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Middle East Journal of Rehabilitation and Health最新文献

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The Correlation Between Peak Expiratory Flow and Abdominal Muscle Thickness in Elderly Females 老年女性呼气峰值流量与腹肌厚度的相关性研究
Q4 Medicine Pub Date : 2017-10-26 DOI: 10.5812/MEJRH.58868
H. Ishida, C. Kurozumi, Hikari Moriyoshi, T. Suehiro, Susumu Watanabe
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引用次数: 2
Safety Predictors in Performance of Activities of Daily Living in Patients with Parkinson’s Disease 帕金森病患者日常生活活动表现的安全预测因素
Q4 Medicine Pub Date : 2017-07-31 DOI: 10.5812/MEJRH.14898
Tahereh Sefidi Heris, M. Akbarfahimi, Laleh Lajevardi
Background: Safety is recognized as an important factor in personal independence. The aim of this study was to determine the association of factors, such as fatigue, duration of disease, age, dominant involved body side, gender, and severity of disease with safety performance and to identify safety predictors among effective factors for activities of daily living (ADL) among patients with Parkinson’s disease (PD). Methods: Sixty patients with PD participated in this study. Fatigue was assessed using the 16-item Parkinson fatigue scale (PFS-16), while performance safety was examined with the performance assessment of self-care skills (PASS). Linear multiple regression analysis was performed between PASS safety parameter as the dependent variable and independent variables with significant correlations with performance safety, using SPSS version 18. Results: A significant relationship was observed between ADL safety and fatigue (r = 0.557; P < 0.001), disease severity (r = 0.558; P≤ -0.001), and age (r = -0.636; P < 0.001). Performance safety in physical and cognitive instrumental ADL showed the most significant correlation with fatigue severity. The stepwise multiple linear regression model revealed that age (F(1, 58), 39.32; P < 0.001) with an R2 of 0.64 could predict safety in ADL performance. Conclusions: Age, fatigue severity, and disease are predictors of performance safety in ADL among patients with PD. For implementing more effective interventions on safe ADL performance, rehabilitation teams should conduct more detailed safety assessments with a special focus on the effects of fatigue, aging, and disease severity on the performance of each activity.
背景:安全被认为是个人独立的重要因素。本研究的目的是确定疲劳、疾病持续时间、年龄、主要受累侧、性别和疾病严重程度等因素与安全性能的关系,并在帕金森病(PD)患者日常生活活动(ADL)的有效因素中确定安全预测因素。方法:60例帕金森病患者参与本研究。使用16项帕金森疲劳量表(PFS-16)评估疲劳,同时使用自我护理技能绩效评估(PASS)检查绩效安全性。采用SPSS 18对PASS安全性参数作为因变量和与性能安全性显著相关的自变量进行线性多元回归分析。结果:ADL安全性与疲劳(r=0.557;P<0.001)、疾病严重程度(r=0.558;P≤0.001)和年龄(r=-0.636;P<0.001。逐步多元线性回归模型显示年龄(F(1.58),39.32;P<0.001),R2为0.64可以预测ADL表现的安全性。结论:年龄、疲劳严重程度和疾病是PD患者ADL表现安全性的预测因素。为了对安全的ADL表现实施更有效的干预,康复团队应进行更详细的安全评估,特别关注疲劳、衰老和疾病严重程度对每项活动表现的影响。
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引用次数: 3
Translation, Face and Content Validity of the Persian Version of School Function Assessment 波斯语版《学校功能评估》的翻译、面貌与内容效度
Q4 Medicine Pub Date : 2017-07-31 DOI: 10.5812/MEJRH.14594
Marziye Shojaee, M. Zarei, A. H. Mehraban
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引用次数: 5
Cognitive Impairment in Dialysis and Non-Dialysis Patients Suffering from Chronic Renal Failure and Comparing Them with a Control Group 慢性肾功能衰竭透析和非透析患者的认知障碍及其与对照组的比较
Q4 Medicine Pub Date : 2017-07-31 DOI: 10.5812/MEJRH.12815
M. Tamadon, Alireza Adibimehr, R. Ghorbani
