Showing 37 results for Lam
Mr Alireza Shariati, Dr Mohammad Mojerloo, Mr Einolah Molaei, Mr Moslem Hesam, Mr Hamid Asayesh, Mr Hossein Nasiri, Dr Gholamreza Mahmodi,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Anemia is one of the most common complications of end stage renal diseases. Inadequate production of erythropoietin is the main cause of anemia in these patients, and iron deficiency is the other important factor. We designed this study to survey the prevalence of iron deficiency anemia in hemodialysis patients referred to hemodialysis ward of Panje Azar hospital in Gorgan, Iran.
Material and Methods: The subjects of this descriptive and cross-sectional study were all 97 patients undergone permanent hemodialysis. Hemoglobin, Serum Iron, Ferritin, Transferrin saturation and Hemoglobin index were measured to assess iron deficiency anemia. We did data analysis by using chi square, fisher exact test and independent T test in spss 13 environment.
Results: The prevalence of anemia and iron deficiency anemia were 57.6 and 31.1 percent, respectively. Tranferrin saturation in 29.16 percent of the patients is less than 20%. There was no significant correlation between signs of anemia and variables such as, duration of dialysis, causes of the disease and iron- deficiency anemia (p=0.06). But signs of anemia were significantly correlated (p<0.0001) with erythropoietin. In comparison with patients consumed iron orally, those who used injectable iron had higher serum iron, Hemoglobin and Transferrin saturation (p<0.001).
Conclusion: Because of high frequency of iron- deficiency that may results in resistance to erythropoietin therapy and leads to inappropriate treatment of iron deficiency. We recommend first treating of ID to prevent from useless administering of erythropoietin.
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.
Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale having two dimensions of problem-focused part (15 questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.
Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).
Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.
Mr Mahdi Sedaghat, Mr Gholamreza Vaghari, Mis Samieh Bani Hashem, Mis Pooneh Maharlooie, Mr Ebrahim Tazik, Mr Abdolhamid Angizeh, Mr Abbas Maghdami, Mr Siavash Maghsoodloo,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective : After suffering from some diseases,car accident is the most common cause of mortality in Iran.Using safety seat belt has a considerable role in reducing the injuries. This study has been established for comparing the trend of safety belt use from 2007to 2010 in Golestan province.
Material and Methods: This population-based cross-sectional study was carried out on 3999 subjects aged 15-65,during four years,in 11 urban and rural public health centers.They were selected by stratified and cluster sampling. Interviewers recorded the data using a all of them filled demographic data sheet,and were asked whether they asked seat belt or not.We used Chi-2 test to compare the frequencies and regression logistic to estimate seat belt use odds ratio.
Results: The rate of seat belt use in the years of 2007, 2008, 2009 and 2010 were 71%, 69.8%, 74.5 and 86.4%, respectively.The difference is signficant(P<0.01) safety belt use during the four years increases by 15.4%. This increase in urban area is 19% while in rural area is 14.9%. In under 35-year-old group,the increase is 17.85% and in over 35 is 14.3% .In 2010,using seat belt in men was more than women, by 14.8%.
Conclusion: Using safety belt increased by 3.85% for each year.It,s use in urban higher that rural are,and in institutionalization to use the safety belt and a growing trend to use clear men more them women was reported.Interalization horizon in the province in reducing mortality from accidents will open of using seat belt and it,s increasing use is considerable in this Province.
Hossein Rahmani Anaraki, Dr Gholam Reza Mahmoodi, Ghanbar Rouhi, Hamid Asayesh, Hossein Nasiri, Hossein Rakhshani,
Volume 9, Issue 2 (1-2013)
Abstract
Background and Objective: Chronic neurologic diseases due to associated disabilities and high cost of their medical services are considered as a crisis for patients and family. The stress caused by these problems can jeopardize the health of the caregivers. Thus, the aim of this study was to determine the general health status of neurologic patients’ caregivers and the related factors.
Material and Methods: In this cross-sectional study conducted in 2009, the caregivers of the patients with neurological disorders (n=200) were selected via convenience sampling. The data was gathered by a demographic checklist and general health questionnaire (GHQ-28) completed by caregivers and analyzed by descriptive statistic, Pearson correlation coefficient and chi square, using SPSS-16.
