مجله مراقبت پرستاری و مامایی ابن سینا
سال شانزدهم شماره 2 (پیاپی 30، پاییز و زمستان 1387)

Introduction & This is a descriptive analytical study to assess domestic violence during pregnancy, and its relation to demographic characteristics. 400 subjects were randomly selected from among delivered women admitted in Zeinabieh and Hafez hospitals affiliated to Shiraz university of medical sciences. The data were collected by a questionnaire for demographic characteristics and another questionnaire for domestic violence. The data were collected by interviewing the subjects. The psychological and physical violence during pregnancy were significantly interrelated with occupations of husbands; low income and smoking of subjects and their husbands; substance abuse; psychotic drug consumption and multiple marriage of husbands. Also the economic violence during pregnancy was significantly interrelated with occupations; substance abuse and alcohol consumption of husbands. Social violence was related to low education and smoking in subjects and substance abuse; psychotic drug consumption and multiple marriage of their husbands. There was a significant relationship between sexual violence in case of subjects with higher education and psychotic drug consumption of their husbands. Determination of demographic factors related to domestic violence during pregnancy could help to realize these abuse factors and plan to control them. There is a need for vast research in order to achieve better andrestanding of violence during pregnancy and their unfortunate outcomes.

Introduction & Education play a key role in the Growth & development of human community. Evaluation is the most important part of educational planning process. Teachers, By evaluation process, will judge about the performance of selected education programs and to determine their effectiveness, efficiency and equity. The purpose of this study was to evaluate of reach educational goals in theorical lesson in nursing students in school of nursing & midwifery, Hamadan university of medical sciences. This research is a descriptive work whose aim is to determine: what is the degree of reach to educational Goals in theorical lessons in Nursing. It was found that the rate of achievement of goals at the high or moderate Level is occurred about 81% in the nursing. In the low level, Rate of achievement of goals is 19% for nursing students. Regarding the results, It seems necessary that the evaluation of lesson plan and the other educational programs must be considered very important and in order to usual and continues work.

Introduction & Pregnancy is the time of change, hope, expectation and worry for women and their families This period is a physiologic and natural process, if associated with risk factors could result to morbidity and mortality for mother and her fetus. The purpose of this study was to determine the rate of high risk pregnancy and its related factors. In this cross-sectional study by convenient sampling method, 715 women who referred to health centers of Yasouj in 2006, were selected. Data were collected by interviewing women, performing physical examination and using health centers records. The mean age of the samples was years old and mean gravidity rate 66.3% of them were urban and 33.7% rural. 52.4% had at least one of the pregnancy risk factors. 2.1% were 18 y/o and 5.2% were higher than 35 y/o. 18% had history of abortion and 8% cesarean delivery. 7.7% didnt have regular antenatal visits. The most common complications in current pregnancy of them were hemorrhage (7.8%), preterm labor pain(6.4%), urinary tract infections(6%), hypertensive disorders(5.5%), etc. Significant relationship between high parity and low gestational age of mother with high risk pregnancy were observed. Other socio-demographic characteristics had not significant relationship with high risk pregnancy. Health education, widespread practice of family planning and early initiation of prenatal care are suggested to prevent and appropriate management of high risk pregnancy.

Introduction &

One of the most primer responsibilities of a nurse as a caretaker, is providing continuous caretaking. So enhancing quality of caretaking and increasing patients satisfaction are known as indexes of producing effect in nurses work. The purpose of this study was to assess of effect discharge planning on patients satisfaction.

This research is a clinical work evaluating, which 120 patients were arranged in two groups before and after the research. One group case another group control whom were chosen random based on homogenization variables like: age, gender, the term of hospitalization and kind of their disease, and then they were studied. Satisfaction evaluating questionnaire was used. The nurses of subject group after one month training in releasing planning in the way of face to face, they teached the patients and met their caretaking needs. Head nurses had the role of consultants and advisers and they checked the caretaking activities of nurses regularly in each work shift and controlled them. After 3 month, the amount of patients satisfaction after participation in subject group gathered. The data resulted from questionnaire were analysed in form of T-independent and bigeminal tests, Manvitny and Vilcakson and exact Fisher tests and SPSS soft ware was used with the intention of analyzing the data and information.

The results showed that the patients satisfaction based on quality in both groups before participation had no difference and had been rather in dissatisfaction level (p=1.000). Whereas after participation, satisfaction in control group showed no difference (p=1.000) but in case group, satisfaction was in proper level and statistical tests showed that the difference is meaningful (p=0.000).

Discharge planning as a directed administrative work can be an effective step in removing patients problems and increasing their satisfaction and causes continuity of caretaking. Administering discharge planning as a directed work can increase and enhance the patients satisfaction.

