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  Background and Objective : Electroconvulsive Therapy is a psychiatric treatment in which a group of professions including anesthesia, psychiatry and nursing are needed. One of the most important nursing cares is patient education, especially about having temporary cognitive impairment occurred after ECT. This study investigated the effect of training on cognitive status of patients undertaken ECT.

  Material and Methods : This pre-experimental study was conducted on 74 patients, first treated with electroconvulsive therapy, who were placed randomly in two equal groups of case and control . In case group, we used pamphlet, images and lecture to give information. Patients’ cognitive status was assessed before ECT and twenty-four hours after the first, third and sixth sessions. The data was collected by a questionnaire called MMSE cognitive status and analyzed by Repeated measurement and t-test.

  Results: There is significant difference between cognitive status of case and controls­ (p > 0/01) 24 hours after the first and third treatment session s , but no changes for sixth session.

  Conclusion: lack of knowledge results in fear and disturbances, which in turn leads to exacerbating of cognitive problems. Thus, nurses are required to give the patients adequate information before ECT .

  Keywords: Education , Electroconvulsive therapy, Cognitive status

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  Background and Objective : Brucellosis is a zonosis that can be transmitted between species from animals to humans or from humans to animals, which is still a major health and economic problem. The main preventive strategy for ­brucellosis is to educate rural ranchers on the basis of Precede framework. ­We aimed to study the effect of educational intervention program based on Precede Model and its main components on preventive behaviors to reduce Brucellosis in the rural district of Khomein.

  Material and Methods : In this pre-experimental randomized controlled study, the samples were 400 adult men of rural district of Khomein city randomly allocate d to case and control groups. Data gathering instrument was a questionnaire based on Precede framework. Reliability of the questionnaire through the internal consistency test on the pilot phase was approved on 25 individual and the validity was confirmed by face validity. The intervention, based Precede framework, was a package of three 60-90 minute sessions conducted weekly. The subjects were followed for three months and the data analyzed by independent T-­test, paired T-­test, analysis variance with repeated observations.

  Results: After intervention, the mean scores of predisposing­(knowledge and attitude), reinforcing and enabling factors in case group is different significantly from that in control group (p<0.05).

  Conclusion:­ Planning and implementation­ of health education intervention via Precede framework could be positive in increasing preventive behaviors to reduce brucellosis incidence.

  Keywords: Health education, Brucellosis, Precede framework

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  Background and Objective: Parkinson disease (PD) is a common neuro degenerative disorder, which is chronic and progressive. The specialized PD nurse is needed to give better care services. The purpose of this study was to evaluate the impact of nursing roles on the nurses′ ­knowledge and attitude toward taking care of patients suffering from Parkinson.

  Material and Methods: In this quasi-experimental study conducted in 2009, 102 nurses of Kerman University of Medical Sciences were selected and divided into two groups (case and control).The instrument was a researcher made questionnaire. After pretest, the educational program including lecture, group discussion and pamphlet was performed and after three weeks, Post test was given. Using Software SPSS-­15, the data was analyzed by applying descriptive and inferential statistics.

  Results: There is a significant difference (P<0.000) between the nurses' general knowledge ­(7.51± 3.17) and general attitude (8.35±­5.22)­.­ The general knowledge and attitude of control groups are not different between first and second time of recording. General comparison of the effect of training indicates that the difference between intervention and control groups are statistically significant in the first and second time of recordings(p<0.000).

Conclusion: The education programs are effective on nurses′ knowledge and attitude toward Parkinson disorder and the roles such as medical care, Education and advocacy. Hence, the educational interventions related to nursing roles in caring Parkinson patients are necessary.

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  Background and Objective: Gastroesophageal reflux disease is one of the most common chronic disorders of the digestive system. The most common reason for this complaint is the unfitted temperament of food and body. This study aimed to determine the effect of temperament–based diet education on quality of life in the patients with GERD in endoscopy department of Qaem hospital in Mashhad. .
Material and Methods: This randomized-controlled clinical trial was conducted on 60 patients, referring to Qaem hospital, were randomly assigned to two groups of diet education and control. The intervention was a two-week long diet education class, which was on the basis of temperament. The instruments were the frequency Scale for the symptoms of gastro esophageal reflux ) FSSG) and the diet checklist. The data was analyzed by SPSS-11.5, using Chi Square, Independent T test, Paired T test.