Results: The mean age is 31.78±9.94 and 59.5% of the subjects are males. The caregivers (72.5%) general health is disturbed (Score more than 23 based on GHQ-28 cut of point). General health of male and female caregivers is significantly different (P<0.05). Between the subscales of GHQ-28, female caregivers compared to males have higher depression score, which is significant (P<0.05). The caregivers’ general health are correlated with (P<0.05) the patient’s care dependency and the income of family. There is no significant relationship between general health and demographic variables such as marital status, history of the disease and educational level.
Conclusion: Based on the results, significant percent of caregivers of the patients with neurological disorders suffer from disrupted general health. Thus, the presence of supportive resources and effective coping skills can be effective in improving the health.
Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (Supplementary 2013)
Abstract
Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.
Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.
Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).
Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.
Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.
Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.
Results: The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.
Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of the level of consciousness in comatose patients .
Ali Akbar Abdollahi, Seyyed Abedin Hosseini, Dr Aref Salehi, Gholamreza Vaghari, Naser Behnampour,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Cardiovascular disease is the leading problem of the elders. It is progressive disorder that is initiated in childhood and its clinical demonstration is revealed after middle-aged period. This study aimed to determine the relationship between coronary artery disease- related risk-factors and aging.
Material and Methods: This descriptive-analytical study was conducted on all 772 elders referring to Kosar Angiography Center in Golestan province, 2008-2009. The subjects were divided into coronary disorder group and normal group. The risk factors including age, gender, body mass index (BMI), blood pressure, diabetes mellitus, smoking and drug addiction were assessed. The data was analyzed by SPSS-16, using Mann-Whitney and T-test.
Results: Most of the subjects were between 65 to 75 years. Of the three main vessels, the most involved one was circumflex (31.5%). The factors such as gender and systolic hypertension were significantly different in two groups. Furthermore, the Risk ratio in the patients with systolic hypertension (1.13 times) and the ones with diastolic hypertension (1.11 times) was more than normal group.
Conclusion: Gender and systolic hypertension in the elders with CAD are the main and predisposing factors. Therefore, if we control hypertension, it may be possible to prevent from the CAD progress.
Naser Rahimi, Dr Gholamali Ghasemi, Mohsen Eshaghian, Dr Azar Aghayari,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: Back pain is one of the most common and most costly occupational injuries. Due to the nature of nursing career, low- back pain is highly prevalent in nurses. The aim of this study was to survey the prevalence of low-back pain and its correlation with nurses’ demographic characteristics and occupational factors in hospitals of Isfahan, Iran.
Material and Methods: This descriptive- co relational study was conducted on 244 out of 260 nurses selected via stratified random sampling. Using Visual Analogue Scale (VAS) and Oswestry Functional Disability Questionnaire (ODQ), the Pain and functional disability variables were measured, respectively. To analyze the data, we used independent t-test and correlation coefficient-(p<0.05).
Results: The findings showed that 55% of the nurses have different intensity of low back pain (LBP). The LBP and monthly working hours (r=0.55), LBP and functional disability (r=0.53), LBP and age(r =0.30), and LBP and record of services (0.29) were significantly correlated, But it was not the case for LBP and gender.
Conclusion: Based on the findings that about 55% of the nurses suffer from low- back pain, it seems that a comprehensive change in life style and physical activity pattern of the nurses are paramount importance.
Dr Gholam Reza Mahmoodi Shan , Hosein Rahmani, Ali Akbar Abdollahi, Dr Mohammad Ali Vakili, Houralnesa Sheikh, Hosein Nasiri,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: There is an inevitable relationship between nurses' health and their lifestyle. Therefore, we intended to determin nurses’ lifestyle and its' relationship with some personal- professional characteristics.
Material and Methods: This descriptive-analytical investigation was conducted on 391 nurses selected via multi-stage random sampling in the Hospitals affiliated to Golestan University of medical sciences. The data was collected by a nurses lifestyle questionnaire having 6 subscales (internal consistency α=0.87 and stability r= 0.897). The data was analyzed by SPSS16 soft ware using independent t test, Kruskal-Wallis, Mann-Whitney U and chi-square tests( p<0.05).
Results: Of 391 , 20.2% were male and 79.2% female, and 85.4% have worked in rotation shift. The nurses (36.3 %) working experience was 6-10 years. The majority (78.1%) had optimal lifestyle. The highest score belonged to competency subscale (92.17%) and the lowest to personal life management subscale (64.82%). There was a significant relationship between a number of lifestyle subscales and some personal-professional characteristics such as nurse position,
Employing condition, work shift, overtime, night shift and holiday shifts (p≤ 0.05).
