Nursing And Midwifery Journal
Year:2017 | Volume:15 | Issue:4 (93)|Papers Count:11

Background & Aims: Family is the most important component of community and family health leads to spiritual excellence and intellectual growth. The high and still growing figures of divorce highlights the importance of emotional and sexual intimacy, which culminates in sexual satisfaction, and development and promotion of knowledge about sexual compatibility in couples as the most important and efficient approach. A conventional approach is currently being implemented in premarital counseling centers. The aim of this study is to investigate the effect of acceptance commitment therapy (ACT) -based premarital counseling on sexual satisfaction in comparison with a conventional approach.Materials & Methods: The study population of this clinical trial consisted of all couples referring to premarital counseling centers across Isfahan, Iran. Sixty couples were selected and then randomly divided into two groups of 30 each: experimental and control. The data were analyzed by SPSS 21and Mann-whitney test.Results: No significant difference was seen in effect on the couples' sexual satisfaction between the couples undergoing ACT-based counseling and conventional premarital counseling (P>0.02).We need more research with samples and select a target that last between one and five years of their marriage, be considered.Conclusion: It seems that choosing a very short time before common life or immediately afterwards was not effective in teaching with methods such as an acceptance and commitment approach, because at this time couples have a special excitement And still have not faced with encounters the problems that make them need to get advice.

Background & Aims: Attachment has a major effect on the development of children and to this reason topic of attachment has been great importance in recent years. The present research aimed to evaluate and compare the 1 to 3 year-old children’s attachment styles in kindergartens and non-kindergartens of Urmia city.Material & Methods: This study was a descriptive – analytical from type of causal-comparative. The statistical populations include all 1 to 3 year-old children’s kindergartens and non-kindergartens of Urmia city in 2016-17 academic years. The sample was 400 children (200 kindergartens and 200 no nkindergartens) of 1 to 3 year-old who were selected by cluster sampling method. The children’s attachment styles questionnaire (Huggar, 1999) completed by mothers of children. Data were analyzed by descriptive and multivariate analysis of variance (MANOVA) methods.Results: The finding show there was 336 children secure attachment, 28 children avoidant attachment, 21 children resistant attachment and 15 children disorganized attachment. From kindergarten’s children there were 171 children secure attachment, 13 children avoidant attachment, 9 children resistant attachment and 7 children disorganized attachment and from non-kindergarten’s children there were 165 children secure attachment, 15 children avoidant attachment, 12 children resistant attachment and 8 children disorganized attachment. Also, the children of kindergartens and non-kindergartens have a significant difference in secure and avoidant attachments, but haven’t significant difference in resistant and disorganized attachments. In addition, the children haven’t significant difference in attachments types in terms of gender and age (p<0.05).Conclusions: Regarded to findings can say that kindergarten’s children in compared with no nkindergarten’s children were in a better situation in terms of attachment style and kindergartens had a positive impact on the formation and improvement of attachment styles. So, what plays an important role in the formation of attachment styles is not the place of child care (home or kindergarten), but the availability of caregivers and their sensitivity to the needs of children is important.

Background & Aims: Beta thalassemia is the most common genetic diseases in Iran, more than two million carriers of beta-thalassemia in Iran. During pregnancy, women with thalassemia often significant anemia show that the highest rate of anemia in the middle of the second quarter and early third quarter can be seen.Material & Methods: To evaluate maternal neonatal anthropometric indexes with beta thalassemia com Materials and Methods: This retrospective study and research through birth records in the archive hospitals in Tehran. In this study, 800 samples matched in terms of age, body mass index, number of births, stillbirths and abortions studied which included 400 cases and 400 healthy women as a control group of file-postpartum women Mark has beta thalassemia cases (from 1388 onwards), respectively.Data was analyzed by SPSS software pared to healthy women with them Results: The average birth weight of 8.2 kg group and 2.3 kg in the control group, the mean length of the newborns in the study group and the control group 6/48 cm 8/49 cm, 34 cm average head circumference of infants in the study group Mtr and 5.34 cm in the control group respectively. The weight, height and head circumference of babies born to women with thalassemia minor have been less than the control group.Conclusions: In this study, 400 healthy women and 400 case records of patients with beta-thalassemia trait was investigated. Significant differences in anthropometric indices mothers with beta thalassemia compared to healthy women there with them (P<0.001).

