Bahram Aminmansour; Mehdi Shafiei; Masih Sabouri; Mehdi Mahmoodkhani; Mehrnaz Hematzadeh; Donya Sheibani Tehrani
Abstract
Background: COVID-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even ...
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Background: COVID-19 quickly spread around the world as an epidemic with potentially unknown hazards. Like its impacts on various occupations, neurosurgery has undergone changes due to the virus, including changes in surgical planning, inpatient and outpatient clinics, emergency management, and even academic activities.Objectives: The present study was performed to determine neurosurgery challenges during the COVID-19 pandemic in Iran.Methods: The present study was conducted as a mixed qualitative and quantitative study in 2021. In the qualitative section using the targeted sampling method, 11 members of the target community were selected using the available sampling method and completed a questionnaire. The qualitative part was conducted in two stages of reviewing texts and interviewing experts and in the quantitative part we evaluated the validity of the structure and the reliability of the questionnaire.Results: This study examined in detail all aspects of the effects of COVID-19 on neurosurgery. 9 dimensions and 61 items were identified as the challenges of neurosurgery during the COVID-19 pandemic. In order of importance, the aspects were: treatment outcome, manpower, management psychological and physical diseases, education and research, tools and physical space, ethics, financial implications and information technology.Conclusion: The outbreak of epidemics has different risks for specialties, among them neurosurgery. Accordingly, to observe patients’ right to treatment, all necessary measures were first taken to provide instructions, regulations, policies and ethical guidelines.
Maryam Javadian KutanaeeI; Azra Sadeghi; Donya Sheibani Tehrani
Volume 1, Issue 4 , November 2016, , Pages 114-120
Abstract
Background: Breast cancer is one of the most common cancers in women. Objective: This study was performed to determine the symptoms of menopause and quality of life in women with and without breast cancer. Methods: This descriptive-analytical and cross-sectional study was performed in hospitals ...
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Background: Breast cancer is one of the most common cancers in women. Objective: This study was performed to determine the symptoms of menopause and quality of life in women with and without breast cancer. Methods: This descriptive-analytical and cross-sectional study was performed in hospitals of Babol, Mazandaran province, Iran, in two groups of women with and without breast cancer. The study population included all women with menopausal symptoms who were divided into two groups containing 100 women apiece. A checklist containing menopausal symptoms was collected from these two groups and the standard questionnaire EORTC-QLQ-C30 was utilized to assess the quality of life in the case group and the standard questionnaire SF-36 was used in the control case. Data were analyzed by SPSS software. Results: Depression and insomnia were significantly higher in the case group and control group, respectively (p <0.05), but other symptoms of menopause were not significantly different in the two groups (P>0.05). In the case group, the overall quality of lifewas assessed as good in 36.3% of patients. Also, the quality of life in the control group had the lowest score relevant to the item Neshat with an average of 55.6 and the highest score related to the item of social performance with an average of 73.25. Conclusion: According to the results, the symptoms of menopause in women with breast cancer were not much different from women without breast cancer. Meanwhile, the quality of life of women with a history of cancer was good.
Shahnaz Keifi; Mohsen Shahriari; Zahra Baghersad; Donya Sheibani-Tehrani; Farzaneh Rejalian
Abstract
Background: The implementation of patient education within a hospital is a difficult task that plays a key role in improving and controlling diseases and providing quality healthcare services. Objective: The current study evaluated the effect of patient education on the quality of nursing care and inpatient ...
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Background: The implementation of patient education within a hospital is a difficult task that plays a key role in improving and controlling diseases and providing quality healthcare services. Objective: The current study evaluated the effect of patient education on the quality of nursing care and inpatient satisfaction in surgical wards of selected hospitals in Isfahan, Iran. Methods: This quasi-experimental study was conducted in 2014. The sample group consisted of 64 patients admitted to the surgical wards of select hospitals in Isfahan and selected using the voluntary sampling method. Participants were randomly divided into experimental (n=32) and control (n=32) groups. A patient education program was implemented for each subject in the experimental group (during hospitalization and after discharge), but no intervention was conducted for the control group. Data was collected from both groups before and after the educational intervention using the standard questionnaire SERVQUAL to measure expectations (with a reliability of 87%), perceptions (with a reliability of 85%), and inpatient satisfaction (with a reliability of 83%). Data was analyzed using descriptive statistics, univariate and multivariate analysis of covariance, Kolmogorov-Smirnov, Chi-square, and t-tests in SPSS software (ver. 20). Results: The results of covariance analysis showed that the patient education program significantly increased the mean scores of the quality of nursing services and inpatient satisfaction in the experimental group compared with the control group (p<0.01). Conclusion: A patient education program is an important pillar for improving public health. It is also a low-cost intervention to increase a patient's hope in living a good quality life.
Mohammad Sodavi; Shahrzad Shahidi; Donya Sheibani-Tehrani
Abstract
Background: Chronic kidney disease is a health problem in today’s world and hemodialysis is an alternative method for patients with chronic renal failure. Preparing provincial and national information on the situation of patients can play a significant role in improving the quality of services ...
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Background: Chronic kidney disease is a health problem in today’s world and hemodialysis is an alternative method for patients with chronic renal failure. Preparing provincial and national information on the situation of patients can play a significant role in improving the quality of services provided to patients undergoing hemodialysis. Objective: This study aimed to investigate the characteristics of patients on dialysis in hemodialysis centers in Isfahan and some other centers (up to 30 km distant). Methods: This cross-sectional study was conducted on 1,024 patients on dialysis in 13 dialysis centers in the early part of 2013. Studied variables were collected using a researcher-made questionnaire with Cronbach's alpha coefficient of 0.86. Data was analyzed using descriptive statistics and Chi-square test by SPSS version 22 software. Results: The results of 1024 patients undergoing hemodialysis includes the following: 60% (610 people) were male with a mean age of 54±17.67 years, and 92% (867 patients) had a private house. The family history of hemodialysis was positive in 24% (229 patients). In this study, 38% of patients (365 patients) were illiterate and the most common cause of kidney disease was diabetes in 42% (436) of the patients. Vascular access was venous-arterial fistula in 52% (519 people) with a mean hemodialysis of 52 months. Chronic renal failure was estimated at 300 per one million inhabitants in Isfahan Province (based on the last census in 2011 with the population estimated at 4,815,863 persons). Conclusion: Majority of the studied population variables was somewhat similar to the studies conducted in other provinces; the only major difference was the most common cause of chronic renal failure leading to dialysis.