Masoumeh Sharifzadeh; Maryam Naghibi Nasab; Azam Keyvanlo Shahrestanaki; Nasrin Fazel; Yaser Tabarraie
Abstract
Objectives The quality of midwifery services for 2 sensitive society groups, such as mothers and children, strongly depends on the midwives’ performance. Recently, quality of work life as the effective parameter on employees' job satisfaction, job performance, and organizational transformation ...
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Objectives The quality of midwifery services for 2 sensitive society groups, such as mothers and children, strongly depends on the midwives’ performance. Recently, quality of work life as the effective parameter on employees' job satisfaction, job performance, and organizational transformation is focused by managers. The current study aimed at assessing the quality of work life among midwives in Sabzevar, Iran.Methods The current descriptive, cross sectional study was performed using census data in 2010 on all midwives employed in hospitals and healthcare centers affiliated to Sabzevar University of Medical Sciences. Data were collected by the quality of work life and demographic questionnaires. Data were analyzed by SPSS version 18 using descriptive analytic indices, independent t test, ANOVA, and the Pearson correlation coefficient.Results The mean age of midwives was 31.5± 6.6 years and the mean score of work life quality for midwives was 10.4 ±7.1 out of 60 points, indicating low quality of work life in all participants. There was a correlation between the overall quality of work life and the average working hours per week (P=0.021), and satisfaction of workload in shifts (P=0.002); but there was no significant relationship between the quality of work life and demographic characteristics such as age (P=0.30), academic degree (P=0.24), marital status (P=0.27), number of children (P=0.95), and monthly salary (P =0.37).Conclusion It is hoped that the authorities take proper measures to improve midwives' work condition, enhance job security, and use midwives’ professional ability in the areas of their skills.
Mosareza Tadayyonfar; Mehdi Amadani; Ali Tajabadi; Yaser Tabaraee; Hossein Khosrojerdi
Volume 23, Issue 1 , May and June 2016, , Pages 14-20
Abstract
Background & Objectives: Pain after surgery, especially in appendectomy, is one of the most common causes of patients’ dissatisfaction. Regarding common side effects of existing analgesics, the researchers decided to replace conventional medicine for overcoming postoperative pain in such patients. ...
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Background & Objectives: Pain after surgery, especially in appendectomy, is one of the most common causes of patients’ dissatisfaction. Regarding common side effects of existing analgesics, the researchers decided to replace conventional medicine for overcoming postoperative pain in such patients. Therefore, the aim of this study is to compare the pain relief effects of diclofenac and promethazine in patients with appendectomy. Materials & Methodes: This triple blind clinical trial was performed on 60 patients of 49 -15 years old undergoing appendectomy in Shahid Doctor Beheshti Hospital of Sabzevar in 2012. Participants were selected by convenience sampling and randomly divided into two 30-cases groups of control and intervention, respectively received diclofenac promethazine by muscle depth injection in Dursuglutyal muscle. According to the standard numeric pain scale, the pain was investigated in the first hours after treatment. Data were analyzed using the Pearson chi-square test and SPSS version 18, and the level of significance was selected as 0.05. Results: The difference of postoperative pain relief was significant (P=0/018) between the two groups at a half an hour. The average amount of pain in half an hour after injection of diclofenac and promethazine were 5.04± 2.26 and 3.96 ± 1.33, respectively. Also, the average amount of pain in one hour after injection of diclofenac and promethazine were 4.59 ± 5/31 and 3.30 ± 1.33, respectively. However, the differences were not statistically significant (P = 0.177). Conclusion: Promethazine is of greater analgesic efficacy than diclofenac. Therefore, a basic planing is recommended for the use of phenothiazines instead of highly morbid analgesics like non -steroidal anti-inflammatory drugs.
Ali Vahidi Sabzevar; Mohsen Koushan; Raziyeh Khosrorad; Yaser Tabarraee; Mohammadreza Shegerf Nakhaee
Volume 22, Issue 5 , November and December 2015, , Pages 805-814
Abstract
Background & Objectives: Nurses are the individuals who have been exposed to damage caused by improper anxiety. This stress can affect the mental health and nursing performance. So the present study aimed to investigate the effect of emotional intelligence on the anxiety levels of nurses working ...
