فهرست مطالب

Clinical Research in Paramedical Sciences - Volume:11 Issue: 2, Dec 2022

Journal of Clinical Research in Paramedical Sciences
Volume:11 Issue: 2, Dec 2022

  • تاریخ انتشار: 1401/09/29
  • تعداد عناوین: 16
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  • Asad Mardani, Hossein Abednatanzi *, Mandana Gholami, Farshad Ghazalian, Kamal Azizbeigi Page 1
    Background

     Exercise intensity sequence of resistance training (RT) has a key role in the physiological response and adaptations.

    Objectives

     The aim of the present study was to compare the effect of DeLorme and Oxford resistance training techniques on the concentration of interleukin-4 (IL-4), interleukin-1 beta (IL-1beta) and creatine kinase (CK) enzyme in overweight men.

    Methods

     Thirty overweight young men (25 ≤ BMI < 30) voluntarily participated in the present study and were randomly assigned to the DeLorme (Del; n = 10), Oxford (OXF; n = 10) resistance training techniques and control (Con; n = 10). Del performed 4-5 sets at intensity of 50% of one-maximum repetition (1RM) for warm up, the second set with 85% of 1RM, the third set at 90% of 1 RM, and the fourth set at 95 of 1RM, and finally the fifth set at 100 1RM of exercise, while the OXF performed mentioned protocol exactly reverse order for eight weeks. RT was done three day/week in nonconsecutive for eight week. Blood sampling was gathered before RT, and repeated 72 hour after the last session of RT, and the levels of CK activity as well as the concentration of IL-4 and IL-1beta concentration were measured in the plasma.

    Results

     The results showed that there was no significant difference between the Del and OXF in biochemical variables (P > 0.05). Also, in the IL-4, IL-1beta and CK, there were no improvement was found in the Del and OXF compared to the control (P > 0.05).

    Conclusions

     Finally, it can be said that none of the Delorme and Oxford resistance training technique are preferred in improving systemic inflammatory factors, and the sequence of resistance training intensity is more or less and vice versa has no effect on improving systemic inflammatory factors.

    Keywords: Strength Training, Exercise Intensity, Systemic Inflammation, Cytokine
  • Ashraf Piryaee, Mahdi Alijanianzadeh *, Ahmad Molaeirad, Fariba Mashayekhi Mazar Page 2

    More recently, enzyme-based biofuel cells have attracted special attention in different areas. The alcohol dehydrogenase (ADH) due to its cheap and easily available substrate (ethanol) is one of the dehydrogenase enzymes that has been used on researches extensively. This paper explains procurement and performance of bioanode based ADH. In present paper, we used multi-walled carbon nanotubes (MWCNTs) and polyamidoamine dendrimer (PAMAM) on poly methylene green (PMG) modified carbon cloth to fabricate bioanode for an ethanol biofuel cell. The cyclic voltammetry experiments have used to study the performance of the immobilized ADH in presence of β-nicotinamide adenine dinucleotide (NAD+) and ethanol as cofactor and substrate respectively. Also, the kinetic parameter values like kcat, KMS, and k were calculated using analytical equations based on results obtained from cyclic voltammetry. The maximum anodic current of 153.37 µA obtained from the modified bioanode at a concentration of 300 mM ethanol. The kinetic parameter values kcat, KM, and k (rate constant) for enzyme-substrate reaction calculated 1.6 ± 0.1 S-1, 4.4 mM and 1.9 × 105 M-1S-1 respectively. The results showed that the composition of PAMAM and MWCNTs provides a good electronic communication for activity of ADH based on PMG/PAMAM/MWCNTs.

    Keywords: Alcohol Dehydrogenase (ADH), Poly Methylene Green (PMG), PAMAM Dendrimer, MWCNTs, Kinetic Parameter
  • Payam Sariaslani, Ali Soroush, Behrooz Faridmarandi, Maesoomeh Moarref, Saeid Komasi * Page 3
    Background

     Aggression toward staff and workplace violence are common problems worldwide that not only affect individuals' dignity but also affect their physical and emotional well-being.

    Objectives

     The study was conducted aimed to investigate aggression correlations of hospitalized stroke patients' entourage toward healthcare staff.

    Methods

     The cross-sectional study data were obtained by examining 194 hospitalized stroke patients’ entourages in a hospital in Iran from September to December 2020. A list of demographic information and patients' records, national institutes of health stroke scale, and hospital satisfaction questionnaire were used for data collection. To analyze data statistical tests such as Chi-square tests, t-test, and multinomial logistic regression analysis were used.