Background: Chronic renal failure and its end-stage disease are one of the most important causes of death and disability, and its prevalence is increasing in the world. This disease can cause many complications in the patients with end- stage renal disease. Objectives: The present study aimed at comparing cognitive impairment in patients with end- stage renal disease (ESRD) and chronic renal failure (CRF) with a control group. Methods: In this cross-sectional study, 85 ESRD, dialysis dependent patients, 200 CRF patients, non-dialysis dependent, as well as 180 patients with high blood pressure or diabetes as control group who referred to Kowsar hospital during 2015 and 2016 were studied. The Persian version of the mini mental status examination (MMSE) questionnaire was used to collect data. It was completed by one of the skilled and trained nurses. Results: The results revealed that 28.2% of ESRD, 1% of CRF patients, and 0.6% of control group patients had severe cognitive impairment. Cognitive health score in ESRD group was lower than that in CRF (P < 0.001) and control group (P < 0.001). In addition, cognitive health score of CRF patients was lower than that in the control group (P = 0.005). ESRD patients had significantly higher impairment in time and place orientation, calculation, recall, language, and repetition compared to control and CRF groups (P < 0.001), but there were no significant differences between control and CRF groups. With respect to complex commands, the control group had a significantly lower impairment, but the other 2 groups were not significantly different in this regard. The three experimental groups were not significantly different in per-test stage. Conclusions: ESRD patients have severe cognitive impairment compared to CRF patients. Therefore, it is recommended that these patients be examined cognitively and proper rehabilitation programs be considered for them.
背景:慢性肾功能衰竭及其终末期疾病是导致死亡和残疾的最重要原因之一,其发病率在世界范围内呈上升趋势。这种疾病会在末期肾病患者中引起许多并发症。目的:本研究旨在将终末期肾病(ESRD)和慢性肾功能衰竭(CRF)患者的认知障碍与对照组进行比较。方法:在这项横断面研究中,对2015年至2016年间转诊至Kowsar医院的85名ESRD透析依赖患者、200名CRF非透析依赖患者以及180名高血压或糖尿病患者作为对照组进行了研究。使用波斯语版的小型精神状态检查(MMSE)问卷来收集数据。它是由一位技术娴熟、训练有素的护士完成的。结果:结果显示,28.2%的ESRD患者、1%的CRF患者和0.6%的对照组患者存在严重的认知障碍。ESRD组的认知健康评分低于CRF(P<0.001)和对照组(P<0.01)。此外,CRF患者的认知健康得分低于对照组(P=0.005)。与对照组和CRF组相比,ESRD患者在时间和地点定向、计算、回忆、语言和重复方面的损伤显著更高(P<001),但对照组和CRF组之间没有显著差异。在复杂指令方面,对照组的损伤明显较低,但其他两组在这方面没有显著差异。三个实验组在每个测试阶段没有显著差异。结论:与CRF患者相比,ESRD患者有严重的认知障碍。因此,建议对这些患者进行认知检查,并考虑为他们制定适当的康复计划。
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引用次数: 3
Study of CCR5-59353C/T Polymorphism in the Iranian Patients With Chronic Hepatitis B Virus Infection 伊朗慢性乙型肝炎病毒感染患者CCR5-59353C/T多态性的研究
Q4 Medicine Pub Date : 2017-07-31 DOI: 10.5812/MEJRH.12658
F. Bineshian, S. Jalali, Z. Sharifi
Background: CCR5isidentifiedasoneof themostimportantchemokinereceptorswithamajorroleinthecreationof chemotaxis and mobilization of immunocompetent cells and moving them toward the liver for thorough cleaning of the virus. CCR5-59353 (C/T) is an important promoter polymorphism of chemokine receptor 5. Some studies showed a relationship between CCR5-59353 (C/T) polymorphism and clearance or persistence of hepatitis B virus (HBV) infection. Objectives: ThecurrentstudyaimedatdevelopingpolymorphismCCR5-59353(C/T)inIranianpatientswithchronicHBVinfection. Methods: A total of 200 blood samples including 100 healthy controls and 100 HBsAg-positive patients were randomly selected. SamplesweretestedforHBsAgbytheenzyme-linkedimmunosorbentassay(ELISA)andHBV-DNAbythepolymerasechainreaction (PCR) method. Genomic DNA was extracted from blood buffy coat using the salting out method. CCR5-59353 (C/T) polymorphism was genotyped by the allele specific amplification (ASA) PCR. Chi-square test was used for statistical analysis. Results: Fivepercentof controlsamplesand12% of patientsampleshadCCmutantgenotype. Nevertheless,therewasnosignificant difference in genotypes frequency of CCR5-59353 between the groups (P = 0.1). Conclusions: It seems that CCR5-59353 polymorphism was not associated with chronic HBV infection outcome in the Iranian population. However, the frequency of CC genotype was higher in the patient group (12%) than the control group (5%).
