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Showing 20 results for Monjamed

Z Monjamed, F Nik Shekarnia, S  varaei, N Bahrani,
Volume 5, Issue 3 (1 1999)
Abstract

This study is a descriptive research in order to determine educational facilities and present the kinds of program staff development of nursing officeinhospitalsofuniversity of medical sciences and health services in Tehran, IRAN. The purpose of this research was determinated of the educational space (clossroom, library, Lecture and conference room), educational equipment, educational staff patterns, kinds of nursing staff development program and comparing between educational facilities and present the kinds of nursing development program of nursing office in three medical science university in Tehran. The units that participated in this research was 41 educational facilities and kinds of nursing staff development program of nursing office in three medical science university in Tehran (Tehran, Iran and shahid Beheshti) and no samphing was made. The tools was check list and Questionnarie. Each variable compared with educational standards of hospitals. (Standard 1100% excellent, desire was above 75% and undesired was under 75% and each 100 active bed haveing one educational supervisor).The finding indicated that scale confirmity with standard about educational space in three university was 50% (undesirable) and about educational equipment was 56% (undesirable) and about educational staffing pattern was 79% (desirable) and present kinds of nursing staff development was 56.5% (undesirable). The finding indicated that university medical of science Iran 66.5%, Shahid Beheshti 59.76% and Tehran 55.3% Scale confirmity with stundards have prossess.
F Ramezanzadeh, F Vasegh Rahim Parvar, Z Monjamed, M Mahmoodi,
Volume 5, Issue 3 (1 1999)
Abstract

The objectives of this research are determine the difference in the effect of "Syntocinon" and "Syntocinon and Methergine" on postpartum blood loss as well as the side effects arising from administration of methergine.The number of subjects, under study was 108. The subjects were divided into two grups of 54. All subjects received an intramuscular injection of 10 units of Syntocinon after delivery of baby, while one group received, in addition, an intramuscular injection of 0.2 mg. of Methergine, after delivery of placenta. Then the amount of hemorrhage within 24 hours after delivery, determined by Higham's pictorial chart, the postpartum hemorrhage (P.P.H.) determined visually and experimentally, the difference of hemoglobin and hematocrit measured before and 24 hours after delivery, in two groups were compared. The statistical tests showd no significant difference between any of the particulars of the subjects in the two groups.As shown by the results, that the average hemorrhage in "Syntocinon" group was 145.56 ml. Meanwhile, there were three cases of postpartum hemorrhage (5.6%) in this group. The average hemorrhage in "Syntocinon and Methergine "group was 130 ml. wih two cases of postpartum hemorrhage (3.7%). The statistical tests showed no significant difference between average hemorrhage and cases of postpartum hemorrhage (p = 0.5, df=l) in both groups. These findings were objectively confirmed by the comparison between hemoglobin and hematocrit before and 24 hours after delivery in both groups, suggesting no significant difference between the two groups as regards, pre-and post delivery hemoglobin and hematocrit differences.The findings also suggest that there is no significant difference between the groups as regards the incidence of nausea, vomiting, chest pain, dyspnea, headache, mild and severe after-birth pains, backache, Systolic blood pressure of 140 (mmHg) and higher as well as diastolic blood pressure of 90 (mmHg) and higher. However, There have always been significant differences between the average systolic and diastolic blood pressures as measured 6,15,30 and 45 minutes as well 1, 2, 3 and 4 hours after delivery of placenta, as compared to pre delivery ones (p<0.05).
Z Monjamed, N Sharifi, N Bahruni, A Memari,
Volume 5, Issue 3 (1 1999)
Abstract

