137 1735-7012 Iranian Nursing Scientific Association 876 nursing Determining learning style and its relationship with educational achievement in nursing and midwifery students geranmayeh mehrnaz b khakbazan zohreh c darvish asyeh d haghani hamid e b tehran faculty of nursing c tehran faculty of nursing d tehran faculty of nursing e tehran faculty of nursing 1 10 2011 6 22 7 15 12 10 2011 Introduction: The health care system and the method of teaching are very dynamic. Awareness of students learning styles provides information for teachers to observe the variation in training methods and help students to facilitate learning. The purpose of this study is to determination of the learning styles of nursing and midwifery students and its relationship with their educational achievement. Methods: In this cross-sectional study, the undergraduate nursing and midwifery students of Tehran University of Medical Sciences in third and first academic year were investigated in 2008. Data were collected through the learning style questionnaire and demographic information. Gathered data were analyzed by statistical tests included t-test, 2 and kruscal – valis through SPSS software. Results: The dominant learning styles of students, is the diverging style. Significant relationship between their learning style and educational achievement was not observed. There was significant correlation between their learning style and average scores in general courses (P=0.045). Conclusion: Considering the dominant diverging styles and diversity in learning styles of nursing and midwifery students under study consideration of individual differences and different learning styles of students in designing various methods of teaching using the existing infrastructure facilities and information technology is proposed.
877 nursing A Survey the effect of planned program of health promotion on stress management in middle-aged women heidari fatemeh f mohammad khaN KERMANSHAHI sima g vanaki zohreh h kazem nejad anoshirvan i f tarbiat modarres g tarbiat modarres h tarbiat modarres i tarbiat modarres 1 10 2011 6 22 17 23 12 10 2011 Introduction: There are many physiological and psychological stresses in Middle-age, which can have significant effect on mortality and suffering from a disease in women. So considering stress management in the form of a program is very important. This study aims at investigating effect of planned program of health promotion on stress management in middle-aged women. Methods: This research was a semi-experimental study and done with two groups of case (50 people) and control (41 people) were selected by convenience sampling. planned program of health promotion was performed on three stages: identification and investigation, supportive planning and evaluation of programs performing and giving feedback. Tools used to data collection in this research included: demographic information questionnaire and health promotion lifestyle profile 2 (HPLP2) questionnaires which completed by the case and control groups before and one and a half months after intervention. Results: The finding showed that before intervention ,no meaningful important statistical difference was observed average numbers of stress management and spiritual improvement between case and control groups (P>0.05). While after intervention according to independent t-test showed that there is a meaningful statistical difference in average numbers (P<0.05). This difference was also meaningful before and after intervention in case group. Conclusion: Performing planned program of health promotion has been effective on stress management in middle-aged women and is suggested as a good program in mental health of middle-aged women. 878 nursing Assessing effectiveness of a cardiac rehabilitation program on outcomes of myocardial infarction zand soleiman j kohestani hamidreza k baghchechi nayereh l shah mirzai reza m j arak faculty of nursing k arak faculty of nursing l arak faculty of nursing m arak faculty of nursing 1 10 2011 6 22 25 30 12 10 2011 Introduction: Cardiovascular diseases are among the major mortality causes world widely. Cardiac rehabilitation reduces cardiovascular mortality and improves cardiovascular and mental status of cardiac patients. The aim of this study was to assess the effectiveness of a cardiac rehabilitation program on myocardial infraction outcome. Methods: An experimental study was conducted with a sample of 170 patients (85 patients in each group of experiment and control) with myocardial infraction drawn from Amir Kabir hospital affiliated to Arak University of Medical Sciences. Data was gathered by a questionnaire and an observational check list before and after the intervention for both group. The experiment group participated in two-session cardiac rehabilitation program, once during discharge and one after 2-3 weeks of discharge. Statistical analysis was done by Chi-square test, Fisher's exact test and T-test. Results: There was a significant relationship between cardiac rehabilitation program and chest pain, dyspnea, fatigue, peripheral edema, palpitation and re-hospitalization of patients (P<0.05). Conclusion: It was demonstrated cardiac rehabilitation program could result less frequent chest pain, dyspnea, fatigue, peripheral edema, palpitation and re-hospitalization of the patients as well as quicker normalization of inverted T wave. It calls more attention to cardiac rehabilitation program. 