1 24764132 Iran University of Medical Sciences 40 Relationship between Awareness of and Respect for Patients’ Rights from the Perspective of Patients Admitted to Psychiatric Wards Jooj Raziyeh b Hajibabae Fatemeh c Zarea Kourosh d Haghighi Zadeh Mohammad Hosein e b Organization c Department of Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. d Organization e Organization 1 6 2015 1 2 63 70 05 12 2014 12 04 2015 Background: It seems difficult to develop comprehensive legislations that can include the rights of all psychiatric patients. Nevertheless, awareness of patients’ rights among patients with psychiatric disorders and their caregivers play an important role in advancing the treatment goals and human rights. This study was aimed to determine the relationship between awarness of and respect for the rights of patients with psychiatric disorders.  Methods: This analytic cross sectional study was conducted on 100 psychiatric patients who admitted to psychiatric wards of selected educational hospitals affiliated to Ahvaz University of Medical Sciences. Patients entered to the study on the census form in 2012. To collect data, a researcher-designed questionnaire was used to investigate the rights of patients with psychiatric disorders. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient test. SPSS V.19 software was used for data analysis.  Results: According to the results, psychiatric patients’ awareness of their rights was at a moderate level, and the mean score was 14.42±8.66. Respect for these rights from patients’ perspective was at a good level, and the mean score was 90.61±33.87. According to the results of Pearson correlation coefficient test, a significant relationship was found between awareness of and respect for patient’s rights from patients’ perspective (P<0.000).  Conclusion: The results showed that the patients’ awareness of their rights was not at an acceptable level. It is recommended to provide interventions in order to promote the patients’ awareness on admission to psychiatric ward
41 Assessment of the Role of Health System Reform Plan in Franchise Reduction for Patients Referred to University Hospitals in Iran Khayeri Fereydoon f Goodarzi Leila g Meshkini Ali h Khaki Ebrahim i f Department of Treatment Supervision, Ministry of Health and Medical Education, Tehran, Iran. , Department of Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. g Organization h Organization i Organization 1 6 2015 1 2 71 76 10 11 2014 11 02 2015 Background: Today health care system is considered as a important organization to achieve equity and improve the performance so it is necessary for policy makers and decision makers improve performance of health care system. This study was performed to evaluate the health care reform program with emphasis to decrease catastrophic payment of patients hospitalized in public hospitals.  Methods: This study is a descriptive cross-sectional design which was done from 8 May 2014 to 2 Sept. 2014. A sample of hospitals included 197 hospitals out of 550 hospitals affiliated to 57 universities of medical sciences which were selected randomly and were visited by experts. The main tool of this study was a standard checklist prepared by experts of headquarters of Minstry of Healh and Medical Education (MoHMD).  Results: Out of the entire hospitals studied, 79% were public and 21% were private. The highest mean and standard deviation was related to referral chain (2.71±0.53) as the most favorable dimension and the least mean and standard deviation was related to two dimensions of education and information of staff personnel (2.37±0.67) as the most unfavorable dimension. The results of study also indicated that there is statistical, significant correlation between dimension of informing personnel and type of hospitals. The difference in mean of sections scores was significant except for the dimension of investigating health documents at universities.  Conclusion: As a result, current health care reform plan will increase responsiveness and accessibility and will finally decrease unnecessary expenses in health market. 42 Improving Communication Skills in Clinical Education of Nursing Students Heidari Haydeh j Mardani Hamooleh Marjan k j Organization k Department of Pediatrics Nursing, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. 1 6 2015 1 2 77 82 13 12 2014 29 03 2015 Background: Effective communication with patients is an essential part of nursing care. However, most researches have reported that communication of nurses with patients is weak. The quality of provided care, especially communication with the patients, is one of the main concerns of nursing education managers. Therefore, we conducted a study with the aim of improving communication skills in clinical education of nursing students.  Methods: This research is a qualitative study, which was conducted in pediatric unit of Hajar Hospital, Shahrekord, Iran. Purposive sampling was used in this study whose participants were 8 nursing students (Sixth-semester) studying in the pediatric ward. Students’ experiences with this communication method were analyzed using qualitative content analysis. Data collection continued until that information was repetitive. The data were saturated after 8 participants were interviewed.  Results: Based on the analysis of students’ experiences, 3 main categories of unfamiliarity with methods of communicating with patients, appeal of the interviewing method, and obstacles to communication with patients were found.  Conclusion: The results of the study indicate that proper use methods of communication improved nurses’ ability to communicate with patients. It is recommended to add communication skills and interview techniques as an applied course in the undergraduate curriculum. 43 The Relationship between Quality of Life and Health Locus of Control Beliefs in Hemodialysis Patients Mohammad Aliha Jaleh l l Department of Critical Care Nursing, School of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran. 1 6 2015 1 2 83 90 06 08 2014 24 02 2015 Background: Chronic kidney disease as a major health problem can create physical, psychological, economic, and social problems for patients and generally affect their quality of life. However, health beliefs and behaviors of these patients can affect their health condition too. The purpose of this study was to determine the relationship between the quality of life and health locus of control beliefs in hemodialysis patients.  Methods: A cross-sectional correlation research design was used to conduct the study. The research population included all hemodialysis patients admitted to Shahid Hashemi Nejad Hospital. One hundred hemodialysis patients were recruited by convenience sampling. The patients’ information was collected from their medical records. The WHO quality of life (WHOQoL) questionnaire and multidimensional health locus of control scale (MHLC) were used to collect data about main variables of the study. The data were analyzed by SPSS 16 software using descriptive and inferential statistics.  