نشریه پرستاری و مامایی ارومیه
سال سیزدهم شماره 5 (پیاپی 70، امرداد 1394)

The nurse–patient relationship is the cornerstone and the most important phenomenon of nursing. In spite of this, there is a dearth of research about this topic in operation room settings. This study investigated the nurse–patient relationship concept in operation room. A qualitative content analysis approach was used and a purposive sample of eight nurses, seven patients and two relatives were interviewed in-depth. The observation was also conducted and 14 field notes were written. The verbatim transcripts analyzed using conventional content analysis. Theme of ‘reliance based caring presence’ with three subthemes emerged by which the phenomenon of nurse-patient relationship in operating room could be illustrated. These subthemes were: “nurse centered presence”, “patient centered presence”,” and spirituality-based care “. Six categories expanded and clarified the meaning of these subthemes. The results of the study generated new insights into the nature of nurse–patient relationship in operation room.This Phenomenon is complex with various dimensions; also the spirituality-based care have central and integral role in this. The findings have implications for bedside, education, theory development and further research in this issue.

Midwifery provided cares can significantly reduce complications, and high quality of care in the labor room are needed to satisfy health care takers. Therefore, this study aimed to determine the satisfaction of mothers hospitalized in the delivery ward from provided health services in Urmia Shahid Motahari hospital.

This cross-sectional study implemented on 165 women hospitalized in Motahari delivery ward, who were randomly selected. The first part of the questionnaire is related to the demographic information, and the second section included 5 sections of the physician's satisfaction, midwives, environment services, transfer to ward services, and services that provided by Midwifery ward personnel. The data were analyzed by SPSS-16.

The mean age of participants was 24.12±6.53years, most of the participants (52.1%) were under diploma, and 51.5% were emergency hospitalized patients, and 50.3% were nulliparous. Client's satisfaction of services provided by physicians was 69.7%, midwives 77%, environmental services 54.5%, and transfer to ward 78.2%. Survey of individual and social information in relationship with satisfaction chi-square tests showed a significant relationship between the degree of satisfaction from the hospital environment services with duration of hospitalization and education (p-value<0.005).

Client's satisfaction of services provided by physicians, midwives and transfer services was good, but in the postpartum period, the satisfaction level was medium that requires further investigation and intervention.

Imbalance is the main cause of the fall in elderly. Falling have physical, spiritual, economic complications. The study aimed to determine the effect of multi-dimensional falling prevention on static and dynamic balance in the elderly. This quasi-experimental study with pre/post design was conducted on 60 older people living in nursing home that met the study inclusion criteria. The multidimensional intervention focused on the education of the older adults and caregivers, exercise (stretch, balance, and power exercises), and environmental modification. Intervention was carried out after obtaining informed consents, and data were collected before the intervention, and 6 months later by using demographic information form, Timed Up and Go test (TUG), and Performance Oriented Mobility Assessment (POMA). Descriptive statistics were used for classification of data, and inferential statistics for analysis of data including Mann-Whitney, and Kruskal-Wallis, and Kolomogorov-Smirnov tests to confirm normal distribution of the data. P<0.05 was considered significant. Mean mobility assessment (POMA) scores in older adults, before and 6 months later intervention were17.21±3.68 and 24.54±1.88, respectively. Also mean recorded time for the elderly in TUG test before and 6 months after intervention were 21.55±6.99 and15.11±3.54, respectively. Results revealed a significant difference between before and after intervention among participants in mobility assessment test (P<0.001) and Timed Up and Go (P<0.001). After the intervention, the balance in the elderly increased. Implementation of multidimensional fall prevention program led to the improvement in static and dynamic balance in older people. Health care providers, especially nurses can use fall prevention program to improve balance and subsequently reduce falls in the elderly living in nursing homes.

Breaking bad news is one of the challenges in intensive care units and emergency departments. Nurses as a person who has responsibility for continuous caring, has a significant role in the process of breaking bad news, but little has been done to explore this issue. The purpose of this study was to determine types of bad news common in intensive care units and emergency departments and to investigate nurses ‘participation in the process of breaking bad news.

In this descriptive study, a sample of 182 nurses working at intensive care units and emergency departments of the hospitals affiliated to Tehran University of Medical Sciences selected in a quota and stratified sampling method. The data collection tool was a self-reported questionnaire which query common bad news that nurses encounter, and the activities they involved in breaking bad news.

According to the findings, news about death was the most common news in CCU (89/5%), ICU (77/3%), and emergency departments (81/8%). The most important activities that nurses had been involved were emotional support of patients and relatives (2/79±0/95), explaining the physician’s speech in a simple manner (2/68±0/96), helping patients or relatives adapt with bad news over time (2/63±0/89), preparing the patient or his/her relative for hearing bad news (2/6±1/04). The results showed 34.1% of nurses break bad news to a patient or his/her relative independently.

