Assessment of nurses, patient satisfaction, patient attendants in educational hospitals in Ahvaz city health development plan in 2015

زمینه و هدف: طرح تحول نظام سلامت یکی از خدمات ارزنده دولت یازدهم در حوزه سلامت به شمار می‌رود. هدف این مطالعه، بررسی میزان رضایتمندی پرستاران، بیماران و همراهان از اجرای طرح تحول نظام سلامت در بیمارستان‌های آموزشی شهر اهواز در سال 1394 بود. روش ‌بررسی: مطالعه حاضر از نوع توصیفی تحلیلی است. جامعه پژوهش شامل 300 نفر از پرستاران، 300 بیمار و 300 همراه بیمار از بیمارستان‌های آموزشی شهر اهواز بود. نمونه‌گیری به صورت تصادفی ساده انجام شد. ابزار پژوهش پرسشنامه محقق‌ساخته بود. نحوه نمره‌دهی به‌صورت لیکرت سه گزینه‌ای (رضایت کامل، رضایت متوسط و ناراضی از اجرای طرح تحول) بود. آنالیز داده‌ها با استفاده از نرم‌افزار SPSS و آزمون‌های آماری توصیفی( میانگین، انحراف معیار)، آزمون‌های آماری تی‌مستقل و آنالیز واریانس یکطرفه انجام شد. یافته‌‌ها: میانگین نمرات رضایت از طرح تحول سلامت بترتیب در پرستاران، همراهان و بیماران 42/6±64/30، 52/7±45/29 و 75/5±65/26 بود. نتایج نشان داد که 1/83 ناراضی، 4/16 رضایت متوسط و 5/0 کاملاً راضی بودند. میزان رضایت همراهان بیمار 5/35 ناراضی، 4/55 رضایت متوسط و 1/9 کاملاً راضی بودند. میزان رضایت بیماران از طرح، 5/33 ناراضی، 5/57 رضایت متوسط و 9 کاملاً راضی بودند. نتیجه‌‌گیری: اکثریت نمونه‌های پژوهش (بیمار و همراه) از اجرای طرح تحول نظام سلامت راضی بودند، اما غالب پرستاران از اجرای طرح تحول نظام سلامت ناراضی بودند؛ لذا پیشنهاد می‌شود این پژوهش در سایر بیمارستان‌ها نیز انجام شود تا نتایج آن‌ها با هم دیگر مقایسه گردد

Quality of Physician Service in Ahvaz Community Health Centers in 2016

Introduction and purpose: The quality of service is an important factor in improving the satisfaction of clients referring to community health centers and the primary health care system. The aim of this study was to determine the quality of physician services of community health centers in Ahvaz, Iran, during 2016. Methods: This cross-sectional study was conducted on 200 patients referring to physicians at 14 community health centers. The participants were selected through a random sampling technique. Data were collected using Quality of Service questionnaire (Servqual), which evaluates the quality of services in five dimensions (22 questions). Results: In this study, 73% of the patients were female and the mean age was 32.8±8.6 years. The mean of the waiting time for the service was 11.09±10.8 min and the mean of visit time was 5.92±3.9 min. The findings showed that the most desirable aspect of the quality of the physician services was "assurance". The weakest aspect of quality was "responsiveness” dimension. Conclusion: Among the dimensions of service quality, responsiveness and tangibility need improvement. Health managers should strengthen these dimensions with effective interventions in order to increase patient satisfaction

The assessment of suture spacing on the esthetic and functional outcomes of skin closures in different age groups

Abstract Background and Aims Dermatological surgeons must master the factors affecting wound healing. Suturing is the most common method of wound closure. One of the significant factors in suturing that affects wound healing and cosmetic results is the distance between sutures, which has been studied very little to date. The aim of the current study was to investigate the effect of simple interrupted suture with a distance of 2 and 5 mm on the esthetic and functional results of suture closure in different age groups. Methods In patients with two skin lesions, one wound was sutured with a distance of 2 mm and the other with a distance of 5 mm, and the wounds were evaluated 1 and 3 months after the operation using the POSAS scale. Results Patients' opinions indicate that, in the suture intervals of 2‐ and 5‐mm and at 1 and 3 months, the average was lower in the younger group than it was in the older group and also, as per the physician's opinion, the average in the age group under 50 years was significantly lower than that in the age group over 50 years. Conclusions According to the results of the present study, a suture of 2‐mm and a suture of 5‐mm would result in different esthetic and functional outcomes depending on the patient's age. The average in the age group less than 50 years was significantly lower than that of the age group greater than 50 years

Comparison of the Effects of Ondansetron and Ginger on Nausea and Vomiting in Pregnancy: A Clinical Trial

Introduction: Nausea and vomiting are the most common complications of pregnancy. In order to minimize the consumption of chemical drugs and prevent their side effects in pregnant women, this study was conducted with aim to compare the effect of Ondansetron versus Ginger on nausea and vomiting in pregnancy.         Methods: This double-blind clinical trial study was conducted in 2018 on 110 pregnant women with nausea and vomiting in 10-15 weeks of pregnancy who referred to health family clinics of Bandar Mahshahr. Women were randomly assigned to two groups of ginger (n=55) and ondansetron (n=55). The ginger group used 9 tablets of 500 mg consisting of dry ginger powder for three days (once every 8 hours) and the ondansetron group used 9 tablets of 4 mg ondansetron for three days (once every 8 hours). Data collection tool included a demographic questionnaire and a Rhodes index questionnaire which assessed the severity and frequency of nausea and vomiting before entering the intervention and twice a day during the study. Data were analyzed by SPSS software (version 22(, using Mann-Whitney, Wilcoxon, and independent t tests. P<0.05 was considered statistically significant. Results: The mean score of the Rhodes index in the ginger group decreased from 12.61 ± 3.7 to 5.43 ± 6.23 and in the ondansetron group from 14.5 ± 4.73 to 3.89 ± 3.86 (p<0.001). Therefore, ginger was as effective as ondansetron in reducing the frequency and severity of nausea and vomiting during pregnancy. Conclusion: Both ginger and ondansetron are effective in treating nausea and vomiting of pregnancy and the effect of ginger and ondansetron is the same with a very small difference

