نشریه پرستاری کودکان
سال سوم شماره 2 (زمستان 1395)

Can be said , The most essential and most important principle is at work to be done nursing skills, especially in the health status Which fast action and accurate decisions and the problems will be. So the empowerment of nurses in these skills seem necessary. The purpose of this study is to evaluate the skill of nurses in pediatric physical examination was by self assessment method.
This cross-sectional descriptive study in four hospitals of the province (1394) on 107 nurses purposive sampling was conducted based on the characteristics of the study sample.Data were collected included demographic characteristics questionnaire (12 questions) and self-assessment questionnaire and pediatric physical examination skills of nurses (30 items). The validity of the content's aspect ratio (CVR= 0.78) and content validity index (CVI =0.83 ) and Cronbach's alpha coefficient 0.9 determined. All analyses were performed by SPSS v.22 software and Student t tests.
Findings: According to the findings of the and pediatric physical examination, two of the 30 basic skills (assessment of respiratory effort and maximum temperature) frequently or regularly every shift by more than half of the participants were implemented. More than 20% of nurses did not know the seven skills as part of their job but do Dastnd how these techniques and more than 40 percent of the participants did not know how the two skills (auscultation of the lungs and heart) to do so. Between the ages of nurses with an abundance the skills of pediatric health assessments (p =0.780), also employment status significant relationship with an abundance use of these skills (p =0.762) did not exist.
Research now showing some skills as part of the routine work of nursing have not been considered many of these skills are rarely performed. Failure to perform many of the skills training shows a paradox. From one side a lot concern for education, there are a large number of skills. The nurses a relatively small set of skills to run. Therefore, evaluating the real need for practical nurses perform the skills required to appear.

Children labor are one of the major social problems. However, this phenomenon is associated with sexual child abuse. They have the inevitable consequence on mental health. Therefore, the aim of current study is to investigate the between aggression and anxiety among child labor with and without sexual child abuse.
This study is a descriptive comparative research. The 60 children with sexual child abuse and 60 children without sexual child abuse were selected in a convenience sampling method in Tehran in 2016. The measuring instruments are Children's Inventory of Anger (ChIA, 2000) and the Spence Children's Anxiety Scale (SCAS, 1998). Data was analyzed utilizing multivariate analysis of variance (MANOVA).
Findings: The results indicated that there is the significant difference between the anxiety (F=14.427, p=0.0001) and aggression (F=16.248, p=0.0001) among child labor with and without sexual child abuse (p These findings emphasize that sexual child abuse should be considered one of the several risk factors to increase anxiety and aggression and also it intensify the level of anxiety and aggression among children labor.

The proper function of breastfeeding, particularly in the first hours of birth is an important factor for successful breast-feeding in nulliparous women. The aim of this study was to determine the effect of education based on health belief model on the breastfeeding of the nulliparous women.
In this RCT study, 92 primiparous mothers in the hospital of Imam Reza of Kermanshah selected based on available sampling in 2015.Mothers with 32 weeks of pregnancy, completed questionnaire based on HBM before education. They also completed questionnaire after a four-hour training session and also one hour after delivery. The performance of breastfeeding of mothers was observed and recorded by the researcher.
The two groups were similar in demographic characteristics and structure of HBM model at the beginning of the study. Independent t-test showed a significant differences in mean scores of Perceived susceptibility (p Education Based on Health Belief Model on breastfeeding promoted the health belief model structures (percieved susceptibility, severity, benefits, barriers, cues to action and self efficacy and improved lactation performance.

Depression as a serious complication of cancer has various effects in different contexts like on the individual and social life, mental and physical health, treatment and disease progression. This study aimes to determine the effect of nursing intervention based on humor on depression in adolescents with leukemia.
This research is an experimental study where 62 children and youth aged 12 to 18 years old with leukemia that have inclusion criteria were that purposive sampling and were randomly assigned into two intervention and control groups. To gather the data, demographic and depression in children and adolescents (CADS) questionnaires were used. In the experimental group, nursing interventions based on the use of humor as three 30-minute sessions per week, for 8 weeks were used and control group only received the routine care interventions. Before and after intervention, both groups filled out questionnaires. After collecting the data entered and analyzed using SPSS version 21.
Findings: Statistically significant difference was not found in demographic variables between the two groups (P>0.05). Pre-test mean depression score in the control group was (34.10±0.16) and the experimental group was (36.16±6.89), which statistically significant difference wasn’t found between the two groups in pretest scores (P>0.05). After adjusting pre-test scores, a significant effect of depression between subjects in grades obtained (P Results of this study showed that use of nursing interventions based on the humor can greatly reduce depression in children and adolescents with leukemia and as a method of health care in the care of these patients was recommended.

