مجله دانشگاه علوم پزشکی قم
سال شانزدهم شماره 6 (پیاپی 125، شهریور 1401)

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

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.

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).

Acupressure is a safe and non-pharmacological intervention that can reduce the anxiety of older women candidates for ESWL.

Educating nursing students as future and front-line nurses of patient care is very important to ensure that they have the appropriate knowledge and skills in infection prevention and control. Therefore, the present study was conducted with the aim of the effect of teaching standard precautions on the knowledge and practice of nursing students.

This quasi-experimental study was performed on 70 final year nursing students and was randomly assigned to the intervention and control groups. Criteria for data collection tools included demographic questionnaire and Kirk Patrick evaluation model. For the intervention group, a training program was implemented based on the crack patrick model and for the control group, an educational booklet was given to students. After the training program, its effectiveness was evaluated in four levels (reaction, learning, behavior, results) of Kirk Patrick model. To assess the amount of learning using the researcher-made test before and after the test one week after training, the amount of learning was measured. To evaluate the performance, an observational checklist was used which consists of 8 sections and a total of 66. Whether or not each of the 66 functions was performed by the research units, by the researcher on different days imperceptibly before and one month after the intervention and The checklist was completed. Finally, after collecting statistical data, the results were analyzed using descriptive and inferential statistics.

The findings of this study show that the average learning score of nursing students after the educational program based on the Kirk Patrick model increased significantly and also the average performance score of nursing students after the educational program increased significantly.

The results indicate the effectiveness of the course held for nursing students and it seems that Kirk Patrick model can be a suitable way to evaluate the effectiveness of health education

It is predicted that the negative effects of the novel coronavirus disease 2019 (COVID-19) pandemic will continue. These negative effects are not limited to psychological problems. Serious physiological and economic problems have also been observed. It is important to develop and standardize appropriate tools to assess its different effects. This study aims to investigate the psychometric properties of the Persian version of the COVID-19 Phobia Scale (C19P-S) in Iranian samples.

In this study,  participants were people aged 18-60 years in Iran from March to May 2022, who were selected by a convenience sampling method. In order to evaluate the convergent and discriminant validity, the second version of the acceptance and action questionnaire, the brief version of the difficulty in emotion regulation scale, and the fear of COVID‐19 scale were used. The factor structure of the questionnaire was examined by confirmatory factor analysis. Reliability was examined using Cronbach’s alpha coefficient and the test-retest method. The data were analyzed in SPSS version 25 and LISREL version 8.8.

The results of confirmatory factor analysis confirmed the four-factor structure the Persian C19P-S. Cronbach’s alpha coefficient for the whole scale was 0.90; for the subscales of psychological, psychological, economic and social factors, it was 0.87, 0.88, 0.89, and 0.91, respectively. In addition, the test-retest reliability with a four-week interval for the whole scale was 0.86; for the subscales of psychological, psychological, economic and social factors, it was 0.83, 0.79, 0.82, and 0.88, respectively. The correlation coefficients indicated the favorable convergent and discriminant validity of the Persian C19P-S  (P<0.001).

The Persian C19P-S is a reliable and valid scale for measuring coronaphobia in Iranian samples.

This study aims to investigate the relationship of communication skills with clinical self-efficacy and clinical competence in operating room students.

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.

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).

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.

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.

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.

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.

  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.

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.

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.

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.

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.

Psoriasis is a chronic and inflammatory skin disease, which is has no definitive cure. Several microbial agents have been identified that have a role in the exacerbation of psoriasis, one of which is Staphylococcus aureus. Increased Methicillin-resistance Staphylococcus aureus (MRSA) strains is a major problem worldwide. This study aims to evaluate the antibacterial effect of Cinnamomum zeylanicum essential oil on MRSA strains isolated from skin lesions in patients with psoriasis.

In this study, participants were 140 patients with psoriasis referred to the dermatology and rheumatology clinic of Shariati Hospital in Tehran, Iran. Diagnostic tests including gram staining, catalase test, tube coagulase test, mannitol fermentation test, and deoxyribonuclease test were performed. To identify the phenotype of MRSA strains, methicillin susceptibility testing was performed using cefoxitin by disk diffusion method. The antimicrobial activity of Cinnamomum zeylanicum essential oil was investigated by broth microdilution method and its minimum inhibitory concentration against MRSA strains was calculated.

Of 140 patients, 43.57% had infection with Staphylococcus aureus and 14.28% had MRSA infection. There was no significant relationship between gender, age and sampling area in patients with MRSA infection. The results showed that Cinnamomum zeylanicum essential oil had antimicrobial effects on MRSA strains.

The Cinnamomum zeylanicum essential oil can be a suitable alternative to antibiotics for the control and treatment of skin infections caused by Staphylococcus aureus.