To study and determine the educational needs of nurses after graduation in order to make them further capable, aims at promotion of their occupational standards and betterment of this profession. By means of this study we can identify their needs and make necessary planning to reduce the resultant shortcommings and problems. The present research is a descriptive and analytical study conducted to survey the educational needs of nurses regarding non-pharmacological methods of controlling chronic pans in patients at medical surgical wards of the hospitals of Tehran University Medical of Sciences. A total of 119 nurses working at one of these wards participated in this research. The tool for gathering the information was a three-part questionnaire. The first part deal with individual particulars, the second part was about questions regarding the feeling needs of nurses an the third part was about questions regarding the educational needs of nurses. The findings showed: As for the feeling needs, nurses needed training , as for the level of educational needs regarding the concept of pain (69.7%), characteristics of chronic pains (52.9%), guided imagery method (50.4%) of nurses were in need of a high level of training and regarding the progressive muscle relaxation (68.9%) of nurses were in need of a medium level of training. The results revealed the connection between some individual particulars with the level of educational need, to the extent the age, clinical work experience, work experience in medical and surgical ward and the type of ward affected the level of educational need, and by using the Pearson Coefficient a meaningful statistical difference appeared, in other words, as the years of service increases , the level of knowledge decrease and the educational needs rise up.
Z Monjamed, K Khosravi, G Babaei, S.f Jalali Nia,
Volume 6, Issue 2 (11 2000)
Abstract

This reasearch is a discriptive study. the purpose of this study was to assesspatients' knowledye , attitude and practice with coronary artery diseases and of their family . member about theraputic Regimen advises . In this study , 50 patients with Coronary artery diseases and 50 members of their family have been studied randomly . Two questionnaires were prepared, one for patients and another for their families, which both of them included 4 parts as follows : Demographic data, question related to knowledge, the kind of attitude and quality of practice .Then the Scores of patients > knowledge and also their family's were determined Separately and the relation ship between their variables together in patients with their family w&s measured.The results of investigation showed that, most percentage of patients and their family possesing high knowledge and positive attitude about theraputic regimen and most percentage of patients have had disireable practice and their families have had non - disireable practice.The results showed that there was a significant relation between patients >knowledge and their attitude , and between their familys > practice and their attitude.
P Hajamiri, Z Monjamed, F Tabari, N Bahrani,
Volume 6, Issue 2 (11 2000)
Abstract

This research is a descriptive- analytic study which has been conducted inorder to determine the degree of tuberculous patients knowledge of their tubereulosis disease and its relation to therapeutic regimen in Tehran TB control centers.In this research , 120 tuberculous patients calling on tuberculosis control centers in Tehran andbeing under drug therdpyfor about 2-9 months were selected as subjects in this research . sampling hasbeeneasyaswellashaphazardlydatawasgatheredthroughaquestionnaire. the questionnaire used in this research includes 3 section . After gathering the data, descriptive and deductive statistics used in order to analyse the data more over, chi-square and fisher Exact Test used to study the relation between the knowledge variables and therapeutic regimen in accordance with demographic characteristics and chouporof coefficient used to determine correlation intensity.Research results concerning units under investigation showed that the majority on insufficient knowledge of their disease which the minority (%18) had a sufficient knowledge, the majority (%62) had a proper drug therapy while the minority (%1) did not the majority (%72) did not Take a efficient diet while the minority (%2) took a proper diet, the majority (%58) medium personal Health care while the minority (%15) folllowed a good personal health care, and generally the majority (%47) had a medium therapeutic regimen while the minority (%11) did not have sufficientRegarding the relation between the degree of knowledge and thrapeutic therapy which was the main objective in this research,the result ofperson,s correlation coefficient (z= 7.88, r-o.62 jshowed a direct correlation in such a manner that the degree of knowledge will increase with quality of therapeutic regimen.
Sh.s Basampour, Z Monjamed, A.r Nikbakhtnasrabadi, Gh Babaie, M Moshtaghian,
Volume 10, Issue 1 (6 2004)
Abstract

Introduction: It is necessary to give the essential educations to the patients and their families during hospitalization and after discharge. We conducted this study with objective of determining educational needs of patients undergoing CABG and their families at discharge and one month later.   

