108 2008-5931 دانشگاه علوم پزشکی ایران 767 nursing Frequency of Physical Problem among 7-11 Years Old Children in Foster Care Centers Mahboubeh Bayat Mahboubeh Nazari-Jeyrani Arezou Shahsavari Majid Miri Mahin Naderifar 1 4 2010 23 63 8 17 29 05 2010 25 08 2014   Background and Aim: Every year, thousands of children are admitted in foster care centers, mostly because of neglect, physical abuse, parental substance abuse, and divorce and socio- economic poverty. On the other hand, entring these centers and living there faces children with a lot of behavioral and health problems. The purpose of this study was to assess physical health status among 7-11 years old children living in foster care centers in Tehran.   Material and Method: We performed a cross-sectional study with 105 children (57 boys, 48 girls). Census sampling was used to recruit participants and information about child physical health was obtained by physical exams based on child health assessment form, child health records and sometimes, consults with physicians.   Results: Findings showed that most frequently type of physical problem in these children was periodontal (90.5%), followed by skin (76.2%), eyes (51.4%), and respiratory system problems (40.1%). Chi-square test did not show any statistical significant relationship of physical health with sex, age and duration of stay in these centers.   Conclusion: Based on the finding, full attention and health facility should be given to this group of children and more studies are needed to study the factors affecting their health.  
768 nursing Quality of Sleep and Related Factors among Imam Khomeini Hospital Staff Nurses Kamal Salehi Fatemeh Alhani Khosro sadegh-Niat Yousef Mahmoudifar Narges Rouhi 1 4 2010 23 63 18 25 29 05 2010 25 08 2014   Background and Aim: Sleep and rest are major needs of human which are included in physiologic needs category of Maslow's hierarchy of needs. Since nurses work on morning, evening and night shifts irregularly, they are exposed to sleep problems. The purpose of this study was to investigate the quality of sleep and related factors among staff nurses working in Imam Khomeni hospital affiliated to Tehran University of Medical Sciences and Health Services.   Material and Method: This study had a descriptive – analytical design in which staff nurses working at Imam Khomeini Hospital lacated in Tehran were studied. The samples consisted of 120 nurses selected by simple random sampling. The instrument for data collection was the Demographic Information Questionnaire and Pittsburgh Sleep Quality Index.   Results: The results showed that %62.5 of nurses had low sleep quality %33.5, low sleep quality and only %4.2 had good sleep quality. When examining relationship between sleep quality and the pattern of working shifts, statistical Chi-square test showed a statistically significant relationship (P<0.05) and staff nurses with irregular working shifts had lower sleep quality.   Conclusion: This study showed that a much percent of nurses suffered from low sleep quality. Also, working shift pattern and the amount of work hours played an important role in quality of sleep in staff nurses.   769 nursing Perceptions of Patients with Coronary Artery Disease about Their Therapeutic Regimen Nayeleh Ezzatti 1 4 2010 23 63 26 34 29 05 2010 25 08 2014   Background and Aim: Atherosclerosis and coronary artery spasm are two causes of Coronary Artery Disease (CAD). This study has been conducted to study perceptions of patients with CAD about their treatment regimen in selected hospitals of Tabriz, 1385.   Material and Method: In this analytical study, 160 patients with CAD, who had been admitted to medical and surgical wards of selected hospitals in Tabriz with at least one episode of hospitalization, were selected randomly. A questionnaire was used for gathering demographic data, health beliefs and perception of aptitude to catch disease complications, advantage and disadvantage of admission treatment regime, and individual attitude about patients’ health. The questionnaire with acceptable reliability and validity was completed through interview. Descriptive and inferential statistics such as Pearson and Spearman coefficients, independent T-test, Freedman and ANOVA were used to analyze the data.   Results: Research findings showed that the patients' mean score on perception about treatment regime were 42.60. There were statistically significant correlations between perceptions of patients with CAD and their health beliefs, but, there were no statistical significant correlation between demographic data and perception of patients with CAD .   Conclusion: Regarding patients' perception of, these patients require intensive educational programs. For this reason, nurses could evaluate information needs of patients and teach them about adequate self-care techniques to control side effects and complications of CAD, to recognize clinical manifestations and prevent CAD recurrence. 771 nursing Quality of Life in End Stage Renal Disease and Its Related Factors Rafii F Masoumeh Rambod Agha Fatemeh Hosseini 1 4 2010 23 63 35 42 29 05 2010 05 01 2014   Background and Aim: End stage renal disease affects the daily lives of many patients and families due to the changes in their health status, life style and roles. These changes impact the quality of their lives. Regarding the increasing number of these patients in Iran, this study was conducted to examine the quality of life and its related factors in patients with end stage renal disease.   Material and Method : This was a descriptive- correlational study. Two hundred and two hemodialysis patients admitted to the hospitals affiliated to Iran University of Medical Sciences were recruited using convenience sampling. Data was collected using Ferrans and Power Quality of Life Index (QLI) dialysis version and analyzed using SPSS-PC version 14.   Results : Most patients had a good quality of life. There were statistically significant relationships between financial status, marital status and number of children, and the quality of life (P≤ %5).   Conclusion : Regarding the factors related to the quality of life in these patients, renal nurses are needed to pay more attention to the patient characteristics and demographics. Further longitudinal research is suggested. 