نشریه پرستاری ایران
پیاپی 99-100 (اردیبهشت و تیر 1395)

Obstructive sleep apnea is one of the most common sleep disorders and is a chronic disease with high prevalence in elders. The present study aimed to investigate frequency of obstructive sleep apnea and its related factors in elderly.
Material & This cross sectional study was conducted on 175 elderly lived in personal homes that were selected using cluster sampling method in 2014. The Berlin questionnaire was used for data collection. Data were analyzed by independent T-test and Chi-square tests in SPSS (version 18) Statistical software and P value less than 0.05 was considered statistically significant.
The mean age of samples in this survey was 68.5 ± 7.5 years. The results of this study showed that 49 persons (28%) were at high risk for Obstructive sleep apnea. There was also a significant correlation between obstructive sleep apnea and gender (P=0.038), smoking (P=0.001) and neck size (P=0.007).
Given the high prevalence of obstructive sleep apnea and its consequences in elderly, screening procedure to identify high risk people in order to prevention and control of potential complications seems to be necessary.

The role of woman on the one hand as a wife or mother and the other hand as a nurse who working in a stressful environment exposes them to psychological stress of the responsibility.
The purpose of the current research was to investigate the relationship between thought rumination and worry as mediators of self-compassion and depression among married female nurses in Ahvaz.
Material & This research was a descriptive-correlational study and 193 married female nurses were selected using stratified proportional sampling method from Imam Khomeini, Golestan, Shafa, Arya and Mehr hospitals of Ahvaz,Iran. Participants completed Beck Depression Inventory-II, Ruminative Response Scale, Penn State Worry Questionnaire, and Self-compassion Scale-short form. The data were analyzed using Pearson correlation coefficient and concurrent hierarchical regression analysis and using SPSS-16 software.
Pearson correlation coefficients showed that there were significant negative correlations between self-compassion with depression, rumination and worry variables and there were significant positive correlations between worry and rumination with depression variables (p In general, the results largely support our models that self-compassion is associated with lower levels of depressive symptoms among women, but the thought ruminations and worries have involved between self-compassion and depressive symptoms.

Divorce, as tragic social phenomena, has long been of interest to researchers. Marital satisfaction improvement through life skills training is one of the coping strategies with the negative impacts of divorce. The purpose of this study was to determine the effectiveness of life skills training on marital satisfaction in divorce applicant couples.
Material & This research was an interventional study (pre-test and post-test with control group and random assignment). By using the simple random sampling, 32 subjects were selected (16 in each group) from divorce applicant couples who referred to Tabriz family courts since (2014-2015). After completion of the Enrich Marital Satisfaction Questionnaire, they randomly divided into control and intervention groups. After 10 sessions of group life skills training (3 hours twice a week for One and a half months) in intervention groups, the Enrich Marital Satisfaction Questionnaire was conducted again as a post-test in all groups. The data were statistically analyzed using Multivariate Covariance analyses by SPSS.16 software.
Results showed that life skills training have significant (P Our results showed that attention to mental health needs and family problems in divorce applicant couples, have important outcome on marital satisfaction.

Suicide is an important public health issue. An estimated 1530000 suicide deaths will occur worldwide in 2020. Providing the preventive programs is the main task of nursing. This study designed to determine the effectiveness of nursing preventive interventions in suicide reattempt.
Material & The clinical trial method using randomization sampling method that has been conducted on patients with suicide attempt(Maclure, 2000 #329;Maclure, 2000 #329). This study conducted on 248 people who attempted suicide and were referred to Baharloo hospital in Tehran, Iran since July to October 2013. The demographic characteristics questionnaire and discharge follow-up questionnaire used for data collection. To analyze the data, SPSS version 16 was used.
In this study, out of a total of 248 attempts to commit suicide, woman, singles and unemployed compromised 66.1%, 52.8% and 43.5% of participants respectively. In the intervention group 8.5% of participants committed suicide once. In the control group participants had attempted suicide once (10.5%), twice (7.9%) or three time (3.3%). There was a significant relationship between the nursing preventive program and suicidal attempts (P This study showed that nursing preventive programs play an important and significant role in suicide re-attempts prevention.

