279 2345-2501 انجمن علمی پرستاری ایران 49 Special Correlation of Psychosocial problems with perception of social support families with addicted member admitted Mancheri Hamideh b heidari mohammad c Ghodusi Borujeni Mansureh d b School of Buieh Nursing and Midwifery, Golestan, University of Medical Sciences, Golestan c Faculty Member of Nursing and Midwifery School, Shahr-e- Kord University of Medical Sciences, Shahr-e- kord, Iran d School of Nursing Burojen, Shahr-e- Kord University of Medical Sciences, Shahr-e- kord 1 12 2013 1 3 1 9 03 02 2013 30 12 2013 Background and Aim: Addiction as health problem, mental and social of the present century that not only impact on the physical, emotional and social addicted person, but also led to social-psychosocial problems for the community and their families. However, it seems that social support for families in this condition improve their health and compatibility with the conditions. Therefore this study was to examine relation between psychosocial problems with perception of social support families with addicted member. Method: This Study was a descriptive-analytical study and 400 members of the first prime of drug addicted person whom referred to 5-Azar Addicts Rehabilitation Center of Gorgan at 2012 were selected by simple random sampling. Data gathered by Questionnaires of (SCL- 90), Northouse social support and demographic information. The data were analyzed by Spearman correlation coefficient, Chi-square and Fisher. Results: The results showed that most families participating in this study had moderate anxiety (36.4%) and moderate depression (36.8%) Also 36% of them have low levels of aggression while 35/8% have the moderate of interpersonal sensitivity. Moreover, most subjects (70.3%) displayed moderate levels of perceived social support. The results showed that between the perception of social support, and anxiety (r=-0.347), depression (r=0.347) and interpersonal sensitivity (r=-0.293) there was a significant inverse relationship, while there was no significant relationship between aggression and perception of social support (r=- 0.293). Conclusion: in regard with the salient role of high social support in better copping of the families of addicted people with stressful factors and its role in providing their psychosocial health, the nurses of health centers can develop some supportive groups and increase their knowledge about positive effects of supportive behaviors to give appropriate supportive interventions. Hence, it is necessity for nurses, first, by constantly evaluating the supportive needs of these families and then by using the sources existed in society and families’ contribution to step up efforts to promote psychosocial health condition.
135 Special Impact of Spiritual Care on Spiritual Health of hospitalized Amphetamin Dependents Bamdad Maryam f Fallahi Khoshknab Masoud g Dalvandi Asghar h Khodayi Ardakani Mohammad Reza i f University of Social Welfare and Rehabilitation Sscineces g University of Social Welfare and Rehabilitation Sscineces h University of Social Welfare and Rehabilitation Sscineces i University of Social Welfare and Rehabilitation Sscineces 1 12 2013 1 3 10 18 04 11 2013 30 12 2013 Introduction: Impaired spiritual health in substance abusers and important role of spirituality and spiritual care in substance abuse treatment led to more focus on spiritual interventions in substance abuse treatment. Due to high rate of industrial drug abuse, this research aimed to determine the impact of spiritual care on spiritual health of Amphetamin dependents. Methods: In a triangulated experimental study, all officially diagnosed and hospitalized amphetamin dependents of a special service center in Iran were participated. 81 persons sample by using a randomized permuted block method was devided into two case and control group.(41 case and 40 control group). Data gathered by using pre and post test information,applying demographic checklist and jarel spiritual well-being questionnaire by each person before and after spiritual care intervention. To analyze data dependent t-test, colmogroph-smirnoph test and pierson correlation test were applied. Results: Comparison the pre and post test data of spiritual health in tow case and contol groups showed significant diffrences in case group and spiritual health in case group promoted after spiritual care, however there was no significant diffrence in control group before and after spiritual care intervention. Conclusion: spiritual care intervention leads to spiritual health promotion in hospitalized amphetamin dependents. Assessment of demographic variables showed that gender effects spiritual health and women reported higher response to spiritual care than men. Key words: Spiritual care, Spiritual health, Amphetamin dependents. 