نشریه پرستاری کودکان
سال یکم شماره 3 (بهار 1394)

Families and parents with infants who hospitalized in the neonatal intensive care unit (NICU) needs emotional support team and information about their baby''s condition which can be achieved in different ways. The purpose of this study was to determine the availability and use of the internet among these parents. By simple sampling method، 100 mothers that their infants were admitted to the NICU’s of hospitals in Tehran and Karaj during of three months in 1392، have been considered. Data were collected via the researcher maid questionnaire after initial evaluation of reliability and viability. In addition to the demographic variables، the information regarding to access to the computer and usage of internet also considered. The relationship between the levels of maternal education and the use of internet to get information was evaluated. The average of maternal age was 29. 40 ± 5. 5. 38. 8% of these maternal education was under diploma، % 49. 5 had diploma and 11. 7% had university degrees. 87. 7% were housewives and 12. 6% were employed that 37. 9% of these mothers had used the internet. 82% of mothers showed their interest to use the site to get information about the status of their infants with significant relation between maternal educations and using the internet (P<0. 001). According to this preliminary study، average the internet access of mothers was 37. 9%. But، most of these mothers had used the internet to get information، and they were interested to obtain information about their infants from the internet. This survey could be assessed more population and to create a site for further useful training.

Enuresis is one of the most common childhood problems. When the diagnosis of enuresis is that involuntary passage of urine is at least twice a week for 3 consecutive months and chronological age is at least 5 years. The purpose of this study was to determine parents'' opinions about affecting factors on children enuresis. This is a descriptive - analytical study. The study samples included 200 parents (100 parents with son and 100 parents with daughter) 6-12 year children referred to special clinic of one of teaching hospital affiliated with Ahvaz Jundishapur University of Medical Science are that were selected by available sampling. Based on the criteria of DSM-IV from 200 children studied، 64 children (32%) have nocturnal enuresis. Statistically significant difference were observed between genders (p=0. 002)، family history (p=0. 004)، deep sleep (p=0. 005)، high fluid intake (p=0. 00)، also enuresis Statistically significant difference between enuresis with parents'' education level، income، number of family members، ranking birth، history of injury and hospitalization، birth of a new baby، relocation، problems at school and home and Snoring and mouth breathing، urinary tract infections and constipation were not observed (p>0. 05). According to results of this study the majority of children with enuresis had positive factors such as family history، high fluid intake and deep sleep. So it is necessary to implement group education for families، they can be Enable to overcome the problems of children.

disabled children cause many psychological problems in family members especially on mother. Because the importance of mental health of mothers in family and society; this study investigated the effectiveness of hope-oriented group therapy on life meaning and resilience in mothers with physical-motor disabled children. This research is a quasi-experimental study with pre and post-tests. The 24 mothers with physical-motor children were selected from Aria Rehabilitation Clinic، Omid and Behesht training center and Welfare Organization of Save city Markazi province. The participants were allocated to two matched groups based on their pre-test scores. They were assigned randomly to the control and experimental groups. Statistical analysis was conducted by using the independent t-test and analysis of variance. The research instrument were the Connor- Davidson Resiliency scale (CD-RISC) and Frankl’s life meaning Questionnaire. The results of the co-variety (ANCOVA) showed that there is a significantly difference between training help-oriented group therapy and resilience (p≤0. 0002). while، hope therapy has not significantly influence on life meaning in control and experimental groups. (p≥0/635) The results indicate that hope therapy improve the positive psychology factors such as; resilience and hope in mothers with disability children.

