مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و یکم شماره 4 (پیاپی 43، زمستان 1392)

Nowadays، due to an increase in patients require intensive care، application of mechanical ventilation and endotracheal tube is necessary. In order to Keeping an open airway، endotracheal suctioning is necessary. Select the appropriate suction method can reduce the severe complications. The aim of this study is comparing the efficacy of open and closed suctioning on heart disrhythmia in mechanically ventilated patients. This semi experimental study was done on 40 patients admitted in the intensive care unit. Before and at various intervals after open and closed suctioning، heart rate and heart rhythm were recorded. Analyzed of data was done by SPSS 16، Fisher exact test & x2 score and P<0. 05 was considered significant. There was a statistically significant different on heart rate and heart Rhythm in different times after closed and open suction system. Closed suction system provides less impaired hemodynamic status of patients. So in order to care for mechanically ventilated patients، with heart disease open suction can be replaced by the closed suction system.

Hemodialysis patients need to refer to dialysis ward continuously. each dialysis takes time at least 3 hours. The need comfort environment. Nevertheless there are some of environmental factors cause discomforts during dialysis. The aim of this study was to explore the perception of end stage renal disease patients about environment al factors which cause discomfort in patients during hemodialysis.

this was a qualitative content analysis. twenty four patients were included in the study. We collected the data via semi structured interview in hemodialysis ward for 45-60 minutes. The sampling was started purposeful sampling and continues till data saturation. Data were analyzed in according eight stage of content analysis.

out of 24 contributors included in study، we concluded 350 primary codes، 19 subcategory، 6 category and 3 themes emerged for environmental factors barriers discomfort. These themed including: 1) suffer of work place condition in unit 2) dissatisfaction for lack of cultural and welfare facilities and suffering and bothering for dialysis equipment malfunction dialysis equipment.

it seems managers and planners of health filed should consider updating of hemodialysis equipment according needs and technology advances. They should improve work place conditions and cultural and welfare possibility in order to provide appropriates comfort for delivery service promotion.

Introduction & Psychological capital is a protective factor for nurses’ psychological well being. The purpose of this study was to determine the protective role of psychological capital against the impact of work- family conflict and spillover on nurses’ psychological well-being. This is a descriptive correlational study. Population was the nurses of a public hospital in Esfahan city، in 1392/2013. Using accessible sampling method، 145 nurses were selected. Work- family conflict questionnaire، work- family spillover questionnaire، psychological capital questionnaire and psychological well being questionnaire were used to collect data. Data were analyzed using Structural Equation Modeling by means of AMOS version 16. The findings demonstrated، there was a negative significant relationships between work- family conflict and spillover with psychological capital and psychological well being (p<0. 01). Results of structural equation modeling and mediation analysis revealed that psychological capital is a complete and partial mediator variable in the relationship between family- work conflict and work-family spillover with nurses’ psychological well being respectively. The results revealed that psychological capital as a protective factor could weaken the impact of work- family conflict and spillover on nurses'' psychological well being.

sexual health education is one the fundamentals of health promotion. The aim of this study was to determine the effects of sexual health education on observing sexual health principles among women referred to health centers of Hamedan. This study was a quasi- experimental one which was carried out on 225 women referred to health centers of Hamedan as one pre-test post-test group. 20 three-day workshops about sexual health were held for the subjects. Data gathering device was a questionnaire with three parts of demographic information، sexual health knowledge and practice which was completed both before and 2 weeks after the intervention. The gathered data was analyzed by SPSS software 16. Comparing the subjects sexual health knowledge and practice before and after the intervention revealed that subjects with poor (34. 98%) and moderate (83%) knowledge reached to good and very good knowledge (after the intervention). Also subjects with poor (33. 4%) and unsuitable (38. 9%) practice reached to moderate and good levels of practice. Overall، data analysis showed that sexual health education has positive effects on subjects’ sexual knowledge and practice (p = 0. 0001). According to this study sexual health education leads to observing sexual health principle، prevents from sexual problems and contributes to a good sexual relationship between couples.