背景:CCR5是一种重要的刺激性趋化因子受体,在产生趋化性和动员免疫活性细胞并将其移向肝脏以彻底清除病毒方面发挥重要作用。CCR5-59353(C/T)是趋化因子受体5的一个重要的启动子多态性。一些研究表明CCR5-59353(C/T)多态性与乙型肝炎病毒(HBV)感染的清除率或持续性之间存在关系。目的:本研究旨在开发伊朗慢性乙型肝炎病毒感染患者的多态性CCR5-59353(C/T)。方法:随机抽取200份血液样本,包括100名健康对照和100名HBsAg阳性患者。用酶联免疫吸附试验(ELISA)和聚合酶链式反应(PCR)检测HBsAg和HBVDNA。采用盐析法从血液中提取基因组DNA。CCR5-59353(C/T)多态性通过等位基因特异性扩增(ASA)PCR进行基因分型。采用卡方检验进行统计分析。结果:5%的对照组和12%的患者为CC突变型。然而,两组之间CCR5-59353的基因型频率没有显著差异(P=0.01)。结论:在伊朗人群中,CCR5-593 53多态性似乎与慢性HBV感染结果无关。然而,患者组CC基因型的频率(12%)高于对照组(5%)。
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引用次数: 0
Parental Bonding and Academic Burnout on Addiction Potential Among Students 父母关系和学业倦怠对学生成瘾潜力的影响
Q4 Medicine Pub Date : 2017-07-31 DOI: 10.5812/MEJRH.12323
A. Ziari, M. Mirmohammadkhani, Mohammad Amin Vafaei, M. Moonesan, Mojtaba Soltani, Masoudeh Babakhanian
Background: The risk of drug abuse during youth and adolescence depends on the individual’s family structure. Parents’ interaction methods and parenting styles are an important part of the social context. Since the interaction between parents and children has a great influence on students’ addiction, this study was conducted to assess the relationship between parental bonding and academic burnout with addiction potential among students studying in Semnan University of Medical Sciences. Methods: This study was a cross sectional descriptive analytical study conducted on 245 students studying in Semnan University of MedicalSciences(2014-2015)usingthevalidPierson’squestionnaireaboutparentalbonding,schoolburnout,andaddictionpo-tential. Thescoresof addictionpotential, school-burnout, andparentalchildbondingwereobtained. Thecorrelationandmultiple regression models were then investigated. Results: The scores of addiction potential and academic burnout were 79.03 ± 13.26 and 32.02 ± 15.84, respectively. In fact, in the reduced multiple regression model only male gender (b = 6.718, P < 0.001), higher grade point average (b = 3.556, P = 0.020), higher school-burnout (b = 6.460, P < 0.001), higher care by parents (father’s care, b = 6.503, P < 0.001, mother’s care (b = 6.336, P = 0.001), and less control by the father (b = -4.058, P = 0.007) were associated with increased susceptibility of students to addiction. Conclusions: Numerousfactors,suchasmalegender,highergradepointaverage,greaterschoolburnoutandcarebybothparents andlesscontrolbythefatherwereassociatedwithincreasedsusceptibilityofstudentstoaddictionandtheyprovidedtheconditions for addiction among students.
