The Journal of

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Introduction: One of the most common chronic diseases is diabetes which has attracted the growing attention of the health professionals, and is an appropriate area for assessing the effectiveness of psychological interventions such as motivational interviewing. Therefore, the impact rate of the intervention program based on motivational interviewing in improving the life quality of women with type 2 diabetes was studied.
Methods: This was an experimental study conducted in 1394 in Yazd Diabetes Research Center, on 55 patients with type 2 diabetes, who were divided into two groups of case and control. The intervention was based on motivational interviewing, and to understand the life quality, a short scale, 26-question questionnaire on Quality of Life (QOL) was used. After completing the questionnaire, the data were entered into SPSS18 software and analyzed by covariance test.
Results: The results showed that the mean and standard deviation of the life quality's total score in both case and control groups before training were 63.52± 11.34 and 62.93 ±11.40 ,and after training were 78/16±6/94 and 61/77±10/62. The results showed a significant difference in life quality of women with type 2 diabetes after intervention compared to before the intervention. Furhtermore, the results of different areas of life quality showed a significant difference after intervention (p = 0.001).
Conclusion: The findings of this study showed that motivational interviewing improved the life quality and other life aspects of  women with diabetes type 2 in the intervention group. It is suggested to use this technique as a complementary approach to improve the life quality of other chronic patients.
 

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 Introduction: The body's response to noise pollution is very similar to the way the body responds to stress, which can lead to poor health over time. In this regard, this study was conducted to determine the general health of the elderly and its relationship with traffic noise pollution in Ardakan.
Methods: This descriptive cross-sectional study was conducted in 1399. Participants were 200 elderly people in Ardakan chosen by random sampling. Data were collected through sound measurement with SVANTEK device, General Health Questionnaire 28 (GHQ-28). After completing the questionnaires and measurements, the collected data were entered into SPSS-19 software and descriptive statistics as well as analytical statistics such as Chi-square, regression and analysis of variance were used to analyze them.
Results: The overall average sound level equivalent in decibels at all measuring stations was within the standard range. There was a significant relationship between noise annoyance, the dimensions of "anxiety symptoms  ,sleep disorders" ,and "depressive symptoms" of general health (p <0.001).
Conclusion: People with more noise annoyance experience more anxiety, sleep disorders and depression. Existence of noise pollution levels in the allowable or standard level can lead to the observation of no significant relationship between traffic noise pollution levels and general health. Reducing anxiety, depression and sleep disorders in the elderly is possible with interventions to reduce  noise annoyance in them.
 

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Introduction: The global outbreak of the COVID-19 in 2019, and the high mortality rate of the disease call for decision-making and finding a solution to control its spread. One of the most effective ways is to use the COVID-19 vaccine. Due to the limited supply of corona vaccines, the distribution of this vaccine is generally prioritized and allocated among individuals.
Methods: In this descriptive correlational study, GIS, AHP tools, and fuzzy logic were used to achieve the goal of prioritizing and allocating corona vaccine to the neighborhoods in Mashhad. Neighborhoods' prioritization was analyzed in four scenarios including: AHP, WHO guideline, guideline of the Ministry of Health and Medical Education of Iran, and localized collective wisdom.
Results: The output of neighborhood prioritization of the four mentioned scenarios has been specified in five classes. In the AHP scenario, the lowest percentage (8.89%), and in the localized collective wisdom , the highest percentage (42.22%) was allocated to the neighborhoods with the first priority. Regarding spatial distribution, only in the first scenario, some kind of order was observed. Furthermore, there is generally no high correlation between the results , and only the scenario of the Ministry of Health and Medical Education and the localized collective wisdom presented a correlation of 0.82.
Conclusion: Considering the COVID-19 vaccine shortage, spatial allocation based on the presented guidelines is a reliable method which can meet the basic criteria for allocating the limited treatment resources, and 180 neighborhoods throughout Mashhad were identified and prioritized with different scenarios which can assist the decision-makers.
 

