Showing 24 results for Health
Alireza Heydari, Mohammad Javad Kabir, Ashrafi Babazadeh Gashti, Nahid Jafari, Mansoureh Lotfi, Mohammad Aryaei, Mohammad Reza Honarvar, Mohammad Ali Pourabasi, Maryam Iri,
Volume 2, Issue 2 (10-2014)
Abstract
Background & Objective: Job satisfaction Increases individual efficiency and commitment to the organization, ensuring the physical and mental health, life satisfaction and accelerate the learning of new skills on the job. The aim of this study was to determine the status of health professionals› satisfaction in the Golestan province.
Method: In this cross- sectional study, 1,275 health workers of Health centers in the Golestan province in the year 1391 were participated using the census method. Data was collected using Herzberg job satisfaction questionnaire. The data were analyzed using SPSS software, ANOVA and t-Test at the significant level of 0.05.
Results: Job satisfaction in terms of staff maintenance and support and given the potential and experience of individuals in granting liability were at dissatisfied level, In terms of corporate communications, career development, salary and benefits, challenges and job management, at relatively dissatisfied and from the aspect of social acceptance level was at relatively satisfied. Job satisfaction was significantly associated with work experience (P=0.049), ethnicity (P=0.009) and city of service location (P=0.001).
Conclusion: Due to poor job satisfaction levels, effective actions should be taken to improve organizational communication, career development, salary and benefits, social acceptance, staff maintenance and support, management, Job challenges, and granting responsibilities based on the ability and experience of the individuals.
Fatemeh Bagheri, Hakimeh Alizadeh Majd, Zahra Mehrbakhsh, Majid Ziaratban,
Volume 2, Issue 2 (10-2014)
Abstract
Background & Objective: Prediction of health status in newborns and also identification of its affecting factors is of the utmost importance. There are different ways of prediction. In this study, effective models and patterns have been studied using decision tree algorithm.
Method: This study was conducted on 1,668 childbirths in three hospitals of Shohada, Omidi and Mehr in city of Behshahr. Variables such as baby's gender, birth weight, birth order, maternal age, maternal history of illness, gestational diseases, type of delivery, reason of caesarean section, maternal age, family relationship of father and mother, mother's blood type, mother's occupation and blood pressure and place of residence were chosen as predictive factors of decision tree categorization method. The health status of the baby was used as a dependent dual-mode variable. All variables were used in clustering and correlation rules. Prediction was done and then compared using 4 decision-tree algorithms.
Results: In the clustering method, the optimal number of clusters was determined as 8, using the Dunn index measurement. Among all the implemented algorithms of CART, QUEST, CHAID and C5.0, C5.0 algorithm with detection rate of 94.44% was identified as the best algorithm. By implementing the Apriori algorithm, strong correlation rules were extracted with regard to the threshold for Support and Confidence. Among the characteristics, maternal age, birth weight and reason of caesarean section with the highest impacts were found as the most important factors in the prediction.
Conclusion: Due to the simple interpretation of the decision tree and understandability of the extracted rules derived from it, this model can be used for (most individuals) professionals and pregnant women at different levels.
Afshin Salahian, Hasan Gharibi, Neda Malekpour, Noshin Salahian,
Volume 3, Issue 2 (10-2015)
Abstract
Background and objective: According to the high and increasing prevalence of internet addiction, and the fact that little research has been done on the predictors of internet addiction in Iran, the purpose of this study was to examine the role of predictor variables of mental health and personality subscales in internet addiction of students in medical and non-medical universities of Sanandaj in 2014.
Methods: The Method of this research was correlation and the statistical population were all of medical and non-medical students of Sanandaj Universities in 2014. In this study, 250 students (125 female and 125 male), were randomly selected, and completed the checklist of mental health symptoms, NEO personality questionnaire, and internet addiction questionnaire. Data were analyzed using Pearson Correlation, stepwise regression, and T test by SPSS software version 20.
Results: The results indicated that obsession-compulsion, openness, consciousness, aggression and somatization subscales had predictor roles in internet addiction, and totally 51 percent of variances predicted the internet addiction (F=29.97; P=0.001).
