The effectiveness of cognitive behavior stress management on functional dyspepsia symptoms
ZAHRA
DEHGHANIZADE
Young Researchers and Elite Club, Islamic Azad University, Shiraz Branch, Shiraz, Iran
author
YADOLAH
ZARGAR
Department of Psychology and Educational
Sciences, Shahid Chamran University, Ahvaz, Iran
author
MAHNAZ
HONARMAND
Department of Psychology and Educational Sciences, Shahid Chamran University,
Ahvaz, Iran
author
AHMAD
KADKHODAIE
Ahvaz University of Medical Sciences, Ahvaz, Iran
author
MAJID
EYDI BAYGI
Young Researchers and Elite Club, Islamic Azad University, Torbate Heydarie Branch, Torbate Heydarie, Iran
author
text
article
2015
eng
Introduction: Functional dyspepsia and digestive disorders arecommon, debilitating and costly. Little information is availableabout the role of stress management in terms of cognitivebehavioraltreatment of dyspepsia. The purpose of this studywas to investigate the effectiveness of cognitive-behavioral stressmanagement on functional dyspepsia symptoms in patients whoreferred to digestion clinics in Ahvaz.Methods: This was a quasi-experimental study, using pretest,post-test and follow-up with control group. The samplesize was decided according to availability. For this purpose, 30patients were selected using Rome-III diagnostic criteria withdiagnosis of functional dyspepsia. They were divided with blockrandomization into two experimental and control groups (Eachwith 15 subjects). The experimental group received 10 sessions ofcognitive behavioral stress management. But, the control groupdid not receive any intervention. Two groups were assessed atpost-test and follow-up after the intervention. Data collection inthis study was based on the NDI index. All subjects completedthe NDI index for evaluating dyspeptic symptoms in the pre-testphase. At the end of interventions and post-test phase, both groupscompleted the NDI index. Also, all subjects completed a monthafter the end of the the NDI index in order to follow the effects oftreatment. After the follow-up, the data were analyzed using theSPSS 14 and univariate analysis of variance. The significance levelwas considered p<0.05.Results: The result of this study showed that there were significantdifferences between the experimental and control groups in termsof functional dyspepsia in the post-test (p=0.000). Also, therewere significant differences between the experimental and controlgroups in terms of functional dyspepsia in the follow-up (p=0.000).Conclusion: The results of the present study suggest thatcognitive-behavioral stress management strategies are effectivein reducing symptoms in patients with functional dyspepsia.So, cooperation among gastroenterologists, psychologists andpsychiatrists can have positive effects on these patients.Keywords: Cognitive behavior, Dyspepsia, Stress
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
45
49
https://jamp.sums.ac.ir/article_40922_d982925646f054bab93bbaf90b8c84fc.pdf
Emotional intelligence as a predictor of self-efficacy among students with different levels of academic achievement at Kermanshah University of Medical Sciences
AMENEH
GHARETEPEH
School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
author
YAHYA
SAFARI
School of Paramedical Sciences, Kermanshah
University of Medical Sciences, Kermanshah, Iran
author
TAHEREH
PASHAEI
School of Health, Kurdistan University of Medical Sciences, Sanandaj, Iran
author
MANSOUR
RAZAEI
School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
author
MOHAMMAD
KAJBAF
Department of Educational Science and Psychology, Isfahan University, Isfahan, Iran
author
text
article
2015
eng
Introduction: studies have indicated that emotional intelligenceis positively related to self-efficacy and can predict the academicachievement. The present study aimed to investigate the role ofemotional intelligence in identifying self-efficacy among thestudents of Public Health School with different levels of academicachievement.Methods: This correlational study was conducted on all thestudents of Public Health School. 129 students were includedin the study through census method. Data were collected usingEmotional Intelligence and self-efficacy questionnaires andanalyzed using descriptive statistics and regression analysis bySPSS 14.Results: The average score of students with high academicachievement was higher in self-efficacy (39.78±5.82) and emotionalintelligence (117.07±10.33) variables and their components thanthat of students with low academic achievement (39.17±5.91,112.07±13.23). The overall emotional intelligence score to predictself-efficacy explanation was different among students withdifferent levels of academic achievement (p<0.001). Self-efficacystructure was explained through self-awareness and self-motivationcomponents in students with low academic achievement (r=0.571).In students with high academic achievement, self-awareness, selfmotivationand social consciousness played an effective role inexplaining self-efficacy (r=0.677, p<0.001).Conclusion: Emotional intelligence and self-efficacy playan important role in achieving academic success andemotional intelligence can explain self-efficacy. Therefore, it isrecommended to teach emotional intelligence skills to studentswith low academic achievement through training workshops.Keywords: Emotional intelligences; Self efficacy; Achievement