186 Special Psychiatric status in couples attending training courses before marriage Moradi Mohammad Zeighami Reza Mohammadi Saeid Sarichlu Mohammad Ebrahim 1 12 2013 1 3 19 26 30 12 2013 31 12 2013 Background: marriage is a critical event that has a great effect on mental health. Due to its significance this study was conducted to determine the mental status of married couples attending training courses in 1389 in Qazvin city. Methods: In a cross-sectional study all couples referring to training classes before marriage were chosen. The data were gathered by SCL-90 questioner. Findings: All samples were in normal range of mental illness index. A total of 339 couples with a mean age of 23/71±4/45 participated in this study. Somatization, anxiety and aggression were seen in women more than men. Only somatization and gender with exact Fischer test have a statistical significant relationship. Obsession and depression in men were higher than women. Disturbance in interpersonal relationship and phobia were the same in men and women. Anxiety and Disturbance in interpersonal relationship were higher than other disturbances. Conclusion: With respect to effective importance of mental problems of each couple on family mental health, it is essential to include this component in pre marriage education program. 91 Special The relationship between personality characteristics and Nursing occupational stress Ghanei Gheshlagh reza n Valiei Sina o Rezaei Mehdi p Rezaei Kazhal n Kurdistan University of Medical Sceinces o Kurdistan University of Medical Sceinces p Payam Noor University of Urmia, Bokan Center Kurdistan University of Medical Sceinces 1 12 2013 1 3 27 34 30 07 2013 31 12 2013 Introduction: Nursing is a stressful job and Job stress has become a challenge for the nursing profession. Job stress can lead to a loss of creativity, job dissatisfaction, feeling of inadequacy, depression and reduced quality of nursing care. The present study was performed to investigate the relationship between personality characteristics and Job stress among medical staff in Saqqez Imam Khomeini's Hospital. Methods: In this correlation-descriptive study, 115 nurses from Saqqez Imam Khomeini's Hospital in 2013 were selected based on census sampling method. Data were collected by Expanded Nursing Stress Scale (ENSS) and NEO Personality Inventory. Data were analyzed by SPSS-18 software using descriptive statistics, independent t test, Pearson correlation and regression at the significant level of p≤0.05. Results: 41 (35.7%) subjects were male and 74 (64.3%) were female. The mean age of the participants was 31.9±6.6 years. In the current study, there was a significant direct relationship between job stress and neuroticism (R = 0.38 and p=0.01). The results of multiple regression analysis showed that the variable neuroticism is a good predictor for occupational stress. Conclusion: There is a relationship between neuroticism and job stress and attention to the neuroticism as a predictor of job stress in nurses is essential. Keywords: job stress, stress, personality trait, nurse. 115 Special Prediction of Psychological Capital through Components of Spirituality among Nurses Golparvar Mohsen Jafari Maryam javadian zahra Islamic Azad University, Khorasgan Brandh Islamic Azad University, Khorasgan Brandh 1 12 2013 1 3 35 44 10 10 2013 31 12 2013 Introduction: Spirituality is an important and protective factor in nurses’ health. This research was administered with the aim of predicting the psychological capital through spirituality at work among nurses. Method: Research method was correlation and the statistical population was the nurses of a public hospital, among them one hundred and frothy five persons were selected using accessible sampling method. Data gathering instruments were the previous made questionnaires, their reliability and validity has been verified, including psychological capital questionnaire and spirituality at workplace questionnaire. Data were analyzed using multiple regression analysis. Results: The results of regression analysis revealed that among four components of spirituality at workplace, sense of community (β=.39) and spiritual connection (β=.27) have predictive power on self efficacy, spiritual connection (β=.41) has predictive power on hope, and sense of community (β=.32) has predictive power on positive life orientation. None of four components of spirituality at workplace have predictive power on resiliency. Conclusion: The results of current research showed that components of spirituality at workplace could reinforce the nurses’ psychological capital. Therefore, reinforcement of spirituality is necessary in hospital environment, for better managing nurses’ psychological capital. 125 General The effect of spiritual care based on GHALBE SALIM model on spiritual experience in patients with coronary artery disease saeedi taheri zahra asadzandi minoo ebadi abbas 1 12 2013 1 3 45 53 20 10 2013 31 12 2013 Introduction: Patients, who have experienced a heart attack, indicate the dominant role of spirituality in passing this stressful and dangerous event. The purpose of this study was to assess the effect of spiritual care based on GHALBE SALIM model on spiritual experience in patients with coronary artery disease. Methods: This is a clinical-trial study that done on 60 CAD patients in Baqyatallah hospital coronary care unit in 2013. Samples were chosen with base on target method sampling and had been studied randomly in two intervention and control groups. Spiritual care program based on GHALBE SALIM model performed from hospitalization