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Background & Objectives: Nurses are the individuals who have been exposed to damage caused by improper anxiety. This stress can affect the mental health and nursing performance. So the present study aimed to investigate the effect of emotional intelligence on the anxiety levels of nurses working in hospitals of Sabzevar. Materials & Methods: In this randomized trial, 135 nurses working in Sabzevar hospitals were enrolled and then randomly were assigned to intervention and control groups. The samples were completed demographic questionnaire, questionnaire of emotional intelligence (Bar-One), and Spiel-Berger’s Situational and Characteristic anxiety questionnaires. Then the components of emotional intelligence were trained for intervention group. In termination of training questionnaires were completed and analyzed by T-test and non-parametrical tests and pResults: Totally, 80% of samples were female and average age was 32.11±6.68 years. Before intervention the deference between groups was not significant (p<0.05). After intervention a negative relationship was found for emotional intelligence between tow groups. Also the relation between Situational and Characteristic anxiety in studied groups was significant (p<0.003). After intervention the emotional intelligence has a higher score than before intervention and anxiety status showed a lower status than before intervention in intervention group (p<0.001). Conclusion: Our results show an inverse significant relation between emotional intelligence score and anxiety status, so that nurses with training of emotional intelligence components have a lower anxiety status.
Mosareza Tadayyonfar; Hossein Khosrojerdi; Mehdi Amadani; Ali Tajabadi; yaser Tabarraee
Volume 22, Issue 4 , September and October 2015, , Pages 589-595
Abstract
Background: Pain after appendectomy surgery is the most common patients' dissatisfaction which the easiest method of treatment is opioids. Side effects of them led to using more appropriate medications instead of opioids to relieve the pain. Aim of This study was to compare the pain relief effects of ...
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Background: Pain after appendectomy surgery is the most common patients' dissatisfaction which the easiest method of treatment is opioids. Side effects of them led to using more appropriate medications instead of opioids to relieve the pain. Aim of This study was to compare the pain relief effects of morphine and promethazine in patients with appendectomy. Materials and Methods : This triple blind clinical trial was carried out on 60 patients in 49 -15 years old undergoing appendectomy in Shahid Beheshti Hospital in Sabzevar, Iran, 1391.Participants were selected using by convenience method and then randomly divided into two groups of 30 ones. The control and intervention group was injected narcotic and promethazine, respectively. The level of pain was investigated according to the standard numeric pain scale, in the first hour after treatment. Data was analyzed using the Pearson and chi-square test by means of SPSS version 18 in the level of significance of 0.05. Results: there was observed a significant difference between two groups in the level of postoperative pain relief, (P = 0/000), so that the level of pain after injection of promethazine 3/30 ± (1/33) was less than morphine 6/07± (1/23). Also, this difference was significant in half an hour after surgery (p = 0/000) with mean score of 3/69 ± (1/33) and 6/74± (1/30) for Promethazine and morphine, respectively. Conclusion: According to these results, basic planning to use phenothiszines such as promethazine instead of opioids is suggested.
Roya Baghani; Jila Agah; Seyyed Hossein SafiAbadi Tali; Yaser Tabaraee
Volume 21, Issue 6 , January and February 2015, , Pages 1028-1034
Abstract
Objective: Entonox which is a common agent for relieving labor pain, is often used intermittently. While, this seems that continuous method has more painless effects and is easier to use. As some challenging debates exist about fetal complications of continuous method, we decided to compare the neonatal ...
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Objective: Entonox which is a common agent for relieving labor pain, is often used intermittently. While, this seems that continuous method has more painless effects and is easier to use. As some challenging debates exist about fetal complications of continuous method, we decided to compare the neonatal effects of Entonoxin in two methods.
