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Showing 9 results for Kamali

Parvin Mohebbi, Mahin Kamalifard, Shirin Barzanjehatri, Abdolrasol Safaeiyan, Leila Rastegari,
Volume 2, Issue 1 (7-2012)

Background and Objectives: Pre-marriage counseling enables couples to be aware of all aspects of sexuality and make them enjoy sexual activity. This study aimed to assess quality of sexual health counseling services in pre-marriage counseling centers in Tabriz. Material and Methods: In this study, 236 individuals referred to the pre-marital counseling centers in Tabriz were randomly selected. Data were gathered using a self-structured instrument including items on demographic characteristics and sexual health. The validity and reliability of the instrument was confirmed. Results: The results showed that 5.1% of the clients did not receive any sexual health services. More than half of the participants (53.4%) received low information and 41.5% received moderate information on the sexual health. There was a significant relationship between age and sexual health (p<0.05). Conclusion: It seems that focusing on the quality of sexual health services could help couples to have a healthy marriage.

Ali Mohammadi, Koorosh Kamali,
Volume 5, Issue 1 (9-2015)

Background and Objectives: According to the World Health Organization (WHO), responsiveness is the ability of health systems to meet the legitimate expectations of populations for non-clinical enhancing aspects of health system. Assessment of responsiveness can help to manage resource allocation and improve strategies. The aim of this study was to assess the responsiveness in outpatient clinics of Zanjan. Materials and Methods: This cross-sectional study was carried out in Zanjan hospitals’ outpatient clinics during 2013-2014. A total of 240 patients were selected systematically. The WHO’s responsiveness questionnaire was used to collect data. Data were analyzed using the descriptive and analytical statistics such as mean, frequency, percent, and the Student t -test and one way ANOVA in the SPSS 11.5. Results: The majority of the respondents (over 73%) rated all aspects of the responsiveness as important. Half of the participants (50.6%) rated overall responsiveness as good. The best performance of responsiveness was related to confidentiality (76.3%) and dignity (63.8%) domains. The dignity was rated as the most important domain from outpatients' point of view. There was a statistically significant difference between the male and female patients regarding mean score of dignity. Conclusion: The finding of this study showed that there were gaps between the responsiveness performances and importance of all domains of the responsiveness. Achieving desirable status of responsiveness is essential.
Fatemeh Mahdavisaeb, Mahin Ruhani, Nasrin Hanifi, Kurosh Kamali,
Volume 6, Issue 1 (6-2016)

Background and Objectives: The high clinical competency of Critical Care Nurses (CCNs) is required, as the quality of nursing care in critical care units (CCUs) with critically ill patients is extremely important. This study was conducted to compare CCNschr('39') clinical competency using self-assessment method and assessment by their Head nurses.

Materials and Methods: This cross-sectional study was conducted on 148 CCNs who were included in the study in a period of six months (June -November 2014), in the hospitals of the Zanjan university of medical sciences. Data was collected using Nurse Competency Scale (NCS) which assesses 63 skills in seven different domains. The Cohenchr('39')s kappa coefficient was used to compare the agreement between the clinical competency and the use of skills in CCNs and their head nurses.

Results: The inter-rater agreement was poor between the nurses and their Head nurses in the evaluation of the clinical competency, and in two aspects was very poor. The "Quality assurance" (0.098) and the" Helping Role" (0.373) domains had the lowest and the highest level of agreement, respectively. The inter-rater agreement of the use of skills by nurses was reported very poor in all domains.

Conclusion: The current study revealed that there is no agreement between the evaluation of CCNschr('39') clinical competency by own nurses and their head nurses indicating these two methods are not interchangeable.

Mahin Roohani, Sayede Fatemeh Gheiasi, Nasrin Hanifi, Kourosh Kamali,
Volume 6, Issue 3 (11-2016)

Background and Objectives: Re-admission of patients with heart failure is increasingly high. Therefore, this study aimed to determine the effects of teaching heart failure patients and their families based on their learning needs on the frequency of re-admission.

