منصور غفوری فرد

Cancer is a disease that affects the quality of life of the patient, and palliative care is a solution that can improve it. However, home palliative care program has not developed in most countries of the world. The aim of this study is to improve a home palliative care program for cancer patients.

Methods & Materials: 

This research is an action research study that was conducted through quantitative and qualitative approaches in Tabriz over 2018-2020. Eighteen home care nurses were selected for interviews using purposive sampling in order to identify the care needs of cancer patients and the barriers to palliative care at home. In addition, a questionnaire to determine the attitude and knowledge was distributed among 60 home care nurses before and after the action stage. The qualitative data were analyzed using conventional content analysis method, and the SPSS software version 14 was used to analyze the quantitative data.

The care needs of cancer patients were determined in five categories and barriers to palliative care in three categories. Cancer patients have physical, psychological, educational, financial and spiritual needs, and barriers to palliative care include poor instruction, families' desperation, and unprofessional caregivers. In the quantitative phase, nurses had average knowledge and negative attitude towards palliative care. Training through virtual space improved the knowledge and attitude of nurses, and the paired t-test showed that the mean score of nurses' knowledge after the action stage was significant.

according to the findings, to improve palliative care at home, the physical, psychological, educational, financial and spiritual needs of cancer patients should be considered. Removing barriers to palliative care including developing guidelines, supporting the families of cancer patients and training special nurses for palliative care at home can improve care in these patients.

One of the concepts that has been recently emphasized in the care of chronic diseases such as chronic kidney disease (CKD) is the activity of patient in his/her health management, which is called patient activation. Knowing the level of patient activation can help physicians and nurses implementing high quality care and proper patient education. The aim of this study was to evaluate the patients' activation and the factors affecting it in patients undergoing hemodialysis.

In this cross-sectional study, a total of 180 patients undergoing hemodialysis were selected from the largest hemodialysis center in Iran by simple random sampling. Data collection was performed using demographic information and patient activation measure (PAM). Data were analyzed by SPSS software ver. 26 using ANOVA, t-test, and Pearson correlation coefficient tests.

The results showed that the mean activation score for hemodialysis patients was 56.25±16.77 and most of them were in level 1 of activation. The analysis showed that the mean activation score was statistically significant in terms of marital status, place of living, educational level, history of kidney transplantation, income, and age of the patients (P values were under 0.05 for all).

In general, the activation rate of hemodialysis patients was moderate and a limited number of samples were in level 4 of patient activation. Therefore, it is suggested that the activation level of patients should be assessed in early stages of diagnosis of CKD, and then the patients' care should be provided in accordance with the activation level of individuals and based on person-centered approaches.

Hemodialysis is one of the most successful treatments for replacing kidney function worldwide. Given the physiological changes brought about, the undesirable complications of hemodialysis remain a serious problem. Sodium profiles- ultrafiltration has recently been proposed as a method to prevent complications during dialysis. The present research was conducted as a comparative study of such methods on the common complications of hemodialysis.

In this clinical trial, 32 subjects from two treatment centers of East Azarbaijan Province were included in the study based on the inclusion criteria through convenient sampling. Each patient underwent 3 sessions of routine hemodialysis, 3 sessions of the linear profile, and 3 sessions of stepwise profile method for a total of 9 sessions. The patients were clinically examined for common complications. The data were analyzed, using SPSS 13, and Cochran's inferential-descriptive statistics at the significance level of P<0.05.

The results of 288 hemodialysis sessions were analyzed in total. The findings revealed that the incidence of complications and the number of treatment measures in the linear and stepwise sodium- ultrafiltration profile significantly decreased in comparison with those of the routine method(P<0.05). Additionally, the incidence of hypotension complication was significantly more in the routine method as compared with that of linear and stepwise methods.

The sodium-ultrafiltration profile is a simple, cost-free method and improves hemodialysis tolerance. Thus, it is recommended that this method be used in most of the patients’ monthly sessions to reduce the complications and improve hemodialysis tolerance.

