Military Caring Sciences
Year:2021 | Volume:8 | Issue:1 (27)|Papers Count:14

Introduction: Emergency medical technicians deal with stressful environments such as high-profile areas, critically ill patients, etc., which are very difficult to work with, causing negative environmental stress with negative stress. Objective: This study aimed to investigate the effect of rose inflorescence on the level of anxiety of Qom emergency medical personnel in 2018. Material and Methods: This study was performed as a clinical trial on 60 (30 interventions and 30 control) emergency medical personnel of Qom city by block randomization method in 2018; information was collected using the demographic questionnaire and anxiety questionnaire. Spielberger was used before and after the intervention of rosehip extract to check the anxiety level of the staff. After collecting the data, it was entered into SPSS22 software, then independent t-test, paired t-test, Chi-Square and Fisher were used to analyzing the data (P=0. 05). Discussion and Conclusion: The present study was performed on 60 emergency medical personnel with a minimum age of 23 years and a maximum age of 43 years. In the study of demographic variables before the intervention, there was no significant difference in terms of age (P = 0. 94), years of service (P=0. 76), marriage (P=0. 11), and education (P= 0. 20). On the other hand, in examining the score of apparent (P=0. 001), hidden (P= 0. 001), and general anxiety (P= 0. 001) in the test group, the level of anxiety had increased and it was statistically significant. While in the control group, the apparent (P=0. 36), hidden (P=0. 90), and general anxiety score (P=0. 35) increased slightly and was not statistically significant. Results: Due to the effect of rose scent on reducing anxiety, its use is recommended to reduce the anxiety of pre-hospital emergency personnel.

Introduction: War has had terrible consequences throughout history. In the meantime, not only the soldiers who fought directly in the battle with the enemy but also their families have suffered. Veterans’ wives are anonymous myths that are associated with problems such as marital conflicts to accompany veterans. Issues that have led to a decline in the quality of life among them. Objective: This study aimed to investigate the effect of stress-based mindfulness training on marital conflict and the quality of life of veterans’ spouses in Mashhad. Material and Methods: The statistical population included all the spouses of veterans in Mashhad who were selected by available sampling in the fall of 1999. Since this study was a quasi-experimental study with pre-test and post-test design and with a control group, 24 people with high scores in marital conflict and low scores in quality of life were selected and randomly divided into two experimental and control groups. The subjects in the experimental group underwent stress-based mindfulness treatment in eight sessions of 90 minutes and finally, the tests were taken from both groups as a post-test. SPSS version 25 was used to analyze the data. Results: Studies of analysis of covariances (MANCOVA) in quality of life including physical (F=46. 55; P<0. 001), psychological (F=132. 49; P<0. 001), social (F=30. 74; P<0. 001), and environmental (F=12. 25; P<0. 006) (and dimensions of marital conflict included) cooperation (F=6. 37; P<0. 017), emotional response (F=24. 23; P<0. 001), relation to relatives (F=5. 03; P<0. 033), separation of finances (F=7. 26; P<0. 012) showed that considering the effect of pre-test, the effect of group membership on the linear combination of marital conflict and quality of life dependent variables was significant. Discussion and Conclusion: The results showed that this type of treatment was useful for veteran spouses who have been exposed to marital conflict and quality loss due to their spouse’ s physical and mental problems.

Introduction: The issue of care is an integral part of accidents and crises and the design of effective models and methods in its management, especially the methods that have emerged from the context is very important. Objective: Nursing management in crises due to the importance of its role has always been one of the topics of interest. Therefore, the present study was conducted to explain the components of nursing management in accidents and disasters in Iran. Material and Methods: This is a qualitative study with a phenomenological design and the research community includes all nursing managers who have played a managerial role in crises and accidents in Iran. Based on purposeful sampling and then snowball, 22 nursing managers were interviewed in at least one of the national disasters in Iran. The data collection tool was semi-structured in-depth interviews. Moreover, the study of printed and electronic library resources using databases were other sources of research. Finally, the interviews were implemented and analyzed along with other sources in a 7-step clause method and manually. Results: Based on the results in the first stage, 495 codes, and finally 7 main categories were obtained and were classified in two stages, which are including: “ system model of manpower” , “ integrating structures” , “ Leadership” , “ Indigenous Modeling of Chaos Theory” , “ Anthropology of Crisis” , “ Redefining the Role of Care” , and “ Care Ecology” . Discussion and Conclusion: Nursing management in disasters in Iran is a complex concept that not only requires knowledge and skills but also requires policy-making based on conceptual models derived from experience.

