Highlights 
● Coronary artery disease is one of the most common non-communicable diseases in the world.
● An ineffective circulatory system increases the likelihood of impaired cerebral blood supply.
● Patients undergoing coronary artery bypass graft surgery may have some degree of cognitive impairment.
● According to the results of this study, age was the most critical factor related to cognitive impairment in patients with coronary artery disease who were candidates for coronary artery bypass grafting.

Plain Language Summary 
Coronary artery disease is one of the most common diseases in the world. When the ability of the heart to supply blood to the body’s tissues decreases due to coronary artery disease, blood flow to the brain also reduces. These conditions may affect the patient’s brain function and hence, his or her cognitive ability. In this study, we attempted to identify the cognitive status of patients with coronary artery disease who were admitted for coronary artery bypass graft surgery. Given that many of these patients have other underlying conditions besides heart disease, each of these diseases may affect the occurrence of cognitive impairment. For this reason, this study intends to identify factors related to the patient’s current cognitive status in addition to determining their cognitive status. According to the results of this study, age and then the anxiety were the most critical factors related to cognitive status of these patients. According to this study results, more attention to elderly and anxious patients can help bring more successful treatment in these patients.

Highlights 
● Postpartum blues can set the condition for the development of postpartum depression.
● Postpartum blues can provide unfortunate conditions for emergence and disintegration of family relationships.
● Postpartum blues can reduce emotional attachment between mother and baby. 
● Weak mother-child emotional attachment will reduce the mother’s confidence and compliance with the motherhood role.

Plain Language Summary 
Relaxation therapy includes a series of nerve and muscle exercises that helps the mother to pass pregnancy and various stages of labor with fewer complications. One of the essential effects of using relaxation techniques is to increase the attachment of the mother to the infant, which assist the mother in coping with psychological stress. Progressive Muscle Relaxation (PMR) method of Jacobson (1934) is one of the relaxation techniques which belongs to the active relaxation category and mind-muscle connection techniques. In these techniques, by tensing and then releasing the muscle, attention is paid to the muscles of the various parts of the body and then to their relaxation. In this method, the mind learns to focus on multiple parts of the body, and through this focus, experiences peace and detachment from outside, and thereby achieving calmness. The muscles can be tensed and released in separate (e.g. first the muscle of first phalanx of index finger, then the muscle of its second phalanx, and so on), in group (eg, muscles of leg and thigh together), or in half of the body (all muscles of the right side and then left side, or all muscles of upper half and then lower half of the body). These exercises can improve the outcome of pregnancy in high-risk pregnancies and deliveries.

Highlights 
● Stroke is the most common debilitating motor disorder in adults.
● Severe motor disorder in the limbs results in rehabilitation failure and the patient’s disability.
● In most cases, rehabilitation plays the most critical part in ensuring the recovery of post-stroke patients.
● Mirror therapy is a simple and client-centered treatment for improving motor ability after a stroke.
● Mirror therapy, combined with conventional rehabilitation exercises, can improve the walking ability of post-stroke patients.

Plain Language Summary 
Stroke is one of the most common debilitating diseases of the nervous system. It is a significant cause of disability that requires home care. It is also the most important cause of long-term disability in the world. Motor disabilities, including unilateral paresis, are the most common and worst complications of a stroke. Severe motor disorder in the limbs leads to failure in rehabilitation therapy and patient’s disability. Conventional methods for treatment include paralyzed limbs exercises, functional electrical stimulation, and motor therapy. Recent studies reported different outcomes to these treatments, and have not yet been able to identify the most effective method for unilateral paresis. Mirror therapy is one of the new therapies that has recently shown positive results in patients with motor disabilities. In this study, 93 hemiplegic stroke patients were studied in three groups. The mirror and non-reflective groups received twenty 15min rehabilitation therapy every other day in front of reflective and wood (non-reflective side) in addition to routine physiotherapy. The control group received only the routine physiotherapy program. According to the results, there was no significant difference in the walking ability of groups before the intervention. But after the intervention, all groups showed substantial improvement, and the mirror group showed more significant improvement compared to the other two groups. 

Highlights 
● Most women experience at least one health problem during the postpartum period.
● Men’s involvement in prenatal and postnatal care can affect the acceptance of and adaptation to paternal identity.
● The promising results of the home care program reflect the need of spouses and families for an educational program about supporting mothers in the postpartum period. 
● The governing culture can affect paternal involvement and the quality of the husband’s support in the postpartum period.
● The home care program was able to increase the husband’s support during the postpartum period.

Plain Language Summary 
Physiological conditions of the postpartum period make it a sensitive and effective period for both mother’s and child’s health. Family, and especially husband, are the most accessible and useful sources of providing support for women. Given the limited research on the effect of husband’s support on women’s health in the postpartum period, this study presented a clinical intervention for the woman who just gave birth. The intervention tried to increase their husbands’ support in meeting their needs during this critical period. The midwifery team provided the training during three postpartum visits with fathers and other family members (32 families). At the same time, we examined the support and engagement level of fathers in other 32 families as the control group. The results in the pre-intervention phase indicated a poor level of husband’s involvement and support. Fortunately, after receiving home care, the results showed the impact of the intervention on increasing fathers’ support and engagement, especially in terms of basic needs. The results confirm the spouses and families’ need for receiving training about supporting mothers in the postpartum period. The health care team should scientifically provide this training. Home-based training offers the opportunity to identify the specific needs of each family and detect problems in the early stages and takes appropriate action. It can also prevent future injuries and subsequent medical costs.

