فهرست مطالب

Journal of Clinical Research in Paramedical Sciences
Volume:6 Issue: 2, 2017

  • تاریخ انتشار: 1396/07/30
  • تعداد عناوین: 24
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  • Mehran Babanejad, Shabboo Sohrabzadeh. Seyed Rahmatollah Mousavimoghadam, Ali Delpisheh* Pages 89-95
    Introduction
    The relationship between stress levels with spiritual growth and interpersonal relations have shown a different pattern in different societies. The present study aimed to determine the relationship between spiritual growth and interpersonal relations with stress management in students of Ilam University of Medical Sciences.
    Methods
    The study was cross-sectional and the study population was 400 medical students in Ilam University of Medical Sciences were recruited using the randomized allocation sampling, in 2012. The standard "HPLP II" questionnaire including demographic variables, stress management, spiritual growth and interpersonal relations was administered. Collected data were analyzed using ANOVA and linear regression tests in SPSS software.
    Results
    Mean and standard deviation of age and stress management score was 20.94 ± 1.9 years and 2.47 ± 0.5, respectively. In general, the poor, middle and good stress management was estimated to be 14%, 68.5% and 17.5%, respectively. There were significant relationships between students’ stress management with spiritual growth and interpersonal relations so that by improving spiritual growth and interpersonal relations score, the students’ stress management score has increased. Interpersonal relations showed that has a more important role in relation with stress management.
    Conclusion
    Health education in advanced levels considering spiritual growth and in particular interpersonal relations can have an important role in improvement of students’ stress management.
    Keywords: Stress management, Spiritual growth, Interpersonal relations
  • Fatemeh Naderi, Mohammad Bagher Shamsi, Mohammad Azizi*, Maryam Najafi, Ameneh Safari Pages 96-105
    Introduction
    Low back pain is one of the most problems that people are engaged nowadays. In most of these patients Hamstring muscle shortening is usual. In these patients may control postural index decreased and cause balance disorders. The aim of this study was to compare two treatment methods of static stretch exercises and conventional physiotherapy on dynamic balance in patients with chronic low back pain.
    Methods
    16 low back pain patients with shortened hamstring were enrolled in the study. They were allocated randomly in either conventional physiotherapy treatment group or to physiotherapy plus hamstring sustained stretch group. Before and after 12 treatment sessions, hamstring muscle flexibility using active knee extension test and body balance using Y test for balance were assessed. Statistical analysis was done using SPSS version 21.
    Results
    Dynamic balance increased significantly) P
    Conclusion
    Both conventional physiotherapy and physiotherapy plus sustained stretch improved dynamic balance and hamstring flexibility, but there was no difference between two treatment groups.
    Keywords: chronic low back pain, shortened hamstring, balance, static stretch, physiotherapy
  • Bahiye Aalaei *, Farahnaz Sadoughi Pages 106-113
    Introduction
    Nowadays none of the fields of human knowledge has remained unaffected by informatics and information technology. Health and treatment categories are no exception to this, too. Therefore, this study was conducted aiming at evaluating the financial information system of educational hospital of JundiShapuor University of Medical Sciences in Ahvaz.
    Methods
    This research was an applied type in nature drawing upon a descriptive method. The study was carried out in hospitals affiliated to JundiShapuor University of Medical Sciences in 2013 to 2014 in Ahvaz. A questionnaire was made to evaluate the strengths and weaknesses of the financial information system. Data received from participants who were willing to answer the questions. Content validity of the questionnaire was confirmed by the experts and its reliability was measured using SPSS software and Cronbach’s alpha method (89%).
    Conclusion
    The findings revealed that financial information system indices such as precise and correct financial calculations, support and classification of information, detailed services to patient report, report of purchase requests of sections, insurance bills of patients, and provision of processed financial information to the internal beneficiaries (as strong points) had a higher average than the features of communication with the internal and external information system and maximization of capital (as weak points).
    Results
    The results of this study showed that the financial information system is in a moderate upward situation, which has improved and upgraded the financial information system of Ahwaz hospitals..
