جستجوی مقالات مرتبط با کلیدواژه « physical environment » در نشریات گروه « پزشکی »

The healthcare environment should provide the highest level of safety for staff and clients. This study aimed to assess the structural and non-structural safety status of Tabriz primary health care centers.

This cross-sectional study assessed 40 comprehensive healthcare centers in Tabriz, Iran in 2019. The data collection instrument was a self-designed questionnaire We assessed the compliance of comprehensive healthcare centers with the standards checklist through conducting interviews, considering observations, and reviewing the documents. The descriptive results for qualitative data were reported as frequency (percentage) and for quantitative data as mean (standard deviation). Furthermore, to evaluate the association between contextual variables and physical safety status of centers, t-test, ANOVA, and Tukey’s post hoc tests were used as appropriate (structural or non-structural).

The results of the study showed that the level of structural, non-structural, and total safety for the physical space of the centers was 48.2%, 37.4%, and 43%, respectively. Accordingly, based on cutting points, the level of structural safety and total safety was identified as moderate, and the level of non-structural safety was identified as low. In addition, descriptive results showed that there is a statistically significant relationship between urban area and non-structural safety so that non-structural safety of centers located in zone 4 was significantly higher than the safety of centers located in zone 10 (P = 0.011).

Based on the findings, the safety status of Tabriz health centers was identified as unfavorable and will not able to provide proper services to their covering population in serious hazards.

Objective (s): 

Body mass index (BMI) is one of the major contributors to the spread of non-communicable diseases that it is affected by various factors such as demographic variables and living environment. The aim of this study was to investigate body mass index and its predictors in Rash, Iran.

This was a cross sectional study that performed on 1,000 residents of 5 neighborhoods in Rasht, 2017. Data were collected using a questionnaire including residents’ characteristics and living environment indicators derived from the Foxton and Jones Social Capital questionnaire. Every participants’ height and weight were measured. Simple and multivariate linear regression using SPSS v.20 was used for data analysis.

The prevalence of overweight and obesity in the study population was %55.5 and the results showed that age (B = -0.031, P <0.023), not having children (B = -2.466, P <0.001), not having non-communicable diseases (B = -1.016, P<0.003) and duration of residence in residential environment (B = 0.172, P<0.040) were independent predictors of BMI increasing.

Due to the high prevalence of obesity and overweight in different age groups, identifying predictive factors in populations with different culture is very important. Indeed, preventive steps should be taken in healthchr('39')s macro policymaking.

Objectives The current study examines the features of the physical environment affecting environmental perception and tries to explain paradigm of architecture based on the neuropsychological features. This paper investigates the relationship between the two aspects of the physical and neuropsychological environment in the patients with dementia Alzheimer’s type in order to meet the needs of the mental processes (sensation, perception, memory, and the organization of targeted behavior and adaptation to the environment for executive functions).
Methods This study was conducted by inductive content analysis method based on 9 semi-structured interviews and inductive content analysis from related literature.
Results Environmental perception was found as category based on two inductive content analyses. Moreover, 28 concepts of first level concepts (coding) and three concepts of “indifference to the elements in the physical environment”, “willingness to attend familiar places” and “stressors in unfamiliar places” as subcategories were obtained from semi-structured interviews.
Conclusion Explaining the features of the physical environment combined with neuropsychological environment can play a significant role in creating the habitat, care and treatment environment of these patients. Therefore, the sensory cue of the environment is effective in reducing behavioral disorders. Also, the perception of a more powerful environment means a greater interaction between these two dimensions of the environment.

The aim of this study was to investigate the motivational model of life in nursing homes with regard to physical and skeletal factors involved in the design of physical environment. This study introduced the tool and determined the fitness and correlation among the questionnaire items as well as the impact of each 5-design factors effective. This applied research is from the category of environmental studies. The study population consisted of the older people in nursing homes. Following previous studies and applying confirmatory factor analysis (CFA), 150 subjects were selected as sample. A researcher-made questionnaire about motivation for life was used for data collection. Data were analyzed using SPSS 21 at the level of inferential statistics and CFA was performed using Lisrel. The five-factor model of motivation for life in the older people had a good fitness and all items had a significant impact factor on the related factors. The findings also suggested that the five factors were reliable with a mean reliability score of 0.782. Convergent validity between the factors of motivation for life in the elderly in terms of correlation coefficients was from 0.42 to 0.88. The research shows that personal peace, sense of belonging, environmental desirability and comfort, educational and persuasive spaces, and home likeness ordinal from more to less necessity are effective in determining the correlation with elderly motivation for life.

