137 1735-7012 Iranian Nursing Scientific Association 1089 nursing Prediction strategies to coping with stress in the pregnancy women with first experience on the based factors hardiness and social support bayrami mansour zahmatyar hajieh khosroshahi jafar 1 11 2012 7 27 1 9 30 10 2012 06 02 2017 Introduction: Stress is an integral part of life. Pregnant women during pregnancy may also experience stress in the components of hardiness and social support have an important role in reducing stress in these women. The Aim of this study was to prediction strategies to coping with stress in the pregnancy women with first experience on the based factors hardiness and social support. Methods: This research study was a descriptive cross - sectional. The statistical populations consisted of pregnancy women with first experience of Marand city in 2011, in which number of 97 women who had their first experience of pregnancy, birth control health centers were selected by simple available sampling. To collect data we used Questionnaire of Coping Ability Moos belling, Hardiness Suzan and Dog Social Support. For data analysis Pearson correlation coefficient and enter regression by SPSS v.16 were used. Results: The result revealed that there are positive related between variables hardiness and social support with the coping ability by stress in the pregnancy women with first experience (P<0.05). Also, hardiness and social support can predict change coping ability by stress with prognosticated women. Conclusion: Since pregnant women stress higher in the first experience and as physiological, mental and social changes induced at postpartum period, and hence increase hardiness and social support is necessary and improve the health of mothers and the quality of life in all stages of life.
1090 nursing The effect of mind education by imagery on depression of elders Vakilabad Behzad e Fallahi Khoshknab Masoud f seyed bagher maddah sadat g hoseini mohammad ali h e USWR f USWR g USWR h USWR 1 11 2012 7 27 10 17 30 10 2012 06 02 2017 Introduction: One of the most common psychiatric disorders in the twentieth century especially in elderly is depressive disorder. Several studies indicated that the rate of the depression at the nursing homes was 43-86%, impaired quality of life, and increased the risk of suicide and health care cost are the consequences. The present study intended to determine the effectiveness of general guided imagery technique on mental elderly depression. Methods: A quasi-experimental study was conducted with 39 elders living at nursing home who were randomly allocated in two groups of intervention and control (experimental group: 20, control group: 19). The general guided imagery technique was designed to reduce depression, and was carried out during 8 sessions each of which lasted 30 to 45 minute for 8 weeks. Correspondingly, The Control group received routine services. Additionally, the data collection tools were the questionnaire, the demographic and the geriatric depression scale. To analyze the collected data, Chi-square, Student's t-test and paired t-test were used. Results: Findings of this study showed a significant difference between pre and post intervention, where the elderly depression mean score in experimental group changed from 9.65 to 5.40 (P0.262). Conclusion: Considering the result of this study, it can be suggested that general guided imagery technique is effective on the reduction of elderly depression levels. Therefore, it is highly recommended to utilize this technique by clinical nurses, nurse managers and nursing students. 1091 nursing Correlation dimensions of quality of work life of nurses and demographic characteristics Azarang sharareh i yaghmaee farideh j shiri mohammad k i us shahid beheshti j us shahid beheshti k us shahid beheshti 1 11 2012 7 27 18 24 30 10 2012 06 02 2017 Introduction: Nurses complain from high workload, shift rotation and job stress. These problems cause low quality of work life, exhaustion and ultimately leaving job. The aim of this study was to determine the correlation dimensions of quality of life of nurses and some demographic characteristics in Zanjan hospitals in 2004. Methods: In this descriptive-correlation study, 390 (all nurses in Zanjan hospitals) nurses were participated. Instrument was in two parts demographic and "Quality of Work Life Nursing" with four likert subscales: 1.work life/home life, 2. work design, and 3. work context and 4.work world. Validity of the instrument was measured by content validity Index and reliability by alpha Cronbach (r=0.88). Data were collected by questionnaire and analyzed by using SPSS v.11.5. Results: Results showed that %90.5 of nurses were female and %9.5 male. %84 of nurses were under 40 years age range and %75.6 was single. In addition, results showed that there is a negative correlation between work life/home life and work world (r=-0.46). However, results showed a positive correlation between work world and work context (r=0.66). Conclusion: Lack of autonomy to decision making, providing balance between family and work life, job promotion were the problems of nurses. These finding can help policy makers of nursing. 