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The Importance of Moving Towards Entrepreneur University in Health Section 卫生部门向创业型大学迈进的重要性
Pub Date : 2022-10-16 DOI: 10.18502/jchr.v11i3.10864
M. Khayatan, Vali Bahrevar, S. Hosseini
The article abstract is not available.
没有文章摘要。
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引用次数: 0
Comparison of the Quality of Life of Addicts Participating in Either Narcotics Anonymous or, Therapeutic Community Group Sessions or Receiving Methadone-Therapy a Cohort Study in Mashhad in 2013 2013年在马什哈德参加麻醉品匿名或治疗性社区小组会议或接受美沙酮治疗的成瘾者的生活质量比较
Pub Date : 2022-10-16 DOI: 10.18502/jchr.v11i3.10868
Hamid Bazazkahani, A. S. Moghaddam, S. Vaghee, Andishe Hamedi
Introduction: Chronic and prolonged illnesses and disorders, such as addiction, can create a crisis in the lives of people with disabilities and reduce in their quality of life. Therefore, in this study, we decided to compare the quality of life of individuals with substance use disorders (SUD) who received either Narcotics Anonymous, Therapeutic Community Session or Methadone Therapy. Methods: This cohort study was conducted on detoxified patients receiving either narcotics anonymous, therapeutic community sessions or methadone therapy. The quality of life of the subjects was measured by the SF36 Questionnaire at the baseline and 1.5 months after the start of treatment. Descriptive indicators (mean (SD), frequency (%)), ANOVA, paired t-test, Chi-square and Tukey post hoc analysis test were used for data analysis . Data were analyzed in SPSS19 software at the significance level of P< 0.05. Results:  Overall,81 patients were enrolled in three groups of 27 people. The mean ± SD of age was obtained as 34.77±8.49 years old, years of consumption as 7.48±2.87, daily consumption frequency as 3.85±2.14, and cessation of consumption frequency as 7.02±10.56. Of those who participated in the study, 57.5% had secondary school education or higher; 50.6% had a freelance job, and 14.9% were unemployed. The mean  (SD) score of quality of life among individuals with SUD participating in the sessions of narcotics anonymous (85.7) and therapeutic community group (73.3) increased significantly 1.5 months after the start of the sessions compared to the baseline (P <0.001 ). Conclusion: The results of this study indicated narcotics anonymous and therapeutic community group sessions were effective in improving the quality of life of individuals with SUD. However, this effect was greater in those attending narcotics anonymous sessions. Therefore, it is suggested that individuals with SUD participate in these sessions.
引言:成瘾等慢性和长期疾病和障碍会给残疾人的生活带来危机,降低他们的生活质量。因此,在这项研究中,我们决定比较接受匿名麻醉品、治疗社区会议或美沙酮治疗的物质使用障碍(SUD)患者的生活质量。方法:本队列研究对接受匿名戒毒、社区治疗或美沙酮治疗的戒毒患者进行。受试者的生活质量在基线和治疗开始后1.5个月通过SF36问卷进行测量。数据分析采用描述性指标(平均值(SD)、频率(%))、方差分析、配对t检验、卡方检验和Tukey事后分析检验。数据采用SPSS19软件进行统计学处理,差异有统计学意义(P<0.05)。结果:总共有81名患者被分为三组,每组27人。年龄的平均±SD为34.77±8.49岁,消费年限为7.48±2.87,每日消费频率为3.85±2.14,停止消费频率为7.02±10.56。在参与研究的人中,57.5%的人受过中学或以上教育;50.6%的人从事自由职业,14.9%的人失业。与基线相比,参与麻醉匿名组(85.7)和治疗社区组(73.3)治疗的SUD患者的生活质量平均(SD)得分在治疗开始1.5个月后显著增加(P<0.001)。结论:本研究结果表明,毒品匿名和治疗社区小组会议在提高SUD患者的生活质量方面是有效的。然而,这种影响在那些参加毒品匿名会议的人中更大。因此,建议SUD患者参加这些会议。
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引用次数: 1
The Survey of Presenting New Health Services to Middle-aged Population in Health Transformation Plan: a Qualitative Study 卫生转型计划中向中年人群提供新型卫生服务的调查:一项定性研究
Pub Date : 2022-10-16 DOI: 10.18502/jchr.v11i3.10874
Mohammad Reza Aalaei Ardakani, S. Hessam, M. Vakili
