مجله علوم مراقبتی نظامی
سال پنجم شماره 3 (پاییز 1397)

Trauma is the main cause of the disability of the active population in developing countries. In the meantime, hand injuries are one of the most common traumas in the world. These injuries affect the quality of life of patients. This study aimed to determine the trend of quality of life patients with traumatic hand injury”. This cross-sectional study was performed on patients with hand injuries in 2016. Samples were selected from 100 patients and through convenience sampling. The instruments used in this study included demographic information questionnaire, health-related quality of life questionnaire (SF36), and instrumental arm, shoulder and hand disability questionnaire (DASH-38). Data were analyzed by SPSS 22 and Kruskal Wallis statistical test. P<0.05 was considered as significant level. Based on the results, the mean age of the units was 27.69 ± 7. 21 years. Kruskal Wallis statistical test showed that the scores of quality of life (42.21 ± 14.27, 3 months later, 58.10 ± 12.88 and 6 months following the surgery, 78.88 ± 8.25) were significantly increased over time (P = 0.000). Also, the handicapped hand score (65.34 ± 17.98, 3 months later, 36.44 ± 18.16, and 6.3 months after the surgery, 3.33 ± 1.29) decreased over time (P=0.000). Discussion and The results of this study showed that the quality of life in patients with a traumatic hand injury after the surgery was upward. However, the quality of life of these patients is low even after the surgery. Therefore, the given authorities are required to have a fundamental plan in this regard.

In recent years, patient safety has become one of the greatest concerns of organizations and health care providers. Nurses play a key role in providing safe and high quality cares in all units of the hospital, both general and Intensive Care Units. Since nurses are directly supervised by the head nurses, This study aimed to compare the performance of nurses from the viewpoint of nurses in providing safe care to patients in the Intensive care and general units of Aja hospitals in 2018. This is a descriptive cross-sectional study in which nurses’ performance in general and special wards was assessed using the Assessment of Safe Nursing Care Questionnaire (ASNC) with 32 questions and four dimensions of mental, physical, nursing skills and teamwork. Data were analyzed using SPSS 19. The significance level was less than 0.05. The results have shown no significant difference between the safe performance of nurses in special and general wards. Also, there was no significant relationship between the type of hospital wards, sex, employment status, work shift, participation in the workshop and safe operation of nurses (P>0.05). There was a significant relationship between the type of wards and the nurse’s performance in terms of physical and nursing skills (P<0.05); however, there was no significant relationship between the type of department and the nurse’s performance in the mental health and nursing teamwork dimension (P>0.05). Discussion and Since nurses’ caring performance in ICUs is not so perfect, it is suggested that more planning be done for the improvements.

Nurses play crucial roles in the health system, but their intention to leave service is one of the biggest challenges of today’s life. There has been a plenty of research emphasizing on the effect of leadership upon the creation of such a phenomenon. The present study aimed to investigate the role of training the transformational leadership approach presented to head nurses to see whether they stick to their intention for  leaving the  service or not. This study is a clinical trial, single-group, pre-test and post-test study conducted on 30 nurses in one military hospital and 14 ones in another military hospital in Tehran. In this study, within  a three- week -12 sessions , the head-nurses of the transformational leadership style were trained and after eight weeks , the Henishaw and Atwood service leave predicting scale and multivariate leadership style questionnaires were used. Data were analyzed using SPSS 20 and Paired t-pair and independent t-test test. The results showed that there was not any  significant difference in head nurse leadership style before and after the intervention in nurses’ viewpoints. Moreover, the leadership style had been abandoned. According to this study, nurses are highly intended to leave their service. Discussion and The leadership style of the head nurses has a lot to do with the intention of service leave, and many studies have highlighted the importance of transformational leadership style. For this reason, the training of managers in leadership issues and the use of appropriate leadership styles should be continuously done using a variety of effective learning methods so as to change their attitudes, insights, and performance. IRCT Code: IR.AJAUMS.REC.1396.36

Addiction is an individual and social damage and has so many causes, roots and backgrounds. It also includes adverse economic, social, political, cultural, environmental, psychological and several individual complications and consequences. The aim of this study was to predict the spiritual intelligence based on personality traits in male addicted quitting narcotics in Ilam. In this correlational research, 250 male drug users quitting narcotics were selected by Convenience sampling method. Two questionnaires of personality traits and spiritual intelligence were used for data collection. In this research, personality traits (openness, conscientiousness, extraversion, agreeableness, and neuroticism) and spiritual intelligence were regarded as predictor variables and dependent variables, respectively. The data were analyzed using R Pearson correlation coefficient and multiple regression analysis (P<0/01). The results showed that those drug user with higher level of neuroticism (35/36±7/50) owns lower spiritual intelligence and those with more extraversion (38/57±6/44), agreeableness (39/16±5/59) and conscientiousness (43/28±7), have higher level of spiritual intelligence. Neuroticism (with correlation coefficient -0/44), was determined as the most important predictive variables. Regression coefficients with hierarchical method for linear combination of personality traits and spiritual intelligence were significant (P<0.001) Discussion and The results of this study support existing relationship between personality traits and spiritual intelligence in addicted male quitting narcotic. According to the results of this study, personality traits and individual characteristics can help them benefit from spiritual intelligence and accordingly compatibility and problem solving ability.

