Qom Univ Med Sci J最新文献

{"title":"A Comparative Study on the COVID-19-Related Anxiety Between Medical and Non-Medical Staff of Selected Hospitals in Khorramabad, Iran","authors":"F. Malekshahi, P. Baharvand, Raheleh Najmi","doi":"10.32598/qums.16.11.2746.1","DOIUrl":"https://doi.org/10.32598/qums.16.11.2746.1","url":null,"abstract":"Background and Objectives: Recently, the new Coronavirus Disease 2019 (COVID-19) has caused a lot of stress and anxiety around the world. The present study aims to determine the level of anxiety caused by COVID-19 in medical staff of selected hospitals in Khorramabad, Iran compared to their non-medical staff. Methods: This is an analytical cross-sectional study that was conducted on 150 medical staff and 150 non-medical (administrative) staff working in Shohadaye Ashayer and Shahid Rahimi hospitals in Khorramabad in 2021 (coincided with the fourth and fifth waves of COVID-19). Data collection tools were a demographic information form and the Coronavirus Disease Anxiety Scale (CDAS). After collecting the data, they were entered into SPSS software, version 22 (statistical) and analyzed using one-way analysis of variance, chi-square test, and independent t-test. Results: The mean±SD total CDAS scores for the medical and non-medical staff were 9.31±0.188 and 9.10±0.188, respectively, but this difference was not statistically significant (P=0.459). In terms of anxiety dimensions, the mean scores of psychological and physical symptoms were higher in medical staff, but the difference was not statistically significant (P=0.426 and 0.617). In terms of age, gender, educational level, marital status, history of vaccination, previous history of infection with COVID-19, hospital, and type of employment, no significant difference in anxiety was found neither between the medical staff nor between non-medical staff (P>0.05). Conclusion: There is no difference between medical and non-medical staff of hospitals in Khorramabad in terms of COVID-19-related anxiety. Considering the importance of mental health in both groups, it is recommended to take special measures to reduce their anxiety during the COVID-19 pandemic.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91156509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Analysis of Iran’s Health System Transformation Plan Using the Structural Break Tests","authors":"Hadi Hamidi Parsa, N. Elahi, M. Rezaei, M. Jafari","doi":"10.32598/qums.16.11.2077.1","DOIUrl":"https://doi.org/10.32598/qums.16.11.2077.1","url":null,"abstract":"Background and Objectives: Health system transformation plan (HSTP) of Iran, with three main goals of financial protection of patients, justice in access to health services, and improving the quality of services was implemented since 2014 which has had some achievements and challenges. Considering the large amount of financial resources used in this plan and the limitation of resources in Iran, this study aims to examine the performance of this plan in improving some health-related and financial indicators. Methods: Econometric tools were used in this study. The data of health-related and financial indicators related to the performance of HSTP from 2004 to 2019 were first collected. Then, using the ordinary and generalized least squares estimation methods, the effect of the transformation of HSTP on the selected indicators was examined. Finally, by using the structural break tests of Perron, Zivot-Andrews and Lee-Strazicich, the success of the HSTP in causing positive changes in the indicators and creating structural breaks was examined. Results: According to the ordinary and generalized least squares regression models, the coefficients of all indicators was significant and the positive effect of the costs of HSTP on the improvement of these indicators were confirmed. The greatest effect was reported on the out-of-pocket payment rate with a coefficient of 0.7 and the lowest effect was on the total death rate with a coefficient of -0.006. According to the results of the structural break tests, all indicators had recorded structural breaks before implementing the plan, while only six indicators showed structural breaks after the implementation. Conclusion:The HSTP was effective in improving the selected indicators at the beginning. All indicators showed structural break points before implementation of the HSTP, due to their reduction at the related time points, which emphasized the necessity of implementing the HSTP; however, after implementation, no positive structural break points are observed to indicate a considerable improvement in the indicators.