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The effectiveness of grief coping training in a group way in improving the experience of grief caused by covid-19 in women of Yazd city 小组悲伤应对培训在改善亚兹德市妇女covid-19悲伤体验中的效果
Pub Date : 2023-05-24 DOI: 10.18502/tbj.v22i1.12777
M. Kalantari, Hassan Zareei Mahmood Abadi, Najmah Sedrpoushan
Introduction: The high prevalence of the Covid-19 disease and its rapid infection, the imposition of restrictions, and the high mortality had many negative effects on the psychological and social aspects of bereaved families. The aim of this study was to evaluate the effectiveness of group counseling to deal with grief caused by Covid-19 regarding mournful women in Yazd. Methods: This was a quasi-experimental study with a pretest-posttest design and a control group. The statistical population consisted of women with grief experience over losing their husbands due to Covid-19 in 2021. Through available sampling method, 30 participants were selected and randomly divided into experimental and control groups. Data was collected through Grief Experience Questionnaire (GEQ) by Barrett and Scott (1998). Moreover, the package of confrontation with mourning, a lived experience of mourning women in Yazd (Kalantari et al., 2021), was performed on the experimental group for ten 90-minute sessions. Covariance with repeated measurements and SPSS version 26 software were used in data analysis. Results: The research findings showed that the average score of grief experience in the experimental group was significantly lower than control group in posttest droup (p<0.001). Group training and intervention program could improve mourning experience in the experimental group compared to the control group in bereaved women. Conclusion: Educational intervention based on lived experience of mourning women in Yazd can be used as one of the effective methods to improve mourning experience.
新型冠状病毒病的高流行率和快速感染、限制措施的实施以及高死亡率对死者家属的心理和社会方面产生了许多负面影响。本研究的目的是评估小组咨询对亚兹德悲伤妇女处理Covid-19造成的悲伤的有效性。方法:准实验研究,采用前测后测设计,并设对照组。统计人口是2021年因新冠肺炎失去丈夫的悲伤经历的女性。通过现有的抽样方法,选取30名参与者,随机分为实验组和对照组。数据由Barrett和Scott(1998)通过悲伤体验问卷(GEQ)收集。此外,还对实验组进行了10次90分钟疗程的哀悼对抗,这是亚兹德哀悼妇女的生活经历(Kalantari et al., 2021)。数据分析采用重复测量协方差法,采用SPSS version 26软件。结果:研究结果显示,实验组的悲伤体验平均分在测试后显著低于对照组(p<0.001)。实验组与对照组相比,团体训练与干预方案能改善丧亲妇女的哀悼体验。结论:基于亚兹德地区服丧妇女生活经验的教育干预是改善服丧妇女生活经验的有效方法之一。
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引用次数: 0
Identifying dimensions and components affecting the financial knowledge and skills required by hospital managers by using the phenomenological approach 通过使用现象学方法确定影响医院管理人员所需财务知识和技能的维度和组成部分
Pub Date : 2023-05-24 DOI: 10.18502/tbj.v22i1.12783
H. Ranjbar, Mahmood Moeinaddin, Frogh Heirani
Introduction: At the global level, the provision of health services even in the smallest units is complicated, and organizations providing health services are facing various challenges, including the increase in care costs and the reduction of health and treatment fund. The purpose of this research is to identify effective dimensions and components in the formation of financial knowledge and skills needed by hospital managers. Methods: Based on the exploratory approach, this research was conducted qualitatively through phenomenological method. In terms of the result, it is among developmental studies. Necessary analyses were done using the 7-step Colaizzi technique and with the help of Max Kyuda software. Purposive sampling method was used, and data was collected through interviews with 10 financial experts of Iranian hospitals in 1400. Then, data were analyzed, and finally, dimensions and components were extracted. Results: The main components in determining the financial knowledge of hospital managers included basic information related to financial flow, hospital financing system, financial management and funding, basic accounting and financial information, auditing, management accounting and evaluation, legal and regulatory frameworks in the Islamic Republic of Iran, the payment system, and financial incentives and contracts. In a nutshell, 145 key concepts were extracted. Conclusion: According to the results of the research, it is necessary to compile appropriate topics and develop educational resources to improve the financial knowledge and skills of hospital managers. It is necessary to prepare and formulate a suitable tool to measure knowledge and financial skills of hospital managers and determine their strengths and weaknesses for the purpose of targeted training and also as one of the requirements for the selection of hospital managers. It is recommended to periodically train the managers of the organization by holding in-service training courses.
