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Showing 64 results for Subject: Health System

Etemad K (md,mph,phd Candidate), Heydari A (student of Msc), Eftekhar Ardabili H (md), Kabir Mj (msc, Phd Candidat), Sedaghat M (md, Mph),
Volume 12, Issue 2 (7-2010)
Abstract

Background and Objective: Acquired immunodeficiency syndrome (AIDS) is a definition of dysfunction of immune system in human that is induced by infection with a virus named human immunodeficiency virus (HIV). The most high risk group in HIV infected people are intravenous drug users (IDUs) with unsafe sex. This study was conducted to evaluate knowledge and attitude of IDUs with unsafe sex about AIDS and relation with socioeconomic levels in Golestan province in North of Iran. Materials and Methods: This Cross-Sectional study was conducted on 134 IDUs in Golestan province during 2007. Samples were chosen by a random systematic method. Data was collected with interview by standard questionnaire. Data was analyzed by SPSS-16 and One-way ANOVA,T-test student, Kruskal-wallis, Mann-Whitney U and Kendall tests. Results: This study showed that 36.6% of samples had moderate knowledge about AIDS and 49.3% of them had negative attitude about AIDS. 67% of subjects had education between 6-12 years, 44.8% were married and 53% were jobless and without income. Level of knowledge had a significant relation with age (P<0.05) and education level (P<0.05). Older subjects had better knowledge. Level of knowledge in 25-34 years group was higher than other age. Well educated people had higher knowledge compared with low educated and illitrate subjects. Level of knowledge had a significant relation with attitude (P<0.05). Conclusion: The findings of this study showed that 65% of subjects with high risk behavior on HIV/AIDS had a appropriate knowledge about transmission of HIV, but half of these population have a poor HIV/AIDS attitude.
Alaedini F(phd), Khoddam H (msc), Kazemi Bajestani Mr (gp Mph), Koshan F (gp), Etemadi A (phd), Keshtkar Aa (phd),
Volume 12, Issue 2 (7-2010)
Abstract

Background and Objective: Quality of medical articles is effective at improvement of medical science. This study was done for determining of published medical articles quality in approved Medical Journals. Materials and Methods: This cross- sectional study was done on 690 medial articles, which published between 1983-2005 in scientific journals, approved by special Medical Journal committee of Ministry of health and medical Education (MOHME) in Iran, during 2007. Source of data was indexed medical journal in the Iranmedex database. Results: Type of study in 52% of articles was descriptive, 21.2% was interventional and 5.8% of them were analytical. In recent years the number of analytic and interventional articles have been increased significantly in comparison to other types (P<0.05). There was no qualitative type article in published papers. The percentages of original, case report and review articles were 44.9%, 36.9% and 14.1%, respectively. In recent years the rate of original articles has increased in comparison to case report and review articles (P<0.05). In 80% of articles, at least one statistical test was applied. 60% of articles were clinical and 82% of them have been written in Persian language. Conclusion: Findings showed an increasing trend in quality indexes of published articles. It seems in recent years, the changes of MOHME policies in evaluation of the research deputy of medical science universities implementation of research and scientific writing workshops ratting protocol of approved medical journals and academic members promotion guidelines, resulted in improvement qualitative index of articles.
Zahmatkesh H (md), Hajimoradloo N (md), Kazemi Malekmahmoodi Sh (bsc), Khoddam H (msc),
Volume 12, Issue 3 (10-2010)
Abstract