A Randomized Clinical Trial of Nutrition Education for Improvement of Diet Quality and Inflammation in Iranian Obese Women

Background. Obesity is considered as a low grade inflammation condition. The aim of this study was to investigate the effect of nutritional education on diet quality and biomarkers of inflammation in Iranian obese women. Method. Sixty obese women voluntarily participated in this randomized clinical trial and were randomly assigned to intervention or control group (n=30). Intervention group was instructed to attend nutrition education sessions (1 hr/wk, for 3 months) in small groups. Diet quality scores were measured by Healthy Eating Index (HEI). Anthropometric indices and serum concentration of hs-CRP, TNF-α, and adiponectin were measured at the baseline and end of the intervention. Results. There were no significant differences in anthropometric indices of participants between the two groups at the end of intervention (P>0.05). However, the total HEI score was significantly higher in the educated group compared to the control group after intervention (P<0.05). The educated group also showed significant lower concentration of TNF-α and hs-CRP and higher levels of adiponectin than the control group at the end of study (P<0.05). Conclusions. Our results provide limited evidence that higher dietary quality contributes to reduced inflammation in obese women. This effect could be independent of the weight loss

Effect of precede model-based education on quality of life in patients with type 2 diabetes

The increasing prevalence rate has made diabetes a world epidemic. Considering diabetes complications and associated effects on patients’ quality of life, this interventional study was performed to promote the life quality using education based on the Precede model in the rural areas of Andimeshk. This experimental study was conducted on 120 patients with type II diabetes who were randomly allocated to the experimental and control groups. The data were collected using two questionnaires including the Precede model framework and Short Form health survey (SF-36). The precede model-based intervention composed of six educational sessions (60 to 90 minutes a session). The patients were followed up for three months post-intervention and examined for glycated hemoglobin (Hemoglobin A1c or HbAlc). After educational intervention, the mean score of quality of life had a significant increase in the experimental group compared with the control group.The mean scores of Precede model constructs inpatients of the experimental group increased significantly after the intervention compared with the before intervention. Moreover, the mean score of HbA1c improved significantly in the experimental group compared to the control group. The present study indicated that the educational intervention program based on the Precede model has a positive effect on quality of life among diabetic patients

Improvement of the clinical skills of nurse anesthesia students using mini-clinical evaluation exercises in Iran: a randomized controlled study

Purpose The present study aimed to investigate the effect of a mini-clinical evaluation exercise (CEX) assessment on improving the clinical skills of nurse anesthesia students at Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Methods This study started on November 1, 2022, and ended on December 1, 2022. It was conducted among 50 nurse anesthesia students divided into intervention and control groups. The intervention group’s clinical skills were evaluated 4 times using the mini-CEX method. In contrast, the same skills were evaluated in the control group based on the conventional method—that is, general supervision by the instructor during the internship and a summative evaluation based on a checklist at the end of the course. The intervention group students also filled out a questionnaire to measure their satisfaction with the mini-CEX method. Results The mean score of the students in both the control and intervention groups increased significantly on the post-test (P<0.0001), but the improvement in the scores of the intervention group was significantly greater compared with the control group (P<0.0001). The overall mean score for satisfaction in the intervention group was 76.3 out of a maximum of 95. Conclusion The findings of this study showed that using mini-CEX as a formative evaluation method to evaluate clinical skills had a significant effect on the improvement of nurse anesthesia students’ clinical skills, and they had a very favorable opinion about this evaluation method

Anti-diabetic effects of S. aegyptiaca extract on streptozotocin-nicotinamide induced type 2 diabetes rats

Objective: Type 2 diabetes mellitus is one the most prevalent disorders worldwide which is associated with unhealthy lifestyle and puts great burden on affected individuals and societies. In addition to chemical drugs and treatment options, using natural products including different types of plant extracts have been in use for curing type 2 diabetes for many years. In this research article we have examined effects of administrating S. aegyptiaca extract on streptozotocin-induced diabetic rats. Methods: Streptozotocin-induced diabetic rats were administrated with 100, 200 and 400 mg/kg of S. aegyptiaca extract or metformin for period of 4 weeks. Blood was taken from animals, and levels of factors including Blood Urea, Cholesterol, Creatinine, HDL, LDL, SGOT, SGPT and Triglyceride were evaluated. Results: Using S. aegyptiaca extract was associated with dramatic changes in lipid profile. It also decreased serum levels of urea, cholesterol and altered activity of SGOT and SGPT enzymes close to normal in treated rats. In comparison with metformin, S. aegyptiaca extract showed more significant results. Conclusion: Results of this study implies that S. aegyptiaca extract can be a good candidate for subsequent studies to define a new natural treatment option for type 2 diabetes mellitus