Asghar Dalvandi - Academia.edu (original) (raw)

Papers by Asghar Dalvandi

Iranian Journal of Rehabilitation Research, Jun 10, 2016

Introduction: Low back pain is one of the most frequent medical problems in the world and Iran. B... more Introduction: Low back pain is one of the most frequent medical problems in the world and Iran. Back pain has an impact on Individual, professional, and socioeconomic levels, as it entails a serious economic burden. Different interventions can reduce the burden of the chronic low back pain. 'Back School Program is one of the interventions. The purpose of this study was to determine the effect of Lumbar care (based on Back School program) on nursing Staffs' low back pain. Method: It was a quasi-experimental study that 64 nursing staff of Shohada Tajrish hospital participated in this study. They were selected purposefully and then randomly assigned to intervention and control group equally (32 nurses in each group). Data about severity of pain was collected by Visual Analogue Scale (VAS). Intervention group was received Lumbar care based on Back school program for four 45-minutes sessions during an educational workshop and training were followed by pamphlets, but control group only received routine care. Mean score of low back pain were measured based on VAS before and after the intervention. Analysis of data was carried out by SPSS software. Results: Findings of this study indicated there is no significant difference between mean Low back pain scores between intervention and control groups before intervention (p=0.575). While after the intervention, significant difference was observed between mean Low back pain scores (p<0.001) and low back pain in the intervention group significantly was reduced. Conclusion: The results showed that applying lumbar care based on Back school program, significantly decreased Low back pain in the intervention group. It suggested that hospital administrators could use this program as a safe method in the nurses' education with low back pain.

Iranian Red Crescent Medical Journal, Jan 28, 2018

Background: Resilience is defined as skills, abilities, knowledge, and insight that people gain o... more Background: Resilience is defined as skills, abilities, knowledge, and insight that people gain over time to overcome problems and hardships and cope with challenges. Objectives: Due to the lack of a gold standard to measure resilience, the current study aimed at designing and validating a resilience scale in Patients with cardiovascular and respiratory diseases. Methods: The current methodological study was conducted in 2016 in 3 consequential phases. In the first phase, the concept of resilience was defined and analyzed in patients with chronic physical diseases using hybrid concept analysis. In the second phase, based on the findings obtained in the phase 1, the item pool was generated. In the third phase, in order to evaluate the psychometric properties of the tools, 375 patients in public places of Tehran, Iran, were selected using the multistage cluster sampling method to complete the scales. Results: Based on the results of the content analysis, the primary item pool included 142 items, which was reduced to 57 items by excluding the repetitive and combining the overlapping ones. After administering face validity, content validity, and item analysis, a total of 30 items remained. The exploratory factor analysis, by eliminating 1 item, indicated five 5, explaining 65% of the total variance, and the Kaiser-Meyer-Olkin (KMO) index was 0.949, showing a significant difference (P = 0.0001). Discriminant validity showed that patients with higher education were more resilient. Cronbach's alpha coefficient of the final version of the 29-item scale was 0.943. Conclusions: The 29-item resilience scale was a simple, valid, and reliable tool to measure resilience in patients with cardiovascular and respiratory diseases.

DOAJ (DOAJ: Directory of Open Access Journals), Jun 1, 2014

Introduction: Currently, volunteer forces are among the main members of the healthcare service bo... more Introduction: Currently, volunteer forces are among the main members of the healthcare service body, particularly in the treatment sector, and play a key role in healthcare and treatment services. Since efficient human resources are the greatest and most important assets of all organizations, the organization constantly works to train, retain, and get maximum benefit of these valuable assets. The main objective of this work is to prioritize the Motivational factors and satisfaction of the volunteer forces participating in treatment and health programs in the case of emergencies. Methods: The statistic research community of this work is all volunteers (N=600) in treatment and health programs in Kerman province. Using the Morgan Table, 360 statistical subjects were selected. The data-gathering instrument used in this research was Andam's questionnaire of motivational factors with reliability of 0.94, and Galindo-Kuhn and Guzley (2001) questionnaire of satisfaction with reliability of 0.92. To determine research data distribution, Kolmogorov-Smirnov test was applied. Moreover, for data analysis inferential statistics tests of Friedman, Mann–Whitney U, and Kruskal–Wallis were used at significance level of p<0.05. Results: The present research revealed that the most and least important motivational factors in volunteers of treatment and health units are purposeful motivation and financial motivation with average rankings of 5.45 and 1.99, respectively. In addition, among the satisfaction factors, the volunteers reported communication with volunteers and organizational communication as the most and least important satisfaction factors, respectively. The results of this research indicated that the female volunteers participated in volunteer activities with greater occupational, support, progress, and social motivations. In addition, single participants had greater occupational, social, and financial motivations towards participation in these activities as compared to married participants. conclusion: The results of [...]

