نشریه پرستاری و مامایی ارومیه
سال یازدهم شماره 5 (پیاپی 45، امرداد 1392)

Premenstrual syndrome is the cyclic appearance of physical، psycho and behavioral syndrome which occurs at luteal phase in the menstrual cycle، so that it can effect academic performance، and social and family relationships. This study has been conducted in a one-blind clinical trial to determine the effects of soy on premenstrual syndrome in female students of Semnan University Dormitory.

In this study after completing of a questionnaire during 2 consecutive cycles، 90 female students (age 18-24 years) has been selected with moderate-severe premenstrual syndrome who had necessary parameters to enter the study، then the subjects were randomly divided in two case-control groups، 40 person for each of the case and control groups respectively. The case group received soy consisted in a biscuit that provides a total of 50 gr. ISP، containing 50 mg isoflavone (IS). The control group took placebo that were identical in appearance and taste to the soy biscuit but it contained ordinary flour instead of isoflavone for two menstrual cycles. The data were collected by using a questionnaire، Mens daily calendar، and symptom scoring tables.

The study showed that the means of scores for total physical symptoms of premenstrual syndrome between case and control groups had significant difference during first and second treatment cycles (p<0/01). It also showed that the means of scores for total psychological symptom of premenstrual syndrome between case and control groups had significant difference only during second treatment cycles (p<0/01). The means of scores for total behavioral symptoms of premenstrual syndrome between case and control groups had no significant difference during first and second treatment cycles (p>0/05). The means of premenstrual syndrome duration had significant difference between case and control groups during second treatment cycles (p<0/01).

In seems that soy bean can reduce physical and psychological signs of premenstrual syndrome during menstrual cycle.

Breastfeeding is the only food that has been created exclusively for human and its ingredients is according to the needs of the infant''s body، and it provides the most appropriate growth conditions. Since after the age 6 a diposity rebound occurs، the infant in preschool age has the minimum amount of fat in his body، and the body mass index in preschool children reflects this factor in their adulthood، this study aimed to determine the relationship between Body Mass Index and breastfeeding in the children of pre-school centers. This is a correlational study in which 385 children of 3 to 6 years from Urmia pre-school centers were selected by multiple random sampling methods. The data collected by using breastfeeding information questionnaire، and a checklist of children''s body mass index. BMI of children were obtained based on standard curves. Spss. 19 software was used for data analysis. Onset of the first breastfeeding immediately or within 2 hours after birth directly (Pv = 0. 000)، exclusive breast feeding up to 6 months (Pv = 0. 000) and duration of breast feeding for one year and more conversely (Pv = 0. 000)، correlated significantly with normal body mass index in preschool children. Onset of breastfeeding immediately after birth، and exclusive breast feeding for 6 months، and its continuation until one year has a significant relation by normal body mass index in preschool children.

The postpartum period is a dangerous potential time for postpartum depression. Postpartum support is a way to reduce postpartum depression. The purpose of the current study is to determine the effectiveness of postpartum supports on the postnatal women depression after childbirth.

This study، a semi experimental study، was conducted in Marand Hospital. Two hundred sixty mothers agreed to take part in the study، and they were randomly allocated into two goups of intervention group (n = 130) or control group (n = 130). The intervention group received twice telephone counseling for 20- minute at the first week، and from second till 6th weeks، they received one telephone counseling at week plus routine care. The control group received only the routine care. Also for evaluation of the mother’s unanticipated needs، a 24-hour telephone access was provided to the researcher. The main outcome measurement instruments included recording demographics data sheet، postpartum problem’s checklist، and the Edinburgh Postnatal Depression Scale (EPDS) which was administered by a trained interviewer six weeks after delivery. Control group received general postpartum education. The data were analyzed by χ²، Fisher test and T test SPSS Version 11. 5.

At 6 week postpartum، mean of depression in the intervention group was (15/80 ± 5/12)، and in the control group، it was (18/43 ± 5/90). On the EPDS scale، in the intervention group، there was a significant decrease comparing to control group (P < 0. 0001).

The result of this research showed that postpartum support by midwife could decrease women’s postpartum depression in the pureperium.