Materials and Methods: This clinical trial was conducted on 75 patients with heart failure. Samples were divided randomly into one experimental group and two control groups. For the experimental group, along with their family members, teaching was done on the basis of their learning needs using CHFPLNI. For the control group (1), teaching was done without assessment of learning needs and with the presence of their family members and for the control group (2), teaching was conducted without assessment of learning needs and without the presence of their family members. Re-admission on day 30, 60 and 90 after discharge was calculated. The collected data was fed to SPSS- 11.5 software and analyzed using Chi-square and Exact Fisher test.

Results: Findings showed that in terms of re-admission after the intervention, there is no statistically significant difference between the experimental group and the control groups (P> 0.005).

Conclusion: Intervention on re-admission did not show a significant statistical impact. Therefore, further investigation is needed. Designing studies to consider frequent hospital readmissions with differentiation of causes and longer follow-ups is recommended.

Zahra Zolfaghari Lake , Mahin Roohani, Elham Shakibazadeh, Koorosh Kamali,
Volume 6, Issue 4 (3-2017)


Background: Illness perception can affect health-related behaviors and disease outcomes.

Objectives: To determine the effect of an educational intervention of improving illness perception on some modifiable risk factors of coronary artery disease.

Methods: In this clinical trial, 100 patients undergoing coronary angiography that met the inclusion criteria were divided randomly into two intervention and control groups. In the intervention group, three educational sessions were conducted individually, while usual care was conducted for the control group. Measurements on fasting blood glucose, cholesterol, triglyceride, blood pressure, body mass index, and smoking status were gathered at baseline, immediately and six months after the intervention in both groups. Data were analyzed using the SPSS.

Results: The mean of systolic blood pressure (p<0.005), fasting triglycerides (p<0.005), and fasting blood glucose (p<0.005) were significantly different before and after the intervention between the two groups.

Conclusion: Improvement illness perception through educational intervention can affect risk factors of coronary artery disease.

Ali Mohammadi, Koorosh Kamali, Hossein Masoomi Jahandizi,
Volume 6, Issue 4 (3-2017)

Background: Empathy is an important factor in the relationship between the therapist and the patient and leaves positive impacts on the health outcomes.

Objectives: To investigate the level of empathy for patients among students of Zanjan University of Medical Sciences.

Methods: The present cross-sectional study was carried out in Zanjan University of Medical Sciences. A sample of 420 students was selected based on stratified sampling method. Jefferson Scale of Empathy was used to measure the level of empathy. Scores in the range of 20-60, 61-100, and 101-140 were regarded as the low, moderate, and high level of empathy, respectively. Data analysis was performed using independent t-test and one-way ANOVA in SPSS-16..

Results: The total score of empathy of students was 103.5±16. The lowest and highest scores in empathy were obtained in dimensions of “standing in the patient’s shoes” and “compassionate care”, respectively. The mean score of empathy for male students (102.15±5.23) was lower than that of females (103.16±2.39). Scores of empathy subscales, except “perspective taking”, were higher in female students than male ones. In addition, there was a significant difference between male and female students in terms of the mean score of “perspective taking”, “compassionate care”, and “standing in the patient’s shoes”.

Conclusion: The study findings indicated that the level of empathy for patients among the studied students is moderate and higher. However, given the positive impacts of empathy on treatment outcomes, it is recommended that students’ level of empathy be further improved through appropriate interventions.

Soudabeh Mehdizadeh, Soheila Abbasi, Kourosh Kamali,
Volume 8, Issue 2 (9-2018)

