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Showing 63 results for Mehran

M Modarres, Sh Ghasizadeh, A Mehran, T Dadghah Tehrani,
Volume 7, Issue 1 (10 2001)
Abstract

This study was a randomized double - blind controlled clinical trial to investigate the effect of nitroglycerine ointment on primary dysmenorrhea and its side effects among the students resident of selected dormitory of Tehran university of medical sciences in 1999.The investigated units consisted of 112 students suffering from primary dysmenorrhea grade 2 and 3.The samples were randomly assigned into two equal groups : control Group (56 students )and experimental group (56 students )as well.The severity of pain and side effects were evaluated once before and five times after applying the ointment. Then ,a comparison was made to assess the effect of drug and placebo on two groups according to severity of pain and side effects.The results showed that severity of pain in case group was significantly lower than control group during 30 minutes and one, two and four hours after applying the ointment, (in all cases p=o.oo)Moreover , 15 -30 minutes after applying the ointment, it was effective in relieving pain and it reached its highest degree when two hours passed, then the effectiveness of the ointment in relieving pain was reduced , but it continued to be effective within four hours after applying as well. Furthermore, the findings revealed that 5 mg of Nitroglycerine 1% was effective in relieving primary dysmenorrhea, however, it was accompanied with following side effects in two groups: headache 21.4% in case group VS 1.8% in control group (p=0.00), dizziness 21.4%in case group VS 1.8% in control group (p=0.00), hotflashing 35.7% in case group vs 1.8% in control group (p=0.00), arrhythmia 10.8% in case group VS 0% in control group (p= C.05), a significant falling in systolic and diastolic blood pressure (p=0.05) and a significant increasing in heart beat. (p=0.05).
F Fotorehchi, N.s Taghavi, R Karimi, A Mehran,
Volume 8, Issue 1 (8 2002)
Abstract

This is a descriptive - analytical study to determine the relationship between hypertension and birth weight in primary school children at the 6-7 age group in shahrood in 1999-2000.The samples consisting 203 healthy school - age children that were selected according to cluster sampling.Data collection instruments included questionare, checklist, stethoscope and mercurial sphygmomanometer.The results showed that there was not significant relationship between systolic blood pressure and birth weight in male and female groups. Furthermore, there was no significant relationship between diastolic blood pressure and birth weight in male group as well, however, there was a statistically significant inverse relationship in female group that their birth weight was more than 2500 gr with their diastolic blood pressure.The results can be used in midwifery training for pregnant women during their prenatal care period, in nursing training to promote the quality of health services, in training health care talented students and students suffering from hypertension and they can also be used in educating teachers and principals of schools to increase their knowledge and information.
F Rahimikian, Sh Golian, A Mehran, A Bashiri,
Volume 8, Issue 2 (10 2002)
Abstract

The present research is a descriptive - analytic study about the rate of use, reasons of use or refusal of Hormone Replacement Therapy in menopausal women referred to gynecology clinics in selected hospitals of Tehran University of Medical Sciences in the year 2001. Samples of research included 400 women age between 40-65 years which selected on accidental basis and collected means was questionnaire which contain demographic characteristics (age, job and education), receiving information, information source, the reasons for use or refusal of Hormon Replacement Therapy. Research findings showed that 8.75% of menopausal women used Hormone Replacement Therapy. Their reasons are as follow: 28.57% due to physician recommendation. 26.37% due to improvement of hot flash. 23.08% for prevention of osteoporosis 16.48% due to hysterectomy. 3.3% due to prevention of cardiovascular diseases. 2.2% because of improvement of sexual activities. The reasons for non-useres are as follows: 46.96% having no information about such a method, 16.4% thinking about menopuae as a natural phenomenon and no need for treatment, 10.53% not-suffering from menopausal effects, 7.08% medical recommendation, 5.6% fear of hazardous effect leading to cancer. In the present research, there is no significant relationship between age, job and the method of Hormone Replacement Therapy but have significant relationship between education rate and receiving information about the method of use.
M Pakgohar, F Rahimikian, A Mehran, T Mohammadi,
Volume 8, Issue 2 (10 2002)
Abstract

