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Social Determinants of Health - Volume:3 Issue: 2, 2017

Social Determinants of Health
Volume:3 Issue: 2, 2017

  • تاریخ انتشار: 1396/05/05
  • تعداد عناوین: 6
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  • Mohammad Ali Gozashti, Siavash Moradi, Forouzan Elyasi, Pouran Daboui Page 58
    Background
    One of the best way of achieving the patient’s views and expectations about the effect of a therapeutic or palliative intervention on his/her quality of life is using of patient-reported outcome measures (PROMs). In this study we used European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) to evaluate the effectiveness of group poetry therapy on quality of life measures of women with breast cancer.
    Methods
    This quasi-experimental before-after study was conducted in 2016 on 30 women with breast cancer, undergoing chemotherapy at a referral center at the north of Iran. The study protocol included eight weekly sessions of group poetry therapy using poems from great Persian poets. The questionnaire was completed by the patients before beginning group poetry therapy and again one week and two months after the sessions had ended. Items of the questionnaire were manually scored and then analyzed with appropriate statistical examination such as student t test.
    Results
    A total of 28 patients participated in all the group poetry therapy sessions and completed the questionnaire. The changes of quality of life score from 51.8 to 65.5 (P=0.013) and 69 (P=0.005) and functional score from 65.6 to 71.4 (P=0.002) and 77.2 (P=0.002) were significant in both one week and two months follow up. Also symptom score change from 34.5 to 23.7 in two months follow up was important (P=0.013).
    Conclusion
    This study showed that based on the reports of patients with breast cancer, their quality of life had tangible improvements two months after group poetry and this positive psychotherapy in addition to reducing patient's physical complaints, improved their performance, too.
    Keywords: Cancer, Poetry therapy, Quality of life, Patient-reported outcome
  • Maliheh Ziaee, Reza Vafaeenejad, Gholamreza Bakhtiari, Irandokht Mostafavi, Maliheh Gheibi, Javad Mahmoudi Fathabadi, Mojtaba Taghvaei Ahmadi Page 64
    Background
    HAIs are a major public health problem that occurs among about 10% hospitalized patients. Nosocomial infections increase mortality and morbidity andprolonged hospital stay. They impose considerable costs to the health care system. This study was conducted in order to aware of the present status of nosocomial infections and comparison of our data to other studies.
    Method
    This prevalence study of HAI was carried out in 26 hospitals using a protocol updated yearly in Mashhad, Iran. The CDC NNIS system was used to define 4 nosocomial infections. All patients admitted to the hospitals during a 1-year period (March 1, 2015-February 30, 2016). Data was gathered from hospitals was in INIS (Iranian nosocomial infectionsurveillance) software.
    Result
    The overall prevalence rates of HAI in our study were 0.8% among the hospitals.
    Most frequent HAI had been PNEU, followed by UTI. The highest prevalence rate was observed in 15 to 65 years old. (56.26 %) and most of them were SSI. The most frequently isolated micro-organism was acintobacter. Most infections have occurred in winter and most of them is pneumonia. A total of 4988 pathogens were isolated, 30.33 percent of infections were confirmed by clinical diagnosis and 69.66 percent with positive culture.
    Conclusion
    These findings emphasize the need for appropriate control programs to develop screening, labelling and isolation precautions and created awareness regarding the magnitude of the problem of nosocomial infections and generated interest for systematic control efforts.
    Keywords: infection, nosocomial, hospital, disease
  • Ali Khalooei, Zahra Homaei Page 70
    Background
    Different factors affect the health care workers’ health and quality of life which lead to reduced performance, quality, and safety of services provided. The present study aimed to evaluate health-related quality of life (HRQoL) and its related factors among members of family medicine teams (FMTs).
    Methods
    A cross-sectional descriptive study was carried out in the winter of 2015. Using SF36 questionnaire, HRQoL of all FMTs (physicians, midwives, and health technicians) at Kerman University of Medical Sciences was evaluated. Data were analyzed using Independent T test, ANOVA, Pearson Correlation coefficient, and multiple linear regression in IBM SPSS Statistics for Windows, Version 22.0.
    Results
    Mean (SD) of total HRQoL score in FMTs was 71.6 (12.3) (out of 100). The Means (SD) of Physical Component Summary (PCS) and Mental Component Summary (MCS) scores were 75.1(14.3) and 68.0 (14.2), respectively. Also, there was a positive correlation (r=0.49) between the PCS and MCS (P
    Conclusion
    The results of the current study revealed that HRQoL, particularly the MCS, is not at an appropriate level among FMTs. Therefore, it is necessary to design and implement interventions in order to increase their quality of life, especially with focus on mental aspect.
    Keywords: Mental health, Health care workers, Physical health, Physicians, Quality of Life
  • Mahboobeh-Sadat Modarresi, Habib Omranikhoo, Niloofar Motamed Page 78
    Background
    Responsiveness along with health promotion and financial risk protection plays a pivotal role in health systems. The present study aimed to examine responsiveness in Bushehr university hospitals, in the south-west of Iran.
    Methods
    In a cross-sectional study, the statistical population consisted of the patients referring to two university hospitals in Bushehr, namely Persian Gulf Hospital and Bushehr Heart Center. In total, 402 patients were selected using the stratified random sampling method. Data was collected using a demographic questionnaire and the validated Persian version of the standard World Health Organization questionnaire on health system responsiveness to assess responsiveness level during 2015.
    Results
    Responsiveness level was statistically different between the two hospitals (2.34±0.58 and 2.70±0.5, respectively). In general, “access to social support” (3.05± 0.93) and “choice of health provider” (1.75±0.93) obtained the highest and lowest scores. Apart from “confidentiality” and “access to social support,” a statistically significant difference was observed in other domains (dignity”, “autonomy”, “communication”, “quality of basic amenities”, “choice of health care provider”, and “prompt attention” (between the two hospitals.
    Conclusion
    University hospitals studied had an average performance regarding responsiveness. It seems necessary to pay more attention to two domains of responsiveness including choice of health provider and autonomy in the hospitals.
    Keywords: Responsiveness, Patient Satisfaction, Patient Rights, Hospital, Iran
  • Most known Health literacy questionnaires, a review
    Narges Tavakolikia, Azita Kheiltash, Ehsan Shojaeefar, Ali Montazeri, Mohammad Shariati, Alipasha Meysamie Page 87
    Introduction Health literacy is an important issue in public health, which is defined as: the cognitive and social skills of an individual that determines his/her ability to obtain, access and understand health information. These abilities enhance the health of the individual and the community. As the area of social determinant of health and structure content of the questionnaires, such as the perception of health and the health status of people has been neglected generally in previous reviews, authors decided to review and compare the newest and various tools to reach a general conclusion.
    MethodWe reviewed most known Health literacy questionnaires designed and validated in different languages and tried to introduce them briefly and mention the studies related to them.
    Results More than 35 questionnaires in different languages including English, Spanish, Korean and Persian were detected as most known and were included in this review.
    ConclusionAccording to this review, three type of questionnaire were found: objective, subjective and combined form. Almost all questionnaires had acceptable values of validity and reliability and the most complete and used instrument that covering all areas of health literacy, as well as social determinants of health is The HLS-EU-Q which has been translated into different languages and also has different short forms.
    Keywords: Health literacy, questionnaire, validity, reliability