1092 nursing Status and strategies for improving nursing education in view of nursing students in Ardebil University of Medical Sciences Kamran Aziz l Sharghi Afshan m Malekpour Azim n Birya Mehrdad o Dadkhah behrooz p l Ardabi ums m Ardabi ums n Ardabi ums o Ardabi ums p Ardabi ums 1 11 2012 7 27 25 31 30 10 2012 06 02 2017 Introduction: Development of each community was affected by the trained humans of the community and identifying of the factors in academic achievement and focusing on them is a step towards sustainable development of society. There is no doubt that assessing of the existing educational situation can beneficial effects in promoting the quality of nursing education and Understanding problems of clinical training in the profession will be the first step to improve education quality. Methods: This study was a descriptive - cross sectional analysis and data was collected with a questionnaire designed by the researchers that its validity and reliability were reviewed and approved. Statistical Society of study included 100 nursing students and the study. After completing the questionnaire, data analyzed with using SPSS v.16 and Chi Square Test. Results: 56 students were female and 44 students were male, 69 nursing students evaluated that their interest to nursing is high and 54 students evaluated that the current educational evaluation methods are an appropriate that there was a significant difference in terms of gender. 62 percent of students Assessed that skill of teachers in clinical work were very well and 23 percent of students assessed that suitability of the work amount and facility in field was poor. Priorities offered by students to improve the current situation of clinical education, including creating the opportunities of nursing care from admissions to discharge process for students and providing appropriate feedback to students. Conclusion: It seems nursing clinical education requires providing comprehensive facilities and equipment and review of clinical tools and processes of clinical evaluation 1093 nursing The effect of family-centered empowerment model on quality of life and self efficacy of multiple sclerosis patients family care givers masoodi reza alhani fatemeh rabiei leili majdinasab nastaran moghadasi jafar esmaeeli safarali noorian cobra tarbiat modares u 1 11 2012 7 27 32 43 30 10 2012 06 02 2017 Introduction: Family is primary source for caring of patients. The caregivers make patients in family with economical, affective and health care support. The needs for caregiver’s family increased with hospital - central care to community - center care. Community center care makes increase of knowledge of the care givers on the patients in house. This study with objective of family - center empowerment model was done on the quality of life and self efficacy of the care - givers of multiple sclerosis patients. Methods: This study is clinical trial with 70 multiple sclerosis patients that enrolled in the multiple sclerosis society of Iran classified in two groups based on random allocation (35 patients care givers case and 35 patients care givers in control group). The eight sessions of educational program based on educational needs of caregivers done for three months and matured with checklist of self reported for applied of programs. After three months of program done measured quality of life and self efficacy with questionnaire in case and control groups. Data analyzed with deductional satisfaction tests. Results: Results showed no significant difference on the quality of life and self efficacy in two groups of the case and control before intervention based on independent t-test (P≥0.05) whereas t-test showed significant difference in two groups of case and control after intervention (P=0.001). Pairs t-test showed significant difference in increased of the quality of life and self efficacy in care givers of case group after three mounths of intervention (P=0.001) where as t-test showed no significant difference in all above factors in care-givers of control group after three mounts (P≥0.05). Conclusion: The care - givers of chronic patients considered high risk tendency for covered disease that tolerates high tension. The interaction such as empowerment based on educational needs for them improves attitudes on the sign of disease changed, behavioral signs and also intervention in low - economic safe and affective method for care - givers of multiple sclerosis patients helps them to manage stress and spiritual tensions and increases quality of life. 1094 nursing Evaluation of the relationship between self - esteem and burnout in nurses of hospitals of Ahvaz Jundishapur University of Medical Sciences Baraz Pordanjani shahram karimipor firoozeh ebrahimi dastgerdi masoomeh jondishapor ums ahvaz 1 11 2012 7 27 44 51 30 10 2012 06 02 2017 Introduction: Within the nursing profession work stress, self - Esteem and burnout are widely present and problematic and can be affecting on caring of patient, physical and mental health of nurses. Thus, we studied the association between Self - Esteem and Burnout in Nurses of Hospitals of Ahvaz Jundishapur University of Medical Sciences. Methods: This study was a Cross sectional study accomplished at university hospitals in Ahvaz during Jan-Mar 2009. A total of 92 nurses from the 100 working at the hospital at the time answered a self-administered questionnaire including the Maslach Burnout Inventory and Cooper - Smith inventory of self - esteem. Data were analyzed using SPSS and appropriate descriptive statistically tests and Spearman Coefficient of Correlation. Results: