نشریه پرستاری و مامایی ارومیه
سال پانزدهم شماره 1 (پیاپی 90، فروردین 1396)

Hemodialysis patients are facing a lot of stressors such as problems related to the treatment, pain, feeling of inadequacy and unrest, dietary limitation, fatigue and weakness. This study aimed to determine the effect of Peplau’s theory of interpersonal relations on stress of hemodialysis patients'.
The clinical trial study was conducted on 66 patients with hemodialysis were referred to the Urmia Taleghani University Hospital. The pre-test was taken, then the samples were randomly assigned to intervention and control groups. Data collection instrument consists of two parts demographic characteristics and “21 questioned depression, anxiety and stress scale (DASS21)". Peplau’s nursing theory applied individually to the intervention group members. Then two weeks after intervention, post-test was performed. Data was analyzed using Chi square test, independent t-test and paired t-test statistics by SPSS statistical software, version 20.
Results showed that the difference in overall mean stress scores between experimental and control groups, before implementing the Peplau’s theory of interpersonal relationship was not significant (p=0.217). But a significant difference was shown in mean scores of stress between two groups after intervention (P>0.001).
Based on the results from this study, it can be concluded that correct use of Peplau’s theory of interpersonal relations can lead to reducing hemodialysis patient's stress. Therefore, it is suggested, patient's stress can be reduce with use of this low-cost model.

Faculty member’s development at present and with regard to recent developments in various fields of medical education, is very important. This issue is so important various programs have been conducted in different countries. In this review article we try to identify the various aspects of empower faculty members in medical education in Iran and worldwide.
In this review study, by using the key words of faculty member development, medical education, medical universities and their English equivalents, studies from 2000 to 2014 in the database, Scopus Google scholar, Pub med were searched. Finally, to analyze the different aspects of empowerment programs, related articles, studies and various aspects of the programs, were studied.
According to results, entries were grouped into four categories: 1) analyze the content of faculty development programs, 2) educational methods used in faculty member development programs, 3) the type of interventions used in faculty member development programs, 4) faculty development outcomes.
Promoting empowerment programs in medical education, need to use a wide variety of content for implementation, qualitative and mixed methods studies and use of multiple and high level data sources. However, if we believe that faculty development programs, improves professional skills and qualifications of the faculty members, accordingly, using a systematic plan to evaluate the results of the program can be improved empowerment programs. As a result, faculty members and individuals involved in empowerment programs must continue to reflect the inherent weaknesses of traditional empowerment programs and at the same time, it should be noted that the faculty development is complex process and has intertwined structure.

women's reproductive factors may be risk factors foe obesity in women. Since few studies with conflicting results have examined that reproductive factors association with obesity, present study aimed to determine the relationship between reproductive history (age at menarche, parity, gravidity, breastfeeding duration, menopause age) with women's body mass index.
In this cross-sectional study of 240 of women who had eligible criteria and referred to polyclinic of Imam Khomeini hospital in Urmia were selected in 2015. Data were collected with a questionnaire and then weight and height of subjects were measured by BsBeure50 scale and fixed wall height measuring, data were analyzed by software SPSS version 17 and statistical tests.
This study showed that the mean ± SD of body mass index and age of women are 29.28 ± 5.53 kg / m 2 and 52.4 ± 12.4 years. 35.8% of samples were overweight and 44.6% were obese. Parity (p=0.001, r=0.91) and gravidity (p=0.003,r=0.19) and body mass index were significantly positive correlation, and other studied variable(age at menarche, duration of breast feeding, menopausal age) with a body mass index were not significantly different(p>0.05).
This study showed that the high number of pregnancy are a risk factor for obesity so it seems Planning health interventions for women during pregnancy and after delivery is essential to reduce the incidence of obesity

To the correct orientation of computer networks hospital information and its approval by healthcare workers can lead to improve the quality of health care services, and reduce costs related to it. The aim of this study was to collect and analyze the nurse's attitudes, motivations and thoughts on the implementation of hospital information system and to determine the use of computerized hospital information system in the process care and treatment of patients in the AmirAlmomenin and Imam Khomeini hospitals of Zabol city in 2014-2015.
Sectional-descriptive study was conducted on 246 nurses. Because the numbers of community were so low, the census method was used. The data collection tool was a questionnaire whose validity was confirmed by four professors in this field and its reliability was assessed using Cronbach's alpha coefficient. After collecting and entering data into the computer by spss statistical software and descriptive and inferential methods was Spearman test.
a direct and positive relationship between the two variables impression of being useful information technology and easy to use the system of basic components hospital Information Technology Acceptance Model, but the factors influencing acceptance of information technology. (Pvalue The results showed that nurses of hospitals of Zabol to accept hospital information system have a good perspective and attitude, but due to high workload, long lines of patients, staff shortages, inadequate training and lack of computer system, their perceived of usefulness, ease of use of this system is the average level.