Introduction: Social health is one of the most basic indicators of health in any country and can be affected by various factors. Military service puts a lot of pressure on soldiers, which can have a negative effect on their social health. There is some evidence that exercise can affect social health. Objective: This study aimed at investigating the relationship between physical activity status and exercise with the dimensions of soldiers’ social health. Material and Methods: The present study is a descriptive correlational study. Two hundred soldiers were selected by the available sampling method as a statistical sample from a military base in Shiraz city in fall 2016. They were divided into two groups of active and inactivebased on the amount of physical activity per week. Social Health Questionnaire was completed for them. SPSS/16 and t-Test were used for analyzing the data. Results: The results showed that there was a significant difference between the two groups in social prosperity scales (P=0. 03) and overall social health score (P=0. 05). Also, the social solidarity (P= 0. 32), social cohesion (P=0. 66), social acceptance (P= 0. 41), and social participation (P=0. 74) measures were higher in the active group than in the inactive group. There was no significant difference between the two groups. Discussion and Conclusion: Based on the results, it can be said that physical activity and exercise are related to the social health of the soldiers. So soldiers can incorporate regular physical activity and exercise into the weekly program to improve their social health.

Introduction: A disaster evacuation program is one of the most important parts of hospital crisis management. The following study was carried out to determine the effects of animation-based teaching on hemodialysis patients’ performance in an emergency evacuation. Material and Method: In this quasi-experimental study, two out of four AJA Hospitals in Tehran that had hemodialysis wards, were selected using simple random sampling method. One of the hospitals was randomly selected as the traditional training group and the other one as the animation-based training group. Seventy hemodialysis patients in two groups of thirty-five participated in this study. The data was collected through a researcher-made performance checklist that composed Yes-No questions to evaluate patients’ performance. The data was analyzed using descriptive and interpretive statistical methods and SPSS 22. P< 0. 05 was considered significant. Results: Performance scores of both groups were similar before intervention and there was no significant difference in pre-test performance scores. Immediately after the intervention, there was a significant difference in post-test performance scores of the two groups. In both traditional and animation-based training groups, the scores rose from zero to 9. 600 and from zero to 9. 628, respectively. However, there was no significant difference between the scores of the two groups (P=0. 86). There was also a significant difference in post-test scores, one month after the intervention. Performance scores of the traditional training group decreased from 9. 600 to 8. 428 while they increased from 9. 628 to 9. 971 for the animation-based training group. The results showed that there was a significant difference in the scores of the two groups one month after intervention (P=0. 001). Discussion and Conclusion: The present study showed that, although both traditional and animation-based were effective teaching methods, the animationbased method was more effective than the traditional one due to the longer retention of the taught information.

Introduction: In the modern world, recognition of special kinds of terrorism attacks, bioterrorism prevention, and confrontation, must be prioritized. Objective: This study aimed to determine the effect of educational intervention on knowledge, attitude, and preparedness of the Police health rescue employees on bioterrorism. Materials and Method: This quasi-experimental study was performed in 2019. The population was all of the employees in the Deputy of Health rescue and treatment of Police in Isfahan. The sample size was 30 experimental groups and 30 control groups. Data was gathered by 29 items’ questionnaire of knowledge, attitude, and preparedness about bioterrorism, designed by Hamzehpour and Khajehnasiri in 2015. Educational intervention was done via an 8 hours workshop which consists of bioterrorism etiology, diagnosis, and intervention subjects. Descriptive statistics and multiple analysis of covariance were used for data analysis by SPSS software version 24. Results: Mean scores of knowledge, attitude, and preparedness were not significantly different between the intervention and control groups before the intervention. The Mean score of knowledge (5. 13± 1. 35), attitude (3. 29± 0. 61), and preparedness (6. 23± 1. 75) against bioterrorism in participants before intervention were in average level and after that was improved to (6. 93± 0. 97), (4. 13± 0. 51) and (10. 26± 2. 50), respectively. Group training eta coefficient about bioterrorism was improved for employees’ knowledge (0. 463), attitude (0. 322), and staff’ s Preparedness (0. 413) (P< 0. 05). There was no significant relationship between demographic variables (age, sex, education, and work experience) and none of the study variables (P> 0. 05). Discussion and Conclusion: The results showed that group training can improve the knowledge, attitude, and preparedness of staff about bioterrorism. Therefore, Up-to-date information and preparedness to deal with bioterrorism are essential for health and rescue and treatment employees as the first line of defense.

