مقالات رزومه دکتر تهمینه صالحی

The prevalence of chronic renal failure is increasing dramatically all over the world. This disease causes a decrease in the quality of life, increased health care costs, and death. Health literacy as a vital indicator of health care results, and self-management as a critical indicator of disease control and chronic conditions can play together crucial role in these patients. Therefore, the research aimed to investigate the relationship between health literacy and self-management in patients with a kidney transplant.

This cross-sectional study was conducted with 120 participants in Tehran city using a convenience sampling method. Data were collected using a health literacy questionnaire and Kozaka’s self-management behavior specific to kidney transplant patients. SPSS ver. 20 used for data analysis.

The results showed a significant relationship between health literacy and self-management in kidney transplant patients. In addition, health literacy had a statistically significant association with education level, employment, income, and age. Also, self-management had a statistically significant relationship with age, education level, employment, and income.

A significant relationship was found between health literacy and self-management behaviors. Thus, it can be suggested to pay more attention to health literacy, which increases the client's knowledge regarding their condition and its evaluation. Health literacy can also be added to their educational program, both in medical centers and The Associations for the Support of Kidney and Kidney Transplant Patients.

Caring behaviors are the main essence of nursing actions. Creating a favorable clinical environment for the use of nurses' capabilities is subject to many external and internal organizational factors and conditions. By choosing the appropriate leadership style, nursing managers increase the participation of employees in decision-making and delegation of authority to them, help empower them, create work motivation, increase job satisfaction and reduce tension and improve the performance of the treatment team. And as a result, they maintain and improve the quality of care and the health level of the society. This study was conducted with the aim of determining the relationship between the leadership style of nursing managers and the caring behaviors of nurses in the selected medical training centers of Iran University of Medical Sciences in 2019 and from the perspective of the nurses working in these centers.

The current research was a descriptive correlational study that was conducted cross-sectionally in 2019. The views of 214 nurses working in selected medical training centers of Iran University of Medical Sciences were collected about the type of leadership style and caring behaviors using the MLQ leadership style questionnaire and the WOLF caring behavior questionnaire. The information was collected through a self-report questionnaire and the time required to complete them was about 20 to 30 minutes. Data collection started from May 1400 and ended in August 1400. Data analysis was done using SPSS version 16 statistical software and descriptive statistics (mean and standard deviation) and inferential statistics (independent t, analysis of variance) and significance level was considered less than 0.05.

The highest mean was related to the dimension of professional knowledge and skill (5.17 ± 0.66), and the lowest was the dimension of respect for others (4.71 ± 0.64), which indicates that the physical dimension of care is more than The psychological dimension of care has been taken into account. The results showed a statistically significant relationship between the dimension of respecting others and non-interference leadership (p=029). Transformational leadership style (3.43±0.82) was the dominant style in nursing managers and there was a statistically significant relationship between caring behaviors with age (p=0.032) and work experience (p=0.003).

It is recommended that nurses pay more attention to the communication and emotional aspects of care while maintaining their knowledge and skills and continuing to increase their professional knowledge and continue to provide it. The training and application of transformational leadership style by nursing managers should be considered, because in this leadership style there is a realistic vision and the participation of nurses in decisions and attention to the individual needs of employees, the possibility of developing and empowering nurses in order to communicate. It provides respectful.

This study was conducted to examine the relationship of marital satisfaction and self-care behavior in people with chronic heart failure

Chronic heart failure is one of the most important problems in public health and it would impose heavy costs on society and family. Self-care plays an important role in managing heart failure and can be influenced by social support. The patients receive the highest level of social support from their families.

In this descriptive study, 251 patients were selected by convenience sampling method. The instruments were Enrich marital satisfaction questionnaire, and The European Heart Failure Self-care Behavior  (EHFSCB). Collected data were analyzed in SPSS version 16 using descriptive and inferential statistics.

The results showed that 58.8 percent of participants were male, with a mean age of 59.66 years. The mean score of marital satisfaction was 145.6±41.98. Most participants (46.9 percent) had partial marital satisfaction. The mean score of self-care was 34.5±12.24 and most participants (41.2 percent) reported good self-care. There was a statistically significant negative correlation between the marital satisfaction and self-care scores.

Due to the positive effect of self-care behaviors on marital satisfaction and because most people with chronic heart failure have partial marital satisfaction, it is recommended to study factors influencing these components. It is suggested to support and teach patients and their families in order to improve marital satisfaction and promote self-care behaviors in these patients.