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87966761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective Effect of Rosmarinic Acid on Inflammatory Changes of Hepatic Cells in Non-alcoholic Steatohepatitis in Mice: Cyclooxygenase 2/ Prostaglandin E2 Pathway","authors":"Tahereh Komeili-Movahhed, A. Moslehi","doi":"10.32598/qums.16.11.65.7","DOIUrl":"https://doi.org/10.32598/qums.16.11.65.7","url":null,"abstract":"Background and Objectives: Nonalcoholic Steatohepatitis (NASH) is one of the common liver diseases, characterized by excessive lipid accumulation (steatosis) and inflammation in the liver. Inflammation is one of main reasons for this disease which takes place from different pathways. Rosmarinic Acid (RA) is an antioxidant and anti-inflammatory product with positive effects on the improvement of liver injuries. This study aims to evaluate protective effect of RA against liver inflammation caused by NASH in male mice through affecting cyclooxygenase-2/ Prostaglandin E2 (COX-2/PEG2) pathway and Matrix Metalloproteinase-9 (MMP-9). Methods: In this study, 24 C57/BL6 male mice were used. They were divided into four groups of 6 including; Control, RA, NASH, and NASH+RA. The NASH was induced by a methionine/choline-deficient diet for 8 weeks. The RA was administrated intraperitoneally and daily for 8 weeks. After 8 weeks, the animals were sacrificed and their liver was removed. hematoxylin and eosin staining was preformed for histological evaluation and real-time PCR and ELISA assays were used for molecular studies. Results: The RA significantly reduced hepatic steatosis and inflammation as well as the expression of MMP-9 and COX-2 which led to the significant reduction of PEG2 level. Conclusion: It seems that RA can reduce liver inflammation and thereby attenuate NASH in male mice by reducing the expression of COX-2 enzyme and MMP-9 and the concentration of PEG2.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85401149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protective Effects of Hydroalcoholic Extract of Achillea Millefolium on In-vitro Fertilization in Streptozotocin-Induced Diabetic Male Mice","authors":"Mohammadreza Hosseinchi, G. Najafi","doi":"10.32598/qums.16.11.2747.1","DOIUrl":"https://doi.org/10.32598/qums.16.11.2747.1","url":null,"abstract":"Background and Objectives: Diabetes is one of the determining factors in fertility that causes disturbances in spermatogenesis, ovulation and embryo formation. Achillea Millefolium (AM), as a medicinal plant with strong antioxidant and anti-inflammatory properties, is used to treat many diseases. This study aims to evaluate the protective effect of AM hydroalcoholic extract on sperm parameters and In-Vitro Fertilization (IVF) rate in mice. Methods: In this study, 40 mice were divided into five groups; control group, diabetic group, diabetic+low AM (receiving 37.5 mg/kg of AM extract daily), diabetic+moderate AM (receiving 75 mg.kg of AM extract daily) and diabetic+high AM (receiving 150 mg/kg of AM extract daily). After the 30-day treatment period, the mice were euthanized and the parameters of total sperm count, percentage of live sperms, percentage of immature sperms, percentage of sperms with damaged DNA, and IVF rate were evaluated. Statistical analysis was done by one-way analysis of variances and Tukey’s post hoc test. Results: The sperm count, percentage of live sperms, IVF rate, percentage of two-cell embryos, and percentage of blastocysts decreased significantly in the diabetic group compared to the control group. In all three groups received AM extract (37.5, 75, and 150 mg/kg), an increase in the number of sperms, percentage of live sperms, and the IVF rate was observed, but this increase was significant only in the diabetic group received 150 mg/kg AM extract compared to the control group. No significant difference was observed between the three groups received AM.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72775792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of an Intervention Based on the Family-centered Empowerment Model on the Resilience of Family Caregivers of Hemodialysis Patients: A Randomized Controlled Clinical Trial","authors":"Farnaz Kiani, F. Salmani, M. Azarbarzin","doi":"10.32598/qums.16.10.2737.1","DOIUrl":"https://doi.org/10.32598/qums.16.10.2737.1","url":null,"abstract":"Background and Objectives: Chronic kidney disease is a debilitating disease that can also affect the family caregivers of patients. Increasing awareness and empowering caregivers can improve the physical and mental condition of patients and the resilience of caregivers. This study aims to evaluate the effect of an intervention based on the family-centered empowerment model (FCEM) on the resilience of family caregivers of hemodialysis patients. Methods: This is a randomized controlled clinical trial. Sixty family caregivers of patients in the hemodialysis department of Imam Khomeini Hospital in Kermanshah, Iran were selected by a random sampling method using a random number table. Then, they were randomly divided into two groups of intervention (n=30) and control (n=30). The assessment tools were a demographic form and the Connor-Davidson resilience scale. Descriptive and inferential statistics were used to analyze the data in SPSS software, version 18. Results: The results of independent t-test showed that the mean resilience score at baseline was not significantly different between the two groups (P=0.29). After the intervention, it was significantly increased in the intervention group compared to the control group (P<0.001). In addition, there was a statistically significant difference between pre- and post-intervention scores of resilience in the intervention group (P<0.001), but no significant difference was found in the control group (P=0.17). Conclusion: The FCEM-based intervention increases the resilience of family caregivers of hemodialysis patients. Therefore, it is recommended that the planners in nursing education should make nurses aware of the importance of providing family-centered care to hemodialysis patients’ families for increasing their resilience.