导言:在全球一级,即使在最小的单位提供保健服务也是复杂的,提供保健服务的组织面临各种挑战,包括护理费用增加和保健和治疗基金减少。本研究的目的是找出医院管理人员所需财务知识和技能形成的有效维度和组成部分。方法:在探索性研究的基础上,运用现象学方法进行定性研究。就结果而言,它属于发展性研究。在Max Kyuda软件的帮助下,使用Colaizzi七步法进行必要的分析。采用目的抽样方法,通过对10名伊朗医院财务专家1400人的访谈收集数据。然后对数据进行分析,最后提取维度和成分。结果:决定医院管理人员财务知识的主要组成部分包括与财务流程、医院融资制度、财务管理和资金、基本会计和财务信息、审计、管理会计和评估、伊朗伊斯兰共和国的法律和监管框架、支付制度、财务激励和合同相关的基本信息。简而言之,抽取了145个关键概念。结论:根据研究结果,有必要编写适当的主题,开发教育资源,以提高医院管理人员的财务知识和技能。准备和制定合适的工具来衡量医院管理人员的知识和财务技能,确定其优势和劣势,这是有针对性的培训,也是医院管理人员选拔的要求之一。建议定期举办在职培训课程,对组织的管理人员进行培训。
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引用次数: 0
Designing and Validating a Model for Retaining Doctors and Specialists in Deprived Areas of the Country: A Mixed Approach 设计和验证在国家贫困地区保留医生和专家的模式:一种混合方法
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12295
Ahad Norouzzadeh
Introduction: One of the major challenges of the health system is the limited access of people in deprived areas to healthcare services. This is because the doctors and specialists do not stay there for long. This research also aims to design a model for retaining doctors and specialists in deprived areas of the country. Methods: This research was exploratory in terms of purpose and descriptive in terms of type. It was a field study conducted in two qualitative and quantitative stages in 2022. In the first stage, 20 doctors and specialists from deprived areas in the northwest of the country were selected through purposive sampling using the chain-referral method (snowball sampling).  In the second stage, 200 doctors working in universities of medical sciences in northwestern provinces were randomly selected. For analysis, content analysis method and Atlas-ti and Smart PLS were used. Results:Based on the findings, the following contents were identified as the components and indicators of retaining doctors and specialists in deprived areas of the country; employment with 6 indicators, financial support with 3 indicators, social with 5 indicators, policy-making with 4 indicators, motivation with 7 indicators, professional and career improvement with 7 indicators, management and systematic factors with 5 indicators, and finally, mental and psychological factors with 3 indicators. Conclusion: The "social" component with a path coefficient of 0.921 had the highest coefficient, and "management and systematic factors" component with a value of 0.722 had the lowest coefficient in the designed model.
卫生系统面临的主要挑战之一是贫困地区的人们获得卫生保健服务的机会有限。这是因为医生和专家不会在那里呆太久。这项研究还旨在设计一种模式,以便在该国贫困地区留住医生和专家。方法:本研究目的为探索性研究,类型为描述性研究。这是一项于2022年分定性和定量两个阶段进行的实地研究。在第一阶段,通过链式转诊法(滚雪球抽样)有目的抽样,从该国西北部贫困地区选出20名医生和专家。第二阶段随机抽取200名西北省份医学院校的医生。分析采用内容分析法,并采用Atlas-ti和Smart PLS。结果:根据调查结果,确定了以下内容为我国贫困地区留住医生和专科医生的组成部分和指标;就业(6个指标)、财政支持(3个指标)、社会(5个指标)、决策(4个指标)、动机(7个指标)、专业和职业发展(7个指标)、管理和系统因素(5个指标)、精神和心理因素(3个指标)。结论:在设计的模型中,“社会”成分的通径系数最高,为0.921,“管理与系统因素”成分的通径系数最低,为0.722。
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引用次数: 0
Investigating of knowledge, attitude and performance of the people of Lorestan province regarding the follow of personal and environmental hygiene to prevent of covid-19 洛雷斯坦省民众对个人和环境卫生预防covid-19的知识、态度和表现的调查
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12292
M. Adiban, Yaser Mahaki, A. Mirzaei, Zainab Gholami, Javad Zabihi Rad
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.