Methods: This quasi experimental study was carried out on 100 women admitted for vaginal delivery in Mobini Hospital, Sabzevar, Iran,2013. Participants were divited into two equal groups. Then, labor progression and fetal conditions were registered and compared in these two groups. Statistical Analysis was performed by spss17 software, t-test and chi square test.p
Mehdi Golafrooz; Hajar Sadeghi; Seyyed Ghasem Mosavi; Yaser Tabarraee
Volume 21, Issue 4 , September and October 2014, , Pages 655-664
Abstract
Background: Research shows that people with diabetes duration less sleep than normal amounts of sleep in healthy people, which may lead to reduced quality of life. Due to the chronic nature of the disease, the need for appropriate follow-up of these patients is necessary. Hence, the present study aimed ...
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Background: Research shows that people with diabetes duration less sleep than normal amounts of sleep in healthy people, which may lead to reduced quality of life. Due to the chronic nature of the disease, the need for appropriate follow-up of these patients is necessary. Hence, the present study aimed to investigate the effect of applying continuous care model on quality of sleep in people with diabetes as well.
Method: In this study, 80 diabetic patients who are candidates for sampling the diabetes clinic covered Sabzevar selected randomly in two groups of test and control. Data were collected using questionnaires, personal information, and Pittsburgh Sleep Quality Scale before and after the intervention. Educational intervention, applying continuous care model in the test group was 12 weeks. Data analysis using descriptive and inferential statistics (chi-square test, t-test, regression and analysis of covariance) was performed by using SPSS version 18.
Results: The results showed that the two groups before the intervention in terms of demographic variables and mean scores of sleep quality, sleep quality scores were similar between the two groups was not statistically significant, However, after intervention by independent t-test, significant differences between the mean scores of sleep quality were (P = 0.001). Between sleep quality scores in the experimental group before and after the intervention, there was a statistically significant difference, but the difference was not significant in the control group.
Conclusions: The implementation of the continuous care model is effective in increasing the quality of sleep. It is suggested by the model to test for diabetes care in other clinics.
Mosarreza Tadayyonfar; Hossein Khosrojerdi; Mehdi Amadani; Ali Tajabadi; Yaser Tabaraee
Volume 21, Issue 3 , July and August 2014, , Pages 379-385
Abstract
Background: Pain after appendectomy is the most common complaint of appendectomy patients. The most common treatment of this pain is the use of narcotic analgesics. Because of the narcotic side effects, the researchers have evaluated appropriate alternative medications to alleviate postoperative pain ...
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Background: Pain after appendectomy is the most common complaint of appendectomy patients. The most common treatment of this pain is the use of narcotic analgesics. Because of the narcotic side effects, the researchers have evaluated appropriate alternative medications to alleviate postoperative pain of appendectomy patients. This study aimed to compare the analgesic efficacy of diclofenac and morphine in appendectomy patients.
Materials and Methods: This clinical trial study was performed on 60 patients undergoing appendectomy. The study population was appendectomy patients aged 49-15 years, who had hospitalized in Shahid Beheshti hospital of Sabzevar city, in 2012. To perform the study, two groups of 30 subjects were triple-blind randomized. The first group received narcotic analgesics, and the second group received diclofenac. Based on the numeric pain standard scale, patient’s pain was assessed within the first hour after the drugs uptake. Data were analyzed in SPSS 18 using the Pearson correlation coefficient and chi square test; and P
SeyyedMehdi Razavi; Alireza Ghorbani; Hossein Kalate Arabi; MohammadReza ShegerfNakhaee; Yaser Tabaraee
Volume 20, Issue 5 , March and April 2014, , Pages 665-673
Abstract
Introduction: Job stress including physical, social and psychological factors, impact on personnel’s health. This problem is more observed in health workers that have continuous communication with patients. Continual and severe stressors are integral part of health worker that exposed at risk of burnout. ...
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Introduction: Job stress including physical, social and psychological factors, impact on personnel’s health. This problem is more observed in health workers that have continuous communication with patients. Continual and severe stressors are integral part of health worker that exposed at risk of burnout. This study aimed to determine the association between burnout and workplace physical condition in health department staff of Sabzevar University of Medical Sciences.
