مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و دوم شماره 4 (پیاپی 47، زمستان 1393)

Studies show stress was caused by labour can increase oxygen demand and may be involved in oxidative stress. So this study compared indicators of oxidative stress in pregnancy with labor and correlation labor indices with newborn. In this cross – sectional study in 1386، 60 pregnant women at 38-40 weeks gestation were sampled and drowned 5 cc blood. All of the mothers for blood sample was taken written consent form. After interring pain less labor through of Entonox method 5 cc of venous blood taken at the second stage of labor and newborn cord. Then lipid peroxidation، thiols groups and total antioxidant capacity was assessed. findings showed that the mean age was 24. 0862 ± 4. 08. Lipid peroxidation in pregnancy was 4. 61 ± 2. 712 and during labour was 4. 606 ± 3. 32، that the difference was not significant (p=0. 994). Thiol index in pregnancy was 0. 284 ±. 3889 and during lbour 0. 2656 ±. 24371 that difference was not significant (p= 0. 694). There wasn’t any significant difference in FRAP levels in pregnancy 1. 26 ± 1. 015 and labour 1. 370 ± 1. 1126 too (p=0. 56). Significant positive correlation between maternal and fetal index thiols (p=0. 002) and lipid peroxidation was observed (p=0. 001). The results showed that oxidative stress indicators in the labor does not differ with respect to pregnancy and can be used for this method of analgesia.

Patients with sickle cell disease suffer from various complications during their lifetime and have to adapt themselves to this chronic disease through promoting their self-management and preventing complications of the disease. Chronic disease self-management programs are a combination of strategies that increase self-efficacy and promote self-management behaviors. The present study aimed to determine the effectiveness of self-management programs on self-efficacy in patients with sickle cell disease. In the present quasi-experimental study، 53 patients with sickle cell disease admitted to the Thalassemia Clinic of Shafa Hospital of Ahwaz entered the study through the census method. The self-management program was implemented in two individual training sessions، a large group training session and two small group training sessions over 12 weeks. The patients'' self-efficacy was assessed before the intervention، at the twelfth week and then the thirty-sixth week using the sickle cell self-efficacy scale (SCSES). Data were analyzed in SPSS/19 using descriptive statistics، including the chi-squared test، the t-test and the repeated measures test. The repeated measures test and the analysis of variance showed a significant difference between the overall scores and the scores obtained for the self-efficacy sub-groups in the twelfth week and the thirty-sixth week following the intervention compared to before (P<0. 001). The results of this study showed that self-management interventions are effective in promoting self-efficacy in patients with sickle cell disease. The use of self-management programs is therefore recommended for changing behaviors and promoting self-efficacy in these patients.

Spiritual care has the crucial role in the health and welfare of patient and her/his family. Being competent in the provision of spiritual care is necessary for all of the healthcare professionals and especially for nurses. Given the importance of spiritual care، and the crucial role of assessing this competency، this study aimed to evaluate the professional competence of a sample of nurses in the area of spiritual care. This cross-sectional study was conducted in 2014. The study population consisted of all nurses worked in hospitals affiliated with Kashan University of Medical Sciences. The instrument was a scale for assessment of the nurses’ competencies in spiritual care (SANCSC). Data analysis performed using SPSS/11. 5 software. The study was conducted on 239 nurses. The mean of the nurses’ overall competence in spiritual care was 99. 64 ± 25. 95. The mean score was 46. 70 ± 17. 54 in the domain of performance and evaluation، 20. 68 ± 4. 60 in the domain of human values، 11. 85 ± 3. 12 in the domain of awareness، 11. 28 ± 2. 78 in the domain of attitudes، and 7. 50 ± 1. 54 in the domain of self-recognition. Nurses who worked in emergency departments had the least competence in spiritual caring. The present study showed that nurses had not appropriate competence in providing spiritual care. Most of them were not trained on this issue. More attention should be paid to this issue.

Road Traffic Accidents (RTAs) are mostly related with human factor and the health team has focused on it as an important issue worldwide. The main goal of the present study is to assess the association between lifestyle factors and RTAs in Hamadan which is located in west of Iran. A case-control study was conducted to measure the lifestyle factors affecting RTAs. Two-stage sampling was performed during October and December 2013. The self-reported questionnaire which adjusted by Iranian culture were prepared for the total of 309 adults (103 cases and 206 controls) aged 18-65 years. The reliability of the questionnaire was confirmed by obtaining the Cronbach’s correlation coefficients of 0. 89. The data were analyzed by Chi-square and adjusted Logistic regression tests based on age and gender by using SPSS /16 (significant level of 0. 05). The Risk of accidents due to daily activity، driving style and perception of traffic laws was 165. 1، 656. 0 and 308. 1 more than the control group. However the difference was not significant. The chances of accident in case group related to stress was about three folds higher than the control group (P<0. 001 and OR = 2. 958 and 95% CI =265. 5، 661. 1). Risky lifestyle is a precipitating factor related to RTAs and RTAs can be prevented with controlling this factor in human life.