Conclusion: The internet addiction of university students is dependent upon their mental health and personality, and one can predict the internet addiction of students via subscales of mental health and personality.
Soheila Meimanat Abadi, Dr Fazlullah Ghofranipour, Dr Faegh Yousefi, Farhad Moradpour,
Volume 4, Issue 1 (5-2016)
Abstract
Background and Objectives: Damages caused by accidents are accounted as a major cause of death for children under 5 years old. To design preventive programs, health education theories could be employed. This study aimed to determine the effect of educational intervention based on health belief model on the damage caused by accidents in children less than 5 years in 1392 in Qorveh city.
Methods: The present randomized field trial study was conducted on 120 mothers with children less than 5 years who were supported by four different health centers. These centers were randomly divided into two groups of intervention and control. The effect of intervention was investigated using a standardized questionnaire including 85 items of health belief model structures. The questionnaires were completed using interviews by trained interviewers. Statistical analysis was done using SPSS 19.0, independent and two-tailed samples t-test.
Results: We found that there were positive and significant differences in terms of knowledge, intensity, perceived barriers and self-efficacy between two groups after intervention (P<0.05). Average differences before and after the intervention and the average scores were significantly different in all cases (P<0.05). There was a significant difference regarding the mild injuries among children under five years between the two groups after intervention (P=0.023).
Conclusion: Our results showed that education on the basis of health belief model, as one of the theories of health education, has positive effects on the promotion of safety knowledge, attitude change and improving the function of mothers over damaged children lower than 5 years and consequently the promotion of health and safety among children.
Raziye Sadat Hosseiny, Masoume Alijanpour Agha Maleki, Shahram Etemadifar, Hossein Rafiei,
Volume 4, Issue 1 (5-2016)
Abstract
Background and Objectives: Human is a multidimensional creature and spiritual domain is the central dimension which has an undeniable effect on gaining health. The most important part of nursing care with family based approach is to help people in achieving optimal level of health. On the other hand, religious attitudes and spiritual health is an important domain of life in ageing period. Therefore, this study was conducted to assess the religious attitudes and spiritual health among elderly inpatients in Shahrekord hospitals.
Methods: This descriptive correlational study was conducted in 1392 in Shahrekord hospitals. A total of 308 geriatric patients who were admitted to a surgical ward, were recruited through random sampling. Two sets of questionnaires regarding religious and spiritual health were used as the instruments. After collecting the data, descriptive (frequency, mean, variance, standard deviation) and analytical (independent t test, Pearson correlation) statistics were used by SPSS statistical software.
Results: The results showed that 68.8% of patients possessed large religious attitude with an average of 140.68 ±30.14. Spiritual health in 51.3 percent of samples was described to be low while the obtained average score was 86.18 ± 16.61. However, Pearson test showed that there is a positive significant correlation between religious attitudes and spiritual health (r =0.83, P =0.05).
Conclusions: The present study revealed that there is a significant relationship between religious attitudes and spiritual health and people with high religious attitudes have high spiritual health.
Salimi Hadi, Parya Hoseinzadeh, Dr Eghbal Zarei, Zeynab Badal Poor,
Volume 5, Issue 1 (5-2017)
Abstract
Background & Objective: Health is undoubtedly on of the most important aspects of human life issues and various personal and family factors can have a key role in this issue. The aim of the present study was to predict physical and mental health among married teachers of elementary schools in Karaj city based on components of decision making and problem solving, family solidarity, expression of love and physical appearance.
Methods: The research method was descriptive-analytical. The statistical population included all married teachers of elementary schools in Karaj city in the academic year 2014-2015. 358 individuals were selected based on Morgan table using random cluster sampling. Health Survey Questionnaire (SF36), Dyadic Adjustment Scale (DAS), Samani Family Process Scale (SFPS) and Samani Family Content Scale (SFCS) were used to collect information. The data were analyzed using Pearson correlation and multiple regressions.
Results: Pearson correlation results showed that there was a significant relationship between physical and mental health with components of decision making and problem solving (r= 0/488, P< 0/05), family solidarity (r= 0/474, P< 0/05), expression of love(r= 0/356, P< 0/05) and physical appearance (r= 0/409, P< 0/05). Results of multiple regression showed that components of decision making and problem solving with value %23.7, family solidarity with %18.3, expression of love with %12.6 and physical appearance with %12.8, in total consist %30 of physical variance and mental health.
