Effect of performing Collaborative Care Model on Controlling High Blood Pressure in patients referred to Semnan city's clinics, 2013

High blood pressure has become increasingly commonbetween people and also it takes a major risk factor for many diseases. The present study is done toperformthe collaborative care model in patients with high blood pressure. Hypertension is defined as: Systolic blood pressure [SBP] >/=140 mmHg or diastolic blood pressure [DBP] >/=90 mmHg .A collaborative care model is a native educating method based on patient's participation in the management of chronic disease. In this quasi-experimental study, 40 patients with high blood pressure [two equal groups of test and control] selected from two clinics in the city of Semnan in 2013, and they were evaluated using the targeted and simple random sampling.The checklists included demographic information [5 items], medical and smoking history [13 items], anthropometric parameters [3 items], laboratory measurements [6 items], diet [5 items], activities [7 items], dependent variables [5 items], cardiac complications [6 items], and frequency of doctor visits.The test group participated in intervention and participatory meetingsevery week. Collaborative care model, is comprised of4 stages; motivation, preparation, involvement, and evaluation over 3 months of intervention. Evaluation was based on the following criteria: Hypertensive patients[systolic blood pressure higher than 140 mmHg and diastolic blood pressureabove 90 mmHg, measured and approved in two different visits], to improvepatient health and knowledge, to decrease risk factors for disease,and to increase satisfaction and quality of health care services before and after intervention. Descriptive statistics, the independent t-test, and chi-square test were calculated at a significance level of 5%.Body mass index, triglyceride level, diastolic blood pressure, and salt intake declined in the test group after intermediation.Althoughthe consumption of bread and rice wasdecreased in the control group, but not in the test group.As previously described,performing the collaborative care model resulted in less catching high blood pressure, thus it can act as an efficient and cost-effective method for preventing and controlling high blood pressure

study of head lice infestation [pediculosis capitis] among primary school students in the villages of Abadan in 2012

Head lice contamination has a global distribution and it is regarded as a main health problem throughout the world. Given the importance of physical health of students and head lice prevalence at school age, we aimed to examine the rate of head lice contamination among primary school students in the villages of Abadan in 2012. In this descriptive study, 624 students were randomly selected from primary schools. The hair of all students under the study was examined by the researcher [community health nurse] and the result was registered in the checklist confidentially. Moreover, one questionnaire including personal and family information was filled out for each student. The obtained data were later analyzed in SPSS software, version 18, using statistical test Chi-square and central qualitative and distribution statistics. The frequency of lice contamination was 27 cases [4.33%] in total, all of whom were girls. Although the difference between the head lice contamination and gender was statistically significant [P=0.00], the difference between this contamination type and grade of students and their parents' education and fathers' occupation was not significance. The highest rate of contamination [6.73%] was, however, observed in fifth graders. All contaminations were seen in girls, which could be due to their longer hair or wearing scarf as compared with boys. Unfavorable health condition and regional hot weather can be effective as well. Therefore, it is essential to provide the students, especially girls, with health training

study of the perceived social support and its relationship with glycosylated hemoglobin in children and adolescents suffering from type I diabetes

Many sufferers of Type I Diabetes, as they are young, need support in order to be able to continue their care; therefore, to have social support could have a role in improving the metabolic control. Accordingly, the present study was done in order to determine the perceived social support and its relationship to the glycosylated hemoglobin in the children and adolescents who suffer from the Type I Diabetes. This analytic study was conducted on 99 subjects, based on their availability, composed of children and adolescents suffering from Type I Diabetes who referred to the Endocrine and Metabolism Research Center in Isfahan. The collected data, after confirming the validity and reliability, were completed by the subjects and then analyzed using SPSS software [version 18]. In association with the perceived social support, 48.5% of children and 16.7% of adolescents enjoyed acceptable levels. In comparing the average scores regarding the perceived social support of children and adolescents, a significant statistical difference was observed [P<0.02] which showed that social support for children was more. In the study on the relation between the perceived social support and the glycosylated hemoglobin in children, the correlation between the perceived social support and the amount of glycosylated hemoglobin [P<0.01] was significant. Regarding the direct relationship between the amount of glycosylated hemoglobin and the perceived social support in children and adolescents, the family support and planning the team educational and practical programs and policies focusing on the purpose of self-care and thereupon, the satisfying control of diabetes is of utmost necessity

investigation on sleep behaviors of the elderly hospitalized in Zahedan

Sleep is an essential need in every individual's life. A disorder in the natural sleep can cause physical and mental problems. The elderly are usually faced with more sleep problems. Therefore, the present study aimed to define sleep behavior among the elderly hospitalized in Zahedan. This is a descriptive analytical study conducted on 300 elderly people aged 60 years and over who were hospitalized in Zahedan. In this research convenience sampling method was used and the research tool was a questionnaire. The data were collected through interviews. Descriptive [frequency distribution] and inferential [X[2]] statistical tests were employed to analyze the data. The results showed that 62% of the hospitalized elderly people [total of 300] had sleep disorder. About 44.7% took sleep medication in order to sleep, and only 16.7% did not take sleeping medications. About 44.7% had no special schedule for the time of their sleeping and waking up, and 4.3% were involved in drug abuse and smoking, and had a big dinner before sleeping. There was a significant association between sleep disorder, gender, education, living in urban or rural areas, the cause of hospitalization, and suffering from a chronic disease. Sleep disorder and inappropriate sleep related behaviors had a high prevalence among the elderly. With regard to the important role of sleep in the quality of life of the elderly, detection of the reasons of sleep disorder, motivating them to practice an appropriate sleep behavior, and preventing them from having inappropriate sleep related behaviors are crucial issues.