新冠肺炎大流行给各国带来了各种挑战,包括卫生挑战。因此,本研究旨在调查洛雷斯坦省人民对个人和环境卫生预防Covid-19的知识、态度和表现。方法:采用横断面研究的方法,于2022年对洛累斯坦省337人进行随机抽样调查。数据收集工具为研究者设计的经效度和信度确认的知识、态度和绩效问卷。数据分析采用SPSS19软件及T-Test、ANOVA和Pearson检验。结果:女性占59.9%,平均年龄29.20±8.16岁,男性平均年龄32.75±8.81岁。平均知识、态度和表现得分为1.54±。29日,3.16±。47和4.19±。96年前瞻性。Pearson检验表明,知识、态度和绩效之间存在显著的统计学关系。结论:根据研究结果,知识、态度和绩效得分均高于平均水平,因此,为了预防和控制Covid-19疾病,需要加强培训,不断提高知识和态度。
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引用次数: 0
Knowledge, attitude and practice of caregiver of the elderly with Alzheimer's regarding this disease in Yazd city, 1400 1400年亚兹德市老年痴呆症护理人员对该病的知识、态度和做法
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12298
Seied Saeed Mazloomy Mahmoodabad, Seied Shahab kamaladdini, Seied Mohammad Bagher Kamaladdini
Introduction: Along with the increase in the elderly population, caring for the elderly with Alzheimer's disease has become a challenge in the field of their health and well-being. Also, the need for caregivers is increasing due to the lengthening of the care period. Considering that the nurses of Alzheimer's patients play the main role in providing services to the elderly, the present study was conducted with the aim of determining the state of knowledge, attitude and practice of the caregiver of elderly Alzheimer's patients in Yazd city. Methods: This study was descriptive. The sample size was 60 caregiver of elderly people with Alzheimer's disease in Yazd city. The sampling method in this study was based on the vailability of statistical research and consulting facilities. The data collection tool in this study was a four-part questionnaire (demographic, knowledge, attitude and practice) that was used in a similar study. Data were analyzed with spss24 software and using descriptive statistics as well as t-test and Anova. Results: The average age score of nurses was 62.73 ± 11.78. The average score of knowledge, attitude and practice of elderly caregiver were 21.58 ± 1.87, 35.65 ± 2.84 and 12.57 ± 1.28, respectively. The data showed that there is a significant relationship between the knowledge score and family ratio and previous experience of care. Also, there is a significant relationship between attitude score and previous care experience (P≤0.05). Conclusion: Considering the importance of caregivers' knowledge of the phenomenon of aging and Alzheimer's disease, it is suggested to provide appropriate training to improve the knowledge and change the attitude of caregivers of the elderly in order to improve the quality and provide better and more suitable services for the elderly.
导语:随着老年人口的增加,老年痴呆症患者的护理已成为老年人健康和福祉领域的一个挑战。此外,由于护理期的延长,对护理人员的需求也在增加。鉴于阿尔茨海默病患者护理人员在为老年人提供服务中发挥着主要作用,本研究旨在了解亚兹德市老年阿尔茨海默病患者护理人员的知识、态度和行为状况。方法:本研究为描述性研究。样本量为亚兹德市老年痴呆症患者的60名护理人员。本研究的抽样方法是基于统计研究和咨询设施的可用性。本研究的数据收集工具是在类似研究中使用的四部分调查问卷(人口统计,知识,态度和实践)。数据分析采用spss24软件,采用描述性统计、t检验和方差分析。结果:护士平均年龄得分为62.73±11.78。老年护理人员的知识、态度和行为平均得分分别为21.58±1.87分、35.65±2.84分和12.57±1.28分。数据显示,知识得分、家庭比例与护理经历之间存在显著的相关关系。态度得分与既往护理经历有显著相关(P≤0.05)。结论:考虑到护理人员对衰老现象和阿尔茨海默病知识的重要性,建议通过适当的培训来提高老年人护理人员的知识,改变他们的态度,以提高护理质量,为老年人提供更好、更适合的服务。
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引用次数: 0
Prediction of Homesickness Based on Maladaptive Schemas, Psychological Flexibility, and Social Desirability among Medical and Paramedical Female Students in Dormitories in Shahid Sadoughi University of Medical Sciences in 2022 基于适应不良图式、心理灵活性和社会期望的2022年沙希德·萨杜吉医科大学医、医女学生宿舍思乡情绪预测
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12293
F. Demehri, Azade Abooei, Maryam Jalayer
Introduction: Being away from anything familiar, stable, comfortable, or positive can lead to a sense of homesickness. This study aims to predict homesickness based on maladaptive schemas, psychological flexibility, and social desirability in female students residing in dormitories of Shahid Sadoughi University of Medical Sciences. Methods: This was a cross-sectional and descriptive-correlational study. The statistical population comprised all the female students residing in dormitories of Shahid Sadoughi University of Medical Sciences in 2022. The sample included 125 students selected using convenience sampling method. The students filled out the following questionnaires: the Utrecht Homesickness Scale, the Young Schema Questionnaire, the Cognitive Flexibility Inventory, and the Marlowe Crowne Social Desirability Scale. Data were analyzed using Pearson's correlation test and multiple regression. Results: According to the findings, psychological flexibility and social desirability significantly and negatively (p<0.05) predicted homesickness. Furthermore, schema of mistrust, social isolation, defectiveness, emotional deprivation, dependence, vulnerability, an underdeveloped self, failure, entitlement, insufficient self-control, subjugation, emotional inhibition, and unrelenting standards significantly and positively predicted homesickness in the students (p<0.05). Conclusion: It can be concluded that homesickness among dormitory students can be predicted through their maladaptive schemas, and perception of social desirability.