Conclusion: Decision making and problem solving, family solidarity, expression of love and physical appearance could be used to predict the physical and mental health. By improving these factors the physical and mental health in family members could be increased.
Fatemeh Karimimanesh, Dr Mohammad Davarpanah Jazi, Dr Nooshin Mohammadifard,
Volume 5, Issue 2 (10-2017)
Abstract
Background & Objective: Health databases contain a large amount of clinical data. Investigating the relationships and patterns in these databases can lead to new medical knowledge. Nutrition indicators are designed to evaluate the dietary quality in communities. Metabolic syndrome is a set of risk factors which may increase the risk of heart disease. Inappropriate diet is one of the most important factors in the occurrence of metabolic syndrome. The health industry is constantly producing a large amount of data in medical areas which requires a technique to disclose useful information and important relationships. The aim of this study was to compare the dietary diversity score (DDS) with healthy eating index (HEI) in terms of nutrient intake and assessing the association with metabolic syndrome with the approach of data mining.
Methods: A total of 1019 teenagers between the ages of 11 to 18 years were enrolled in this study. Data were collected using a past 24-hour food frequency questionnaire (FFQ). Nutrition data collection and determination of anthropometric characteristics and medical examinations were performed in Isfahan Cardiovascular Institute. Data were analyzed by TANAGRA data mining tool.
Results: Statistical, regression and classification techniques were used for data exploration. The average score of DDS was 3.98 ± 1.10, while the HEI average was 59.23 ± 8.84 and the prevalence of metabolic syndrome was 17.39%. The average of DDS provided a better nutritional value in comparison to HEI. HEI was more robust in controlling received energy and carbohydrates. DDS was not significantly correlated with any of the components of metabolic syndrome, while HEI was weakly correlated with high waist circumference. High quartiles of HEI could predict a lower risk of metabolic syndrome, while high quartiles of DDS can predict higher risk of metabolic syndrome.
Conclusion: The findings of this study revealed that the DDS score may result in better nutrition uptake while adhering to the HEI was more effective in reducing the risk of metabolic syndrome.
Fatemeh Bagheri, Mehdi Dehghan, Dr Majid Ziaratban,
Volume 5, Issue 2 (10-2017)
Abstract
Background & Objective: Major management decisions in organizations not only in the present but also in the future have a profound impact on different aspects of the organization. A slight mistake in making decisions may lead to the loss of resources of the organization, including financial and human resources. In the present study, we evaluated the problem of choosing the most convenient location for the construction of hospitals and health centers as one of the most important issues in the field of health. Regarding the numerous factors in decision making and the myriad of possible solutions to this problem and also disability of human in solving such problems, a genetic optimization algorithm has been used to calculate the best location for the construction of hospitals.
Methods: This study was simulated according to the actual conditions which may exist in a city. Given the existence of a city with N × N dimensions and having several hospitals and health centers in the city, the issue was raised for the construction of three hospitals. Important factors which could influence the decision making were health status, referring times and land prices. Furthermore, the most proper locations for the construction of three hospitals were calculated using the genetic algorithm.
Results: Three characteristics including the level of health, referring times and land prices were randomly assigned to all urban areas. The coordinates of available health centers in the city were also identified. Another point was the lack of proximity of hospitals in the city. Setting the threshold of 0.2 units for the minimum distance between hospitals (current and new), this restriction was applied. After performing the algorithm with the governing conditions, three optimal points were found.
Conclusion: Considering the importance of locations for the construction of hospitals and health centers in the city and the existence of various factors for selecting the most appropriate place, application of strategies and algorithms which may be helpful in finding the best solution among the myriad of solutions in inevitable. According to the fact that human beings alone or by simple mathematical methods are not capable of taking all the features together and examine the search space to find the best result, we achieved the best solution in the city by setting the parameters of the genetic algorithm and taking into account all important factors.