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90497810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life of Residents in Hospitals Affiliated to Kashan University of Medical Sciences During the COVID-19 Pandemic","authors":"Z. Sepehrmanesh, A. Ahmadvand, F. Rasouli","doi":"10.32598/qums.16.10.1231.2","DOIUrl":"https://doi.org/10.32598/qums.16.10.1231.2","url":null,"abstract":"Background and Objectives: The prevalence of COVID-19 significantly affected different aspects of the quality of life (QoL) in people, especially the medical staff, who are at the forefront of battle against the disease. This study aims to investigate the QoL of medical residents of hospitals affiliated to Kashan University of Medical Sciences (KUMS) during the COVID-19 pandemic. Methods: This cross-sectional study was conducted on 140 medical residents of hospitals affiliated to KUMS in 2021. Their QoL was assessed using World Health Organization quality of life (WHOQOL). The collected data were analyzed in SPSS software, version 22 using Chi-square, Mann-Whitney U test, t-test, one-way analysis of variance, Kolmogorov-Smirnov test, Pearson and Spearman correlation tests. Results: The physical health dimension had a statistically significant relationship with age, marital status, underlying disease, sports/arts activities, and year of residency (P<0.001). The psychological health dimension had a statistically significant relationship with marital status, underlying disease, sports/arts activities, and year of residency (P<0.001). The social relationships dimension had a statistically significant relationship with marital status, underlying disease, and year of residency. The environmental health dimension had a statistically significant relationship with sex, marital status, underlying disease, and year of residence (P<0.05). Conclusion: Female residents had lower QoL. The residents in pathology, neurology and infectious diseases had higher QoL, while those in psychiatry had higher scores in the psychological health dimension.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88785040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Correlation Between Communication Skills With Self-efficacy and Clinical Competence of Operating Room Students of Qom Paramedical School","authors":"Azam Hosseinpour, S. Naghavi, S. Bathaei, Fatemeh Sharifi Fard, Mahsa Haji Mohammad Hoseini, Hossein Sharafi","doi":"10.32598/qums.16.6.2674.1","DOIUrl":"https://doi.org/10.32598/qums.16.6.2674.1","url":null,"abstract":"Background and Objectives: This study aims to investigate the relationship of communication skills with clinical self-efficacy and clinical competence in operating room students. Methods: This is a descriptive-correlational study. Participants were 100 operating room students from the School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran in 2021, who were selected by a census method. To collect data, in addition to a demographic form (surveying age, sex, semester), Queendom communication skills test, perceived perioperative competence scale-revised, and clinical self-efficacy questionnaire were used. Descriptive statistics (Percentage, Mean±SD) and inferential statistics (Pearson correlation test, independent t-test, and ANOVA) were used in analyzing the data. Results: There was a significant and positive correlation between communication skills and clinical competence (r=0.478, P≤0.001) and between communication skills and clinical self-efficacy (r=0.445, P≤0.001). Conclusion: Communication skills of Iranian operating room students have a positive and significant relationship with their clinical self-efficacy and clinical competence. Considering the importance of communication skills in providing safe and high-quality patient care, attention should be given to the communication skills training of these students by the educational planners and managers.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83611343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Acupressure on Anxiety in Older Women Candidate For Extracorporeal Shock Wave Lithotripsy: A Randomized Controlled Clinical Trial","authors":"Fariba Ziaei Azarkhavarani, N. Rejeh, Mahbobeh Valiani, R. Kazemi","doi":"10.32598/qums.16.6.2466.2","DOIUrl":"https://doi.org/10.32598/qums.16.6.2466.2","url":null,"abstract":"Background and Objectives: Most patients experience anxiety during the Extracorporeal Shock Wave Lithotripsy (ESWL). One of the on-pharmacological ways to control anxiety in patients with ESWL is acupressure. This study aims to determine the effect of acupressure on anxiety in older women candidates for ESWL Methods: This randomized controlled