مجله مراقبت پرستاری و مامایی ابن سینا
سال بیست و پنجم شماره 5 (پیاپی 60، بهمن و اسفند 1396)

Regular and daily physical activity delay the mid life and menopausal consequences and promote the women quality of life. Physical activity increase management of diabetes, cardiovascular disease, osteoporosis, high blood pressure. Purpose of this study is to determine impact of education based on model on physical activity among midlife women in Hamadan .
In this experimental study, 122 midlife women 50 to 64 years old who were chosen by random sampling participated. The questionnaire was designed by researcher and measured the model structures. Pedometer was utilized to measure walking , BMI was measured as physical activity consequences.
After three months, evaluation showed significant changes in PRECEDE model structures (p˂0/001). Walking increased (p˂0/001). BMI decreased significantly (p˂0/001).
Changes showed in structures based on PRECEDE model. Walking showed successfulness for midlife women.. Reducing BMI was showed.

Self-efficacy emphases skills and abilities to carry out successful worthy performance. This concept affected on effort and level of performance .The aim of this study was evaluate of self-efficacy ʼsymptom-management associated with chemotherapy and its related factors in women referred to academic centers of Urmia in 2016.
This study was a descriptive-analytical cross-sectional study conducted on 150 patients with breast cancer referred to academic centers of Urmia in 2016 and sampling method was convenience. The collecting data instrument was the symptom-management self-efficacy scale-breast cancer (SMSES-BC) questionnaire has three subscales including acquiring problem-solving, managing chemotherapy-related symptoms and managing emotional and interpersonal disorders, that its validity and reliability. The data was analyzed using SPSS software version 20.
Most of the patients were in the age range of 41-49 years. The Lowest scores was in the area of ​​emotional and interpersonal disorders and the highest scores was in the area of ​​ managing chemotherapy-related symptoms. The mean score of self-efficacy chemotherapy-related symptoms was 167.96±25.40. There was a significant relationship between age ( P=0.024) ,economic status (P= 0.006), education, marital status, and life status (P=0.001) and self-efficacy chemotherapy-related symptoms.
Interventions to efforts self-efficacy symptom management, especially managing emotional and interpersonal disturbance in these patients is important and necessary.

University students are a lot of problems in the field of adjustment especially social and health adjustment. Therefore, present research aimed to investigate the effectiveness of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students.
This research carried out as a semi-experimental, with a pre-test and post-test design. The statistical population was included all nursing students of Islamic Azad University of Pishva branch in 2015-16 academic years. Totally 40 nurse were selected by voluntary sampling method and randomly assigned to two equal groups. The experimental group educated 8 sessions of 90 minutes by group therapy based on acceptance and commitment. Groups completed the dimensions of social and health adjustment of Bell’s adjustment questionnaire. Data were analyzed with using of SPSS-19 and by multivariate analysis of covariance method.
The findings showed there were a significant difference between experimental and control groups in the social and health adjustment. In the other words, group therapy based on acceptance and commitment significantly led to improve of social and health adjustment of nursing students (p≤0/05).
The results are due to the importance of group therapy based on acceptance and commitment on increase social and health adjustment of nursing students. Therefore, it is suggest that counselor and therapists to improve dimension of adjustment especially social and health adjustment used from group therapy based on acceptance and commitment.

The mother has a significant role in introducing foods to her child. In present study, the effect of complementary feeding introduction based on BASNEF model on the practice of primiparous mothers was investigated.
This two groups pre&post test quasi experimental study carried on 160 primiparous mothers with 5 months children referred to health centers in Hamadan. Mothers divided into two groups. At fist both groups completed a questionnaire which based on BASNEF model. Then for the intervention group, Instructions were given in four sessions (60 min) on the basis of BASNEF model. Two months later, data was collected via questionnaires and a mother performance checklist in two groups again. Data were analyzed by SPSS18 software through Chi-square and Mann-Whitney.
Before the intervention, there were no significant differences in the mean scores of BASNEF structures in the two groups (p>.0.05), but after that the mean scores were significant (p.0.05). Supplementary feeding time of the intervention and the control groups was 5.88±0.49 and 6.14± 0.35 months respectively. The mean scores of supplementary feeding performance of two group mothers, had significant differences (p BASNEF MODEL can be an efficient tool for increasing knowledge, attitude, enabling factors, subjective norms, intention and, performance of introduction of complementary feeding of mothers; so we suggest health education programs instead of applying traditional instructions.

