108 2008-5931 دانشگاه علوم پزشکی ایران 864 nursing Comparison of blood pressure in the supine and semi-Fowler's position during hemodialysis Hosein Shahdadi Seied Reza Mazloum Mahin Badakhsh EsmatBandani 1 10 2010 23 66 8 13 09 11 2010   ABSTRACT   Background and Aim: Hemodialysis is the most common method of treatment for chronic renal insufficiency an advanced and unretrieveable disorder. Hemodialysis has some complications on which the position of the patient can be effective. Routinely, patients are placed on supine position during hemodialysis, but they are not comfortable in this position, and most of them would like to change their positions to Fowler's position in which the blood pressure may decrease. Placing patients in semi-Fowler's position, if doesn’t have any adverse effect on complications, could help patients to be more comfortable during hemodialysis. The aim of this study was to compar blood pressure in the supine and semi-Fowler's position during hemodialysis.   Material and method: In this quasi-experimental study, 45 dialytic patients were selected by purposive sampling. Their blood pressure were measured two times with 30 minutes intervals in both supine and semi-Fowler's positions.   Results: There was no statistical significant difference between two positions in terms of hypotension (p>0.05). The mean systolic blood pressure in supine and Fowler's position were 117.7 and 113.11 mm/Hg, respectively. The mean diastolic blood pressure in supine and Fowler's position were 66 and 65.5 mm/Hg, respectively and there was no statistical significant difference between two positions in terms of diastolic blood pressure.   Conclusion: Regarding the findings it is suggested that patients be placed in either Fowler's or semi-Fowler's position during hemodialysis.
865 nursing The relation of sexual satisfaction and demographic factors Azam Rahmani Sharareh Safavi Mahshid Jafarpoor Effat Alsadat Merghati-Khoei 1 10 2010 23 66 14 22 09 11 2010   Background and Aim : Marital satisfaction is affected by many factors among which the safe and pleasurable sexual relationships is the most important. In Iran, like some other controversial societies, sexuality issues involve socio-cultural obstacles as well as limiting policies which make research difficult, so that inadequate information is made available in the area. The aim of this research was to determine sexual satisfaction level in the couples and its association with some demographic factors.   Material and method : This descriptive-correlation study was conducted in 2007 in Tehran, Consecutive sampling was used to recruit 292 married males and females from selected hospitals in Tehran while visiting their hospitalized relatives. They were all literate and had gotten married for at least one year. Two questionnaires were used for data collection.   Results: The results showed that, of the participants, 63.4% were completely satisfied, 28.8% relatively satisfied, 7.2% slightly satisfied, and 0.7% unsatisfied of sexual relationship. Also, the results showed that there was a statistical significant association between sexual satisfaction and the following factors: age difference of couples (p=0.04), duration of married life (p=0.05), and drug abuse by the participants (p=0.007), but there was not a statistical significant association between sexual satisfaction and other factors tested in this study (age, gender, reproductive status, economic status, number of children, education attainment, the spouse's education attainment, contraception method, and type of marriage).   Conclusion: According to the results, we suggest the practical strategies to improve people’s awareness about sexuality and its vital influences on marital happiness. More work is suggested to be done in order to provide research based information in this field. 866 nursing The Relation Between Body Mass Index before Pregnancy and Weaning the Child to the End of the Age 24- Months Leila Allahgholi Hajikazemi ES Azam Rahmani Agha Fatemeh Hosseini 1 10 2010 23 66 23 31 09 11 2010 05 01 2014   Background and Aim: Rapid infant weight gain has been shown to predict later obesity risk however, it is unclear which factors influence infant diet and weight gain. The purpose of this research was to examine the relationship between body mass index before pregnancy and weaning the child to the end of the age 24- months.   Material and Method: This is a correlational study in which 307 mothers of children aged 2-3 years were selected fro/ Tehran West Health Center. stratified sampling method was used and data were collected by questionnaire and mothers' and children's records.   