Hossein Asgar Pour’s research while affiliated with Adnan Menderes University and other places

Patient satisfaction has become increasingly popular and assessment of patient satisfaction is an important tool for monitoring the quality of care in hospitals. The aim of this study was to assess patients satisfaction related to quality of care and factors affecting this. This cross-sectional descriptive study was conducted at a university hospital in Tehran, Iran. In this study, 500 patients were randomly selected and their satisfaction was measured by a standardized questionnaire. Data collection was done during four months period before the discharge process. The study results showed that there was a directly relatiopship betwwen nurses caring and the patients’ satisfaction. The most satisfaction reported was regular health checks by nurses at day shift (4.69±0.67) and the least satisfaction was related to hospital payment (1.20±0.16), respectively. There was a significant correlation with overall satisfaction between insurance status and marital status (P<0.05). The results indicate that periodic patient satisfaction survey should be institutionalized to provide feedback for continuous quality improvement.

I conducted a prospective repeated-measure study in the general surgery intensive care unit to investigate the associations among acute postoperative pain, analgesic therapy, and hemodynamic parameters. I selected 33 patients and recorded 84 episodes of pain. I measured intensity of pain and hemodynamic parameters after patients were transferred from the postanesthesia care unit to the general surgery intensive care unit, immediately before analgesic therapy and at 15, 30, and 45 minutes after analgesic therapy. Acute pain increased systolic (SBP), diastolic (DBP), and mean arterial blood pressure (MAP); pulse rate (PR); and arterial oxygen saturation. Fifteen minutes after analgesic therapy, SBP and PR decreased, and DBP, MAP, and oxygen saturation increased. Thirty minutes after therapy, SBP, MAP, and PR decreased, and DBP and oxygen saturation increased. Forty-five minutes after therapy, SBP, MAP, and PR decreased, and DBP and oxygen saturation increased. I saw no significant hemodynamic parameter changes during postoperative episodes of pain.

The aim of this study was to assessing the levels of critical thinking and factors affecting on critical thinking skills of nursing students. This descriptive-longitudinal study was realized on a total of 89 nursing students at a Health School in the West of Turkey between on May 2011- 2015. For data collection, "Socio-demographic Information Form" and "Evaluation of Factors Affecting Critical Thinking Form" that were developed based on the literature and "California Critical Thinking Disposition Inventory Questionnaire" were used. Mean critical thinking scores of students in their first and fourth year were found to be 213.24±23.73 and 215.96 ± 23.70, respectively. The levels of critical thinking were low and no statistically significant difference was found between the levels in the first and fourth year (p=0.276, p>0.05). The most important factors affecting critical thinking skills in student’s first and fourth year were insufficient length of clinical practice, not making the conference in the clinics and hospital staff not showing respect to students. Forming small student groups during clinical education and choose the guiding and discus method by instructors can be helped to solve this problem.

Objectives: Sleep disorders are very common in elderly patients. Although changes in sleep patterns are mostly considered as a part of the normal aging process, several individual and socioeconomic consequences, health related factors, changes in circadian rhythm, medications are generally the reason of these sleep disorders. Hence this study was aimed to evaluate the subjective sleep quality and to identify predictors of sleep disturbance and their relationship between health related on quality of life among women seniors who were living in assisted Facilities. Design: 98 women residents, aged ≥ 65 years, in 3 ALFs in the Aydın city area included in the study. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI) and Health related life quality was assessed by SF-36 form. Good sleep quality was defined as PSQI less than 5. Predictors of sleep disturbance were tested in bivariate analyses and multiple regression models included demographics, Results: Overall the prevalence of poor sleep quality was 89 %. There was strong statistical association between poor sleep quality, living alone ( =9,18; p<.05), and medications ( =27,73; p<.05). All parameters of health related life quality were also found strongly associated with sleep quality. Conclusions: In this study, we found that sleep disturbances were very common among senior subjects and these affected their life quality badly. Especially, seniors living alone and the ones who were using more than 3 drugs had better sleep quality indexes. Key words: Sleep, quality of life, senior, assisted living facility.

Purpose: To translate, adapt, and assess the psychometric properties of the Sex After MI Knowledge Test in Iranian context (where MI is myocardial infarction). Design and methods: A cross-sectional descriptive survey was performed. The sample comprised 250 patients with MI. Confirmatory factor analysis was applied to extract three indicators. Findings: The Sex After MI Knowledge Test indicated good reproducibility (Cronbach's α = .76, Intraclass correlation (ICC) = 0.729, CI = 0.7280-0.781, p < .001 ICC: Intraclass correlation). Nonnormed and normed fit indices (FI) were 0.89, and incremental and comparative FIs were 0.90. Goodness-of-fit index (GFI) and adjusted GFI were below the criteria. After a varimax rotation, the first six items of the instrument explained 58.71% of total variance. Practice implications: The instrument showed acceptable psychometric properties in terms of construct validity and internal consistency. The instrument might be used to stimulate conversations patients with MI regarding sexual knowledge and concerns.

