Showing 29 results for shamsi
Fahimeh Farahani Dastjani, Mohsen Shamsi, Mahboobeh Khorsandi, Mohammadreza Rezvanfar, Mehdi Ranjbaran,
Volume 19, Issue 2 (5-2016)
Abstract
Background: Diabetes is one of the most common disease resulted from metabolism disorders. Thus, Studying medication adherence in patients to explain educational interventions to improve the health of these patients is necessary. Therefore, the present study aimed to assess the factors affecting medication adherence in diabetics patients based on health belief model in Arak 2014.
Materials and Methods: In this analytical study, 366 diabetic patients in Arak in 2014 were selected and data were collected through a researcher made questionnaire about patients behavior in the field of medication adherence and its influencing factors based on the health belief model. Linear regression model was used to determine the predictive power of structures.
Results: The mean knowledge score and the medication adherence was 31.34 and 84.34, respectively. In this study, perceived susceptibility, perceived barriers and internal action guide were as the strongest predictors of medication adherence behavior in patients and predicted their behavior variance 0.36. Between function and susceptibility and severity and perceived benefits and self- efficacy of manual internal and external action guides in the field of medication adherence with diabetes, there was a direct correlation that the highest correlation was related to the perceived susceptibility structure (r=0.42 , p<0.001).
Conclusion: The results showed that the educational interventions with an emphasis on building the perceived sensitivity of patients with diabetes for medication adherence and emphasis on internal incentives as motivators and incentives for patients to achieve better results in the field of medication adherence should be at the heart of educational interventions.
Abbas Alimoradian, Mohsen Shamsi, Fardin Faraji, Mehdi Ahmadi, Sayyed Ebrahim Sayyedi,
Volume 21, Issue 2 (5-2018)
Abstract
Abstract
Background: Multiple sclerosis (MS) is a myelinating inflammation and an impairment of neuronal cell regeneration in the central nervous system with unknown causes. The aim of this study was to evaluate serum melatonin levels in the treatment of patients with multiple sclerosis.
Materials and Methods: A prospective study and a Cohort were conducted on 40 MS patients with multiple sclerosis patients referring to instituate MS in Arak city for one year. In this study, patients who were treated with interferon-moderating drugs and who had not been treated for more than one year were randomly selected. A questionnaire containing demographic information and clinical information and separation of interacting factors was completed and completed. Clinical information included MRI, VEP, EDSS (Expanded Disability Status Scale) score, and clinical symptoms. The patients also received peripheral blood samplers 3 times in 6 months intervals to measure melatonin and their melatonin levels, and then the relationship between the data obtained from the patient's clinical data, EDSS, serum melatonin levels using the software SPSS with ANOVA and Post-hoc statistical analyzed.
Results: In patients with MS, in spite of receiving drug treatment, the level of melatonin as an antioxidant decreased in second order sampling, which is consistent with the deterioration of the patient's clinical condition (EDSS test), and this is not observed in the control group.
Conclusion: According to the findings of this study, it can be argued that the level of melatonin is a measurable objective and measurable variable (with the help of ELISA) that can be used in the follow-up of these patients, along with clinical evaluations and questionnaires.
Zahra Jahangiri, Mohsen Shamsi, Mahboobeh Khorsandi, Rahmatollah Moradzadeh,
Volume 21, Issue 5 (10-2018)
Abstract
Background and Aim: Iron deficiency is one of the most common nutritional problems during pregnancy. The purpose of this study was to assess the theory of planned behavior structures on nutritional prophylactic treatment of anemia in pregnant women of Arak city in 2018.
Materials and Methods: This is a cross-sectional study that was carried out on 199 pregnant women in Arak city using simple random sampling in 2018. The data were gathered with valid and reliable researcher-made questionnaire including demographic information and the theory of planned behavior structures. The study was conducted to determine the most important predictive constructs of pregnant womens’ behavior using a multivariate linear regression model.
Findings: The finding showed that mean age of mothers was 28.81 ± 5.1 years and the mean weekly gestation was 28.04 ± 8.9 weeks and the gestational interval with previous pregnancy was 5.18 ± 3.9 years. Mean±standard deviation of attitude score (3.61 ± 0.62), subjective norm (3.60 ± 0.74), perceived behavior control (3.50 ± 0.58), behavioral intention (3.49 ± 0.61), performance (3.55 ± 0.76) and awareness (0.57±0.2) were observed. Linear regression model showed that the performance score of pregnant women improved for each unit of attitude and subjective norms and perceived behavioral control, respectively, by 0.463, 0.343 and 0.347, respectively.
Conclusion: The results emphasize the provision of educational programs on the prevention of anemia in pregnant women with an emphasis on attitudinal structures, mental norm, and perceived behavioral control. It is suggested that at the time of designing interventions to improve the prevention of anemia in pregnancy, the structures of the theory of planned behavior should be considered.
