[ effect of orientation program on stress, anxiety and depression of patients undergoing coronary angiography]

Hospitalization causes anxiety for many patients. It increases when patients anticipate their turn for coronary angiography. Education and orientation reduces the psycho- physiologic effects of anxiety and stress. To determine the effect of Orientation Program on stress, anxiety and depression in patient under coronary angiography, who had hospitalization in heart and post angio ward of shahid Beheshti center of heart in Zanjan. In a quasi-experimental, 60 patient under angiography were randomly assigned to either the test group: those who received orientation program, or the control group. Data collection tools were included: the DASS-21 Standard Questionnaire for patients' stress, anxiety and depression. Subjects' stress, anxiety and depression levels were measured before angiography. And finally the collected data was analyzed by SPSS software. After intervention, the independent t-test showed that the anxiety, stress, and depression level [P<0.05] were reduced in case group. This study showed that patients in case group experienced lower anxiety, stress, and depression level. Therefore proposed to be used orientation program before invasive diagnostic procedures

Senior nursing students skills in patients health assessment in Zanjan university of medical sciences

Assessing patients' health is the base of nursing process. Also finding patients' problems is necessary for designing care plan by nurses and nursing students. This study was performed to determine the proficiency level of senior nursing students in assessing patients' health in Zanjan University of Medical Sciences in the year 2005. In this descriptive cross-sectional study, all senior nursing students of Zanjan University of Medical Sciences [44 students] were studied. The data gathering tools included a questionnaire consisted of demographic data, which was filled by the samples and an observational checklist which was completed by researchers while observing students' performance in assessing patients' health status. Data was analyzed using descriptive statistics methods, independent t-test, and one-way AN OVA by SPSS software. Twenty point four percent of students had a poor performance in assessing patients' health, 68.2% of them achieved moderate score, and only 11.4% were proficient in assessing patients' health. Most senior nursing students were not skillful enough in assessing health status. The collaboration of administrators of nursing in ministry of health and medical education, hospitals, nursing schools and instructors in order to make appropriate planning for this problem seems necessary

[Sleep disorders among nurses in Zanjan]

The aim of this study was to determine disturbed sleep quality among nurses. The results indicated that the majority of sleep disorders were associated with insomnia [66% difficulty in falling sleep, 37% difficulty in staying asleep, 55% waking early and unable to return to sleep, and also 68% of respondents reported to suffer from fatigue following getting up]. The data obtained in our study suggest that the nurses, who work in night shifts, need further education on how to cope with overnight shifts and also change of their lifestyle