Journal of Guilan University of Medical Sciences
Year:2018 | Volume:27 | Issue:106|Papers Count:7

Introduction: In order to provide quality and safety, the ministry of Health has developed accreditation standards for hospitals in Iran. According to these standards, a hospital is required to have a specific check list of all the actions and treatments that need to obtain written consent from the recipient of services, and informed consent should be taken accordingly. Objective: Investigate the quality of recording informed consent of patients in teaching hospitals of Guilan University. Materials and Methods: This descriptive-analytical study was conducted in teaching hospitals of Guilan University in 1393, according to 303 records available in the archives of the hospitals. Data were collected using questionnaires and the quality of recording the data in the informed consent form was investigated in accordance with the objectives of this study. Results: Recording the type of invasive procedure at 59. 6%, recording the benefits of invasive procedures transparently and understandably at 31. 4%, recording the possible complications of invasive procedures transparently and understandably at 45. 5%, recording the explanations for alternative methods of invasive procedures at 8. 6% and recording the explanations for possible risks of non-invasive treatments at 22. 1% of the time revealed a good quality. Conclusion: the most important issue in completing informed consent forms in the studied hospitals is recording the signature of consenting parties to make it legal, however in general, providing information to the patients about the upcoming treatment did not yield a good quality.

Introduction: Dental Anxiety is one of the important reasons of people’ s avoidance from dental care and in long-term, in turn leading to decreased oral and dental health level and quality of life. On the other hand, the occurrence of anxiety in patients and repeated examination of them affects dentist’ s performance. Objective: The purpose of this study was the evaluation of anxiety and related factors in adult patients referred to the Dental School, Guilan University of Medical Sciences in 2015-2016. Materials and Methods: In this cross-sectional study, random sampling methods on 200 patients referred to the Guilan Dental School was done. Data including information obtained from 4 questionnaires 1-referred testimonial, 2-personal information and other research index and relative factors, 3-Dental Anxiety questionnaire (Corah) (DAS), 4-Personal satisfaction of quality of life (MC Grath) were collected and analysed. Using SPSS software and application of satisfaction T tests, Variance Analysis ANOVA, spearman and Pearson correlation coefficient, the results were analyzed (p<0. 05) Results: The results showed that 83 persons, i. e, 41. 5% of samples had slight dental anxiety, 78 persons (39%) had average dental anxiety and 39 persons, (19. 5%) were with severe dental anxiety. In this study, female patients exhibited a higher level of dental anxiety, compared to male counterparts. A significant association was revealed between the level of dental anxiety and level of education. Conclusion: This study showed that most patients referred to the center were with dental anxiety. Also, the results showed a significant relationship between dental anxiety level and related factors such as other relative factors including sex, age, level of education, personal satisfaction of quality life, number of dental visit and etc.

Introduction: Today, organizational affairs have been considered as a global concept in human resource management and organizational development, and promotion is the key to the success of any organization's management. The purpose of this study was to investigate the relationship between quality of work life and organizational commitment among Guilan emergency personnel. Objective: The present survey aims to investigate the relationship between job career quality and organizational commitment among employees of this organization Materials and Methods: The present analytical study is performed in a cross-sectional form during the year 2016 in Guilan's Center of Event Management and Medical Emergencies. Population consisted of all employees in the center and other branches and agencies in entire province (425 individuals)of whom 201were selected as Morgan sample. Statistical relationships were determined through Spearman and Pearson's correlation coefficient (in the significance level of 0. 05) and SPSS19 was used to perform statistical analysis. Results: Among the factors of quality of work life, the component of the chance of growth, and social dependence, the highest average of( 3. 24) and the component of fair payment (salary and material benefits) had the lowest average (2. 17). Conclusion: Emphasizing participation aspects and fostering employees' skills is a key to improve job career quality and organizational commitment in Center of Medical Emergencies. In doing so, the commitment of employees is expected to enhance.

Introduction: On-time diagnosis of coronary diseases plays a very important role in decreasing the corresponding symptoms. Nowadays, educating the patients is one of the most important and vital caring programs in medical systems, and is known as the heart of responsibilities in all fields of healthcare. Objective: The aim of this study is to find out the effects of the familiarization program on stress, anxiety, and function of the exercising test on cardiovascular patients of Rasht's Heshmat Hospital in 1396(2017). Materials and Methods: This half-empirical study was done on 34 cardiovascular patients, who were undergoing exercise test, and were chosen via convenience sampling. The educational intervention test was a researcher-made exercise in three sessions and anxiety and stress questionnaire (DASS-21) (Levybound and Levybound, 1995). Data were analyzed using descriptive index and covariance test. Results: Analysis of each dependent variable indicated that the familiarization of the patients with the exercise test was effective in improving their performance, i. e., the program was effective on decreasing stress level (F=1. 33, Factor 1. 33, F=1. 33), and anxiety (F (= 1. 33) = 1. 33), P <0. 001). Conclusion: According to the results of the present study done on the effectiveness of the familiarizing program on decreasing psychological distress in many diseases, we can help.