Background and Objective: Life saving with a high quality health care programs in the shortest duration is the mainstay of emergency department system. Frequent monitoring and quality control of this process and the satisfaction of patients are among the very important indices in hospital quality. This study was designed to evaluate the clients satisfaction in the hospitals affiliated to Golestan University of medical sciences. Materials and Methods: This descriptive cross-sectional study was done on 2400 referred patients in emergency departments of different hospitals in Golestan province, northern Iran during 2006. Data were gathered by questionnaire included demographic data and questions about satisfaction of outpatients and emergencies. The Data analyzed by SPSS-15 software and chi-square test. Results: Level of satisfaction in emergency department, was reported as follow: physician attention and behaviors (86%), nursing behaviors (85%) responsibility to patients (84.1%) status of the environmental temperature (83.9%) and cleaning (81.9%). The lowest satisfaction was related to behavior of guardsman (33.8%). In emergency ward, levels of patient's satisfaction were as following: Access to telephone (49.7%) quality of the meals (47.4%) quantity of meals (44.1%) and the lowest level of satisfaction of patient was neglecting the patient's right (8.2%). Conclusion: This study indicated that more educational programs, should be arranged for the emergency units employees to observe patients right.
Jahani S (msc), Elahi N (msc), Shahinzade A (msc), Hakim A (msc), Latifi Sm (msc),
Volume 12, Issue 4 (12-2010)
Abstract

Background and Objective: Although directly observed treatment (DOT) strategy had decreased tuberculosis (TB) mortality, but in developing countries, TB is yet one of the leading cause of deaths. Inappropriate treatment regimens and poorly planned and one of the TB control programs have contributed to rise in its incidence. The purpose of this study was to describe knowledge, attitude and compliance with tuberculosis treatment. Materials and Methods: This sescriptive – analytic study was done on 167 tuberculosis patients in Ahvaz-Iran during 2009. A questionnaire, observation, sputum smear, potts – cozart test (for detect of isoniazide metabolites in urine) was used for data collection. Reability of questionarie was determined by alpha-cronbach correlation method (α=0.81). Data analyzed with Chi-Square test. Results: The findings showed that 52.7%, 35.3% and 12% of the patients demonstrated good, midscores and poor adherence to drug regiment respectively. Also there was a significant relation beween control of medication and knowledge and attitude in tuberculosis patients (P<0.05). Conclusion: This study showed that a half of patients used medication according to DOT strategy, knowledge and attitude were effective on quality of adherence to the medication.
Taghdisi Mh, Borhani M, Solhi M, Afkari Me, Hosseini Me,
Volume 13, Issue 1 (3-2011)
Abstract

Background and Objective: The Problems caused by diabetes have direct and indirect impacts on quality of life of diabetic patients. By increasing of these problems quality of life of patients will decrease. This study was done to assess the effect of the educational program based on PRECEED (predisposing reinforcing enabeling causes educational diagnosis evaluation) model in promoting quality of life of patients with typeII diabetes.

Materials and Methods: This pre- and post-intervention quasi-experimental study was conducted on 78 patients with type 2 diabetes referred to diabetes clinic in Minoodasht located in Golestan province of Northern Iran. The educational program based on PRCEDE Model and patients educational needs was designed. The data were collected using two questionnaires. life-quality WHOQOL- BREF questionnaire and PRCEDE Model-based educational questionnaire. The subjects were followed for one month after intervention to identify the role of educational intervention on patients. The data was analyzed by using SPSS-16 and Paired t-test.

Results: After the intervention, the mean score of quality of life increased from 80.39±11.35 to 81.35±8.31. No significant difference was existed in the total score of quality of life after intervention but there were significant differences in the physical health (P<0.05), self-evaluation of quality of life of patients (P<0.01) and self-assessment of health of patients after educational intervention.

Conclusion: This study showed that the educational program based on PRECEDE model was effective in improving quality of life of patients with regard to physical health and self-assessment of their health status.


Espahbodi F (md), Emami Zeydi A (msc), Gholipour Baradari A (md), Khademloo M (phd),
Volume 13, Issue 2 (7-2011)
Abstract

Background and Objective: Poor sleep quality is common among hemodialysis patients and can potentially predict morbidity, mortality and quality of life in these patients. On the other hand, hemodialysis patients are encountered with vitamin C deficiency. The purpose of this study was to determine the effect of intravenous vitamin C on sleep quality in hemodialysis patients.

