نشریه روان پرستاری
سال دوم شماره 3 (پیاپی 7، پاییز 1393)

The birth of first child is a special course for couples and due to the various challenges faced by the couples in this period the marital satisfaction in couples may reduce. However there is a different potential in couples on how to respond to these changes and in order to determine changes and marital relationship vulnerability in new parents, this study was carried out to determine Correlation between transition difficulty to parenthood and marital satisfaction and its comparison in women with first and second child. This correlation study was carried out in 120 women, 60 women with first child and 60 other women with two or more children in 2013. Inclusion criteria were: children and women with mental and physical health, age of children between 6 weeks through 6 months. Instruments include: standard transition difficulty to parenthood scale, demographics and Enrich Marital Satisfaction Questionnaire. The data were analyzed using descriptive and inferential statistics (Mann-Whitney test and Pearson and Spearman correlation) and SPSS (version 16). The mean age was 30.49±5.28 year and 75 women (62.5%) had academic education. The results showed no significant difference between two groups in difficult transition to parenthood (p=0.86). Marital satisfaction was not significantly different between two groups (p=0.69). There was an inverse association between transition difficulty to parenthood and marital satisfaction (p<0.001, r=-0.53). According the results, it is necessary to pay attention to the importance of marital satisfaction and probability changes of couple's relationships during transition to parenthood; parents should be aware about it and to remind them these changes were transient and normal; also they should be taught how to manage it.

The infertility is hardest experience in couple’s relationship. The aim of current research is the comparison of early maladaptive schema and intimacy in married men infidelity and non-infidelity. The sample includes 40 infidelity men and 40 men non-infidelity that were selected through targeting sampling, respectively, in the Karaj city and in 2013. The research instruments were early maladaptive schema and intimacy questionnaires. The findings of current research show that there is a significant difference between intimacy and early maladaptive schema in infidelity and non-infidelity men (p<0.0006). furthermore, there is significant difference between intimacy in two group of participants(P<0.024). In addition, there is a significant between intimacy and early maladaptive schema and it can predict early maladaptive schema through intimacy in this group (p<0.0001). According the results of the present study, males who had extra marital relationship need high level of intimacy in their relationships with their couples. If they did not received enough intimacy from his partner they would be entrance in new relationship. Also, early maladaptive schema has influence on infidelity in men.

As nurses are exposed to many threatening situations, they need many skills for accurate decision making. One of these skills is emotional intelligence and critical thinking. The purpose of this study was to determine emotional intelligence and critical thinking based on demographic characteristic. In this study, a cross-sectional descriptive - analytic design was used. A total of 130 nurses working in teaching hospitals in Qazvin participated in the study and the sample was selected by quota sampling (the response rate: 70%). TMMS and CCTDI were used for data collection. The data were analyzed using SPSS16. Fisher’s exact test and Pierson’s Correlation Coefficient was used for data analysis. The majority of nurses had moderate level of emotional intelligence (67%), and level of critical thinking was ambivalence (78%). Among the demographic characteristics of the study, age, work experience and Father's level of education had significant relationship with emotional intelligence (P= 0.012), (P= 0.01) and (P= 0.047). There were no significant differences in critical thinking disposition of participants except Mother's level of education that had significant relationship (P= 0.018). As moderate level of emotional intelligence and ambivalence level of critical thinking in nurses participated in the study, it seems that it is necessary to promote these skills among them. The implications of the research are discussed.

Depression is one of the most costly diseases of the labor force. Complications of depression has been proved on work absenteeism rates, accurate measurement of individual tasks and Employee Efficiency. This study was conducted with aimed to investigate the depression and its association with demographic variables in the employees of Isfahan University of Medical sciences in 1392. This is a descriptive - cross-sectional correlation study that was implemented in 1392. 405 employees from Isfahan University of Medical sciences were randomly chosen. Data gathering tool included demographic information form and Beck depression (version-II) questionnaire. The data was analyzed by descriptive statistics, Pearson and Spearman correlation coefficients, student t-Test and Multiple linear regressions with stepwise method applying SPSSv18 software. According to the results of this study 45.92% of the employees were suffering from depression. They were identified as 28.39% with low depression, 15.30% with moderate depression, and 2.22% with severe depression. A significant correlation was found between depression with education level (p=0.002) and work site (p=0.01), but that there was no statistically significant relationship between depression with age, sex, marital status, years of service and type of residence. The results of stepwise regression analysis indicated that the education level in the first model and work site in the second model were regularly the best predictions of the employee's depression, whereas they explained totally 25.7% of the variance of employee's depression. This study showed a high prevalence of depression in employees. Encouraging teamwork, participate the employees in decision-making, supported employment, reduce conflicts and job ambiguities as well as increased job control events with development centers of consultation sessions in university are the helpful measures suggested to control and reduce depression.

