Journal of Advances in Medical Education & Professionalism

The effectiveness of cognitive behavior stress management on functional dyspepsia symptoms

ZAHRA DEHGHANIZADE; YADOLAH ZARGAR; MAHNAZ MEHRABIZADEH HONARMAND; AHMAD KADKHODAIE; MAJID EYDI BAYGI

Volume 3, Issue 2 , April 2015, Pages 45-49

Abstract

Introduction: Functional dyspepsia and digestive disorders arecommon, debilitating and costly. Little information is availableabout the role of stress management in terms of cognitivebehavioraltreatment ... Read More 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

Emotional intelligence as a predictor of self-efficacy among students with different levels of academic achievement at Kermanshah University of Medical Sciences

AMENEH GHARETEPEH; YAHYA SAFARI; TAHEREH PASHAEI; MANSOUR RAZAEI; MOHAMMAD BAGHER KAJBAF

Volume 3, Issue 2 , April 2015, Pages 50-55

Abstract

Introduction: studies have indicated that emotional intelligenceis positively related to self-efficacy and can predict the academicachievement. The present study aimed to investigate ... Read More

The effects of educational program on health volunteers’ knowledge regarding their approach to earthquake in health centers in Tehran

ZAHRA JOUHARI; AFSHAR PIRASTEH; GHOLAM REZA GHASSEMI; LEILA BAZRAFKAN

Volume 3, Issue 2 , April 2015, Pages 56-61

Abstract

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 ... Read More

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; MOHSEN KHADEMI

Volume 3, Issue 2 , April 2015, Pages 62-67

Abstract

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 ... Read More 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

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; GOLNAR SABETIAN; SHAHIN RA'OFI; AMIR ROUDGARI; MONIREH FEIZI

Volume 3, Issue 2 , April 2015, Pages 68-71

Abstract

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. ... Read More

Using video-taped examples of standardized patient to teach medical students taking informed consent

SHIRIN HABIBI KHORASANI; SEDIGHEH EBRAHIMI

Volume 3, Issue 2 , April 2015, Pages 72-76

Abstract

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 ... Read More

Inservice trainings for Shiraz University Medical Sciences employees: Effectiveness assessment by using the CIPP model

MARYAM MOKHTARZADEGAN; MITRA AMINI; FARNAZ TAKMIL; MOHAMMAD ADAMIAT; POONEH SARVERAVAN

Volume 3, Issue 2 , April 2015, Pages 77-83

Abstract

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 ... Read More 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

Educational needs of family physicians in the domains of health and conformity with continuing education in Fasa University of Medical Sciences

NAHID ZARIF SANAIEY; SAHAR KARAMNEJAD; RITA REZAEE

Volume 3, Issue 2 , April 2015, Pages 84-89

Abstract

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 ... Read More 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

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Volume & Issue: Volume 3, Issue 2, April 2015 (15)

The effectiveness of cognitive behavior stress management on functional dyspepsia symptoms

Abstract

Emotional intelligence as a predictor of self-efficacy among students with different levels of academic achievement at Kermanshah University of Medical Sciences

Abstract

The effects of educational program on health volunteers’ knowledge regarding their approach to earthquake in health centers in Tehran

Abstract

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

Abstract

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

Abstract

Using video-taped examples of standardized patient to teach medical students taking informed consent

Abstract

Inservice trainings for Shiraz University Medical Sciences employees: Effectiveness assessment by using the CIPP model

Abstract

Educational needs of family physicians in the domains of health and conformity with continuing education in Fasa University of Medical Sciences

Abstract