Journal of Multidisciplinary Care
Volume:4 Issue: 2, 2015

One of factors associated with nurses’ mental health and their job stress is marital satisfaction. This study was aimed to determine the role of spiritual well-being and religion adheres in predicting marital satisfaction among nurses. In this descriptive- analytic study, 176 nurses employed in Ardabil University were selected by multistage cluster sampling in 2014. Data were collected using spiritual well-being, religious adherence and marital satisfaction questionnaires based on Islamic scales. Data were analyzed using Pearson correlation coefficient and multiple regressions tests. The results showed that spiritual well-being and religious adherence have a significant positive relationship with marital satisfaction. Multiple regression analysis showed that 32.3% of marital satisfaction is explained by spiritual well-being and Religious Adherence (P <0.001). The findings suggest that adherence to religion and spirituality led to an increase in marital satisfaction. So, it can be avoided of conflicts, marital dissatisfaction and its negative effects on the marital life with the help of spirituality and Islamic life style and is provided more satisfaction in the marital life.

Nipple cracks are common problems in during lactation and remain the major reason for failing to establish successful breastfeeding. Curcuma longa is one of the oldest drug plants that have healing effect on wound. The aim of this study was to determine the effectiveness of hydroalcoholic extract of curcumin in the treatment of nipple cracks in lactating primiparous women and comparison with the application of expressed breast-milk. A randomized clinical study was performed randomly on primiparus women referred to health center in west of Ahvaz in 2013. 88 lactating women infected to nipple crack were divided in two groups (treatment to curcumin and leaving drops of breast milk. In order to monitor the improvement and wound healing and side complications of curcumin، women are evaluated by Storr score in before study، and were followed at 3th and 7th days after beginning the treatment. There was no a significant difference between two groups in pretreatment day and 7th day after study. Mean of Storr score in group with treatment by hydroalcoholic extract of curcumin was 0. 761±0. 267 versus 1. 23±0. 426 in the other group and there was a significant difference between them in 3th day (P=0. 001). Moreover، difference of pretreatment، and the 3th day and 7th day of initiation of treatment was significant in both two studied groups (P<0/05). Both hydroalcoholic extract of curcumin and expressed breast-milk are effective in nipple cracks healing، but curcumin due to its low complications، antimicrobial activity، and rapid and short-term healing suggests for treatment of nipple cracks.

Mental health plays an important role in ensuring the vitality and efficiency of any society. Emotional intelligence, that is an important modulator in the process of stress, plays an important role in reducing stress, increasing health and psychological well-being. This study was aimed to investigate the correlation between general health, emotional intelligence and academic achievement together on midwifery students. This descriptive-analytic study was performed by census of all midwifery students who are studying in Islamic Azad University of Rasht in the second semester of academic year 2012-2013. Data was gathered using a questionnaire which included three parts: personal information, the questions about general health status based on General Health Questionnaire – 28 (GHQ- 28) and Sharing emotional intelligence. The mean score of emotional intelligence and general health among students was 50.53±14.29 and 22.85±11.22, respectively. The majority of students (60%) were in perfect health. There was no significant relationship between total score of general health, emotional intelligence with score of academic achievement (P>0.05), but there was a significant relationship between total score of general health and emotional intelligence among midwifery students. (r=0.19, P=0.01). With regard to the findings of the present study, there is a positive correlation between the components of emotional intelligence and general health like social function, distress, and anxiety which can improve the educational level. So, it is necessary to take proper planning for promotion of emotional intelligence in students to preserve general health.

Fatigue is one of the common symptoms in sickle cell patients by creating depressed mood and decreasing the levels of daily activities of living is caused to decrease the level of quality of life. The aim of this study was to determine the effectiveness of self-management program on fatigue in patients with sickle cell disease. In this quasi-experimental study, 69 patients with sickle cell disease referred to the Thalassemia Clinic of Ahvaz Shafa Hospital entered the study by census method. Patients received a self-management program that was implemented in two individual educational sessions, a large group session and two small group training sessions for 12 weeks, while their fatigue before the intervention was assessed at the twelfth week and thirty-sixth week using Fatigue Severity Scale (FSS) questionnaire. The mean score of fatigue after intervention in patients significantly decreased compared to those before the intervention (P<0.001). Repeated measures test showed that the mean score of fatigue slightly increased in the thirty-sixth week, compared to the twelfth week. However, it was significantly come down in comparison with the intervention baseline (P<0.001). The results indicate the effectiveness of self-management program as a low-cost and non-invasive nursing intervention on the reduction of fatigue in sickle cell patients. Therefore, self-management program as an effective way is advisable to empower the sickle cell patients and help them to manage the disease the health problems.