Materials and Methods: In this double blind randomized clinical trial, 60 qualified hemodialysis patients were gone under investigation in Sari a city located in North of Iran during 2010. Patients randomly allocated in two equal intervention and control groups. The main measured outcome was the Pittsburg sleep quality index (PSQI) which consists of seven components. At the end of each hemodialysis session, Intervention group received vitamin C vial (500mg/5cc) intravenously, three times a week for 8 weeks and control group received normal saline in a same way. Data were collected at pretreatment and after two months of treatment. Data were analyzed by Independent t test, Paired t test, Wilcoxon and Chi-Square tests.

Results: The result indicated that the sleep quality improves significantly in vitamin C group but not in control group (P<0.001). Vitamin C caused significant improvement in subjective sleep quality, sleep latency, habitual sleep efficiency and sleep disturbances in intervention group (p<0.05). Also, Global PSQI score of intervention group had a greater improvement than control group. Moreover vitamin C caused significant improvement in subjective sleep quality, sleep latency, habitual sleep efficiency and sleep disturbances in intervention group after treatment (p<0.05).

Conclusion: This study showed that intravenous vitamin C can effectively improve sleep quality in hemodialysis patients.


Hajian K (phd), Khirkhah F (md), Habibi M (md),
Volume 13, Issue 2 (7-2011)
Abstract

Background and Objective: The safety of teenagers and young are the major factor in developing a community and they are also the major group at risk of behavioural problems. So, this study was performed to evaluate the prevalence of risky behaviours among different university students in Babol, located in Norther of Iran.

Materials and Methods: This cross sectional study was carried out in a random sample of Babol university students including medical university, university of engineering and Azad University with roughly equal sampling ratio with respect to university and gender. The data was gathered by a designed questionnaire including demographic characteristics, physical involvement with others (violence), cigarette smoking, drug abuse, physical inactivity, overweight and obesity. In statistical analysis the Chi square test was used to determine the association of risky behaviours with demographic characteristics.

Results: The results revealed that in general the prevalence of physical involvement with others (violence) during a recent year was 33.3% current cigarette smoking 13.7%, overweight and obesity 25.6%, physical inactivity 15.3% and drug user during recent year 0.3%. In general, the prevalence of some risky behaviour was more in boys than girls (P<0.001), and it was more in single than married (P<0.001) and in residence of dormitory and rented houses than personal houses (P<0.001) and also in engineering and Azad university in contrast to medical university (P<0.001). For example, the prevalence of cigarette smoking was 25.7% in boys and 3.6% in girls (P<0.001).

Conclusion: This study showed a rather high frequency of risky behaviours among students in Babol city in North of Iran.


Veghari Ghr (msc), Joshaghani Hr (phd), Hoseini Sa (md), Sedaghat Sm (md), Niknezhad F (msc), Angizeh Ah (bsc), Tazik E (bsc), Moharloei P (md), Salehi A (md),
Volume 13, Issue 2 (7-2011)
Abstract

Background and Objective: Hypertension is considered as a major public health problem in most countries due to its association with ischemic heart disease. The aim of this study was to determine people awareness of hypertension in Golestan province of Northern Iran.

Materials and Methods: This cross sectional population based study carried out on 2497 subjects (15-65 years old) including 1500 men and 1247 women in Golestan province- Northern Iran during 2006. The subjects were chosen by proportional-cluster sampling based on sex and age groups. The subjects were interviewed, antropometric indexes and serum biochemical factors were evaluated. Blood pressure was measured three times with 5 minutes interval and defined based on JNC-7 classification. Serum cholesterol and fast blood sugar (FBS) were determined using laboratory kits (enzymatic methods), and spectrophotometery technique. Data was analyzed by SPSS-16 software and Chi-Square test.