Dr Babak Moeini, Hamid Abbasi, Maryam Afshari, Morteza Haji Hosseini, Soheila Rashidi,
Volume 6, Issue 1 (3-2018)
Abstract
Background and objectives: Admission to university is an important event in the life of youth in every country. Homesickness is one of the most significant issues faced by university students during their education life. The present study aimed to determine the association between homesickness, happiness and the related factors in the dormitory students in Hamadan University of Medical Sciences, Iran.
Methods: This cross-sectional, descriptive-analytical study was conducted on 387 dormitory students at Hamedan University of Medical Sciences in Hamedan, Iran during February-March 2015. Subjects were selected via stratified random sampling with proportional allocation. Data were collected using self-report and using demographic and contextual questionnaires, Fenfelit homesickness questionnaire, and oxford happiness questionnaire. Data analysis was performed in SPSS version 23 using Pearson’s correlation-coefficient and general linear model (GLM) at the significance level of 0.05.
Results: The mean score of homesickness in both genders had a significant difference (P=0.009). In addition, the mean score of happiness differed in terms of economic status. Homesickness was negatively correlated with the happiness score, so that increased homesickness was associated with reduced happiness. Variables of homesickness, age, internet use, maternal education, health status, economic status, and education level could significantly predict happiness.
Conclusion: Mental health of students in dormitories is of paramount importance. Therefore, interventions and preventive programs must recognize the causes of happiness, and appropriate interventions should be developed and implemented based on the influential factors in this regard.
Somayeh Mashmouli , Soheila Mashouf, Simin Esmaeilpour Zanjani,
Volume 6, Issue 2 (6-2018)
Abstract
Background & Aim: As the most important assets of each organization, employees face numerous challenges, which can have adverse effects on the quality of their work life and productivity, physical and mental health, well-being, and different dimensions of their health-related quality of life. This study aimed to evaluate the relationship between health literacy and health-related quality of life and work life quality of the employees in Golestan University of Medical Sciences, Gorgan, Iran.
Materials and Methods: This cross-sectional research was conducted on 285 individuals working in the departments of Golestan University of Medical Sciences. Subjects were selected through proportionate stratified random sampling. Data were collected using Walton Standard Health Literacy Questionnaire, as well as Quality of Life and Work Life Quality questionnaires. In addition, data analysis was performed in SPSS version 16 using descriptive indicators (frequency, mean and standard deviation) and inferential statistics (ANOVA, Tukey’s test, and Pearson’s correlation).
Results: In this study, the mean age of the participants was 36.1263 years. According to one-way ANOVA, a significant difference was observed between the age groups and their health literacy level (P=0.04). Moreover, a significant association was found between health literacy and all aspects of health-related quality of life and work life quality of the participants (P=0.001).
Conclusion: In the present study, the lowest score of quality of work life was related to fair payment, which showed the importance of more attention to this area by authorities and managers of universities.
Roohollah Gholikhani, Farbod Ebadi Fard Azar, Mohammad Javad Kabir, Mohammad Mehdi Tadayon,
Volume 6, Issue 4 (12-2018)
Abstract
Background & Objctives: With regard to unclear government approach in the insurance sector, multiplicity of rules, high share of households, improper population coverage and lack of cost-effective interventions, this study aimed to analyze the current status of basic health insurance in Iran and its distance from the desirable status according to upstream documents. In addition, we attempted to propose a strategy in this regard.
Methods: This qualitative research was performed in 2017 in four stages of analysis of the current status of upstream documents and laws, round-table discussions of policy-makers, and presenting political options. In total, 20 subjects were selected by targeted sampling method with maximum diversity and based on the saturation rule. Data were collected by document analysis and interviews with authorities. Moreover, data were analyzed applying content analysis and the deductive approach.
Results: The results were classified into five areas of population coverage, financial resources management, financial protection of insured individuals, strategic purchasing, policy-making, and structure. There was a significant distance between the desirable status based on upstream documents and laws and the current status. Recommendations: eliminating conflicts of interest in decision-making areas, complying with the public interest in making health decisions, observing the principles of the evaluation of regulatory effects, and assessing the economic and social effects of health decisions.
Conclusion: Despite the successful global experiences, the recommendations of the World Health Organization, and the existence of several optimal structures, proper models must be considered by the health system of the country through observing the relevant mechanisms and necessities.