The present study is a descriptive one made for the purpose of quality assessment of family planning counseling in health and treatment centers affiliated to Tehran University of Medical Sciences in year 2000. 410 client of the Family Planning Social Services who had attended 25 health and treatment centers affiliated to Tehran University of Medical Sciences were participated in this research study. A checklist was completed through the observation of family planning counseling sessions. The finding and results of this study showed that personnel&aposs behaviour and the quality of family planning counseling for the majority of samples in the first section have been suitable. In the section of the history taking from clients helping them to select suitable method and to determine next appointment, data for the majority of samples in this study have been in an average level. In the section of need understanding of clients introductory methods providing information the audiovisual training equipments used during family planning counseling, explanation of way of utilizing the selected method, and finally the environment for family planning counseling have not been suitable for majority of the samples. The findings of this study can be beneficial for public health planning in order to improve the quality of the family planning services.
Z Parsa-Yekta, N Sharifi-Neiestanak, A Mehran, M Imani-Pour,
Volume 8, Issue 3 (12 2002)
Abstract

One of man's fundamental needs is communication. Nurses within their specialty sense this need in their relationship with their patients, even though in some cases with physical impediments e.g. the placing of bypass tubes, this relationship is endangered. This study is a quasi experimental research, whose main aim is to compare the effects of two types of communication methods on anxiety and satisfaction in patients after cardiac and bypass surgery having intubation, warded at chosen hospitals affiliated to the Tehran University of Medical Sciences. According to the specific criteria, 90 patients were randomly selected by divided into two groups (experimental and control). The researchers met all patients the day before the surgery explained the reason and use of the picture chart for the experimental group and the routine communication methods for the control group. Therefore on the day of surgery communication was established with both groups with their own particular method. Data collection was done through a questionnaire consisting of: 1) demographic specification and clinical history, 2) Spielburger's questionnaire for obvious anxiety and 3) visual analogue scale (10cm) for patient satisfaction evaluation which is undertaken the day after surgery and after extubation. The results of the χ² test and the Fisher's exact test showed significant statistical differences between the two groups concerning the level of the patient's anxiety and satisfaction. The use of the picture chart for the experimental group, decreased patient's anxiety resulting from speech disability and increased their satisfaction with their communication with nurses as compared to the control group. Considering the beneficial results from using picture charts in establishing communication with patients, nurses with the help of devices, must try to create better relationships with intubated patients in the post-surgery period and provide them with more desirable services.
S Zokaie Yazdi, J Mosayyeb Moradi, A Mehran,
Volume 8, Issue 3 (12 2002)
Abstract

Nurses play various roles and have various responsibilities in helping patients or other members of the society for example in training, providing support, caring, and in coordinating. The proper performance of these services is dependent on their undertaking of these various responsibilities. Nurses with increased knowledge as to their responsibilities and the proper fulfilling of these in the various fields can be influential in the success of treatment measures. This research is a descriptive study to assess the nursing staff’s perception of their roles and activities at hospitals affiliated to the Tehran University of Medical Sciences, conducted on a random sampling in the years of 2001 -2002. Some 104 male and female members of the nursing staff, randomly chosen, participated in this research. The data was collected by means of some questionnaires of 3 parts containing 8 questions related to demographic characteristics, 41 questions related to the quadric roles namely, teaching, supporting, protecting, coordinating, and 2 open questions regarding obstacles and their suggestions in preventing these obstacles. Analysis of data has been done by using SPSS descriptive and inferential statistics. The results with respect to the roles of nurses in different fields show that most of their roles were in teaching activities in relation to patients, in support relating to stressful and upset patients, in the field of protection during catheterizing and dressing and coordinating daily visits. Results relating to the level of performance of these responsibilities are as follows 31.7% in training activities, 35.6% supporting activities, 38.45% protection and 54.8% coordinating activities, respectively, stood at a favorable level. The greatest percentage of unfavorable performance was noted in the supporting role of the nurses. The results also showed that the level of readiness of the nurses to perform the above mentioned four roles was registered as average to good. In addition some factors such as frustration, lack of on the job training, insufficient number of personnel, lack of proper facilities, and insufficient income…, have a great impact on nurses and the removal of obstacles in the performance of their duties.
R Karimi, Z Parsa-Yekta, A Mehran, L Nik-Farid,
Volume 8, Issue 3 (12 2002)
Abstract