clinical trial was conducted on 66 eligible older women candidates for ESWL referred to Ordibehesht Surgical Center in Isfahan, Iran in 2021. They were selected by a continuous sampling method and assigned to the intervention and control groups by the block randomization method. The intervention group received acupressure for 20 minutes, while in the control group, the acupoints were only touched (without applying pressure). Data collection tools were the Spielberger State-Trait Anxiety Inventory and Visual Anxiety Scale, completed 60 minutes before and immediately after the intervention. T-test, chi-square test, and Mann-Whitney U test were used to analyze the data. Results: The two groups were similar in terms of demographic variables. Before the intervention, there was no statistically significant difference between the two groups in anxiety (P> 0.05). After the intervention, the mean severity of anxiety was 3.70±0.77 in the experimental group and 7.36±0.55 in the control group. The mean post-test quality of anxiety was 35.48±5.97 in the intervention group and 61.39±2.42 in the control group. These differences between the two groups were statistically significant (P<0.001). Conclusion: Acupressure is a safe and non-pharmacological intervention that can reduce the anxiety of older women candidates for ESWL.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83130364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identify Components of Bureauphobia Attitude in Qom Hospitals (With Qualitative Research Approach)","authors":"Hossein Azari, H. Roodsaz, Behrouz Rezaei Manesh, Mir Ali Seyed Naghavi","doi":"10.32598/qums.16.6.2682.1","DOIUrl":"https://doi.org/10.32598/qums.16.6.2682.1","url":null,"abstract":"Background and Objectives: Studies in various fields of healthcare seeks to gain the trust of citizens by providing more favorable services. Despite the generality of this view, Bureauphobia as a new attitude in the field of behavior, questioned these studies. The current study aims to identify the components of bureauphobia in in people referred to public hospitals in Qom, Iran. Methods: This is a qualitative study using thematic analysis. The study population consists of all people referred to public Hospitals in Qom province. Of these, 190 were selected and interviewed. The interview transcribes were analyzed in three stages: descriptive coding, interpretive coding, and identifying main themes. Results: The analysis led to the formation of 131 descriptive codes, 50 interpretive codes and 10 main themes. The results showed that direct experiences, personality, role/ example, the political system governing public bureaucracy, social capital, malfunction of the bureaucracy, intrinsic features of the public sector, moneyism, moral values, and social justice were the components of bureauphobia. Conclusion: People with bureauphobia have a pessimistic view. Satisfaction with the services provided by public hospitals does not necessarily lead to trust in these centers. Some people are constantly exposed to negative opinions about public hospitals; hence, their attitudes towards public hospitals are negative and biased.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73694145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Health of Iranian Nurses and Its Related Factors During the COVID-19 Pandemic","authors":"A. Abdollahi, M. Dinmohammadi","doi":"10.32598/qums.16.6.2679.1","DOIUrl":"https://doi.org/10.32598/qums.16.6.2679.1","url":null,"abstract":"Background and Objectives: During the coronavirus disease 2019 (COVID-19) pandemic, nurses were in the frontline of patient care. This study aims to determine the social well-being of Iranian nurses working in hospitals during the COVID-19 pandemic and its related factors. Methods: In this cross-sectional study, 612 nurses working in hospitals across the country participated. They completed the social well-being scale online from January to February 2021. The collected data were analyzed using descriptive statistics (Frequency, percentage, mean, and standard deviation) and multiple linear regression analysis in SPSS software, version 22 software. The significance level was set at 0.05. Results: The mean total score of social health well-being was 74.1±9.5 out of 140. Multiple linear regression analysis results showed that age (P=0.04, β=-0.95); gender (P=0.01, β=0.1) and type of employment (P=0.03, β=-0.1) were the predictors of nurses’ social well-being. Other demographic and job-related factors were not significant. Conclusion: The social well-being status of Iranian nurses working in hospitals during the COVID-19 pandemic is relatively favorable. The increase educational level and age and the specialization of available services through the promotion of organizational tasks can be helpful in improving the social well-being of nurses. Changing the employment of nurses from temporary to permanent can also increase their social well-being.","PeriodicalId":20805,"journal":{"name":"Qom Univ Med Sci J","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80075779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}