مقالات رزومه دکتر محمد اسماعیل پور بندبنی

Health literacy is the capacity of each individual to obtain, interpret and understand the basic information of health services that is necessary for appropriate decision making in this area. Based on this, the researchers decided to conduct a study to investigate the relationship between health literacy and the quality of life of the elderly living in nursing homes in Guilan province in 2020.

The present study is a cross-sectional-analytical study. The statistical population included all the elderly living in nursing homes in Guilan province in 2020. The statistical sample consisted of 89 people from the mentioned statistical population who were selected through Cochran's formula and stratified-random sampling method. Data collection tools included the Health Literacy Questionnaire (HELIA) and the Quality of Life Questionnaire (SF-12). Data were analyzed using SPSS software version 20 and Pearson correlation coefficient, ANOVA, and t-test of two independent samples.

The average health literacy of the elderly is 78.97 with a standard deviation of 5.249%. The average quality of life of the elderly is 37.40 with a standard deviation of 6.645%. The result of the Pearson correlation coefficient test showed that there is a positive and significant relationship between the overall score of health literacy level and the overall score of quality of life of the elderly living in nursing homes in Guilan province in 2020. Also, the relationship between health literacy and general comprehension score, physical performance score, physical health score, physical pain score, emotional problems score, social performance score, vitality and vitality score, and mental health score in the elderly living in nursing homes in Guilan province in 2020, There is a positive and meaningful. The results of the analysis of variance showed that there is no significant relationship between health literacy level and quality of life level with age and level of education. The results of the t-test of two independent samples showed that there is no significant difference between health literacy and quality of life of male and female elderly.

By planning and designing useful educational programs in the field of health literacy appropriate for the elderly, and effective step can be taken to develop health literacy skills in society and improve the quality of life of the elderly.

Deprivation of social activities increases the feeling of loneliness among older adults. Reminiscence as the recall of past events, feelings, and thoughts, is one of the nursing interventions in nursing homes. This study aimed to determine the influence of group reminiscence on loneliness of older adults those living in hospitals affiliated with Guilan University of Medical Sciences in 2019.

In this quasi-experimental study, 32 older who met the inclusion criteria were randomly selected and entered in two groups, intervention and control group. Both groups completed a standard questionnaire as pre-test. After that, intervention group participated in a reminiscence protocol. The schedule was carried out twice a week, eight times and each season last 1 to 1.5 hours.

There was no significant difference in loneliness between the intervention and control groups before the intervention. Loneliness (P=0.0001) was significantly lower in the reminiscence group compared with the control group.

As a dynamic and interactive method, group-based memory recalling can reduce the feeling of loneliness in the elderly.

Elderly are vulnerable individuals in society, and are mostly exposed to mental disorders especially depression. Using non-medical factors to manage the depression, like perceived social support, can reduce the incidence of adverse reactions in such a vulnerable population. The current study aimed to determine the relationship between social support with depression among elderly in the eastern cities of Guilan.

This study was a cross-sectional, descriptive -correlational study conducted by the elderly living in the eastern cities of Guilan, in which 168 people were selected from two-stage, cluster random and available sampling.   Data was collected with using two standard tools include, Philips social support questionnaires (23 Items), and Geriatric depression scale (15 Items) Data were analyzed using SPSS, version 19, software, T-test, ANOVA and Pearson tests.

The mean of social support in elderly living in the eastern of Guilan was 73/25±9/18 (total score range of 23-92) and the mean of depression for them was 3/20±3/58 (total score range of 0-15). The analysis of the data indicated that there was a negative significant correlation between social support and depression (p<0/01, r=-0/47).

This study confirmed the role of social support in the development of depression in the elderly, so it is important to provide the conditions for promoting social support to reduce depression and thus improve the quality of life of the elderly.

Effective Nurse Communication with Elderly Patient is an important factor for satisfaction, optimal treatment outcomes. Barriers to communication can delay the improvement. Understanding these barriers and proper planning to address these barriers can improve the nurse-patient relationship and quality of nursing services. The purpose of this study was to determine the barriers to effective communication with the elderly patient from the nurses' point of view at Gilan University of Medical Sciences Hospitals in 2018.

This cross-sectional study was carried out in 2018 in medical educational centers of Gilan province. 250 nurses who met the inclusion criteria were selected by random sampling. Data collection tool was a 30-question questionnaire. Data analysis was performed using spssv.19 software using inferential statistics including Kolmogorov–Smirnov test to determine normal distribution of data, and nonparametric the Mann–Whitney U test, Spearman correlation was used for significance distribution of samples with significance level p <0.05.

The highest barrier for nurse-patient communication was reported in the area of occupational characteristics of nurses with a mean score  93/3±95/38. Environmental factors(38/78±3/88), socioeconomic factors(32/40±4/12), and clinical conditions(15/60±2/60) were the communication barriers that nurses emphasized, respectively.There was also a significant relationship between the mean score of nurse-patient communication barriers of the elderly with age (r=0/007) and clinical conditions with age (r=- 0/003) variables as well as individual-social domains and clinical conditions with sex(p=0/003) and marital status (p=0/041).

According to the results of the present study, nurses were more focused on occupational problems and less important on other factors as barriers to communication with elderly patients. Therefore, barriers to the environment and working conditions of nurses should be addressed as soon as possible by the nursing authorities and necessary steps be taken to eliminate them.

Health literacy includes not only the ability to read but also a set of complicated skills. Health literacy is important for understanding health messages and choosing the appropriate decision. The aim of this study was to determine the level of health literacy of mothers with infants who referred to urban health centers of Guilan.

