Introduction: Satisfaction from marital relation is a fundamental factor in stability and maintenance of marital bond. Sexual satisfaction is one of the effective factors in spouse relation satisfaction.

Materials and Methods: This research is a correlation study. A sample of 400 women referring to health care centers in Arak city was selected randomly in 2003. The information collecting tools were questionnaires. To analyze the data, the descriptive statistical, frequency distribution charts, the mean and central tendency as well as inferential statistics (2 test and Kruskal Wallis) have been applied.

Results: According to the results, there was a meaningful relationship between having orgasm and sexual relation satisfaction, nonsexual relation satisfaction with spouse and marital relation satisfaction. Also, there was a meaningful statistical relationship between orgasm experience and variables of age, spouse s age, education, spouse s education, duration of marriage, number of children, and family s income.

Conclusion: There is a relationship between women s orgasm experience and the amount of satisfaction from marital relation. Hence, it was suggested that the health planners and the officials in charge pay more attention to women s sexual problems and a sexual counseling clinic be established in health care centers.

  Background & Aim: Exacerbation of the symptoms among patients with chronic obstructive pulmonary disease is a part of the disease's cycle . Despite having medical treatments, most patients experience severe degrees of dyspnea. Self-management programs can help relieving the symptoms. T his study aimed to assess the effect of a self-management program on dyspnea and fatigue severity in patients with chronic obstructive pulmonary disease (COPD) .

  Methods & Materials: In this randomized clinical trial, 50 patients with COPD referred to Apadana clinic in Ahvaz were recruited into the study. Patients were randomly allocated to control and intervention groups. The intervention group received a self-management program designed based on the 5A model the control group did not receive any intervention. Patients were assessed using the Fatigue Severity Scale and the Borg Dyspnea Scale at baseline and three month later. The Chi-squared test and t-test were used to analyze the data . 

  Results: There was no significant difference between the two groups in fatigue severity at baseline. At the end of the three months, the fatigue severity score differed significantly between the two groups (P=0.004). There was also significant reduction in the patients' dyspnea in the intervention group than the control group after 12 weeks (P<0.001) .

  Conclusion: Our program was effective in reducing the COPD symptoms among patients. This simple and non-expensive program can be applied as a beneficial intervention to decline major difficulties of the disease among patients with COPD .