One-year Survival and Related Factors in Patients with Ischemic Stroke

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One-year Survival and Related Factors in Patients with Ischemic Stroke

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Effect of Post-Discharge Telephone Follow-up on Social Dignity of Patients with Heart Failure: A Parallel Randomized Controlled Trial

Background: Heart failure is a malignant and perilous disease as such palliative care is of great importance for patients suffering from this failure. One of the main components in offering specialized palliative care is to respect human rights and dignity. This study aimed to determine the effect of post-discharge telephone follow-up on the social dignity of heart failure patients. Methods: A randomized control trial study was used. 70 patients with heart failure referring to the cardiology ward of general Hospital were included. Patients were randomly assigned into two experimental and control groups. In the experimental group, the patients had telephone followed-ups concerning medication, disease symptoms, daily activities, and their diet during one-month post-discharge (once a week). Social dignity of patients before and one month after the intervention was measured using the Social Dignity Questionnaire. Results: In this study, patients were compared in experimental (aged 65±10.6 years) and control (aged 67±13.3 years) groups. According to the statistical tests, there was a significant difference between the mean scores of social dignity in the experimental and control groups (0.8±0.2 and 0.06±0.2) before and after the intervention (Pvalue<0.001). Conclusions: Use of programmed post-discharge telephone follow-up to enhance social dignity of patients with heart failure, is suggested. Keywords: Telephone follow-up, Dignity, Dignity in care, Social dignity, Heart failure, Nursing. &nbsp

The Effect of Early Skin-to-skin Contact on the Mental Health of Mothers in Traumatic Childbirths

Background: Providing and sustaining the mental health of mothers who have experienced a traumatic childbirth have significant impact on the health of the mother, family and society. This study aimed to evaluate the effect of early skin-to-skin contact in the first hour of birth on the mental health of mothers with traumatic childbirth. Methods: This randomized clinical trial was conducted in 2015 on 82 mothers who, based on Diagnostic and Statistical Manual of Mental Disorders (DSM-V-TR) criteria, had experienced a traumatic childbirth. After randomly assigning mothers into groups, the intervention group received early skin-to-skin contact in the first hour after birth, and the control group received the routine procedures. The mental health as an outcome of this study was evaluated using the Persian version of General Health Questionnaire (GHQ-28). Results: The results showed that the mean score of mental health of mothers in the intervention and control groups was significantly different (P < 0.001) and with the passage of time, the mental health status in the intervention group appeared better than that of the control group (P < 0.001).Conclusions: Early skin contact in the first hour of birth not only in normal deliveries but also in traumatic births can have an important and effective role in improving the mental health of the mothe

Investigating the Effective Factors on the Needle Stick Injuries and Personnel’s Approach in Bahar Medical Education Center in Shahroud During 2009-2018

Background: The aim of the study was to determine the causes and rate of needle stick injuries among Bahar Hospital in Shahroud during 2009-2018. Methods: This is a descriptive case series study conducted in Bahar educational and research center in Shahroud. The study population included all health care workers and service staff during 2009-2018. Census sampling was performed using health care records of the medical and paramedical group (individual at risk of occupational exposure) from the beginning of January 2009 to the end of December 2018. Data analysis was performed using descriptive statistics (absolute and relative frequency), and t-test and analysis of variances for quantitative values. Results: A total of 246 cases of needle sticks were reported in ten years. Most cases belonged to bachelor's staff (69.1%), nursing job group (69.5%), emergency department and labor (28.9%), equipment of injections (75.6%), injections (45.5%), carelessness (37%), recapping  (24.8%), and at night shift (51.6%) were observed. Bleeding from the injured site was the most common post-exposure action (44.3%). Conclusions: Considering the high prevalence of needle stick among health care workers, instruction of prevention methods, holding educational classes, emphasizing on vaccination, controlling HBV antibody titer, and designing a precise reporting mechanism for personnel is necessary. Keywords: Needle Stick, Health Care Workers, Incidence, Iran

The Effect of Early Skin-to-skin Contact on the Mental Health of Mothers in Traumatic Childbirths

Background: Providing and sustaining the mental health of mothers who have experienced a traumatic childbirth have significant impact on the health of the mother, family and society. This study aimed to evaluate the effect of early skin-to-skin contact in the first hour of birth on the mental health of mothers with traumatic childbirth. Methods: This randomized clinical trial was conducted in 2015 on 82 mothers who, based on Diagnostic and Statistical Manual of Mental Disorders (DSM-V-TR) criteria, had experienced a traumatic childbirth. After randomly assigning mothers into groups, the intervention group received early skin-to-skin contact in the first hour after birth, and the control group received the routine procedures. The mental health as an outcome of this study was evaluated using the Persian version of General Health Questionnaire (GHQ-28). Results: The results showed that the mean score of mental health of mothers in the intervention and control groups was significantly different (P < 0.001) and with the passage of time, the mental health status in the intervention group appeared better than that of the control group (P < 0.001).Conclusions: Early skin contact in the first hour of birth not only in normal deliveries but also in traumatic births can have an important and effective role in improving the mental health of the mothe

Self‐Esteem Mediates the Relationship between Emotional Intelligence and Life Satisfaction in Iranian Students

