Journal of Torbat Heydariyeh University of Medical Sciences

Background & Aims: Drug addiction is a complex disease that has the fourth place in death rate after accidents, stroke and burn in our country. Although non-pharmaceutical methods have an important role in addiction treatment, there is limited information about the advantages of them. This study is carried out to investigate the impact of client education in the NA meetings on tendency to use drugs.

Methods: This study is a clinical trial study which people were randomly selected and divided into two control and intervention groups. The tools include two demographic and tendency to use the drugs standard questionnaires. The intervention group participated in 12 sessions of 90 minutes in Narcotics Anonymous meetings and after 3 months the results of pre and post intervention in both groups were compared.

Results: The results showed that the average age of participants was 33.54±9.3. Most of the participants had high school diploma degree. The most used drug was Opium. The participation of clients in the Narcotics Anonymous meetings was effective on tendency to use drugs (p=0.002).

Conclusion: Based on the results, Education in the NA meetings probably results in fewer tendencies to use drugs. Therefore, organizations and responsible centers should support the clients to continue addiction treatment by holding the meetings in a better condition.

Background & Aim: Two less studied concepts of citizenship behavior and organizational culture are among the important concepts that affect organizational performance. The aim of this study is to determine the relationship between organizational culture and organizational citizenship behavior among staff of Torbat Heydariyeh University of medical sciences in 2015.

Methods: This is a descriptive/analytical study which conducted on 437 staff of Torbat Heydariyeh University of medical sciences. Sample size (205 people) was calculated on the basis of studied population using Morgan table. Study Tools were organizational culture standard questionnaire, organizational citizenship behavior and demographic information. Data analysis was performed using descriptive and inferential statistics.

Results: In this study, the mean and standard deviation of participants' age were 31.2±10.8. In addition, the mean and standard deviation of organizational behavior and organizational culture among participants were 451.4 ± 3.60 and 162.3 ± 42.92, respectively. There is a significant relationship between organizational culture and organizational citizenship behavior (r=0.22, p<0.05) and organizational culture predicted 0.53 of organizational citizenship behavior in staff of medical sciences university.

Conclusion: There is a weak relationship between organizational culture and organizational citizenship behavior in studied population. It is recommended to promote organizational culture to increase organizational citizenship behaviors in university staff. 

Background & Aim: Stress management is one of the effective methods on health and job satisfaction of Health staff. Stress management through group therapy on health and job satisfaction of staff has been less investigated. Thus, the aim of this study is to investigate the effect of stress management group therapy on nurses' job satisfaction and general health.

Methods: This is a quasi-experimental study which conducted on 20 nurses of 9-Day hospital in Torbat Heydariyeh city. At first, two standard questionnaires of general health (Goldberg and Hillier) and job satisfaction (Linz) were completed by both intervention and control groups. The intervention group participated in 8 sessions of stress management group therapy and the control group received no intervention. After the end of the last session of group therapy, two questionnaires were completed by both groups again. Data were analyzed using descriptive statistics and independent and paired T-test using SPSS software version 20.

Results: The mean and standard deviation of participants' age was 38±7.50. Before the study, two groups were not significantly different in terms of background. At the beginning of the study, job satisfaction and general health scores of intervention and control groups were not different (p>0.05). There was no significant difference between job satisfaction and general health in control group, before and after the study. However, there was a significant difference between two mentioned variables in the intervention group (p<0/05). Stress management group therapy increased job satisfaction and general health of nurses.

Conclusion: Based on the results, it is recommended that stress management techniques should be applied to increase job satisfaction and general health among nurses.

Background and aim: Entrepreneurial attitudes and organizational citizenship behavior are two concepts that have attracted the attention of researchers of different scientific disciplines. The aim of this study was to determine the relationship between entrepreneurial attitudes and organizational citizenship behavior among staff of Torbat Heydariyeh University of medical sciences in 2015.