Introduction: Providing health services to middle-aged people is of special importance due to the large population, productivity, and the impact of health behaviors of this age group on various aspects of family health. The purpose of this study is to evaluate the provision of middle-aged health services. Methods: This was a qualitative   study performed in 2017 in   comprehensive health centers of Yazd city. Central part of Iran. Sixty two individuals (specialists, general practitioners and experts) providing health services in comprehensive health centers were selected through targeted sampling . Interviews were done with a semi-structured individualized method. Questions were asked in the following domains: weaknesses and strengths and recommendations about the method of providing services and its content. Results: According to the results, 15 weak points and 5 strong points in the method of providing services, and 8 strong points and 7 weak points about the content of health service packages and 17 recommended mechanisms about the improvement of the providing services and 11 recommended mechanisms about improvement of the content of packages were extracted. The main weak points in providing services were such as not observing referring system, lack of insurance coverage for some services, problems in Integrated Health Record System. The weak points of the packages of health services for middle-aged people were as lack of predicting the service packages for levels 2 and 3, repetition of the questions in evaluation, and low attention to social health and traditional medicine. Conclusion: Concentrating on the improvement of the service providing and the contents of the packages of new health services by utilizing presented recommendations according to professional viewpoints of health service providers helps improve health level in this age group and increase the efficiency in the middle-aged people.
引言:由于人口众多,生产力高,以及这个年龄段的健康行为对家庭健康各方面的影响,为中年人提供健康服务具有特别重要的意义。本研究的目的是评估中年保健服务的提供。方法:采用2017年在亚兹德市综合卫生中心开展的定性研究。伊朗中部地区。通过有针对性的抽样,选择了62名在综合保健中心提供保健服务的个人(专家、全科医生和专家)。访谈采用半结构化的个性化方法。在下列领域提出了问题:弱点和长处以及关于提供服务的方法及其内容的建议。结果:根据结果,提取出服务方式的15个短板和5个优点,卫生服务包内容的8个优点和7个缺点,以及服务提供改进机制的17个建议机制和包内容改进机制的11个建议机制。提供服务的主要短板是不遵守转诊制度、部分服务缺乏保险覆盖、综合病案系统存在问题。中年人保健服务套餐的不足之处是缺乏对2级和3级服务套餐的预测,评价问题重复,对社会卫生和传统医学的重视程度较低。结论:根据卫生服务提供者的专业观点,利用提出的建议,重点改进服务提供和新卫生服务包的内容,有助于提高该年龄组的健康水平,提高中年人的工作效率。
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引用次数: 0
Infodemic and Public Health: A Cross-Sectional Study on the Influence of Infodemic on the Perception and Willingness to Take the COVID – 19 Vaccine in Delta State, Nigeria. Infodemic与公共卫生:尼日利亚德尔塔州Infodemic对接种新冠肺炎疫苗的感知和意愿影响的横断面研究。
Pub Date : 2022-10-16 DOI: 10.18502/jchr.v11i3.10871
EGUN, Nkonyeasua Kingsley, Igborgbor Jude Chukwuemeke
Introduction: The rollout of COVID-19 vaccine in response to the COVID-19 pandemic has been accompanied by infodemic. This study ascertained the influence of infodemic on individuals’ willingness to be vaccinated for increased vaccine coverage in Delta State. Methods: In this cross-sectional study, 2500 respondents across the twenty five Local Government Areas in Delta State, with age of at least 15 years were selected using stratified random sampling to provide an appropriate demographic representation. A researcher – made questionnaire including demographic characteristics and questions related to participants' knowledge and attitude regarding COVID-19 vaccine was used. Descriptive Statistics of Frequency (Percentage) was used for data analysis using Microsoft Excel software version 2016. Results: Demography of respondents showed that secondary education was highest (43%), while 50% of the respondents were urban dwellers. 80.44% of the respondents admitted to the existence of the virus, while 45.84% admitted to its existence in Delta State. 27.68% of the respondents were willing to take the COVID-19 vaccine; while 58.08% declined. 63% of respondents had access to social media; and majority of them (52%) admitted to not verifying health information seen on social media with medical experts. Majority of the respondents willing to take the vaccine were aged 45 to 60 years (42.37%); reside in urban areas, have tertiary education, access to social media; and often verified health information with medical experts. Infodemic about the COVID-19 vaccine and lack of trust in the government were identified as the major debilitating factors to the public acceptance of the vaccine. Conclusion: Improving  COVID-19 vaccine coverage in Delta State requires a holistic approach of combating misinformation about the vaccine,, regulation of health information shared on the social media space, and criminalizing the act of infodemic.  
