مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و پنجم شماره 1 (پیاپی 56، بهار 1396)

patients with Myocardial infarction impaired daily functioning, and reduced quality of life. The aim of this study was to determine Effect of Teach Back Education on self-care behaviors and quality of life in patients with myocardial infarction in 1394 in Hamadan.
In this quasi-experimental study, 70 Patients with myocardial infarction was selected with random available sampling sampling and randomly were divided to control and case groups. 3 sessions, each for 45 minutes, in 10 days was performed for case group. After one month after the last training session, Mc New questionnaires were completed by both experimental and control groups. Data were analyzed with SPSS software (16 version) by descriptive statistics, independed-t, paired-t.
in case group, There was a significant difference between the mean scores of quality of life. The difference was not significant in the control group. There were significant differences between the mean scores of quality of life of case and control group after intervention .
In the present study, Teach back training methods was improved the quality of life in patients with myocardial infarction. Considering the important role nurses can be use of these training methods to improve the quality of life for heart patients.

women living with the husband on hemodialysis face multiple challenges which impact their quality of life and coping styles. This study performed to investigate Relationship of coping strategies with quality of life in women living with the husband on hemodialysis.
This research was a correlational study. The convenience sample consisted of 212 women living with the husband on hemodialysis who had come to hospitals of Shahid Beheshti University of Medical Sciences, in 2016. The data were collected using the brief COPE, and WHO quality of life. Pearson correlation coefficient and ANOVA by SPSS software (version 21) was conducted for data analysis.
Psychological health of women was found lowest among the other sub-scales of quality of life. Quality of life had a positive significant correlation with problem-oriented coping strategies (r=0.71, P=0.001) and a negative relationship with emotion‑focused coping strategies (r=-0.53 P=0.04). The result showed that the religious (3.74±0.57) and substance use (1.99±0.7) as two coping strategies were the highest and lowest strategies used by women living with the husband on hemodialysis.
Coping strategies are influential in quality of life in women living with the husband on hemodialysis. Psychology support programs are needed to help to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

Labor crisis and high stress for women and all stages of the second stage of labor, especially physically, emotionally and psychologically very difficult process for women, A non-drug method in comparison with the pharmaceutical side effects on the mother and fetus and is affordable, is using the exercise with birth ball during labor. This study aimed to investigate the effects of using birth ball on maternal and neonatal outcomes was performed..
In this clinical trial, 100 women 45-18 years abdomen first and second, admitted to Fatemiyeh hospital in 2015 were selected randomly in two groups of 50 tests and controls. Two groups in the duration of labor, the need for oxytocin, Apgar score after the delivery, birth weight, were compared.
The mean duration of labor was significantly lower in the intervention group than the control group(p Performing the exercise with birth ball during labor, can lead to loss during the active phase of labor, reducing maternal anxiety and stress, but harmful consequences on the Apgar score and birth weight did not change, so it can be used as a non-drug treatment and low effect to reduce labor pain relief used during labor and delivery.

considering importance maternal cares, a study was aimed to exploring the concept of continuous care and its dimensions in prenatal, perinatal, and postnatal periods.
This was a content analysis qualitative study that performed using semi-structured in depth interviews. Conventional content analysis method used for data analysis simultaneously data gathering. Different strategies were adopted for ensuring the accuracy and the rigor of the findings such as prolonged engagement with the data and external peer check. The setting of study was healthcare, hospital and instruction centers of Kashan University of Medical Sciences.
Participants were eighteen midwives and five physicians who had different official positions.
The participants’ experiences revealed five concepts for the concept of continuous midwifery-led care which included of continuity, the process of care, education and informing, management, and professionalism. Continuity had 3 categories including Continuous physical access, Continuity of care in different time periods and Continuity of a psycho-emotional relationship. Philosophy of continuous care, Home care provision and Accountability of the process of care were the process of care categories. Continued promotion, target groups of educations, ethics, rights, backing up, implementation of program documentation and follow-up were other categories.
Continuous midwifery-led prenatal, perinatal, and postnatal care is a multidimensional and important concept. Given the differences in the health infrastructures of different countries as well as the unique characteristics of pregnancy, higher priorities are recommended to be given to continuous midwifery-led care and its dimensions.

Nurses plays an important role in the development of health care and treatment. Knowledge management is one of the factors in the success and competitive advantages of organization . This study aimed to determine the relationship between knowledge management and job motivation of nurses in the educational -treatment centers of Hamadan University of Medical Sciences, 2015
This descriptive cross-sectional study was conducted on 256 nurses in educational -treatment centers of Hamadan University of Medical Sciences who were selected by Stratified random sampling ratio. Data were collected using the Knowledge Management and Herzberg's Motivation Questionnaire. Its reliability and validity were confirmed in previous studies. Data were analyzed in SPSS (version 16) and to measure the relationship between variables Pearson correlation test was used.
Research results showed that most people in terms of knowledge management (60/4%) motivation (87/5%) had a score of at an appropriate level. Between job motivation and knowledge management and its dimensions other than salary and knowledge creation , job security and creation of knowledge there was a significant positive correlation (p Knowledge management and job motivation of nurses in the hospitals studied were in good condition.