Because of their ongoing contact with patients, nurses have an important role in maintaining and improving standards of patient safety, in which nurses’ workplace condition may have impact on the incidence of nosocomial infections and may endanger patient safety. Aim: the aim of this study was to investigate the relationship between nurse's workplace environment and nosocomial infection.
This descriptive - correlational study was done on 300 nurses working in teaching hospitals in Tehran, Iran. Subjects were selected through stratified sampling method. Data related to nurse's workplace environment were collected by Nurses Work Environment Index (NWI). Its validity and reliability was determined by content validity and Cronbach's alpha (0/89), respectively. Data related to nosocomial infection were extracted from INIS software. Collected data were analyzed using descriptive statistics and inferential analysis (Pearson’s correlation test) by SPSS (ver.16) software.
The result showed that the mean incidence of nosocomial infections in the selected hospital was 3.47%, and urinary tract infection (UTI) was the most common infection in these hospitals (39.7%). Pearson's correlation analysis showed that there was a significant negative relationship between each domain of nurse's work environment and the incidence of nosocomial infection (p It was found that there was a negative correlation between nurse's work environment and nosocomial infection. Therefore, one of the important strategies for decreasing of nosocomial infection and promotion of patients’ safety is the improvement of the work condition of health care professionals, especially nurses’ work environment.

Although compassionate care is recognized as a core component of nursing care, there is not still a precise definition about this complex and challenging concept. This study aimed to analyze the concept of compassionate care in nursing using a hybrid model.
Methods & Materials: A three-phase hybrid model (theoretical, field work, and final analysis) was used in this study. In the theoretical phase, the concept of compassionate care was searched in main databases from 2000 to 2016. In the field work phase, in-depth, face to face interviews were done with 11 nurses. The content analysis method was used to analyze the data. Final analysis was done in the last phase.
The results of the final analysis showed that compassionate care is a process in which nurses interactively communicate with patients, try to explore patients’ concerns by putting themselves in their positions and understanding their situations, and do their utmost to eliminate these concerns.
According to this concept analysis, the constructive interaction between nurse and patient is one of the most important features of compassionate care that has not been mentioned in previous definitions. Also in this study, the nurses emphasized that they did their best to resolve the patients’ concerns. Therefore, the current study could be the basis for future studies in the area of compassionate care.

Violence and its associated trauma are an increasing worldwide critical health problem, and the victims of violence necessitate the medical and forensic services. Forensic nursing is one of the new disciplines in this field, hence the aim of this study was to review the forensic nursing, its application and introduction of forensic nursing as new branches of nursing discipline. This study was a narrative review research by searching the key words like forensic nursing and nursing in PubMed, Ovid, Scopus, EMBASE, Medline and Elsevier and Iranian INLM databases without time limitation. The result showed that forensic nursing provided direct services to individual, consultation services to nursing, medical and law-related agencies, as well as providing expert court testimony in areas dealing with trauma and/or questioned death investigative processes, addressing the children and elderly abuse, care of prisoner patients and assessing death scenes. This field also had some branches; providing an appropriate health services by forensic nurses can have a pivotal role in care of individuals who were the victims of violence; not only decreases the long term effect of abuses on physical and psychological aspect, but also prevent from being a victim of the violence. Therefore, the educational authorities should consider the necessity of designation the infrastructure required to provide forensic nursing and implementation of forensic nursing in health care systems.

Nursing process leads to the coordination of nursing services but today we see that this process is not applied at clinical fields, therefore this study aimed to determine the nursing process barriers from the view of the nurses and nurse managers in surgical wards in imam reza hospital at kermanshah.
This descriptive cross-sectional study was conducted on 90 nurses (73 nurses and 17 nursing managers) of surgical wards of Imam Reza hospital in Kermanshah city in 2015 . Data collection tool was nursing process barriers questionnaire that its validity by view of experts of this field and its reliability with Cronbach's alpha 0/84 and 0/86 was confirmed. Data using SPSS version 17 and chi-square test and Fisher's exact test in significant level of 0/05 were analyzed.
The lack of sufficient information about concept of the nursing process was the most important individual barriers from the view of nurses (72.6%) and nursing managers (88.2%) respectively. The most important management barriers from the view of nurses were lack of enough time for doing the nursing process due to excessive number of patients (93.2) and from the view of nursing managers were submitting non-nursing duties to the nurses (88.2%.(
Despite the nurses are faced with several obstacles to provide nursing process, nurses are expected to increase their knowledge about the concepts of the nursing process more than before, and nursing managers should remove administrative obstacles that exist in management aspects, in addition the managers should provide practical and functional education to create a clear understanding of the concept of the nursing process.

