Showing 9 results for Zanjan
Fatemeh Ghorbani, Maryam Shiri, Masomeh Mortaqhy Ghasemi, Parva Ansari, Fatemeh Mohammadi,
Volume 5, Issue 2 (2-2016)
Abstract
Background and Objectives: Burning can cause pain, disability, and death, as well as physical, psychological, and economic consequences. Knowledge on epidemiologic characteristics of burn patients can help to plan appropriate preventive programs.
Materials and Methods: This was a cross-sectional study. Burn patients hospitalized in Ayatollah Mousavi hospital in Zanjan during 2010 to 2012 were studied. Data were collected and recorded through designed study forms; and were analyzed in the SPSS using the descriptive statistics and ANOVA and Fisher’s Exact Test.
Results: During the 2-year period, a total of 627 burn patients were admitted to the hospital. Most of the patients (64.1%) were male. Most of the burn patients (68.7%) were more than 14 year olds; and most (54.7%) were rural. Most of the patients (60.9%) had a second degree burn. Most cases were thermal burns (53.6%).
Conclusion: Our study showed that the majority of burn accidents occur in men over 14 years old. Preventive measurements and trainings are essential actions that should be placed through media, health centers,work place and schools to decrease burn accidents.
Ali Mohammadi, Koorosh Kamali, Hossein Masoomi Jahandizi,
Volume 6, Issue 4 (3-2017)
Abstract
Background: Empathy is an important factor in the relationship between the therapist and the patient and leaves positive impacts on the health outcomes.
Objectives: To investigate the level of empathy for patients among students of Zanjan University of Medical Sciences.
Methods: The present cross-sectional study was carried out in Zanjan University of Medical Sciences. A sample of 420 students was selected based on stratified sampling method. Jefferson Scale of Empathy was used to measure the level of empathy. Scores in the range of 20-60, 61-100, and 101-140 were regarded as the low, moderate, and high level of empathy, respectively. Data analysis was performed using independent t-test and one-way ANOVA in SPSS-16..
Results: The total score of empathy of students was 103.5±16. The lowest and highest scores in empathy were obtained in dimensions of “standing in the patient’s shoes” and “compassionate care”, respectively. The mean score of empathy for male students (102.15±5.23) was lower than that of females (103.16±2.39). Scores of empathy subscales, except “perspective taking”, were higher in female students than male ones. In addition, there was a significant difference between male and female students in terms of the mean score of “perspective taking”, “compassionate care”, and “standing in the patient’s shoes”.
Conclusion: The study findings indicated that the level of empathy for patients among the studied students is moderate and higher. However, given the positive impacts of empathy on treatment outcomes, it is recommended that students’ level of empathy be further improved through appropriate interventions.
Khalil Yosefi, Mohammadreza Dinmohammadi, Mahdi Moosaeifard, Soghrat Faghihzadeh,
Volume 7, Issue 2 (10-2017)
Abstract
Background: Dialysis adequacy is one of the most important factors in determining the survival rate and mortality of dialysis patients.
Objectives: The aim of this study was to determine the dialysis adequacy of patients undergoing chronic hemodialysis at dialysis centers located in the province of Zanjan, located in northwest Iran.
Methods: This descriptive cross-sectional study was performed on 257 patients undergoing chronic hemodialysis with an available sampling method in 6 dialysis centers in the province of Zanjan. The hemodialysis sessions were performed for 3 to 4 hours using via synthetic filters and bicarbonate dialysate. To determine the adequacy of dialysis, serum BUN levels were assessed before and after dialysis. The standard software provided by the Ministry of Health was used to calculate the adequacy of dialysis and Kt/V was considered to be at least 1.2.
Results: The most common underlying causes of chronic dialysis were hypertension (41.2%) and diabetes mellitus (35.8%), respectively. Mean Kt/V and URR were 1.26±0.34 and 63.55±9.5%, respectively. The difference among these indexes was significant between men and women (p<0.05). Also, dialysis adequacy was significantly associated with increased dialysis frequency, blood flow rate, interdialytic weight gain, vascular access and dialysis shift (p<0.05).
Conclusion: Despite the relatively favorable dialysis adequacy among patients, this index is highly variable based on patient gender, the dialysis center, location, frequency of dialysis, blood flow rate, interdialytic weight gain, type of vascular access and dialysis shift. Therefore, serious attention and greater caution are recommended among the dialysis centers of the province
Arezoo Safaei Nezhad, Leila Rastegari, Roghieh Kharaghani,
Volume 7, Issue 3 (11-2017)
Abstract
Background: The increased prevalence of cesarean section (C–section) is a global epidemic.
Objectives: The aim of this study was to determine the prevalence and demographic, fertility, and childbirth-related factors of C–section in Zanjan province, Iran,-Zanjan province in the period sincefrom 21 March 2014 through theto 19 March 2016.