Community health largely depend on the primary health care sector of each country and primary Healthcare including family health، as first contact services have basic role in health attainment. Quality of care remains one of the most significant challenges facing the health care system. Service users have critical roles in identifying their own needs and preferences. The objective of this study is assessing the consumers'' perceptions of quality in family health Services at Urmia heath posts. A sample of 200 females’ health care consumers participated in this cross sectional descriptive study which was done in 2010. A questionnaire based on the SERVQUAL instrument with five dimensions of family health services quality was used for data collection. To do statistical analysis، descriptive statistic and X2، Friedman and Wilcoxon tests were applied. The findings of this study indicated that 82. 2% respondents perceived quality of service moderate and 17. 8% as worse، with a lack of good quality. Comparison of dimensions showed there was a significant difference between them concerning the quality of services. From service users’ point of view، family health services quality were not acceptable; thus quality improvement initiatives are required in all dimensions specially responsiveness.

Workplace violence is considered as a health problem in nursing profession. The aim of this study was to determine nurses behavior meeting to workplace violence and their confronting reactions in violent events.

This descriptive-cross-sectional study was conducted on all of nursing staffs of Khorramabad educational hospital in 2011. A questionnaire containing، personal and occupational characteristics، prevalence of four types of occupational violence (Physical، Verbal، Racial and sexual)، nurses confronting behavior and violence predisposing factors was used. After collecting، the data were analyzed using descriptive statistics including mean and frequencies by SPSSversion16.

Analysis of the data showed that the most frequent type of violence against nurses was verbal violence committed by patient and their relatives (%78. 5)، managers (%46. 2) and staffs (%43. 1) respectively. The least frequent type of workplace violence was the sexual one. Most of the nurses'' confronting violent behavior was calling hospital guard، and most of the nurses’ confronting behavior was ineffective.

The result showed high prevalence of violence against nursing staffs، and the use of ineffective confronting behavior by nurses. Therefore it is necessary to develop educational program to empower the nursing staff against violent events.

Postpartum depression is a problematic and important disease and if it is not recognized and treated on time، it can be aggravated or chronic. Exercise is strongly recommended in this regard to prevent any family disorders and improve the health of mother، child and family. The aim of this study was to determine the effect of exercise on mild postpartum depression among women referring to Kashan health centers، and to determine its related factors. This study was a double blind clinical trial. About 50 subjects with normal vaginal delivery were selected. The subjects had referred to health centers in the second week after delivery، and they were diagnosed to have mild depression using Beck depression test. They were randomly divided into two groups (exercise and non-exercise). Then Beck test was redone 6 weeks after delivery، and the results were compared in two groups. The findings indicated that between mildly depressed mothers، 58% were 20-30 years old، 55% were housekeeper، 44% had diploma and under diploma education، 66% had two previous deliveries. 72% of exercise group and 40% of non-exercise group were treated. 8% of experimental subjects and 16% of control ones needed psychological consultation 6 weeks after delivery. T-test showed significant differences between two groups (p<0. 05). Results showed that exercise had a positive effect on the treatment of mild postpartum depression. As a result، the exercise is recommended strongly in postpartum care.

Today the quality of health service is determined by providing the service by appropriate operators (people)، within the shortest time and with minimum resonances. The aim of the study is to find the path of information and the errors in Hospital information system.

this study is done by the analytics method in which the hospital information system of Urmia Shahid Motahari Education center was analyzed، in doing so the technical errors also the human errors in the path of information from deferens parts of the hospital in the HIS system were found by using a prepared cheek list. Finely t he algorithm of errors or in other words، the path in which there was a high technical and human error were reported.

the finding show us that there is a great gap between the human errors and the education level of operators (P=0/000). In contrast there was a signatures difference between the human errors and different working times (P>0/05). Also there wasn’t a significant difference between the human errors and various parts of the hospital working with HIS (P<0/05). By analyzing the path of information in the system of HIS it was seen that maximum error occurs in the time shifts of nights and Holidays.

By paying attention to the changes in the needs of the Health area as time goes on، the information system should adapt itself to the changes also these changes should be in parallel with the changes in the structure and the missions so that it would fulfill the needs of operators and prevent errors.

