نشریه توسعه پرستاری در سلامت
سال پنجم شماره 8 (پاییز و زمستان 1393)

one of the most widespread diagnostic methods and treatments of cardiac disease is coronary angiography which leads to increasing patients anxiety and puts them at risk. The purpose of this study is determining the effect of light music on physiological parameters of anxiety in patients undergoing coronary angiography. In this quasi – experimental study 80 patients under coronary angiography admitted in CCU ward of Dezful Ganjavian Hospital were studied. The sample was selected base on target sampling, then randomly assigned into two music and control groups. Data collection instruments included questionnaire and anxiety physiological parameters check list consist of pulse rate, respiratory rate, systolic and diastolic blood pressure. The check list were filled one hour before coronary angiography, then music group patients listen to light music tape with earphone and headphone for 20 minutes, before and after listening light music, physiological parameters were recorded. In control group this parameters were assessed without listening light music. In order to analyze data, SPSS Software and descriptive and inferential statistics tests were used. Comparing the means of physiological parameters before and after the intervention showed significant differences (p<0/001). i.e, the means of pulse rate, respiratory rate, systolic blood pressure, diastolic blood pressure decreased after intervention. Light music is effective method to reducing anxiety physiological parameters in patients undergoing coronary angiography and so it is recommended that this complementary method is used before diagnostic tests such as coronary angiography.

Local injection of lidocaine is used usually for providing pain relif for episiotomy that has certain side effects. The purpose of this study was to determine and copmare the effect of using Transcutaneous Electrical Nerve Stimulation (TENS) versus lidocaine on complication of episiotomy. This study was a single-blind randomized clinical trial that performed on 80 primiparous women who reffered to Tamin Ejtemaee hospital at khoramabad in 2008. The samples were divided randomly into two groups of Lidocaine and TENS. In TENS group, skin electrodes were attached to two acupoints (Hegu and Shenmen), TENS was started during crowning of neonate's head and discontinued right after episiorrhaphy. In lidiocaine group, plain lidocain 1% (10 ml) at the beginning of episiorrhaphy was injected, then the intensity of pain and edema in the perineum were assessed during certain periods. Data analyzed with SPSS (version15) by independent t test and mann-withney U. Pain intensity at immediately after and before episiorrhaphy showed no significant difference between two groups (P>0.05). The mean pain intensities at during episiorrhaphy was significantly superior in TENS group (P<0.05). Pain intensity at immediately after episiorrhaphy, 1, 6 and 12 hour after episiorrhaphy were significantly lower in TENS group (P<0.05). Perineal edema at immediately after episiorrhaphy, 1 and 12 hour after episiorrhaphy were significantly lower in TENS group (P=0.000). Due to less pain and edema following episiotomy in TENS group, It is recommended that TENS be used as a Complementary method for decrease of episiotomy pain during repair.

Sexual function and its subsequent satisfaction are among the most important aspects of women’s life, several factors contribute to the women's lack of sexual satisfaction. One of these factors is vaginal muscle relaxation. Due to the couples’ dissatisfaction and the prevalence of elective colpoperineorraphy, the present study aimed to evaluate the sexual function before, 6and 18 months after colpoperineorraphy.Materisal & The present study was a quasi-experimental study which was conducted on 76 women with perineal and vaginal muscle relaxation. After obtaining written informed consents, all the study subjects were required to complete the demographic and Female Sexual Function Index(FSFI)questionnaires before, 6 and 18 months after colpoperineorraphy. The reliability of the instrument with Cronbach's alpha of 0.7 is accepted. The data were analyzed by SPSS16 software, using paired t-test, repeated measurs Test. The mean age of the participants was 34/371±5/102 years. The mean score of FSFI increased from 24.19±3.09 befor opration to 26.92±3.41 and 32.61±1.32, 6 and 18 months after opration respectively (p<0/001). Moreover, the scores of desire, arousal, orgasm, lubrication and satisfaction had significantly increased (P<0.001). But the increase Dysparenuia and decrease lubrecation were seen 6 months after surgery, but 18 months later was improved (P<0.001). The results of the present study showed that sexual function had improved 6 and 18 months after colpoperineorraphy. This indicates that colpoperineorraphy has a positive effect on the women’s sexual function.