Results: In general, the prevalence of hypertension in this region was 23.9%. with higher rate among women urban area by 3.3% and 5% respectively. Only 48.7% of hypertensive patients were aware of their disease and that was significantly more in women than men (P<0.001). Low physical activity, chronical age, diabetes, hypercholesterolemia, general obesity, central obesity and illiteracy were the risk factor for hypertension morbidity (P<0.05).

Conclusion: This study showed, in spite of prevalency of hypertension among 20% of subjects in this area only 48.7% of them were aware about their disorder.


Rahaei Z (msc), Morowatisharifabad Ma (phd), Zareiyan M (bsc), Shojaefard J (msc), Lesan S (bsc),
Volume 13, Issue 2 (7-2011)
Abstract

Background and Objective: Cardiovascular diseases are among 46% of deaths in Iran. Changing lifestyle is very important for the disease control. If the patients perceive the benefits of preventive behaviours, the barriers to those behaviours will decline and the probability of engaging in the behaviours will increase. This study carried out to determine perceived benefits and barriers of preventive behaviours of relapsed myocardial infraction.

Materials and Methods: This cross-sectional study was carried out on 100 patients with a history of myocardial infraction referred to Yazd Cardiovascular Research Center during 2007. A questionnaire was used for data collection which measured perceived benefits of, barriers to preventive behaviours of myocardial infraction relapse and status of those behaviours. Data was analyzed using SPSS-13 and Pearson coefficient and regression tests.

Results: Subjects earned a mean score of 30.24 (out of 36) in perceived benefits and 22.07 (out of 68) in perceived barriers and 24.48 (out of 37) in preventive behaviours. Preventive behaviours was positively correlated with net benefit and negatively with perceived barriers.

Conclusion: This study showed that in spit of suitable level of perceived benefits of myocardial infraction, but still the perceived barriers are significant enough and therefor removal of barriers to such behaviour are essential.


Aboulhallaje M (phd), Hatamabad N (msc), Abachizadeh K (phd),
Volume 13, Issue 3 (10-2011)
Abstract

Background and Objective: In term of health and economic, Hospitals is the most important sector in the healthcare providers. Therefore it is necessary to use economic analysis to achieve optimum performance. This study was done to determine the revenue sources of 150 Iranian educational hospitals during 2007. Materials and Methods: In this descriptive analytical study, data was collected by using of web based software in 150 educational hospitals affiliated to medical universities in Iran. We used the questionnaire for gathering the hospital profile which was filled by experts of budget personel in Minstry of Health and Medical Education. Results: 23674 active beds were in 150 selected hospitals. The total revenue was 4116 billion Iranian rial. The two major sources of total revenue were insurance organizations reimbursement (75.97%) and out of packet payment (24.03%). Per bed revenue was 174 million rial. The composition insurance organizations reimbursement are medical services insurance organization (46.7%), social security organization (32%), army force insurance organization (5.8%), Emdad committee insurance (2.9%), traffic injuries (business insurance) (9.7%), donors funds (0.1%) and the other insurance program (2.7%). Conclusion: The revenue of hospitals in Iran, highly depended on insurance reimbursement. Therefore, the hospitals confront serious problem if insurance organizations delay the reimbursement.
Amani F (phd), Mahdavi A (msc), Hamedi B (bsc), Zarerasouli S (bsc), Kargarjahed Z (bsc), Mohammadzadeh E (bsc),
Volume 13, Issue 3 (10-2011)
Abstract

Background and Objective: Patients consent for medical care is a legal requirement. Consent is a document that patient must be necessary aware about all risks of surgery, treatment strategy, Substitution and the risks involved by physician. This study was done to evaluate status of filled consent form of hospitalized patients in Ardabil – Northwest of Iran. Materials and Methods: This descriptive cross sectional study was done by interview with patients and accompained patients in hospitals of Ardabil – Northwest of Iran during 2010. Patient demographics and other variables gathered by a questionnaire. Data was analyzed by Chi-Square test. Results: 86 (57%) of patients were female and 64 (43%) male. 35 (23%) were illiterate and 92 (61%) under diploma. 45% of patients get information about their illness from doctors. According to patient ideas, 13% of reception personals did not complete consent form. 65 (43.3%) of patients stated that the context of consent form was unreadable and long. Rate of completing form for patients were 87%. 40% of completed forms was not signed by witnesses. The patients and relatives were not satisfied with the form itself, and this observation statistically was significant (P<0.001). Conclusion: This study showed that validity of completed consent forms are low and it is necessary to design programs for improvement the quality of filling the consent forms.
Shamsi M (msc), Bayati A (msc),
Volume 13, Issue 4 (12-2011)
Abstract

