1 2588-3712 359 Special Comparison between Capabilities of the Disabled People before and after Implementation of Community Based on Rehabilitation(CBR) Program Afkar Abolhasan Nasiripour AmirAshkan Tabibi Jamaledin Kamali Marzieh Farmanbar Rabiolah Kazem Nejad Leili Ehsan 1 12 2014 24 4 1 8 09 12 2014 09 12 2014 Abstract Introduction: Community Based Rehabilitation (CBR) is the strategy focuses to inhancing quality of life for disabled people. This strategy plan to consider requirements of the disabled people in all countries. Objective: The goal of this study is to compare capabilities of disabled people before and after implementation of CBR program. Methods: This is a descriptive cross-sectional study was conducted in the region of Guilan in 2011. randomly 200 disabled people were selected.Tizun Zhao form designed used to collect data in two parts: the first part contain of 10 questions about demographic data, the second part consist of 9 items about competences of the disabled people. Data was analyzed by Wilcoxon Test, t-test and Chi-Square Test. Results: Average age of studied people was 31.214.3 year. Most cases were men (68%) and unemployed (73%) and no type of occupation. In viewpoint of disability, most cases were physical-movement disabled people (42.5%). There was a significant statistical relationship between type of disability and effect of Community Based Rehabilitation (P=0.005). There was also a direct statistical relationship between training period and disability decrease(P=0.005). Capability of the disabled was with the mean and standard deviation 76.3421.7, but it decreased to 59.3315.04 after intervention (P=0.001). Conclusion: Implementation of community based rehabilitation program is an effective method to promote the function of disabled people.
361 Special redictive Personal factors of quality of life in hemodialysis patient Baghaie Lake Mojgan Rahimi Sara Adib Masoumeh Kazem Nejad Leili Ehsan Monfared Arezoo 1 12 2014 24 4 9 19 09 12 2014 09 12 2014 Abstract Introduction: Assessing quality of life and its related factors in hemodialysis patients is necessary to promote their quality of life. Objective: This study aimed to determine predictive personal factors of quality of life among hemodialysis patients referring to hemodialysis centers affiliated to Guilan University of Medical Sciences. Methods: This analytic cross-sectional study was conducted on 241 hemodialysis patients referring to 12 Guilan dialysis centers chosen by randomized-stratified method from adult patients with inclusion criteria. Data was gathered by a researcher-made questionnaire on personal factors and Kidney Disease Quality of Life Short Form with 3 domains of physical, mental and specified kidney disease. The relationship between personal factors and three domains of uality of life were analyzed using descriptive (distributions, mean and SD) and analytic statistics (Smirnov Kolmogorov for normal distribution of data, t-student, ANOVA and Linear regression). Results: The least mean and SD was in job status subscale (19.1±2.9) and physical domain of quality of life (46.99±1.94) in comparison to two other domains. Patients’ quality of life score was 54.00±13.33. There was a significant relationship between lower quality of life scores and female gender (p=0.0001), older age (p=0.002), lower education (p=0.0001), unemployment (P=0.0001), without family responsibility (p=0.003), suburban residential place (p=0.043), and without history of kidney transplantation (p=0.038). Conclusion: Female gender and unemployment were predictors of poor quality of life. Associations of poor health related quality of life with controllable factors such as job, highlights necessitation of greater focus on social support and medical and nursing interventions in these patients. 362 Special Predictors' issues of intubation time after coronary artery bypass graft surgery Jafroudi Shirin Mehdizadeh Attar Mehdi Farmanbar Rabiolah Kazem Nejad Leili Ehsan Paryad Ezzat 1 12 2014 24 4 20 29 09 12 2014 09 12 2014 Abstract Introduction: Cardiovascular illness is the common disease in developed countries. Among of these illnesses the coronary artery failure significantly counted as a high rate of heart disease in the world. The main treatment for this condition is replacing coronary artery bypass graft (CABG) heart pump under surgical crew including skilled nurses. Objective: This study aimed to determine prognostic factors during intubation of patients after coronary artery bypass graft surgery. Methods: This study is cross–sectional descriptive-analytical survey. 136 patients with coronary artery disease, who referred to intensive care unit in Heshmat hospital for CABG, were selected using consecutive sampling method. The data collection method were consists of three-parts personal character, factors associated with disease and surgery. Statistical tests such as Spearman, Chi-square and Multiple Logistic Regressions were used to analyze the relationship between dependent and independent variables and determined predicting factors of intubation time after CABG. Results: results showed that the time of keeping endotracheal tube in most cases were more than 8 hours in patients with body mass index (p=0.023) and Arterial oxygen pressure (p=0.003) of postoperative intubation time after CABG. Conclusion: in spite of prognostic factors during intubation of patients after coronary artery bypass graft surgery, it is obvious that for patients with low body mass index and arterial oxygen pressure, a team of healthcare professionals needed to systematize mechanical ventilation time. Coronary artery bypass graft surgery should be comprehensive and always needed high-quality of nursing management, reliable authoritative source of information and quickly plan changing depending to the patient’s circumstances. 