فهرست مطالب ترانه تقوی

Patient satisfaction is one of the most effective tools in assessing the quality of health and planning to improve the health system. Considering the importance of this issue in this research, the satisfaction of patients with nursing care and services in Iran through systematic review is examined.

The present systematic review study was conducted using the search strategy of Cochrane with keywords: Patient Satisfaction, "Nursing Care" , "Iran" in databases, PubMed ,Scopus, Magiran, SID search. Finally, 33 papers were found without time limits until April 2019. The review was carried out with the steps of data extraction and the evaluation of the quality of studies and the reporting of the findings.

A total of 165 articles were finally extracted from 33 articles related to the title of the study. The majority of studies show a high level of patient satisfaction from nursing care. However, other studies have reported a controversial outcome. In addition, nurses' job satisfaction, nurses' psychological characteristics, occupational nursing dimensions, nurses' spirituality, type of hospital, type of ward that patient hospitalized, patient literacy level, health insurance and gender as factors that can affect Patients satisfaction are affected by nursing care.

Regarding the important role of patient satisfaction from care services in improving the patient and improving the quality of health care, health policy makers should pay particular attention to removing relevant barriers and problems from both the patient and the nurses.

Management of emerging diseases requires an ethical approach to the control and care of these diseases. An ethical approach has been emphasized. The present study aimed to determine the ethical challenges in the care of emerging diseases.
In this systematic review, using the three-step method, articles that published in English were retrieved using main keywords in the Scopus, PubMed and Web of Science databases from 1970 to 2017. Then, the articles with inclusion criteria were studied and analyzed. Out of the 5833 retrieved articles, 20 articles were reviewed. Analyzing the articles and extracting the data was done by two expired researchers simultaneously, as well as, evaluating the quality of the articles in order to increase the validity and reliability of the study. In terms of study type, 16 articles were descriptive (80%) and 4 cases (20%) were qualitative studies.
Findings: The main ethical challenges identified included: patient rights, respect for patient autonomy, patient privacy, obligation of the patient care, reciprocity principle, accountability and responsibility of the states, and prevention of the patient stigmatization and discrimination.
The findings highlights the need to consider ethical considerations in planning and taking care for emerging diseases. The inclusion of professional ethics training in the management of emerging diseases and ethical decision-making in epidemics in the curriculum of health care providers is recommended for better management of these diseases.

Cardiovascular disease is the leading cause of death around the world and Iran. Due to the high number of deaths from heart disease, self-management programs need to be considered. This study aimed to examine the effects of self-management on coping strategies in patients after angioplasty.
In this non-randomized clinical trial, 66 patients (30 in intervention and 30 in control groups) were selected from the two hospitals (Shariati and Imam Khomeini) of Tehran University of Medical Sciences using the convenience sampling method and according to the inclusion criteria of the study in 2016. Demographic data were collected by self-presentation and from the medical records of the patients before the study. Coping strategies were then measured before and after the intervention in two groups by the standard questionnaire of Lazarus and Folkman's coping strategies. The statistical analysis was performed using descriptive and analytical tests such as chi-square and independent t-test with the SPSS 16 software.
The results showed no significant difference between the intervention and control groups regarding the demographic characteristics. Also, there was no statistically significant difference between the two groups regarding the problem- focused (P = 0.85) and emotion-focused (P = 0.54) coping strategies. Statistical analysis showed that patient's self-management program could increase the use of problem-focused coping strategies (P = 0.005), but did not have any effect on the emotion-focused coping strategies (P = 0.25).
Nursing can move towards a full implementation of self-management programs as part of nursing services to patients to help deal with problems and stress-related illnesses to improve patients’ quality of life.

Considering morality, especially in researches that have human subjects, is necessary because, with ethical breaches, the main goal of these studies is that the welfare of human beings and the attention to dignity and human dignity will not be realized. One of the clear examples for using human samples in research is research on prisoners. The purpose of this study was to review articles related to ethical principles in research on prisoners. In this systematic review three-step search was used. Using the databases SID and Irandoc, Magiran and Iran Medex from 2011 to 2017 and searching the Scopus, Pubmed, Web of Science databases from 1970 to 2017, Barley and extracted. The keywords used in Persian and English were Ethics, Research, Prisoner, Prison. Then, all articles that had inclusion criteria were studied. To increase the reliability of the study, two researcher evaluated the quality of the articles separately. The most important ethical considerations raised in the articles include informed consent, the interests of the community, the secrecy of the prisoner, and the explanation of the profit and loss of research for prisoners. Research using vulnerable groups or communities is justified only if ethical principles have been designed and implemented including informed consent, consideration of the subject's interests and secrets in order to meet the health needs and the priorities of the same group or community, and there is a reasonable probability Whether the same group or community will benefit from the results of that research.