Results: There was not a statiustically significant relationship between the body mass index before pregnancy and weaning children at the age of six months. ANOVA statistical test (p=0.02 and p≤0.0001) indicated that there was a statistical significant relationship of the child weaning at the ages of 12 and 24 months with the body mass index before pregnancy. Also, t- test showed that there was a statistical significant relationship between the sex of the child and weaning at the ages of 6,12 and 24 months (p≤0.0001).   Conclusion: There is definitely a significant relationship between body mass index and child weaning at the ages of 12 and 24 months. Maternal behaviors shape many aspects of children's development. As a result, it is necessary that obese and overweight mothers receive education and counseling to prevent obesity in their children.    868 nursing Rhizomatic thought and nursing(2): Rhizomatic though in nursing Reza Zeighami 1 10 2010 23 66 32 42 13 11 2010   Abstract   Background and Aim: Philosophy of Gilles Deleuze is one of the most important and influential philosophies in the 20th century. Aim of this article is to discuss about rhizomatic thought in nursing. This is second of two papers, explaining development and application of rhizomatic though in nursing.   Materials and Method: A literature search was conducted using CINAHL, Proquest, PsychINFO, Social Sciences Index, Sciencedirect, scopus, and MEDLINE databases and the keywords " rhisom" and "nursing". Articles from each of these databases were examined to identify major themes, areas of agreement and disagreement across disciplines.   Results: Both concurrent and opponents of rhizomy in nursing agree with the arguments againts “the knowledge/culture wars” that seem to dominate attempts to develop the discipline. They also agree with the notion of “borrowing” approaches from the diversity of elsewhere is somehow wrong and will weaken nursing is utter rubbish.   Conclusion: Rhizomatic thought in nursing needs more discussion. 869 nursing Spiritual coping in institutionalized adolescent girls: Maryam Rasouli Farideh Yaghmaei 1 10 2010 23 66 43 53 13 11 2010   Background and Aim: Spirituality as a coping strategy plays an important role in human health. According to holistic approach, providing spiritual care for clients in different settings has been considered as a nurse’s responsibility. Despite the number of institutionalized adolescents living in residential settings, there are few studies have assessed spirituality in this group. In this regard, researchers conducted a qualitative research to explore spirituality and spiritual coping strategies in institutionalized adolescent girls.   Materials and Method: In this qualitative study, 15 adolescent girls were interviewed about the role of spirituality and spiritual strategies in coping with stresses of living in institutes. Interviews were analyzed using content analysis method.   Result: The main themes emerged from this study were: meaning in life, reliance on God, and seeking spiritual support.   Conclusion: The findings of the study provide in-depth understanding of female institutionalized adolescents’ experiences of spirituality and spiritual strategies in coping with stress which can be useful for nurses and other health care professionals, especially those caring for orphan adolescents. The findings can provide a framework for nursing care plans based on teaching spiritual coping strategies to decrease stresses of living in residential settings. 871 nursing Relationship between general health, occupational stress and burnout in critical care nurses of Tabriz teaching hospitals Farnaz Rahmani Mojgan Behshid Vahid Zamanzadeh Farzad Rahmani 1 10 2010 23 66 54 63 13 11 2010   Background and Aim: Occupational stress in nursing profession can result in poor nursing care and health problems. Bornout is the other problem in nursing practice that could result in absenteeism, low energy and low nursing care efficiency. In the other hand, high stress can result in mental disorders like depression. This study was carried out to determine levels of occupational stress, burnout and general health in critical nurses of Tabriz teaching hospitals.   Materials and Method: This was a fragment of a larger cross-sectional study in which 63 nurses, working in critical care units of Tabriz teaching hospitals, were selected. Data were gathered by Occupational stress questionaire, Maslach Burnout Inventory and General Health Questionaire. Data were analyzed using Chi-square test and Pearson correlation coefficient.   Results: The findings indicated that total levels of occupational stress in majority of nurses (49.2%) was high. Regarding burnout, 44.4% of nurses had high levels of burnout in emotional exhaustation aspect and 46.0% of nurses had high levels of burnout in personal accomplishment aspect. The majority of nurses (42.4%) reported high levels of anexeity. There was a statistically significant relationship of emotional exhaustation with occupational stress (P≤0.05) and mental helth was (P≤0.05).   