    Results

     Prevalence of subjective anger and verbal aggression were 49.5% and 16.5%, respectively. After adjustment for confounding variables, the entourages with an academic education (P < 0.001), spouses of the patients (P = 0.029), and those having less satisfaction with stay aspects and physical comfort of the hospital (P < 0.0005) report more subjective anger and those with academic education (P < 0.001), less satisfied with staff behavior (P < 0.001), and more satisfied with physician care (P < 0.001) showed verbal aggression.

    Conclusions

     Subjective anger and verbal aggression are common up to 50% among the entourages of hospitalized stroke patients. Likely paying more attention to the high-risk entourages and providing necessary training in the field of appropriate behaviors with entourages by the medical staff can reduce tension and aggression in stroke patients' entourages.

    Keywords: Family Caregiver, Aggression, Healthcare Provider, Hospitalization, Stroke
  • Maryam Gharegouzloei, Amin Zare *, Gholamreza Heidari Page 4
    Background

     Women play a decisive role in various aspects of family health, therefore their access to and using the documented health information in order to manage the family is very important.

    Objectives

     This study aimed to investigate the health information seeking behavior in 30 to 50 years old women of Kermanshah city.

    Methods

     This cross-sectional online survey was conducted with among women aged 30 to 50 years in Kermanshah city, in western Iran. Sample size based on Cochran's formula was determined as 383 people. Participants were invited and recruited through social media. Data were collected using a researcher-made questionnaire. The validity of the questionnaire was confirmed by a panel of experts consisting of information and communication science specialists, and its reliability was confirmed by Cronbach's alpha coefficient of 0.783. Data were analyzed using one-way analysis of variance and independent t-test in SPSS software version 24.

    Results

     The results showed that the main purpose of participants for health information seeking behavior (HISB) was to know about the type of diseases. Among the health information resources, the most use belonged to Internet resources (website), national media (health channel in TV), people around (family members), social networks (telegram), doctors (specialist doctor) and print sources (books). Health information seeking behaviors were not differ according to demographic variables including marital status, level of education, income level, and area of residence.

    Conclusions

     Heavy use of internet resources, few visits to doctors, and less reading of books are challenging for health information seeking because non-specialized and undocumented information may be used. Officials should provide internet resources and virtual media with rich and documented information in order to develop community health by women.

    Keywords: Health Information, Seeking Behavior, Women's Health, Kermanshah
  • Farideh Osareh, Saleh Salehi Zahabi, Farideh Akbarzadeh * Page 5
    Background

     Co-authorship is used to analyze scientific collaboration and identify patterns of collaboration among researchers. Considering the role of medical images in the field of health, it is necessary to identify the cooperation network between authors in order to strengthen research relations between them.

    Objectives

     The purpose of this study is to map and analyze the network structure of all authors of published articles in the field of medical images.

    Methods

     This research is applied-descriptive and was done with a scientometric approach and social network analysis. The search strategy was implemented in the core collection of the Web of Science database Clarivate Analytics Institute. In this study, 37190 articles in the three time periods of 1991 - 2000, 2001 - 2010, and 2011 - 2020 were reviewed. Data extraction, matrix construction, and mapping of the co-authorship network were performed using Bibexcel, Gephi, and Vosviewer software.

    Results

     During the period under review, the pattern of authors’ participation changed from 2 authors to 3 authors and 4 authors. In the years 1991 - 2000, the link strongest with values of 18, 16, and 14 were “Dipaola, R.”, “Frouin, F.” and “Nishikawa, R. M.”, respectively. The co-authorship network consisted of seventy clusters in the years 2001 - 2010, and its strongest members were “Alkadhi, Hatem” and “Leschka, Sebastian” with a total link strength of 100. The co-authorship network in 2011 - 2020 consisted of 60 clusters and the link strongest with values of 58, 55, and 50 belonged to “Van Ginneken, Bram”, “Herrmann, Ken”, and “Ourselin, Sebastien”, respectively. In 2001 - 2010, the network density and clustering coefficient were 0.007 and 0.994, respectively.

    Conclusions

     In all 3 decades, the co-authorship network is incoherent. In the 2001 - 2010-decade, 7% of the potential relationships in the co-authorship network were realized. Dispersion in the co-authorship network researchers in the field of medical images is evident. In addition, the amount of density and clustering coefficient of the co-authorship network indicates the greater willingness of authors to collaborate in this decade. The results of this research can be used to expand and strengthen scientific cooperation between researchers.

