1 2588-3712 244 Special Study of patient satisfaction from nursing care and behaviors in Shahrekord ‎hospitals parvin neda alavi azam tahmasbi batool 1 4 2007 17 1 1 6 16 08 2014 16 08 2014 Introduction: Gaining patient satisfaction is among important goals in health care system. ‎Nurses due to the type of their profession, have an essential role in providing satisfaction to ‎patients hospitalized in treatment centers especially hospitals. An efficient health care system ‎can only reach its mission, maintaining public health, through providing satisfactory care and it ‎can be assessed by assessing care provided.‎  Objective: This study was conducted to determine the level of hospitalized patients, ‎satisfaction of nursing care in educational hospitals in Shahrekord in ‎‏2006‏‎.‎  Methods: This descriptive ‎‏–‏analytic study‏ ‏was done in two educational hospitals of Hajar and ‎Kashani and the level of satisfaction of ‎‏223‏‎ patients who were hospitalized for at least one ‎day was assessed by questionnaire. Data collected were analyzed by SPSS and descriptive ‎‏–‏analytic statistics such as frequency and chi – square.‎ Results: Findings of this study showed that ‎‏70.4%‏‎ of hospitalized patients were satisfied ‎with nursing care. Although ‎‏8.9%‏‎ were unsatisfied, ‎‏12.7%‏‎ had no view and ‎‏7.7%‏‎ stated ‎they had not encountered the items of the questionnaire. In dimension of most patient ‎satisfaction with nursing care were related to “ quick and on time admission” (‎‏87%‏‎), on time ‎nursing care (‎‏85.7%‏‎), sympathy and kind nursing approach (‎‏84.8%‏‎) and most ‎dissatisfaction were related to “ encountering relatives and visitors” (‎‏18.8%‏‎), “ reaction to ‎patients’ discomfort and pain” (‎‏12.1%‏‎), and necessary follow up in time of problem solving ‎‎(‎‏11.7%‏‎). There was a significant relationship (P<‎‏0.05‏‎) between age, place of living and ‎level of satisfaction. There was no relationship between other personal factors with patients’ ‎satisfaction.‎ Conclusion: In attention to results, it is necessary to have patients, satisfaction assessment ‎committee with cooperation of different level management and periodical assessment of ‎patients’ satisfaction and presentation of implementation programs to alleviate patients’ ‎dissatisfaction and in turn increase the quality on nursing care.‎
245 Special Health care team practice in prevention of infection transmission in neonate ‎centers in Rasht city chehrzad minoomitra shafi poor zahra fadakar kolsoum 1 4 2007 17 1 7 10 16 08 2014 16 08 2014 Introduction: The most common route of infection transmission is through direct touch which ‎means it can happen through body contact of infected with susceptible host (infant) by touch. ‎Based on communicable disease control center statistics, almost two million children ‎encounter infection through contact with personnel and utilities which are preventable.‎ Objective: This study aims to determine performance of treatment team due to prevention of ‎infection transmission in neonate wards.‎ Methods: In this descriptive study, samples consisted of doctors, nurses, medical and nursing ‎students, lab technicians and vaccinators in infant wards of Al-Zahra and ‎‏17‏‎ Shahrivar ‎educational centers in Rasht who were chosen during a ‎‏6‏‎ months period (‎‏104‏‎ samples). Data ‎collection tool was checklist of hand washing and data was collected with one-way blind and ‎direct observation‏.‏‎ ‎  Results: Finding showed that the most of desired performance (‎‏%100‏‎) belongs to nursing ‎students and most of undesired performance (‎‏%75‏‎) was related to medical students and most ‎relatively satisfactory performance (‎‏55%‏‎) was related to ward nurses. Overall most health ‎team personnel (‎‏42.3%‏‎) had undesirable practice regarding hand washing in neonate wards. ‎ Conclusion: In attention to above findings and decreasing attention to use of gown, mask ‎and special shoes in neonate wards, it is more essential to teach hand washing and create a ‎more positive attitude to promote better health care team practice.