Social Science Research Network, 2022

Health in emergencies and disasters quarterly, Mar 1, 2017

Background: In the event of a disaster, hospitals and health care centers are among the first res... more Background: In the event of a disaster, hospitals and health care centers are among the first response units that their efficient and timely health care provision can have a crucial and decisive role in reducing mortality and rescuing injured patients. Accidents and disasters always have a negative impact on public health and welfare of their damaged population and health care measures are the main factors for survival in this situation. Hospitals are among the first centers that are engaged in unexpected complications of accidents. These events pose unique problems, responding to which requires preparation. This study aimed to investigate the effect of teaching principles of hospital preparedness according to the national program on preparedness of Shahid Motahari Burns Hospital of Tehran in response to disasters. Materials and Methods: This research was an interventional study of a quasi-experimental design with pretest and posttest. Tehran Shahid Motahari Burns Hospital has been purposefully selected as a research environment. Data collection instrument was the World Health Organization standard checklist comprised of 9 components and 91 questions which was used after confirming its validity and reliability. The researcher collected the relevant data by interview and observation. Training program which included 1-day workshop on hospital preparedness in accidents and disasters based on national program was taught to directors and crisis committee members. One month later, the study instrument was completed by the researcher again as the posttest. Wilcoxon test was used to analyze the data. Results: The results showed that total score of hospital preparedness changed from 178 to 210 in the follow-up. Before the intervention, the hospital had the highest preparedness regarding components of command and control and the lowest preparedness in the post-disaster recovery. After the intervention, the highest increase of preparedness was observed in the communication component. Also with respect to safety and security, the preparedness of the hospital did not change. Conclusion: The results indicate the positive impact of education of national program to deal with accidents and disasters in increasing the hospitals preparedness in response to disasters. To create and maintain the preparedness of hospitals, it is recommended that training and implementation of national program be included in the major programs of these institutions.

International health trends and perspectives, Jul 28, 2023

Purpose: PSCA (Perceived Self-Care Ability) is an important factor in the management of chronic d... more Purpose: PSCA (Perceived Self-Care Ability) is an important factor in the management of chronic diseases. However, there is no clear consensus over the definition of this concept among patients with stroke. The aim of this study was to analyze the concept of PSCA among patients with stroke and provide a clear definition for it. Methods: This concept analysis was conducted using Walker and Avant's eight-step approach. Relevant articles, theses, and books published in English or Persian between 1987 and 2021 were reviewed. Findings: PSCA is a subjective and dynamic multidimensional concept with self-care agency, self-care ability, self-management, and fluctuating over time. Attributes which is affected by Perceptual and cognitive stability, psychosocial factors, health literacy, and sociocultural and economic contexts. The consequences include effective coping, satisfaction with life, prevention of adverse complications, continuity of care, and reduced healthcare costs. Conclusions: Defining the PSCA in stroke survivors makes them more likely to live a better and more independent life. With an increasing prevalence of chronic diseases worldwide, defining the concept of PSCA in stroke patients is essential to design appropriate interventions aimed to promote patients' active role in managing chronic diseases. Nurses' adequate knowledge about PSCA helps them develop more effective nursing interventions, discharge plans, and rehabilitation programs. The results of this concept analysis can be a basis for designing a tool to measure perceived self-care ability of stroke patients in the chronic stage of the disease.

DOAJ (DOAJ: Directory of Open Access Journals), Apr 15, 2022

Background: Caregivers of stroke patients have many problems due to caring for patients. This stu... more Background: Caregivers of stroke patients have many problems due to caring for patients. This study aimed to evaluate the psychometric properties of the Persian Version of the Bakas Caregiving Outcomes Scale (BCOS) in caregivers of stroke patients. Materials and Methods: This methodological study was conducted in 2018 with 191 caregivers of stroke patients. In order to assess the scale validity and reliability, the face, content, internal consistency, stability of the scale, and construct validity (exploratory and confirmatory factor analysis) were done. Results: The scale face and content validity qualitatively were checked and confirmed by caregivers' and experts' opinions. In the reliability, Cronbach's alpha was obtained to be 0.93. The test-retest was conducted on 30 participants and showed good stability after 2 weeks. The Intraclass Correlation Coefficient (ICC) for the total scores was reported to be 0.94. The Kaiser-Meyer-Olkin p value was 0.90, Bartlett's sphericity test was significant (p < 0.001), in the exploratory factor analysis, 2 factors with 14 items were extracted. The confirmatory factor analysis confirmed the appropriate model with 14 items (removal of item 13) with two factors at the expected level. Conclusions: The Persian version of the 14 items of the BCOS indicates satisfactory reliability, and validity in the Iranian caregivers of stroke patients.

