MILITARY CARING SCIENCES
Year:2017 | Volume:3 | Issue:4 (10)|Papers Count:8

Introduction: This study was performed to compare the effect of education involving lectures and simulation methods on nursing students’ knowledge about biological agents of hemorrhagic fevers. Hemorrhagic fevers are endemic infectious diseases in Iran. According to the list of biological agents published by the World Health Organization, the disease is likely to be used as a biological weapon. The World Health Organization recommends use of standard personal protective coating for health workers when caring for patients with hemorrhagic fevers.Objectives: This study aimed to investigate the effect of self-protection education against hemorrhagic fevers, on nursing students of AJA University of Medical Sciences.Materials and Methods: This study was an educational trial that was conducted during the summer of 2016 in the School of Nursing of AJA. In this study, 60 students were examined. After obtaining a written consent from the participants, they were randomly divided to two groups, traditional and simulation training. The data collection instrument was a researcher-made questionnaire. Research during the pretest, training implementation and posttest intervention in the two groups was conducted. Data was analyzed with the SPSS version 21 software and using paired t test and independent t test.Results: Knowledge of the studied subjects had no significant difference before and after the intervention (P>0.05).The knowledge average scores of the two groups receiving lecture training and simulation methods were 29.70±1.622 and 29.97±2.008 with independent t test and P>0.05 was not significant. However, education made a significant difference, regardless of the method, in mean scores before and after the intervention.Discussion and Conclusion: The results indicate that the two methods were equally effective for improving students’ knowledge.

Introduction: Attention to the comfort of patients is one of the most important objectives and roles of nurses. Nurses play a central role in taking care of patients with chronic renal failure undergoing hemodialysis.Objectives: The objective of this study was to determine the effect of music therapy on the level of comfort, as well as homodynamic indexes of patients undergoing hemodialysis.Material and Methods: The present study was a clinical trial. Overall, 74 patients undergoing hemodialysis were recruited using the convenience sampling method and were randomly assigned to two groups of intervention and control. Subjects completed the demographic questionnaire, and blood pressure and heart rate were measured. The comfort level was then measured in the two groups using the Colcaba’s General Comfort Level Questionnaire. Music therapy was used in the intervention group for 30 minutes, three times per week. The comfort questionnaire was completed at the end of each intervention in the two groups. The vital signs were measured after intervention in the two groups. The data were analyzed using SPSS version 22 statistical software.Results: The mean score of general comfort had no significant difference between the two groups before the intervention (P=0.09). After the intervention, the mean score of general comfort in the intervention group was significantly less than the control group in the first (P=0.04), second (P<0.01), and third (P<0.01) session. The mean systolic blood pressure of the subjects before the intervention in the two groups had no significant difference (P=0.58) and after the intervention was not significant in each of three sessions. The mean diastolic blood pressure (P=0.13) and mean heart rate (P=0.6) of subjects before the intervention in the two groups had no significant difference, and by the third session, mean diastolic blood pressure (P=0.02) and mean heart rate (P=0.05) in the intervention group was less than the control group.Discussion and Conclusion: The research findings indicated that the use of music therapy during dialysis can increase the comfort of patients; hence, it is suggested that nurses can use this technique as a complementary method to increase comfort and stabilize vital signs in patients undergoing hemodialysis.

Introduction: Today, there are different methods for teaching students and clinical staff to maintain their information, knowledge and medical skills. One of these modern teaching methods is based on concept map.Objective: This study aimed to determine the effect of concept mapping teaching methods based on meaningful learning of basic life support (BLS) in nursing students.Materials and Methods: This quasi-experimental study compared the two methods of concept mapping-based learning and lecture on meaningful learning of BLS in the Army nursing school in 2015. In this study, 57 nursing students from the first semester were enrolled in two groups to learn BLS using concept map and lecture methods. Twenty eight students were randomly assigned to the concept mapping group and 29 to the control group (speech). After the pre-test, students had two sessions of theory and a practical session of working with the model, and then were trained with concept mapping and speech, respectively. Immediately after the training, the first post-test and then post-test knowledge of students were taken regarding the knowledge without remembering, one and four weeks later. To collect data, a valid and reliable questionnaire was used. To analyze the data, SPSS software version 22, Fisher’s exact test, t-test, and repeated measures ANOVA (RM ANOVA) were used.Results: Before and after training both groups, there were statistically significant differences. The mean scores in all the three phases of post-test awareness training had a significant upward trend (P<0.001). However, while the total knowledge score in the lecture group was higher than the post-test in concept maps (P<0.05), this difference in statistically higher levels of knowledge was not significant between the two groups (P>0.05).Discussion and Conclusion: In this study, there was no statistically significant difference between teaching methods based on concept mapping and lecture regarding meaningful learning (higher levels of knowledge) of BLS.

