Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
PERFORMANCE ASSESSMENT OF HEALTH SYSTEM REFORM PLAN IN THE HOSPITALS AFFILIATED WITH URMIA UNIVERSITY OF MEDICAL SCIENCES
896
905
EN
Bahram
Nabilou
Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
Parviz
Salem Safi
Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
Hassan
Yusefzadeh
Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran (Corresponding author)
Background and Aims: Performance and efficiency assessment are two significant factors affecting the efficient evaluation of health system reform plan, and can help executive agents in better recognition of its strengths and weaknesses, and try to improve it. This study was conducted to compare the efficiency of hospitals affiliated with Urmia University of Medical Sciences, before and after the implementation of the reform plan.
Materials & Methods: This was an analytical-description study conducted in 23 hospitals of Urmia Medical Science University in the years 2013-14. To collect data, a checklist with input variables of the number of nurses, doctors, active beds, and other personnel and output variables of the number of discharges, surgeries and bed occupancy percentage for estimating technical, scale and managerial efficiency indexes of the hospitals to each year by Windeap2.1 software, was used.
Results: Reform plan has affected technical, managerial and scale efficiency, and the average of them reached respectively from 0.772±0.225, 0.877±0.193 and 0.878±0.144 in 2013 to 0.886±0.141, 0.941±0.116 and 0.941±0.090 in 2014. Therefore, it reflects improvement in performance due to health system reform plan. Before implementation of reform plan 21.74% of hospitals have acted as inefficient, while after the implementation, this amount has decreased to 8.70%. Meanwhile, after the implementation of health reform plan, the performance of some hospitals was reduced considerably.
Conclusions: According to allocation of high percentage of budget from Health Ministry to health system reform plan, monitoring and periodic evaluation of performance are necessary factors in increasing the efficiency. After implementation of reform plan and decrease in the medical cost, hospitals were faced with increasing referral of patients and bed occupancy. Lack of supply of required facilities and human resource proportional in increasing of referral load to provide cares were most common causes of reduced performance in inefficient hospitals.
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
THE RELATIONSHIP BETWEEN LONENESS AND SLEEP QUALITY IN OLDER ADULTS IN TABRIZ
906
917
EN
Vahid
Pakpour
Tabriz University of Medical Sciences, Tabriz, Iran
Vahid
Zamanzadeh
Tabriz University of Medical Sciences, Tabriz, Iran
Sedigeh
Salimi
Tabriz University of Medical Sciences, Tabriz, Iran
Amir
Farsiv
Tabriz University of Medical Sciences, Tabriz, Iran
Golshan
Moghbeli
Tabriz University of Medical Sciences, Tabriz, Iran
Amin
Soheili
Student Research Committee, School of Nursing & Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran (Corresponding Author)
Background & Aims: Poor sleep quality and loneliness in the elderly are associated with many physical and mental disorders, lead to increased demand of healthcare services. The living environment also affects these issues. Accordingly, this study aimed to determine the association between loneliness and sleep quality in older adults with a focus on their living environment in Tabriz.
Materials & Methods: This descriptive-correlational study was conducted on 400 older adults residing in families or nursing homes in Tabriz, Iran. The participants were selected using a multi-stage random sampling method. The Pittsburgh Sleep Quality Index (PSQI) and loneliness scale were used in collecting data. Descriptive and inferential statistics were applied to the data as well.
Results: The loneliness score in older adults living in families is significantly lower than nursing homes residents, and the level of sleep quality in older adults living in families is significantly higher that elderly residents in nursing homes in Tabriz as well (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
THE PREDISPOSING FACTORS OF POSTPARTUM DEPRESSION IN WOMEN REFERRING TO SELECTED HEALTH CENTERS IN URMIA IN 2015
918
925
EN
marzieh
saei
Students Research Office,School Of Nursing and Midwifery, Shahid Beheshti University Of Medical Sciences, Tehran, Iran
hamideh
mohaddesi
Reproductive research health center,Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
reihaneh
edalatnemun
School Of Nursing and Midwifery Urmia University of Medical Sciences, Urmia, Iran
Background & Aims: Postpartum depression is a public health problem with unknown etiology. In multiple studies, several factors have been reported asthe risk factors in postpartum depression. The present study aimed to determine the predisposing postpartum depression in women referred to health centers in Urmia.