Methods: This cross - sectional study was conducted among 220 staff of health Department of Sabzevar University of Medical Sciences. Maslach standardized inventory and workplace physical condition questionnaire contain ten question verified by Faculty members of Sabzevar school of health were completed by employee. The collected data were analyzed by spss 16 software.
Results: The highest average of age was in caretaker and administrative staff (41.3±7.08). There was a significant relationship between lack of personal accomplishment and depersonalization with workhouse and also significant relationship between lacks of personal accomplishment, depersonalization, and emotional exhaustion whit field of activity was observed. . Physical condition of the workplace was associated with lack of personal accomplishment.
Conclusion: The work environment in healthcare system is always associated with job stresses and its personnel that are susceptible to job burnout. It is proposed by encouraging informal relations within the organization, motivating employee, training, improving of physical conditions of work and meritocracy can implement effective interventions to reduce vulnerability and staff burnout.
Roya Baghani; Fariba Keighobadi; Yaser Tabarraee
Volume 20, Issue 5 , March and April 2014, , Pages 674-680
Abstract
Background: Nursing and midwifery profession has been faced with many challenges due to inability to express oneself and justice. Nonetheless, little research has been performed about them. Because of impact of decisiveness on the mental health, this study performed to determine factors that weakened ...
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Background: Nursing and midwifery profession has been faced with many challenges due to inability to express oneself and justice. Nonetheless, little research has been performed about them. Because of impact of decisiveness on the mental health, this study performed to determine factors that weakened or facilitate decisiveness among nursing and midwifery students of Sabzevar University of Medical Sciences.
Materials and Methods: A cross-sectional study was performed among nursing and midwifery students of Sabzevar University of Medical Sciences, in 2013. Data collection tool was a three parts questionnaire containing demography questions, Rathus Assertiveness Schedule and the Spielberger Anger Expression Scale. Data were analyzed in SPSS software version 19.
Results: The results indicated that 20% (n = 17) of midwifery students and 22% (n = 35) of nursing students had high decisiveness. Most of midwifery (60%, n = 50) and nursing (60%, n= 98) located in the category of medium decisiveness. Also, 20% (16 patients) of midwifery and 18% of nursing students (n = 33) had low decisiveness. Factors affecting decisiveness among midwifery students were semester (p = 0.04), interesting to his/her field (p = 0.04), marital status (p = 0.04) and age (p = 0.03). Among nursing students, these factors were semester (p = 0.04), interesting to his/her field (p = 0.03) and age (p = 0.03).
Conclusions: Regard to decisiveness rate among study students and its effect on the mental health and academic performance and career, special attention must be paid to factors affecting decisiveness and reinforcement of them.
SeyyedMehdi Razavi; Ahmad Bashteni; Shokrollah Zarghani; Yaser Tabaraee
Volume 20, Issue 5 , March and April 2014, , Pages 766-772
Abstract
Introduction: Now a days, musculoskeletal disorders are of a great concern in job health issues and their prevalence are relatively high among various occupations. On the other hand, agriculture is one of the most important production sections which have great roles in creating new jobs, and if these ...
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Introduction: Now a days, musculoskeletal disorders are of a great concern in job health issues and their prevalence are relatively high among various occupations. On the other hand, agriculture is one of the most important production sections which have great roles in creating new jobs, and if these sections pay well attention, it can help in renewing economic growth, independency, and self-efficiency in our country. In the agricultural sections the workers do hard physical jobs, so these persons encounter musculoskeletal disorders more than the others.
Materials and Methods: This descriptive-analytical study was a cross-sectional one which performed among 400 farmers in Sabzevar. The data were gathered through Nordic Standard Questionnaire in which a group of trained persons completed it by interviewing. Gathered data were analyzed through statistical tests by the use of SPSS, v.16.
