Journal of Multidisciplinary Care
Volume:6 Issue: 4, 2018

It is in high importance to pay attention to different aspects of health and well-being in the elderly age. So, this study was conducted with the aim of investigating the association between spiritual health and life satisfaction in the elderly hospitalized in Shahrekord hospitals.
In this cross-sectional study, 308 elderly hospitalized in medical internal and surgical wards were enrolled into study by convenience sampling in 2013. The tools of gathering data were Spiritual Well-Being Scale and Life satisfaction Scale questionnaires. After collecting data, they were analyzed using SPSS software and independent t-test and one-way ANOVA tests.
Spiritual health in 51.3% of the elderly was low and the mean score for spiritual health was 86.16±18.61. Spiritual health was significantly associated with marital status, age, and number of children (P≤0.001). Life satisfaction was high (slightly satisfied, satisfied and very satisfied) in 63.9% of the elderly with mean score of 20.80±5.8 Life satisfaction was associated with demographic characteristics such as gender (P=0.002), social status (P=0.001), and number of children (P=0.001). There was a positive, significant association between spiritual health and life satisfaction (P≤0.001).
Over half of the elderly reported their spiritual health in low level, but most of them had a high level of life satisfaction. Therefore, it seems necessary to conduct religious interventions to promote spiritual health in hospitalized elderly.

Due to the importance of clinical learning environment in nursing education and improving their clinical performance, the study of student's attitudes towards clinical learning environment is essential. This study aimed to compare actual and preferential viewpoints of nursing students about clinical learning environment in Ahvaz University of Medical Sciences, 2015.
This research is a descriptive cross-sectional study. 203 nursing students from the School of Nursing and Midwifery in Ahwaz University of Medical Sciences completed the actual and preferential versions of clinical learning environment standard questionnaire after completion of internship. Data were analyzed using SPSS software and descriptive tests (mean and standard deviation) and analytical test (paired t-test).
The total score of preferential viewpoint was higher than actual viewpoint, and difference was statistically significant (P The results of the current study showed that students 'in preferential viewpoint expect that clinical instructors specify their job description, provide the necessary conditions to engage students with mentors and personnel, design his/ her experiences, teaching methods and learning activities in a new, attractive and productive form, Students take part in activities and clinical decision making and make learning conditions more satisfaction for their participation.

Postpartum depression (PPD) is a common and disabling psychosocial disorder that it suffers 10% to 15% women during the first year after delivery. PPD is a public health problem with negative consequences for both mother and infant. Thus, the aim of this study was to investigate the effectiveness of acceptance and commitment group therapy on postpartum depression and its effect on psychological flexibility.
The current study was a clinical trial on 32 women who refereed to Gynecology Clinic in Isfahan, Iran. Participants were randomly divided in two groups of experiment and control, 16 women in each group. The instruments of research included Beck depression inventory, Edinburgh postpartum depression inventory and Acceptance and Action questionnaires. These were completed by both groups in three stages: Pre-test, post-test and the follow up stage after a 2- month intervention. Interventions were conducted in 8 sessions, 2 hours in a week. Data were analyzed using analysis of variance with repeated measures.
The results showed that Acceptance and commitment therapy, was significantly reduced the rate of depression and increased the psychological flexibility, compared with the control group (P=0.001).
According to the results, use of this therapy approach is recommended by clinical psychology specialists to women with PPD.

Understanding the concerns of cancer patients in the last stages of life in Islamic and Iranian context can be helpful to improve culturally sensitive care towards them. The present study was aimed to explore the concerns for Muslim patients suffering from cancer in the last stages of life.
This was a descriptive explorative qualitative research which was conducted in 2016. The participants consisted of Iranian Muslim patients suffering from cancer in the last stages of life and the family members. Data were gathered through semi-structured interviews with 15 patients and their families hospitalized in a hematology oncology center in Isfahan using purposeful sampling. In order to understand more deeply the spiritual concerns of patients, patients’ collected data and their families in a palliative care center in Isfahan were also analyzed.
In this research, results associated with the nature of spiritual and religious concerns in patients will be discussed that consisted of three sub categories: “relationship to God”, “relationship to self” and “relationship to other people”. “Relationship to God” included following sub categories: “challenge in God justice”, “spiritual theology”, and “fear of death”. “Relationship to self” included subcategories: “decrease in self-esteem” and “impatience”. “Relationship to other people” consisted of subcategory: “impaired interpersonal relationship”.
One of the main concerns of cancer patients in the last stage of life is spiritual and religious challenges. Having cancer might make the patients becomes closer to God and might promote their trust and theology. For a few people this long trip might bring to them different concerns like fear of death, challenge regarding God justice and interpersonal relationship problems. These concerns must be considered and is planned culturally sensitive implementations to improve them.

