نشریه مراقبت امروز
پیاپی 16-17 (پاییز و زمستان 1388)

Backgrounds & Critically ill patients are high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. This study was conducted to determine intensive care nurses knowledge about pressure ulcers in Zahedan and Kerman. In this cross sectional study that was conducted in Zahedan and Kerman, we surveyed 126 intensive care nurses‚ knowledge about pressure ulcers with use of Pieper’s Pressure Ulcer Knowledge Test (PUKT). This questionnaire had 41 items and assessed nurses’ knowledge about pressure ulcers in three categories including: sore classification/onset, wound characteristics and preventive measures. According to this questionnaire participants were expected to give 90% or more of correct answers for knowledge to be considered adequate. Data were analyzed whit descriptive, Pierson correlation test and chi square tests. Rate of correct answer by nurses was 67.52%. no relationship was found between sex and nurses‚ experience with level of knowledge about pressure ulcer. Results showed that level of knowledge about pressure ulcers among intensive care nurses was insufficient. And there is much need to improve their knowledge with educational programs.

Backgrounds & Marital and sexual satisfaction is affected by many factors; one of these factors is age difference of spouses. In some societies, like Iran, sexuality-related studies and sufficient information is not available because of socio-cultural and political limitations and because the concept of marital satisfaction is acknowledged sexual language in Iranians and therefore conversation on this issue is not acceptable and admirable. The aim of this research was to determine the level of marital and sexual satisfaction in the objects and its association with the age difference of spouses. This descriptive-analytic study was conducted in 2007 in Tehran, continuous sampling was used to recruit 292 married men and women aged 19-58 from selected hospitals in western Tehran while visiting their hospitalized relatives. Sometimes the participants were married couples. Standard marital (Enrich) and sexual questionnaires (Hudson) were used for data collection. Chi-square test was used to determine relationship between sexual satisfaction and marital satisfaction of couples with age difference. Results showed that most participants were completely satisfied (96.6) with their marital and sexual lives (63.4). X2 test showed that marital satisfaction (p= 0.03) and sexual satisfaction (p= 0.04) are significantly related to age difference of spouses. The results showed that sexual satisfaction and marital satisfaction are associated with age difference of spouses, it is recommended to train people in centers such as schools and universities; and in the consulting meetings before marriage to focus on the proper age difference as an important factor in sexual and marital satisfaction.

Backgrounds & Nowadays unstable angina is one of the most epidemic symptoms for coronary artery disease. Most of the patients don’t receive enough lifestyle and therapeutic interventions after cardiovascular events; hence they are faced with new events of this disease complication. This study aimed to determine the efficacy of lifestyle education on patients’ knowledge who are inflicted with unstable angina. This is a semi quasi experimental research which it’s population was all unstable angina inflicted patients referring to Ekbatan hospital in Hamadan. 48 patients were chosen by non- probabilistic consequential sampling. Data was collected by a questionnaire which its validation was assessed through content validity methods, it’s scientific trust through test retest. Descriptive methods a x2 and paired T-test were used to analyze research findings. There was a significant difference between awareness in after being trained compare to pretest (p<0.001). A simple training to change lifestyle in unstable angina inflicted patients can be very effective and suitable interaction between nurse and patient can influence the information transfer and patients’ acceptance. These primary interactions have long effect on the patients’ life. Studies show that increasing knowledge can change lifestyles.

Backgrounds & The performance of nursing as one of the most important human sources at hospital is influenced by different factors such as corporate culture that create confidence and commitment and increase the quality of service. The aim of this survey was to study the relationship between corporate culture and organizational commitment. This is a descriptive, cross-sectional study. 150 nurses were selected by simple random method. The data were collected using 3 questionnaire which included a demographic questionnaire, Cunha and Cooper questionnaire of corporate culture with 15 questions and Allen and Mayer questionnaire of organizational commitment with 24 questions. Data was analyzed by descriptive statistics and Pearson correlation test. The mean score of the nurses corporate culture (46.7±8.1) and the mean score of the nurses organizational commitment (75.7±9.1) was relatively favorable and findings showed that corporate culture has a significant and positive relationship (P=0.00, r=0.28) with organizational commitment. Regarding the existence of the relationship between corporate culture and organizational commitment, it is recommended that authorities should plan programs to increase personnel corporate culture on important job processes.

Backgrounds & This research was done to determining the relationship between anti social personality and use of defensive mechanisms in Farabi hospital and the jail of Kermanshah city.Material‚ and In a descriptive- analytic study, 50 people anti social at Farabi hospital and the jail of Kermanshah city were selected by available sampling by clinical interview, and 3- Milon test about defensive were studied. The statistical approaches and indicators, such as frequency, percentage, average, standard deviation and correlation coefficient were used to data analysis. Results indicated that there was a meaningful relationship between immature defensive mechanism and antisocial personality disorders (P=0.018). It means that if immature defensive mechanism is increased, the score of antisocial personality disorders will enhance, too. But, there was any meaningful relationship between neurotic defensive mechanism (P=0.401) and illogical and mature defensive Mechanism (P=0.909) with antisocial personality disorders. People with antisocial personality disorders apply immature defensive mechanism more than personality defensive mechanisms.

Backgrounds & The madder plant is hot and dry; which is most widely used in the dyeing industry, but also has many medical benefits. The purpose of this article study was to examine how the use of madder in traditional therapy, focusing on potential benefits and risks. Medline, books, articles and search in websites such as pubmed, Iran medex, Scopus, Elsevier and Farsi sites about medicinal plants with the use of the listed keywords and various researches especially in studies conducted in recent years were used to identify how to apply madder in medicine and traditional therapy. There was 68 articles in various online searches‚ a number of which 33 of them were used in this study. According to research results Madder medicinal properties, include increase secretion of milk in mothers, and relieve extensor spasms, diuretic and emmenagogve, lowering blood urea, sciatica pain relief, accelerated the fusion of bones, relieved the itching of the skin, cured skin diseases and the ends inflation and treats kidney stones and bladder stones. On the other hand the carcinogen effect of madder especially on the liver and kidneys Furthermore it has been proven it increases urine secretion and pressure. The madder as a drug is important but it also has side effects which should be considered. Therefore it is recommended to carry out extensive clinical researches to determine the uses of the plant in treatment and, determination its dosage and with attention to the side effects of madder.

Students are the main pillars of every university and will establish the main pillars of community and organizations in the future. Therefore, their satisfaction rate on the University Restaurant Food can be one of the factors to be considered in order to motivate and maintain health and enhance the quality of education. This study’s aim was to determine the students, satisfaction rate in Hamadan University of Medical Sciences Students‚ on the supplied Food University Central Restaurant Food. In this cross - sectional study, satisfaction of 380 students studying at Hamadan University of medical sciences was evaluated in view of quantitative and qualitative characteristics of food, using a researcher-made questionnaire. Then collected data were analyzed and evaluated. The collected data was evaluated and analyzed using Chi-square statistical test. Tests were considered significant level of 5%. In terms of student satisfaction from restaurant food, Chicken with rice and Barberry Rice with Chicken had most satisfying rate and dishes with meat while steamed rice with meat and squash stew (Khoresh) with rice (polow) had the least satisfication rate. There was Significant differences between male with female student's satisfaction for Persian Rice and Kebab (Chelow Kabab Koobideh), Chicken with rice, pasta, vegetable stew (Khoresh) with rice (polow), eggplant stew (Khoresh) with rice (polow) and Istanbul Rice (Estanboli polo) foods (P<0.05). Deletion or modification of some of the served Foods, more food variety and attention to students eating habits are measures that should be considered in the development and improvement of the diet.