Sexual problems in dialysis patients، one of the most important factors are affecting quality of life for these individuals and their families. Recognize these problems and take necessary action to resolve them are effective step to improve quality of life in these patients. This study were determined to impact of sexual rehabilitation on sexual quality of life in patients undergoing hemodialysis. This is an experimental study of two groups، before and after that was performed on 40 patients undergoing hemodialysis. Using available methods for Sample selecting and randomly assigned to two control and case groups. Data gathering tools included demographic data، quality of sexual life for men and women''s questionnaire. Interventions including: implementation of four-stage model of counseling that includes a four-stage 1-Permission 2-Limited Information 3-Specific suggestion 4- intensive therapy. Quality of sexual life both before، after intervention was measured and analyzed by SPSS software using chi-square statistical methods، Mann-Whitney، t independent variance with repeated measurements. no significant difference were observed between mean total quality of sexual life before the intervention between the two groups (p>0. 05) While after the intervention، significant differences were observed between the two groups in the average quality of sexual life (p<0. 05). Sexual rehabilitation program is effective to improve the quality of life (sex) in dialysis patients. Therefore use of this Training and non-pharmacological method can be useful and as an effective method be used to solve sexual problems and empowering in dialysis patients.

Sleep disorders are common complaints during pregnancy and can be suitable for many disorders during pregnancy and the postpartum for mother and the fetus. The aim of this study was to assess sleep quality in pregnant women in the third trimester of pregnancy referred to health centers of Mashhad. A total of 168 eligible women referred to health centers participated in this descriptive study. Data was collected with using Demographic & Obstetricial form and Pittsburgh Sleep Quality Index (PSQI) and continuous sampling. Then data were analyzed with using SPSS software version 11. 5 and descriptive and analytical statistics. This study showed that the average of sleep quality in the third trimester was 8. 27±2. 91 and 89/88% of pregnant women had poor sleep quality. Also، increased maternal age (P=0. 04) and decreased physical activity (P=0. 003) was associated with poor sleep quality. Also، women with poor sleep quality، had greater number of visits to the doctor''s office (p=0. 002). Nocturnal Awakening due to frequent urination (61. 3%) and changing situation in bed (56. 0%) allocated the highest amounts to them. Considering the high prevalence of sleep disorders in pregnant women، it is important to find and implement the safe ways to improve sleep quality in pregnant women.

The nurses are the largest and the most important human resources in health care organization and play a critical role in achieving goals of these organizations. Nurses’ organizational commitment is an important factor to obtain organizational goals. This research is an analytic- descriptive study which was done in 1392. Using stratified proportional random sampling، three hundred sixty nurses were chosen as sample of the study. The research instruments were demographic characteristics questionnaire and Allen and Meyer’s modified questionnaire. Employing Independent Sample t-test، One Way ANOVA and Tukey’s post-hoc the data were analyzed. The findings revealed that nurses enjoyed moderate level of organizational commitment. In terms of nurses'' organizational commitment based on their age range، working experience and type of their employment، the results demonstrated that there were significant differences among them (p<0. 05). Nurses with age equal or more than 40 and working experience between16-20 years were more committed than their counterparts (p<0. 05). Regarding nurses'' organizational commitment based on their gender (p=0. 131) and level of education (p=0. 77) there were not meaningful differences among them. managers at the educational and therapeutic centers should pay special attention on promoting organizational commitment of the young nurses with work experience lower than 10 years، whose their employment is one of following categories، two years plan، contract or contractual employment.

Preeclampsia is a dangerous condition in pregnancy is associated with high mortality. Although the unknown nature of the disease is difficult to predict and prevent disease. However، the incidence of some problems with self-care education and maternal and fetal complications can be prevented. This study aimed to determine the effect of Educative Intervention on Preeclamptic Women on their Newborn''s. In a randomized controlled clinical trial، 60 patients with preeclampsia who were randomly allocated into the experimental group (n = 30) and control group (n = 30). Four sessions were conducted for the intervention group was followed up until the end of pregnancy. The control group received routine care. Forms and self- care skills checklist were completed in both groups before and after intervention. Data were analyzed using t-test، chi-square test، Mann-Whitney tests with a 95% confidence level in the SPSS/16. The difference between the mean and standard deviation in the first minute Apgar score of 8. 6 ± 1. 5 and 8. 3 ± 0. 8 in the experimental group and control group was not significant، respectively (P> 0. 05). But the difference between Apgar score at fifth minutes، in two groups was significant (P= 0. 03). The difference between the mean and standard deviation weight in control group (2773. 5±650 gm.) and experimental group (2973. 9±625. 6 gm.) was not significant (P =0. 2). Use care programs to increase their ability to care for patients with preeclampsia and fetal health in order to increase the Apgar score as a nursing intervention is suggested.