背景:青少年时期药物滥用的风险取决于个人的家庭结构。父母的互动方式和教养方式是社会环境的重要组成部分。鉴于父母与子女之间的互动对学生的成瘾有很大的影响,本研究以塞姆南医科大学学生为研究对象,评估父母关系纽带与学业倦怠及成瘾潜力之间的关系。方法:采用有效的pierson问卷对2014-2015年在Semnan医科大学就读的245名学生进行了横断面描述性分析研究,问卷内容涉及父母关系、学校倦怠和成瘾潜力。获得了成瘾潜力、学业倦怠和亲子关系的得分。然后对相关多元回归模型进行了研究。结果:大学生学业倦怠得分分别为79.03±13.26分和32.02±15.84分。事实上,在简化多元回归模型中,只有男性性别(b = 6.718, P < 0.001)、较高的平均成绩(b = 3.556, P = 0.020)、较高的学业倦怠(b = 6.460, P < 0.001)、较高的父母照顾(b = 6.503, P < 0.001)、较低的父亲控制(b = -4.058, P = 0.007)与学生成瘾易感性增加有关。结论:男性、较高的平均成绩、较高的学业倦怠、父母双方的关心和父亲的控制不足等因素与学生成瘾的易感性增加有关,这些因素为学生成瘾提供了条件。
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引用次数: 3
The Relationship Between Sleep Disorders and Quality of Life in Rotating Shift Workers at a Textile Factory 某纺织厂轮班工人睡眠障碍与生活质量的关系
Q4 Medicine Pub Date : 2017-07-16 DOI: 10.5812/MEJRH.12289
K. Ghods, Abolfazl Abdoallahpour, M. Ahmadi, M. Mirmohammadkhani, A. Gohari, Alireza Emadi, Daryoush Pahlevan
Background: Thereisnodoubtthatproblemsduringwakefulnesscanaffectthequalityandlengthof sleep. Sleepdisturbancescan haveaseriousnegativeeffectonaperson’sability,function,andoverallwell-being. Oneof themostimportantissuesthatcanresult insleepdisturbancesisprofessionalcauses,andthemostimportantof whichisshiftwork. Thepresentstudyaimedatinvestigating the association between shift work and various sleep disorders and quality of life. Methods: This was a cross-sectional study. The data were collected using the Persian version of Epworth sleepiness scale andSF-36 questionnaires to assess the participants’ sleep disorder and quality of life. The questionnaires were filled in by 207 shift workers. Age, gender, shift works experience, and working experience were recorded for all participants. Results: In total, 45 (21.7%) out of 207 participants were male and 162 (78.3%) were female. The mean ± SD age of participants was 25.71 ± 4.38 years. The mean ± SD shift works experience and working experience were 3.76 ± 3.75 and 4.68 ± 3.92, respectively. Females were more at risk for sleep problems caused by shift work than males (P = 0.006). The prevalence of problems in initiating sleep,frequentwakingfromsleep,andearlymorningawakeningwasmorecommonamongshiftworkers,respectively. Asignificant negative correlation was found between quality of life and Epworth sleep score, meaning that with the increase in Epworth Sleep Score the quality of life was reduced, and the quality of life was improved by reduction in Epworth sleep score (r = - 0.5, P = 0.001). Conclusions: Higher prevalence of insomnia and poor sleep quality among shift workers and the subsequent reduction in their quality of life based on in this study emphasizes the importance of paying serious attention to sleep disorders in shift workers.