    Keywords: Bibliometrics, Data Mining, Diagnostic Imaging, Social Network Analysis, Co-authorship Network
  • Akbar Babaei Heydarabadi, Sedigheh Nouhjah *, Hojat Moradi Mehr Page 6
    Background

     Diabetes is a chronic disease that leads to numerous complications. To prevent these complications, regular and timely visits of diabetic patients to receive health care services are necessary.

    Objectives

     This study aimed to understand the experience of diabetic patients visiting rural health in Ahvaz.

    Methods

     This qualitative study is a directed content analysis research that was conducted for six months in 2016 - 2017 in rural health centers in Ahvaz. A semi-structured verbal interview was conducted with 14 diabetic patients, 6 health care workers (behvarz), 3 physicians, and 3 family members of patients. The collected data was analyzed by MAXQDA 12 software with the content analysis method.

    Results

     Data analysis resulted in the extraction of 285 initial codes that were categorized into 5 categories of health belief models (perceived threats, perceived benefits, perceived berries, guide to action, and self-efficacy).

    Conclusions

     Findings of this study provide in-depth understanding o factors affecting rural health centers appointments among patients with type 2 diabetes and also can use by decision-makers to choose the most suitable methods and strategies to change these factors and increase the number of regular visits by patients to the health centers to prevent probable complications.

    Keywords: Diabetes Type 2, Visit Status, Rural, Qualitative, Content Analysis, HBM
  • Zahra Rostami-Far‬, Khaled Rahmani, Kamran Mansouri, MohammadBagher Khadem Erfan, Farhad Shaveisi-Zadeh, Bahram Nikkhoo * Page 7
    Background

     SARS-CoV-2 virus caused the COVID-19 pandemic worldwide. One of the main pathogenic features of this virus is unpredictable clinical sequence rapidly progressing to lethal complications. Identification of clinical and laboratory prognostic factors for severe COVID-19 may contribute to the management of follow-up and treatment modalities of the disease. Complete blood count (CBC) is a fast and inexpensive laboratory test which provides a wealth of information on individual health status.

    Objectives

     This study aimed to evaluate the CBC test parameters in COVID-19 patients compared to healthy individuals.

    Methods

     We performed a retrospective study on 147 patients with COVID-19 and 95 healthy subjects as the control group. Based on the severity of COVID-19, the patients were divided into 4 groups including mild, moderate, severe and deceased. Complete blood count parameters were recorded in all groups and obtained data were analyzed using the chi-square test at the significance level of P < 0.05 (SPSS, version 23).

    Results

     The severity of the disease increased with age and men were more likely to die from disease complications. Most CBC parameters were found to be significantly increased in patients. Significantly increased neutrophils and decreased lymphocytes were the most relevant predictors of severe disease and death. The only CBC parameter that was not associated with the disease was basophil count.

    Conclusions

     The CBC, especially in terms of the neutrophil and lymphocyte parameters is a simple and accurate test that can be used to predict the severity of the COVID-19 disease.

    Keywords: COVID-19, CBC, Disease Severity
  • Amin Ebrahimi, Maryam Ahmadi *, Saeed Mahmoudi Page 8

    Context: 

    Effective implementation of self-care programs can reduce the treatment costs and the risk of severe complications of heart failure (HF). However, people with low health literacy (HL) fail to properly conduct the complex care techniques. The control of chronic, progressive, and complex diseases largely depends on self-efficacy, adherence to treatment, and health-related quality of life (HRQoL). The purpose of this systematic review is to study research literature to explore the impact of self-efficacy and HL on medication adherence and HRQoL in patients with HF.

    Evidence Acquisition: 

    Considering the PRISMA guideline, this systematic review study the articles published between 1999 and 2022. The articles written in the English language were recruited from PubMed, Scopus and Web of Science, CINAHL Plus, Embase, Cochrane, PsycINFO and google scholar databases. The quality of the studies was assessed by the organization Agency for Healthcare Research and Quality (AHRQ) and then the data was collected based on the designed checklists.

    Results

     A total of 27 articles met the inclusion and exclusion criteria. The studies were conducted on range of 44 to 705 patients with HF. Inadequate HL was observed to have a high prevalence in HF patients. Health literacy had a direct impact on quality of life and treatment adherence in all studies. Several studies have shown that interventions to increase patient self-efficacy led to greater adherence to treatment, higher quality of life, and lower hospitalization rates in the HF population. Low self-efficacy in patients was linked to high rates of comorbidity.

