فاطمه مودب - Academia.edu (original) (raw)
Papers by فاطمه مودب
Caspian journal of health research, Oct 1, 2022
Poor self-care in patients with Heart Failure (HF) is directly associated with the patient's gene... more Poor self-care in patients with Heart Failure (HF) is directly associated with the patient's general health getting deteriorated and hospitalized. Objectives: One of the factors influencing compliance with self-care behaviors is mood status. The aim of this study was to determine the relationship between affective status with self-care behaviors in patients with HF. Materials & Methods: In this analytical cross-sectional study, 372 HF outpatients referring to a specialized heart clinic have been included using convenient sampling method. Study tools had 4 parts including demographic and social factors, the European Heart Failure Self-care Behaviors scale, and positive and negative affect scales. The collected data were analyzed using multivariate linear regression model. Results: The multivariate model adjusted for patient's education, suffering from chronic obstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113, Standard Error (SE) =0.056, P=0.046) and negative affect (β=0.341, SE=0.053, P<0.001) were significantly related to self-care behaviors, but anhedonia did not have any significant relation with self-care behaviors (β=-0.105, SE=0.097, P=0.280). The separate models accounted for 8 to 11% of the variance in the self-care behaviors. Conclusion: The result of current study indicates that patients' mood statue including positive and negative affect are significant contributors of self-care behaviors. So, it is recommended that in addition to the patient's physical condition, the rehabilitation program of the heart failure
International Journal of Africa Nursing Sciences
فصلنامه پرستاری، مامایی و پیراپزشکی, Jan 10, 2021
Educational Research in Medical Sciences Journal, 2016
Introduction: Clinical education is a dynamic process in which- students, with presence in bedsid... more Introduction: Clinical education is a dynamic process in which- students, with presence in bedside, gain experience and interact with the teachers and the environment to apply learned concepts in practice. If the education fails to provide appropriate learning conditions, would be no possibility for clinical skills to nurture. This study was performed to determine the satisfaction of medical interns with the quality of clinical education in Rasht teaching hospitals in 2014-15. Methods: This descriptive-analytical study was carried out on 106 medical interns of Guilan University of Medical Sciences in 2014-15 using convenience sampling. The data were collected by a validated researcher-made questionnaire consisting of 3 sections and 39 items. SPSS.21 and descriptive and inferential statistics (Chi-square test, Fisher's exact test, and Man-Whitney U test), considering 95% confidence interval and 90% test power, were employed to analyze the data. Results: The results showed that 5...
Advances in Nursing & Midwifery, 2020
Introduction: Adherence to self-care behaviors and determining its related factors in patients wi... more Introduction: Adherence to self-care behaviors and determining its related factors in patients with chronic illnesses are mandatory. The objective of the present study was two-fold: first, to examine the self-care behaviors adherence among heart failure patients and second, to determine its predictors in a comprehensive study of various factors in patients with heart failure. Methods: This descriptive cross-sectional study was conducted on 239 patients with heart failure referred to Dr.Heshmat hospital as the only heart center in Guilan province (Northern Iran). The consecutive sampling method was used. Data were collected by Self-Care Heart Failure Index, Cardiac Depression Scale, Mini-Mental State Examination, and Charlson Comorbidity Index and were analyzed by descriptive statistics and analytical statistics in SPSS. Results: Results showed educational level, history of receiving information, and cognitive function as predictors of self-care maintenance. Also, monthly income, his...
Journal of Guilan University of Medical Sciences, 2017
Mediterranean Journal of Nutrition and Metabolism, 2021
BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-thre... more BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-threatening diseases in most countries in the world. One of the effective factors in re-hospitalization of these patients is the lack of knowledge about the correct diet therapy. OBJECTIVE: This study aimed to compare the degree of nutritional knowledge, attitude, and performance of patients with acute coronary syndrome on arrival, discharge day, and 3 month after discharge in 2017-2018. METHODS: This longitudinal study was conducted on 125 patients with acute coronary syndrome who were referred to Dr. Heshmat hospital in Rasht as the exclusive heart center in Guilan province (Northern Iran). Convenience sampling was done using a valid two-part questionnaire including demographic information and nutritional KAP. Data were analyzed by descriptive statistics and analytical statistics in SPSS. RESULTS: The nutritional knowledge and attitude score of the majority of the samples decreased over th...