    Keywords: Hospital Information System, Financial Information Management Systems, Hospitals, Indices
  • Saman Pashaei, Hojatollah Nikbakht*, Nader Shakeri Pages 114-122
    Introduction
    Heart signal changes during two consecutive beats are called Heart Rate Variability which is considered as a reliable indicator of the heart’s health. The relationship between Heart rate variability and physical training has not been clearly identified to date. This research examined the effect of physical training on heart rate variability in nonathlete young males.
    Methods
    Twenty four nonathlete young males with a mean age of 21.25± 1.43 were selected and randomly divided into a physical training group (n = 12) and a control group (n = 12). The experimental group completed physical training sessions for eight weeks – three sessions each weak - with an intensity of up to 60% of the heart rate reserve. However, the control group did not participate in any intervention. The heart rate variability of the subjects before and after the training protocol was measured. Then, the covariance analysis and paired t-test were utilized to analyze the data.
    Results
    The results indicated that after physical training, sympathetic activity decreased and heart rate variability significantly increased (P ≤ 0.05) while there was not a significant difference in control group. (P ≥ 0.05)
    Conclusion
    It seems that physical training can cause heart rate variability decrease in nonathlete young males.
    Keywords: Physical training, Heart Rate Variability, Heart Rate Reserve
  • Hadi Lotfnezhadafshar, Lili Rahmatnejad, Bahlol Rahimi, Hamid Reza Khalkhali * Pages 123-134
    Introduction
    The using of standard knowledge discovery methods such as decision trees, in context ofthe breast cancer has been studied. Presentation of undiscovered relationship among data in formats such as: visualization and formulating are the reasons of decision trees popularity. An algorithm from this group that has not been used in the previous published papers, applied in current study.
    Methods
    A dataset included data about 569 patients’ records between the years 2007 and 2010 was used. The missing data handling method was multiple imputation (MI). IBM statistics 21 was the used software for running MI and developing the model. The developed model was evaluated against the criteria such as: accuracy, sensitivity and specificity.
    Results
    A decision tree with seventeen nodes produced by the model. A set of clinically meaningful if-then rules were produced from nine nodes. It was clear from these rules that the variable that showed the stage of cancer was the most important variable to predict living probability of breast cancer. The performance of produced model for criteria (sensitivity, specificity and accuracy) was: 93.5, 53 and 80.3 percentage respectively.
    Conclusion
    The model created in current study as the first model in living probability of breast cancer revealed practical undiscovered rules from a not large dataset.
    Keywords: Breast neoplasms, survival, machine learning, Regression Analysis
  • Massoume Hosseini, Nader Saki, Negin Moradi *, Majid Soltani, Mahmood Latifi, Soheila Nikakhlagh Pages 135-143
    Introduction
    Because people with hearing loss have no feedback mechanism to monitor and adjust their speech٫so their speech production are often unclear and affected. Today, by advances in audio enhancement systems and biotechnologies of implantation٫ the greater efficiency of rehabilitation interventions, was provided to children with hearing impairment. In this study we aimed to investigate the relation of the use of hearing aids and cochlear implant to speech intelligibility of children with hearing impairment.
    Methods
    This study is carried out on 30 children 3 to 10 years old with hearing impairment. Speech sample of children is collected in 2 level of word and sentence. The relationship between speech intelligibility scores and duration of use of hearing aids and cochlear implant was evaluated by using of Statistical analysis.
    Results
    The study indicated that there is more correlation between increasing the duration of implant usage, and increasing speech intelligibility in comparison with increasing duration of hearing aids usage, and increasing speech intelligibility.
    Conclusion
    Having noticed that, the severe to profound hearing impaired children with cochlear implant in comparison with the most advanced hearing aids available, usually get sounds in better quality and quantity. So it seems that compared with hearing aids, cochlear implant serves more capably at enhancing speech intelligibility of children with hearing impairment.
    Keywords: Hearing impairment, cochlear implant, hearing aid, speech intelligibility, hearing loss
  • Mehrangiz Jamshidpour, Neda Izadi*, Mohsen Mohammadi, Alireza Ahmadi, Akram Rostaiee Shirdel, Katayon Jalili Pages 144-151
    Introduction
    Recognition of factors associated with the knowledge of pregnant women to delivery methods can lead health planners in making decisions. This study aimed to determine willingness of nulliparous pregnant women of their delivery method.
