مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و یکم شماره 1 (پیاپی 40، بهار 1392)

Effective clinical teaching requires to efficient educational methods which can develop appropriate knowledge and skill in students. This study aimed to assess the effect of inquiry-based clinical instruction on applying nursing process skillstudents.

A quasi-experimental study was conducted using before after design by Participation 38 nursing students. The students were divided in two experimental (N=19) and control groups (N=19) randomly. After taking pre-test about applying nursing process skill by 5 checklists، control group received regular education and experimental group educated by using inquiry-based clinical instructionfor 10 days. Then the post-test was performed. The data was analyzed by using independent sample T-test and paired samples T tests.

Both methods of clinical education were effective in the promotion of Nursing process skill of students (P<0. 001). Comparing results in the control and experiment groups in applying nursing process skill showed differentes in assessment (P=0. 004)، nursing diagnosis (P<0. 001)، planning (P<0. 001)، implementation (P<0. 001)، evaluation (P<0. 001) and whole nursing process (P<0. 001).

Inquiry-based method in clinical instruction was more effective on applying nursing process skill of nursing students rather than the routine method of clinical education. Therefore، it is recommended to use this method in clinical education of nursing students.

Children with congenital heart disease after surgery require special discharge planning. This study was designed to determine the impact of discharge planning on the quality of life of these children. In this quasi-experimental study،60 children with congenital heart disease who had referred to Rajaee Heart Hospital in Tehran، were selected by non-randomized sampling method and divided into case group and control groups. Data gathering tools were demographic questionnaire and pedsQol questionnaire for children with heart disease. for the case group، according to the nursing process model، discharge plan was designed in the hospital in five sessions in the fields of detecting training needs، providing emotional support and follow-up care. The plan was followed up at home with phone call for 4 weeks. The members of both groups filled the pedsQol questionnaire before the intervention and one and three months after the intervention. While before the intervention the mean scores of the quality of life of children in the both groups were the same، it was seen a significant difference in their score after the intervention (P<0. 05). Discharge planning designed according to the care needs of children & their parents improved the quality of life of children undergoing heart surgery.

Menopause is an important event in women''s life. So it is really important for them to be healthy in this stage. The purpose of this study was to determine the socio-economical factors related to age at menopause in Hamadan city. This cross-sectional study was carried out on 400 menopausal women among 40-65 years old who were selected randomly from 5 health centers in Hamedan city during 2012. Data was collected by interview with women and it was analyzed by SPSS/16 using variance and multiple regression. In this study mean and median age at menopause were 49. 60±4. 02 and 50 years respectively. Findings of the study showed a significant statistical relationship between age at menopause and physical activity، family''s income level، family members'' smoking and educational levels of menopausal women and their husbands (P<0. 05). There wasn’t seen any meaningful relationship between women''s smoking and job and their age at menopause (P>0. 05).. Aside from genetic and reproductive factors، socio-economical factors are effective in age at menopause. Due to the increases in life expectancy and it''s relationship with diseases and mortality rate in women، menopause should be considered as an important epidemiological matter.

Paying attention to mental health as an integral part of improving public health is growing worldwide. Nurses due to their special working conditions need to be more powerful in this field. Due to the positive effects of life skills training، this study was conducted to evaluate the impact of training these skills on nurses'' quality of life. In this quasi-experimental study 64 graduate nurses were randomly selected and then divided into control and case groups، each group contained 32 members. Life skills in 3 fields of self-awareness، communication and stress management were trained to the nurses. Training was done in 14 sessions which were held 3 times a week، every session lasted about 1/5 hours. Data gathering device was SF-36 questionnaire and data was analyzed by SPSS-18. The findings of this study indicated that life skills training causes significant improvement in the nurses'' physical functioning، bodily pain، general health، vitality، social functioning، mental health، physical health and ultimately quality of life (p<0. 0001). There wasnt seen any significant difference between the case and control groups in the realms of emotional and physical roles، respectively with (p=0. 119) and (p=0. 666). Life skills training is effective in improving the quality of life of nurses so it can be considered as a useful measure in this field.

Sexual dysfunction is a common problem in women and has negative effects on their quality of life. Several factors affect sexual function. The aim of this study was to determine the relationship between depression and sexual function index among married women. This is a descriptive- analytical study that was conducted on 200 womenreferred to the health clinic of Hazrat Ali hospital in Karaj on 2009. Samples were selected based on simple randomized method. Data was collected by interview. The used instruments included demographic data form، depression scale of the Center for Epidemiologic Studies (CES-D) and Female Sexual Function Index (FSFI). Data was analyzed by SPSS software، using descriptive statistics، t-test، ANOVA and logistic regression. The findings indicated that the mean score of female Sexual Function Index was 20. 59±5. 10 (1. 2-36 range) and their mean score of depression was17. 61 ±11. 63 (0-60 range). Among the studied women 31. 5% had mild to moderate depression and 98. 5% had sexual dysfunction. The most common sexual problems were sexual arousal disorder 36%، sexual dissatisfaction 20% and orgasm disorder 16. 5%. There were found significant associations between depression and sexual desire (OR 1. 4، 95% CI 1. 6-16. 07) and depression and orgasm (OR 1. 96، 95% CI 0. 02-0. 72). Sexual function is associated with one''s mental status، so paying attention to sexual problems in depressed patients and also assessing and treating depression in patients with sexual disorders are recommended.