Chronic Obstructive Pulmonary Disease (COPD) has been considered as one of the most common chronic diseases that lead to drop in authority and function in patients, and this has caused significant challenges in the care systems. The aim of this study is to investigate the effect of self-management program on self-efficacy in patients with COPD to find efficient method to improve the patients’ health status.
Material & This randomized clinical trial was performed on 50 COPD patients with moderate and severe grade who have the inclusion criteria. Patients were randomly assigned to control and intervention groups. Intervention group received the self-management program in addition to the regular care based on 5A model. All Patients were assessed by self-efficacy scale questionnaire at the beginning of the intervention and after 3 months. The t-test and chi square was used in SPSS software to analyze the data.
The results show that there was no significant difference between the groups in self-efficacy at first, but there was significant difference after intervention (P Regarding to the effectiveness of short term self-management program on the improvement of self-efficacy in patients with COPD, use of self-management program in addition to routine practice care is recommended.

Health promotion is the process of enabling people to increase control over and to improve their health and it has a considerable impact on improving health and quality of life of human resources in the workplace. This study aimed to compare the nurse’s health promoting behaviors with administrative and health care staff.
In this cross-sectional study, 180 nurses, administrative and health staff were selected using convincing sampling from health centers and Imam Khomeini hospital, Saqqez, Iran. Data were collected by using demographic and the Health Promoting Lifestyle Profile II (HPLP-II) questionnaire and it analyzed using one-way analysis of variance, multivariate analysis and independent t-test by SPSS Version 16.
Overall, mean score of health promoting behaviors among participants of the present study was 2.68 ± .48. The highest score of health promoting behaviors was related to health centers staff and there was a significant difference between health centers staff and other groups (p However, the mean score of health promoting behaviors was at the desirable level among all the groups but there is need to pay more attention to physical activity dimension.

Increasing the population growth and the number of health care facilities Lead to use of disposable medical equipment, so it caused increasing the medical waste production. Improper disposal of medical waste poses a serious threat to the environment and public health. Thus the aim of the present study was to determine awareness of the nurses about medical waste management.
Material & This is a descriptive - analytic study with participation of 268 nurses employed in hospitals affiliated to Isfahan University of Medical Sciences in 2014. Data collection performed using a researcher constructed questionnaire. Sampling method was simple nonrandom. Data analysis performed by descriptive and analytical statistical test and SPSS statistical software, version 14.
The study results showed that there were significant differences between the awareness of nurses and their position in the phase separation, packing and collecting and the waste transportation, also the head nurses had higher score. It was not significant in the maintenance, disinfecting, refining and elimination phases. Also, the awareness of nurses’ scores in separation, packing and collecting, maintenance disinfecting, refining and elimination phases were higher in the nurses who participated in the waste management in-service training courses in versus those that did not precipitate. There was no significant difference in the transportation phase.
Developing and implementation of continuing education and in service programs in the waste management encourage nurses to continuous learning to improve knowledge, attitude and skills it can help in proper waste disposal management. Establish waste disposal management workgroup in the health care centers could be an effective step in this regard.

Cancer patients undergoing chemotherapy suffer from major side effects including sleep disorders. The Sleep problems affected ability of patients to complete the treatment, recovery, survival and ultimately affected good quality of life. The aim of this study was to determine prevalence of sleep disorder and its related factors in cancer patients undergoing chemotherapy.
Material & This cross-sectional study was conducted at Kermanshah, Iran 2013. In overall, 140 cancer patients undergoing chemotherapy in two University affiliated hospitals, recruited in study by random sampling. Data were collected by standard questionnaires and for analyze the data, Chi-square, Mann– Whitney test; Kruskal Wallis test and correlation coefficient were used. P- value The overall prevalence of poor sleep quality was 51.4%. Statistical analysis showed that the history of previous surgical treatment (P= 0.027), hospitalized patients (P= 0.047), having fatigue (P= 0.012), having pain (P= 0.001) and pain intensity (P= 0.0001) were the main factors associated with poor sleep quality.
According to results of the present study, design and planning of nursing interventions focused on careful assessments and management of pain and fatigue is recommended to improving the patients sleep quality.