All the nurses have a mean age 32.44±6.27 years and 87% them were female. The mean score was 31.98±11.1 for the Emotional Exhaustion subscale, 9.46±5.15 for the Depersonalization subscale and 36.73±9.68 for the Personal Accomplishment subscale. Correlation analysis also revealed linearly negative relationship between self-esteem and emotional exhaustion (r=-0.1, P=0.32) and its severity (r=-0.087, P=0.4). A linear relationship was found between self - esteem and severity (r=-0.046, P=0.66) of depersonalization. A positively linear relationship (very low) was also found to exist between frequency (r=0.05, P=0.58) and severity (r=0.12, P=0.25) of lack of personal accomplishment with self esteem. Conclusion: It is necessary to consider nurses having the characteristics shown as the correlates of burnout in this study as a target group, to screen periodically the Burnout status and self-esteem and improve their working conditions. 1095 nursing Study of zinc sulfate supplement affects on growth of 6-24 months old infants in Bushehr akaberian sharafat jamand tayebeh khoramrodi rozita bahreini Masoud mohammadi nilofar bushehr ums bushehr ums bushehr ums bushehr ums bushehr ums 1 11 2012 7 27 52 59 30 10 2012 06 02 2017 Introduction: Zinc is one of main micronutrient for human. Its deficiency may cause retarded growth, short stature, and delayed maturity. Zinc deficiency can increase chance of diarrhea and pneumonia. Borderline zinc deficiency is a common nutritional problem worldwide, specially in children of developing countries. Objective of this study was to determine the effect of zinc sulfate supplement on growth of 6-24 months old infants in Bushehr. Methods: In a random experiment, 241 infants from 6 to 24 months old who reported for treatments to city health and medical center were selected as the subjects for this study. The criteria for selection was that these children did not suffer from organic disease. These children were randomly divided into study and control groups. The study group received daily dose of 5 cc liquid zinc sulfate containing 5 mg zinc elemental for six months in addition to ferrous sulfate drops and multi vitamins. The control group received only ferrous sulfate drops and multi vitamins. Weights at birth of all children in two groups were recorded. These children’s weight and height were measured and recorded every month during the experiment and three months after its completion. They were also tested for digestive and respiratory diseases. Results: Findings showed that mean of weight of experiment group increased of (8.621.16) in first month to (11.261.4) in eights month, that in comparison with month to month, increase in weight was significantly (P<0.005). In respect to the height, the increases in experiment group were significantly higher in the first, fourth, seventh, eights month compared to the control group. However, when we compared the differences in weights and heights in consecutive months, the weight difference was significantly higher in the Sixth and eights month (P0.05). Incidences of gastroenteritis and pneumonia were significantly lower in experiment group compared to the control group (P<0.05). Conclusion: The results of study showed that mean weight of children who used zinc sulfate was significantly higher than the control group. However, there was no significant difference in heights between the two groups. So it is recommended to add Zinc supplement to children's food regimen specially those have stopped or slowed growth rate and also in children with recurrent infections. 1096 nursing Survey of the effect of non pharmacological intervention to improve of sleep in pediatric, that suffering of chronic illness hoseini Akranosadadt tehran ums 1 11 2012 7 27 60 72 30 10 2012 06 02 2017 Introduction: Sleep is important for growth and development in pediatric. This is very importand during hospitalization because stress and harm in hospital destroyed quality and quantity of sleep in hospital. Non pharmalogical intervention are attention todays.In this research assess the effect of nonpharmalogical interventions. Then we have survey about affect a non pharmacological intervention to improve quality and quantity of sleep in Pediatric. Methods: This research was quasi experimental and clinical trials. Samples were selected in markaz tebi in1386-87none randomized first 70 persons and second period 65 persons. Then Nurses were educated for non pharmacological intervention with theoretical (one day workshop) and Practical (One Month in clinic). Then nurses perform nonpharmalogical intervention in form of nursing implementation. Quality and quantity of Sleep were measured by interview with mother before and after intervention with researcher's questionair. Results were compaired with statistical method (Chi squaire, Man wittney, t-test) with SPSS v.11.5. Results: Quality of sleep showed meaning full different between before (M=10.31, Sd=1.19) and after (M=11.24, Sd=1.07) of intervention and quality of sleep in physicologic (tired-well being) & behavioral (long to fall sleep & awak) parameters (P<0.05). Conclusion: This research indicated a non pharmacological intervention to improve quality and quantity of sleep in school ages with chronic illness in hospitals. Researcher advice nonpharmalogical intervention must be performed for improve of sleep in pediatric in form of nursing care.