نشریه توسعه پرستاری در سلامت
سال هفتم شماره 14 (بهار و تابستان 1395)

Given the importance of health and hygiene in society, financing healthcare is very important. Therefore, the government of Islamic Republic of Iran codified and implemented the health reform plan. The current study aimed to compare the costs and quality of admission services before and after the implementation of the health reform plan.
Material & In this descriptive-comparison study, patients admitted to Bu-Ali Hospital of Sari from October to December 2015 who had a history of hospitalization prior to the implementation of health reform plan were randomly selected. For data collection, the standard questionnaire developed by the Ministry of Health and Medical Education and patients’ financial records were used. Patients answered the questionnaires as “before” and “after” the implementation of health reform plan and their answers were compared. Data was analysis using descriptive statistics and the Kolmogorov-Smirnov test, t-test and ANOVA using SPSS software.
A total of 108 women (63.91%) and 61 men (36.09%) participated in the study. The admission, equipment and bed costs were lower before the plan (p=0.0001). Also, the quality of inpatient services increased after the plan (p=0.004). Quality of equipments and the medical team was not statistically different after the plan p>0.05). Quality of reception services, doctors and nurses, the availability of medicines and supplies increased after the implementation of plan but quality of nursing service and physical environment of the hospital reduced (p According to the study findings, it seems that the health reform plan needs to be comprehensively revised, and more accurate plans should be developed for improvement.

Primary dysmenorrhea is a common problem among women in the child-bearing age. This study was designed to compare the analgesic effects of extra virgin olive oil and Ibuprofen on amount of bleeding and duration of menstrual cycles in primary dysmenorrhea.
In a crossover randomized controlled trial 60 university girl students (17-30 years old) in Boroojerd Islamic Azad University dormitory with the diagnosis of primary dysmenorrhea were selected by available sampling and divided randomly into 2 groups, receiving extra virgin olive oil (Group 1) and Ibuprofen (Group 2).
The subjects in group 1 took 25 cc of extra virgin olive oil daily for 2 months (starting two weeks before the start of the menstruation cycle), after 4weeks washout period they received 400 mg Ibuprofen three times a day in the first 3 days of menstruation. Group 2 was treated basically similarly, except that they received Ibuprofen during the two first cycle and extra virgin olive oil during the two second cycle. Data were analyzed by SPSS 16 software and using ANOVA with a crossover design.
Extra virgin Olive oil and ibuprofen have reduced the amount of the blood the end of study (p Extra virgin olive oil is effective in reducing menstrual bleeding and it seems that it can be used as a substitute for nonsteroidal anti-inflammatory drugs.

Phenylketonuria (PKU) occurs due to congenital disorder in phenylalanine metabolism, and leads to progressive mental retardation. Beginning a diet can prevent the complications of the disease. The purpose of this study has been to investigate the effect of parents’ knowledge on control of serum phenylalanine value in children with PKU.
The current descriptive-analytical study, was conducted on 45 Subjects(1-18 years) with their parents who were selected out of the 65 patiens with PKU reffered to Abuzar Hospital in the Ahvaz province in 2013. The extent of the parents’ knowledge was investigated with a researcher-made questionnaire including demographic and diet information, and the children’s serum phenylalanine was assessed and recorded using venous blood samples in all the families. SPSS 21 software was used for data analysis.
ANOVA test did not show a significant relationship between the knowledge of families and serum phenylalanine level of children (p>0.05). also, chi-square test did not show a significant relationship between the serum phenylalanine level of children and demographic variables, parental age, education, income, place of residence, age at diagnosis, previous training parents (p>0.05).
The present study demonstrates that parents do not have adequate information on the disease and control of their children’s serum phenylalanine value; therefore, it is essential to hold training workshops in order to the increasing patiens parents information in the respective centers.

According to the increased prevalence of heart disease in the elderly and the importance of this disease on all aspects of people's lives, the study aimed to determine the quality of life, life satisfaction and general health of the elderly with coronary artery disease (CAD).
Material & This descriptive-analytical cross sectional study conducted in Gonbad-e Qabus (North Eastern, Iran) in 2015. Research sample was 300 elderly people who were selected randomly. The data collected using Goldberg & Williams General Health, Dinner Life Satisfaction, and Quality of Life questionnaires. Data was analyzed by Descriptive and analytical statistics; t test, Pearson coefficient and ANOVA (P In terms of general health, 42% of participants were healthy and 58% of them had impaired general health. In terms of life satisfaction, 39% of them had enough satisfaction, and 61% were dissatisfied with their life. 36% of elderly had strong and good quality of life and 64% had poor quality of life.
More than half of elderly patients with cardiovascular diseases, had no good quality of life, life satisfaction, and general health. As age increases the risk of cardiovascular diseases increases, then more supportive intervention and elderly empowerment with aim of improve quality of life, general health and life satisfaction life is necessary.