Methods: This study was a descriptive analytic study, carried out in the 2014–2016, which gathered 41, 265 registered childbirth data in Zanjan province hospitals and, from country electronic childbirth register system. Data were analyzed using descriptive, univariate and multivariate logistic binominal regression.
Results: according to the findings, Thethe prevalence of C–section was 40.1%. The odds of having C–section went up raised enhanced with increasing maternal age (OR=1.026), gravidity (OR=0.670), and gestational age (OR=0.093), while it decreased with an increased parity, end educational level up to high school graduate. decreased the odds of having C–section, while In contrast, higher educational (OR=3.064) level increased the odds of having C–section. Living in the urban areas (OR=1.855) also increased the odds./degrees/rates/amouts of C–section. Diabetes (OR=1.990), preeclampsia or eclampsia (OR=2.350), hypertension (OR=1.983), and thyroid disorders (OR=2.289) increased the odds of having C–section. Newborns with with low birth weight (OR=1) and macrosomia (OR=2.663), and boys (OR=1.107) were delivered more by via C–section. f Among the interventions during labor, induction (OR=1.131) and stimulation of labor (OR=0.269) reduced the odds of C–section (P<0.05).
Conclusion: C–section rate is very high in Iran and its association with different variables can be a basis for planning and policymaking in order to reduce the C–section rate, particularly in this Zanjan province.
Somayeh Farajpour Pirbasty, Nasrin Jafari, Kourosh Amini, Soghrat Faghihzadeh,
Volume 7, Issue 4 (10-2018)
Abstract
Background: Virtual social networks are the most important communication tools in the modern era, which have gained remarkable popularity in various communities. The use of social networks by different age groups has been on the rise, especially among adolescents.
Objectives: The present study aimed to assess adaptation to motherhood and its influential factors in the first year postpartum in Iranian women.
Methods: This descriptive, cross-sectional study was conducted on 180 students aged 16-18 years during 2016-2017. The research samples were selected by multi-stage method. Data were collected using demographic questionnaires and a researcher-made questionnaire to assess the rate and mode of using social networks. Data analysis was performed in SPSS version 16 using descriptive statistics.
Results: In total, 77.8% of the adolescents were registered in various social networks, and the majority were the users of Telegram (75.6%). Moreover, 58.9% of the participants had been using virtual social networks for more than 12 months, and 19.4% used the networks for more than four hours per day for non-educational purposes. On the other hand, 47.2% of the students used social networks for educational purposes for less than one hour.
Conclusion: According to the results, adolescents frequently used virtual social networks, especially for non-educational purposes. Therefore, it is recommended that various scientific channels and networks with greater magnetism be designed for entertaining adolescents.
Roghieh Kharaghani, Soudabeh Niroomand, Arezoo Safaei Nezhad,
Volume 7, Issue 4 (10-2018)
Abstract
Background: The prevalence of low birth weight (LBW) has been estimated at 15.5%, and approximately 15 million preterm births (PTB) occur across the world. These rates have been reported to be 9% and 9.2% in Iran, respectively.
Objectives: The present study aimed to assess the prevalence of LBW and PTB and compare their influential factors in Zanjan province, Iran during 2014-2016.
Methods: This descriptive-analytical study was conducted on 41,265 neonates (stillbirth and alive) in Zanjan province and suburbs. Data were collected using the registries of the midwives in charge of the maternal and neonatal registry system. Data analysis was performed in Excel and SPSS version 16 using descriptive and analytical tests, including the univariate and multivariate logistic regression models.
Results: The prevalence of LBW and PTB was 7.2% and 8.2%, respectively. Odds ratio of LBW was lower with increased parity (OR=0.736; P<0.001) and gestational age (OR=2.570; P<0.001), while it was higher in female neonates (OR=1.324; P<0.001) and infants with congenital malformations (OR=2.570; P=0.001). Odds ratio of PTB was higher with increased abortions (OR=1.206; P<0.001) and in male neonates (OR=1.440; P<0.001), while it was lower with increased birth weight (OR=0.996; P<0.001). Maternal underlying diseases and diabetes reduced the odds ratio of LBW (OR=0.633; P=0.019) and increased the odds ratio of PTB (OR=3.650; P<0.001). Moreover, preeclampsia and eclampsia increased the odds ratio of LBW (OR=3.140; P<0.001) and PTB (OR=1.489; P=0.005). In terms of social factors, maternal education level decreased the odds ratio of LBW (P<0.05). The prevalence of PTB increased by 22.8% in 2015 compared to the previous year (P=0.012).
Conclusion: According to the results, congenital malformations, gender, gestational age, birth weight, maternal education level, and maternal underlying diseases were significantly correlated with LBW and PTB. Therefore, improving maternal and neonatal health requires proper planning to control the influential factors in LBW and PTB.
