فهرست مطالب سمانه سبزعلیزاده

The mission of health systems is to ensure community health by providing optimal health services. One of the methods to evaluate health services is patient satisfaction. On the other hands, unconscious patients have unable to decide and assess their treatment processes in intensive care units ( ICU); Therefore, satisfaction assessment should be measure just through a family of admitted patients, the study aim is to determine the family satisfaction of ICU admitted patients  the in educational and medical centers of Iran University of Medical Sciences in 2019.

This descriptive cross-sectional study was performed on 385 family members of ICU admitted patients, who were selected by consecutive sampling method. Data collection tool was FS-ICU 24 questionnaire.

According to the results of this study, the average score of satisfaction of all family members was 54.22 and higher than the average score (50). Among the dimensions of satisfaction, the highest mean score was related to the dimension of care measures with an average of 55.56 and the lowest mean was related to the dimension of participation in decision making with an average of 50.17.

The overall family satisfaction of ICU admitted patients was lower than studies in other countries. In addition, despite the importance of the family members involvement in patient-related decisions, the level of satisfaction was far below all dimensions of satisfaction. Such a finding highlights the need for health care providers to pay more attention to the needs of family members of ICU admitted patients, to involve them in the decision-making process and to promote communication between medical staff and family members.

Aims and Nausea and vomiting after surgery is one of the undesirable complications which occurs in more than %30 of patients. In the meanwhile, Serotonin antagonists have an expanded function in prevention of postoperative nausea and vomiting. The aim of this research was to compare the effectiveness of Ondansetron and Palonosetron(Serotonin antagonist) in this regard. This research has been an organized review with Meta-analysis. Search process has been done in Data bases namely: Clinicaltrials.Gov, CRD Database, Cochrane Systematic Review, Clinical key, and Pub Med just RCT articles, which compared incidence of postoperative nausea and vomiting under general anesthesia, have been chosen. After search and evaluation, 8 articles entered Meta-analysis. Risk estimation integration, and risk ratio calculation were analyzed via STATA 13. Number of samples in articles were 739. The incidence of Postoperative nausea and vomiting was assessed until 24 hours after surgery in 389 persons. Data analysis during 0 to 24 hours showed that Palonosetron decreased the incidence of nausea by %50, and the incidence of vomiting by 79% in comparison with Ondansetron (p= 0.001) Evaluating the effect of 0.075 mg Palonosetron versus 4mg of Ondansetron in primary 24 hours past surgery demonstrated that Palonestron has more efficiency on incidence reduction of Nausea and Vomiting, compared to Ondansetron in patients.

Iran is a disaster-prone country and occurrence of disasters is inevitable. Early warning system is one of the most aspects in hospital preparedness. This research aim to determine the effect of early warning system on hospital readiness. This research was conducted in Motahari hospital in Tehran city, 2014. To perform early warning system based on the national program of readiness for disaster, we had frequent sessions with some health experts and the members of disaster committee. The level of readiness was evaluated by WHO's checklist before. Following intervention, hospital preparedness rate increased by 25 scores demonstrating significant raise from moderate to high. In regard with average level of readiness in Motahari hospital and its significant increase after using early warning system, we recommend applying this system for improving the level of hospital disaster preparedness.