Results: The prevalence rate of musculoskeletal disorders in one or both knees, the waist and one or both feet and finally the ankle during one year was 52%, 46.5 and 27%, respectively. The result showed that during the last year, there was a significant relation between pain in waist and individuals’ weight (p = 0.033), pain in one or both knees and their age (p= 0.0001), pain in one or both knees and the height (0.036) and pain in shoulders and age (p=0.028).
Conclusion: The results showed that there is a significant relation between the musculoskeletal disorders in farmers and their demographic characteristics like weight, age and the height.
Somayyeh Zamiri Nejad; Maryam Piltan; Maryam Hagh shenas; Yaser Tabaraee; Arash Akaberi
Volume 20, Issue 5 , March and April 2014, , Pages 773-781
Abstract
Introduction: People can direct their lives and activities into deeper, richer and more meaningful way using spiritual intelligence. Utilization of spiritual patterns in everyday life leads to an enhanced compatibility and evolution of well-being. The purpose of this study is to determine if spiritual ...
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Introduction: People can direct their lives and activities into deeper, richer and more meaningful way using spiritual intelligence. Utilization of spiritual patterns in everyday life leads to an enhanced compatibility and evolution of well-being. The purpose of this study is to determine if spiritual intelligence can predict happiness.
Methodology: This cross-sectional analytical study was carried out among students of North Khorasan University of Medical Sciences in the year 1391. 129 individuals were selected via Stratified sampling method. Individuals were assessed by spiritual intelligence questionnaire and Oxford Happiness Inventory (OHI) whereas statistical data was analyzed by Pearson correlation coefficient, t-student test and linear multiple regression (stepwise), by SPSS 20 software. The p-value was considered 0.05.
Results: Correlation coefficient between spiritual intelligence and happiness was r=0.505 (p-value
Yaser Tabaraee; Elaheh HaghGoshaee; Afsaneh Takbiri; MohammadAli Yaghobifar
Volume 20, Issue 2 , May and June 2013, , Pages 154-164
Abstract
Objectives: improving patient safety culture in healthcare organization is the first step for reducing medical errors and improvement of patient safety. This study was conducted to survey the patient safety culture based on staff point of views in Sabzevar hospitals.
Methods: This cross-sectional and ...
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Objectives: improving patient safety culture in healthcare organization is the first step for reducing medical errors and improvement of patient safety. This study was conducted to survey the patient safety culture based on staff point of views in Sabzevar hospitals.
Methods: This cross-sectional and descriptive study was conducted during July- September 2011, by using Hospital Survey Of Patient Safety Culture questionnaire (HSOPSC). 385 of clinical staff (physicians, nurses, midwives and stuff working in lab and radiology departments) as census were included in the study. The patient safety culture questionnaire was used for data collection.
Results: “teamwork within unit” and “organizational learning - continuous improvement” had the highest percentages of positive responses with respectively 73.65 ± 6.4 % and 69.16 ± 8.7 % whereas “nonpunitive response” to errors (13.03 ± 7.1%) and “staffing” ( 22.37 ± 6%) had the chosen lowest percentages of positive responses. 89% of staff noted that they have not reported any medical errors during past 12 months. Only 31% of staff reported the patient safety status in their units as excellent or very good.
Conclusion: Hospitals can attempt to create safety environment for patients by applying the strengths of their patient safety culture and removing the weaknesses. Therefore hospitals should eliminate the staff fear of blame for their mistakes and create an atmosphere of open communications and continuous learning.
Hamid Alami; Ahmad Dovlatabadi; Yaser Tabaraee; Alireza Qorbani; MohammadReza Shegerfnakhee
Volume 19, Issue 4 , January and February 2013, , Pages 364-370
Abstract
Background: family medicine is a global effort to improve quality, cost-effectiveness and equity in health care systems. Family medicine is bound to maintain and promote family and community health. Increase people satisfaction of family medicine plan is from these goals. This study aimed to determine ...