Methods: This is a descriptive/analytical study which conducted on 437 staff of Torbat Heydariyeh University of medical sciences. Sample size (205 people) was calculated using Morgan table based on the studied population size. Study tools were entrepreneurial attitude questionnaire, organizational citizenship behavior and demographic information. Data analysis was performed using SPSS software version 21 and descriptive and inferential statistics.

Results: The mean and standard deviation of participants' age were 31.2±10.8. In addition, the mean and standard deviation scores of organizational citizenship behavior and entrepreneurial attitude among participants were 451.4 ± 3.60 and 459.4 ± 52.7, respectively. There is a significant relationship between entrepreneurial attitude and organizational citizenship behavior (r=0.50, p=0/000). Also, entrepreneurial attitude predicted 0.25 of organizational citizenship behavior among university staff.

Conclusion: Based on the results, there was a relatively suitable relationship between entrepreneurial attitude and organizational citizenship behavior in studied subjects. It is recommended to promote entrepreneurial attitude to increase organizational citizenship behaviors among university staff.

Background & Aim: Quality of professional life is a critical concept which is related to personal characteristics and workplace of individuals. Also it is an important issue for health system and health care givers. There is a little information about the quality of professional life among health staff in the country. This study carried out to assess the quality of professional life among nurses of hospitals in Torbat Heydariyeh city in 2016.

Methods: This was a descriptive/analytical study conducted on 200 nurses working in two 9-dey and Razi hospitals in Torbat Heydariyeh through stratified sampling. Data collection tool was ProQOL 5 (2009) standard questionnaire. Data were analyzed using SPSS 20 and descriptive and inferential statistics.

Results: The mean scores of three subscales of quality of professional life (Compassion Satisfaction, Compassion Fatigue and secondary stressor)  were 26/41 ± 4/71, 36.17 ± 7.79 and 31/73 ± 7/75 . In addition, there was a significant relation in the mean scores of Compassion Satisfaction, Compassion Fatigue with gender, job title and the hospitals.

Conclusion: The quality of professional life among nurses was not satisfactory. This concept is affected by several factors that need to be studied in more details.

Background & Aim: Increasing the quality of the educational system as the most influential factor in the development of countries. Achievement motivation and academic failure is one of the most important problems of the educational system in all countries.This study performe to investigate the effect of cognitive behavioral group therapy on achievement motivation and academic failure.

Methods: This quasi-experimental study on 24 students who have academic failure in students of Torbat University of Medical Sciences had been done in 2015. At the beginning of the study achievement motivation questionnaire was completed by the intervention group and the control group. The intervention group participated in 8 sessions of cognitive behavioral therapy group and the control group received no intervention. After the end of the last session of group therapy, two questionnaires were completed by both groups again. Data analyzed using descriptive statistics, independent and paired t-test, Mann-Whitney and Wilcoxon tests SPSS software version 20.

Results: The mean and standard deviation of participants' age in control group was 19/33±0/61 and in experimental group was 19/92±1/07. There was no significant difference in achievement motivation control group and experimental group before and after intervention (p>0.05). But there was a significant difference in academic failure students of experimental group before and after intervention (p<0/05).

Conclusion: The results was showed that the clinical effectiveness of cognitive-behavioral group therapy on students' academic failure, so that this treatment is probably effective to improve students' academic achievement.

Background & Aim: Quality of sleep and Quality of life Reducing is one of the most common complaints in women, especially during pregnancy and after that it can be an appropriate platform for many disorders during pregnancy and after childbirth for mother and fetus. This

Methods: This two group cross-sectional study was conducted in the first six months of 1394. The data collected tools were three questionnaires: demographic characteristics, Pittsburgh Sleep Quality Index and the World Health Organization Quality of Life Questionnaire - Short Form (WHOQOL-BREF).

  Data on three groups of pregnant women, women with infant children and other women were gathered and with SPSS 21 software and using descriptive and analytical statistics were analyzed.

