Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101Mental Health Status and its Related Factors in Elderly People Residing in Nursing Homes of Mashhad, Iranوضعیت سلامت روان سالمندان ساکن خانههای سالمندان مشهد و عوامل مرتبط با آن17118191255ENHadiTehraniMohammadVahedian ShahroodiRezaFadayevatanAidaAbusalehiHabibollahEsmaeiliJournal Article20200824Background: Iranian society is facing the phenomenon of aging and attention to this vulnerable group is necessary. The aim of this study was to assess mental health status and its related factors among elderly people living in nursing homes in Mashhad.
Methods: This cross- sectional study was conducted in 2015 on 203 over 60 years old elderly people living in Mashhad nursing homes. Data were collected through a demographic information questionnaire and general health questionnaire (GHQ-28). Data analysis was performed through SPSS19 and using Chi-square, Independent t- test, Mann-Whitney and Logistic Regression.
Results: The mean of the GHQ-28 score was 27.24±9.94. Based on the GHQ-28 cut off-point, 130 (%64) of the participants had mental health problems. Mental health had a significant relationship with having chronic diseases (P=0.005), the number of their visitings (P=0.03) and somehow with the number of returnings to home (P=0.05). But, there was no significant relation between mental health score and age, gender, marital status, education, number of children, having an independent income or salary and length of stay in nursing homes (P < span dir="RTL"><0.05).
Conclusion: The elderly people living in nursing homes of Mashhad do not have a good mental health status. Since having chronic diseases, the number of their visitings and returnings to home are the most important determinants of their mental health, their families and health policy makers should pay more attention to these items.Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101The Rate of Normal Vaginal Delivery and Cesarean Section in Two Six Month Periods before and After the Health Reform Project in Hospitals Affiliated to Kerman University of Medical Sciencesمقایسه میزان زایمانها به روش طبیعی و سزارین در دوره شش ماهه قبل و بعد از اجرای طرح تحول سلامت در بیمارستانهای دولتی استان کرمان18219091256ENRouhollahZaboliZainabMalmoonMohammadrezaSoltanizerandiJournal Article20200824Background: The normal vaginal delivery (NVD) promoting plan, with the aim of improving mothers and children health, is one of the programs of the health system reform plan. The aim of this study was to compare the rates of NVD and cesarean section before and after the health system reform plan in hospitals affiliated to Kerman University of Medical Sciences.
Methods: In this descriptive cross-sectional study, data related to the total number of normal vaginal deliveries and cesarean sections were obtained from the documents sent to the census bureau and the department of midwifery of Kerman University of Medical Sciences. Data were analyzed through SPSS 19 and using paired t-test.
Results: From the 7 hospitals under study in Kerman Province, from a total of 6559 delivery cases in the six months before the implementation of the plan, 3409 ones (51.97%) and from 6992 delivery cases in the six months after the plan, 3968 ones (56.57%) were performed as normal vaginal delivery. This shows growth of normal vaginal delivery rate by 4.75% after the health system reform plan, but was not statistically significant (P=0.093).
Conclusion: In spite of partial achievement of the plan goals, other attempts such as focusing on physicians’ attitudes increasing the knowledge and changing the attitudes of people in the society especially pregnant women are required to obtain desirable results with a better speedKerman University of Medical SciencesHealth and Development Journal2783-28216320171101Social Values in Health Prioritizing: the analysis of national documents of Iranارزشهای اجتماعی در اولویتگذاری سلامت: تحلیل اسناد بالادستی جمهوری اسلامی ایران19120591257ENHakimehMostafaviMohammadArabArashRashidianJournal Article20200824Background: Health system, as a part of the wider social system, should consider social values in decisions for health prioritizing. This study was aimed at identifying social values considered in the health-related national documents.
Methods: This qualitative study was conducted based on the Clark-Weale framework to identify the social values in health related national documents. Identification of health-related basic documents (11 documents) was performed purposefully. Documents included Iran's Constitution Law, the 5-year development plan, national health insurance law, urban family physician program, health sector development map, Health Ministry foundation law and Health Ministry structure and organizational law. Each value was analyzed based on qualitative content analysis.