880 nursing Knowledge, attitude and practice of non-medical students to the ways of transmission and prevention of AIDS in Rafsanjan city Lotfi pur SM n Ravari Ali o Akbari nasab jafar p n rafsanjan faculty of nursing o rafsanjan faculty of nursing p rafsanjan faculty of nursing 1 10 2011 6 22 31 39 12 10 2011 Introduction: Prerequisite for implementation of behavior modification interventions to reduce the spread of AIDS among young people is understand their knowledge and attitudes associated with subjects related to AIDS. If the youth must be reduce HIV, it is necessary to know what the risks are and how it can be avoided. This study aimed to determine knowledge, attitude and practice of non-medical students to the ways of transmission and prevention of AIDS as a prerequisite for subsequent corrective interventions were performed. Methods: This descriptive analytic study on 384 non-medical students of non-random sampling was done. Students voluntarily and in full consciousness of the subject in the study participated. Instrument for data collection was constructed questionnaire consisting of four sections including demographic data, knowledge (20 questions), attitude (11 questions) and behavior (16 questions). Because of confidentiality students put the completed questionnaires into sealed box. Data was analyzed with using the software SPSS v.17. The Statistical tests include Chi square test, Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficient was used and data with P<0.05 were considered significant. Results: 282(73.4%) of subjects were female and 102 male (26.6%) and their mean age 22±2 years. The mean scores were: knowledge 50.4±4, attitude 18.4±2.26 and behavior 24.3±2.2. 89.6% of them had good knowledge, 80.2% had relatively positive attitude and 52.6% of them had safe behavior against HIV disease. Between the knowledge with attitude scores, as well as attitude and behavior significant relationship was observed (P<0.0001). Conclusion: The results showed that improving knowledge and attitudes, the performance will also improve. Also, people who had a more positive attitude towards the disease had a more secure behavior. Thus, with promoting awareness and understanding of people can be much reduced high-risk behaviors and controlled this fatal disease. 881 nursing The effect of self care program education by group discussion method on self concept in diabetic adolescent girls reffered to Iranian Diabetes Society shirazi maryam anoosheh monireh rajab asadolah tarbiat modarres tarbiat modarres tarbiat modarres 1 10 2011 6 22 40 52 12 10 2011 Introduction: Diabetes is a chronic illness which needs the self care behaviors up to the end of life. If this illness attends with adolescence because of the nature and properties of the adolescence creates problems of adapting to the illness and doing self care behaviors for adolescent and his/her family. On the other hand studies have shown that in chronic illnesses such as diabetes, self care interacts with self concept. How ever diabetes adolescents affiliating has problem for self concept and since adolescence the effect of self care on self concept has important value. So this study has been done to assess the effect of self care program with group discussion on self concept of diabetic young girls. Methods: This research is a semi experimental study has been done in 2008-2009 with 80 diabetic adolescent girls between 15-19 (40 as test group and 40 as evidence group) in Iranian Diabetes Society. After data collection result in pre intervention stage with knowledge, practice and self concept questionnaire and need measuring in each group, self care program was designed and then self care program was discussed in 6 sessions for test group. Then immediately and after one month of intervention again the same questionnaire completed for test and evidence group of diabetic adolescent girls. Results: Results after data analysis showed that test and evidence group were same for independent sample t test and X2 test for demographic information (age, height, weight, fathers job...). In test group in comparison among before, immediately after and after one month of intervention there was significant difference in increasing score of knowledge, practice and self concept (P0.05) and independent t-test (P>0.05) showed no significant difference in knowledge, practice and self concept between test group, and evidence group before intervention. Immediately and after one month of intervention between two groups with independent t-test, was seen significant difference in mean score of knowledge, practice and self concept (P<0.05). Conclusion: Generally results of the research showed that performing the self care program by group discussion was effective in increasing self concept of diabetic adolescent girls and it is suggested that teaching self care behavior by group discussion is used as a effective method to improve self concept in other adolescents with chronic disease. 