1 2228-5091 Arak university of Medical Sciences 97 Comparison of the effects of aromatherapy with essential oils of damask rose and hot footbath on the first stage of labor anxiety in Nulliparous women Setayeshvali pour Nasimeh b Kheirkhah Masumeh c Neisani Leila d Haghani Hamid e b Tehran University, School of Nursing and Midwifery, Tehran, Iran c Tehran University of Medical Sciences, School of Nursing and Midwifery, Tehran, Iran d Tehran University of Medical Sciences, School of Nursing and Midwifery, Tehran, Iran e Shaheed beheshti University of Medical Sciences 1 9 2012 2 2 126 134 13 08 2012 16 03 2013   Introduction : Nulliparous women are very anxious in childbirth that this anxiety can reduce their chances for a normal delivery. The use of complementary therapies in reducing anxiety and more satisfaction from the birth is the need for further studies. This study compared the effects of aromatherapy with inhalation and foot bath with essential oils of damask rose and warm foot bath on anxiety of the active phase of labor in Nulliparous women, was conducted.   Methods: This clinical trial study were performed After informed written consent on 120 women primigravid that randomly assigned in two intervention groups (aromatherapy to inhalation and foot bath with essential oils of damask rose Group, warm foot Bath Group) and a control group . Interventions in both groups for 10 minutes were performed, once at the beginning of the active phase and the second time at the beginning of the transitional phase. Control group received routine care for delivery. Anxiety levels were measured using questionnaires eshpylberger. Data analysis was performed using the software spss version 16 .   Results: Baseline anxiety levels were similar in the three groups. Postpartum anxiety levels in the inhalation and foot bath with essential oils of damask rose group significantly less than a hot water foot bath group (p<0/05) and control group (p<0/001).   Conclusions: Based on the study result, the use of CAM practices aroma therapy is a supportive intervention, cheap, safe and practical in labor that it can be effective in reducing anxiety and pleasant delivery.   
106 Effect of Tavassol prayer on mental health of second year nursing students of School of Nursing Farmahini Farahani Moloud f Ghamari zare Zohre g Ghorbani Mojtaba h purfarzad Zahra i f Arak Medical Sciences University, Arak, Iran. g Nursing Department, Islamic Azad University, Qom Branch, Qom,Iran h Tehran University of Medical Sciences i Nursing Department, Arak Medical Sciences University, Arak, Iran. 1 9 2012 2 2 135 147 27 10 2012 16 03 2013   Introduction: Mental health is one of the most important factors in the promotion and development of people, especially in students. Studies show that there are different percentages of students with a variety of disorders and psychological problems. The purpose of this study is the effect of prayer on mental health of nursing students in the second year.   Methods: This is quasi-experimental study with two groups of pre-post test method. All second year nursing students (n=58) with census methods were randomly assigned to two groups of intervention (n = 31) and control (n = 27) group. General Health Questionnaire (GHQ-28) was used for data collection. In the intervention group, Tavassol prayer was recite twice a week for 4 weeks. Mental health was assessed before and one month after intervention for two groups. Data analyzed using SPSS ver16software and tests of mean, standard deviation, paired and independent t-tests.   Results: the paired t test determined that there was no significant difference in scores of mental health before and after intervention in the intervention group(P=0.19).But determined significant differences in rates of mental health before and after the intervention group for anxiety and depression scale (P0.05).   Conclusion: Tavassol Prayer had an impact on the mental health in anxiety and depression subscales it is suggested that interested researchers do studies with direct supervision on reciting prayers in the groups in order to add to the findings. 120 The Effect of The Effect of Ginkgo biloba extract on sexual activity in 50 – 60 years menopausal women Amiri Pebdani Mina j Taavoni Simin k Haghani Hamid l j Alborz University of Medical sciences, Iran k Tehran University l Statistics Department, School of Management and Medical Information & HealthSciences, Tehran University of Medical Sciences, Tehran, Iran. 1 9 2012 2 2 148 158 05 11 2012 27 02 2013   Introduction : Many women in menopause have changed that part of these changes cause by decreased blood flow which is secondary to decreased estrogen. These changes may result in decreased their sexual activity . The aim of this study was to assess the effect of Ginkgo biloba extract (GBE) on sexual activity in 50 – 60 years menopausal women.   