roya mansour

In chronic diseases, the religious belief of the patient is at risk and the spiritual crisis arises in the person. The aim of this study was to determine the spiritual health and its relationship with demographic characteristics of hemodialysis patients in 2018. This cross-sectional study was conducted on 103 hemodialysis patients referred to the Razi Hemodialysis Center in Rasht and selected through a simplified random sampling. Data were collected using demographic characteristics and spiritual health questionnaires. The psychometrics of this questionnaire has been confirmed in the national studies. The data were analyzed through descriptive and analytical statistics (Mann-Whitney and Kruskal-Wallis) using SPSS 16, considering the significant level of P <0.05. The findings showed that the total mean score of spiritual health was 227.92 and its standard deviation was 19.01, indicating the high spiritual health among hemodialysis patients. The spiritual health was high among patients older than 60 years with college-level education, farmers, patients with a history of transplantation and a history of dialysis less than one year, income above 2.000.000 Tomans and without underlying disease. There was a significant difference between spiritual health with history of dialysis and income level (P <0.05). In this study, the spiritual health level of patients was influenced by some demographic characteristics. Knowledge of the results of the current study can be considered by the managers to provide context for improving the spiritual health of patients through planning and providing the necessary arrangements.

health care providers are among those groups with greatest risk of blood born infections as Hepatitis C. This affects their practice toward patients with this type of infection. We conducted this survey to study health care provider's knowledge and attitude toward patients with hepatitis C in Razi Hospital in Rasht to increase our knowledge about this issue as well as to improveprofessional health level and health care service toward these patients. 239 health care professionals of Razi hospital in Rasht (the central of Guilan province) entered an analytical cross-sectional study. Inclusion criteria were working in Razi hospital as doctors,nurses and operation room technicians. Questionnaires consisted of questions on demographic characteristics, knowledge and attitude toward hepatitis C documented by a pilot study and validated by Cronbach's alpha (alpha= 0.7) which were distributed among participants. Data were collected and analyzed by SPSS16 software.P<0.05 was considered significant. The mean knowledge score was 17.43 ± 2.65 (from the total of 22), 51.9% of participants achieved upper scores while 48.1% got scores than this limit lower. There was a significant relationship between knowledge score and age, sex, occupation and Level of education of study group. Also there was a significant relationship between attitude level and age, sex, working and educational Background of population under study. Physicians were significantly more knowledgeable and showed more positive attitudes than the other occupational groups. There was a positive correlation between knowledge scores and attitude scores that means better knowledge correlates with better attitude. Present data show that discriminatory attitude is common among health care providers toward hepatitis C patients. Increasing health care provider's knowledge toward this disease is necessary to provide optimal health services for hepatitis C patients.