Fakhrosadat Hashemi, Farshad Tojari, Hamid Sajjadi Hezave, Abdolreza Amirtash,
Volume 9, Issue 1 (3-2021)
Abstract
Background and Objective: Research on how to participate in recreational sports and the factors influencing the choice of these sports are too meager in health areas. Therefore, the aim of this study was to analyze the effect of recreational sports development on health and Participation of students in sports activities.
Material and Methods: The present study is descriptive-correlative in terms nature, and is applied in terms of purpose. The statistical population of the study consisted of all university students in Bushehr city, from whom the study sample was picked based on stratified random selection (N=384). To collect data, a researcher-made questionnaire was used and the validity of the questionnaire was confirmed by twelve experts. Also, its reliability was calculated using Cronbach's alpha (r=0.91) and composite reliability. In order to analyze the data and examine the fit of the model, structural equation modeling was implemented using PLS3 and SPSS24 software (p≤0.05). The results of path analysis revealed that the development of recreational sports has a direct and positive correlation with physical health. Also, the effect of recreational sports development on students’ participation in sport was significant.
Results: The results of factor analysis showed that physical health, mental health, and physical fitness had a significant role in explaining the physical health variable. Also, social aspects, athletic interest and pleasure, athletic performance and athletic skill acquisition had a determining role in the sport participation variable.
Conclusion: According to the findings, it can be deduced that in the attention to and research on sport participation in health area, simply reliance on individual characteristics results in Halo error (based on behavioral theories), and to avoid it, it’s better to notice the effects of other variables, such as the athletic interest and pleasure, athletic performance, and athletic skill-acquisition.
Fahimeh Rashidi Maybodi, Farzane Vaziri,
Volume 9, Issue 3 (10-2021)
Abstract
According to recent studies, oral lesions associated with COVID-19, manifests in various forms which may be as inaugural symptoms for the onset of the disease. However, further investigations are needed to confirm their probable characteristic role in diagnosis of COVID-19. It should be also noted that any oral manifestation in COVID-19 must be considered to avoid neglecting oral changes with more lasting destructive effects such as necrotizing periodontal lesions.
Ghanbar Roohi, Gholam Reza Mahmoodi-Shan ,
Volume 9, Issue 4 (12-2021)
Abstract
Background and Objective: The performance of organizations depends on the motivation of each individual to help improve the quality of services. The present study aimed to assess the correlation between job motivation and the motivational priorities of the employees working in hospitals affiliated to Golestan University of Medical Sciences, Iran.
Material and Methods: This cross-sectional study was performed on 367 hospital staff of Golestan University of Medical Sciences in 2016 during nine months. The participants were selected via stratified sampling and simple random sampling using the standard situational motivation scale (SIMS) and Lawrence Lindal motivational priorities. Data analysis was performed in SPSS version 20 using descriptive and analytical statistics.
Results: The mean age of the employees was 26-50 years, and their mean work experience was 11-30 years. In total, 258 participants (68.1%) worked in medical wards. The key motivating factor in the staff was interest in the job (n=84; 19.8%), which was considered the first priority. In addition, a significant difference was observed between the mean job motivation and ethnicity (P=0.012). However, Spearman’s test showed no significant correlation between job motivation and motivational priorities, except for mutual understanding (P=0.049).
Conclusion: According to the results, job motivation was desirable in the studied hospital staff, and the factor of interest in the job was the foremost priority of the staff. Therefore, managers should pay attention to the influential factors in the motivation of their employees.
Ehsan Ameri, Ali Farhadi Mahali, Mojtaba Tabari, Alireza Matoufi,
Volume 9, Issue 4 (12-2021)
Abstract
Background and Objective: The rate of cesarean section has been increasing in many regions of the world, including Iran in recent years. Therefore, the seventh axis of the health system development plan was dedicated to promoting natural childbirth at hospitals of Iran to improve the health of mothers and infants and reduce the rate of cesarean section. The present study aimed to analyze the policy gap of the health system development plan in the axis of promoting natural childbirth.
