مجله علوم مراقبتی نظامی
سال دوم شماره 2 (تابستان 1394)

Cigarette smoking is the leading cause of preventable illness and death in the world and one of the problems in all aspects of human civilization. Which preventable premature death of millions skilled and educated people seen in maximum efficiency ages.so the teaching strategies for preventing smoking in young people is a serious and urgent need. Therefore, the purpose of this study was to assess the effect of training sessions by HBM on soldiers’ attitude to prevent smoking. This experimental study was conducted in 2014, two groups from two battalions belonging to AJA training camp, divided into control and experimental groups and 30 soldiers of each group were randomly selected. Data were gathered by a questionnaire consisting of 47 questions based on health belief model (perceived susceptibility, benefits, barriers, self-efficacy, operating manuals). Data obtained before and after training on HBM, were analyzed using SPSS version 22. The paired t test on the knowledge and attitudes before and after the training phase of the study group showed a statistically significant difference (P<0.05), independent t-test showed a sensitivity of all components of the health belief model, benefits, barriers, cues to action (except self-efficacy) in the experimental group after the intervention was significantly higher than before. (P<0.05).Discussion and The results showed the effectiveness of the training sessions. It is recommended that training courses are required for continuous replicate.

Today, cancer is the third leading cause of human death and one of the main challenges faced by Iran’s health care system, which reduces the quality of life of patients. Therefore, this study was conducted to investigate the effect of self-care program based on Orem theory on quality of life of cancer patients who undergo chemotherapy in military personal visiting selective in AJA Hospital. This study was conducted as a randomized clinical trial that involved 64 patients randomly assigned into experimental and control groups (each group, n = 32). Five educational- counseling sessions based on Orem self-care was conducted through individual instruction based on the needs of patients over a week. Before and after two months of implementation of program QLQ-C30 questionnaire were used in both groups. Data obtained before and after program were analyzed using SPSS version 22. Before intervention, statistically significant differences in quality of life scores in both groups didn’t exist. Independent t-test showed a significant difference between the two groups after the intervention (P<0.001). Paired t-test showed a significant difference in quality of life scores before and after the intervention in experimental groups (P<0.001). The overall effect size according to Cohen’s criteria table indicate the desirable effectiveness of the intervention.Discussion and Application of Orem based self-care programs built on the patient’s educational needs on quality of life in cancer patients undergoing chemotherapy is probably effective.

Medication, especially injection drugs are one of the complex situations and high-risk medications in clinical processes that nurses face. Risk management is one of the recommended method to identify and prevent adverse events from drug errors. The purpose of this study was to evaluate the impact of risk management programs on Preparation of electrolyte concentration skills by nursing staff. In this experimental study, 50 nurses working in emergency departments that were involved in the process of medication, were selected through census in 2014, then randomly divided into control and test groups. The control group received the routine of the hospital and in the experimental group risk management program was implemented. Preparation of electrolyte concentration skills was examined by valid and reliable researcher check list. Data were collected in pre and post-test with SPSS software, version 21 descriptive and inferential statistics were analyzed. nurses’ skill in preparing the condensed electrolyte, before the intervention and control groups, was respectively 96.16±3.2 and 17.17±0.2, and in two weeks after the implementation of risk management programs was respectively 27.27±8.1 and 83.17±2.2. In the pre-test, independent t test, a significant difference was observed between the two groups in the nursing skills (P>0.05). While in the post-test, significant differences in scores between the experimental and control groups were nursing skills (P<0.001). Paired t-test, before and after the intervention, the experimental group showed a significant difference (P<0.001).Discussion and The results showed the effectiveness of the risk management program. Implementation of risk management programs as a way to improve nurses’ skills in preparing the condensed electrolytes is recommended.

