نشریه ارتقای بهداشت نظامی
سال دوم شماره 4 (پیاپی 8، زمستان 1400)

Changes in human lifestyle are the most important factor in the occurrence of the third epidemiological transition and one of the indicators of this transition is the increase in the prevalence of non-communicable diseases and the resulting deaths. The purpose of this study was to determine the status of health-promoting behaviors of employees of one of the universities of medical sciences in Tehran.

In a descriptive-analytical cross-sectional study, 387 university staff were surveyed. Demographic information form and Health Promoting Behaviors Questionnaire (HPLP-II) were used to collect data. The collected data were analyzed using SPSS software ( version 16.0).

The mean (standard deviation) age of participants was 37.1 years (8.8 years), 253 (65.4%) were male and the majority of participants, 120 (31%) had a bachelor's degree. The body mass index of most participants was 194 (55.4%) in normal condition.Mean (standard deviation) score of health-promoting behaviors in total 52.05 (21.01) and under the scales of health responsibility 8.85 (3.77), physical activity 8.66 (3.64), nutrition / 85 8 (4.02), spiritual growth of 8.17 (4.07), interpersonal relationships were determined to be 8.55 (4.26) and stress management was determined to be 8.97 (3.52). The relationship between all subscales of health-promoting behaviors except the subgroup of health responsibility and nutrition with age groups was significant (p = 0.045). Regarding the participants' body mass index, only the relationship between stress management subgroup and body mass index was significant (p = 0.021).

The results of this study showed that in general, the average score of the most important elements of health-promoting lifestyle including nutrition, physical activity, health responsibility, stress management, interpersonal relationships and spiritual growth is higher than the median index, but in some subgroups, Measurement values are average. Since the promotion of these promotional behaviors leads to the improvement of a health-promoting lifestyle, educational interventions are recommended, especially in the dimensions of interpersonal relationships and spiritual growth.

An outbreak of COVID-19 in Iran has spread throughout the country. Identifying the epidemiological characteristics of this disease will help to make appropriate decisions and thus control the epidemic. The aim of this study was characterization of the epidemiological features of COVID-19 in Iran.

In this epidemiological study, the epidemiological data related to COVID-19 patients admitted to Baqiyatallah Hospital in Tehran, Iran, from 19 February 2020 to 30 Nov 2021 have been analyzed. Patient variables including gender, age and comorbidities were studied. Case Fatality Rate (CFR) was also determined.

From February 19, 2020 to 30 Nov 2021, 22157 were hospitalized with COVID-19 diagnosis. The average length of stay in the hospital was 5 days. The average age of hospitalized people is 55 years. 65% of cases were men (12,756) and 35% (9,401) were women. The highest number of deaths was in the age group of 60 to 70 years. 2112 deaths due to COVID-19 have occurred until December 9, 1400. Therefore, CFR was calculated as 9.53. CFR in men and women was calculated as 10.77 and 7.85, respectively. Also, the highest CFR was observed in the age group above 80 years (25.30%) and the lowest was observed in the age group of 10 to 20 years.

It is important to pay special attention to male elderly patients with COVID-19. Therefore, it is very important to pay special attention to elderly men with covid-19 in prevention and treatment protocols.

Optimized healthcare waste management may reduce the costs related to production of such waste and also minimize the health related risks of such materials for healthy people as well as patients; and nursing staff may contribute to this significantly. The aim of this study was to investigate the knowledge, attitude, practice and related factors in a sample of emergency department’s nurses.

In this cross-sectional study, 52 nurses working in emergency department of a military hospital were assessed through a researcher made questionnaire. The associations between several demographic factors including gender, age, education, work experience and monthly working hours and the knowledge, attitude, and practice were assessed. Student t test was utilized to examine the associations.

Mean score of the waste management knowledge was 8.35±3.28 and nearly 49% of the achievable score was yielded. The mean score of the attitude and practice were 75% and 61% of the overall achievable scores respectively. The work experience was associated with the knowledge and practice of the participants while the monthly working hours was only associated with the participant’s practice regarding healthcare waste management (p<0.05).

