عاطفه علیبازی

Spiritual health is important aspect of human health that provides integrated relationship between internal strengths. Spirituality and personal beliefs help individuals against problems and make their life meaningful. This study evaluated the relationship between spiritual health and religious orientation with emotional adjustment of admitted adolescents in hospitals. This cross-sectional study was conducted on 260 adolescents in hospitals of Arak University of Medical Sciences. The samples were selected by cluster sampling method. Data collection tools included three questionnaires: 1- Religious Orientation Scale، 2-spiritual well-being scale and 3-emotional adjustment scale. Data analyzed using SPSS-20 and with Pearson correlation test، Independent T-test، ANOVA and Multiple linear regressions. Result of this study showed that between religious orientation and emotional adjustment there was no significant relationship (P>0. 05). But a significant relationship (P<0. 0001) was found between spiritual health and emotional adjustment indicating adolescents with higher spiritual health had better emotional adjustment. The mean scores of emotional adjustment in males were significantly higher than females (p<0. 004). Age، marital status، education، ethnicity and religious ceremony were not correlated with emotional adjustment. Results of Multiple linear regression showed the score of spiritual health and gender predict %17. 1 of adolescent emotional adjustment. In hospitalized adolescents، higher spiritual health was positively associated with increased emotional adjustment. Awareness of spiritual needs and encouraging usage of spiritual intervention and support by physicians and nurses is necessary in order to conduct a holistic care during treatment.

As regards, about 80% of all latex allergy caused by latex gloves and the use of steroidsto treat this allergyis associated with local and systemic complications, therefore the research be necessary for treatment with fewer side effects. This study examined the impact of Alcea Althea on latex allergy in operating room personnel in hospitals of Arak city. This study was a double-blind clinical trial. Among operating staffs with allergies, samples were selected by simple random sampling. Then randomly divided into two: (intervention=33, control=33) groups. The intervention consisted of 5 mL topical solution from8%ofaqueous extract of Alcea Althea before and after the use of latex gloves for 30 days. Before and after intervention, samples were examined by a dermatologist. Samples completed self-assessment questionnaire of “Symptom Severity of Natural latex allergy”. The data were analyzed by SPSS 20 using Chi-square, Independent t-test, paired t-test and Analysis of Covariance. In this study, the mean age of staff was 32.45±6.69 in group control and 29.68±7.15 in intervention group. There was no significant different between groups in term of demographic. Results of this study showed that before intervention, severity of latex allergy symptoms between two groups didnt have any significant difference (P = 0.34), but after the intervention was seen significant difference (P= 0.013). Also before and after the intervention in control group, was not significantly difference in scores of symptoms severity of natural latex allergy (P= 0.11), however, for the control group was significantly difference (P= 0.008). According to Aqueous Extract of Alcea Althea reduce the symptoms of latex allergy, thus can be used as an effective herbal supplement helping to reduce the side effects of latex allergy.

A model is a summarized representation of facts. Health-related models show values، perceptions and various understandings of health care. This study investigated the nursing advocacy models and the nurses’ protective role. In this review article، related literature and documents were searched in PubMed، Science Direct، Proquest، Google Scholar، Magiran، Iran Medex، and Scientific Information Database، using the general search engine Google. The search was performed by keywords “advocacy” and “nursing advocacy model”. In this stage، 89 sources including books، articles and dissertations on the subject of nursing advocacy written between 1991 and 2014 were collected. In the next stage، 43 sources were chosen for the review article. Finally، 8 models that were more consistent with the topic and objectives of the study were extracted. Considering the findings of this study and the benefits of nursing advocacy، we propose to design a model in order to promote the advocacy role of nurses in Iran. In this model، legal constraints، social factors and values، organizational culture، position of the nurse in the health care system and political and economic considerations should be taken into account.