Results: Different approaches toward considering social values were observed. While some documents had explicitly considered social values, some others had implicitly considered them. The health Road Map was the most comprehensive document in terms of considering social values. Equity was the most repeated value in documents and clinical effectiveness was not mentioned in any of the documents.
Conclusion: Although, the importance of social values has been increased in national documents during the recent years, it dose not have the same trend in different documents and each of them have emphasized on different social values. It seems that using national documents, as a practical guide, can be effective in achieving health system goals. Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101Performance Assessment of Hospitals Affiliated to Tehran University of Medical Sciences Using the Pabon Lasso Model: a five- year trend studyارزیابی عملکرد بیمارستانهای دانشگاه علوم پزشکی تهران بر اساس مدل پابن لاسو: یک مطالعه روندی پنج ساله20621591258ENHosseinDargahiShivaToloui RakhshanJournal Article20200824Background: The Pabon Lasso model is one of the efficiency assessment methods showing the rate of proper utilization of hospital’s available resources. This study was performed to assess the performance of hospitals affiliated to Tehran University of Medical Sciences during a five year period using the Pabon Lasso model.
Methods: This retrospective descriptive research was conducted in 15 hospitals of Tehran University of Medical Sciences using the graphical model of Pabon Lasso during a five- year period (2009-2013). Hospitals’ general and performance indicators were collected and data analysis was done through SPSS19 software package.
Results: From the beginning to the end of the five- year period, bed occupancy and bed turn-over indicators increased, but the length of hospital stay decreased. Furthermore, the studied hospitals were in the third region of the Pabon Lasso graphic model at the end of this period that shows their efficient performance.
Conclusion: Favorable utilization of the available resources in studied hospitals during the five years of study can be attributed to the hospitals’ efficient management in improving hospitals’ efficiency. Therefore, in policy making programs for more efficient use of the available resources, continuous periodic assessments of all hospitals using the Pabon Lasso model or other models is recommended.Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101The Effect of Moral Hazards in the Health Insurance Industry in Iran in 2008-2010بررسی میزان تأثیر مخاطرات اخلاقی در صنعت بیمه درمان ایران طی سالهای 89 – 138721622791259ENSedighehMohammad TaghizadehRezaGoudarziMohammad RezaAmiresmailiZeinabMalekpoorJournal Article20200824Background: Health insurance is one of the most important financial resources for covering the growing costs of health care. Asymmetric information in the insurance market means that the insurer has less information about the health status of the insured person than the insured person him/herself and this leads to waste of treatment resources due to moral hazards. The aim of this study was to determine the effect of moral hazards in the health insurance industry.
Methods: This study was a cross-sectional descriptive-analytic research. The study population was all households residing in Iran. For data collection, the questionnaire of urban and rural households Income and Expenditure Survey of Iran Statistics Center was used. For identification and estimation of utility function parameters , the generalized method of moments (GMM) and instrumental variables model were used. GAUSS and E-views software were used for data analysis.
Results: According to the results, there were moral hazards in the basic health insurance organizations (medical service insurance organization and Social Security organization) and the complementary insurance. In addition, during these three years, individuals covered by the medical service insurance, with an average elasticity of -2.78, had the lowest moral hazards and those covered by the complementary insurance, with an average elasticity of -3.86, had the highest moral hazards.
Conclusion: Insurance policy makers should control consumer's moral hazards.Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101Evaluating the Immunogenicity of the Pertussis Component of the DPT Vaccine in 12- month old Infants in Kerman City, 2015بررسی سطح ایمنی جزء سیاه سرفه واکسن سه گانه در شیرخواران 12 ماهه شهر کرمان در سال 139422823591260ENAliHosseninasabMaryamEbrahimpourAzamDehaghaniMohammad MehdiNoormandiJournal Article20200824Background: Pertussis is a contagious infectious disease that is preventable by vaccine. This bacterial infection is caused by bordetella pertussis. Since pertussis vaccine coverage in Iran has not been studied recently and the type of vaccine used in our country is different with that in the developed countries, the effectiveness and side effects of this vaccine were studied.
