Iran Journal of Nursing
Year:2017 | Volume:30 | Issue:105|Papers Count:11

Background & Aim: According to Maslow’s hierarchy of needs, sleep is a basic need. The quality of sleep highly affects the recovery of patients in coronary care units. This study was conducted to determine patients’ sleep quality and nurses´ documentations in coronary care units.Material & Methods: This study was a descriptive- analysis. Participants were selected with convenience sampling. This Study was performed on 155 patients admitted to the coronary care unit in 2015. Nursing documentations were investigated in 3 consecutive nights. The data collection instruments included a demographic and disease information form, the modified Pittsburgh sleep quality index, the daily sleep form and the patients’ quality of sleep checklist in nursing documentations.The daily sleep form completed by participants and other instruments completed by the researcher. The data were analyzed in SPSS 16 software.Results: Most of the study population had a poor quality of sleep (56.1%) during hospitalization; however, their quality of sleep improved over three nights. There was a significant correlation between daily sleep diary and Pittsburgh sleep quality (P<0.001). Thepatients’ quality of sleep checklist in nursing documentations was more accurate in the first night in cases that patients required an intervention; however nursing documentations in cases that did not require any intervention were not carefully recorded by nurses.Conclusion: Most of the participants in the study had poor quality of sleep on the first night but it was improved over time. However nursing documentations was more accurate in the first night in cases that required an intervention. So nurses in coronary care unitneed to receive more training on the importance of patients’ quality of sleep and how to record the sleep quality in nursing documentations.

Background & Aim: New graduate nurses suffer high levels of stress which can lead to unpleasant personal and professional outcomes. The aim of this study was to investigate the role of mindfulness and meta-emotion on predicting Emotional Adjustment in novice nurses.Material & Method: The descriptive-correlative method was used for conducting this research. The Statistical population was consisted of all the nurses in Tabriz. A sample of 120 subjects (60 females and 60 males) was randomly selected, using multistage random cluster. For data collection, Cognitive Emotion Regulation Questionnaire (CERQ), Mindfulness Questionnaire and Meta-emotion Questionnaire was used. The data gathered were analyzed by Pearson correlation and multiple regression, using simultaneous enter method. The data were analyzed by SPSS statistical software (version 21).Results: The Finding indicated that there was a positive relationship between mindfulness and meta-emotion (P<0.01) and between positive Emotional Adjustment and there was a negative relationship between metaemotion (P<0.01) and negative emotional– cognitive regulation and mindfulness (P<0.01). The results showed that through using the scores from mindfulness and meta-emotion components of novice nurses, we can predict the rate of Emotional Adjustment (P<0.01).Conclusion: According to the results, novice nurse's cognitive emotion regulation can be improved by teaching mindfulness and meta-emotion skills, and through awareness of the emotions, they can use them efficiently and improve their performance.

Background & Aim: Chronic heart failure, as a progressive and life-limiting illness, is a rampant problem which affects the quality of life of patients. Hence, this study was carried out to investigate the relationship between quality of life and related factors in patients with chronic heart failure.Material & Methods: This is a cross-sectional study with a descriptive-correlational design. In this research, 100 patients with chronic heart failure were selected from Jiroft Imam Khomeini Hospital in 2015. Minnesota Living With Heart Failure Questionnaire(MLHFQ) and demographic questionnaires were used to collect data. The questionnaires were completed in three stages (admission time, discharge time, and one month after discharge). The obtained results were analyzed, using parametric statistical tests including, Pearson correlation coefficient (r), t-test, repeated measure ANOVA, and multivariate regression. The data were analyzed using SPSS (V.21), with the significance level set at (P<0.05).Results: The results showed that the quality of life at the beginning of patients admission, at discharge time, and one month after discharge were 77.4±15.08, 66.96±15.66, 42.87±22.08, respectively. The parametric statistical test in repeated measures over different time points showed significant difference in quality of life. It means that the quality of life was much better a month after discharge in comparison with the quality of life at admission and discharge time. Moreover, a significant relationship was observed between the quality of life and demographic data.Conclusion: Quality of life in patients with chronic heart failure has a relationship with factors such as education, disease background, duration of the disease, age, smoking, marital status and obesity. The last three factors have been more effective on the quality of life a month after discharge. Thus, regarding the importance of these factors, education and follow-up care are highly emphasized.

Background & Aim: Solution- focused brief therapy is among modern approaches in individual, couple and family therapies which focus on finding solutions rather than on problems. The present study was conducted by the aim of investigating the effectiveness of solution focused brief therapy in reducing depression and uplifting marital satisfaction in married women.Material & Method: The present study was a quasi-experimental research with pretest-posttest design with control group. The research population consisted of all married women with depression and unsatisfied with marital life who visited Hamyaran-e-Salamat mental center of Ravanshahr, Bojnourd city in the second half of 2014. Among the applicants to participate in the research, 30 women were selected by available sampling method and they were randomly assigned into control and experiment groups. The research tools were the Depression Inventory of Beck and the Enrich Marital Satisfaction Questionnaire which were completed by participants in pre-test, post-test and follow-up stages. Afterwards, the solution-focused intervention was offered to the experimental group for 6 sessions, but the control group received no intervention. Data were analyzed via multivariate analysis of covariance (MANCOVA) and repeated measures method by SPSS (v.16) Software.Results: After the posttest and follow-up stages, results suggested a significant reduction in depression and increase in marital satisfaction scores in the experimental group compared to the control group. The findings indicate that the solution-focused brief therapy reduced the rate of depression and increased marital satisfaction among women in the intervention group. The results were persistent in the follow-up stage, as well.Conclusion: The results demonstrated the effectiveness of solution-focused brief therapy in decreasing depression and increasing marital satisfaction. Therefore, conducting interventions based on this therapeutic approach can be effective in reducing psychological problems, such as depression and will improve the marital relationships of clients.

