فهرست مطالب کمال صالحی

Considering the important role that nurses' social responsibility has in improving the quality of nursing services, it is necessary to investigate the factors related to it. Therefore, this study was conducted with the aim of determining the relationship between nurses' social responsibility and organizational structure in teaching hospitals of Kurdistan University of Medical Sciences.

This research was a descriptive-analytical study. The statistical population included all nurses working in three teaching hospitals affiliated with the Kurdistan University of Medical Sciences, including Kowsar, Be`sat, and Tohid hospitals in Sanandaj city in 2019. Using Cochran's formula, 317 people were determined as the sample size and were selected by stratified random method. The tools used included the demographic information form, Carroll's (1991) social responsibility questionnaire, and Robbins and Evanswij's (1983) organizational structure questionnaire. SPSS-24 software and Pearson and MANOVA statistical tests were used for data analysis.

The average scores of social responsibility and organizational structure of nurses working in the studied hospitals were 131.72 and 53.45, respectively. There was a direct and significant relationship between nurses' social responsibility and its components (legal, economic, legal, economic, ethical altruistic) with the organizational structure of hospitals and its components (formality, concentration, and complexity) (p<0.05).

Providing the context to change the organizational structure of the desired state can play a significant role in increasing and improving the social responsibility of nurses in educational hospitals affiliated with the University of Medical Sciences. Which can be the foundation of quality and increase efficiency in teaching hospitals.

Tomato yellow leaf curl viral disease (TYLCV) is one of the main limiting factors that has caused great damage to tomato crop in tropical and subtropical regions of the world. Several genes have been identified from various sources that cause plant resistance to TYLCV virus disease and have been integrated into tomato crop genotypes. Pyramiding of these genes can lead to Stable resistance and, in addition, Causes resistance to several strains of the virus. The results of this study showed that viral infection increases the level of phenol and flavonoid compounds as well as antioxidant enzymes in the host plant, while lines containing the Ty-2 and TY-1/3 genes They had lower synthesis and expression of non-enzymatic antioxidant compounds (phenol and flavonoids) and antioxidant enzymes (catalase, peroxidase, guaiacol peroxidase and polyphenol oxidase). Also, in the study of TYLCV virus genome concentration using quantitative polymerase chain reaction technique, it was observed that the lines containing two Ty-2 and TY-1/3 compared to control plants had the lowest rate of the virus genome. This matter indicates the low rate of virus replication in the host plant. According to the observations of this study, by combining different TY genes, a desirable level of resistance in desirable but sensitive tomato lines against TYLCV virus can be achieved.

Nurses' social responsibility has an effective role in improving the quality of services and achieving the desired goals of the health system. Given that social responsibility is context-based. The aim of this study was to determine the relationship between nurses' social responsibility and organizational culture in teaching hospitals of Kurdistan University of Medical Sciences.

This study was a descriptive-analytical study. The statistical population included all nurses working in three teaching hospitals affiliated to the Kurdistan University of Medical Sciences, including Kowsar, Beasat, and Tohid in Sanandaj in 2020. Using Cochran's formula, 317 people were determined as the sample size. And were selected by stratified random sampling method. The instruments used for data collection were four questionnaires of demographic and social responsibility Carroll (1991) and Robbin's organizational culture (1998). SPSS 23 software and Pearson and Manova correlation tests were used to analyze the data.

between the social responsibility of nurses and its components (legal, economic, legal, economic, ethical, altruistic) with the organizational culture of hospitals and their components (control, individual creativity, organizational communication, reward system, clarity of goals, manager support, There was a direct and significant relationship between risk-taking, organizational cohesion, organizational identity, and conflict resolution. (p = 0/05)

Providing the ground for changing the organizational culture to the desired situation can play a significant role in increasing and improving social responsibility in teaching hospitals affiliated with the University of Medical Sciences.

Asthma is an important and chronic lung disease that in addition to having a negative impact on the quality of life of patients causes high mortality. Nowadays, one of the new methods of education in nursing is virtual education through smartphones. Therefore, this study aimed to determine the effect of virtual education on quality of life in asthmatic patients in Tohid Hospital in Sanandaj. 

This study was performed semi-experimentally in 2018 on 70 patients with asthma. The samples were randomly selected and then placed in two groups of intervention and control (35 people in each group) by quadruple random blocking method. Data collection tools, personal information form and quality of life questionnaire were provided to the intervention group. The control group also received routine care at the same time. The data were collected in two stages before and after the intervention and entered into SPSS version 21 and then analyzed and analyzed. The Chlomogorov-Smirnov test was used to test the variability of the variables, and the Kai-Square test, independent t-test, and covariance analysis were used to analyze the data.

The mean score of quality of life before intervention was 2.21 in the intervention group and 2.17 in the control group, which did not show a significant difference (p = 0.09). But the mean score of quality of life after the intervention was 2.05 in the intervention group and 2.17 in the control group. Covariance analysis test showed a significant difference between the two groups (p < 0.001).

The results of this study showed that virtual education can be effective in improving the quality of life of patients with asthma. Accordingly, it is suggested that virtual education be considered as a useful, up-to-date and practical training method in nursing care programs.
Keywords: Asthma, Quality of Life, Virtual Education.

