Showing 30 results for Aye
M Arab, S Fazayeli, M Mohamadpour, V Pirmoazen, M Yousefi,
Volume 8, Issue 3 (7 2010)
Abstract
Background: The admission department as a first point of patients contact with hospital needed special attention. This study has tried to estimate number of needed personnel with work measurement of general functions of admission department.
Material & Methods: This study was a descriptive-analytical and practical research. This study tried to measure real and expected time and determined difficulty degree and skills needed for each task of admission department, then determined total work units and needed personnel in admission department of Children's Medical Center affiliated with Tehran University of medical sciences in 2009.
Results: Total work units in admission department were approximately 10780 units for one month. Counting at least 987 units for every person per month, the number of human resources needed for this unit was 11, while current number of human resources in this department is nine.
Conclusion: Finding of this study show that Children's Medical Center involves with inadequate human resources and multiple pressure due to insufficiency in mentioned department, and tries to promote the technology using in this department and increase the personnel and reset the payment system based on work load
M Mokhtari Payam, A Akbari Sari, Mr Aye, M Mobinizadeh, S Manavi,
Volume 9, Issue 1 (9 2010)
Abstract
Background: The aim of this study is to explore the safety and diagnostic performance of dual-source CT scan in comparison with single source CT scan and conventional angiography in patients with coronary heart diseases.
Materials and methods: A systematic review was performed using CRD standard methods. The Cochrane Library, MEDLINE, EMBASE، Google Scholar and TRIP were searched up to April 2009. The references of the marked studies and gray literature were also searched.
Results: 17 articles were included. 9 articles reported the safety and 12 articles reported the diagnostic performance of DSCT. Generally DSCT was a non-invasive and safe procedure. Using DSCT the exposure of patient to X-ray was less than 64-slice single source CT (SSCT) and more than conventional angiography. For the DSCT the mean sensitivity was 90.4%, mean specificity was 82%, mean PPV was 83% and mean NPV was 96%. For the SSCT the mean sensitivity was 90.4%, mean specificity was 82%, mean PPV was 83% and mean NPV was 96%. The mean sensitivity, specificity, PPV and NPV of DSCT were slightly higher than SSCT.
Conclusion: DSCT is a noninvasive and relatively safe technology. The diagnostic performance of DSCT is higher than SSCT, but its performance is not so much high to be able to substitute the conventional invasive angiography which is still the gold standard test.
M Mayel Afshar , A Pourreza , M Memarpour ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: One of the behaviors taken into consideration in organizations such as hospitals is organizational citizenship behavior. Recent studies have shown that organization employees show interest in organizational citizenship behavior and this subject may be influenced by demographic specifications.This study aims to determine the relationship between organizational citizenship behavior and demographic specification (gender, age, marital status, educational qualifications, salary&wage ,ethnicity,employment type, work type, organizational post, place of employment and work experience) among selected hospitals employees of selected hospitals of Tehran and Shahid Beheshti Medical Sciencesis Universities. Materials and Methods: This research has been implemented in six selected Hospitals of Tehran and Shahid Beheshti Medical Sciencesis Universities and data was collected by distributing a questionnaire among 429 employees of these hospitals using a two-stages random sampling method.The research methodology has been cross-sectional- descriptive using field study. In order to accept or reject the research hypothesis kruskal-wallis and mann-whitneyU tests have been used. Results: Results showed that, the most studied demographic characteristics have an effect on organizational citizenship behavior of the staff of selected hospitals employees in Tehran and Shahid Beheshti Universities of Medical Sciences. Conclusion: Findings of this research indicated that men have shown more organizational citizenship behavior compared to women, Married people have shown higher organizational citizenship behavior compared to single and divorced people and people in the age class of 50 to 54 years have been the highest organizational citizenship behavior average. In addition to, people with master degree, have been the highest organizational citizenship behavior. Also our findings show that Ethnicity does not have effect on the incidence of organizational citizenship behavior.
