Journal of Nurse and Physician Within War
Year:2018 | Volume:5 | Issue:17 |Papers Count:8

Introduction: Heart failure as a chronic disease is a growing problem in communities. Socioeconomic status and illness related worries are two important factors in the self-care of patients. So the aim of this study is to determine the correlation between socioeconomic status and self-care in patients with heart failure: The role of illness related worries mediator.Methods: This descriptive - correlational study is conducted on heart failure patients in Tabriz, Iran in 2016.149 patients are selected through convince sampling method. For data collection, a demographic information questionnaire, “European Heart Failure Self-Care Behavior Scale”, “Illness-Related Worries Questionnaire (IRWQ) ”, and “Kuppuswamy’s socio-economic status scale” are used. The validity and reliability are measured in previous study. Data is analyzed by SPSS 21and Sobel test.Results: There is a significant correlation between socioeconomic status and self-care (r=-0.729, p<0.01).Illness related worries in the relationship between socioeconomic status and self-care were mediated through Soubel's test (Sobel test=-4.89, p<0.01).Discussion: Illness related worries is as a mediator and also a bridge between socioeconomic status and self-care. It is suggested that nurses, health psychologists and doctors consider these variables in primary priorities of self-care education.

Introduction: maltreatment with children (verbal, emotional, and physical) has many negative consequences in adulthood, including substance abuse. The aim of present study was investigation the mandating role of early maladaptive schema in relation between childhood maltreatment with substance abuse in adulthood.Methods: In this descriptive-correlational study, 106 people (12 women and 94 men) were selected among people referring to the Association of Anonymous Addicts and addiction centers in Hamedan using available sampling method.The subjects responded to the risk and protective factors questionnaire, the Young Schema Questionnaire (SF-YSQ) and the Child Abuse and Trauma Scale (CATS). Data were analyzed using descriptive and inferential statistical methods such as correlation coefficient and structural equation modeling using SPSS and LISREL software Results: The results showed that the indirect effect of childhood maltreatment (due to early maladaptive schemes) on substance abuse in adulthood was significant at 95% level. The effect of childhood maltreatment on maladaptive schemas and the effect of current variable on substance abuse in adulthood was significant at 95% level, however, the direct effect of childhood maltreatment was not significant on substance abuse Conclusion: It seems that childhood maltreatment leads to the formation of maladaptive schemas and the formation of these schemas also leads to harmful behaviors such as substance abuse.

Introduction: hypoxia result in harmful changes in brain structure and function. Reduction of inflammation, inhibition of apoptosis, repair of damaged axons and angiogenesis are factors that can Helps repair nerve tissue in damaged areas and reduce complications.Cryotherapy reduces cellular damage by decreasing edema and complications caused by reperfusion.Methods: In this study, 16 male Wistar rats, weighing 250 g, were used in two groups include hypoxia and treatment. For anesthesia, chloral hydrate was used IP at a dose of 400 mg / kg.The left carotid artery was temporarily interrupted for one hour and the oxygen supply was disrupted. By restarting the bloodstream, the ice pack is applied locally to the rat's neck for half an hour. After 24 hours, the rats were sacrified and the samples were stained with cresyl violet. Then taken with Canon's digital camera.Cerebral edema, lesion volume and number of cell death were calculated and analyzed by SPSS software.Results: Dead cells are reduced in the treatment group and normal cells are more likely to be seen.The use of topical cryotherapy has reduced brain edema. The volume of lesion in the treatment group was significantly lower than the hypoxia group.Conclusion: The results of this study have shown that the use of topical cryotherapy reduces brain damage by reducing reperfusion complications. Using the results obtained from this study, it can be concluded that the use of topical cryotherapy has the same effect as drug that decrease in the body temperature but can produce a favorable effect without systemic effects in the body and its long-term use is harmful. In addition, it is easy to use and available and can be used as an initial treatment and at the same time as other treatments.