363 Special The Relationship between Pain and Anxiety throughout dressing among burn patients Dehghani Maryam Hakimi Hamideh Mousazadeh Someyeh Zeynali Jaleh Samimian Sedigheh 1 12 2014 24 4 30 37 09 12 2014 09 12 2014 Abstract Introduction: one of the main nursing cares for burn patients is debridement and daily dressing. These processes could build up stress and ache with patients. This anxiety possibly will affect on their physical and psychological aspects. Objective: The aim of this study was to determine the relationship between anxiety and severe pain during or after dressing amongst burn patients. Methods: This study a descriptive cross–sectional was done on 61 burned patients who were admitted to Velayat burn center using a Convenience sampling method. . Data was collected by using a questionnaire (demographic characteristic and Visual Analogue Scale (VAS), Burn Specific Pain Anxiety Scale (BSPAS)). Data was analyzed by using descriptive and inferential statistics. Results: The result showed that the mean of anxiety before dressing change was 43.44±8.17 and pain after dressing change was 5.88± 2.69 and there is meaningful positive relationship between anxiety and pain (p< 0.0001, r= 0.455). Conclusion: There is relationship between anxiety and severity of pain throughout the performance of dressing. Nurse’s role is to assess the degree of pain and nervousness during or after dressing. This task could effect on pain relief treatment to prevent injurious toward burn patients, physically and psychologically. 364 Special Comparison of health related quality of life in dormitory and non-dormitory students Reza Soltani Parvaneh Ghanbari Khanghah Atefeh Moridi Maryam 1 12 2014 24 4 38 45 09 12 2014 09 12 2014 Abstract Introduction: Quality of life and improving it has a significant role in the health of social and personal life. As regards to students as future managers of communities, it is essential to review the factors that can endanger their health and quality of life. Objective: This study aimed to determine health related quality of life in dormitory and non-dormitory students. Methods: This study was a cross-sectional research conducted in Guilan University of Medical Sciences in 2010. Data needed to determine health-related quality of life were collected via convenience sampling using SF-36 questionnaire from 50 dormitory and 150 non-dormitory students. Data collected were analyzed using statistical T- test, chi square, linear regression and Kolmogorov-Smirnov). Results: Mean total score of health-related quality of life in dormitory students (62.74±14.35) was significantly less than non-dormitory students (72.25±10.95) (p<0.01). Also analysis of linear regression indicated that health related quality of life in non-dormitory students was 9.65 scores more than dormitory students. Conclusion: According to the findings, it seems that students who lived in dormitory during their educational period with probable various challenges and stresses may be the reason for reduced health-related quality of life. 365 Special Parasomnia in the Students of Primary Schools Shafi Pour Zahra Yousef Gomrokchi Mehri Paryad Ezzat Atrkar-Roshan Zahra 1 12 2014 24 4 46 52 09 12 2014 09 12 2014 Abstract Introduction: Parasomnia is circadian behaviors that occur to the people while they sleep. Repeating parasomnia could reduce quality and quantity of sleeping pattern. This sleeping disorder will refer to severe insomnia among children. Objective: The aim of this study is to find out parasomnia among primary schools student. Methods: This is a cross-sectional study. The research society includes primary schools children between the ages of 7 to 11years old, in Rasht among 2009-2010. All together 768 boys and girls were selected from both districts using multi stage cluster method. The tool for gathering data was a questionnaire including two sections. The first section was about demographic information and the second section includes questions about parasomnia behaviors based on Owens questionnaire about sleeping habits, was answered by mothers of children. Descriptive and inferential Statistics (chi square) methods were used to data analysis. Results: The result showed that the most common parasomnia behavior was restlessness (37.2%) based on mothers expression. There was also significant relationship between the parasomnia behaviors of the children and their age (p<0.005), sex (p<0.005) and parents education(p<0.004) Conclusion: Based on parasomnia’s behavior within children and its effects on their life and health condition (psychologically and physically), parents must learn about who to detect and prevent their children sleeping disorder. 