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
50
55
https://jamp.sums.ac.ir/article_40923_d33fe328038e5fe74ed1f82073fbbebc.pdf
The effects of educational program on health volunteers’ knowledge regarding their approach to earthquake in health centers in Tehran
ZAHRA
JOUHARI
Faculty of Medicine, Shahed Universit, Tehran, Iran
author
AFSHAR
PIRASTEH
Faculty of Medicine, Shahed Universit, Tehran, Iran
author
GHOLAM
GHASSEMI
Medical Education Center, Isfahan University of Medical Sciences, Isfahan, Iran
author
LEILA
BAZRAFKAN
Quality Improvement in Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2015
eng
Introduction: The people’s mental, intellectual and physical nonreadinessto confront earthquake may result in disastrous outcomes.This research aimed to study of effects of a training interventionon health connector’s knowledge regarding their approach toearthquake in health-training centers in East of Tehran.Methods: This research which is a semi-experimental study wasdesigned and executed in 2011, using a questionnaire with itemsbased on the information of Crisis Management Org. After apilot study and making the questionnaire valid and reliable,we determined the sample size. Then, the questionnaires werecompleted before and after the training program by 82 healthconnectors at health-treatment centers in the East of Tehran.Finally, the collected data were analyzed by SPSS 14, using pairedsample t–test and Pearson’s correlation coefficient.Results: Health connectors were women with the mean age of43.43±8.51 years. In this research, the mean score of connectors’knowledge before and after the training was 35.15±4.3 and43.73±2.91 out of 48, respectively. The difference was statisticallysignificant (p=0.001). The classes were the most important sourceof information for the health connectors.Conclusion: The people’s knowledge to confront earthquake canbe increased by holding training courses and workshops. Suchtraining courses and workshops have an important role in datatransfer and readiness of health connectors.Keywords: Health; Education; Earthquake
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
56
61
https://jamp.sums.ac.ir/article_40924_8f2c7b575317268e49b7d9fd07b3c449.pdf
An evaluation of the elements of internal medicine physiopathology curriculum in general practice based on the perspectives of faculty members of Shiraz University of Medical Sciences
JAMSHID
ESLAMI
Department of Curriculum Planning, Educational and Psychological Sciences Faculty, Shiraz University, Shiraz, Iran
author
MOHSEN
KHADEMI
Department of Curriculum Planning, Educational and Psychological Sciences Faculty, Shiraz University, Shiraz, Iran
author
text
article
2015
eng
Introduction: An evaluation of the curriculum elementscan be recognized as a necessity in curriculum dynamic andimprovement. This study aimed at evaluating five main elementsof a physiopathology curriculum in internal medicine (objectives,content, methods, evaluation, and management).Method: The present study is of a descriptive-analytical type, andthe study population consisted of a total of 48 faculty members ofinternal medicine physiopathology department at Shiraz Universityof Medical Sciences. Participants were selected using Cochran’ssample size formula and through simple random sampling. Thedata were collected using a 58-item questionnaire devised by theresearcher, using curriculum planning experts. Face and contentvalidity of the scale were obtained through expert views andmodifications provided by 10 professors and experts in medicalcurriculum evaluation. Also, research reliability was calculatedusing Alpha Cronbachto be 0.99. Reliability value and coefficientwas acceptable. Moreover, One-sample t-test, Independent t-testand One-way ANOVA were used for data analysis.Results: Based on the faculty members’ views, of the fivecurriculum elements, objectives and content were in relatively goodconditions (at an average level) while other elements includingmethod, evaluation and management were in poor conditions(lower than average). According to results of two-way ANOVA,there was a significant relationship between faculty members withvarious work experience in terms of curriculum evaluation.Conclusion: According to research findings, a comparativeexamination of the curriculum elements and their characteristicsin physiopathology course can be conducted, resulting inidentification of curriculum weaknesses and their pitfalls. Also,with regard to teaching, evaluation, management methods, weakand strong points of the course, efficiency, and effectiveness ofthe elements were identified.Keywords: Evaluation; Curriculum; Faculty
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
62
67