Health in Emergencies & Disasters Quarterly, 2013

Introduction: Stroke is main cause of death and disability in worldwide and emergency care can de... more Introduction: Stroke is main cause of death and disability in worldwide and emergency care can decrease complications. Emergency Medical System transferred half of stroke patients to hospital, so improve accuracy of diagnosis may accelerated treatment. This study aimed to determine diagnosis status and, transfer time of stroke patients transferred by prehospital Emergency Medical System to hospital in Arak City. Methods: This study was descriptive -analytic study and all 43 patient's records with a diagnosis of stroke that transferred by Emergency Medical System to hospital in Arak City was selected. The study Checklist was contained information about age, sex, type of accident prehospital, response time, scene time, transfer time and total time from inpatients records and Emergency Center statistics .Regarding data analysis,SPSS19 software and descriptive statistical tests were used. Results: Mean (SD) of age all patients were 73/7±3/8 and 51/2% were women. Ambulance paramedics...

Medical-Surgical Nursing Journal, 2016

Trauma monthly, 2021

Background: Optimizing care processes, especially in the emergency trauma departments, is conside... more Background: Optimizing care processes, especially in the emergency trauma departments, is considered an important issue in health care systems. Moreover, exploring strategies with the participation of stakeholders can significantly affect patient outcomes. Objectives: This study was conducted to identify, prioritize and optimize care strategies for trauma and emergency patients in Shiraz, in 2019. Methods: Data using semi-structured interviews, Focus Group Discussions, and executive meetings with managers were collected, and the prioritization matrix was used to optimize strategies. Sampling was done purposefully until data saturation. The collected data were analyzed using qualitative inductive content analysis. Results: 26 necessary corrective and preventive strategies were mentioned. After analyzing the data, various strategies such as rectifying managerial issues of the emergency system, specialized trauma nursing care, enhancing trauma emergency response preparedness, and adopt...

1 M.Sc of Medical-Surgical Nursing, Department of nursing, University of Social Welfare & Rehabil... more 1 M.Sc of Medical-Surgical Nursing, Department of nursing, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran 2 Assistance Professor, Department of Nursing, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran 3 Associated Professor, Department of Nursing, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran 4 Assistance Professor, Department of Statistic, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran * Corresponding author: Narges Arsalani, Department of Nursing, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran, E-mail: nargesarsalani@gmail.com

1 MSc in Nursing, Department of Nursing, University of Social Welfare and Rehabilitation Sciences... more 1 MSc in Nursing, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 2 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 3 Department of Clinical Science and Education, Karolinska Instituted, Stockholm Sweden 4 Associate Professor, Department of Nursing, Islamic Azad University, Tehran Medical Branch, Islamic Azad University, Tehran, Iran 5 Assistant Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 6 Neurologist, Ayatollah Kashani Hospital, Shahrekord University of Medical Science, Shahrekord, Iran * Corresponding author: Hamid Reza Khanke, Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. E-mail: hamid.khankeh@ki.se

Introduction: poor adherence to medication regimen in diabetic patients leads to poor control of ... more Introduction: poor adherence to medication regimen in diabetic patients leads to poor control of blood glucose levels, high risk for diabetes complications, hospitalizations and increased mortality rates. An appropriate level of glycosylated hemoglobin is considered a good diabetic management in these patients. The aim of this study was to investigate the concurrent validity of Morisky Medication Adherence Scale with glycosylated hemoglobin in patients with type 2 diabetes. Methods: In this methodologic descriptive correlational study, 204 patients referred to Kermanshah diabetes center were recruited through convenience sampling method since June to July 2014. Data were collected using socio-demographic form, Morisky Medication adherence scale (MMAS-8) and HbA1c test as gold standard. Data were analyzed with descriptive statistics, independent T-test, Pearson's Correlation, Fisher’s exact test, and ChiSquare using PASW (Predictive Analytics Software). Results: 33.4% of the part...