366 Special Factors related to cosmetic surgery based on theory of reasoned action in shahrekord students Tahmasbi Simin Tahmasbi Zahra Yaghmaie Farideh 1 12 2014 24 4 53 61 09 12 2014 09 12 2014 Abstract Introduction: Recently cosmetic surgery has been popular in Iran, in the previous years the age of demanding has decreased considerably. Intension to undergo cosmetic surgery not only depends on social sources but also the factors such as psychological, familiar, cultural were influence too. Objective: The aim of this study was to assess attitude, subjective norms and external factors for cosmetic surgery between Shahrekord students. Method: This study is a descriptive. 296 students of Shahrekord Azad University on 2012 randomly participated based on stratified sampling survey. Data was collected by a valid and reliable researcher made questionnaire with two parts demographic data and intention to use, surgery experiences and media influence. Data was analyzed by using SPSS and descriptive statistics (frequency, Mean Sd , …), Spearman correlation and factor analysis tests. Results: Results of intention to use cosmetic surgery has shown significance with attitude toward body and subjective norms (p=0.013). In part of intention to use, results showed contrary. For example the students with more body satisfaction, had less intention to use cosmetic surgery (p=0.01). In part of media influence between willingness and agreement of demanding body change were significant. Between students with family support (0.39), sisters and brothers (0.21) and spouse (0.32). Conclusion: Family status and feeling security in adults were the most important influencing factors for intension to use cosmetic surgery and this intension is the result of psychological unsafety in people. So health care providers especially community oriented nurses with family support could improve these psychological treats. 367 Special Strategies among Students of Guilan University of Medical Sciences Niknami MAryam Dehghani Fatemeh Bouraki Shahnaz Kazem Nejad Leili Ehsan Soleimani Robabeh 1 12 2014 24 4 62 68 09 12 2014 09 12 2014 Abstract Introduction: Stress is an undeniable fact of human life and is known as one of most important causes of diseases therefore response to stress can have important role in adaptation. Objective: This study aims to determine coping strategies among students of Guilan University of Medical Sciences. Methods: This descriptive cross sectional study was conducted on 487 medical science students who were chosen randomly by stratified sampling method. The questionnaire consisted of two parts including social demographic and Lazarus Coping Strategies Questionnaire. Data analysis was done using descriptive statistics and chi-square. Results: Results showed that 71.9% of samples were female and 27.9% of them were male. The majority of them were studying at undergraduate level (61.4%) in nursing (25.9%). Result indicated that problem-oriented strategies are the most common coping strategy among students. Also there was a significant statistical relationship between coping strategies and with gender (p=0.03) and probation status (P=0.005). Conclusion: The main finding of study indicated that most students use problem-oriented strategy while confronting stressful situations. Given that mental health of medical science students is important because of their role in clinical settings caring for patients, planning to teach proper coping strategies is recommended. 368 Special Barriers in the Performance of Patient's Rights in Iran and Appropriate Offered Solutions Review Article Hadian Jazi Zahra Dehghan Nayeri Nahid 1 12 2014 24 4 69 79 09 12 2014 09 12 2014 Abstract Introduction: The goal of patient's rights is to ensure provision of adequate care to patients which in turn enhance the quality of medical care. Objective: The aim of this review article is to evaluate the existing barriers to implementation of patient's rights in Iran and presenting appropriate solutions. Methods: First, all studies related to patient 's bill of rights were searched using keywords such as “patient rights”, “patient 's prism right ”, “ observation of patient's rights "," barriers and patient rights "," satisfaction and patient's rights” and " awareness and patients' rights” in internal databases of Iranmedex, Magiran, SID and Iran doc. Finally, on the basis of inclusion and exclusion criteria, 27 articles were found suitable for the study. Results: The most important factors mentioned in these articles as barriers to observation of patients’ rights included patients, nurses, physicians and students’ lack of awareness on patient's bill of rights, lack of comprehensive agreement on performance of patient's bill of rights in Iran, excessive work load of nurses, staff shortage, and also hospitals being training sites. Furthermore, among appropriate strategies for these barriers are: teaching the patients’ rights (as the most frequently-cited strategy), pay attention to organizational factors, improve factors related to employees, and also monitoring the implementation of patient rights. Conclusion: Complete implementation of patient rights in Iran can be achieved only as a result of awareness, adequate resources, consideration of caregivers’ rights and a system of accountability.