Nasrin Hanifi, Masoume Moqaddam, Zeinab Ghahremani,
Volume 9, Issue 1 (6-2019)
Abstract
Background: Moral courage is an important criterion in nursing for moral care. Enormous moral challenges facing students of nursing in their clinical environment require being morally courageous.
Objectives: The aim of this study is to explore factors concerning nursing students’ moral courage.
Methods: This cross-sectional study was conducted in Zanjan 2018, focusing on 208 nursing students who were selected based on convenience sampling method and time series Poisson distribution. The criteria for the sampling was the students undergoing practical training for at least three semesters and were willing to take part in this study. To collect the data, the Professional Moral Courage Scale by Sekerka et al. (2009) was used. The questionnaire evaluates moral courage on five dimensions, including moral agency, multiple values, endurance of threats, going beyond compliance, and moral goals. The range of scores was 15-105. The data were analyzed using Kruskal-Wallis and Mann-Whitney tests.
Results: Nursing students’ mean score of moral courage was 85±12.66, which showed a favorable level. The highest mean score was related to `Moral agency’ (85±12.66) followed by `Going beyond compliance’ (17.48±3.05) and the least mean score was related to `Moral goals’ (16.09±3.39). The findings of this study showed that `Moral courage’ was significantly higher among those with high average and among the natives (p=0.05).
Conclusion: Since the mean score of moral courage increased in proportion to average and nativity, the educational officials and advisors are recommended to pay attention to keeping moral courage in a favorable level and try to raise students’ educational ability, trying to admit nursing students in their own cities
Jafar Matini, Nasrin Bahrami Nejad, Nasrin Hanifi, Ramezan Fallah,
Volume 12, Issue 2 (3-2022)
Abstract
Background: The physical-mental health status of health care providers and patients can be influenced by the leadership styles of head nurses and health centers managers.
Objectives: The current study aimed to study the leadership styles of head nurses working in the training hospitals of Zanjan in 2020.
Methods: In the current descriptive study 346 nurses working in the training hospitals wards affiliated to Zanjan University of Medical Sciences participated through cluster random sampling. A tool including demographic and Multifactor Leadership Questionnaire was used to collect data. Data were analyzed using descriptive- inferential tests such as mean, standard deviation and analysis variance and LSD by SPSS software version 25.
Results: Head nurses adopted transformational (3.02+0.61), laissez-fair (2.94+0.92) and transactional (2.81+0.53) leadership styles, respectively. The relationship between the leadership styles and the type of hospitals and the wards was significant (p<0.05). Bu Ali Sina Hospital had the highest percentage of using transformational and laissez-fair leadership styles and Ayat –Allah Mousavi Hospital had the highest percentage of using transactional leadership style as well. Concerning the wards, pediatric and neonatal wards used the most of the transformational leadership style and the highest percentage of using transactional and laissez-fair leadership styles was associated with psychiatric ward.
Conclusion: Due to the superiority of transactional leadership style over the laissez-fair leadership style, it can be said that head nurses give less freedom to the nurses working in their wards. Therefore, motivating head nurses to be innovative and further use of laissez –fair leadership style is recommended.
Nasrin Hanifi, Masoume Moqaddam,
Volume 12, Issue 3 (4-2022)
Abstract
Background: Ethical challenges are considered an integral part of the nursing profession. In these challenges, despite moral courage, nurses experience moral distress.
Objectives: This study was conducted to determine the amount of moral courage and moral distress of nurses and their related factors in educational and medical centers in the city of Zanjan.
Methods: This descriptive-analytical study was conducted on 256 nurses working in educational hospitals of Zanjan in 2019 through the proportional convenience method. Data collection tools were three questionnaires, including the demographic information questionnaire, Sekerka’s Moral Courage Questionnaire, and Corley’s Moral Distress Scale. The questionnaires were collected by self-reporting method after distribution and completion by nurses. Data were analyzed using descriptive statistics and independent t-test, one-way analysis of variance (ANOVA), and Pearson correlation coefficient in SPSS software version 22.
Results: Most of the participants were female, married, and design-employed, with a bachelor’s degree and a mean age of 32.11± 6.9 years. The mean score of nurses’ moral courage was 5.73 ± 0.81 out of 7 points and their mean score of moral distress was 4.48±1.13 out of 7 points. The mean score of moral courage was statistically significantly different from age and work experience (p<0.05). The mean scores of moral distress in women, pediatric ward, and individuals with low work experience showed a statistically significant difference (p<0.05). The results showed no statistically significant relationship between the score of moral courage and that of moral distress.
Conclusion: According to the results of this study, it is recommended to use less novices and young individuals in stressful wards to reduce moral distress and to have courageous approach in challenging situations.
