Showing 13 results for Azam
Mr Moradali Zarei Pour, Mr Hasan Eftekharardabili, Mr Kamal Azam, Mr Ehsan Movahed,
Volume 9, Issue 1 (8-2012)
Abstract
Background and Objective : Mental health of adolescents largely depends on family welfare. In secondary school period, most of teenagers’ talents can emerge and at the end of this time, they acquire social skills and independent identity. We aimed at evaluating the mental health and its relationship with family welfare in pre-university students in Salmas city.
Material and Methods : The subjects of this cross-sectional study were 160 pre-university students selected via stratified random sampling, based on gender. We collected the data by standard GHQ-28 and research-made family welfare questionnaires, and analyzed by chi square and logistic regression, using SPSS software.
Results: Based on the results, 48.9% of girls and 35.7% of boys are suspected to have mental disorder. The percentage of mental disorder among Students whose family welfare are excellent, intermediate and poor is 22.2%, 48.8% and 61.1%, respectively. Using chi square, there is significant relation between variables such as living with parents, maternal education, parental cohabitation, number of family members and all aspects of family welfare and mental health (p<0.05). By performing logistic regression, using Backward method, significant relationship is shown between mental health and variables such as gender, maternal education, parental cohabitation, leisure activities , economic status and family facilities (p<0.05).
Conclusion: The relationship found between mental health and family welfare is needed to have appropriate policies of government and family, in the form of welfare and leisure activities, to improve adolescents’ well-being.
Keywords: Mental health, Family welfare, Adolescent, GHQ-28 Questionnaire
Esmaeil Mohammadnejad, Seyyedeh Roghayeh Ehsani, Amir Salari, Azam Sajjadi, Ayeshe Hajiesmaeelpour,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective : Drug administration is considered an important aspect of patient care process and reporting the errors is needed to maintain safety. We aimed to investigate “Perspectives of Nurses about refusing to report the medication errors in Emergency Ward”.
Material and Methods : In this descriptive study, 94 Emergency nurses were recruited by census in 2011-2012. The instrument was a researcher-made questionnaire including demographic data and questions related to the causes and factors affecting the reporting of medication errors. Using SPSS-16 software, the data was analyzed by applying descriptive and inferential statistics.
Results: The nurses who did not report medication errors are 72%. The most common type of medication errors are infusion rate(33.3%) and wrong- drug dosage (23.8%). The most important reasons of medication errors are shortage of nursing staff (47.6%) and lack of pharmacological information (30.9%). Most common reasons for refusing to report the medication errors are fear of its negative effect on financial advantages, inappropriate or negative attitude of managers toward reporting errors and lack of importance of reporting from nurses י perspective.
Conclusion: Considering the high rate of refusing to report, it is needed to be created some appropriate conditions to enhance the rate of reporting and removing the barriers. Nursing managers should have positive reaction to nurses’ reporting.
Atefeh Vaezi, Azam Dabirian, Malihe Ameri, Dr Amir Kavosi,
Volume 10, Issue 2 (10-2013)
Abstract
Background and objective: Contribution is the main element in inter-professional relationship between the nurse and physician, requiring collaborative relationship and sharing information to reach a common therapeutic goal. the collaboration between the nurse and physician in clinical decision-making is a necessity for high-quality care in hospitals.This study aimed to determine nurses' perspective about collaboration in clinical decision-making.
Material and Methods: This descriptive study was conducted on the nurses selected by convenience sampling and inclusion criteria in state, private and social well-fare hospitals, 2011. The data was collected by a questionnaire including demographic and nurse-physician collaboration questions, whose validity and reliability were evaluated by content validity and test re-test. Descriptive statistics such as frequency mean and standard deviation was used.
Results: The results showed that the samples (76.5%) were females, aged between 30 and 39.5(58.3%), BSc of nursing (93.5%), contract employment (53.8%) and 5-9 year record of services (50%). The viewpoint of the nurses about collaboration in decision-making was moderate (70.8%), good (7.5%) and weak (14%).
Conclusion: Based on the results, a few nurses are satisfied their collaboration with physician in decision-making. It seems that the nurse-physician contribution in therapeutic procedure got the highest point, and absence of opportunity in giving comment got the lowest score.