Methods: In this Randomized placebo-controlled trial 80 healthy female volunteers aged 60 – 50 years, attending three health-care centers of Tehran University of Medical Sciences (TUMS), were enrolled. The participants provided written informed consent and then received GBE at a dose of 120–240 mg (n = 40) or placebo (n = 40) daily for 30 days. The instrument of this study was the Sabbatsberg Sexual Rating Scale (SSRS) which the part of it evaluate sexual activity before and after intervention. Finally, the results were analyzed by using Fisher exact test, Independent samples- t test and Mann-Whitney Test.   Result: 27 menopausal women (45.2 %) were in the 50 – 52 year group. Menopause age in the 29 women (45/9) was 50 years or more. After intervention, sexual activity had no significant difference between the two groups of Ginkgo biloba and placebo.   Conclusion : Despite the effectiveness of the herbal supplement Ginkgo biloba in sexual desire in women, the results showed no effect on their sexual activity. With regard to the efficacy of many herbal supplements may appear after prolonged use, it is recommended that the next studies assess the effect of prolonged use of this plant. 130 The effect of progressive muscle relaxation on insomnia severity of hemodialysis patients saeedi Maryam m ashktorab Tahereh n Shamsi khani Soheila o saatchi Kiarash p m of Medical & Surgical, Faculty of Nursing & Midwifery, Arak University of MedicaSciences, Arak, Iran n . of Health, Faculty of Nursing & Midwifery , Shahid Beheshti University of MedicalSciences, Tehran, Iran. Corresponding Author. o . of Medical & Surgical, Faculty of Nursing & Midwifery, Arak University of MedicaSciences, Arak, Iranl p Member of teachers 1 9 2012 2 2 159 170 04 12 2012 13 03 2013   Introduction : Chronic insomnia is a common complaint of hemodialysis patients. The present study has conducted to determine the effect of progressive muscle relaxation on insomnia severity of patients undergoing hemodialysis in hospitals affiliated with Shaheed Beheshti University of Medical Sciences in year 2010.   Method : This study is a before and after quasi-experimental study. using purposive sampling method 42 patients were selected. Data collected by insomnia severity index (ISI) and two-week sleep diary that were completed before and after relaxation. Progressive muscle relaxation was trained to patients during three sessions and the patients did relaxation practice for a month, twice a day and filled relaxation diary after relaxation. Data were analyzed with t-test, willcoxon, macknemar, pearson and spearman tests.   Result: More samples are female(54.5%), marreid(60%) and house keeper(54.2). mean age of samples are 42.83±12.85 and mean hemodialysis history were 4.97±4.54.   The mean score of samples, insomnia severity after relaxation(6.34±5.04) were significantly(P<0.001) lower than before(15.54±6.16) . the variables of sleep diary such as sleep onset duration, the number of awakening in night and real nocturnal sleep duration, showed significant deferences before and after relaxation (P<0.001).   Conclusion : According to the results of this study, progressive muscle relaxation has a favorable effect on insomnia severity and sleep variables of hemodialysis patients and can be served as a useful method to improve sleep quality.    114 Other cases The effect of acupressure on the Pericardium 6 point on pain, nausea and vomiting after appendectomy Adib-Hajbaghery Mohsen Etri Mahmood Hosseinian Masoomeh Kashan University of Medical Sciences Kashan University of Medical Sciences Kashan University of Medical Sciences 1 9 2012 2 2 171 182 07 10 2012 17 03 2013   Introduction: The use of acupressure is growing. Several studies have used acupressure on PC6 point to reduce postoperative nausea, vomiting and pain and have reported conflicting results. This study aimed to investigate the effect of acupressure of the PC6 point on pain, nausea and vomiting in patients after appendectomy.   Methods: A single blinded randomized controlled clinical trial was conducted on 88 post appendectomy patients. Patients who have not any problem in the Pericardium 6 (PC6) point, having an age between 17 to 70 years, were in the list of appendectomy under general anesthesia were selected and were randomly assigned within two groups. In the intervention group, after parients recovered from anesthesia, using special acubands with a pressure button, acupressure was applied on PC6 acupoint . In the placebo (control) group, the acubands were loosely closed on the patients' wrist. Acubands were kept for 7 hours and pain (using a visual analog scale), nausea (using a visual analog scale) and frequency of vomiting, was measured hourly until the seventh postoperative hour. SPSS 11.5 software was used for data analysis. T test, and Chi-square test was used.   