Material and Methods: This cross-sectional, descriptive-analytical study was conducted in 384 employees, medical staff and physicians in the field of education, health and treatment at Golestan University of Medical Sciences using simple random sampling. The data collection tool included a 35-item researcher-made questionnaire. After confirmation of its validity by supervisors and advisors, its reliability was obtained to be 0.84 by Cronbach's alpha test, indicating the reliability of the questionnaire. We distributed and collected the questionnaires in 6 months from the September to the December of 2020, and analyzed data using SPSS 22.
Results: In the seventh axis of the health system development plan, there was a gap of
-0.004 between the current and desired status, indicating that the gap between the current and desired status was close to the center axis and in the field of cooperation in the statistical population of the study.
Conclusion: Implementation of a plan to promote natural childbirth was effective in reducing the rate of cesarean section and encouraging pregnant mothers to give natural childbirth but the effectiveness was not enough to achieve the goals of the seventh axis of the plan. Therefore, the factors, which caused the lack of cooperation between the executive departments of the University of Medical Sciences, must be eliminated for creating effectiveness.
Nazila Javadi-Pashaki, Mohammad Javad Ghazanfari, Sahar Miri , Samad Karkhah,
Volume 9, Issue 4 (12-2021)
Abstract
Decreased life expectancy is considered as a key indicator of human development. Obviously, the increase in mortality, especially in vulnerable groups such as older people, leads to a major disruption in the human development of countries. On the other hand, the destructive social and economic effects of COVID-19 on human life further reduce their life expectancy. Therefore, it is suggested that policymakers and health managers make appropriate decisions such as timely vaccination of older people, future treatment measures, and appropriate behavioral changes to control the disease and improve life expectancy among older people during the COVID-19 pandemic.
Nafiseh Mousavi Bazaz, Masoumeh Haghighi, Roya Boujaran, Vida Vakili, Mojtaba Mousavi Bazzaz, Gholamreza Haghighi,
Volume 10, Issue 1 (3-2022)
Abstract
Background and Objective: The young adults, especially the students of medical fields, as the health ambassadors of every community, play a vital role in health maintenance and improvement of society. Promoting the lifestyle behaviors of this group leads to the better health status of other society members. This study was set to asses the Lealth-promoting Lifestyle (HPL) of medical students in Mashhad, Iran.
Material and Methods: This descriptive cross-sectional study was performed on 120 medical students of Mashhad University of Medical Sciences in 2018-2019. The data were collected by the self-reported Persian version of HPL profile II which has been validated in former studies. SPSS package (version 20) was used to analyse data, and two independent samples t-test to compare data.sampling was done in two stages, including random selection of the classroom and the clinical ward, and then random selection of students in each.
Results: 50.2% of all participants were male in gender and 77.5% were single. The overall score of HPL profile II among all the participants was moderate. According to the scores of Health-promoting Lifestyle Behaviors (HPLB), stress management scored the highest (29.62±4.45), spiritual growth and physical activity were at the lowest levels (10.84±2.07 and 16.55±4.97, respectively). Two dimensions of HPLB showed a significant difference base on the gender of the participants (better physical activity in men (p-value= 0.04) and self-responsibility for health in women (p-value=0.05)). There was not a statistical difference between HPL subscales by the participants` marital status.
Conclusion: The HPL profile II total score is moderate, but not desirable; therefore, admitting appropriate programs for lifestyle improvement, especially in the field of mental development, physical activities and nutrition, regarding student gender is recommended. Our findings can attribute the health policymakers to develop the health programs among the students and adding related courses to the educational curriculum.
Sahar Miri, Samad Karkhah, Pooyan Ghorbani Vajargah, Amirabbas Mollaei, Atefeh Falakdami, Poorya Takasi, Amir Emami Zeydi, Mohammad Javad Ghazanfari,
Volume 10, Issue 1 (3-2022)
Abstract
Background and Objective: Since December 2019, the widespread outbreak of COVID-19 has led to a major public health issue worldwide. With the spread of the COVID-19 pandemic, a series of ethically challenging issues arose that put pressure on healthcare systems around the world. This narrative review aims to comprehensively review the literature focusing on ethical challenges and coping strategies about issues related to the healthcare system and social issues during the COVID-19 pandemic.