Soheila Esfahankalate, Seyedeh Maryam Hasheminsab, Azam Esfahankalate,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: It is imperative that the application of appropriate educational methods is of paramount importance to nutrition knowledge and health of pregnant women. Hence, this study aimed at investigating the effect of lecture and group discussion on improving pregnant women's awareness.
Material and Methods: This peri-experimental study was conducted on 110 pregnant women selected via cluster random sampling in eight villages of Gorgan, Iran, in 2009. They were allocated to two groups of lecture (n=52) and group discussion (n=36). The instrument was researcher made awareness questionnaire, consisting of 22 questions, whose reliability was confirmed by Alpha Cronbach (0.647) for data analysis, we used Pearson correlation, pared t test and t-dependent.
Results: The mean age of lecture group was 24.65± 5.13 and that of group discussion was 23.56± 14.48. the educational level in 86.5% of lecture group and 94.4% of group discussion was at the level of middle school. There was no significant relationship between lecture group and group discussion. Furthermore , both groups had not any significant correlation with variables such as gestational age, pregnancy history and education level.
Conclusion: Given that the current training programs in health system are adequate, it is a necessity to motivate and promote healthy behavior in pregnant women.
Hamid Momeni, Ashraf Salehi, Abolfaz Seraji , Dr Akram Sanagoo, Azam Karami, Marzei Mirshekari, Leila Mirshekari,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: The assessment of Patient satisfaction with the care given by nursing students in clinical setting can be helpful in the development of a scientific and practical training. Thus, we aimed to determine patient satisfaction with the care given by students in clinical setting.
Material and Methods: This cross-sectional study was conducted, in 2010, on 1560 inpatients in four hospitals of three provinces (Markazi, Lorestan and Charmahal Bakhtiari) via a questionnaire consisting of two parts of demographic characteristics with 15 questions and patient satisfaction with 30 questions. Given the range of 30-150, the score of more than 90 was considered having satisfaction. The data was analyzed by Mann-Whitney test and Pearson, using SPSS software.
Results: Results showed that 73.2 were satisfied and 26.8 percent were dissatisfied. The satisfaction level was not the same in different health centers in that the satisfaction in lorestan province was higher than that of Chahar Mahal, Bakhtiari province and Markazi province (P=0.001).
Conclusion: The resuls show that the patients are satisfied the care given by nursing students, but 26.8% of the patients are not satisfied with.
Mahshid Moeinimehr, Azam Foroghipour, Sabihe Shokrani, Shadi Goli, Dr Bahram Soleymani,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Depression and preeclampsia have an effect on both mother and fetus. Hence, we aimed to assess depression during pregnancy and preeclampsia in third trimester of pregnancy.
Material and Methods: This cohort Study was conducted on 966 pregnant women, who were multigravida and 18-35 years, referring to three prenatal care centers. Using convenience sampling, the data was collected by Patient Health Questionaire-9 and analyzed by chi square, Mann-Whitney, Logistic Regression.
Results: Of 966, 70.1% were depressed and 29.9% were not depressed. The relationship between depression and preeclampsia was significant (P=0.017, adgusted OR=2.99). In 9.32 percent of preeclamptic patients, 91.68 suffered from mild depression in 8.33 percent of them, 91.67% from moderate depression and in 33.33 percent of the preeclamptic patients, 66.67 % suffered from moderate-severe depression.
Conclusion: Given that dpression may lead to preeclampsia and the intensity of depression is related to preeclampsia, early recognition and treatment of depressed women can be helpful in the management of preeclampsia.
Azam Evin , Farnoosh Khojasteh , Hossein Ansari ,
Volume 17, Issue 0 (Supplementary 2020)
Abstract
Background: Introduction: Since birth, a stressful experience, self-efficacy and self-confidence play an important role in mother's perception of delivery. Today, yoga is used to control anxiety and increase the sense of self-efficacy in different areas. The purpose of this study is to determine the effect of yoga on the self-efficacy of primiparous women.
