مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و یکم شماره 2 (پیاپی 41، تابستان 1392)

Epileptic patients'' self-management behaviors are essential for optimal disease management. Although Self-management behaviors had positive effects on drug adherence of patients with chronic illnesses، its effect on epileptic patients'' is not yet clear. Therefore، this study was conducted to find the effects of self-management behaviors on drug adherence of epileptic patients.

In this analytic-descriptive study، considering inclusion criteria، 120 epileptic members of Iran Epilepsy Association were selected by purposive sampling method. Data gathering devices were demographic questionnaire، epilepsy self management behavior questionnaire and Morisky’s modified drug adherence questionnaire.

The results of study showed a statistically significant relationship (p <0. 05) between the mean scores of self-management behaviors and its all dimensions (information، safety، medicine، lifestyle and seizures management) and drug adherence. Correlation coefficient between scores of self-management behaviors and drug adherence was r =-0/50 (p <0. 001).

Findings of the study suggest a correlation between self-management behaviors and drug adherence in epileptic patients; therefore emphasizing self-management behaviors in epileptic ones may increase their drug adherence and consequently reduce the number of epileptic seizures، something that may improve their quality of life.

This study، based on Well’s meta cognitive overview (1991)، is aimed to determine the role of meta cognitive belifes in developing the symptoms of depression، anxiety and stress. In this descriptive analytical study، 120 nurses working in Be’sat hospital in Hamadan were selected based on convenience sampling. The participants were surveyed using a short meta cognitive questionnaire (MCQ30) and a short form of depression، anxiety and stress questionnaire (DASS21). The results of study showed that there is a significant relationship between metacognitive belifes and developing the symptoms of depression، anxiety and stress (p<0. 05). Results of the correlation analysis showed that there is a positive relationship between depression and uncontrollability، cognitive confidence and self-confidence (p<0. 05) but there wasn’t seen any meaningful relationship between depression and positive beliefs and need to control the thoughts (p>0. 05). The results also demonstrated that there are significant relationships both between stress and the whole dimensions of meta cognitive belifes (positive beliefs، uncontrollability، Cognitive confidence، the need to control the thoughts and self-consciousness) (p<0. 05) and between anxiety and the mentioned dimensions of meta cognitive beliefs (p<0. 05). Based on the results of this study، positive and negative metacognitive beliefs play roles in developing the symptoms of depression، anxiety and stress and the total score of meta-cognitive beliefs is really crucial in predicting the development of the symptoms of depression، anxiety and stress.

Today، mothers affected by different factors has lost their tendency to breastfeeding and started artificial feeding which imposes lots of problems to the society، family and children. The purpose of this study was to determine the efficacy of educational program based on theory of planned behavior on feeding methods selected by mothers referred to the health centers of Shahrood city.

This interventional study was done on 60 pregnant women who had referred to health centers of Shahrood city in 1390. After doing the initial test by the use of a questionnaire، education of intervention group was started. One month later، another test was performed on both groups.

The findings of study indicated that after the educational intervention، there were significant differences between the mean scores of intervention and control group members in their knowledge، evaluation of outcomes، perceived behavior control and approach، subjective norms and behavioral intention (P<0/05).

This study demonstrated that educating pregnant women based on theory of planned behavior was effective in encouraging them to breastfeeding، thus it is recommended to use this educational method to persuade mothers to breastfeeding.

Lifestyle in adolescence has the most important role in the prevention from osteoporosis in adulthood. Therefore this study was done to investigate the lifestyle preventive from osteoprosis among Zanjanian girl students. In this descriptive – analytical study، 864 students were selected from guidance schools and high schools of Zanjan city based on Multi-stage random sampling. Data collection device was a questionnaire with two parts; the first part was related to demographic information and the second part was about different aspects of lifestyle including anthropometric index، nutrition، physical activity، exercise، and habits. Data was analyzed using statistical methods، t-test، chi-square and frequency table with a confidence level of 95%. Findings of the study showed that more than 80 percent of students had a desirable body mass index، 46 percent of them had a good physical activity، and approximately 32 percent of them had enough sun exposure. More than a third of them were exposed to second hand smoke، and less than 4 percent had nutritionally desirable lifestyle. Considering the fact that most of the students’ lifestyles were incorrect، it seems necessary to provide community and school level education to improve their lifestyle، correct their diet and finally make them interested in physical activities.

