Marjan Vejdani; Maryam Godarzeyan; Zahra Rahimi; Seyyed Ehsan Saffari; Marzieh Vejdani; Samira Fouji; Arefeh Pourtaleb
Volume 23, Issue 4 , September and October 2016, , Pages 662-671
Abstract
Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional ...
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Background Considering patient’s experiences about non clinical aspect of health care services is now seen as a key characteristic of an effective health system. This study looks into the Responsiveness in Sabzevar University of Medical Sciences, 2015.Methods & Materials In this cross-sectional and explanatory study, 189 hospitalized patients in Vasai hospital were selected using a stratified and simple random sampling. Standard Responsiveness Questionnaire was used as the data collection tool. Data were analyzed using descriptive statistics, independent t-tests and ANOVA by SPSS 16 at a significance level of 0.05.Results Access to the social support during hospitalization achieved the highest score while patient autonomy received the least score. There was a significant relationship between Access to the social support and patient’ gender (P≤0.05). Results showed significant differences between wards in this hospital and Access to the social support and Quality of basic amenities (P≤0.05). From patient view point the total score for this hospital was (2.43±0.60) that showed the moderate level of responsiveness. Conclusion More than ever trying to institutionalize the principle of responsiveness culture in this kind of training educational hospital should be regarded. In this way it could be helpful to design a new scientific approach to implement and evaluate responsiveness in hospital regularly. It also would be an effective way to design suitable guideline and checklist along with improve clinical governance and clinical audit
Marjan Vejdani; Raha Salehabadi; Seyyed Ehsan Saffari; Maryam Barabadi; Marziyeh Vejdani; Zohreh Nejatzadehgan-Eidgahi; Samira Fovji
Volume 22, Issue 6 , January and February 2016, , Pages 1105-1117
Abstract
Background: Elderly patient's length of stay in hospitals is very important and similar research is low. This study was aim to determine the factors affecting on length of stay of hospitalized elderly Vaseie hospital in Sabzevar (2014) using numerical regression models. Materials: This study was a cross-sectional ...
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Background: Elderly patient's length of stay in hospitals is very important and similar research is low. This study was aim to determine the factors affecting on length of stay of hospitalized elderly Vaseie hospital in Sabzevar (2014) using numerical regression models. Materials: This study was a cross-sectional study for modeling of length of stay in elderly patients in Vaseie hospital during second 6 months of 1392 in Sabzevar. 3330 elderly were selected using convenient sampling and the amount of length of stay was considered as the response variable and demographic variables as independent variables. Count regression models were used to analyze the data at a significant level of 0.05 using SAS software (version 9.2). Result: The mean age was 74/2 ± 8/4, 50/3% were male and mean length of stay of elderly patients was 4/8 ± 3/5 days. Also according to the regression model, there was not a statistically significant relationship between length of stay with sex, but relationship between age with length of stay was statistically significant (P= 0/008). So that the number of hospitalization days were increased approximately one day for one-year increase in age. Conclusion: Since the hospitalization stay is a count variable, count regression models introduced in this study are functional and very suitable statistical models and recommend for similar cases.
Maryam Moradi; Hoda Azizi; Seyyed Ehsan Saffari; Mohsen Koushan
Volume 22, Issue 5 , November and December 2015, , Pages 765-772
Abstract
Background: Patients with chronic renal failure on hemodialysis are affected by psychological stresses, besides many physiological changes. Nowadays, complementary medicine is one of the methods to control these stresses. This study aimed to investigate the effect of acupressure on anxiety ...
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Background: Patients with chronic renal failure on hemodialysis are affected by psychological stresses, besides many physiological changes. Nowadays, complementary medicine is one of the methods to control these stresses. This study aimed to investigate the effect of acupressure on anxiety in patients with hemodialysis in TorbatHeidarie city. Methods and Materials: This is a randomized clinical trial with control group. 81 patients with hemodialysis were recruited into acupressure at true points group (27 patients), acupressure at false points group (27 patients), and control group (27 patients) using permutation block in NohomDey educational hospital and Dialysis Clinic of TorbatHeidarie city in 2014. Anxiety of patients of all groups was measured using Spielberger anxiety questionnaire before intervention and from the end of first week till the end of fourth week after intervention. The acupressure at true points group received the acupressure on the true points applied two times a week for four weeks. The acupressure at false points group received the acupressure on 2-3cm far from the true points. Statistical analysis was performed using Kruskal Wallis and Friedman tests with SPSS version 16 at 0.05 significance level. Results: The acupressure at true points group and acupressure at false points group had significantly different mean levels of apparent and hidden anxiety at “before intervention” stage and “first to fourth week” (p=0.005, p=0.027). The average level of apparent anxiety of “before intervention” and “first-fourth week” was statistically significantly different at acupressure at false points group, but the hidden anxiety was not different at this scenario. The average level of apparent and hidden anxiety of “before intervention” and “first-fourth week” was not statistically significantly different in control group. Conclusion: Findings from this study indicates that the acupressure therapy at true points is able to reduce apparent and hidden anxiety of patients with hemodialysis.