Iranian Journal of Nursing Research, 2015
Introduction: Religious beliefs prevent the mental and physical illness, In addition reduce compl... more Introduction: Religious beliefs prevent the mental and physical illness, In addition reduce complications and physical symptoms of Diseases and reduce the duration of the disease and increase longevity. However, unfortunately, most of the health providers tend to ignore the religious issues in their cares. Given the importance role of religion on the physical, mental, and adherence to treatment in chronic patients, a study was conducted to compare the religious attitude in people with coronary artery disease and healthy patients. Method: In this cross-sectional study with two was conducted by convenience sampling in a 6-month period through patients referred to Dr.Hashmat medical education hospital in Rasht and their family. During this period 320 eligible subjects (160 patients and 160 in the control group) were enrolled. Inclusion criteria for patients were coronary angioplasty results indicated the involvement of coronary artery or had a history of angioplasty or coronary artery ...
Introduction: Different studies have investigated the effects of various factors on self-efficacy... more Introduction: Different studies have investigated the effects of various factors on self-efficacy and clinical decisionmaking among nurses and other professionals in the fields of health and treatment. There is, however, little research investigating self-efficacy, clinical decision-making, and the level of relationship between them with regard to the environment and culture of organizations. Objective: This study was conducted with the aim of investigating self-efficacy and clinical decision-making among nurses in terms of individual and social variables and discovering the level of relationship between self-efficacy and ‘clinical decision-making among nurses in Guilan Province in 2017-2018. Materials and Methods: This is a descriptive cross-sectional study and 222 nurses working at different units of teaching and treatment centers in the city of Rasht were recruited after obtaining formal written consent from them. The data collection instruments were a demographic questionnaire, ...
Article history Received 4 Oct 2016 Accepted 15 Dec 2016 Available online 15 Mar 2017
Caspian Journal of Health Research, 2021
Background: The role of nutrition is undeniable in controlling hypertension; diet is among the mo... more Background: The role of nutrition is undeniable in controlling hypertension; diet is among the most effective non-pharmaceutical methods. The current study aimed to determine the role of illness perception on diet adherence in patients with hypertension. Materials & Methods: This cross-sectional study examined 268 patients with hypertension. The study sample was selected by convenience sampling method. The study tool consisted of the patients’ individual, social, and clinical factors, illness perception about hypertension, and adherence to the diet. The necessary data were analyzed using multiple logistic regression models. Results: The Mean±SD score of illness perception was measured as 37.09±4.91 out of 56. Adherence to the recommended diet was relatively desirable in the majority of the examined patients (62%). Multiple logistic regression analysis data revealed no significant relationship between the scores of illness perception and dietary adherence (Adjusted OR=1.038, 95%CI: 0...
Journal of Caring Sciences, 2018
Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atheroscl... more Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atherosclerosis, thus the modification of physiological risk factors seems essential to prevent coronary artery disease (CAD). Then PCI patients have to receive multiple drug therapies in an attempt to prevent the recurrence of cardiac events. In spite of the evidence based on medication adherence to prevent post-PCI CAD development, medication adherence is the main concern for health care system. Accordingly, this study aims to determine the medication adherence and its related factors among these patients. Methods: In this cross-sectional study, the statistical community was the patients undergoing PCI at medical educational hospital of Dr. Heshmat in Rasht, Iran. 269 patients were selected by convenient sampling method. The data were collected by a questionnaire consisting of 4 parts, namely the socio-individual factors, Morisky medication adherence scale, hospital anxiety and depression scale...
