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Background & Aim: Many of the studies show benefit effects of exercise on mother and fetus during pregnancy. The aims of this research include of assessment of effects aerobic exercise on three factors: pregnancy age, birth weight and apgar score.

Methods & Materials: During an experimental study, 80 pregnant women who referred to prenatal clinics in zone of 17 of Tehran were selected and divided in two equal groups. Inclusion criteria included, 18-35 years old, 18 weeks of pregnancy, second gravidity, without history of medical illness and exercise before pregnancy. In case group samples were under 15-30 minutes aerobic exercises with 50-70% Vo2 max 3 days a week for 8 weeks. Data were analyzed by SPSS version 10.5 soft ware and t test and 2 were used for statistical analysis.

Results: Total 80 pregnant women enrolled in two groups. There were no statistically significant differences between cases and control in demographic factors. The most of cases were in 40 weeks group and more and the most of control were in 38-40 weeks however, there are no statistically significant differences between cases and control. The most of infants of cases and control mothers (60% and 70%, respectively) were in 2500g-3500g group but no statistically significant differences between cases and control. There are statistically significant differences between cases and control in 5 minute apgar score (p=0.01).

Conclusion: In overall, the results show aerobic exercise improve 5 minute apgar score, but do not show significant effects on pregnancy age and birth weight.

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Background & Aim: Concerns about death may negatively affect health-related quality of life. However, little is known about the relationship between death anxiety and quality of life in life-threatening illnesses especially in hemodialysis patients. This research aimed to determine the relationship between death anxiety and quality of life in hemodialysis patients.

Methods & Materials: In this descriptive correlational study, 200 hemodialysis patients were selected via stratified random sampling from hospitals affiliated with Zanjan University of Medical Sciences from April to May 2016. Data collection instruments included a demographic questionnaire, the Templer Death Anxiety Scale and the McGill Quality of Life questionnaire. Data analysis was performed by descriptive statistics, correlation test and linear regression model using SPSS v.22.

Results: The average score of death anxiety and quality of life were respectively 46.54±10.85 and 82.55±19.01. There was not a significant relationship between death anxiety and quality of life (P>0.05, r=0.044). In the regression analysis, gender was the only significant predictor for death anxiety. This model explained 11.3% of the variance of death anxiety. Moreover, the results of regression model indicated that social support and religious beliefs were only significant predictors for quality of life in hemodialysis patients, and 17.2% of its variance was explained by this model.

Conclusion: In the current study, no significant relationship was observed between death anxiety and quality of life in hemodialysis patients. Therefore, it is suggested that further research should be conducted in this area.

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Background & Aim: Spiritual care along with other nursing interventions balance body and soul. This study aimed to determine the effect of spiritual care on death anxiety in hemodialysis patients with end-stage of renal disease.
Methods & Materials: A clinical trial (IRCT2016308226961N1) was performed in Hamadan’s Shahid Beheshti and Besat hospitals in 2016. A total of 60 hemodialysis patients with end-stage of renal disease were randomly assigned into two groups of intervention (30 patients) and control (30 patients). In the intervention group, the spiritual care program consisted of protective care, supporting the patient’s rituals and using the support systems, was performed in hemodialysis ward at the patient’s bedside. The control group only received routine nursing care. The Templar’s death anxiety questionnaire was completed by both groups before and after the intervention. Data were analyzed by descriptive and inferential statistics using the SPSS software version 16.
Results: The average score for death anxiety before the intervention between the intervention group (8.10±2.26) and control group (8.53±2.47) had not significant difference (P=0.482), while the average score for death anxiety after the intervention had statistically significant difference (P=0.004) between the intervention group with median value of 8.0 (6.00-8.25) and control group with median value of 9.0 (7.00-10.25), and the patients’ death anxiety reduced in the intervention group.
Conclusion: Spiritual care program reduced death anxiety in hemodialysis patients with end-stage of renal disease. Nurses can use spiritual care program to reduce patients’ death anxiety.
 

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Background & Aim: Empowerment is a dynamic, positive, interactive and social process, leading to the improvement of quality of life (QOL) in patients with chronic disease. The purpose of this systematic review and meta-analysis was to determine the effect of family-centered empowerment model (FCEM) on QOL in adults with chronic diseases.
Methods & Materials: By searching FCEM in Persian databases including SID, MagIran, IranMedex, IranDoc, and googlescholar, Scopus, Pubmed, Web-of-science, Proquest, and Sciencedirect, all relevant studies were extracted. The methodological quality of the papers was examined using Cochrane-risk-of-bias. Data analysis was carried out through the random effects model and heterogeneity by I² index. The data were analyzed using the STATA software version 11.0.
Results: Of the 647 initial studies, only 8 studies examined the effect of FCEM on the QOL in adult patients using SF-36. The pooled standardized mean difference of the 8-dimensions of QOL included: social-functioning (1.781), Physical role limitation (1.416), bodily pain (0.987), general health (1.352), social functioning (1.010), general health (1.122), emotional role limitation (0.656), and vitality (1.361).
Conclusion: The implementation of FCEM had a significant effect on the 8-dimensions of QOL based on the SF-36 questionnaire. The implementation of FCEM is recommended in order to improve the QOL of adult patients with chronic disease.
 

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Background & Aim: A desirable level of happiness among nurses is related to the quality of nursing care services. This study aimed to evaluate the level of happiness among nurses and its’ relation to some demographic factors in Zanjan province- 2017.
Methods & Materials: In this cross sectional study, 371 nurses employed in the hospitals affiliated to Zanjan University of medical sciences were participated. The Oxford happiness inventory was used to collect data. The data were analyzed using descriptive statistics and Chi-square test through the SPSS software version 16. A P<0.05 was considered statistically significant.
Results: The mean and standard deviation of age of samples were 32.2±7.08. Most nurses were female (86.79%) and married (68.46%). Most nurses had a bachelor’s degree (94.88%) and the rest of them had a master’s degree. The mean score of happiness in nurses was 43.1±13.3 (the range 0-87). Concerning the demographic and occupational variables, a statistically significant relationship was found between job satisfaction and happiness level (P=0.049).
Conclusion: According to the findings of the study, the level of happiness in the nurses was at an acceptable level. Considering the relationship between happiness and job satisfaction, and given the importance of job satisfaction in the motivation and retention of nurses in the profession, it is necessary to pay attention to this matter.