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Evaluation of the Effect of Cognitive Bias Modification and Mental Imagery on Visual and Verbal Memory 认知偏差修正和心理意象对视觉和言语记忆影响的评价
Pub Date : 2022-10-18 DOI: 10.18502/tbj.v21i3.10901
Vidasadat Razavi Nematollahi, Maryam Ashab Sohof, Mahshid Tajrobehkar, Zahra Zeinaddiny Meimand
Introduction: The present study aims to investigate the effectiveness of cognitive bias modification and mental imagery on visual and verbal memory of female high school students in Yazd city. Methods: The present experimental study was conducted based on a pretest-posttest pre-posttest design along with a control group. Four high schools from district 2 education of Yazd were selected by cluster sampling method and 15 students from each high school were randomly selected and placed into three experimental and a control group. Initially, all subjects were tested by Wechsler memory scale. The subjects were exposed to eight different educational sessions. The experimental groups included (Experimental group 1: Cognitive bias modification training group), (Experimental group 2: Mental imagery training group), and (Experimental groups 3: Cognitive bias modification and Mental imaging training). The control group had no intervention. After completing the experimental group training, the 4 groups were tested by the Wechsler memory scale. Results: cognitive bias modification training and mental imagery training significantly affected visual memory (P = 0.001, F = 24.264) and this effect was 57%, while the effect of cognitive bias modification training and mental imagery had a significant effect on verbal memory (P = 0.053, F = 2.7226) and had an effect of 13%. It is therefore confirmed that cognitive bias modification training and mental imagery enhance learners' visual and verbal memory performance. Conclusion: Such interventions can have a significant contribution in learning, school efficiency, and medical clinical treatments.
前言:本研究旨在探讨认知偏见修正和心理意象对亚兹德市女高中生视觉和言语记忆的影响。方法:本实验采用前测后测设计,并设对照组。采用整群抽样的方法,从亚兹德省第二教育区选取4所高中,每所高中随机抽取15名学生,分为3个实验组和1个对照组。研究开始时,采用韦氏记忆量表对所有被试进行测试。研究对象接受了8个不同的教育课程。实验组包括:(实验组1:认知偏见修正训练组)、(实验组2:心理意象训练组)、(实验组3:认知偏见修正与心理意象训练组)。对照组不进行干预。各组完成实验组训练后,采用韦氏记忆量表进行测试。结果:认知偏差修正训练和心理意象训练对视觉记忆有显著影响(P = 0.001, F = 24.264),影响率为57%;认知偏差修正训练和心理意象训练对言语记忆有显著影响(P = 0.053, F = 2.7226),影响率为13%。因此,认知偏见修正训练和心理意象能提高学习者的视觉和言语记忆表现。结论:这些干预措施对提高学习效率、提高学校教学效率和提高医疗临床治疗效果有重要作用。
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引用次数: 0
Investigation of Knowledge, Attitude, and Practice of Women in Solid Waste Recycling in Kashan 喀山地区妇女在固体废物回收中的知识、态度与行为调查
Pub Date : 2022-10-18 DOI: 10.18502/tbj.v21i3.10893
Marzieh Akbari, H. Rahimi, Fatemeh Hamamian Zavareh, G. Mostafaei, Hasan Rahmani
Introduction: Recycling is one of the main elements of comprehensive waste management. This study aims to investigate the knowledge, attitude, and practice of women towards solid waste recycling in Kashan.  Methods: In this descriptive study, 368 women were selected from households by random sampling. The data were analyzed using SPSS software version 22 with descriptive statistics and analytical tests at a significance level of 0.05. Results: The scores of knowledge, attitude, and practice of women were 4.1±83.74, 14.3±75.54, and 4.1±45.29, respectively. The results showed that 37.2% of women in Kashan had good knowledge, 43.1% had good attitude, and 57.2% had good performance towards solid waste recycling. A significant difference was observed between the level of performance among different educational groups in terms of attitude and knowledge, between the level of knowledge of individuals and occupational groups, and between the level of knowledge of people in terms of marital status, and between different groups of owners and tenants in terms of knowledge. Conclusion: It seems that the performance of women in Kashan was at an acceptable level compared to others participants in other studies.
