Hasanali Jafarpoor, PhD - Shahid Beheshti University of Medical Sciences School of Nursing and Midwifery Tehran - PhD

Hasanali Jafarpoor


Shahid Beheshti University of Medical Sciences School of Nursing and Midwifery Tehran


tehran, Iran / tehran | Iran (Islamic Republic of)

Main Specialties: Cardiovascular Disease, Epidemiology, Family Practice, Nursing, Public Health, Statistics

ORCID logohttps://orcid.org/0000-0002-2077-2812

Hasanali Jafarpoor, PhD - Shahid Beheshti University of Medical Sciences School of Nursing and Midwifery Tehran - PhD

Hasanali Jafarpoor



Primary Affiliation: Shahid Beheshti University of Medical Sciences School of Nursing and Midwifery Tehran - tehran, Iran / tehran , Iran (Islamic Republic of)





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15PubMed Central Citations

Effects of patient-handling and individual factors on the prevalence of low back pain among nursing personnel

Nursing and Midwifery Studies ¦ Volume 8 ¦ Issue 1 ¦ January-March 2019, Pain Management Nursing, Volume 19, Issue 4, August 2018, Pages 415-423, Journal of Occupational Hygiene Engineering Volume 5, Issue 3, Autumn 2018, Pages: 35-44,



BACKGROUND: Patient-handling is one of the main tasks of nursing personnel; it imposes compressive and shear forces on nurses’ lower spine. The aim of this study was to determine the prevalence of Low Back Pain (LBP), risk factors in the incidence of such disorders, and patient handling risk assessment among nursing personnel.

METHODS: This study was carried out on 243 randomly selected nursing personnel who played a role in handling the patients (58 wards). Patient Transfer Assessment Instrument (PTAI) checklists alongside Standardized Nordic Musculoskeletal Questionnaires (NMQ) were used for data collection. The statistical analyses such as independent t-test and Chi-Square test were used.

RESULTS: Prevalence of LBP among nursing personal was 69.5% in the previous 12 months. Significant correlations were found among age, working hours per week, work experience, BMI, gender and shift-work. Results of PTAI index assessment revealed that more than 90% of subjects were in medium and severe risks of LBP. PTAI index scores were significantly associated with LBP (P < 0.05).

CONCLUSION: PTAI index is regarded as an efficient tool for risk level classifications and identification of effective factors on LBP incidence among nursing personnel involved in patient transfer. In this regard and for the aim of ergonomic intervention towards the reduction of LBP incidence among nurses, the modification of improper factors which are identified in PTAI index such as the use of advanced patient handling equipment, increase in work posture guidance and work arrangements, can be mentioned.

Keywords: Patient Transfer Assessment Instrument, risk factor, risk assessment, patient handling

View Article
April 2017

11 Citations

Impact Factor 0.902

63 Reads

Frequency of Cancer Mortality in Babol Ayatollah Rouhani Hospital (2010-2014)

Journal of Babol University of Medical Sciences

Frequency of Cancer Mortality in Babol Ayatollah Rouhani Hospital (2010-2014)

M. Babaei (MD)1, M. Sadeghi Haddad Zavareh (MD)2, S.E. Samaei(MSc)3, H. Jafarpoor(PhD)*4

1.Mobility Impairment Research Center, Health Research Center, Babol University of Medical Sciences, Babol, I.R.Iran

2.Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran

3.Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R.Iran

4.Babol University of Medical Sciences, Babol, I.R.Iran

J Babol Univ Med Sci; 19(4); Apr 2017; PP: 74-9

Received: Dec 17th 2016, Revised: Jan 25th 2017, Accepted: Apr 4th 2017.


BACKGROUND AND OBJECTIVE: Cancer is one of the main causes of death in human societies. The epidemiological research and cancer control policy in developed countries is dependent on the record of various types of cancer and of mortality information on cancer. The aim of this study was to determine the frequency of mortality from cancer in Ayatollah Rouhani Hospital of Babol.

METHODS: This cross-sectional study was performed on all patients who died of cancer in Ayatollah Rouhani Hospital during 5 years. The available information in medical records was collected using researcher-made form (containing demographic characteristics and cause of death).

FINDINGS: The most of died patients were over 60 years (49.21%). Gastrointestinal (38.17%) and blood and lymph cancers (31.54%) had higher prevalence than other cancers. Frequency of mortality was different in studied gender and age group.