Previous studies have shown a positive relationship between job Stressors and fatigue. The aim of the current study was to investigate the relationship between job stressors and fatigue in nurses by emphasizing on the moderating effect of organizational support.
This descriptive correlational study was conducted in 2016. Participants in the study were 125 nurses in Khoramabad city who were selected randomly. Instruments for data collection were Job Stress, Fatigue and Organizational Support questionnaires. A stepwise multiple linear regression analysis was used to determine which of the job Stressors could be used to predict Fatigue. Hierarchical linear regression analyses were used to examine the moderating role of organizational support.
The findings of the stepwise regression showed that only death and dying indexes (β=0.38, P This study revealed that higher levels of organizational support would be associated with lower levels of Fatigue, and that lower levels of organizational support would be associated with higher levels of fatigue. So, organizational support has an important role about nurses’ job stressors and fatigue.

Occupation one is one of the factors that influence mental health and marital satisfaction. The aim of this study was to compare mental health and marital satisfaction of nurses working in psychiatric wards and other wards of the educational hospitals of Ahvaz Jundishapur University of Medical Sciences.
This research is a descriptive-analytic study. The study population consisted of married nurses working in psychiatric wards and other wards of educational hospitals of Ahvaz University of Medical Sciences. The sample of study consisted of 82 married nurses working in psychiatric wards and 164 nurses from other wards. Data Collection tools were mental health questionnaire SCL-25 and Enrich marital satisfaction questionnaire (1989). Independent t-test for means comparison and Cronbach's alpha coefficients for calculating the reliability of the questionnaire and also for analyze of data SPSS software was used.
54.1% of the subjects were women and 67.9% in all the subjects were aged 31 to 40. 50% of nurses in psychiatric wards and 24.4% of nurses in non-psychiatrist wards had low level of mental health. In general, nurses who worked in psychiatric wards had low level of mental health (P=0.001). 30.5% of nurses working in psychiatric wards and 12.2% of nurses working in other sectors of the degree of marital satisfaction were low. In general, psychiatric nurses from other nurses experience less marital satisfaction (P=0.001).
Results of this study showed that mental health of nurses in psychiatric wards is less than nurses in other wards. Moreover, Psychiatric nurses had lower marital satisfaction than other nurses that it would pay more attention to stressful situations and work with psychiatric patients.

Nurses are one of the largest groups delivering health - therapy care in the private and public sectors and their interactions with patients is very high compared with the other employees. This study aimed to investigate the role of intermediary in professional ethics and career anchors on the causal relationship between psychological well-being and quality of work life of nurses.
The statistical population consisted of all nurses working in public hospitals of Urmia (1363 subjects) in 2016 who 300 nurses selected by stratified random sampling method.
Data were collected using 4 Standard questionnaires: professional ethics, career anchors, psychological well-being scale and quality of work life questionnaire. Data were analyzed using t-test and structural equation modeling by SPSS and LISREL software.
The results showed that the direct effect of variable psychological well-being on professional ethics (r=0.23, P Regarding the research results, it is suggested to promote the quality of nurses’ work life, enhancing psychological well-being followed by professional ethics and support employment are taken into consideration.

Sexual health is a state of physical, emotional, mental and social well-being of individuals, couples and families, and sexual health promotion, like other dimensions of health needs to complete and continuous access, learning opportunities for achieving better health. The present study aimed to determine the sexual health education priorities.
This study was a cross-sectional study that conducted on 420 engaged male and female for marriage in 2015. Sampling was done through a continuous method with pre-marriage couples were referred to a health care center No 8 in Rasht city to get premarital education services. In this study, the data collection tool was “sexual health need of education” questionnaire. Data was analyzed by SPSS and descriptive and inferential methods. The statistical significance level was P The first priority of education from the perspective of contributors was to "qualified educators" with an average of 76.91 %. Other priorities respectively includes: Appropriate educational features (75.68%), suitable educational technologies (74.37%) and educational content (72.47%).
The results of this study showed that the most important priority for engaged couples in the sexual health education is qualified educator. Therefore, health policy makers should pay more attention to this issue. Determining the most important priority of engaged couples in the "educator" dimension will also be a guide for health educators, especially premarital education.