فهرست مطالب armin zareian

Paying attention to psychological issues and characteristics of military service is one of the points that must be assessed by senior planners and commanders.

In the present descriptive correlational study, 604 soldiers serving in the barracks of Kerman province in 2021 were studied. Cluster sampling was used to select the statistical sample from the two barracks of Martyr Ashraf Ganjavii and Martyr Bahonar of the police force. Three characteristics of Mental Health, Personality Traits and Psychological Empowerment were compared in two groups of newly arrived and discharged soldiers.

Two hundred fifty-seven people (42.5%) were in the group of newly arrived soldiers, and 347 people (57.5%) were in the other group. The average scores of the discharged group in all aspects of mental health were lower than those of the newly arrived group (p<0.05). The average scores of two dimensions of neuroticism and extraversion in the discharged group was significantly higher than that of the newly arrived group (p<0.05). Also the two groups had a significant difference in competence score (p=0.048).

According to the results of this study, military service has had a negative effect on the mental health of soldiers. Nonetheless, it cannot be alleged that military service had a significant effect on the psychological empowerment of soldiers. Consequently, it seems obligatory to use psychological and clinical consultants and doctors for appropriate interventions to increase mental health, such as education, counseling, and psychotherapy.

This study compared the antimicrobial effect of electrophoresis with calcium hydroxide and electrophoresis with cupral paste in the apical area blocked by the separated instrument.

A total of 72 single-rooted human teeth were involved in the study, each decoronated to a length of 15 mm. Following the determination of the working length and root canal preparation, the teeth were autoclaved and subsequently infected with Enterococcus faecalis. Intentional fracture of a rotary instrument occurred 3mm above the apical terminus of the canal. The samples were then randomly assigned to six groups: Groups G1 and G2 received Cupral paste (Hu-manchemie GmbH, Germany) and calcium hydroxide paste (Humanchemie GmbH, Germany), respectively, with the application of electric current. In G3, sterile normal saline was used with electrophoresis. For G4 and G5, Cu-pral and calcium hydroxide pastes were applied to the root canal without electrical current, respectively. G6 was used as the positive control. Following all in-terventions, the 3mm apical segment of the specimens was removed, and the antimicrobial effect was assessed by counting colony-forming units (CFUs) in this ca-nal area.

Cupral paste, Cupral paste with electrophoresis, and calcium hydroxide with electrophoresis demonstrated a significant reduction in bacteria beyond the separated instrument (p<0.05). However, calcium hydroxide and electrophoresis alone did not exhibit statistically significant antimicrobial activity (p> 0.05). There was no statisti-cal difference observed between Cupral paste activated by electrophoresis and calcium hydroxide activated by electrophoresis (p> 0.05).

Electrophoresis enhanced medicament penetration and antimicrobial ef-ficiency in the canal blocked by the separated instrument. Cupral paste activated by electrophoresis demonstrated superior performance in all interventions.

People with HIV/AIDS face numerous challenges, including the effect of the disease on their personal relationships with family, friends, colleagues, and healthcare professionals.

The purpose of this qualitative study was to investigate social interactions among patients with HIV/AIDS in Iran. Materials &

This qualitative content analysis study was conducted on 12 patients with HIV/AIDS referring to the Behavioral Disease Counseling Center of Imam Khomeini Hospital in Tehran and the Behavioral Disease Counseling Center in Rasht City in 2018. Semi-structured, face-to-face, and audio-recorded interviews were used to collect data. Purposive sampling with maximum variation was used to select participants. The duration of the interview was between 40 to 75 min. MAXQDA software, version 10 was used for data organization and management, and conventional content analysis was used for data analysis.

From the analysis of interviews with 12 individuals with HIV/AIDS (7 men and 5 women), 51 codes were extracted in three categories: Disease disclosure (disclosure to important people in life, disclosure to public and health services, and dealing with the challenges of disclosure), social support (impairment in interpersonal relationships and relationships with peers), and acceptance (social acceptance and acceptance by health care providers).

Despite significant progress in HIV/AIDS prevention, treatment, and education, the stigma caused by this disease remains high and has a negative impact on the interpersonal relationships of people living with HIV/AIDS with their families, relatives, friends, colleagues, and healthcare providers.

