, those that are available to patients without a prescription, generally sold by pharmacy technicians. The most common cause of drug errors is over-the-counter medications. A pharmaceutical technician is a provider of medical services that operates in a pharmacy under the direct supervision of a pharmacist. Due to the importance of the activities of pharmaceutical technicians and the impact they can have on the health of people in the community, in this study, their knowledge, attitudes and performance regarding over-the-counter drugs were evaluated.

KAP of pharmacy technicians about OTC drugs was evaluated by a Structured questionnaire.. Data were analyzed using IBM SPSS Statics version 26 by Chi-Square test and Pearson correlation coefficients.

After analyzing the data, it was found that the lower their experience as a pharmacy technician and their qualification, they stated that they had more information about OTC drugs. Also, there was a significant relationship between work experience, passing the course of pharmaceutical technician and the level of education by referring patients to the pharmacy technician.

In order to reduce drug errors caused by the mistakes of pharmacy technicians and increase the level of health of the community, it is necessary to create a codified and centralized educational structure for teaching and measuring knowledge, attitudes and performance of pharmacy technicians.

Achieving full life satisfaction in positive psychology is considered to be the ultimate goal of psychological interventions. Life satisfaction reflects the general feeling of a community towards the world they live in. Life satisfaction is one of predictors of mental health. The purpose of this study is to evaluate the formulation and effectiveness of positive intervention program on promotion of life satisfaction in women.     

This study was a three-stage consecutive hybrid design, based on the Kerchi and morganas (1970) sampling table, out of 9682 women employed at Tehran University of Medical Sciences, 318 individuals were selected by cluster sampling method. Purposeful sampling was used in the qualitative section. Dates gathering in the quantitative section was done by the employment of values in action questionnaire (VIA-72) and the life satisfaction questioner (SWLS). In the qualitative part we used the semi-structured interviews with the theoretical framework of positive psychology. In order to analyze the data in the quantitative part we used the correlation and Structural equation modeling method and in the qualitative part, the data from the interviews were analyzed.    

 The results showed that all the six virtues had a direct and meaningful positive relationship with the life satisfaction scale.    
(Humanity= 176, wisdom=37, transandance=413, courage=346. Temperance=304, justice=266). What’s more, the result suggested that the doctrine of character strength components (positive intervention program) be directly related to life satisfaction. A direct relationship between training these components and an increase in life satisfaction was also observed. (f=183.4, p=0.001) And the formulation of the positive intervention program in the Iranian Sample is totally consistent with Seligman’s proposed model.    

The results indicate that the doctrine of character strength components is directly related to life satisfaction. There is also a direct relationship between teaching these components and increased life satisfaction. The formulation of positive intervention program in the Iranian sample is also completely consistent with the model proposed by Seligman. At last, based on the result of the qualitative and quantitative parts of the present, study, positive intervention program led to increased life satisfaction in employed women. The result of this study can specifically be used in designing positive intervention programs to increase life satisfaction in individuals.

The study of sleep problems and work-family conflict among nurses is very important due to workload and work shift. The purpose of this study was to investigate the relationship between work-family conflicts and sleep quality in nurses working in special wards of hospitals affiliated to Shahid Sadoughi University of Medical Sciences in Yazd.

This is a descriptive correlational study conducted in 2019. This research done on 175 nurses working in hospitals affiliated to Shahid Sadoughi University of Medical Sciences, Yazd, Iran, selected by stratified sampling. Data Collection tools were the questionnaire of demographic characteristics, sleep quality and work-family conflict. Collected data were analyzed by descriptive and inferential statistics using SPSS software.

The findings showed that the total score of the conflict (47.57 ± 11.11) was higher than the average and time-based work-family conflict had the highest average (9.24 ± 3.11). The results also showed that the majority of nurses (56.6%) had generally poor sleep quality and in the dimensions of sleep disorder (77.1%), delayed sleep (41.1%), and sleep mental quality (58.9%) had on average. Also, Pearson statistical test showed that there is a significant and inverse relationship between the mean of sleep quality score and work-family conflict score of nurses.
 (r=-0.02, P = 0.000).

The results of this study showed that work-family conflict leads to poor sleep quality in nurses. Hospital managers should be aware these stressors and with the proper planning in this regars, they will improve the health of nurses.

 The members of a medical team especially critical care nurses experience the most level of tension due to work pressure and less rest time. The highest level of stress has an adverse effect on their sleep quality. This study was conducted with the aim of assessing the quality of sleep among nurses in critical care units of educational- therapeutic centers of Mazandaran University of Medical Sciences.

This study was a descriptive –correlational research that was performed on 180 nurses in Intensive Care Units (ICUs) of the hospitals of Mazandaran University of Medical Sciences in 2015 who were selected by stratified random sampling.The data were collected using job and individual information profile questionnaire and Pittsburg s sleep quality questionnaire. Data were analyzed by using descriptive statistics (for quantitative and qualitative variables from mean ± standard deviation and absolute and relative frequency tables respectively)  and inferential statistics (Chi-square, independent t-test, One-Way ANOVA, Pearson correlation coefficient and logistic regression) and were analyzed by SPSS software version 18.

 Results show that 38 percent had proper sleep quality and 61.7 percent had improper sleep quality. The logistic regression model also showed that shifts in the factor for having poor sleep quality were independent of other variables.The study results showed that 38 % of nurses had a proper sleep quality and 61.7 % had a poor sleep quality. The logistic regression model also showed that rotation in shifts is a factor for having low sleep quality independently of other variables (p = 0.005). The results of the study also showed that there was not observed relationship between variables such as gender (p = 0.096, age (p = 0.764), marital status (p = 0. 585), work experience (p = 0.708), job position P=0.099), the number of night shifts (p = 0.276), service charge time (p = 0.60) and place of work (P = 0.151) with the sleep quality of nurses.

 Given the findings of this study it is necessary to proper planning will be conducted to increase the sleep quality. Therefore, it is important to pay attention to the work environment and the quality of work life in the nurses.