引言:回收利用是综合废物管理的主要内容之一。本研究旨在调查喀山地区妇女对固体废物回收的知识、态度和行为。方法:采用随机抽样的方法,从家庭中抽取368名妇女进行描述性研究。数据分析采用SPSS软件22进行描述性统计和分析检验,显著性水平为0.05。结果:女性在知识、态度和行为方面的得分分别为4.1±83.74分、14.3±75.54分和4.1±45.29分。结果表明,喀山地区妇女对固体废物回收的认识程度为37.2%,态度为43.1%,表现为57.2%。不同学历群体在态度和知识方面的绩效水平、个体和职业群体在知识水平方面的绩效水平、人群在婚姻状况方面的绩效水平以及不同业主和租户群体在知识方面的绩效水平存在显著差异。结论:与其他研究中的其他参与者相比,卡尚妇女的表现似乎处于可接受的水平。
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引用次数: 0
Identifying the Effective Factors on the Development of Health-Oriented Leisure Times of Farhangian University 法航吉安大学健康休闲活动发展的影响因素分析
Pub Date : 2022-10-18 DOI: 10.18502/tbj.v21i3.10897
H. Ahmadi, Rasool Nazari, M. D. Manshadi
Introduction: Farhangian University as a training agent and custodian of education human resources will play an effective role in the future development of the country. The present study aims to identify the factors affecting the development of health-oriented leisure in Farhangian University. Methods: The present qualitative study aims to discover the effective factors and in-depth interviews were used as data collection tools. The researcher interviewed the participants working in Farhangian University who were purposefully selected. After fully transcribing the interviews and extracting the key sentences, 27 theoretical saturations were obtained in the interview and continued until interview 29 for more assurance. Data analysis was performed by content analysis method and coding method. To evaluate the validity of the study, the criteria of acceptability, transferability, and verification and for the reliability of the study, the reliability of the codings were evaluated and approved. Results: The findings indicate that 49 primary codes were classified into 15 sub-categories and 6 main categories, including cultural norms, economic events, effective governance, legal guarantee, sociability, and digital lifestyle. Conclusion: Education and training, by being on the right path, can raise a generation for today and the future, so that the society becomes a reliable place for the people of the society to live. Without taking into account the role of teachers, this goal is illusory, so providing the conditions for leisure activities in Farhangian University will lead to their growth and excellence and ultimately lead to the improvement of the country's educational system.
法航吉安大学作为教育人力资源的培养代理人和保管人,将在国家未来的发展中发挥有效作用。本研究旨在探讨影响法航吉安大学健康休闲发展的因素。方法:本研究以定性研究为目的,以深度访谈为数据收集工具,发现影响因素。研究人员采访了在法汉吉安大学工作的参与者,他们是有目的地选择的。在完整抄录访谈内容并提取关键句子后,在访谈中获得27个理论饱和,并一直持续到访谈29,以获得更多的保证。采用内容分析法和编码法对数据进行分析。为了评估研究的有效性、可接受性、可转移性和可验证性标准以及研究的可靠性,对编码的可靠性进行了评估和批准。结果:49个基本规范分为文化规范、经济事件、有效治理、法律保障、社交性和数字生活方式等15个小类和6个主要类别。结论:教育和培训走在正确的道路上,可以为今天和未来培养一代人,使社会成为社会人民生活的可靠场所。如果不考虑教师的作用,这个目标是虚幻的,所以为法拉吉安大学的休闲活动提供条件将导致他们的成长和卓越,最终导致国家教育制度的改善。
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引用次数: 0
Evaluation of Risk Factors Related to Life Status of Patients With COVID-19 Hospitalized in Yazd 亚兹德地区COVID-19住院患者生命状况相关危险因素评价
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10343
Seyed Yaser Ghelmani, Hossein Soleymani Salehabadi, Homa Moazen, Hossein Nazmiah, Tahere Fallah Tafti, Azam Kabirzadeh, Somaye Gholami
Introduction: Following the epidemic crisis and the outbreak of Coronavirus 2019 (Covid-19) in Iran and other provinces, the statistics of the patients showed that Yazd is among the top few provinces in the country in terms of the prevalence and incidence of this deadly disease. Therefore, this study aims to investigate the risk factors related to the life status of patients with coronavirus. Methods: In this cross-sectional analytical study, demographic, clinical, and biochemical information of 932 patients who were infected with COVID-19 from May 2018 to March  2019 and were hospitalized in Shahid Sadoughi Hospital in Yazd were examined. Information was recorded through patients’ records or telephone calls. Data analysis was performed by independent t-test, Mann-Whitney, Chi-square, and logistic regression using SPSS-22 software. Results: Based on the results 57.9% (N=540) of patients were male and the mean age of all patients was 53.33 (19 ± 0.15) years, and also 9.6% (N=82) of patients died. The risk of death for patients hospitalized in the intensive care unit (ICU) was 75 times higher than that of patients who were hospitalized in general wards. Also, the risk of death for patients with a history of cancer was 12 times higher than other patients. The risk factors associated with mortality were identified by multivariate logistic regression model, which included increasing age, having shortness of breath, history of cancer, hospitalization in the ICU, increased white blood cell count, and sodium deficiency. Conclusion: In order to reduce the mortality of patients with COVID-19, it is necessary for physicians to prioritize the treatment of elderly patients with underlying diseases, such as cancer and shortness of breath in order to improve their clinical condition.