‎ 246 Special Causes of pediatric heart disease in Rasht and its relationship with clinical ‎manifestation and demographic characteristic chehrzad minoomitra kamran zahra yazdi fatemeh ghanbari atefeh 1 4 2007 17 1 11 15 16 08 2014 16 08 2014 Introduction: Heart disease is the fifth cause of death in infants and children and ‎‏%90‏‎ of ‎these causes are related to congenital heart diseases.Nearly‏%20‏‎ of these children experience ‎heart failure and surgery, but life expectancy for these children is increased by palliative and ‎corrective surgeries. Demographic characteristics and clinical symptoms influence the progress ‎of these diseases. So on time recognition of high risk infants can improve promotion of ‎effective nursing programs and prevention of uncontrolled complications.‎ Objective: The goal of this study is to determine the common reasons for children referring to ‎heart educational centers in Rasht city and their personal and clinical characteristics.‎ Methods: This retrospective research determined the causes of pediatric heart disease in ‎Rasht and its relationship with clinical and demographic manifestation. The data collection ‎tool consisted of a three part questionnaire which was filled through patient's medical charts ‎‎(‎‏102‏‎ children) who referred to this center from ‎‏2004-2005‏‎.‎ Results: Findings showed that ‎‏%57‏‎ of samples was males, ‎‏%14‏‎ of them had a family history ‎of heart disease and ‎‏%4‏‎ of them had a sibling with heart disease, ‎‏%5‏‎ of their mother used ‎prescribed drugs in pregnancy. Forty-nine percent of all admission leads to surgery. The ‎major cause of admission was VSD(‎‏%29‏‎.‎‏4‏‎)and the most clinical manifestation was ‎fatigue(‎‏%83/3‏‎) and dispnea(‎‏76/5%‏‎).There was a significant relationship between prevalent ‎disease which leads to surgery, demographic characteristics and its clinical symptoms.‎ Conclusion: Recognition of demographic and clinical characteristics are useful for better ‎nursing care plans in order to prevent unsuitable side effects.‎ 247 Special Rate of depression in late-life in superannuated government employed center of ‎Guilan University of medical sciences khodadady naeima sheikholeslami farzaneh rezamasuoleh shadman yazdani mohamadali 1 4 2007 17 1 16 22 16 08 2014 16 08 2014 Introduction: Aging is a word used for decreased life abilities with diminished biological ‎morbid. Emotional disorders make up a group of late‏ ‏‎-‎‏ ‏life mental disorders. The most ‎common disorder in elderly is depression. Statistical data show that about ‎‏20‏‎% of American ‎elderly have depression who are usually misdiagnosed and don’t receive proper treatment and ‎this disturbs their life process knowing socio - demographic factors and elderly depression can ‎help nurses to better assess their needs and pay more attention to elderly depression.‎ Objective: The aim is to determine the level of depression and its relationship with socio - ‎demographic characteristics in Rasht city in ‎‏2007‏‎.‎ Methods: This is a correlational descriptive study and ‎‏100‏‎ samples were randomly ‎chosen from elderly of superannuated government employed center.‎‏ ‏The data ‎collection instrument consisted of a two part questionnaire. The first part included ‎twenty personal demographic questions and ‎‏11‏‎ questions regarding social ‎characteristics. The second part included DVYSS standard depression scale with ‎‏30‏‎ ‎questions, which is a two point test in two levels of “Yes” and “No” response and ‎‏5‏‎ ‎‏±‏‎ ‎‏4‏‎ score indicates normal, ‎‏15‏‎ ‎‏±‏‎ ‎‏6‏‎ show mild depression and ‎‏23‏‎ ‎‏±‏‎ ‎‏5‏‎ is sever ‎depression. Finally, the study data were analyzed by descriptive – analylitic statistics ‎and SPSS software. ‎ Results: Finding showed that ‎‏45‏‎.