Conclusion: There is a relationship between nurses' lifestyle and some of the personal-professional status. Given that some professional conditions can decrease the personal life management and the role management of healthy lifestyle, we recommend that managers should be careful about working programs to provide healthy lifestyle.
Leila Davari, Dr Ahmad Ali Eslami, Akbar Hassan Zadeh ,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Diabetes is the most common metabolic disorder associated with long-term complications. social and psychological factors have a crucial role in its management . the treatment of Diabetes mainly depends on the patient and self-care is one of the most important factors in controlling this disease. This study aimed at evaluating the self-care related factors in type 2 diabetic patients.
Material and Methods: This descriptive-analytical study was conducted on 95 patients with type 2 diabetes in Khorramabad city in 2013. The data collected by a demographic questionnaire and Glasgow and tobert Self-care scale was analyzed by spss 20 software using independent t-test, Pearson correlation and One Way ANOVA.
Results: Considering all areas, the average self-care score was 53.6±11.7. The lowest score was in the areas of glycemic control, physical activity, and the highest one in diet and foot care. Based on marital status, education, income and type of treatment, The average self-care was significantly different (P< 0.05).
Conclusion: In accordance with the real need unique characteristics of the patients, comprehensive and practical training related self- care behavior should be considered.
Alam Imani Giglou , Sharareh Zeighami Mohamadi , Fatemeh Gholi, Dr Ahmad Mahdavi, Dr Mohammad Reza Torabi, Zahra Abbasi Validkandi ,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Obstructive sleep apnea (OSA) is an important risk factor for cardiovascular disorders. The aim of this study was to determine the frequency of OSA in myocardial infarction patients in the CCU of Karaj Hospitals, 2009.
Material and Methods: This cross-sectional study was conducted , via convenience sampling , on 140 acute myocardial infarction patients in two cardiac care units of Shariati and Rajaei hospital in Karaj, 2009. We assessed demographic data, history of cardiovascular risk factors, STOP-Bang questionnaire through interview, information related to the type of myocardial infarction and laboratory parameters from medical records, and also we measured anthropometric indices with balance scale and meter tap.
Results: Mean score of STOP-BANG questionnaire was 4.9 ± 1.2 in the range of 2 to 8 points and in 64% of the participants was higher than 4 points. The Score of STOP-BANG questionnaire was statistically significant considering age, smoking, hypertension, dyslipidemia, extensive infarction, BMI, waist-to-height ratio, Waist to Hip Ratio, Waist Circumference, neck circumference, cholesterol and left ventricular ejection fraction (P=0.001), sex (P=0.044), Diabetes(P=0.019), inferior infarction (P=0.006), anterior wall (P=0.048) and triglyceride levels (P=0.031).
Conclusion: OSA is common among patients with myocardial infarction and is associated with anthropometric indices, cardiovascular risk factors, the location of infarction and left ventricular ejection fraction. Thus, Screening, evaluating the symptoms of OSA and referring for counseling and treatment is necessary.
Fatemeh Raeesian, Dr Minor Lamiyan, Dr Ebrahim Hajizadeh, Sareh Bakouie, Somayeh Soltanmoradi, Dr Lida Moghaddam Banaem , Fatemeh Seifi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Preterm delivery is a critical factor in neonatal morbidity & mortality. The present study was performed to determine the relationship between the serum level of zinc& iron and preterm delivery.
Material and Methods: This cohort study was conducted, via multi-stage sampling, on 1033 pregnant women referred to the prenatal centers in Tehran, Iran. The instrument was demographic- productivity questionnaire completed within the14th-20th weeks of gestation. Serum level of zinc & iron was measured by spectrophotometric atomic absorption method and Ferene test, respectively. To analyze the data, we used T test, χ2 and logistic regression using SPSS16 software.
Results: The incidence of preterm delivery was 10.5%. This rate increased to 12.5% and 18.2% in lack of iron and zinc, respectively. There was no significant link between lack of zinc level and preterm delivery (P>0.05), But the relationship between lack of iron and preterm delivery was significant (P< 0.05). Based on logistic regression, there was higher risk of preterm delivery if iron serum level was low.
Conclusion: Given the high impact of lack of iron on preterm delivery, we recommend that the factors effective on intake & absorption of iron be emphasized in reproductive education courses.