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Introduction: Perceptual motor activities improve motor skills and learning. These skills play an effective role in receiving, interpreting and responding to the sensory stimuli. This study aimed to identify perceptual-motor problems in visually impaired people.
Methods: This qualitative research was conducted using a research synthesis method. Therefore, the analysis unit consisted of all the related scientific studies. With regard to the systematic research in internal and external databases based on the inclusion criteria, 1052 scientific studies were identified, and finally, according to the exclusion criteria, 71 studies were selected for the final analysis. To collect the required data, a researcher-made worksheet was used, and to ensure of the coding, two examiners were asked to reencode the findings. For data analysis, Roberts’ six-step research synthesis model with open and axial coding methods was used.
Results: The results from this study led to the identification of 41 categories, which was eventually narrowed down to 14 codes of alternative concepts. The most common perceptual -motor problems of the blind were navigation, coordination of motor function, and balance disorders.
Conclusion: Success in implementing educational programs and its effectiveness on the blind requires providing solutions in line with their most important problems in order of priority. Providing appropriate infrastructure, proper preparation regarding knowledge, skill and attitude among students and professors, as well as appropriate designing of educational programs for the blind prioritizing their navigation, motor coordination, and balance problems are suggested.
 

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Introduction: Reproductive health is the complete physical, mental, emotional, and social health associated with the reproductive system. According to the statement of the 1994 Cairo International Conference on Population and Development, young people have the right to know and have access to reproductive health services, so that they can make informed decisions about their fertility issues, and governments are required to provide these services. This study aimed to investigate the knowledge and attitude of Karaj students in the field of reproductive health in 2021.
Methods: This research was a cross-sectional descriptive study that was conducted by a researcher-made questionnaire on 401 students of different fields and levels of study in Karaj.
Results: Knowledge in 36.8% of the participants was at a good level (score more than 75%), in 60.9% of them was moderate (score 25-75%) and in 2% was poor (score less than 25%). In terms of attitudes toward premarital sex, 23.2% agreed with boys having sex before marriage, 26.4% had no opinion, and 54.1% disagreed. Moreover, 19.5% agreed with girls having sex before marriage, 21.9% had no opinion, and 54.1% disagreed.
Conclusion: According to the findings, policy-making is a necessity in order to develop formal reproductive and sexual health education programs for young people.


 

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Introduction: Cost management of inpatient records can directly and indirectly affect the management and control of hospital costs. Therefore, the present study was conducted with the aim of designing and validating the cost management model of inpatient records in the global system.
Methods: The present mixed method study was conducted in 2021. Senior and middle managers composed the statistical population in the qualitative section and the senior, middle managers and staff of Niknafas Hospital in Rafsanjan were the quantitative section statistical population. In the qualitative section, in-depth interviews were conducted with 33 experts using the purposive sampling accompanied with snowball method. A researcher-made questionnaire with a random sampling method was used to assess the model among 210 people in the quantitative section. Qualitative data were analyzed by Atlas.ti software and quantitative data were analyzed by exploratory and confirmatory factor analysis using SPSS and SmartPLS version 3 software.
Results: The results of the qualitative section indicated that the cost management model includes 15 sub-categories and 6 main categories. "Information and awareness", "sensitivity", "risk-taking and motivation", "control and supervision", "experience and skill", and "factors beyond the hospital's control" were the main categories. The SRMR fit indices (0.069), R² (>0.67), GOF (>0.36) showed that the fit of the measurement, structural and general models were appropriate and approved.
Conclusion: The present study showed that the designed model of cost management of inpatient records in the global system has a good fit and can be used in medical centers.
 

