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Background and Objective: The pregnancy period has been conceptualized as a time of vulnerability for the women who should adjust to new difficulties and concerns.The present study aimed at determining the mental health status of pregnant women. Material and Methods: In this descriptive study, 315 pregnant women covered by Shahinshahr health care centers were assessed. We used stratified sampling method for choosing health care centers and allocated the participants by using a sampling fraction in each of the centers. The instrument was standard questionnaire of GHQ.Then the data were analyzed by Chi Square (SPSS soft ware). Results: the findings show that 44.8% of pregnant women are suspected to have mental disorders, including social dysfunction (26%), anxiety disorder (18.26%), somatization disorder (17.5%) and depressive disorder (16%).There is no significant difference between mental health of pregnant women and their demogeraghic findings (P>0.05). Conclusion: Based on the results, the mental health in pregnant women is not satisfactory, therefore it is important for primary care providers to be aware of changes in mental health status of pregnant women to help them promote their mental health.

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  Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.

  

  Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.

  

  Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).

  

  Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.