Iranian Journal of Nursing and Midwifery Research1735-9066123200804291717MSc, Department of Midwifery, School of Nursing & Midwifery, Islamic Azad University of Shiraz, Fars, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: Life style is the collection of behaviors influenced by individuals' characteristics, social interactions and socio-economic situations. Since, pregnancy is a part of life it can change persons' life style. This study has tried to evaluate the relationship between life style and some characteristics of pregnant women. METHODS: This study was an analytic cross sectional study. The data were collected by a questionnaire about different life style dimensions and some characteristics of pregnant women from 326 subjects referred to selected health and treatment centers of Shiraz in 2005. The data were analyzed by SPSS using t-test and Pearson correlation coefficient. RESULTS: Findings of this study indicated the more acceptable life style was nutrition and the less acceptable was physical activity. There were significant relations (P<0.01) between pregnancy age and stress, parity and physical activity, education level and nutrition, with physical activity of studied population. Also there was a significant difference (P<0.01) concerning stress score in wanted and unwanted pregnancies, in dimension of stress and in dimension of nutrition and physical activity score in employed women and housewives (P<0.01). DISCUSSION: Educating pregnant woman about control of stress, suitable social relations, secure sex activity and regular appropriate physical activities at the time of maternal care are necessary. KEY WORDS: Life style, pregnancy, individuals' characteristics, pregnancy characteristics.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/17http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/17/17

Iranian Journal of Nursing and Midwifery Research1735-9066123200804291818PhD, Assistant Professor, Department of Health, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Health, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Health, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: In recent century, planning is one of the most important care skills for health service development. Nurses should be ready scientifically for managing situations in order to develop and perform appropriate models for patient care. It is necessary for manager to know about the process and standards of planning and how to apply them in real conditions. With regard to importance of health care planning and lack of nursing management planning accreditation in Iran. METHODS: This triangulating research was carried out between 2004 and 2006. Fifty professional nursing managers in different level of Iran medical universities and central hospitals, having experience in nursing management at least for five years, and an MS or BS degree in nursing management, were included in a study through purposed sampling. At first, a pilot study with an open questionnaire was conducted in Isfahan and Shiraz and then the study went on in 3 phases including searching for international standards in method by 15 professional nursing manager after consensus on 70% and sending the final was used for data analysis. At last standards for nursing management planning were obtained in Iran. RESULTS: 48 standards of nursing management planning were obtained. The findings showed that most of the standards were accepted (90%) and there were not any standards with agreement lower than 70%. These standards, accompanied with the standards of other nursing units, can be used for quality improvement. The researcher suggests the ministry of health to use these findings and other related ones to accredit the nursing system and to identify its deficiencies. KEY WORDS: Nursing management, standards, accreditationhttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/18http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/18/18

Iranian Journal of Nursing and Midwifery Research1735-9066123200804291919MSc, Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc of Psychiatric Nursing.MSc, Department of Psychiatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: Nowadays, schizophrenia is one of the most important disabling mental disorders in the world. Regarding to occupational therapy as one of the most essential treatment for this disorder, the main aim of this study is to determine the effect of it on negative symptoms of schizophrenias patients. METHODS: This study is a clinical trials research and the samples were 84 schizophrenia patients of psychiatric ward of Farabi hospital in Isfahan. Sampling method was convenient and the samples were divided in to two interventional and control group randomly. The data collecting tool was scale for assessment of negative symptoms (SANS) and analyzing was performed by T-test, Wilcoxon and Mann-Whitney test. RESULTS: Findings showed that occupational therapy activities decrease the mean of significant differences of negative symptoms of schizophrenia such as flat affect, mutism, apathy, dissocial, loss of attention and the mean of significant difference in two groups, revealed a significant statistics difference in both at the beginning and the end of this study. DISCUSSION: Because occupational therapy and its related activities has an effective role on the symptoms of schizophrenia patients, rehabilitation is suggested in different field of treatment so that patients can get appropriate self respect and as well as a good level of social interactions. KEY WORDS: Occupational therapy, schizophrenia, negative symptoms.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/19http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/19/19

Iranian Journal of Nursing and Midwifery Research1735-9066123200804292020MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranPhD, Associate Professor, Department of Health, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: Pregnancy prevention is an important factor in women's life changing in various periods. Selection of contraception method is personally unique and can bridge between their experiences and their unmet needs. The aim of this study was to determine contraception experiences in the first years of marriage. METHODS: This was a qualitative phenomenological study. The studied population was composed of young women in their first years of marriage (before their first delivery). The data were collected with in-depth and unstructured interviews and analyzed by Collaizi method. RESULTS: The findings of the study were classified in 75 codes and four categories as following; Impedimental factors, Motivating factors, Exchanging factors, Abandon factors. CONCLUSIONS: Young women mentioned their positive and negative experiences of the first years of marriage. Their experiences are useful to promote the quality of services to fulfill their needs. KEY WORDS: Experiences, contraception methods, first years of marriagehttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/20http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/20/20