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Introduction: The present study aims to investigate the effect of yoga and Pilates exercises on the motor ability of female elderly during the COVID-19 pandemic.
Methods: The research method was quasi-experimental with a pretest-posttest design along with a control group. The statistical population was all the female elderly of Yazd city in elderly care and welfare centers. For statistical sampling, by referring to elderly care and welfare centers, a list of elderly (over 60 years old) of Yazd city was prepared and those who were willing to participate in the study were selected and randomly divided into 3 groups of 12 people, including yoga, Pilates, and control groups. Measurement tools included a motor ability test. The yoga and Pilates groups performed 6-week interventions, the control group did not perform any exercise interventions during the study, and only pre-test and post-test were taken from this group.
Results: The results of the LSD test showed that the motor ability variable in the post-test had the best performance in the Pilates group. The results of the correlated t-test showed that the two Pilates and yoga groups in the post-test showed better motor ability compared to the pre-test. However, in the control group, there was no significant change from pre-test to post-test.
Conclusion: By examining these studies, it can be said that functional interventions will probably have a positive effect on the performance of fine movements of different groups, especially the elderly.

 
 

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Introduction: Due to the limited number of studies and resources, confusion in selecting a topic and the impracticality of many research activities, this study was conducted to determine the research priorities of the Health Research Center in Shahid Sadoughi University of Medical Sciences regarding social determinants based on the COHRED model.
Methods: This was an exploratory qualitative research conducted with the participation of 11 members of specialists inside and outside the medical sciences university. At first, research topics were identified through the formation of a strategic committee and the holding 3 focus group discussion sessions; then, the analysis of existing situation, ,determination of needs, and prioritization was done based on the four criteria of the COHRED model. Data were analyzed using SPSS software version 21 and the ranking of the extracted fields was done based on comparing the mean score.
Results: In this study, 50 research priorities were identified in five areas related to the social determinants of Health Research Center in Shahid Sadoughi University of Medical Sciences. The domains, in order of priority, included psycho-behavioral factors, social health, lifestyle, environmental factors, and capacity building.
Conclusion: In this study, the research priorities regarding social determinants of Health Research Center in Yazd Shahid Sadoughi University of Medical Sciences were determined based on the COHRED model. The first priority was assigned to the behavioral and psychological factors, through which the importance of the concept of a healthy family as the most fundamental social nucleus can be understood. It is suggested that in order to conduct applied research and specialize the activities of the research center in line with the set goals and vision, the extracted priorities be taken into consideration by researchers and graduate students.

 

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Abstract
Introduction: Health literacy is among the most critical factors affecting breast cancer progression in patients. This study was designed and implemented with the aim of determining the level of health literacy and its predictors in women with breast cancer referring to Javad Al-Aemeh teaching hospitals and clinic in Kerman in 2021.
Methods: This cross-sectional study was conducted on women with breast cancer referred to Javad Al-Aemeh teaching hospitals and clinic in Kerman city in 2021. To collect data, a self-administered questionnaire including demographic characteristics of patients, and the valid and reliable Persian version of the health literacy of Iranian women with breast cancer (Health Literacy of Breast Cancer for Adults (HELBA)) was used. Data were analyzed through SPSS version 20.
Results: In this study, nearly 15.3% of participants had low health literacy. According to the univariate logistic regression model, the health literacy level of the study participants had a significant relationship with all the demographic variables in the study except the age of the spouse (P<0.05). In the multivariate logistic regression model, only the spouse's education level had a significant relationship with the health literacy of the participants in the study.
The odds of a sufficient health literacy in people with a spouse having a high school diploma was 4.33 times, and in people with a spouse having a university degree was 5.87 times more than the participants with a spouse having an education below high school diploma.
Conclusion: The results of this study indicated that the level of health literacy in many women with breast cancer is sufficient. However, educational planning is needed to improve the level of literacy in this group, with especial emphasis on the health literacy of the spouses.




Conflict of interest: The authors declared no conflict of interest.