882 nursing The relationship of religiosity, personality dimensions and self-efficacy with coping style of nurses practitioner students rezapor mirsaleh yaser khabbaz mahmood safi mohammad hadi abdi kianoosh yavari maryam behjati zahra 1 10 2011 6 22 53 64 12 10 2011 Introduction: Job stress is very common among nurses. The study of coping styles and related factors can contribute to affective response to stress. Purpose: The purpose of present study was to investigate the relationship of religiosity and personality dimension and self-efficacy with coping style of nurse's students. Methods: This is a descriptive in the context of the cross-sectional study, which was performed in 2009. The study sample includes 323 nurse students, witch selected with cluster sampling model. Practitioner students spent at least 10 hours in week to work in hospitals. Data were collected through Islamic Religiosity Scale, NEO Inventory, General Self-Efficacy Scale and Ways of Coping Questionnaire, and then analyzed with the help of correlation and stepwise regression analysis. Results: Results of regression analysis show that between religiosity, personality dimensions and self-efficacy, religiosity has more portion in predict of problem-focus coping style in nurses students, and only neuroticism is able to predicting of emotional-focus coping style in nurses students. Conclusion: With regarding to results, can concluded that religious instructions to nurses students can help them to have effective coping with stressful situations in clinical work. Also, guidance and accompanying of instructors with practitioner students to experience all pleasant and unpleasant aspects of clinical work, has important role in effective coping with them. 883 nursing Microbiological factors in burn wound infection in patients hospitalized in Zanjan ghorbani fatemeh saifi bahar mohammadzadeh shahla zare mohammad zanjan nursing faculty azad university 1 10 2011 6 22 65 72 12 10 2011 Introduction: Burns are one of the factors that not only damage the skin but also are associated with bacterial infections. Immune suppression, delay in referring patients to hospital, length of stay in hospital, invasive diagnostic and therapeutic procedures are of the most factors causing burn injuries to be exposed to multiple infections. The aim of current cross sectional analytic descriptive study was to investigate microbial agents that cause burn infections in patients hospitalized due to burns in Hospital of Ayatollah Mosavi in Zanjan, Iran (2010). Methods: Seventy patients were selected randomly in this study. Data were collected as follow: a) Questionnaires which contained demographic information of the patients and information related to burns. b) Check list for recording burn- wound infection symptoms. c) A special sheet for recording burn wound culture results conducted through wound swabs. Wounds were observed daily and the presence and absence of signs of infection were recorded. Data were analyzed by SPSS and chi-square test. P<0.05 was considered significant. Results: In 68.6% patients have found infections. The culture test showed that main microbial germ that causing wound infection was Pseudomonas. The wound results showed that there were a significant relationship between wound positive culture and the time patients referred to hospital and self-treatment before hospitalization. The most common cause of burns was fire (54.3%) and hot water (40%) respectively. Conclusion: Regarding the results of this study, pseudomonas was the main cause of wound infections. As it is resistance to most antibiotic treatments, there is a vital need for preventing the spread of infection in hospitalized patients. 884 nursing Effective of electronic education on knowledge attitude and self-care in patient’s diabetic type 2 refer to diabetic center of Kerman University of medical science nouhi esmat khandan maryam mirzadeh Ali kerman faculty of nursing kerman faculty of nursing kerman faculty of nursing 1 10 2011 6 22 73 80 12 10 2011 Introduction: Diabetes disease due to a long process, patient participation in the care of their demands. The increase of prevalence and side effects, shows that the traditional education done, not enough. Electronic education the possibility for patients to a new type of communication, care, education and patient as pivotal experience. This is a quasi-experimental design that with the goal of determining effect of electronic education of self care on type 2 diabetic patients refer to diabetic center of Kerman university of medical science in the year 1387 has been done. Methods: 170 type 2 diabetic patients with simple method of choosing a random and then the two groups and 84 and 86 patients in the control and intervention group were divided. For control group, rooting education and for intervention group electronic education for three months was trained. Before and after the intervention on research society, information related by questionnaire is collected and blood samples to fasting blood sugar and HbA1c measurements. Results: The mean and Standard Deviation knowledge, attitude and practice of the intervention group before education 19.3±2.4, 21.4±3.9, 24.1±7.1 and after education 20.6±5.5, 22.8±6.9, 32.2±6.5, that was just in intervention group is significant difference (P<0.05). The mean and Standard Deviation fasting blood sugar and HbA1c in the intervention group before education 223.8±77.2 mg/dl, 9.5±1.9 percent and after education 167.5±55.2 mg/dl, 8.4±1.6 percent, and only in the intervention group is significant difference (P<0.01). Conclusion: Electronic education improve the self care of type 2 diabetic patients in the intervention group after education, That has caused improve the mean fasting blood sugar and HbA1c. According to the benefits of electronic education, using and planning of this method is recommended.