Material and Methods: This narrative review was conducted via international databases including PubMed/MEDLINE, Web of Science, and Scopus using keywords extracted from medical subject headings such as "COVID-19", "2019-nCoV disease", "2019 novel coronavirus infection", "Ethics", "Bioethical Issues", "Morals", "Coping Skills", "Coping Skill", "Coping Strategies", and "Coping Strategy" from December 2019 to January 2022.
Results: In general, ethical issues during the COVID-19 pandemic can be divided into two categories: 1) issues related to the healthcare system and 2) social issues. Issues related to the healthcare system can be divided into two categories: 1) lack of resources, equipment and facilities, and manpower, and 2) problems in patient care such as triage and informed consent. Social issues can be divided into four categories: 1) community engagement, 2) crisis management capacity in remote rural communities, 3) discrimination and health equity, and 4) vaccination. Coping with ethical challenges in crises such as COVID-19 requires changing health empowerment policies and strategies based on evidence-based research. On the other hand, overcome on these challenges requires interdisciplinary collaboration and fast efficient decisions.
Conclusion: Overall, the present study introduced ethical challenges and coping strategies during the COVID 19 pandemic. The experience gained from this pandemic can be considered by managers and policymakers of health care systems for coping with ethical challenges.
Tahereh Ziadlou, Ahmad Hajebi, Fahimeh Fathali Lavasani, Mohammad Reza Seirafi, Addis Kraskian Moujembari,
Volume 10, Issue 4 (12-2022)
Abstract
Background and Objectives: As a health emergency of the 21st century, Diabetes is associated with an increased risk of cardiovascular diseases, stroke, diabetic nephropathy, neuropathy, retinopathy, pregnancy complications, psychological problems, lower quality of life experience, as well as a high economic burden and high risk of premature death. This study aimed to develop psychological interventions headings for patients referring to healthcare service centers based on local needs assessment through content analysis method of experts' opinion to provide services in the primary healthcare system.
Material and Methods: This study was conducted on 19 mental health specialists, professors, and the health team providing services in healthcare service centers (family doctor and mental health expert) in 2018-19. The data obtained from the semi-structured interviews were analyzed using the directed content analysis technique.
Results: The essential finding themes related to the closed headings of psychological interventions in diabetes for improving disease management included "collaborative care," "psychological assessment," the importance of "diabetes coexistence with psychiatric disorders," "creating health behaviors," "self-management training," and "intervention" In crisis" for the management of type 2 diabetes.
Conclusion: This qualitative study was conducted with the participation of mental health experts. Therefore, the mentioned themes and categories can be used in developing the headings of psychological intervention programs for type 2 diabetic patients, focusing on the needs of Iranian patients and the structure of the health system.
Alireza Shirmohammadi, Farhad Vafae, Farshid Namamian, Mohammad Taban,
Volume 10, Issue 4 (12-2022)
Abstract
Background and Objectives: Little attention to sustainability in business, particularly in the healthcare sector, together with the absence of a model within acceptable limits for this purpose, were among the main objectives to design a business sustainability model for healthcare facilities (viz., hospitals and medical centers) in the present study.
Material and Methods: The qualitative meta-synthesis approach was implemented in this study, and the most significant factors shaping sustainability in business were identified. The statistical population included the articles, books, and research reports published and retrieved from the reliable journals and databases, between 2002 and 2021. Moreover, the experts, i.e., the university professors and specialists involved in healthcare at Ilam University of Medical Sciences, Ilam, Iran, were consulted. At this stage, snowball sampling was done based on the model proposed by Sandelowski and Barroso, until theoretical saturation was reached. In total, 26 articles were selected and finalized for the meta-synthesis. The Critical Appraisal Skills Programme (CASP) was correspondingly utilized to assess the quality of the study samples, and Cohen's kappa coefficient (κ) was employed to measure the validity of the extracted codes.
Results: The study findings demonstrated that the business sustainability model for the healthcare sector comprised of 3 categories (viz. environmental, social, and economic), 12 concepts, and 65 codes, with a very goodness of fit.
Conclusion: In sum, business sustainability in healthcare facilities could be achieved if all environmental, social, and economic components developed in the give model as well as the effective indicators within each category were taken into account.
