فهرست مطالب sheida vahidi

Many studies have shown that imagining God is effective in internalizing the emotional control of anxiety. The present study was conducted with the aim of further investigating the effect of this variable.

In this semi-experimental study, 60 patients were selected from the patients who were candidates for heart surgery, admitted to the surgical departments (30 in the experimental group, 30 in the control group). Beck's anxiety questionnaires, God image inventory and researcher-made attributive questionnaire form C (reconstruction of Wiener scale) were used. People in the intervention group, in addition to drug treatment, with cognitive-behavioral method with emphasis on Islamic thoughts, two group discussion sessions; They received problem solving training based on spiritual skills, but the control group only received drug treatment. The data obtained from the pre-test, after the end of the training session and follow-up one month after open heart surgery, were analyzed through SPSS software.

Data analysis showed that the perception of God has a positive correlation with the locus of control (r = 0.723 **), but the locus of control has a negative correlation with the emotion score (r = -0.597). Also, the results showed that the average anxiety scores in the experimental group in the post-test and follow-up phase were significantly different from before the intervention compared to the control group (P=0.0001). Also, the analysis showed that there is a significant difference between the average scores of the control position and the average of the subscales of perception of God (influence, divine providence, acceptance, presence, challenge, benevolence) in the two experimental and control groups in the follow-up phase (P=0.0001).

Designing and implementing group logotherapy can be an effective approach to reduce anxiety before heart surgery and increase the place of internal control and subscales of perception of God.

This research aimed at analyzing the adverse events reported related to blood transfusion in one of the large vice-chancellorships of Iran University of Medical Sciences in spring 2018.

This descriptive study was performed based on the eight stages of the root cause analysis (RCA) of healthcare events by the National Authority for Health. For classification of the considered concerns, the “classifying nursing errors in clinical management (NECM)” model, failure classification, approved by the UK National Health System, and also a creative problem-solving technique were used for determining the improvement solutions.

Based on the results, 70% of states of blood transfusion error and blood products were placed in the category of care errors, 10% in the communication category, 20% in the category of implementation errors, and 0% in the category of knowledge and skill errors. A total of 38 influencing factors were identified for adverse events of blood transfusion, the most cause of the error was associated with organizational factors (18.4%), and the least reasons for failure were equipment and resource factors (5.3%).

The establishment of advanced systems for the automatic transmission of blood and blood products, due to the lack of proper infrastructure in Iran, is not economically feasible. Therefore, at the level of this deputy, the guideline for managing blood transfusion and blood products in the two areas of "measures required before, during, and after blood transfusion and blood products" and "hemovigilance for physicians" were developed.

Today, increasing of the number of patients with diabetes in the world has become the disease the world's largest epidemic. The patient's self-efficacy is a key element in the prevention and treatment of diabetes. This study aimed to Assessing Self Efficacy with Health Belief Model component type 2 diabetic patients referee to Iranian Diabetes Association in 2012-2013. This study was a cross sectional on which 80 persons referee to Iranian Diabetes Association in 2012-2013 were selected by convenience non-randomly method. Instrument of data gathering was a two part one included demographic variables (9 items) and self-administered diabetes assessment based on HBM (51 items). Data was analyzed with SPSS software version 18 using independent t test, ANOVA and person correlation coefficient. Significant level was set at 0.05. Mean and SD of participant age was 55.16± 8.89 years. Mean and SD of perceived threat and cues to action were the most and the least on (60.42± 31.08) and (49.64± 18.76) respectively. Self Efficacy had significant relation with perceived threat, cues to action and perceived benefits and barriers. Perceived barriers among various structures had the greatest impact on patient's self efficacy. Based on the results in this study perceived barrierswho had their effectiveness overshadows that. So Health Education and promotion interventions to Improving patient’s perceive about barriers and Enhance their ability to solve problems leads to improving self-esteem and self-worth is suggested as a necessary step toward Self Efficacy promotion.