ABSTRACT
Background and Purpose: Undue admission and staying in hospitals are considered as a weakness of health and treatment systems as well as criteria of performance evaluation, used for determining the efficacy of hospital beds even in developed countries. In addition to increasing the costs, undue staying exposes the patient into nasocomial infections. Therefore, the present study was designed to investigate the rate of undue admission and staying of patients in hospitals of Sabzevar, Iran in 2009 based on the criteria of appropriateness evaluation protocol
Methods and Materials: This descriptive analytical research involving the population of patients admitted to hospitals in Sabzevar, Iran. The sample included 385 patients who were sampled through multi-stage stratified sampling. Each of the three hospitals was selected for a 12-week period, three days per week, two patients form two wards; finally 428 patients were evaluated. Data were collected through tables of admission criteria and appropriate admission of the patients as well as the hospital records. The obtained data were analyzed in SPSS 15 using chi-square and Fisher's exact test
Results: Mean staying in hospitals was 3.23 days but 11.4% of the admissions were inappropriate; orthopedic ward [29.1%] had the highest and gynecological ward [zero] the lowest rate. Undue admission of men [13.9%] was higher than that of women [9.7%]; the highest rate of undue admissions was associated with the age range of 41-60. Appropriate admission due to surgery or other invasive procedures [48.8%] had the highest frequency. In the three hospitals evaluated, 0.2% of the admissions were undue, and 99.8% appropriate
Conclusion: The rate of undue admissions is higher than appropriate ones, and the rate undue admissions in the orthopedic ward were the highest and in the gynecological ward the lowest
ABSTRACT
Background and purpose: Research findings suggest a day-today increase in the rate of suicide particularly among the youth. Recognizing the risk factors and taking measures to control them seem essential, and this study was conducted to this purpose among patients admitted to Sabzevar Hospital who attempted to commit suicide
Methods and materials: The study is a descriptive study, and the study population was cases of suicide at Vase'ee Emergency clinic in Sabzevar, Iran, from which 106 cases were selected through convenient non-probability sampling. Clinical interviews were done by a psychiatrist; interviews were conducted with other family members of the cases in order to shape a clear picture of cases' personal, social and economic characteristics. Throughout the interviews, a checklist of intended variables was filled out. The study data were analyzed using Chi-square in SPSS
Results: In the present study, 106 cases [49.1% male and 50.9% female] with a mean age of 24.8???8.4 years were studied. The prevalence of suicide risk factors were 63.2% singleness, mental disorders [41.5%] with depression being the most prevalent [28.3%], conjugal conflicts [15%], drug-dependence [14.2%], family problems [12.3%], physical disorders [8.5%], unemployment [6.6%], stressful events such as loss of a close relative [6.86%], educational problems [3.8%] and divorce [2.8%]
Conclusion: According to the findings of the present study, the risk factors contributing to suicide in Sabzevar, Iran may include adolescence and beginning of adulthood, mental disorders, conjugal conflicts, family problems, unemployment, educational failure, marital disagreement, having lost a close kinsman and disappointment
ABSTRACT
Background and Purpose: Taking psychoactive drugs and the disgusting phenomenon of addiction occur in people due to various personal and social factors, and affect the personal and social lives of the addict. Necessity of attention to this hassle made us investigate the factors affecting addiction and withdrawal in self-declared addicts
Methods and Materials: In this descriptive analytical study, 456 addicts were randomly selected from the population of selfdeclared addicts admitted to Behzisti Clinic of Withdrawal in Sabzevar. A questionnaire, matching with the aims of the study, was completed during interviews and investigation of records. The obtained data were analyzed in SPSS using chi-square and student t-test
Results: It was found that the study sample included 394 male [86.4%] and 62 female [13.6%] informants. Mean age of males and females were 37.4 +/- 10.7 and 41.79 +/- 13.4 years respectively. In digressing to addiction, men were mostly affected by friends and colleagues [46%] and strangers [42%]. However, women were mostly affected by family and kinsmen [40%] and strangers [30%].; and the difference was statistically significant [p<0.05]. Around 80% were illiterate and the rest literate. It was found that 38/8% of men had first experienced drugs in their workplace, while 87/10% of women experienced at home. Also, 63% of the urban and 76% of the rural clients had personally decided to quit taking drugs. The role of spouses in urban clients' withdrawal [12%] was far more than the rural ones [2.8%]. Unmarried and divorced clients had a history of attempts to withdraw but most married clients [59%] did not [p<0.05]
Conclusion: Based on the findings of the present study, family, spouses, friends and colleagues can be considered as key factors in both addiction and withdrawal