The first important factor in the formation of fertility intentions is the individual’s attitude and having a positive attitude is a precondition for having a positive intention. Because the measuring attitude requires a reliable and valid scale, therefore the purpose of this study was to investigate psychometric properties of Persian version of attitudes toward fertility and childbearing scale.
The study population consisted of married women of Babolsar City in 2015. Considering the entry and exit criteria, using random sampling method chosen 300 women and completed Persian version of attitudes toward fertility and childbearing scale. for the data analysis, Cronbach's alpha coefficient, exploratory factor analysis and Pearson correlation coefficient was used.
As a result of detailed study of Cronbach's alpha coefficient scale, 3 items due to lack of appropriate correlation with whole removed and one items due to lack of acceptable coefficient on the extracted factors removed. Finally, Persian version of attitudes toward fertility and childbearing scale with 23 items and four subscales were formulated. The subscales include children as the base of life, the child as a barrier, postpone the fertility to future and Fertility after the fulfillment of preconditions.. Using the criterion validity and construct validity was confirmed the validity of the Persian version of scale. Also, with using Cronbach's alpha coefficient, the reliability of the subscales was between 0.74 to 0.86 and reliability of the scale was 0/79.
Considering the Appropriate psychometric properties of Persian version of attitudes toward fertility and childbearing scale, this scale can be used for the measurement of the attitudes in research related to fertility and childbearing.

female infertility is a problem that affects almost every aspect of women's lives. Infertile women usually experience Psychological problems. Therefore, this research aimed to study comparison of effect of Iranian – Islamic positive therapy with acceptance and commitment therapy on psychological well-being of infertile women in Isfahan city.
This research was a three- group quasi-experimental study with a pretest-posttest and three- month follow-up. 45 infertile women referring to Isfahan Fertility and Infertility Center selected by purposeful sampling and randomly assigned to experimental and control groups (ACT, IIPT, control). The data collection tool was Ryff Psychological Well-being Questionnaire (PWBQ). Data were analyzed using repeated measures analysis of variance, one-way ANOVA, and Bonferroni test.
in the post-test, there was significant difference between experimental groups (Iranian – Islamic positive and ACT) with the control group at psychological well-being (p0/05). In the follow up, there was significant difference between Iranian – Islamic positive group and control group at psychological well-being (p0/05).Also In the follow up, there wasnt significant difference between Iranian – Islamic positive group and ACT group (p>0/05).
After the treatment period, in short- term, Both of Iranian – Islamic positive therapy and acceptance and commitment therapy (ACT) in increasing psychological well-being were effective, so that, there was significant difference between experimental groups with control group, whereas there wasnt significant difference between two experimental groups. in the three-month follow-up period, in long-term, treatment outcomes related to psychological well-being in Iranian – Islamic positive group was maintained, but in ACT treatment outcomes related to psychological well-being was not maintained.

Ongoing assessment of environmental hygiene status in hospitals is a main act that provides healthy and hygienic environment for improving patients. The purpose of the study was to investigate environmental and structural hygiene indicators among therapeutic and educational Hospitals of Urmia.
In this descriptive (cross-sectional) study, three therapeutic and educational Hospitals were evaluated in terms of environmental and structural hygiene indicators. The study data were collected using Hygiene and Cleaning Checklist of National Evaluation Plan of Hospitals (Checklist-NEPH). The data were analyzed using descriptive statistics methods (Frequencies, Means, and Standard Deviation) in SPSS software 16, under windows.
The findings revealed that the overall mean score for all indicators in hospitals was 1090±18.7. While, the average score for hygiene and building, environmental hygiene and sanitation, mission of personnel’s hygiene, waste disposal areas, areas of water and wastewater hygiene, occupational hygiene and infection control domain were 319±2.6, 270.7±25.5, 135.3±3.1, 98.3±2.9, 18.3±5.8, 146±7.1, 102.3±1.5, respectively. In general, the findings suggest that overall status of environmental hygiene indicators of hospitals were in the moderate range and were far from desirable condition.
Despite continuing attempts for improving quality of environmental hygiene in hospitals, still most indicators are in moderate level of standards. Therefore, special planning is requiring improving their hygiene status, particularly in both water and wastewater hygiene.

The need for sexual fulfillment and satisfaction is an important factor in physical and mental health, and it adds to the durability of the family. The aim of this study was to investigate the relationship between sexual satisfactions with the type of delivery in patients who were referred to clinics in Hamadan, in 2014.
Material & This study is a descriptive- analytical study which was carried out on 200 women (101 section vaginal delivery, 99 cesarean delivery) referring to the clinics affiliated to the Hamedan University of Medical Sciences in 2014. Research tools included demographic checklist and a standard questionnaire (Lyndabrg) to measure sexual satisfaction. Data analysis was performed using spss 17 software.
The average age of the samples was 28.03±6.13. Sexual satisfaction score in the NVD, and cesarean delivery group were 67.16±12.54 and 66.52±10.72, respectively. The highest sexual satisfaction score was seen in women who had normal delivery, but it was not significant. With an adjustment for variables (age, parity, education, women, satisfaction of pregnancy, lactation type), sexual satisfaction was not significantly different between the two groups.
The investigation illustrated that there was no significant correlation between sexual satisfaction and the type of delivery. A significant correlation was seen between sexual satisfactions and having a plan for pregnancy. It can reflect an important role for sexual psychologists.