Breastfeeding has many benefits for mother and preterm infant. Identify factors affecting breastfeeding، have an effective role in supporting of its continuation. The aim of this study was to examine the relationship between breastfeeding duration and some of demographic characteristics of mother and preterm infant. In this survival analysis study، which lasted from May to October 2010، 460 preterm infants who were brought to the infant clinic of Tabriz AL-Zahra Hospital were selected by simple random sampling. The data were collected by a questionnaire، and they were analyzed by using statistical software SPSS. 14/win، plotted life table، Kaplan- Meier curves، and Cox- Mantel regression model. In this study، P value of less than 0. 05 has considered statistically significant. The rate of breastfeeding in one، three، six، 12، 24 and 30 months preterm infants was 87، 59، 42، 13، 2 and 1 percent respectively. Relationship between breastfeeding duration with increasing age، delivery history and cesarean delivery was inversely significant. Breastfeeding duration in girl infants and in infants with 1500- 2500g birth weight was more meaningful. As the duration of breastfeeding decreased over time، identifying and correcting the underlying factors can lead to a continued breastfeeding resulted in improving nutrition preterm infants، which in turn will reduce the infants’ morbidity and mortality.

Background & Amis: Nowadays quality of life is known as an important determinant in the evaluation of health situation، and communities’ development. Therefore، study of Individual needs، and the social factors influencing quality of life is one of the responsibilities of caretaker managers. The single-parent women are one of the vulnerable groups that tolerate multiple stresses due to their special life condition. This study tries to assess the relationship between quality of life and hardiness in these women. In this correlation study، 97 caretaker employed women filled quality of life and psychological hardiness questionnaires. The data were analyzed through Pearson`s correlation coefficient. The finding revealed significant relation between Psychological Hardiness and 3 domains of life quality (psychological، social، and environmental) (p<0/01) but the relationship was not significantly meaningful in physical domain (p=0/1). According to the results، Psychological Hardiness can be considered as one of the predictors in determining level of the quality of life. Therefore it seems that special attention should be given to the women with low Psychological Hardiness.

Nowadays، increasing of health information production caused application of new technologies in terms of utilization of information in this area. Electronic Medical Record (EMR)، an example of such technologies، is a well known and valuable system to access patient information in hospitals. EMR is an electronic form of medical records which available through a network to achieve primary goals of health care. The aim of this research is to identify and compare the status of teaching hospitals affiliated to Urmia University of Medical Sciences in terms of manpower in order to implement electronic medical record. The present descriptive analytic cross – sectional study was carried out in 2011. The research population included 98 top and middle managers of the hospitals namely chief and administrator of the hospitals، director of Nursing Services، educational and clinical supervisors، head of wards، administrative and financial authorities، IT Officer، medical record staff، and officials in charge of all treatment and diagnostic (laboratory، radiology and pharmacy) departments. Census method was used in this study. A questionnaire with two sections was used for data collection. The first section was to determine the level of awareness and the second section was to check the requirements related to required standards for implementation of EMR. Validity and reliability of the questionnaire was evaluated، and SPSS software was used for data analysis. At all the 5 hospitals، the knowledge of the participants was at moderate level. In addition، in terms of manpower standard requirement of EMR، two hospitals were in appropriate status and one hospital was in moderate level. Out of 5 hospitals، in terms of manpower standard requirement of EMR، two hospitals were in appropriate status and one hospital was in moderate level. Implementation of EMR caused to increase quality of health care، patient safety and speed of deal with patients. It would also lead to reduce health cost. Therefore، it is highly recommended that hospitals should try to prepare necessary interventions to establish EMR.

E thics in nursing care is very important and professional competence. In nursing، ethics means that the nursing care is based on the principles of bioethics. However the ethical care and ethical competence in nursing students are important unanswered questions. More studies should be carried out in this regard. This study is a qualitative study. 35 nursing students of the faculty of Nursing & Midwifery participated in the study. The interviews were analyzed by content analysis. The findings of the analysis were classified in four categories، including clinical environment، curriculum، teacher qualifications and academic knowledge in the field of professional ethics، motivation and interest of students to the nursing profession. The findings indicated that the development of moral competence in nursing students and the same areas are effective. So the moral qualification barriers should be searched and managed in different dimensions.