Dialysis is of the important ways in the treatment of the acute and chronic renal failure patients and the urea reduction ratio is used to determine the amount the removal of waste generated by of dialysis. Therefore, the present study has been performed to investigate the effect of priming with recirculation of normal saline method on urea reduction ratio among hemodialysis patients This is a randomized clinical trial study that was performed in 522 Military Hospital in Tabriz, Iran in November 2014. A total of 44 hemodialysis patients were recruited by convenience sampling method and randomly divided in two groups. The dialysis machine, in intervention group, with the method of priming with recirculation of normal saline for a month and in the control group the routine method was primed. Before and after intervention, blood sampling was determined to calculate the blood urea nitrogen and urea reduction ratio. Data were analyzed by SPSS version 20 statistical software. The mean and standard deviation of URR was respectively 58.45±6.23 and 69.04 ± 6.24 before and after the intervention in the intervention group which showed a significant increase after the intervention (P<0.001). The mean and standard deviation of URR was respectively 58.27±11.38 and 59.22±7.59 before and after the intervention in the control group there was no significant differences compared to before the intervention (P=0.753).Discussion and The study results showed that can be used from the method primed with saline recirculation dialysis method to increase the urea reduction ratio and with a proper dialysis prevented from many of the complications and with preventing readmission, while saving the cost of health care, providing a better quality of life for these patients.

Time management is one of the most important skills in learning activities. The aim of this research is to determine the correlation time management skills and academic achievement in anesthesiology and operating room students. This is a descriptive study on 187 anesthesiology and operating room students that were selected cluster randomly. All students completed time management questionnaire with 66 questions. The relationship between skills of time management and mean score of students assessed. In order to analysis data, descriptive statistics including Pearson’s correlation coefficient, independent t-test were used, with using SPSS version 19 software. Analysis of data showed there wasn’t any correlation between time management skills and academic achievement (p=0.528). Independent t-test showed there was no significant difference between mean scores of time management among male and female students too (p=0.245).Discussion and Although this study showed that academic achievement not been affected by time management skills of students, it is recommended for time management training and workshops be conducted for students to improve their skills. Because time management skills is very important in academic performance.

Hospitalization in critical care unit is a stressful issue for patients and families due to the presence of unfamiliar equipment and procedures in the unit. This confusion and unfamiliarity leads to disturbance and even physiological and mental problems in the patients. The main objective of this work is to examine effect of family-centered orientation program on prevention of delirium prevalence in patients with coronary artery disease in CCU.

In this quasi-experimental work in 2013 in Zanjan, in 3 months, 80 inpatients from CCU meeting the criteria of entering to the research, were selected based on sample and convenience sampling in two test and standard groups. For test group, family-centered orientation program was performed. The samples in both groups were examined in terms of delirium problem using the mini mental status examination (MMSE) instrument. Then, the obtained data were analyzed using the t-test and fisher.

Data analysis indicated that delirium incidence in the test group indicated a significant statistical decrease using the T-test with p = 0.002; however this difference was not clinically significant.Discussion and

due to the benefits of family-centered orientation programs to decrease of delirium, using of orientation program is recommended but due to the lack of clinically significant about delirium, large samples and several evaluations of patients seems necessary for studies designs.

In recently years, many articles in massage therapy published by Iranian nurses. This study was conducted to evaluate the abstracts quality of articles about massage therapy, published in scientific journals during the years 2003 to 2012, by Iranian nurses. In this cross sectional study, all original massage therapy articles published in scientific journals that there was any Iranian nurse between authors, were evaluated. Quality in different sections of abstracts including, background, methods and materials, results, discussion, keywords and volume of abstracts were assessed. Data analysis was done by descriptive statistic methods Totally, 120 abstracts of original articles about massage therapy, published in scientific journals were evaluated. On the whole, quality of the abstracts were good in 29.6% of articles, in 40.8% it was relatively good and in 29.6% was weak. The weakest sections were material and methods (61.7%) and the best sections were key words (82.6%). Nursing PhD authors significantly improved the quality of the articles (P =0.001). The quality growth was significantly associated with time passing (P =0.001).Discussion and The present study showed that the overall quality of the abstracts of massage therapy articles published in scientific journals, is not desirable. They have many mistakes. Hence, implementations for reducing mistakes in abstracts writing of articles would result in increasing application of the study results.