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Showing 13 results for Mohammadi

Ahad Alizade, Akbar Mohammadi , Hadi Hosseini, Mohammad Khadmloo,
Volume 3, Issue 2 (2-2014)

Background and Objectives: The aim of this study was to compare the viewpoints of medical and nursing students on development of telemedicine procedures at Mazandaran University of Medical Sciences. Materials and Methods: This was a cross-sectional study. Ninety medical students and 55 nursing students were selected using stratified random sampling in the first semester of 2011-2012. The studentschr('39') viewpoints on creation and development of telemedicine were measured using a questionnaire. The questionnaire included demographic section, and the studentschr('39') viewpoints on telemedicine and different telemedicine tools. The reliability of the questionnaire was assessed using the Cronbachchr('39')s alpha coefficient. Statistical tests were used to analyze the data including the t-test and ANOVA for quantitative variables and Mann-Whitney and Kruskal-Wallis and Chi-squared tests for qualitative variables. Results: There were significant relationships between information literacy and organizational factors with gender (P≤0.001). There were also significant relationships between the stakeholderschr('39') factors with gender and family location (P≤0.001). There were significant differences between the medical and nursing studentschr('39') viewpoints on the factor of stakeholders (p=0.029). Conclusion: Medical and nursing studentschr('39') viewpoints were similar except for the stakeholders factor. Community and family support for development of telemedicine tended to develop differences in the viewpoints of the students

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 Ghorbani, Maryam Shiri, Masomeh Mortaqhy Ghasemi, Parva Ansari, Fatemeh Mohammadi,
Volume 5, Issue 2 (2-2016)

Background and Objectives: Burning can cause pain, disability, and death, as well as physical, psychological, and economic consequences. Knowledge on epidemiologic characteristics of burn patients can help to plan appropriate preventive programs.

Materials and Methods: This was a cross-sectional study. Burn patients hospitalized in Ayatollah Mousavi hospital in Zanjan during 2010 to 2012 were studied. Data were collected and recorded through designed study forms; and were analyzed in the SPSS using the descriptive statistics and ANOVA and Fisher’s Exact Test.

Results: During the 2-year period, a total of 627 burn patients were admitted to the hospital. Most of the patients (64.1%) were male. Most of the burn patients (68.7%) were more than 14 year olds; and most (54.7%) were rural. Most of the patients (60.9%) had a second degree burn. Most cases were thermal burns (53.6%).

Conclusion: Our study showed that the majority of burn accidents occur in men over 14 years old. Preventive measurements and trainings are essential actions that should be placed through media, health centers,work place and schools to decrease burn accidents.

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.

Khalil Yosefi, Mohammadreza Dinmohammadi, Mahdi Moosaeifard, Soghrat Faghihzadeh,
Volume 7, Issue 2 (10-2017)

Background: Dialysis adequacy is one of the most important factors in determining the survival rate and mortality of dialysis patients.
Objectives: The aim of this study was to determine the dialysis adequacy of patients undergoing chronic hemodialysis at dialysis centers located in the province of Zanjan, located in northwest Iran.
Methods: This descriptive cross-sectional study was performed on 257 patients undergoing chronic hemodialysis with an available sampling method in 6 dialysis centers in the province of Zanjan. The hemodialysis sessions were performed for 3 to 4 hours using via synthetic filters and bicarbonate dialysate. To determine the adequacy of dialysis, serum BUN levels were assessed before and after dialysis. The standard software provided by the Ministry of Health was used to calculate the adequacy of dialysis and Kt/V was considered to be at least 1.2.
Results: The most common underlying causes of chronic dialysis were hypertension (41.2%) and diabetes mellitus (35.8%), respectively. Mean Kt/V and URR were 1.26±0.34 and 63.55±9.5%, respectively. The difference among these indexes was significant between men and women (p<0.05). Also, dialysis adequacy was significantly associated with increased dialysis frequency, blood flow rate, interdialytic weight gain, vascular access and dialysis shift (p<0.05).
Conclusion: Despite the relatively favorable dialysis adequacy among patients, this index is highly variable based on patient gender, the dialysis center, location, frequency of dialysis, blood flow rate, interdialytic weight gain, type of vascular access and dialysis shift. Therefore, serious attention and greater caution are recommended among the dialysis centers of the province