Materials and Methods: This research is a survey study. 60 patients and 60 members of their family who were selected by simple randomization. Data were collected by questionnaire. The questionnaire was prepared in two parts questions about disease and demographic characteristics and specific educational needs about wound care, activity and rest, drugs, nutrition and other needs of patients and their family. The data were collected in two stages: at discharge and one month later and analyzed with SPSS software. Descriptive and inferential statistical methods (t test,  test and variance analysis) were used to analyze the data. Results: At discharge, most of the patients and their families had respectively moderate and high levels of educational needs. Both groups had moderate educational needs about rest and activity, drugs use (general educational needs), nutrition and other needs. Patients have low but their families have high educational needs about drugs use (special educational needs). At one month after discharge, most of the patients and their families had moderate educational needs in all of the mentioned categories. The t statistical test didn’t show significant correlation between educational needs at discharge and one month later in patients and families. The  test showed significant differences between educational needs of the patients and their families (p=0.036) at discharge but didn’t show such a difference one month after discharge (p= 0.558).

Results: showed a significant relationship between educational needs and level of education.

Conclusion: Since most educational needs of the patients and their families concern the uses of drugs and wound care, and also most patients were unable to count their pulse, we suggest nurses pay more attention to these problems and give the essential training to the patients and their families.


Z Goudarzi, M.r Tefagh, Z Monjamed, A.m Memari, P Kamali,
Volume 10, Issue 1 (6 2004)
Abstract

Introduction: Nowadays continuing education is considered an essential part of nursing education. This study was planned to evaluate the effect of continuing education of neonatal intensive care nursing on knowledge and the practice of nurses who were working in the children’s hospitals.

Materials and Methods: A semi-experimental study was carried out including 42 nurses of the children’s hospitals affiliated to Tehran University of Medical Sciences during 18 months in 1999- 2000. The data were collected by a questionnaire and a checklist. The questionnaire included demographic information and 60 multichoices questions based on the knowledge of the neonatal intensive care nursing. The observation checklist contained 5 parts, how to establish: resuscitation operation, endotracheal suction, management of the patient under mechanical ventilation, nasogastric tube insertion and feeding by gavage. At the end of the training courses the questionnaire and the checklist were completed again individually. The result of the pre and post tests and checklist were compared in the areas of knowledge and practice. The data was analyzed by 2 and paired t Student test.

Results: Statistical analysis showed a meaningful difference in the knowledge and practice after the continuing nursing education (p<00001).               

Conclusion: This research revealed the positive effect of the continuing nursing education on the knowledge and the practice of the nurses who were working in the pediatric wards. It is important to consider the continuing nursing education program to promote the health care system.


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.


N Salmaani Barough , T Taghavi Larijani , Z Monjamed , N.d Sharifi , ناصر Bahrani ناصر ,
Volume 10, Issue 4 (10 2005)
Abstract

Introduction: Stress is a complex and physiologic phenomenon that sometimes can be a source of problem. If an individual could not cope with stress, it would be a threat to physical and psychological health. Inclination to cope with stress is a positive way which helps one to improve his/her health.

Materials and Methods: This research is a quasi-experimental study with the aim of determining the effect of education of methods of coping with stress on rate of stress among women working at Tehran University of Medical Sciences. After primary study, 138 cases were chosen through census sampling. The collection tool was Chaudron stress scale. The statistical tests included t test and 2. Data were analyzed by SPSS software.         

Results: The result showed that there was no significant difference between level of stress before and after education in domains of job stress (p=0.22), life health stress (p=0.53), personal life stress (p=0.44) and personality stress (p=0.1). Also the statistical result of X2 did not show significant correlation between variables such as type of school, age, duration of work, marital status, number of children, educational level and housing condition with job stress.

Conclusion: The result showed that work environment is an important source of stress for working women. It could have undesirable effects on physical and emotional health of women. It seems that short term education can not decrease the stress of women therefore it is necessary to organize different long-term education programs, consultation and other strategies to reduce stress.


Z Monjamed , T Ghorbani , F Mostofian , R Oveissipour , S Nakhost Pandi , M Mahmoudi ,
Volume 10, Issue 4 (10 2005)
Abstract

Introduction: Level of job satisfaction reflects positive or negative attitude of person toward his/her job and is influenced by many factors. Job satisfaction of nursing personnel directly affects their quality of care. Attention to this issue means attention to community health.

