The effect of mothers' participation and the family-centered care on mother's anxiety with children suffering from gastrointestinal infections: a randomized clinical trial

زمینه و هدف: بستری شدن کودک یکی از ترسناک ترین حوادث زندگی برای کودکان و والدین و از مهم ترین علل پیدایش اضطراب در آنان می باشد. این مطالعه با هدف تعیین تاثیر مشارکت و مراقبت خانواده محور بر اضطراب مادران کودکان مبتلا به عفونت گوارشی انجام شد. روش بررسی: در این مطالعه کار آزمایی بالینی تعداد 90 مادر دارای کودک مبتلا به عفونت گوارشی به روش نمونه گیری تصادفی در دو گروه برابر کنترل و آزمون قرار گرفتند. در گروه مداخله کودکان مراقبت مشارکتی را دریافت نمودند. در گروه کنترل کودکان تحت مراقبت های معمول قرار گرفتند. اضطراب مادران در زمان ترخیص با استفاده از پرسشنامه استاندارد اضطراب آشکار و پنهان اسپیلبرگر تعیین و در دو گروه مقایسه شد. یافته ها: میانگین سنی 90 مادری که مطالعه را به پایان رساندند 32/4±86/28 سال بود. از نظر ویژگی های جمعیت شناسی اختلاف معناداری بین دو گروه وجود نداشت. در زمان ترخیص میانگین نمره کلی اضطراب مادران در گروه کنترل 43/5 ±29/101 و در گروه مداخله 22/7± 71/80 بدست آمد؛ که این کاهش در گروه مداخله نسبت به گروه کنترل معنی دار بود (001/0

The Relationship between Students' Bonding to School and Multiple Health Risk Behaviors among High School Students in South-East of Iran.

School is the first social institution which affects adolescents' lives, and it determines their opportunities, life quality and behavior. Thus, the aim of this study was to determine the relationship between students' bonds with their school and multiple health risk behaviors amongst high school students in Kerman City, Iran.In this cross-sectional study, high school students of all levels participated during November and December 2001 in Kerman. The research sample included 1024 students (588 females and 436 males) aged 15 to 19 years. A CTC (Communities That Care Youth Survey) questionnaire was designed based ona standard questionnaire in order to collect a profile of students' risk behaviors. A multi-stage cluster sampling method was used to collect the data.In the final multivariate logistic regression, two variables including; age, (ORa=1.15, P=0.02) and male gender (ORa=2.14, P=0.001) had a significant positive association with multiple health risk behaviors (MHRB). School commitment (ORa=0.38, P=0.001) and school rewards for involvement (ORa=0.80, P=0.21), had a significant negative association with MHRB.Our results quantified the pivotal role of schools in shaping the risky behavior of students. It seems that school may minimize the risky behaviors by creating a strong link, and improving the effective communications with students

Sleep Quality and some Associated Factors in Kerman Students of Nursing and Midwifery

Background: Improvement of sleep quality is one of the major issues of human life that can help people maintain their energy resources and has beneficial effects on many behaviors. The aim of this study was to determine the sleep quality and its associated factors among students of Razi School of Nursing and Midwifery, Kerman, Iran. Methods: A total of 349 students were included in this cross-sectional study. The demographic, PSQI, POMS, MES and SUDS questionnaires were used for data gathering. The obtained data were analyzed by descriptive statistics, X2, ANOVA and multivariate logistic regression. Results: Results of this study showed 79.4% of students were females with mean (±SD) age of 22.69 (± 5.24) years. Most students were single (75.1%). 71% of students had poor sleep quality. The results of multivariate regression showed a significant relationship between unsuitable sleep quality and the habit of listening to music before bedtime and negative mood states (anxiety, depression, anger, fatigue and confusion). Conclusion: These results demonstrated a high prevalance of poor sleep quality in nursing and midwifery students. It seems that implementation of strategies for reducing the associated factors is very important. Also, more studies are recommended to find other related factors. Keywords: Sleep Quality, Nursing and Midwifery Students, Mood, Morningness‌- Eveningness state, Distres

Lived Experiences of Mothers with Diabetic Children from the Transfer of Caring Role

Background: Following the confirmed type 1 diabetes in children and their discharge from the hospital, the care responsibilities are transferred from nurses to mothers. These mothers are faced with many challenges to play this caring role. The aim of this study was to explore the experiences of the diabetic children’s mothers from the transfer of caring role. Methods: In 2016, semi-structured interviews with Eleven Iranian mothers of children (aged≤14 year) with type 1 diabetes were conducted. Data were analyzed using Colizzi’s phenomenological method. Results: The following themes emerged in this study: ‘Facing the care management challenges,’ ‘care in the shadow of concern’, and ‘hard life in the impasse of diabetes’. Conclusion: The mothers of children with type 1 diabetes, who undertake the caring role that has been transferred to them by healthcare providers, are faced with many challenges. They feel a lot of concerns and experience a hard life. Thus, understanding the experiences of these mothers by the health professionals, to improve the quality of care, is necessary