Zahra Kiani, Azar Aghamohammadi, Mandana Zafari,
Volume 7, Issue 4 (10-2018)

Background: Empowerment of women is considered to be a critical developmental strategy.
Objectives: Today, empowerment of women is not only a priority, but it also is an urgent need of women as a one of the most important populations considering their roles in the family and community. Social support and empowerment of women are regarded as an investment for future generations, which will result in sustainable development. The present study aimed to explore the association between the social support and empowerment of women with their reproductive decisions in the health centers in Sari, Iran.
Methods: This descriptive-correlational study was conducted on 400 women referring to the health centers in Sari, Iran in 2017. The subjects who met the inclusion criteria were selected via multistage cluster sampling. Data were collected using a demographic and reproductive characteristics questionnaire, multidimensional scale of perceived social support, and the questionnaire of women empowerment and reproductive behavior. Data analysis was performed in SPSS version 16.
Results: The subjects had a moderate level of empowerment in their reproductive decisions. On the other hand, favorable and poor empowerment levels were observed in the dimensions of cultural background and family planning, respectively. Furthermore, social support had a direct, significant correlation with the empowerment of women in reproductive decisions (P=0.001; r=0.34).
Conclusion: According to the results, the empowerment and social support of women are imperative issues that require special attention and investment considering the key role of women in promoting community health.
Mohammad Abdi, Shahram Piri, Robab Mohammadian, Maryam Asadi, Elmira Khademi,
Volume 8, Issue 2 (9-2018)

Background: Medication errors are considered to be the most significant safety threatening factors for the patients in hospital, to which many factors contribute.
Objectives: This study was conducted to determine the role of associated factors in the incidence of medication errors in the psychiatric ward of Razi Hospital in Tabriz from the perspectives of nurses in 2017.
Methods: In this descriptive cross-sectional study, we selected 150 nurses working in the psychiatric ward of Razi Hospital in Tabriz through random sampling method. The data collection instrument included a demographic and researcher-made questionnaire to assess the effective factors in the incidence of medication errors according to the perspectives of nurses. The data were imported into SPSS version 20 and analyzed via ANOVA and Chi-square tests.
Results: In this study, 95(63.3%) women and 55(36.7%) men with the mean age of 34.4±0.66 participated. The highest mean score for the causes of medication errors was related to the professional errors made by nurses (33.93±2.61) and the structure of the psychiatric ward (27.96±5.8). The change in Kardex during the transfer of the patient to other wards was the most significant cause of errors with a mean of 4.35±5.53. The mean score of medication errors was significantly different with that of the level of education, age, work experience, and employment types. However, it was not significantly different with that of gender, marital status, nurse job position, and shift work rotation.
Conclusion: Considering the incidence of the most common medication errors in the field of nursing careers and structure of psychiatric ward, we recommend that nurse managers increase the skills of medication administration through holding training courses and improve the physical conditions of the ward
Akbar Pourrahimi, Aida Sheykhlar, Mahnaz Keshvarz Afshar, Mohammad Abdi, Ali Aghajanloo, Sana Mohammadi, Fatemeh Bayat,
Volume 8, Issue 2 (9-2018)

