137 1735-7012 Iranian Nursing Scientific Association 835 nursing Health-related quality of life in chemical warfare victims with bronchiolitis obliterans Mehdizadeh sodabeh Salaree mohammad Ebadi abbas Aslan jafar Jafari nasrin 1 7 2011 6 21 6 14 02 08 2011 Introduction: Bronchiolitis has the major effect on patient's daily living. This study applied in order to the assessment of the quality of life in chemical warfare victims with bronchilitis obliterans. Methods: In this descriptive cross-sectional study, were selected 93 chemical warfare victims with bronchiolitis obliterans referred to respiratory clinic of Baqyatallah hospital by convenience sampling method for research. Quality of life was measured with St George’s Respiratory Questionnaire. Results: Mean of scores of symptoms, activity and impact domains and global scores was 85.56, 77.38, 68.5 and 74.25 ordinary. Quality of life was significantly correlated with percent of chemical injury and reverse correlation with FEV1. Persons with diploma and up education and employees have better quality of life. Conclusion: This findings show sever decrease of quality of life in this individuals. Lower quality of life related to decrease of FEV1 and affected to eye, skin and psychology disorders show global attention to promotion of the quality of life in chemical warfare victim with bronchilitis obliterans.
837 nursing Comparison of the effect of clinical evaluation by two methods: Portfolio and popular, on satisfaction of nurse students latifi masomeh g shaban marzieh h nikbakht alireza i mehran abbas j parsa yekta zohreh k g tehran faculty of nursing h tehran faculty of nursing i tehran faculty of nursing j tehran faculty of nursing k tehran faculty of nursing 1 7 2011 6 21 15 28 02 08 2011 Introduction: Clinical evaluation is one of the important factors in nursing education, and there are some difficulties in evaluation of clinical skills, representing more practical and effective ways in this field is the topic of many researches. So, in this research we designed a lesson plan based on portfolio evaluation method and used it in nurse student's clinical courses. Then we compared their satisfaction from clinical evaluation with popular method. Methods: In this experimental research, students in fifth semester of nursing at Tehran University of Nursing and Midwifery are participated. These students were divided into subgroups of 7 and 8. Each of these subgroups passed the clinical probationary in cardiac unit. After explaining the research goals, these subgroups were put in two research groups randomly. In portfolio group (n=21) students evaluated by using portfolio method and portfolio evaluation tool. And in other group (n=20), popular form of clinical evaluation in university was used. Both groups answered the satisfaction questionnaire in last day. Content validity and reliability of questionnair was tested. Data analyzed by SPSS software and with Chi square, Fisher Exact, Mann Whitney, Wilcoxon and spearman's rho tests. Results: Findings showed that students had 21.5±1.36 years of old and most of them was female and married. Satisfaction in portfolio group was meaningfully greater than popular group in three aspects: alignment of subjects in evaluation method and form with clinical course objects (P=0.04), creating interest and motivation for participation of students in learning (P=0.005), motivating students to use books and other scientific references (P=0.01). Satisfaction of popular group from fairness of evaluation method was greater than portfolio group (P=0.017). There was no meaningful results in other aspects. Conclusion: More satisfaction in some aspects from portfolio method represents acceptance of new active methods of learning and evaluation by students. so, using portfolio as one of the best method of clinical evaluation in nursing and doing more researches advised. 838 nursing The effect of preparatory face to face education to reduce depression and anxiety in open heart surgery adult patient in Shafa hospital in Kerman, 2008 mosavi solmaz sabzevari sakineh m abbaszadeh abbas n hasan nakhaee fatemeh o m kerman faculty of nursing n kerman faculty of nursing o kerman faculty of nursing 1 7 2011 6 21 29 38 02 08 2011 Introduction: Depression and anxiety are psychological problems after cardiac surgery and hospitalization. Patient education and giving information has important role in nursing care in reducing anxiety and depression. In different methods individual and face to face teaching is an effective method. The main purpose of this study was the preparatory face to face education to reduce depression and anxiety in open heart surgery patients. Methods: This was a quasi-experimental study on one-hundred and twenty patients dividing into two groups of sixty members, chosen at random and matched by age, sex, marital status employment status and type of surgery. The patients receiving information booklet and educational program were put in the experimental group and other patients were put in the control group only receiving normal education. The information was gathered by the standard questionnaire of Hospital Anxiety Depression Scale (HADS). For data analysis in spite of mean and standard