مجله علوم مراقبتی نظامی
سال هفتم شماره 3 (پاییز 1399)

Military nursing students are routinely exposed to situations that experience negative emotions. Emotion Regulation training is one of the interventions that may affect emotion regulation strategies.

The present study aimed to evaluate the effect of Emotion Regulation training on reappraisal and suppression strategies in Military Nursing Students.

 The present study is quasi-experimental using pre and post-exam designs administered to the control group. The study population consists of all nursing undergraduate students studying during the academic year 2017-2018 in one of the military-medical sciences universities. Based on inclusion criteria, 110 individuals were selected through classification by drawing a random sample without replacement; they were allocated randomly to the control and experimental group (55 individuals in each group). The samples of these groups were homogenous demographically. First, the control group included in study to prevent information pollution. The pre-test was performed by questionnaire of Emotion regulation (ERQ). Control participants were provided with a secondary questionnaire following four weeks after filling the primary questionnaire out. The experimental group participated in an 8- training session (60 min) at the end of the training, the post-test was performed. Data were analyzed by Chi-Square, Fisher’s exact test, paired t-test, and independent t-test using SPSS 16.

 Results suggest that emotion regulation training results in significant statistical changes in reappraisal and suppression strategies (P<0.005), but there is no difference between changing emotional regulation strategies in two groups (P>0.05).

 The results validate the positive effect of emotion regulation training on increasing adaptive strategies and decreasing maladaptive strategies.

The importance of the Air Forcechr('39')s ability to protect and defend any country is obvious. The well-performed air force depends on the capabilities, mental and physical health of staff. Family as an environmental factor plays a significant role in the development and maintenance of mental health disorders.

This study aimed to investigate the relationship between family function and stress, anxiety and depression in Isfahan Air Force pilots during 2019-2020.

In this descriptive study, 120 military air force pilots completed the standard family functioning (FAD), anxiety, stress and depression (DASS) questionnaires. After excluding invalid questionnaires, data were collected from 103 individuals and analyzed in SPSS20. The significant level is considered 0.05.

Linear regression analysis showed that the family function was scored 0.16, 0.05 and 0.05 in in depression, anxiety and stress, respectively. The family function was a significant predictor of depression, anxiety and stress in participants. The results showed that based on beta coefficients , each 0.25, 0.24 and 0.24 change  in family performance score resulted in a significant change in participantschr('39') depression, anxiety and stress scores, respectively (P <0.05).

Based on results of this study, it can be concluded that decreasing family function increases anxiety, depression and stress in pilots. Therefore military families should be considred.

One of main challenges for people involved in war is post-traumatic stress disorder, associated with unpredictable or destructive and long-term consequences for the injured person, his family and the community.  Post-traumatic stress disorder has been recognized as a stressful topic in the veteranschr('39') family; thus, it can affect childrenchr('39')s academic motivation.

The present study examined the relationship between secondary post-traumatic stress disorder and academic motivation in veteranschr('39') children.

This descriptive correlational study was performed on 150 children of veterans with secondary post-traumatic stress disorder in Mazandaran in 2018 with a simple random sampling. Data were collected using a Demographics Questionnaire, Post-traumatic Stress Disorder (STSS) and academic motivation scale. Data were analyzed using descriptive (Table, M ean and standard deviation (SD)) and inferential (t-pair, independent t and ANCOVA) statistical tests at the significance level of P<0.01. The material used for these analyses was SPSS 16.

The mean and standard deviation of post-traumatic stress and academic motivation in veteranschr('39') children were 43.97± 13.9 and 92.03±26.7, respectively. Further, there was no significant relationship between post-traumatic stress disorder and academic achievement motivation (P= 0.15).

According to the results, post-traumatic stress disorder did not have a significant effect on the educational motivation of veteranschr('39') children. Therefore, it is recommended to teach ways to increase the motivation of academic achievement to deal with secondary post-traumatic stress disorder.

After performing femoral angiography to prevent the occurrence of vascular complications due to femoral incision, patients should rest in bed for about 24 hours. Restriction of movement after coronary angiography causes some discomfort in patients. It seems that changing patientschr('39') status can affect feeling comfort in them.

The effectiveness of different methods for changing the position patient’s comfort following the removal of the sheet after femoral angiography has been compared.

In this randomized clinical trial study, 72 patients with coronary artery disease under cardiac catheterization who were eligible to include in the study were selected with conscious and targeted consent, then randomly assigned to intervention and allocation control groups. In the intervention group, from the first hour after the intervention, the angle of the bed gradually extended to 45 degrees in the fourth hour. Then, comfort was assessed through a visual analog scale in both groups. Data were analyzed using SPSS 22 through descriptive statistics (indices of central tendency and dispersion) and analytical statistics (Chi-square, independent t-test and analysis of variance of repeated measures). The significance level was considered 0.05.