远离熟悉的、稳定的、舒适的或积极的事物会导致想家的感觉。本研究旨在以沙希德·萨杜吉医科大学女生宿舍为研究对象,从适应不良图式、心理弹性和社会期望三个方面预测思乡情绪。方法:这是一个横断面和描述性相关研究。统计人口包括2022年沙希德·萨杜吉医科大学宿舍的所有女学生。样本采用方便抽样法抽取125名学生。学生填写了《乌得勒支乡情量表》、《青年图式量表》、《认知灵活性量表》和《马洛·克朗社会期望量表》。数据采用Pearson相关检验和多元回归分析。结果:心理弹性和社会期望显著负向预测乡愁(p<0.05)。此外,不信任、社会孤立、缺陷、情感剥夺、依赖、脆弱、自我欠发达、失败、权利、自我控制不足、征服、情绪抑制和不宽容标准等图式显著正向预测学生的乡愁(p<0.05)。结论:宿舍生的思乡情绪可以通过适应不良图式和社会期望感知来预测。
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引用次数: 0
Investigating the Level of Happiness and the Associated Job Factors: A Cross-Sectional Study among Hospital Staff 医院员工幸福感水平与相关工作因素的横断面研究
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12297
Bahare Ayaz Nejad, M. Mirmohammadkhani, Kamyar Mansori, Daryoush Pahlevan
Introduction: Mental health of the medical staff as care providers has a significant impact on the quality of service delivery. Accordingly, happiness is considered one of the important components of mental health. Considering the importance of mental health for medical staff, especially during COVID19, the present study is designed and carried out with the aim of investigating the level of happiness and associated job factors among hospital staff. Methods: This was a cross-sectional and analytical study conducted on 280 people from the teaching, research and treatment staff of Kowsar hospital in Semnan through census in 2019. To collect data, a checklist including demographic and occupational variables was used along with Oxford Happiness Questionnaire by Hills and Argyle (2002). After that, relevant data were analyzed through SPSS26 software.  Results: The mean and standard deviation regarding age of the personnel were 53.53 ± 8.09,  62.1% of whom were women. 47.5% were in low status, and only 10% were in high status in terms of happiness score distribution. People in the age group of 51 to 60 (P >0.001), PhD graduates (P<0.001), working doctors (P<0.001), official workers (P=0.008), personnel with fixed work shifts (P <0.001), personnel who do not need to work overtime (P =0.044), people with good interaction with colleagues (P <0.001), and employees with good job satisfaction (P<0.001), had a good or excellent happiness status. Conclusion: Most of the medical personnel working in the hospital did not have an optimal level of happiness; therefore, it is recommended that authorities design and implement programs to improve the level of happiness by focusing on the related factors.