Post-surgery pain is usually controlled by PRN drugs administered by nurses. According to the decision-making theories, this clinical decision-making depends on three factors: nurse-related factors child-related factors and hospital-related factors. This study deals with the first and second factors mentioned. This descriptive-analytic study aims at determining the perspective of nurses on factors which affect their decisions to administer the analgesic PRN to children after surgery in several chosen hospitals of Tehran. The study used a standardized questionnaire to collect data from 57 nurses in pediatric surgery wards. The questionnaire consisted of three parts: 1) nurses demographic data 2) 20 clinical scenario for nurses to make a decision for prescribing either analgesic medication, non-analgesic medication or no medication where necessary and 3) 12 factors which affect clinical decision-making in using analgesics.(in prioritizing among the above mentioned). The results show that factors such as age, nursing experience, pediatric nursing experience and motherhood were significantly related to choosing to use analgesics. Education and personal experience of extreme pain was also related to the type of analgesic chosen. Concerning the specifics of the children there was a significant difference between the choice to use analgesics and the type of analgesic used according to the various ages of the children. There was also a significant relationship between the type of surgery and the time of surgery and with the choice to use analgesics and the type of analgesics used, such that medication and analgesics were administered more frequently for complicated surgeries and in first 24 hours after surgery. Type of surgery, severity of pain, time of surgery and uneasy behaviors were selected respectively as the most effective in the administration of PRN analgesic drugs. Nurse and child related factors strongly influence nurses in making decisions to administer PRN analgesics postoperatively.
Z Parsa-Yekta, Sh Basam Poor, A Mehran, H Esnaashari,
Volume 9, Issue 2 (1 2003)
Abstract

Fear is an undesirable feeling which most of the time results in physiological changes and can affect on the cardiovascular function of the patient. This research is a cross-sectional descriptive study that describes the congruency opinions between 91 patients /nurses about the reasons for patients’ fear related to coronary angiography in two affiliated hospitals of Tehran University of Medical Sciences. The tools which were used included: questionnaire for study and recognition of patient and nurses demographic characteristics, a check list containing thirty probable reasons for patients’ fear which were filled out by patients and nurses, and a scale for analysis of the reasons for fear which were filled out by patients, descriptive statistics indicators, sign test, and t-test were applied in order to analyze the data, by SPSS software. The results showed that patients’ and nurses’ ideas about the reasons for fear before angiography are similar in two cases and only in one case after the operation. Among the thirty probable reasons which were mentioned for patients’ fear, seventeen cases caused less fear after angiography and two cases caused more fear after that. In the comparison between the intensity of fear caused by other reasons no insignificant result was observed. The comparison of intensity of fear showed that the intensity of patients’ fear after angiography is less than before (p= 0.005). According to these cases it may be concluded that because of the different reasons for patients’ fear concerning angiography, nurses need to pay more attention to patients’ fear. It is also suggested that an assessment tool be used in order to assess issues relating to patients, level of care and training related to coronary angiography.


S Samiei, Z Parsa-Yekta, A Mehran, S Masouri,
Volume 9, Issue 2 (1 2003)
Abstract

This research is a descriptive-analytical study conducted with the aim of examining and comparing adjusted behaviors of children (brothers and sisters) suffering from a chronic disease, referred to treatment centers with the siblings of the healthy children of the same age, in Tehran. The research sample was a group of 300 children along with a pair of parents. They were divided into groups of 150 siblings suffering from a chronic disease and 150 siblings who were healthy. For sample-taking of the children suffering from chronic disease parents of the children referring to hospitals or hospitalized in wards, who had the required qualifications were also studied through simple random selection. In order to select healthy children and their parents, the parents of the children referring to specified treatment centers for receiving medication and clinical treatment were selected as the control group, through the simple random sampling method. The basis of research comprised of a questionnaire comprising of two parts. The 1st part consisted of demographic particulars and the 2nd part constituted the form of questions put to the child's parents, whose form was prepared on the basis of the standardized child behavior checklist in accordance with Achen Bach's parents’ report. The form consisted of two parts: one concerning social merit (6 questions on activities, social relations and studying performance of the child) while the other related to behavioral problems of the child (102 questions in relation to social problems, anti-social behavior, aggressive behavior, difficulty in concentration, physical complaints, anxiety, depression, isolation disorder in thinking, sexual problems and miscellaneous matters). The results in relation to the research objectives point out that there is by p<0.001 and p< 0.005 and in a sensible manner, the behavioral problems of the siblings suffering from a chronic disease as compared with healthy siblings are more and their social merit is less.
T Mirmawlai, A Mehran, S Rahimi Gasabeh,
Volume 9, Issue 2 (1 2003)
Abstract

