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Journal of Military Medicine ; 23(5):395-403, 2021.
Article in Persian | Scopus | ID: covidwho-1395709


Background and Aim: Nurses are exposed to high physical and psychological problems due to high workload. The COVID-19 epidemic has negatively affected their health and especially their sleep quality. This study aimed to compare the quality of sleep and the factors affecting it among Iranian nurses before and at the same time with the COVID-19 epidemic. Methods: This analytical cross-sectional study was performed on 175 frontline nurses in the fight against COVID-19 in 2020. Samples were collected using convenience sampling from two selected military and referral hospitals of COVID-19 in Tehran, Iran. Data were collected using a demographic information form and the Pittsburgh Sleep Quality Questionnaire. Data were analyzed using SPSS 16 software and one-sample t-test, independent t-test, and one-way analysis of variance. Results: The majority of the samples were male (64%), under 30 years old (41.4%), and with less than 10 years of clinical experience (58.9%). 96% of nurses had poor sleep quality. Comparison of the results of nurses' sleep quality with the same population before the time of the Covid-19 epidemic showed a statistically significant difference (P <0.05). There was a significant difference between gender, marriage, and interest in the organization with poor sleep status (P <0.05). Conclusion: According to the results, nurses did not have good sleep quality. Paying attention to the mental health of staff, especially female nurses, reducing job stress through emotional, psychological, and organizational support to improve the quality of nurses' sleep is recommended. © 2021 Baqiyatallah University of Medical Sciences. All rights reserved.

Medical Journal of the Islamic Republic of Iran ; 35(1):1-8, 2021.
Article in English | Scopus | ID: covidwho-1271101


Background: The COVID-19 epidemic is one of the major health problems worldwide due to its inconceivable spreading power and potential damage. Given the increasing prevalence of the disease, the identification of care needs and preferences of patients could play an important role in providing effective training and caring programs. This study was conducted to explain the preferences and needs of care based on the experiences of patients with COVID-19. Methods: This qualitative study with a content analysis approach was performed in 2 months at a referral general hospital and quarantine centers of COVID-19 in Tehran, the capital of Iran, in 2020. The participants consisted of 15 COVID-19 patients selected through purposive sampling. The data analysis was performed using the conventional content analysis method according to the procedure proposed by Graneheim and Lundman. Results: The results were classified into 5 main categories: (1) access to desirable care and comfort services;(2) access to education and information from credible sources;(3) access to specialized care;(4) support social needs;and (5) need for deep emotional interactions. Conclusion: According to our results, identifying priorities and care needs from the perspective of patients with COVID-19 can help improve knowledge, reduce unrealistic patient concerns, and improve emotional interactions between patients and health care providers. © 2021 Iran University of Medical Sciences. All Rights Reserved.

Trauma Monthly ; 25(6):234-235, 2020.
Article in English | Scopus | ID: covidwho-1134710
Iranian Journal of Public Health ; 49(11):2120-2127, 2020.
Article in English | Scopus | ID: covidwho-919934


Background: COVID-19 is a new disease, so we don’t know what comes next. Since information on delayed symptoms is limited, this study was conducted to assess the frequency of delayed symptoms in patients with COVID-19. Methods: This follow-up cross-sectional study was conducted in a referral general hospital in Tehran, Iran from Feb to Apr 2020. Two hundred patients hospitalized for COVID-19 and were discharged were assessed for delayed symptoms 6 wk after discharge. Results: The mean age of the participants was 55.58±13.52, and 160 (80%) Of them were male. On admission to hospital, patients reported a mean of 5.63±2.88 symptoms per patient, range from 1 to 14 symptoms. Dyspnea was seen in 119 (59.5%) 0f them as the most frequent symptom. Then weakness, myalgia, and shivering were reported with a frequency of 111 (55.5%), 107 (53.5%), and 103 (51.5%), respectively. Six weeks after discharge reassessment was done. None of the patients was readmitted to the hospital. Ninety-four (42%) of them were symptom-free. Fatigue was the most frequent delayed symptom with a frequency of 39 (19.5%), and then dyspnea, weakness, and activity intolerance with a frequency of 37 (18.5%), 36 (18%), and 29 (14.5%) were reported, respectively. Conclusion: Fatigue, dyspnea, weakness, anxiety, and activity intolerance were most frequent delayed symptoms, respectively. Majority of patient was symptoms free and those with symptom, had mild to moderate symptoms. The importance of symptoms is not fully recognized. Follow up clinics and in some cases rehabilitation programs may be helpful. © 2020, Iranian Journal of Public Health. All rights reserved.