There was no significant difference between the comfort of the intervention and control groups before the intervention (P= 0.057), but from the second to the sixth hour after the intervention, the comfort of the patients in the intervention group was significantly higher than that in the control scores (P<0/001). Variation analysis of repeated measurements showed that patientschr('39') comfort in the intervention group increased significantly in the second hour until the end of the study (P= 0.04). In the control group, patientschr('39') comfort level was almost constant (P= 0.2) and this trend was not statistically significant.

Patients undergoing different resting methods with a change in bed angle of 15 to 45 degrees in the range of 4 to 6 hours after angiography can be discharged from the hospital faster and feel more comfortable after angiography.

Pain is a common and unpleasant complication reported by patients undergoing angioplasty following arterial sheath removal. Pain is one of the most common complications of arterial sheath removal in patients undergoing coronary artery angioplasty, which has been reported to be very unpleasant.

This study aimed to determine the effect of cold compress on pain intensity due to arterial sheath removal in patients undergoing coronary angioplasty.

The present study is a semi-experimental study consisting of 60 patients undergoing coronary artery angioplasty hospitalized in selected hospitals of Aja in the second half of 2019. The research samples were selected by convenient method and randomly divided into cold compressions (n= 30) and control (n= 30) groups. Demographic and Visual Analog Scales were used for data collection. The intervention  was done using a 2 × 2 × 4 cm ice pack placed in a latex glove with a sterile gauze cover and used for 5 minutes before the the removal of sheath and there was no intervention in the control group. Data were collected in three stages before, during and after the intervention and analyzed with SPSS 23.

Mean scores of pain intensity were not significantly different between the two groups before the intervention, while in comparing these two variables during the intervention, a statistically significant difference was observed between (P<0.001).

The results showed that cold compress can be effective in reducing the pain intensity to arterial sheath removal in patients under coronary angioplasty, so it is recommended that one of nursing interventions be used in this regard.

Loss of life meaning, hopelessness and pessimism, can be the cause of many problems dialysis patients facing.

Considering the importance of self-efficacy role in self-care, this study aimed to investigate the hope and self-efficacy of hemodialysis patients.

The present study is a descriptive-analytical study performed on 100 patients. Demographic questionnaires, Snyder Hope Questionnaire and Sherer Self-efficacy Questionnaire were used in this study. After data collection, the data were analyzed by SPSS 23. Significance was considered 0.05

In this study, 52 males and 48 females were included. The mean and standard deviation of age were 51 and 9.51, respectively; 17% of them were single and 81% were married and 2% were widowed. The results showed that the mean score and standard deviation of hope for patients were 37.84 and 0.73, and of self-efficacy were 50.76 and 2.76, respectively. Given that the low score on the Snyder Hope tool indicates lower hope, of the score of hope in = hemodialysis patients was considered low and the self-efficacy score was moderate. There was a significant relationship between self-efficacy and patientschr('39') hope, ie, self-efficacy increases as hope increases (P= 0.00).

Based on results of this study, patients undergoing hemodialysis have a low mean score of self-efficacy and low hope, so the researchers propose strategies for accurate and holistic evaluation of these patients by nurses.

Ethical climate determines how to make decisions in the organization based on ethical criteria leading to employee’s satisfaction and quality of service. In a stressful environment of an operating room, the survey of the ethical climate can help to promote surgery properly. Furthermore, organizational commitment is one of the factors which determines the criteria for ethical decision making

Objective:

 This study aimed to determine the correlation between ethical climate and organizational commitment from the viewpoints of operating room technologists and anesthesia technologists in hospitals affiliated to Iran University of Medical Sciences.

This descriptive-analytical cross-sectional study was performed on 161 operating room and anesthesia technologists working in the training hospitals of Iran University of Medical Sciences in 2019 by survey sampling. Data were collected using a questionnaire. The material consisted of three parts including demographic information, the ethical climate of Victor and his colleague, and the organizational commitment of Allen and his colleague. To analyse the data, descriptive and analytical statistics including Mean and Pearson’s correlation test were used (SPSS 20) the significance level was considered less than 0.05.

The mean age of the subjects was 33.02 ± 7.18 years, ranging from 23 to 53 years old; 71.4% were females; 24.3% had undergraduate education and the rest were college students. The working experience of subjects was at most in the range of 1 to 5 years (41.6%).  The most frequent field of specialization was general surgery (21.1%).The strongest ethical climate and organizational commitment were associated with "professionalism" and "continued commitment”, respectively.  The result of Pearson’s test showed that there is a positive and significant relationship between ethical climate and organizational commitment. (P=0.002 and R=0.237). Moreover, a significant relationship was found between its dimensions (P<0.05)

The results of present study help hospital managers to identify the ethical climate and organizational commitment, administer curricula to institutionalize ethics, and ultimately enhance organizational commitment and sustain human capital.

Toxoplasma gondii is an obligate intracellular parasite, which causes toxoplasmosis in humans and many warm-blooded vertebrates.

