مجله پرستار و پزشک در رزم
سال هشتم شماره 27 (تابستان 1399)

Kidney disease causes many physical and mental problems for the patient and reduces the quality of life of these people. The aim of the present study was to compare the effectiveness of acceptance and commitment therapy and process emotion regulation training in quality of life of hemodialysis patients.

The statistical population of this semi-experimental study with pretest-post-test-fallow up design were all hemodialysis patients who referred to Loghman Hospital in Tehran in 2019. Among them the patients who were willing and qualified to participate in the study were selected in convenience and then randomly assigned to experimental and control groups (15 persons in the first experimental group, 15 persons in the second experimental group and 15 persons in waiting list control group). The research instrument was the quality of life questionnaire of Hayes et al. (2003). Research data were analyzed using mixed analysis of variance test.

The results of data analysis showed that treatment based on acceptance and commitment and process emotion regulation training in the participants of the experimental groups compared to the control group had a significant effect on improving the quality of life of hemodialysis patients (p <0.05). Also, the effectiveness of acceptance and commitment therapy was higher on patientschr(chr('39')39chr('39')) quality of life (p <0.05).

Acceptance and commitment therapy and process emotion regulation training is effective on improving the quality of life of hemodialysis patients by increasing behavior control and the desire to experience a range of emotions.

Due to the growing trend of aging and chronic diseases in the country in order to reduce the effects of aging and disease, telephoning is the use of telecommunication technology to provide care and counseling to patients. Therefore, this study examines the role of trapping ness in the management of chronic diseases in the elderly.

The present study was conducted in a systematic review by searching for articles using the keywords Tele Nursing elderly, Chronic Diseases, and combining them in SID, Magiran and English, ScienceDirectPubmed and Scopus Persian databases. The title and abstract of the articles and the removal of duplicate items, the quality of the articles found using the JBI tool by the researchers, were reviewed and finally 43 articles were included in this study.

The effective role of tele-nursing in improving disease management in patients with type 2 diabetes, hypertension, non-alcoholic fatty liver, heart failure was seen in the reviewed articles and a study that violated the results was not found in the reviewed articles.

Tele Nursing plays an effective role in the management of chronic diseases, so the use of this technology in the country and providing a platform for the proper use of the elderly is important because it can have consequences. It has desirable costs such as reducing the costs on the health care system and long-term hospitalizations, which requires strengthening the infrastructure and allocating sufficient funds.

In todaychr('39')s high-traffic world, where humans are constantly confronted with various dangers around the world, a proper response system with the proper functioning of pre-hospital medical emergencies is of paramount importance. A major challenge for emergency services worldwide is dispatching ambulances to patients appropriately in terms of limited resources and patient safety.

The mathematical model was first introduced based on the ambulance distribution process in East Tehran Emergency Area and solved using GAMS software based on Epsilon constraint technique and Pareto model analysis. The objective functions are to maximize coverage and minimize costs. To deal with the uncertainties of the parameters, a robust optimization approach was used and the Epsilon method was used for two purposes of modeling. To clarify the model and illustrate the application of the above mathematical model in the real world, a case study was conducted in the eastern region.

Based on the proposed model, the number of stations in East Tehran can be reduced from 39 to 19, but the number of ambulances in each station is almost twice as high as the average of 4 or 5 ambulances per station.

Reducing the number of bases can have a significant impact on the cost of stationary station equipment, personnel amenities, the cost of time consumed and the property used to build the station, thus saving more stations to reduce time. Responding to demands established increased productivity.

Early maladaptive schemas are the most important causes for psychiatric disorders. Therefore, this study aimed at validating maladaptive schemas questionnaire short form (YSQ-SF-75) in clinical and normal groups.

This current stud was a cross-sectional and instrument validating research. In this research, 431 subjects were who had referred to psychiatric and psychology centers in Tehran (men: clinical: 33/8%; women: clinical: 66/2%; normal group: 42/7%) were selected and assigned to clinical group (n=204; 47.3%) and normal (n-227; 52/7%) group without diagnosis. Demographic questionnaire and Young Schemas Questionnaire Short Form (YSQ-SF-75) were used to validate the questionnaire. To examine validity of the construct, factor analysis-based correlation method was used and internal consistency method was applied to examine reliability. Data were analyzed using SPSS-22 Software.

The Cronbach’s alpha results obtained from internal reliability of early maladaptive schemas questionnaire indicated the range of 0/76-0/90 for this coefficient and 0/96 for the whole scale. Moreover, correlations of items set obtained above 0/4 approving that majority of subscales (except for SI, DS, DI, and SS) have satisfactory internal consistency.

the research results showed that this questionnaire is a proper and valid tool to for early maladaptive schemas assessment in normal and clinical adults.