Introduction: women, due to their physiological condition and reproductive complications, compared with men, are more vulnerable. For this reason, women's health is one of the indicators of development of the societies. Objective: To compare the effectiveness of meditation meta-cognitive therapy in reducing anxiety in pregnant women in the last trimester of pregnancy Materials and Methods: This study is an experimental study with multiple baseline design. The study population included all pregnant women in Rasht during the first trimester in 2016. They visited a gynecologist's doctor complaining of anxiety due to pregnancy. They were asked to complete pregnancy anxiety scale (PRAQ). Based on the answers to the questionnaire from the community, a sample of eight people targeted for sampling were selected, who had high scores in anxiety pregnancy and also based on age, occupation and education, then randomly divided into two experimental groups. The first group took part in individually meta-cognitive therapy (MCT) sessions and group meditation sessions. Participants in the pre-test anxiety in pregnancy, during therapy sessions, end of therapy sessions and follow-up phase (40 days after the end of therapy sessions) were assessed. Friedman test with SPSS software was used for statistical analysis. Results: MCT and meditation are effective on reducing anxiety in pregnant women in the last trimester of pregnancy (P<0/01). Conclusion: MCT and psychological treatments such as meditation are effective in controlling anxiety and psychological health of pregnant women.

Introduction: Borderline personality disorder is the most common personality disorder in psychiatric settings. Objective: To compare the efficacy of Dialectical Behavior Therapy (DBT) and Schema Therapy (ST) on impulsive behavior in patients with borderline personality disorder in the of Buali hospital Qazvin. Materials and Methods: the present study was an applied one and the method of data collection was semiexperimental with pre-test and post-test including control group. The study population included all the patients with borderline personality disorder referred to Buali hospital of Qazvin. The study sample included 36 students who were selected by convenience sampling method. Of these, 24 patients were randomly divided into two groups of 12 subjects experimental and a control group of 12 patients. We used clinical interview and Barratt Impulsiveness Scale-11 (BIS). Patients with borderline personality disorder in the experimental groups received intervention for 16 sessions of 45 minutes in 16 consecutive weeks. Research data analysis was done using univariate and multivariate analysis of covariance and Tuky post hoc test. Results: The results showed a significant difference between the effectiveness of schema therapy and of dialectical behavior therapy on impulsive behavior at the level of P<0. 05. Also, there was no significant difference between the schema therapy and of dialectical behavior therapy in patients with borderline personality disorder in mentioned variable at the level of P<0. 05. Conclusion: Schema therapy and of dialectical behavior therapy are effective in reducing impulsive behavior in patients with borderline personality disorder.

Introduction: Alzheimer’ s disease is a progressive degenerative disease which causes memory disorders, decreases cognitive func tions and behavioural changes. Some studies have indicated that antioxidants have a positive effect on the reduction of neuronal dam age disorders in the brain. Objective: In this study, the effects of N-acetyl-cysteine as a potent antioxidant on serum oxidative stress factors in Streptozotocin-induced Alzheimeric male rats were investigated. Materials and Methods: In this experimental study, 24 rats were divided into 4 groups; divided into four groups (n=8): Saline, Streptozotocin (STZ), Streptozotocin in combination with N-acetyl-cysteine (NAC) and NAC alone. Intracerebroventricular administrations of STZ (3mg/kg) on the first and the third day of the surgery and Intraperitoneally administrations of saline(ml/kg) or NAC (300mg/kg) on the fourth day after the surgery was performed. The animals’ memory was evaluated through passive task and Blood serums were used to measure the levels of malondialdehyde, total antioxidant, superoxide dismutase, glucose and lipid particles. Results: STZ significantly reduced memory retrieval (p<0/001), decreased levels of total antioxidant (p<0/001) and superoxide dismutase (p<0/001) and increased lipid peroxidation level (p<0/001), compared with that in the control group. But no significant effect on Glucose level and lipid serum particles was observed, compared with the control group (p>0/05). Administration of NAC improved memory retrieval (p<0/001). The administration of NAC alone didn’ t have cause any significant difference, compared to the control group (p>0/05). Also, the injection of NAC led to decreased levels of glucose (p<0/05), Triglyceride (p<0/001), LDL (p<0/001) and increased HDL(p<0/01) compared with the control group. Conclusion: It seems that NAC because of its antioxidant properties can reduce effect of memory impairment induced by STZ and it can be effective in prevention and treatment neurodegenerative diseases including Alzheimer disease by modulating some risk factors such as glucose, lipid particle and reducing of oxidative stress.