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Background & objective: Depression associate with increase severity of illness, length of hospitalization and mortality in heart failure patient's .The aim of this study was to investigate the frequency and related factors of depression in male systolic heart failure patients. Materials & Methods: This is a cross sectional study that was conducted on 100 male patients with systolic heart failure in Alborz of Karaj and Shahriar Social Security Hospitals in 2010. Sampling method in this study was Convenience sampling. Data collected by demographic data form, MLHFQ (Minnesota Living with Heart Failure Questionnaire), (CES-D) Center for Epidemiologic Studies Depression Scale .Data was analyzed by SPSS software version 18 and using descriptive statistics, t-test, ANOVA and coefficient Pearson correlation. Results: The findings indicated that mean score of depression was 20.3±12 .47% had severe and 16% had mild to moderate depression. Depression significant associated with age(p=0.002), education(p<0.001), economic status(p=0.002), smoking(p=0.034), hemoglobin level(p=0.004), left ventricular ejection fraction(p=0.012), use of digoxin(p=0.019), angiotensin receptor blocker (ARB)(p=0.005), aldacton (p=0.005)and quality of life(p<0.001). Conclusion: Depression was common among men with systolic heart failure and had negative impact on quality of life. Nurses by screening and assessment symptoms of depression and refer patients for counseling and treatment can help to improve quality of life in heart failure patient.

Introduction: Nurses, as nursing care providers, have a pivotal role and a unique role in effecting the quality of care. The attitude of nurses on their preference for working with elderly people and the quality of care provided to them is effective. This study aimed to investigate the attitude of nursing students and nurses towards the care of elderly people. Method: To obtain articles on the attitude of nurses about the care of elderly people, the researchers first selected some keywords such as "attitude of nurses, nursing students, elderly and needs of elderly". Then they tried to search these keywords in some Persian language databases like " SID, Magiran and Iran Medex". To find some English articles published between 2000-2018, the researchers also searched the keywords in some scientific databases like " Scopus, Science Direct, Cochran library, Google Scholar, Ovid and PubMed". Finally, based on the amount of articles related to search topics and include criteria, 24 related articles were selected and reviewed. Results: Nurses' and nursing students' attitudes towards care of elderly people were positive, negative and neutral. Many variables were evaluated as effective factors on nurses' attitude, such as age, gender, level of education and work experience. It seems that having a positive attitude toward aging has an important role in choosing nurses in nursing care. Conclusion: Since the knowledge of nurses in the field of aging is influential on the type of attitude and selecting their priority toward care of elderly patients, therefore, it is necessary to look at the education of elderly patient's cognition in nursing education levels with more emphasis.

Objective: Neurogenic bladder (NB) is one of the most common causes of urinary incontinence, and its many long-term problems negatively affect patients' quality of life, especially women, due to a lack of social roles. Due to the chronic nature of this disorder, the implementation of rehabilitation nursing interventions to improve the quality of life of these patients has been recommended. Therefore, this study aimed to evaluate the effectiveness of multidimensional rehabilitation nursing intervention of urinary incontinence on the quality of life of young and middle-aged women with neurogenic bladder. Materials & Methods: The present research was a quasi-experimental study with a pre-test-post-test design that was conducted in Rofeideh Rehabilitation Hospital, Tehran, Iran, in 2021. Data were collected from 30 young and middle-aged women aged 18 to 60 years admitted with neurogenic bladder. The samples completed the demographic questionnaire and incontinence quality of life questionnaire (I-QOL) before and 6 weeks after the intervention during follow-up. Multidimensional rehabilitation nursing intervention of urinary incontinence included two-part training sessions: 1) clean intermittent catheterization and 2) behavioral therapy (Time voiding, delaying urination, diet, and medication) in 7 30-minutes sessions of training conducted daily and individually face-to-face in the first week and then a follow-up of patients in 5 weeks (second, third, fourth, fifth, and sixth weeks), one session per week in the form of virtual classes and online video calls in WhatsApp application. The collected data were analyzed in SPSS software version 25 using one-way ANOVA and paired t-test at a significance level of 0.05. Results: Most participants were 20-30 years old (30%) and married (53.3%). Before and after the intervention, the quality of life of patients with neurogenic bladder disorder increased from 46.46±11.07 to 66.23±9.46, which was statistically significant (t=14.20, P<0.0001). Also, psychosocial impacts due to the disease were reduced based on one of the three subscales of the quality of life questionnaire. In addition, quality of life was significantly lower in younger, unemployed, single, spinal cord injury, body odor, and people with a neurogenic bladder disease diagnosis period of less than one year (P<0001). Conclusion: According to our findings, clean intermittent catheterization and behavioral therapy could significantly improve patient's quality of life with NB. Therefore, it is recommended to investigate the long-term effectiveness of this intervention.