Educational
Mousarreza Mohagheghnejad; Amir Ashkan Nasiripour; Rouhollah Zaboli; Hossein Damghanian
Volume 28, Issue 6 , January and February 2022, , Pages 959-969
Abstract
Background: Hospitals, as an important unit in the modern treatment system, using various sources, are responsible for providing, maintaining and promoting health for individuals in the community. In order to perform this important service, it is necessary to meet their needs properly. This study was ...
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Background: Hospitals, as an important unit in the modern treatment system, using various sources, are responsible for providing, maintaining and promoting health for individuals in the community. In order to perform this important service, it is necessary to meet their needs properly. This study was conducted to design a model of factors affecting hospital services supply chain.Materials and Methods: This is a combined (qualitative-quantitative) research in which the opinions of fifteen experts about the hospital supply chain from six provinces of the country were used. After conducting a semi-structured interview, their opinions were collected until saturation and then analyzed. The framework analysis approach was used to determine the effective factors. Using Delphi method, the level of agreement of experts was evaluated.Results: After analysis and coding, finally seven main topics including financial resources, human resources, technologies, induced demand, management, supply and distribution, and construction and equipment were identified. Meanwhile, management (mean 4/42±0/46 and mean rank 5/56) was identified as the most important factor.Conclusion: Although financial or human resources and other factors inside or outside the organization affect the hospital services supply chain, but investing to improve management prevents or reduces the impact of many challenges.
Masoud Fallahi Khosknab; Kian Novrozi Tabrizi; Soghra Afkand; Poriya Reza Soltani
Volume 21, Issue 1 , March and April 2015, , Pages 28-35
Abstract
Aims: Long-term use of hemodialysis affects all sides of hemodialysis patients and was caused disease and disturbances such as anxiety in them. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on anxiety in hemodialysis patients.
Methods: This ...
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Aims: Long-term use of hemodialysis affects all sides of hemodialysis patients and was caused disease and disturbances such as anxiety in them. This study aimed to determine the effect of multi-dimensional model of psychiatric rehabilitation care on anxiety in hemodialysis patients.
Methods: This study is a quasi-experimental study of two groups before and after hemodialysis on 35 patients of Razi hospital in Rasht (test group) and 35 hemodialysis patients from Bandar Anzali martyr Beheshti hospital (control group), in 1390 which were done on sampling method on purpose. Intervention was based psychiatric rehabilitation of multi-dimensional model in the form of a group and with the presence of a physician, nurse, psychologist and nutritionist and comprehensive client and family and with consideration of physical, mental, social and spiritual of patients, was carried out for three months. The tool includes a demographic questionnaire and Zung self-evaluation anxiety (SAS) which were measured three months before and after intervention. Then the data using SPSS 16 software and descriptive statistic, paired t-test, independent t-test, Chi-square and Fisher test were analyzed.
Results: Data analysis between the mean anxiety score of samples before (48/40±3/972) and after the intervention (42/57±6/331) showed significant difference (p