Todays, the safest and most accurate way to determine gender is ultrasonography. The earlies time that ultrasonography can be detected the gender is beginning of the second trimester of pregnancy. If the libratory test such as beta titers can identify the early stages of pregnancy even before Ultrasound diagnosis in high risk families maybe cause to legal abortion and to prevent the birth abnormality. This study aimed to investigate the relation between maternal serum HCG and fetal gender. This is a correlational study in which the relationship between β-hCG levels were measured with sex. In this study, Among pregnant women who referred to the Dezfuls health centers for filing prenatal care, 290 samples were selected by convenience sampling. the first session, all of the pregnant women were asked about β-hCG levels. After delivery the relationship between β-hCG levels were assessed with fetal sex. The data were analyzed data by descriptive and Inferential statistics tests using SPSS Software The result showed that there was a significant difference between β-hCG level in mothers of boys and girls. so that mothers of boy baby showed a higher level of β-hCG than who had a girl (p<0.001). According to these results, it seems that there is a relationship between fetal sex and level of β-hCG in pregnancy. More Complementary studies are needed to use these findings to replace cheaper and safer alternative method to determine the fetal sex.

Sexuality is an important part of women’s life that influences on quality of life and general well-being. There are many factors influencing the female sexual function including biological, psychological, physiological, couple relationship and sociocultural factors. Pregnancy plays an important role in the sexual function and behavior of women. This study aims to evaluate the sexual function and determine the prevalence of sexual dysfunction among pregnant women. A cross-sectional study was conducted between April 2012 and september 2013 using 257 healthy pregnant women who referred to antenatal clinic, paymaneh Hospital in Jahrom. The Female Sexual Function Index (FSFI) questionnaire was used for sexual function assessment. The reliability of the instrument was assessed by Cronbach's alpha (α=0.7). The data were analyzed by SPSS16 software, using ANOVA and Post Hoc (LSD) Tests. The mean age of respondents was 26.45±4.49 years. 143, 69 and 45 pregnant women were in their first, second and third trimester respectively. the results showed that (79.1%) were categorized as potentially sexual dysfunction (FSFI score<26.5) while only 52 (20.9%) had normal sexual function (FSFI score>26.5). The sexual dysfunction among pregnant women was rated 23.4% in the first, 30.5% in the second and 46.2% in the third trimester. There was a significant difference between scores of all FSFI domains with trimesters (p<0.05). Prevalence of sexual dysfunction is high during pregnancy and reaches higher levels in the third trimester. Pregnant women and their partners need counseling about physical and psychological changes in pregnancy.

Job burnout as occupational risk can affect physical and mental situations’ staff. This problem has known as an important disorder between health care staff and it is growing because of being high level of stress in these staves. This survey was designed to evaluate burnout rate and its related factors in nurses working in governmental hospitals in Lorestan. In this cross sectional descriptive study, research population was total nurses working in governmental hospital in Lorestan province. 297 nurses was selected for studying by randomized multi-stage sampling. Data was collected using the demographic and characteristic questionnaire and Maslach Burnout Inventory (MBI) that is valuable and reliable questionnaire. Data was analyzed by 16 SPSS software. Most of sample had high level of frequency and intensity of job burnout in sense of personal non-accomplishment dimension, moderate level in depersonalization dimension and low level of emotional exhaustion dimension. In addition there is a significant relation between job burnout with some demographic and job characteristics such as age, gender, job situation, work experience and work hours in month. Results of various researches showed that nurses have high prevalence of job burnout and there are differences and conflictions between results of researches in related factors with job burnout. Because of that, managers should identify and remove these factors.

Clinical audit is a quality improvement process, with the aim of raising the quality of services provided to patients and the its results. This study was conducted to determine the relation between medical audit performance and quality of nursing services in surgery unit of Tehran Hasheminejad hospital' in order to evaluation and improvement the quality of services. This study is analytical study conducted at Tehran Hasheminejad hospital in 2013. The statistical society of the study was the data that gathered by standard checklists of the Tehran University, pre and post implementation of medical audit,the data was analyzed using SPSS7 by Pearson correlation coefficient test to determine the relation between medical audit and nursing process. In studied dimensions, there were not a significant relation between clinical audit performance and controlled cares (p=0.2), primary care(p=0.69) and drug actions (p=0.18). there were a significant relation between clinical audit performance and working with electroshock (p=0.02), oxigen therapy (p=0.05), CPR (p=0.04), controlling and monitoring (p=0.03), patient and companinos education (p=0.03), the process of avoiding drug mistakes (p=0.01) and client glorification (P=0.03). According to the results, the following strategies are recommended for improving the medical audit; identify barriers to implementation of clinical audit, review problems as a team, providing solutions that improve the quality and the correct implementation and continuous promotion of nurses.