简介:为应对新冠肺炎大流行,新冠肺炎疫苗的推出伴随着信息传播。这项研究确定了信息传播对德尔塔州增加疫苗覆盖率的个人接种意愿的影响。方法:在这项横断面研究中,采用分层随机抽样的方法,从三角洲州25个地方政府地区的2500名年龄至少为15岁的受访者中选出,以提供适当的人口代表性。使用研究人员制作的问卷,包括人口统计学特征和与参与者对新冠肺炎疫苗的知识和态度相关的问题。频率描述性统计(百分比)用于使用Microsoft Excel软件版本2016进行数据分析。结果:受访者的人口统计显示,中等教育程度最高(43%),而50%的受访者是城市居民。80.44%的受访者承认病毒的存在,而45.84%的受访者承认在三角洲州存在病毒。27.68%的受访者愿意接种新冠肺炎疫苗;下降58.08%。63%的受访者可以使用社交媒体;他们中的大多数人(52%)承认没有与医学专家核实社交媒体上的健康信息。大多数愿意接种疫苗的受访者年龄在45至60岁之间(42.37%);居住在城市地区,受过高等教育,可以使用社交媒体;并经常与医学专家核实健康信息。关于新冠肺炎疫苗的信息和对政府缺乏信任被确定为公众接受疫苗的主要削弱因素。结论:提高新冠肺炎疫苗在三角洲州的覆盖率需要采取全面的方法,打击有关疫苗的错误信息,监管社交媒体空间上共享的健康信息,并将信息传播行为定为犯罪。
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引用次数: 0
How Do Non-Communicable Diseases Increase COVID-19 Deaths? 非传染性疾病如何增加COVID-19死亡人数?
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9991
Moslem Taheri Soodejani, Mohammad Mohammadi Abnavi, M. Lotfi
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
Factors Regarding Adherence to Medication in Patients with Hypertension Based on Health Belief Model in the South of Kerman, Iran, in 2019 2019年伊朗克尔曼南部基于健康信念模型的高血压患者服药依从性因素
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9995
Abbas Zangiabadi, Armita Shah Esmaili, Seyed Vahid Ahmady Tabatabaei, Ehsan Movahed, Hamideh SHhankestani
Introduction: Hypertension is the most important public health problem in developing countries. This study aimed to investigate factors associated with medication adherence of  hypertension based on the health belief model. Method: This was an analytical cross-sectional study. In this study, 403 hypertensive patients in Shahdad and Andoohjerd of  Kerman were selected by census method. Data collection tools were a researcher-made questionnaire including the Health Belief Model (HBM) and Moriskyself-report questionnaire. Cronbach alph was 0.9. Then the data were analysed by SPSS vesrsion 24 and the significance level was P< 0.05. mean (SD), Frequency (percent) used to descriptive statistics and two Independent sample  t-test, Mann-Whitney U test and Binary Logistic Regression were used for data analysis. All statistical analysis were done in SPSS 19 with significant level of 5 %. Results: More than half of the patients (57.1%) had poor medication adherence. Most of the subjects (84.1%) used less than three drugs. Chi square test results showed a significant relationship between drug compliance and age group, education and job  results of  multiple logistic regression showed, three factors of awareness (OR=1.116, p =0.016), cues to action (OR=0.68, p =0.030)  and perceived barriers (OR=0.83, p=<0.001) had significant effect on Medication Adherence . Conclusion: Effective interventions based on the health belief model and with emphasis on raising awareness, practicing guide and removing perceived barriers can increase medication adherence in patients with hypertension.  