This cross-sectional descriptive-analytical study was carried out on 253 mothers with infants who referred to urban health centers covered by the Guilan University of Medical Sciences for receiving routine care in 2018. These subjects were selected using random sampling method. For data collection, the standard information literacy questionnaire (HELIA) was distributed among eligible mothers according to inclusion criteria. Collected data were analyzed by SPSS 19 software using Spearman Correlation, Kruskal-Wallis and Mann-Whitney tests.

The mean score of maternal health literacy was 72.33±13.04. There was a significant relationship between the health literacy and maternal education level and occupational status (p<0.05).

The level of health literacy in mothers with infants is desirable, but it depends on various factors and can change over time.

Vaginismus is a sexual dysfunction in which couples are not able to have a normal intercourse. This disorder is one of the causes of infertility in women. The aim of this study is to successfully treat vaginismus disorder using Cognitive-Behavioral Therapy (CBT). This cross-sectional study was conducted at a psychiatry clinic. Two patients diagnosed with vaginismus and long term infertility, one with 6 years and the other with 7 years infertility, were chosen. The treatment, which was performed in 8 sessions lasting 45 minutes each, consisted of anatomical and functional teaching of genital organs, correction of misconceptions about sexual activity, and teachings about relaxation and mental imaging of sexual activity. After the successful completion of training, both patients were able to have satisfactory intercourse. One of the patients became pregnant after 5 months and pregnancy occurred in the other one after 3 months. CBT is still an appropriate method to treat Vaginismus and can be employed as a helpful, cost-effective, and non-invasive interventional therapy.

Information literacy and critical thinking are very important for medical students because of the importance of lifelong learning and being up-to-date. This study aimed to determine information literacy and critical thinking in students of School of Nursing, Midwifery, and Paramedicine College of Guilan University of Medical Sciences.
This analytic cross-sectional was conducted on 165 undergraduate students including: Radio-technology, Nursing, Medical laboratory, Midwifery, Anesthesiology and Operation Technology with Random sampling of comparative classification were studying in School of Nursing, Midwifery and Paramedicine College affiliated in GUMS during 2016-7. Data was gathered by using a demographic, standard questionnaire to assess information literacy based on Association of College and Research Libraries (ACRL) and the California Critical Thinking Inventory (CCTST-B). Data analyzed by using sample T-Test, ANOVA and Pearson Tests and SPSS software ver.16 and P- value was considered lower than 0.05.
Overall mean score of critical thinking and information literacy were calculated 22.78±9.5 and 24.53±7.054, respectively. The score of operating Technologists and Midwifery were more than others, Respectively. Total score of information literacy and the various disciplines involved were a significant relationship (P=0.001). Although the relationship between the overall mean of information literacy and critical thinking was not found (P=0.093), but effective and efficient access, the ability to critically evaluative information and resources and integrated knowledge base and value system and the ability to understand, access and use based on ethical and legal principles as information literacy areas had a significant relationship with the areas of critical thinking (P Information literacy and critical thinking estimated low in the sub-units. According to the importance of two issues of critical thinking and information literacy in academic developing and professional achievements, experts and policy makers related to education should emphasize on its teaching more.

Nursing is a practical profession; therefore three basic factors of students, teachers and curriculum have a great effect on clinical education. There are no general consensuses among researchers on what characteristics constitute an effective clinical teacher. This study explores the views of third and fourth year nursing and midwifery students with regard to the characteristics of effective clinical teachers. This is a descriptive, cross – sectional study. We conducted the study on105 third and fourth year nursing and midwifery students at Guilan University of Medical Sciences from 2012-2013 using convenience sampling. We collected the data through a self made questionnaire that was developed based on characteristics of an effective clinical teacher from student's view points. The questionnaire had 47 statements in three sections such as professional competency, communication skill and personality domain. Data were analyzed using descriptive statistics, repeated measurement, Greenhouse, and Bonferroni test (P<0.05). Average age of students was 21.2±1.4 years. 89 (84.8%f) students were female and 68 (64.8%) of them were nursing students. The most important characteristic of effective clinical teachers in the domain of professional competency was clinical skills (5.58±0.69). In communication domain it was respect for students (5.71±0.63). High confidence was in the personality domain (5.68±0.61) as well. Repeated measurement showed significant difference among three characteristic domains of effective clinical teacher. Analysis of Bonferroni test showed a significant difference within the groups and between domains of professional competency and communication skill (P<0.05). According to student's views, all three characteristic domains of effective clinical teachers were necessary, and communication skills were introduced as the most important domain of effective clinical teachers. Consequently, teachers should improve their communication skills.

The nursing profession is beyond the knowledge or set of skills and techniques to perform. To achieve holistic care، nurses must be educated the ethical knowledge. Nurses in their daily clinical practice are faced with numerous ethical issues and they are expected to have an active role to solution the ethical challenges. Exploration of effective Factors on active participation of clinical nurses to solution of ethical challenges can provide holistic care of the patients in three dimensions; technical، professional and ethical care. The purpose of this study was to explore the perspectives of master nursing students regarding these effective factors. A qualitative study، using the content analysis approach، was conducted. The questionnaire with demographic and open-ended question were held with 46 master students who were studying nursing in tarbiat modaress، shahid beheshti and Guilan University of Medical sciences in 1390-91. During the data analysis، three main themes emerged: «Inherent and personal characteristics of nurses»، «management and training roles of hospital as employer»، and «professional performance of nurses». Healthcare team members and administrators should support nurses to solution of ethical challenges if they are improving the ethical nursing care and active participation that are expected.