One of the most important ethical challenges in research and academic writing is the scientific misconduct which is defined as violation of scientific regulations. The aim of this study was to review scientific misconduct as an unethical phenomenon.
This study was conducted by using narrative review strategy in which a total of 56 papers was selected via search in databases such as PubMed, ISI Web of Science, Scopus, EMBASE, Elsevier, and Iranian National Medical Digital Library (INMDL) according to the objective of the study.
First, we overlooked on scientific misconduct, meaning of plagiarism, the causes of plagiarism, its category, and penalties for plagiarism. The results showed that there is main three type of scientific misconduct including falsification, fabrication, and plagiarism which the latter is the most comment. We found fourteen type of plagiarism according to the literature review. Then, some online and offline software for detection of plagiarism cases were proposed. Finally, some practical strategies presented for prevention of plagiarism.
We conclude that using another’s idea without appropriate acknowledging is considered as plagiarism which could have negative consequences and punishment for the perpetrator.
Familiarization of researchers with cases of plagiarism and their commitment on ethical regulations and correctly acknowledgment of references and using software could be helpful in preventing this problem.

Patients undergoing hemodialysis are exposed to stress and pain due to approximately 300 punctures per year they receive for their arteriovenous fistula. Alleviation of the pain can improve acceptance of the procedure and quality of life among the patients. This study aimed to assess the effect of cryotherapy on arteriovenous fistula puncture pain among patients udergoing hemodialysis.
In this clincal trial, a convenience sample of 40 patients who met the inclusion criteria were randomly assigned to the experiment and control groups. Pain was measured using the visual analogue pain scale at baseline and after the cryotherapy in Hugo Point in experimentd group and control groups. Data were analyzed using the descriptive (frequency, mean and standard deviation) and inferential statistics(independent t-test, paired t-test, Chi-squared, Pearson's test) in the SPSS.
At baseline, mean of the pain scores were 5.9±0.96 and 5.5±0.82 among the experiment and control groups, respectively. After the intervention, mean of the pain scores were 3.2±0.82 in the cryotherapy group and 5.1±1.25 in the control group (p Application of cryotherapy as a safe method with low side effects is suggested for pain control among patients with hemodialysis.

Clinical education is an important part of nursing and midwifery curriculum and it is a main basis for clinical skills and professional competencies of student. A high quality clinical education is required for training of competent staff. The aim of this study was to evaluate the clinical education status of Zanjan University of medical science from the nursing and midwifery student’s viewpoint. This descriptive-cross sectional study was done on 100 nursing and midwifery students who were selected by census method in Zanjan University of medical science from 2012 to 2013. A two-part questionnaire was used to collect data. First part assessed the demographic data and second part evaluated clinical education status which included 33 items in following five area purpose and educational curriculum, instructor characteristics, educational environment characteristics, quality of interactions between students and other staff, and supervision and evaluation. The data was analyzed using descriptive statistics and Chi square test via SPSS ver. 17. Results showed that presentation of the course objectives in first day of clinical education, instructor punctuality, expectation about student punctuality, good interactions between instructor and students, and instructor competency in clinical procedures were the most strength of clinical education. Paying no attention to the students viewpoint in educational planning, lack of reinforcement for students’ self-esteem, student inability for decision making for planning of care program, increased number of students in each ward and inadequate motivation induced by learning environment were the most weaknesses of clinical education. Although some aspects of clinical education was at good level, but there was still some weaknesses points that disrupt the integrated chain of clinical education. Therefore, it is necessary to take some appropriate consideration to strengthen the positive aspects and to modify the weaknesses of clinical education for improving the quality of clinical education.

Respecting patients’ privacy leads to increased satisfaction among hospitalized patients and can accelerate the healing process and reduce hospitalization time. This study aimed to determine the level of respect for patient privacy in the teaching hospitals of Zanjan city during 2012. In this cross-sectional study 256 hospitalized patients were selected by multistage sampling and completed the study questionnaire. The questionnaire consisted of two parts: the first part collected the participants’ demographic data and the second part examined the various aspects of patients’ physical privacy. Data were analyzed using SPSS version 21. The results showed that most of the samples (76. 2%) were unaware of patients’ rights، and about half (49. 2%) believed that their physical privacy was respected most of the time. Meanwhile، 56. 3% of the patients declared that medical team members never closed the curtains during physical examinations and medical procedures. The mean score of observation of privacy was less for single patients (51. 23 ± 14) compared to married patients (58. 88 ± 13) (P <0. 05). Based on our findings، most patients were not aware of their rights and some measures of physical privacy were not observed. Therefore، authorities must pay more attention to systematic planning in order to ensure that patients’ privacy is respected in all areas of health and education.

