Relationship between health literacy and sexual function and sexual satisfaction in infertile couples referred to The Royan Institute

Background: Health science and technology today is a rapidly growing field. Health is a multifaceted concept influenced by several factors, and health literacy is essential to deal properly with the current situation. In this study, the association between health literacy and sexual function and sexual satisfaction were investigated in 2016

Materials and Methods: This descriptive and correlational study was conducted on 193 couples in the Royan Institute, Tehran. Data collection instruments were three standard questionnaires which included the Test of Functional Health Literacy, the Female Sexual Function Index [FSFI] and the International Index of Erectile Function, and the Iranian version of the Sexual Satisfaction Scale. The data were analyzed using SPSS-v23 software at a significance level of 0.05

Results: Marginal health literacy, 49.7% among men and 44.1% among women, was more common than adequate or inadequate health literacy. Erectile function for the majority of men was appropriate [53.3%], compared to 16.6% who had perfect function and 30.1% for whom function was less than appropriate. The majority of women [57.0%] had sexual dysfunction. One hundred and three [53.3%] men had appropriate sexual function and 57% of women had normal sexual function. The greater proportion of men [50.8%] and women [46.1%] had good, rather than very good or less than good, sexual satisfaction. The results of chi-square tests indicated that greater health literacy was associated with higher levels of sexual function and sexual satisfaction among men and women. However, application of the Cramer's V test indicates that the strength of these associations is moderate to weak

Conclusion: Health literacy was marginal among most couples and its adverse impacts on sexual function and sexual satisfaction were confirmed. Accordingly, it is recommended that plans be developed to promote health literacy among infertile couples

Relationship between quality of life and self-efficacy in patients under coronary artery bypasses grafting surgery confined to bed in social security organization hospitals of Tehran

Background: Improving quality of life is considered as one of the main factors determining the effectiveness of coronary artery bypass graft surgery. Self-efficacy provides conditions to fast recovery, prevention of relapse and improving quality of life. So, the aim of this study was to investigate the relationship between self-efficacy and quality of life in patients undergoing coronary artery bypass graft surgery

Materials and methods: This descriptive correlational study was carried out on 255 patients underwent coronary artery bypass graft in Social Security Hospitals in Tehran in 2016. Data collection was performed through three questionnaires including demographic data, Mc New quality of life questionnaire, and general self-efficacy questionnaire. Collected data were analyzed by using independent t test, ANOVA and regression analysis through SPSS-v22 software

Results: Of 255 subjects, 12.9 percent of them had weak quality of life and 78.1 percent had a medium level. Self-efficacy of 77.6% of patients was middle and 22.4% was high. The results showed that there was a significant relationship between self-efficacy and quality of life [r= 0.327, p=0.001]. Based on the regression model, by 15 percent of quality of life and 23 percent of self-efficacy can be explained by demographic variables

Conclusion: Results showed that most of participants had average quality of life and self-efficacy. There was a significant relationship between quality of life and self-efficacy. Accordingly, it is necessary to design and implement educational interventions by clinical staff in order to promote patient's self-efficacy and provides circumstance to improve quality of their life through this

[Validity and reliability of 360-degree evaluation in the assessment of clinical nursing students]

Background: Other than professor ideas, 360-degree clinical evaluation is used to assess practice of nursing students. This research examines reliability and validity of 360-degree evaluation in nursing students

Materials and methods: In an evaluation study, 75 students of training in nursing department of Islamic Azad University were selected by census method. Questionnaires were distributed between sample available to nursing students, authorities of wards, clinical nurses and teachers in surgery wards and patients. The results of evaluation were recorded and received objective feedback in suitable environment. Criterion-related validity [correlation of mean mark in clinical courses and theoretical course by evaluation mark of 360-degree], construct validity [evaluation of internal structures] and reliability [determining internal consistency, reliability of observers] were examined

Results: Correlation of 360-degree evaluation with mean of theoretical and clinical mean score was 0.32 [p=0.005] and 0.448 [p=0.001]. Correlation between micro tests was significant and correlation of total mark was significant and was stronger than relationship of each part to whole that shows desirable theoretical structure. Reliability of test was calculated by Cronbach's alpha of 0.78. Reliability between evaluators was calculated by variance and Significance level was 0.5