Introduction: One of the important components of a healthy and comfortable living is high quality of life of mothers in childbirth as well as the assessment of their health, in order to provide guidelines for improving it.Objective: This study aimed to evaluate and compare the quality of life of mothers in postpartum vaginal delivery and cesarean section.Materials and Methods: In this causal-comparative study, 113 mothers of newborns undergone cesarean section and normal delivery were compared in terms of quality of life in hospitals of Tehran in 2015. They were chosen from postpartum women and their newborns in hospitals including Family, Mission, Najmieh and Chamran and Hahr, who met the inclusion criteria, using the available sampling method. Statistical analysis was conducted using SPSS version 22 and independent t-test.Results: The mean quality of life in women who had undergone vaginal and cesarean delivery was 104.64±8.18 and 107.88±8.06, respectively, which had a significant difference (P<0.05).Discussion and Conclusion: This study showed that vaginal delivery compared with caesarean creates better quality of life.

Introduction: Clinical training is the most important part of nursing education. Improvement of education quality requires continuous investigation of present conditions and identification of advantages and disadvantages. In this regard, opinions of instructors and students, as educational elements, may be effective in future plans.Objectives: This study was performed with the goal of obtaining opinions of instructors and students for improving the level of clinical education and reflecting the outcome to educational authorities.Material and Method: This cross-sectional study was performed on 117 students studying in the final year of their study and 22 faculty members of army nursing staff. The participants were selected through census sampling. The data collection tool was a self-made questionnaire. The validity confirmation and the reliability of available samples were approved and SPSS 16 software was used for data analysis.Results: Significant differences were observed between the viewpoints of instructors and students, regarding education structure and the role of instructors in the field (P<0.05). No significant relationship was observed between equipment and facility, and individual potency in the field.Discussion and Conclusion: Although the viewpoints of instructors and students regarding the effect of field training for obtaining skills were positive, improvement in the quality of field clinical education requires consideration and attention of authorities. Increase of number of instructors in the field of training, establishment of regular sessions with students, attraction of cooperation of physicians and other staff of hospital for cooperation, supply of welfare facilities and equipment’s for clinical environment, review of tools and processes of clinical assessment may be helpful.

Introduction: Puberty in adolescents is always accompanied with many psychological changes and they require education during this period of life. The need for education in adolescent females with vision loss is more sensitive.Objective: This study aimed at investigating health education needs of puberty in blind adolescent females at specialized centers in Tehran in the academic year of 2012 to 2013.Materials and Methods: The present research was a descriptive study. One hundred blind females between 9 to 19 years old were studied based on the use of simple sampling during the academic year of 2012 to 2013. The data collection tool was a self-made questionnaire including 30 questions, which was used by samples after the confirmation of validity and reliability. For data analysis, the SPSS software version 16 was used.Results: The rate of desirable awareness regarding physical and psychological health was 12% and 28%, respectively, and the most important source of obtaining information was the participants’ mothers with a frequency of 42%.Discussion and Conclusion: Puberty education is a necessity in order to increase awareness of blind girls in relation to physical and psychological health. Since these adolescents’ mothers were the most important source of obtaining information, the researchers could achieve positive outcomes with education based on the adolescents needs.

Introduction: Quality of life is an important health marker and a major topic in the care of patients with diabetes.Objective: The aim of this study was to assess the quality of life of patients with diabetes in the city of Sabzevar.Materials and Methods: This cross-sectional study was performed on 189 patients with diabetes referred to the Diabetes Association of Sabzevar during year 2016. For data collection the Thomas quality of life questionnaire (DQOLBCI) and a demographic questionnaire were used, and for data analysis the SPSS 16 software was employed using the independent t test, Analysis of Variance (ANOVA) and post hoc test.Results: The mean age of patients was 51.7±12.5 years. Average rating of quality of life in patients was 3.4 ± 0.62 out of 5. The mean score of personal satisfaction of diabetes and self-care behaviors was 3.6±0.69 and 3.5±0.8, respectively. There was no statistically significant relationship between quality of life of patients with diabetes and demographic variables of age, gender, marital status, occupation and education. A significant relationship was found between frequency of hospitalization and quality of life (P<0.05). The correlation between the two areas of satisfaction and patient care behaviors was statistically significant with education (P<0.05).Discussion and Conclusion: According to the relationship between controlling of diabetes & on self-care behaviors with patients quality of life, it is suggested that self- care training to be more considered.

Introduction: According to Zika virus outbreaks in 47 countries and due to the risk of outbreaks in Iran as a result of travel to Brazil Rio de Janeiro 2016 Olympics, which is a common area for Aedes mosquitoes, Zika virus familiarity and introduction is important.Objective: This study aimed at increasing familiarity with the Zika virus.Materials and Methods: This paper is a review article that includes papers available on Google, CDC, Sid, Google Scholar (2016).Results: Since the Zika virus emergency was introduced by the World Health Organization and given the importance of this issue, this paper aimed to increase familiarity with the virus, disease, symptoms, diagnosis, treatment and prevention strategies, and to provide recommendations for pregnant females.Discussion and Conclusion: Due to transmission of the Zika virus and the suitability of our country for the spread of the virus, due to travel to common areas, screening and prevention of the spread of the virus is of great importance.