Self-care is a core element of health and the treatment of patients with chronic diseases، including diabetes. The use of nursing theories and models are recommended for the promotion of patients'' self-care agency. The present study was conducted to determine the effect of Orem''s self-care model training on self-care agency among diabetic patients. The present quasi-experimental study was carried out on 20 diabetic patients in the Endocrinology Department of Imam Reza Hospital of Tabriz. Data collection was conducted using a checklist for the evaluation of self-care agency. Based on the checklist، the patients'' information in five main domains (diet، physical activity، blood sugar levels، medication therapy and diabetic foot care) was scored based on a 10-point Likert scale. The necessary training was then conducted according to the patient''s conditions using Orem''s self-care model. The patient’s information was evaluated once again through the checklist and the pre and post intervention results were co mpared. The results showed that the mean score of self-care agency in each of the five domains، including diet (P=0. 04)، physical activity (P=0. 000)، blood sugar levels (P=0. 003)، medication therapy (P=0. 001) and diabetic foot care (P=0. 01) increased significantly after Orem''s self-care model-based training. Given the positive effects of Orem''s self-care model-based training، the use of this model is recommended as an addition to other interventions.

New areas in the field of health care are the cooperation between health professionals, hospitals, medical centers, and insurance experts in a virtual environment in which to exchange information. The technical and socioeconomically progression provided an opportunity that many patients have access to Internet-based information systems. This study was carried out to investigate the diverse dimensions of virtual hospital. In this Narrative review, we searched the database such as PubMed, ISI Web of Science, Scopus, EMBASE, Medline, Elsevier and INLM by using these keywords “Virtual Hospital, treatment and medical education”. We found 84 articles in primary search and then it was decreased to 35 articles according to the aim of the study. Virtual Hospital provides the opportunity to enable medical staff and patients can communicate with each other in a virtual environment. Virtual hospital has various applications such as education of medical students; meet the client and patient's needs, the virtual wards, use of health care workers to provide services, the hospital as a virtual library. Using virtual hospital will be one of the main requirements of human’s societies at near future. The authorities of our country should provide the structures necessary to provide services through personal computers and mobile phones and other communication media

Sleep is an indispensable part of one’s lifestyle. On the other hand, sleep disorders may lead to many health problems. Changes in sleep duration are associated with cardiovascular diseases, metabolic disorders, weight gain and obesity. The present study aimed to evaluate the relationship between sleep duration and changes in serum glucose level in type II diabetic patients. This cross-sectional study was conducted on 108 patients with type II diabetes. A researcher-made questionnaire was used for data collection. T-test, Chi-square and one-way analysis of variance (ANOVA) were performed for data analysis. The obtained results showed a significant correlation between fasting blood glucose and sleep duration (P=0.0001, r=0.33). According to the results, the mean sleep duration was 6.2±1.8 hours. Body mass index was significantly higher in diabetic women than diabetic men (P=0.007). Also, serum glucose level in diabetic patients, who slept more than 8 hours, was higher than that reported in other diabetic patients (P=0.01). In this study, diabetic patients with longer sleep duration had high fasting blood glucose level. Therefore, prevention of sleep disturbances, with an emphasis on sleep health and normal sleeping time, seems necessary for inhibiting serum glucose variations.

Background & War as a detrimental event causes various physical and psychological disorders. One of these serious complications is blindness. Whereas the blindness may affect the adjustment state of warfare veterans and also the psychological effects of blindness was not studied. So this study was performed to detect the various dimensions of adjustment status among warfare Veterans with one eye blindness in Zanjan city، 2011. In this crosssectional descriptive study، 45 warfare veterans of zanjan city participated in the study according to census. Data was collected by Bell Adjustment inventory. We used SPSS ver. 16 and ANOVA test and correlation for statistical analysis. The results showed that 53/4% of samples had weak emotional adjustment and 44/4% of samples had week social adjustment. In health adjustment mode، most of them (66/7%) had week status as compared with other detentions. But in home adjustment most of them (66/7%) had moderate status. There was a meaningful correlation between age and social adjustment (p=0/03) and between age and health adjustment (p=0/04). In this study، a lot of veterans had not a good adjustment in the emotional، social and health mode. So it is expected from authorities of our country to pay a lot of attention to the psychological status of veterans and holds the educational sessions about life skills and providing the consultation facility to promote the health of veterans.