S J Tabibi, S Heidari , A A Nasiri-Pour , M Hosseinishokouh , A Ameryoun , F Mashayekhi ,
Volume 13, Issue 2 (8-2014)
Abstract
Background:Hospital is the most important health care services provider center.Undoubtedly, properand effective management performance can be very important. This study aimed at assessing professional and non-professional managers’ performance among selected hospitals in Tehran.
Materials and Methods: In thisdescriptive study the population was staffs of ten selected hospitals in Tehran. With the intention of performing the study, a 41-items questionnaire was used which confirmed its validity by experts and its reliability by Cronbach alpha(=90).After data entry in SPSS software,frequency distribution tables, diagrams and central tendency and dispersion were used. With the intention of measure probable correlation Contingency Correlation Coefficient - C was utilized.
Results:The comparison betweenprofessional managers’ responses with non-professional ones revealed an incremental trendfrom “seldom” to “always” in all domains of management functions (including planning, organizing, coordinating and control)and Contingency Correlation Coefficient - C indicated statisticallysignificant relation between domains and types of managers (professional and non-professional)P = 0.003, P = 0.006, P = 0.001, P0.0001 respectively.
Conclusion:Managers’ professional education is inevitable for hospital managing duties.
Farshad Faghisolouk , Ali Valinejadi, Roghaye Ershad Sarabi , Pouran Raeissi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Hospital as core of health and care system requires an effective leadership style and suitable strategy for organizational differences and conflict’ solving. Main goal of this study is to survey of relationship between leadership style and strategy of conflict management among chief executive officers of Urmia hospitals.
Materials and Methods: This analytical-descriptive cross-sectional study was implemented in Urmia hospitals in 2013. Study population of the research includes thirty top managers in ten hospitals of Urmia. Data gathered through three questionnaires (personal and job characteristic leadership style with method of Fiedler LPC and conflict management). Data analyzed through SPSS software, mainly by Chi 2, Kruskal–Wallis and Spearman's Rho tests.
Results: Results showed that Leadership style had significant statistical relationship with average of managers work experience (p=0.040). Also age and strategy of control had significant statistical relationship (p=0.01). Leadership styles and strategies of conflict management weren’t significantly with other descriptive variables such as (position, level of education, marriage situation, work experience, managerial studies and second job). Leadership styles and strategy of conflict management weren’t significant relationship, finally.
Conclusion: Since that the determination of leadership style and methods of dealing with conflict management in hospitals is important, it is recommended that ever done comprehensive research on the effects of other factors such as organizational culture, social culture, character on leadership style and conflict management.
Mahdi Farzadkia, Somayeh Golbaz, Haniye Sadat Sajadi,
Volume 14, Issue 1 (6-2015)
Abstract
Background: There are various departments in hospital that produce hazardous, infectious, pathological and radioactive wastes. Utilizing proper methods of waste management is of high priority in order to prevent from releasing these wastes to environment. This study aimed to evaluate waste management efficiency in Karaj hospitals.
Material & Methods: This cross - sectional study was conducted in Karaj during 2011-2013. All hospitals of Karaj had been selected as statistical population of this study (n=8) by census. The data had been collected by separating and weighting produced hospital wastes for 4 month (during one week at each month) and filling related checklists of health ministry. Collected Data had been analyzed using SPSS software.
Results: The daily capita of waste was 4.1 kg per active bed, 5.6 kg per occupied bed and 9.4 kg per patient. The overall percentage score of present status of hospital waste management was assessed 88% and in 12% which indicate moderate and weak levels respectively. Hospital waste management had been evaluated weak in terms of collection, transportation and personnel but seen from the viewpoint in the separation and temporary storage, it was assessed moderate. However, in terms of disposal, assessment of hospital waste management showed it is in a desirable status.
Conclusion: The present status of hospital waste management was far beyond the expectations among studies hospitals. Thus, developing an operational plan and monitoring its implementation is highly recommended to. Given the main weakness of hospital waste management was related to production, collection, separation, and transportation, taking these areas consideration is of high priority.