Materials & Methods: 175 postpartum women who were eligible for the study participated in this cross-sectional.research. After the sampling at selected health centers of urmia University of Medical Sciences, participants completed a questionnaire containing demographic and Beck Depression Inventory.Then Spss 17 was used to analyze the data.
Results: The findings showed that the mean±SD age of the patients was 27.78 ±6.11 years. 50.9% of the baby;#39s gender was male, 52% were caesarean delivery, and 63.2% of were wanted pregnancies. 18.2% mild depression, 16.6% moderate depression, 12.6% had severe depression. There was statistically significant difference between depression and economic status, type of delivery, unwanted pregnancy,a history of depression, and problems related to spouse’s family(p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
THE EFFECT OF REFLEXOLOGY MASSAGE ON THE FATIGUE SEVERITY IN WOMEN WITH MULTIPLE SCLEROSIS
926
933
EN
Fatemeh
Rigi
Iranshar University of Medical Sciences
masoome
shahnavazi
Iranshar University of Medical Sciences
aram
Feizi
Urmia University of Medical Sciences
Hoseinali
Adineh
Iranshar University of Medical Sciences
Sobhan
Malekraisi noushirvan
Zahedan University of Medical Sciences
Background & Aims: Fatigue is one of the most common signs in Multiple Sclerosis that can cause undesirable consequences. This research aims to investigate the effects of reflexology massage on patients fatigue severity in women with Multiple Sclerosis.
Materials & Methods: This study is an Experimental study was performed on 52 patients with multiple sclerosis. Data collection instruments included a demographic questionnaire, and fatigue severity scale for Fatigue.
Participants were randomly assigned into two groups of experimental and control by minimization method. In the experimental group, reflexology was performed within Four weeks, three weeks for 30 minutes while the control group received medical treatment as directed by a physician. Data were collected through fatigue severity scale before, and one month after intervention in both groups. Data analysis was performed by Spss version 22 using descriptive and inferential statistic.
Results: Mean score of fatigue in the experimental group before intervention was 49/2 ± 4/3 and after intervention was 29/8 ± 4/41. Results showed that there was a statistically significant difference between fatigue scores in the experimental group before and after the intervention (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
EVALUATION THE CORRELATION BETWEEN GENERAL HEALTH STATUS AND HAPPINESS WITH FAMILY’ CHILD-NUMBER IN HIGH SCHOOL GIRLS
934
941
EN
Fatemeh
Kheirollahi
Qom univercity of medical sciences
Fatemeh
Sharifshad
Qom univercity of medical sciences
Parisa
Sarraf
Qom univercity of medical sciences
Narges
Mohammadsalehi
Qom univercity of medical sciences
Abolfazl
Mohammadbeigi
Department of Epidemiology and Biostatistics, Qom University of Medical Sciences, Qom, Iran(Corresponding Author)
Background & Aims: Psychological health has an important role in efficacy of the communities. The psychological health status of girls at their adolescence is an effective factor on their behavioral manifestations. Regarding the families willing for having a single-child, the current study conducted to assess the relationship between single-child being and multi-child being on general health and happiness score of high school girls in Qom.
Materials & Methods: A cross sectional study conducted on 341 girl students in 2016. The general health (GHQ-28) and happiness questionnaires were used for data collection. Analysis of Variance and Pearson correlation coefficient tests were used for data analyses.