Childbirth is one of the most stressful situations in a woman's life. In order for a woman to adjust to the stress of delivery and to make it a happy experience for her, she should be supported with adequate information as well as emotionally and physically. This research was undertaken to analyze the opinion of mothers concerning the importance of and their satisfaction with information, physical and emotional support received in the labor and delivery rooms. In this descriptive-analytic study 400 post-partum mothers from 10 various training hospitals in city of Tehran in the year 2000 were randomly selected and interviewed by questionnaire in the post-delivery ward. Results showed that most of the mothers placed great importance on physical, informational, and emotional support, respectively. They had received inadequate physical and informational support and relatively adequate emotional support. But most of them were satisfied with the informational, emotional and physical support, respectively. There was no significant association between the level of satisfaction of the mothers with these three types of support and their importance but there was a significant association with the way that support was received. (P<0.05). Complete satisfaction with the support offered, despite their inadequacy or limitations, may be due to the fact that mothers are unaware of their rights and have few expectations or may be due to the time of conducting the interview (just before discharge). The lack of any relation between the demographic variables and the value of importance in the different areas of support shows that these are basic needs and all should be equally provided. In order to increase satisfaction, support and care should be provided to mothers in the best possible fashion. Finally, regarding the presence of midwifery students and their teachers in teaching hospitals, they should be made directly responsible for the reformation of the hospital system, preparation of hospital charts and their organization.
M Shaban, Z Parsa-Yekta, A Mehran, N Soltani Mollayaghobi,
Volume 9, Issue 4 (1 2004)
Abstract

Introduction: In hypertensive patients M position (sitting, right arm at the level of heart and both plantar surface of foots on the floor) is the standard position for measurment of blood pressure since it reveals the “true” pressure. Materials and

Methods: It is a quaziexperimental study that compares effect of different positions of limbs on blood pressure of hypertensive patients. The sample size was consisted of 100 hypertensive patients. A questionnaire and a check list for systolic and diastolic blood pressure of the patients in different positions were used. One researcher collected all of the data. At first demographic data, weight and hight were recorded. After 5 minutes in sitting position in 3 different comparing positions, M (sitting, right arm at the level of heart and both plantar surface of foots on the floor), A (sitting, right arm hanging beside the body and both plantar surface of foots on the floor) and B (sitting, right arm hanging beside the body and right foot on the left knee), blood pressure was measured and recorded. The study methods included interview and physiologic measurement. The paired t-test for related measure was applied in order to analyse the data.

Results: The results showed that the difference of mean systolic and diastolic blood pressure in “A & M”, “B & M” and “B & A” positions was significant (paired t test, p<0.0001) and the mean of systolic and diastolic blood pressure in “A” position was more than “M” position, “B” position was more than “M” position and “B” position was more than “A” position.

Conclusion: According to the findings of this study, “B” position has the greatest effect and “M” position has the lowest effect on increasing the systolic and diastolic blood pressure. This research indicated that attention to the limbs position during the measurement of blood pressure is very important.


Z Parsa-Yekta, M Zakeri Moghaddam, A Mehran, M Palizdar,
Volume 9, Issue 4 (1 2004)
Abstract

Introduction: To reduce the morbidity and mortality of cardiovascular diseases, patients are emphasized on following the exact prescription order of their antihypertensive and other cardio vascular medications.

Materials and Methods: The purpose of this study was to identify factors related to medication compliance in patients with coronary heart disease. A descriptive analytical study was designed and a total of 150 patients with coronary heart disease were chosen with convenience sampling among patients in one of the cardiovascular clinics affiliated to Tehran University of Medical Sciences. The instrument included a questionnaire for the demographic data, side effects of the drugs, physical condition, level of cognition and self-reporting of the patients about medication non-compliance A questionnaire which was about attitude evaluation A data evaluation form to calculate the rate of medication compliance Biophysiologic measurments and finally, available documents. The data were collected in two consecutive steps: at the first appointment, the questionnaires were filled. At the second appointment (1 month later) medication compliance rates which was based on counting of pills, were calculated.

