ABSTRACT
Background & Aim: The COVID-19 survivors are prone to psychological distress due to their experience of illness and severe conditions. Diseases can also affect patients' quality of life. The aim of this study was to determine the relationship between mental health and quality of life among the COVID-19 survivors one year after the infection. Methods & Materials: This is a descriptive, correlational, cross-sectional study that was conducted from February, 2020 to July 2020. A total of 276 patients who survived from COVID-19 were included to the study through the convenience sampling method. Data were collected using a demographic and clinical information form, the 12-item general health questionnaire (GHQ-12) and the 36 item short form survey (SF-36). Data analysis was performed through the SPSS software version 16 using independent t-test, Pearson correlation coefficient, analysis of variance (ANOVA) and linear regression. Results: The mean score of mental health and total score of quality of life were 6.26+or-2.75 and 59.2+or-18.30, respectively. There is a significant relationship between the score of mental health and the score of quality of life (P < 0.001), so that with the increase of the mental health score, which indicated the worsening of the mental health status of the participants, their quality of life score decreased. Conclusion: Paying attention to the mental health and quality of life of the survivors of COVID-19, as well as adopting supportive strategies for them are recommended. Providing psychological and psychiatric services can improve their mental health and quality of life.
ABSTRACT
Background & Aim: The COVID-19 survivors are prone to psychological distress due to their experience of illness and severe conditions. Diseases can also affect patients' quality of life. The aim of this study was to determine the relationship between mental health and quality of life among the COVID-19 survivors one year after the infection. Methods & Materials: This is a descriptive, correlational, cross-sectional study that was conducted from February, 2020 to July 2020. A total of 276 patients who survived from COVID-19 were included to the study through the convenience sampling method. Data were collected using a demographic and clinical information form, the 12-item general health questionnaire (GHQ-12) and the 36 item short form survey (SF-36). Data analysis was performed through the SPSS software version 16 using independent t-test, Pearson correlation coefficient, analysis of variance (ANOVA) and linear regression. Results: The mean score of mental health and total score of quality of life were 6.26±2.75 and 59.2±18.30, respectively. There is a significant relationship between the score of mental health and the score of quality of life (P<0.001), so that with the increase of the mental health score, which indicated the worsening of the mental health status of the participants, their quality of life score decreased. Conclusion: Paying attention to the mental health and quality of life of the survivors of COVID-19, as well as adopting supportive strategies for them are recommended. Providing psychological and psychiatric services can improve their mental health and quality of life. © 2023 The Authors.
ABSTRACT
Background and Aim: Fractures and dislocations of the femur are a common and disruptive public health problem worldwide. One of the most common ways is to identify the factors associated with common outcomes that increase mortality, length of hospital stay, and postoperative complications. By identifying these factors, the adverse outcomes of elderly hip fractures can be prevented. Therefore, the aim of this study was to determine the relationship between factors affecting hip fracture and its consequences. Materials and Methods: The present study was a descriptive cross-sectional observational study. The study population in this study included patients with hip fractures. Patients' information was examined between 2017-2020 years. Data were analyzed by SPSS applying descriptive statistics, Fisher Exact test, chi-square, independent t-tests, and analytical regression. Results: The results showed that in this study, the majority of patients with hip fracture had an underlying disease (73.9%). The most common underlying diseases in patients included high blood pressure (20.7%), diabetes (13.2%) and heart diseases (10.5%). The most common causes of death was include old age (40.4%), prevalence of covid-19 (20.2%), heart attack (11.7%), pulmonary embolism (10.6%) and surgical wound infection (10.6%). The most common cause of hip fracture was osteoporosis (26.3%) and falling from a height (24.7%). Also level of education (P=0.0001), causes of fracture (P=0.001), type of anesthesia (P=0.001), history of hospitalization in special wards (P=0.001), readmission (P=0.0001), age (P=0.001) and level of self-care (P=0.001) were significantly associated with elderly mortality. There was a significant relation between type of surgery (P=0.038), history of hospitalization in intensive care units (P=0.001), history of blood transfusion (P=0.021) and level of self-care (P=0.001) with length of hospital stay of fractured elderly hip. Conclusion: It can be concluded that by identifying the factors affecting the length of hospital stay, surgical wound infection and mortality of the patients with hip fractures, witness better surgery results, shorter hospital stay, less postoperative complications and reduced death. Some factors such as osteoporosis are preventable, which can be prevented with timely education. © 2022 the Authors.