    Conclusions

     Self-efficacy and HL have a positive effect on the quality of life, adherence to treatment, and reduction of mortality in patients with HF. Therefore, the implementation of training programs to improve these areas should be formulated by the health systems.

    Keywords: Self-efficacy, Health Literacy, Medication Adherence, Health-related Quality of Life, Heart Failure, Review
  • Ciamak Ghazaei * Page 9
    Background

     The emergence of antimicrobial resistance results in morbidities and mortalities associated with many bacterial infections and is a major concerning issue in front of the healthcare system. As a part of a competitive adaptive strategy for its growth, gram-positive bacteria like Bacillus subtilis produce antimicrobial peptides; bacteriocins. These peptides protect other bacterial species.

    Objectives

     To counter antimicrobial resistance, bacteriocins can be considered a potential drug option against drug-resistant microorganisms.

    Methods

     After isolation and characterisation of B. subtilis from the 5 collected soil samples, the bacteriocin was extracted from these bacteria by using the ‘solvent extraction method’, characterised, and then purified to evaluate its antimicrobial activity against pathogenic bacteria like; Streptococcus pyogenes, Salmonella typhi, Pseudomonas aeruginosa, Klebsiella pneumoniae and Acinetobacter baumannii by using ‘Kirby-Bauer disc diffusion’, method. The bacteriocin stability was also investigated, at different temperatures, pH and incubation times.

    Results

     The bacteriocin of B. subtilis showed great antimicrobial activity against S. pyogenes, followed by S. typhi and P. aeruginosa. However, the lowest antimicrobial activity was against A. baumannii. With the increase in the incubation time and temperature, the antimicrobial activity of bacteriocin was decreased, indicating the protein nature of bacteriocin. Compared to the standard antibiotics, the bacteriocin isolated from B. subtilis demonstrated a significant inhibitory effect against the tested pathogens.

    Conclusions

     From this study, it can be concluded that bacteriocin can become a potential alternative to standard available medicines. They can be used against antimicrobial-resistant pathogenic bacteria because of their significant inhibitory activity against the tested pathogens compared to the standard antibiotics.

    Keywords: Bacillus subtilis, Bacteriocin, Pathogenic Bacteria, Antibiotic-resistance
  • Seyede Mehrnaz Mirsoheil, Somayeh Hessam *, Shaghayegh Vahdat, Irvan Masoudi Asl Page 10
    Background

     Advancing a culture of care greatness, at distinctive levels of management and care such as nursing management, has created way better desires and inspiration.

    Objectives

     To design a suitable model for measuring the quality of nursing services management in selected universities of medical sciences in Iran.

    Methods

     This was exploratory mixed research. In the qualitative stage, the data collection tool was interview. Semi-structured interviews with 12 experts and university professors were used. Qualitative data is first collected, then, based on the findings of qualitative data, research tools are taken, and quantitative data are collected. Categories are extracted after implementing the discussions on paper, open coding (reading the data line by line, extracting the main concepts and sentences, forming the first categories and classes) and axial coding (data classification, subcategory specification, final class formation). In the next step, there is optional coding. The statistical population in this study is all nurses in Tehran, Kermanshah and Guilan, totally 255 people. A researcher-made questionnaire was used to collect data in a quantitative phase. 152 completed questionnaires were collected from the samples. After collecting the questionnaires, it was statistically analyzed. Confirmatory factor analysis was used to evaluate the validity of the questionnaire, and structural equation modeling (SEM) with the help of SmartPLS 3 software was used to evaluate the research questions.

    Results

     Factors affecting the quality of nursing services management in Tehran, Kermanshah and Guilan Universities of Medical Sciences are: individual factors, educational factors, motivational factors, international factors, social factors, environmental factors, intra-organizational factors and technological factors.

    Conclusions

     The Proposed model has a strong fit. Suggestions based on the research results are: Evaluation of training courses, repetition of skills in the program by the trainee should be predicted so that the skill in the person becomes a behavioral habit and, in fact, behavioral consolidation, repetition of skills in the program by the trainee should be so in order for a skill to become a behavioral habit in the individual and in fact to be behaviorally established, the difference between individuals must be identified.

    Keywords: Nursing Services, Social Factors, Factor Analysis, Statistical, Medical universities, Iran
  • Masoumeh Babajani, Nasrollah Erfani *, Yahya Yarahamdi, Hamzeh Ahmadian Page 11
    Background

     Engaging students and focusing their attention on subjects has always been one of the most important challenges of teaching.