Results: The data were analyzed with descriptive statistics, chi-square test, Fisher’ exact test and Tchoprof coefficient. Only 28% of the patients had met the drug regimens appropriately but 56% of them had a poor record. There was a meaningful relationship between the self – reporting of the patients and counting of the pills (p value<0.005). In addition, some factors such as age, education, occupation, teaching and its sources, duration of acquiring the cardiac disease, number of hospitalization and level of cognition of patients under investigation were assessed as effective elements to use the pills properly.

Conclusion: No meaningful relationship was found between sex, marital status, parenthood status, living arrangement, health insurance situation, health personnel availability, positive family history of cardiac disease, co-existence of another disease, difficulty in providing of the drugs, side effects of the drugs, physical condition and attitude and medication compliance. In conclusion, by providing some educational programs about drug regimens, based on the level of cognition, experiences, capabilities, and also the living style of the patients, medication compliance can be improved.


M Shaban, P Haj Amiry, A Mehran, S Kahrary,
Volume 10, Issue 1 (6 2004)
Abstract

Introduction: Massage of the limbs is a safe procedure that could have therapeutic effects and cause physical and psychological relaxation of patients in intensive care unit (ICU).

Materials and Methods: This survey is a quaziexperimental study that assessas immediate effects of foot massage on patient’s vital signs in a general ICU. After a pilot study, a sample size of 50 patients was chosen. A questionnaire about demographic data and a 3-table checklist for recording vital signs (heart rate, peripheral O2 saturation and mean arterial pressure) was used. The data gathered by interview and physiologic measurement. For every patient, vital signs were recorded every 1 minute interval for 5 minutes (after completing the demographic data). Then foot massage was applied for five minutes and during the massage patients’ vital signs recorded every minute. Immediately the patients’ vital sings were recorded every minute for five minutes. The mean of each parameter was calculated and compared the values at baseline, during massage, and after massage.

Results: The findings showed that there was a significant difference between mean heart rate, mean arterial pressure and mean spO2 before and during foot massage (p<0.0001). Difference between mean heart rate, mean spO2 and mean arterial pressure during and after foot massage was not significant but, deference of mean heart rate and mean arterial pressure before and after massage was significant (p< 0.0001). Difference of mean spO2 before and after massage was also significant (p<0.003).

Conclusion: According to the findings of this study, foot massage has a potential beneficial effect on patients vital signs and last at least for 5 minutes. This effect could be due to increasing relaxation which moderates the changes of vital signs, caused by stress.


M Pakgohar , F Jamshidi Evanaki , A Mehran , N Akbaritorkestani ,
Volume 10, Issue 2 (7 2004)
Abstract

Introduction: Evaluation of health care services is an essential step in improving health care quality and without it such an improvement could not be achieved.

Material and Methods: In this descriptive study, parent’s satisfaction of child’s health care in the health and treatment centers affiliated to Tehran University of Medical Sciences was evaluated. Four hundred parents who had attended 25 health and treatment centers were participated in this research. A questionnaire was completed through the interview with parents of 1 to 12 months old children. Analytical and descriptive statistics were used for the analysis of data.

Results: The finding of this study showed that the majority of parents had average levels of satisfaction concerning communication’s skills of health care providers and high levels of satisfaction about availability of these cares. Satisfaction of parents in the section of the vaccination was high and majority of samples had average levels of satisfaction about growth monitoring of children. There was a relationship between infant&aposs age and parent’s satisfaction.

Conclusion: Based on these findings recommendations have been made for future research. The findings of this study can be utilized in public health planning in order to improve the quality of the infant’s health care services.


M Pakgohar , A Mehran , M.h Salehi Sour Moghi, Sh Akhondzadeh , M Ahmadi ,
Volume 10, Issue 3 (13 2004)
Abstract

Introduction: A variety of maladies, sometimes disabling, beset many ovulatory women in a recurrent manner during the luteal phase of each ovarian cycle. These problems can deteriorate interpersonal relationships and/or interfere with normal activities of life. Present research was performed to evaluate effects of hypericum perforatum for treatment of physical symptoms of premenstrual syndrome.

