Military Caring Sciences
Year:2019 | Volume:6 | Issue:1 (19) |Papers Count:8

Introduction: Diabetes is a metabolic disorder that can cause considerable disability and mortality. The aim of controlling diabetes is to normalize blood glucose levels to reduce the progression of vascular and neurological complications. Blood glucose control and reassurance are essential for planning health care. Objective: In the present study, the effect of local isopropyl alcohol and chlorhexidine gluconate disinfectants on blood glucose in diabetic patients referred to the emergency department was compared. Materials and Methods: In this quasi-experimental study, 168 diabetic patients referred to the emergency department at 502 Hospital; their blood glucose levels were measured in three stages after local anesthetics with isopropyl alcohol, chlorhexidine gluconate and venous method. Then, the collected data were analyzed by descriptive statistical (percentage and frequency) and analytical (t-Test) methods to compare the mean of blood glucose using SPSS 21 Results: The results showed that the mean (219. 72, 210. 91 and 199. 42) and standard deviation (57. 16, 56. 58 and 57. 29) of glucose level were measured with the glucometer after 70% applying isopropyl alcohol disinfection and 2% chlorhexidine gluconate and the venous blood test in the samples. Further, a capillary blood glucose measured is higher than that of glucose levels, and the mean of difference of chlorhexidine gluconate 70% and isopropyl alcohol was statistically significant by t-Test (P=0. 045). Discussion and Conclusion: The results showed that there is a difference between capillary and venous test. Although the speed of operation in the emergency room is critical, clinical and therapeutic decisions require careful examination of the patient, and intravenous analysis will ultimately be useful to achieve an outcome. In emergencies, allowing the sampling position to dry the disinfection solutions can prevent false results which require the attention of nurses.

Introduction: Nurse’ s dominance on tracheal drugs and the specific application of each of them is a vital factor in the success of patients’ recovery. The inadequate knowledge of the nurse undoubtedly leads to the risk of losing the opportunity to save patients. Objective: Therefore, the purpose of this study was to compare the effect of educational instruction and lecture on the amount of nurses’ learning and reminders of emergency trauma drugs in selected military hospitals. Materials and Methods: This semi-experimental study was conducted in 1397 in two hospitals selected by the Armed Forces. The sampling method was available and the sample size consisted of 32 participants in the group and 32 lecture groups. First tested for both groups. The lecture course was designed in a theoretical way during a two-part 45-minute session with a one-week interval. Participants in the group were divided into groups of 4. And training in the form of a game designed through two 45-minute sessions with a two-week interval. Immediately and one month after the intervention, a post-test was performed for both groups. Data analysis was done using Fisher, t-test and Paired t-test using SPSS 20 software. Results: The results showed that play and lecture methods after intervention with a significant level of P (P<0. 05) were effective on the learning and reminding of nurses from emergency trauma drugs. Also, the statistical results one month after intervention indicated that both methods were effective on nurses’ learning and reminder, and the nurses had the most impact on the method of play. Discussion and Conclusion: Considering the positive impact of learning through the game, nurses should be familiar with modern educational methods both within their job responsibilities and by using more attractive and practical methods to improve the quality of learning and to recall their teachings. Take an effective step.

Introduction: Psychosocial stresses and stresses caused by schizophrenic patients are a significant but common practice that, if left untreated and intervened, can lead to a reduction in the physical and mental health of family caregivers as hidden patients, and The quality of care they provide is effective. Objectives: The purpose of this study was to determine the effect of peer-centered education on psychological burden on family caregivers of schizophrenic patients. Materials and Methods: This study was a clinical trial performed on 64 family caregivers of patients admitted to the military hospital with schizophrenia in 2018. Patients were selected using a purpose-based method and randomly divided into two groups of test and control. For the experimental group, peer educator training was performed for 6 sessions and the control group did not take any action. Finally, the psychological burden of the two groups was compared. P less than 0. 05 was considered as a significant level. Result: There were no significant differences between the two test groups between the two variables. In the pre-intervention stage, the mean psychological burden was not significantly different in the two groups of test and control, while immediately and two weeks after the intervention, this difference was significant (P<0. 001). Also, the results of the ANOVA test showed significant differences between the two groups (P<0. 001). Discussion and Conclusion: Considering the average level of mental burden of the samples in this study and considering that the results of this study indicate the positive effects of peer-to-peer education on the psychological burden of families of schizophrenic patients, it is recommended to use successful experiences of peers as a model with Creating empathy between educator and learner to reduce the psychological burden of families of schizophrenic patients in hospitals and after discharge.

