[Evaluating the effectiveness of Parent Empowerment [COPE] program on participation of mothers of preterm infants hospitalized in NICUs of hospitals affiliated to Isfahan university of medical sciences and health services, 2009-2010]

The birth of a preterm infant is a stressful event for parents. Because of special nature of the Neonatal Intensive Care Unit [NICU] environment, parents of infants admitted to a neonatal intensive care unit experience higher levels of tension, compared with parents of healthy infants the mother's physical and psychological condition may negatively influence early and suitable mother-infant relationship, the mother's participation in her infant care and the infant's long-term developmental outcome. The purpose of this study was to evaluate the effectiveness of Creating Opportunities for Parent Empowerment [COPE] program on participation of mothers of preterm infants hospitalized in NICUs of hospitals affiliated to Isfahan University of Medical Sciences and Health Services. A randomized clinical trial was conducted with 90 mothers of premature infants hospitalized in the neonatal intensive care units. COPE mothers received 2 intervention sessions of audiotaped and printed materials with workbook. This program consisted of information and behavioral activities about the appearance and behavioral characteristics of preterm infants and how best to parent them. Duration between sessions was 2 to 4 days. Data were collected by a questionnaire. The participation was evaluated just 2 to 4 days after second phase. The mea score of mothers' participation in experiment group was 9. 14 +/- 0. 84 and 9. 43 +/- 1. 06 for the first and second phase of post -test. Mothers in the Creating Opportunities for Parent Empowerment program reported significantly more participation in their infants care [p<0. 001]. Creating Opportunities for Parent Empowerment program diminished mothers enhance the amount of mother's participation. This study showed that early interventions during neonatal hospitalization and educational behavioral information in written form may have positive effect on maternal psychological condition and participation

Maternal attachment behaviors at first neonatal visit in a hospital affiliated to Shaheed Beheshti Medical University

Emotional needs are critical in children, which must be met from early hours of life. This descriptive study was conducted to assess maternal attachment behaviors at first neonatal visit. Subjects were 66 mothers at Mahdiyeh hospital. Data were collected by an observational checklist, an information form and video tapes. Content validity and interrater reliability were used to validate the tools and make them reliable. Breastfeeding was the most frequent caring behavior [49.2%]. Hugging was mostly seen [22.9%] in adjacency behaviors. In emotional behaviors, eye to eye contact was most frequent. With respect to the results, nurses and other health care workers can play an important role in the establishment of mother- infant relation

[ comparison of acute and delayed psychological effects of motor vehicle accidents in individuals referred to Imam Hossein Hospital of Shahroud in 2004]

Psychological complaints are common after motor vehicle accidents [MVA] and might be strong predictors for long term complications and problems of the accidents. This study was performed to compare the acute and delayed psychological complications of MVA in Shahroud. The sample consisted of 42 MVA victims selected by unrandomized sampling from those referred to Imam Hossein hospital. The general health questionnaire [GHQ] and symptom checklist-90-revised [SCL-90-R] were used for evaluating psychological symptoms and screening psychological patients. The mean scores of each psychological dimension in 4 phases: reception time, one, three and six months after the accident were obtained and were compared with statistical tests [t-test, repeated measures ANOVA and one-way ANOVA]. The average age of the sample was 24.4 +/- 8.5 years. The mean score of all psychological dimensions, except summarization and obsessive compulsive dimensions, increased from reception time to one month and 3 months later [p<0.05]. Then the scores decreased to 6 months after the accident time [p<0.05]. Three months after the accident time, unmarried patients had a higher score of depression compared to the married ones [p<0.05]. The mean scores of depression, phobic, paranoid and psychoticism were higher [p<0.05] in unemployed versus employed persons. Based on our results, the psychological problems started from accident time until 3 month later. Therefore, the fast and early diagnoses of the complications, use of appropriate pharmacological and psychological interventions, also effective planning for their rehabilitation are both essential and important