    Methods
    : In this cross-sectional study, the information form includes demographic characteristics as well as sections on the reasons, choice of delivery method, and number of children desired. The forms sent to urban and rural health centers via Nutrition, Population and Family Health Units were available to all nulliparous women within a period of one month. The data were analyzed using Stata 12 software.
    Results
    The mean age of the 2708 pregnant women were 25.39±5.04 years. 69% and 31% of them considered natural vaginal delivery and cesarean section as delivery method, respectively. Factors related to the selection of delivery method were obtained, education level, employment status, being watched by a specialist, and the place of residence (P
    Conclusion
    According to the percentage of cesarean selection that are greater than the acceptable rate of World Health Organization as well as the priorities obtained in delivery method causes, there needs to be more effort in guiding young mothers to the natural vaginal delivery and eliminating false beliefs and attitudes towards natural vaginal delivery.
    Keywords: Willingness, Nulliparous Pregnant Women, delivery Method
  • Marjan Ghazi Saeedi, Niloofar Mohammadzadeh, Mehrnaz Ghazi Nejad, Mina Lazem* Pages 152-163
    Introduction
    Nowadays there is no absolute treatment for gestational diabetes. Therefore, lifestyle management and selfcare are highly recommended. In this regard¡ the use of information technology such as mobile phones can help in the process of self-care to pregnant mothers. The purpose of the present research was designing and development of gestational diabetes self-care system based on mobile phones.
    Methods
    This applied-developmental study was done based on 4 phases. These phases included: determining the required data through the related literature review and questionnaires, designing processes scenarios and drawing the UML graphs through Rational Rose software, creating a prototype system using the Java programming language in Android studio software environment, and system usability evaluation via questionnaire.
    Results
    In the first phase, 4 data elements were eliminated and 39 (with at least 55% response frequency) were considered necessary. In the fourth stage, with acquiring a minimum average score of 6.1, evaluators were satisfied with the usability of all aspects of the system.
    Conclusion
    The findings concerning determination of the required data based on the mobile phone system, designing, creating and consequently evaluating it in all usability axes indicated a good level of system usability. Accordingly¡ it is suggested that future studies be performed on clinical trials effectiveness of using this gestational diabetes self-care software or similar systems designed to control the diet of these patients.
    Keywords: Gestational Diabetes, Self, Care, Mobile Phone, System Design
  • Nooshin Peyman, Mahnaz Nasehnezhad *, Habibollah Esmaily, Razieh Khosrorad Pages 164-175
    Introduction
    It is estimated that 80% of sunlight exposure occurs before the age of 21. The aim of this study was to promote sunlight protective behaviors in 12-18 years old teenagers through mothers’ education based on Social-Cognitive Theory (SCT).
    Methods
    The present research is a double-blind preexperimental study. Participants were 66 mothers and 66 teenagers (of 12-18 year-old) randomly assigned into experimental and control (n=33). Data from mothers was collected using a Social-Cognitive Theory-based questionnaire. Also, data from the teens was gathered through a self-made questionnaire on sunlight protective behaviors. The data were collected in three steps and analyzed through SPSS software (version 16) using descriptive and analytical test methods.
    Results
    According to the results, a significant difference was observed between the mean scores of mothers’ Social-Cognitive Theory-based variables and teen's performance in the experimental group three months after the training intervention (p
    Conclusion
    The results of this study show the effectiveness of training intervention based on Social-Cognitive Theory on promoting sunlight protective behaviors of teens through training their mothers. Also, through increasing awareness of the expected consequences of the sunlight protective behaviors, perceived barriers can be reduced and the ground for promoting the sunlight protective behaviors among teens can be created.
    Keywords: Social Cognitive Theory, Educational Intervention, Skin Cancer, Mothers, Teenagers, Sunlight Protection
  • Khadijeh Azarhoosh, Ayatollah Nasrollahi Omran* Pages 176-182
    Introduction
    : Candida albicans is opportunistic fungal pathogens which are causing several clinical chronic and acute infections, especially among underling, diabetic and immunocompromised patients. Extracellular enzymes including phospholipase, proteinase and hemolysin are important virulence factors to attach and further to attack to host cells. The main aim of this study was to access the extracellular enzymes activities in C. albicans collecting among diabetic and non-diabetic (control) groups.