Ali Asghar Ayatollahi, Reza Kazemi Darsanaki, Abolfazl Amini, Somayeh Rahimi, Mohammad Ali Vakili, Sara Hoseinzadeh,
Volume 15, Issue 2 (6-2016)
Abstract
Background:Nosocomial infections due to mortality and economic costs are one of the main challenges in current century. Gram-negative bacilli infections acquired in hospitals and hospital environment is one of the most important places of residence and publication of these types of bacteria. This study aimed to investigate the prevalence of gram-negative bacilli from the equipment of hospital in Western region of Golestan province in 2015.
Materials and Methods: During this descriptive study, 1210 devices were examined with sterile swab of environment and equipments which used in various wards of seven teaching hospitals of Golestan province using census sampling. After identification of the isolated colonies based on biochemical standard tests, results analyzed using SPSS version 22.
Results:Based of isolated samples, 352 positive microbial cultures (29.1%) contaminated with gram-negative bacilli which the highest bacterial contamination was related to Enterobacter (10.7%). among different hospital wards the highest bacterial contamination observed in ICUs (19.32%) and among assessed equipment, the highest contamination was related to laryngoscope blades (10.51%), phone (7.1%) , ECG sensor device and monitoring interface (6.25%).
Conclusion:The study findings confirmed that microbial contamination with gram-negative bacilli of hospitals equipment is highly considerable in West of Golestan province. Periodic assessments can be effective in nosocomial infections prevention.
Sayed Masood Mosavi-Negad, Omid Adeli, Tahere Hariri, Neda Vali-Pour, Zahra Moshkani,
Volume 15, Issue 3 (8-2016)
Abstract
Background: Many hospitals of Iran make use of their therapeutic capacities in order to attract medical tourists and increase revenue and efficiency of their affiliated hospitals. This issue has major benefits for hospital and tourists. This study assessed the potential of medical tourists' attraction in a military hospital in Tehran.
Materials and Methods: This was a descriptive- analytical one which used secondary data to analyze. Data gained from quality improvement and finance offices, recipients of service and health information management units from the first of 2014 to the first semester of 2015. Strategic plan document were used to analyze the opportunities and strengths points.
Results: The mean of studied hospital performance indicators like bed occupancy rate, length of stay, Bed turnover, rate of admissions to bed, mortality and bedsores rates, nosocomial infections, medication error, patients' rights and patient satisfaction were 4.68 , 3.3, 5.1 , 6.6 , 5.2, 1, 69, 9.74 , 70 percent respectively. The strengths points of the studied hospital were diverse expertise, updated equipment and minimum waiting time.
Conclusion: Because of skilled man power, physical resources and especially modern equipment, the hospital does not need huge investment in medical tourists' attraction. This issue will increase admission, productivity and satisfaction of clients and staff.
Dr. Nader Markazi Moghaddam, Reyhaneh Rahmati, Dr. Mojgan Mohammadimehr, Ebadollah Shiri, Dr. Sanaz Zargar Balaye Jame,
Volume 16, Issue 1 (4-2017)
Abstract
Background: Beside qualified and capable nursing personnel, nursing care development requires motivated nurses to work in an appropriate environment. This study aimed at determining the relationship between organizational climate and nurses' job motivation in selected Army hospitals of Tehran city in 2015.
Materials and Methods: In this study was a descriptive -analytical and cross sectional one. The sample size consisted of 340 employed nurses in hospitals with at least one year work experience which were stratified randomly selected based on work experience among four army hospitals in Tehran. Data were collected using two questionnaires including job motivation and organizational climate. In order to data .analysis, descriptive and analytical tests such as Pearson correlation coefficient were utilized.
Results: One hundred and eighty nine of participants (55.4%) were female. Mean age of nurses’ average was 32.22 ±9.8 years. More than half of nurses had evaluated group spirit as high level and hindrance, engagement, intimacy, consideration, spacing, thrust and production emphasis as moderate level. There was a direct significant relationship between all components of job motivation and engagement, intimacy, consideration, spacing, thrust and production emphasis (P<0.05). Furthermore, mental and official components of job motivation had an inverse significant relationship with hindrance component respectively (P=0.014, P=0.019).