导语:继疫情危机和2019冠状病毒病(Covid-19)在伊朗等省份爆发之后,对患者的统计显示,亚兹德省是该国这一致命疾病患病率和发病率最高的几个省份之一。因此,本研究旨在探讨与冠状病毒患者生命状况相关的危险因素。方法:对2018年5月至2019年3月在亚兹德Shahid Sadoughi医院住院的932例COVID-19感染患者的人口学、临床和生化信息进行横断面分析。信息通过患者记录或电话记录下来。采用SPSS-22软件进行独立t检验、Mann-Whitney检验、卡方检验和logistic回归分析。结果:男性占57.9% (N=540),平均年龄53.33(19±0.15)岁,死亡占9.6% (N=82)。重症监护病房(ICU)患者的死亡风险是普通病房患者的75倍。此外,有癌症病史的患者的死亡风险是其他患者的12倍。通过多因素logistic回归模型确定与死亡相关的危险因素,包括年龄增长、呼吸短促、癌症史、ICU住院、白细胞计数增加和钠缺乏。结论:为了降低COVID-19患者的死亡率,医生有必要优先治疗有癌症、呼吸短促等基础疾病的老年患者,以改善其临床状况。
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引用次数: 0
The Effectiveness of Positive Psychotherapy on Quality of Life, Happiness, Semantic Level of Firefighters 积极心理治疗对消防员生活质量、幸福感、语义水平的影响
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10337
Bahareh Baghaei, Asghar ------- Aghaei
Introduction: Firefighters are among the people who face all kinds of painful and stressful situations due to their work. Therefore, due to stressful conditions, the mental health of firefighters should always be considered. This study aims to evaluate the effectiveness of positive psychotherapy on quality of life, happiness, and semantic level of firefighters in Isfahan in the spring of 2020. Methods: The present quasi-experimental study was conducted based on pre-test-post-test with control- follow-up and one-month follow-up period. The statistical population of the study included all firefighters in Isfahan. Among them, 30 people, two groups of 15 people (test and control) were selected using random sampling method. To collect data, the World Health Organization Quality of Life Instrument-Short Form (WHOQOL-BREF), Oxford Happiness (OxH), and Semantic Level Determination (Dsl) questionnaires were used. Positive treatment sessions were performed on the test group during eight 90-minute sessions and the control group did not receive any intervention. The data obtained from the questionnaires were analyzed using repeated measures analysis of variance. Results: The results showed that there was a significant difference between the mean scores of pre-test and post-test and follow-up in the variables of semantic level, quality of life, and happiness. This indicates that positive psychotherapy was able to significantly change the post-test scores and follow-up of semantic level, quality of life, and happiness compared to the pre-test stage (p <0.01). Conclusion: Given that positive psychotherapy has been effective on quality of life, happiness, and semantic level of firefighters, it is recommended that counselors use this intervention method to improve the mental health of firefighters.