‎‏3%‏‎ of samples had mild and sever depression. ‎Depression is elderly had a significant relationship with married statues (p<‎‏0.007‏‎), ‎satisfaction with place of living (p<‎‏0.000‏‎), use of medicine (p<‎‏0.006‏‎), living with ‎spouse and children (p<‎‏0.0005‏‎), emotional support of family, members (p<‎‏0‏‎.‎‏01‏‎), ‎emotional support of friends (p<‎‏0‏‎.‎‏01‏‎), emotional support of others (p<‎‏0‏‎.‎‏04‏‎), ‎satisfaction with relations (p<‎‏0‏‎.‎‏001‏‎) and satisfaction with overall support (p<‎‏0‏‎.‎‏01‏‎).‎ Conclusion: Current study demonstrates that a significant number of elderly suffer ‎from depression and factors such as drug use, lack of satisfaction with place of ‎living, loneliness, low family, friends and others, emotional support, lack of ‎satisfaction with communication and support are effective in establishing depression.‎ 248 Special B- thalassemia children and quality of life: Does the present condition justify ‎children’s quality of life?‎ tahmasbi simin aein fereshteh heravi karimuoe fereshteh 1 4 2007 17 1 23 30 16 08 2014 16 08 2014 Introduction:‎‏ ‏Annually,‎‏ ‏thousands of children are born with B- thalassemia major who ‎receive continuous treatment.‎‏ ‏The goals of treatments are providing these children quality of ‎life (QOL).‎  Objective: The purpose of this study is to determine the QOL of children with B-thalassemia ‎referring to thalassemia centers from their point of view and assessing its effective factors.‎  Methods‏ :‏‎ In this descriptive – analytic study, the Red QOL scale and a questionnaire in ‎‏3‏‎ ‎domains of demographic, social and treatment factors were used to interview with ‎‏34‏‎ ‎Children with B-thalassemia major referring to selected thalassemia wards. Data were ‎analyzed by descriptive and analytic statistics and SPSS software.‎ Results:‎‏ ‏The mean score of children’s Qol in physical domain was ‎‏11 ‏‎±‎‏ 5‏‎.‎‏59‏‎, social domain ‎‏4‏‎.‎‏85 ‏‎±‎‏ 3‏‎.‎‏56‏‎ , school practice ‎‏7‏‎.‎‏14‏‎ ± ‎‏3‏‎.‎‏72‏‎ and cummulatively QOL domains was equal to ‎‏30.29‏‎ ‎‎±‎‏ 13.38‏‎. Also such factors such as availability of blood, medicine, personnel’s relation, school ‎health nurse, number of hospitalization due to related problems had significant relationship ‎with some of the children’s QOL domains.  ‎ Conclusion: Based on study findings, the QOL condition of children with thalassemia was ‎satisfactory. It appears that the medical services provided to these children in centers are ‎satisfactory and maintains the objectives.‎ 250 Special Survey method of health care providing to children less than one year in health ‎departments mokhtari zahra mir haghjo noshaz reza masuoleh shadman kazemnezhad anooshirvan 1 4 2007 17 1 31 36 16 08 2014 16 08 2014 Introduction: Health care providing to children with optimal quality is part of maternal and ‎child health program that its quality performance causes reduced mortality, complication and ‎health maintenance. Thus evaluating these care and promotion of health care providers, ‎performance and its quality certainly will have effective role in maternal child well – being‏.‏‎ ‎ Objective: This research aimed to determine method of health care providing to children less ‎than one year was done.‎  Methods: This study is a cross – sectional descriptive research and in this research ‎‏97‏‎ ‎employees of health centers were observed during offering health care to ‎‏291‏‎ infants specially ‎growth monitoring and vaccination. Health centers were selected through cluster sampling and ‎staff selected with census. Data collection tool was a questionnaire including two sections. ‎The first part included demographics completed by sample and second part included checklist ‎related to growth monitoring and vaccination completed through observation. Analysis of ‎data was done by descriptive statistics (Mean and Deviation) and deductive statistics (X‏2‏‎- test ‎and Pearson’s correlation).