背景:毫无疑问,在清醒状态下出现的问题会影响睡眠的质量和时间。Sleepdisturbancescan haveaseriousnegativeeffectonaperson鉴别谎言,函数,andoverallwell-being。可能导致睡眠障碍的最重要原因之一是专业原因,其中最重要的是轮班工作。本研究旨在调查轮班工作与各种睡眠障碍和生活质量之间的关系。方法:采用横断面研究。数据收集使用波斯语版Epworth嗜睡量表和sf -36问卷来评估参与者的睡眠障碍和生活质量。调查问卷由207名轮班工人填写。记录所有参与者的年龄、性别、轮班工作经验和工作经验。结果:207名参与者中,男性45人(21.7%),女性162人(78.3%)。参与者的平均±SD年龄为25.71±4.38岁。轮班工作经历和工作经历的平均值±SD分别为3.76±3.75和4.68±3.92。女性比男性更容易因轮班工作而出现睡眠问题(P = 0.006)。在倒班工人中,入睡困难、经常从睡眠中醒来和早起的问题更为普遍。生活质量与Epworth睡眠评分呈显著负相关,即随着Epworth睡眠评分的升高,生活质量降低,Epworth睡眠评分降低,生活质量得到改善(r = - 0.5, P = 0.001)。结论:倒班工人中失眠和睡眠质量差的患病率较高,并由此导致其生活质量下降,本研究强调了对倒班工人睡眠障碍的重视。
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引用次数: 5
Study of Nutritional Status and Gastrointestinal Health in Patients Undergoing Hemodialysis and their Association with Laboratory Parameters and Dialysis Adequacy in Semnan, Iran 伊朗塞姆南血液透析患者营养状况和胃肠道健康状况及其与实验室参数和透析充分性的关系研究
Q4 Medicine Pub Date : 2017-07-16 DOI: 10.5812/MEJRH.12686
Zaynab Hydarinia-Naieni, Monir Nobahar, R. Ghorbani
Background: Malnutrition is a common problem, which may exacerbate gastrointestinal symptoms, reduce treatment efficiency, and deteriorate hemodynamic stability in hemodialysis (HD) patients. Objectives: This study aimed to investigate nutritional status and gastrointestinal health in HD patients and to determine the association of these variables with laboratory parameters and dialysis adequacy in Semnan, Iran in 2016. Methods: Thiscrosssectionalstudywasconductedon80patientswithaminimum6-monthhistoryof HD.Gastrointestinalhealth andnutritionalstatuswereassessedusinggastrointestinalsymptomratingscaleandsubjectiveglobalassessment,respectively. The laboratory parameters included alkaline phosphatase, urea, creatinine, albumin, iron, hemoglobin, hematocrit, and blood sugar. Results: Overall,27.5% of thepatientshadmildtomoderatemalnutrition,while72.5% hadagoodnutritionalstatus. Themostcom-mondigestiveproblemwasconstipation(83.7%). Calciumintake(r=0.2313; P=0.046), creatinine(r=0.234; P=0.041), andalkaline phosphatase (r = 0.414; P< 0.001) showed a positive correlation with gastrointestinal health. In addition, alkaline phosphatase (r = 0.419; P < 0.001) had a positive relationship with nutrition. HD adequacy was > 0.8 in 15% and ≥ 1.20 in 11.3% of the patients. HD adequacy ( r = 0.260; P = 0.023), urea nitrogen (r = 0.228, P = 0.046), and creatinine (r = 0.330; P = 0.003) had a positive correlation with gastrointestinalhealth. Overall, there was asignificant positive correlation betweennutrition and gastrointestinalhealth (r = 0.799; P < 0.001). Conclusions: The present findings can facilitate better planning to improve nutritional status, gastrointestinal health, laboratory parameters, and dialysis adequacy in the management of HD patients, particularly those with malnutrition.