Objective (s): War is an event that causes physical and psychological disorders. One of these complications is blindness that may occur in one or two eyes. The blindness may affect the adjustment state of warfare veterans. This study aimed to investigate the emotional and social adjustment among warfare veterans with blindness. This study was a cross-sectional study of 45 warfare veterans in Zanjan, Iran. Participants were suffering from one eye blindness. Data was collected by the Bell Adjustment inventory. We used SPSS software to analyze the data performing one-way analysis of variance. The mean age of veterans was 48±7 years. The results showed that 53.4% of the sample had poor emotional adjustment. With regard to social adjustment 44.4% of the sample had fair and 44.4% had moderate adjustment. There was a meaningful difference between social adjustment and age (p=0.017). Also there was a meaningful difference in mean emotional adjustment scores among veterans (p=0.022). However, there were no differences in mean emotional and social adjustment scores with marital status, education, exercise and reason of injury. The findings indicated that many veterans with eye blindness suffer from poor emotional and social adjustment. Indeed further attention to this population and their needs are recommended.

In patients undergoing mechanical ventilation because of an endotracheal tube، mucus production and secretion is high. Because endotracheal suction in these patients is essential، chest physiotherapy techniques such as expiratory rib cage compression before endotracheal suctioning can be used as a means to facilitate mobilizing and removing airway secretion and improving alveolar ventilation. This study was carried out to determine the effect of expiratory rib cage compression before endotracheal suctioning on arterial blood pressure in patients receiving mechanical ventilation. This study was a clinical trial study with a crossover design. The study sample included 50 mechanically ventilated patients hospitalized in intensive care wards of hospitals of Valiasr and Ayatollah Mousavi educational hospitals in Zanjan. Subjects were selected with consecutive sampling and randomly allocated to grope 1 or 2. The patients received endotracheal suctioning with or without rib cage compression; with a minimum 3 hours interval between the two interventions. Blood pressure was measured 5 minutes before، and 15، 25 minutes after endotracheal suctioning. The 2 measurement periods were carried out on the same day. We measured the blood pressure 5 min before suctioning، 15 and 25 min after suctioning. To analyze the data، SPSS16 was used. There was significant differences in the mean blood pressure between 5 minutes before as compared with 15 and 25 min after endotracheal suctioning in rib cage compression method (p<0. 05). There was no significant difference in other method (p>0. 05). Moreover، there was significant differences in the mentioned variables (p=0. 00). According to the findings، the expiratory rib cage compression before endotracheal suctioning improves blood pressure in patients under mechanical ventilation. So، expiratory rib cage compression before endotracheal suctioning is recommended in the patients.

Chronic renal failure (CRF) and its related treatment such as hemodialysis influence the life style of patients and leading to physical and psychosocial problems. Social support is one of the most important coping mechanisms that improves quality of life and health status of these patients. The aim of this study was to determine social support in hemodialysis patients in hospitals of Zanjan University of medical science. In this cross-sectional study, 84 patients with CRF who referred to Zanjan hemodialysis centers in 2010 were recruited. Subjects answered 2 sets of questionnaires: (1) demographic characteristic, (2) standard instrument of social support)NSSQ(. Data were analyzed by descriptive statistics using SPSS ver.16. Fifty percent were female, 79.8 % were married, and 19% were jobless. 78.5%, 20.3% and 29.7% of participants had optimal emotional, informational and instrumental support, respectively. The overall optimal social support was 40.5%. There was not significant relationship between independent variables (marriage, type of job, educational level and sex) and social support (p>0.05). According to the result of this study and regarding to positive relationship between social support, quality of life and survival rate in hemodialysis patients, it is suggested that health care policy makers and managers consider instrumental and informational support in order to improve quality of life in hemodialysis patients.

One way to improve nursing education is to shift from the traditional teaching methods into modern student-based ones. The aim of the present study was to investigate the effect of the implementation of the case-based teaching method and comparing it with lecture method on the amount of nursing students’ learning and satisfaction. This quasi-experimental study which was conducted in Zanjan Faculty of Nursing & Midwifery in 2010, all 30 senior nursing students were included in the study. For data collection a researcher-made questionnaire was used. The given questionnaire consisted of two sections including demographic characteristics and 20 questions regarding the comparison of the features of case-based teaching method with lecture. Data was analyzed using SPSS 16 and descriptive statistical tests, independent T test and Chi Square test. In students’ point of view, the most important characteristic of the case-based teaching method was students’ increased reading comprehension compared with lecture. Moreover, 66.7% of students evaluated the case-based teaching method to be, in general, better than lecture method and had considerably higher satisfaction of it (8.38 ± 1.8 out of 10). No significant difference was observed between the students’ satisfaction mean based on gender (p>0.05). In nursing students’ standpoint, the case-based teaching method is better and enjoys more efficacy than lecture method.