Results : No significant differences in terms of age, body mass index, duration of anesthesia and the length of incision were observed between the three groups. Average pain intensity was not significantly different at different times in the two groups. Overall, 45.4% of subjects in the PC6 group and 47.7% in the placebo group experienced postoperative nausea. The mean of nausea intensity was lower in the PC6 group than the control group in all postoperative hours but the difference was not statistically significant. In total, 12 patients in the PC6 group and 18 ones in the control group had vomiting (p=0.01).   Conclusion : PC6 acupressure did not significantly reduce pain after appendectomy. However, it was clinically effective in reducing postoperative nausea and vomiting.      21 Impacts of Journaling on Anxiety and stress in Multiple Sclerosis patients Hasanzadeh Parisa Fallahi Khoshknab Masoud Norozi Kian University of Social Welfare & Rehabilitation Sciences, Tehran, Iran University of Social Welfare & Rehabilitation Sciences, Tehran, Iran University of Social Welfare & Rehabilitation Sciences, Tehran, Iran 1 9 2012 2 2 183 193 10 09 2011 27 02 2013   Introduction : Multiple Sclerosis (MS) is one of the most common chronic diseases of the Central Nervous System . Of it's significant features is that most patients are young adults and it's disabling nature. Psychiatric disorders such as anxiety and stress are seen in MS patients considerably. Journaling the nursing intervention and written emotional expression, is one of cost-effective self helper methods that its efficacy has been studied on mental and physical health and survival in chronic patients. This method is not studied on MS patients yet. The aim of this study was to assess the effect of applying Journaling on Anxiety and Stress in patients with Multiple Sclerosis.   Methods : This study has been done in '' Interventional and Quazi experimental '' and before-after method ,on patients with (MS) coming to MS ASSOSIATION, in TEHRAN ,IRAN within (2010) . Data collector tools included: demographic questionnaire, and DASS-21 for assessing anxiety and stress. After getting written consents from patients, candidates were asked to complete first DASS-21 questionnaire and then write negative feelings and emotions about a traumatic event, 30 minutes a day for continuous 4 weeks. After 1 month they were wanted to complete another DASS-21 questionnaire. No intervention was done in the control group.   Finally Data of questionnaire were analyzed by SPSS version 16.   Results: Anxiety and stress scores are higher than normal in MS patients.   There was no significant difference between two groups in the mean scores of anxiety and stress before the study but a significant difference was found in mean scores of anxiety and stress between two groups, one month after intervention (Anxiety(p=0/001), Stress(p=0/001). Journaling efficacy was not dependent in sex and age of patients.   Conclusion : Journaling and written emotional expression is effective on anxiety and stress scores in patients with MS. As this technique can promote wellbeing in these patients it should be offered to all patients with multiple sclerosis. 118 study of Vitex Agnus Castus and Evening Primrose oil on Body Mass Index momeni Hamid salehi Ashraf seraji Abolfazl Arak University of Medical Sciences- Arak- Iran- Arak University of Medical Sciences- Arak- Iran- Arak University of Medical Sciences- Arak- Iran- 1 9 2012 2 2 194 203 05 11 2012 16 03 2013   Introduction: High Body mass index, is a common problem in the people , especially women , that can cause a variety of diseases . Increased BMI as a health problem and epidemic in the world and is growing .   Methods: this was a clinical trial study that has been done on 150 women in khomain. They were divided into two groups of 75 members. in the first group vitex agnus castus and the second group capsules of Evening primrose oil was given for 3 months. before the study and during the 3 months later BMI were assessed by questionnaire .   Results: mean age of two groups were 27.9 and 28.8, that there was no statistically significant difference. Mean of BMI in first group was 22.94 ±1.621 and in second group was 22.81 ±1.241 . after 3 months there was no statistically significant difference between two groups. ( Paired t test , with p= 0.644 for vitex agnus castus group and p=0.085 for Evening primrose oil.   Conclusion: Although the Vitex Agnus Castus and Evening Primrose oil have compounds With hormonal or metabolic changes in the body can lead to weight loss and obesity. However, this effect was not observed in this study and the use of Evening primrose oil for this purpose is not recommended due to its high price