导读:消防员是因工作而面临各种痛苦和压力的人群之一。因此,由于压力条件下,消防员的心理健康应始终考虑。本研究旨在评估2020年春季伊斯法罕市消防员积极心理治疗对生活质量、幸福感和语义水平的影响。方法:采用前测后测法进行准实验研究,对照随访,随访期1个月。该研究的统计人口包括伊斯法罕的所有消防员。其中,采用随机抽样的方法,选取30人,两组15人(试验组和对照组)。为了收集数据,使用了世界卫生组织生活质量量表短表(WHOQOL-BREF)、牛津幸福量表(OxH)和语义水平测定量表(Dsl)。试验组在8个90分钟的疗程中进行积极治疗,对照组不接受任何干预。从问卷中获得的数据采用重复测量方差分析进行分析。结果:前测、后测和随访在语义水平、生活质量、幸福感等变量上均有显著性差异。与测试前相比,积极心理治疗能显著改变测试后和随访的语义水平、生活质量和幸福感(p <0.01)。结论:积极心理治疗对消防员的生活质量、幸福感和语义水平均有显著的改善作用,建议辅导员采用积极心理治疗干预方式改善消防员的心理健康状况。
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引用次数: 0
Predicting the Determinants of Interpersonal Communication Skills in Healthcare Providers of Ahvaz City: An Application of the Extended Theory of Reasoned Action 预测阿瓦士市医疗服务提供者人际沟通技巧的决定因素:理性行为扩展理论的应用
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10341
Ghodratolah Shakerinejad, Azam Zandieh, A. Sharhani, N. Hatamzadeh, M. Mazaheri
Introduction: Communication skills are a set of behaviours through which aperson communicate with others in such a way leading to positive responses and the avoidance of negative responses. This study aims to predict the determinants of interpersonal communication skills among healthcare providers of Ahvaz city based on the extended theory of reasoned action. Methods: This cross-sectional descriptive study was condcuted on 160 healthcare providers of Ahvaz city in 2021using random sampling. Data collection tool was a researcher-made questionnaire. The data were analyzed by SPSS version 24 and AMOSS version 22 software, using correlation tests, regression analysis, independent samples t-test and paired t-test. Results: The mean age and work experience of the participants was 35.76± 6.55 and 10.31± 6.79 years, respectively. The results of Pearson correlation indicated a direct and significant correlation between attitude (r = 0.527), subjective norm (r = 0.243), and self-efficacy (r = 0.630) together and with behavioral intention. Among the constructs of the extended theory of reasoned action, self-efficacy (r = 0.630) and subjective norm (r = 0.243) had the highest and lowest correlation with behavioral intention of health care providers, respectively. Furthermore, this theory predicted 0.22 variance of attitude, 0.02 variance of subjective norm and 0.49 variance of self-efficacy. Self-efficacy was the strongest and subjective norms was the weakestpredictors of communications skills behavior, respectively. Conclusion: According to the results, it seems that in planning to implement behavioural interventions to promote interpersonal communication skills in healthcare providers, more emphasis should be placed on strategies related to increasing attitude, self-efficacy, and behavioural intention.
简介:沟通技巧是一组行为,通过这些行为,人们与他人进行沟通,从而产生积极的反应,避免消极的反应。本研究旨在基于理性行为的扩展理论,预测阿瓦士市医疗服务提供者人际沟通技巧的决定因素。方法:采用随机抽样的方法,对阿瓦士市2021年160名医疗服务提供者进行横断面描述性研究。数据收集工具为研究者自行制作的问卷。采用SPSS 24版和AMOSS 22版软件对数据进行分析,采用相关检验、回归分析、独立样本t检验和配对t检验。结果:参与者的平均年龄为35.76±6.55岁,平均工作经验为10.31±6.79岁。Pearson相关分析结果显示,态度(r = 0.527)、主观规范(r = 0.243)、自我效能感(r = 0.630)与行为意向呈直接显著相关。在扩展理性行为理论构念中,自我效能感(r = 0.630)和主观规范(r = 0.243)与医护人员行为意向的相关性最高、最低。此外,该理论预测态度方差为0.22,主观规范方差为0.02,自我效能方差为0.49。自我效能感是沟通技巧行为的最强预测因子,主观规范是最弱的预测因子。结论:根据研究结果,在计划实施行为干预以提高医护人员的人际沟通技巧时,应更多地强调与提高态度、自我效能感和行为意向相关的策略。
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引用次数: 0
Virtual Learning and Parental Stress Experience in the COVID-19 Pandemic: A Qualitative Study in Tabas City COVID-19大流行中虚拟学习与父母压力体验:塔巴斯市的定性研究
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10339
A. K. Sadati, Zeinab Sabouhi Golkar
Introduction: One of the problems and challenges of families in the COVID-19 pandemic was the education of children. This study aims to discover and analyze the tensions and concerns of families in this regard. Method: This qualitative study was conducted in 2021 in Tabas. Semi-structured interviews with 17 parents were used to collect data and the data were analyzed by thematic analysis. Results: Data analysis showed that parents have experienced multiple concerns and tensions regarding their children's education in the pandemic. The issue of education quality on one hand and sociocultural challenges related to virtual space on the other hand was the most important concern of parents. The four themes of the study included socialization challenges, education problem, media panic, and economic and environmental problems. Discussion: It is suggested that policy makers pay more attention to the problems of families in the field of virtual learning. Attention should be given to vulnerable groups and families, so that the issue of educational deprivation does not threaten the children of these families. On the other hand, sociocultural issues related to media and poor media literacy of parents are a major challenge in this field. It is necessary for sociocultural custodians as well as researchers and social theorists to provide theoretical discussions and solutions using psychology and social work in this field.