高血压是发展中国家最重要的公共卫生问题。本研究旨在基于健康信念模型探讨高血压患者药物依从性的相关因素。方法:这是一项分析性横断面研究。本研究采用人口普查方法,在克尔曼的沙赫达德和安多赫贾德选取403例高血压患者。数据收集工具为研究者自编问卷,包括健康信念模型(HBM)和morisky自我报告问卷。Cronbach alpha为0.9。采用SPSS 24版对数据进行分析,显著性水平为P< 0.05。均数(SD)、频率(百分比)采用描述性统计,两独立样本t检验、Mann-Whitney U检验和二元Logistic回归进行数据分析。所有统计分析均采用SPSS 19进行,显著性水平为5%。结果:半数以上(57.1%)患者用药依从性差。大多数受试者(84.1%)使用少于3种药物。卡方检验结果显示,药物依从性与年龄、学历、工作成绩有显著关系,多元logistic回归结果显示,意识(OR=1.116, p= 0.016)、行动提示(OR=0.68, p= 0.030)、感知障碍(OR=0.83, p=<0.001)三个因素对药物依从性有显著影响。结论:以健康信念模型为基础,以提高认识、实践指导和消除认知障碍为重点的有效干预措施可提高高血压患者的药物依从性。
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引用次数: 1
Strategies and Challenges for Managing Human Influenza in the Iranian Hospitals: A Qualitative Study in Yazd Province 伊朗医院管理人类流感的策略和挑战:亚兹德省的定性研究
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.10001
Sajjad Bahariniya, Milad Shafii, F. Madadizadeh, Mohammad Sharif Yazdi
Introduction: Influenza virus is one of the deadliest viruses that has threatened the human population over the years. Every year, organizations and hospitals must be prepared to deal with the disease and treat people with the flu and be able to manage the disease in the hospital. The aim of this study was to identify hospital management strategies for human influenza in Yazd province, central part of Iran. Methods: This study was a qualitative study with inductive conventional approach. A total of 14 main hospitals in Yazd province were surveyed in 2021. The study population included heads and managers of hospitals, nurses, educational and clinical supervisors, metrons, officials of the quality improvement office and the infection Control Committee. Participants were selected using snowball sampling method. Semi structured interviews were used to collect data. The sample size in this study was up to information saturation. Content analysis method was used to analyze the data. Results: Using the opinions and views of 38 managers and officials of selected hospitals  in Yazd province, data saturation was obtained. The most important tasks of the hospital management in terms of influenza control and management were divided into 5 areas (field measures, support, training, awareness, protection and measures in the field of human resources). The major challenges   regarding the influenza control and management were classified into 3 areas: hospital (health), macro (university, provincial, national and Ministry of  Health guidelines) and community level. Finally, the most important solutions and suggestions were categorized in these 3 key areas. Conclusion: Based on the categorized challenges and problems, as well as the classification of the most important strategies and suggestions, useful action can be taken to the control and management of influenza, both at the hospital level and in the community, in Iranian hospitals especially in Yazd province.