Methods: One hundred and eighty-one infants with 12 months of age visiting health centers affiliated to Kerman University of Medical Sciences for vaccination of this age, were studied. Questionnaire was completed with the help of parents and using the information in the vaccination card. Serum immunoglobulin G titer was measured by ELISA method. Data analysis was done through SPSS20 and using frequency, relative frequency, mean± SD and Chi-square or Fisher tests.
Results: One hundred and sixteen infants (64.1%) had adequate immunity, 22 infants (12.2%) had relative immunity and in 43 infants (23.8%) there was no immunity. Immunity difference was significant in terms of weight of infants at 12th month of age, but it was not significant in term of gestational age and sex. Only one case of seizure had been reported.
Conclusion: The immunogenicity of the pertussis vaccine used in Iran is relatively high in 12-month old infants after receiving three doses of vaccine and the side effects of this vaccine are not significant.Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101Health Risks of Mercury form Consumption of Protein Supplements among Athletesارزیابی مخاطرات جیوه، ناشی از مصرف مکملهای پروتئینی ورزشی23624691261ENEsmaeilFardOmidTabiee, Mohammad JavadNowroznejad FardJournal Article20200824Background: The aim of this study was to determine the concentration of mercury in protein supplements and health risks of their consumption in athletes. In this research, the health risk of consumption of protein supplements was investigated by measuring the concentration of mercury in the supplements consumed by athletes.
Methods: In this study, 7 famous brands of protein supplements were purchased from sport shops in Shiraz city and the concentration of mercury was measured using ICP atomic absorption spectrophotometer and cold vapor technique with three replicates for each sample. Eventually, SPSS software version 21 was used to analyze the data.
Results: Mean concentration of mercury in protein supplements was 0.17± 0.06 mg/kg dry weight, which was less than the permitted amount determined by the USEPA, WHO, FDA and the JECFA. Moreover, THQ Index was calculated as more than 1 in the samples.
Conclusion: The results of this research showed that consumption of protein supplements is a threat to the health of athletes and other consumers in regard to mercury accumulation. Therefore, special cautions should be taken in consumption of protein supplements by athletes.Kerman University of Medical SciencesHealth and Development Journal2783-28216320171101The Effectiveness of Group Training about Cognitive Emotion Regulation on Improving Mental Health in Delinquent Male Adolescents of Kerman Cityاثربخشی آموزش گروهی تنظیم شناختی هیجان بر افزایش سلامت روان پسران نوجوان بزهکار شهر کرمان24725891262ENSaeidehBarshanKobraHaji AlizadehJournal Article20200824Background: Delinquent adolescents suffer from some mental disorders and understanding and managing their emotions can decrease their mental disorders. The aim of this study was to evaluate the effectiveness of cognitive emotion regulation group training on improving mental health in delinquent male adolescents.
Methods: This quasi- experimental research was done in preintervention / postintervention form with a control group. The sample group consisted of 90 delinquent adolescents from Kerman Youth Detention Center selected through census method and were divided into two groups of intervention and control group. Members of the experimental group received cognitive emotion regulation group training. Data collection was performed using the General Health Questionnaire (GHQ). Data analysis was conducted using t-test for dependent and independent variables and through SPSS22.
Results: There was significant difference between preintervention and postintervention mean scores of the experimental group in regard to physical symptoms, anxiety, depression and social dysfunction, while such difference was not observed in the control group. Also, after the educational intervention, there was significant difference between control and experimental groups in the above symptoms.
Conclusion: The results of this study showed that cognitive emotion regulation group training was effective in increasing the mental health of delinquent male adolescents of Kerman city. Hence, cognitive emotion regulation group training can be recommended as an effective method for improving mental health.