Methods: This randomized clinical trial was conducted in 2017 on 60 primiparous women aged 18-40 and referred to Zahedan health centers. The participants were randomly assigned to two groups of intervention and control. During the weeks 26-27 of pregnancy, 30 mothers of the intervention group, received 12-15 sessions of Yoga exercises and 30 mothers of control group received normal care. Data were collected using a demographic an self-efficacy questionnaires. The pre-test was completed at week 26 and post-test at weeks 34-36 with two weeks in between; the data was analyzed using paired t-test Mann-Whitney and chi-square tests, linear regression tests and SPSS 16.
Results: The mean of self-efficacy score before intervention in the experimental and control group was (78.43 ± 24.7) and (62.69 ± 21.74) and after the intervention (124.45 ± 13.26) and (16.33±92.75) respectively, and (P=0001).
Conclusions: After the intervention, the mean of self-efficacy increased. It seems that Yoga has been used to increase self-efficacy of primiparous women in the second and third trimesters.
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.
Parvaneh Khorasani , Azam Tangestani , Maryam Maroufi,
Volume 19, Issue 1 (1-2022)
Abstract
Background: One of the main responsibilities of the parents is training toddlers how to control urination. Developmentally Appropriate Practice (DAP) is a useful method of toilet training for children. Video modeling is an important tool for teaching new motor skills to both children and adults. The purpose of this study was to determine the effect of Toddlers’ Daily Toilet Training (TDTT) based on DAP on duration of toilet training in toddlers.
Methods: This quasi-experimental field trial was conducted in healthcare centers of Isfahan, Iran, in 2018-2019. Overall, 130 pair of mothers and their 18-24 months old infants were recruited using multi-stage sampling. The subjects were then divided into a control (n=75) and an intervention (n=55) group by random assignment. At the beginning of the DAP-based approach, the subjects were assessed every 2-4 weeks in terms of readiness for toilet training by using the Child and Mother Readiness Assessment Checklist. After achieving 80% score in the checklist, the mothers in the intervention group participated in TDTT program, while the control group received no intervention. For both groups, another checklist was completed every two weeks to determine toilet training duration and time to achieve urination control. Data analysis was carried out in SPSS18 software using the independent t-tests, Chi-square test, and Mann-Whitney test at significance level of 0.05.
Results: The mean duration of daily urination control in the control group (43.6±22.58 days) was significantly longer than in the TDTT group (28.71±12.12 days) (P=0.02). The age of readiness in both group ranged from 21 to 27 months. The duration of urination control was significantly associated with the mother's level of education (P=0.04) but inversely related to the age of achieving readiness (P=0.03) and the mother's employment status (P=0.05).
Conclusion: Based on the results, the TDTT program using video modeling and the DAP approach is effective in shortening the duration of toilet training in toddlers.
Azam Hokmabadi, Elham Khoori , Mahin Tatari, Sandy K. Wurtele ,
Volume 19, Issue 2 (9-2022)
Abstract
Abstract:
Background: Parents play important roles in protecting their children from child sexual abuse (CSA). In Iran, mothers have been shown to effectively improve and maintain female children’s protective behaviors and knowledge regarding CSA. This study aimed to determine the effect of personal safety education for mothers in Gorgan (northeastern Iran) on their sons’ knowledge and skills for the prevention of CSA.
Methods: This clinical trial was conducted in 2019 on 46 preschool-aged boys and their mothers. Eligible subjects were recruited by systematic random sampling from two health centers in Gorgan. Boys were pretested using Persian versions of the Personal Safety Questionnaire and ’What If’ Situations Test and then randomly assigned to either an education group (mother-taught program) or a control group. Mothers assigned to the education group participated in a 2-hour training session and were given the Body Safety Training workbook to teach their sons during the following week. Two days after the training by their mothers, boys in both groups were post tested and also followed up one month later. Data were analyzed in SPSS software (version 16) by using repeated-measures ANOVA, general estimation equation, Mann-Whitney U test, and Fisher’s exact test.