Conclusion: Regarding the relationship between all components of the organizational climate with job motivation, attempt to improve these components will have significant impact on motivation improvement, reducing absenteeism and job dissatisfaction.
Dr. Sima Marzban, Mahshid Moeini Naini, Sayed Hossein Ardehali, Jaber Hekmatyar, Aliamir Savadkouhi,
Volume 16, Issue 1 (4-2017)
Abstract
Background: Injuries related to failures and errors due to clinical interventions in patient hospitalization period in hospital are the main reasons of mortality and mortality in worldwide. This study tries to identify and description ICU care failures and assessing the causes of risks, Severity, Occurrence and identifying risk probability ratio and risk prioritizing using FMEA method.
Materials and Methods: This study was carried out in order to evaluating existing situation using Failure Mode and Effect Analysis and utilizes volere logic to plan the patient safety management system. This study performed in the intensive care unit of Loghman Hakim hospital in Iran.
Results: Study finding revealed sixteen routine failures and its priorities which the five main issues were documented as error in decision phase for patients admission or in-admission (PRN 1000), error in discharge time of patient from ICU (PRN 1000), insufficient infection control (PRN 1000) and error in clinical ordering and prescriptions (PRN 800).
Conclusion: The main requirements of the patient safety management identified as planning standards and clinical guidelines, developing evidence based admission and non admission indicators, enacting infection control rules and education of anticipating standards places, hand washing and disinfecting instrument and equipments.
Dr Hojjat Rahmani, Ghasem Rajabi Vasokolaee , Dr Jalal Saeidpour, Dr Mehdi Rezaei , Dr Somayeh Niakan, Bahman Khosravi ,
Volume 16, Issue 4 (2-2018)
Abstract
Background: Considering the key role of human resource management in health care organizations, assessing human resources and its pathology are essential. Therefore, this study aimed to evaluate human resources pathology in Imam Khomeini Hospital complex in Tehran.
Materials and Methods: The present study was conducted using descriptive-analytical method in 2016. In this research, 342 employees of Imam Khomeini Hospital complex were selected. The data were collected using a standard three-dimension questionnaire, then, descriptive (frequency, percentage, mean, standard deviation) and analytical statistics (Pearson Correlation Coefficient) were used to data analysis.
Results: Study results revealed that the highest and the lowest mean and standard deviation were obtained for the variable of motivation and job satisfaction (3.51 ± 1.02) and improvement methods (2.81 ± 0.84), respectively. Among all studied variables, behavioral (3.29) and contextual (2.91) factors scored the highest and lowest points respectively. Correlation between structural, behavioral and contextual with demographics revealed a statistically significant association with sex.
Conclusion: According to study findings, considering the importance and role in providing the desired services, human resource managers should pay special attention to identify all organizational factors, especially organizational culture, motivation and job satisfaction, employee training, job security and customer orientation.
Somayeh Nouri, Dr Leila Riahi, Dr Kamran Hajinabi, Dr Katayuon Jahangiri ,
Volume 16, Issue 4 (2-2018)
Abstract
Background: Priority setting and resource allocation are assumed to be the most important issues of health-sector and fairness thereof requires considering various criteria. This study was performed to identify the criteria used for priority setting and resource allocation in the world health systems through comprehensive review.
Materials and Methods: Cochrane, PubMed and SCOPUS database were searched systematically from Jan.1,2005 to Oct.10,2016. The English articles with codified and specified qualitative and quantitative criteria in the resource allocation context in health sector were included in the study. The obtained data were synthetized thematically.
Results: Overall, 9162 papers were extracted. At the beginning of review of the included articles, 9089 papers were removed due to duplication and also based on the title. The abstracts of the remained papers were reviewed and 17 papers were removed. Full text of 59 remained papers were reviewed and based on matching with the inclusion criteria, 34 other papers were removed, too, and ultimately 25 papers were included in the final phase of the study. Extracted criteria were categorized into four dimentions based on economic, management, structural and contextual, out of which the most frequent ones were related to cost, health system goals, local capacity and disease status, respectively.