Background & Aims: Occupational accidents are important problems that can cause enormous problems for staff and employees of an organization. Therefore, controlling the rate of accidents for reducing of complications, providing security for staffs and the patients and the continuous efforts for preventing of its occurrence in clinical settings are essential. The target of this research was study of prevalence and factors of occupational accidents in nurses of educational and treatment centers of Urmia University of Medical Sciences, Urmia, 2016.Material & Methods: This research was performed as a cross sectional study in 180 nurses. Data were collected by a demographic and researcher made questionnaires asking about their job accidents. The association between the sociodemographic variables and the variable of occurrence of the work accident was ascertained through using Pearson’s test, ANOVA and independent t tests adopting the level of significance of 0.05 and the confidence interval of 95%.Result: The following were ascertained as predominant: female nurses (76.7%), mean age range (33.75±6.9). All of them reported having had some type of work accident in the institution. In biologic accidents, contact with blood or other body fluids (90.5%), chemical accidents, breathing vapors of disinfectants (46.7%), physical accidents, being exposed to X rays 46.9%), ergonomic accidents, low back pain due to patient’s repositioning (41.7%) were the main occupational hazards. The most prevalent reasons of it were: unendurable work load (61.1%) and work frustration (35.6%). There was a significant relationship between occupational accidents with long time of work, night shift, hesitation during the work, low time, and crowd of people in the wards (p £0.05).Conclusion: Based on the results, it is really important to recognize the accidents’ causes, control the rate of them and provide sufficient and appropriate occupational health and safety services.

Background & Aims: Although, Myocardial infarction is one of the most common cardiovascular diseases known which can be controlled, patients are always at risk of physical, and socio–psychological stressors. Thus, this study aims to investigate the impact of educational- supportive self-care package on mean of anxiety, depression and stress in myocardial infarction of Shahid Gholipour, Boukan, Iran.Material & Methods: This pre- and post-quasi-experimental study will carried out on 86 hospitalized patients with heart failure selected from in Shahid Gholipour hospital of Boukan city affiliated with Urmia University of Medical Sciences were assessed in 2016. They will assign to two groups of experimental (n=43) and control (n=43) groups. They are selected through convenience sampling and divided randomly into two intervention and control groups. Any patient in the experimental group received education after 48 hours of admission and after the disease’s acute phase through face to face contact and also a booklet andThe questionnaires were completed before the intervention, after the intervention, before discharge from the hospital, and two months after discharge through phone calls or visiting patients in the intervention group if the patients requested. The patients in the control group receive no intervention.At the same time, patients and their relatives were taught about social support in four dimensions of emotional support, tools, information and evaluation. Demographic and DASS questionnaires (anxiety, stress, depression) were used to collect data. Data were analyzed using statistical software spss version 21.Results: The findings showed that educational- supportive self-care package can reduce anxiety and depression in experimental group after intervention as a lasting effect. On the other hand, the package does not effection stress meaningfully decrease among the patients of control group, and only causes the decrease through interaction with the factor “time”.Conclusion: The educational- supportive self-care package can reduce anxiety and depression and a part of stress among patients with myocardial infarction. Thus, it is recommended the results of this study be considered by health and treatment setting managers as a key factoring nursing care programs to decrease of stress, anxiety and depression among patients with myocardial infraction.