Conclusion: According to our results, 360-degree evaluation has desirable validity and reliability to assess central abilities in nurses

[Investigating the relationship between depression and social support in hemodialysis patients referred to educational hospitals of Mazandaran university of medical sciences in 2015]

Background: Depression, as an important factor in decreasing patient compliance of treatment, endangers patient health. Available social support also plays a role in vulnerability as well as his resistance power. This paper aims at determining the relation between depression and social support in hemodialysis patients in clinical trial hospitals of Mazandaran

Materials and methods: In a descriptive-correlative research, 230 hemodialysis patients were selected and investigated randomly who had the criteria of research. The tool was questionnaire divided into 3 sections consists of demographic characteristics, Beck depression questionnaire, and Brant and Winret social support questionnaire [PRQ 85]

Results: Mean [+/- standard deviation] score of depression was 25.57 +/-12.84. Mean [+/- standard deviation] of total social support was 127.97+/-19.16. There was a significant relationship between social support and depression in hemodialysis patients

Conclusion: Our findings indicate the relation between social support and depression in hemodialysis patients. Regarding to high prevalence of depression in dialysis patients, social support can decrease depression and eventually help significantly with improving quality life of hemodialysis patients

[Consideration of empowering nurses and its relationship with organizational culture and patient's satisfaction of nursing cares]

Background: Structural barriers have faced nurses with conflict of roles and feeling of powerlessness. The aim of this study was to show the importance of the empowerment of nurses in care affairs, and also corporate culture was examined as an influential factor

Materials and methods: This descriptive - correlation study was done at hospitals dependent on Ahwaz University of Medical Sciences through quota sampling method on 400 nurses and 400 patients in 2014. Instruments for gathering data were included Work Effectiveness Questionnaire II for measuring the nurses empowering, Robbin's Organizational Culture Questionnaire and also Laschinger's Patient Satisfaction Questionnaire

Results: There was a significant correlation and relationship between enablement with organizational culture level [r=0.831, p<0.000l]. As the corporate culture rose, the empowerment level also increased significantly and the empowerment level had a significant impact on patients' satisfaction, furthermore, the indicators effective on empowerment and satisfaction and organizational culture were identified

Conclusion The satisfaction of patients is influenced by caregivers and health environment [dominant culture]

[Study of evidence based medicine in residents of selected Medical Sciences Universities of Tehran]

Background: Nowadays, development and influence of technology in medical information and emergence of the extensive information have provided opportunity for the development of applying evidence-based medicine as a reasonable framework for decision making in medicine and it has attracted attention due to its importance. Aim of this study was to determine awareness, attitude, ability and facilities of evidence-based medicine in medical residents

Materials and methods: In this study, 40 residents of hospitals of selected Medical Sciences Universities of Tehran were included in the study with proportional stratified random sampling in 2013. Data collection instrument was a researcher-made questionnaire including 5 parts, such as demographic specifications and four criteria of awareness, attitude, evidence-based performance and its executive facilities. Validity of questionnaire was determined through content validity and internal consistency of the questions through Cronbach's alpha of 0.71. Data were analyzed by SPSS software

Results: Awareness of residents about evidence-based medicine was medium. Physicians had negative attitude toward evidence-based medicine. Ability of evidence-based medicine was undesirable and physicians sometimes had access to facilities of evidence-based medicine

Conclusion: Results showed that residents had low awareness with evidence-based medicine. Therefore, there is need for systematic education for awareness and execution of evidence-based medicine among residents

[ knowledge of Islamic Azad University Tehran medical branch students to their educational major at the time of entrance to the university]