 

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Abstract
Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
 
 

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Introduction: This study was conducted to compare Covid-19 anxiety in mothers with cancer children and mothers with children who have other diseases during the Covid-19 pandemic.
Methods: This was a descriptive-analytical and cross-sectional study conducted on 250 mothers with cancer children and mothers with children who have other diseases. They visited the clinic and oncology department of Shahid Sadoughi Hospital in Yazd in 1400.
 Convenience sampling method was used. Data collection tools were demographic information and Covid-19 anxiety questionnaires. Data were analyzed with a confidence level of 95%.
Results: The mean anxiety score of mothers of children with cancer was 36.36±11.16. The mean anxiety score of mothers of children with other diseases was lower ( 34.65±10.82), based on the t-test statistical test,  but no significant difference was statistically observed between them.
Conclusion: Findings showed that, in general, the average anxiety of mothers in both groups was high (more than 30 out of 54), but there was no significant difference between them regarding the anxiety score.
More studies should be done in different situations and times to more precisely determine the factors affecting the intensity of anxiety of mothers with cancer children .

 

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Introduction: Aging is a period during which the physiological structures and functions of the body gradually decrease and a person experiences a significant decrease in various skills. This study aimed to compare the effect of a selected CawtorneCooksey and Frankel’s exercise course on some physical and movement factors of elderly men with dementia.
Method: This research, semi-experimental and  includes 24 elderly men with dementia, living in Tawheed Golamgan Elderly Care Center of Mashhad, purposefully  based on Examination (MMSE), in to two groups ,  divided. The experimental group performed the selected exercises of Cawtorne Cooksey and Frankel, the control group did not perform any specific exercises during this period. Fullerton test was used to evaluate balance, tandem gate test was used to evaluate coordination, 10-meter walking test was used for walking speed.  used to evaluate the effectiveness of the exercises, and covariance analysis and T at the significance level of P≤0/05 were used.
Results: The results of the paired t-test illustrated that   of the Fullerton advanced balance test (P=0.001), movement coordination (P=0/001), and walking speed (P=0/001) of the experimental group improved after the exercise program, while  did not show improvement in the control group. the results of the analysis of covariance in the pre-test stage did not mark a significant difference between the groups, but in the post-test stage, the scores of the experimental group increased significantly.
Conclusion: It is recommended to use the benefits of these exercises in order to prevent dementia and include in the elderly care programs.


 

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Introduction: Turnover of nurses creates great problems in providing services to and the quality of care regarding patients. Organizational commitment and compatibility between personal and organizational values of nurses reduces turnover intention in nurses. The current research was conducted with the aim of investigating the relationship between organizational commitment and turnover intention, considering the mediating role of personal and organizational values.
Methods: In this descriptive study, the statistical population included nurses working in the hospitals of Tehran Islamic Azad University of Medical Sciences in 2023. 250 people were selected by simple random sampling method and responded to the questionnaires of  Kim et al.'s turnover intention, Allen and Meyer's organizational commitment, Scroggins' person-organization fit, and demographic questionnaires. . In order to analyze data, Pearson's correlation coefficient, bootstrap method, and Sobel's test were used in structural equation modeling with Amos software.
Results: The results of path analysis showed that the direct effect of organizational commitment on personal and organizational value and turnover intention was significant, and the direct effect of personal and organizational values on turnover intention was also significant. Moreover, the indirect effect of organizational commitment on turnover intention was confirmed through the mediation of personal and organizational values.
Conclusion: The findings of the current research show the mediating effect of personal and organizational values on the relationship between the turnover intention and organizational commitment. It is suggested that nursing managers try to formulate intervention strategies to improve organizational commitment and compatibility of personal and organizational values of nurses.