Alireza Shariati , Hosein Rahmani Anaraki , Mohammad Parvareshmasoud, Moslem Hesam, Hamid Asayesh, Dr Seyed Mojtaba Mousavi, Dr Gholamreza Mahmoodi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Burnout has negative effects on nurses' health, and also onpatients’ satisfaction and safety. This study was conducted to determine the relationship between Burnout and nurses' job characteristics in teaching and therapeutic hospitals affiliated to Golestan university of medical sciences.
Material and Methods: In this descriptive-analytical study, 206 nurses who engaged in the teaching and therapeutic centers of Golestan university of medical sciences were selected via random sampling. The data was collected by demographic data sheet and Copenhagen burnout questionnaire and analyzed by descriptive statistical, logistic Regression.
Results: The mean age was 34.66±7.38 and 68% of the participants were female. Overall, 34% of the nurses had burnout. The prevalence of personal, work-related and client-related burnout was 33.5%, 41.3% and 22.3%, respectively. Age, job experience and type of employment were the risk factors of personal, work and client-related burnout. Being supervisor, working in the psychiatric ward and having private job, were the causes of increased personal burnout.
Conclusion: In line with the increase of age and job experience increasing, the officials should pay more attention to burnout, and in some ward of the hospitals and job positions, they need considering a unique career planning.
Abouzar Mehboudi, Dr Mahnaz Modanloo, Alireza Shariati, Dr Naser Behnampour, Dr Gholamreza Bardestani, Dr Hamid Basiri, Sepide Mehboudi,
Volume 12, Issue 3 (Supplementary 2016)
Abstract
Background and Objective: Patients under hemodialysis are faced with many stressors and psychological problems such as sleep disorder and anxiety. These problems could be a threat to their health and be significant clinically. Thus, we aimed to determine the relationship between anxiety and sleep quality in hemodialysis patients.
Material and Methods: This descriptive-analytic study was conducted on 74 hemodialysis patients in Hefdahe Shahrivar hospital of Borazjan city, 2014. The data was collected by Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory (STAI), and analyzed by t-test, ANOVA and correlation Coefficient using SPSS.
Results: Most of the patients (89.2%) had the average anxiety and 63.3% of them had low sleeping quality. The average of patients’ anxiety and sleeping quality were 49±6.5 and 11.7±2/4, respectively. The correlation coefficient between anxiety and sleeping quality was 0.515 (p=0.001), pointing out an acceptable correlation. Along with the increase of anxiety, the dimension of the subjective sleep quality, delay in falling asleep, the sleep disturbances were affected and ended up low sleeping quality. There was no significant correlation between the anxiety and sleeping quality and daily dysfunction.
Conclusion: Given the acceptable correlation between anxiety and sleep quality, there is a direct relation between anxiety and sleep quality of the patients.
Mohammad Rajabpoor, Seyed Reza Mazlom, Gholamhosein Zarifnejad, Seyed Mostafa Mohsenizadeh, Fatemeh Heshmati Nabavi , Simin Sharafi ,
Volume 13, Issue 1 (6-2016)
Abstract
Background: Using thinking-based scientific methods such as paper-based and electronic nursing processes in nursing education can lead to education of skilled and efficient experts that can affect students’ satisfaction in addition to their quality of care. The present study aimed to compare the effects of recording and implementing the nursing process based on two methods (paper-based and electronic) on the quality of patient care and nursing students’ satisfaction.
Methods: This randomized-field trial was conducted in 2014 on 64 nursing students that were randomly assigned into two groups of paper-based and electronic nursing process. The intervention included a one-day training on the nursing process and then its implementation on patients using the two mentioned methods during two weeks of internship. Quality of care was measured through a researcher-designed care quality questionnaire before and after the intervention. Students’ satisfaction with the implementation of the nursing process was measured through a researcher-designed students’ satisfaction questionnaire after the intervention.
Results: The mean (±standard deviation) score of students’ satisfaction in the paper-based nursing process and the electronic process was 37.3±4.7 and 68.9±14.2, respectively. There was a statistically significant difference between the two groups (P=0.015). After the intervention, the mean score of care quality in the electronic group was 46.9±5.6 and the mean score of the paper-based group was 39.9±9.2. This difference was also statistically significant (P<0.05).