Journal of hayat, 2017

Background & Aim: Needlestick injuries (NSIs) are a serious occupational hazard for health ca... more Background & Aim: Needlestick injuries (NSIs) are a serious occupational hazard for health care providers and nurses that are often not reported for various reasons. Several studies have reported a different rate of this great challenge. The aim of this systematic review and meta-analysis was to estimate the prevalence of under-reporting of NSIs in healthcare providers in Iran. Methods & Materials: By searching national and international databases including SID, Magiran, Google Scholar, IranMedex, Science Direct, PubMed and Scopus, 19 published articles were extracted. Data analysis was carried out through the random-effects model, and heterogeneity was investigated by I2 index. The data were analyzed using the Stata software version 12.0. Results: The rate of non-reporting of NSIs in 19 relevant articles in Iran with the sample size of 9274 was 59 (95 CI: 49-69). The rate of under-reporting of NSIs in the healthcare providers (64) was higher than in nurses (55). Based on the meta-regression results, there was no significant relationship between the prevalence of underreporting of NSIs and the year of publication (P=0.138), sample size (P=0.390) and age (P=0.918). Conclusion: The results of the study showed that more than half of health care providers did not report NSIs. Notifying health care providers about the risks of NSIs and properly dealing with the injured cases is necessary in order to increase the reporting of NSIs. © 2017, Tehran University of Medical Sciences (TUMS). All rights reserved

Iranian Journal of Nursing Research, 2016

Introduction: Recently resilience as a new framework for the prevention of addiction. In this new... more Introduction: Recently resilience as a new framework for the prevention of addiction. In this new context, recognition of environmental protection, awareness and understanding of the individual vulnerabilities that threaten the resilience is of utmost importance and since young people and schools are the main target of the prevention programs. This study aimed to investigate the effect of "resilience skills" on the ratio of drug addiction among secondary school students in Khorramabad

1 Associate Professor, Department of Nursing, Islamic Azad University, Tehran Medical Branch and ... more 1 Associate Professor, Department of Nursing, Islamic Azad University, Tehran Medical Branch and University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran 2 PhD student, Department of Nursing, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran 3 Associate Professor, Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 4 Associate Professor, Clinical Development Research Center of Shahid Modarres Hospital, Physical Medicine and Rehabilitation Research Center and Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran 5 Associate Professor, Department of Statistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran * Corresponding author: Shima shirozhan, PhD student, Department of Nursing, University of Social Welfare and Rehabilitation Sciences (USWR), Tehran, Iran. E-mail; shimashirozhan@gmail.com

International Journal of Nursing Sciences, 2021

Objectives: The present study aimed to translate and determine the psychometric properties of the... more Objectives: The present study aimed to translate and determine the psychometric properties of the Persian version of the Compassionate Care Assessment Tool (CCAT) ©. Methods: The study was carried out to translate and validate of the CCAT©. After securing permission from the designer of the tool and translating it, the psychometric properties were determined through examining face validity, construct validity, internal consistency, and test/retest reliability. With regard to construct validity, confirmatory factor analysis was used so that 300 patients in internal and surgery wards were selected by a simple random sampling method from three hospitals. Data were analyzed using SPSS (v.24.0) and LISREL statistical software version 8.8. Results: The results of the confirmatory factor analysis supported the validity and reliability of the Persian version of the CCAT© and its four factors. The reliability of the tool and internal consistency were confirmed through test/retest method with two weeks' interval. At the two areas of importance and provision of compassionate care, Cronbach's a coefficient equaled to 0.918 and 0.933 and intraclass consistency equaled to 0.848 and 0.907 respectively. Conclusion: The results showed that the Persian version of the CCAT© was adequately valid and reliable for Iranian patients. Given the acceptable psychometric parameters of the tool, using it in future studies to measure importance and provision of compassionate nursing care to Iranian patients at internal and surgery wards is recommended.

Iranian Journal of Nursing and Midwifery Research, 2021

Background: One of the most important aims of rehabilitation in Spinal Cord Injuries (SCI) is reg... more Background: One of the most important aims of rehabilitation in Spinal Cord Injuries (SCI) is regaining autonomy, which can affect individuals' Quality of Life (QOL). This study was conducted to understand the experiences of individuals with SCI in terms of regaining autonomy during transition from hospital to community. Materials and Methods: The present study was conducted using a qualitative research design. In this study, 15 semi-structured, in-depth interviews were conducted with individuals with SCI in Spinal Cord Injury (SCI) Association of Arak, Iran, from June 2018 to May 2019. The interviews were analyzed using the conventional content analysis method. Results: Data analysis emerged four core categories of “self-management” (adaptation to a new life, self-care, responsibility, and seeking information), “social support” (family and friends' support, health care providers' support, and peer support), “access to facilities and resources” (home modification, use of various rehabilitation techniques, and use of mobility equipment), and “spiritual and religious beliefs” (believing in divine destiny and performance of religious rites). Conclusions: The present study showed that several factors influenced the regaining of autonomy in individuals with SCI. It is important to consider the impact of these factors during transition from hospital to community. Health service providers can use the findings of this research to help these individuals regain their autonomy.