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Background: COVID-19 is a new disease, so we don’t know what comes next. Since information on delayed symptoms is limited, this study was conducted to assess the frequency of delayed symptoms in patients with COVID-19. Methods: This follow-up cross-sectional study was conducted in a referral general hospital in Tehran, Iran from Feb to Apr 2020. Two hundred patients hospitalized for COVID-19 and were discharged were assessed for delayed symptoms 6 wk after discharge. Results: The mean age of the participants was 55.58±13.52, and 160 (80%) Of them were male. On admission to hospital, patients reported a mean of 5.63±2.88 symptoms per patient, range from 1 to 14 symptoms. Dyspnea was seen in 119 (59.5%) 0f them as the most frequent symptom. Then weakness, myalgia, and shivering were reported with a frequency of 111 (55.5%), 107 (53.5%), and 103 (51.5%), respectively. Six weeks after discharge reassessment was done. None of the patients was readmitted to the hospital. Ninety-four (42%) of them were symptom-free. Fatigue was the most frequent delayed symptom with a frequency of 39 (19.5%), and then dyspnea, weakness, and activity intolerance with a frequency of 37 (18.5%), 36 (18%), and 29 (14.5%) were reported, respectively. Conclusion: Fatigue, dyspnea, weakness, anxiety, and activity intolerance were most frequent delayed symptoms, respectively. Majority of patient was symptoms free and those with symptom, had mild to moderate symptoms. The importance of symptoms is not fully recognized. Follow up clinics and in some cases rehabilitation programs may be helpful

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

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Background Physiological and psychological changes during menopause can affect the quality of marital satisfaction. The aim of this study was to evaluate the effect of self-care education program on the severity of menopause symptoms and marital satisfaction in postmenopausal women. Methods In this randomized controlled clinical trial, 70 postmenopausal women who referred to the gynecology clinic of Baqiyatallah and 502 Artesh hospitals in Tehran, Iran, and met the all inclusion criteria were randomly allocated into two equal groups (intervention and control groups) using block randomization. The intervention group received self-care training program in physical, psychological, social and sexual dimensions in 5 sessions during a week. The control group also had 5 sessions exactly the same as the intervention group, except that they received only routine care and training. Data were collected pre- and post-intervention using Menopause Symptoms' Severity Inventory (MSSI-38) questionnaire and the Revised Dyadic Adjustment Scale (RDAS) questionnaire. Results In the control and intervention groups before the intervention, socio-demographic characteristics (P > 0.05), the mean scores of MSSI-38 (P = 0.388) and RADS (P = 0.476) were not statistically significant. However, in the intervention group the mean scores of MSSI-38 (49.88 ± 3.3 vs. 39.33 ± 3.7, P < 0.001) and RADS (35.15 ± 4.3 vs. 49.48 ± 3.2, P < 0.001) after the intervention changed significantly and this change were statistically significant compared to the control group. Significant inverse correlation between severity of menopausal symptoms and marital satisfaction was observed with r = -0.461, P < 0.001. Conclusion Our findings indicate that self-care training has a positive effect on the severity of menopause symptoms and also improves marital satisfaction in postmenopausal women. Therefore, we recommend that more attention be paid to providing self-care educational content to improve the marital satisfaction in postmenopausal women. Clinical trial registration Iranian Registry of Clinical Trials; https://www.irct.ir/trial/49225 (IRCT20200624047910N1), registered (10/11/2020).

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CONTEXT: The 30-item nurses' observation scale for inpatient evaluation (NOSIE-30) developed for the behavioral and observational rating of psychiatric inpatients. AIMS: The purpose of this study was to evaluate the validation of the NOSIE-30 and mental health-care promotion. MATERIALS AND METHODS: The participants with psychiatric disorders were selected from 310 inpatients referred to the military educational hospital in Iran. This study was carried out in two phases: First, translation of the NOSIE-30 into Persian followed the stepwise, iterative procedures developed by the International Quality of Life Assessment project approach. Second, face validity, criterion-related validity and construct validity, and reliability of the Persian version were determined. The concurrent validity was assessed by using the global assessment of functioning (GAF) instrument. Data were analyzed with the SPSS software of version 22. Exploratory factor analysis, the Cronbach's alpha coefficient, and interrater agreement with intraclass correlation coefficient and Pearson's correlation coefficient were used to data analysis. RESULTS: Pearson's correlation coefficient between the NOSIE and GAF was 0.75. The interrater reliability for subscale scores and structure of the NOSIE were ranging from 0.70 to 0.94 and Cohen's kappa = 0.74. Furthermore, the internal consistency of the scale's total scores was estimated by Cronbach's alpha = 0.85. CONCLUSIONS: The finding indicated that NOSIE-30 Persian version scale has the desirable validity and reliability for evaluating the nursing care of inpatients. Thus, nurses can promote mental health care by applying this scale in the psychiatric setting.

As a global threat, the COVID-19 pandemic is a challenge to psychological resilience. The aim was to determine the prevalence of various psychological disorders during the COVID-19 pandemic. This is a systematic review. Studies using different combinations of keywords COVID-19, SARS-COV, pandemic, psychological disorders, mental health and, psychological consequences were retrieved from different scientific databases Elsevier, Pubmed, Science Direct, Scopus, Web of Science. These studies were published from December 1, 2019, to May 30, 2020. Twenty-eight studies out of 410 retrieved articles were evaluated and analyzed for data extraction. The analysis of studies revealed that the different types of psychological disorders like stress, anxiety, depression, post-traumatic stress disorder, mental distress, schizophrenia, sleep disorders and sleep disturbances, vicarious traumatization, and internet addiction on moderate to severe in public and medical personnel were recorded during COVID-19 crisis. The frontline health care workers were more depressed, anxious, insomniac, and mentally disturbed. Women were more vulnerable to psychological disorders and sleep problems. Young people were more likely to experience generalized anxiety disorder and mental distress.COVID-19 has led to high prevalence and a wide range of psychological disorders in society. It is essential to provide psychological assistance and training strategies to deal with a variety of these psychological disorders.