  Results: After education, the frequency of the symptoms was significantly reduced (p<0.0001). The mean score in education group compared to control was diminished both shortly after intervention (13.63±4.77, p<0.001 ) and after two weeks (18.73±4.15, p=0.070) .

  Conclusion: Considering temperament in the diet education by nurses can play an important role in decreasing the frequency of symptoms in patients with Gastro esophageal Reflux Disease.

 

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Background and Objective: Unstable angina (UA) patients account for more than half of hospitalized patients in CCU. Very often, re-hospitalization of these patients is due to lack of enough information and compliance with medical advice, having negative effect on quality of life. Thus, we aimed to determine the effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti hospital in 2010. 

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Background and Objective: the world moving toward a knowledge based economy has led efficient human capital trained in university to the most important competitive factor in each country. Thus , it is vitally important to identify the factors related to their functions. The goal of this study was to explore the relationship between cultural capital and academic performance of Gorgan University of medical sciences’ students. 

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Background and Objective: The ideal value of clinical training in personal and professional development, as well as the clinical nursing skills is undeniable. Hence, we aimed at investigating the obstacles of clinical education and strategies for improving the quality of education in Yasuj University of Medical Sciences. 

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Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting. Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software. 

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Background and Objective: Effective communication is an essential characteristic of nursing care carried out as a necessity in education to empower patients. Therefore, this study aimed to determine  Nurses' knowledge, attitude and practice about  effective communication skills in Patient education.

Material and Methods: This cross-sectional study was conducted on 275 nurses selected via stratified random sampling in teaching and therapeutic centers of Esfahan University of medical sciences, 2013.We collected the data by a research-made questionnaire related to knowledge and attitude, and a checklist to observe nurses' communication skills. To analyze the data , Central indices were calculated.

Results: of 275 nurses , 86.7 %   made a friendly atmosphere with their patients and 72.2% showed positive feedback, while their knowledge about communication components were 79.6 % . They (67.3%) were active listeners and  they (96.7%) had close communication during patient education.

Conclusion: given that nurses' communication skills are moderate, we recommend holding communication-skills workshops especially in patient education.

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Background: Sex education is one of the challenging areas of educational systems that has always been accompanied by many problems due to some obstacles and constraints. This has led to occurrence of many behavioral problems and deviations. The aim of this study was to determine the sex education gaps in university curriculum from the students' perspective.

Methods: This was a descriptive-survey on students of universities in Kashan (15235 students), during academic year 2013-14. Overall, 220 students were enrolled in this study using stratified random sampling. Data collection tool was a questionnaire of sex education with 28 questions and six components (objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and university atmosphere) using a 5-point Likert scale. The content validity was confirmed by experts. The reliability was estimated as 0.89 using Cronbach's alpha coefficient. Descriptive and inferential statistics were used to analyze the obtained data.

Results: The mean level of sex education gaps (3.97±0.56) in the university curriculum was above the average (3). The highest mean was related to the component of procedures (4.1±0.63) and experiences and learning opportunities (4.1±1.01).

Conclusion: The results showed that the average level of gaps in sex education in the university curriculum is higher than the assumed mean level. The gaps are present in all components of objectives, content, procedures, experiences and learning opportunities, cultural and advisory institutions’ performance and the university atmosphere.

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Background: Pregnancy and postnatal period are associated with significant psychological and physiological changes, which might sometimes induce pathological variations, as well. This study aimed to evaluate the effect of physiologic delivery education on mental health of pregnant women.
Methods: This clinical trial was conducted on 50 pregnant women, who were referred to three healthcare centers and Motazedi Hospital of Kermanshah, Iran, in 2015. The samples were  selected through simple random sampling and divided into two groups of intervention and control. The intervention group received eight 90-minute sessions, whereas no intervention was administered to the control group. The data collection tools consisted of a demographics form and Goldberg’s General Health Questionnaire (GHQ-28), which were filled out by the participants in a pretest-posttest design. Data analysis was performed in SPSS, version 20, using analysis of covariance.
Results: Given the difference in mean scores of the intervention and control groups before (23.6) and after (20.55) the intervention, it could be concluded that reduction of three scores after the training sessions was indicative of improved mental health of the participants. Thus, physiologic delivery education could enhance mental health of pregnant women (P<0.01).
Conclusion: Physiologic delivery education improved mental health in pregnant women.

