[ effect of PRECEDE model-based educational program on depression level in patients with coronary artery bypass grafting]

Depression is among the most important barriers to proper treatment of cardiac patients causing failure in accepting their conditions, decreasing their motivation in following the therapeutic recommendations and thus negatively affects the patients' function and their quality of life. To investigate the effect of PRECEDE Model-based educational program on depression level in coronary artery bypass grafting surgery [CABGS] patients. This was a quasi-experimental study in which 54 post-bypass surgery patients of Isfahan Cardiovascular Research Center were investigated. The patients were randomly divided into two groups marked as intervention and control groups. The data were collected using two questionnaires. Primarily, the Cardiac Depression Scale Inventory questionnaire was used to measure the degree of depression followed by PRCEDE Model-based educational questionnaire to identify the role of educational intervention on patients. The PRECEDE Model-based intervention composed of nine educational sessions per week [60 to 90 min each]. The patients were followed up for two months post-intervention. Following the educational intervention, the mean score of Predisposing factors, Enabling factors, Reinforcing factors, and self-helping behaviors was significantly increased in intervention group compared to control group [p<0.001]. Also, a significant difference associated with the mean score of depression level in patients was demonstrated between two groups following the educational intervention [p<0.001] The findings of current study confirmed the practicability and effectiveness of the PRECEDE Model-based educational program on preventing or declining the depression level in CABGS patients

[ study of effective factors on serving motivation of Hamadan province employees]

It is clear that sustaining workers serving motivation is an important managing factor for developing, improving, and efficiency of each organization. The serving motivation is a factor that directs the workers' behavior toward the specific way and has effective role on quality and quantity of the organizational activities. The study and recognizing the factors affect on the level of worker's motivation have important function for its sustainability. The purpose of this study was investigating increasing or declining causes of workers' serving motivation on Hamadan province governor organizations. 2923 workers of Hamadan province from eight province districts such as Hamadan 471 [%16.1], Malayer 392 [%13.4], Mahavand 366 [%12.5], Tuoserkan 344 [%11.8], Kabodrahang 355 [%12.1], Asadabad 325 [%11.1], Bahar 326 [%11.2], and Razan 344 [%11.8] cities and the average age of 34.86 year [SD=6.23] using stratified sampling participated in this study. From these workers, 1793 [%61.3] men, 1130 [%38.7] women, 2516 [%68.1] married, and 407 [%13.9] were single. A questionnaire developed by investigators and its reliability and validity was evaluated and it used in order to collecting data. This questionnaire according to the ratio of sampling among the province workers distributed and the data collected. The regression test results indicated that seriousness and scientific evaluation of workers' practices [mean=3.75, B=0.2, p<0.0001], receiving feedback through vary way related to tasks performing [mean=4.59, B=0.392, p<0.0001], providing opportunity for all workers progressiveness [mean=3.53, B=0.261, p<0.0001], and related manager's suitability and competency [mean=4.27, B=0.469, p<0.0001] have significant contribution on workers' motivation. In general, the more important casual increases workers' motivation were seriousness and scientific evaluation of workers' practices, receiving feedback through vary way related to tasks performing, providing opportunity for all workers progressiveness, and related manager's suitability and competency