Self-determination is a significant skill in the proper transition from adolescence to adulthood. Parents play an important role in assessing the self-determination of their children. Currently, there is no valid instrument in Iran to assess parents’ views about the self-determination of their adolescents. The present study was conducted to determine the psychometric properties of the Persian version of the Self-determination Parent Perception Scale (SDPPS) in an Iranian population.

In this descriptive psychometric study, the original version of SDPPS was translated using the forward-backward method. The content validity index and content validity ratio of the questionnaire were confirmed by a panel of 15 experts, and its face validity was evaluated among 10 parents of the adolescents. Exploratory factor analysis was conducted on 125 parents of adolescents (aged 14-18 years) who were selected by convenience sampling with maximum variation. Its reliability and internal consistency were also assessed using test-retest and in a group of 17 parents, respectively. The obtained data were analyzed by SPSS V. 18.

The items were modified at the face validity stage and approved at the content validity stage. Five factors by explaining 54.14% of the variance and deleting four items were confirmed at the construct validity stage using exploratory factor analysis. A Cronbach’s alpha of 0.93 was obtained for the total scale and 0.79 to 0.85 for the five subscales of the SDPPS. The intra-class correlation coefficient with 95% CI (0.82-0.98) was 0.83 indicating good reliability of the questionnaire.

The Persian version of SDPPS showed acceptable validity and reliability in explaining the self-determination of adolescents with and without disabilities based on the parents’ perspectives and can be applied by professionals in rehabilitation centers and those studying on human behavior.

Social responsibility in nursing is a complex concept that is completely associated with the context and healthcare system of every society. This study was conducted to analyze the concept of nurse’s social responsibility in Iran.

This analysis was done using a hybrid model, which consists of three phases: a literature review in the theoretical phase, semi-structured interviews in the fieldwork phase, and combination of the results of the two previous phases in a final analytical phase.

The four main themes extracted in the theoretical phase included: “Multi-dimensional and comprehensive approach”, spirituality-based, learner-based and an evolutionary-process. In the fieldwork phase, all the themes obtained in the previous phase were confirmed, and one more theme emerged as “being relative”. In the final phase, with the combination of the results of two previous phases, the final definition of the concept was presented.

Clarifying the social responsibility of nurses and highlighting it in nursing will definitely lead to satisfaction in patients and clients, professional development and reduction of health care costs. Also, by identifying facilitators, inhibitors and social responsibility concepts, nursing managers and nursing educators will be able to design and implement their management and training activities based on scientific findings based on the findings that are necessary for the correct learning and implementation

Emphasis on research issues and increased research activities leads to development and progress and brings about real self-sufficiency and independence for a country. The purpose of this study was to identify the failures and barriers of research at AJA University of Medical Sciences.
The methodology of this study was cross-sectional (descriptive-analytic) and was conducted at AJA University of Medical Sciences of Iran. Sampling was census and 85 faculty members participated in this study. The instrument was a valid and reliable questionnaire in two parts. The first part was about demographic information and the second part focused on the research barriers with 53 items.
The findings revealed that the highest percentage of research barriers was related to financial barriers from the viewpoints of the subjects and the lowest percentage was related to individual barriers.
A set of factors influenced the research activities of faculty members. Financial issues were significant among these factors.

Chemotherapy is one of the main treatments for cancer that is associated with many side effects. These side effects may force the patients to stop the procedure of treatment due to lack of knowledge and negative attitude about the effects of chemotherapy.
This study aimed to examine the effect of training based on training needs of patients on their knowledge and attitude about chemotherapy side effects in Aja (army) Hospital in Tehran.
Material and This clinical trial study was conducted on 50 cancer patients undergoing chemotherapy. The patients were selected using the convenience sampling and randomly allocated into the experimental and control groups (n=25, each group). Before intervention, researcher-made questionnaire was used to assess the knowledge and attitude of participants in both experimental and control groups. Then the training intervention was implemented based on the training needs of the patients in different domains affected by the chemotherapy for the intervention group and it was conducted during two cycles of chemotherapy face-to-face and individually. At the end of the second period, the questionnaires were completed again by both groups. Data were analyzed using inferential and descriptive statistical tests by the SPSS software version 22.
The mean scores of knowledge and attitude of patients about the chemotherapy side effects before the intervention were 94.68±9.41, and 22.32±4.28 for the experimental group and 94.08±8.68, and 20.60±3.01 for the control group respectively. After receiving the intervention, the mean scores of knowledge and attitude were 119.68±3.71, and 33.28±2.88 for the experimental group and 98.88±7.44, and 21.08±3.44 for the control group respectively. The independent statistical t-test showed no significant difference between the two groups in attitude and knowledge scores about the chemotherapy side effects in the pretest stage (P>0.05). However, there was a significant difference between the two group, experimental group and control group, in attitude and knowledge scores about chemotherapy side effects in the post-test stage (PDiscussion and Implementing training programs based on training needs of patients can be effective on their knowledge and attitude about the chemotherapy side effects.