Considering the influence of Brain/Behavioral systems on Coping Skills with stress, the present study aimed at investigating the relationship of the Brain/Behavioral systems with Coping Skills with stress and its role in the mental health of students.
This study is descriptive (survey). For this purpose, 300 girl students of Mathematics- Physics Field (zone 4) Tabriz in Ranging in age from 16 to 18 years to the Cluster sampling - were selected. Data collection tools included Carver & White’s BAS / BIS questionnaire, Falkmn & Lazarus’s Coping Skills Inventory and Goldberg & Hillier’s General Health Questionnaire. To test the research hypotheses, Pearson correlation and to investigate the role of Brain/Behavioral systems and Coping Skills in mental health, the regression analysis were used.
Total score of mental health and its components with Problem solving coping style and activation brain system Negative relationship and Emotional coping style and Behavior Inhibition brain System is a significant positive relationship. As well as Problem solving coping style with activation brain system positive relationship and a significant Negative correlation with behavioral inhibition brain system. Emotional coping style with activation brain system Negative correlation and a significant positive correlation with behavioral inhibition brain system.
The results showed that student's mental health in the physical, psychological and social impact of different sensitivity of Brain- Behavioral systems and Individuals coping strategies to daily stress is placed.

The present study analyzed the effectiveness of combination therapy of schema therapy and attachment- based therapy for the early maladaptive schema and insecurely attached style mothers and children's behavioral problems.
the study was single subject of ABA experimental designs and purposive sampling. 6 mothers whose their children had behavioral problems were selected among the clients who referred to the psychological counseling services related to the rehabilitation welfare center. These mothers were posses maladaptive schemas and insecurely attached style. They were selected randomly and in step. The measurement was done by using Young early maladaptive schema questionnaire, Experiences in Close Relationships Scale and Ratter behavioral disorders questionnaire. Each mother received combination therapy of schema therapy and attachment-based therapy for 20 sessions.
reducing the children's signs of behavioral problems compared to the baseline was from 2.81percent to 27.57 percent. Generally, children's behavioral problems severity scores reported by the subjects were decreased in compare to the baseline in intervention and follow-up levels.
the intervention with mothers was effective in decreasing children's behavioral problems, however; the rate of decreasing the signs was different in various subjects.

Tonsillectomy is a painful but common surgical procedure in children whichrequires adequate pain relief to facilitate the recovery process. One of the main roles of nurses is to use non pharmacological treatment of pain. Therefore, the present study aimed at determining the effects of mother’s voice on pediatrics’ pain in tonsillectomy surgery.
This quasi-experimental study was performed on 60 patients aged between 4 to 8 years undergoing tonsillectomy. Samples were randomly allocated to two groups of control and intervention. measuring tools included a demographic questionnaire, FLACC pain scale, Oucher self-report pain scale. In this study mother’s voice was recorded and then played for the child through a headphone. The first phase was a 15 minutes normal talking from separating the child and mother till the start of the surgery and the second phase was reading a relaxing passage for 5 minutes after the end of surgery till the entrance of child to the recovery room. Flacc score in recovery was recorded so was the Oucher self-report pain score, 6 hours after surgery
Findings revealed that postoperative pain score between the two groups there was a significant difference )p The result indicated that use of mother’s voice cause pain decrease in children under tonsillectomy. Therefore, it is recommended to reduce pain in children in outpatient procedures such as tonsillectomy mother's voice to be used.

Asthma is a chronic disease reduce the level of quality of life for children. The ultimate goal of Health science is increasing the quality of life. Therefore, this study aimed to investigate the effect of self-care program on quality of life of school-age children with asthma.
This study is a quasi-experimental study. The sample were calculated 60 (test group and control group). Samples were selected from Children's Hospital of Babol city. Self care program designed in 7 steps include: Assessment and Recognition, determine the level of behavior change based on a behavior change model, setting staging table for behavior changing, Scoping and planning, Preparation necessary requirements to run the program, run the program as a group and final self care evaluation in test group And after a month quality of life of the children in both groups was measured.
The mean score of self-care before the intervention and after the intervention are 107.23 and 127.3, standard deviation (SD) before the intervention and after the intervention are 14.48 and 11.94. Before the intervention, no significant difference was observed in self-care and quality of life of the experimental group s and control group(p>0/05), but this difference was statistically significant after the intervention(p The results of this study showed that self-care programs are effective to improve the quality of life of school-age children with asthma.