Conclusion: Occupational stress and burnout may have undesired influences on nursing function and mental health. Stratetegies decreasing stress and burnout can promote nursing mental health and quality of care.   872 nursing The study of knowledge, attitude and practice of puerperal women about exercise during pregnancy Esmat Noohi Mahshid Nazemzadeh Nozar Nakhei 1 10 2010 23 66 64 72 13 11 2010   Background and Aim: Women who engage in exercise programms during their pregnancy have an opportunity to promot physiological and mental health. Current research studies have clearly shown that exercise is not harmful for fetus in healthy pregnancy. The aim of this study was to determine knowledge, attitude and the practice of puerperal women admitted to Kerman hospitals about exercise during pregnancy.   Material and Methods: In this descriptive study after a pilot study, 256 women were chosen by consecutive sampling method. The instrument for data collection was researcher – made 4 parts questionnaire based on theory of planned behavior , consisting of demographic   Characteristic, 23 sentences about knowledge, 11 sentences about attitude and 16 practice sentences about exercise during pregnancy. The validly and reliability was confirmed before using the questionnaire. Information was obtained through face to face interviewing.   Results: The finding showed that the score for knowledge, attitude, and practice was 37%, 72%, and 8% of the total score, respectively. Results also revealed that there was weak positive correlations between knowledge and attitudes (r=0.23), knowledge and practice (r=0.14), and attitude and practice (r=0.26). There was a statistically significant difference between mean score of knowledge of participants in terms of accommodation (p<0.05). Also, there was a statistically significant difference between mean score of attitude of participants in terms of level of education (p<0.01) and spouss's level of education (p<0.01). Results also revealed that there was a statistically significant difference between mean score of practice of participants in terms of level of education (p<0.05), type of delivery (p<0.05) and history of miscarriage (p<0.05).   Conclusion: It seems that mother's concern about exercise during pregnancy is due to their knowledge deficit about permitted exercises during pregnancy. Giving information and education would be helpful to change mothers' knowledg and attitude about the subject, therby, promoting their practice. 873 nursing The relationship of epidemiologic and demographic factors with urinary Stones Fatemeh Shirazi Farangis Shahpourian Alis Khachian Agha Fatemeh Hoseini Shiva Heidari 1 10 2010 23 66 73 80 13 11 2010   Background And Aim: The current understanding of the pathogenesis of idiopathic kidney stone disease points out a complex and multifactorial interaction between environmental, metabolic and genetic factors. Different epidemiologic factors have been known to be related to urinary stones. The aim of this study was to assess personal characteristics of kidney stone patients in Iran.   Materials and Methods: This was a case control study In which 161 adult patients with idiopathic kidney stone disease attending Urology Center of Iran University of Medical Sciences constitute the case group. The control group was composed of 254 healthy subjects without personal history of stone disease Were recruited from visitors, other patients and staffs who attended the same center at the same time and matched with case group subjects for age and gender. All of the patients and healthy subjects were individually interviewed by a pre-designed questionnaire. Data were analyzed using the SPSS™, Version 14.   Results: Findings showed that 66.5% of patients were male with the male to female ratio of 1.98 to 1. The prevalence of kidney stone was highest for men aged between 30 and 50 years and women aged between 40 and 60 years. There was no statistically significant difference between groups in height and weight, but body mass index was significantly different between two groups (p=0.007). Also, other epidemiologic factors such as educational level, economical status, employment status, type of job, workplace area, the temperature in the workplace and positive family history were found to be related to urinary stone formation and increaseed the risk for the disease.   Conclusion: According to results, different epidemiologic factors relate to urolithiasis and increase its risk. Therefore, by defining the high risk individuals and teaching the preventive measures, we can decrease the prevalence and recurrence rate of kidney stones and reduce the health care burden of this disease.