772 nursing Changes in Level of Consciousness during Auditory Stimulation by Familiar Voice in Comatose Patients Fatemeh Goudarzi Shivasadat Basampoor Masoumeh Zakeri-Moghadam Soghrat Faghih-Zadeh Fatemeh Rezaie Fatemeh Mohamad-Zadeh Associate Professor of Biostatistics, Tarbiat Modares University, Tehran, Iran 1 4 2010 23 63 43 50 29 05 2010 25 08 2014   Background and Aim : Coma has many complications affecting cognitive, perceptive and emotional functions. Sensory deprivation as one of the most common complications is considered as threatening for the patient. It is developed by decreasing sensory inputs or receiving monotone or unstructured stimulations. Sensory stimulation of comatose patient may prevent these complications, but using the best program is of great importance. The objective of this study was to assess changes in level of consciousness during 14 day period of auditory stimulation by familiar voice in comatose patients.   Material and Method : In this quasi-experimental study, 30 traumatic and non-traumatic comatose patients aged 15-75 years, hospitalized in intensive care unit in Shariati and Sina hospitals were selected by purposeful sampling and randomly allocated to either control or experimental group. The patients in intervention group received a familiar auditory stimulation 2 times (each time 5-15 minutes) per day for 2 weeks, Glasgow coma scale was assessed before and after every intervention in experimental group. In control group, the level of consciousness assessed 4 times daily, similar to intervention group. Data were analyzed using Chi-square, Fisher exact, Freidman, Independent t-test.   Results : The findings showed that there was a statistically significant difference between daily mean level of consciousness during 14 days (P<0.001) in experimental group, but in the control group, no difference was seen between daily mean level of consciousness during 14 days (P=0.86).   Conclusion : Auditory stimulation by familiar voice may have an effect on promotion of level of consciousness in comatose patients. 773 nursing Domestic Violence Before and during Pregnancy among Pregnant Women Kazhal Hesami Mahrokh Dolatian Jamal Shams Hamid Alavi Majd 1 4 2010 23 63 51 59 29 05 2010 25 08 2014   Background and Aim: Many women are abused by their intimate partners before and during pregnancy. Although, domestic violence during pregnancy has serious consequences for women’s health, little is known about how domestic violence may change throughout pregnancy transitions. Research shows that three types of partner violence can have different consequences for women’s health and well-being . The aim of this study was to evaluate changes of domestic violence before and during pregnancy among pregnant women referring to the health care centers in Marivan, Iran 2007.   Material and Method: In this cross sectional study, 243 women receiving prenatal care at health care centers in Marivan were assessed for domestic violence before and during pregnancy using a violence screening questionnaire completed by them at the beginning and during the last month of pregnancy.   Results: The findings indicated that the prevalence of domestic violence during pregnancy was relatively low (%68.7), compared with the prevalence of domestic violence before pregnancy (%86.4) (P<0.001). Abuse before pregnancy was a strong indicator of abuse during pregnancy.   Conclusion: These findings should alert health care providers that women who are abused before pregnancy often continue to experience it during pregnancy. Therefore, routine screening abuse in the maternity service setting is advocated so as to decrease the effect on women and the fetus.  774 nursing Factors Affecting Back Pain among Patients after Cardiac Catheterization Masoumeh Neishabory Tahereh Ashke-E-Torab Hamid Alavi-Majd 1 4 2010 23 63 60 68 29 05 2010 25 08 2014   Background and Aim: Cardiac catheterization is a widely used cardiac investigation procedure in Iran. However, back pain is frequently reported following cardiac catheterization due to prolonged bed rest after the procedure. There is no research about factors that affect back pain. This study was designed to explore these factors in patients admitted to Taleghani hospital for cardiac catheterization in 2006-2007.   Material and Method : This descriptive study was conducted on the 130 patients hospitalized for coronary angiography. Following a review of literature, gender, age, history of back pain, smoking, duration of the procedure, body mass index and chang positions were identified as potential factors affecting back pain level. Back pain was assessed at 6 hours and the morning after cardia catheterization. Questionnaire and numeric pain intensity scale were used for data collection.   Results: age (P<0.001) , gender (P<0.001) , history of back pain (P<0.001) , body mass index (P<0.001) and chang position (P<0.001) were significantly related to the level of back pain after angiography.   Conclusion : The results may help nurses to have a better understanding about patients’ physical needs and appropriate nursing interventions that can be planned to enhance patient comfort following cardiac catheterization. 775 nursing Comparative Study of the Pregnancy Outcomes in Nulliparous Women over and Under Age 35 Azar Aghamohammadi Maryam Nooritajer Masoume Kheyrkhah Agha Fateme Hoseyni 1 4 2010 23 63 69 77 29 05 2010 25 08 2014   Background and Aim: Nowadays, lots of women defer child bearing even until the age 40 due to the job, economy and education reasons. Therefore, protecting mothers and new-born babies health requires experts and midwifes to increase their knowledge about the outcome of such pregnancies. This study aims at comparing the outcome of the pregnancy in nulliparous women who were over and under age 35.   Material and Method: This study was a descriptive-comparative study and included 509 sample cases of first-time delivery that were given birth from March 2000 to March 2007 with gestational age over 24 weeks whose records were available in Hospital. The samples were divided into two groups of over 35 and 20 - 34 years old and the consequences of the pregnancy were compared. Chi-square and Fisher tests and Odds-ratio were used to analyze the data.   Results: There was a statistically significant relationship between age over 35 and preeclampsia, premature delivery, malpresentation, caesarian and low birth weight.   Conclusion: Pregnancy over the age 35 can be considered a dangerous kind and regarding the increase in the marriage age, it is required that people in charge of hygienic centers pay more attention to increasing the knowledge among the women and midwifes in order to have a more healthy generation.