    Objectives

     Was to develop a causal model of academic engagement based on the perception of classroom structure and emotional self-regulation with the mediating role of academic self-efficacy in female students of the second period of high school in districts 1 and 2 of Sanandaj city in the academic year of 2021 - 2022.

    Methods

     The descriptive research method was correlation and structural equation model. 500 students were selected from the mentioned population using cluster sampling method. Reeve et al.'s Academic Engagement Questionnaires, Blackburn's (1998) classroom structure perception, Hoffman and Kashdan's emotional self-regulation, and Morgan and Jinks' academic self-efficacy questionnaires were used as measurement tools. Data analysis was done with SPSS-19 and Smart-PLS-3 software.

    Results

     The findings showed the indirect and significant effect of perception of classroom structure and emotional self-regulation on academic engagement through academic self-efficacy. In other words, the findings showed that the perception of classroom structure and emotional self-regulation has a direct and significant effect on academic self-efficacy and academic self-efficacy on academic engagement. Also, perception of classroom structure and emotional self-regulation have a significant and direct effect on academic engagement.

    Conclusions

     The results of the present study showed that, in general, the perception of classroom structure and emotional self-regulation can be a suitable predictor for students' academic engagement through their academic self-efficacy.

    Keywords: Emotional Regulation, Self Efficacy, Perception, Students, Schools
  • Zahra Galavi, Mohammad Hossein Pourasad, Somayeh Norouzi, Yones Jahani, Reza Khajouei * Page 12
    Background

     On a global scale, health institutions have used electronic health (e-health) services to challenge the COVID-19 virus.

    Objectives

     This study aimed to assess people’s use and perceived usefulness of e-health services their satisfaction with these services during the COVID-19 pandemic.

    Methods

     The present cross-sectional descriptive study was conducted in November 2021 in Kerman. The data were collected using a researcher-made online questionnaire survey. The questionnaire was comprised of four sections and 33 questions. A logistic regression analysis was run to test the relationship between demographic variables and the rate of use, usefulness, and satisfaction variables. Pearson correlation coefficient was run to test the association between these variables.

    Results

     The age range of 527 participants was 16 - 61. Television had the highest level of use, usefulness, and satisfaction. Pearson's correlation coefficient results showed a significant relationship between the variables of usage and satisfaction, usefulness and satisfaction, and usefulness and usage. These associations were stronger in the rate of use and perceived usefulness of and satisfaction with social networks than in other e-health services (r = 0.87, r = 0.95, P < 0.0001 respectively).

    Conclusions

     The study finding showed that television is more than other platforms used and useful, and people were more satisfied with the information they acquired from them. The present findings can be useful for healthcare policymakers and developers of e-health technologies in a similar situation to the COVID-19 pandemic.

    Keywords: Usage, Usefulness, Satisfaction, E-health, COVID-19
  • Mozhgan Khalili *, Pegah Farokhzad, Narges Babakhani Page 13
    Background

     Depression caused by infertility for couples, especially women, causes disruption in lifestyle and social health.

    Objectives

     This study was conducted in order to investigate depression and its relationship with social health and healthy lifestyle components in infertile women who referred to infertility centers in Kermanshah in 2021.

    Methods

     In this study, 360 infertile women referring to the infertility centers of Kermanshah were selected using available methods. Data collection tools were Beck depression questionnaires (shortened), Keys social health questionnaires, and Valkropiroki lifestyle promotion questionnaires, which were completed after obtaining consent from the research samples. The results of data extraction were analyzed using SPSS software and Pearson's correlation coefficient test.

    Results

     360 investigated samples obtained depression scores between 8 and 12, which indicated depression in them. 56.9% of them scored 8, which indicates mild depression, and only 0.3% of the sample scored 12. Between social health and depression (P < 0.01, r = -0.55 between social health and lifestyle (P < 0.01, r = 0.52), lifestyle and depression (P < 0.01, r = -0.41), there was a significant relationship.

    Conclusions

     Based on the results of this study, depression caused by infertility and the components of social health and lifestyle are directly related to each other, and having a healthy lifestyle and social health can prevent depression in infertile women, and also improve the reduction of depression in infertile women by correcting these components.

    Keywords: Infertility, Depression, Social Health, Healthy Lifestyle
  • Using the Health Belief Model to Explain the Experience of Diabetic Patients About Referring to Rural Health Centers
    Akbar Babaei Heydarabadi, Sedigheh Nouhjah *, Hojat Moradi Mehr Page 14
    Background

     Diabetes is a chronic disease that leads to numerous complications. To prevent these complications, regular and timely visits of diabetic patients to receive health care services are necessary.