导言:医务人员作为护理提供者的心理健康状况对提供服务的质量有重大影响。因此,快乐被认为是心理健康的重要组成部分之一。考虑到心理健康对医务人员的重要性,特别是在covid - 19期间,本研究的设计和开展旨在调查医院工作人员的幸福水平和相关工作因素。方法:采用横断面分析方法,通过2019年人口普查,对Semnan市Kowsar医院的教学、科研和治疗人员280人进行调查。为了收集数据,hill&argyle(2002)使用了包含人口统计和职业变量的清单以及牛津幸福问卷。之后,通过SPSS26软件对相关数据进行分析。结果:调查人员年龄的均值和标准差为53.53±8.09,其中女性占62.1%。从幸福得分分布来看,47.5%的人处于低地位,只有10%的人处于高地位。51 ~ 60岁人群(P >0.001)、博士毕业生(P<0.001)、在职医生(P<0.001)、公务人员(P=0.008)、固定班次人员(P<0.001)、不需要加班的人员(P= 0.044)、与同事互动良好的人员(P<0.001)、工作满意度良好的员工(P<0.001)的幸福感状态为良好或极好。结论:大部分在医院工作的医务人员幸福感水平不佳;因此,建议当局通过关注相关因素来设计和实施提高幸福水平的计划。
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引用次数: 0
Investigation and comparison of depression, anxiety, and stress among hemodialysis and kidney transplant patients during the covid-19 pandemic covid-19大流行期间血液透析和肾移植患者抑郁、焦虑和压力的调查与比较
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12291
Rasool Solaimani Moghaddam, T. Baloochi Beydokhti
Introduction: Due to the spread of COVID-19, hemodialysis patients experience substantial stress and anxiety regarding post-treatment care after hemodialysis and kidney transplants.  This study aims comparison of depression, anxiety, and stress among hemodialysis and kidney transplant patients during the COVID-19 pandemic. Methods:The statistical population of this descriptive-cross-sectional study included 206 hemodialysis and kidney transplant patients in the special disease center of Birjand city. Eligible patients were selected in a targeted way in 2021 and 2022. The data collection tool included demographic information form and psychological distress questionnaire. SPSS version 20 was used to analyze the collected data using descriptive and inferential statistics. A significance level of less than 0.05 was considered significant Results:The average scores of depression, anxiety and stress in the kidney transplant group were higher than the hemodialysis group (p<0.001). Depression, anxiety and stress had no significant relationship with the variables of age, income, sex, marriage and place of residence (p>0.05). Conclusion: The level of depression, anxiety and stress in the kidney transplant group was higher than that of the hemodialysis group, which can be attributed to the concern of the kidney transplant group about rejecting the transplant after contracting the corona virus, and measures are taken to increase the awareness of patients so that they can avoid contracting the disease. prevent illness and future problems
导语:由于新冠肺炎的传播,血液透析患者在血液透析和肾移植后的治疗后护理方面存在很大的压力和焦虑。本研究旨在比较COVID-19大流行期间血液透析和肾移植患者的抑郁、焦虑和压力。方法:本描述性横断面研究的统计人群为Birjand市特殊疾病中心206例血液透析和肾移植患者。在2021年和2022年有针对性地选择符合条件的患者。数据收集工具包括人口统计信息表和心理困扰问卷。采用SPSS version 20对收集到的数据进行描述性统计和推断性统计分析。结果:肾移植组抑郁、焦虑、应激平均评分高于血液透析组(p0.05)。结论:肾移植组抑郁、焦虑和应激水平高于血液透析组,这可能是由于肾移植组担心感染冠状病毒后排斥移植,并采取措施提高患者的意识,避免感染疾病。预防疾病和未来的问题
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引用次数: 0
Examining the views of education managers of Shahid Sadougi University of Yazd on how to improve the education system with an agility approach: a study with a qualitative approach 考察亚兹德沙希德·萨杜吉大学教育管理者对如何用敏捷方法改进教育系统的看法:一项采用定性方法的研究
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12296
Massoud Bakhtiari, NajmeSadat Sajjad
: Organizations need agility in the current turbulent, complex and uncertain environment and rapidly changing markets. The purpose of this study is to design a model of agility in the educational system in Shahid Sadoughi University of Medical Sciences with a theme analysis approach. Method: The statistical population of this study was the staff, university experts, managers and officials of Shahid Sadoughi University of Medical Sciences. In order to develop the model of agility in Shahid Sadoughi University of Medical Sciences, non-probabilistic judgmental or purposeful sampling method has been used. This sampling method is based on the researcher's theoretical understanding and previous experience of the study population. In order to analyze the data, interviews and theme analysis have been used and the interviews have continued until data saturation is achieved. : Based on the findings based on interviews with experts and theme analysis, there are 5 main levels in the agility of the educational system in Yazd University of Medical Sciences, including educational components with 3 sub-levels (educational goals, educational needs assessment, and educational topic). Attitudinal-motivational components with 4 sub-classes (organizational culture, social justice, accountability and foresight), speed components with 2 sub-classes (cartime and technology), management components with 6 sub-classes (employee selection, employee empowerment, Management abilities, supervision, evaluation and allocation of financial resources (and components of qualification and competency) were identified with 3 subclasses (training and practical skills, organizational communication and flexibility). Conclusion: Fierce competition in the business environment, increasing customer expectations, globalization, cultural and social issues, limited skilled human resources, information technology changes, innovation and initiative are among the driving factors for changes in organizations' environment, which necessitate attention to agility in The organization doubles.
