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Objectives: The sudden outbreak of Coronavirus (COVID-19) as a deadly disease worldwide has caused widespread psychological problems and physical problems. Given the importance of preventing and controlling mental health problems in patients with this disease, the present study was conducted to investigate the Perceived Stress level of health care and non- health care in Exposed to COVID-19 pandemic. Methods: This is a descriptive-cross-sectional study conducted in April 2020. A total of 528 medical and non-medical workers entered the study by simple sampling method. Include criteria as follows Employees exposed to the Coronavirus (COVID-19) who had access to a smartphone. People with a history of mental illness were excluded from the study. The tools used included a demographic questionnaire, and the Cohen 10-item Perceived Stress Scale distributed online via the mobile phone. Results: Among 528 participants in the study, the majority (68.2%) were married (52.7%) were male, and (47.3%) were in the age group of 46-46 years. Most research units (90.2%) had moderate stress, and (4.2%) had severe stress. The Kruskal–Wallis test showed that students were more stressed than formal and contract workers. In comparison with the averages in the Mann-Whitney test, women were more stressed than men. People who were not taking medication had more stressed than people who were taking medication. Also, people with therapeutic occupations were more stressed than Non-therapeutic jobs. Conclusion: Discussion and Conclusion: The findings of the present study showed the need for more vulnerable groups in society such as women, students, and staff of therapeutic occupations in the Coronavirus (COVID-19) crisis prevention and care, which should be reviewed by effective coping strategies and epidemic disease management, access to healing resources and psychological services system should be further strengthened for this group. Also, the planning of national strategies and first aid in crises should be emphasized through telemedicine and online services

PurposeTreatment adherence is one of the major strategies in treating post-traumatic stress disorder (PTSD) in combat veterans. This study developed and psychometrically assessed the Treatment Adherence Questionnaire for Patients with Combat Post-Traumatic Stress Disorder.Participants and methodsThis methodological study was conducted in Tehran, Iran, during 2016–2017 in two phases. First, the concept of treatment adherence in combatants with PTSD was analyzed using a hybrid model. This model consisted of three phases: literature review phase, fieldwork phase, and final analysis phase. The consequences and attributes of the concept of treatment adherence in combatants with PTSD were identified, and based on the findings, the Treatment Adherence Questionnaire for PTSD veterans was developed. In the second stage, the face and content validities of the questionnaire were investigated both quantitatively and qualitatively. Exploratory factor analysis and confirmatory factor analysis were used to determine the questionnaire’s validity. Internal consistency correlation coefficient of the questionnaire was estimated with Cronbach’s alpha coefficient, while the reliability of the questionnaire was established using intra-class test-retest correlation coefficient. Study participants were selected from inpatients and outpatients referred to a hospital, clinic, and health center in Tehran and Kashan, Iran. All patients were diagnosed with combat PTSD by a psychiatrist, based on psychiatric interview and other clinical findings.ResultsThe Persian version of the Treatment Adherence Questionnaire for Patients with Combat Post-Traumatic Stress Disorder included 17 items. Exploratory factor analysis identified three factors which accounted for a total of 87.57% of the total variance of treatment adherence score. The identified factors were labeled as “maintenance of treatment”, “follow-up and treatment contribution”, and “purposefulness and responsibility”. The Cronbach’s alpha correlation coefficient was 0.92 and the intra-class correlation coefficient of the questionnaire’s reliability was estimated at 0.92 (P<0.001).ConclusionThe data obtained confirmed the hypothesis of the factor structure model with a latent second-order variable. The final version of the Treatment Adherence Questionnaire for Iranian combatants with PTSD can be applied as a valid and reliable questionnaire for measuring treatment adherence in these patients.

Background:In recent decades, the increasing crowdedness of the emergency departments has posed various problems for patients and healthcare systems worldwide. These problems include prolonged hospital stay, patient dissatisfaction and nurse burnout or job dissatisfaction.Objectives:The aim of this study was to investigate the effect of emergency department (ED) nurses’ job specialization on their job satisfaction and the length of patient stay in the ED.Patients and Methods:This before-after quasi-experimental study was conducted from April to May 2014 at the Baqiyatallah Hospital, Tehran, Iran. Initially, 35 patients were recruited as controls and the length of their stay in the ED was measured in minutes via a chronometer; Moreover, nurses’ job satisfaction was evaluated using the Mohrman-Cooke-Mohrman job satisfaction scale. Then, a job specialization intervention was developed based on the stabilization model. After that, 35 new patients were recruited to the treatment group and received specialized care services. Accordingly, the length of their stay in the ED was measured. Moreover, the same nurses’ job satisfaction was re-evaluated after the study. The study intervention lasted one month. Data were analyzed using the SPSS software version 20 and statistical tests such as the Kolmogrov-Smirnov, the paired and the independent t, and chi-square tests.Results:There was a significant difference between the two groups of patients concerning the length of their stay in the ED (P < 0.001). Moreover, compared with the pretest readings, nurses had greater job satisfaction after the study (P < 0.001).Conclusions:The job specialization intervention can improve nurses’ satisfaction and relieve the crowdedness of the EDs.

Recognition of the spiritual experiences of patients with post-traumatic stress disorder may be helpful in their rehabilitation. Accordingly, the present study has been carried out to determine the spiritual experiences of Iranian Muslim warriors who suffer from the previously mentioned disorder. In this qualitative study, 22 patients were selected using an objective-based sampling method and underwent an individual, semi-structured thorough interview. The data were analyzed using content analysis. The spiritual experiences of the participants were divided into two main categories as follows: (1) religious attitude consisting of three sub-categories known as "religious beliefs," "religious sentiments," and "religious behaviors" and (2) a national sensibility that includes the two sub-categories of "patriotism" and "proud" of being injured for my homeland. The analysis of the participants' spiritual experiences showed that their specific religious orientation and feelings of nationalism assisted with their improved ability to cope with the consequences of their disorder. Therefore, it is recommended that caregivers use patients' spiritual values to help them cope more efficiently.