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

[Studying the relation between risk factors and suffering from varicosity in nurses of selected hospitals of Isfahan university of medical science in 2013]

Background: Todays, many hygienic problems which are observed in most countries are somewhat related to changing of individuals type of living, one of these problems is venous varicosity. The objective of this study was to evaluate the health behaviors and suffering the nurses from varicosity

Materials and methods: In this case - control study, 200 nurses from selected hospitals of Isfahan University of Medical Sciences were selected into two groups of case and control. They were examined by a general surgeon, and then relevant questionnaire were accomplished on the basis of CEAP criterion. Data were analyzed using independent t test, Chi- square, Mann - Whitney U and logistic regression. P<0.05 was considered significant

Results: Off 200 nurses, 93% of the case group and 82% of the control group were women. According to severity of varicosity, 80% were in telanglectasia stage. There was a significant relation between the nurses' varicose and gender [p=0.02], height [p=0.04], Cesarean delivery [p=0.03], family history [p<0.0001], daily consumption of vegetables [p=0.004], and daily consumption of less than 3 glasses of water [p=0.01]

Conclusion: Regarding increasing number of nurses with foot varicosity, and the effects of risk factors on creating the varicosity intensity, and also for decreasing inefficiency, spending the treatment expenses circumstances and prevention, it seem that programming is necessary

[Assessment the relationship between patient satisfaction and quality of hospital services based on SERVQUAL Model in the hospitals related to Islamic Azad University, Tehran Medical Sciences Branch in 2015]

Background: Services quality is a distinctive factor and the most powerful competitive weapon where most of servicing organizations have in their properties. Offering services improvement causes productivity, costs reduction and so increasing patients' satisfactory

Materials and methods: This correlation description study performed on 405 in-patients of 3 hospitals related to Islamic Azad University, Tehran Medical Branch, in 2015. They were chosen by available sampling. Information gathering was performed by a questionnaire, including 3 parts of demographic specifications, patients' satisfaction questions and services quality evaluation [SERVQUAL]

Results: there was significant relation between patients' satisfaction and hospital services quality on the basis of SERVQUAL model [p<0.001]. 72.8% of patients were completely satisfied by hospital services in these hospitals. The highest mean [ +/- standard deviation] score of total quality comprehension was 75.55 +/- 14.15. The highest mean score of quality services in comprehension section was for confidence and the lowest one was for tangible; and also the total quality was significant [p<0.0001]

Conclusion: Customer satisfaction is owed to services quality. Services quality analysis makes hospital management system to be able to assign financial resources for performance improvement in fields that are more effective on customer comprehension of services quality

[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

effects of self-care training on quality of life in patients with multiple sclerosis

Multiple sclerosis [MS] is a chronic and progressive disease of the central nervous system with debilitating symptoms and complications. Therefore, education and appropriate interventions, including self-care education, are necessary to increase the quality of life in these patients. The purpose of this study was to determine the influence of self-care education on quality of life in MS patients affiliated to Iranian MS Association. This quasi-experimental study assessed a single group of MS patients before and after training. Totally, 50 MS patients were selected non-randomly from the patients referring to Iranian MS Association. A two-part questionnaire was used to collect data. The first part included demographic information and the second part consisted of a quality of life questionnaire [MSQOL-54] including 54 items in 3 sections and 14 subgroups. The scores ranges from zero to a hundred in each subgroup. The reliability of the questionnaire has been confirmed [Cronbach's alpha = 0.96]. The questionnaires were filled out by the patients before training. After at least six 50-minute training sessions during three months, the same questionnaire was again completed by the participants. Statistical analyses, including absolute and relative frequency tables and mean and standard deviation for descriptive analysis, and t-test and Pearson correlation for descriptive analysis, were performed by SPSS. The mean values of quality of life in physical health, pain, fatigue, health conception, changes in health status, sexual activities, as well as overall quality of life scores differed significantly after training. Moreover, except for cognitive activity, there were significant differences in values of mental health before and after training. Designing and applying the self-care programs based on the educational needs of MS patients has a positive effect on physical and psychological aspects of their quality of life.

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.

[ study of participating factors of age- related cataract among patients referred to ophthalmology centers under supervision of Tehran university of medical sciences]

Cataract is opacity of the lens that distorts the image projected onto the retina and that can progress to blindness. Behind rheumatoid arthritis and coronary artery diseases, cataract is one of the prevalent factors causing disability in the aged people. It could be mentioned that cataract causes 50% of people's blindness all over the world. The aim this study is evaluation of age related cataract among the patients referring to ophthalmology centers. This is a descriptive, mono variable and mono group study. The samples included in this study were 322 patients who were suffering from age related Cataract. Sampling method is based on the availability and the purpose of the study. Data [individually predisposing, environmental, systematic and other factors in patients' profile] were collected through filling questionnaire and interviewing samples. The majorities of the samples were 65-75 years of age, housewives, BMI 25-30 kg/m[2], illiterate and had insufficient monthly income. Chi square test indicated a significant relationship between the age of the patients, and their siblings who were suffering from cataract, wearing sun hat, Hypertension, taking Aspirin and Atenolol, high blood urea and creatinine, foods [animal fat, red meat with low fat, cereals] [p<0/050]. Moreover, there was significant relation between gender and BMI, cigarette smoking, space of work place, wearing sun hat, Radiation Hypertension, Hyperlipedemia, Rheumatoid Arthritis, using supplementary, Atenolol, Statines and blood creatinine [p<0/050]. The results of this study were same as previous studies. The study indicated significant relation between age related cataract and individual, environmental, systematic factors, some of drugs [medicines] and increase of blood urea and creatinine

[Effects of inhalation aromatherapy on female students' anxiety and depression settling in dormitory of Tehran University of Medical Sciences]

Aromatherapy, as an alternative medicine, is using of volatile oils for inducing psychological and physical well- being. In this study, the effects of inhalation aromatherapy in reducing anxiety and depression in female students of dormitory of Tehran University of Medical Sciences were investigated in 2008-2009. In this experimental study, 260 female students living in dormitory were selected and assigned randomly in 4 groups of 65 people as case and control according to two variables of anxiety and depression. The scales used in this study were Spillberger Anxiety Test and Beck Depression Inventory. At first, pre-test were taken. A mixture of essential oils of Lavender and Rose was inhaled for four weeks, half an hour for each night by the case groups [anxious and depressed]. For control group, only sesame oil inhalation was used. At the end of the second week, post-test 1 and at the end of fourth week, post-test 2 were taken. Students who received inhalation aromatherapy had significant improvement in anxiety and depression symptoms compared with pre-test and control group [p

efficacy of self-care education on rehabilitation of stroke patients

To determine the efficacy of self-care education on rehabilitation of hemiplegic stroke patients discharged from hospital. For this experimental study, 80 patients were randomly assigned to 2 groups at Urmia University of Medical Sciences Hospitals, Iran, in 2008. First, we recorded the demographic data, and ability performance of both groups, then self-care education was given for the experiment group. Finally, both groups were retested 45 days following the last self-care education section of the experiment group. The results of the study showed a significant difference between the mean acquired distinctions in different performance fields before and after education for the study group [p=0.0001]. In addition, the findings showed a significant difference between the 2 groups post-test [p=0.0001]. We statistically concluded by independent t test that the level of performance in the experimental group was higher than the controls [t=19.83; p=0.0001]. Self-care education of stroke survivors can improve patient's performance, and change them from a dependent to an independent person