在当前动荡、复杂和不确定的环境以及快速变化的市场中,组织需要敏捷性。本研究的目的是运用主题分析法设计沙希德·萨杜吉医学大学教育系统的敏捷性模型。方法:本研究的统计人群为沙希德·萨杜吉医科大学的工作人员、大学专家、管理人员和官员。Shahid Sadoughi医学大学为了建立敏捷性模型,采用了非概率判断或有目的抽样方法。这种抽样方法是基于研究者对研究人群的理论认识和以往的经验。为了分析数据,使用了访谈和主题分析,访谈一直持续到数据饱和。:根据专家访谈和主题分析的结果,亚兹德医科大学教育系统的敏捷性主要有5个层次,包括教育组成部分,分为3个子层次(教育目标、教育需求评估和教育主题)。态度激励成分有4个子类(组织文化、社会公正、责任和远见),速度成分有2个子类(汽车时间和技术),管理成分有6个子类(员工选择、员工授权、管理能力、监督、财务资源评估和分配)(以及资格和能力成分)有3个子类(培训和实践技能、组织沟通和灵活性)。结论:商业环境的激烈竞争,客户期望的提高,全球化,文化和社会问题,有限的熟练人力资源,信息技术的变化,创新和主动性是组织环境变化的驱动因素之一,这需要关注组织的敏捷性。
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引用次数: 0
Facilitating and Inhibiting Factors regarding Quality of Life in Patients with Multiple Sclerosis: A Qualitative Study 影响多发性硬化症患者生活质量的促进和抑制因素:一项定性研究
Pub Date : 2023-03-15 DOI: 10.18502/tbj.v21i6.12294
A. Homayuni
Introduction: Multiple sclerosis (MS) is a chronic progressive disease related to the central nervous system, which affects the patients' quality of life. Several factors play the roles of facilitators and inhibitors concerning the life quality of these patients. This study aims to explain the facilitating and inhibiting factors with regard to the life quality of MS patients.   Methods: The present study was conducted through a conventional content analysis approach. Through purposive sampling and semi-structured interviews, 18 MS patients referring to the Isfahan MS Association were selected. Data collection continued until data saturation was reached. For data management, MAXQDA-10 software was used.  Results: Through content analysis of the interviews, 4 main categories and 15 sub-categories were identified. The main categories included personal facilitators (leisure time and coping strategies), interpersonal facilitators (exercise therapy, social support and social organizations), interpersonal inhibitors (physical problems, psychological disorders, uncertain future, functional limitations, losing job and poverty) ,and environmental inhibitors (disease and treatment process, caregivers' fatigue, insufficient information about MS, family tensions, and fun and entertainment). Conclusion: According to the results of the current research, by taking measures such as providing educational and psychological services for patients and their caregivers, appropriate insurance coverage, easy access to drugs, especially foreign ones with reasonable tariffs, social and financial support, raising the society's awareness regarding this disease and developing an appropriate urban texture can help to improve the quality of life in MS patients.
简介:多发性硬化症(MS)是一种与中枢神经系统相关的慢性进行性疾病,影响患者的生活质量。几个因素在这些患者的生活质量中起促进和抑制作用。本研究旨在解释影响MS患者生活质量的促进因素和抑制因素。方法:本研究采用常规的含量分析法。通过有目的抽样和半结构化访谈,选取了18例参考伊斯法罕MS协会的MS患者。继续收集数据,直到达到数据饱和。数据管理采用MAXQDA-10软件。结果:通过访谈内容分析,确定了4个主要类别和15个小类别。主要类别包括个人促进因素(闲暇时间和应对策略)、人际促进因素(运动治疗、社会支持和社会组织)、人际抑制因素(身体问题、心理障碍、不确定未来、功能限制、失业和贫困)和环境抑制因素(疾病和治疗过程、照顾者疲劳、MS信息不足、家庭紧张关系、娱乐和娱乐)。结论:根据目前的研究结果,通过为患者及其护理人员提供教育和心理服务,适当的保险覆盖范围,易于获得药物,特别是国外药物的合理关税,社会和财政支持等措施,提高社会对该疾病的认识,形成适当的城市肌理,有助于改善MS患者的生活质量。
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引用次数: 0
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The Journal of Tolooebehdasht
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