Research and Development in Medical Education, 2016
Background: One of the main tasks of the faculty of medical sciences is clinical training. Given ... more Background: One of the main tasks of the faculty of medical sciences is clinical training. Given the importance of clinical teaching for medical students, the study aim was to determine the clinical teaching status from the perspective of students and faculty members. Methods: The population of this cross-sectional study was all medical interns and final-year students of nursing and midwifery and faculty members of Guilan University of Medical Sciences in the 2015. The sampling was conducted by census method after obtaining the consent of the participants. The scale was a questionnaire consisting of 4 parts, including demographic data, phrases related to clinical teaching principles by faculty members, phrases related to the use of material and educational media by clinical faculty members and phrases related to educational activities by clinical faculty members. Data analysis was done by descriptive and inferential statistics (Mann-Whitney U test). Results: Based on the results, the mean score of clinical teaching status from the perspective of the faculty members was 62.88 ± 5.76 out of a score of 66, and the mean score was 52.11 ± 1.1 from the students' perspective. Mann-Whitney U test results also showed a significant difference between faculty members' and students' perspective scores about clinical teaching status (P < 0.0001). Conclusion: According to the findings of this study, to improve the quality of clinical education, implementation strategies will be necessary. One of the most important parts of teaching in the field of medical science is clinical education as it is the first real experience students have with their future work environment and it has a significant impact on their occupational success.
Journal of Nursing and Midwifery Sciences, 2016
Background and Purpose: Research self-efficacy is an important subject in university education. R... more Background and Purpose: Research self-efficacy is an important subject in university education. Research is considered essential to the development of societies. As such, postgraduate students require research courses in their curricula in addition to regular educational contents. Materials and Methods: This descriptive, cross-sectional study was conducted on two groups of postgraduate students (master's degree) of nursing education and critical care nursing at Guilan University of Medical Sciences during 2008-2010 using a reliable research self-efficacy scale. Overall and individual dimensions of research self-efficacy in both groups were analyzed using descriptive and inferential statistics, Chi-square and independent T-test. Results: No significant differences were observed between the study groups in the overall and individual dimensions of research selfefficacy. However, score of research self-efficacy was slightly higher in critical care nursing students compared to the nursing education group. In addition, score of self-efficacy in the dimension of qualitative research had no significant difference between the two groups (P<0.06). Conclusion: Changes in the curriculum of postgraduate nursing students require the systematic modification of the current courses and integrated designing methods at Guilan University of Medical Sciences, as well as other universities across the country. Furthermore, research self-efficacy of students could be improved through the review of syllabi, revision of research methodology, and implementation of research seminar projects for master's students of nursing education. In this regard, providing qualitative and integrated research methods could be beneficial as well.
Journal of Nursing and Midwifery Sciences, 2014
Background and Purpose: Diagnosing coronary artery disease can cause considerable impairment in p... more Background and Purpose: Diagnosing coronary artery disease can cause considerable impairment in patients' mental health. On the one hand, psychological factors play an important role in the development and progression of heart disease. Therefore, identifying the factors affecting the patient's ability to adapt such as spiritual intelligence (SI) is significant. The study aims to determine the status of spiritual intelligence and its related factors in patients suffering from ischemic heart disease. Methods: This study community consists of the patients with ischemic heart disease hospitalized in cardiac ward of Dr.Heshmat Hospital; 186 patients were selected by accessible sampling method. Data were collected by spiritual intelligence 29-item questionnaire and analyzed by descriptive and inferential statistics (t-test, ANOVA and Pearson). Results: In this study, the majority of the samples were in the age range of 45-64 years old (68/8%), men (67/2%), married (99/5 %), with elementary education level (51/1%) and housewives (29%). The results implied that more than 90% of the patients had high spiritual intelligence. Also based on the statistical analysis, no significant association has been observed between the demographic variable and spiritual intelligence. Conclusion: It seems that high spiritual intelligence in the community resulted from stress induced illness leading to their greater tendency to spirituality. In general, according to the psychological literature, spiritual intelligence can promote the patients' mental and physical health. Then, paying attention to spiritual intelligence in these patients seems to be critical.