The first principle in university is knowledge attaining. Recently, the idea of gender segregation in academic setting is suggested, so it was important to explore the students’ perspective about gender segregation. The aim of this study was to determine the attitude of students toward the implementation of gender segregation in universities in Golestan province in 2014.
Material & This cross-sectional study conducted on 209 students of universities in Golestan province using a self-made, valid and reliable questionnaire. Data were analyzed by SPSS.18 and descriptive statistics (mean, standard deviation) and inferential (Chi-square).
36.1 percent of the students had a positive attitude, and 68.4 percent had a negative attitude toward gender segregation in universities. There was no significant relationship between gender, marital status and ethnicity of students with their attitudes to the gender segregation in university (P>0.05). Both male and female students stated that “effect on education, having religion basis, and freedom of action” are the reasons for their positive attitudes toward gender segregation in universities.
The attitudes of students were favor toward gender segregation, however they believed that students should be involved in decision making and applying such important projects.

competency is very important in order to maintain power and authority to carry out nursing activities. So, the assessment of clinical competence of nurses in clinical environments can help to nursing administrators and managers to investigate the effects of environmental differences on clinical competence. The aim of this study was Determination of nurses’ clinical competence in critical care wards in Golestan hospital in 2014.
Material & A descriptive design was applied in this study. The sample consisted of 205 nurses who working in critical care wards in Golestan hospital in 2014. The instruments used in this study included a demographic questionnaire and nursing clinical competence scale (NCCS). The reliability and validity of the instruments were assessed. The Cronbach's alpha was determined within seven dimensions between 74-87 %. Data analysis was carried out using descriptive and analytical statistics through Statistical Package for Social Science (SPSS), Version 20.
Results showed that the mean score of clinical competence of nurses is above average. Also in variable ranking the "quality insurance” was the lowest (14.75±3.74) and “job responsibility” was the highest(47.85±8.91).
Current research indicates desirable level of nurses’ clinical competence that reported by nurses. But in ranking of nurses’ clinical competence,”quality insurance” dimension was the lowest. So, this study suggests that hospital leaders should pay more attention to the reasons decreasing the quality of nursing care and apply strategy to promote nursing care.

Diabetes mellitus is a common metabolic disorder that has negative effects on psychological condition, interpersonal, family and social relationship and in general, on psychological well-being. Quality of life and blood sugar metabolism control are two important indexes in diabetes treatment. The purpose of this study was to investigate the relationship between quality of life and mental health in diabetes patients.
Material & This cross- sectional study was conducted on 90 diabetes patients in 2015-16 who referred to clinics of Yasouj. Participants were selected with convenience sampling method. Data gathering was accomplished by two instruments: short form quality of life questionnaire (Sf-36) and general health questionnaires (GHQ). Finally data were analyzed by Spearman correlation coefficient and T-test using SPSS-17software.
The result showed that most domains in quality of life were correlated with mental health domains. General health perception and physical function domains were correlated significantly with 3 domains of mental health: anxiety, social function and depression. Mental health domain of quality life were significantly correlated with Somatoform symptoms (p According to the results, Diabetes is a chronic disease that affects patient's quality of life and mental health. Thus, attention to different dimensions of psychological health is necessary and interventions based on quality of life can be more effective.

The relationship between weight and health is complex relationship and there is a relationship between many health problems and diseases associated with weight change, and among women who are in vulnerable segments of society they are more affected in mental health effects on weight than men. This study was conducted to investigate the relationship between BMI and mental health.
Material & This is a cross-sectional study using cluster random sampling of 150 women 64-18 years old referring to health centers Boroujerd were enrolled in 2014.
Demographic and mental health questionnaire (GHQ-28) that was previously validated for the Iranian population, Interviews were completed by subjects. Measuring height and weight using the balance scale in a health center with 100 grams were collected.
Most subjects of this research were in the age group 34-25 years, graduate in diploma level, married, housewife, had a child, and their income were under four hundred dollars in a month, not addicted to smoking and they had had personal housing. 42.7 percent had normal BMI, 38.7 percent of body mass index had overweight, and 18.6 were obese. The mean total score of mental health in them were 22.8, and 62 percent of total cases were with normal mental health.
According to this study seems to be independent of body mass index on the mental health effects ,Culture and body image perceptions are individual factors that have a role in mental health.