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Background: family medicine is a global effort to improve quality, cost-effectiveness and equity in health care systems. Family medicine is bound to maintain and promote family and community health. Increase people satisfaction of family medicine plan is from these goals. This study aimed to determine the satisfaction of family medicine in insured people has done in Sabzevar University of Medical Sciences. Materials and Methods: This was a cross sectional study. Data were collected by two-part questionnaire that measures satisfaction in 8 scope and 1250 samples selected randomly in each class. Also analyze it by SPSS 17 and using independent t-test, ANOVA and Pearson Correlation coefficient. Results: 1199 questionnaire was analyzed.69/4% of samples were housewives. Also 72/1% of them were female, 85/3% married, 86/4% rural residents and 90/9% of them received services from public centers. In surveyed scopes, the highest and lowest level of satisfaction observed in payment costs and trust and belief to family medicine performance respectively. Relationship between sex, age, job and marital status whit satisfaction rate was no significant. Also relationship between residence, education level and type of center whit satisfaction rate of family medicine was significant statistically. Conclusion: Results show that higher education level, receiving services from urban and private centers lead to more satisfaction for clients.
Akbar AhmadiAsoor; yaser Tabaraee; Ahmad Allahabadi
Volume 19, Issue 4 , January and February 2013, , Pages 390-394
Abstract
Background: Many diseases are triggered depending on the condition of the building environment. Purpose of this study was to investigate the incidence of sick building symptoms in office staff of Sabzevar University of Medical Sciences . Materials and Methods: In this cross-sectional study, all the office ...
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Background: Many diseases are triggered depending on the condition of the building environment. Purpose of this study was to investigate the incidence of sick building symptoms in office staff of Sabzevar University of Medical Sciences . Materials and Methods: In this cross-sectional study, all the office staff of Sabzevar University of Medical Sciences building condition surveyed by using a standard questionnaire for signs of disease. Results: The results showed that during the last year of the 69 people surveyed, about 62.7% at work feeling tired and 27.1% with vertigo and 24.28% felt sleepy, while approximately 95% of people stated that after leaving Work the symptoms disappeared. Average concentration of Carbon monoxide has been 3.4 ppm and sulfur dioxide with an average 0.027 ppm . Conclusion: Note that the measured concentrations of carbon monoxide , sulfur dioxide increasingly been far too low and Prevalence rate of illness among staff in the building haven't been of a high percentage, Therefore it can be concluded that the building was not sick building and prevalence symptoms of sick Building in the headquarters staff of Medical Sciences of Sabzevar is not significant.
Siyamak Mohebi; Yaser Tabaraie; Gholamreza Sharifirad; Mohammad Matlabi; Marziyeh Shahsiah
Volume 18, Issue 2 , July and August 2011, , Pages 82-90
Abstract
Background and Purpose: Lower levels of academic anxiety can motivate the educational improvement but higher degrees can be a disturbance in concentration، attention، storage، recall and educational failure. Since it affects millions of students worldwide، the present study aimed to determine the ...
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Background and Purpose: Lower levels of academic anxiety can motivate the educational improvement but higher degrees can be a disturbance in concentration، attention، storage، recall and educational failure. Since it affects millions of students worldwide، the present study aimed to determine the effect of assertiveness training on reducing anxiety level in the pre-university students in Gonabad، Iran in 2008.
Methods and Materials: In this randomized clinical trail، all pre-university students of Gonabad، Iran were invited to the study; and finally 89 students were randomly assigned into experimental and control groups. Data collection instruments included a 3-part questionnaire for recording demographic، academic anxiety and assertiveness (Rathus questionnaire with a validity of 0.83). The intervention for the experimental group was a 5-session course of assertiveness training based on PRECEDE model and one session for parents and teachers to help support the intervention program. Post-test was given top both groups 8 weeks after the last training session. The obtained data were analyzed in SPSS 16 using paired and independent t-test، chi-square and correlation coefficient.
Results: The results showed that anxiety levels and assertiveness in the target group were moderate to high (18.14 and 108 respectively); a negative but significant relationship was found between these two factors (r =-0.69، p < 0.001). Also، the anxiety levels of the study decreased significantly، so that their anxiety score lowered from 18.87 to 8.12 (P