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  Background and Objective: Mother’s satisfaction of childbirth is considered as an important criterion of maternal care quality and it has an effect on mental health of family and community, and Mother's mood is significant in the outcome of labor.­ ­The parturient supported by significant others has less anxiety, experience of safe childbirth and ­ adequate satisfaction . Thus, we ­aimed at assessing the effect of the presence of an attendant on satisfaction, anxiety and labor pain of primiparae referring to Hajar Hospital in Shahre Kurd, 2010.

  Material and Methods: ­ This pre-experimental study was conducted on 60 primiparous women, referring to Hajar Hospital in Shahre Kurd (2010), who were divided into equal experimental and control groups. ­The parturients of ­ both groups received common cares, while those of experimental group were allowed to be with an attendant.­ Using a check list, we assessed the level of anxiety, labor pain, newborn's first- minute apgar , the onset of breastfeeding and ­childbirth satisfaction from beginning to end of labor, and analyzed the data by­ SPSS-­16 software, using t-tests and Chi-square.

  Results:­ Our findings show that ­the support given by an attendant during childbirth significantly decrease the level of anxiety, early start of breastfeeding and increased mother's satisfaction of childbirth(p<0/05). There is ­no significant difference between two groups on length of active phase, ­ duration of second phase of childbirth and apgar of the first minute.

  Conclusion:­ ­ According to results, we conclude that being an attendant near parturient can bring about childbirth satisfaction , decreased anxiety, and early start of breastfeeding.

  Key words: Attendant, Delivery process , Anxiety, Satisfaction

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  Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.

  

  Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.

  

  Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).

  

  Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.

 

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Background and Objective: Management of aggressive behavior is one of the important problems for nurses working in psychiatric wards. This study aimed at determining nurses' problem in dealing with aggressive behavior in psychiatric wards. 

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Background: Participation of nurses in research studies is a requirement of achieving evidence-based nursing, but studies in this regard are limited. This study aimed to determine the viewpoints of nurses regarding the facilitating factors and obstacles of participating in research and utilization of its results in clinical practice.

Methods: This descriptive study was done in 2013 at teaching hospitals affiliated to Kerman University of Medical Sciences. Study subjects included 210 clinical nurses with at least a bachelor's degree who were selected by stratified random sampling method. Data collection tools included a researcher-made 3-section questionnaire. The first section consisted demographic information and the second and third sections contained 21 questions each that evaluated the motivational factors and obstacles of research, respectively. Data were analyzed using descriptive statistics (mean and standard deviation).

Results: Of all the participants, 87.6% were female with average age of 38.08 ± 4.93 years. Regarding the research facilitating factors, the highest score was given to the intrinsic interest for knowledge acquisition and increased practical work ability. In this section, the lowest scores were given to interaction with other colleagues and the existence of competitive conditions. In terms of the research obstacles, the highest scores were reported for problems at work including staff shortages and high workloads, while the lowest scores were reported for low self-confidence and lack of interest and unwillingness to do research.

Conclusion: The results of this study can provide information for nursing policymakers to establish measures that constructively motivate nurses to do research and utilize its results by the managers.

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Background: Schizophrenia is a devastating psychiatric disorder and its  Positive and negative symptoms have negative effects on social functions. A combination of pharmacological and non-pharmacological treatments is considered more effective for this condition. The present study aimed to determine the effect of a group horticulture program on psychiatric symptoms in patients with chronic schizophrenia.

Methods: This quasi- experimental study was conducted from April 2014 to July 2014 in Sina Hospital in Chahar Mahal and Bakhtiari province in Iran. Fifty-two eligible patients with diagnosis of chronic schizophrenia were randomly assigned to two groups of horticulture and usual care (control). Both groups received similar medical and routine care. The patients in horticulture group participated in a group horticulture program for three months. The patients’ psychiatric symptoms were evaluated at the beginning and at the end of the study by Andreasen’s scales for assessment of negative and positive symptoms. The data was analyzed by student t test, paired t test and chi square.

 Results: At the beginning of the study, the patients in both study groups were matched in terms of age, sex, marriage status, education, and average scores of positive and negative symptoms. At the end of the study, the horticulture group showed a significant improvement compared with control group in positive and negative symptoms (P < 0.05), which indicated the effectiveness of the intervention on these symptoms.

Conclusion: Group horticulture program can be used as an effective non-pharmacological adjunctive treatment in patients with chronic schizophrenia.

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Background: The management of Psychological symptom in patients and nurses, effective communication with patients are important issues that should be taken into consideration in nursing care. This study aimed to examine the effects of nursing welcome program on the level of stress and satisfaction in patients in the Coronary Care Units (CCU).
Methods: The interventional study was done on 72 patients, who were admitted to CCU at Emdadi hospital in Abhar in 2017. The patients were selected by convenience sampling and were allocated into intervention (n= 36) and control (n= 36) groups. Data was collected using a questionnaire including demographic; Depression, Anxiety and Stress Scale (DASS-21), and the La Monica–Oberst Patient Satisfaction Scale (LOPSS). The DASS-21 was fulfilled by a welcome nurse through interview in both groups. Then the welcome nurse began to implement the Nursing Welcome Program in the intervention group. The level of patients' stress and satisfaction were measured an hour and 24 hours after the intervention respectively. Patients in the control group received routine care without any intervention. Data was analyzed using independent t-test, chi-square test, and Fisher's exact test in SPSS-16.
Results: The Mean±SD of stress in intervention and control groups after intervention were 8.23±3.24 and 11.9±4.20 respectively (p= 0.001). The Mean±SD of satisfaction in intervention and control groups after intervention were 249.26±26.7 and 236.10±23.71 respectively (p=0.031).
Conclusions: According to the importance of nurses' position in communicating with patients, employing welcome nurses as an effective care method to reduce psychological symptoms and increase patients' satisfaction is suggested.