Conclusion: Since electronic nursing process can increase quality of care and students’ satisfaction more than the paper-based method, the use of electronic method may facilitate the implementation of the nursing process and change education and care giving from traditional forms to a thinking-based approach. Therefore, it is recommended to pay more attention to such method in planning nursing education.
Rezaali Mohamadpour, Nasser Behnampour, Fateme Abdollahi, Amenesadat Sheykholeslami, Zahra Mehrbakhsh, Somaie Barzanuni,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Breast milk is the most suitable nutrition for the neonates. Breast milk and breastfeeding duration can contribute to decreased mortality rate, intestinal bleeding, and various neonatal diseases (e.g., digestive and respiratory diseases). It can also reduce the risk of diabetes and obesity in childhood and adulthood. Therefore, the estimation of breastfeeding duration and recognition of the effective factors in this regard can lead to designing and implementing appropriate programs, which can provide the foundations for the modification of breastfeeding behavior.
Methods: This survival study was conducted on 501 mothers with healthy and single birth neonates born within March 21, 2011-September 21, 2012 with active medical records in Aqqala city, Golestan province, Iran, in the second half of 2014. The data were collected from the information registered at the archives of health centers by in-person visiting. In addition, some of the information was collected through phone contacts. The duration of breastfeeding was estimated in month. Data analysis was carried out using the Cox regression in the STATA software, version 11.
Results: According to the results, the mean and median of breastfeeding were 20.44 and 22 months, respectively. According to the Cox regression, maternal ethnicity, living with family, birth spacing, type of milk consumed along with complementary nutrition, and type of neonatal nutrition during the hospital stay of the infant had a significant relationship with the early cessation of breastfeeding.
Conclusion: Based on the findings of the present study and the identified factors affecting the breastfeeding duration, it seems necessary to provide the essential trainings for the young mothers and pregnant women to avoid of reducing the duration of breastfeeding. These educations can be included in the programs of the Health centers of the universities and urban and rural medical clinics.
Nasrin Mokhtari, Afsaneh Nezafati, Farzaneh Sheikholeslami , Ehsan Kazemnejad Leili,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: Lower levels of health literacy have been associated with adverse health outcomes, especially for elderly.
Methods: This cross-sectional study was conducted on 290 retired elder from the Retirement Centers in Rasht city by Convenient sampling during the year 2017. Data collection tools included, Test of Functional Health Literacy in Adults(TOFHLA) and general health standard questionnaire (GHQ-28). The data were analyzed using descriptive and inferential statistics in SPSS.
Results: More than half of the participants (54.8%) had adequate health literacy. The highest mean of the health literacy was in the domain of reading comprehension (36.30±7.90) and then in the domain of numeracy (36.11±11.60). There was a significant relationship between the level of health literacy and the level of education, the level of education of the spouse and the history of cancer(P<0.05), the mean of the general health of the subjects was 20.67±8.27. by adjusting the effects of demographic variables, there was a significant relationship between the health literacy and the general health (P=0.04), such that by improving each level in the health literacy status, the chance of a favorable general health status, increases by 1.4 times (Odds Ratio=1.4).The findings, show a 0.95 confidence interval for variables related to general health.
Conclusion: This study approved that the level of education was the most important determinant of health literacy and general health, identifying elderly with poor health literacy and providing them with appropriate education can play a major role in promoting community health.
Seyed Ali Majidi, Shiva Alizadeh, Sobhaneh Kouchakzadeh Talami, Hamideh Safarmohammadi, Ehsan Kazemnezhad Leily, Monika Motagi, Mehdi Barzegar,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Patient safety is one of the main components of the health care services quality that implies avoidance of any harm or damage to the patient during the delivery of health care. The purpose of this study was to determine the patient safety culture from the view point of nurses in the hospitals of Guilan province in 2016.
Methods: This cross-sectional study was done on 400 nurses from the nurse community in Guilan province, Iran in 2016. The sampling was performed as the two-stage cluster sampling method. Data were collected using a modified questionnaire based on the Hospital Survey on Patient Safety Culture (HSOPSC). Data were presented with descriptive statistics analysis using in SPSS-14. The significant level was considered less than 0.05.
Results: Most of the nurses were female (89%), with a mean age of 34.28±6.86 years. The most response to the items was related to “Please give your work area/unit in this hospital an overall grade on patient safety” that was the acceptable option (47.5%). The mean score of the patient safety was 3.28 ±0.86.
