مجله علوم مراقبتی نظامی
سال سوم شماره 2 (تابستان 1395)

The Fourth Development Plan and Vision of the next 20 years, provided requirements and strategic plans, in accordance with the mission of development. Knowledge is a new title that refers to the present and near future. For this purpose, the increasing importance of integrated management of knowledge in organizations is felt more every day. The aim of this study was to design a model for the required infrastructure to implement knowledge management in AJA University of Medical Sciences.
The first plan was to implement knowledge management in the Islamic Republic of Iran University of Medical Sciences.
This study was a research of the structural equation modeling techniques on 110 people with bachelor degree or higher at AJA University of Medical Sciences during year 2013. The data was analyzed using the SPSS and LISREL software with Pearson correlation (Spearman) and structural equation modeling.
The findings showed that organizational culture and organizational structure, technology, information and motivation are the necessary infrastructure for implementation of knowledge management. According to the findings, it seems that organizational culture (learning, trust and cooperation) has the greatest influence on the implementation of knowledge management, and culture had special potency. The structure of decentralization and organizational formalization, respectively, have a significant effect and have least impact on the implementation of knowledge management.
Discussion and According to the results of the proposed structure, this study could be a starting point for implementing knowledge management at the AJA University of Medical Sciences. According to the research findings, infrastructure knowledge management in organizations such as AJA University of Medical Sciences is based on organizational culture, organizational structure, information technology, motivation and strength, and culture, which if implemented could lead to the implementation of knowledge management in the educational organization.

The most common complaint in patients with End Stage Renal Disease (ESRD) is fatigue. Fatigue has devastating effects on the quality of life of patients undergoing hemodialysis.
This study aimed to investigate the effect of nutrition-based education on fatigue of patients on hemodialysis.
This case-control study was conducted on 44 patients at selected AJA hospitals. The experimental group received based nutrition program and the control group did not receive care. Multidimensional Fatigue Inventory (MFI-20) and a demographic collection tool were used and the obtained data were analyzed with the SPSS 21 software.
The samples were 3.52% males and 4.86% were married, and the highest percentage of people was in the age range of 71 to 80 years (8.31%). In terms of total fatigue, general fatigue, mental fatigue and reduced motivation fatigue, values were significantly different in the intervention group compared to the control group (P value Discussion and The results suggested that nutrition-based programs could be useful as simple, inexpensive and non-invasive therapy modalities for the treatment of fatigue in patients undergoing hemodialysis.

Mental health is an important psychological requirement for police force employees; therefore attention to their mental health is essential. The most important variables related to mental health include social capital, perceived social support and organizational citizenship behavior.
The aim of this research was to investigate the relationship between social capital, perceived social support and organizational citizenship behavior, and mental health of police force employees.
The findings showed a negative and significant relationship between social capital (r=-0/237, P≤0/01), perceived social support (r=-0/350, P≤0/01) and organizational citizenship behavior (r=-0/414, P≤0/01), and mental health. A high score in the mental health questionnaire indicated poor mental health. Therefore an increase in organizational citizenship behavior, perceived social support and social capital increases the rate of mental health among police force employees. Also the mentioned variables could predict 26.8% of variance of mental health (R2=0/268) with the share of organizational citizenship behavior (ß=-0/304) being higher than the other variables (P≤0/01).
Discussion and Regarding the findings it is suggested that counselors and therapists should be employed to teach organizational citizenship behavior, perceived social support and social capital to police force employees by using appropriate educational workshops to improve their mental health.

brucellosis is a disease common to humans and animals, with social and economic importance, causing physical symptoms and disability, which can impose health care costs. Prevention, control and eradication of brucellosis in a country or region require policy-making and careful planning based on accurate epidemiological data.
the purpose of this study was to evaluate the 10-year trend of the disease in the city of Tiran & Karvan, Iran.
This was a cross-sectional study in which data of all the cases detected with brucellosis in Tiran & Karvan during 2004-2013, reported by the government and NGOs, were collected and then analyzed with computer. From a total of 418 patients with brucellosis during the study period, the highest incidence of the disease was in 2013 and the lowest in 2009, with incidence rates of 106 and 14.8 per 100,000 populations, respectively. In total, 65.8% of cases were males and 34.2% were females; 86.6% of the cases lived in rural and 13.4% in urban areas.
Discussion and Although the incidence of brucellosis has been increasing in recent years, it has a more increasing trend than the national average in Tiran and Karvan city. Provincial authorities in this field need to pay particular attention, and since most of the patients’ populations live in rural areas, there should also be public participation and intersectional collaboration to control brucellosis, with emphasis the role of health workers and health centers in disease control.