until discharge in unit for intervention group. Daily spiritual experiences scale, before and two months later was completed in both groups. Data of research with descriptive statistics (mean, standard deviation, and frequency) and inferential statistics (chi-square, paired and independent t, ANOVA and Pearson correlation coefficient) and using with SPSS software version 18 were analyzed. Results: The total score of spiritual experiences after the intervention groups compared with the control group did differ significantly (p<0.001). Conclusion: Spiritual care based on GHALBE SALIM model, enhanced the spiritual experience of patients. As a result, the achievement of peace and freedom from stress and psychological adjustment to the disease and indirectly helps to the current treatment status and health. 56 Special Stressors and coping strategies of psychiatric nurses iin psychatric wards varasteh mogaddam yousef sadeg fard majid mohammadi seyyed hosein MEDICAL UNIVERSITY OF TABRIZ MEDICAL UNIVERSITY OF TABRIZ MEDICAL UNIVERSITY OF TABRIZ 1 12 2013 1 3 54 61 19 04 2013 31 12 2013 Introduction: psychiatry units’ nurses are faced with several tensions. Therefore, using proper coping strategies for reducing their aggravating effects seems necessary. The purpose of this study was to determine the stressors, coping strategies in nurses, working in psychiatry units of Razi Medical Educational Center. Methods: This survey was a descriptive-analytical study which was carried out with 104 participants of psychiatric nurses. Data gathering strategies consisted of three questionnaires: Personal information and Devilliers, Carson & Leary Stress Scale and PsychNurse Methods of Coping, stress and strategies of coping in PsychNurse were measured. For analyzing the data Spss.17 was used. In order to answer the research’s questions of Pearson correlation, Regression, variance analysis, Tukey and t-test were used. Results: Low payment threats from patients and attendants Lack of enough safety in wards were common causes of stress among nurses in psychiatry wards. Acute units nurses were experiencing relatively more stress than other units’ nurses in which this difference was more significant in chronic units (p=0/02) .There were no significant relation between other individual variables with job stress except the sex variable. Male nurses have experienced more high significant stress in comparison with female ones (p<0/05). Most nurses are trying to gain adaptation with these tensions by believing in and feeling good about themselves increasing knowledge and experience and relying on their abilities. Using emotional base coping for nurses in acute units and using problem base coping in chronic units is reported more than other units. Employing focus diverting thought-attention and emotional conflict in female nurses were more than male ones, in which significant difference were obtained in just thought-focus diversion (p=0/04). Conclusion: Acute wards’ nurses, who were experiencing high levels of tensions, employing extensively emotional base coping, educating, preventive practices and coping with received stress is recommended for employees, especially psychiatry wards’ nurses. 170 Special The relationship between caregiver burden with coping strategies in Family caregivers of cancer patients abbasi ali shamsizadeh morteza asayesh hamid rahmani hosein hoseini syed abedin talebi mitra 1 12 2013 1 3 62 71 22 12 2013 31 12 2013 Introduction: Cancer is one of the most common chronic diseases whose caregivers are confronted with related problems to caring and treating the cancer patients. Caregiver burden, which is resulted from the negative impact of living with the cancer patient along with inappropriate use of coping strategies, which could lead to rejection diagnosis, can be accounted as the reasons of why the treatment and health would be impaired. The present study was aimed to determine the relationship between caregiver burden and coping strategies of caregivers of cancer patients. Method: In this cross-sectional study, 133 caregivers of cancer patients who referred to Gorgon's 5th Azar Educative and Therapeutic Center were selected via Census sampling method. Data were gathered by three-part questionnaire, including demographics checklist, caregiver burden and coping strategies questionnaire. In order to analyze the collected data, SPSS V. 16 software with descriptive statistics was applied also, the analysis of variance and logistic regression were conducted. In addition, statistical significance was defined as p< 0.05. Results: mean and standard deviation of caregivers' age was 35.73±14.31. And, 50.4% of all the participants were male. Based on the results taken from multivariate model of logistic regression, high care demand (OR=0.403, %95 CI: 0.227 - 0.714) and higher rate of emotional coping strategies use (OR=1.09, %95CI: 1.04 - 1.15) have significant correlation with caregiver burden. Conclusion: Caregivers who have less caregiver burden are those who use problem-focused coping strategies methods more. Therefore, to reduce the caregiver burden of caregivers, appropriate methods of coping strategies should be taught to the caregivers.