Conclusion: In this study, the most important criteria used by policy makers and decision makers of health system in the world were extracted for priority setting and resource allocation. The results indicated that in the world, priority setting and resource allocation in the health system is made mainly based on criteria such as cost-effectiveness, disease status, equity/equality and the need.
Soodabeh Khosravi, Dr Sayed Abolfazl Zakerian , Dr Khadijeh Adabi Bavil Aliaei , Dr Kamal Azam, Abolfazl Aliari,
Volume 16, Issue 4 (2-2018)
Abstract
Background:Human reliability assessment consists ofusing quantitative and qualitative methods to predict human contribution to the occurrence of error;so, using reliability assessment techniques is necessary to prevent and limit the consequences of errors in sensitive work environments.Healthcare considers as the high-risk areas.With due attention to the high rates of cesarean section in Iran, this study aimed at evaluating human reliability during this operation.
Materials and Methods:This was a qualitative-descriptive study which was performed as a cross-sectional one using the EMEA technique. At first, the process of operation was divided in to tasks and sub-tasks using the method of hierarchical task analysis. Then, according to the EMEA instructions, the work sheet was completed for all personnel in the operating room.
Results: A total of 126 errors, including 40 errors (31.75%) related to circular nurse activities, 34 errors (26.98%) related to anesthesia activities, 33 errors (26.19%) related to scrub nurse activities and 19 errors (15.08%) related to the activities of the surgeon, were identified.In general, skill-based errors (51.59%) and judgment-based errors (1.59%) were the highest and the lowest amount, respectively.
Conclusion:According to the study results, among three working groups, skill-based errors forcircularand scrub nurses and anesthesiology expert with the most frequency, and knowledge-based errorsfor surgeon tasks, with the highest frequency should be considered as priorities tocontrol errors.
Minoo Afshani, Dr Hojat Vahdati, Dr Mohammad Hakak, Dr Sayed Najomdin Moosavi ,
Volume 17, Issue 3 (11-2018)
Abstract
Background: Whistleblowing as a control tool should be encouraged in organizations to deter organizational illegal and immoral wrongdoings that finally are harmful to the society. Personality traits of people are influential factors on their intention to disclose the wrongdoings. This study aimed to assess the relationship between four personality traits (internal locus of control, ethical identity, extroversion and responsibility) and employees' intention to whistleblowing among the employees of central department of Mashhad University of Medical Sciences.
Materials and Methods: This cross-sectional study is a descriptive-analytic one. This research conducted on 251 employees of the central department of Mashhad University of Medical Sciences. A researcher-made questionnaire based on previous literature used to collect the data. Analysis of the data processed using the Partial Least Square (PLS) with Smart PLS software.
Results: Since, the amount of standardized coefficients between independent variables (locus of control, ethical identity, extroversion and responsibility) and whistleblowing intention were statistically significant (P<0.005), all of these independent variables have positive and significant influence on the employees' whistleblowing intention.
Conclusion: Given that individuals with internal locus of control, ethical identity, responsibility and extroversion characteristics cannot be able to ignore the organizational wrongdoings, it is better organizations use employees with these characteristics at more sensitive or critical places, where the possibility of organizational wrongdoing is high, in order to prevent potential harm to the organization and society as a result of wrongdoings.
Dr Sanaz Zargar Balaye Jame, Mohammad Alimoradnori, Amin Daneshvar,
Volume 17, Issue 3 (11-2018)
Abstract
Background: Job burnout is a result of long-term job stress, which can reduce the quality ofeducation and provision of services. This study aimed to investigate the relationship between jobburnout and its dimensions with occupational stress in Isfahan University of Medical Sciences in 2018.
Materials and Methods: The present study was a descriptive-analytic one. The sample of studyconsisted of 137 staff in faculties of Management and Medical Information, Advanced Technologies inMedicine, Rehabilitation and Nursing and Midwifery in Isfahan University of Medical Sciences using
convenience sampling method in 2018.The study tools were demographic s , Maslach and OSIPOWquestionnaires. Data was analyzed using SPSS version 23 software by descriptive statistics andinferential statistics such as ANOVA, T-test and Pearson correlation coefficient.