This study showed the scope of bad news in intensive care units and emergency departments is broad and diverse. Also, nurses are mostly involved in activities related to breaking bad news. Therefore, educating nurses about breaking bad news and providing regulations to support them about this issue seems to be necessary.

Family members are one of the essential components of care for patients with chronic diseases such as chronic renal failure. Training caregivers and family members can increase patients quality of life and prevent readmission of them. this study aimed to determine the effectiveness of family centered care educational programs on home care knowledge of caregivers of patients with chronic renal failure undergoing hemodialysis in urmia Imam Khomeini and Taleghani Hospitals. This study is a quasi-experimental study. Total of 120 caregivers of patients with chronic renal failure undergoing hemodialysis with simple random sampling in Taleghani and Imam Khomeini Hospital were chosen. And were classified to the four group including: class education, booklet education, booklet and class education and the control group. At first step caregivers knowledge was measured using a researcher made questionnaire, then home care program for caring hemodialysis patients was conducted for caregivers, and After two months caregivers knowledge was assessed using the same questionnaire. Collected data were analyzed using descriptive and analytical statistical procedures and by SPSS v16 software. The results of the study showed that the mean scores in all dimensions in each group before the intervention was not significantly different. mean scores differences between the samples Showed that experimental groups caregivers Knowledge mean scores in all dimensions after the intervention was greater than control group. And this increase in all dimensions after the intervention was statistically significant. General knowledge scores differences samples Showed that General knowledge mean scores among all groups increased after the intervention. This increase in General knowledge was statistically significant (P=0/000). Considering the results of this study it can be concluded that family-centered care education is effective in promotion knowledge of hemodialysis patients caregivers. Family-centered care can improve the physical and psychological aspect of patients with renal failure and enhance the quality of life for patients.

Life style of every person is effective on his/her health, and health promoting behaviors and hygienic lifestyles are the main strategies for facilitation and protection of health in adolescents. The family is one of the most important factors influencing the health promoting behaviors of adolescents. The present study aimed to determine the relationship between health promoting behaviors and family characteristics in high school students of Isfahan District 2. The study is a descriptive-analytic one, and statistical population was consisted of 500 people from high school students Isfahan District 2 who were selected by multi stage random sampling. Data collection has been performed by standard questionnaire of health promoting behaviors (HPLPII) that were filled by sample and analyzed using descriptive and inferential statistics by SPSS-11 package. Findings of the study indicated that total score mean of health promoting behaviors in students was 71.2± 21. The highest score received in the studied samples is in the area of spiritual growth (19.7± 6.1), and the lowest score received in physical activity (6.1±4.7). Also, the scores of stress management and self-responsibility for health, total score of health-promoting behaviors are lower than average, and interpersonal relationships is higher than average (except in the nutrition area that is average). The findings also revealed a statistically significant relationship between the number of variables, including the number of brothers, paternal age, maternal age, father's education, mother's education, family income, relationship with mother, relationship with parents, parent's relationship with each other, and life satisfaction among parents with student behaviors(p<0/05). Considering the vital role of the family in adolescent's behavior, and also considering adolescence period as infrastructure for future life and society health, provision of appropriate hygienic services and consultative-educational services to adolescents and their families should be considered in direction with hygienic services of schools.

Increasing customer expectations in all areas affects the delivery of services. To continue their services, organizations including health care centers need to satisfy their customer. To achieve this goal, they plan to improve the effectiveness of service delivery. This study tries to investigate the health care service elements effects on patient's satisfaction in the university hospital, social security and private hospitals in Urmia. This study’s field was descriptive, correlational, and cross-sectional. To gather the data, we distributed a questionnaire with validity and reliability among 372 patients admitted to the mentioned hospitals. For analyzing the data, SPSS software was used to obtain Levine test, Durbin-Watson, ANOVA and stepwise regression. Findings of this study indicated that all factors influence the healthcare service to satisfy the Urmia hospitals’ patients. The sequence of direct impact of these factors is: 1. Empathy, 2. Assurance, 3. Tangibles, 4. Responsiveness and 5. Reliability. The sequence of patients’ satisfaction is: 1. social security hospital, 2. private hospital, 3. university hospital. Due to the effectiveness of all aspects of service delivery on patient satisfaction, and in order to achieve the patient satisfaction, all activities should be considered with this sequence.