简介:流感病毒是多年来威胁人类的最致命的病毒之一。每年,组织和医院都必须做好应对这种疾病和治疗流感患者的准备,并能够在医院管理这种疾病。本研究的目的是确定伊朗中部亚兹德省人类流感的医院管理策略。方法:采用常规归纳法进行定性研究。2021年,亚兹德省共有14家主要医院接受了调查。研究人群包括医院负责人和管理人员、护士、教育和临床主管、地铁、质量改进办公室和感染控制委员会的官员。参与者采用滚雪球抽样法进行选择。采用半结构化访谈收集数据。本研究的样本量达到了信息饱和。采用内容分析法对数据进行分析。结果:利用亚兹德省选定医院的38名管理人员和官员的意见和观点,获得了数据饱和。医院管理在流感控制和管理方面最重要的任务分为5个领域(实地措施、支持、培训、意识、保护和人力资源领域的措施)。流感控制和管理方面的主要挑战分为3个领域:医院(卫生)、宏观(大学、省、国家和卫生部指南)和社区层面。最后,将最重要的解决方案和建议分为这3个关键领域。结论:根据挑战和问题的分类,以及最重要的策略和建议的分类,可以在医院和社区,特别是在亚兹德省的伊朗医院,对流感的控制和管理采取有用的行动。
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引用次数: 0
Patients' knowledge and attitude regarding Dental Implants 患者对种植牙的认知和态度
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9998
F. Rashidi Maybodi, Masoud Shayeghi
Introduction: The more informed a patient about a treatment, the better the obtained outcome. The aim of this study was to evaluate the knowledge and attitude of the patients regarding dental implants and determine the sources of information and also the accuracy of received information. Methods: In this cross-sectional study, 246 participants with the age of at least 20 years, were randomly selected. A researcher-made questionnaire including demographic characteristics and questions related to participants' knowledge and attitude was used. Data were analyzed by SPSS.23 and p -value less than 0.05 was considered as statistically significant. Results: The mean score of the participants ' knowledge on dental implants was 8.08 ± 2.12 out of 12. The primary main source of patients for getting information was friends and acquaintances (32.9%), followed by dentists (26.8%). The level of knowledge was higher in younger (P-value: 0.00) and educated ones (P-value: 0.00) and in those who had insurance coverage (P-value: 0.012). The main reason for not choosing implant treatment in 58.9% of participants was high costs. There was no relationship between gender (P-value: 0.55) and monthly income of patients (P-value: 0.09) with their level of knowledge. The results revealed that knowledge level of the participants about durability of implants, possible negative points of choosing this treatment, location of placement, body material, types of implant-based treatments, probable complications after treatment and health cares needed for dental implant was low; Therefore, it seems necessary to improve the level of information of participants and to correct their information sources.
患者对治疗的了解越多,获得的结果就越好。本研究的目的是评估患者对种植牙的知识和态度,确定信息的来源和接收信息的准确性。方法:在横断面研究中,随机选择年龄在20岁以上的246名参与者。问卷由研究者自行制作,包括人口学特征和与参与者的知识和态度相关的问题。数据采用SPSS.23进行分析,p值< 0.05为有统计学意义。结果:受试者对种植体知识的平均得分为8.08±2.12分(满分12分)。患者获取信息的主要来源是朋友和熟人(32.9%),其次是牙医(26.8%)。年轻人(p值:0.00)、受过教育的人(p值:0.00)和有保险的人(p值:0.012)的知识水平较高。58.9%的参与者不选择种植体治疗的主要原因是费用高。患者的性别(p值:0.55)和月收入(p值:0.09)与患者的知识水平没有关系。结果显示,被调查对象对种植体的耐久性、选择这种治疗的可能缺点、放置位置、体材料、种植体治疗类型、治疗后可能出现的并发症和种植体所需的保健知识水平较低;因此,有必要提高参与者的信息水平,并纠正他们的信息来源。
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引用次数: 0
The Necessity of Paradigm Shift in Iran's Health System to Achieve Comprehensive Health in Iranian Society 伊朗卫生系统模式转变的必要性,以实现伊朗社会的全面健康
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9992
Mohamad Ezati Asar, M. Khosravi
The Article Abstract is not available.  
文章摘要不可用。
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引用次数: 0
Promoting Community Health by Applying a New Technique(fMRI) to Treat Neurological Diseases in the Health System 应用新技术(fMRI)治疗卫生系统中的神经系统疾病促进社区健康
Pub Date : 2022-07-06 DOI: 10.18502/jchr.v11i2.9990
Mohammadreza Ghaneapur, F. Madadizadeh, elahe saleh
The Article Abstract is not available.
文章摘要不可用。
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引用次数: 0
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Journal of Community Health Research
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