    Methods
    : In this descriptive survey, 10 C. albicans isolates from diabetic patients and 10 from non-diabetic group were isolated from 97 people (including 64 diabetic patients and 33 controls) using month swabbing and further confirmation tests. Species identification was done by standard germ tube, grown on CHROMagar, microscopic and microscopic characteristics. Phospholipase, proteinase and hemolysin activity was accessed using specific mediums.
    Results
    In this study, 90%, 80% and 90% of isolates showed phospholipase, proteinase and hemolysin activities in diabetic patients whereas 80%, 60% and 70% of isolates showed these activities in control group, respectively. In total, there was a significant difference in proteinase and hemolysin activities between diabetic and non-diabetic groups.
    Conclusion
    Finding of this study showed a considerable presence of C. albicans among diabetic patients. According to high level of phospholipase, proteinase and hemolysin activities among C. albicans in diabetic patients, using an appropriate therapy is necessary to prevent further spread of these pathogens in diabetic patients.
    Keywords: C. albicans, Diabet Mellitus, Phospholipase, Proteinase, Hemolysin
  • Nooshin Poorshayegan, Yahya Safari* Pages 183-190
    Introduction
    the way that the instructor plans for courses and manages the class greatly affects the speed and quality of students learning. The aim of this study was to determine the relationship between the dimensions of leadership styles of faculty management with academic motivation of students.
    Methods
    The present study was conducted using descriptive correlation method. The statistical population was defined in two groups of 360 students in a randomized cluster sampling method) and teachers 118 using the sample Morgan,s table Faculty data were collected by Wolfgang and Glickman questionnaires and student's data were collected by Harter's Educational Motivation questionnaire. Data were analyzed using descriptive statistics, Pearson correlation coefficient and regression analysis using SPSS software.
    Results
    The findings showed that there was a direct and significant relationship between the leadership style of the classroom management of the faculty in general , and its dimensions by non-interventional style (P
    Conclusion
    Considering the direct and significant relationship between the dimensions of management leadership style (noninterventional, interventional and interactive) with academic motivation, it is suggested that faculty members and tutors use the dimensions of leadership styles to increase the student's academic motivations.
    Keywords: Educational motivation, Class management, noninterventional style, interactive
  • Abdolhossein Farajpahlou, Maryam Kazerani, Somaye Momenyan, Maryam Shekofteh, Masoumeh Ansari * Pages 191-200
    Introduction
    Strategic management is the management, guidance, and control of the organization to respond appropriately to the internal and external changes; and organizational agility is a way to respond to these changes.
    Methods
    This analytical survey was an applied type and based on structural equations. The research population included all managers and employees working in the central libraries of universities covered by the Ministry of Science, Research and Technology in Tehran in 2016 (n=149). Data were collected using standard questionnaires of Hill & Jones Strategic Management and Goldman's Organizational Agility. Data were analyzed using descriptive statistics and Pearson correlation coefficient test via SPSS software.
    Results
    The mean of strategic management application in central libraries of Tehran universities with a value of 14.91 out of 25 was at the "moderate" level; and the mean of organizational agility with the value of 14/34 out of 20 was at the "good" level. There is a significant relationship between the dimensions of strategic management and organizational agility (P=0/001).
    Conclusion
    Considering the emphasis of strategic management on environmental changes and the focus of organizational agility on increasing the organization's readiness in facing environmental changes and responding to them, and the existing direct relationship between strategic management and its components and organizational agility, it is recommended that central libraries of the universities in Tehran city to pay attention to application of strategic management components to achieve more agility. Improvement and enhancing the application of strategic management components in libraries will increase the organizational agility and will strengthen the organization's ability to cope with external organizational changes in order to keeping the libraries moving forward and achieving their organizational goals.