Nursing process is the core of nursing care. Application of nursing process leads to achieve comprehensive and scientific care of patients. Despite teaching of nursing process in nursing faculties, this systematic method is not used in Iran. So, this study was performed to detect the nursing instructors’ and nursing students’ perspective toward the obstacles of nursing process in Zanjan Faculty of Nursing and Midwifery. This study is a cross-sectional descriptive study in which 67 persons (19 instructors and 48 nursing students) participated in the study according to census. The data was gathered using questionnaire and was analyzed by SPSS 16. The most important individual and management barriers from the perspective of instructors were lack of sufficient information about concept of the nursing process (89.5%), and inadequate knowledge about the nursing process in intensive care units (94.7%) respectively. Moreover the most important individual and management barriers from the perspective of nursing students were inadequate knowledge about the nursing process (81.3%), lack of authority support for implementation of the nursing process (87.5%) respectively. There was significant difference in 4 items of obstacles of nursing process between instructors and nursing students (P< 0.05). According to the findings, authorities must help promote the health care by employing sufficient nurses, educating the students and providing necessary context for application of nursing process.

Sleep is a major and important part of human’s life. There is a significant relationship between sleep quality and occupational and intellectual performance of students as key segment6s of the society. Sleep deprivation can affect the educational status of students. Thus, the aim of the present study was to determine the sleep quality of students in Nursing-Midwifery and health faculties of Zanjan University of Medical Sciences. This descriptive cross-sectional research was conducted in the Nursing- Midwifery and Health Colleges of Zanjan University of Medical Sciences in 2009. After receiving informed written consent, using simple randomized sampling 162 students were included in the study. The demographic and Pittsburgh Sleep Quality Index (PSQI) questionnaires were used to assess the demographic and sleep quality of the samples. The obtained data was analyzed by means of SPSS software (version 11.5), descriptive statistics, frequency table, chi square, and Pearson's correlation coefficient. Mean age of the students was 20.62. Eight percent of the participants 8% were females and 43.2% males. 13.6% of all had satisfactory sleep quality and the rest (86.4%) had poor sleep quality. 54.3% were sleepy during the day that was related to poor sleep quality (P=0.001). Poor sleep quality was 82.9% and 89.1% in males and females, respectively; and there was no significant relationship between sleep quality and gender (P=0.2). Most of the students had poor sleep quality. Regarding the relationship between sleep quality and educational-professional performance of students it is necessary to improve the awareness and knowledge of them about sleep hygiene and also to provide suitable conditions in order for them to have effective healthy sleep especially during finals are vitally suggested.

War is an unpleasant event imposes for peoples and that causes physical and psychological disorders. One of these complications is blindness. Whereas the blindness may affect the adjustment state of warfare veterans and also the psychological effects of blindness was not studied. So this study was performed to detect the adjustment status among warfare Veterans with one eye blindness in Zanjan city, 2011. This study is a crosssectional analytical descriptive study which 45 warfare veterans of zanjan city participated in the study according to census. Data was gathered using Bell Adjustment inventory. We used SPSS ver.16 and ANOVA test for statistical analysis. 45 warfare veterans of zanjan city with mean age of 48 ± 7 years participated in the study. The results showed that 66/7% of samples had moderate home adjustment. Only 11/1% had good home adjustment. Regarding to the health adjustment, most portions of samples (66/7%) had fair adjustment. Pearson correlation showed a meaningful relation between health adjustment and age of veterans (p=0/041, r=-0/30). Pared t-test showed meaningful differences between means of home and health adjustment scores. There was a meaningful difference between social adjustment and age category (p=0/016). But there were no differences in the mean of home and health adjustment scores according to age, marriage status, education, exercise, income, percentage of veterans and reason of hurt (p>0/05). In this study, a lot of veterans had not a good adjustment. So it is expected from authorities of our country to pay a lot of attention to the psychological status of veterans and holds the educational sessions about life skills and active participating in social fields to promote the physical and psychological health of veterans.