Background and Objective: Domestic violence can place mother and fetus at risk. This issue can be prevented through education and basic knowledge. This study carried out to determine the frequency and severity of domestic violence in pregnant women referred to health centers in Arak, Iran. Materials and Methods: This cross-sectional descriptive study was done on 400 pregnant women referring in health centers in Arak North-West of Iran during 2009. This research was implemented through questionnaires including the demographic chracteristic aspects of physical violence, emotional, verbal and financial severity and the factors effected violence on pregnant women. Data was analyzed using Chi-Square, one way ANOVA and Tukey tests. Results: The overall prevalence of violence during pregnancy was 34.5%. For this rate, 56%, 48%, 23% and 11% were emotional violence, verbal, financial and physical violences, respectively. Marrige age (P<0.035), partnership lenght (P<0.018), family history of marriage (P<0.001), education (P<0.001), occupation of woman and husband (P<0.001) with the outbreak of violence during pregnancy were significantly associated. Conclusion: This study indicated that the frequency of domestic violence in pregnant women is high, therefore it is sugested women clinic to be established to protect pregnant women suffering from domestic violence during pregnancy.
Pirzadeh A (msc), Sharifirad Gh (phd),
Volume 13, Issue 4 (12-2011)
Abstract

Background and Objective: The majority of medicines are associated with some form of side effects due to high prevalence of self- medication in Iran .There is not any drug without side effects the prevalence of self- medication in Iran's provinces is increasing. This study was done to determine the knowledge and practice among woman about self -medication based on health belief model. Materials and Methods: This cross- sectional study carried out on 385 women whom referred to health centers in Isfahan, Iran during 2008. Data were collected by a questionnaire including knowledge, practice and health belief model structures. Results: The mean score of knowledge was 82.97±13.80 and means score of perceived susceptibility 72.48±17.11, severity 71.60±14.73, benefits 68.29±17.13 and barriers 61.64±19.67. 86% of women have done self–medication at least in one disease in 6 months earlier Including: cold 225 (57.6%), headache 28 (53.7%) and anemia 51 (13.2%). The main reasons for self –medication were previous experience and medicine accessibility .The main reasons to avoid self –medication was the side effects of medicine. Conclusion: Self-medication can be prevented thought increasing knowledge and education about severity of drug side effects.
Simbar M (md), Khajehpoor M (msc), Jannesari Sh (msc), Alavi Majd H (phd),
Volume 14, Issue 1 (3-2012)
Abstract

Background and Objective: Unwanted pregnancy can have negative impacts on maternal health. The aim of this study was to compare the health status of women with wanted and unwanted pregnancies in Kerman, Iran.

Materials and Methods: This case – control was performed on women with wanted (100 cases) and unwanted pregnancies (100 cases) whom refered to health centers in Kerman, Iran during 2010. The tool for data collection included a demographic questionnaire, short form 36 health survey (SF36) and a researcher-made pregnancy’s  physical health. Validity and reliability of the questionnaires were assessed initially prior to study procedure. Data was analyzed by using SPSS-16, Chi-Square, T Student and Mann-Whitney tests.

Results: Women with unwanted pregnancies had lower scores for physical and mental health, vaccination and supplement consumption, prenatal care and personal health than women with wanted pregnancies (P<0.05). Women with unwanted pregnancies had more complications and high risk behavior compared to unwanted pregnancies (P<0.05).

