Quality of Work Life (QWL) can affect health and safety of individuals. The aim of the present study was to evaluate QWL among surgeons and investigate its association with musculoskeletal complaints. This cross-sectional study was conducted among surgeons working in hospitals located in Zahedan, Iran. QWL was assessed using the Walton's 35-item questionnaire and the Nordic Musculoskeletal Questionnaire (NMQ) was used for assessing musculoskeletal complaints. The effects of age, gender, BMI, working hours, and working posture were adjusted. Univariate and multivariate binary logistic regressions and independent T-test were employed for analyzing data. Seventy-four surgeons participated in this study. They were mostly male (60.8%) and married (73.00%) with the mean age of 37.9 years (±5.3) and the mean experience of 7 years (±4.23). Most of them (87.8%) had a moderate level of QWL and 90.6% of them had musculoskeletal complaints in at least one part of their body. "Development of human capacities" and "the total life space" had the highest and lowest scores, respectively. QWL was a significant predictor of pain and discomfort complaints in the neck, shoulders, upper back, elbows and legs. Alongside improving workstations and tools used by surgeons, interventions aimed at promoting QWL may be necessary to reduce musculoskeletal complaints among them.
Objectives Health care workers (HCWs) are exposed to needle needles daily. Despite individual studies, there is no statistics on the prevalence of unreported needle stick injuries (NSIs) have been reported. This study was performed to determine the prevalence and causes of unreported NSIs among HCWs. Content In present systematic review and meta-analysis study, three international databases (Web of Science, Scopus, PubMed) were searched from January 1, 2000 to December 31, 2018. The random model was used to determine the prevalence of unreported needle stick among HCWs. Summary and outlook Forty-one studies performed on 19,635 health care workers entered the final stage. Based-on random effect model, pooled prevalence of unreported needle stick injuries was 59.9% (95% CI: 52.0, 67.7; I2=98.9%). The most common cause of unreported NSIs was: They were not worried about NSIs (n=12). The high prevalence of unreported needle sticks injuries indicates the urgency and necessity of paying attention to strategies to improve reporting among health workers.
Background: Celiac disease (CD) is a chronic, systemic immune disorder that can affect one’s quality of life. Objectives: The aim of this study was to explore the key performance indicators (KPIs) related to the quality of life of patients with CD admitted to the Celiac Association of Bouali Hospital in Zahedan. Methods: This descriptive-analytical study was performed on 60 patients with CD who referred to the Celiac Association of Bouali Hospital in Zahedan in 2018. Data collection tools included a demographic questionnaire (age, gender, marital status, duration of illness, education, ethnicity, economic status, occupation, breastfeeding history, family history of CD, as well as vitamin D and iron supplementation) and the Quality of Life Questionnaire for patients with CD. Data were analyzed in SPSS 21 using descriptive statistics. All values less than 0.05 were considered statistically significant. Results: Sixty participants completed the study, 66.7% of whom were female, 76.7% were married, and 85.3% reported a family history of CD. The total score of patients’ quality of life was 81.66 ± 18.33, and the lowest score of quality of life was associated with patients’ concerns (51.81 ± 3.85). The findings also showed that, among various KPIs, vitamin D had a particularly significant relationship with patients’ quality of life. Conclusions: There was a significant relationship between the quality of life and vitamin D supplementation in the participants. Besides, considering the effect of physical health on improving the quality of life and the chronic nature of CD, it is necessary to enhance the quality of life of these individuals by raising their awareness about micronutrient intakes while respecting their dietary restrictions.
Background: Patients with heart failure (HF) need continuous medical care, including regular follow-up, training, and information acquisition to increase self-care capacity. Adherence to self-care behaviors reduces patient readmission Objectives: This study examined the impact of the continuous care model (CCM) on self-efficacy and readmission of patients hospitalized with HF. Methods: This quasi-experimental study was conducted on patients with HF visiting two teaching hospitals in southeastern Iran in 2021. The participants were 70 patients who were selected using convenience sampling and were placed into two control and intervention groups, each with 35 patients through limited random sampling. The patients in the control group received routine care, but the CCM was performed for the patients of the intervention group in the form of individual training for 6 sessions in the hospital and after discharge and then through telephone follow-up once a week until the end of the twelfth week. The instruments used to collect the data were a demographic information form that assessed patient readmission and their demographic information and Sullivan's Cardiac Self-Efficacy Scale. The collected data were analyzed with SPSS software (version 22) using the chi-square test, independent and paired samples t-test, and analysis of covariance at the significance level of P < 0.05. Results: Analysis of covariance showed that the mean self-efficacy score of the patients with HF was significantly different between the two groups after implementing continuous care (P = 0.001). The results of the independent samples t-test suggested that the mean and standard deviation of readmission frequencies in the control group (1.03 ± 1.01) were significantly higher than the mean readmission frequencies of the patients in the intervention group (0.34 ± 0.68) (P = 0.001). Conclusions: Given the positive and significant effect of the CCM on increasing patient self-efficacy and reducing the frequency of readmissions, and considering the ease, applicability, and low cost of this intervention, relevant authorities need to make effective planning and policies to implement the CCM for patients with HF.
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