The prevalence and associated factors of chronic pain in nurses Iran

Background: Chronic pain is a long-term, debilitatingcondition. Nurses experiences pain and functional restrictionsearlier than other groups of people. Therefore, thisstudy was conducted to evaluate the prevalence and associatedfactors of chronic pain in nurses. aMethod: A structured, self-administered questionnairewas used to collect information. Participants included 639registered nurses from a medical center in Bandar Abbas.Results: At the baseline of the study, 64.8% of nursesreported chronic pain. The low back (27.7%, [n=115]),leg (21%, [n=87]), neck (16.7%, [n=63]), head and knee(15.2%, [n=69]), had the highest frequency among thenurses. Age (p<0.001), gender (p<0.001) and type of employment(p=0.04) increased risk of chronic pain. Also,significant difference was found between people with theonset of pain over the past three months and those withonset of pain over more than one year according of employmenthistory and the type of unit (p<0.05), and significantdifference between people with the onset of painover the past three months and those with onset of painover more than one year according to their job. (P<0.05).Conclusion: Results indicate the high prevalence of chronicpain in different parts of the nurses’ body. Most of them,the onset of pain was more than one year. Therefore, itis possible to develop appropriate preventive and educationalprograms by knowing the factors affecting chronicpain and situations increasing the duration of pain

Postpartum depression during the COVID-19 pandemic: an umbrella review and meta-analyses

IntroductionThe COVID-19 pandemic has significantly increased anxiety, stress, and depression, which could have harmful consequences for pregnant women. Therefore, this study aimed to investigate the prevalence of postpartum depression during COVID-19 using an umbrella review and meta-analysis.MethodsThe current study followed the PRISMA guideline and utilized data from various sources such as PubMed, Scopus, Web of Science, and Google Scholar. The searches were conducted without a time limit until the end of May 2023. Meta-analysis was performed using the random effects model, heterogeneity was assessed using the I2 index, and publication bias was evaluated using Begg’s test. Data analysis was carried out using STATA software (version 15).ResultsIn this study, 243 articles were initially identified. Only meta-analysis studies that reported PPD during COVID-19 were included. After quality assessment, nine papers were selected for the meta-analysis stage. The study found that the prevalence postpartum depression (PPD) was 25.27% (95% CI = 23.66–27.86, I2 = 0.0%, p = 0.549).ConclusionThe findings of this study revealed that the incidence of PPD during the COVID-19 pandemic was relatively high. To decrease mental health issues among pregnant and postpartum women, healthcare professionals should implement community programs aimed at preventing, promptly identifying, and providing appropriate intervention for pregnant women. This is crucial as pregnant women are particularly vulnerable to psychological distress during infectious disease outbreaks

The Effect of Satisfaction, Trust and Switching Barriers Service Provider on Customer Loyalty (Mobile Phone Users of Iran Cell Campany In Iran)

Abstract: Because the cost of attracting new customers is much higher than the cost of retaining old customers, keeping customers loyal is a crucial issue for service firms. This research explores how relationship quality and switching barriers influence customer loyalty. Relationship quality consists of two aspects: satisfaction and trust. To test the proposed research model, a survey research methodology was used. Paper survey was distributed to mobile phone users in Science and Research Branch Islamic Azad University in Iran. A total of 380 valid questionnaires were returned. Structural equation modeling was used to test hypotheses. Satisfaction, trust and switching barriers have positive effects on loyalty. In term of antecedents, it was found that playfulness and service quality impact satisfaction while service quality and intimacy affect trust. From a managerial perspective, this research suggests that practitioner should not only keep improving service quality, but also provide playfulness to ensure customer satisfaction

The Effect of Cognitive-Behavioral Therapy (CBT) on Anxiety Reduction in Critical Care Unit (CCU) Patients During Hospitalization

Patients admitted to Critical Care Units (CCU) face multiple stressors, and these stressors cause anxiety in patients. Anxiety increases heart function in heart patients. High levels of anxiety in cardiac patients increase in association with hospital complications. The purpose of this study was to determine the effect of Cognitive-Behavioral Therapy (CBT) on reducing the anxiety of patients in CCU during their hospitalization. The study design was quasi-experimental (pre-test and post-test). This study was performed on patients in CCU of Shahid Mostafa Khomeini hospital in 2019; for this purpose, 30 patients in CCU were randomly divided into intervention (n=15) and control (n=15) groups. Before the intervention, the demographic variables questionnaire and DASS-21 anxiety questionnaire were completed by both groups. Then, the intervention group received CBT for eight sessions according to the average number of hospital days (eight days) by the therapist (researcher). The control group did not receive any intervention. After the intervention, the demographic variables questionnaire and DASS-21 questionnaire were completed by the intervention and control groups again. Data analysis was done by SPSS-21 software and descriptive tests, ANOVA, and independent and pairwise t-test. There was no significant difference between the two groups in the mean score of anxiety before treatment, but the mean score of anxiety significantly decreased after treatment in the intervention group (9.63±2.773) compared to the control group (13.23±2.115; p<0.001). CBT can reduce the level of anxiety in patients admitted to CCU, and this method can be used as a simple and low-cost complementary non-pharmacological practice in these patients