Results: The findings showed that the average quality of sleep and quality of life in women were 7.16 and 70.91, both in the medium level. Quality of life was significantly associated with participant’s education As well as between the three groups of pregnant women, infant children and other women also showed a statistically significant difference.   Sleep quality was so poor in 74.5 percent of the women and had a significant positive correlation with quality of life.

Conclusion: In addition of high prevalence of sleep disorders in women especially pregnant women and mothers with infant children and reduce their quality of life, the necessity to improve the lives of women required to appear.

Background & Aim: One of the common reasons for selecting C-section by mothers is the fear of labor pain. Hence, many attempts have been made to reduce C-section cases and increase painless delivery. Therefore, this study aimed to compare the efficacy of anesthesia with fentanyl injection and anesthesia with water injection on pain intensity, labor duration and satisfaction with labor in women undergoing vaginal delivery.

Methods: In this clinical trial, 100 pregnant women in the first stage of labor were randomly divided into two groups of 50 patients undergoing water injection anesthesia and analgesia with fentanyl. Lower back pain was measured before and 10, 45 and 90 minutes after treatment in both groups. Data collection tools include demographic questionnaire, visual Analog scale (VAS), and satisfaction questionnaire. Data were analyzed using SPSS20.

Results: The mean age of participants in both groups of anesthesia with fentanyl injection and anesthesia with distilled water injection was 24.46 and 23.54 years, respectively. Satisfaction with anesthesia was significantly higher in distilled water anesthesia group than fentanyl anesthesia group (P =0.006).  Pain intensity in minute 45 was significantly lower in the group with distilled water injection than fentanyl anesthesia group (P˂0.05). Moreover, labor duration was significantly lower in the group with distilled water injection than fentanyl anesthesia group after intervention (P˂0.05).

Conclusion: It seems that anesthesia with distilled water injection is more welcomed than fentanyl injection among women undergoing vaginal delivery. However, further investigation is needed in this regard.

Background & Aim: Realistic expectations from marriage are of the most important factors in a successful marriage. To achieve this goal, premarital counseling is an effective step. This study examines the impact of premarital counseling on marriage expectation among university students.

Methods: This quasi-experimental study has been conducted on 30 unmarried students of Torbat Heydariyeh University of Medical Sciences. The assessment tools were marriage expectation scale and demographic information questionnaire which were completed in the pre-test and post-test by participants. The intervention group participated in 8 sessions of 2 hours premarital counseling and the control group received no intervention. Data were analyzed using descriptive statistics and independent and paired T-test.

Results: The mean and standard deviation of participants' age was 19.33 ± 0.61 and 19.92±1.07 in control and intervention groups, respectively. Before the study, in terms of background variables, there were no significant differences between two groups. Premarital counseling could improve the expectation university students have from marriage among (p<0.05).

Conclusion: Premarital counseling is suggested to empower students for establishing a good and suitable marriage. 

Introduction: The management of job-related stress and the improvement of self-efficacy in health care workers are essential for promoting health-care services. The aim of this study was to determine the efficiency of stress management group therapy in job stress and self-efficacy of nurses.

Method: This was a quasi-experimental study conducted on 20 nurses (of Nohom Day Hospital in Torbat Heydariyeh) who were selected through convenience sampling and assigned into two intervention and control groups randomly. The intervention group participated in 8 sessions of stress management group therapy and the control group received no intervention. Data analyses were performed using descriptive statistics and independent and dependent t-test by SPSS 21.

Results: The mean and standard deviation of participants' age in the intervention and control group were 38.00±6.24, 36.00±8.5, respectively. After the intervention, there was a significant difference in the mean scores of job stress and self-efficacy between control and intervention groups (p< 0.0001).

Conclusion: It can be concluded that performing stress management group therapy among nurses can reduce job stress and increase self-efficacy. Therefore, it is recommended that this useful and effective approach be employed for empowering the workforce in the health system.