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Background: The effect of new teaching method on study skill of students results in a significant improvement in learning performances. The aim of study was to determine the effect of Team-Based Learning on study habits of nursing students.
Methods: The quasi-experimental study with a before-and-after design was conducted on nursing students of Golestan University of Medical Sciences in 2015. 101 students participated in this study through census sampling considering the inclusion criteria. The data was collected using Palsane and Sharma Study Habits Inventory (PSSHI) before and after intervention. The intervention was 16 sessions (a two-hour session per week) Team-based learning. The data was analyzed in SPSS-20 software using paired t-test.
Results: Finding showed that most of the students were female (60.3%), and single (95%) with mean age of 21.47±1.5 years. When students were stratified into four groups based on the quartiles of the distribution of study habit, the number of students who had poor study habit decrease after intervention (%5.6) and the number of students with excellent study habit increase after intervention (%3.8). In addition, the mean and standard deviation scores of students' study habits of before and after the intervention were 42.53±7.46 and 48.75±8.94, respectively, which was significantly different (P<.005).
Conclusion: The results showed that Team-Based learning improved their study habits, but the majority of students had poor study habits. In order to improve the study habits of students, student-centered learning is recommended

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Background and objectives: Chronic renal failure has a progressive nature and there is always a need for a person to care for them. A caregiver, who is usually a patient's family member, may face many problems during the care process, which ultimately causes burnout. The aim of this study is to determine the effect of psycho-educational intervention on the caregiver burden of patients undergoing hemodialysis.
Methods: This study was a clinical trial that carry out on 105 caregivers of patients undergoing hemodialysis. The burnout questionnaire of Zarit was completed by the participants. The Caregivers were allocated randomly in two groups of intervention (discussion, workshops) and control. Two weeks after the completion of 6 sessions of the group discussion and 4 sessions of the workshop, caregiver burdon questionnaire of Zarit was completed again. Data was analyzed by using version 16 of spss software and parametric and non-parametric tests.
Results: Results showed that there was no significant difference between the three groups before intervention in the mean scores of burden (p=0.423). However, after the intervention there was significant difference in the mean scores of burden between intervention groups with control group (p<0.001). Tukey post hoc test showed no significant difference between the two intervention groups in the mean scores of burden (P=0.204).
Conclusion: The results of this study can be found that training classes such as group discussion had a significant reduction in the severity of caregiver burden. Therefore, it is recommended that in the health system planning attend to the role of family members in the treatment of these patients also benefit from this training method.

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Background: Because of the importance of adolescence, the priority of reproductive health in the world is adolescent reproductive health. What distinguishes this age from other phases of life is the emergence of fertility. Sexual ability, especially among this age group, is a matter of great significance. In fact, today's adolescents, like their peers at all times, are sexually active, with the difference that they are exposed to more sexual stimuli comparing to the past. Moreover, through promoting views about pro-individuality, freedom, opposite-sex friendship, and even establishing advanced relationships are encouraged more than ever. Hence, adolescents face unique reproductive health challenges. The purpose of this study was to discover the views of mothers of adolescent girls about sexual education for adolescent girls.
Methods: In this qualitative study, data were collected through 4 focus group discussions with 26 mothers who had at least one adolescent girl between the ages of 14 -19, not married, living with parents, and attending public schools of Mashhad in 2016. The sampling method, given that the interviews were conducted at the adolescent girls' school, was designed to purposely select schools in a way that encompassed all three high, low, and medium economic and social situations of city dwellers. The number of participants in the focus group sessions ranged from 6 to 8 and the duration of each session was between 60 to 90 minutes. All focus groups were recorded using two digital recorders and field notes with the consent of the interviewees. Having been transcribed, the data were coded and categorized using the conventional content analysis method with the Grunheim and Lundman approach and using MAXQDA10 software.
Results: Data were collected in four main categories: Self-study over time- Sexual education is a moral deviation factor- The need to increase mothers' sexual literacy- and School and family participation
 Conclusions: Most participants` mothers emphasized the need for adolescent girls' sexual education and believed that this should be done with the participation of schools and families. However, they disagreed with the exact time of initiation into teaching. Some of the mothers believed that the best time for initiation to teaching is the time of marriage, and others, considering the prevailing conditions in the community, especially easy access to Internet, surmise that the sexual education should begin during adolescence and before marriage, however, they though that pre-marriage sexual education should initiate according to certain criteria, in this regard, they emphasized the school's involvement which, in turn, needs the government appropriate policies.