Oral hygiene is one of the necessary cares for patients hospitalized in special wards. Improper oral hygiene leads to unpleasant oral side effects, which can also affect other organs such as the lungs.
This study was designed to investigate the relationship between oral lesions and early mechanical ventilation-associated pneumonia (VAP).
The present research was a cross-sectional study of the descriptive correlation type, comprised of 74 patientsd. The tools used included demographic information, Beck oral assessment scale (BOAS), and clinical pulmonary infection score (CPIS). The incidence of oral lesions and VAP in third and fourth days of patients› hospitalization as well as their relationship were analyzed using McNemar test and descriptive statistics.
The results showed that in the third day 79.7%, and in the fourth day 90.54% of patients were diagnosed with oral lesions. The rate of VAP was 5.4% in the third and 27.02% in the fourth days. There was a meaningful statistical association between VAP and oral lesions, shown by the Mc nemar test, in the third day with a PDiscussion and It is recommended that nurses pay more attention to the oral hygiene of patients undergoing mechanical ventilation in order to prevent VAP, because the risk of VAP will lead to more dependence to ventilator for patients and increased length of stay.

Marital satisfaction is the feeling of fulfillment, gratification and pleasure experienced by a wife or a husband, when taking all their marital aspects into consideration. Satisfaction is an attitudinal variable so, it is considered an individualistic characteristic of wife or husbands. One of the mental health indicators is satisfaction level of the matrimony.
The present research was conducted in order to analyze the relationship between quality of life and stress, and marital satisfaction in females with migraine headaches in Ahvaz city.
The design of the research was correlational, under the descriptive research category. The population in the research were all females with migraine headaches referred to neurology departments, of Ahvaz hospital during year 2014, 100 of whom were selected by non-random purposeful sampling method. The participants completed quality of life, stress and marital satisfaction questionnaires. The research data were analyzed using Pearson correlation coefficient and multivariate regression analysis with the stepwise method, using the SPSS-18 software.
The research findings showed that there was a positive meaningful relationship between quality of life and marital satisfaction (PDiscussion and According to the research findings it can be said that in order to increase the individual marital satisfaction level, especially in patients with migraine headaches, it is recommended for their stress level and quality of life to be decreased and increased, respectively.

Mental disorders are one of the major health problems facing the society and economy. The prevalence of mental disorders has led the nurses, as the main caregivers of a medical team, to need guidance and training in order to provide good quality care and professional standard services. Evidence-based nursing guidelines are important tools in increasing the quality of nurses› clinical practices.
This study aimed to investigate the effect of evidence-based nursing guidelines on the quality standard of care in patients hospitalized in the psychiatric section.
This clinical trial was carried out in the Psychiatric Ward of Army 505 Hospital in Tehran in 2015. Interventions included training guidelines of evidence-based nursing care for psychiatric nurses and to put the same guidelines based on the nursing process into enforcement for patients admitted to the Psychiatry Care Unit. Before and after the intervention, the quality of nursing care was measured via American Nurses Association (ANA) questionnaire as well as through observation and review of documentations from the records of 66 patients admitted to the Psychiatry Care Unit (33 cases before and 33 after the intervention). The usual nursing care quality was assessed and recorded via standards of quality nursing care questionnaires from the ANA standards of nursing care, and then, evidence-based nursing guidelines were taught. Data were collected after the intervention. The collected information was analyzed using descriptive statistics and SPSS version 21.
Comparing the average score for all the stages of the nursing process, there was a significant difference before and after the intervention (PDiscussion and Evidence-based care has an important role in improving the quality of nursing care. Therefore, the implementation of evidence-based care guidelines is recommended for health care trainings.

High blood pressure is one of the most important health problems in the world. In provinces of Iran, the prevalence of obesity and high blood pressure has an increasing trend.
This study aimed to determine the effect of blood pressure on the population-attributable fraction of obesity and abdominal obesity in males living in Qom province, Iran.
In this study, the data of non-communicable diseases surveillance in 2009 were obtained. Odds ratios using the data were obtained from Lipid and Glucose study. After standardizing the data rate based on EXCEL software, the population-attributable risk for Qom province based on the above formula was calculated.
In Qom province, in terms of population-attributable fraction of hypertension attributable to obesity, the highest rate of 31.07% was in males, and among males aged 55-65 years it was 10.1%.
Discussion and Given the importance of blood pressure prevalence and the impact on cardiovascular diseases, it is necessary to prevent the spread of this disease and its risk factors such as obesity and abdominal obesity in males of Qom, taking effective measures.