CONCLUSION: The incidence of cancer mortality has a growing trend. Since the gastrointestinal cancer has been reported as the main cause of death, routinely identifying the factors related to the prevention of cancer in people at risk and screening tests for early detection of gastrointestinal cancers are necessary.

KEY WORDS: Mortality, Patient, Hospital, Cancer.

Please cite this article as follows:

Babaei M, Sadeghi Haddad Zavareh M, Samaei SE, Jafarpoor H. Frequency of Canser Mortality in Babol Ayatollah Rouhani Hospital (2010-2014). J Babol Univ Med Sci. 2017;19(4):74-9.

* Corresponding author: H.A. Jafarpoor(MSc)

Address: Clinical Research Development Center, Rouhani Hospital, Babol University of Medical Sciences, Babol, I.R.Iran

Tel: +98 11 32238294

E-mail: jafarpoor_hasan@sbmu.ac.ir

View Article
April 2017

Impact Factor 0.390

3 Reads

Effects of early mobilization program on the frequency of pain and duration of hospitalization of patients with myocardial infarction

Advances in Environmental Biology


Cardiovascular disease is one of the most important causes of mortalityat older ages [1]. Despite thegreat progress has been made in medicine, cardiovascular diseases are still one of the main causes of death in the developed countries and the third world societies [2]. Today, cardiovascular disease is as a problematic epidemic due to the phenomenon of modernization and technological progress and population density in developed or developing countries. According to different statistics, 20-45% of total mortality in different communities raises from cardiovascular events and diseases [3]. It is estimated that by 2020, cardiovascular disease continues to be the leader in the diseases worldwide which reduced the performance of people due to disability and premature death [4]. Although by 2020, heart disease will kill 25 million people annually [5]. According to the studies in Iran, cardiovascular diseases are the most common causes of death and it is as a major health and social problem. Mortality caused by cardiovascular diseases with 4.6 per 10,000 populations, accounted for the largest share [6]. Statistics of mortality in Iran show that 38% of all deaths and 23.4% of life lost is due to cardiovascular disease [7]. Among cardiovascular disease, myocardial infarction (MI) is the most common. MI causes following occlusion of one of the coronary arteries and interrupting blood flow to the heart tissue part causes necrosis and tissue death [8]. The major cause of coronary artery disease is atherosclerosis. Coronary artery atherosclerosis can interfere the blood supply to the heart tissue, and causes serious disorders such as angina pectoris, MI, congestive heart failure, and sudden death [9]. MI is often associated with symptoms such as chest pain, sweating, weakness, nausea, arrhythmias, and in some cases with loss of consciousness and death [8]. Chest pain is a common symptom of MI which exists in 80% of patients. The intensity of the pain was too much, so the patients know it as the most severe pain during their lifetime. In the treatment of MI, relieving pain is prior to other actions because continuity of pain is a sign of progress in MI. Pain is considered as a stressor because increases catecholamine by stimulating the sympathetic nervous system, resulting in increased heart rate and cardiac contractility, and generally increasesthe myocardial oxygen demand and increases the size of the MI [10]. An effective health care strategies and recommended for MI in the early hours of the onset of symptoms is bed rest [11]. Although bed rest reduces the workload of the heart and avoids impaired myocardial profusion and its repair and it is recommended as a method of care and treatment for patients with MI, however, prolonged immobilization can cause certain side effects that may prolong the recovery process and discharge [12]. The rest more than 6 to 20 hours in bed is called prolonged bed rest. [13] Historically, since 1900, patients with MI rest in bed for 6 to 8 weeks and this continued until 1960 to improve MI, unlike in the past, today it is recommended that to neutralize the negative effects of bed rest, the patient must start activity from the first day after MI monitored and controlled [14]. The benefit of early ambulation is that it increases the comfort of the patients [12]. Also, early ambulation reduces hospitalization thus causes nursing workload reduction [15]. Since the bed rest, as a treatment item has systemic and local effects, it is necessary to consider the effects [16]. Several studies have shown that in surgical wards, early ambulation in patients after surgery is very effective in reducing the side effects and causes a feeling of satisfaction in the patients [17]. Other studies have also shown that early ambulationin patients after coronary angiography is not only safe and doesn't enhance the vascular complications, but also increases patient comfort [18, 19]. Although the effect of early ambulation in patients with MI during hospitalization is not clear, but some studies have shown that this procedure can reduce mortality in these patients by 15% [13].Results of other studies indicate that rehabilitation in the acute phase of MI can reduce the adverse effects after prolonged bed rest and reduces the length of stay in the hospital [11, 12]. Today, some experts suggest that in the absence of complications, patients with MI without ST-segment elevation does not need to be limited in bed more than 12 hours, unless they have problem hemodynamically [20]. By virtue of the foregoing, today the early ambulation programs have been recently developed by nurses (as part of cardiac rehabilitation programs in hospitals). Not only the programs have improved physical and heart status, but also improve the mental condition of the patient before discharge from the hospital [13]. Despite the positive effects of early rehabilitation programs and physical activity in reducing complications and improving the patients mentality in other clinical situations has been proven [18, 21, 22], but the effect of early ambulation in patients with MI during hospitalization is not still clear, although it is clinically important. Given the importance of determining the effects of early ambulation of patients as part of the initial treatment on the outcomes of the disease [13], we decided to conduct a study with the purpose of "measuring the effectiveness of early ambulation on the frequency of pain and hospitalization in patients with myocardial infarction".