Coronary heart disease is a chronic disease that requires long-term treatment, care and monitoring to prevent disease progression and its complications. The financial and social burdens of the disease in the society are too high to have made researchers look for effective solutions for reducing the side effects in order for patients to have qualitative lives. The aim of this study was to evaluate the effects of care model implementation so as to reduce the complications and improve the quality of life for these patients.
This study was a randomized clinical trial. The study population included 58 patients with coronary artery disease who were hospitalized in intensive care units of NAJA Vali-Asr and 502 AJA hospitals during February to June 2016. These patients were divided into intervention and control groups according to the inclusion criteria and the specific block method. Then, collaborative care model in the test group was administered for three months and Nottingham quality of life questionnaire was used to collect information. The data were analyzed with SPSS 22 software and independent t-test, t-test and Fisher›s exact test.
Statistical analysis between the experimental and control groups showed no significant difference in demographic characteristics. Quality of life mean scores before the intervention were 141.59 ± 137.23 and 209.12 ± 144.52 in the experimental and control groups, respectively. Independent t-test showed no significant difference in quality of life between the two groups before the intervention (P = 0.073). However, the quality of life scores decreased in experimental and control groups (76.11 ± 80.97 and 167.78 ± 151.98 respectively), indicating a significant difference after three months of intervention (P Discussion and Care models have important roles in enhancing the quality of care for patients, especially in chronic diseases. Collaborative care model is effective for the care of heart disease, and training of this model is recommended for critical care nurses.

A heart valve disease is an important cardiovascular disease. Patients need long-term care after heart valve replacement, while promoting such patients’ self-care is very important. In this study, the impacts of family-centered empowerment model on self-care of patients with prosthetic heart valves were assessed.
This clinical controlled study was done at Tehran armed forces hospitals in 2015. After transferring patients from the intensive care unit (ICU), samples of the study and active members of their family were selected through the convenient method. Family-centered empowerment model was performed for the experimental group in four steps: perceived threat, self-efficacy, self-esteem and evaluation through group discussion, group problem solving, educational participation (in three to five sessions) and providing educational cards and manual for the patients and the active members of their family. The control group received routine care. Patients’ self-care was assessed before and after the intervention and also one and half month after the intervention. There was no intervention for the control group. Data analysis was done through descriptive and inferential statistical tests via the SPSS 23 software.
Both groups were similar before the intervention in terms of demographic variables. The average self-care scores in the experimental and control groups in terms of knowledge was respectively 49.42 ± 5.77 and 50.58 ± 9.09, in the emotional aspect: 17.53 ± 3.43 and 17.26 ± 3.29 and in the functional aspect: 51.58 ± 6.03 and 53.84 ± 8.68; no significant difference was observed between the two groups, yet after the intervention, the average self-care scores in the experimental and control groups in terms of knowledge was, respectively, 60.11 ± 2.97 and 51.95 ± 7.38, in the emotional aspect, 22.32 ± 3.001 and 18.32 ± 5.513 and in the functional aspect, and 63.63 ± 5.11 and 53.11 ± 7.45 with a significant increase was observed for the self-care scores (P = 0.05). Self-care ability after one and half month was not only stable, yet had also increased.
Based on the findings of this study, performing family-centered empowerment model improves self-care in patients with prosthetic heart valve. It seems that performing this model has a positive impact on chronic diseases therefore it is recommended to use this model for these patients at a broader level.