Amir Hossein Ahmadi Hekmatikar, Mahdieh Molanouri Shamsi,
Volume 23, Issue 5 (December & January - Special Issue on COVID-19 2020)
Abstract
Background and Aim: Coronavirus Disease 2019 (COVID-19), as a viral disease, has increasingly highlighted the need for lifelong exercise due to its immunological and physiological effects is necessary on health. In this review study, while examining the effects of moderate-intensity exercise on the physiological and immunological responses associated with COVID-19, appropriate exercise patterns during the COVID-19 pandemic are presented.
Methods & Materials: In this study, the search was conducted in Web of Science, Scopus, ISC, PubMed, Google Scholar, MagIran, and Noor databases on related articles using the following keywords: coronavirus, COVID-19, exercise and coronavirus, exercise and immune system, high-intensity exercise and immune system.
Ethical Considerations: All ethical principles in writing this article have been observed according to the instructions of the National Ethics Committee and the COPE regulations.
Results: Moderate-intensity exercise can help boost the function of the immune system. On the other hand, high-intensity exercise can have negative effects on the immune system, which can be a bad strategy increasing the risk of infectious diseases.
Results Moderate-intensity exercise can help boost the function of the immune system. On the other hand, high-intensity exercise can have negative effects on the immune system, which can be a bad strategy increasing the risk of infectious diseases.
Conclusion: Due to the onset of the second wave of COVID-19 in the world, it is recommended to continue to exercise at home observing the hygiene rules (maintaining humidity and disinfecting environmental surfaces) and using appropriate intensity and duration.
Zahra Jahangiri, Mohsen Shamsi, Mahboobeh Khorsandi, Rahmatollah Moradzade,
Volume 23, Issue 6 (February & March 2020)
Abstract
Background and Aim: Iron deficiency is among the most prevalent nutritional problems during pregnancy. Besides, it can significantly affect pregnant women’s health. Therefore, this study aimed to determine the effect of education based on the Theory of Planned Behavior (TPB) on promoting anesthetic prevention nutritional behaviors in the pregnant woman.
Methods & Materials: This was an educational randomized controlled trial study. In total, 80 pregnant women were randomly divided into two groups of test and control (n=40/group). Data collection with reliable and validity questionnaire consist of demographic factors, knowledge, the construct of TPB (attitude, subjective norms, perceived behavior control, intention), and performance. Before performing the intervention, pre-test data were collected from the study groups. Then, the educational intervention was performed based on the results of the needs assessment for the test group, within a month and in the form of four 60-minute training sessions based on the TPB. The results were collected 3 months after the intervention and analyzed using the Mann-Whitney U test, Chi-squared test, and correlation coefficient.
Ethical Considerations: The present study was registered with the code IRCT2017052334106N1 in the Clinical Trial Registration Center of Iran and was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1395.445).
Results: The present research results indicated that before the intervention, all variables were the same in the study groups. However, after the intervention, the research groups significantly differed concerning all the studied structures (P<0.05). Moreover, the Mean±SD pre-test performance score of the intervention group was equal to 2.88±0.415 (out of 5); accordingly, it was significantly improved after training to 3.64±0.216 (P<0.001).
Conclusion: Educational intervention based on the TPB improved anesthetic anxiety behaviors in the studied pregnant women; such a modification can be attributed to the provided educational program in the intervention group.
Kolsoum Mohammadniamotlaghh, Mohsen Shamsi, Nasrin Roozbahani, Mahmood Karimy, Rahmatalah Moradzadeh,
Volume 24, Issue 5 (December & January 2021)
Abstract
Background and Aim: A lack of healthy nutrition first causes prediabetes and then overt diabetes, and every year about 5% to 10% of people with glucose intolerance develop type 2 diabetes. This study aimed to assess the factors affecting the consumption of healthy foods (CHF) based on the food pyramid among prediabetic women based on the Theory of Planned Behavior (TPB).
Methods & Materials: This cross-sectional study was conducted in 2019 on 99 prediabetic women selected from comprehensive healthcare centers in Arak, Iran. A demographic questionnaire, a TPB-based questionnaire, and a food consumption Questionnaire were used for data collection. Data were analyzed through Spearman’s correlation and linear regression analyses.
Ethical Considerations: This study was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1398.07).
Results: The Mean±SD score of diet behavior was 1.34±0.28 (in the possible range of 0-2). Around 41% of participants consumed sugary foods such as sweets and chocolate at least once a week and 35% at least once a month. Regression analysis shows that by increasing a standard deviation in the behavioral intention score, the behavior score of a healthy diet will increase by 0.22 standard deviation (P<0.05).
Conclusion: To achieve a healthy lifestyle in the individual at risk for a diabetics education program to increase perceived behavior and motivation for decision making for adherence to healthy food can be attention for policymakers in a health system.
Zeynab Beiranvand, Mahbobeh Sajadi, Majid Taheri, Soheila Shamsikhani,
Volume 25, Issue 1 (April & May- 2022)
Abstract
Background and Aim Moral stress happens when a person makes a moral decision but cannot accomplish it, mainly due to internal and external organizational limitations. Problem-solving skills training as one of the principles of stress management may be effective in controlling nurses’ moral stress. This study was conducted to investigate the effect of problem-solving skills training on the moral stress of novice nurses.