View Article
July 2015

Impact Factor 0.240

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Effects of early mobilization program on depression of patients with myocardial infarction hospitalized in CCU



Myocardial infarction (MI) is the most common causes of mortality in the world. Due to multiple complications and limiting physical activity and disability, myocardial infarction can cause varying degrees of depression in patients. This study was performed to determine the effect of patients early mobilization program on the depression of patients with MI hospitalized in CCU.

Materials and Methods:

This study was a clinical trial that was performed on 38 patients with myocardial infarction in the cardiac care unit of Babol Shahid Beheshti hospital. Samples were selected using purposive sampling and are randomly allocated into experimental and control groups. The test group got out of bed based on a specific program within 12-18 hours after admission. The control group got out of bed based on routine care program within 48 hours after admission. Patients' depression was measured by Hospital Depression Scale (HADS) within 18-12 hours of admission (pre-intervention) and 72 hours after admission (post-intervention).


The mean level of depression after the intervention (day three) was in the test group 3.2 and in the control group 8.2. Mann-Whitney test results showed that there was a significant difference (P<0.001) between the level of depression post intervention in two group.


Results of the study showed that early mobilization was effective to reduce patients depression, therefore the use of this approach is suggested in the treatment and care program of patients with acute myocardial infarction.

View Article
October 2014

Impact Factor 0.420

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Evaluation of patient mortality in intensive care units using the APACHE IIscoring system

Tehran Univ Med J 2016, 74(7): 509-516, Koomesh, Spring 2017, 19 (2): 380-390, Tehran University Medical Journal . Oct2016, Vol. 74 Issue 7, p509-516. 8p


Introduction:Acute physiology and chronic health evaluation II (APACHE II) scoring system has been

proposed in order to estimate the outcome of patients admitted in the intensive care units. This study was

purposed to evaluate correlation between APACHE II score and mortality rate in patients admitted in

intensive care units.

Materials and Methods:This retrospective study was conducted with the records of the patients who

were admitted in surgical and medical ICUs, Semnan University of Medical Sciences. For each patient,

outcome data (survival or death) was extracted and Apache II score was calculated. Data were analysed by

SPSS 17 software, using unpaired t-test and spearman’s correlation coefficient. Significant level was set at


Results:A total of 195 patients including 99 in the surgical ICU and 96 in the medical ICU were

evaluated. Mortality rate was 18.2% and 43.8% in the surgical and the medical ICUs, respectively.

Observed mortality was significantly lower in the surgical ICU (P=0.001), and higher in the medical ICU

(P<0.001) than expected levels. The APACHE score was significantly correlated to mortality rate in

surgical ICU (r=0.421; P<0.001) and in medical ICU (r=0.928; P=0.004).

Conclusion:The mortality rate was as well as expected levels in surgical ICU but higher than standard in

medical ICU. It is proposed to improve quality of cares in order to decline mortality in medical ICU.

View Article
September 2013

4 Citations

Impact Factor 0.420

3 Reads