One of the challenges in the medicine education system is evaluation of clinical competency of students. Evaluation of students in clinical education courses sometimes is not following a certain principles and also it is not clear that how much they reach to educational objectives at the end of courses. Aim of this study was developing and psychometric properties assessing psychometric properties of check list of clinical competency in mental health nursing students. This study was methodological approach. Participants were faculty members, head nurses and nurses who work in psychiatric wards and students (undergraduate and master sciences) of Medical Sciences universities of Iran. Based on entry criteria, sampling approach was depending on objective. Domains of tool developed with use of results of first step of research(qualitative part) in addition to study of valid references this filed. After developing primary check list, stages of psychometric properties including determination of validity(content and facial) and reliability(internal consistency and inter-observer correlation) developed. In order to analyze the data descriptive and analytic statistics with SPSS (20th version) were used. Check list of “Clinical Competency of Mental Health Nursing Students” with 73 items was developed. Content validity ratio was. 83 and content validity index was. 98. Measurment of reliability with the use of internal consistency (Cronbach’s alpha) was. 98 and inter-observer correlation was.70. Check list of “Clinical Competency of Mental Health Nursing Students” in two issues include general and specific competencies with 73 items was developed. It seems for assessment of different dimensions of clinical competencies of mental health nursing students is appropriate tool.

Ostomy patients are involved in physical, emotional, social and many other problems. The problems will disrupt the normal process of living and quality of life. these patients experience Lower quality of life according to their special problems. In this situation the proper training and appropriate interventions can effect on improving the quality of life of these patients. The goal of this study was Determination of the effects of group motivational interviewing and quality of life with a permanent ostomy. This study is a quasi-experimental study with two groups before and after sampling aimed based sampling on 70 patients with colorectal cancer and permanent ostomy was performed in Ostomy Association of Iran and Surgery clinic of Rasoul Akram Hospital in 2013. Intervention based on practical book of motivational interviewing was performed with a nurse (researcher), psychologist knowledgeable in Motivational interviewing (as a group facilitator) and ostomy nurse in two groups of 12 and a group of 11 patients. The data gathering tool in this study was Quality of Life Ostomy patients Questionnaire of Hope City that was measured before intervention and one month after. Data were analyzed using the software SPSS 20 and Tvsyqy paired t-test, t- test and then analyzed with Mann – Whitney U Test The results of this study showed that the motivational interviewing significantly increases quality of life of the intervention group in post-test (mental health, (p<0/005), social health (p<0/008), spiritual well-being (p<0/003) and physical health (p<0/002). also there is a significant difference between the intervention and control groups in components of self-esteem, psychological, social and spiritual health. the implementation of “motivational interviewing” makes a significant difference in the quality of life of patients with cancer of colon and permanent ostomy. So implementation of this procedure improves the quality of life of patients with ostomy.

Schizophrenia is a chronic and debilitating psychiatric disorder with pharmacologic and non-pharmacologic treatment. The present study aimed to determine the effect of agriculture activity on quality of life in chronic schizophrenic patients. This survey was a quasi- experimental study in which 52 eligible patients with chronic schizophrenia were assigned randomly in intervention and control groups (n=26). The study was conducted in Sina psychiatry Hospital. The intervention period was three months. The patients in control group received routine treatment. The patients in intervention group were participated in agricultural activity in addition to routine treatment. The demographic questionnaire and schizophrenia quality of life scale were completed at the beginning and the end of the study. The research data were analyzed by descriptive statistical indexes including mean, standard deviation and inferential statistical methods like Student t-test and Chi square. The study groups were homogeneous in demographic variables and quality of life scores at the baseline. At the end of study, the agriculture activity group showed significant improvement by mean of quality of life (P< 0.001), but there was no significant change in control group (P>0.05). Regarding to the impact of agricultural activity on improving quality of life in patients with schizophrenia, it seems that this treatment method can be used as part of routine treatment for this patients.

Diabetic is one of the important inner disorder that mankind face with it beside arrange (Adjustment) of glucose(Blood Sugar) relation with self-care behavior in diabetic patient some characteristic personality. this research with assigning relation between characteristic and self-care behavior and it`s out come in diabetic to perform. This research is descriptive correlation from prognosis sort statistical society of this research include type I and II diabetic that they went to clinic private in Tabriz city (2011) from age range from 30-80 that they don`t have any other discos women and men that suffer (type I or II) Diabetes, 70person chose with available sampling useful tools in this brief Questionnaire about self-care in diabetic – short form of Questionnaire – characteristic of personality (NEO-Five Factor Inventory) Questionnaire that made by scholar and outcome of care that is performed for people who participate research paint with statistical analysis regression with several variable discovered. This study showed that among personality characteristics with self protective behaviors’ and remedy result, only the openness parameter could forecated the behaviors’ such as butrition diet and practicing and sport outcome and the anxiety parameter could forecast the changes of foot control and its result, the conscientious parameter also could fore cast the nutrition diet out come. P<0.05 since the global incidence of diabetes has increased dramatically, based on findings recommended training and intervention programs in self-care behavior and some personality factors, especially the openness and conscientiousness may cause upgrade to patient s sense of control and acceptance of responsibility is to increasing the empowerment of patients.