 

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Introduction: Diabetes, as one of the common causes of mortality worldwide, extends beyond physical aspects and can impact psychological and emotional dimensions as well. Therefore, the present research aimed to determine the effectiveness of spiritual therapy on the psychological well-being and self-efficacy of patients with type 2 diabetes in Tehran.
Methods: This study was a semi-experimental research with a pretest-posttest and a three-month follow-up design with a control group. The study population consisted of all the patients with type 2 diabetes who attended treatment centers in Tehran (Masih Daneshvari, Nikan, and the Iranian Diabetes Association) from August to November 2023. Among the patients, 37 were selected using purposive sampling and were randomly assigned to two groups: the experimental group (N=18) and the control group (N=19). The data collection tools included a demographic information form, the standardized Ryff's scale of psychological well-being– short form (Cronbach's alpha= 0/72), and the General Self-Efficacy Scale (Cronbach's alpha= 0/83). Data analysis was conducted using SPSS-21 software. Additionally, given the different stages of measurement (pre-test, post-test, and follow-up), repeated measures ANOVA was used for data analysis.
Results: The results indicated that spiritual therapy led to an increase in psychological well-being (F=132/56, P<0/001) and self-efficacy (F=15/51, P<0/001) in patients with type 2 diabetes. Furthermore, the effect size of spiritual therapy on psychological well-being was 79%, and self-efficacy was 31%, and the sustainability of its effects was observed up to three months after treatment.
Conclusion: The findings suggest the impact of spiritual therapy on enhancing psychological well-being and self-efficacy in patients with type 2 diabetes. Therefore, it is recommended that, in addition to the routine treatment of patients with type 2 diabetes, spiritual therapy be utilized to enhance the psychological well-being of the patients.

 

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Introduction: Marginal immigrants cause many problems in economic, social and cultural, physical ,and environmental aspects of cities. This study aims to investigate the factors affecting migration to Kerman city and the problems of marginalized immigrants using the analytical hierarchy process (AHP) and technique for order of preference by similarity to ideal solution (TOPSIS) models.
Methods: This cross-sectional study was conducted in 2022, with a sample size of 147 households selected from Kerman suburban region. The data were collected by a standardized questionnaire measuring effective factors on the migration and the checklist of the immigrant problems.
Results: The most important immigration factors were economic, social, geographical, political, educational and religious-cultural factors, respectively. Among 37 components studied, transferring the job of the family man as the family head, being on the main  land, air and rail ways, having a special position at the international level, burying the family’s dead members in the desired city, and the education of the wife or one of the children of the family were the most important components. 
According to the results, more than 90% did not have access to public baths, sports facilities, government centers, private institutions, and parks, and recreational spaces.
Conclusion: According to AHP model, economic factors ,and then social factors, were the most important reasons for migrating to the suburbs of Kerman. Therefore, it is suggested to create stable and long-term job opportunities , improve employment and business environment in the cities, and develop infrastructure to control migration to the city capitals.

 

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Introduction: Aging and sedentary lifestyle are associated with a decrease in physical and mental abilities. The purpose of this study is to investigate the effect of eight weeks of selected vestibular exercises on functional balance, walking speed, and quality of life of sedentary elderly men.
Methods: This semi-experimental research was conducted from the winter of 1402 to the summer of 1403 with the participation of 30 sedentary elderly men from Tawheed Golmkan Elderly Care Center in Mashhad. The samples were selected purposefully and based on previous studies (25) and were divided into two experimental and control groups of 15 people. The experimental group performed selected vestibular exercises three sessions a week for eight weeks, while the control group did not perform any exercises. Dynamic comparison test, 10-meter walking speed and short-term life questionnaire were used to evaluate the quality of life. Data analysis was performed using Shapiro-Wilk test, analysis of covariance, and t-test at a significance level of P<0/05.
Results: The results of paired t test showed that dynamic balance (P=0/001), walking speed (P=0/001), and quality of life (P=0/001) of the experimental group improved significantly after the exercise program.  This was while there was no improvement in the control group. The covariance results did not show a significant difference between the groups in the pre-test phase, but there was a significant increase in the scores of the experimental group in the post-test phase.
Conclusion: It is recommended to use exercises to prevent the disabilities of the elderly and improve their quality of independent life.
 