Mohammad Siavoshi; Mosareza Tadayonfar; Mahtab Khajeh; Seyyed Ehsan Saffari
Volume 22, Issue 4 , September and October 2015, , Pages 660-667
Abstract
Background and Purpose: While washing and dressing burn injuries, patients suffer from the acute pain. Therefor finding complementary methods with no side effects is an important issue. Thus this study was aimed at investigating the effect of TENS (Transcutaneous Electrical Nerve Stimulation) in pain ...
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Background and Purpose: While washing and dressing burn injuries, patients suffer from the acute pain. Therefor finding complementary methods with no side effects is an important issue. Thus this study was aimed at investigating the effect of TENS (Transcutaneous Electrical Nerve Stimulation) in pain controlling while washing and dressing burn injuries. Materials and Methods: In this clinical trial study, 60 patients with burn injuries among those referred to Sabzevar Vasee Hospital in 2014 were studied. The patients were divided into three groups (each group 20 patients) including control group (no treatment), case group (received morphine before dressing) and placebo group (received both morphine and TENS before dressing). At the end patients were asked to scale the amount of pain which they have experienced using pain numerical scale 0-10. The Data were analyzed using Friedman,Mann-Whitney and Kruskal-wallis tests and SPSS software (18th version). Note that P value was utilized at significant level 0.05. Results: Thepain average in control group was obtained about 5.45±0.52, in case group 5.00±0.48 and in placebo group 7.00±0.56. Thus a significant difference between three groups was obtained. (P=0.00). Conclusion: Results showed using both TENS and morphine before washing and dressing burn injuries is effective to reduce the pain
Adeleh Hashemi fard; Seyed Ehsan Saffari; Akram Ghasemi Hosseinabadi; Hamidreza Hashemifard; Majid Hashemifard
Volume 22, Issue 1 , March and April 2015, , Pages 84-92
Abstract
Background: Suicide is a huge problem in today's society. Due to the prevalence of this phenomenon especially amongyouth, this study was aimed atinvestigatingthe possible factors affecting on suicide attempts in patients of health centers of Sabzevar University of Medical Sciences.
Material and Methods: ...
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Background: Suicide is a huge problem in today's society. Due to the prevalence of this phenomenon especially amongyouth, this study was aimed atinvestigatingthe possible factors affecting on suicide attempts in patients of health centers of Sabzevar University of Medical Sciences.
Material and Methods: The present study was a descriptive-analytical and cross-sectional study. All patients who have madesuicide attemptsand referred to Vasei Hospital of Sabzevar University of Medical Sciences in 2013 were subjected as study population, and finally 242 cases among all registered cases in the Medical Records Unit of the hospital were entered to this study using the simple random sampling. SPSS 16 was used as well as the descriptive statistics and Chi-square test to analyze the data with %5 significance level.
Results: The suicide attempt cases in this study have the mean age of 25.77±9, with %45.6 of singles and %86.78 of urban. The most prevalent method in suicide attemptswas found to betheuse ofmedicine (%56.68) and the most important reason leading tosuicide attemptswas found to be the family problems (%38.02). Furthermore, the relationship between result, method, reason and the number of suicide attempts,varieswith demographic variables,obtained about%5 of significance level.
Conclusions: The results showed that lots of factors such as gender, age, marriage status, history of Psychosis, history of physical illness and history of suicide attemptsplay important roles in suicide attempt as a leading cuase of dead.
Ribah Adnan; Adeleh Hashemi fard; Seyyed Ehsan Saffari
Volume 20, Issue 4 , January and February 2014, , Pages 447-456
Abstract
Background: The number of hospitalization days is an important issue for the hospital managers, patients and their families. Regarding to the importance of this issue and few similar researches, this study aimed to model the number of hospitalization days for myocardial infarction (MI) patients admitted ...
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Background: The number of hospitalization days is an important issue for the hospital managers, patients and their families. Regarding to the importance of this issue and few similar researches, this study aimed to model the number of hospitalization days for myocardial infarction (MI) patients admitted in Vasei hospital of Sabzevar, and to investigate its effective factors.
Material and Methods: This descriptive-analytical study was performed to model the number of hospitalization days for myocardial infarction (MI) patients admitted in Vasei hospital of Sabzevar, in 2012. By using census method, 201 patients were entered to this study and the value of the length of hospitalization as the response variable, and the value of gender, age and residence location of the patients as the independent variables are considered. The data were analyzed using an advanced and new model, zero-truncated generalized poisson regression model, and SAS9.2 software.
Results: The results showed that the average length of hospitalization of MI patients was 4.876 days in Vasei hospital. Also, it was found that one year increase in age was related to one day increase in hospitalization of the MI patients. Moreover, the regression models predicted that the average length of hospitalization for female patients was less than male patients, and the average length of hospitalization for the urban residence patients was less than those of rural residence.
Conclusions: In this study, a suitable statistical method for analyzing and modeling of hospitalization days was obtained. Because of differences in hospitalization days in different units of hospitals, use of these advanced statistical models is proposed for another hospitals and cities.