Background & Aims: Today, there are several factors which put women at risk of stress and anxiety.Amniocentesis may cause anxiety in pregnant women. This study aimed to determine the prevalence of anxiety and perceived stress in mothers undergoing amniocentesis.Material & Methods: This study is a descriptive research conducted on 95 pregnant women with gestational age from 15 to 20 weeks in Urmia Health & Educational Center in 2016. The samples were selected by convenience sampling. The anxiety level in women undergoing amniocentesis was measured using Spiel berger State Anxiety Inventory and perceived stress was estimated through Cohen’s Perceived Stress Questionnaire. Data were analyzed using descriptive statistics tests and Pearson correlation test. The value of (p<0.05) was considered significant.Results: The mean and standard deviation of anxiety score in women undergoing amniocentesis was reported (108.26 ± 20.48) and the mean of perceived stress score was (24.76 ± 7.7). Pearson test indicated that there was a significant relationship between anxiety and perceived stress in mothers (p<0.001).Conclusion: Amniocentesis is a diagnostic-invasive procedure which causes anxiety in mothers undergoing this test. Therefore, the psychological aspects of this procedure should also be considered and interventional methods such as counseling should be used to reduce stress.

Background & Aims: Cancer is one of the most serious chronic diseases and risk factors of public health. Of those, breast cancer is the most common cancer diagnosed in women. Today, some researchers in the field of clinical psychology by implementing psychosocial interventions, are following to study its effect on the patients with breast cancer and their quality of life. This study aimed to evaluate the effectiveness of an intimate relationship skills training on increasing adjustment and marital satisfaction in women with breast cancer was conducted.Material & Methods: A total of 24 women with breast cancer of the patients reffered to the center of Radiation Oncology of Imam Reza (AS) in Mashhad by available sampling method selected and randomly divided into two groups of 12 subjects were assigned to intervention and control. Subjects in both pre-test and post-test were measured by Enrich marital satisfaction and marital adjustment Harmvhan Singh questionnaires. The experiment group received 8 sessions of 1.5 hours of the intimate relationship skills training and the control group received no intervention. Data using SPSS software and with univariate analysis of covariance (ANCOVA) were analyzed.Results: The intervention group than the control group showed a significant increase in the marital adjustment and satisfaction.Conclusion: intimate relationship skills training (PAIRS) can be effective in increasing marital adjustment and satisfaction.

Background & Aims: Self-care is a basic concept in nursing care and has desirable outcomes in maintenance and promotion of human health. Orem's model focuses emphatically on self-care and leads patients to participate and collaborate in their caring process. This study aimed to investigate several studies conducted on Orem's self-care model through integrated review method and determine its applicablity in Iranian healthcare system.Material & Methods: In an integrated review, all Iranian papers published during current 5 years (2011-2016) in both Persian and English language were searched using the related keywords of Orem's self care model in Elsevier, Web of Sciences, Scopus, PubMed, ProQuest, CINAHL, Google Scholar, Ovid, Magiran, SID, Iran Medex, IranDoc databases. The quality of the articles was evaluated using CONSORT 2010 Statement. Finally, data were extracted, classified, summarized and, analyzed from 24 included articles in this study (Out of overall 28384 articles).Results: Out of 24 included articles, 17 artciles were published in Persian language and 7 articles were in English. All of the articles were original interventional studies (one experimental, 11 quasiexperimental, 11 clinical trial and one field trial). In all the papers, the researchers were used pretest and post-test design. Also, 3 main domains were derived from the literature review including: “type of intervention”, “intervention outcome” and “study population”.Conclusion: Given that still many problems remain in patient care and post-discharge self-care and according to the positive and optimistic view of Orem’s self-care model about patients’ participation in self-care and about nurses’s prominent role in healthcare provision in both partly and wholly compensatory systems which is consistent with the contemporary values of of Iranian society; it seems that the scrutiny of this model’s implications is needel. Evidently, the nursing officials and stakeholders would benefit from the preparation of local clinical guidelines and promotion of nurses’ awareness about Orem’s self-care model that leads to the “translation of theoretical knowledge in practice”.