One of the most critical choices of students is to choose a university major. Lack of knowledge, towards the major causes a mismatch between the career prospects and their needs and expectations. Therefore, this study was conducted to determine the knowledge of Islamic Azad University, Tehran Medical Branch students to their educational major at the time of entrance to university. This descriptive study was conducted on 501 medical and non-medical fisherman students of Islamic Azad University, Tehran Medical Branch, whom were selected by relative stratified random sampling technique. Data gathering tool was a questionnaire which consisted of two sections, including demographic information and questions to measure students' knowledge. The mean and standard diversion of students' knowledge was 5.48 and 3.60, respectively. Students' knowledge was high in 30.3%, moderate in 40.5% and low in 29.1%. The study showed that the increase in educational levels directly correlate with the knowledge. This means that with an increase in educational levels, the knowledge increases. The highest rank of knowledge, based on the educational levels, was related to professional doctoral degree with mean rating of 342.17, and the least knowledge was related to the Bachelor's degree mean rate of 136.32. The findings indicated that most of students had moderate knowledge about their major at arrival to college. Therefore, it is suggested that the students have consultation about their major by schools, media, families, and… in order the students know more about their majors before entering university

[Description and relationship between organizational citizenship behavior and procedural justice among nurses affiliated to hospitals of Tehran university of medical sciences in 2012]

Recognizing predictors and correlated factors of organizational citizenship behavior [OCB], as an important agent in productivity, efficiency and effectiveness of organization can finally help to improve quality of patients care. The aim of this study was to evaluate the relationship between OCB and procedural justice in nurses. This was a cross-sectional questionnaire survey, in which 400 questionnaires distributed among nurses among fifteen hospitals affiliated to Tehran University of Medical Science [TUMS] using multistage cluster sampling method. A total of 380 questionnaires were returned of which 373 questionnaires were completed and usable for the study. To analyze the data, descriptive statistics, comparison tests and Pearson coefficient were used. Perceived procedural justice had a positive significant correlation with nurse's OCB [r=0.135, p<0.05]. Overall mean score of OCB was 3.84 +/- 0.4 [Partly desirable level], while the respondent' means score of perceived procedural justice was at level of ''partly undesirable''. Male nurses had better perception about existing procedural justice in their hospital compared to female coworkers [p<0.05]. According to finding of the survey, related officials should pay more attention in selection and appointment of head nurses, supervisors as well as matrons in affiliated hospital. Using job training and managerial education help to enhance nurse's organizational citizenship behavior through increasing level of their perceived procedural justice

Efficacy of life skills training on general health in students

With regard to the importance of life skills, the present study deals with the effect of life skills training on general health of the students. This was a one group, pre test, post test, quasi experimental research. Forty students were selected through purposive sampling method. The data collection tool was Goldberg General Health Questionnaire. Paired t test showed a 22 score significant decrease in general health after education compared to before education [P < 0.01]. This study showed that life skills education increases general health level of the students.

[Burnout of nurses employed at Tehran psychiatric hospitals and its relation with social supports]

Nurses' burnout, not only results in serious psychological disorders, but also reduces the quality of patients' care because of increased absence, reduced energy and diminished effectiveness. This study was designed to determine burnout of nurses employed at Tehran psychiatric hospitals and its relation with social supports. This is a descriptive- correlative study, in which 93 nurses employed at psychiatric hospitals affiliated to medical Universities of Tehran and Iran, and Welfare and Rehabilitation University were randomly selected. Data were gathered by a questionnaire, including demographic information, Maslach and Jackson job burnout questionnaire and the Haus and Wells support sources questionnaire. 69.9% and 64.5% had average degree of frequency and intensity of burnout, respectively. 67.70% and 81.70% had a low frequency and intensity of emotional exhaustion and 75.30% and 71.00% of them had a low frequency and intensity of depersonalization, respectively. Instead, most nurses had high frequency and intensity of reduction in personal success [50.5% and 53.80%, respectively]. Pierson coefficient of correlation statistics documented reduction of frequency and intensity of emotional exhaustion by increasing support of head nurse, decreasing the frequency of emotional exhaustion and intensity of depersonalization by increasing spousal support, and lowering intensity of emotional exhaustion by improving familial support. However, no significant relationship was noticed between colleague support and burnout. According to physical, mental and social problems of burnout, most authors emphasize on preventive methods. So, establishment of powerful supporting system in working environment and its outside is recommended