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This is a retrospective descriptive - analytical study on determination of the relationship between breast cancer and first class familial background in women suffered from breast cancer in hospitals of Tehran university of medical sciences in 1997.The investigated units consisted of 659 women suffered from breast cancer. The samples were randomly assigned into 2 groups, 320 women suffering from breast cancer in case group and 339 healthy women ranging in age from 25 to 64 in control group. The following criteria in two groups were considered: age, pregnancy before 35 years of age, the nonexistence of late menopause and pubertas praecox, and not using contraceptive pills.The background of the first class familial of the samples were compared. Furthermore, the background of breast cancer in mother, sister, mother and sister, two sisters (unilaterally or bilaterally) before and after menopause was compared.To collect data, a questionare was used.The results indicated that there was a significant statistically relationship between breast cancer and first class familial background (P=0.0002). Besides, the background of breast cancer in mother, sister, mother and sister unilaterally and before menopause was significantly related to suffering the patients from breast cancer (PO.05). However, there was no significant relationship between the background of breast cancer in two sisters unilaterally before and after menopause and suffering the patients from breast cancer.

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Introduction: A balanced and proper diet is an essential factor in maintaining individual’s health. The improvement of feeding in different age groups, especially children, is considered a significant step in primary health care.

Materials and Methods: This research is a descriptive and analytic study. A sample of 225 mothers whose babies were between 0-24 months and who were referred to selected centers were chosen, using random sampling. The tool was a questionnaire. To analyze the data, the descriptive statistical, frequency distribution charts, the mean and central tendency as well as inferential statistics (2 test and Pearson correlation) were applied.   

Results: The findings of the research showed that there is a meaningful relation between variables of age, occupation, the method of the last delivery, inclination of mother to the breast feeding, age of fetus at the time of birth, hospitalization of the neonate, the time of first breast feeding after the childbirth, the quality of baby’s nutrition while he is hospitalized, the quality of the baby’s first nutrition, the time of starting aid-feeding, using the aid-milk and using the pacifier by the baby with the duration of breast feeding. Such a relationship was also found between husband’s idea about the breast feeding, examination of the breast during the pregnancy, teaching the advantages of the breast feeding and its correct method during the pregnancy, the place of the last childbirth, teaching the importance and the correct method of breast feeding after the childbirth, an encouraging and supporting husband concerning breast feeding, presence of the mother and the baby in a same-room after the childbirth, manner of arranging the intervals and times of the breast feeding, breast feeding during the night, renewed pregnancy and the duration of breast feeding in each session with the duration of breast feeding.

Conclusion: According to the findings of the research, different factors affect duration of the breast feeding. Necessity of the midwife’s attempt to instruct mothers during pregnancy and after childbirth was affirmed. The necessity of instruction of the medical groups about breast feeding is also made clear more than before.

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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.

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Introduction: Cesarean section (CS) is more dangerous than normal delivery for mothers and neonates. Rates of CS in our country are very high, especially in Guilan province (57.6% in urban areas). The claim that a major reason for these high rates is maternal request, hidden behind of the routine medical diagnoses, was the basis of present study.

Materials and Methods: A total of 210 pregnant women in Rasht who were at 36-40 weeks of pregnancy and had chosen CS as their delivery method without previous history of CS or any medical reason were included in this study. Cluster sampling was performed at health-treatment centers of Rasht. Data were collected by interview and a questionnaire was completed by the investigators. Statistical analyzing was performed by descriptive and analytic methods (Chi square and Fisher exact test).

Results: The majority of participants (68.6%) had moderate knowledge about benefits and harms of CS and most had taken their information from relatives and friends. The majority of women (71.4%) had moderate attitude toward CS. More than 50% of the mothers had chosen CS for following reasons, in decreasing order of frequency: child&aposs health, fear of pain, stress and anxiety, prevention of genital tears, fear of vaginal exams, prevention of deformity and relaxation of genitalia and shortening of delivery time. There was a significant relation between some of the demographic factors or obstetrical history, level of knowledge and kind of attitude with some of the reasons of choosing CS for example, age, level of knowledge (both p<0.05) and kind of attitude (p=0) with fear of pain.

Conclusion: Reasons for choosing CS by the medically low risk mothers are not medically acceptable and midwives and the other health workers can successfully explain this to mothers. They can also support pregnant women informationally, emotionally and socially in different ways such as holding childbirth preparation classes. In this way they can influence women&aposs decision about method of delivery and promote mothers&apos and neonates&apos health by decreasing CS rates.

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Background & Aim: Communication is one of the basic concepts which nursing students must learn. Nurse instructors&apos behaviors have key role on effective clinical education. The aim of this study was to assess the effect of situational leadership model on nursing students&apos communication competency.

Methods & Materials: In this before-after trial, we recruited the students who had medical & surgical practicum in the second semester and summer of 1385-86 in public hospitals in Arak. They were selected randomly and then allocated to case (n=40) and control (n=35) groups. In the first week of practicum (before), we measured the students&apos communication competency using a self-structured questionnaire. For intervention, we defined behavioral objectives and designed a diagnosis form for identifying level of maturity and a feedback form for the students. After orientation of the students with behavioral objectives, we accompanied with main instructors based on their maturity levels in caring and applied effective leadership style. Along with the practicum period, we supervised the students&apos level of maturity in different nursing care skills. In the end (after), we measured the students&apos competency. We analyzed the data in SPSS, version 13.

Results: The results showed that there was significant difference before and after the intervention (P<0.001). Also, there was significant difference between two groups (P<0.001). Self-evaluation showed no significant differences between students&apos competency in two groups (P=0.335).

Conclusion: The situational leadership model would promote nursing students&apos communication competency.

 

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Background & Aim: Implementation of the motivational program by nurse managers can improve nurses&apos performance and behaviour, provide better care for patients, and promote patients&apos satisfaction. This study aimed to determine the effect of implementation of the motivational program designed using "Expectancy Theory" by head nurses on patients&apos satisfaction.

Methods & Materials: This was a quasi-experimental study conducted in medical and surgical units of two hospitals in Zanajn in 2011. Data were gathered using a patient satisfaction questionnaire. The reliability of the questionnaire was confirmed (α=0.72). Fourty participants were selected and allocated in two study groups. The groups were matched for some variables before the intervention. The motivational program was implemented in the intervention group for five months. The program had two designing and implementation phases including: 1) determining nurse managers&apos expectancies from nurses, assessing nurses&apos attitudes about valuable rewards, founding reward management committee and management improvement committee, and providing evaluation checklists for nurses&apos performance 2) implementing standards of nursing care and patient education by nurses, monthly evaluation of nurses by head nurses and collaborative members of the reward management committee, determining level of rewards based on the results of nurses&apos performance evaluation, and giving reward to nurses at the end of each month in a reward ceremony. Data were analyzed using the Paired t-test, Independent t-test, Mann-Whitney, and Chi-squared in the SPSS v.16.

Results: There were no significant differences between the two groups at baseline dealing with the demographic variables. The results showed that patients satisfaction was significantly higher in the intervention group after the intervention (P<0.05).

Conclusion: This motivational program designed based on the "expectancy theory" has clear steps to be implemented among nurses and can be used as a practical guide by nurse managers to improve patients&apos satisfaction.