Research and Development in Medical Education, 2016
In view of the fact that motivation is linked directly to the learning process and educational ac... more In view of the fact that motivation is linked directly to the learning process and educational achievement, this study endeavored to identify strategies to improve students' educational achievement motivation at Guilan University of Medical Sciences. Methods: To conduct this descriptive-analytical study, 368 students from Guilan University of Medical Sciences were selected using simple random sampling from 2013-2014. All of the Guilan University of Medical Sciences' students met the general eligibility criteria except guest students. The questionnaire included five domains of economic, socio-cultural, educational, geo-regional, and personality factors in educational achievement motivation. Through using descriptive and inferential statistics (Kolmogorov-Smirnov, Mann-Whitney U and Kruskal-Wallis tests), the compiled data were analyzed at the significance level of 0.05. Results: Data analysis revealed that socio-cultural factors have the maximum score (64.14 ± 9.92) and geo-regional factors have the minimum score (19.01±3.63) on the participants' educational achievement motivation. What is more, a significant difference was revealed between educational field and educational effective factors as well as educational level and educational effective factors (p<0.011, p<0.004, respectively). Conclusion: Given that the socio-cultural factors had the maximum score on the students' educational achievement motivation, it is recommended that university officials take these factors into account, and attempt to plan to provide appropriate strategies to enhance their students' motivation, specifically their educational achievement motivation.
پیاورد سلامت, Sep 15, 2014
Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite t... more Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite the belief that women are better than men in self-care, there is little evidence to challenge this view. The purpose of this study was to determine the status of self-care behaviors in men and women with heart failure. Materials and Methods: In this analytical cross-sectional study, 239 patients with heart failure were assessed. Data were collected by Self-Care Heart Failure Index, Cardiac Depression scale, and Mini Mental status Examination questionnaires. Data were analyzed using SPSS version 19, descriptive and inferential statistics (Chi-Square, Mann-Whitney, Kruskal-Wallis, t-test and Logistic regression). Results: Mean score of self-care behaviors in men and women was 44/60±12/05 and 39/71 ± 9/88 from 100 total score, respectively. In the regression model, gender was not a significant predictor of self-care in any dimensions but, there was a significant relationship between sex and self-care confidence (OR=0/52, CI=0/27-1/03), which indicated that women as compared to men have less chance of self-care behaviors due to their status of self-confidence. Conclusion: In attention to the point that women had worse self-care behaviors in all dimensions, it is suggested more attention be paid in identifying patients at risk of poor self-care behaviors while planning care and treatment for them, since they are more vulnerable and have more emotional effects of disease and gender should be regarded as a predictive factor.
Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite t... more Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite the belief that women are better than men in self-care, there is little evidence to challenge this view. The purpose of this study was to determine the status of self-care behaviors in men and women with heart failure. Materials and Methods: In this analytical cross-sectional study, 239 patients with heart failure were assessed. Data were collected by Self-Care Heart Failure Index, Cardiac Depression scale, and Mini Mental status Examination questionnaires. Data were analyzed using SPSS version 19, descriptive and inferential statistics (Chi-Square, Mann-Whitney, Kruskal-Wallis, t-test and Logistic regression). Results: Mean score of self-care behaviors in men and women was 44/60±12/05 and 39/71 ± 9/88 from 100 total score, respectively. In the regression model, gender was not a significant predictor of self-care in any dimensions but, there was a significant relationship between sex and self-care confidence (OR=0/52, CI=0/27-1/03), which indicated that women as compared to men have less chance of self-care behaviors due to their status of self-confidence. Conclusion: In attention to the point that women had worse self-care behaviors in all dimensions, it is suggested more attention be paid in identifying patients at risk of poor self-care behaviors while planning care and treatment for them, since they are more vulnerable and have more emotional effects of disease and gender should be regarded as a predictive factor.
Nursing and Midwifery Studies, 2013
Background: Cognitive impairment is increasingly recognized as a common adverse consequence of he... more Background: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. Objectives: To determine cognitive function and related factors in patients with heart failure. Materials and Methods: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. Results: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient's comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. Conclusions: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning.
