نشریه طلوع بهداشت
سال بیست و یکم شماره 6 (پیاپی 96، بهمن و اسفند 1401)

Due to the spread of COVID-19, hemodialysis patients experience substantial stress and anxiety regarding post-treatment care after hemodialysis and kidney transplants.  This study aims comparison of depression, anxiety, and stress among hemodialysis and kidney transplant patients during the COVID-19 pandemic.

The statistical population of this descriptive-cross-sectional study included 206 hemodialysis and kidney transplant patients in the special disease center of Birjand city. Eligible patients were selected in a targeted way in 2021 and 2022. The data collection tool included demographic information form and psychological distress questionnaire. SPSS version 20 was used to analyze the collected data using descriptive and inferential statistics. A significance level of less than 0.05 was considered significant

The average scores of depression, anxiety and stress in the kidney transplant group were higher than the hemodialysis group (p<0.001). Depression, anxiety and stress had no significant relationship with the variables of age, income, sex, marriage and place of residence (p>0.05).

The level of depression, anxiety and stress in the kidney transplant group was higher than that of the hemodialysis group, which can be attributed to the concern of the kidney transplant group about rejecting the transplant after contracting the corona virus, and measures are taken to increase the awareness of patients so that they can avoid contracting the disease. prevent illness and future problems

The COVID-19 pandemic has confronted nations with various challenges, including health challenges. Therefore, the present study conducted with the aim of investigating the knowledge, attitude and performance of the people of Lorestan province regarding the follow of personal and environmental hygiene to prevent of COVID-19.

In this cross-sectional study, 337 people of Lorestan province conducted by random sampling method in 2022. The data collection tool was the knowledge, attitude and performance questionnaire designed by the researchers that validity and reliability confirmed. Data analyzed using SPSS19   software and T-Test, ANOVA and Pearson tests.

59.9 of female participants with an average age of 29.20±8.16 years and the average age of males was 32.75±8.81years. The average knowledge, attitude and performance score was1.54±.29, 3.16±.47 and 4.19±.96 prospectively. Pearson's test showed that there was statistically significant relationship between knowledge, attitude and performance.

According to the findings of the research, the scores of knowledge, attitude and performance were above the average, therefore, in order to prevent and control the disease of COVID-19, more training is needed to improve knowledge and attitude continuously.

Being away from anything familiar, stable, comfortable, or positive can lead to a sense of homesickness. This study aims to predict homesickness based on maladaptive schemas, psychological flexibility, and social desirability in female students residing in dormitories of Shahid Sadoughi University of Medical Sciences.

This was a cross-sectional and descriptive-correlational study. The statistical population comprised all the female students residing in dormitories of Shahid Sadoughi University of Medical Sciences in 2022. The sample included 125 students selected using convenience sampling method. The students filled out the following questionnaires: the Utrecht Homesickness Scale, the Young Schema Questionnaire, the Cognitive Flexibility Inventory, and the Marlowe Crowne Social Desirability Scale. Data were analyzed using Pearson's correlation test and multiple regression.

According to the findings, psychological flexibility and social desirability significantly and negatively (p<0.05) predicted homesickness. Furthermore, schema of mistrust, social isolation, defectiveness, emotional deprivation, dependence, vulnerability, an underdeveloped self, failure, entitlement, insufficient self-control, subjugation, emotional inhibition, and unrelenting standards significantly and positively predicted homesickness in the students (p<0.05).

It can be concluded that homesickness among dormitory students can be predicted through their maladaptive schemas, and perception of social desirability.

Multiple sclerosis (MS) is a chronic progressive disease related to the central nervous system, which affects the patients' quality of life. Several factors play the roles of facilitators and inhibitors concerning the life quality of these patients. This study aims to explain the facilitating and inhibiting factors with regard to the life quality of MS patients.

The present study was conducted through a conventional content analysis approach. Through purposive sampling and semi-structured interviews, 18 MS patients referring to the Isfahan MS Association were selected. Data collection continued until data saturation was reached. For data management, MAXQDA-10 software was used.

Through content analysis of the interviews, 4 main categories and 15 sub-categories were identified. The main categories included personal facilitators (leisure time and coping strategies), interpersonal facilitators (exercise therapy, social support and social organizations), interpersonal inhibitors (physical problems, psychological disorders, uncertain future, functional limitations, losing job and poverty) ,and environmental inhibitors (disease and treatment process, caregivers' fatigue, insufficient information about MS, family tensions, and fun and entertainment).

According to the results of the current research, by taking measures such as providing educational and psychological services for patients and their caregivers, appropriate insurance coverage, easy access to drugs, especially foreign ones with reasonable tariffs, social and financial support, raising the society's awareness regarding this disease and developing an appropriate urban texture can help to improve the quality of life in MS patients.

One of the major challenges of the health system is the limited access of people in deprived areas to healthcare services. This is because the doctors and specialists do not stay there for long. This research also aims to design a model for retaining doctors and specialists in deprived areas of the country.