This study was conducted to examine the effect of self-management program on major advers cardiac complications of coronary angioplasty in patients referred to Tohid Hospital in Sanandaj, Iran, in 2018.

Coronary artery disease is the leading cause of death in people over 35 years of age in Iran. Coronary angioplasty is one of the most successful treatment techniques in people with coronary artery disease with some unwanted cardiac complications. Reducing these complications is one of the important goals of health care systems.

This was a quasi-experimental study that was conducted on 101 people with coronary artery disease undergoing angioplasty. The samples were selected by convenience sampling method based on inclusion criteria, and then randomly assigned to the experimental (n=51) and control (n=50) group. Data collection tools included a demographic information questionnaire and a checklist of coronary angioplasty complications. The intervention was implemented in sessions of 45 to 60 minutes duration three times per week in the presence of a family member and a copy was handed in. This intervention was continued for six months in the experimental group. During intervention period, the patient’s condition and the implementation of the self-management program were followed up by phone. The control group received only routine care and the experimental group received both routine care and self-management program. Cardiac complications were assessed in the first, third and sixth months following intervention. Data were analyzed in SPSS version 21 using Chi-square, t-test and generalized estimation equations.

The groups were homogenous in terms of age, gender, marital status, level of education, place of residence, employment status, body mass index, number of children, history of hyperlipidemia, history of diabetes, history of hypertension, history of alcohol consumption, history of heart attack, and type of artery involved. Generalized estimation equations showed that after intervention, the rate of complications of target vessel revascularization (P=0.04), second coronary angioplasty, (P=0.005) and coronary artery bypass graft surgery (P=0.003) were significantly different between the control and experimental groups. However, there were no statistically significant difference between groups in terms of recurrent angina complications (P=0.066), myocardial infarction (P=0.069) and death (P=0.019).

The implementation of self-management program can reduce complications after coronary artery angioplasty. It is recommended for nurses to apply self-management programs and follow-up after discharge  for this group of patients.

Clinical competency is the use of skillful, technical and communication skills, knowledge, clinical reasoning, emotions and values in clinical settings. Developing the professional competence of investment nurses to ensure the safety and quality of patient care. The factors influencing the clinical competence of experience, environment, and the use of opportunities, motivation, theoretical knowledge and individual characteristics can be mentioned. The competence of nurses in critical care units is very effective because of the sensitivity and complexity of these wards in improving their scientific and practical quality and ultimately improving the care of patients with critical conditions.

The purpose of this study was to determine the clinical competency of nurses working in critical care units and its relation with the underlying factors.

The type of study is descriptive - analytical. The statistical population included nurses working in 11 critical care units, 3 educational-medical hospitals in Kurdistan University of Medical Sciences in 2018. Sampling method was census. 122 (87.2%) nurses completed the questionnaires by self-report method. The research instrument consisted of a demographic questionnaire with clinical competency questionnaire of nurses in Ebadi and colleagues with five factors of care management, Technical Competency, individual management, Human-oriented Care and Scholarship-oriented Care. To measure the items, a 5-point Likert Scale (from a minimum score of one to a maximum score of 5) was used. The validity of the questionnaire was carried out in Ebadi et al., in 2014. Reliability of the questionnaire in this study was obtained using Cronbach's alpha coefficient (α = 94). Data analysis was performed using SPSS 24 software and descriptive and inferential statistics.

The mean and standard deviation of nurse’s clinical competency score were 4.24 ± 0.42 from 5. The highest score of its factors was in the factor of individual management with a score of 4.37 ± 0.49 and Technical competence and the lowest scores related to the Scholarship-oriented Care factor with a score of 3.72 ± 1.31. Among factors, care management has a direct correlation with female gender (p = 0.017 t=2.002). There was no relationship between other factors with clinical competency and its significance (α = 0.05).

The clinical competence of nurses in intensive care units is high in this study. Due to the attitude of women toward nursing, they are more competent in managing patient care. However, given the low scores of nurses in the field of scholarship-oriented Care, it is necessary to pay more attention to topics such as the use of modern technologies and information technology in nursing, evidence-based care, research-based, continuing education, and in-service training to enhance the competence of nurses, especially in critical care wards. This requires focusing more on these topics in policy makers and managers the limitations of the evaluation study are self-reporting, which requires further studies in other ways.

The proportion of older adults in the population continues to grow in the developing countries. In addition, persons at or over the age of 60 years have decreased quality of life in geriartrics because of several factors, such as low physical activity and impairment in mobility. This study was performed to assess the effect of group-based exercise program on physical functional independency in order to finally increase the quality of life in older adults.

This quasi-experimental study was conducted in old women and men in 2005-2007. In this study, 50 elderly men and women were randomly divided into two groups experimental (25) and control (25).Group-based exercise program was administrated to the individuals of experimental group for 8 weeks (3 time a week) and subsequently using SF-36 questionnaire, the level of quality of life was measured in the two groups at the beginning and the end of the study. The data was analyzed using manvitni , chi-square and nonparametric tests.

Using group-based exercise program, increase in mean level of quality of life in different dimensions physical functional, role functional, pain, general health, emotional well-being, social functional , emotional functional and mental health was statistically significant(p<0.01),whereas in the control group ,these parameters, were unchanged(p>0.01).

Our study results showed that use of a regular and prolonged exercise program can increase the level of quality of life in older adults in different dimensions.