deviation, correlation, T, ANOVA with SPSS 14 were used. Results: According to the findings of the study the anxiety and depression in both groups were reduced after the surgery (P-value<0.0001). But in experimental group was significantly less than control group. The anxiety scores before and after the surgery in experimental group was 11.63 and 6.68 and in control group was 13.3 and 9.6.For the depression the scores was 10.3and 5.85, and for the control group was 11.28, 9.16.According to the result of the study about the relationship between anxiety, depression and demographic variables, the amount of depression in women and addicted subjects were more than the rest of the group, furthermore jobless subjects had more anxiety (P<0.05). Conclusion: The result of the study showed that undergoing heart surgery patients, experienced anxiety and depression that can negative effect on them. Despite of difference between pre and postoperative scores, in experimental group was significant. Furthermore education specially face to face educational program and giving information was very effective method in reducing their depression and anxiety. This teaching method for better interaction with client and its simply is useful for nurses. Also attention to female, addicted and jobless is recommended. 840 nursing Decrease in motivation of nursing students: A qualitative study najafi kolyaee majid p sharif farkhondeh moatari marzieh jamshidi nahid karimi shahnaz p shiraz faculty of nursing shiraz faculty of nursing shiraz faculty of nursing shiraz faculty of nursing shiraz faculty of nursing 1 7 2011 6 21 39 47 02 08 2011 Introduction: Motivation has been known as a most important factor in directing people for doing activities. Lack or low of motivation affect all domains of human functions and caused negative effects. The aim of this study was identifying perception of nursing students from decrease in theirs motivation to nursing. Methods: This study done with qualitative approach and using thematic analysis method. Twelve nursing students from the Fasa University of Medical Sciences were selected through purposive sampling and interviewed in three focus group interview. After data collection, all interviews were transcribed and reviewed and themes extracted. Then a list of themes prepared and similarity in meaning and concept were reviewed and based on centralization arranged in a sub-category. Then with reviewing again relevant sub-categories arranged in a category. Results: Using analysis of transcribes a significant number of preliminary themes and 6 main themes that each having few other sub-themes were extracted. The main themes included Socio-cultural, educational, managerial, research, communicational and contextual. Conclusion: The results of this study revealed that communication problems with students are the most important factor in lack or low motivation toward nursing. It is recommended that nursing instructors and managers considered above items for promoting motivation of students toward nursing. 841 nursing Action research: A way to improving quality nursing practice atashzadeh forozan hasani parkhideh shahid beheshti faculty of nursing shahid beheshti faculty of nursing 1 7 2011 6 21 48 58 02 08 2011 Improving the quality of health care is an important priority. However, research has shown that methods of altering clinician’s behavior or implementing organizational change are often ineffective. Action research has been used successfully to facilitate change and improve service provision in industry, education and more recently in health care. In this paper action research methodology and why it could be successful in promoting change and quality of nursing services are outlined. Recently published studies using action research demonstrate that action research improves clinical care, teamwork, communication and administration. It also encourages practice teams to audit their work and identify their educational needs. Action research should be a useful means of improving quality in health care and could be used more widely. Action research could be a useful method of transforming theory to practice. 842 nursing Study of quality of life in heart failure hospitalized patients in Kerman medical university hospital in 2008 yousefi pooneh sabzevari sakineh mohammad alizadeh sakineh haghdoost aliakbar hormozgan faculty of nursing kerman faculty of nursing kerman faculty of nursing kerman faculty of nursing 1 7 2011 6 21 59 67 02 08 2011 Introduction: Heart failure is a chronic and weakening disease. The physical restrictions and advanced symptoms which are derived from this disease cause the decrease quality of life. Since the promotion of quality of life plays a noteworthy role, assessment of quality of life in patients with heart failure, helps nurses to have more doctrinaire surveillances in health - care systems. Methods: This is a descriptive-analytic study that has been done on 200 hospitalized patients with heart failure in cardiac and C.C.U wards of Shafa and Afzalipour hospitals (located in Kerman) to study the quality of life in patients with heart failure. General and special standard tools of SF36 was used to assess the quality of life in patients with heart