    Keywords: Strategic Management, Organizational Agility, University Library
  • Reza Safdari, Niloofar MohammadZadeh, Najmeh Bahmanziari, Negar Gheibi * Pages 201-209
    Introduction
    Access to the same information in documents, makes possible the presentation of comparative statistic in the field of health. Minimum data set gives us a tool for collecting standards while using such standards facilitate communication between people and organizations involved in health care. This study aimed to determining minimum data in measuring novice students' health in Iran.
    Methods
    This research was a descriptive-comparative study. A checklist was developed using a comparative study about data set of novice students in three leading countries in children health, the US, England, and Australia, as well as Iran. The checklist comprised minimum data set in novice students' health measurement. It was submitted to 49 medical professionals, sociologists, physicians, health information technology professionals, and family and school care experts using Delphi method.
    Results
    Sixty out of sixty-two elements that were at the poll with more than 75% agreement were considered as main elements; and two elements with 50-75% agreement were considered as proposed elements. Two elements with more than 80% agreement were added to measurement record: food and drug allergy, as well as physical activity.
    Conclusion
    Information elements for assessing health measurement were introduced in three categories: demographic and societal information, medical examinations, and assessment of physicians. This can be considered a suitable collection for electronic and paper format documentation.
    Keywords: minimum data set, novice student, health Measurement
  • Astinchap afsaneh *, Behpoor naser Pages 210-216
    Introduction
    Regular exercise enhances physical capabilities and physiological responses of the human body and the lungs are no exception. The importance of physical activity in maintaining and promoting health is proven. But the impact of physical activity on ventilatory function tests is not well understood. The purpose of this study was evaluating the effects of swim training on the ventilatory functions of female students.
    Methods
    This descriptive study was conducted on 60 female students aged 7-14. They divided into two groups of swimmer and non-swimmer.Thirty members of Kermanshah females swimming team were chosen as the swimmer group who had at least 2 months of continuous swimming practice (3 sessions per week); and 30 students were randomly chosen as non-swimmers. T-test was used for data analyzing by SPSS software (p<0/05).
    Results
    The result of the study revealed that swimmers had better ventilatory functions (FEV1& FVC) than non-swimmers. But no significant difference was found in FEV1/FVC between the two groups.
    Conclusion
    it was concluded that swimming training is an appropriate physical activity to increase ventilatory function in students. The cause of improved ventilatory functions after swimming training were better mechanical factors and lower airway resistance during the training period.
    Keywords: Respiratory system, health, swimming, ventilatory function
  • Fereshteh Jalalvandi, Mahmoud Fakhri, Samira Fatahi*, Sepideh Soroshgol, Afshin Almasi, Lida MemarEftekhar Pages 217-224
    Introduction
    Evaluation is a way for investigating the pitfalls and problems of any system. So, based on evaluation results managers can improve the procedural affairs and efficiency of their organizations. This study aimed to evaluate Operating Room Department which is in line with the steps towards the implementation of the accreditation.
    Methods
    This descriptive study was conducted using the accreditation pattern (internal evaluation). The study population included internal assessment committee, faculty members, head of the department, students, and graduates. Sampling method was convenience. Data were collected using a standard questionnaire and interview and were then analyzed using SPSS v.21 software.
    Results
    Evaluation of eight factors revealed that student factor had the best status with 4.33 points and graduates factor had the lowest status with 3.07 points. Overall, the results showed that the total score of operation room department was 3.85 which falls in the "good" category based on the Gorman scale.
    Conclusion
    The internal evaluation of operating room department proved its acceptable status; however, it is essential to make the required changes and implement remedial measures based on the findings in order to improving the quality, particularly for the graduates.
    Keywords: Internal evaluation, operating room department, Kermanshah University of Medical Sciences
  • Ali Yalfani, Farzaneh Gandomi * Pages 225-236
    Introduction
    chronic ankle sprain is situation that occurred with “giving way”, pain, and swelling and recurrent ankle sprain. In this study we assess the role of some in prediction of occurrence of chronic ankle sprain.
    Methods
    in this descriptive-regression research, statistical population was athletes from A category league team sports that 50 athletes (25 ankle sprain injured athletes’ and 25 health athletes) was selected as a samples non-randomic and purposefully. Seven variable measured as predictors variables. In order to assessing variables we used to Biodex and Inclinometer devices. And for data analysis we used to Logistic Regression.