Introduction: Nursing education has the task of preparing graduates with the ability to identify the needs of patients in a changing society and in the clinical setting, and provide the best possible care based on the best scientific evidence. Objective: The aim of this study was to compare the effect of lecture and clinical education on the care of patients with angina pectoris on attitude of nurses in the emergency department of military hospitals in Mashhad. Material and Methods: This single-blind randomized clinical trial was performed on 58 nurses in Emergency Department of Military Hospitals in Mashhad, Iran in 2018-2019. Nurses were divided into three groups: lecture training, clinical education and control groups. The data gathering tool was a researcher-made attitude questionnaire that was completed before, immediately and one month after intervention in all three groups, and the level of attitude of care for angina patients in each group was determined and compared. Data were analyzed by SPSS software version 22 using statistical tests. Results: The Kruskal Wallis and the Median Test showed that the three groups had no significant difference in attitude scores before intervention (P = 0. 821) and (P = 0. 456), respectively. One-way ANOVA showed that the attitude of the three groups was significantly different immediately after intervention (P <0. 001) and one month after the intervention (P <0. 001). The mean score of the clinical group was higher than the other two groups, and the post hoc test showed that the attitude of each group was significantly different (P <0. 001). Discussion and Conclusion: The results of this study showed that training by lecture method and clinical education increased attitude of nurses in the care of patients with angina pectoris, but the effectiveness and durability of these trainings was higher in clinical education method. Also, in this study, clinical education was more effective than lecture training, and increasing attitude of nurses in clinical education was more stable. Therefore, it is suggested that more effective methods be used to educate nurses such as clinical education and similar methods.

Introduction: Stroke is the second leading cause of death in the world as well as in Iran, while most survivors have long-term physical and cognitive impairment, which imposes many costs on the community and these patients. Depression is one of the most prevelant disorders among stroke patients, which is estimated to be 45% in Iran. Objectives: The aim of this study was to investigate the effect of relapse cognitive rehabilitation software on depression in patients with stroke in Tehran province in 2018. Materials and Methods: In this study, 50 patients with chronic stroke in Tehran province were selected from Tehran Tabassom clinic by conveienve sampling method and randomly divided into control (n=25) and test (n=25) groups. The pre-test of Beck depression inventory was performed using Beck depression inventory. The experimental group received a 45-minute-10 session intervention (2 sessions per week) using rehacom cognitive rehabilitation software. Control group did not receive any intervention. However, both groups received treatment traditional rehabilitation like physiotherapy. Finally, the post test was performed for both groups. Results: The statistical significance of the data was analyzed using ANCOVA. Results showed that, despite the effect control of pre-test between both groupsthere was a significant difference in terms of mean scores of depression in post test (P<0. 5). Thus, rehacom cognitive rehabilitation software had a significnt effect ondepression recovery. Discussion and Conclusion: The results indicated that rehacom cognitive rehabilitation software significantly decreased depression in patients with chronic stroke and it is possible to have dramatic effects on other functions. However, further studies such as QEEG are needed for investigating the actual mechanisem of rehacom cognitive rehabilitation software.