Conclusions: The results showed two dimensions including staffing and teamwork within units. Feedback and communication about errors were the most important dimensions of the patient safety culture. Accordingly, it should be noted that paying more attention to the patient safety culture can lead to improve hospital condition levels.
Aniseh Pourrasmi Mamaghani, Mohammadhiwa Abdekhoda, Parvin Bastani Alamdari, Masoud Mohammadi,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: The rate of cesarean delivery in Iran is four times higher than the standard defined by the World Health Organization. Information counseling is a method for providing accurate information and helping primiparous women to make evidence-based decisions. This research was conducted to determine the effect of information counseling on decision making process of delivery.
Methods: This was a before and after clinical trial in which 120 pregnant women in the 28thweek of the pregnancy with no indication of cesarean sections (CS) and a health record were included. Sample size was calculated using cluster sampling and the formula n= (〖(Z_(α⁄(2- Z_(β ) )) )^2 δ〗^2 )/d^2 . The sample size was approximately 63 individuals. To correct the effect of cluster sampling, the calculated sample volume was multiplied by a factor of 1.4. To further validate the data, the number reached 120. Data gathering tool was a questionnaire designed based on reviewing previous studies and considering the purpose of the study whose validity and reliability were measured. The questionnaires were given to the women in two stages at week 28 and week 36. The interventions were in the form of packages containing brochures and information booklet on the benefits and disadvantages of natural childbirth and cesarean section in addition to training sessions taught by a midwifery specialist. Pros and cons of vaginal and cesarean modes of delivery were presented by training sessions. Women's preferential delivery mode were measured by a pre- and post- questionnaires and follow-up. After data collection, the analysis was performed at two levels of descriptive and inferential statistics. Finally, data were analyzed by SPSS16using t-test.
Results: The findings showed that the main indicators for determining the type of delivery, including awareness about delivery, making decision for delivery mode, understanding the risks of delivery mode, and self-efficacy were significantly associated with educational intervention and counseling (P<0.01). In the pre-intervention phase, 66.7% of women had normal delivery and 33.3% had cesarean section. After intervention, with a significant increase in choosing normal delivery, 78.4% chose natural childbirth and 15.3% chose cesarean section as the best option for delivery. Follow-up results after educational intervention showed that 44.2% of participants in this study performed normal delivery and 50% cesarean section. 8.5% were excluded from the study for certain reasons. After reviewing the results, it was found that encouraging physicians’ team to cesarean section was the main and primary cause of cesarean.
Conclusions: The implementation of information counseling has a great effect on encouraging women to change their decision patterns and self-making decision for VD maternity and reducing CD. However, in practice, certain factors, especially the constant recommendation of physicians’ team to CD as a programmable and convenient delivery, undermine the role of these interventions.
Mohammad Shokrzadeh , Danial Jafari, Reza Hoseinpoor, Azam Delaram , Akram Pouyan Sadr , Elham Masodi, Mehrnosh Deylami, Gholamali Lashkarboloki, Yaghoub Shayeste, Narges Fatemi,
Volume 18, Issue 1 (5-2021)
Abstract
Background: Poisoning is a common cause of hospitalization in intensive care units (ICU). The present study aimed to investigate the frequency of poisoning leading to hospitalization in the intensive care units of an educational hospital, Golestan University of Medical Sciences, in Gorgan in 2008-2018.
Methods: This cross-sectional study conducted on patients with acute poisoning admitted to the ICUs of 5 Azar Hospital in Gorgan from 20 March 2008, to 20 March 2018. We collected data from all patients' medical record using a checklist. Data was presented in proportions, mean and standard deviation.
Results: All of 631 patients with poisoning were admitted to the ICUs were male (61.3%) and 40.3% were in the age range of 20-29 years. The mean length of hospital stay in the ICU was 4.21±3.45 days. The most common type and cause of poisoning were suicide attempt (65.3%) and drugs (65.6%), respectively. The common drugs were used including the benzodiazepines (38.9%) and narcotic drugs (18.6%). The rate of death of poisoning was 11.1%, of which 44.3% was due to aluminum phosphide.
Conclusion: Benzodiazepines and aluminum phosphide were the most common causes of poisoning and death due to poisoning in the ICU. Due to the high mortality rate, it seems necessary to provide more education and information via the media, especially in the field of aluminum phosphide hazards.