Background: It is demonstrated that students with better emotional intelligence (EI) had better self-esteem. The aim of study was to assess the role of self-esteem in the relationship of EI and LS. Methods: This cross-sectional study was done on 403 students of Shahroud University of medical sciences (northeast of Iran). In this study we used Schering Emotional Intelligence Questionnaire and Diener Satisfaction Questionnaire and Cooper Smith Self-Esteem Questionnaire. Mediation analyzes was done to assess the role of SE in the relationship of EI and LS. Results: About 82% of students had high emotional intelligence level. Comparison of the mean scores of EI, SE and LS by sex showed that there was no significant difference between gender means. The mean score of LS in the groups with high and moderate levels of EI score showed a significant difference between the life satisfaction score between two groups. The results of the mediation analysis showed that SE has a mediatorial role in the relationship between EI and LS, as 98% of the effect of emotional intelligence relationship is through mediating role of self-esteem. Conclusions: Self-esteem showed as an important mediator in the relationship of EI and LS. Regarding this valuable finding, better EI which results in better self-esteem and life satisfaction and these three items could separately results in a series of good results. Keywords: Self-Esteem, Life Satisfaction, Emotional Intelligence

Factors Influencing Patient Satisfaction in Shahroud Hospitals in 2018

Background: Patient satisfaction is one of important indicators of quality of service measurement. This study aimed at measuring patient satisfaction and factors which influence it in hospitals in Shahroud.Methods: In this cross-sectional study, 800 patients selected through random sampling were studied in public and private hospitals in 2018. The collected data were entered into SPSS 16 and analyzed using t-test and chi-square. The level of significance in all tests is 0.05.Results: Most of the inpatients were women and married people. The average score of satisfaction in the public hospitals affiliated to the University was 22.45 ± 6.02 and in the private sector, it was 21.56 ± 5, which is deemed moderate. Patients were the most dissatisfied with the daily change of patient dresses and bed covers (38.3%), hospital food quality (35.3%), room facilities (31.1%), and were the most satisfied with nursing behaviors (87.7%). Chi-square test showed a significant relationship between the type of hospital (P = 0.002), patients’ age (P = 0.037), education (P = 0.013), and residence (P = 0.012) with their satisfaction.Conclusion: Patients' satisfaction was moderate. Paying more attention to the domains such as daily change of clothes and bed covers, the quality of hospital food, and facilities of the patient's room can play a role in improving the satisfaction of patients

The Relationship between Emotional Intelligence and Stress, Anxiety, and Depression among Iranian Students

Bckground: Entering a new environment such as university would expose students to many psychological tensions. Among students, those with higher emotional intelligence can manage their stress better in critical situations. The purpose of this study was to investigate the relationship between emotional intelligence and levels of stress, anxiety, and depression among students. Methods: This study was a cross-sectional one and the population included all students of Shahroud University of Medical Sciences. The participants were 403 students who were selected through multi-stage random sampling. Shiring Emotional Intelligence Questionnaire and Depression, Anxiety, and Stress scale (DASS-21) were used to collect data. Independent t-test, chi-square, and pearson correlation coefficient and also SPSS software were used to analyze the data. Results: The results indicated that 82.2% of the participants (n=331) had high emotional intelligence and 17.9% (n=72) had moderate emotional intelligence. The mean score of emotional intelligence was 113.5 among the participants, and levels of stress, anxiety, and depression were significantly different between two groups of students with high and medium emotional intelligence. Correlation of emotional intelligence score with stress score (r = -0.59), anxiety score (r = -0.57) and depression score (r = -0.65) indicated a reverse and significant relationship between emotional intelligence with stress, anxiety, and depression. Conclusions: According to the relationship observed between emotional intelligence and management of psychological tensions in students, it is suggested that authorities should take the necessary steps to improve students' emotional intelligence. Keywords: Anxiety, Depression, Emotional Intelligence, Stress, Students

The Relationship between Emotional Intelligence and Stress, Anxiety, and Depression among Iranian Students

Bckground: Entering a new environment such as university would expose students to many psychological tensions. Among students, those with higher emotional intelligence can manage their stress better in critical situations. The purpose of this study was to investigate the relationship between emotional intelligence and levels of stress, anxiety, and depression among students. Methods: This study was a cross-sectional one and the population included all students of Shahroud University of Medical Sciences. The participants were 403 students who were selected through multi-stage random sampling. Shiring Emotional Intelligence Questionnaire and Depression, Anxiety, and Stress scale (DASS-21) were used to collect data. Independent t-test, chi-square, and pearson correlation coefficient and also SPSS software were used to analyze the data. Results: The results indicated that 82.2% of the participants (n=331) had high emotional intelligence and 17.9% (n=72) had moderate emotional intelligence. The mean score of emotional intelligence was 113.5 among the participants, and levels of stress, anxiety, and depression were significantly different between two groups of students with high and medium emotional intelligence. Correlation of emotional intelligence score with stress score (r = -0.59), anxiety score (r = -0.57) and depression score (r = -0.65) indicated a reverse and significant relationship between emotional intelligence with stress, anxiety, and depression. Conclusions: According to the relationship observed between emotional intelligence and management of psychological tensions in students, it is suggested that authorities should take the necessary steps to improve students' emotional intelligence. Keywords: Anxiety, Depression, Emotional Intelligence, Stress, Students