Toloo-e-Behdasht
Year:2022 | Volume:21 | Issue:4 (94)|Papers Count:7

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.

Introduction: The aim of this study is to investigate the effect of educational package of healthy human theory on self-efficacy and mental health of female high school students in Fooladshahr. Methods: The research method was quasi-experimental and included a pretest, posttest and a onemonth follow-up. The statistical population included all the female high school students (1, 200 students) in Fooladshahr in the academic year 2020-2021. Convenience sampling method was used, and a secondary school in Fooladshahr was selected. Then, mental health screening and selfefficacy questionnaires were distributed among the students. In the second stage, 30 students were selected from those who had lower mental health and self-efficacy and were willing to participate in the study. They were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received thirteen sessions of a revised version of training based on the healthy human theory (Aghaei, Asadi, 2021). The control group remained on the waiting list. Data collection tools in the pretest, posttest and follow-up stages included the Morris Children and Adolescents Self-Efficacy Questionnaire (2001) and the Keys Mental Health Scale (2002). In order analyze data, the analysis of variance with repeated measures was used. Results: The results showed that the training package regarding the healthy human theory had a significant effect on improving self-efficacy and mental health of students in the posttest stage (p <0. 001). The effect continued to the follow-up stage (p <0. 001). Conclusion: According to the findings of this study, it can be said that the training package regarding the healthy human theory has been a suitable method for improving self-efficacy and mental health of female students from senior high school.

Introduction: Smartphones have become an integral part of today's life. In addition to their benefits, excessive use of smartphones has negative effects, especially among students. One of these negative effects is smartphone addiction. During the Coronavirus pandemic and home quarantine, they were used to participate in virtual classes. They were also a means of entertainment and leisure. The aim of this study is to investigate the extent of smartphone addiction among students of Shahid Sadoughi School of Health in Yazd during the Coronavirus pandemic. Methods: This was a cross-sectional descriptive study conducted during COVID-19 pandemic. The statistical population included 303 students from the school of Health. The instrument used was a cell phone addiction questionnaire. Data were analyzed by SPSS_26 software, independent t-test and Chi-square. Result: The mean score for cell phone addiction was 39. 6. 7. 6% had mild addiction, 85. 8%, moderate addiction, and 6. 6% had severe addiction. No significant relationship was found between gender, marital status, and education level and smartphone addiction. 66% of students' time was spent on social networks. Conclusion: Smartphone addiction is high among health school students. It is necessary to carry out serious educational interventions and cultural and extracurricular activities later in the post-COVID period.

Introduction: The present study was conducted with the aim of investigating the quality of life and its predictive factors in patients with occupational hand eczema. Methods: In this cross-sectional-analytical study, 244 patients with occupational hand eczema were examined through convenience sampling. The tools of data collection included the standard questionnaire of quality of life index in skin diseases (DLQI) and visual analog scale (VAS). Data analysis was done by Stata14 and the raw and adjusted odds ratio (OR) with a 95% confidence interval (95% CI) was reported. Results: 46. 7% had severe eczema. Multivariable logistic regression model showed the age over 30 (OR=5. 40,CI 95%: 2. 92 –,9. 98), female gender (OR=2. 02,, CI 95%: 1. 14 –,3. 06), housekeeping (OR=5. 25, CI 95%: 1. 94 –,14. 24), work experience over 5 years (OR=4. 59, CI 95%: 2. 13 –,9. 85), working more than 8 hours (OR=4. 71, CI 95%: 2. 57 –,8. 62) and severity of hand eczema (OR=2. 14,, CI 95%: 1. 28 –,2. 56) were the most important predictors of low life quality in patients with hand eczema (P-value>0. 05). Conclusion: Hand eczema has a significant effect on the life quality of most patients,therefore, designing and implementing care and preventive programs considering the above-mentioned factors are necessary to improve the quality of life regarding these patients.

Introduction: Generation of waste, on the one hand, and recycling it, on the other hand, are the most important challenges of waste management. Regarding this approach, waste segregation of the source by households is the most suitable and affordable component in the waste management. This study was conducted in Yazd city with the aim of determining the household's awareness, attitude, and performance of households toward waste segregation and related ecological factors. Methods: This was a cross-sectional study carried out in 2019 on 386 households in Yazd city. They were selected by simple random sampling. Data were collected thorough a researcher-made questionnaire. Non-parametric, Mann-Whitney and Kruskal-Wallis tests were also used to investigate the relationship between ecological factors and awareness, attitude and performance. All analyses were done in spss-24 software considering a significance level of 5% Results: 53. 6% of the households segregated their recyclable waste. Among the ecological factors included in this research, factors such as family member's cooperation, sufficient space allocated for waste storage, paying attention to environment's protection, informing on the exact collection time for garbage, regular garbage collection by municipality, waiting time regarding garbage collection, and execution time of garbage collection, and providing regular education by municipal authorities had a significant relationship with people's participation in waste segregation. Conclusion: The level of awareness, attitude and performance of Yazd citizens regarding the waste segregation at the source is medium, and the ecological factors are effective in this regard. More education is recommended to attract the participation of citizens and entrust important and sensitive parts of waste management to private companies and institutions.

Introduction: As the world is fighting against the epidemic of COVID-19, nurses as the largest group of healthcare professionals at the forefront of this struggle, perceive the threats and challenges. Therefore, it is important to know the factors that help or hinder the health of nurses. The aim of this study is to investigate the experiences of nurses caring for patients with COVID-19. Methods: The data for this qualitative study was collected during the summer and early fall of 2020. Participants were nurses from a hospital, which was considered the main hospitalization center for COVID-19 patients in Kerman, a city in Iran,they were selected through purposive sampling. Data were collected through semi-structured interviews. Conventional content analysis method was used to analyze th data. Results: 10 nurses participated in the study. Three main categories and six subcategories were identified. Perceived barriers (including subcategories of “, negative emotions”,and “, limitations in service delivery”, ), perceived facilities (subcategories included “, perceived support”, , commitment to work”, , “, previous experience”, ), and prevised needs (subcategories included “, self-care”,and “, information needs”, ) were identified through analysis. Conclusion: Lack of seriousness to overcome the challenges and obstacles of nurses, results in epidemic, the health physical and psychological harm to them and in continuation of COVID-19 system will face nurses who will not have the enough capability to provide appropriate nursing care.

Introduction: Natural and man-made disasters will have harmful impacts. Given the important role of healthcare centers in time of crisis, they need to be regularly assessed in terms of structural and non-structural readiness. Methods: This was a descriptive and cross-sectional study conducted on 22 urban and rural healthcare centers in Bojnord, a city in North Khorasan province, Iran. The relevant forms and checklists were completed through interviews with doctors, experts, and direct observation regarding functional, structural and non-structural documentation. After collecting data and completing the desired forms and checklists, the information obtained in all the centers was generally compared and evaluated. Results: Based on the results obtained from comprehensive urban and rural health service centers of Bojnoord Health Center, the level of functional readiness is 52. 56, the safety of structural elements is 60%, the safety of non-structural elements is 57. 32%, and the total safety is 57. 71%. The disaster safety index is also 6 out of 10. Conclusion: According to the current research, the readiness of healthcare centers for disasters is far from the desired level. This situation could be due to the lack of an integrated disaster risk management, insufficient budget and knowledge on this issue. In the field of disaster risk management, it is necessary to plan to increase the understanding of disaster risk at the level of officials and society.