The present study aimed to determine the prevalence of T. gondii in patients with type 2 diabetes mellitus (T2DM) and control individuals in the southwest of Iran.

In this case-control study, 80 patients with T2DM and 100 healthy individuals referred to Taleghani hospital in Abadan city during the winter season. Anti-T. gondii IgG antibody was measured in sera of participants using enzyme-linked immunosorbent assay (ELISA). A questionnaire containing some demographic information and risk factors related to T. gondii infection was completed by each participant. Results were analyzed using SPSS software 20. P <0.05 were considered as statistically significant.

About 72.5% of patients with T2DM and 29% of healthy subjects were found to be positive for IgG antibody. The difference was statistically significant (P<0.001). Among the risk factors, contact with cats in both cases (P<0.001) and control groups (P=0.045) and source of drinking water in the control group (P=0.048) were significantly associated with T. gondii infection. No significant association was observed between age, gender, place of residence, educational level and consuming raw or undercooked meat with T. gondii (P>0.05).

Considering the high prevalence of T. gondii in patients with T2DM compared to healthy individuals, more attention should be paid to this high-risk group. It is suggested that these patients routinely be tested for this parasite.

Burns can always have adverse effects  mentally and physically. Many people suffer from burns each year, some of them are caused by injuries in the military. There are several treatments for burns, and skin grafting is one of the most effective ones.

The  present study aimed to review the generalities of burns care and introduce the leading military hospital caring the burned patients.

In the present study,  electronic databases including  Medline, PubMed, Scopus, SID, Cochrane library and  Google Scholar engine (Persian and English) were used between 2000 and 2019.

Due to  anincrease in the firepower of weapons of war, Iranchr('39')s sensitive and strategic position in the region, and the existence of threats on the countrychr('39')s borders, the treatment of wounded veterans and those in the armed forces is of particular importance. Various surgical treatments are administered for wounds that do not respond to conservative treatments. Currently, all these methods are used in the intensive care unit of Shahid Dr. Chamran Hospital.

Today, due to the advancement in science, we witness a decrease in mortality and complications resulting from burns all over the world and in Iran. Shahid Dr. Chamran Hospital, as one of the military hospitals, is one of the centers that has been a leader in thispurpose . Because of the cost burdens on additional treatment for these patients, it is recommended that a solution be devised.

Natural or human-made disasters are the main reasons for hospital evacuation. Health officials must pre-plan hospital programs for complete or partial evacuation and establish an optimal management structure for the area of ​​operation. In the present study, we outlined some points for dealing with the possibility of hospital discharge. Despite the high risk of the evacuation of intensive care units in crises, service providers in these wards unfortunately do not receive adequate training on the safe and effective evacuation of intensive care units.

The present study aimed to determine the extent of readiness of hospitals to evacuate and transfer patients hospitalized in the intensive care unit in accidents and disasters.

In the present review study conducted in 2019, a protocol for evacuating patients in the intensive care unit during disasters has been studied. PubMed and Scopus databases were reviewed. For this purpose, the keywords Disaster, Evacuation, and Intensive Care Unit were used. Then, databases were searched with the help of keywords.

In the present study, fifteen steps have been considered for before, during, and after the evacuation of an intensive care unit during disasters. These steps are introduced as a protocol according to the papers reviewed.

While patients are at risk, the hospital manager often decides on how evacuate facilities for protecting patients and staff. Hospital evacuation had a dramatic effect on staff, family members, the community, and even the country, as well as the consequences for patients. Successful evacuation of the ICU in the event of a disaster requires readiness, participation, effective communication, and leadership by special care providers.

 Coronavirus or Covid-19 is a type of acute respiratory syndrome caused by a virus from the corona family of viruses that have affected all countries in the world in a short period. Familiarity and introduction of Covid-19 virus is very important due to the prevalence and high mortality rate of this disease, as well as the possibility of recurrence of Covid-19, especially in autumn, and the lack of vaccines or specific treatment.

The aim of this study was "Introduction to Covid-19 virus in terms of diagnosis, prevention and treatment"

In this study, researchers did a survey of search engine such as Google Scholar, Google, PubMed databases, Science Direct and CDC and WHO sites in 2019 and 2020 , related to the purpose of the study (in "Persian" and "English").

In the present study, diagnosis, treatment programs, prevention and control of disease was done using updated data on Covid-19 virus, epidemiology of disease, structure, and source of the virus, disease symptoms and routes of transmission.   , . The diagnosis of this virus, besides its clinical signs, relies on laboratory and radiological findings. Any specific drug treatment will not be introduced for Covid-19 until June 30, 2020, so the best way in the current situation is to prevent the disease.

Due to the momentary increase in patients with Covid-19 and its high mortality, lack of vaccines and definitive drug treatment, it is recommended that people apply the correct health principles, and observe the social sdistances. To prevent and manage the recurrence of Covid-19 in the fall, it is an undeniable necessity to develop and implement   comprehensive and infrastructural programs immediately. Is an.