Results: Emotional exhaustion calculated in low level (45.2%), depersonalization in high level (45.2%), personal accomplishment in high level (75.3%) and the most participants had normal stress(54.8%). Similarly, based on Pearson Correlation Coefficient, there was a positive significantrelationship between job stress and job burnout and its dimensions, but there was no significantrelationship between personal accomplishment and job stress.
Conclusion: Study results revealed that the higher job stress among employees, the higher jobburnout among employees. As a result, implementing the interventions to reduce occupational stressand strengthen some resources can be helpful to reduce the burnout of employees.
Dr Msoomeh Erfani Khanghahi, Soodabeh Tayeri,
Volume 17, Issue 4 (2-2019)
Abstract
Background: Women's health has a broad concept that various biological, social, political, economic and environmental factors affect it. This study aimed to prioritize the factors affecting women's health promotion, provide a model for decision making and choose the best option for decision makers and health system planners to achieve the goal of promoting women's health.
Materials and Methods: In this descriptive-analytical study, the factors affecting women's health were extracted based on theoretical background and Farmehr's conceptual model. Then, the points of view of five women's health experts on the criteria and options of the model were collected and analyzed using paired comparison tables and Likert measure, and analyzed according to the hierarchical decision-making process. After analyzing the experts 'opinion individually, two methods of computing the geometric meanings and the experts' opinions were combined and the priorities were determined based on group views. The Excel software was utilized to perform the calculations.
Results: Among the four main factors, priorities included the individual factors (subcategory of lifestyle), family factors (family relationships) and underlying factors (attitudes and beliefs). In the first level of decision making related to intervention methods in women's health promotion, the multidisciplinary approach was determined; and in the second level of decision-making related to health management, the partnership of governmental and nongovernmental organizations established in the first priority.
Conclusion: Based on study results, designing and planning interventions with the prioritization of individual, family and infrastructure factors using multi-disciplinary approach and participation of governmental and nongovernmental organizations for promoting women's health are recommended.
Saeide Alidoost, Dr Aziz Rezapour, Rahim Sohrabi, Roghayeh Mohammadibakhsh, Dr Ali Sarabi-Asiabar, Narges Rafiei,
Volume 18, Issue 1 (5-2019)
Abstract
Background: The hospitals' reliance on insurer organizations' resources is increasing due to the growing number of insured persons. However, a relatively large share of these revenues cannot be collected for various reasons and is considered as hospital deductions from revenue. Hence, this study aimed to investigate the causes of hospital deductions from revenue and strategies to reduce them in hospitals affiliated to Iran University of Medical Sciences.
Materials and Methods: This qualitative study was conducted based on the phenomenological approach in 2017. Data was collected through semi-structured interviews consisting 17 finance experts in hospitals. Data analysis was performed using MAXQDA version10 and analytical framework of Gale et al. (2013).
Results: Based on the framework analysis, two themes were identified as the underlying causes of hospital revenue deduction including direct causes and root causes of revenue deduction. Also, in order to reduce revenue deduction strategies, eight themes were recognized including interaction with insurance organizations; analysis, assessment, and feedback on revenue deficit; coordination and empowerment of employees; proper organization of human resources; strengthening regulatory system, motivational strategies; good planning and creating an organizational structure.
Conclusion: The revenue deductions occur in all stages of converting services into income and the most important factor is lack of staff awareness and incentive to control deductions. Contributions of all process owners in the hospital and insurers and in particular the commitment of hospital’s senior managers are necessary to control the deductions.
Somayeh Fadaei, Mostafa Kazemi, Fateme Nezhad Shokoohi,
Volume 19, Issue 1 (4-2020)
Abstract
Background: Assessing and improving the quality of services in hospitals because deal with the health of humans is very important. The purpose of this study is to identify and weigh quality criteria and ranking of four hospitals in Mashhad.