Materials and Methods: This study was a randomized, double-blind, placebo-controlled, parallel group compassion study performed over two menstrual cycles on student of Tehran University of Medical Sciences and Tehran University. Volunteers underwent a preliminary screening interview, completed Beck questionnaire as a screening test for depression and attended a medical screening visit before being diagnosed as having premenstrual syndrome. Participants administrated hypericum or placebo, 30 drops BD, for two complete cycles. Premenstrual symptoms were evaluated by a daily symptom report form. Data analysis performed by Chi square, Fisher exact, Wilcoxon and t tests.

Results: Premenstrual daily hypericum caused a significant improvement in mean daily score of severity of premenstrual problems compared to placebo (p<0.05). Premenstrual administration of hypericum, 30 drop BD, showed significant advantage over placebo for physical disorders (%49, p=000).

Conclusion: Daily premenstrual administration of hypericum perforatum treats physical symptoms of premenstrual syndrome. It seems that hypericum perforatum can improve symptoms of premenstrual syndrome.


M Shaban , Z Monjamed , A Mehran , A Hasanpour Dehkordi ,
Volume 10, Issue 3 (13 2004)
Abstract

Introduction: Gathering information about quality of life is an essential step in designing more effective treatments and also helps developing better supportive and rehabilitation programs.

Materials and Methods: In this cross-sectional to investigate the relation between cancer characteristics and quality of life in patients under chemotherapy, 200 patients with different types of cancers were selected by simple sampling method. The data were collected through interview, reviewing patients’ files and patients’ self-reports. The data were collected by a questionnaire consisted of three parts: part one, demographic characteristics part two, questions about cancer type, stage and duration, pain, acceptance or refusal of cancer by patient, decrease or loss of organs’ function and degree of fatigue, and part three, designed to investigate different aspects of quality of life, including questions about general appearance, physical activity, occupational status, social function and sleep. Descriptive and analytic statistics were used.

Results: The results showed that quality of life in majority of the subjects (66%) was moderate. There was a meaningful relationship between some of cancer characteristics like type of cancer (p=0.007), intensity of pain (p=0.007), decrease or loss of organs’ function (p=0.001) and degree of fatigue (p=0.0) with quality of life, but there was no meaningful correlation between acceptance or refusal of disease, duration of disease from diagnosis time and stage of cancer with quality of life.

Conclusion: It seems that there is a relationship between some cancer characteristics and quality of life. Attention must be paid to these aspects to improve quality of life in cancer patients.


M.r Tefag , A.r Nikbakht Nasrabadi , A Mehran , N Dinmohammadi ,
Volume 10, Issue 4 (10 2005)
Abstract

Introduction: Caring is the essence of nursing and medication process is an important part of nursing related interventions in the health care systems. Medical and/or nursing errors can lead to severe problems for both patients and nursing system. The purpose of this study was to investigate the ethical practice in medication process among nurses working in selected hospitals related to Tehran University of Medical Sciences.          

Materials and Method: This study is a descriptive–analytic research. Samples of the study were 305 nurses employed in adult units of selected hospitals. The research data gathering tools were a checklist and a questionnaire. Questionnaire included questions about demographic data and errors in medication process. Checklist included 17 questions related to expected behaviors regarded medication process. The researcher first completed the questionnaire and then the checklist was completed on two separate occasions at least 15 days apart. The data were analyzed using descriptive and analytic statistics such as Chi square, Fisher exact test and Pearson correlation coefficients.

Results: The majority of subjects were 26-35 years old, female and single. About half of nurses (49.6%) had undesirable performance in process of medication. Ethical practice had a significant correlation with type of ward (p=0.005), the mean number of occupied beds in a week (p=0.000), number of co-workers in the shift (p=0.001), educating (p=0.037), satisfaction with place of work (p=0.0043) and technical possibilities in the ward (p=0.029).

Conclusion: According to the results, the majority of nurses had an undesirable performance in medication process. It is suggested that managers, program planners and nursing teachers pay more attention to ethical practice in medication process in order to enhance performance of nurses in this field.