Background & Aim: Spiritual care is an important aspect of health care which has been considered during recent decades. Spiritual care should be considered as an important part of holistic care. Having competency is necessary for delivering good level of spiritual care to patients. The present study has been carried out in order to investigate the spiritual care competence in students at Ferdows Health and Paramedical School during 2014- 15.Materials & Methods: This was a cross-sectional descriptive study. The study population included 240 students at Ferdows Health and Paramedical School. Finally, 190 students, who volunteered to participate in the study, were studied as the study samples. Data about students’ competency in spiritual care were collected, using Spiritual Care Competence Scale. Research data were analyzed using SPSS version 16.Results: The mean score of students’ spiritual care competency was 101.72 ± 12.69 which indicates that students have a high level of competencies in spiritual care. Independent t-test showed no significant relationship between the mean of spiritual care competency and other parameters such as gender (P=0.31), marital status (P=0.1), housing status (P=0.36), history of clinical practice (P=0.64). ANOVA test showed that there is a significant difference between the mean scores of spiritual care competency and different academic semesters (P=0.03).Conclusion: Reinforcing ethical and spiritual foundations of student's role models (such as professors), programming a unified plan, applying educational strategies, and making emotional educational atmosphere accompanied by trustee people will facilitate spiritual care.

Background & Aim: Delivery or childbirth is one of mothers' important life experiences, sometimes associated with problems. The present study aimed to compare postnatal attachment and general health in mothers who have had easy, preterm, and difficult labors.Materials& Methods: The present study was conducted through descriptive-analytical method and was of causative-comparative type. The study population consisted of all mothers who had referred to state medical centers in Tabriz. Accordingly, 180 mothers were selected, using convenience sampling, and were asked to complete Maternal Postnatal Attachment Scale (MPAS) and General Health Questionnaire (GHQ). Cronbach's alpha reliability and test-retest validity were 0.69 and 0.86, respectively. Data were analyzed using the SPSS software and one-way analysis of variance (ANOVA).Results: Findings showed that there was a significant difference between the three groups of easy, preterm, and difficult labors in postnatal attachment (F=32.3, P<0.001). Moreover, the results confirmed that there was a significant difference in general health between the three groups of easy, difficult, and preterm deliveries (F=59.7, P<0.001).Conclusion: Given the results of the present study, as well as previous studies, it can be concluded that having preterm and difficult deliveries have negative effect on mother-child relationship and mother’s mental and physical health.

Background & Aims: Health promoting behaviors are one of the main criteria for determining health. Nowadays, it is believed that for being successful in behavior change and health promotion, people should have sufficient self-efficacy. This study aimed to determine health promoting behaviors and its relationship with selfefficacy health workers in Urmia.Materials & Methods: This descriptive-analytical study was conducted on 301 health house workers in rural health centers of Urmia in 2015. Data were collected using the questionnaire consisted of demographic characteristics, health promoting behaviors (Healthy Lifestyle Questionnaire) and Sherer et.al. General Self efficacy Scale. Reliability and validity of the questionnaire were confirmed in previous studies. Data were analyzed by chi-square test and ANOVA.Results: The mean score of health promoting behaviors of health workers was 136.4 (24.4). The highest score was in the health responsibility dimension 35.37 (7.37) and the lowest score was in physical activity dimension 13.25 (5.26). The result showed that self-efficacy had a positive significant correlation with health promoting lifestyle and all of its sub-domains (P<0001). There was also a significant relationship between health promoting lifestyle and economic level, education, and gender (P<0.05).Conclusion: Given the importance of health promoting behaviors of health workers and the effects of self efficacy on these behaviors, it seems that training programs can be effective in promoting health behaviors of health workers in order to increase self-efficacy.

Background & Aim: Life satisfaction and general health varies among nurses working at different departments of hospital due to the distinctive nature of their job stresses. Hence, the present study aimed to determine and compare the general health and life satisfaction among the nurses working in the general and special departments of hospitals located in the West Azerbaijan Province.Materials & Methods: The present research was a causal-comparative study. The study population consisted of all the nurses working in the three hospitals located in the south of the West Azerbaijan Province (Miandoab, Shahin Dezh, and Takab) in 2014. Simple random sampling was used to select 181 participants (108 nurses working in ordinary departments and 73 nurses in special departments). Data were collected by General Health Questionnaire and Diener Life Satisfaction Scale. The data were analyzed by descriptive statistics (mean and standard deviation) and inferential statistics (Mann-Whitney non-parametric test, and t-test) in the SPSS software version 20 and at the significant level of P=0.05.Results: The results of this study showed that there is a significant difference between the general health of nurses working in special and general departments of hospitals (P=0.008). The nurses working in general departments had a higher level of satisfaction in comparison with the nurses working in special departments.Conclusion: The results showed that the percentage of general health components and life satisfaction among the nurses working in general departments was higher than those working in special departments. Therefore, attention to nurses' individual capacities, such as resilience and general health, is necessary to increase mental health and to improve the level of life satisfaction among the nurses in special departments.