Introduction & Spacing between marriage and the first pregnancy concludes to develop of mutual couple's relationship, preparation of children training, economical growth of the, family and consequently straightening of the family. Therefore, this study was performed to determine the rate of contraceptive methods use before the first pregnancy among nulliparous women. This retrospective descriptive –analytic study was performed on 564 nulliparous women who came to the health centers of Hamadan in 2006. Sampling method was simple clustering and data was gathered with questionnaire and was analyzed by SPSS / 13. The mean of age of persons whom studied was 23.4 years old and the average time between marriage and the first pregnancy was 24.5 months. 80.7% of couples used contraceptive methods before first pregnancy and the average time using this methods was 19.2 months and 64.8% of women used them 1 year or more. After marriage most common contraceptive methods were combined OCs (48.5%), withdrawal (36%) and condom (14.6). 28.9% of persons who used contraceptive methods discountinued her first methods and used another method sands and 78.62% of them used combined OCs as first contraceptive method. The most common used new metods was withdrawal(61.8%). The most common sources of information about contraceptive methods was family planning centers (61.3%). Most couples used contraceptive methods before the first pregnancy and used methods more than 1 year. The most common contraceptive method was combined OCs and the most common sources of informations about contraceptive methods was family planning centers.

Introduction & Sexual instinct which is the cause of numerous changes in one’s life could be influenced with numerous factors such as menopause and aging. This study was focused on comparison of women’s sexual functioning disorders before and after menopause. This is a analytic cross sectional study in which the data related to before and after menopause sexual activities of 174 married women (living with their spouses), referring to health centers in Isfahan in 2003 and being qualified to enter the study, were collected and investigated. The data were collected by self constructed sexual dysfunction inventory in that reliability and validity were reached by content validity and a chorenbach index. The findings were investigated and analyzed through descriptive and inferential (MC – Nemar) statistical tests by spss. The findings showed that relative frequency of sexual functioning disorders in productive period was 38% and in menopausal period as 72.4%. There was a significant association between sexual functioning disorders before and after menopausal period (P< 0.001). Frequency distribution of sexual functioning disorders in productive period of these women in according to severity of disorders are include: sexual disire disorder (49.2%), dyspareunia (34.3%), Arousal dysfunction (26.8%), orgasmic dysfunction (23.8%), and vaginismus (16.4%). Frequency distribution of sexual functioning disorders in monopausal period of these women are include: Arousal dysfunction(75.3%) sexual disire disorder (62.6%), orgasmic dysfunction(56.3%), dyspareunia (34.9%) and vaginismus (15.8%). As revealed by the findings of the study,a high percentage of women experience sexual functioning disorders in productive and menopausal periods Menopause can be a cause to occur, or continue there disorders. The role of related experts in respect to conselling and education is emphasized

Introduction & Anemia is common among patients with cancer, particularly among patients undergoing chemotherapy. Anemia leads to reduce survival following chemotherapy. The purpose of this study was to determine the relationship of anemia with severity of fatigue and quality of life in Cancer Patient Undergoing chemotherapy. This is descriptive –correlative study that utilized a purposeful sampling one hundred twenty one out patients with cancer participated in this study. Data collected by interview, the instruments used included: the sample selection and demographic data form, Fatigue Severity Scale, and Quality of life Questionnaire (EORTC QLQ-C30). Hemoglobin level was reviewed from medical records. Grading of anemia based on hemoglobin level according to the National Cancer Institute classification. The findings indicated that prevalence of anemia in cancer patients undergoing chemotherapy was (63.6%).There were significant differences between mean score of severity of fatigue (p<0.001) and quality of life (p=0.003)in relation to hemoglobin level. Negative significant correlation between hemoglobin level and all dimensions of quality of life and severity of fatigue. The severity of anemia is closely related to severity of fatigue and quality of life. During chemotherapy, decrease hemoglobin levels was associated with meaningful increase in fatigue and reduce dimensions of physical, role function, cognitional, social and overall quality of life.

Introduction & When hemodialysis treatment was first used to replace renal function, no one knew how mach dialysis therapy was needed to keep the patients healthy. Dialysis efficacy is one of the predominant factors survivals in hemodialysis patients. There are multiple methods for assessing the adequacy of dialysis. The index KT/V, most commonly used marker for dialysis adequacy. The aim of this study was to determine dialysis adequacy of haemodialytic patients based on urea kinetic modeling in hemodialysis center in Boshehr city. This was prospective study design was applied all of the hemodialytic patients (39 cases) that 2 or 3 number of dialysis per week was selected in total sampling. The total samples it was 15 women and 24 men. Out of 76/9% of total sample was dialyzate 3 times in week. Weight and blood sampling obtained at before &after hemodialysis were determined and KT/V methods were used for adequacy of dialysis. Data collected were analyzed using SPSS, windows version for descriptive (mean- standard deviation) and analytical (X2) statistical methods. Based on KT/V, 96.7% patients in thrice-weekly group and 100% in twice-weekly group had inadequate dialysis. There was significant difference between the dialysis adequacy and Weight (P<0.05). In adequate dialysis is also associated with increased hospitalizations and high inpatient costs. The above results indicate the need further in order to determine the underlying reasons for dialysis inadequacy in these patients.