Materials and Methods: This study is a descriptive, cross sectional research, conducted to identify the level of job satisfaction of nursing personnel of health, therapeutic and medical education centers of the entire country in the year 2001. Sample size was 4000 and nurses were selected through random stratified sampling method. Data collection tool was questionnaire of Herzberg job satisfaction which was sent by mail. Job satisfaction was classified into three levels: low (0-33.33%), moderate (33.34-66.67%) and high (66.68-100%).

Results: We received back a total of 3029 questionnaires. Results showed that the majority of nurses had moderate level of job satisfaction in domains of working place situation (62.9%), relationship with colleagues (69.6%), professional situation (74.3%), supervision and administration (57.6%), managerial policies (50%) and personnel life in relation to the job (80.6%). Job satisfaction level was low in domains of job security (63.5%) and salary and benefits (77.3%). 2 test showed a significant relationship between age, job position, level of education, job experience, over time working, type of over time working, type of accommodation and participation in continuing education programs and job satisfaction.

Conclusion: As a whole, the level of job satisfaction of majority of nursing personnel was moderate and the majority of subjects were not satisfied with welfare possibilities of their job. According to the research results it is recommended that the authorities try to increase the salary and financial benefits of nursing personnel and also to develop welfare possibilities of this class of community.


Z Parsa Yekta , N Salmaani Barough , Z Monjamed , F Farzianpour , M.r Eshraghian ,
Volume 11, Issue 2 (5 2005)
Abstract

Introduction: Evaluation is a systematic process for collecting, analyzing and interpretation of the obtained information for the purpose of investigating how much the objectives in mind can be achieved. Education in an academic educational system means bringing about proper and increasing changes that affect the outcome of this system, that is affecting the students, and the aim of such evaluation was promotion of the quality of an education process.

Materials and Methods: In this study faculty of nursing and midwifery, Tehran University of Medical Sciences, benefiting from opinion poll of university lectures, student and graduates have evaluated their system of educational in the year 2004 and their aim was to remodel and adjust educational system with the society’s needs and promotion of the quality of such education’s. The employed method was cross sectional and descriptive and analytical on the basis of 10 procedural steps and with in 8 sections dealing with evaluated factors. Such as faculty board members, management and organizational capability, students, manpower and logistic affairs, educational environments research work centers, health and therapeutic sections, educational equipment, research equipment, laboratory and diagnosis centers, educational courses and programs, teaching and learning process as well as satisfaction expressed by students.

Results: the results of the research showed that general average of 8 investigating sections, based on SWOTs model were respectively 80.4% (nursing department), 81.5% (Midwifery department) and 82.1% (Ph.D nursing) that may well be interpreted as a desirable research work.                        

Conclusion: Educational evaluation is the best indicator showing how much we should go to achieve certain aims, analyzes quality of the activity if such a system and by which we achieve logical and routine results.


S Samiei , Z Monjamed , A Mehran , Z Taheri Azbarmi,
Volume 11, Issue 4 (5 2006)
Abstract

Background & Aim: Family history of one member suffering from hepatitis B of family is one of the most important ways of illness transmission in Iran. Thus attention to quality of self care of patients of hepatitis B family has vital role in prevention and control in family and society.

Methods & Materials: This research is descriptive study. Samples of this research included 250 patients which 160 persons belonged to simplex hepatitis B families and 90 persons belonged to multiplex hepatitis B families. Patients refer to the center of blood transfusion organization from all of area of Gillan province. In this study data has collected by patens’ questionnaire include: demographic qualifications that were designed in two parts 1- individual qualifications and illness qualifications and questions were about quality self care of drug regimen meal regimen, addictions, precautions standard, fallow up disease and diagnostic quality self care in these groups has been analyzed in SPSS statistical soft ware by statistical tests such as 2 test and fisher test. (p<0.005).

Results: Our results show that (%64) patients of simplex family and (85.6%) patients of family multiplex have not suitable quality self care. In response to hypothesises (there is relationship between quality of self care of patiens members in family and increasing of HBSAg cases) findings show that exists meaningful relation between self care about hepatitis B and increasing cases HBSAg in families (p<0.05).