Conclusion: This study indicated that unwanted pregnancies are accompanied with physical and mental health. Thus, special counseling and extra care measures is recommended during unwanted pregnancies. Pregnancy


Tadibi V (phd), Bayat Z (ma),
Volume 14, Issue 2 (6-2012)
Abstract

Background and Objective: The quality of life is advesly affected by type 2 diabetes as a serious metabolic disorder. This study was done to investigate the effect of aerobic training and drug intervention on quality of life in women with type 2 diabetes. Materials and Methods: In this randomized clinical trial study, 52 women with type 2 diabetes divided into four groups including aerobic training with full medicinal doses (group I), aerobic training with half medicinal doses (group II), full medicinal doses without training (group III) and half medicinal doses without training (group IV). Subjects in aerobic training groups participated in 8 weeks training program. Duration of each training session was 45 minutes from the beginning and increased gradually until 105 minutes. Full medicinal doses included Metformin (500 mg) and Glibenclamide (5 mg). Half medicinal doses included Metformin (250 mg) and Glibenclamide (2.5 mg), daily. Subjects without training, did not participate in any physical activities. Quality of life was assessed using SF-36 questionnaire. Data were analyzed using SPSS-18, ANOVA and t dependent tests. Results: There was no significant difference regarding quality of life between groups at pre-test. After the intervention, the quality of life in group I significantly increased (P<0.05). In group II, all subscales of the quality of life increased however, only social function was significant (P<0.05). In group III, all subscales of the quality of life decreased however, physical function, emotional and pain were significant (P<0.05). In group IV, the quality of life significantly decreased (P<0.05). Conclusion: Aerobic training with full medicinal doses could improved the quality of life in women with type 2 Diabetes.
Baheiraei A (phd), Banihosseini Sz (msc), Heshmat R (phd), Mohsenifar A (phd),
Volume 14, Issue 2 (6-2012)
Abstract

Background and Objective: Passive smoking during pregnancy increases the risk of pregnancy complications. The purpose of this study was to determine the relationship between self-reported exposure to passive smoking and urinary cotinine level of the pregnant women. Materials and Methods: This cross-sectional study was done on 108 non-smoker pregnant women referred to Arash hospital in Tehran, Iran for delivery during 2010. A questionnaire including smoke exposure during pregnancy was completed for all the participants. Urine samples were collected from the mothers in the delivery room. The urinary cotinine levels was measured by ELISA method. Data were analyzed using SPSS-16, Student t-test, Chi-Square and one-way ANOVA tests. The Kappa test was used to evaluate the variability of mothers which report exposure to passive smoking with maternal urinary cotinine level. Results: The geometric mean cotinine of the maternal urine in the exposed group (27.4±29.96 ng/ml) was significantly higher than the non-exposed group (0.75±2.29 ng/ml) (P<0.05). There was a significant association between maternal reports of cigarette smoke exposure and urinary cotinine (Kappa=96%) (P<0.05). Conclusion: This study indicated that there is a relationship between maternal self-reporting and urinary cotinine level during pregnancy.
Pirzadeh A, Sharifirad Ghr ,
Volume 14, Issue 3 (10-2012)
Abstract

Background and Objective: Although acquired immune deficiency syndrome (AIDS) is a vital medical problem but it is more prominant as a personal behavior social cultural phenomenon. Adolescents have been identified as risk population in immune deficiency virus. Health education is only effective method to prevent AIDS. This study was carried out to determine the effect of educational program on knowledge and health belief model structures about acquired immune deficiency syndrome (AIDS) among high school female student in Isfahan, Iran. Materials and Methods: This quasi-experimental study conducted on 72 female students whom divided equaly into case and control groups. The questionnaire included demographic characteristics, knowledge and health belief model. Educational interventions were performed in lecture and group discussion. Data were analyzed using SPSS-18, paired t-test and independent t-test. Results: There were no significant differences in knowledge, perceived severity, benefits and barrier in two groups before intervention. After intervention, there were significant increases in knowledge, perceived severity, perceived benefits and perceived barriers (P<0.05), in the intervention group, but there was not significant increases in perceived susceptibility. Conclusion: Education based on health belief model can improve knowledge, perceived severity, benefits and barriers in female student. More educational sessions are required for improving perceived susceptibility in high school female students.
Mohseni Ra , Pakzad H,
Volume 14, Issue 3 (10-2012)
Abstract

