Iranian Journal of Nursing and Midwifery Research
Year:2008 | Volume:13 | Issue:1|Papers Count:8

Background: Assessment of sexual relation quality and marital satisfaction is a major part of family evaluation. Unsatisfactory relationship will occur in a long term dysfunctional intimacy and may cause stress and affect the health of the family members, resulting in access of various psychosomatic diseases such as infarction. This study carried out to measure the marital satisfaction in patients with and without myocardial infarction.Methods: It is a case-referent study. Data collected using Enriched questionnaire of couple's marital satisfaction. The case group included patients hospitalized because of first infarction and the referent group included patients hospitalized because of other diseases. Data were analyzed by descriptive and inferential statistics such as t-test, Spearman's rank and Pearson product-moment correlation coefficient using SPSS software.Results: In general there was no significant difference in marital satisfaction between patients with or without myocardial infarction (p = 0.07). However, there was a significant difference between mean scores of the two groups on the questions related to the satisfaction in compatibility about children (p < 0.01).Conclusion: Satisfaction regarding compatibility about children is significantly different between the two groups. Other researches also found that marital satisfaction decreases during the period of bringing up children. It seems necessary to educate parents to be compatible about their children, because it affects their marital satisfaction.

Background: Management of stress and adaptation with it is vital and important. The National Association of Safety Professionals introduces nursing as a first stressful job among 40 stressful professions. If stress is successive, long and severe, with unsuccessful attempt to cope with, it will have a promotional role and can result in physical and psychological disorders. The aim of this study was to assess relationship of nurse's stress with environmental and occupational factors. Methods: This was a cross-sectional study on 216 nurses. Subjects were selected with random convenience sampling method among nurses working in different wards of Al-Zahra hospital. Data gathering was done with questionnaire contained demographic information and identifying stress level. Data analysis was done in SPSS software using Kruskal-Wallis and Mann-Whiney U tests.Results: 44.4% (93 subjects) had low stress level, 55.1% (118 subjects) had moderate stress level, and 0.5% (5 nurses) had severe stress level. There was no significant correlation with stress level and some demographic information such as age, gender, marriage status, shift wok, overcome work and number of children, but there was significant correlation with stress level and job satisfaction and leisure.Conclusion: Study results showed that stress level of nurses working in Al-Zahra hospital was moderate. Responses to this stress can affect nurse-patient relationship in workplace, among this, with appropriate and low-expenses methods can cope with stress and decrease its level. It is recommend that heath care services invest more on exercise and recreational fields.

Background: Today, the importance of clinical education of nursing students to train them for transition to professional roles has been documented. In this trend, the communication process between students and nursing staff is one of the key variables. So, the present study aimed to describe such relationships based on their real experiences.Methods: The phenomenological approach was used and all participants were drawn from an affiliated teaching hospital to Isfahan University of Medical Sciences. Purposive samples of 10 nursing students were interviewed in-depth. Colaizzi’s analysis method guided the essential activities of the researchers. The reliability and validity of the present study was grounded on the four items: factual value, applicability, consistency and neutrality.Results: Seven major themes and related sub-themes were identified as following; students’ perception from staff’s behavior, students’ socialization, motivation, students’ professional attitudes, students’ skills and abilities, cultural factors and peer relationships.Conclusion: Nursing students experience the communication with nursing staff, as an important issue, through which they can more conveniently enter to their professional role. The students’ experiences from the quality of this process shaped their attitude towards profession and working in clinical setting.

Background: Pain is a universal problem and the most common reason for referring to clinics and hospitals. Everyone responsible for health care will face pain which is the most usual and probably the major sign of sickness. Pain management standardization is a common and unique language causes union in works and corrects circulation of information and prevents waste of time. This was a study of pain management standards to suggest the appropriate standards for Iran.Methods: This was a Triangulation study carried out in 2005. The study samples, in the first stage, included 14 and in the second stage, 40 nursing faculty members who were instructors of nursing department with master and PhD degrees. In the first stage, pain management standards were extracted by searching in the Internet, valid nursing textbooks and through consulting with the instructors. In the second stage, these standards were sent for 14 nursing faculty members of universities in the form of a questionnaire with open ended questions to collect their opinions. Then according to the collected data from the second stage of the study, a new questionnaire was made, which was sent for 40 nursing faculty members of universities to collect their opinions. In the forth stage, their answers were analyzed. Results: The findings of this study included two distinct areas and 88 suggested standards. The first area, assessments of pain, included 35 standards and the second area, nursing implementation of pain, included 53 standards. At the end of this study, a set of standards with 90% consensus including 14 items in the area of assessment and implementation of pain have been suggested to decrease the number of standards in order to increase the probability of the executive power of them.Conclusion: This study suggested 88 standards for pain management in Iran, which are hoped to improve the quality of pain management and increase the quality of clinical services and the patient’s satisfaction.