There were significant gaps in the status of knowledge, attitude and practice of the nurses compared to optimum level; and therefore, educational interventions should be considered for this group of healthcare workers. For this, subsamples such as nurses with greater work experience and those who have higher monthly working hours may need special attention.

Title: 

The aim of this study was to evaluate the effectiveness of social network-based intervention on the knowledge, attitude and practice of patients improved from Covid-19 after discharge.

Considering the importance of adherence to treatment in patients with Covid-19 and the role and benefits of education through social network, this study aimed to evaluate the effectiveness of social network-based intervention on knowledge, attitude and practice of patients improved by Covid-19 were performed after discharge from the hospital.

This was aquatic-experimental study with a control group. The study population was patients discharged from 501 Army Hospital in Tehran with a diagnosis of Covid-19 eligible to participate in the study. Sixty patients were assigned to two groups of 30 patients. In the control group, patients did not receive any intervention. In the intervention group, text messages, educational clips, telephone calls, educational weights and educational images were sent to patients with content about side effects, medication precautions, daily medication reminders, medication and diet, and necessary preclinical measures for 2 weeks. The researcher-made questionnaire was taken from the Covid-19 National Guidelines for Treatment Adherence at the end of the intervention, which included demographic questions, background questions related to Covid-19 disease, and questions related to patients' knowledge, attitude, and practice. Independent t-test was used to analyze the data.

The results of data analysis showed that after providing educational intervention through mobile, there is a difference between the experimental and control groups in the post-intervention stage based on social network in the variables of knowledge, attitude and practice and education through mobile improved knowledge, attitude and performance scores in patients.

Education through social network can be used to teach patients self-care tips after discharge from the hospital to teach useful tips and materials needed by Covid-19 patients.

Non alcoholic fatty liver disease(NAFLD) is one of the common diseases caused by excessive deposition of fat in the liver.Various factors such as metabolic syndrome, and unhealthy lifestyle lead to NAFLD.This study was conducted to determine the relationship between healthy lifestyle and triglyceride glucose index (TyG) in patients with metabolic syndrome.

This cross-sectional study was conducted on 92 patients with metabolic syndrome.  Health-promoting lifestyle profile II(HPLP-II) questionnaire was completed and fasting blood glucose and triglyceride were measured. HPLP-II score and Tyg index  were determined.

The mean of HPLP-II  and TyG index scores were 143.45±39.75 and 4.8±0.22, respectively. There was an inverse relationship between the healthy lifestyle score and TyG index (R= -0.18و p=0.08).

According to the results of the present study, there was an inverse relationship between the healthy lifestyle score and TyG index, although it was not statistically significant.

Human health is a fundamental right and a valuable asset at all levels and social classes. All countries have mentioned this right as the most basic right of the people of their country, and governments have made maintaining and promoting it one of the most important endeavors in their daily lives. During the 1970s, the World Health Organization proposed new solutions to problems. Alma Ata conference in 1978 is considered as one of the milestones in the delivery of health care in the world. At this conference- which was attended by most countries of the world - the emphasis on health actions compared to treatment was identified as one of the most important ways to ensure health. Subsequently, and for many years, the World Health Charter and Report and PHC-related conferences emphasize the need for the role of this approach as an equitable approach to accessing health services and health promotion. Finally, the World Health Report 2008, stressed the need primary health care (PHC) at this time more than ever it is important and it knows the key to achieving health equity. This approach has been used simultaneously in Iran and other countries of the world. In this article, briefly and in two parts, first, the historical course of primary health care and in the second part, its course in Iran and some selected countries of the world are mentioned. Covid-19 pandemic, reiterates the need to pay serious attention to the principles of primary health care in countries around the world, and showed that resorting to approaches to promote health and health governance is the main and least costly strategy in combating and controlling this disease.