failure. Questionnaires were filled by researcher with interviewing patients. For data analysis Mann-whitney, Kruskal-wallis tests and regression by spss 13were used. Results: The results indicated that women have formed 57.5 percents of affected patients. The average age of patients was 65.43±12.o2. In aspects of quality of life by means of SF36 tool the maximum and minimum point related to mental health and physical problems respectively. The patients who were younger than 60 years old and married had better quality of life. Women had the weaker quality of life in various aspects than men (P0.05). Conclusion: On the whole, the results of this study showed that the patients with heart failure haven’t desired quality of life, thus, nurses who works for health service wards should try to obtain all essential basis for appropriate care and necessary possibilities for continuous supervisions, follow up, in order to prepare the conditions for patients to enjoy superior quality of life. 843 nursing Experiences of stress in rescued women from suicide heidari POORAN farajkhoda tahmoneh khavari zohreh bokaie mahshid naseri nayereh yazd faculty of nursing yazd faculty of nursing yazd faculty of nursing yazd faculty of nursing najafabad azad university 1 7 2011 6 21 68 78 02 08 2011 Introduction: Long term or excessive stress is harmful for human life. It causes behavior and emotional changes. It plays a main role in people suicide. Women not only are vulnerable in society but also face more stresses. Recognizing the nature of these experiences is necessary to find health and safety needs, also prevention of suicide effects. Experiences of stress in rescued from suicide and the nurses play a basic role to support the women to maintenance and promote their health. The study aimed to explore experiences of stress in rescued women from suicide. Methods: This is a qualitative study with a phenomenological approach. Information resources include women saved from suicide who were confined to bed in hospitals of Isfahan Medical Sciences University. Purposive Sampling had been continued to saturate information. Finally 10 people had participated in this study. Data was collected by using in-depth interviewing and was analyzed by “Colaizy” method. We tried to analyze qualitative data based on valid criteria. Results: The findings of this research were summarized into four core concepts: life in stress that created from two cluster of internal and external stress, confront against stress have two clusters that included of adaptation and in adaptation behavior. Conclusion: Findings of this study showed that participants by using effective adaptation behaviors in critical conditions or confront against tremendous stresses (specially, resorting to spirituality's experiences) had lower injuries than the others. In stressful life condition, we should not only decrease stresses but also increase adaptation skills such as spirituality's belief. Learning suitable adaptation methods and preventing suicide, needs wide and comprehensive programming in social, family and economical fields. 844 nursing Drug user girls’ perceptions of their sexual decision making: Qualitative research 1 7 2011 6 21 79 87 02 08 2011 Introduction: A critical issue for today’s youth is developing drug user and high risk sexual behaviors. High risk sexual behavior is considered to be a process by which knowledge, attitudes, values, beliefs, and societal norms about sexuality are acquired. The study of adolescent risk behavior has been motivated by public health Concerns such as the prevention of pregnancy and sexually transmitted infections (STIs). Then, we need to understand how decision making about the initiation of sexual activity and persistence of this group. The purpose of this research was Drug User Girls’ Perceptions of Factors That Influenced Their Sexual Decision Making. Methods: Using a qualitative approach, narrative stories, in depth interview, open and semi- structural interviews. We asked for drug user girl late adolescent participants to tell their stories about the events surrounding their decision to become sexually active, and how this initial decision affected subsequent decision making. We recruited a snowball sampling of 9 drug user girls in late adolescents between the ages of 18 and 22 years in the North Iran. Results: Six main themes emerged. These themes included the personal factors, external environmental factors, expected social norms, religious beliefs, implied sexual consent, absent of life skill regard to telling NO skill, poverty and addiction is the termination line of life. Conclusion: The results of this study show that drug user girl adolescent sexual decision making is a complex process with multiple factors of influence. Through the story and in-depth interview of the participants, we have constructed a more comprehensive understanding of drug user girl adolescent sexual decision making and related factors of their perception. This will guide the development of interventions to improve health care for these adolescents. These interventions include expanding health provider knowledge to inform research, sexual health education, and designing policies for addressing user drug girl adolescents’ needs.