F Sistanehei , Z Goudarzi , R Rezapour , A Mehran , A Mahmoodi , M Gheri Tafreshi , H Ahmadvand , Y Shimodaira , M Ohara , K Emora ,
Volume 11, Issue 2 (5 2005)
Abstract

Introduction: It is necessary to understand that psychological reactions after a natural disaster are as complex as disaster itself. Following a catastrophic earthquake like Bam’s, such reactions can be seen in nursing team members as well.

Materials and Methods: This study is a descriptive cross sectional analytic research, conducted with cooperation of Japanese Nursing Association to identify somatic and psychological problems of nursing team members of Bam. A total of 92 members of nursing team affiliated to healthcare centers of Bam were studied. Data collection tools were 2 questionnaires first for evaluating demographic characteristics and general health and second- questionnaire of Goldberg and Williams- for evaluation of four domains of psychosomatic problems, anxiety and insomnia, psychosocial functioning and severe depression. Each domain contained seven questions, each scored from 0 to 3 based on Likert score. Complete score of general health was 0-84. Scores were classified in four groups: 0-20 as optimal, 21-4 as approximately optimal, 41-6 as approximately suboptimal and 61 and higher as suboptimal.

Results: One year after the earthquake, evaluation of general health of nursing team members showed 30.3% of subjects had optimal psychosomatic status, 34.8% had moderate problems of anxiety and insomnia, 40.2% had approximately optimal psychosocial functioning and 44.2% of subjects were not severely depressed. Overall, 38.4% of nursing team members had approximately optimal general health.

Conclusion: This study showed that following a catastrophic earthquake, most of the victims suffer from several psychological and somatic reactions. In addition to on time rescue procedures, other important allaying factors are cultural and religious values and believing in God.


F Amirmoradi , A.m Memari , T Ramim , A Mehran , Kh Khosravi ,
Volume 11, Issue 2 (5 2005)
Abstract

Introduction: Self-burning is a cruel method of suicide and prevention is the most effective way to decrease its morbidity and mortality.

Material and Methods: This investigation is a descriptive prospective study performed at Shahid Motahari Burn Center, Tehran, Iran from December 2001 to December 2002. Inclusion criteria included being female, married, having no history of medical and mental disorders and admission of self-burning. Data were collected by a questionnaire and interviews and were analyzed with descriptive statistics methods and chi-square test.            

Results: A total of 35 cases entered our study. The mean age of patients was 24.573.94 years and 48.6% of cases were in the 21-25 year age group, 80% had primary school education, 97.1% were housekeeper and 68.8% had low economical status. There were statistically significant differences in all of these variables. In 42.9% self-burning had happened at 12-18 hour period and in 45.7% it had occurred at yard. Kerosene had been used by 91.4% of the women as the burning agent 94.3% of the women had experienced husband’s violence (verbal and physical), 60% of the women stated that their husbands were guilty in their action and 91.4% of the women didn’t know any supportive sources in the society. The mortality rate was 100%.

Conclusion: This research showed that family violence and marital problems are the most important causes of self-burning in the married women. Because of close relationship to families, community health nurses can prevent self-burning in married women by detecting and eliminating these risk factors.


R Karimi , T Taghavi Larijani , A Mehran , F Ghaljaei ,
Volume 11, Issue 4 (5 2006)
Abstract

Background & Aim: In order to present any level of education and care of children by nurses, there is need to be a strong and favorite interrelationship between parents and their children. Background of this relationship must be recognized in texture of family (parental control) and regard to the duty of nurses continuance of family relationship is necessary. At the same time it must be adopted policies to compatible with child mentality and help to reduce his/her anxiety.

Methods & Materials: This study is a descriptive correlation research to determine association between patterns of parental style of control with adolescents anxiety, it performed in Ten schools in Tehran in this research data have been collected with two questionnaire for (student, parents) the samples was consisted 370 students (13 to 15 years) and their parents, these instrument consisted demographic characteristics (for student and parents), Physiological indicator anxiety (for parent), and Reynolds and Richmond anxiety test for students. The data were the Analyzed by (SPSS) computer software.

Results: Result show that Anxiety in the student was 33% and Anxiety 7.6% and student have been Authoritarian parents had high score of Anxiety 92%. This finding shows a significant correlation between Anxiety and parental style of control (p<0.05).

Conclusion: According to the finding parent style control has important role in mental health of children. School nurses can important role in education of best style control of parenting with adolescents and decries of Anxiety from it.



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