Spirituality effects are a part of the achievements of medical science during the imposed war that can be introduced as a pattern for the young generation and present or future scientists and elite. On the other hand, through mentioning memories and self-sacrificing of healthcare personnel during the Holy Defense, at least some part of sacrifices of these medical teams can be refreshed in our minds. This study aimed to determine spiritual experiments and memories of healthcare personnel during the imposed war, and was designed and implemented by using content analysis method. This study was conducted through a qualitative approach and summative content analysis method. Memories and experiences of 68 healthcare personnel were studied according to objective-based sampling. Analysis of data was done through prevalent method of content analyses. Through analyzing the memories, 6 categories and 20 sub-categories were driven as spirituality effects in memories of healthcare personnel during the Holy Defense. Groupings resulted from the studied memories show that the main categories of spirituality in this study were self - sacrifice, internal revolution, sincerity, occult reliefs, friendship and cooperation. Spiritual environments during the Holy Defense implies that many problems can be resolved by character of self-sacrifice and devotion. Thus the reflection on spiritual space prevalent during the Holy Defense is the only way for improving medical and professional morality at the present time. According to the remarks of the supreme leader, services of the healthcare personnel during the Holy Defense was, in fact, an endeavor and Jihad in the way of Allah.

a standard tool is required to investigate and determine of family satisfaction level of adult patients hospitalized in Intensive Care Units (ICUs). Since such tools haven''t been localized in Iran so far، the aim of this study was translation and validation of family satisfaction questionnaire (FS ICU-34) of adult patients hospitalized in ICUs in Iran. This is a methodological study. Face and content validity process was carried out after translating English version of the tools through forward-backward translation technique، confirmed by WHO (World Health Organization)، and exploratory factor analysis was conducted by investigating three hundred questionnaires completed by family members of adult patients hospitalized in ICUs of Tehran hospitals in order to investigate construct validity. in exploratory factor analysis، three subscales including: satisfaction with medical staff performance (12 items)، comfort (12 items) and decisionmaking (6 items) were determined by Eigen value above one and factor load above 0. 5. Cronbach''s alpha in the first، the second and the third subscale were respectively achieved; 0. 93، 0. 92 and 0. 84 and Cronbach''s alpha of the tools was achieved 0. 95. In this study the number of the questions was decreased to thirty. after performing procedures of determining validity، necessary changes in the number of the questions، writing and number of the questionnaire areas were carried out and it became clear that the Persian version of the questionnaire FS-ICU 34 benefits high reliability (α= 0. 95). Removingsome questions due to their low scores allocated by Experts’panel was done during the stages of determining validity and it was done among Iranian respondents due to cultural incompatibility. Content validity index of all the satisfaction Persian tools of family members of adult patients hospitalized in ICUs through two S-CVI/Ave and S-CVI/Universal validity methods were respectively achieved 0. 97 and 0. 86، which is indicating good validity of the Persian version of the tools. Also by shortening Persian version of the above tools، answering themwould be easier.

This study was conducted to investigate the effect of patient education and telephone follow up by the nurse on the level of hope in patients suffering from heart failure. In this study, 189 patients suffering from heart failure were chosen using the convenient sampling method and randomly were assigned into two experiment and one control groups. The control group received only usual care. The first intervention group received one hour education and also one educational booklet at the time of discharge. The second intervention group received telephone followed up by the nurse three months after discharge and also one hour education and educational booklet at the time of discharge. Data was collected using miller hope and demographic data questionnaires. Data was analyzed using descriptive and inferential statistics. There was no significant difference between the mean of hope in the groups (P=0.354). After the intervention, a significant difference was reported between the mean of hope in the groups (P=0.004). Patient educations at discharge and telephone follow up after discharge as a cost-effective method by the nurse significantly increase hope in patients suffering from heart failure.

Motivation and job satisfaction of faculty can play a fundamental role in their performance. Inattention to staff’s job satisfaction causes cessation, relative stagnation and evanescence of them. Therefore this study aimed to determine job satisfaction of academic members in two selected Tehran’s military universities in year 2010. In this descriptive, cross-sectional study, 150 academic members were selected and received the survey questionnaire. The questionnaire, including 45 items with 5 point Likert scale, had been developed and validated in Isfahan University of Medical Sciences. Then data were analyzed using independent t, ANOVA and Pearson correlation tests. Mean scores of job satisfaction domains, in a descending order, belonged to mode of supervision and communication(46.51± 10.61), nature of the job (23.83± 4.33), job security (23.76 ± 5.60), physical conditions and job environment(20.43± 6.79), promotion opportunities (17.29 ± 5.93), and salary and benefits(15.12± 5.39). Results of Pearson correlation test showed that there was a positive correlation between satisfaction score and the following domains in a descending order: mode of supervision and communication, promotion opportunities, job security, physical conditions and job environment, salary and benefits, and nature of job. Academic members had a relatively good job satisfaction. Attention to supervision and promotion opportunities can improve the current situation