https://jamp.sums.ac.ir/article_40925_8c7ca59e7aba669436f0c054f6280649.pdf
A comparative study of teaching clinical guideline for prevention of ventilator-associated pneumonia in two ways: face-to-face and workshop training on the knowledge and practice of nurses in the Intensive Care Unit
MAJID
YAZDANI
Department of Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran
author
GOLNAR
SABETIAN
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
SHAHIN
RA'OFI
Department of Nursing, School of Nursing and Midwifery, Lorestan University of medical sciences, Khoramabad, Iran
author
AMIR
ROUDGARI
Shiraz University of Medical Sciences, Shiraz, Iran
author
MONIREH
FEIZI
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2015
eng
Introduction: Ventilator-associated pneumonia (VAP) is one ofthe most popular nosocomial infections in the intensive care unitsand the nurse’s role in preventing it is very important. The aim ofthis study was to compare the effect of two methods of face to facetraining and work- shop clinical guidelines in prevention of VAP.Methods: In this experimental randomized clinical trial, theknowledge and practice of nurses in ICUs were studied in twogroups: face to face training (35 nurses) and workshops (40nurses) by using clinical guidelines in prevention of VAP in oneof the hospitals of Shiraz University of Medical Sciences. The levelof knowledge and practice in each group was assessed by selfreportquestionnaire, knowledge questionnaire and also directobservation of practice, before and after training. Data wereanalyzed with descriptive statistics, paired t-test, independentt-test, McNemar test, Fisher’s exact, sign and Chi-square test,using SPSS 14.Results: This study demonstrated that both methods of face toface training and workshop were very effective. The incidenceof inappropriate pressure of cuff in the tracheal tubes andtracheostomy tubes was significantly reduced after training(p=0.001). But, by comparison of these two methods and therelationship between the variables revealed that no significantdifference was found between the two groups of face to facetraining and workshop.Conclusion: Training the nurses is highly effective in preventingVAP, particularly for appropriate cuff pressure, suctioning anddisinfecting hands.Keywords: Pneumonia; Nurse; Knowledge
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
68
71
https://jamp.sums.ac.ir/article_40926_7ed157dbe0d97c1f4df34d8c48b135f0.pdf
Using video-taped examples of standardized patient to teach medical students taking informed consent
SHIRIN
HABIBI KHORASANI
Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran
author
SEDIGHEH
EBRAHIMI
Department of Medical Ethics, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2015
eng
Introduction: Medical student should be trained in medicalethics and one of the most essential issues in this field is takinginformed consents. In this research, we compared the effect ofeffectiveness of teaching methods on students’ ability in takinginformed consent from patients.Methods: This semi-experimental study was carried out on fiftyeight subjects from the 4th-year students of Shiraz University ofMedical Sciences who attended in medical ethics course beforetheir ‘clinical clerkship’training.Method of sampling was censusand students were randomly allocated into two groups of controlgroup (n=28) was trained in traditional lecture-based class andthe case groupnamed as A1 (n=22) were taught by video-tapedexamples of standardized patient.Then A1 group attended intraditional lecture-based classes named as A2. The groups wereevaluated in terms the ability of recognition of ethical issuesthrough the scenario based ethical examination before and aftereach training. Scenarios were related to the topics of informedconsent. Data were analyzed by SPSS 14 software using descriptivestatistics and anova test. P value less than 0.05 was considered assignificant.Results: The mean scores results of A2, A1 and B group werefound to be 7.21, 5.91 and 5.73 out of 8, respectively. Comparisonbetween the groups demonstrated that the ability of takinginformed consent was significantly higher in A2 group (p<0.001),followed by A1 group (p<0.05), while was the least in the B group(p=0.875).Conclusion: According to this research, lecture-based teaching isstill of great value in teaching medical ethics, but when combinedwith standardized patient, the outcome will be much better. Itshould be considered that mixed methods of teaching should beused together for better result.Keywords: Standardized patient; Medical ethics; Informed consent
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
72
76
https://jamp.sums.ac.ir/article_40927_a209d502f08449d7e00275a5cbac97d7.pdf
Inservice trainings for Shiraz University Medical Sciences employees: Effectiveness assessment by using the CIPP model
MARYAM
MOKHTARZADEGAN
Shiraz University of Medical Sciences, Shiraz, Iran
author
MITRA
AMINI
Education Development Center, Quality Improvement in Clinical Education
Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
FARNAZ
