مجله پرستاری و مامایی
سال:1395 | دوره:14 | شماره:9 (پی در پی 86) |تعداد مقالات:13

Background & Aims: Obesity is now reaching epidemic proportions in both developed and developing countries and is affecting not only adults but also children and adolescents. Increasing prevalence of adolescent obesity has become a growing matter of public health concern worldwide. The aim of current study was to determine the prevalence of general and abdominal obesity, overweight among high school girls in Urmia.Materials & Methods: This analytical cross-sectional study was performed on 800 girl's high school students in Urmia. Required data was collected through interviews and anthropometric measurements.BMI and WHR were measured using standard methods. According to the WHO standards, WHR equal to or greater than 0.8 were considered as abdominal obesity. Collected data were analyzed by SPSS software version 21Results: The prevalence of underweight, overweight and obesity among all girls' students were %2.9, 20.5% and %10.9 respectively. These values were among girls were reported %3.1, %21.5 and%13.8 in first period and %2.8, %20.0 and %9.5 in second period respectively. The prevalence of abdominal obesity was also %42.75. There was not a significant relationship between BMI percentile and the first and second period high school students.Conclusion: According to these findings, the prevalence of overweight, general and abdominal obesity in students, especially in older age groups, are on warning aspect. Therefore, intervention programs to prevent risky behavior of overweight and obesity in students is essential.

Background & Aims: Hypertension is a major public health issue. Lack of medication adherence in patients with hypertension can lead to adverse outcomes. Therefore, patients need to be educated on how to control their blood pressure and increase their behavioral preventive skills. Among the numerous models of health education, BASNEF model is the most comprehensive model used to study, identify and create new behaviors. This study aimed to determine the effect of an educational intervention based on BASNEF model on the medication adherence in patients with hypertension.Materials & Methods: This quasi-experimental study with pretest-posttest design conducted on 80 patients with hypertension referred to Health Centers in Urmia, Iran, and met the eligibility criteria. They were selected using convenience sampling method and then, randomly assigned to two groups as control and experimental. A 4-part questionnaire was used for collecting the data. The collected data was analyzed by SPSS v.16 software using descriptive and inferential statistics (independent t-test, Mann-Whitney U test and Chi-square test).Results: The results showed that the mean score of medication adherence in patients with hypertension in the experimental group was significantly more than the control group (P<0.001).Conclusion: It seems that educational intervention based on BASNEF model has considerable advantages and increases the medication adherence in patients with hypertension significantly. Therefore, it is recommended to apply this educational model as a key complementary factor to increases compliance of patients with hypertension.

Background & Aims: Diabetes is the most prevalent disease during pregnancy. Self-care and prevention of diabetes type II in future are the key factors in patients’ education. Cultural and religious beliefs are of the effective key factors on self-care by diabetics. Gestational diabetes is one of the main health issues in Iran. Therefore, the present study is aimed at elaborating on the beliefs, and coping strategies of the mothers with gestational diabetes Materials & Methods: The study was carried out as a qualitative-content analysis method. Face to face semi-structured deep interviews were performed for data gathering. Participants were pregnant women diagnosed with gestational diabetes in 24th-36th week of pregnancy who referred to the clinics affiliated with Shahid Beheshti Medical Science University. Data saturation was achieved with 12 interviews and the collected data was analyzed using conventional content analysis method Results: conventional content analysis highlighted two themes; Attitude toward the disease and Coping strategies. The former was featured with 2 categories: religious beliefs and medical beliefs. The latter was featured with three layers: compatibility, spirituality, and incompatibility.Conclusion: calrifyng beliefs and coping behaviors of mothers with gestational diabetes leads to better and proper education planning and programming toward improvement of health, self-care, and prevention of diabetes .

Background and Aims: Cardiovascular diseases such as coronary artery disease are the most important causes of death in the world and Iran as well. For this reason, These kinds of diseases cause anxiety on the patietns. Discharge planning is crucial to ensure timely discharge, and continuity of care. It also helps healthcare providers to use limited resources most effectively, and to avoid unnecessary readmissions. The aim of this study is to determie the effect of IDEAL (Include, Discuss, Educate, Assess, Listen) discharge plan model on anxiety levels in patients with myocardial infarction in Shahid Madai hospital in Khoy, Iran, 2016.Materials and Methods: In a semi experimental study, 108 patients with myocardial infarction were assessed in Shahid Madani hospital affiliated with Urmia University of Medical Sciences in 2016. They were selected through convenience sampling, and divided randomly into two groups of intervention and control. Every patient in the intervention group received IDEAL discharge plan model from their admission to 3 months after their discharge, while patients in the control group received no intervention. Spielberg’s state-trait inventory was used to assess their level of anxiety before intervention, and 3 months after their discharge.Results: According to findings, the mean score of anxiety for experimental group before the intervention and after intervention were 72.71±3.09 and 32.25±4.94 respectively. There was a significant difference between the mean scores of anxiety reduction in two groups after the intervention (p<0.001).Conclusion: As a result, providing the patients with IDEAL discharge plan mode will diminish their anxiety level of myocardial infarction. Therefore, it is recommended that the nurse managers provide programs to highlight the instructional role of nurses.