‎ Result: Research finding about sample demographic characteristics showed that most of them ‎‎(‎‏%52/6‏‎) were between ‎‏35‏‎ – ‎‏44‏‎ and most of them (‎‏%92/8‏‎) didn’t have a child under one year. ‎Most of them participated in re – education related to growth monitoring and vaccination and ‎most of them (‎‏%44/3‏‎) provided favorable health care related to vaccination and growth ‎monitoring.‎  Conclusion: Results showed that there was a significant correlation between age, children ‎educational course, studies, record of service in family health care unit and participation in re–‎education course with method of health care providing to children under one year related ‎growth monitoring and vaccination (P<‎‏0/001‏‎). But there was no significant correlation ‎between having child under one year and method of care provided to children under one year ‎‎(P<‎‏0/002‏‎). Thus most samples (‎‏%96‏‎) had favorable method in maintaining cold chain system.‎ 251 Special Job satisfaction among psychiatric nurses in Shafa hospital in Rasht nadem mahin khodadadi naeima ramzani hasan muosavi seyed moohamad javad 1 4 2007 17 1 37 43 16 08 2014 16 08 2014 Introduction: Job environment as a second home of every individual should satisfy his mental ‎and spiritual needs. Among different jobs, nursing is an important and key job, because as ‎nurses job satisfaction increases, it can improve the quality of care given to patients and ‎increase their satisfaction.‎  Objective: The goal of this study was to‏ ‏determine the level of nurses’ job satisfaction in ‎educational center of Shafa in Rasht.‎ Methods: This is a descriptive study and data were collected from all nursing personnel ‎employed in the only educational psychiatric center in Guilan. Data collection instrument ‎included a two part questionnaire: first part covered demographic characteristics and included ‎eight statements and part two included a standard questionnaire on job satisfaction with ‎‏30‏‎ ‎statements. Descriptive-analytic statistics were used for data analysis.‎  Results: Finding indicated that ‎‏53.7%‏‎ of nurses had moderate, ‎‏41.5%‏‎ had high and ‎‏4.9%‏‎ had ‎low job satisfaction. Also head nurses had lower job satisfaction than other nursing personnel. ‎There was no significant relationship between personal characteristics and job satisfaction.  ‎ Conclusion: Study findings can be used for exact planning. Results indicated that most ‎samples had moderate job satisfaction and this can be an alarm to nursing managers because ‎inadequate job satisfaction can cause poor care. In addition results showed head nurses had ‎lower job satisfaction and this may affect other personnel’s performance.‎ 252 Special View of students in Guilan University of medical sciences regarding sources of ‎counseling hasavari farideh seyede fazelpour seyedeh fatemeh sedghi sabet mitra 1 4 2007 17 1 44 48 16 08 2014 16 08 2014 Introduction: Entrance to university is a sensitive stage for the youth of every country and to ‎encounter the crisis, consultation services are needed.‎ Objective: This study aims to determine the view of students in Guilan University of medical ‎sciences about sources of counseling.‎ Methods: This Descriptive study was done on ‎‏293‏‎ students enrolled in all majors in this ‎university. Samples were chosen randomly. Data were collected by questionnaire. Descriptive ‎analytic statistics were used for data analysis.‎  Results: Findings indicated that ‎‏97.6%‏‎ of samples were in ‎‏18-28‏‎ year age, ‎‏65.2%‏‎ were ‎female and ‎‏91.5%‏‎ were single. ‎‏57.7%‏‎ of samples weren’t aware of counseling center in the ‎university and from those who were aware. Only ‎‏5.8%‏‎ referred to these centers. Overall in ‎prioritizing the different sources of counseling, parents were first and counselors had the fifth ‎place.‎ Conclusion: Recognizing that parents are said to be the most important and available source, ‎it is suggested that they have friendly relationship with their children and help them by ‎offering proper solutions. On the other hand, recognizing the counseling offices and attracting ‎students’ confidence can be a positive step toward solving problems.‎