ABSTRACT
Background and Objectives: Nosocomial infections (NIs) are an important cause of mortality and morbidity in intensive care units (ICU). Pneumonia is the most common serious manifestation of infection in Covid-19 patients. The aim of this study was to investigate the prevalence of pneumonia in Covid-19 patients admitted to the ICU. Materials and Methods: In this cross-sectional study, 1240 Covid-19 patients admitted for more than 48 h in the ICUs of Imam Khomeini Complex Hospital (IKCH) in Tehran for seven months in 2020 were included in the study with initial diagnosis of Covid-19 (PCR test and chest imaging). Data were collected regarding severity of the illness, primary reason for ICU admission, presence of risk factors, presence of infection, length of ICU and hospital stay, microbial type and antibiotic resistance. In this study, the pattern of antibiotic resistance was determined using the disk difusion method. Results: In this study, 289 (23.3%) out of 1320 patients experienced NIs. 221 (76.4%) out of 289 patients had underlying diseases and the most common of which were hypertension, diabetes and heart disease, respectively. 163 patients (56.4%) were RT-PCR COVID-19 positive and 200 patients (69%) died. The majority of patients with NIs (71%) were over 55 years old. The most common type of nosocomial infection (66%) was ventilator-associated pneumonia (VAE). The most common microorganisms that cause pneumonia were Acinetobacter baumannii, Klebsiella pneumoniae and Pseudomonas aeruginosa, respectively. Conclusion: Pneumonia infection is high in Covid-19 patients admitted to the ICU, it needs to be planned with the diagnosis and measures related to the control and prevention of this infection.
ABSTRACT
Hospital-related infections have been widely reported during the Covid-19 outbreak that exposes healthcare professionals to at greater risk of infection. This cross-sectional study was designed to evaluate the frequency of absenteeism in hospital staff during the first and second months of the Covid-19 pandemic, from 26 February until 19 April 2020. Occupational data and sickness absenteeism characteristics were collected from the records of the nursing management department. 304 (17.8%) had sick leave due to coronavirus or corona-like symptoms. Nurses and then nursing aid workers constituted the categories with more frequency of sick leave. The more median days of sick leave were observed among supervisors and midwives. About 80% of participants had typical symptoms of Coronavirus. In conclusion, the median days of sick leave due to coronavirus were not as high as we thought. This could be due to human resource shortage and insufficient knowledge regarding return-to-work guidelines in the early phase of this pandemic.
ABSTRACT
Background and aim: Spirituality is an important dimension of nursing care and spiritual care is essential to ensure that educational goals are met in the nursing profession, to provide optimal care and to meet, maintain and upgrade the standards of professional competence. The attitude and awareness of the medical staff towards spiritual care and spirituality can play a central role in the implementation of this care. Therefore, this study aimed to determine the attitudes toward spirituality and spiritual care in the healthcare workers (HCWs) to patients with COVID-19 in the intensive care unit (ICU). Materials and Methods: In this descriptive-analytical study, 298 HCWs were selected through sampling based on census. Data were collected using a demographic questionnaire and a Spirituality and Spiritual Care Rating Scale (SSCRS). questionnaire for measuring the spirituality and spiritual care in among HCWs. Data were analyzed using SPSS 18 software and descriptive and inferential statistics. P < 0.05 was considered statistically significant. Results: The majority of subjects (80.87%) were female and (63.8%) married. The mean age was 35.32 ± 1.53 years who had 10.51 ± 4.41 years of experience. The SSCRS score was 1.3% in low and undesirable HCWs, 59.2% in highly desirable levels, and the SSCRS score was moderate in 39.62% of cases. The attitudes toward spirituality had a direct and significant relationship with attitudes toward spiritual care, so that as attitudes toward spirituality increased, so did attitudes toward spiritual care. Conclusions: The attitude towards spirituality and spiritual care among the HCWs was favorable. The attention to spiritual care education is recommended for adverse events.