Results: The mean and standard deviation of quality of life score was 48.7±14.7 the highest mean score was reported for environmental satisfaction domain (60±21), and social domain received the lowest mean score (44±24). The mean and standard deviation related to health locus of control beliefs was 53±11. There was a statistically significant relationship between the quality of life and health locus of control beliefs (P=0.008), but the correlation was weak (r=0.2).  Conclusion: The quality of life has a significant correlation with health locus of control beliefs. Therefore, it is necessary to provide hemodialysis patients with education to improve and modify their health awareness and attitude. 44 Health-Related Quality of Life after Valve Replacement Surgery Namazi Parviz m Hosseni Seyed Saeed n Mohammadi Noordin o m Department of Critical Care Nursing, Shahid Rajaei Heart Center, Iran University of Medical Sciences, Tehran, Iran. n Organization o Organization 1 6 2015 1 2 91 96 10 10 2014 25 02 2015 Background: Heart valve disease gradually increases the pressure in the heart chambers and impairs heart pumping. It influences on quality of life due to low output, disability, fear, amnesia, anxiety, and depression. Although most of signs and symptoms in patients with heart valve diseases may significantly decrease after valve replacement surgery, there is limited information about the impact of surgery on patients’ quality of life. Therefore, we aimed to compare the scores of health-related quality of life (HRQoL) before and after the surgery in patients undergoing valve replacement surgery in Shahid Rajaei Heart Center, Tehran, Iran.  Methods: In this descriptive cross-sectional study, 102 patients who underwent for valve replacement surgery including mitral valve, tricuspid valve, aortic valve, pulmonary valve or combinations of two or more of these valves were selected through convenience sampling method. The MacNew HRQoL questionnaire was used to collect data in this study. Subjects completed the questionnaire in two stages, before and 2 months after surgery. Collected data were analyzed using SPSS version 18.  Results: The majority of subjects were female (60.8%) and married (89.2%). Mitral valve disease (52%) and tricuspid valves abnormality (1%) were the most and the least common valve diseases among subjects, respectively. The results indicated an increase in the HRQoL score after valve replacement (p<0.001). The results also showed that there is no significant relation between the HRQoL scores with gender, education level, type of valve dysfunction and income.  Conclusion: Overall HRQoL scores in patients with value diseases improve significantly after surgery. Therefore, surgery not only is recommended to relief the symptoms of patients, but also can be considered as an effective strategy to improve the quality of life in patients with valve diseases. 45 Occupational Accidents among Hospital Staff Raeissi Pouran p Omrani Amir Khosravizadeh Omid Mousavi Masoud Kakemam Edris Sokhanvar Mobin Najafi Behnam p Organization Student Research Committee, Department of Health Management, School of Health Management and Information Sciences, International Campus, Iran University of Medical Sciences, Tehran, Iran. Organization Organization Organization Organization Organization 1 6 2015 1 2 97 102 13 01 2015 25 03 2015 Background: The importance of safety in hospitals can be studied from different angles since hospital is a critical environment for incidents. Assessment of occupational accidents in hospitals can prevent their recurrence and maintain human and financial resources. This study aimed to investigate the occupational accidents among staff in a hospital.  Methods: This cross-sectional descriptive-analytical study was carried out in a hospital in Tehran University of Medical Sciences. Two hundred and thirty staff from various wards of the hospital were recruited by stratified random sampling. Data collection was performed using a researchermade questionnaire. Data were analyzed by the SPSS-20 software with descriptive statistics, Mann-Whitney and Kruskal-Wallis tests.  Results: The study results revealed that among staff, most of the occupational accidents was related to skin contact with blood or other body fluids and least of them belonged to toxicity with solvents. The results showed significant differences regarding occupational accidents between different groups of gender, years of work experience, organizational position, shift type, and age.  Conclusion: Since most of the occupational accidents happened at least one time among hospital staff, paying attention to prevention of it is necessary. Due to the complex nature of hospitals, management and prevention of occupational accidents require all personnel’s willpower and involvement, and hospital management reform. 37 Special The Prevalence of Unmet Need and Its Related Factors for Family Planning in Khuzestan Province, Iran: An Epidemiologic Study Abedi Parvin Botyar Malihe Afshari Poorandokht Namvar Farideh Organization Department of Midwifery, Faculty of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Organization Organization 1 6 2015 1 2 103 109 13 01 2015 25 03 2015 Background: Women with unmet need are those who are sexually active in the reproductive age, but do not use any method of contraception despite they do not want more children. These women are at risk of unwanted pregnancies and abortions that can lead to maternal morbidity and mortality. The aim of this study was to evaluate the prevalence and related factors to unmet need for family planning among reproductive aged women in Khuzestan province, Iran, 2012-2013.  Methods: Samples were selected randomly from nine cities in the province. Data was collected using a questionnaire which was completed by interview. A 46 item questionnaire was designed to collect data about unmet need in family planning. Data were analysed using SPSS ver19. Descriptive statistics, Independent t-test, chi-square, and logistic regression tests were utilized for analyzing data.  Results: Unmet need was 80 (3.42) for limiting and 288 (9.59) for spacing, The prevalence of unmet need in Khuzestan Province was 13%. The unmet need group had more pregnancies and live children compared to the met need group (P<0.05). The women with her husband with primary education compared to illiterate ones, women with university education compared to illiterate ones, women with good knowledge about contraceptive methods compared to those with poor knowledge, were less likely to have unmet need.  Conclusion: The unmet need for family planning in the Khuzestan province is rather high compare to some statistics from other cities as well as in the whole country. Improving awareness about family planning can help women to decide about safer and more reliable contraceptive methods.