فهرست مطالب ali mohammad parvinian

The challenges experienced by mothers of children with cerebral palsy usually are multiple and ongoing. These challenges affect the mental health of mothers. Thus they need to be supported with supportive programs. This study was carried out to determine the effect of a designed- supportive program on mental health of mothers who have children with cerebral palsy. In this quasi-experimental study 60 mothers who had children with cerebral palsy were firstly selected by convenience sampling method and then allocated to two groups of experimental (n=30) and control (n=30). Data collection tools included the demographic and General Health Questionnaires (GHQ-12). Designed supportive program was implemented for experimental group through three steps including assessment of needs، giving support and evaluation. Data were analyzed with SPSS software Version 16 using Chi-square، t student and paired t-test. Chi-square showed no significant difference in terms of demographic variables between two groups. Independent t-test showed that there is a significant difference between two groups in relation to mean scores of mental health after intervention (P<0. 001). Based on Paired t-test there was a significant difference between mean scores of mental health before and after intervention in experimental group (P<0. 001)، but this difference was not seen in control group. According to the findings، applying a designed- supportive program could affect positively the mental health status of the mothers who had children with cerebral palsy. So it is suggested that designed- supportive programs to be applied as an effective method to promote mental health of mothers of children with cerebral palsy.

Having a child with cerebral palsy affected all aspects of quality of life the mothers. This is a Quasi-experimental study which was carried out in order to determine the effects of applying supportive program health-centered on the quality of life of cerebral palsy children’s mothers. Method& materials: This study is a quasi-experimental research with two groups case (n=30) and control (n=30) who were selected by random sampling method. Supportive Programs health-centered for case group performed in three stages (assessment, protection and evaluation). Data collection tools include: demographic questionnaire and quality of life questionnaire. Data collected before and two months after intervention. Statistical analysis was done by spss16 software. Data analysis with Chi-square showed that demographic data were similar in both groups (p>0.05). Comparison of quality of life after intervention by independent samples t-test was significant in two groups (P<0.05) But in dimensions of social function this difference is not significant (P> 0.05). Paired t-test showed that there is a significant difference between mean scores of eight dimensions of QOL and whole QOL before and after study in experimental group (P<0.05) But this difference is not significant in control group (P> 0.05).meams difference of whole QOL was significant in Both groups (P<0.05). According to these findings, applying supportive program health-centered on the quality of life of cerebral palsy children’s mothers is effective. So it is suggested that supportive program health-centered to be applied as an effective method to promotion quality of life of chronic disease children’s mothers.

Evidence-based health care provides up to date and cost-effective strategies and procedures. Hence, it plays an important role in the quality promotion of nursing care. Despite these benefits, there are barriers to its implementation which must be investigated. Therefore, this study is an endeavor to investigate barriers to implement evidence-based care among nursing staff. This descriptive cross-sectional study was conducted on 70 nurses working in different wards of Tehran Children's Medical Center who were selected through simple random sampling method. Data gathering tool was a researcher-made questionnaire about barriers to implementation of evidence -based care. Descriptive statistics were used for data analysis. From the viewpoints of nursing staff, 78.6 percent of barriers to implementation of evidence based health care were related to management aspects including lack of enough human resources and lack of sufficient awareness about the necessity of evidence-based health care. Considering the individual aspects, lack of time to review studies in this field was mentioned as an important obstacle. Factors related to barriers of implementing evidence-based health care are in individual and management areas. Therefore it is recommended to pay more attention to this subject through holding educational workshops and meetings, and to have more interaction and cooperation with centers which implement evidence-based care and make use of their life experiences according to existing facilities.