مجله مراقبت پرستاری و مامایی ابن سینا
سال هجدهم شماره 2 (پیاپی 34، پاییز و زمستان 1389)

Introduction & One of the most and important problems of hemodialysis Patients is electrolytes disorders. Most of patients have not suitable knowledge about their diet''s restrictions. Education is a powerful method to help patients for modification of their behaviors and improve their abilities and knowledge for good performance. Small group education is a kind of group education. This is a quasi-experimental study that data were collected from 42 Hemodialysis patients. Before education serum''s electrolytes measured. Then small group education performed in 4 sessions. One week and month after education this variables measured again. The means of serum''s sodium before، one week and one month after education was 137. 21، 135. 81 and 134. 95 meq/l respectively; which was not statistically significant (P>0. 05). The means of serum''s potassium before، one week and one month after education were 5. 16، 4. 96 and 4. 99 meq/l respectively; differences between before education and one week after education was statistically significant (P<0. 05)، but differences between before education and one month after education was not statistically significant (P>0. 05). The means of serum''s calcium before، one week and one month after education were 8. 76، 9. 25 and 9. 58 mg/dl respectively; which was statistically significant (P<0. 05). The means of serum''s phosphor before، one week and one month after education was 5. 15، 4. 45 and 4. 60 mg/dl respectively; which was statistically significant (P<0. 05). Small group education is effective to modifying the disorders of serum''s potassium، calcium and phosphor in hemodialysis'' patients.

Introduction & Development of information technology has a significant effect on improvement Delivered public services and cooperation with international changes and generally better life. International Computer Driving License (ICDL) is performed in 70 countries now and includes: Information technology، windows XP، internet، Microsoft word، Microsoft excel، Microsoft access and Microsoft power point.. In this descriptive correlation study، 68 neonatal intensive care unit nurses and neonate ward in Tehran hospitals were participated by random sampling. Participants in this study had passed ICDL courses. A questionnaire with 42 items (was designed by researchers) was used for data collection in this study. The questionnaire including 7 parts. The questionnaire was validated by content method and reliability was measured by Alpha Coronbach (α=0. 76) and ordinal Coefficients Alpha (0/80). SPSS l6 version was used for data analysis. All participants were woman. Mean age of women was 35. 9. Mean age of job was 11. 2 years. 86. 8% had license degree and 11. 2% had master degree and diploma. 82. 4% were nurses and 14. 7% was head nurse and 2. 9% supervisor. 55. 9% had mean satisfaction، 22. 1% was very satisfied and 20. 6% had low level of satisfaction from passing ICDL courses. In general، improving the content of ICDL courses in regard to nursing can be effective in increasing nurses'' satisfaction.

Introduction & The needs of people with mental illness and their families are multiple and varied and differ at different stages of illness. A wide variety of services are required to provide comprehensive care for some of the people with mental illness. The aim of this study is to survey of nursing and care needs of patients with mental disorders than of hospital discharge. This was a descriptive cross-sectional study. The participants consist of 200 patients'' family، schizophrenic، Mood disorders and obsessive-compulsive، who were selected by stratified sampling. A 30 item questionnaire was used to gather data from the sample. It consisted of two parts: A- demographic factors B– questions related to nursing and cares needs. The demographic findings included: 68% male and 32% female; and mean age of the participants was 38. 5 years، 35. 5% Schizophrenic، 21. 5% depression، 31. 5% bipolar disorders type I، 5. 5% obsessive –compulsive and 6%. Mean of disease was 4. 3 years. The needs such as counseling، community health care، fallow up، health teaching and social and psychological rehabilitation were important for the majority of the patients and their families. Community mental health services need to provide comprehensive and locally based treatment and care which is readily accessible to patients and their families. Services should be comprehensive in that they provide a range of facilities to meet the mental health needs of the population at large as well as of special groups. Ideally، services should include: nutrition; provision for acute admissions to general hospitals; outpatient care; community centers; outreach services; residential homes; respite for families and careers; occupational، vocational and rehabilitation supports; and basic necessities such as shelter and clothing.

Introduction &

Annually، numerous women die as a result of pregnancy or child birth، nearly all in developing countries as Iran. Therefore، the World Health Organization (WHO) in 2007 focused on the education of the proper management of the labor and puerperal infections for midwives. This study performed to determine and compare the effect of the education of the WHO’s principles on knowledge and clinical performance of the midwives in Fatemieh Hospital in Hamadan 2007.

This quasi experimental study was done for the all midwives in the selected hospital. The standards design by WHO trained to the sample group. The data gathered by: 1) Pretest questionnaire، 2) Posttest questionnaire، and 3) the observational performance checklist. The validity of the tools was increased by the literature reviews and the experts’ comments and the reliability was improved by the test- retest. The data were analyzed by the SPSS version 16.

The findings showed that there are significant statistical differences between the mean of the midwives’ knowledge (P <. 005) and clinical performance (P<. 001) before and after the education of the post partum Infection.

The education of the proper management of the puerperal infections according to the WHO’s standards can improve the knowledge and the clinical performance of midwives، so، it is recommended that this education do learn for larger groups.

