BACKGROUND: As the most splendid social custom to attain security and emotional needs of adults, marriage has always won the approval of the community as a whole. In this regard, the endeavors of couples to preserve their relationships and achieve higher levels of marital satisfaction have been of great significance. As a component of personal characteristics, mental health has always been associated with marital satisfaction. This study investigated the relationship between marital satisfaction and mental health of married women referred to health centers in Sanandaj, Iran in 2014.METHODS: This was a cross-sectional study conducted on 393 women referring to the health centers in Sanandaj, Iran who were selected randomly in 2014. Data collection tool were ENRICH Marital Satisfaction Questionnaire and General Health Questionnaire (GHQ-28), which was completed by the participants in the study. Data were analyzed using SPSS version 16, descriptive, and analytical statistics.RESULTS: The results indicated that most of the patients were between 35-26 years, did not complete secondary school, were housewives, had only one child, and were married for 10 years. Most of the participants enjoyed marital satisfaction and had good mental health. There was a significant relationship between mental health and marital satisfaction (p<0.001). In terms of mental health, depression and marital satisfaction had the most significant negative correlation (p<0.001). However, there were no statistically significant relationship between female’s education and their employment with marital satisfaction and mental health.CONCLUSION: According to the findings of our study, in terms of the relationship between mental health and marital satisfaction, solving marital problems and increasing couples’ satisfaction can lead to the promotion of their mental health, leading to the increase in the health status of families and society a whole; hence, the significant role of family counseling centers.

Background & Aim: The key to playing role in the nursing profession is the proper communication and is, in fact, the basic part of nurses' careers in looking after the patients. Recognizing the factors related to communication skills of nursing students, including spiritual intelligence, can be used to increase the quality of care. The purpose of this study was to investigate the correlation between spiritual intelligence and communication skills of nursing students in Kurdistan University of Medical Sciences. Materials & Methods: In this descriptive-correlational study, 286 nursing students were selected by stratified sampling method. Data were collected by King's Spiritual Intelligence Questionnaire and Barton's Communication Skills Questionnaire. Data analysis was done by descriptive and inferential statistics using SPSS 21 software. Results: The mean age of the students was 21.37±2.39 years. Most of the students were male (55%) and studying in the fourth year of the university (30%) (Seventh semester (17.1%)). The mean (standard deviation) of spiritual intelligence was 59.71 (12.04) and communication skills was 51.83 (10.10). Based on Pearson correlation coefficient, the correlation between communication skills with spiritual intelligence and its areas was positive (0.414) and was statistically significant (p<0.05). Conclusion: There was a positive and significant correlation between spiritual intelligence and communication skills. Considering this issue in students, along with physical, mental and social dimensions, can increase the communication skills and increase the quality of nursing care in the future.

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Background Mastectomy as a surgical treatment in women with breast cancer causes a change in their body image due to the loss of femininity and body integrity, decreased sense of sexual attractiveness, and dissatisfaction with the presence of surgical scars. The present study was conducted to evaluate the psychometric properties of the Farsi version of the body image scale for breast cancer survivors. Methods This cross-sectional study was conducted on 204 women with a mastectomy referred to Kermanshah's surgery and oncology office in 2021. Face and content validity were evaluated qualitatively. Construct validity was evaluated by exploratory factor analysis (with maximum likelihood and Promax rotation) and confirmatory factor analysis. Cronbach’s alpha and McDonald’s omega coefficients were used to verify internal consistency. Results The mean age of the participants was 46.57 (SD = 9.47). One factor was extracted that explained 46.56% of the total variance of body image. The factor load of the items varied between 0.561 and 0.801. The results of CFA also showed that the final model has a perfect fit: CMIN = 20.931; DF = 13; CMIN/FD = 1.610; p = 0.074; GFI = 0.972; AGFI = 0.939; IFI = 0.985; CFI = 0.985; TLI = 0.975; PNFI = 0.595; PCFI = 0.610; RMSEA = 0.055. internal consistency based on Cronbach's alpha and McDonald's omega coefficients was 0.856 and 0.861, respectively. Conclusion The Farsi version of the body image scale for breast cancer survivors has good construct validity and may be used in various studies in clinical and research settings.

Self-care in hypertension is one of the most significant strategies in order to control the disease; moreover, health literacy and social support are regarded as effective factors in this case. Therefore, considering the necessity and need of society in promoting the level of health literacy and social support, as well as the role and importance of self-care in hypertension, the aim of the present study was to determine the relationship among self-care behavior and health literacy and social support in patients suffering from hypertension. Methods:The descriptive-analytical study was cross-sectional and was conducted on 400 patients with hypertension referring to the specialized heart clinic of Tohid Hospital in Sanandaj, Iran, using the convenience sampling method. The Four-part Demographic Questionnaire, the Self-Care Behavior Assessment Questionnaire, the Health Literacy for Iranian Adults Questionnaire and Social Support Questionnaire were used so as to collect the data. To analyze the data, SPSS software version 21 and parametric tests of Pearson correlation coefficient and non-parametric Kruskal-Wallis analysis were used. Results:The findings indicated that mean and standard deviation of Self-Care Behavior Score and Health Literacy and Social Support were 38/64 ± 8/83, 63/10 ± 11/16 and 91/54 ± 6/93, respectively. There was a Positive significant relationship between Self-Care Behavior and Health Literacy (r=0/491, P value=0/00), Self-Care Behavior and Social Support (r=0/322, P value=0/00), Social Support and Health Literacy (r=0/337, P value=0/00). Conclusion:The results of the present study showed that having health literacy and social support would influence the individual and the occurrence of self-care behaviors, and since these cases are highly effective in preventing and controlling hypertension, it is necessary to train and promote them in the health system.