International Journal of Community Based Nursing and Midwifery
Volume:1 Issue: 3, Jul 2013

As childhood is considered to be the infrastructure for growth and progress, experiencing misconduct may leave behind a heritage of imbalance and unrest which may be manifested in any situation in some form of mental disorder (neurotic attack). This problem leads to physical and mental disorder in children and inflicts heavy social and economic damages to the society. This research aims at evaluating the impact of education, based on BASNEF model, on maternal attitude towards child abuse. The current research is based on an interventional study on 95 mothers referred to the Shahrekord health center. They were randomly selected and divided into two groups of test and control, and education was conducted in four sessions based on structures of BASNEF model. Finally their obtained information was analyzed using paired t-test, independent t-test, Mann-Whitney and Chi-square statistical tests.The mean score in beliefs was 77.73±7.27, attitudes 87.01±8.1, subjective norms 85.55±8.4 and enabling factors 82.77±10.64 in the test group. There was a significant difference in the average marks of the structures of the BASNEF model (beliefs, attitudes, subjective norms, and enabling factors) between the control and intervention groups after the training processModel-based training has a positive effect on improving attitudes; therefore, instead of traditional methods, applying a planned training program is suggested so that its effects can be reliable.

Osteoporosis is one of the consequences of chronic diseases such as nephrotic syndrome in adolescents, especially in those undergoing glucocorticoid therapies. The present study aimed to determine and compare the effect of education by peers and health personnel on the prevention of osteoporosis in the adolescents with nephrotic syndrome. The present quasi-experimental study was conducted on 54 adolescents with nephrotic syndrome who were randomly divided into two groups of peers and health personnel. The osteoporosis education program was based on the health belief model. Two questionnaires were completed by the patients to assess their knowledge and health beliefs regarding osteoporosis before, immediately after, and 1 month after the educational intervention. The data were analyzed by SPSS-15 using independent and paired t-test and RMANOVA.The mean score of knowledge and health beliefs was significantly increased in both groups immediately after the intervention (P<0.05). However, the scores declined in both groups with a significant decrease in some parts one month after the intervention. No significant difference was found between the peers and health personnel regarding osteoporosis knowledge and health beliefs (P>0.05). The results of the present study revealed the significant effect of education, carried out by both peers and health personnel, on the osteoporosis knowledge and health beliefs. Also, peer education was a cost-effective and feasible method for increasing the adolescents’ osteoporosis knowledge and health beliefs.

War as a cause of psychological trauma can lead to unfortunate events in human life. Trauma experienced by one of the family members can affect other members of that family as well. Family members, especially spouses, experience trauma due to permanent encounter with signs of Combat post-traumatic stress disorder (PTSD). This study was conducted to investigate the experiences of the veterans’ wives. The present qualitative study was conducted on 12 veterans’ wives aging 37-50 years. The subjects were selected through purposeful sampling from Bonyad Consultancy Center from early April to late September, 2012. Data were collected using focused group discussion and analyzed through conventional content analysis approach. The participants’ experiences were categorized into two main themes and 5 sub-themes. The extracted themes included “disease and family reaction” and “coping with the disease” and the sub-themes included “negative emotions”, “living together but not intimately”, “reprehension and disease stigmatization”, “support motivation”, and “dual role-play”.The results of this study demonstrated that Combat PTSD had a negative effect on family members, especially wives. Thus, eliminating this problem requires health and educational interventions.

Nurses are at risk for symptoms of Secondary Traumatic Stress (STS). The role of social support and mindfulness in predicting STS is important among nurses. This study was performed to determine the prevalence of the symptoms of STS and the role of mindfulness and social support in predicting the STS in Iranian nurses in Malayer. Using a cross-sectional analytic research design, we selected 173 participants among the nurses working in public hospitals of Malayer, Iran. Secondary Traumatic Stress Scale (STSS), Freiburg Mindfulness Inventory-14 (FM I-14), and Multidimensional Scale of Perceived Social Support (MSPSS) were used for collecting the data. The obtained results indicated that 39.9% of the nurses had symptoms of STS and that the severity of symptoms in emergency nurses and non-emergency nurses was 41.5% and 37.9%, respectively. There was a negative correlation between mindfulness and social support (significant other, family and friends) with STS; social support (from family) negatively predicted the STS in hospital nurses. Based on the obtained results, the relationship between mindfulness, social support and STS and the role of social support from family in predicting the STS in Malayer nurses were confirmed. Thus, it is necessary to develop support systems for nurses who are at risk for STS.

One of the most painful experiences of women in life is labor. The use of non-drug methods for pain relief is on the increase. This study aimed to compare mono-stage and bi-stage acupressure at sp6 point on the severity of labor pain and the delivery outcome. This is a quasi-experimental single blind study from December 2010 to June 2011 in which 150 term pregnant women in labor pain were divided into 3 acupressure groups of mono-stage and bi-stage at sp6 point at 3-4 and 7-8 cm dilatation and control group. The intervention was carried out for a period of 20 minutes. Pain severity was evaluated before, immediately, 30 and 60 minutes after the intervention by Visual Analog Scale (VAS). The pain severity after the intervention in 3-4 cm dilatation in the intervention group was less than that of the control group (P=0.001) but the two groups of intervention did not differ from each other (P=0.94). In 7-8 cm dilatation, the pain severity was reduced only in the bi-stage intervention group (P=0.001). The duration of the 2nd stage and the rate of Cesarean section was lesser in the intervention groups (P=0.022). Exerting pressure at sp6 point is effective in pain reduction, duration of labor and the rate of Cesarean section. Pain relief in bi-stage intervention was more than that of mono-stage. Therefore, it is used as an effective way to reduce maternal pain.

Osteoporosis and related fractures due to discomfort, disability, decreased quality of life and death is a major health problem in the world. According to the importance of recording and reporting osteoporosis, lifestyle in growth duration, during teenage, is the most risk factor that determines osteoporosis in adolescents and the elderly. The aim of this study was assessing adolescence lifestyle and its relation with osteoporosis among adolescents in Qazvin, Iran In this descriptive-analytical study, 300 teenagers were selected by stratified cluster sampling. The scale for data collection was a self-administered questionnaire containing 15 items related to life style. Using SPSS 16, the data were analyzed by Chi-square and Fisher’s exact tests. The results showed that the majority of teenagers (71.3%) don’t regularly have physical activity. There were significant differences between physical activity patterns of male and female teenagers (P=0.001). It was shown that female teenagers (66.7%) use more foods containing vitamin D, cola-type beverages and caffeine than male teenagers (34.7%).Only, 26.9% the female teenagers and 33.5% of the male teenagers drink one cup of milk daily. The results showed that 29.3% of male teenagers and 24.3% of female teenagers haven’t used any method for facilitating calcium absorption in the body.The findings of this study showed that Iranian teenagers had several known risk factors and unfavorable behaviors. Therefore, modifying teenagers‘ lifestyle by preventive educational strategies on osteoporosis can help to prevent osteoporosis in adolescents.