---

  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

---

Background and objective: Coronary Bypass Graft Surgery (CBG) is one of the therapeutic approaches having the leading effects on the function of the patients. Because of paramount importance of self-efficacy and self-esteem, we aimed to evaluate the effectiveness of family-centered empowerment on the self- efficacy and self-esteem of the patients undergoing coronary bypass surgery.
 Material and Methods: This case control clinical trial was conducted on 102 patients with elective heart surgery and 102 of their active family members in 2011.‌ The patients were selected via convenience sampling and randomly assign ed to experimental and control group. After measuring the self-efficacy and self-esteem, family-centered empowerment care, including individual training, group discussion, film and active participation,‌ was performed in experimental and just routine care in control group. Using PASW statistics-18, we analyzed the data.
Results: The results showed that the two groups were the same considering population variables and the mean scores of self-efficacy and self-esteem. The level of self-efficacy and self-esteem in case group were significantly higher than those of controls (P<0.000). After intervention, the mean score of self-efficacy and self-esteem were increased (P<0.0000).
Conclusion:‌In regard with the results,‌ family-centered ‌empowerment care ‌in patients undergoing CBG is practically feasible , and it can be helpful in improving self-efficacy and self- esteem.

---

Background and Objective: Fulfilling the needs of ICU patients' families plays a significant role in their satisfaction. Since having information is one of the most important needs, we aimed to investigate the effectiveness of family-center support in satisfaction of information among families of patients undergone open heart surgery.

---

Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.

Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.

Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).

Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.