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Investigating the opinion of inpatients about the quality of nursing care in 5 Azar and Shahid Sayad Shirazi educational centers, Gorgan, Iran
Alireza Heidari, Seyed Sina Mostafavi Toroghi, Nahid Jafari, Zahra Khatirnamani, Mohammad Zayandeh,
Volume 1, Issue 2 (10-2024)
Abstract
Background: One of the rights of all patients is good quality nursing care, which is the duty of all nurses. The overall success of hospital depends on the opinion and feelings of the patients about the nursing care in the hospital. The present research aimed to determine the quality of nursing care in 5 Azar and Shahid Sayad Shirazi educational centers in Gorgan.
Methods: The present research was a cross-sectional study. 213 inpatients at 5 Azar and Shahid Sayad Shirazi hospitals were selected using a convenience random sampling in 2022. The standard Quality Patient Care Scale (QUALPAC) questionnaire was used to collect data. The data were analyzed using descriptive statistics methods, and IBM SPSS 24 Statistics program. Considering the non-normality of data distribution, the mean difference between two independent variables was compared using Mann-Whitney test, the mean difference between more than two independent variables was compared using Kruskal-Wallis test, and the relationship between quantitative variables was evaluated using Spearman's correlation coefficient. The statistical significance level was set at P <0.05.
Results: The mean age of the patients was 49.72±14.1 years. Out of 213 patients, 50.9% were male. Most of the patients were married (82.2%) had a diploma (43.7%), and were housekeepers (26.8%). The mean of nursing care quality from the inpatient's perspective were classified as relatively favorable (2.51± 0.71). Moreover, the maximum and minimum score was related to the dimensions of communication (2.59 ± 0.81), and psychosocial (2.48 ± 0.68), respectively. This study’s results showed that there was no significant relationship among the demographic variables with the total score of nursing care quality, and its dimensions (P-Value > 0.05).
Conclusion: Since the nursing care quality from the inpatient's perspective was classified as relatively favorable, holding training courses for the clinical nurses and nursing students, and monitoring of these courses continuously can increase the quality of nursing care to the level expected by the patients.
 

Investigation of the prevalence of asthma in patients with COVID-19 and its relationship to asthma severity: A Cross-Sectional study
Mohsen Ebrahimi, Mousa Ghelichi-Ghojogh, Maryam Nafisi, Seyed Ali Aghapour,
Volume 3, Issue 1 (1-2025)
Abstract
Background: On December 8, 2019, cases of pneumonia from an unknown disease were identified in Wuhan, China. Investigations showed that this disease was COVID-19, caused by the SARS-CoV-2 coronavirus. This study aimed to investigate the prevalence of asthma in patients with COVID-19 and its relationship to asthma severity.
Methods: In this cross-sectional study, we obtained patients' data from medical records, including their asthma history, severity, and COVID-19 outcomes (mortality). Logistic regression was used to measure the association between asthma severity and COVID-19 mortality. The collected data were analyzed using SPSS software (version 23).
Results: The study showed that asthma was present in 14.4% of the patients with COVID-19. Regarding asthma severity, 61.9%, 16.4%, and 21.6% of the patients had mild, moderate, and severe asthma, respectively. The overall mortality rate among the patients with COVID-19 was 21.42%. There was a significant association between asthma and COVID-19 mortality (p-value = 0.003). However, asthma severity was not related to COVID-19 mortality (p-value = 0.50).
Conclusion: The lower mortality rate in patients with severe asthma may be attributed to corticosteroid use, which is less common in patients with mild asthma. Inhaled corticosteroids may offer protection against severe COVID-19 in asthma patients and could potentially help treat COVID-19.
 

Patients' trust in physicians of general teaching hospitals of Gorgan: A Cross-Sectional Study
Abbas Badakhshan , Alireza Heidari , Reza Mokhayyeri , Zahra Khatirnameni ,
Volume 3, Issue 1 (1-2025)
Abstract
Background: Trust is considered a foundation of interpersonal and social communications. Since the patient's trust in the physician affects the exchange of an invaluable good, such as health, it is extremely important. The current study aimed to estimate the patients' trust in physicians of Shahid Sayyad Shirazi and 5 Azar teaching hospitals in Gorgan city in the north of Iran.
Methods: In this cross-sectional study, 243 hospitalized patients in the aforementioned hospitals were selected using the random stratified sampling method. Eventually, 231 complete questionnaires were received. The data-gathering tool was the Persian version of the Wake Forest questionnaire. Data were analyzed using Mann-Whitney, Kruskal-Wallis, and Spearman's correlation tests with SPSS software.
Results: The average score of the patients' trust in physicians was 38.09±3.43, which is considered a good status. Most of the participants were male (58.4%), married (74.5%), self-employed (29.9%), and low-educated (51.1%). There was a significant relationship between the inpatient ward and the score of the patient's trust in physicians. No significant relationship was found between age, sex, marital status, education, basic insurance, complementary insurance, employment, and place of residence with the patients' trust in physician’s score.
Conclusion: The acceptable score of patients' trust in physicians should not be an obstacle to necessary interventions for health and political officials of the province. Informing patients about their rights and dignity, teaching communication skills to physicians in collaboration with the medical council, strengthening the basic insurance funds, and supervising the performance of complementary insurance should continuously be considered.
 

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