Accountability is a very important issue for health policymakers. On the other hand, respecting the professional ethics looks attentively at the health and welfare of patients. This study aimed to investigate the relationship between nurses’ accountability and professional nursing ethics in Shahid Beheshti Hospital. This is a correlation study that was performed at Babol Shahid Beheshti Hospital in 2013-2014. The statistical population includes graduated nurses selected by census method (285 samples). The study tool was a standardized nursing care questionnaire. Its validity was measured by validation assessment method and the reliability was measured by Cronbach's alpha method (α=0.86). Data were analyzed using the SPSS17 software, spearman correlation test. The results showed that there was a significant statistical relationship between nurses accountability rate as clinical specialists and professional ethics (r=0.134, p=0.037) and also between nurses accountability rate as educators and professional ethics (r = 0.231, p=0.000). But there was no significant relationship between other components (eg researcher and manager) and professional ethics. There is a significant positive relationship between nurses accountability and professional nursing ethics. According to the results, It is suggested that, in order to develop more than before, the managers, planners and educators should more attend to the following of professional performance standards and professional ethics of Medical staffs through training programs and codifying needed policies.

Urinary tract infection (UTI) is one of the most common bacterial infections in children and causes a lot of complications. This study aimed to determine the Prevalence and Predisposing factors of urinary tract infections in preschool girls in Gerash city. This is a cross-section analytical study that was conducted in Gerash city in1392. The sample size consisted of 222 preschool girls with an average age of 5.6 years old, from 7 kindergartens that were studied by census method. The urine samples were cultured in laboratory and Colony counters greater than 105 CFU/ml was considered as positive. Demographic questionnaire, risk factors questionnaire and symptoms of UTI was Completed by interviews with children and their parents simultaneously. The validity of questionnaire was confirmed by 10 Professors and it’s reliability was confirmed with a Cranach’s alpha of 90% and a correlation coefficient of 91%. Out of 222 cases, pathogens bacterial cultures of 4 cases (1.8%) were positive that two of them had asymptomatic UTI. one person had UTI with dysuria, another one had UTI with flank pain, abdominal pain and itching in the genital area (as the first sign). pathogenic factor in three cases was Proteus and one was E. coli. The main predisposing factor in positive cases was the improper washing of the perinea region. The result showed that children have used protective factors against the urinary tract infections in a high level, which caused significant impact on reducing the incidence of infection.

Todays in global world, investigating people's behavior, specially their healthy behavior and life style is necessary. Healthy lifestyle is related to patterns of behavior and ensuring effective public health.This study aimed to investigate the dimensions of Health-Based life style in Shushtar residents.This research is a cross sectional study. The samples of the study were 321 people of 15 to 64 years old from Shushtar residents who were selected by staging random sampling based on different regions of the city. Data were collected by interview and completing questionnaire. Validity of the instrument was conducted by content validity. the reability of instrument is acceptable. In order to analyze data, SPSS 18 Software and descriptive and Inferential statistics tests such as Pearson correlation test, t-test, ANOVA and Duncan were used. the results showed that subjects lifestyle at 30.2, 43.3 and 26.5 percent of samples were unfavorable, average and favorable respectively. there was positive significant correlation between age, level of education and height with health-oriented lifestyle, there was negative significant correlation between weight and number of family members with health-oriented lifestyle. Nutrition dimension of health oriented lifestyle was improved by increasing age, educational level and height, whereas the number of family members and gain weight decreased nutrition dimension. health-oriented lifestyle was improved by increasing age, education and height and decreased by increasing weight and number of family members.

Diabetes is a chronic disese. Chronic high blood suger leads to acute and chronic complications. Patient's knowledge about the related Complications and Cares can lead to prevention and control of disease progress. The aim of this study was to determine patients knowledge about diabetes complications and cares. In this descriptive study, 160 diabetic patients that referdt to hospitals and health centers of neyshabur were selected using purposive sampling. Data were gathered by a questionnaire consisting of two parts: demographic information and self-made questionnaire (α=0.85). The data were analyzed by SPSS 17 software, using Pearson correlation, t-test and ANOVA. The overall knowledge of majority of patients 62.5% about complications was moderate. The lowest score was related to the knowledge of how to wash feet 53.1%. The level of awareness of how to check feet daily in majority of patients was poor. Statistically significant correlations were observed between age and knowledge of how blood flow in the legs,duration of diabetes and knowledge about nephropathy, also Statistically significant correlations were observed between previous teaching experience and knowledge of how to check feet daily,proper washing and how to maintain good blood flow in the legs (p=0.00). Majority of diabetic patients had poor knowledge about diabetes complications and care, that shows more attention to patient education and increases awareness.