Zahra Royani , Ghanbar Roohi , Zahra Sabzi , Hamideh Mancheri , Einollah Mollaei,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Fatigue is among the most common complications for hemodialysis patients. The theory of unpleasant symptoms is associated with fatigue in hemodialysis patients. According to this theory, fatigue has three physical, mental and situational factors. Considering this theory, we aimed to determine some factors related to fatigue in hemodialysis patients.
Methods: In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
Results: The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P <0.001, r = 0.525)].
Conclusion: Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
Ghanbar Roohi, Ghahraman Mahmoodi, Homeira Khoddam,
Volume 17, Issue 2 (4-2020)
Abstract
Background: The gap between knowledge and practice is a global issue that reduces service quality by creating barriers to knowledge implementation, and thus strategies should be developed to resolve it. The present study aimed to explain barriers and strategies for implementing knowledge implementation into Iranian health system management.
Methods: This qualitative study was conducted on 53 managers and health management graduates in 2018. Participants were recruited through purposive sampling in Medical Sciences Universities in Iran. Data were collected by semi-structured interviews based on the "Promoting Action on Research Implementation (PARiHS)" framework, focus group discussions and Delphi technique. The PARiHS framework has three main elements including; evidence, context and facilitation. The Lincoln and Guba criterion was used to assess the rigor of the study. Data were analyzed in MAXQDA software version 10 using directional content analysis.
Results: After data analysis 9 subcategories and 3 main categories including; evidence, context, and facilitation were emerged. In addition to three subcategories including, culture, leadership and evaluation, the socio-political subcategory was a context for knowledge implementation main barrier in the organizational context. The systematic structural planning for the combined use of four sources of knowledge is the most important strategy.
Conclusion: The lack of context readiness in using knowledge and lack of efficient system impeded knowledge implementation in the health system management. Therefore, managers and policy makers need to design a comprehensive system based on current knowledge and successful experiences.
Azam Mohammadi Sangsari , Ghanbar Roohi, Zahra Sabzi, Ali Akbar Abdollahi , Naser Behnampour ,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Swift diagnosis and treatment of cardiac patients can avert unnecessary hospitalizations. Emergency departments routinely assess patients using the Emergency Severity Index (ESI) method. This study compares the effects of two triage methods, cardiac triage, and ESI, on the admission time of acute coronary syndrome patients.
Methods: This intervention study aimed to enhance the quality of therapeutic interventions through an intervention design featuring a control group. The research sample comprised all patients referred to the Sayad Shirazi Educational and Medical Center triage unit in Gorgan, Iran. All patients were randomly allocated into two groups: the control group (23 patients) and the intervention group (46 patients), utilizing a simple random allocation method. The control group underwent triage using the Emergency Severity Index, whereas the intervention group received cardiac triage. Triage forms and time-related indices were completed for both groups. Statistical analysis was conducted using descriptive statistics, the Shapiro-Wilk, and the Mann-Whitney tests to compare these characteristics between the two groups, utilizing SPSS version 18.
Results: Significant statistical differences were observed between the two groups in several aspects: the average time from the emergency department to the cardiac intensive care unit (p < 0.001), the average duration of presence of a cardiac specialist physician (p < 0.001), the average time from arrival to triage room exit (p < 0.001), and the average hospitalization time (p < 0.001). These time intervals were shorter in the cardiac triage group.
Conclusion: Implementing specialized cardiac triage for cardiac patients plays a pivotal role in reducing response times. Cardiac triage can furnish the medical team with more comprehensive information, thereby improving the management of these patients in the emergency department.
