Introduction: Heart failure is a chronic disease that requires special lifelong self-care behaviors. These patients require to have self-care behaviors to confront their disease problems. Therefore, this study was designed and conducted to determine the status of self-care behaviors and its related factors. Methods: This cross-sectional study was conducted on 150 patients with chronic heart failure who were chosen purposively and were hospitalized in the cardiac wards of Tohid hospital in Sanandaj. Data collection tools included two questionnaires. The first one was a demographic questionnaire and information about the disease. The second one was the European scale of self-care behaviors of heart failure patients which were completed through patient interviews. The collected data was analyzed by using SPSS (Ver 16). Result: The average rate of self-care behaviors by most patients was (39.54 ± 7.22) and it has correlation with factors such as: Level of education, place of residence and education about the disease (P<0.05). However, its relationship with age, gender, occupation, marital status, class of patients, smoking, drugs and alcohol was not statistically significant (P>0.05). Conclusion: The results of this study indicated that the level of self-care behaviors in patients with heart failure was moderate. Therefore, it is required to train and educate patients with chronic heart failure.
Background & Aim: The key to playing role in the nursing profession is the proper communication and is, in fact, the basic part of nurses' careers in looking after the patients. Recognizing the factors related to communication skills of nursing students, including spiritual intelligence, can be used to increase the quality of care. The purpose of this study was to investigate the correlation between spiritual intelligence and communication skills of nursing students in Kurdistan University of Medical Sciences. Materials & Methods: In this descriptive-correlational study, 286 nursing students were selected by stratified sampling method. Data were collected by King's Spiritual Intelligence Questionnaire and Barton's Communication Skills Questionnaire. Data analysis was done by descriptive and inferential statistics using SPSS 21 software. Results: The mean age of the students was 21.37±2.39 years. Most of the students were male (55%) and studying in the fourth year of the university (30%) (Seventh semester (17.1%)). The mean (standard deviation) of spiritual intelligence was 59.71 (12.04) and communication skills was 51.83 (10.10). Based on Pearson correlation coefficient, the correlation between communication skills with spiritual intelligence and its areas was positive (0.414) and was statistically significant (p<0.05). Conclusion: There was a positive and significant correlation between spiritual intelligence and communication skills. Considering this issue in students, along with physical, mental and social dimensions, can increase the communication skills and increase the quality of nursing care in the future.
Background: Prehospital emergency care services are one of the vital health services in many countries that provide first and immediate medical care to the patients and injured people at the scene and during transfer to healthcare centers. This study was conducted to investigate and compare the use of prehospital emergency services in urban and road emergency bases of Hamadan University of Medical Sciences. Materials and Methods:In a descriptive-analytic study, all missions (ambulance requests) conducted at urban and road emergency bases were studied and compared over three years. The study tool was a checklist compiled of questions from PCR (Patient Care Report). PCR contains written information about the patient's demographic characteristics, mission time, mission address, mission reasons, emergency base and mission code (ambulance identification code), and so on. Finally, the collected data were analyzed using descriptive (mean and variance) and inferential statistics (t test and Chi-square). Results:The results of the study indicated that every year, urban bases missions increased about 600 and rural bases missions about 450. Road traffic incidents, falls, cardiac emergencies and poisoning were the most common causes for ambulance call at urban and road emergency bases. In addition, urban and road bases missions were significantly different with regard to the cause of missions in all cases (except heat stroke) (P<0.01). Conclusion:Understanding the number and pattern of prehospital emergency services in urban and rural areas plays a significant role in the proper planning of prehospital emergency care. The study showed that the need for emergency prehospital emergency services is increasing and policymakers should be considered this issue. Citation: Beiramijam M, Salawati Ghasemi Sh, Khaleghverdi M, Bizhani K, Afshari A, Nabavian M. A Comparative Study of Prehospital Emergency Services Over the Urban and Road Areas in Hamedan Province. Health in Emergencies and Disasters Quarterly. 2018; 4(1):23-28. http://dx.
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