Iranian Journal of Nursing and Midwifery Research1735-9066123200804292121MSc, Department of Operating Room, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Operating Room, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Health, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.20101113BACKGROUND: Each member of society needs suitable services in recovery wards including patient safety in the ward, improvement and taking care of patients after surgery and anesthesia in order to decrease undesirable evidences, mortality and morbidity. The special characteristic of recovery cares is nursing cares. The nurse is one of the effective members of a health group and her/his effective role in admitting, preparing, caring, and physical, moral and social supports of patient is accepted by all experts of medical sciences. The aim of the present study was to determine standards observance in the recovery wards of the treatment centers of Isfahan University of Medical sciences (IUMS) in 2003. METHODS: This was a descriptive study with easy sampling. The quality of cares given by personnel of recovery wards after anesthesia was determined by using questionnaire and checklist. Obtained data was analyzed by SPSS software. RESULTS: This study showed that in the recovery ward, most of the cases were managed near the standard status. Based on the criteria of patient discharge from recovery wards, the results demonstrated that nurses observed the criteria in most of the cases; only in reporting description of events during and after operation, 68.8% were substandard. DISCUSSION: Since the side effects of anesthesia may appear during the transfer of patient to the recovery room, in recovery room or even after transferring to the ward, so a codified recovery room care plan and professional and skilled personnel who have the ability to observe standards in recovery room can be effective in prevention and treatment of these side effects. KEY WORDS: Quality of cares, recovery cares, recovery ward.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/21http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/21/21

Iranian Journal of Nursing and Midwifery Research1735-9066123200804292222MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: Polycystic ovarian syndrome (PCOS) is a complex hormonal disturbance that has numerous implications for general health and fertility. It is the most common cause of ovulatory disturbance, leading to infertility and probably, pregnancy loss. This study evaluated the complications and outcome of pregnancy in women with polycystic ovarian syndrome (PCOS). METHODS: The course and outcome of 47 singleton pregnancy in women with well-documented PCOS were compared with those in 100 healthy controls. RESULTS: The incidence of an abnormal glucose-challenge test, gestational diabetes mellitus and pregnancy induced hypertension were significantly increased in pregnant women with PCOS (P<0.05) CONCLUSION: Women with PCOS were at increased risk of gestational diabetes and pregnancy induced hypertension. KEY WORDS: polycystic ovarian syndrome, infertility, Pregnancy Complications.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/22http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/22/22

Iranian Journal of Nursing and Midwifery Research1735-9066123200804292323MD, Associate Professor, Department of Pediatric Nursing, School of Nursing & Midwifery, Isfahan University of Medical Sciences,MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113INTRODUCTION: Low birth weight (LBW, birth weight<2500g) is a significant health problem in children all around the world. There is a direct relationship between low birth weight and infant mortality rate. One of the most important measures to prevent childhood morbidity is growth monitoring. The present study was planned to compare the growth rate of LBW neonates with those weighing 2500g and more at birth (normal birth weight (NBW)) during the first two years of life. METHODS: This was a retrospective cohort study, which included 218 two years old infants (109 LBW, 109 NBW). Data gathering tool was a questionnaire. Data were analyzed by descriptive analytic statistical methods (the t- test and the χ2 test). RESULTS: Our findings revealed that there was a significant difference between the mean values of child weight, height and head circumference from birth until 2 years of age between the two groups (the LBW group had lower values than the NBW group). Height by age, weight by age and weight by height indices also had significant difference between the two groups until 2 years of age. Growth curves in LBW group were upslope until 2 years old. Moreover, the weight percentile of the LBW children at 2 years of age was deeper than the NBW group. DISCUSSION: In the present study, comparison of growth parameters until 2 chart years of age and growth of both groups showed a better growth velocity in the LBW group. The LBW growth curve moved upslope and was more compatible with standard percentiles throughout the growth curve. However, growth of the NBW group was not fine and more investigation is needed in this field. KEY WORDS: Growth, low birth weight, normal birth weight, neonatehttp://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/23http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/23/23

Iranian Journal of Nursing and Midwifery Research1735-9066123200804292424MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, IranMSc, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.MSc, Department of Midwifery, School of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran20101113BACKGROUND: The present study discussed the effect of Lamaze practices on the outcome of pregnancy and labor in primpara women referring to selected hospital of Tehran university of medical sciences in 2005. METHODS: This study was a controlled semi-experimental clinical trial. Samples included 70 selected women referring to selected hospitals in Tehran. The subjects were divided into control and study group. Study group received Lamaze technique included a training program for the study group containing 6 sessions. In each session, various subjects based on educational program were taught. Subjects were followed from 24-26 weeks of pregnancy to 24 hours after delivery. A checklist and a questionnaire were used for collecting the data. Data was analyzed by SPSS software. RESULTS: The findings showed the subjects were the same regarding demographic characteristics and level of knowledge concerning various methods of labor and Lamaze technique. There was no significant difference between two groups regarding the type of delivery, longitude of the first stage of delivery and the first and fifth minute APGAR score as well as mean gestational age. But, a significant difference in frequency of normal vaginal delivery and forceps or vacuum usage between two groups was mentioned (p<0.05). The duration of the second stage of delivery in study group was less while the mean weight of the newborns was more than the controls (p<0.05). The study group was more satisfied with their labor (p<0.05). DISCUSSION: The findings showed Lamaze practices can increase satisfaction of labor process. It can decrease the length of second stage of delivery. Inclusion of Lamaze technique in maternal care programs is highly suggested. KEY WORDS: Lamaze practices, pregnancy outcome, pregnancy, satisfaction.http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/24http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/24/24