Achieving the standard of the school health nursing process in elementary schools of Kerman, Iran

Considering the school nursing standards, which is the most important and vital element of the school health team, can be a fundamental step toward solving the current and future problems of the school and society health. The present research was done with the goal of determining the current situation of the standard of the school health nursing process in elementary schools of Kerman, Iran. The present research is a quantitative, descriptive study and was done between the years 2009 and 2010 through conducting an opinion poll. In this study, first the international standards of school nursing were searched and extracted from informational sources. Then, a questionnaire was designed based on the standards of the school nursing process and its related indicators in 6 areas. This questionnaire had two parts. The first part had the respondents' demographic information, answering was optional, and the second part of the poll was about each of the indicators. After preparing the questionnaire and determining its validity and reliability, it was distributed among the 120 samples [60 health trainers and 60 of Kerman's elementary school staff], and their opinions were gathered and analyzed through statistical-descriptive analysis. The results of this research demonstrate that approximately all the above mentioned standard areas in the country were applied [98%]. The rate of acquiring the standard of nursing process was high [90%] in some areas [Investigative area] and low [30%] in some other areas [diagnosis area]. In total, the rate of acquiring the majority of indicators of nursing process standards has an average percentage. It is suggested to use schools health professionals to raise the indicators of the standard of the school nursing process [the indicators which had low or average acquiring rate], and to raise the performance quality.

spiritual experiences of patients with diabetesrelated limb amputation

Confrontation with the consequences of diabetes causes a crisis in physical, mental, and spiritual dimensions. Sometimes the spiritual crisis can be tremendous. Since spiritual health coordinates different aspects of human life, this study aimed to identify the spiritual health of patients with defects caused by diabetes. This was a qualitative-phenomenological and descriptive study and the participants were selected from rehabilitation centers in Isfahan and Valiasr Hospital in Zanjan. A purposive sample of 15 participants underwent deep interviews. Colaizzi's method of analysis was used to analyze the data. outcome of this phase of the study was 173 codes and 2 groups that included hindering factors in spiritual health and the promotion of the relation with God. The concepts that patients had experienced as hindering factors of the treatment process were disappointment and hopelessness, guilt, feeling distant from God, quitting obligatory acts and knowing God as cruel. The concepts that patients had experienced as contributing factors to the healing process were resorting to Imams, God's ordering the disease as a reward, fear of God's punishment, believing in miracles, being closer to God, believing in the mercy of God, returning to religious practice, feeling of enjoying life and knowing that the disease is the atonement of sins. With regard to the importance of spiritual and religious care as one of the tasks of nurses, as the key members of health team, they should respect the patients' beliefs and values in addition to considering their physical and mental conditions.

Investigating the efficiency of nursing education program from the perspective of graduate students of nursing and midwifery

Continuous evaluation is required in order to ensure the university system's efficiency. One of the important aspects of evaluating the educational system's effectiveness is judging the system's ability in meeting environmental needs. The present research's goal has been to investigate nursing education's efficiency through investigating the graduate's condition and their views on education and studying in Isfahan University's School of Nursing and Midwifery in 2008. This is a descriptive research which has investigated the nursing graduate's view on the nursing education efficiency. The sample of the present research contains one hundred graduates between the years 2001 and 2005 which have been chosen randomly to complete the questionnaire. The questionnaire is divided into five sections including; growth, demographic information, and satisfaction with professional development and the acquired scientific experiences during the education. The criteria of achieving educational goals, and acquiring individual and social development were used to determine the content of the questionnaire. Through further examination the validity of the questionnaire was calculated to be 0.85. The final analysis was done using the SPSS statistics software. The majority of the participants were female and with an age range of 24 to 30. Among these, 55% were unemployed and 67% of them had no education higher than a bachelor degree. The mean scores of each of the efficiency fields were as following [the total score was 4]: Professional growth 2.13 +/- 0.36, Satisfaction with the obtained scientific achievement during studies 2.80 +/- 0.48, achievement of the educational objectives1.95 +/- 0.51 and individual and social improvement 2.70 +/- 0.36, neither of which are desirable. There was no significant difference between the demographic information and education efficiency index. Considering the results of the present research, the nursing education system's efficiency level in Isfahan University is medium. Acquiring the educational goals is not satisfactory for the students. According to the results of this research, some changes have been suggested to change the lesson plans.

[Nursing students' viewpoints toward routine instructional tools]

Introduction: Instructional tools are among effective factors in learning. Learning about students' viewpoints towards these tools could help teachers in choosing the most appropriate one. This study was performed to investigate and compare students' views towards three routine instructional tools including PowerPoint, overhead, and whiteboard

Methods: In this descriptive study in the year 2007, 68 nursing students in Saveh Nursing School were investigated. The sampling was done by convenient sampling method and data were gathered using a 36 item questionnaire. The reliability and validity of the questionnaire were verified using content validity and internal consistency of data, respectively. Data were analyzed by SPSS software using descriptive [mean, standard deviation, and frequency] and inferential [paired t-test and Pearson correlation coefficient] statistics

Results: The mean scores of positive responses [from 0 to 100] regarding PowerPoint, whiteboard and overhead were 53.65+/-28.8, 53.65+/-27.6, and 21.93+/-25.5, respectively. 57.9% of students preferred PowerPoint, 38.6% chose whiteboard as their most favorable tool, and 3.5% had the preference for overhead. A difference was observed between scores of PowerPoint and overhead [t = 7.26, p < 0.005] as well as scores of whiteboard and overhead [t = 8.16, p < 0.005]

Conclusion: Since, there are variations in students' preferences for instructional tools, it is recommended that teachers use a combination of different instructional instruments in order to be more effective in promoting students' motivation and satisfaction in the classroom