Due to the prevalence of Covid 19 virus and prolongation of the epidemy and the increase in the number of infected women and in order to reduce the methods of transmission of the virus in pregnancy, we decided to review the incidence of this virus in pregnancy and its symptoms in pregnant women in the form of a short report.

In a review study and in the period from 2019 to the first 6 months of 2020, important databases such as Google Scholar, PubMed and Up to date in terms of keywords Covid 19, pregnancy, complications, preterm delivery and... was examined.

The most common clinical manifestations of patients with Covid 19, including pregnant women, are fever, cough and muscle pain. In laboratory tests in these patients, lymphocytes reduce and CRP increase. Complications of pregnancy and childbirth in affected women include increased preterm labor and increased cesarean section.

Remdsivir and chloroquine are used as other drugs of choice for pregnant women.

The sudden outbreak of Covid 19 has affected the worldchr('39')s higher education system and has led to changes in conventional teaching methods at most universities. The purpose of this study is a comparative study of challenges and opportunities of higher education during the Corona pandemic in Iran and the world.

The present study is a review study. Data using a systematic review of information resources in the databases ProQuest, Science direct, Scopus, PubMed, Google Scholar, in the period 2019 and 2020 based on the keywords Corona, ‌ Medical education, higher education, Challenge, opportunity was done. Finally, out of 44 collected articles, 31 articles were studied. Resource analysis was performed in the form of documentary content analysis.

Based on the findings of the present study, 28 challenges and 24 opportunities each were found in 6 areas of resource analysis that are considered as challenges and opportunities of higher education during the Corona pandemic in Iran and the world. These challenges and opportunities are two different aspects of the impact of Corona on higher education.

According to the research findings, it is recommended that university officials and administrators develop appropriate measures and decisions, laws and regulations required in critical situations such as Corona. Also provide the necessary guidance to change the approach of traditional education to e-learning and combination education in order to promote higher education.

Hospitals, as one of the main organizations providing health services and also as the largest and most expensive operating unit of the health system, are of special importance and sensitivity in health economics. The purpose of this study is to provide a model of financial indicators for evaluating the performance of specialized and sub-specialized hospitals in Iran.

The present research is an applied research that has been done in four phases with a combination of quantitative and qualitative methods. The first phase includes the study of financial evaluation indicators of the health system and hospitals in scientific texts in Iran and the world, the second phase includes drafting the financial performance evaluation indicators of hospitals and semi-structured interviews with experts, the third phase involves reaching a consensus with using the Delphi technique and the fourth phase includes presenting the model using structural equation modeling and Amos software.

Findings show a significant relationship between income domain variables (P-value ≤0.001 and T-Statistics = 7.70), capital structure domain (P-value ≤0.001 and T-Statistics = 4.56), liquidity domain (P-value ≤0.001 and T-Statistics = 3.52), cost domain (P-value = 0.004 and T-Statistics = 2.87) and asset efficiency domain (P-value = 0.012 and T-Statistics = 2.53), with evaluation of financial performance in hospitals.

The results of the present study showed that financial performance indicators are classified into 6 areas: profitability, liquidity, income, cost, capital and asset efficiency. Applying and analyzing financial indicators is an essential component of effective financial management and its application in the health system is monitoring financial performance. and predicting problems.

Burnout is a well-known psychological reaction among personnel of stressful departments, which is described as a feeling of emotional fatigue, metamorphosis and reduced personal success. Therefore, the present study was conducted to determine the effectiveness of mindfulness-based cognitive therapy on job stress, psychological well-being in personnel with burnout in Isfahan Gas Company.

The present study was a quasi-experimental study with pretest-posttest design and control group waiting for treatment. The statistical population of this research consisted of the personnel of Isfahan Gas Company. By performing the burnout questionnaire (MBI), from among the personnel who received the burn diagnosis, 30 people with burnout were selected by purposive sampling from the personnel of Isfahan Gas Company based on inclusion and exit criteria. They were then randomly assigned to groups of 15. The experimental group received 8 sessions of mindfulness-based cognitive therapy training, while the control group did not participate in these sessions. Research instruments included Job Stress Questionnaire (WSQ), Job Burnout Questionnaire (MBI) and Reef Psychological Well-Being Questionnaire (RPWBS). Data were analyzed using SPSS-24 software and repeated measures analysis of variance.

The results showed that the experimental and control groups were significantly different in terms of research variables (psychological well-being and job stress) in the two stages of pre-test and post-test at the level of 0.001.

The results of this study showed that mindfulness-based cognitive therapy can be used to increase psychological well-being and reduce burnout in personnel under job stress.