Methods & Materials This study was a clinical trial performed on 70 novice nurses working in Shohaday Khorramabad Hospital, Khorramabad City, Iran. The samples were selected by convenience sampling and randomly divided into intervention (n=36) and control (n=35) groups. The study data were collected by demographic questionnaire and Corley’s moral distress scale. Before the intervention, participants of both groups completed those questionnaires. Then for the intervention group, a problem-solving skills workshop was held in six 2-hour sessions. After training, the Corley moral distress scale was completed again by participants of both groups. Finally, the data were analyzed by the Chi-square test, paired, and independent t tests in SPSS software v. 16.
Ethical Considerations This study has been approved by the Research Ethics Committee of Arak University of Medical Sciences with the ethical code IR.ARAKMU.REC.1395.449. Informed consent was taken from all participants, and they were assured of keeping their information confidential.
Results In this study, most participants were around 25 years old. Also, 98.5% had Bachler’s degrees, and 1.5% had Master’s degrees. The study results showed that the mean of moral distress in the intervention was significantly different from before the intervention (P<0.05).
Conclusion This study showed that applying problem-solving skills has a significant effect in decreasing the moral distress of novice nurses in the clinical setting.
Mr Mohsen Shamsi, Mr Ali Kulivand, Mr Mohammadjavad Ghannadzadeh, Ms Mahboobeh Khorsandi, Mr Seyedhamed Mirhosseini, Mr Amir Almasi-Hashiani, Mr Behrooz Karimi, Mr Seyednadali Alavi Bakhtiarvand, Ms Masoume Naderi Noreyni,
Volume 25, Issue 4 (October & November 2022)
Abstract
Introduction: Today, with the increase in population, the per capita production of waste materials and the subsequent threat and destruction of the environment is an increasing process, and waste management by the people of a society can play an essential role in reducing this problem. Therefore, the aim of this study was determine of predicting the waste management behaviors of households in Arak city in 2022.
Methods: This is a cross-sectional and analytical study that was carried out on 600 mothers of households in Arak city, who were selected by multi-stage sampling. The data collection tool was a valid and reliable researcher-made questionnaire that included demographic characteristics, knowledge, attitude and behavior of households in the field of waste management. Data were analyzed using SPSS software and t-test, chi-square and regression tests. This study was approved by the research ethics committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1401.040).
Results: The average age of the studied was 39±11 years and the number of family members was 3.6. In terms of type of housing, most of them lived in apartments (44%) and a smaller number lived in complexes (14%). 65 percent of the people had not received the training on the waste separation plan from the source, and among the effective training methods, the majority (38 percent) of the people had overestimated the effectiveness of the training through the Internet. The mean and standard deviation of knowledge was 66±19, attitude was 84±11 and performance was 73±18. The majority of the people studied had a good level of awareness and attitude. The regression analysis model showed that the greatest impact on the waste management behavior of the samples was the age of the people, their knowledge and attitude, which predicted a total of 33% of the waste management behavior.
Conclusions: Considering the favorable state of awareness and attitude of households in Arak city, it seems that for better waste management, other environmental factors should be emphasized, including sources of waste production at the source. Also, based on the prediction model, it is still important to inform and change the attitude of households in Arak city for better performance at younger ages.
Davoud Shamsi, Dr Mohsen Mohammadian Saravi, Khalil Ali Mohamadzadeh, Azadeh Ashrafi,
Volume 28, Issue 2 (4-2025)
Abstract
Good governance, as one of the fundamental concepts in managing health systems, plays a critical role in improving efficiency, effectiveness, and equity in delivering healthcare services. Emphasizing principles such as transparency, accountability, participation, and rule of law, good governance has been regarded as a framework for enhancing policymaking and management within health systems.
Objective: This study aimed to design and propose a model of good governance in the health system using a combined approach of thematic analysis and the partial least squares (PLS) method.
Methodology: The research employed both qualitative and quantitative methods. In the qualitative phase, the research population consisted of managers, experts in health and medical sciences, senior officials from the Ministry of Health and Medical Education, and academic scholars. Seventeen participants were selected using purposive and snowball sampling methods until theoretical saturation was achieved. In the quantitative phase, the PLS method was utilized to fit the proposed model. The statistical population included all health and medical professionals in Iran. Based on Cochran’s formula, the minimum sample size was calculated to be 384 participants.
Findings: The results of thematic analysis in the qualitative phase, followed by model fitting in the quantitative phase, revealed that the final model of good governance in the health system consists of seven main dimensions: effectiveness, efficiency, equity, transparency and accountability, participation, rule of law, and leadership. Each dimension was further divided into specific components, confirming their significance in strengthening good governance.
Conclusion: This study presents a comprehensive model of good governance for the health system, offering a framework to enhance policymaking, management, and performance in this field. The proposed model can serve as a tool for strategic decision-making and improving managerial structures.