Background: The highest prevalence of depression is observed in the elderly, and the cultural difference in each region causes a difference in the incidence of this disorder.
Objectives: Therefore, this study aimed to investigate the prevalence of depression and its associated demographic factors in the elderly with electronic health records in Zanjan during 2018.
Methods: A total of 400 elderly people with electronic health records participated in this descriptive cross-sectional study, who were selected by the cluster random sampling method from 18 urban community health centers of Zanjan. The data were collected using a demographic questionnaire and the geriatric depression scale(. Finally, data entered the SPSS software and analyzed utilizing descriptive statistics, as well as Chi-square, ANOVA, and logistic regression tests.
Results: The mean age of the elderly was 77.7±5.56 and 68.5% of them had some degrees of depression, including mild (40.5%), moderate (19.2%), and severe (8.8%) depression. Mild depression was more prevalent among younger adults while moderate to severe depression was common in older adults over 75. The results revealed that depression had a significant relationship with age and educational level while not having any significant relationship with sex, marital status, and the dwelling place.
Conclusion: Considering the high prevalence of depression among the elderly in Zanjan, health managers re suggested to prioritize educational programs and social support for this group of individuals and monitor the performance of supportive institutions such as insurance in this regrad. Eventually, they are recommended to pay attention to the geographical and cultural diversity of different regions of the country to reduce the elderly’s depression level.
Somayeh Pourrezaei, Mohammadreza Dinmohammadi, Asghar Jafari Rouhi,
Volume 8, Issue 2 (9-2018)

Background: Hypothermia is a common complication in trauma patients. Studies show that the management of hypothermia in trauma patients in the pre-hospital phase may be underestimated.
Objectives: The purpose of this study was to evaluate the effect of thermal care workshop on the staff readiness to manage hypothermia in trauma patients.
This quasi-experimental study utilized convenience sampling after obtaining the approval of the Research Ethics Committee and involved 60 qualified EMS staff who were divided into two groups including: intervention group (30 technicians) and control group (30 technicians). The intervention group received the treatment in the form of a workshop. Nonetheless, the control group did not receive any educational intervention. The data were collected before, immediately after and 45 days after the workshop to determine EMS staff readiness using a validated researcher-made questionnaire. In this study, the significance level was 0.5.Results: There was a significant difference between the posttest results of the control group and the intervention group (p<0.001). Moreover, in the intervention group, there were significant differences between the pretest results and the two posttest results (p<0.001). Finally, the readiness gained after the workshop lasted for 45 days.
Conclusion: The thermal care workshop enhanced the readiness of emergency medical personnel. The generalization of the results of this study is restricted due to the fact that random selection and random assignment of participants were not possible in the present study. It is recommended that more robust studies be designed to evaluate, prevent and manage hypothermia in trauma patients in the pre-hospital phase
Roya Mohammadi, Nasrin Jafari Varjoshani, Mitra Payami Bousari, Zeinab Ghahremani,
Volume 8, Issue 3 (12-2018)

Background: Renal failure is a chronic disease getting more prevalent nowadays.
Objectives: Since caring for the patients is expected to result in family functioning disorders, this study was done in Zanjan Province in 2019 to determine the extent of the hemodialysis patients’ family function.
Methods: This is a descriptive study. 199 patients undergoing hemodialysis treatment were selected through the stratified random sampling method. Data collection tools included demographic information questionnaire and McMaster Family Functioning Questionnaire. The data were analyzed by Kolmogorov-Smirnov test, descriptive statistics, independent t-test and Pearson correlation coefficient in the SPSS software version 25.
Results: About half of the participants were male (52.3%), married (76.4%), the family caretaker (56.3%) and urban dwellers (70.4%), having insufficient income per month (75.4%). 52.7% of the patients under study were more than 60 years old. The age group 20-29 (six percent) had the lowest frequency in the population of the hemodialysis patients under study. Furthermore, 15.1% of the participants had no health insurance coverage and there was no social support system backing 67.3% of the participants. All dimensions of family functioning, under this study, fell within the normal range. The mean scores of family functioning dimensions were lower in terms of problem solving dimension than in other dimensions (The problem solving dimension score equaled 1.88 within the range of 0–4) and families functioned better in this respect. Furthermore, the results proved significant statistical relationship between number of family members, sufficient family income, and the distance from the hemodialysis centers and being covered by the social support system on the one hand and some dimensions of family functioning on the other hand (p<0.05).
Conclusion: Regarding the study results, the healthcare system is suggested to provide social support for the patients and their families; furthermore, education of families is recommended in order to promote favorable performance.
Hojjat Torkmandi, Mojgan Firouzbakht, Amir Hossein Goudarzian, Ameneh Yaghoobzadeh, Hamid Sharif Nia, Mobin Mohammadinezhad,
Volume 8, Issue 4 (3-2019)