Background: Although medical students gain essential knowledge about healthy lifestyles, studies show that this group does not behave in a healthy way and no effective lifestyle courses are also available for this group.
Objectives: The present study aimed to determine the health-promoting lifestyle in medical and non-medical students in Zanjan during 2016-2017.
The population of this comparative-descriptive study included all students studying at the medical and non-medical universities of Zanjan Province. Census and randomized cluster sampling techniques were used for selecting medical and non-medical students, respectively. The senior students who showed their tendency could participate in the study. In addition, the data were collected by demographic information and health-promoting behavior (HPLPII) questionnaires. Finally, the data were analyzed through using descriptive (frequency, frequency percentage, mean, and standard deviation) and inferential (independent t-test and the Chi-square) statistics in SPSS 16 and P<0.05 was considered as the significance level.Results: There was a significant difference regarding some demographic variables (sex, educational degree, dwelling place, average family income, the number of family members, along with mother’s education and employment status) between medical and non-medical students. The mean and standard deviation of health-promoting lifestyle score in medical and non-medical students were 2.52±0.39 and 2.53±0.41, respectively, indicating a moderate level. Based on independent t-test, health accountability was higher in medical students compared to non-medical students although physical activity and the nutritional habits of medical students were weaker in this group as compared to non-medical students (P<0.05). However, no significant difference was observed between the mean of the other subgroups and the total score of the health-promoting lifestyle of the two groups (P>0.05).
Conclusion: Based on the results, more accurate reviewing and planning are necessary regarding improving the health-promoting lifestyle, especially in the field of physical activity and nutritional habits while removing health promotion lifestyle barriers among students, especially medical students
Mahya Torkaman, Naval Heydari, Maryam Kamali, Mohammad Hosein Fadaei,
Volume 9, Issue 2 (9-2019)


Background: Occupational stress can have seriously negative effects on the physical, psychological, and economic dimensions of nurses working in the intensive care units (ICUs).

Objectives: Thus, this study was conducted to determine occupational stress in nurses who work in ICUs.

Methods: This cross-sectional study was carried out on 120 nurses in three hospitals in Kerman, southeastern Iran. Data were gathered by Socio-Demographic Information and Osipow Occupational Stress questionnaires.
Results: The mean of occupational stress and all its constructs were at the moderate-high level. The highest mean score was related to role overload (37.11±3.63) while the lowest mean score belonged to role boundary (30.32±3.66). No statistically significant differences were found between the mean of occupational stress and participants’ characteristics.
Conclusion: Considering the moderate-high level of occupational stress in ICU nurses, we recommend hospital authorities to take appropriate measures to prevent and manage stressors in ICU nurses to improve the quality of care and patients’ satisfaction

Nasrin Jafari Varjoshani, Azar Avazeh, Samaneh Alizadeh, Koorosh Kamali,
Volume 10, Issue 3 (8-2020)

Background: A health-promoting lifestyle (HPL) can affect a person’s quality of life (QOL) and prevent many diseases.
Objectives: The QOL and HPL of teachers and nurses are of great importance because of their influence on the community health and education of the new generation. The present study aimed to determine and compare the HPL and QOL of nurses and teachers in Zanjan, Iran in 2018.
Methods: This descriptive, comparative, cross-sectional study was performed on 395 teachers of governmental schools, who were selected by cluster sampling, and 182 nurses, who were selected by census sampling. Data were collected using a demographic questionnaire, health-promoting lifestyle profile (HPLP II) questionnaire, and 36-item short-form health survey (SF-36) questionnaire. Data analysis was conducted in SPSS version 16 by measuring descriptive statistics (absolute and relative frequency, mean, and standard deviation) and inferential statistics (Kolmogorov-Smirnov test, Levene’s test, and independent t-test).
Results : The results showed that most of the teachers were male (62.5%) and married (63.8%) with a bachelor’s degree (70.1%), while the majority of nurses were female (83%) and married (87.4%) with a bachelor’s degree (100%). Based on the findings, the HPL of nurses and teachers was rated as moderate (40.5% and 48.1%, respectively). Also, the QOL of nurses and teachers was at a moderate level (44.6% and 52.4%, respectively). Finally, the mean QOL and HPL were lower in nurses as compared to teachers (P<0.01).
Conclusion: The present results revealed that having knowledge is not necessarily associated with good performance. The QOL and HPL were moderate in both teachers and nurses, even nurses had a lower QOL and HPL than teachers. Overall, awareness of the importance of healthy behaviors does not always lead to improved self-care. Therefore, it is suggested to pay more attention to the improvement of occupational conditions, besides QOL and HPL of these two groups, especially nurses

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