Caspian journal of health research, Oct 1, 2022
Poor self-care in patients with Heart Failure (HF) is directly associated with the patient's gene... more Poor self-care in patients with Heart Failure (HF) is directly associated with the patient's general health getting deteriorated and hospitalized. Objectives: One of the factors influencing compliance with self-care behaviors is mood status. The aim of this study was to determine the relationship between affective status with self-care behaviors in patients with HF. Materials & Methods: In this analytical cross-sectional study, 372 HF outpatients referring to a specialized heart clinic have been included using convenient sampling method. Study tools had 4 parts including demographic and social factors, the European Heart Failure Self-care Behaviors scale, and positive and negative affect scales. The collected data were analyzed using multivariate linear regression model. Results: The multivariate model adjusted for patient's education, suffering from chronic obstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113, Standard Error (SE) =0.056, P=0.046) and negative affect (β=0.341, SE=0.053, P<0.001) were significantly related to self-care behaviors, but anhedonia did not have any significant relation with self-care behaviors (β=-0.105, SE=0.097, P=0.280). The separate models accounted for 8 to 11% of the variance in the self-care behaviors. Conclusion: The result of current study indicates that patients' mood statue including positive and negative affect are significant contributors of self-care behaviors. So, it is recommended that in addition to the patient's physical condition, the rehabilitation program of the heart failure
International Journal of Africa Nursing Sciences
فصلنامه پرستاری، مامایی و پیراپزشکی, Jan 10, 2021
Educational Research in Medical Sciences Journal, 2016
Introduction: Clinical education is a dynamic process in which- students, with presence in bedsid... more Introduction: Clinical education is a dynamic process in which- students, with presence in bedside, gain experience and interact with the teachers and the environment to apply learned concepts in practice. If the education fails to provide appropriate learning conditions, would be no possibility for clinical skills to nurture. This study was performed to determine the satisfaction of medical interns with the quality of clinical education in Rasht teaching hospitals in 2014-15. Methods: This descriptive-analytical study was carried out on 106 medical interns of Guilan University of Medical Sciences in 2014-15 using convenience sampling. The data were collected by a validated researcher-made questionnaire consisting of 3 sections and 39 items. SPSS.21 and descriptive and inferential statistics (Chi-square test, Fisher's exact test, and Man-Whitney U test), considering 95% confidence interval and 90% test power, were employed to analyze the data. Results: The results showed that 5...
Advances in Nursing & Midwifery, 2020
Introduction: Adherence to self-care behaviors and determining its related factors in patients wi... more Introduction: Adherence to self-care behaviors and determining its related factors in patients with chronic illnesses are mandatory. The objective of the present study was two-fold: first, to examine the self-care behaviors adherence among heart failure patients and second, to determine its predictors in a comprehensive study of various factors in patients with heart failure. Methods: This descriptive cross-sectional study was conducted on 239 patients with heart failure referred to Dr.Heshmat hospital as the only heart center in Guilan province (Northern Iran). The consecutive sampling method was used. Data were collected by Self-Care Heart Failure Index, Cardiac Depression Scale, Mini-Mental State Examination, and Charlson Comorbidity Index and were analyzed by descriptive statistics and analytical statistics in SPSS. Results: Results showed educational level, history of receiving information, and cognitive function as predictors of self-care maintenance. Also, monthly income, his...
Journal of Guilan University of Medical Sciences, 2017
Mediterranean Journal of Nutrition and Metabolism, 2021
BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-thre... more BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-threatening diseases in most countries in the world. One of the effective factors in re-hospitalization of these patients is the lack of knowledge about the correct diet therapy. OBJECTIVE: This study aimed to compare the degree of nutritional knowledge, attitude, and performance of patients with acute coronary syndrome on arrival, discharge day, and 3 month after discharge in 2017-2018. METHODS: This longitudinal study was conducted on 125 patients with acute coronary syndrome who were referred to Dr. Heshmat hospital in Rasht as the exclusive heart center in Guilan province (Northern Iran). Convenience sampling was done using a valid two-part questionnaire including demographic information and nutritional KAP. Data were analyzed by descriptive statistics and analytical statistics in SPSS. RESULTS: The nutritional knowledge and attitude score of the majority of the samples decreased over th...
Iranian Journal of Nursing Research, 2015
Introduction: Religious beliefs prevent the mental and physical illness, In addition reduce compl... more Introduction: Religious beliefs prevent the mental and physical illness, In addition reduce complications and physical symptoms of Diseases and reduce the duration of the disease and increase longevity. However, unfortunately, most of the health providers tend to ignore the religious issues in their cares. Given the importance role of religion on the physical, mental, and adherence to treatment in chronic patients, a study was conducted to compare the religious attitude in people with coronary artery disease and healthy patients. Method: In this cross-sectional study with two was conducted by convenience sampling in a 6-month period through patients referred to Dr.Hashmat medical education hospital in Rasht and their family. During this period 320 eligible subjects (160 patients and 160 in the control group) were enrolled. Inclusion criteria for patients were coronary angioplasty results indicated the involvement of coronary artery or had a history of angioplasty or coronary artery ...