Introduction: Spinal cord injury can cause various physical and psychological disorders such as fatigue and depression in people injured that can cause confusion in self-care and disrupt physical and mental health and also have an impact in the process of rehabilitation of these patients. This study aimed to investigate the relationship between fatigue and depression with performance levels in spinal cord injury.Methods: Cross - sectional study was conducted on 108 patients that were selected the convenience sampling from spinal cord injury Institute at Southern Khorasan province in 2016. For collect data were used from 9-item questionnaire fatigue, 20-item depression questionnaire Zung and 17-item questionnaire in patients with spinal cord injury level of performance. Data were analyzed SPSS16 software and descriptive and analytical statistics.Results: The results showed that was significantly correlation between the mean fatigue and depression with level of performance in the patients (P<0.05). The greatest fatigue in chronically debilitating (7.88±0.32) and greatest depression in patients with performance is dependent on others (3.5±0.71) In this study, mean of fatigue was high (5.8 ± 0.88) and the mean of depression was average (2.6 ± 0.63).The level of patient's performance is dependent on others.Conclusion: Because was more fatigue and depression at the beginning of period the injury and due to the increase in this variable cause reduced function in these patients therefore, patients with damaged should be more attention at the beginning of their illness and do more medical and especially psychological support from the patients.

Introduction: The purpose of this study was to compare the effectiveness of ACT and DBT on impulsivity in Addicted People.Methods: The present study is a quasi-experimental, pre-test, post-test, control and follow-up group.The statistical population includes all addicts in Kermanshah city. The sample size consisted of 60 people who were selected by convenience sampling and randomly divided into three experimental and control groups (20 patients in each group). Individuals in ACT and DBT each received 10 and 12 sessions respectively, and the control group did not receive any intervention. The research tools were impulsivity scale which was performed in all three stages: pre-test, post-test and follow-up on subjects. Data were analyzed using repeated measures and Bonferron's post hoc test using SPSS-20.Results: The results showed that in the post-intervention and follow-up stages, the two experimental groups, ACT and DBT, had more efficacies in decreasing impulsivity scores than the control group.At the end of the intervention and follow-up phase, there was no significant difference between the effectiveness of ACT and DBT on impulsivity scores.Conclusion: This research provides a total empirical support for ACT and DBT for reducing impulsivity.

Introduction: One of the important events of old age is retirement. Retirement and aging are often interrelated phenomena that appear in a timed symmetry with each other. One of the important challenges in the retirement age is discussing about life quality. Due to lack of relevant researches in Iran, the purpose of this paper is the role of demographic variables and mental health in life quality of military retirees forces.Methods: The studied population, included retired staff in all provinces of the country and sample group consisting of 5265 retired employees selected by cluster sampling. Tools used in this research were" The Life Quality Questionnaire", General Health Questionnaire" and "self-made questionnaire" containing demographic information and correlation was calculated using SPSS 22 software.Results: The results of multivariate regression model showed that the effect of mental and demographic health variables (age, education, economic situation and employment situation), on the quality of life is significant and meaningful, statistically (p<01.0). Also, the effect of demographic variables (gender) on the quality of life isn't significant, statistically (p<05.0).Conclusion: Mental and demographic health variables, (age, education, economic situation and employment situation), have positive correlation with quality of life and people with mental health have higher quality of life, Compared to others.

Introduction: according to geographic situations and prior experiences, supervene disasters are serious treats for Iran that can be dangerous for health of many people. Hospitals must carry out missions with maximum of their effectiveness and productivity in the event of an incident. This study has done to evaluate readiness and performance of a military hospital in Kermanshah earthquake in 2017.Materials and method: This descriptive study has done in a short time after an earthquake by a hospital disaster management checklist. Data categorized in groups and analyzed with 17th version of SPSS software.Result: According to evidences total preparedness of hospital was on 46.8%. Safety and security criteria with 70.7% is on the top level and less level is related to communication and connection with 25% of preparedness and performance.Conclusion: Weakness and strength is related to military mission and structure of this hospital. By focus on function of triage and emergency unites and improving disaster management we can increase preparedness of hospital.

Introduction: The aim of current research is to examine and analyze the functions of human resource management and its relationship between organizational commitment in medical science university of Kermanshah city, Iran.Methods: The method of this study was a descriptive and correlation study. The study population consisted of all staff of medical science university of Kermanshah (6696 people) from which 363 people were chosen by stratified random sampling. The research tools included human resource management function questionnaire consisting of 28 questions and the organizational commitment questionnaire consisting of 24 questions. The content validity of the questionnaires was confirmed, and the reliability was calculated by Cranach's alpha, respectively 0.921, 0.822. Data analysis was conducted by using descriptive and inferential statistics.Results: finding showed that the mean scores of human resource management functions and organizational commitment scores in medical university of Kermanshah were average and there was a significant positive correlation with organizational commitment.Conclusion: The situation of human resource management functions and organizational commitment in the surveyed organization was in the medium level. Training and compensation dimensions respectively had a most and least impact on organizational commitment. It could be possible to increase organizational commitment by enhancing human resource management practices.