新冠肺炎疫情下,家庭面临的问题和挑战之一是儿童教育。本研究旨在发现和分析家庭在这方面的紧张和担忧。方法:本定性研究于2021年在塔巴斯进行。采用半结构化访谈法对17位家长进行数据收集,并采用主题分析法对数据进行分析。结果:数据分析显示,在大流行期间,父母对子女的教育经历了多重担忧和紧张。一方面是教育质量问题,另一方面是与虚拟空间相关的社会文化挑战,这是家长最关心的问题。该研究的四个主题包括社会化挑战、教育问题、媒体恐慌以及经济和环境问题。讨论:建议政策制定者更多地关注虚拟学习领域的家庭问题。应注意易受伤害的群体和家庭,以便剥夺教育的问题不会威胁到这些家庭的儿童。另一方面,与媒体相关的社会文化问题和父母媒体素养低下是这一领域的主要挑战。社会文化管理者以及研究者和社会理论家都有必要在这一领域运用心理学和社会工作提供理论讨论和解决方案。
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引用次数: 0
Evaluation of the effectiveness of habit reversal techniques on reducing nail biting disorder and state/trait anxiety of male high school Students in khorramabad 习惯逆转技术对减少霍拉马巴德市男高中生咬指甲障碍和状态/特质焦虑的效果评价
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10344
Houshang Garavand, Saeideh Sabzian
Introduction: Nail biting is an inappropriate habit and its exact cause is debatable. Researchers believe that nail biting disorder is often associated with psychiatric disorders, including anxiety. State/trait anxiety can be considered an unstable emotional state reflecting the individual's interpretation of a stressful situation in a particular time frame and varies depending on the degree to which the situation is perceived threatening. This study aims to determine the evaluation of the effectiveness of habit reversal techniques on reducing nail biting disorder and state/trait anxiety in students. Methods: The present semi-experimental study with pretest, post-test, and follow-up was conducted on six junior high school male students in the age range of 13-15 years, who asked for help by referring to the school counseling and were selected by convenience sampling method. They received a program of habit reversal techniques individually in 6 sessions for 1 month. Clinical interviewing, frequency recording of nail biting per day, and state/trait anxiety test were used to measure the variables. Results: Data analysis showed that habit reversal techniques reduce nail biting and students' state/trait anxiety. Follow-up one month after the end of treatment indicated the persistence of these results. Conclusion: The habit reversal training is effective on treating nail biting, reducing anxiety, and promoting the person life quality and symptoms from nail biting. Due the low sample size, it is suggested that while repeating the study in a larger sample, its effectiveness on the treatment of other habitual disorders be studied.