Spiritual care can have positive effects on physical and mental health of patients; facilitates healing process and increase patient's satisfaction. Spiritual intelligence can also be a contributing factor to nurse caring behaviors. This study aims to determine relationship between nursing students’ professional competence in spiritual care and Spiritual intelligence.
A descriptive correlation study was conducted on 140 nursing students of Ahvaz Jundishapur University of Medical Sciences in 2016. Subjects were selected using a census method. Data collection instrument consisted of demographic questions, Spiritual Intelligence and professional competence in spiritual care questionnaires. Data was analyzed using descriptive Statistics and inferential statistics included independent t-test, Kruskal-Wallis, correlation coefficient, and linear regression in SPSS/19 software.
Significant and positive correlation was found between nursing students’ competence in spiritual care and Spiritual Intelligence (P Spiritual intelligence can have an impact on nursing student's competencies in spiritual care. Accordingly, planning to improve the Spiritual intelligence and nursing students’ competence in spiritual care is recommended.

Whether the child has cancer, the family is faced with the challenge and gives parents a lot of energy spent caring for their children. In many cases it seems The pressures of caring for sick children so increases The general health and quality of life of affected parents and malicious changes that affect children's quality of life in the endTo determine the relationship between public health and quality of life and quality of life of parents of children with cancer at Besat Hospital, 1395, respectively.
The study, correlation, 108 mothers and fathers of children diagnosed with cancer and age18-8 years old, Clinic and hospital hematology Besat selected by convenience sampling method.data were gathered using instrument questionnaires general health, quality of life and quality of life of parents of children with cancer. The data was analyzed with SPSS version 20 and independent t-test and logistic regression analysis was conducted.
The majority of boys (55/46%) and acute lymphocytic leukemia (69/4 percent). Public health scores of the fathers of 31/15 ±12/29 and women 31/33 ±11 /41 respectively. The highest average scores in the aspects of quality of life, physical functioning fathers (74/67± 20/77), role impairment due to physical health (61/20 ± 28/25) and fatigue (48/50 ±16 /30) and mothers on the pain scale (50/97± 23) and impairment role for emotional health (61/42±31/94) was just between anxiety symptoms and sleep disturbances safety and quality of life of mothers of children there was a significant relationship (P=0/045). The quality of life in terms of fatigue (p=0/011) and emotional well-being (P=0/038) and fathers in children's pain and quality of life that there is (P=0/015).
Parents of children with cancer problems in general health and quality of life. Health and social policies in order to plan properly in order to solve problems and improve the quality of life of parents and children is required.

MS is a chronic disease of the central nervous system myelin damage Khvdaymyvn the immune system. Several parts of the nervous system and sensory and motor function without myelin is affected between the ages of 40-20 years of age, in women occurs twice that of men. The purpose of this study was to determine the effect of self-care education on the performance of MS patients.
This study was a randomized clinical trial on 90 patients with MS, the city of Ardabil in 1394 was carried out using randomly into control and intervention groups. Before the intervention, the patients by researcher made questionnaire with Cronbach's alpha coefficient 98/0 Czech lists for observation of how MS patients, for patients in both the intervention and control groups was completed. In the intervention group, self-care education for 6 sessions, each session was 60 minutes. After the intervention for patients in both groups was completed questionnaire again. Data using statistical software version 24 and descriptive and analytical tests were analyzed. (SPSS)
intervention group over time showed that in case group compared to the control group were significantly different P= (0/0001) However, in the control group, no significant difference was observed in terms of performance over time P = (0/07).
Results of this study showed that self-care education to improve the performance of MS patients. So self-care education can be an effective intervention for improving the performance of MS patients used.

AIDS is the most serious health problems and Deadliest disease is Infectious contagious century. Lack of sufficient awareness of the disease, adolescents easily puts at risk for the disease. Increased AIDS knowledge and attitude is the best way to prevent disease. The goal of this study was the effect of group counseling on AIDS knowledge and attitude of adolescent girls.
This study a Semi- experimental interventional study (single band) did in 2016 on adolescent girls living on welfare boarding centers of in Hamadan. All eligible persons (n =30) were Entered study. The data collection tool was questionnaire of Three parts including demographic, knowledge and attitude that three times (before, immediately after and one month after treatment) were used. Validity of questionnaires through the content and Ostensible, and Their reliability was confirmed by Chronbach alpha. Data using descriptive and inferential statistical methods using SPSS-20 software was analyzed.
The results showed that 40% of People before the intervention had a poor knowledge and 36.6% of People had a poor attitude and alsoknowledge and attitude in immediately and a month after the intervention at over time compared to before the intervention significantly increased (P The results showed that educational intervention through group counseling on AIDS knowledge and attitude of adolescent girls Hostelry centers effectively.