Results: According to the general health score, 51% of the students were affected by psychological disorders, and 53.3% of them were affected by abnormal happiness. The mean score of happiness in high school girls was 39.6±16.4 and the mean of general health was 27.5±15.5. The mean score of happiness in single-child, two-child, and multi-child families were 40±15.9, 36.1±15.6, and 40.3±17.6, respectively, which were statistically significant. On the other hand, the mean of general health in single-child, two-child, and multi-child families were 26.5±14.3, 29.6±16.1 and 25.9±14.1, respectively that was not statistically significant (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
RELATIONSHIP BETWEEN HAPPINESS AND MENTAL HEALTH STATUS AMONG HIGH SCHOOL FEMALE STUDENTS: A DESCRIPTIVE – ANALYTIC STUDY
942
951
EN
babak
moeini
Mohammad
Babamiri
Yunes
Mohammadi
Majid
Barati
Sohila
Rashidi
Background & Aims: Paying attention to the mental health of adolescents especially girls, has got a specific importance, and apparently happiness is one of the most important factors to mental health promotion. The aim of this study was to determine the relationship between happiness and mental health status among high school female students in Kermanshah.
Materials & Methods: In this descriptive - analytic study, 629 senior female students were recruited by simple random sampling method from 3 sections of Kermanshah city in 2015. The tools for gathering data were: a) General Health Questionnaire (GHQ28), and b) Oxford Happiness Questionnaire. The results were analyzed by SPSS 22 by doing Pearson correlation and linear regression statistical tests.
Results: The mean score of happiness in students was 39.60, and the mean score of mental health was 34.15. There was a reverse but significant relationship between happiness and mental health scores (r=-0.678). Also happiness and all its components have significantly correlated with subscales of GHQ28 scores (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
Evaluation of Perceived Social Support of Patients Undergoing Hemodialysis and Its Relation to Treatment Adherence and Clinical Outcomes in Educational Institutions in West Azerbaijan Province, 2016
952
959
EN
zhale
rahimi
Faculty of nursing, Urmia University of Medical Science, Urmia, Iran (Corresponding author)
Background & Aims: Adherences to treatment recommendations has got a key role in the treatment of hemodialysis patients. Poor adherence will result in more severe clinical consequences in the mentioned patients. The aim of this study was to investigate the relationship between perceived social support, adherence to treatment and clinical outcomes in hemodialysis patients.
Materials & Methods: In this study, 255 hemodialysis patients who referred to the hemodialysis centers in 4 cities of West Azerbaijan province were selected by purposive sampling. The data collected through a questionnaire consisting of three parts: demographic and clinical variables, adherence in hemodialysis patients and social support questionnaire. Clinical outcomes (calcium, phosphorus, urea, creatinine, Intradialytic weight gain, etc.) of the patient were recorded. To analyze the data, descriptive and correlation statistics were used.
Results: The results showed that there is a significant relationship between perceived social support and adherence to diet restrictions, adherence to fluid restriction and adherence to medical prescriptions (p
Urmia University of Medical Sciences
Nursing And Midwifery Journal
2717-0306
14
11
2017
2
1
COMPARISON OF ESOPHAGECTOMY WITH AND WITHOUT PLACEMENT OF JEJUNOSTOMY TUBE
960
968
EN
Amin
Farjami
Bahram
Nabilou
Associate Professor of Health Services Management, Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran
Hasan
Yusefzadeh
Assistant Professor of Health Economics, Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
Rahim
Mahmodlou
Department of Surgery, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran (Corresponding author)
Background & Aims: Maintaining the nutritional and metabolic condition is one of the consequential pillars in the post-operative care. Feeding through a Jejunostomy Tube (JT) has been advocated in patients who undergo major operations on the upper gastrointestinal tract to enhance and accelerate an early enteral feeding. The present study aimed to examine benefits and complications of a JT insertion in such patients.
Materials & Methods: This quasi experimental and case-control study was performed in 2009-2014 on 100 patients who underwent Esophagectomy. Patients were divided into two groups. In the case group, Jejunostomy Tube was inserted for 50 patients while control group was fed normally and through intravenous injection. In this study, the clinical and economic aspects of the two groups were recorded and compared. Descriptive and analytic statistics were used to analyze the data.
Results: According to the results of this study, length of hospital stay and the beginning of oral intake interval were significantly shorter in the Jejunostomy group (P=0.02). Distention in Jejunostomy group was significantly more than other group (P = 0.04). The total cost of hospitalization in Jejunostomy group was significantly lower (P