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Study of Mental health and its Relationship with Family Welfare in Pre-university Students in Salmas City in 2010
Mr Moradali Zarei Pour, Mr Hasan Eftekharardabili, Mr Kamal Azam, Mr Ehsan Movahed,
Volume 9, Issue 1 (8-2012)
Abstract

  Background and Objective : Mental health of adolescents largely depends on family welfare. In secondary school period, most of teenagers’ talents can emerge and at the end of this time, they acquire social skills and independent identity.­ We aimed at evaluating the mental health and its relationship with family welfare in pre-university students in Salmas city.

  Material and Methods : The subjects of this cross-sectional study were 160 pre-university students selected via stratified random sampling, based on gender. We collected the data by standard GHQ-28 and research-made family welfare questionnaires, and analyzed by chi square and logistic regression, using SPSS software.

  Results: Based on the results, 48.9% of girls and 35.7% of boys are suspected to have mental disorder. The percentage of mental disorder among Students whose family welfare are excellent, intermediate and poor is 22.2%, 48.8% and 61.1%, respectively. Using chi square, there is significant relation between variables such as living with parents, maternal education, parental cohabitation, number of family members and all aspects of family welfare and mental health (p<0.05). By performing logistic regression, using Backward method, significant relationship is shown between mental health and variables such as gender, maternal education, parental cohabitation, leisure activities , economic status and family facilities (p<0.05).

  Conclusion: The relationship found between mental health and family welfare is needed to have appropriate policies of government and family, in the form of welfare and leisure activities, to improve adolescents’ well-being.

  Keywords: Mental health, Family welfare, Adolescent, GHQ-28 Questionnaire


Refusal in Reporting Medication Errors from the Perspective of Nurses in Emergency Ward
Esmaeil Mohammadnejad, Seyyedeh Roghayeh Ehsani, Amir Salari, Azam Sajjadi, Ayeshe Hajiesmaeelpour,
Volume 10, Issue 1 (4-2013)
Abstract

  Background and Objective : Drug administration is considered an important aspect of patient care process and reporting the errors is needed to maintain safety. We aimed to investigate “Perspectives of Nurses about refusing to report the medication errors in Emergency Ward”.

  Material and Methods :­ In this descriptive study, 94 Emergency nurses were recruited by census in 2011-2012. The instrument was a researcher-made questionnaire including demographic data and questions related to the causes and factors affecting the reporting of medication errors. Using SPSS-16 software, the data was analyzed by applying descriptive and inferential statistics.

  Results: The nurses who did not report medication errors are 72%. The most common type of medication errors are infusion rate(33.3%) and wrong- drug dosage (23.8%). The most important reasons of medication errors are shortage of nursing staff (47.6%) and lack of pharmacological information (30.9%). Most common reasons for refusing to report the medication errors ­­are fear of its negative effect on financial advantages, inappropriate or negative attitude of managers toward reporting errors and lack of importance of ­reporting from nurses י perspective.

  Conclusion: Considering the high rate of refusing ­to report­,­ it is needed to be created ­some appropriate conditions ­to enhance­ the rate of reporting and removing the ­barriers. Nursing managers should have positive reaction to nurses’ reporting.

 


Nurses' Viewpoint about Collaboration between Physicians and Nurses in Clinical Decision-Making in the Hospitals of Tehran, 2011
Atefeh Vaezi, Azam Dabirian, Malihe Ameri, Dr Amir Kavosi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective:‌ Contribution is the main element in inter-professional relationship ‌between the nurse and physician, requiring collaborative relationship and sharing information‌ to‌ reach‌ a common‌ therapeutic‌ goal.‌ the‌ collaboration between the nurse and physician in clinical decision-making is a necessity for high-quality care in hospitals.‌This study aimed to determine‌ nurses' perspective about collaboration in clinical decision-‌making.
Material and Methods: This descriptive study was conducted on the nurses selected by convenience sampling and inclusion criteria in state, private and social well-fare hospitals, 2011. The data was collected by a questionnaire including demographic and nurse-physician collaboration questions, whose validity and reliability were evaluated by content validity and test re-test. Descriptive statistics such as frequency mean and standard deviation was used.
Results: The results showed that the samples (76.5%) were females, aged between 30 and 39.5(58.3%), BSc of nursing (93.5%), contract employment (53.8%) and 5-9 year record of services (50%). The viewpoint of the nurses about collaboration in decision-making was moderate (70.8%), good (7.5%) and weak (14%).
Conclusion: Based on the results, a few nurses are satisfied their collaboration with physician in decision-making. It seems that the nurse-physician contribution in therapeutic procedure got the highest point, and absence of opportunity in giving comment got the lowest score.
Effect of Lecture and Group Discussion on Improving the Nutritional knowledge of Pregnant Women in Gorgan
Soheila Esfahankalate, Seyedeh Maryam Hasheminsab, Azam Esfahankalate,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: It is imperative that the application of appropriate educational methods is of paramount importance to nutrition knowledge and health of pregnant women. Hence, this study aimed at investigating the effect of lecture and group discussion on improving pregnant women's awareness. 
Material and Methods: This peri-experimental study was conducted on 110 pregnant women selected via cluster random sampling in eight villages of Gorgan, Iran, in 2009. They were allocated to two groups of lecture (n=52) and group discussion (n=36). The instrument was researcher made awareness questionnaire, consisting of 22 questions, whose reliability was confirmed by Alpha Cronbach (0.647) for data analysis, we used Pearson correlation, pared t test and t-dependent. 
Results: The mean age of lecture group was 24.65± 5.13 and that of group discussion was 23.56± 14.48. the educational level in 86.5% of lecture group and 94.4% of group discussion was at the level of middle school. There was no significant relationship between lecture group and group discussion. Furthermore , both groups had not any significant correlation with variables such as gestational age, pregnancy history and education level.
Conclusion: Given that the current training programs in health system are adequate, it is a necessity to motivate and promote healthy behavior in pregnant women.

Patient Satisfaction with the Care Given by Students: a Cross-Sectional Study
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting. Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software. 
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001). 
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.

Depression during Pregnancy and Preeclampsia in third Trimester in Women Attending Prenatal Care Center of Esfahan in 2010-2012
Mahshid Moeinimehr, Azam Foroghipour, Sabihe Shokrani, Shadi Goli, Dr Bahram Soleymani,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Depression and preeclampsia have an effect on both mother and fetus. Hence, we aimed to assess depression during pregnancy and preeclampsia in third trimester of pregnancy. 
Material and Methods: This cohort Study was conducted on 966 pregnant women, who were multigravida and 18-35 years, referring to three prenatal care centers. Using convenience sampling, the data was collected by Patient Health Questionaire-9 and analyzed by chi square, Mann-Whitney, Logistic Regression. 
Results: Of 966, 70.1% were depressed and 29.9% were not depressed. The relationship between depression and preeclampsia was significant (P=0.017, adgusted OR=2.99). In 9.32 percent of preeclamptic patients, 91.68 suffered from mild depression in 8.33 percent of them, 91.67% from moderate depression and in 33.33 percent of the preeclamptic patients, 66.67 % suffered from moderate-severe depression. 
Conclusion: Given that dpression may lead to preeclampsia and the intensity of depression is related to preeclampsia, early recognition and treatment of depressed women can be helpful in the management of preeclampsia.

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