MILITARY CARING SCIENCES
Year:2017 | Volume:4 | Issue:3 (13) |Papers Count:8

Introduction: According to the important role of nurses in facing nuclear disasters, a precise and exact program is crucial. Today, HICS is a common program for the management of facilities and human resources in disasters.Objective: The aim of this study was to evaluate the effect of education of hospital incident command system on preparedness of nurses in nuclear accidents in military hospitals of Mashhad.Materials and Methods: This was a semi-experimental study that was conducted at military hospitals in Mashhad, during year 2017. Eighty-three participated nurses were randomly divided to 2 groups. The test group was provided with 2 days of educational workshop of HICS and round-table manouver on the way of facing nuclear disasters. However, the control group had no intervention program. The amount of education effect was compared in 3 stages (before and one week and one month after the intervention), using a checklist and a researcher-made questionnaire. The researcher used the SPSS version 21 software (SPSS, Chicago, IL) to perform statistical analysis. Results were analyzed using independent t student, Fisher’s exact test and Analysis of Variance (ANOVA). Differences were considered statistically significant when P<0.05.Results: There was no statistical difference between the 2 groups in demographic characteristics and preparedness before the intervention. The average scores of nurse’s preparedness in nuclear accidents in the control and experimental groups a week post-intervention were 144.88±20.1 and 165.46±17.11, and one month post-intervention were 170.32±16.7 and 151.64±19.21, respectively. This difference was statistically significant (P=0.001). In the control group, the average score before the intervention was 138.83 and increased to 151.64 at the time of assessment.Discussion and Conclusion: The current results revealed that Hospital Incident Command System may improve the preparedness of nurses during nuclear crisis.

Introduction: Any research to evaluate how a conference was performed, whether the initial goals were achieved and where to go next sounds essential. In addition, the research in this respect uncovers strong and weak points for further planning of academic congresses.Objectives: The aim of the present study was to evaluate the quality of academic congresses held in military medicine and navy preventive medicine based on the proceeding abstracts.Materials and Methods: In this descriptive cross-sectional study, the abstracts published in most military health and navy preventive medicine (during 2001-2014) in Iran were evaluated. Data were analyzed using descriptive statistics by the SPSS 16 software.Results: Results showed that the majority of the accepted articles (more than 70%) were non-research articles. Regarding the research articles, most of the articles were based on the questionnaire and interview (less than 25%) and there were a few articles with laboratory and clinical findings (less than 16%). In both groups (military medicine and navy preventive medicine), the corresponding authors of most of the articles’ abstracts were not affiliated to the AJA Medical Universities. The structure of the abstracts which appeared in the proceedings needed more efforts to match the proper standards.Discussion and Conclusion: The findings of the present study show that despite organizing a fair number of conferences, there still remains principles to stick to and rules to follow. Our finding urges policy makers to utilize all means available to elicit maturity and conduct fundamental, basic, translational and clinical trials up to the standards of the military health department visions.

Introduction: Nowadays, the use of a variety of relaxation methods has been relatively common in reducing patients’ anxiety. However, there are conflicting results regarding the effectiveness of these methods on patients’ pain.Objectives: This study aimed at examining the effect of the Benson’s relaxation technique on the pain severity after laminectomy surgery in AJA hospitals.Materials and Methods: In this quasi-experimental study, 62 patients undergoing lumbar laminectomy surgery in AJA hospitals were selected in 2016 and randomly divided into two groups: intervention (n=31) and control (n=31). The pain visual scale was used to assess the patients’ pain severity. After measuring the severity of pain in all subjects before the surgery and teaching the Benson’s relaxation technique in the intervention group, the pain intensity of the patients at 2, 12 and 24 hours after the operation and after relaxation technique (in the intervention group), and without using the technique (in the control group) was evaluated. Data were analyzed using the Fisher and independent t tests by the SPSS 21 software.Results: The results of the study showed that the mean pain intensity after the first stage of the intervention was 37.5±76.1 in the experimental group and 77.6±17.1 in the control group, after the second stage of the intervention 80.4 ± 25.1 in the experimental group and 5.77±1.47 in the control group and after the third stage of the intervention was 67.3±14.1 in the experimental group and 06.5±92.0 in the control group. The Benson’s relaxation technique had a positive and significant effect on pain severity in this group of patients after all three intervention stages.Discussion and Conclusion: According to the results of this study, the use of the Benson’s relaxation technique is identified and introduced as an effective factor in reducing the pain of patients with laminectomy. The use of this technique is recommended as a complementary method for reducing the pain of these patients.