背景:营养不良是血液透析(HD)患者的常见问题,可能会加剧胃肠道症状,降低治疗效率,并恶化血液动力学稳定性。目的:本研究旨在调查2016年伊朗塞姆南HD患者的营养状况和胃肠道健康状况,并确定这些变量与实验室参数和透析充分性的关系。方法:对80例至少有6个月HD病史的患者进行横断面研究。分别采用胃肠道症状评分法和受试者整体评估法对其胃肠道健康和营养状况进行评估。实验室参数包括碱性磷酸酶、尿素、肌酸酐、白蛋白、铁、血红蛋白、红细胞压积和血糖。结果:27.5%的患者轻度营养不良,72.5%的患者营养不良。最常见的消化问题是便秘(83.7%)。钙摄取量(r=0.2313;P=0.046)、肌酸酐(r=0.234;P=0.041)和碱性磷酸酶(r=0.414;P<0.001)与胃肠道健康呈正相关。此外,碱性磷酸酶(r=0.419;P<0.001)与营养呈正相关。15%的患者HD充分性>0.8,11.3%的患者HD充足性≥1.20。HD充足率(r=0.260;P=0.023)、尿素氮(r=0.228,P=0.046)和肌酐(r=0.330;P=0.003)与胃肠健康呈正相关。总的来说,营养和胃肠健康之间存在显著的正相关(r=0.799;P<0.001)。结论:在HD患者,特别是营养不良患者的管理中,本研究结果有助于更好地计划改善营养状况、胃肠健康、实验室参数和透析充分性。
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引用次数: 2
The Effect of Hydro-Alcoholic Extract of Rosa damascena on Uterine Constriction of Virgin Rats 大马士革玫瑰水醇提取物对大鼠子宫收缩的影响
Q4 Medicine Pub Date : 2017-07-15 DOI: 10.5812/MEJRH.13089
Morteza IsaAbadi Bozcheloei, Musa Sani, K. Sedaghat, M. Jarrahi, H. Nejat, M. Khorasani
Background: Few studies have evaluated the effect of Rosa damascena (R. damascena) on uterine smooth muscle contraction and dysmenorrhea; but, their ‎results were inconsistent. Objectives: The aim of the study was to consider the effect of alcoholic extract of R. damascena flower on uterine smooth muscle contraction amplitude, duration, and frequency in virgin rats. Methods: Thirty adult Wistar rats (180 - 220 g) were randomly divided into 3 groups including control, extract, and oxytocin plus extract. After anesthesia, 1.5 cm of the uterine horn was cut and placed in an organ bath. The contractile responses of the uterine smooth muscle to a cumulative concentration of alcoholic extract of R. damascena flower (1, 2, and 4 mg/mL) and to oxytocin (4 mU/mL) plus alcoholic extract of R. damascena were recorded. The extract or oxytocin was diluted in 0.2 ml of De Jalon solution and added to the organ bath. The amplitude, duration, and interval of contractions were recorded. Results: The alcoholic extract of R. damascena (4 mg/mL) significantly reduced the basal contractions ‎of ‎uterine smooth muscle (P = 0.004). Rosa damascena (4 mg/mL) significantly diminished oxytocin-induced uterine smooth muscle contractions (P = 0.026). The extract of R. damascena had no significant effect on the duration of normal or oxytocin-induced contractions in uterine smooth muscle. However, R. damascena (4 mg/mL) significantly reduced the frequency of uterine contraction in normal (P = 0.006) and oxytocin-induced contractions (P = 0.014). Conclusions: Rosa damascena extract reduced the amplitude and frequency of the basal and oxytocin-induced contractions in the uterine smooth muscle of virgin rats. The extract may relieve dysmenorrhea and premature labor, which needs further study for more clarification.
背景:很少有研究评估大马士革罗莎(R.damascena)对子宫平滑肌收缩和痛经的影响;但是,他们‎结果不一致。目的:本研究的目的是考虑大马士革花醇提取物对处女大鼠子宫平滑肌收缩幅度、持续时间和频率的影响。方法:30只成年Wistar大鼠(180-220g)随机分为对照组、提取物组和催产素加提取物组。麻醉后,切割1.5厘米的子宫角并将其置于器官浴中。记录子宫平滑肌对累积浓度的大马士革红花醇提取物(1、2和4mg/mL)和催产素(4mU/mL)加大马士革红醇提取物的收缩反应。将提取物或催产素在0.2ml De Jalon溶液中稀释,并加入器官浴中。记录收缩的幅度、持续时间和间隔。结果:大马士革红乙醇提取物(4mg/mL)显著降低基础收缩‎属于‎子宫平滑肌(P=0.004)。大马士革玫瑰(4mg/mL)显著减少催产素诱导的子宫平滑肌收缩(P=0.026)。大马士革红提取物对子宫平滑肌正常或催产素诱导收缩的持续时间没有显著影响。然而,大马士革红(4mg/mL)显著降低了正常大鼠的子宫收缩频率(P=0.006)和催产素诱导的收缩频率(P=0.014)。结论:大马士革红提取物降低了原始大鼠子宫平滑肌基础收缩和催产素诱发的收缩的幅度和频率。该提取物可以缓解痛经和早产,这需要进一步研究才能得到更多的澄清。
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引用次数: 1