Introduction: Different studies have investigated the effects of various factors on self-efficacy... more Introduction: Different studies have investigated the effects of various factors on self-efficacy and clinical decisionmaking among nurses and other professionals in the fields of health and treatment. There is, however, little research investigating self-efficacy, clinical decision-making, and the level of relationship between them with regard to the environment and culture of organizations. Objective: This study was conducted with the aim of investigating self-efficacy and clinical decision-making among nurses in terms of individual and social variables and discovering the level of relationship between self-efficacy and ‘clinical decision-making among nurses in Guilan Province in 2017-2018. Materials and Methods: This is a descriptive cross-sectional study and 222 nurses working at different units of teaching and treatment centers in the city of Rasht were recruited after obtaining formal written consent from them. The data collection instruments were a demographic questionnaire, ...
Article history Received 4 Oct 2016 Accepted 15 Dec 2016 Available online 15 Mar 2017
Caspian Journal of Health Research, 2021
Background: The role of nutrition is undeniable in controlling hypertension; diet is among the mo... more Background: The role of nutrition is undeniable in controlling hypertension; diet is among the most effective non-pharmaceutical methods. The current study aimed to determine the role of illness perception on diet adherence in patients with hypertension. Materials & Methods: This cross-sectional study examined 268 patients with hypertension. The study sample was selected by convenience sampling method. The study tool consisted of the patients’ individual, social, and clinical factors, illness perception about hypertension, and adherence to the diet. The necessary data were analyzed using multiple logistic regression models. Results: The Mean±SD score of illness perception was measured as 37.09±4.91 out of 56. Adherence to the recommended diet was relatively desirable in the majority of the examined patients (62%). Multiple logistic regression analysis data revealed no significant relationship between the scores of illness perception and dietary adherence (Adjusted OR=1.038, 95%CI: 0...
Journal of Caring Sciences, 2018
Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atheroscl... more Introduction: Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atherosclerosis, thus the modification of physiological risk factors seems essential to prevent coronary artery disease (CAD). Then PCI patients have to receive multiple drug therapies in an attempt to prevent the recurrence of cardiac events. In spite of the evidence based on medication adherence to prevent post-PCI CAD development, medication adherence is the main concern for health care system. Accordingly, this study aims to determine the medication adherence and its related factors among these patients. Methods: In this cross-sectional study, the statistical community was the patients undergoing PCI at medical educational hospital of Dr. Heshmat in Rasht, Iran. 269 patients were selected by convenient sampling method. The data were collected by a questionnaire consisting of 4 parts, namely the socio-individual factors, Morisky medication adherence scale, hospital anxiety and depression scale...
Research and Development in Medical Education, 2016
Background: One of the main tasks of the faculty of medical sciences is clinical training. Given ... more Background: One of the main tasks of the faculty of medical sciences is clinical training. Given the importance of clinical teaching for medical students, the study aim was to determine the clinical teaching status from the perspective of students and faculty members. Methods: The population of this cross-sectional study was all medical interns and final-year students of nursing and midwifery and faculty members of Guilan University of Medical Sciences in the 2015. The sampling was conducted by census method after obtaining the consent of the participants. The scale was a questionnaire consisting of 4 parts, including demographic data, phrases related to clinical teaching principles by faculty members, phrases related to the use of material and educational media by clinical faculty members and phrases related to educational activities by clinical faculty members. Data analysis was done by descriptive and inferential statistics (Mann-Whitney U test). Results: Based on the results, the mean score of clinical teaching status from the perspective of the faculty members was 62.88 ± 5.76 out of a score of 66, and the mean score was 52.11 ± 1.1 from the students' perspective. Mann-Whitney U test results also showed a significant difference between faculty members' and students' perspective scores about clinical teaching status (P < 0.0001). Conclusion: According to the findings of this study, to improve the quality of clinical education, implementation strategies will be necessary. One of the most important parts of teaching in the field of medical science is clinical education as it is the first real experience students have with their future work environment and it has a significant impact on their occupational success.