Introduction: Anthrax is a zoonotic disease affecting both humans and animals, and its study is extremely important due to its application in military and bioterrorism and creation of economic and health problems. This disease is a health problem in developing countries.Objectives: The aim of this study was to evaluate the 4 -year trend of the anthrax disease during 2012-2015 in the counties under the supervision of the Isfahan province.Materials and Methods: In this descriptive-longitudinal study with total count sampling, the data of all diagnosed anthrax cases were collected from Isfahan Province during 2012-2015 according to the report of governmental and nongovernmental departments, and then were analyzed using the SPSS 19 software.Results: A total of 117 patients with anthrax were studied during the study years and the highest prevalence of this disease belonged to 2014 with a prevalence of 1.09 in one hundred thousand patients. Fifty-three percent of the patients were males and 58.9% were resident in the village. Semirom County with 18.8% of the patients, Feridan County with 17.94%, and Fereydun shahr and Buin and Miandasht Counties each with 17.94% had the highest prevalence of the disease in the province. Also, 54.7% of the patients had caught this disease during the summer.Discussion and Conclusion: An epidemiologic study can affect the managers and authorities’ decisions regarding purposive planning. Since the largest population of these patients lives in rural areas, we should attract the public participation and inter-sectoral collaboration in order to control and prevent anthrax and we should also emphasize on the role of health workers and health centers in controlling the disease.

Introduction: Sleep is an important factor in the mental and physical health of individuals. It is a vital need that influences mostly individual’s life quality and their activities during awakening. Lack of sleep has been addressed as a risk factor of coronary arteries diseases. Studies have reported on the relationship between sleep disorders and increased risk of coronary artery arteries diseases.Objective: This study aimed to compare the effect of Sedamin capsule and inhalation of Lavender smell on sleep quality of patients at the cardiac care unit.Materials and Methods: The present study is a randomized clinical trial carried out on 120 patients at the cardiac care unit of Aja hospital (522 Tabriz) during years 2016 and 2017. Patients were categorized to 3 Sedamin and lavender and control groups (without receiving placebo). First, sleep quality of each of the 3 groups was investigated one day after hospitalization by the sleep questionnaire of Petersburg. Then, intervention group 1 received Sedamin capsules for 14 days. Intervention group 2 inhaled lavender for 14 nights. Then, intervention group 3 received no intervention. After the intervention, sleep quality of the 3 groups was studied by a questionnaire at the end of the first and second week.SPSS22 was applied to analyze the data.Results: Results obtained from the Kruskal-Wallis test represented a significant difference between the 3 groups in terms of sleep quality on the first and second week of intervention (p<0.05). The results indicated improvement of sleep quality of the 2 intervention groups compared with the control group. Also, comparing the sleep quality between the 2 groups of lavender and sedamine in the first week indicated a decrease in the mean rank of sleep quality in the lavender group compared with the sedamine group, indicating that lavender was more effective than sedamine. However, on the second week there was no significant difference between the 2 Sedamin and lavender groups.Discussion and Conclusion: This study showed that sedamin capsule and inhalation of lavender cause improvement in sleep quality of patients at the cardiac care unit. Therefore, it could be recommended as an effective and cost-efficient method to improve sleep quality.