Teenage years have along with many charges in biological, psychological and social choosing effective coping styles in adolescence could make safety from crisis. The purpose of the study is assessing of group discussion-based education on coping skills among female students in high schools.
The study is a semi-empirical with pretest-posttest design. Statistical population of the study was the second and third students of high schools in Kashmar. According to random sampling, 100 students were selected and allocated randomly in two groups, intervention and central. The questionnaire of CISS was filled before and 1 month after program in two groups. Intervention program was a 60 minutes, 8 sessions that conducted by group discussion. Finally, data analyzed with T-test and chi-square in SPSS version 21.
Finding showed that average score of coping styles in intervention and control group were 127/65 and 129/4 before, and 155/07 and 127/5 after intervention. Results showed significant difference between pre-test and post-test score in intervention group (P Coping skills training by group-discussion can promote knowledge of adolescent’s coping problem-based style of coping.
Therefore it’s recommended coping skills training added to educational program of teenagers.

Migraine is the second common cause of headache, after the tension headache, that 15 percent of women and 7 percent of men suffering from it. It's connected to some of the main factors such as lifestyle, Nutrition status, and the factors related to stress. The aim of this study is to determination of empowering program effect on the migraine patients.
This randomized clinical trial study, implemented at the Semnan city's headache clinics. 70 patient distributed in two groups, consisting Control and Sample group. Both of the groups filled the "Migraine patient's exclusive quality of life" questionnaire. Control group received the pharmaceutical routine treatment, and Sample group participated in the empowering program. This program includes the holding of two-day workshop and the six-week telephone follow-up.
Results of this study showed that, holding empowering workshop, have significant connection with the "Emotional dimension of quality of life" (P=0.023), "Limiter dimension of quality of life" (P=0.006), "Preventive dimension of quality of life" (P=0.001), and the "General quality of life" (P=0.012).
Empowering workshop had been effective on the improvement of quality of life level, and this simple and inexpensive method could be used as a supplement treatment alongside the pharmaceutical methods.

Complications due to spinal injuries in veterans affect the different dimensions of their family’s life. The present study was done to investigate the correlation between general health and quality of life in caregivers of veterans suffering from spinal cord injury. This correlational study was conducted among 90 caregivers of veterans suffering from spinal cord injury referring to Boostan hospital in Ahvaz who were selected through convenient sampling. Data was collected by general health and quality of life questionnaires (36 questions) and were analyzed using spearman's correlation and chi square. There was no significant difference between quality of life and general health of caregivers with age, sex, education, marital condition, economic level, relation with person on care and paralysis type (p>0.05). The mean score of general health of caregivers 57.5±5.6 and the mean score of quality of life was obtained 55.1±22.7. The significant correlation was observed between general health and quality of life score of caregivers (p=0.01). The most dysfunction in general health of caregivers is in the domains of anxiety, depression, social functioning and physical symptoms respectively. The most dysfunction in quality of life of caregivers is in the domains of general health perception, emotional role functioning and mental health respectively. There is a correlation between general health and quality of life of caregivers and there is a correlation between some domains of general health with quality of life in caregivers of veterans suffering from spinal cord.

Anxiety has been known as a problem for patients undergoing gastrointestinal procedures. Consultation is an approach used to decrease anxiety and distress in patients. The aim of this study is to determine the effect of nursing consultation on the anxiety level of patientsundergoing upper gastrointestinal endoscopy. It was a quasi- experimental study. One hundred and twenty patients undergoing upper GI Endoscopy were recruited by convenient sampling and allocated randomly to either experimental (n=60) or control groups (n= 60). The experimental group received nursing consultation about endoscopy the day before the procedure for 30 minutes، while the control group did not receive any intervention. Anxiety level (recorded by spielburger questionnaire) was measured in both groups before intervention and on endoscopy day (immediately before the procedure). The data was analyzed by descriptive and inferential statistics (Breslow، Mantel–Haenszel، and ANCOVA using SPSS-PC (v. 11. 5). The mean score of anxiety of the experimental and control groups immediately before endoscopy was 40. 1 ± 5. 22 and 46. 01 ± 5. 51 respectively and this difference was statistically significant (P<0/0001). Nursing consultation provides a good opportunity for reducing the anxiety of patients before endoscopic examination and is recommended as a non-pharmacologic intervention to nurses working in gastrointestinal wards.

Mentally retarded children impose an extra stress on their parents especially on mothers. Coping skills can be used by parents to relieve stress and to improve adaptation. Therefore, the aim of this study was to assess the effect of teaching on social adaptation in mothers of educable mentally-retarded children based on Roy adaptation theory. This quasi-experimental study was carried out on 40 mothers of educable mentally retarded children referred to the exceptional school in Aran and Bidgol during 2010-11. Intervention was consisted of four two-hour sessions, supplemented by a 30-minute conversation between the interviewer and the candidate occurred within 2 weeks. Coping skills program was based on the dimensions of Roy theory. Questionnaire on adaptation was completed before and 6 weeks after the completion of intervention by the participants. The mean scores for social adaptation in mothers of mentally retarded children in physiological, self-concept, dependence/independence, role-playing dimensions and total social adaptation before and after the training showed a significant difference (P<0.001). According to the results of the study, teaching based on the Roy theory has a positive effect on social adaptation in mothers of mentally retarded children.