Discussion: Regarding to dimensions of quality selfcare about hepatitis B disease has important role in preventing from increasing cases HBSAg in families. Particularly regarding to results of research which indicate unsuitable quality self care of patients about drug regime “diet or therapy” “addictions” follow up disease. Therefore in order to control the hepatitis B in family according to the results of this study it is suggested further efforts should be down. The results of this study can be used for other patients infectious such as hepatitis c and Aids.


T Taghavi Larijani , Z Monjamed , A Mehran , F Gharahi Ghehi ,
Volume 12, Issue 1 (5 2006)
Abstract

Background & Aim: Disorders of intelligence is associate with lack of growth in physical, social and educational dimensions. Also it can cause many problems for patient and their family in context of care and maintenance of patient. Psychiatric nurse recognize this problems and helping to resolve them. They can play the effective role to acceptance of mentally retarded adolescent by their family.

Methods & Materials: This research is a descriptive analytical cross-sectional study. Out of research population 406 subject were selected among sponsors of mentally retarded adolescent through convenient sampling (199 subjects had accepted their young adults in their families “daily class” and 207 subjects who had repelled their mentally retarded children “nightly class”) Data were collected through interview and filling questionnaire. And then were analyzed through SPSS software by using descriptive statistics and statistical tests like χ2 and t-test (in depended group).

Results: Findings of this research showed that among demographic characteristics of clients like age, level of education, causes and extent of mental-retardedness of Adolescents and acceptance by the family there is a significant correlation (p<0.05). There are also meaningful relation among individual factor such as ability to wear clothes, ability to feed, observing individual hygiene, precedence of lack of control on urine and stool, precedence of sleep disorder in form of insomnia, record of sensitivity and quick resentment, affliction to psychological disease, the problem of setting up communication with others, profile of hurting oneself and others, making noise and disturbance for others and background of escaping from home, and acceptance of mentally retarded young adult by family (df=1 p<0.001).


Z Monjamed , M Ali Asqharpoor , A Mehran , T Peimani ,
Volume 12, Issue 1 (5 2006)
Abstract

Background & Aim: Achieving to desire patients quality of life can result to programming for make use of strategies for prevention and control chronic complications of diabetes and promote quality of life.

Methods & Materials: This research is a descriptive and cross-sectional study. The purpose of this study was to assess the quality of life among 310 diabetic patients with chronic complications. The data were collected through interview. The tool of data collection was the questionnaire that consisted of two parts, demographic and disease charactristics, and questions about dimentions of Quality of life. Score were analyzed by descriptive and infrerntial methods (Chi square, Fisher exact test, and Pearson correlation coefficient).

Results: The findings of research showed that quality of life in majority of the subjects (71%) was moderate. The most percent of the health perception (68.3%), mental health (67.7%), Physical functioning (56.1%), and social/ role functioning (54.8%) of the quality of life were moderate. Also there was no relationship between the number of complications and Quality of life. Also there was a significant relationship between demographic variables [age (p=0.028), sex (p<0.001), BMI (p=0.024), grade (p<0.001)] and Quality of life.

Conclusion: According to the results of this study, quality of life in majority of patients with chronic complications of diabetes was moderate.


F Noghani , Z Monjamed , N Bahrani , V Ghodrati Jablo ,
Volume 12, Issue 2 (5 2006)
Abstract

Background & Aim: Chronic illnesses, such as cancer, can cause changing in self-esteem. This study has been perform to compare the self-esteem between male and female cancer patients.

Methods & Materials: In this research 101 patients (51 women and 50 men) with different types of cancer (solid tumors and leukemia) have selected by simple sampling method. The tool for gathering data was a questionnaire, with three parts: demographic characteristics, disease characteristics, and Cooper smith self-esteem inventory. Data collection was done through interview, patient’s charts and patients self-report. The descriptive and analytic statistics have been used and the exams were “chi-2” and “Fisher”, through SPSS software.