Introduction: Work-related musculoskeletal disorders are considered as one of the most important occupational diseases. These disorders among nurses can affect the quality of patients’ care. The aim of this study was to investigate the prevalence of musculoskeletal disorders among X-ray radiographers and nurses working in emergency departments of hospitals affiliated to AJA University of Medical Sciences in 2016.Materials and Methods: This controlled cross-sectional study was conducted on 144 X-ray radiographers (case) and nurses (control) with at least one-year work experience employed in hospitals affiliated to the AJA University of Medical Sciences in 2016. To evaluate disorders of the body, the Nordic Musculoskeletal Questionnaire (NMQ) and to assess the risk of musculoskeletal disorders, the QEC method was used. The data were analyzed using independent t-test and Pearson by the SPSS 16 software.Results: The results showed that in the past year, the prevalence rates of musculoskeletal disorders among X-ray radiographers were respectively reported in the leg (80.5%), neck (50%), shoulder (41.6%) and knee (41.6%) Also, the prevalence rates in nurses were reported in neck (48.6%), femur (47.2%), leg (47.2%) and back (44.4%), respectively, more than other parts of the body. there was a significant relationship between occupational hazard awareness, shifts in a month and work experience with the prevalence of musculoskeletal disorders but no significant relationship was seen between these factors in the other group. More occupational awareness was found in X-ray radiographers.Discussion and Conclusion: Considering the high prevalence of musculoskeletal disorders and poor posture at work and hazardous work conditions, ergonomic interventions to reduce the speed of work and working hours are recommended.

Introduction: Nowadays, cesarean is one of the most common surgeries in the world and also one of the challenges concerning women’s health in developed and developing countries. Providing safe conditions for childbirth is the most important public health obligations. One of the eight packages of the Iranian healthcare reform plan is to promote vaginal delivery.Objectives: The aim of this study was to compare the rate of caesarean two years before and two years after implementing the healthcare reform plan.Materials and Methods: This descriptive-analytic, retrospective, study was conducted in public hospitals affiliated to Qom University of Medical Sciences during 2012-2015. The study population consisted of all births in hospitals and was about 133480. Data were collected by the Department of Health in Qom city, and then were analyzed using the Spearman’s correlation coefficient by the SPSS software version 23.Results: The results of the hypothesis test based on the Spearman correlation coefficient showed that there was no significant difference in the reduction of the number of cesarean operations before and after the implementation of the healthcare reform plan (r=142 and P<0.05).Discussion and Conclusion: Implementation of the healthcare reform has reduced the rate of cesarean in the hospitals. The statistical comparison calculated before and after the implementation of the healthcare reform plan shows that the rate of cesarean in hospital (A) decreased by 8.4%, while in hospital (B) reduced 3.4%. However, the achievement of the goals of the plan to reduce the proportion of cesarean delivery up to 10% per year has not been fully realized.

Introduction: Education is one of the ways to increase awareness, and improve attitude and practice amongst students. Therefore, selecting effective educational methods is one of the main goals and objectives in educational planning.Objective: The main goal of this study was to compare the effects of the lecture education method and multimedia method on oral health behaviors of students in Tehran.Materials and Methods: The present research was a quasi-experimental study. The study population included third grade students of primary schools in Region 14 of the education department of Tehran. The sample included 90 students, who were chosen by random sampling. The data collection tool was a self-constructed questionnaire, which had 27 questions. Cronbach’s alpha was 0.8. Questionnaires were available both before and after training. For data analysis, the SPSS software version 24 was used. Independent t and Analysis of Variance (ANOVA) tests were used at 0.05 significance level.Results: Knowledge, attitude, and performance were improved immediately one month after the intervention in the lecture groups and the results were respectively 2.93 ± 0.25 and (3 ± 0.0 for knowledge, 2.930 ± 0.25 and 3 ± 0.0 for attitude, and 2.66 ± 0.58 and 2.30 ± 0.59 for performance, which were not statistically significant (P>0.05). In the multimedia groups, knowledge (3 ± 0.00), attitude (3 ± 0.00), and performance (2.90 ± 0.3) improved immediately after the intervention and also after 1 month, attitude (3 ± 0.00) and practice (3 ± 0.00) showed improvement once again, which was statistically significant (P<0.05). Comparing the results of the 2 multimedia and lecture groups, only 1 month after the intervention, showed that performance change rate was+0.57, which was statistically significant in the multimedia group (P<0.05). Immediately after the intervention in the multimedia group, knowledge (3 ± 0.00), attitude (3.00 ± 0.00) and performance (2.90 ± 0.3), and attitude (3 ± 0.00) and exercise ± 0.001 increased after one month, which was statistically significant (P<0.05).Discussion and Conclusion: The results showed that training was effective in promoting oral health behavior, and the type of training had an important role in this promotion. Therefore, the videos at all stages of educational methods were more effective than lectures.