This research was exploratory in terms of purpose and descriptive in terms of type. It was a field study conducted in two qualitative and quantitative stages in 2022. In the first stage, 20 doctors and specialists from deprived areas in the northwest of the country were selected through purposive sampling using the chain-referral method (snowball sampling).  In the second stage, 200 doctors working in universities of medical sciences in northwestern provinces were randomly selected. For analysis, content analysis method and Atlas-ti and Smart PLS were used.

Based on the findings, the following contents were identified as the components and indicators of retaining doctors and specialists in deprived areas of the country; employment with 6 indicators, financial support with 3 indicators, social with 5 indicators, policy-making with 4 indicators, motivation with 7 indicators, professional and career improvement with 7 indicators, management and systematic factors with 5 indicators, and finally, mental and psychological factors with 3 indicators.

The "social" component with a path coefficient of 0.921 had the highest coefficient, and "management and systematic factors" component with a value of 0.722 had the lowest coefficient in the designed model.

Organizations need agility in the current turbulent, complex and uncertain environment and rapidly changing markets. The purpose of this study is to design a model of agility in the educational system in Shahid Sadoughi University of Medical Sciences with a theme analysis approach.

The statistical population of this study was the staff, university experts, managers and officials of Shahid Sadoughi University of Medical Sciences. In order to develop the model of agility in Shahid Sadoughi University of Medical Sciences, non-probabilistic judgmental or purposeful sampling method has been used. This sampling method is based on the researcher's theoretical understanding and previous experience of the study population. In order to analyze the data, interviews and theme analysis have been used and the interviews have continued until data saturation is achieved.
Based on the findings based on interviews with experts and theme analysis, there are 5 main levels in the agility of the educational system in Yazd University of Medical Sciences, including educational components with 3 sub-levels (educational goals, educational needs assessment, and educational topic). Attitudinal-motivational components with 4 sub-classes (organizational culture, social justice, accountability and foresight), speed components with 2 sub-classes (cartime and technology), management components with 6 sub-classes (employee selection, employee empowerment, Management abilities, supervision, evaluation and allocation of financial resources (and components of qualification and competency) were identified with 3 subclasses (training and practical skills, organizational communication and flexibility).

Fierce competition in the business environment, increasing customer expectations, globalization, cultural and social issues, limited skilled human resources, information technology changes, innovation and initiative are among the driving factors for changes in organizations' environment, which necessitate attention to agility in The organization doubles.

Mental health of the medical staff as care providers has a significant impact on the quality of service delivery. Accordingly, happiness is considered one of the important components of mental health. Considering the importance of mental health for medical staff, especially during COVID19, the present study is designed and carried out with the aim of investigating the level of happiness and associated job factors among hospital staff.

This was a cross-sectional and analytical study conducted on 280 people from the teaching, research and treatment staff of Kowsar hospital in Semnan through census in 2019. To collect data, a checklist including demographic and occupational variables was used along with Oxford Happiness Questionnaire by Hills and Argyle (2002). After that, relevant data were analyzed through SPSS26 software. 

The mean and standard deviation regarding age of the personnel were 53.53 ± 8.09,  62.1% of whom were women. 47.5% were in low status, and only 10% were in high status in terms of happiness score distribution. People in the age group of 51 to 60 (P >0.001), PhD graduates (P<0.001), working doctors (P<0.001), official workers (P=0.008), personnel with fixed work shifts (P <0.001), personnel who do not need to work overtime (P =0.044), people with good interaction with colleagues (P <0.001), and employees with good job satisfaction (P<0.001), had a good or excellent happiness status.

Most of the medical personnel working in the hospital did not have an optimal level of happiness; therefore, it is recommended that authorities design and implement programs to improve the level of happiness by focusing on the related factors.

Along with the increase in the elderly population, caring for the elderly with Alzheimer's disease has become a challenge in the field of their health and well-being. Also, the need for caregivers is increasing due to the lengthening of the care period. Considering that the nurses of Alzheimer's patients play the main role in providing services to the elderly, the present study was conducted with the aim of determining the state of knowledge, attitude and practice of the caregiver of elderly Alzheimer's patients in Yazd city.

This study was descriptive. The sample size was 60 caregiver of elderly people with Alzheimer's disease in Yazd city. The sampling method in this study was based on the vailability of statistical research and consulting facilities. The data collection tool in this study was a four-part questionnaire (demographic, knowledge, attitude and practice) that was used in a similar study. Data were analyzed with SPSS24 software and using descriptive statistics as well as t-test and ANOVA.

The average age score of nurses was 62.73 ± 11.78. The average score of knowledge, attitude and practice of elderly caregiver were 21.58 ± 1.87, 35.65 ± 2.84 and 12.57 ± 1.28, respectively. The data showed that there is a significant relationship between the knowledge score and family ratio and previous experience of care. Also, there is a significant relationship between attitude score and previous care experience (P≤0.05).

Considering the importance of caregivers' knowledge of the phenomenon of aging and Alzheimer's disease, it is suggested to provide appropriate training to improve the knowledge and change the attitude of caregivers of the elderly in order to improve the quality and provide better and more suitable services for the elderly.