فصلنامه نسیم تندرستی
سال یکم شماره 2 (پاییز 1391)

BMI is the most important international indexes for physical health assessment and it is a tool for awareness about optimal nutrition during adolescence. The Aim of this study was a survey about the impact of nutrition on BMI of guidance school and high school students of ghaemshahr city in the academic year 2010-2011. This study is the kind of applied studies that was performed with analytical descriptive, cross-sectional method. The samples of this research were obtained through the table of Kerjcie and Morgan and cluster random sampling method and between guidance and high school students of ghaemshahr city. The volume of samples was 305 people. The collected data were analyzed using SPSS software and associated tests. 52/5% of samples were male and 47/5% were female, 57% of subjects were under weight, more than 13/8% was obese and very obese, and only 29/2% of the sample have normal weight. There was a significant difference between high BMI and consuming fried foods, the speed of eating, eating while watching TV or reading, difficult and low-calorie diet, oil consumption, the number of obese people in the family, and the level of family education. But there was no correlation Between BMI and eating sandwich, chips and snack, milk, fruit juice, salads and vegetables, consumption of protein, carbohydrate, and homemade food, type of diet, the number of persons in family and the occupation of parents. the result of this study revealed the positive effect of education Level of parents and awareness of families about nutrition and BMI. Therefore it is necessary to increase the awareness of families about the nutrition of students.

Perineal trauma during natural vaginal delivery is associated with short and long term morbidity for women. Interventions to increase the possibility for an intact perineum are needed. This study aimed to determine the effect of perineal massage with a sterile lubricant on episiotomy and laceration. This clinical trial study was performed on 145 nulliparous women who referred to Amol Emam Ali teaching center for normal delivery. They were randomly participating massage with lubricant (45 cases) or control group (100 cases). In massage group when they progressed to full dilatation of the cervix, the midwife inserted two fingers inside vagina and using a sweeping motion gently stretch the perineum with lubricant 5up to 10 minute, in and between mother’s pushing in second stage of labor. In control group just Ritgen Maneuver was applied. At last we compared the rate of intact perineum, episiotomy and laceration, mean duration of second stage of labor and Apgar score in 1 and 5 minute between two groups. In case group, intact perineum, episiotomy and laceration were: 22.2% (10), 44.4% (20), 33.3 (15) respectively. In control group, intact perineum, episiotomy and laceration were: 20.2% (20), 49.3% (71), 28.3% (28) respectively. This difference was not statistically significant. In massage group, first degree laceration was 33.3% (15). In control group, first degree laceration was 28.3% (28).This difference was not statistically significant. In massaged control groups, Second, third and fourth degree laceration have not occurred. The results showed that massage with a sterile lubricant provides no apparent advantage or disadvantage in reducing perineal trauma. Therefore, the use of massage as technique for perineal control is safe based on labor criteria and women’s preference during delivery.

Mothers and fathers interact differently with the developing fetus. It is important to recognize the maternal and paternal fetal attachment and factors influencing them because of the effects on the future health and development of the infant. The aim of this study was to compare maternal fetal attachment (MFA) and paternal fetal attachment (PFA) in couples referred to health care centers in sari. A cross-sectional descriptive study design was used. The sample included 386 pregnant women and their husbands. The instruments used for data collection were interview form, Cranley MFA and PFA scales. The data were analysed statistically using SPSS version 14. Finding revealed that the maternal fetal attachment score for pregnant women was 3.56 ± 0.55 and paternal fetal attachment score was 3.36 ± 0.55. The difference between them was statistically meaningful (p<0.001). Also variables like planned pregnancy (p<0.001), interest in husband (p=0.004), marital satisfaction (p<0.001) were effective on MFA. Although fathers had lower fetal attachment scores than pregnant women, it is important to assess variables effect on the attachment of the mother and father towards their fetus. In this way we can increase participation of men in reproductive health.

While planned pregnancy is the pleasant event for family, unwanted pregnancy has adverse effects on maternal, newborn and finally the whole family. This study was conducted to compare some factors in women with unwanted and planned pregnancy. This survey is a descriptive-analytic study was conducted on 100 married and pregnant women that attending health centers in Najaf Abad in 2012. Data were collected via a questionnaire and interviews with pregnant women in health centers. Questionnaire was completed through a month in June. The data were analyzed by spss (16.0) software. In this study, 35% of pregnancies were unwanted and 65% were planned. Among the background variables such as occupation of spouse, number of children desired, the average number of sons, child sex and contraceptive method used was observed statistically significant differences between groups of wanted and unintended at level of p <0.05. With considerable percentage of unwanted pregnancies takes place following the withdrawal method; More advice and training on proper use of contraceptive methods and awareness of the people of emergency contraception in order to improve the quality of family planning services are essential.