Results: This study showed that the majority of cancer patients in male and female group have moderate level of self-esteem. There is no significant difference in self-esteem of men and women with cancer and the majority of them (84.3% women) and (%76 men) have moderate self-esteem, but noticeable difference between men and women is connected to the variables that are related to self-esteem, whereas, men’s self-esteem has not any significant meaningful relationship with demographic variables, meanwhile, variables of being under support of somebody (p=0.005) and having caregivers at home (p=0.039) have a meaningful relationship with women’s’ self-esteem. Among the diseases’ characters change or decrease in function of different parts of body has a meaningful relationship with men’s (p=0.014) and women’s (p=0.005) self-esteem. Constipation is the only other variable related to men’s’ self-esteem (p=0.071), but about women there are some variables related to the self-esteem of them consist of duration of amputation (p=0.018), anorexia (p=0.001), alopecia (p=0.027) and fatigue (p=0.021).

Conclusion: It seems that, in comparison between tow genders with cancer although the women’s self- esteem is related to more variables than men, but, recognition and specify these variables can help nurses to design an effective care-plan to meet the gender-specific needs.


Sh Golyan Tehrani , Z  monjamed , A  mehran , L  hasheminasab ,
Volume 13, Issue 1 (4 2007)
Abstract

Background & Aim: Working conditions in some professions particularly among health care providers result in exposure to various stressors in daily work life that can affect mental health status. Regarding specific conditions that midwives encountered in their workplace, this study investigates mental health status among midwives working in Tehran&aposs public hospitals and its related factors.

Methods & Materials: In this cross-sectional study all midwives working in Tehran&aposs public hospitals who had inclusion criteria (n=370) were studied. Data were gathered using GHQ-12 questionnaire and then were analyzed using chi-square statistical test.

Results: The results showed that 35.1% of subjects had not good mental health. Midwives&apos mental health was significantly related to their educational level (P<0.001), economic statue (P=0.04), marriage status (P<0.001) and shift work (P=0.02).

Conclusion: Regarding high prevalence of poor mental health status among midwives, it is recommended to investigate related occupational factors in order to improve working conditions of midwives working in hospitals.


F Tabari , M  zakeri Moghadam , N  bahrani , Z  monjamed ,
Volume 13, Issue 2 (5 2007)
Abstract

Background & Objective: The chronic diseases such as cancer could seriously affect health and consequently quality of life of individuals. The purpose of this study is to evaluate the quality of life in the patients who have been recently diagnosed with caner.
Methods & Materials: This research is a descriptive - analytical study aims to determine quality of life in newly diagnosed cancer patients in selected oncology clinics of Tehran University of Medical Sciences. In this research, 196 newly diagnosed cancer patients were selected by simple sampling method and based on aim. The data were collected by a questionnaire including demographic data, disease characteristic and questions about quality of life in physical, physiological and socioeconomic aspects. The socioeconomic questionnaire presented to the patients after his/ her permission and giving necessary descriptions to him/ her about the objectives of the research. The questions were read for illiterate patients by researcher. The SPSS program was used for data analysis. Descriptive statistics such as absolute/ relative and average sufficiency and deductive statistics such as 2 test were used as well.
Results: The research results show that the quality of life in physical aspect is desirable in majority (67/9%) of patients. The quality of life in physiological aspect is desirable in majority (63.3%) of patients and as well the quality of life in socioeconomic aspect is desirable in majority (76.5%) of patients. The research conclusion shows that there is a meaningful relationship between number of children and economic status (P<0.001) and quality of life in physical aspect. There is a meaningful relationship between economic status with quality of life in psychological aspect and with quality of life in socioeconomic aspect (P<0.05). There is a meaningful relationship between type of cancer, disease stage at the time of diagnosis (P<0.001), and quality of life in physical aspect. There is a meaningful relationship between disease stage (P=0.002), and quality of life in psychological aspect and quality of life in socioeconomic aspect (P<0.05).
Conclusion: The research result shows that the quality of life in physical, psychological and socioeconomic aspects is desirable in the society. Thus the nurses can play an important role in increasing the quality of life of such patients.
T Taghavi Larijani , F  ramezani , A.r  khatoni , Z  monjamed ,
Volume 13, Issue 2 (5 2007)
Abstract

Background & Objective: Nursing and Midwifery students experience different and numerous sources of stress. Stress is a complex phenomenon that may be experienced by all. Nursing and midwifery students have multiple sources of stress due to their work environment. In order to reduce their stress and prevent the complications, all sources of stress should be recognized. This study was carried out to compare sources of stress between midwifery and nursing students of Tehran universities of medical sciences.