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Background: Lack of information in marital relationships can be an important factor in sexual dysfunction and dissatisfaction. Many marital problems are caused by dissatisfaction with sex. The lack of awareness in this area is due to marriage in adolescence age and regarding sex as a taboo in religious, cultural and social matters. In such cases, it may be appropriate to take advantage of modern teaching methods. Due to the increase in technology, the present study was designed and conducted to determine the role of multimedia education on sexual satisfaction in Afghan refugees’ adolescent women.
Methods: The present study is a quasi-experimental educational intervention in which Afghan adolescent women referred to selected charity centers in Mashhad were selected as the intervention (n = 34) and control (n = 34) using sortation method. Sampling was convenience and women with inclusion criteria brought in the study. Inclusion criteria were Afghan adolescents aged 10-24 years, having ability to communicate in Persian (reading and writing), formal marriage, first marriage and single marriage, residing in Mashhad, Marriage duration of at least one year, no formal and comprehensive sex education, no underlying medical conditions (diabetes, thyroid dysfunction, liver and kidney disease), non-addicted and non-psychiatric couples, lack of stress experiences in the last 3 months, no pregnancy, abortion, or delivery in the last 3 months, living with spouse in a shared home at the time of research, having sex with spouse, accessing a computer or CD player, and knowing how to use these devices or having access to the person helping the participant to use them. First, the participants completed the demographic characteristics Questionnaire and Sexual Satisfaction Questionnaire. The second questionnaire had 25 questions (13 negative and 12 positive answers) which were answered by likert scale of 1 to 7. The overall scores` range was from 25 to 175 and it categorized sexual satisfaction in three level: low level (score between 25 and 67), moderate level (score between 67 and 100) and high level (score above 100). To assess the validity of the questionnaire, face validity was approved by a survey of 6 midwifery experts and then the content validity was evaluated by 14 experts to assess the simplicity, clarity, necessity, relevance and importance. The results of the data analysis indicated that all the questions were simple and clear. The index for the whole instrument was 0.91, indicating that the instrument was content valid. By calculating the CVR index for each item, the lowest value was 0.57, and according to the Lauvche table, the allowable value for this index was 0.51, and all the questions were sufficiently valid. Test-retest method was used to evaluate the reliability of the tool. The questionnaires were given to 20 members of the study population who were not present in the study sample and after two weeks the questionnaires were again completed by the subjects; correlation coefficients were 0.79. The intervention program consisted of 4 sessions (every session was 60-minute) and 4 CDs provided to the intervention group every week to be observed during the week. Delivering subsequent educational content to participants was based on the researcher's assurance of viewing previous educational content and it was proved by asking a few questions about those contents. All educational contents were first collected by the researcher from various books about sexual subject and finally approved by a qualified professor in this field from the viewpoint of psychology. Control group participants received routine charity programs. The sexual satisfaction questionnaire was completed again at the end of training (4 weeks) and 8 weeks after the beginning of the study. After checking the data normality for data analysis and descriptive statistics such as adjusting frequency distribution tables, calculating numerical indices and inferential statistics of chi-square, independent t-test, paired t-test, One-way analysis of variance was used.
Results: The mean ± SD of the intervention group age was 22.88 ±1.200 and for the control group was 22.44 ± 1.637. 15 and 12 participants in the intervention and control group, respectively, had undergraduate education. 20 and 22 participants had high school diploma or higher. Before the intervention, sexual satisfaction was not significantly different between two groups (P = 0.729), while it increased significantly at week 4 (P = 0.013) namely 8 weeks after the intervention (P <0.001). In the intervention group, the mean of sexual satisfaction was 130.11 ± 24.54 which subsequently increased to 140.50 ±20.51 after intervention and 148.35 ± 18.88     8 weeks after intervention which in turn indicates the persistence of information. There was also an increase in scores of participants. In the control group, the mean sexual satisfaction was 128.82 ± 19.88 in the first week, 128.26 ± 19.57 in the fourth week and 128.41 ±19.65 in the 8^th week which showed no significant difference.
Conclusions: Due to the nature of sex education which is associated with shame, using multimedia method was more effective and cost-effective. This method also does not need face-to-face visits and improved the sexual satisfaction of adolescent Afghan refugee women therefore it can be used in sex education for Afghan couples.