Febrile convulsion is the most common seizure in children under 5 years. Therefore this study carried out to determine the effects of education based on Health Belief Model (HBM) on mothers’ behavior preventing from febrile convulsion in their children. This is a pre-post Clinical trial، in which one hundred women referred to health centers of Arak city were participated. The subjects were randomly divided to case and control groups. Data gathering device is a questionnaire developed based on Health Belief Model (HBM). The questionnaire was filled for the members of the groups both before and three months after the educational intervention، then the gathered data was analyzed. Findings of the study showed that before educational intervention the mothers’ perceived susceptibility and severity from febrile convulsion in their children were less than average and their perceived barriers was more than average. After the educational intervention mothers’ perceived barriers to prevent from seizures decreased and their performance in this area increased (p< 0/05). Finding of this research confirmed that education based on

Critically ill brain-spinal cord injured patients are at high risk for pressure ulcers. The aim of this study was to investigate risk factors of developing pressure ulcers in critically ill patients with brain-spinal cord injuries. This cross-sectional study was conducted on 62 home care patients with brain-spinal cord injuries in Hamadan city in 2012. For three weeks، every 48 to 72 hours، patients were monitored for pressure ulcer risk factors by the use of Braden Scale and a checklist of background factors. Data was analyzed by the use of logistic regression and gamma correlation coefficient. From among 60 patients studied، 51. 7% were male، 83. 3% suffered from stroke، 6. 7% had head trauma and10% had spinal cord injuries. The incidence of pressure ulcers among them was 25%. There were seen significant relationships both between The incidence of pressure ulcers and the level of hemoglobin (p=0. 05) and between the incidence of pressure ulcers and the Braden scale (p<0. 001). Based on this study decreased sensory perception، increased bed’s moisture، poor nutrition، decreased mobility، increased friction and wear، low level of hemoglobin and low score of Braden Scale are risk factors for developing pressure ulcers in home care patients with brain-spinal cord injuries. Some of these risk factors can be prevented and treated.

Introduction &

passive respiratory exercises are used to prevent from accumulation of secretions، lung collapse and the incidence of ventilator-associated pneumonia in ICUs. This study is aimed to compare the effects of manual percussion and mechanical vibrations on cardiopulmonary functions of mechanically ventilated patients.

This randomized crossover clinical study was conducted on 21 mechanically ventilated patients hospitalized in intensive care units who were selected based on convenience sampling. Both methods of manual percussion and mechanical vibrations were applied for the patients. Cardiopulmonary function parameters were assessed before and four times after the intervention. Data was analyzed by Stata software version 11، descriptive and analytical statistics and paired t-test.

There was no significant difference between the effects of manual percussion and mechanical vibration on heart rate، systolic and diastolic blood pressure، mean arterial pressure، airway resistance and arterial oxygen saturation. However، there was a significant difference between the effects of manual percussion and mechanical vibration on pulmonary compliance at minute 15 after intervention (P = 0. 044) that is، manual percussion increased pulmonary compliance more than mechanical vibrations.

Both manual percussion and mechanical vibration improve cardiopulmonary function and do not cause complications for the patients. Both methods can be used according to the patient''s condition and possibilities of units. However، mechanical vibration cannot substitute for because of manual percussion its failure in increasing pulmonary compliance.

Nursing process is a thoughtful approach to identify and solve health problems in order to meet health care needs; an approach that according to the majority of scholars associates with the concept of evidence-based nursing. This study was done to analyze the impact of evidence-based nursing education on five scopes of nursing process among nursing students. This quasi-experimental study was conducted on 48 third semester nursing students in Orumie nursing faculty in the academic year 2012-2013. Subjects were collected based on convenience sampling and then randomly divided to intervention and control groups (24 members in each group). Intervention group received evidence-based nursing education. Using a checklist، we evaluated both groups’ styles in writing nursing process. Data was analyzed by SPSS software and chi-square test. The results of study showed that after the intervention there was a statistically significant difference between the groups. Members of intervention group had better performance in all five scopes of nursing process in comparison with control group members (The percentages of their better performances are as follows: in assessment scope 61/9%، in the priority scope66/9%، in the planning scope 72/2%، in implementation77/3%، and in the evaluation 68/4%). Evidence-based nursing education improves the skills of nursing process more than traditional method، therefore it is recommended to use this method in clinical educations.