فهرست مطالب

Journal of Education and Health Promotion
Volume:3 Issue: 4, Apr 2013

  • تاریخ انتشار: 1392/04/18
  • تعداد عناوین: 5
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  • Nahid Tavakoli, Maryam Jahanbakhsh Page 17
    Introduction

    One of the major issues in hospitals is the period for which the medical records are retained. Health information management professionals traditionally have performed retention and destruction functions using all media, including paper, images, optical disk, microfilm, DVD, and CD-ROM. Health information management departments must maintain a specific program to retain and destruct the records. The purpose of this paper is to investigate the retention and destruction process of medical records in the hospitals in Isfahan and codifying the appropriate guidelines.

    Materials and Methods

    The research was conducted as a cross-sectional descriptive study in 30 hospitals in Isfahan. The data was collected using a Check List. Also 30 medical records experts’ viewpoints were obtained using the Delphi technique. Data entry and statistical analysis was performed using SPSS.

    Results

    The findings indicated that 53.8% of the study population maintained a written policy. A 34.6% maintained a written policy to destruct medical records. And 50% announced that no instructions had been given to the hospitals by qualified authorities to destruct the medical records.

    Discussion

    The majority of the hospitals are still unclear about the retention period of medical records, which could be due to not to mention the retention period for most medical records by the country’s National Literature and lack of policy and procedure in hospitals.

    Conclusions

    According to the legislations, hospitals are bound to retain the inpatients’ records for full 15 years but based on the findings of this research, less than half of the study population retained the inpatients’ records for the period mentioned.

    Keywords: Destruction, medical record, process, retention
  • Mohsen Jalilian, Babak Moeini, Seyed MohammadMehdi Hazavehei, Abbas M Beigi, Gholamreza Sharifirad, Farhad Habibi Nodeh Page 18
    Background

    Regular physical activity has an important role in reducing cardiovascular risk factors and improving metabolic control in patients with type 2 diabetes. This study aims to investigate the effect of physical activity stage-matched intervention on metabolic control in type 2 diabetes patients.

    Materials and Methods

    An 8-week physical activity program conducted with 50 type 2 diabetes females who were physically inactive and in precontemplation, contemplation, and preparation stages of change. Participants were divided into intervention and control groups (each group, n = 25). Data were collected by physical activity stage of change questionnaire and metabolic factors were measured by laboratory tests before initiation program. Subsequently, stage-matched physical activity program was conducted for the interventional group. Control group received routine education from the diabetes center. After 8 weeks, physical activity questionnaire filled out by participants and metabolic factors were evaluated by a laboratory test.

    Results

    Findings showed patients in the intervention group and compared with control group significantly moved through stages of change after physical activity program (P-value < 0.05). Evaluation of physical activity after educational program demonstrated that the intervention group adopted regular physical activity more than the control group and also the difference between groups was significant (P-value < 0.05). Our findings indicate a significant relationship between physical activity level and moving in stages of change in the intervention group (P-value < 0.05). Comparison of metabolism factors after physical activity program showed significant decrease in glycosilated hemoglobin in the intervention group than the control group (P-value < 0.05). However, significant differences between groups were not observed in other metabolism factors.

    Conclusion

    Designing and implementing physical activity stage-matched intervention can improve metabolic control and management of type 2 diabetes.

    Keywords: Metabolic control, physical activity, stage of change, type 2 diabetes
  • Mehri Rejali, Mahnaz Mostajeran Page 19
    Background

    Reduced level of physical activity, as an important problem of urbanization and industrial development, has a considerable impact on the population morbidity and mortality. The rate of inactivity has been reported to be 60–85% in adults worldwide. Considering the importance of physical activity among youth, the aim of this study was to evaluate the physical activity among university students.

    Materials and Methods

    In this cross-sectional study physical activity was assessed in 399 medical and public health students of Isfahan University of Medical Sciences, Iran. Physical activity was evaluated by standard questionnaire in four fields containing job, transport, work, and leisure time at home.

    Findings

    Regarding moderate physical activity, 48.6% of students were active and the rest were inactive. Regarding severe physical activity, 32.6% were active and the rest were inactive. Mean number of hours for moderate activity per day was 1.96 ± 0.19 h/day in the last 7 days. There was a significant relationship between physical activity and sex and students’ course of study.

    Conclusion

    The results indicated that the level of physical activity was not sufficient among students; therefore, considering its importance among students, it is necessary to educate them regarding lifestyle modification specially to increase the level of physical activity during their leisure time.

    Keywords: Inactivity, physical activity, student
  • Nayereh Kasiri Dolatabadi, AhmadAli Eslami, Firooze Mostafavi, Akbar Hassanzade, Azam Moradi Page 20
    Background

    Term of doing computer games among teenagers is growing rapidly. This popular phenomenon can cause physical and psychosocial issues in them. Therefore, this study examined the relationship between computer games and quality of life domains in adolescents aging 12- 15 years.

    Materials and Methods

    In a cross-sectional study using the 2-stage stratified cluster sampling method, 444 male and female students in Borkhar were selected. The data collection tool consisted of 1) World Health Organization Quality Of Life – BREF questionnaire and 2) personal information questionnaire. The data were analyzed by Pearson correlation, Spearman correlation, chi-square, independent t-tests and analysis of covariance.

    Findings

    The total mean score of quality of life in students was 67.11±13.34. The results showed a significant relationship between the age of starting to play games and the overall quality of life score and its fourdomains (range r=–0.13 to –0.18). The mean of overall quality of life score in computer game users was 68.27±13.03 while it was 64.81±13.69 among those who did not play computer games and the difference was significant (P=0.01). There were significant differences in environmental and mental health domains between the two groups (P<0.05). However, there was no significant relationship between BMI with the time spent and the type of computer games.

    Conclusion

    Playing computer games for a short time under parental supervision can have positive effects on quality of life in adolescents. However, spending long hours for playing computer games may have negative long- term effects.

    Conclusion

    Doing computer games for a short time under parental supervision can have positive effects on quality of life in adolescents. However, spending long hours for playing computer games may have negative long-term effects.

    Keywords: Adolescent, computer games, quality of life
  • Behzad Shams, Parasto Golshiri, Arash Najimi Page 21
    Background

    Assessment of national children’s growth indicated a high prevalence of growth failure among them. Many previous projects have studied the children’s growth and nutrition status; but most of them leave it without evaluation. The aim of this study was to evaluate Mothers’ Participation Project that carried out in Isfahan after passing two years.

    Materials and Methods

    In this descriptive and summative evaluation study, 90 mother and child pairs were enrolled. They were studied in two case and control groups. We used CIPP Evaluation Model (Context, Input, Process, Product). Data collected using children growth chart and questionnaire was used in the project. Obtained data were analyzed by nonparametric statistical tests.

    Results

    The results showed significant differences between the two groups in following items; mean of maternal self-esteem (P < 0.001), maternal performance in training others (P = 0.006), weekly study time (P = 0.004), frequency of mothers participation in education programs (P = 0.002), their knowledge about the growth monitoring card (P = 0.03), their ability in drawing growth curves (P < 0.001), mothers knowledge about types of growth curves (P = 0.001) and the objectives of growth monitoring (P < 0.001).

    Conclusion

    Considering the sustained improvement of maternal knowledge and function regarding children’s growth and development after two years of participation in the project, the performance of CIPP model was confirmed in this field.

    Keywords: Children’s growth, CIPP evaluation models, evaluation, education, mothers’ participation