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

  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.

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.