This study aimed to compare the five factors of personality and happiness among fertile and infertile women in Sari city is in Persian date Farvardin 91. Method is Causal - Comparative Case-control study of a random sample of the population 120 subjects and a sample size of 92 subjects Krjsy and Morgan table of fertile women Referred Adibi martyr Health Center and Infertili women referred to the Infertility Center Mary were enrolled in the Persian date Farvardin 91. Oxford Happiness Questionnaire and the NEO questionnaire were used to gather data and spss version 16 software was applied to run t. test (t-independent). In fertilities and infertilities variables neurosis (p = 0.001), extroversion (p=0.004) in the p<0.05 there is a significant difference,openness (p=0.130), Agreement (p=0.715) and conscionable (p= 0.413) in the p>0.05 not significant. But happiness (p= 0.041) in the p<0.05 there is a significant difference. The results showed that neuroticism is more in infertility women and extroversion is more in fertile women to in fertility women. there is no differences between openness, agreement and conscionable in two groups. In happiness received infertilities amount isless than fertility women. Women are considered as core family and society health.because affects mental health of the human body The. happiness of women is an essential element to achieve the happiness of society soresolvent personality problems necessary through psychotherapy and family therapy in infertile women. During the intervention, participants learn how to deal with the crisis caused by, reduced anxiety and depression, could happily live and learn and experience.

Women who their engage in exercise programs during their pregnancy have an opportunity to promote physiological and mental health. The aim of this study was to determine the tendency of women to exercise among whom attended in health care posts in Astara 2011. In this descriptive study, 200 women were chosen by consecutive sampling method. The instrument for data collection was researcher – made3 parts questionnaire, consisting of demographic form. Characteristic, 6 sentences about pregnancy, 11 sentences about doing exercise during pregnancy. Information was obtained through face to face interview. The obtained data were analyzed by χ 2 and one way ANOVA statistical test. The mean age of participants was 25.8. The 45.5 percent of participants were done exercise during pregnancy. The main reason for doing exercise was recommendation of the team of prenatal care. There was significant differences between location of residence and doing exercise (P<0.0001). The main reason for doing exercise was recommendation of the team of parenatal care. Therefore, we emphasize teaching about doing exercise and its important role on improve of women performance during pregnancy.

The results of some studies show that there are some psychological problems in people with diabetes, such as depression, stress, selfnegative labeling and lack of self confidence. In this study, in order to determine of the effect of cognitive-behavioral treatment in reducing the feeling of emotional pressure. This feeling was reviewed, by the morghan's measurement for feeling of emotional pressure. Among them people who had the highest emotional pressure were selected and randomly divided into two groups, each consist of 12 patients. They were given treatment. After the end of treatment, they were tested again. Obtained data were analyzed by SPSS soft were, 18th edition and ANCOVA covariance statistical test. There are some meaningful differences between the pre-and post test level of emotional pressure. The obtained data of the present study showed that the stress immunization teaching was reduced stressful psychological feeling in patient with type 2 diabetes. Therefore, type 2 diabetes patients can be uses from this method for decrease stressful psychological feeling.

A chronic disease is a long term, debilitating with a noncurable pathology that may cause decrease in quality of life. The patients need a long term help for keeping their abilities and preventing of disabilities. Orem self care pattern can be used for creating a balance between human abilities and needs like proper diet. With regard to importance of nutrition in health promotion and quality of life in hem dialysis patients and lacking of related educational programs, the study was done to determine Orem’s nursing theory effects on nutritional program self-care on quality of life in haemodialysis patients referred in educational hospitals in Urmia-Iran. In a Design of quasi-experiments, 70 patients in dialysis wards in treatment group and a control group in educational hospitals in Urmia in 2009 were requested to fill in demographic questionnaire and the validated SF-36 QoL questionnaire before and after receiving dietary education. The SF-36 questionnaire was used، a short-form QoL scoring system consists of 36 questions that are compressed into eight multi-item scales covering all aspects of QoL. Ttest and ANOVA were used for data analysis. Self care education about nutrition had asign ificatant relationship with economic situation and educational status. (p=0. 05) But no significant relationship with age, gender and duration of hemodialysid was seen (p=0. 14) in study of proper nutrition education effects, no significant relationship with physical functioning، role-physical, vitality, emotional role, general health, general perception about health no significant relationship was found. Based on the results, self-care for nutrition dimension was effective on QOL in patients. However, non-significant meaningfulness before or after education in some items may be related to patients illiteracy or misunderstanding of education that were taught because of Poverty and difficulty.