 

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Introduction: Hypertension is one of the most common chronic diseases, which if not properly managed, can lead to not only physical health issues but also reduced psychological well-being and efficiency. Therefore, the aim of the present study was to determine the effectiveness of cognitive-behavioral group therapy on depression and self-efficacy in patients with hypertension.
Methods: The present study was a quasi-experimental intervention, conducted as a pre-test, post-test design with experimental and control groups, and with a 90-day follow-up. The study population consisted of all hypertension patients who referred to healthcare centers in Tehran in 2023, from which 38 subjects were selected through purposive sampling and randomly assigned to experimental and control groups. The data collection tools included a demographic form, the Beck’s Depression Inventory (BDI-II), and the General Self-Efficacy Scale (GSE-17). Data were analyzed using repeated measures ANOVA with a significance level of 0.05, using SPSS-21 software.
Results: Cognitive-behavioral group therapy was effective in reducing depression (F=78/6, P< 0/001) and increasing self-efficacy (F=12/7, P < 0/001) among patients with hypertension. Additionally, the effect size of cognitive-behavioral therapy was 70% for depression and 27% for self-efficacy, with the effects persisting up to three months post-treatment.
Conclusion: The finding indicated that cognitive-behavioral therapy can lead to improvements in depression and an increase in psychological self-efficacy in patients with hypertension. Therefore, this cost-effective and affordable treatment method can be utilized alongside routine treatment (medication) to enhance the psychological well-being of these patients.

 

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Introduction: Chronic kidney disease is a common condition that affects a person's entire life after diagnosis. Self-care using a mobile phone helps to improve the management and ease the disease. This study aims to identify the educational content needed to design a self-care mobile application  for chronic kidney disease patients.
Methods: This applied study was conducted using a descriptive method. The tool used was a researcher-made questionnaire, which was validated for reliability and validity. The study population consisted of nephrologists and general surgeons, from which 25 participants were randomly and purposefully selected from the nephrology clinics of Tehran and Kurdistan University of Medical Sciences. Data analysis was performed using descriptive statistics with SPSS software version 19.
Results: The educational content of the application was organized into three main axes, comprising 28 educational needs: Disease information, including understanding kidney function, stages of disease progression, and early and primary signs and symptoms; medications, encompassing familiarity with prescribed medications, drug interactions, and the importance of accurate and timely medication intake; and lifestyle and personal habits, covering healthy nutrition, weight management, and work-related issues. However, topics such as diagnostic methods, various tests, drug side effects, dietary regimens, nutritional energy tables, and opioid use were not deemed essential.
Conclusion: The educational needs serve as the first step in designing a self-care application for chronic kidney disease education. By defining the technical capabilities and various features of the application, patient awareness and adherence to desirable self-care behaviors will improve.
 

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Introduction: The present study aimed to determine the effectiveness of quality of life therapy (QoLT) on the psychological well-being and social adjustment of breast cancer patients.
Methods:This study was a semi-experimental intervention with a pre-test, post-test, and two-month follow-up in two groups: experimental and control. The study population consisted of all breast cancer patients who were present at Shohadaye Kargar Hospital in Yazd from September to February 2024. From this population, 31 patients were selected through purposive sampling and were randomly assigned to two groups: experimental (N=15) and control (N=16). The data collection tools included a demographic form, the Ryff’s scale of psychological well-being- Short Form (RSPWB-18), and the Social Adjustment Scale (SAS). The data were also analyzed using SPSS-21 software and Chi-square, one-way ANOVA, Kolmogorov-Smirnov test, and repeated measures analysis of variance.
Results:The results indicated that QoLT significantly increased psychological well-being (F=115/70) and social adjustment (F=45/78) in breast cancer patients (P<0/001). Additionally, the effect size of this therapy was high, with 80% for psychological well-being and 61% for social adjustment, and its effects persisted for up to two months after the treatment.
Conclusion:The QoLT has a positive impact on improving the psychological well-being and social adjustment of breast cancer patients. Therefore, it is recommended that alongside routine treatment, QoLT should be utilized to enhance the psychosocial health of breast cancer patients.