    Results
    The results showed that, four variables (Y- balance test, total postural stability, single leg postural sway, weight bearing dorsiflexion ROM) of studied variables had significant statistical proportion in classification of injured group. This model could predict ankle sprain occurrence about 43.4% to 57.8%. Also model classified 80 percent of cases truly.
    Conclusion
    So chronic ankle sprain is multifactorial and postural control and weight bearing dorsiflexion ROM had important role in prediction of chronic ankle sprain occurrence. That w must pay attention to this factors in rehabilitation and re-injury prevention fields.
    Keywords: Ankle Injury, Balance, Weight Bearing, Range of Motion
  • Rozhin Hemmati, MohammadRasoul Tohid Niya, Nasrollah Sohrabi, Fereshteh Jalalvandi * Pages 237-246
    Introduction
    Favorites students to their field of study of the most important factors in academic achievement and professional skills in the future they will be.Increase the admission of students and limits the absorption of manpower ,leads to disorient supply and demand in the job market, job instability, reduced motivation and as well as students ' stress is.
    Methods
    This descriptive analytic study aims to determine the extent of Kermanshah University of medical sciences students ' interest towards the field of education and the future of his career was performing at 2016 year.Data were collected by questionnaire standard. Data analysis using SPSS software version 18.The index of abundance, for descriptive data analysis and statistical methods of the Chi square test, Fisher and two for explanatory data analysis were used. A significant level of p<0.05 was considered.
    Results
    Of the 298 completed questionnaires 167 people (56%) girl student and 131 (44%) the boy student with a mean age of 22 ± 3.6. 167 people BA continuum and the rest of the professional Ph.d. and masters were interleaved. 86.6% were dissatisfied students of degree and future career.Between the educational level and interest of students to the field of study and future career is a significant relationship (P = 0.002).
    Conclusion
    More students studying in their fields of interest were unhappy not the future of your business.The authorities should identify problems and provide solutions, leading to the introduction of full field of study to provide for students.
    Keywords: study motivation, future career
  • Maryam Nakhoda, Abbas Sheikh Taheri, Madihe Esfandiari pour * Pages 247-257
    Introduction
    Organizations must collect, process, and analyze the types of information they need. The aim of this study was to evaluate the needs of managers and employees and to present an electronic pattern of medical records management in insurance companies.
    Methods
    The research method was quantitative and qualitative. Twelve senior staff members of the medical records department were interviewed. Analysis of interview data was carried out using qualitative content analysis method. According to the findings of the interview, the primary model of the electronic medical records management system was presented. To determine the validity of the proposed model, all managers and staff of the unit were questioned about the capabilities obtained in the proposed model through a questionnaire. Descriptive statistics were used to analyze the data.
    Results
    Requirements of the mentioned system include: Data logging, classification, maintenance, security, electronic communications, display, access to various users, access to information resources - required knowledge, logging, user interface, speed, control, management and search. The results of the questionnaire was as follow: the highest percentage of positive answers about registration and data entry capabilities(%93/2), classification(%85/6), maintenance (%81/9), Security and Access(%91/2), telecommunications (%96/5), display(%92/3), different users access(%72/5), access to required information-knowledge (%84/6), reporting(%90/1), speed (%84/2), control and management(%97/4), search(%78/9), user interface(%94/7).
    Conclusion
    In this study, a model for the capabilities of the electronic system of medical records management for insurance companies was presented, which deals with the management of the work of the Medical Doctors Medical Insurance Company electronically.
    Keywords: Document, medical records management, electronic system, pattern, insurance companies
  • Mohammad Ghaderi, Hossein Abed Natanzi *, Farshad Ghazalian, Hojatollah Nikbakht Pages 258-271
    Introduction
    The purpose of present study was to investigate the effect of progressive resistance training with melatonin supplementation on plasma total antioxidant capacity and lipid peroxidation in overweight men.