Chronic schizophrenic patients treated with some antipsychotic drugs are suffering from metabolic disorders. The aim of present study was to determine the effect of a group hiking in nature on some indexes of physical health and quality of life of patients with schizophrenia. In this randomized clinical trial study 62 eligible chronic schizophrenic patients in Sina psychiatry hospital were allocated randomly in two control (n=30) and intervention (n=32) groups. Control group received routine treatment, while patients in intervention group participated in a group hiking program in nature, 90 minutes every morning for two months. At the first and the end of the study, triglyceride, cholesterol, fasting blood sugar, Body Mass Index and quality of life were evaluated in both groups. At the first of the study, there was not a significant difference between mean of quality of life in two groups (P=0.09), but after intervention, quality of life in hiking group was significantly improved (P<0.001). The total mean score of quality of life in hiking group at the first of study was 81.69±11.26 and at the end of study was 77.62±10.93 (P<0.001), while differences were not significant in control group (P>0.05). After intervention, in hiking group, Body Mass Index and triglyceride level were decreased significantly (P<0.001). Group hiking in nature could improve physical health and quality of life in chronic schizophrenic patients, so more attention to this therapeutic method in these patients is necessary.

Identification of nursing errors and improvement of patient safety is critical. Therefore, because of errors in nursing services, and in some cases is irreversible damage phenomenon. This study was aimed to investigate errors in nursing and associated factors in the cases referred to the Mortality Committee. In this descriptive study, all cases referred to the Mortality Committee were examined in Chaharmahal and Bakhtiari province. Some cases that nurses were known as the defendant, their information including age, sex, type of hospitalization, place of referral, hospitalized ward and admission reasons of patients, duration of service, department service, educational level, and type of errors committed by nurses were studied. Data were analyzed using descriptive statistics (frequency) and analytical (Fisher's exact test). Of 400 cases referred to the Mortality Committee in Shahrekord University of Medical Sciences from 2006 to the first half of 2012, 50 errors were occurred that about 44% of the errors were occurred due to lack of timely medical care and 36 % of errors were related to report record of nursing. With regard to the elimination of errors is not possible in total, it can be decreased somewhat by reducing workload, increasing the number of nurses, and providing accurate monitoring system.

Iron is an essential element for women of reproductive age, especially in the period before pregnancy and during this period. This study was aimed to investigate the consumption of iron to prevent iron deficiency anemia based on the theory of planned behavior on pregnant women in Mashhad city. This quasi-experimental study was done on 160 pregnant women referred to health center No. 1 in Mashhad town who were allocated to case (80) and control (80) groups randomly in 2014. Intervention was done in four 75- minute sessions. Data were collected using a questionnaire made by researcher based on the theory of planned behavior and blood lab exam (Ferritin). Questionnaires were distributed and completed immediately, and 3 months after educational intervention were repeated again. The average rates of knowledge, attitude, perceived behavioral control and intention to use of iron intervention group was increased 3 months after the intervention significantly (P<0.05). These changes were not significant in control group. There was not also a statistically significant difference in subjective norms between two groups after intervention (P>0.05). Regarding the effect of education in promoting iron consumption in pregnant women, it is suggested that iron supplementation promotion workshops should be held in health centers with the aim of preventing iron deficiency anemia in health centers.

Domestic violence is a public cultural and health-related problem that its prevalence varies among different societies and affects pregnancy outcomes in direct and indirect fashions. The aim of this study was to compare domestic violence and its related factors in rural and urban pregnant women in Zarand. In this cross-sectional study, 400 pregnant women referred to Zarand’s urban and rural healthcare centers during 2014 were included by simple (convenient) sampling method. Demographic and CTS-2 questionnaires were given to the samples. Data was analyzed by means of the independent t-test, Kruskal-Wallis and Friedman’s statistical tests. The study results showed that domestic violence the mean of violence in urban and rural pregnant women was 1.82±2.86 and 1.00±1.60 in physical domain, 2.93±1.61 and 2.04±1.46 in psychological domain, 3.87±2.93 and 1.99±2.89 in sexual domain, and 1.43±1.89 and 2.29±2.36 in injury-resulted violence, respectively. A significant difference between urban and rural groups in physical, psychological and sexual violence was observed (P<0.01), but there was no statistically significant difference in injury-resulted violence between two groups. Woman’s age, spouse’s age and education level, economic (financial) status, number of pregnancies and children, marriage duration and spouse’s addiction (drug/substance abuse) were significantly related to the types of domestic violence (P<0.05). According to project results about high domestic violence, it is recommended screening violence in the all health and therapy centers.