Journal of Nursing and Midwifery Sciences, 2016
Background and Purpose: Research self-efficacy is an important subject in university education. R... more Background and Purpose: Research self-efficacy is an important subject in university education. Research is considered essential to the development of societies. As such, postgraduate students require research courses in their curricula in addition to regular educational contents. Materials and Methods: This descriptive, cross-sectional study was conducted on two groups of postgraduate students (master's degree) of nursing education and critical care nursing at Guilan University of Medical Sciences during 2008-2010 using a reliable research self-efficacy scale. Overall and individual dimensions of research self-efficacy in both groups were analyzed using descriptive and inferential statistics, Chi-square and independent T-test. Results: No significant differences were observed between the study groups in the overall and individual dimensions of research selfefficacy. However, score of research self-efficacy was slightly higher in critical care nursing students compared to the nursing education group. In addition, score of self-efficacy in the dimension of qualitative research had no significant difference between the two groups (P<0.06). Conclusion: Changes in the curriculum of postgraduate nursing students require the systematic modification of the current courses and integrated designing methods at Guilan University of Medical Sciences, as well as other universities across the country. Furthermore, research self-efficacy of students could be improved through the review of syllabi, revision of research methodology, and implementation of research seminar projects for master's students of nursing education. In this regard, providing qualitative and integrated research methods could be beneficial as well.
Journal of Nursing and Midwifery Sciences, 2014
Background and Purpose: Diagnosing coronary artery disease can cause considerable impairment in p... more Background and Purpose: Diagnosing coronary artery disease can cause considerable impairment in patients' mental health. On the one hand, psychological factors play an important role in the development and progression of heart disease. Therefore, identifying the factors affecting the patient's ability to adapt such as spiritual intelligence (SI) is significant. The study aims to determine the status of spiritual intelligence and its related factors in patients suffering from ischemic heart disease. Methods: This study community consists of the patients with ischemic heart disease hospitalized in cardiac ward of Dr.Heshmat Hospital; 186 patients were selected by accessible sampling method. Data were collected by spiritual intelligence 29-item questionnaire and analyzed by descriptive and inferential statistics (t-test, ANOVA and Pearson). Results: In this study, the majority of the samples were in the age range of 45-64 years old (68/8%), men (67/2%), married (99/5 %), with elementary education level (51/1%) and housewives (29%). The results implied that more than 90% of the patients had high spiritual intelligence. Also based on the statistical analysis, no significant association has been observed between the demographic variable and spiritual intelligence. Conclusion: It seems that high spiritual intelligence in the community resulted from stress induced illness leading to their greater tendency to spirituality. In general, according to the psychological literature, spiritual intelligence can promote the patients' mental and physical health. Then, paying attention to spiritual intelligence in these patients seems to be critical.
Research and Development in Medical Education, 2016
In view of the fact that motivation is linked directly to the learning process and educational ac... more In view of the fact that motivation is linked directly to the learning process and educational achievement, this study endeavored to identify strategies to improve students' educational achievement motivation at Guilan University of Medical Sciences. Methods: To conduct this descriptive-analytical study, 368 students from Guilan University of Medical Sciences were selected using simple random sampling from 2013-2014. All of the Guilan University of Medical Sciences' students met the general eligibility criteria except guest students. The questionnaire included five domains of economic, socio-cultural, educational, geo-regional, and personality factors in educational achievement motivation. Through using descriptive and inferential statistics (Kolmogorov-Smirnov, Mann-Whitney U and Kruskal-Wallis tests), the compiled data were analyzed at the significance level of 0.05. Results: Data analysis revealed that socio-cultural factors have the maximum score (64.14 ± 9.92) and geo-regional factors have the minimum score (19.01±3.63) on the participants' educational achievement motivation. What is more, a significant difference was revealed between educational field and educational effective factors as well as educational level and educational effective factors (p<0.011, p<0.004, respectively). Conclusion: Given that the socio-cultural factors had the maximum score on the students' educational achievement motivation, it is recommended that university officials take these factors into account, and attempt to plan to provide appropriate strategies to enhance their students' motivation, specifically their educational achievement motivation.
