نشریه پرستاری و مامایی ارومیه
سال نهم شماره 2 (پیاپی 31، خرداد و تیر 1390)

Epilepsy is one of the most common and chronic pediatrics neurological diseases. Results of many epidemiological researches in pediatrics epilepsy prevalence are somewhat different due to methodological differences. The aim of this research was to determine epilepsy prevalence in children admitted to Tabriz children hospital.

In this secondary analysis research, all hospital documents of children admitted to neurology ward with seizure diagnosis during 2009 were analyzed. Data gathering form consisted of three demographic questions (age, gender, age of seizures onset) and six questions related to the disease (seizures frequency, type and duration, fever, family history and final diagnosis). The data were analyzed by PASW 18 edition.

Of the samples, 47 patients had epilepsy. This was 0/38% of total hospital admission rate, 4/3% of total neurological ward admission rate and 9/5% of total seizure patients’ admission rate. The average age was 25±3 months, positive family history 23%, generalized tonic-clonic 75%, cerebral palsy and mental retardation 17%, and 51% of them were male. Age of seizer onset of 40% subjects was lower than 24 months.

Results of this research were consistent with other researches in total epilepsy prevalence rate, age of seizure onset, epilepsy predominance in males, generalized seizure predominance, positive family history. The difference in parts of the results is due to local effects such as health facilities or methodology.

Clinical learning environment has an important role in clinical learning of nursing students. Differences between expected and actual clinical learning environment of nursing student reduces their interest in clinical environment and clinical performance. Therefore, the aim of present study was to compare the perception of nursing students of expected and actual clinical learning environment in medical-surgical wards.

This descriptive-longitudinal study was conducted 75 baccalaureate nursing students from Urmia nursing & midwifery faculty. In the beginning of the semester, the expected perception of their clinical environment was determined and in the end of semester the actual perception of students of their clinical environment was determined again. For data analysis, clinical learning environment inventory was used that contain 49 item in six areas. Data analysis was conducted by SPSS software using descriptive and inferential statistics.

The findings showed that the average score of nursing students’ perception of expected clinical learning environment was 154.89 ± 14.05 and the average score of nursing students’ perception of actual clinical learning environment was 108.41 ± 12.78. The dependent sample t-test showed that there were statistical differences between actual and expected perception on nursing students regarding clinical learning environment.

The gap between nursing students’ perception of expected and actual clinical learning environment may have negative effects on their clinical learning. This indicates that nursing education managers should further attend to clinical learning environment of nursing students.