Background: Changes of body image following breast cancer is one of the factors affecting the quality of life of women with this disease.
Objectives: Thus, the factors affecting the body image need to be identified to improve their quality of life. Therefore, this study aimed to investigate the factors affecting the body image in Iranian women diagnosed with breast cancer.
Methods: In this cross-sectional study, 200 breast cancer women were participated using convenience sampling method during April to January, 2018. The data were collected using a demographic questionnaire and body image questionnaires after breast cancer (BIBCQ). The data were analyzed using Univariate and Multivariate linear regression in SPSS25 at a significance level of 0.05.
Results: The mean age of participants was 48.43 (SD=10.53). The results showed that the variables such as type of treatment (p=0.002), physical health (β=-0.49, p<0.001), economic status (β=-0.62, p<0.001), and quality of life (β=-0.41, p=0.003) had the predictability potential of the body image in those under mastectomy. Educational level (β= 0.22, p=0.02) and physical health (β=-0.25, p=0.01) factors could predict body image in people with no mastectomy.
Conclusion: The results of the study indicated that the improvement of the economic status has a positive effect on the body image of breast cancer. In addition, this factor can improve the quality of life in women who survive breast cancer.
Malihe Amerian, Serveh Mohammadi, Sanaz Fayazi, Marziye Faghani Aghoozi, Mina Malari,
Volume 9, Issue 1 (6-2019)

Background: Childbearing behavior refers to a family decision-making process among couples.
Objectives: The purpose of this narrative review is to summarize the determinants of decision-making process in the first childbearing of the couples.
Methods: The present narrative review study was conducted from 2000 to November 2017. We searched English and Persian articles on the databases of Request, CINAHL, Ovid, PubMed, and Medline using free-text words such as “related factor” and “time of the first child” and the keywords including “decision making”, “childbearing”, “factor influencing child bearing”, and “couples”. The inclusion criteria were the quantities studies regarding the determinants of decision-making process in the first childbearing or various related dimensions.
Results: The findings revealed four effective categories including individual, familiar, economic, and social factors. Each of these categories contained a wide range of age, age of marriage, quality of life, marital satisfaction, couples compromise, occupation, family income, educational level, and social support, which may overlap with each other probably due to the complexity of reasons for delayed childbearing.
Conclusion: Various factors may affect the process of family decision-making for the first childbearing among couples. Healthcare providers and policymakers should adopt an appropriate strategy to improve the socioeconomic and familial status of the couples to help them reach the desired number of children at a right time.
Fatemeh Mirmohammadi, Mohammad Ali Shah Hoseini, Hamid Reza Yazdani, Abbas Ebadi,
Volume 9, Issue 1 (6-2019)

Background: Job promotion is one of the most important issues in nursing profession.
Objectives: Although, it is more than one hundred years since the beginning of modern nursing education in Iran, numerous challenges still exist in professional promotion of clinical nurses. Barriers and facilitators of job promotion are important factors that should be considered for the individual development of nurses and efficiency increase of healthcare organizations. This study aims to identify and present factors influencing, barriers and facilitators of nursing job promotion in Iran.
Methods: This qualitative study was conducted in 2017 using individual semi-structured interviews with twenty-two experts in health and nursing management. The data were analyzed using content analysis based on Graneheim and Lundman method. The main questions of the interview included the following: “How is nursing job promotion done in your organization?” and “What are the barriers and facilitators of job promotion for nurses?”
Results: The findings were categorized into six themes and ten categories. Facilitators for job promotion among nurses included: development of an atmosphere for mutual growth and excellence, lifelong training program, exploring professional identity in healthcare team & society and fair compensation for the services, salaries and benefits. Meanwhile, wrong cultural beliefs and barriers, ineffectiveness organizational regulations were some barriers of nursing job promotion.
Conclusion: Nurses’ motivation is fluctuating due to empowering factors and barriers. Health systems certainly can institutionalize and perform nursing job promotion solutions through short and long-term planning on job promotion (such as compensation for the services, encouragement for nurses, organizational culture improvement, atmosphere change in society and organizational).

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