    Methods
    In this clinical trial, 40 men with body mass index (BMI) between 25-30 were randomly divided into into four groups: training-supplement (N=10), training-placebo (N=10), supplement (N=10), and placebo (N=10). The training group performed an progressive resistance training session, 3 sessions each week with 55-85% 1RM for 8 weeks. The treatment groups received three mg of melatonin in capsule form every day two hours before bedtime. Data were statistically analyzed by ANCOVA and post-hoc Bonferroni methods (p≤0.05).
    Results
    The results showed that resistance training with melatonin consumption significantly increased TAC in training-supplement (p≤0.007), training-placebo (p≤0.029), supplement (p≤0.025) groups. However, significantly increased MDA values only in training-supplement (p≤0.039) and supplement (p≤0.048) groups.However, no significant changes were observed in the training-placebo and control groups (P> 0.05). The results of the intergroup differences indicated that TAC was significant only between the training-supplement, training-placebo and control groups (p≤0.05). groups. While there was no significant difference in MDA values between the training-supplement, training-placebo, supplement and placebo groups (P> 0.05).
    Conclusion
    Supplementation of melatonin alone and in combination with resistance training has been more effective due to potent antioxidant anti-inflammatory effects, can would improve the antioxidant capacity in overweight men.
    Keywords: oxidative stress, resistance training, melatonin supplementation
  • Ahmad Khoshai, Maryam Ahmadi *, Amir Jalali, Soodeh Shahsavari Pages 272-280
    Introduction
    Self-care is a process for maintaining health by improving methods, monitoring symptoms and managing symptoms when they occur. The aim of present study was to survey the effect of the educational intervention on self-care behavior in the heart failure patients .
    Methods
    This study was a randomized controlled clinical trial in heart failure patients which conducted in Imam Ali Hospital in Kermanshah in 2016. Totally, 80 samples were enrolled and For randomized allocation of 40 patients with heart failure to intervention and control groups, permutation block sampling was implemented. Data were collected by demographic questionnaires and European Heart Failure Self-care Behavior Scale. Patients in the intervention group received 8 consecutive one-hour training sessions by the researcher .SPSS-22 and R-3.2.3 software were used to analyze the data.
    Results
    The results of covariance analysis showed that educational intervention through group discussion increased the level of self-care behavior in patients with heart failure in the intervention group. After intervention, there was a significant difference between the two intervention and control groups in terms of general self-care score (P <0.001). The mean and standard deviation of self-care status in the intervention group before and after the intervention was 25.47 and 4.98, respectively, after the intervention, 35.33 and 4.99 (mean lower, better self-care status), while Self-care status in the control group was not significant
    Conclusion
    Educational intervention through group discussion is an effective way to improve the level of self-care in patients with heart failure, and therefore, it can be considered as a major rehab program in order to improve patients' condition.
    Keywords: Heart failure, Self-care, Group discussion, Intervention
  • Kamran Vafaei, Maryam Hematti, Maryam Chalehchaleh, AfshinGoodarzi, Maryam Janatolmakan * Pages 281-289
    Introduction
    Maintaining safety and preventing side effects, especially in hospitalized patients, has become a global health concern.The purpose of this study was to investigate the relationship between nurses' perception of work environment conditions and safety indicators of hospitalized patients in special sectors.
    Methods
    The study is a descriptive, analytical, cross-sectional study.Which was performed on 120 nurses working in intensive care units in 2016. The sample was selected by census method, Data was collected by self-report method,Personal information questionnaire, frequency record of unintended consequences and standardized standard of nurses' perception of environmental conditions.Using descriptive statistics (mean, standard deviation and frequency) and inferential statistics (Chi-square, Spearman correlation coefficient, independent t-test and Mann-Whitney test), the data were analyzed.
    Results
    Of the four safety implications, the frequency of compression wound was 58.1%, zero and 37.9%, and 0.8%, three times reported.The relative incidence of pneumonia related to ventilator is 58.1% and 38.7% respectively.There was no agreement between the four safety implications of the perception of nurses in the intensive care unit.There was a significant difference between the mean scores of nurse's nurse's relationship with nurses (p = 0.02) Also, there was a significant difference between the mean scores of physician and nurse communication in the nurses' group (p = 0.04).