Materials & Methods: The present study is of type Applied Studies that is a cross-sectional study conducted in the winter of 1396. In this study, by literature review, dimensions of service quality in the hospital was identified. Then, a paired comparison questionnaire (including 8 people) was used to conduct the survey. Then coefficients of importance of each dimension were calculated through the process of hierarchical analysis in a fuzzy environment. Decision-making matrix questionnaire was completed by a 400-person sample of patient companions in four hospitals.Then, hospitals were ranked using GRA-TOPSIS method. The validity of questionnaires were confirmed by the expert group.
Results:Using FAHP, knowledge and skills of medicine obtained the most important coefficient. Also, using GRA-TOPSIS, third hospital received the fourth place in the provision of services. Also in the third hospital the quality of access requires the greatest improvement.
Conclusion: In addition to ranking hospitals based on quality of service criteria, the GRA-TOPSIS method is able to identify each hospital's weaknesses in each criterion. As a result, the priorities for improving the quality of service in each hospital were identified, and the hospital manager could work to improve performance on the criteria that he or she achieved with lower performance than other hospitals.
Ramin Dastab, Farahnaz Farnia, Somayeh Zare,
Volume 19, Issue 3 (11-2020)
Abstract
Background: Quality of life is a mental issue that causes a person to be affected by various factors including self-efficacy. The roadmap in this field is family-centered empowerment, which aims to promote health. The aim of this study was to determine the effect of family-centered empowerment model on quality of life and self-efficacy of kidney transplant patients.
Materials and Method: This study is a randomized controlled clinical trial. 100 kidney transplant patients, who came to Shahid Hasheminejad Hospital, were divided into two groups of control and intervention by initial accidental sampling. Data collection tools were a three-part questionnaire includes of demographic characteristics, quality of life of patients of kidney transplant questionnaire (KTQ-25) and the questionnaire of health empowerment to survey about self-care (SUPPH). These questionnaires were completed by both groups once the study was initiated and another time 1.5 months after intervention. Data were analyzed by SPSS software (version 20), chi-square and T-test.
Results: findings demonstrated that when the study was initiated there was not any significance difference between these two groups in terms of demographic quantitative and qualitative characteristics and mean of quality of life and self-efficacy. In compared with control group, mean of quality of life of intervention group was increased. Statistically, it has a significance difference (0<0.001). Also, in comparison with control group, the score of self-efficacy promoted and it has a significance difference.
Conclusion: Considering the positive effect of family-centered empowerment model on self-efficacy of kidney transplant patients and finally on their quality of life, it is necessary to consider this model with the aim of promoting patients' health.
Sajjad Moshki, Shaghayegh Vahdat, Somayeh Hesam,
Volume 19, Issue 4 (12-2020)
Abstract
Background: The present study aimed to determine the causes of patients' readmission in hospitals affiliated to Bam University of Medical Sciences in 2019.
Materials & Methods: The current study was a descriptive-analytic study and the study population included patients readmitted in Pasteur Hospital in Bam, Javad Al-Aimeh Hospital in Narmashir, and Ayatollah Hashemi Rafsanjani Hospital in Regan in 2019. The samples consisted of 312 patient records which were chosen randomly. Data were collected by a checklist and were analyzed using SPSS software version 23 and descriptive and analytical tests (Chi-square and one-way analysis of variance).
Results: The results showed that the internal medicine department received 34% of readmissions. The average readmission cost was 17,265,353 Rials. The most common reasons for readmissions were having a new disease (46.2 percent) and recurrence of the former disease (39.8 percent). Findings of inferential statistics revealed no significant relationship between the causes of readmissions and gender (P = 0.566), age (P = 0.065), or costs (P = 0.625), but there was a significant relationship between the causes of readmissions and marital status (P = 0.049) and married people had more readmissions than single people.
Conclusion: It is necessary to pay more attention to readmissions caused by disease recurrence. It is also possible to prevent such readmissions and improve the quality of medical services by standardizing hospital processes and tools, standardizing staff training, and employing new diagnostic and treatment methods.