TAKMIL
Education Development Center, Quality Improvement in Clinical Education
Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
MOHAMMAD
ADAMIAT
Shiraz University of Medical Sciences, Shiraz, Iran
author
POONEH
SARVERAVAN
Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2015
eng
become one of the core components in survival and success ofany organization. Unfortunately, despite the importance oftraining evaluation, a small portion of resources are allocated tothis matter. Among many evaluation models, the CIPP model orContext, Input, Process, Product model is a very useful approachto educational evaluation. So far, the evaluation of the trainingcourses mostly provided information for learners but thisinvestigation aims at evaluating the effectiveness of the experts’training programs and identifying its pros and cons based on the4 stages of the CIPP model.Method: In this descriptive analytical study, done in 2013,250 employees of Shiraz University Medical Sciences (SUMS)participated in inservice training courses were randomlyselected. The evaluated variables were designed using CIPPmodel and a researcher-made questionnaire was used for datacollection; the questionnaire was validated using expert opinionand its reliability was confirmed by Cronbach’s alpha (0.89).Quantitative data were analyzed using SPSS 14 and statisticaltests was done as needed.Results: In the context phase, the mean score was highest insolving work problems (4.07±0.88) and lowest in focusing onlearners’ learning style training courses (2.68±0.91). There isa statistically significant difference between the employees`education level and the product phase evaluation (p<0.001).The necessary effectiveness was not statistically significant incontext and input level (p>0.001), in contrast with the processand product phase which showed a significant deference(p<0.001).Conclusion: Considering our results, although the inservicetrainings given to sums employees has been effective in manyways, it has some weaknesses as well. Therefore improving theseweaknesses and reinforcing strong points within the identifiedfields in this study should be taken into account by decisionmakers and administrators.Keywords: Inservice training; Training; Effectiveness
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
77
83
https://jamp.sums.ac.ir/article_40928_cc56c24aa300fd83b716b3415d98d376.pdf
Educational needs of family physicians in the domains of health and conformity with continuing education in Fasa University of Medical Sciences
NAHID
ZARIF SANAIEY
Distance Educational Planning, Center of Excellence for e-Learning in Medical Sciences, Shiraz University of Medical
Sciences, Shiraz, Iran
author
SAHAR
KARAMNEJAD
Fasa University of Medical Science, Fasa, Iran
author
RITA
REZAEE
Quality Improvement in Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
author
text
article
2015
eng
of planning. According to the family physician’s idea, evaluatingprograms in order to improve them is one of the necessities ofpromoting quality and increases the efficiency and effectivenessof continuing education. This study aimed to determinefamily physicians’ educational needs regarding health and itsapplicability in continuous medical education in Fasa Universityof Medical Sciences.Methods: In this cross-sectional study, viewpoints of 45 generalphysicians working at Fasa University of Medical Sciences in2013 were studied. Samples were selected through census. Datacollection was done using a researcher-made questionnaire using10-point Likert scale and a checklist with Delphi technique.Content validity of the questionnaire and its reliability wereconfirmed by the experts’ opinion and Cronbach’s alpha of 80%.The data were analyzed through SPSS software version 16, usingboth descriptive and inferential statistics (mean and standarddeviation, standard score (SQ), t-test, ANOVAs). A significancelevel of <0.05 was considered.Results: The highest educational priority was in the field ofmental health (SQ=0.38), and environmental and professionalhealth was the lowest priority (SQ=_0.24). Additionally, withineach of the areas above specific priorities were determined. Basedon the results of this study, gender, graduation date, cooperationtime, and university they were educated in did not affectexpressing educational needs (p>0.05). The most educationalconformity with continuing education was in the diseases area(topic 27%, content 37%). In the areas of environmental andprofessional health and health education, compliance was zero.Conclusions: The physicians stated that mental health was thefirst educational need and environmental and professional healthwas the last one. According to the results, proper continuingmedical programs should be coordinated with educational needs.Keywords: Needs assessment; Physicians; Family; Health; Education
Journal of Advances in Medical Education & Professionalism
Shiraz University of Medical Sciences
2322-2220
3
v.
2
no.
2015
84
89
https://jamp.sums.ac.ir/article_40929_1fa8d17dc201aa6b54211916494824de.pdf