One of the problems in contemporary period that many communities had been suffered is the alienation in different forms. Academic alienation as one form of alienation is a term that is used to describe separation of students from learning process. Therefore, the purpose of this research is to investigate student alienation through monitoring cultural capital, economical capital and social capital of students. This is an analytical and descriptive study. The population was 616 recently entered students of Urmia University of Medical Sciences in Academic year 2013-2014. 237 samples were selected by stratified sampling method. The data were collected by four questionnaires named "cultural capital", "social capital" and "economical capital" and "academic alienation". Their validity and reliability were examined and confirmed. Independent Samples T-Test, One-Way ANOVA and Pearson Correlation was used for statistical analysis using SPSS18.8 software. Findings showed that the alienation of students is almost tolerable and isn’t in critical situation. However, there is significant difference between alienation of students of medical sciences and students of medical related fields. Also there is significant relationship between "cultural capital" and "social capital" and "academic alienation" of students, but there isn’t significant relationship between "economical capital" and "academic alienation" of students. Academic alienation among students is an undeniable fact. Paying attention to alienation and factors affecting on it, can help planners of higher education in the country.

From 1948 in which the World Health Organization emphasized on health as a complete physical, mental and social one, and not merely the absence of disease and disability, the concept of quality of life has been changed, and subsequently health care researches have been gradually increased. The most common method is oral contraceptives, LD, So, due to controversies about different methods of contraception, this study tries to investigate the effect of the most common method, LD, on women's quality of life. This study was a descriptive-analytic one. The quality of life of two groups of women, i.e. new applicants of LD (190 students), and the old LD users (200 patients) referring to different health centers of Urmia University of Medical Sciences were collected and compared. The instrument used in this study was a two-part questionnaire containing demographic questions, and Quality of Life Questionnaire (WHOQOL_BREF). The data were analyzed by using SPSS program (ver.13) to obtain the absolute frequency and percentage, mean, standard deviation, chi-square tests, t-test, and analysis of variance. In this study, two groups were matched and made similar concerning their age, husband's age, and number of children. Except physical dimension, the quality of life scores between the two groups were not significantly different. In the group who had taken LD for more than a year, their physical scores had increased significantly. According to the results of this study and other studies, the reason for average increase in the physical dimension, can be the result of the direct and obvious effect of LD on reducing dysmenorrhea, amount and duration of menstrual bleeding, the physical symptoms of PMS, acne, etc.

A variety of Internet applications caused creation of a phenomenon known as Internet addiction in recent years. The Internet itself is safe tool, its overusing and will increase the risk of addiction to it. This study was carried out with the aim of determination of amount of Internet addiction. The study is descriptive and cross-sectional. The sample consisted of 600 students of Uremia University of Medical Sciences who were using the university public computer room for Internet relationships. were selected quota randomly. The data collection tool was a double-part questionnaire. The first section includes demographic information such as age, gender, study branch and level, as well as some questions about the period of Internet using during a week, time of use, and the use of the Internet and the second part was yang "Internet addiction test". Data analyzing was conducted software SPSS / 19. According to the "Yang Internet addiction test" the mean score of Internet using whole of study samples, was 20.1267 which was in the normal and acceptable level. The Average score of Internet addiction in male students and female students respectively was 25.3382 and 18.2668. The average score of the Internet addiction among the nursing students was 18.5946 (normal), Midwifery student was 29.5833 (mild), medical students was 17.2906 (normal), dentistry students was 14.8056 (normal), Health students was 20.2246 (mild), Paramedical students was 42.1818 (mild) and medical emergencies students was 28.2174 (mild). Since internet dependence can overshadow the student's academic status, therefore the academicians should create appropriate context for meeting the students free-time and cultural needs, so that they refer to Internet only in issues such as article review, news and cultural sites, thereby it should be avoid from wasting useful opportunities by aimless searches in order to entertaining objectives.

the aim of thisstudy was to comparison ofcognitive emotion regulation strategies, optimism and life satisfactionamongpeople withgastrointestinal andcardiovasculardisease. The design of thisstudy wascausal-comparative, the statistical populationthis studyconstitute allpatients with cardiovascularand gastrointestinal disease admitted to ShahidArefian hospital of Urmia city in the months of august and September of 2014. That of this population, 160subjects (80 patients with cardiovascular disease, and80patients withgastrointestinaldisorders) were selected by availablesampling method. Andcompleted thecognitive emotion regulationquestionnaire (CERQ), life orientation test-revised (LOT-R) and satisfaction with life scale (SWLS). Afterdata collection, the data were tested in Spss softwarebymultivariateanalysis of variance (MANOVA), LSDtestand independent t-test. the analysis showed that, there was a significant difference betweencardiovascular and gastrointestinal patients in the cognitive emotion regulation strategies and optimism variable (0/01). But the variable of life satisfaction was not statistically significant between the two groups. take measures toimprovecognitive emotion regulation strategiesin cardiac patients and increasingoptimismin bothgroups’ cardiovascular and gastrointestinal patients, especiallyincardiac patientsessentialfor improvelifesatisfaction in these patients.