Job burnout is the reaction of workers to chronic stress, with disastrous physical, psychological and adverse organizational consequences for employees. The aim of this study was to determine the relationship between the dimensions of job burnout and workplace physical environment and facilities among health workers in Golestan province.
In the present cross-sectional study, 1141 respondents out of totally 1275 health workers in Golestan province participated in the survey. The sampling method was census. Data collection was done through a questionnaire dealing with physical environment and facilities of workplace as well as Maslach burnout inventory. Verbal consent was obtained from all participants and their responses were kept confidentially. Data were analyzed using SPSS and Chi-Square test at a significance level of 0.05
The results of the present survey indicate that the physical condition of the workplace was assessed as weak by 17.4% of participants. Similarly, 24.8% of respondents assessed health house facilities as weak. There were significant relationships between emotional exhaustion and physical condition as well as workplace facilities (p0.005).
Regarding the relatively poor workplace physical conditions and facilities, it is recommended to improve these conditions in order to decrease health workers emotional exhaustion.

Favorable image in a market can be considered as a valuable asset for an organization. It cannot be achieved easily; however can be lost easily. Therefore، managers of organizations، as an important sector of every society، must try their best to introduce a desirable image of their organization in their customers’ minds using appropriate approaches and achieve organizations’ goals and customers’ satisfaction. In this descriptive study، patients were selected from twelve hospitals affiliated to social security organization and Isfahan University of Medical Sciences. Data were gathered using two questionnaires related to physical environment and image; and were analyzed using the LISREL، and SPSS. The combination of linear regression output and factor analysis tests’ results، in format of the final model of this study has been represented regarding the effect of physical environment of hospital on its image in customers’ view. It indicated that there were strong and significant relationships between the study variables. In order to improve images of hospitals in customers’ mind، physical environment including environmental condition، hospital atmosphere، handcrafts and other applied elements should be considered.

Aims a: Intensive care units are one of the most sensitive parts of each hospital; codification of appropriate structural standards and its measurement improve the quality of services in those units. So this study had been done with the aim of “determining structural conditions of intensive care units” : This cross-sectional study had been designed for measuring structural standards of intensive care units in three areas of human force physical conditions and medical equipment in educational hospitals of Hamadan and comparing it with the last existing standards according to international guidelines and principles and accreditation standards of Iranian hospitals and it had been performed from April to September of 2011. Data were collected via completing assessing forms with direct observance of the researcher and they had been analyzed by using statistical tests, ANOVAs (variance analysis) and Spearman in SPSS (17) software. All the three units of the study achieved less than 50% score of structural standards among the total 843 score that Besat intensive care unit 48% (the mean score 406)، Ghaem intensive care unit 45% (the mean score 376) and Milad intensive care unit had 41% (the mean score 346) of the standards. The most percent of the standard score was related to human force with (%58) and the least one was related to physical conditions and facilities with (%38). In intensive care units of the study, achieved scores in structural domination was less than appropriate standard level. Therefore it had been suggested that the executives consider achieving global standards specially promotion of structural standards that is guarantor of quality promotion and optimization performance of intensive care units.

The trend of medical education is going toward ambulatory medicine and clinics and the effect of physical environment on teaching-learning process is undeniable. This study was performed to determine the frequency distribution of physical environment indices in educational clinics of hospitals affiliated to Isfahan University of Medical Sciences.

In a descriptive study, all educational clinics affiliated to Isfahan University of Medical Sciences (33 clinics) were investigated through census sampling method. The data gathering tool was a researcher-made checklist including features of a clinic and its qualitative and quantitative characteristics. Clinics were directly observed by the researcher. The data was analyzed by SPSS software and reported through descriptive indices.

The highest frequencies in the clinics under investigation belonged to the domains of light (100%), facilities (78.8%), and arrangement of seats (84.8%). The lowest frequency percentages belonged to the existence of anti-acoustic walls (0%), access to educational resources such as internet and computers (3%), and access to reference books (6.1%).

The physical environment of the investigated clinics was evaluated as weak regarding access to educational resources, as average regarding the existence of internal room, conditioning and access to facilities, and as very good in regard to the amount of light. Due to the lack of study in the field of physical environment, especially in clinical education, it is recommended to conduct further studies.