    Objectives

     This study aimed to understand the experience of diabetic patients visiting rural health in Ahvaz.

    Methods

     This qualitative study is a directed content analysis research that was conducted for six months in 2016 - 2017 in rural health centers in Ahvaz. A semi-structured verbal interview was conducted with 14 diabetic patients, 6 health care workers (behvarz), 3 physicians, and 3 family members of patients. The collected data was analyzed by MAXQDA 12 software with the content analysis method.

    Results

     Data analysis resulted in the extraction of 285 initial codes that were categorized into 5 categories of health belief models (perceived threats, perceived benefits, perceived berries, guide to action, and self-efficacy).

    Conclusions

     Findings of this study provide in-depth understanding o factors affecting rural health centers appointments among patients with type 2 diabetes and also can use by decision-makers to choose the most suitable methods and strategies to change these factors and increase the number of regular visits by patients to the health centers to prevent probable complications.

    Keywords: Diabetes Type 2, Visit Status, Rural, Qualitative, Content Analysis, HBM
  • Effect of Eight Weeks of Aerobic Exercise and Vitamin D Consumption on Fatigue and Job Performance Index of Imam Reza Hospital Staff in Kermanshah
    Mehdi Siyahkamari, Mohammad Azizi *, Ali Soroush, Worya Tahmasebi Page 15
    Objectives

     The aim of this study was to investigate the effect of eight weeks of aerobic exercise and vitamin D consumption on fatigue and performance of Imam Reza Hospital staff in Kermanshah.

    Methods

     In this quasi-experimental study, 48 men and 48 women were randomly selected with a mean age of 41.25 ± 2.43 y, mean weight 76.50 ± 12.56 kg and BMI = 25.5 ± 2.153 kg/m2. Subjects divided into four groups (24 participants in each group) including: 1, Exercise group; 2, Exercise group with vitamin D supplementation (50,000 units per week); 3, Vitamin D group; and 4, Control group. The subjects exercised 3session per week for 30 - 60 min at 60 - 75 % of maximum heart rate for eight weeks. Employees job performance, appetite, quality of work life and lipid profile were assessed before and after the intervention. one-way analysis of variance as well as dependent t-test were used to examine the data at a significance level of (P < 0.05).

    Results

     Our results showed that there was a significant difference in the LDL and triglyceride variables between the three experimental groups with control group, but this change in HDL was not significant. Also, aerobic exercise and vitamin D intake have a significant effect on fatigue, job performance and quality of life.

    Conclusions

     According to the results of the present study, it can be said that aerobic exercise combined with vitamin D consumption can increase the capacity of employees to withstand job stress in the workplace and improve their general health to some extent.

    Keywords: Vitamin D, Aerobic Exercise, Fatigue, Performance of Hospital Staff
  • Designing a Stress Management Model in Forensic Medicine Organization Using Grounded Theory Approach
    Hossein Shahnavazi, Aliakbar Farhangi *, Mehrdad Godarzvand Chegini Page 16
    Background

     Work-related stress has been described as a harmful response to excessive pressures and demands that people experience as a result of their jobs. Occupational stress is an adaptive response to the external situation that leads to physical, psychological or behavioral abnormalities of the organization's members.

    Objectives

     Considering the special nature of work in forensic medicine organization, this research tries to provide a model of stress management in this organization.

    Methods

     The case used in this research is based on exploratory studies with fundamental orientation. Considering the qualitative nature of this research, the strategy used in it is grounded theory. 12 senior managers and experts of the forensic organization who had management records and scientific records related to value creation were selected as participants. All the conducted interviews were recorded and the text of the interviews was implemented in MAXQDA (version 10) and each interview was immediately coded and analyzed.

    Results

     The research findings were classified into 6 main causal categories, background, intervention, background, strategies and consequences, based on which the stress management model in forensic medicine was explained. In this model, forensic medicine and the services provided by its units are among the businesses that deal with providing services in unusual conditions, and these services are a process that originates from the two-way communication between the forensic staff and the person receiving the service.

    Conclusions

     The results show that, as a general rule, managers of forensic organizations should prioritize organizational changes to improve working conditions in the activities they perform to manage occupational stress.

    Keywords: Occupational Stress, Forensic Medicine, Grounded Theory, Iran