Evaluation of Knowledge, Attitude and Practice of Personnel in Operating Room, ERCP, and ESWL Towards Radiation Hazards and Protection 手术室、ERCP和ESWL工作人员对辐射危害和防护的知识、态度和实践评估
Q4 Medicine Pub Date : 2017-07-15 DOI: 10.5812/MEJRH.12354
Shima Moshfegh, H. Hasanzadeh, M. Jadidi, M. Mirmohammadkhani, A. Bitarafan-rajabi, A. Abedelahi, Alireza Emadi, Mitra Bokharaeian, F. Shabani, Hamed Masoumi, Danial Seifi, Tahereh Khani, Mohamad Sanchooli, Athar Ehtiati, Shima Amin, M. Vali, A. Maziar, S. Vali, Mohsen Bigdeli Pashaei
Background: Recently, X-rays radiation hazards rise with the exposure of patients and personnel. Exposure of people to radiation in the operating rooms is an important problem to study the safety of personnel and patients. To date, few studies are accomplished to evaluate knowledge, attitude, and practice (KAP) among personnel in hospitals. The current study aimed at evaluating KAP level of radiation hazards and protection amongst personnel in the operating room. Methods: A questionnaire-based, cross sectional study was conducted in 11 provinces of Iran from 2014 to 2015. Respondents in the current study were 332 personnel of operating room, endoscopic retrograde cholangiopancreatography, and extracorporeal shock-wave lithotripsy. Demographic characteristics, as well as knowledge, attitude, and practice levels of operating room personnel were collected. The selected hospitals were 3 types (educational, non-educational, and private clinics) located in 5 different regions of Iran (Tehran, Center, East, North, and West). Data were analyzed using SPSS version 16.0 and statistical analyses were accomplished with the one-way ANOVA. Results: The current study results showed no statistically significant difference in the KAP level of operating room personnel towards radiation protection for both genders (P = 0.1), time since graduation (P = 0.4), and work experience (P = 0.1). According to the analyses, the highest level of KAP concerning radiation protection was observed in the personnel of private clinics (mean score = 53.60) and the lowest value was observed in non-educational hospitals (mean score = 45.61). Besides, the KAP level was significantly higher in the Northern region (P < 0.0001) and the lowest was observed in the hospital personnel of the Central region (mean score = 34.27). Conclusions: The current study findings showed that the level of KAP regarding radiation protection among operating room personnel was inadequate and it is necessary to pay attention to the principles of radiation protection in the operating room. In this regard, holding courses on radiation protection and an elaborate educational program might be useful.
背景:近年来,X射线辐射危害随着患者和工作人员的暴露而增加。人们在手术室中暴露于辐射是研究人员和患者安全的一个重要问题。到目前为止,很少有研究对医院工作人员的知识、态度和实践(KAP)进行评估。目前的研究旨在评估手术室人员的KAP辐射危害和防护水平。方法:2014年至2015年,在伊朗11个省进行了一项基于问卷的横断面研究。本研究的受试者为332名手术室、内镜逆行胰胆管造影和体外冲击波碎石术的人员。收集手术室工作人员的人口学特征以及知识、态度和实践水平。选定的医院有3种类型(教育、非教育和私人诊所),位于伊朗的5个不同地区(德黑兰、中部、东部、北部和西部)。使用SPSS 16.0版对数据进行分析,并使用单因素方差分析进行统计分析。结果:目前的研究结果显示,手术室人员对辐射防护的KAP水平在性别(P=0.1)、毕业后的时间(P=0.4)和工作经验(P=0.01)方面没有统计学显著差异,私人诊所工作人员辐射防护KAP水平最高(平均得分=53.60),非教育医院最低(平均得分=45.61),KAP水平在北部地区明显较高(P<0.0001),在中部地区的医院工作人员中最低(平均得分=34.27)。结论:目前的研究结果表明,手术室工作人员在辐射防护方面的KAP水平不足,有必要注意辐射防护原则在手术室。在这方面,举办辐射防护课程和精心制定的教育计划可能是有益的。
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引用次数: 6
期刊
Middle East Journal of Rehabilitation and Health
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