Highlights 
● Metabolic syndrome is associated with cardiovascular risk factors, such as abdominal obesity, high blood pressure, impaired glucose tolerance or disruption of insulin metabolism, and lipid disorders (increased triglyceride and low high-density lipoprotein).
● Self-care behaviors in patients with metabolic syndrome is a set of behaviors such as healthy nutrition, exercise, using the medicine, etc.
● Literacy may affect self-care behaviors.
● Most of the studied samples had adequate and high health literacy.
● Health literacy behavior was the predictor of self-care behavior in four areas of medication, diet, smoking, and weight control. 

Plain Language Summary 
Metabolic syndrome comprises a set of risk factors such as high blood pressure, high level of fasting blood glucose, abdominal obesity, and a high level of blood lipids. These risk factors increase the risk of catching cardiovascular diseases, type 2 diabetes, and eventually, the mortality rate. Self-care behaviors as the cornerstone of long-term management of this syndrome include defined practices such as healthy diet, doing exercise, and using the medication. Health literacy is one of the active factors in increasing the level of people’s knowledge in receiving the correct and authentic information from different sources to recognize their situation and self-care programs. This study was conducted to determine the relationship between health literacy and adherence to self-care behaviors in 184 patients with metabolic syndrome in Rasht City, Iran. According to the findings, the highest adherence in self-care behaviors pertained to avoiding alcohol and cigarettes, and the lowest to observing diet and exercise. Health literacy of most samples was in an adequate and high level. Decision-making and behavior dimension of health literacy had the most predicting ability in self-care behaviors, which indicates the effect of patients’ involving in making joint therapeutic decisions to improve self-care behaviors. 

Highlights 
Malnutrition is one of the most common problems of older people.
Most of the elderly under study had poor nutritional status.
The general health status of the elderly under study was poor.
There is a significant relationship between nutritional status and multimorbidity in older people.
There is no significant relationship between nutritional status and general health in older people.

Plain Language Summary 
Increasing growth of the aging population can be a significant issue for countries and governments, as with this increase, society will face the challenges and issues related to the aging population. Malnutrition is one of these common problems, which is also prevalent among residents of nursing homes. Also, older people suffer from one or more diseases at the same time that affects their quality of life. According to studies, general health status is also undesirable in the aging period. This study was conducted to evaluate the association of nutritional status with general health and multimorbidity among older people living in nursing homes in Ahvaz City. The findings showed that their nutritional status and general health was undesirable and unfortunate, and depression was the most frequent disease in this population. Nutritional status had a significant relationship with multimorbidity, but not with general health. It is suggested that proper interventions be conducted to improve nutritional status in nursing homes and control the factors that affect it, such as disease, and the caregivers should receive the necessary education in this area.

Highlights 
● Palliative care promotes quality of life for patients and their families in facing life-threatening diseases.
● Nurses spend a lot of time caring for critically-ill patients, so they are expected to have sufficient knowledge to provide the best care for these patients.
● Palliative care provision can save a lot of cost for both the patient and the health care system.
● This study results highlight extra attention to presenting nursing education programs on palliative care.

Plain Language Summary 
Palliative care is the science of promoting the quality of life of a patient. It is not only effective in the patient’s late-life but also useful in dealing with a chronic illness over many years. In this regard, nurses as the largest providers of health care services play an essential role in palliative care. Nowadays, the care of patients with chronic diseases takes a significant part of the health problems, so the provision of palliative care services to patients with chronic diseases and the role of nurses in this regard, as well as the impact of their knowledge on the quality of these services, is essential. In this study, we assessed the knowledge of 280 nurses about palliative care was evaluated by the Palliative Care Quiz for Nursing instrument. They were working in the hospitals affiliated to Guilan University of Medical Sciences in 2016. The results revealed their poor knowledge of palliative care. Among the studied factors, only the personal study about palliative care had a significant association with their knowledge. According to the results, we suggest that the nurses’ understanding of the quality of palliative care services be increased by holding in-service education and on the job retraining. These measures should promote palliative care services.

Highlights 
● Wives with addicted husbands experience a range of mental and economic problems in various dimensions.
● These women need exceptional support to deal with psychological issues as well as an understanding of their current situation to improve, manage, and control their lives.
● Our findings could be used by authorities to provide better strategies for counseling in psychology, psychiatry, and treatment of physical, psychological, and social problems of these women.

Plain Language Summary 
Men’s addiction and related disorders are among the most prominent social harms that easily affect the basis of individual, family, and community life. These effects are especially noticeable on the wives. The husbands’ drug abuse results in violence toward the wives, which its psychological consequences can be the feelings of incompetence and low self-esteem. Given their exceptional circumstances and because maintaining the foundation of the family requires physically, mentally, socially, and spiritually healthy women, these women need to be empowered, and one of the concepts of empowerment is increasing their self-efficacy and self-esteem, which requires special supportive attention.