This is an interesting paper and the content is very good but I suggest the paper can be improved in the following ways: Abstract
-Please correct all parts of the article according to the guidelines of the journal authors guideline In the methods section please bring year of performing of this study, sampling methods and data analysis methods -In the conclusion part, it is necessary to specify the researcher's proposal to improve the conditions and use of the beneficiaries
Introduction
Please bring the following items 1- Definition of the research problem 2- The magnitude and importance of the study variable 3- Expressing the necessity of conducting the study Finally, the practical purpose of the study should be stated. Methods
Please report the details scoring and validations of study tools
Discussion
In the discussion section, it is necessary y to compare the main results of the study with the results of other studies in this field. To strengthen the article, especially in the introduction and discussion section the following studies are suggested, please used and add to this manuscript references.
-Medical tourism development: A systematic review of economic aspects
- The effect of bio ethical principles education on ethical attitude of prehospital paramedic personnel
- Investigating the burden of disease dimensions (time-dependent, developmental, physical, social and emotional) among family caregivers with COVID-19 patients
Conclusion  What are your suggestion for future studies? Best regards

Thank you