Introduction: Implementing evidence-based nursing care guidelines, which is a new way to improve the quality of nursing care, increases patient satisfaction, including patients who are candidates for coronary artery surgery. Objective: This study aimed to design evidence-based nursing care guidelines for patients undergoing coronary artery surgery. Materials and Methods: Nursing care guidelines were designed based on the Stettler model and with an evidence-based approach. Studies have been searched using relevant keywords in reputable databases including Magiran، Science Direct، Scopus, PubMed, and SID during the last 10 years. For the validity of the instructions, the method of face and content validity was used with the opinion of 10 experts (including faculty members of Baqiyatallah School of Nursing, AJA, and experienced nurses of the Intensive Care Unit and Open Heart Surgery). Results: In this study, six evidence-based nursing care guidelines were designed for patients undergoing coronary artery surgery, which can be used as a clinical guide for the care of these patients based on the most authoritative scientific texts and with an evidence-based approach. Discussion and Conclusion: Designing and compiling nursing care guidelines with an evidence-based approach in patients undergoing coronary artery surgery leads to more specialized nursing care and thus increases the satisfaction of those receiving this care. The designed guidelines will also be an up-to-date source of information available to cardiologists.

Introduction: Congestive heart failure is a progressive and debilitating chronic disorder. Discharge is a period of transfer from hospital to home that the responsibility of care providers when hospitalized is transferred to the patient and the primary care physician and may lead to new problems for the patient and family. Objective: This study aimed to investigate the effect of using the ideal discharge model on drug adherence in congestive heart failure patients hospitalized in intensive care units. Materials and Methods: This is randomized controlled study. Sixty patients with congestive heart failure, admitted to the intensive care units of selected Aja military hospitals in Tehran in 2020 were included in the study by convenience sampling method. Patients were randomly divided into experimental and control groups (30 patients in each group) and the control group received only routine care. The study was performed in two stages before and after the intervention. To collect data, demographic information form, Morisky Medication Adherence Scale (MMAS-8) in drug adherence was used. Data were analyzed using SPSS-21 software and using descriptive analysis, independent t-test, Pearson correlation, Fisher’ s exact test, and Chi-square tests (P<0. 05). Results: There was no significant difference between the two groups of drug adherence before the intervention (P=0. 722). However, there was a significant difference between the two groups of drug adherence after the intervention (P=0. 005). Discussion and Conclusion: Applying the ideal discharge model increases the patient’ s participation in the treatment process and drug adherence in congestive heart failure patients hospitalized in intensive care units.

Introduction: Preparation for dealing with human crises has various aspects and one of the most important of which is the readiness to face military crises. Having a fast rescue boat can be very important and decisive. There is always the concern that if a relief vessel is to be purchased, what characteristics should it have to be able to keep up with the combat and to be properly present in unexpected maritime accidents. Objective: In today’ s asymmetric wars, it is very important to have comprehensive information about the aid vessels available in the country. This study aimed to compare the existing relief vessels in the country according to the climatic conditions of the Persian Gulf and naval missions. Materials and Methods: Library information and the following databases includingSID, Google Scholar, Iran Medex, PubMed, and Web of Sciences were searched using the keywords including “ rescue” , “ naval ambulance” , and “ emergency” , and “ equivalent” . Their English Relief and Rescue, Marine ambulance Emergency, was performed between 2010 and 2020. Results: The results showed that the lifeboat has more facilities in terms of features such as safety and crew comfort than the 115th floating ambulance and rescue ambulance. Discussion and Conclusion: Considering the possibility of military clashes on the waterways of the Persian Gulf, due to the special situation of the region, in most cases, military and law enforcement forces are sent to the crisis point. In this regard, none of these relief media will be carried out unless a proper and efficient relief and transfer chain is established, which will be the first equipment loop of this route, standard, specialized, and fast relief vessels. In the field of relief equipment in the field of naval health, it is recommended to provide a suitable “ naval ambulance” in line with the war.