Although tooth decay is a preventable disease، it is one of the most common childhood diseases that influences on children ''s health. Caring behaviors have a significant effect on prevalence of this disease. The objective of this study was to investigate the tooth decay status of 2 -5 year children and the role of their mother''s’ caring behaviors. This was a cross-sectional study of 211 children aged 2-5 years and their mothers in Hamadan، Iran. Mothers completed questions about their own oral self- care and their children’s oral caring behaviors. Clinical examination of children’ oral health was carried by a trained dentist. Dental carrier was observed in 83% of the children. There was a relationship between mothers’ and children’s dental visit. The perceived barriers explained 14% of the variance in mothers’ caring behaviors. In policy setting on oral health of children more emphasis should be placed on mothers’ own oral health behaviors and improving mothers’ skills to remove barriers of caring behaviors.

Inadequacy of dialysisincreasesthecomplicationsofend-stagerenaldisease, duration of hospitalization and costs imposed. The methods enhancing the adequacy of dialysis in these patients are high effective in prognoses and it is importantin the managementofthesepatients. In view oftheincreasingofadequacyisthegoal of nursing, thisstudy was toevaluate the effectofStepwise Dialysis Solution Profile ondialysis adequacy. The present study is a cross over design in which 28 patients from two hemodialysis centers in Isfahan. All patients underwent hemodialysis sessions as follows: 4 routine and 4 Stepwise Dialysis Solution Profile and in each session the KT/V was measured by the measuring equipment in the online manner. The results were analyzed by paired&in depended T test. the mean values of dialysis adequacy were as follows: 1.237 in routine and 1.385 in Stepwise Dialysis Solution Profile methods that there was a statistical difference between routine method with profile (p=0.001). Using Stepwise Dialysis Solution Profile with releasedmoreureacomparing to routine profile will result in improving the quality of dialysis. Thus using these methods are recommended.

Breast cancer is one of non-communicable chronic diseases in women's that threaten the health of them. Then, this study aimed to determine the effectiveness of educational programs based on Stage of change Model to promote Breast self-examination behavior in those volunteers in Mashhad Iran, 2012. This Quasi experimental study was conducted on Two stages. The first to determine the predictive power of the model changes;the questionnaire was distributed among 410 volunteers by stratified into five city health centers. Then, a city health center were randomly selected and 39 of its affiliated health centers were considered as experimental and control groups. Educational programs performed for groups over four sessions. While the control group did not receive intervention.Then the questionnaire distributed among the subjects 2 months later. The data was collect and the results were compared. Data were analyzed using SPSS /16 software by statistical t-test, Paired t-test, Man- Whitney, Kendall test. The means’s of age was 33. 3±7. 6. The Paired t -test results indicate that knowledge scores increased after the training in intervention group 's training (P<0.001,t=6.9) But this difference was not observed in the control group (P=0.64). Kendall test results indicate the intervention group during the intervention period were positive significant progress in stage of change (p=0.001). According to the results, this study had shown the effectiveness of structure of stage of change to training Breast self-examination, it seems to improve women's health; this model can be used as a framework for designing educational programs.

Women with high-risk pregnancies with problems in their personal life، family and social encounter that changes of pregnancy can have an impact on their quality of life، this study aimed to determine and compare the quality of life in patients at high and low risk pregnancies.

In this study two groups (50 patients in each group) of pregnant women as high-risk and low-risk pregnancies were selected non-random sampling method from patients، who were referred to Perinatology clinic of Motahhari Hospital in 2013. Personal satisfaction، quality of life questionnaires were completed for them in two-part (demographic and the short form sf-36). The data was analyzed with SPSS/win 18، and x2 test and t-test used with significant at p ≤ 0. 05.

The mean score for most domains of quality of life in high risk pregnant women between low risk pregnancies is low. Albeit not statistically significant (p>0. 05).

In contrast to other studies of low risk and high risk pregnancies that quality of life is significantly associated with lower score in high risk pregnancies، however، such a relationship was not observed in our study، perhaps because of their awareness of maternal care or special attention of midwives، doctors in perinatology center for education and the treatment of the mothers.