  Hope can make individuals loyal, despite obstacles to their ambitious goals, many psychologists consider hope a factor of psychological well-being, and on the other hand, self-control affects the psychological well-being. The amin of this study was to investigate the role of hope in predicting psychological well-being of soldiers with self-control mediation. The present study was a descriptive-correlational study. The statistical population consisted of all soldiers of the garrison of type 277 in Ghuchan during 2017-18. Using a multi-stage random sampling method, 200 soldiers with the inclusion  criteria were selected as the sample group. Data were collected using questionnaires of Miller’s Hope, Tangji self-control and psychological well-being of Riff. Descriptive statistics (frequency, mean and standard deviation) and inferential statistics (correlation coefficient and regression analysis) were analyzed using SPSS 20 (P <0.01). The results showed a positive and significant relationship between hope /self-control and psychological well-being (P <0.001). The results from regression analysis of hope prediction showed a significant relationship (β = 0.13, R2 = 0.02, F = 65.65, P = 0.01), and the results from regression analysis of self-control prediction indicated a statistically significant relationship (β = 0.56, R2 = 0.22, F = 0.65, P = 0.001). Discussion and According to results, self-control and hope were two predictors of psychological well-being of soldiers. self-control is a stronger variable than hope in the prediction of psychological well-being, so it is recommended to offer courses to help them increase the level of hope and self-control and subsequently improvepsychological well-being.

One of the topics that has crossed the minds of researchers  is studying about the personality types and control source.  The main topic of psychology is studying personality traits. Since these traits form the basis of the behavioral system, addressing this issue can elaborate on certain aspects of individual  performance in different fields. In this regard, the present study investigated  the relationship between personality types and type of control source with the level of self-efficacy of military personnel in Tehran Unit. In this study, 260 male military personnel of Tehran unit participated in this study. According to Morgan’s table, 152 people were selected by random sampling method. The research method is descriptive correlational. The data were collected by three questionnaires. The validity of the questionnaire has been reviewed. The reliability of  personality trait (Isingen, 1965), the control source (Rater), and the rate of self-efficacy was 77%, 83% and (Rigsz and Knight, 1994) 88%, respectively. The data was analyzed using descriptive and inferential statistics and SPSS 20. Spearman correlation showed a significant relationship between the extraversion (r = 345/0), introversion  personality types(r =-0.397), external control source (r =0.4104), internal control source (r =-4.303) and self-efficacy level (P≤0.05). Discussion and The results indicated a significant relationship between personality types and type of control source with the level of self-efficacy of one of the military units of Tehran. Therefore, personality traits are important inseparable factors  affecting the organizational environment of human beings because every individual behavior is to a large extent influenced by his personality traits and self-efficacy as a direct organizational behavior is also affected by those features.

Insecure attachment styles can have an impact on the future of individuals as one of the most important factors in the initial creation of maladaptive schemes, especially in prisoners with personality disorders. The aim of this study was to investigate the relationship between Attachment Styles and Early Maladaptive Schemas in Hamadan Central Prison in 2017. The  sample ,in this study, included  110 prisoners with borderline personality disorder at the central prison of Hamadan in 2017. The patients were previously diagnosed with psychological and psychoanalysis by a clinical interview and Millon Clinical Multiaxial Inventory (MCMI_III). The Yang Scheme (Short Term) and then the Revised Adult Attachment Scale were applied and the data were analyzed using Pearson Correlation method. The most promising early maladaptive suggestions were mistrust / mistreatment (25), violation and shame (24), abandonment (23), inadequate self-discipline (21) and emotional deprivation (19), respectively. The mean of attachment scores was 11, avoidance 12 and ambivalent 15.5 and there was a significant inverse correlation between the early maladaptive scheme and safe attachment style (r = 0.75), and there was a positive and significant correlation between early maladaptive scheme and ambivalent attachment style (r=0.94). Discussion and Prisoners with borderline personality disorder who had Ambivalent attachment style had more and those with secure attachment had less maladaptive schemas.

Introdaction: Nursing is one of the most serious occupations in the world. These occupational hazards directly affect on the health of nurses. Nurses with no good general health are not able to provide proper care for patients. In this study, the articles related to general health in Iranian nurses were reviewed. In this review, the articles published between 2011 and 2017 were reviewed. For this purpose, Pubmed, Proquest, Sid, Google, Google Scholar, Scopus, Iran medex, Cinhal and Web of science were reviewed. The keywords like health, General health, Normality, Normalcy, Wellness and Nurse in were searched using Mesh  Performing research in Iran was the main criterion for including in the study. Twenty five eligible studies were reviewed in this studied after assessing inclusion criteria and quality articles. Thirty seven percent of studies reported that the general health in nures is at a moderat level, 62% reported inappropriate or at risk. Thirty five % of the studies reported psychiatric disorders as the most common health disorders in nursese. The results of 35% of studies showd a significant relationship between factors related to work, family life and religious beliefs ande nurses’ health. The results of the studies showd that interventions such as stress management group therapy, communication skills and emotional intelligence training have been effective in promoting general health in nurses. Discussion and Iranian nurses are not in good health status. Therefore, it is recommended that the authorities consider the health of medical staff, specifically nurses, to improve the quality of their services.