Nurses، because of their job، are in danger of facing with the consequences of poor lifestyle. This study aimed to determine health nurses promotion needs، stress resources and workplace problems. This is a cross-sectional descriptive study which was conducted on 232 nurses from 5 hospitals of Urmia City. Participants were selected based on stratified random sampling. Data collection was done by a questionnaire with 5 parts of demographic characteristics، a tool for assessing health promotion needs، cancer screening self exams، evaluation of workplace problems، and sources of stress in workplace. Data was analyzed using descriptive statistics and logistic regression. The results showed that nurses needed to practice health promoting behaviors on the areas of effective stress management (62/8%)، physical activity (61. 2%)، diet (56. 1%)، sleep hours (53%)، low back pain (44. 7%)، effective interpersonal relationship manners (42. 7%)، and weight control (39. 7%). Common workplace stressors were: high work load (68. 9%)، Insufficient sleeps (64. 1%)، inappropriate behaviors of patients or their families (54. 2%)، and managers'' behavior (52. 5%). Only 5. 2% of male nurses and 26. 3% of female ones reported doing regular testicular and breast self examinations. Among female nurses، 15. 5%had the history of Pap smear test. Results showed that nurses face with workplace problems and stress so they need to practice health promoting behaviors. The main predictors of nurses'' stress were improving health in the field of stress management، exercise، and effective interpersonal relationship and preventing back pain.

Behavioral disorders are some common disabling disorders which destroy cause depersonalization and prevent him from progress. The purpose of this study was to find the prevalence of behavioral disorders among students of girl’s guidance schools and its relationship with some factors. In this cross-sectional study، based on Multi-Stage Cluster Sampling، 400 students were selected from Hamedan city. Data gathering devices were Woodworth questionnaire standardized based on Iranian norms and demographic questionnaire. The gathered data was analyzed by statistical methods like chi-square test. The average age of students was 12. 85T 0. 94 years. Among the subjects of study 26% didn’t show any behavioral disorder while 43/7% had 1 to 4 cases of behavioral disorders and the rest showed more than 4 cases of behavioral disorders. The prevalence of different behavioral disorders was estimated as follows: excitability 49. 1%، obsession 36. 6%، sarcastism30/5%، paranoia 34. 2%، depression 49. 5%، aggression 18. 6%، unstablity15. 3% and antisocial inclinations 2. 4%. A meaningful relationship was found between losing one or both parents and the incidence of excitability (p=0. 018). Also the prevalence of most of the behavioral disorders among the students whose fathers were unemployed، retired or disabled and those، whose families didn’t own a house، was more than the other students. Based on this study، behavioral disorders were highly prevalent in the studied subjects. Because of the bad effects of behavioral disorders on the process of learning and social communications، it is needed for responsible ones، teachers and parents to have a good interaction with each other to find the best way to prevent from the incidence of behavioral disorders

Assessment is the process of systematic collection، analysis and interpretation of data to achieve the goals. The purpose of this study was to evaluate and compare the quality of educational activities of departments of nursing and midwifery faculty of Hamadan University of medical sciences. This cross-sectional study was done in 2009 at the faculty of nursing and midwifery of Hamadan to internally assess the educational status of four departments.. Data was gathered by checklists and questionnaires which based on nine standards. Status of each group in relation standards was detected. We used descriptive and analytical testsand data was processed by SPSS 16 software. The mean score of community health nursing department was 87. 16%، medical surgical nursing department was 86. 92%، pediatric nursing department and management and psychiatric nursing department were 84. 59% and 89. 21% respectievly. The highest score of community health nursing department (%100) was for the standards of courses and curriculum. The highest scores of medical surgical nursing department (97. 6%)، pediatric nursing department (95. 8%) and management and psychiatric nursing department (98. 4%) were for the faculty members’ duties. In all four departments، the lowest score was associated with the standards of graduates (66. 53%- 70. 6%). Status of the studied departments (community health nursing، medical surgical nursing، pediatric nursing and management & psychiatric nursing) in terms of scores gathered on internal assessment was good. However the standards of graduates need more attention in all four departments.