The aim of this study was to assessing the levels of critical thinking and factors affecting on critical thinking skills of nursing students. This descriptive-longitudinal study was realized on a total of 89 nursing students at a Health School in the West of Turkey between on May 2011- 2015. For data collection, "Socio-demographic Information Form" and "Evaluation of Factors Affecting Critical Thinking Form" that were developed based on the literature and "California Critical Thinking Disposition Inventory Questionnaire" were used. Mean critical thinking scores of students in their first and fourth year were found to be 213.24±23.73 and 215.96 ± 23.70, respectively. The levels of critical thinking were low and no statistically significant difference was found between the levels in the first and fourth year (p=0.276, p>0.05). The most important factors affecting critical thinking skills in student’s first and fourth year were insufficient length of clinical practice, not making the conference in the clinics and hospital staff not showing respect to students. Forming small student groups during clinical education and choose the guiding and discus method by instructors can be helped to solve this problem.

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Background: Coronary heart disease is a major problem in both men and women. Signs and symptoms of acute coronary syndromes differ between men and women, so recognizing the symptoms of acute coronary syndromes is important for successful intervention. Objectives: The purpose of this study was to evaluation of typical and atypical symptoms as predictors of acute coronary syndromes in men and women. Methods: This is a descriptive analytic study. A sample of 438 patients admitted to the emergency units selected from eight selected hospitals in Tehran. Patients with a history of stroke, trauma, chronic obstructive pulmonary disease, pneumonia or pulmonary embolism were not included into samples. Data collection instrument were a demographic and presenting symptoms of acute coronary Syndromes. Results: Men who had typical symptoms such as chest symptoms (P<0.001), arm pain (P=0.012), diaphoresis (P<0.001) and dyspnea (P<0.001) were significantly more likely to be diagnosed with acute coronary syndromes compared with men who did not report these symptoms. Women who had typical symptoms such as chest symptoms (P<0.001), diaphoresis (P<0.001) and dyspnea (P<0.001) were significantly more likely to be diagnosed with acute coronary syndromes. In multivariate logistic analyses, chest symptoms, arm pain, diaphoresis, dyspnea, indigestion, and dizziness/syncope were positive predictors of acute coronary syndromes in men. Analyses showed typical symptoms were more predictive in men than women. Also, the number of typical symptom is more predictor of acute coronary syndromes in men. Conclusions: According to the results of this study it seems that some of reported presenting symptoms are not predictors of coronary syndrome in men and women. This subject is more important for women who report less typical symptoms than men. Existence some factors such as diabetes increases this challenge.

Purpose: To investigate the effects of fever on hemodynamic parameters and effects of peripheral cold application (PCA) on core body temperature (CBT) and hemodynamic parameters in febrile patients in the neurosurgical ICU (NICU). Methods: This study was an experimental, repeated-measures performed in the NICU. The research sample included all patients with fever in postoperative period. PCA was performed for 20 min. CBT and hemodynamic parameters were measured at admission, 1 h before the onset of fever, before, immediately after and 30 min after the end of PCA. Results: During fever, systolic blood pressure (SBP), mean arterial blood pressure (MAP) and arterial oxygen saturation (O2Sat) decreased by 5.07 ± 7.89 mmHg, 0.191 ± 6.00 mmHg, and 0.742% ± 0.97%, respectively, whereas the pulse rate and diastolic blood pressure (DBP) increased by 8.528 ± 4.42 beats/per min and 1.842 ± 6.9 mmHg, respectively. Immediately after PCA, CBT decreased by 0.3°C, and pulse rate, SBP, DBP, MAP, and O2Sat increased by 3.3 beats/per min, 1.40 mmHg, 1.87 mmHg, 0.98 mmHg, and 0.27%, respectively. Thirty minutes after the end of PCA, CBT, DBP, MAP, and pulse rate decreased by 0.57°C, 0.34 mmHg, 0.60 mmHg, and increased by 0.98 mmHg and 0.04%, respectively. Conclusion: A degree celsius (1^ºC) increase in core body temperature was decline of 4.43 mmHg in systolic blood pressure , 0.166 mmHg mean arterial blood pressure and 0.64% O2Sat and increase of 1.61 mmHg in diastolik arterial blood pressure and 7.46 beats/per min pulse rate. According to these results, changes in hemodynamic parameters occur during elevations in core body temperature. PCA increases SBP, DBP, MAP, and O2Sat and decreases CBT and pulse rate. Thus, accurate and careful measurements of hemodynamic parameters play an important role in preventing complications before, during, and after nursing interventions related to fever.