مریم میری زاده

  The main mission of the Health System is improving the level of health and meeting the needs of the society and its correct implementation also plays a very important role in the Health and Treatment System. This study aimed to investigate Patients’ satisfaction during their treatment process following implementation of Health System Reform Plan at selected treatment centers affiliated to the Qom University of Medical Sciences.

This descriptive cross-sectional study was carried out on 550 patients who were hospitalized in different wards of hospitals in Qom city in 2017. Sampling was performed by stratified random sampling using the table of random numbers. The data were collected using the standard questionnaire prepared by the Ministry of Health, and the questionnaires completed by the clients of different wards of selected public hospitals in Qom city, were evaluated.

In the present study, the total satisfaction level of the patients during their treatment process was 72%, which this satisfaction was reported to be 78% at Shahid Behshti hospital, 72% at Nekouee Hospital, and 61.5% at Karmkar Hospital. Moreover, the highest level of satisfaction was reported in the areas of drug provision (95.5%) and franchise and lack of informal payment to doctors (93.5%) and the lowest level of satisfaction was in the complaints management (53%) and discharge process (58%) areas.

According to the results of this study, the execution of the Health System Reform Plan in the treatment centers is effective in the promotion of patients’ satisfaction. Thus, it is suggested that the weak points should be paid attention, and the quality of services be promoted and the program be continued in order to increase the level of satisfaction.

Pre-surgery anxiety is a common factor among the individuals referring to the operating room. The present study has been conducted with the objective of investigating the effect of lavender essential oil on the anxiety, hemodynamic changes, and pain using the aromatherapy method.
This single-blinded clinical trial study was performed on 64 patients candidate for surgery with average anxiety score (46-56). The samples were divided into two equal groups (N=32 in each group). The first group had lavender aromatherapy for 20 min and the second group had aromatherapy with distilled water for 20 min. Finally, the levels of hemodynamic changes, pain, and the state (clear) and trait (hidden) anxiety, were investigated using the Spielberger State-Trait Anxiety (STAI) questionnaire once at the night before surgery and once on the day of surgery after aromatherapy.
In this study, 30 male patients (46.9%) and 34 female patients (53.1%) with the mean age of 28.2±6.4 (minimum 17 and maximum 40 years old) were investigated. Spielberger trait mean score was not significant in control and aromatherapy group before and after the anesthesia. Spielberger state anxiety mean score in control group before and after the anesthesia was respectively obtained 52.1±1.5 and 50.2±2, which was not significantly different, but this mean in aromatherapy group before and after the anesthesia was respectively 51.9±3.8 and 45±2, the difference of which was significant (p=0.03). The mean pain score during exit from recovery in control and aromatherapy groups was, respectively, 45.3 and 29.5, the difference of which was significant (Z=-2.55, p=0.01).
Considering the reduction of pain and anxiety in the recovery before and after aromatherapy by the Lavender essential oil, especially in subjects with moderate anxiety, it seems that use of this plant before surgery is effective in the reduction of anxiety.

Addiction to SMS, as a disorder and psychological trauma caused by contemporary technology, has attracted the attention of psychologists, sociologists, and the scholars of education. This study has been conducted with the purpose of determining the correlation between addiction to SMS and depression in the students of Qom University of Medical Sciences.

The present research was performed as a descriptive cross-sectional study on 300 students of Qom University of Medical Sciences through simple random sampling method using Igarashi Standard questionnaire for addiction to SMS and Beck Questionnaire of Depression. Data were analyzed using inferential statistical tests of independent t-tests, ANOVA, and Pearson’s correlation coefficient at a significant level of p<0.05.

In this study, 89.9% of the research samples were in the age group of 18-22 years, 71.3% were girls, 86.2% single, and 63.4% indigenous; 28.1% of the students were addicted to SMS, and no significant correlation was found between addiction to SMS and depression in the students (p<0.05) (r=0.024).

Considering the results of this study, it is worth to pay more attention to the phenomenon of addiction to SMS in students, and authorities should plan for appropriate culture-making and the accurate teaching of proper use of mobile phone at university.

Anethum graveolens (Dill) like Bunium persicum has therapeutic effect, such as food digestive, carminative, anticonvulsant, but its effect on increasing milk is certain. In this study, the possible effect of hydroalcoholic extract of Dill was investigated on serum levels of estrogen and progesterone in female rats.

The present study was carried out on 36 mature female wistar rats (weight, 150-250g) in 4 groups (9 rats per group):The first and second groups received the hydroalcoholic extract at doses of 50 and 100mg/kg, respectively, and the third group (sham) received 1 ml of water (solvent)for 14 days through gavage. The fourth group (control) received no drug. At the end, a deep ether anesthesia and blood sampling from the heart of animals were done and the serum levels of estrogen and progesterone hormones were measured. The results were compared using one-way ANOVA statistical test. The significance level was considered to be p<0.05.

The serum concentration of progesterone hormone significantly increased in groups received the extract compared to the control and sham groups (p<0.05). But the serum level of estrogen did not show any significant difference in experimental groups compared to the control group.

The results of this study indicated that the hydroalcoholic extract of dill seed at both doses could be effective in the increase of serum progesterone level. Therefore, in future, after conducting more studies, this extract should be considered as an important factor for elevation of this hormone level in women.

Herbal medicine is one of the methods being used in the treatment of diseases. Studies in Iran indicate high use of medicinal plants. Therefore, considering the serious effects of these plants on human health, the present study was performed with the purpose of comparing the frequency of use of medicinal plants in the students of medical and non-medical universities of Qom city in 2012. In this cross-sectional study, 360 students of Qom University of Medical Sciences and University of Qom (180 students from each University) were selected through stage random sampling. The research tool was a researcher-made questionnaire. Data were analyzed using Mann-whitney and chi-square tests. The significance level was considered p<0.05. The frequency of use of herbal medicines among the studied students was 75.3%, of which the frequency in non-medical students was reported 59.7% and in medical student 40.3%. This difference was statistically significant (p=0.001). Also, the most cases of use (90.4%) was for treatment of diseases, which from this point of view the frequency of use in medical students with 97.2% was significantly higher compared to students of the University of Qom with 85.8% (p=0.005). In light of the extensive use of herbal medicines by students, it is necessary to pay more attention to the role of continuous education and promotion of the culture of the use of herbal medicines in students.

Students learning in clinical education environment is the major part of the curriculums. This study was done with the purpose of comparing the students’ and teachers’ points of view about the status of clinical education environment in Paramedical Sciences and Nursing & Midwifery Schools of Qom University of Medical Sciences in 2012. This analytical-descriptive study was done on 154 students of Nursing and Midwifery, Operating Room, Anesthesia in fifth semester and above who were serving their apprenticeship and 18 teachers. Data collection was performed using a questionnaire consisted of 22 questions in four major domains (learning opportunity, support for learning, the environment’s facilities, and student-teacher communication. There was a significant difference between students’ and teachers’ points of view in the domains of teacher-student communication, learning opportunity, support for learning, and overall point of view. Also, teachers had more favorable point of view (p<0.05), But no significant difference was observed in the domain of hospital environment facilities (p=0.999). According to the results of this study, knowing the students’ and teachers’ points of view as well as similarities and differences of these viewpoints could be effective in planning for the improvement of clinical education environment.