Background and Objective: The child mortality is a index of development and plays an important role in determination of population growth. This study was done to determine the effect of sociol-economical conditions on mortality rate of under 5 years children, Khuzestan- Iran. Materials and Methods: This descriptive study was done on 372 women aged. 20-48 years with at least one child under 5 years whome were admitted to the health centers in urban and rural area of gotvand town in Khuzestan province, Iran during 2004. Individuals questionnaires included variables such as mortality, demographic, economic and social index were completed for each subject. Data were analyzed using SPSS-17, ANOVA, Chi-Square and Pearson’s correlation coefficient tests. Results: Providing maternal health care during pregnancy and up-grading occupational status of parents significantly reduced child mortality rate (P<0.05). Child mortality rate increased in mothers of <18 and >35 years (P<0.05) and parents desire to have male infant (P<0.05). Conclusion: This study showed that up-grading occupational status of parents, maternal health care and maternal age and desire to have male infant play important role on the child mortality rate in Khuzestan province in south west of Iran.
Sadat Aghahosseini Sh , Rahmani A, Abdollahzadeh F, Asvadi Kermani I ,
Volume 14, Issue 3 (10-2012)
Abstract

Background and Objective: Disclosure of cancer is one the main challenges in caring of patients with cancer, since it may have adverse effects on the patients quality of life. This study was done to determine life quality of cancer patient with or without self awareness. Materials and Methods: This case – control study was conducted on 300 cancer patients in Shahid Ghazi-Tabatabaei hospital in Tabriz, Iran during 2009. The cancer patients included 150 subjects aware of their cancer diagnosis as cases and 150 unaware patients as controls. The patient's quality of life was assessed Using EORTC QLQ-C30 questionnaire. Data were analyzed using SPSS-17 and student’s t-test. Results: The mean±SD of quality of life among aware and unaware patients were 64.18±18.85 and 65.16±19.02, respectively. There was no significant difference of quality of life between two groups. Life social dimension in unaware patients significantly was more than aware patients (P<0.05). Conclusion: Patients awareness of cancer have no effect on their quality of life.
Mohajjel Aghdam A , Hasankhani H, Gharemohammadlu R, Esmaeily M,
Volume 15, Issue 2 (7-2013)
Abstract

Background and Objective: Improvement in self-care and self-efficacy behaviors has proved to be a vital factor in a successful management of asthma. This study was carried out to determine the relationship of patients self-efficacy with control of asthma symptoms. Materials and Methods: This correlation study was carried out on 257 asthmatic patients (133 men and 124 women) aged 18-35, who referred to Sheykholrayis clinic of Tabriz, Iran, during 2011. Data collection tools included a questionnaire of social-personal specifications, asthma self-efficacy scale questionnaire and asthma control questionnaire as well as patients’ spirometer parameters. Data were analyzed using SPSS-17 and Pearson Correlation Coefficient test. Results: Among aspects of self efficacy, the regular use of medicine and patient relation with physician were demonstrated to be 4±0.6 and 2.7±0.7, respectively. Among aspects of asthma control, the level of activity restriction resulted by the disease during the past week and the number of spray puffs used during past week were 3±1.1 and 1.5±1.2, respectively. There was a significant relation between self-efficacy and asthma control (P<0.001, r= -0.378). Conclusion: This study showed that in asthmatic patients, self confidence is an effective factor in the control of asthmatic symptoms.

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مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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