One of the problems in disaster management is mass casualty incident (MCI). Red Crescent is one of the most important organs during and after accident. The objective of study was to the effect of education of MCI on knowledge, attitude and satisfaction Red Crescent workers Hamadan.
First, Red Crescent officials Hamadan were interviewed. According to their views, MCI as the most important challenge was considered. This study was a single group intervention. The study population comprised all relief workers of Red Crescent. Available or purposeful sampling was done and 40 persons participated in this study. Knowledge and attitudes were assessed before and after the workshop. Instruments included demographic characteristics and questionnaire of knowledge and attitude were. Data were statistically analyzed by SPSS version 15 and paired t test.
The mean score of knowledge were before the workshop 5/4 ± 0/4 and after the workshop 11/2 ± 1/3; the mean scores of attitude were before the workshop 6/1 ± 0/6 and after holding workshop 21/2 ± 3/5.
Since the knowledge and attitude of workers increased after training so we recommend it be used in other fields also.

Pregnancy is an important event that occurs in the lives of most women. And marital satisfaction is a very important aspect in this period that quality of life and physical and mental health of women and their children are effective. Marital satisfaction is influenced by a variety of factors. In this study, we investigated the factors influencing marital satisfaction in this period.
This descriptive study was conducted 120 pregnant women referring to Asadabad health care centers in 1394. We gathered data by an information form, Enrich Marital Satisfactions Questionnaires and demographic Questionnaires. Questionnaires were filled by pregnant women. The data analyzed by SPSS 16 soft ware using mean and standard deviation, Independent T-Test and Anova.
Level of marital satisfaction in pregnant women were Medium and high.sub scales of conflict resolution and character issues and equality were lower than rest of the scales. Subscales of ideal distortion, relatives and friends, religious orientationwere upper than rest of the scales. also there are a significant relationship between education, career woman, husband's occupation, household income, job stability spouse, planned pregnancy, infertility history, length of marriage, age of woman with marital satisfaction mean(p Life skills counseling can be effective in improving marital satisfaction. Demographic variables were predictors of marital satisfaction in pregnant women.

Nursing leadership style is effective in the success and performing nursing care timely. Beside any nurse's procrastination will have terrible cost in lives and treasure. This study aimed to determine the relation between staff procrastination and nurse manager's leadership styles.
This is a descriptive correlational study which was conducted in social welfare hospitals in 2013. The study population consisted of employees (n=950) and managers (n=70) of nursing and midwifery. All managers and 290 employees were selected by stratified randomly. Data were collected by demographic, organizational procrastination and Bardenz-Metzkas leadership style (LBDQ) questionnaires which the validity and reliability had been confirmed. Data were analyzed with correlation coefficient in 0.05 significant level.
The most managers had average task-oriented and people-oriented leadership styles, but the executives were applied more task-oriented leadership style. The staff had low procrastination (52.46±12.99). People-oriented style of managers had weak inverse relationship with procrastination (r=-0.176) and inefficiency (r=-0.191) of staff and Task- oriented leadership style had a weak inverse relationship with the abomination of perform the task (r=-0.110) of staff, but the relationships was no significant.
Lack of procrastination in nursing and midwifery staff is a positive phenomenon that is affecting the performance of the organization. Due to the lack of relationship between leadership style and procrastination, Future researches in larger extent have been proposed.

Lack of effective control in postoperative pain can cause sleep disturbance, decreased fluid intake and incidence of behavioral changes such as restlessness, irritability and reduced activity and play. Therefore, this study was performed with the aim of determination the effectiveness of around-the-clock (ATC) analgesic administration on the quality of sleep and behavioral changes in children after surgery.
In this clinical trial study, 68 children 6 to 12 years admitted for tonsillectomy with one parent were selected and randomly were divided to control and case groups. For case group, intervention was performed by the around-the-clock (ATC) analgesic administration training after discharge. Data collecting tools were home dairy that was completed by parents. Data were analyzed with SPSS16 by repeated measures, post-hoc, independent t and Chi-square tests.
According to independent t test, There were significant differences between children of case and control groups in average sleep quality scores in the first day after discharge (p=0.008). According to chi-square test, Except for appetite (p=0/00), no significant differences were showed between children of two groups in the other behavioral changes.
Training of around-the-clock (ATC) analgesic administration in the first three days after ambulatory surgery such as tonsillectomy can prevent inappropriate behavioral changes in children and increases the quality of their sleep and appetite.

Anthropometric measurements provide useful references for the care of newborns. This would ultimately lead to identifying at risk newborns and help in better management.The aim of this study was to investigate the relationship between second trimester maternal hemoglobin values and neonatal anthropometric indices.
A Prospective study was performed on 150 pregnant women at 24-28 weeks of gestation, undergoing hemoglobin status test, in Tehran, 2013-14. Hemoglobin concentrations in second trimesters and all anthropometric indices of the newborns (birth weight, length, head circumference) were recorded. Data were analyzed using descriptive statistics, linear regression analysis and one way ANOVA. Data were analyzed with SPSS v21 and P No correlation was found between neonatal indices and second trimester hemoglobin concentrations. When the effect of independent factors on neonatal anthropometric indices was investigated, it was determined that birth week, parity and history of low birth weight were the factors of most influence (P According to our study there is no significant relationship between mother's hemoglobin concentration during the second trimester of pregnancy and neonatal anthropometric indices.