    Conclusion
    Nurses' perception of the overall working environment conditions has no significant relationship with perceived nursing effects of unwanted safety, which can indicate the need for special attention to other causes for the prevention and reporting of nurses from the patient's safety implications.
    Keywords: Communication, Patient safety, Nursing
  • Kamran Vafaei, Maryam Janatolmakan, Maryam Hematti, Maryam Chalehchaleh, AfshinGoodarzi, AliReza Abdi * Pages 290-299
    Introduction
    Organizational climate affects the attitude and behavior of nurses positively, such as productivity, job satisfaction and motivation, as well as negatively, such as absenteeism, job vacancies and occupational accidents. The purpose of this study was to investigate the correlation between nurses' job performance and organizational climate in Kermanshah University of Medical Sciences.
    Methods
    A descriptive cross-sectional study was conducted on 100 nurses and senior staff working in the selected hospital of Kermanshah University of Medical Sciences. The data collection tool was the validity and reliability of the questionnaire in three parts: personal information, job performance, and career development. Data were analyzed using spss 16 software.
    Results
    There is no significant linear relationship between clear goals (P=0.61) and the clarity role with thejobfunctionalities (P=0.06(.Satisfaction of rewards has linear correlation with the seriousness component in work( P=0.02),respect for referred(P=0.04(,Sacrifice in the work(P= 0.05(,attempt to increase job information(P=0.04(,satisfaction and consistency on procedures had a significant linear relationship with discipline and administrative requirements (P=0.03), but other components of job performance with satisfaction and consistency on procedures did not have a significant linear relationship (P=0.07).Also, the effectiveness of communication with the discipline component and administrative modalities has a linear linear relationship (P=0.03). However, the effectiveness of communication between the components of occupational performance does not have a significant linear relationship (P=0.07).
    Conclusion
    Given the relationship between the majority of organizational climate and job performance, efforts to improve organizational climate in hospitals can not be considered as a valuable strategy for improving job performance. Considering the effect of reward satisfaction component among employees on their job performance, the importance of managers' attention to this component will be affected
    Keywords: Nurses, organizational climate, Job performance
  • Raziani Fatemeh, Naderipour Arsalan *, Jalali Rostam, Rezaie Mansour, Sabour Bizhan, Mohammadi Rohollah Pages 300-309
    One of the most effective rehabilitation is phase discharge training and post-discharge telephone follow-up by nurses. The aim of this study was to investigate the effect of nurse’s telephone follow up care on quality of life in patients with acute coronary syndrome after discharge in Kermanshah Imam Reza hospital in 2015.
    Methods
    This clinical trial, was performed on 78 patients with acute coronary syndrome randomly were divided into two intervention and control groups. The data collected by demographic data collection form and quality of life questionnaire SF-36. Data were analyzed by using t-test, Wilcoxon, Mann Whitney with SPSS software (version 21).
    Results
    There was a significant difference between the mean scores of the intervention group before and after nurse telephone intervention (P < 001). There was no significant difference between the two groups before and after the based on general psychological health and general health (p>0/05(. Based on dimensions of quality of life, mean scores in intervention and control groups after the intervention, there was statistically significant difference in physical function, dimensions social functioning, pain, impairment of role due to physical and emotional health, energy / fatigue and emotional (P < 001).
    Conclusion
    Telephone follow-up after discharge by the nurses on the quality of life in patients with acute coronary syndrome is effective and as a low-cost method available, it is recommended to improve the quality of life of these patients.
    Keywords: Nurse Telephone Follow up care, Quality of life, Acute coronary syndrome
  • Firoozeh Veisi, Maryam Zangene, Negin Rezavand, Nasrin Jalilian, Maryam Hemmati * Pages 310-313
    The aim of study is determine the demographic characteristics of women using Mirena IUD and side effects and its consequences.The study is Cross-sectional and was conducted on people that candidates for Mirena IUD and data were analyzed with software spss-16.The average age of patients 40.2 year and the most important use 55.6% was severe uterine bleeding. Nausea, blood pressure and muscle pain not seen in patients. Was seen regular menstruation and reduce bleeding in women.IUD can be used as an effective method of contraception in women.
    Keywords: IUD, Mirena, pregnancy