Introduction & Acquired immunodeficiency syndrome (AIDS) is one of the occupational hazard threats in young active people who employ in medical professions. In order to planning an effective program to reduce risk of AIDS in this group; providing accurate information about their knowledge and attitude towards AIDS is essential. The purpose of this study was to determine HIV/AIDS related knowledge and attitude of nurses and health care workers in the greatest educational hospital in Shiraz- south of IRAN. This was a cross-sectional descriptive-analytic study. Target groups were nurses and healthcare workers of Namazi hospital in Shiraz in 1388. The participants were selected with random sampling method including 178 nurses and 75 healthcare workers. Data gathering tool was a questionnaire with 30 questions related to knowledge and 15 questions related to attitude. The data was analyzed through SPSS software. Statistical methods such as one way ANOVA، spearman correlation and T-Test were used for analyzing data. Findings showed the majority of subjects were female (86. 5%)، 54. 4% were married and 34. 5% were permanent staff. The most of nurses and healthcare workers had an intermediate knowledge about AIDS (62. 9% and 65. 9% respectively). More than half of cases had a week attitude towards AIDS (55. 9% of nurses and 57. 7% of health care workers). There was a significant relationship between attitude and knowledge level of nurses with their information recourses (P=0. 025 & P=0. 004). A correlation between different hospital wards and nursesattitude was observed (P=0. 025). Also there was a significant relationship between knowledge and attitude of nurses (P=0. 001) and knowledge and attitude of health care workers. (P=0. 001). It seems focus on routine educational program and lack of update teaching caused intermediate knowledge، therefore anew formative planning should be considered for CME program، also more cultural and educational activities are essential to decrease stigmatization and discrimination against AIDS and improve their attitudes.

Introduction & Folic acid a member of vitamin B complex has an important role in prevention of neural tube defects. The closure of neural folds occurs at 28th day of pregnancy and most of women are not informed about their pregnancy at this time، so folic acid supplementation must begin before pregnancy. This study conducted with the aim of determining preconception intake of folic acid. 322 womenwho hadterminated their pregnancy at Fatemieh hospital (Iran،Hamadan) were interviewed through a descriptive and analytical study. Data analysis was on the basis of SPSS software. 79. 8% of pregnancies were planned and 90. 4% of women had not mentioned folic acid usage before conception and only 9. 6% of mothers had used folic acid in this way: 5% of them took it 3 months before conception، 1. 5% from 2 months and 3. 1% from one month preconception began the supplementation. There was a significant relation between preconception usage and education، employment، the number of abortions and receiving education (P= 0. 000، P=0. 001، P=0. 004، P=0. 000 respectively). Most of mothers have planned pregnancies but very few of them had took preconception folic acid supplementation so it is necessary to do some interventions for getting them to be familiar with folic acid and correct time of usage.

Introduction & To carry out process ofpromotion in quality of nursing services as a result of nature giving services inmedical educational centers expose with several barriers that cause lack of usefulness of nursing services for clients. Therefore this study has done todistinguish barriers of quality nursing services promotion from viewpoint ofnurses in medical educational hospitals of Khoy city، 2009. This study is descriptive andthe study population consisted of 56 nurses that work in medical educationalhospitals of Khoy city، Sampling was simple accidental and data collectedby questionnaire. Validity of scale determined bycontent validity. Reliability of scale determined byCronbachalpha (0. 88). Fridman test showed there was positive andsignificant correlation between seven dimensions of barriers of quality nursingservices from viewpoint of nurses. The most barriers were “lake of longtimeplanning by managers” and “lake of partnership” and the least barriers were “lack of communications “in organizat ion. In regarding to resultsit seemed that management process and application of items is important forprovidingnursing careandnursing services.

Introduction & The nursing graduates like the other groups of medical and health graduates، are under society healh servicing، so the satisfaction of nursing students and graduates is important. Therefore، the aime of this research was study of the satisfaction of Borujen nursing faculty graduates about nursing course، nursing job، its income and also study of their viowpoint about nursing job difficulties. This study was a descriptive cross-sectional study. Sampling was done by census method and all of the 166 (108 women and 58 men) nursing graduates of this faculty، based on the research purposes، were surveyed. The data were gathered by a self-administrated and confirmed questionnaire consisting of the questions about demographic characteristics of the graduates and the other research aims، and then were analyzed. In this study، 69. 28% of all the graduates in spite of declaration the nursing difficulties were satisfied of this course and job and 30. 72 % were unsatisfied (P=0. 949). Also، about the nursing job income، 66. 87% of respondents were satisfied، and 33. 13% were unsatisfied (P=0. 949). Statistical analysis did not show significant difference between viewpoints of the male and female graduates about two above items. The analysis of data about the nursing course and job difficulties، showed that، the viewpoint of 89. 16% of the respondents about this item were hard، but females (by 95. 37%) opposite of the males (by 77. 59%0)، declared that nursing course and job were harder، and statistical analysis showed significant difference between them (P<0. 001). Although the majority of nursing graduates، particularly the females، declared that nursing were hard، but they were satisfied of their job، them interested to their، team-work and giving service to the health of society.