Results: Children taught by their mothers demonstrated significant increases in the mean scores of knowledge (P=0.001), total safety skills (P<0.001), and appropriate-touch recognition (P=0.005). These increases were maintained at the one-month follow-up. Children in both groups recognized almost all inappropriate-touch requests correctly at all three time periods (P=0.99).
Conclusion: Educated mothers effectively taught their young sons skills and knowledge to protect from CSA, and these gains were maintained for one month. Although all participants were able to recognize inappropriate-touch requests, boys did not recognize that requests to touch the genitals are appropriate for health or hygiene purposes until they were educated by their mothers. In Iran, parents teach children that any touching or looking at their private parts by anyone is forbidden.
Azam Zarneshan, Naser Safaie, Leyla Esmealy, Babak Esmealy,
Volume 19, Issue 2 (9-2022)
Abstract
Background: Anxiety is commonly experienced by patients undergoing coronary artery bypass grafting (CABG), which is also closely related to the recovery of patients. This study aimed to determine effect of stretching combined with a slow deep breathing exercise (S+SDBE) on anxiety of patients after CABG.
Methods: In this randomized clinical trial, 50 eligible patients (aged 45-65 years) were randomly divided into experimental (n=25) and control (n=25) groups. The exercise program was performed by the experimental group in the morning and afternoon for 6 days. The patients in the control group received only routine care from the hospital. The Faces Anxiety Scale was used for assessment of anxiety. Data were analyzed using non-parametric tests at a significant level of 0.05.
Results: Data from 48 patients (35 males and 13 females) were analyzed. The mean age of the patients was 59.66 ± 4.1 years. The mean anxiety scores decreased significantly in the experimental group in the morning and afternoon compared with the control group (P<0.05). The anxiety scores differed significantly between the two groups in the morning of days 5 (P=0.025, effect size d=0.32) and 6 (P=0.017, effect size d=0.34) and in the afternoon of days 4 (P<0.001, effect size d=0.51), 5 (P<<0.001, effect size d=0.53), and 6 (P<<0.001, effect size d=0.61).
Conclusion: Based on the results,S+SDBE can be applied to decrease patients’ anxiety after CABG.
Azam Mohammadi Sangsari , Ghanbar Roohi, Zahra Sabzi, Ali Akbar Abdollahi , Naser Behnampour ,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.
Azam Shirinabadi Farahani , Ali Omidi , Reihane Moghimian Shahrbabaki, Fatemeh Akbari Arjestan , Mohammadamin Jandaghian-Bidgoli, Zohreh Makarem ,
Volume 21, Issue 3 (10-2024)
Abstract
Background: Mandala Coloring and Playing are distraction strategies to reduce the anxiety level in children. However, their effects are inconsistent and have received little attention for the management and prevention of anxiety in hospitalized children. The main objective of this study was to compare the effect of distraction strategies of Mandala coloring and playing with Lego on reducing preoperative anxiety in pediatric patients undergoing surgeries.
Methods: The study was designed as a randomized, single-blind, tree-arm, parallel-group controlled trial. There were 96 children aged 6 to 18 years who were admitted to the pediatric surgery ward in Mofid Children's Hospital in Tehran-Iran. Simple randomization was used for choosing the participants for dividing them into two intervention groups and one control group. The interventions (Mandala Coloring and Playing with Lego) lasted 15-20 minutes in Mandala and Lego groups. In the control group, they received care according to the ward’s routine procedure. Anxiety as the main outcome variable was measured using the State-Trait Anxiety Inventory in two stages (before the intervention and immediately after the intervention) for children. Analysis of variance was used to compare the means in the three groups, and Tukey’s post-hoc test was used to assess the significance of differences between pairs of group means.
Results: Less state anxiety was observed after the intervention in the Lego group compared to the Mandala group (-4.69 ± 7.58, P =0.094). The data also revealed significant differences before and after the intervention in the Lego group in terms of preoperative trait anxiety (35.84 ±10.25 and 34.38 ± 8.89, respectively, P = 0.038).
Conclusion: The results demonstrated that playing with Lego and Mandala coloring, compared to the control group that received care, according to the ward routine procedure, had an effective role in reducing preoperative anxiety in children; however, playing with Lego had the most effect on decreasing anxiety state in children.