پیاورد سلامت, Sep 15, 2014
Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite t... more Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite the belief that women are better than men in self-care, there is little evidence to challenge this view. The purpose of this study was to determine the status of self-care behaviors in men and women with heart failure. Materials and Methods: In this analytical cross-sectional study, 239 patients with heart failure were assessed. Data were collected by Self-Care Heart Failure Index, Cardiac Depression scale, and Mini Mental status Examination questionnaires. Data were analyzed using SPSS version 19, descriptive and inferential statistics (Chi-Square, Mann-Whitney, Kruskal-Wallis, t-test and Logistic regression). Results: Mean score of self-care behaviors in men and women was 44/60±12/05 and 39/71 ± 9/88 from 100 total score, respectively. In the regression model, gender was not a significant predictor of self-care in any dimensions but, there was a significant relationship between sex and self-care confidence (OR=0/52, CI=0/27-1/03), which indicated that women as compared to men have less chance of self-care behaviors due to their status of self-confidence. Conclusion: In attention to the point that women had worse self-care behaviors in all dimensions, it is suggested more attention be paid in identifying patients at risk of poor self-care behaviors while planning care and treatment for them, since they are more vulnerable and have more emotional effects of disease and gender should be regarded as a predictive factor.
Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite t... more Background and Aim: Gender in performing self-care behaviors is a nonmodifiable factor. Despite the belief that women are better than men in self-care, there is little evidence to challenge this view. The purpose of this study was to determine the status of self-care behaviors in men and women with heart failure. Materials and Methods: In this analytical cross-sectional study, 239 patients with heart failure were assessed. Data were collected by Self-Care Heart Failure Index, Cardiac Depression scale, and Mini Mental status Examination questionnaires. Data were analyzed using SPSS version 19, descriptive and inferential statistics (Chi-Square, Mann-Whitney, Kruskal-Wallis, t-test and Logistic regression). Results: Mean score of self-care behaviors in men and women was 44/60±12/05 and 39/71 ± 9/88 from 100 total score, respectively. In the regression model, gender was not a significant predictor of self-care in any dimensions but, there was a significant relationship between sex and self-care confidence (OR=0/52, CI=0/27-1/03), which indicated that women as compared to men have less chance of self-care behaviors due to their status of self-confidence. Conclusion: In attention to the point that women had worse self-care behaviors in all dimensions, it is suggested more attention be paid in identifying patients at risk of poor self-care behaviors while planning care and treatment for them, since they are more vulnerable and have more emotional effects of disease and gender should be regarded as a predictive factor.
Nursing and Midwifery Studies, 2013
Background: Cognitive impairment is increasingly recognized as a common adverse consequence of he... more Background: Cognitive impairment is increasingly recognized as a common adverse consequence of heart failure. Both Heart failure and cognitive impairment are associated with frequent hospitalization and increased mortality, particularly when they occur simultaneously. Objectives: To determine cognitive function and related factors in patients with heart failure. Materials and Methods: In this descriptive cross-sectional study, we assessed 239 patients with heart failure. Data were collected by Mini Mental status Examination, Charlson comorbidity index and NYHA classification system. Data were analyzed using descriptive statistics, Kolmogorov-Smirnov test, chi-square test, t-test and logistic regression analysis. Results: The mean score of cognitive function was 21.68 ± 4.51. In total, 155 patients (64.9%) had cognitive impairment. Significant associations were found between the status of cognitive impairment and gender (P < 0.002), education level (P < 0.000), living location (P < 0.000), marital status (P < 0.03), living arrangement (P < 0.001), employment status (P < 0.000), income (P < 0.02), being the head of family (P < 0.03), the family size (P < 0.02), having a supplemental insurance (P < 0.003) and the patient's comorbidities (P < 0.02). However, in logistic regression analysis, only education and supplementary insurance could predict cognitive status which indicates that patients with supplementary insurance and higher education levels were more likely to maintain optimal cognitive function. Conclusions: More than a half of the subjects had cognitive impairment. As the level of patients cognitive functioning affects their behaviors and daily living activities, it is recommended that patients with heart failure should be assessed for their cognitive functioning.