Self-efficacy is the belief in his ability to achieve expected results. Self-efficacy can be predicted by measuring a person''s intention to change behavior. This study aimed to determine the score of general self- efficacy and disease-related self-efficacy in adolescent with major thalassemia and its association with some personal characteristics of adolescents، in Bandar Abbas. This cross-sectional descriptive study. The sample included 70 boys and girls aged 12 to 18 years with major thalassemia. To gather data on the demographic questionnaire، the General Self-Efficacy Scale (GSE-10) and sickle cell Self-Efficacy Scale (SCSES) was used. Data collected by SPSS software version 21 was analyzed. According to the results، the mean and standard deviation related to general self-efficacy and Disease-related self-efficacy from 40 to 10 and from 45 to 9 was respectively، 5. 16 ± 29. 34 and 6. 13 ± 29. 87. Using ANOVA test found no association between age and number of injections per month with score of general self- efficacy and disease-related self-efficacy. The independent t-test showed Significant relationship between self-efficacy in adolescents with sex (P = 0. 01). But the relationship between sex and score of disease-related self-efficacy، was not significant (P = 0. 08). ANOVA test showed، no significant relation between score of disease-related self-efficacy with educational level (P = 0. 01). But there was no correlation between the general efficacy and education level (P = 0. 148). Since mean score of self-efficacy in adolescent with major thalassemia is low، Emphasizes on enhancing self-efficacy with Using the experience of experts and consultants in this context it is essential، especially for boys. Interventions studies on the self-efficacy of adolescents and evaluate its effectiveness recommended.

the presence of mentally retarded child in the family causes various psychological problems in the parents. Among the variables affected by the presence of disabled child in the family are hope، life quality and psychological well-being. Therefore the present study was conducted to investigate the effect of hope therapy on the improvement of life quality، hope and psychological well-being in mothers of mentally retarded children. it was semi-experimental، with pretest، posttest، and control group format because of available sampling. The statistical population included all the mothers of mentally retarded children in Isfahan. In order to do the study 60 mothers of mentally retarded children were selected through available sampling. Therefore the criterion to enter the study was having a mentally retarded child and readiness to take part in the research and the criterion to exit was having a child with a disorder or other inabilities. The experimental groups participated in 8 ninety-minute sessions of hope therapy; however، the control group didn''t receive any intervention while administering the test. The applied instruments were the questionnaires of hope، psychological well-being and life satisfaction. the results showed that teaching hope therapy has led to significant difference in the mean of experimental group scores in all three variables of life quality، hope and psychological well-being (p<0. 01). hope-based therapy could improve the hope، psychological well-being and life quality in the parents of mentally retarded children due to focusing on the major problem and attending solely on the concept of hope. Therefore، through utilizing this therapeutic approach is recommended to solve the families'' psychological dilemmas.

The study aimed to determine the effectiveness of narrative therapy for reducing symptoms of separation anxiety disorder in primary school children was conducted in 2013 in Kermanshah. The study was a semi-experimental design with pre-posttest design with control group. 22 girls of primary school were selected based on the available sampling and assigned to the experimental and control groups، randomly. Both the pre-test and post-test using the Child Symptom Inventory، which has two forms، especially parents and teachers، were evaluated، and The data were analyzed using analysis of covariance. The results showed that narrative therapy in reducing the symptoms of separation anxiety disorder in children in the experimental group was effective (P <0/001). According to the results، therapists and others who work with children can to use therapy techniques to treat anxiety disorders.

The growth rate in the first year of life is faster. Child developmental assessment in first year of Childs may reflect maturity problems and indicates that many of deficiencies that can be treated with the intervention; so investigation on evolutionary status of these children in order to awareness of parents to treatment is essential. This study was to aimed، assess the developmental characteristics of one year old children in Khorramabad. This study is descriptive cross-sectional study in health centers of Khorramabad and on 764 children referred to health centers. The Inclusion criteria were absence of congenital physical illness، not immatureness، having medical records in the health center and having regular visits. To monitor of child’s height and weight scales and meters were used، for assess developmental parameters standard tools and ASQ questionnaires were used. 387 (66/50%) were male and 376 (34/49%) were female. development of 82/8% were Natural، 7/9% of the total area of abnormal development and were 16/3% had at least one abnormal area. Data analysis showed that there is a statistically significant relationship between abnormal development and neonatal complications، birth weight، birth order (third and higher)، maternal age، pregnancy complications (epilepsy)، Maternal smoking and alcohol، family history of mental retardation and the economic status and family (p <0. 05). But there is no statistically significant relationship between the sexes، type of delivery، nutrition، parent education، mother''s occupation، infertility and abortion and abnormal development in different stages of the developmental disorder، (p> 0. 05). In this study، 16/3% of children with developmental disorders in the areas of communication، gross motor، fine motor were diagnosed. That shows particular developmental assessments of children are not doing at health centers and just weight، height and head checked; it can lead to irreversible effects in adulthood.