Introduction: Neck pain is the second common musculoskeletal disorder Clinical trial only by back pain. Despite the high prevalence of neck pain, its treatment is still a major challenge. Neck stabilizer training is a technique designed to improve the internal mechanisms of the spine which causes cervical spine stability and invulnerability. On the other hand, manual treatments are low-costly with the least side effects used to treat neck pain. Objective: The aim of this study was to compare the effect of stability execrise with and without positional release technique on the pain and neck motion range in men with chronic neck pain. Materials and Methods: This is a semi-experimental study. The statistical population consisted of the employees of the Mellat bank of Tehran province. Using convenience sampling method, 24 patients with chronic neck pain were randomly divided into two groups. The first group received stabilization exercises with positional release technique and the second group received only stabilization exercises. Each group received a five-week treatment. Pain was assessed on the basis of Visual Analogue Scale (VAS) and neck motion range by goniometer before and 48 hours after the treatment. ANOVA along with repeated measures was employed for data analyses and significant level was considered P<0. 05. Results: There was a significant difference between both groups in terms of pain severity and neck motion range after intervention (P <0. 005). There was a significant difference between the severity of pain as well as the neck motion range (P <0. 005). In the other words, more improvements were achieved in stabilization exercises with positional release technique. Discussion and Conclusion: Stabilization exercises in combination with positional release technique had a dramatic effect on reducing pain and increasing the neck motion range compared to the positional release technique group. Thus, it is recommended to use this combination to relieve the neck pain.

Introduction: Intelligence is one of the factors affecting students and their progress. In this regard, the attention to the nature of intelligence, especially social intelligence, how to crystallize wise behaviors, assessment methods, measurements of intelligence and interpersonal and interpersonal differences have long been of interest to everybody. Since the beginning of the 20th century, studies on the nature of intelligence and intelligence capacity in children, adolescents and adults, and using various tools to evaluate the level of intelligence in different countries had been considered in many countries Objective: The aim of this study was to determine the relationship between creativity and social intelligence among students of Allameh Tabatabai University and Shahid Beheshti University. Material and Methods: The statistical population of this study was all students of Psychology and Education Faculty of studied universities of whom 300 people were selected using random sampling based on Morgan’ s table. The measurement tools used in this research are the standard Randsip’ s Creativity Questionnaire and the Kerry’ s Social Intelligence Standard Questionnaire. Data analysis was done using independent t-test, analysis of variance, Pearson correlation, multiple linear regression. Results: The results showed that there was no significant difference between the components of creativity and social intelligence and the results of analysis of variance showed that there was a difference between the average creativity of students based on the educational levels and also some components of social intelligence components such as social information processing, social skills and social awareness predict creativity significantly. Discussion and Conclusion: According to the results of this study, it can be concluded that the components of social intelligence play an important role in creating and stimulating creativity in students. It also seems that the university can play an important role in students’ scientific and professional future by improving their motivation and academic spirit.

Introduction: In order to adapt a fast changing health care system, it is necessary to prepare the content of a high-quality nursing program. Comparing different educational systems is one of the evaluation methods that improves the content and quality of the curriculum. Objective: The aim of this study was to compare comparative nursing education in Iran and Alberta and provide practical suggestions for improving its quality. Materials and Methods: This descriptive-comparative study was performed in 2018. The four-stage Beredy model of description, interpretation, neighborhood and comparison was used to compare the Iranian nursing education system to the Nursing Faculty of Alberta university. Data were collected by Persian and English Googling. Then, the data were compared according to the aim of the research. Results: The program of both universities based on the principles of strategic planning with mission, vision and values. At Alberta University, the attention was focused onappropriate link between the lesson plan and the needs and problems of the community. The Ph. D. curriculum of the Iranian Nursing have a lot in common with that of University of Alberta regarding profile and structure of the course. Also, the comparison showed that applying the University of Alberta is subjected to having a postgraduate degree in nursing and a certificate in research statistics and language proficiency and clinical recordsare essensial for non-Canadians. But in Iran, student admission is subject to a master’ s degree. Discussion and Conclusion: One of the strengths of the Ph. D. program in Iran can be the alignment of the values and beliefs of the program based on the Islamic values system and gaining competencies such as critical thinking, clinical argumentation, problem solving, evidence-based decision making, and the recording of an analytical report. Lacking the clinical base and the absolute emphasis on theory and especially research are the weaknesses. Therefore, based on the experiences of the advanced countries and the needs of the Iranian community, we need to correct the weaknesses and strengthen the strengths.