مجله علوم پزشکی صدرا
سال یکم شماره 1 (زمستان 1391)

Acceptance of organizational change by the staff is an important issue that the health system managers are facing with. The purpose of this study is the relationship between psychological empowerment with the readiness to accept change in first-level health workers in a Health Network in Noorabad city in 2012.
This is a descriptive-analytical and correlation study which is done cross-sectional in the spring of 2012. The study population included all primary health workers in Noorabad Health Network, which due to problems to access to all of them, used the cluster sampling. Tools for data collection were two standard questionnaires: psychological empowerment and readiness to acceptance rate of organizational change. For data analysis, SPSS software, 16th version was used. Also, descriptive statistical tests, Spearman test, T test and one-way ANOVA were used.
Findings showed that there was a significant relationships between acceptance of change and levels of education (F=4.113, P=0.021). Moreover, linear Regression indicated that there was a significant correlation between the two components of competence and selfdetermination with the acceptance of organizational change (p Psychological empowerment has an effect on the acceptance of organizational change. Since changes with new technology seem to be essential in healthcare organizations, we suggest health administrators to emphasize on the health care empowerment of the workers and improve components that can strengthen the organizational transformation, because through the provision of quality services, Community health and welfare increase.

Prayer is the most common practice in all religious systems. ‘‘Generally prayer, understood as a human communication with divine and spiritual entities. Prayer is a valuable coping strategy for adaptation of chronic illness. This study was conducted to assess the prayer (prayer activity, prayer experience and attitude toward prayer) and its related socio-demographic and clinical characteristic in hemodialysis patients.
It was a descriptive-correlational, cross-sectional study. 200 patients with renal failure on hemodialysis, being treated at educational center of Tehran University of medical sciences, participated in our study. The subjects were selected by census method. The collected data using the Adapted Prayer Scale (APS) was based on Poloma and Pendleton’s (1991) prayer scale and was analyzed by SPSS-14. The content validity was used and reliability of this instrument was demonstrated by a Cronbach’s alpha (r = 0.8)
Mean scores of prayer activity, prayer experience and attitude toward prayer were, respectively, (91.57±16.30), (46.32±7.13) and (32.64±7.58). Mean of total scores was (170.54±26.49). Significant relationships were observed between age, gender and educational level with prayer activity, prayer experience and attitude toward prayer (P≤0.05). Also the relationship between the length of Dialysis and attitude toward prayer was significant (P≤0.05). But significant relationships weren’t observed between prayer activity, prayer experience and prayer with the length of Dialysis.
Individual characteristics were related to prayer in hemodialysis patients. The findings support healthcare providers encouraging patient to explore their spirituality as an effective resource for coping with disease.

Postpartum depression endangers mother's health and has negative effect on her social communication and infant development. Therefore, this study is conducted to determine the postpartum depression and some related factors.
This Study is a cross-sectional research, which was accomplished in Fateme Zahra hospital in Najafabad. Ninety two samples were selected from mothers with 4- 8weeks after delivery through convenience method. Depression in samples was measured by Beck questionnaire .The obtained data were analyzed by statistical test(X2) and PFindings: The majority of mothers (78.28%) were suffering from depression. A significant relationship were existed between the educational level, independent living and type of delivery and the postpartum depression (p According to the results of this study and considering negative effect of postpartum depression on family function, more attention should be given to this disorder.

The present value and future achievement of any organization is completely dependent on the abilities and skills of its staffs. Hospital is one of the organizations that give services and depends on knowledge human resources. The purpose of this research is the study of the characteristics of knowledge-based human forces in public hospitals of Shiraz University of Medical Sciences.
This study was a survey that was conducted in a descriptive-analytical way in public hospitals of Shiraz in 2012.The subject of study were all physicians and nurses working in public hospitals in shiraz selected by compound sampling (stratified sampling adjusted to sample size and two stage cluster sampling). Finally 124 members of the physician and nurses were selected as samples. Data was collected by questionnaire that its reliability was gained using coronbach's 0.89 alpha coefficient. To analyze the data, the spss16 software and tests of descriptive and inferential statistics such as t-test and Pearson correlation coefficient were used.
Findings: In this study, there were 72% men that 50% of them have bachelor degrees .36 members were physicians and 64 members were nurses. The medical staff had features of scholars except independence, self-arousal, and creativity. There was a meaning full relationship between scholar's features and their ages (r= -0.253, p = 0.024), but there wasnt a meaning full relationship between their features with other demographical factors.
Physicians and nurses are as the important resources of hospitals had some features of scholars. The hospital managers should search about the reasons of the lack of scholar's features in medical staff and plan to keep and promote the present features.

One of the most significant instruments against AIDS is awareness. This study aims to determine awareness, attitude and performance of the students studying at medical college in Dezful. They had studied in terms of their needs analysis before their practical courses in hospital.
All students in medical school of Dezful participated in this cross-sectional study. Participants were selected by enumeration. They answered the Questionnaire (the researcher made) including 6 items for demographic characteristics, 19 items for awareness, 12 items for attitude and 7 items for performance. The data were collected in the software SPSS ver. 18, analyzed by χ2, spearman rank correlation, t-test and ANOVA.
Forty (62.5%) participants were women. Fifty participants (78.1%) were highly aware of the AIDS. Significantly, men had higher awareness than the women (P= 0.01) that they were Learning from schools and textbooks. Moreover, more than a half of the participants had a positive attitude towards the suggested solutions and nursing students had a significantly higher attitude (p=0.04). In performance, 45.3% had appropriate performance in terms of transition of the AIDS.
It seemed that the student’s attitude and performance level was good. But inappropriate imaginations existed in students regarding the transmission, attitude and performance of the students who are exposed to the disease. To compensate these shortages, proper education in the field before entering the training, can be suggested.

low back pain is one of the most common work related health problems among hospital workers when compare to other groups. The incidence varies among different countries. Work related activities such as twisting, bending, sustained posture; repeated movements are regarded as casual risk factors for low back pain and other back injuries. The aim of this study is the description of the prevalence and risk factors of low back pain among a variety of hospital workers including nurses, physiotherapists, technicians and etc.
A 23-item self administered questionnaire was completed by 275 employees in Shiraz Shahid Beheshti hospital associated with social security organization using a cross sectional survey design. Data were collected over 3 months and analyzed using chi-square and logistic regression techniques.
The prevalence of low back pain was 50.9 %, 42.1% in men and 57.9% in women. The highest prevalence was reported by group of nurses and midwifes (60.7%). Gender, short stature, duration of disease and injury and back pain were identified as the most important predisposing factors (p ≤ 0.05).
low back pain prevalence is high in hospital staff and preventive measures should be taken to reduce it, such as educational programmes about the proper body mechanics, arranging proper rest periods, lifting devices and additional staff.