Background: Unfamiliarity of adolescents with puberty can lead to physical, psychological, and emotional problems. The aim of the present study was to evaluate the effects of a puberty health education course on 10-14 year-old girls' knowledge, attitude, and behavior.Methods: In a semi-experimental study 1670 10-14 year-old girls were selected from schools in Isfahan province using stratified sampling and were educated in a three months course by health teachers. The content of the educational course included physiologic, psychological, physical, and other information about puberty. Data was collected using a questionnaire about knowledge, attitude, and healthy behavior filled out by interviewing the subjects before and after the course.Analysis of data was done using descriptive and inferential statistics (t-test, chi square, and ANOVA). Results: All participants completed the course. Mean scores of knowledge, attitude, and also healthy behavior were significantly higher at the end of the educational course compared with baseline scores (p < 0.001). There was also a significant relationship between girls' attitudes toward puberty and their parents' education levels (p < 0.001, r = 0.5) and also between participants' school achievements and their knowledge, attitude, and behavior (p < 0.05, r = 0.6).Conclusion: An appropriate educational program including physical and psychological changes, as well as the appropriate nutrition during puberty improves female adolescents' knowledge, attitude, and behavior. To give teenage girls the opportunity to enjoy their youth before becoming a mother, it is necessary to educate them about reproductive health issues.

Background: Exercise preserves mental and physical health and can play a rehabilitation role in chronic diseases. Since recovering after anesthesia and surgery can decrease patients' anxiety and allow patients to play their different role in society and their own life, this study aimed to determine the association between exercise and patient's recovery time after orthopedic surgery in recovery units.Methods: The study was a retrospective descriptive- correlative study on 160 patients who were undergone orthopedic surgery in selected hospitals of Isfahan University of Medical Science at 2005. Data gathering was done using a questionnaire and the standard checklist for post anesthesia intensive care (base on Aldert scale). Data analysis was done in SPSS software using student t test and chi-square test.Results: Results showed that case group (patients who reported doing exercise) had a mean recovery time of 25.57 minute (±13.45), the control group who did not report doing exercise had a mean recovery time of 35.04 minute (± 17.11). There was a significant statistical relationship between doing exercise and recovery time (p < 0.05). Conclusion: Recovery time in patients reported doing exercise was less than patients who did not. Therefore we can conclude that doing exercise is effective in recovery process.

Background: Regarding the adverse effects of sexual dysfunction in mental health of the menopause woman and their families, detecting related factors of sexual dysfunction in this period seems to be essential. This study aimed to determine the associative factors of sexual dysfunction in menopause.Methods: This study was a cross sectional one. In this study simple random sampling was used to enroll 174 married women. Data were collected by questionnaires, through interviews and descriptive and inferential statistical methods, t-test, X2 and X2 mantel Hanszel test were used to analyze the data through SPSS software.Results: The relative frequency of sexual dysfunction in menopause is 72.4%, and the variables such as depression, spouse' relations quality and sexual knowledge were significantly associated with sexual dysfunctions. The findings also showed that no significant association exist between reproductive and personal characteristic such as spouses' age difference, marriage length, number of children and marriage status with sexual dysfunction in menopausal period.Conclusion: Sexual function can be affected by psychiatry disorders and lack of knowledge, regarding the creation of many psychological and community injuries following sexual dysfunction, therefore the role of health professionals in consulting and education is emphasized.

Background: Cigarette smoking, so current between the youngsters and adolescents is one of the greatest enemies of public health. This study has designed to determine the smoking patterns of the high school and pre-university students in Isfahan.Methods: In this cross sectional study 355 high school students were surveyed during 2004-5 in Isfahan, Iran. For data collection a checklist was applied and answered by the students. The smoking pattern was evaluated by the standard questionnaire of WHO and its relation with personal characteristics of the students was analyzed. The statistical analysis was done using t-test, chi-square and logistic regression in SPSS software.Results: 10.3% of students were smoker and 37.9% of them had experienced smoking at least for one time. Also the age of the students had no significant relationship with smoking pattern, but the employment of students had a significant relationship with smoking pattern. Having smoker friends had also a significant relationship with smoking.Conclusion: The studied students had great tendencies to experience smoking and by increasing the rate of smoker friends, the weekly and daily smoking pattern will increased.