Methods & Materials: This is a cross-sectional study. All senior midwifery and nursing students of Tehran and Shahid Beheshti Universities were invited to participate in the study (n=380). Data were collected using a questionnaire including demographic section (15 questions) and sources of stress of educational environment, clinical environment, and social-personal problems (54 items). Data were analyzed using SPSS and tested with chi-square test.

Results: 363 students participated in the study. Research findings showed that the followings are the most cited sources of stress among the students: ambiguous professional view, incompetent professional knowledge after graduation, caring for terminally ill patients, discordance between theory and clinical education, concerns about employment. Also results showed that there were significant differences between some sources of stress and the study programs.

Conclusion: The nursing and midwifery students had numerous sources of stress in the educational, clinical, and social-personal domains of their life that can affect their physical and psychological health and cause learning problems. Using appropriate approaches to control and manage these sources of stress are recommended


A Manokian , Sh  pedram Razi , Z  monjamed , S  faghihzadeh ,
Volume 13, Issue 3 (6 2007)
Abstract

Background & Objective: Job satisfaction is the person&aposs attitude toward his/her work. Increasing nurses&apos job satisfaction result in better quality of nursing care and reduces the number of nurses who leave their job. Conditions of different wards of hospitals can affect nurses&apos job satisfaction. The aim of this study is to compare nurses&apos job satisfaction in oncology and delivery wards.

Methods & Materials: This is a cross-sectional comparative study. A total of 144 nurses (94 nurses in oncology and 50 nurses in delivery wards) of Tehran University of Medical Sciences hospitals participated in the study. Data were collected using a questionnaire. Data were analyzed using descriptive and inferential statistical test (chi-square).

Results: Comparison of the global job satisfaction among oncology and delivery nurses, indicated that there was no statistical significant relationship between them from working in a specific ward point of view (P=0.637). Also there was no significant relationship between intrinsic job satisfaction and working in a specific ward (P=0.966). There was statistical significant relationship between extrinsic job satisfaction and working in specific ward (P=0.039).

Conclusion: Considering that extrinsic job satisfaction of oncology nurses were low, reconsideration about specific conditions of oncology wards and taking efficient measures in improving nurses&apos extrinsic job satisfaction (especially oncology nurses) is essential.


Z Monjamed , Sh  varaei , A  kazemnejad , F  razavian ,
Volume 13, Issue 3 (6 2007)
Abstract

Background & Aim: Rheumatoid arthritis is one of the most common chronic diseases with unknown causes and it is the most important cause of disability especially in adulthood that can have a considerable impact on patients&apos quality of life.

Methods & Materials: This is a cross-sectional study. One hundred and ninety patients with rheumatoid arthritis referred to rheumatology clinic and rheumatology wards of Tehran university of Medical sciences&apos hospitals were randomly selected. The data were collected using a two-section questionnaire including demographic and disease characteristics, and quality of life questions. All analyzes were carried out using SPSS statistical software.

Results: The result showed that quality of life of %50 of patients was high and moderate and the other 50% had low quality of life. Approximately 50% of the patients reported that they have no problem in their physical, socio-economic, mental, sleep and rest, and general health regarding rheumatoid arthritis. There were significant relationships between age, marital status, employment, duration of the disease, physiotherapy, and family income with the quality of life.

Conclusion: The results showed that quality of life in half of the patients (%50) was low. Determining the patients&apos quality of life result in designing proper programs and strategies for prevention and control of the disease that result in promoting quality of life.



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