咬指甲是一种不恰当的习惯,其确切原因还有待商榷。研究人员认为,咬指甲障碍通常与精神疾病有关,包括焦虑。状态/特质焦虑可以被认为是一种不稳定的情绪状态,反映了个体在特定时间框架内对压力情境的解释,并根据情境被感知到的威胁程度而变化。本研究旨在评估习惯逆转技术对减少学生咬指甲障碍和状态/特质焦虑的效果。方法:采用方便抽样法,对6名13 ~ 15岁的初中男生进行前测、后测和随访的半实验研究。他们分别接受了一个为期一个月的6次习惯逆转技术项目。采用临床访谈、每日咬指甲频率记录和状态/特质焦虑测试来测量变量。结果:数据分析表明,习惯逆转技术减少了学生的咬指甲行为和状态/特质焦虑。治疗结束后1个月的随访表明这些结果持续存在。结论:习惯逆转训练能有效治疗咬指甲,减少焦虑,提高患者的生活质量,改善咬指甲症状。由于样本量小,建议在更大样本中重复研究的同时,研究其对其他习惯性障碍的治疗效果。
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引用次数: 0
Prioritization and Evaluation of the Observance of Ethical Values of Nursing from the Perspective of Patients Admitted to the Selected Hospitals in Yazd City in 2021 从亚兹德市2021年选定医院收治患者的角度对护理伦理价值的优先顺序和遵守情况进行评估
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10342
R. Askari, F. Shamsi, Fatemeh Dehghani Ashkazari
Introduction: Nursing care as an essential component of health services is very important and ethics in nursing is a significant factor in health care. Therefore, the present study aims to prioritize and examine the level of observance of nurses' ethical values ​​from the perspective of patients admitted to the selected hospitals in Yazd in 2021. Methods: The present descriptive cross-sectional study was conducted in two selected hospitals in Yazd and in a sample of 100 patients who were selected by stratified-random sampling method. Data were collected using a researcher-made questionnaire based on the 10 dimensions of ethical values ​​of nursing of the Ministry of Health in 2011. The results were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) in SPSS software version 20. Resulte: Among the 10 dimensions of ethical values of nursing, the patients gave the highest priority to altruism and kindness (1± 140.19), compassion and kindness (2 ±135 .01), and accountability and responsibility (1± 130.33), respectively. Moreover, 56% of patients rated the observance of ethical values ​​in a good condition. Conclusion: If the ethical values ​​of altruism and empathy, compassion and kindness, and accountability and responsibility are considered in the continuous nursing education program, it can be effective to help improve the quality of hospital performance as well as patients’ satisfaction.
导读:护理作为卫生服务的重要组成部分是非常重要的,护理伦理是卫生保健的一个重要因素。因此,本研究旨在从2021年亚兹德选定医院收治的患者的角度,优先考虑并检查护士遵守道德价值观的水平。方法:本描述性横断面研究在亚兹德选定的两家医院和采用分层随机抽样方法选择的100例患者中进行。采用问卷调查法对2011年卫生部护理伦理价值观的10个维度进行调查。在SPSS软件版本20中使用描述性统计(频率、百分比、平均值和标准差)对结果进行分析。结果:在护理伦理价值观的10个维度中,患者对利他与善良(1±140.19)、同情与善良(2±130.01)、责任与责任(1±130.33)的评价最高。此外,56%的患者认为遵守道德价值观的情况良好。结论:在护理持续教育中引入利他与共情、同情与善良、责任与担当等伦理价值观,可有效提高医院绩效质量和患者满意度。
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引用次数: 0
Designing and validating the cost management model of inpatient records in the global system: A Case study in Niknafas Obstetrics and Gynecology Hospital in Rafsanjan 全球系统中住院病历成本管理模式的设计与验证——以拉夫桑詹市尼克法斯妇产科医院为例
Pub Date : 2022-08-22 DOI: 10.18502/tbj.v21i2.10338
A. Askari, M. Mirmohammadkhani, M. Shahab, Abas AliEbrahimian
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.
住院病历的成本管理直接或间接地影响着医院成本的管理和控制。因此,本研究旨在设计并验证全球系统的住院病历成本管理模式。方法:本混合方法研究于2021年进行。高级和中级管理人员构成定性科的统计人口,拉夫桑詹尼克法斯医院的高级、中级管理人员和工作人员构成定量科的统计人口。在定性部分,采用目的性抽样配合滚雪球法对33位专家进行了深度访谈。定量部分的210人采用随机抽样的方式进行问卷调查,对模型进行评估。定性资料用Atlas进行分析。采用SPSS和SmartPLS version 3软件对定量数据进行探索性因子分析和验证性因子分析。结果:定性部分的结果表明,成本管理模型包括15个子类别和6个主要类别。“信息和意识”、“敏感性”、“冒险和动机”、“控制和监督”、“经验和技能”以及“医院无法控制的因素”是主要类别。SRMR拟合指数(0.069)、R2(>0.67)、GOF(>0.36)表明测量模型、结构模型和一般模型的拟合是适当的,得到了认可。结论:本研究表明所设计的住院病历成本管理模型在全球系统中具有良好的契合性,可在医疗中心应用。
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引用次数: 0
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The Journal of Tolooebehdasht
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