مجله علوم مراقبتی نظامی
سال هشتم شماره 3 (پاییز 1400)

Post-traumatic stress disorder in veterans is associated with low levels of life satisfaction.

Therefore, the present study aimed to develop a causal model of life satisfaction of veterans with post-traumatic stress disorder based on loneliness with a mediating role of perceived social support.

The method of the present study is a descriptive and structural equation model. The statistical population of this study consisted of all veterans with post-traumatic stress disorder admitted to Isar Psychiatric Hospital in Ardabil in 2020. A total of 200 veterans with post-traumatic stress disorder were selected by the Convenience sampling method. The researcher used somescales (including Diener et al.’s Life Satisfaction Scale (1985), Russell et al.’s Loneliness Scale (1980) and Zimet et al.’s Multidimensional Scale of Perceived Social Support (1988)) to collect data, then analyzed using Structural Equation Modeling (SEM) by SPSS-23 and Lisrel 8.8.

Results confirmed the causal model of the relationship among loneliness, perceived social support and life satisfaction in veterans with post-traumatic stress disorder based on various fitting indicators. Loneliness and perceived social support directly affect the life satisfaction of veterans with stress disorder; Also, loneliness through perceived social support has an indirect impact on the life satisfaction of veterans with post-traumatic stress disorder (P<0.05).

Perceived social support plays a vital role in life satisfaction of veterans with post-traumatic stress disorder. Psychological therapies of these two components can affect improving the life satisfaction of veterans with post-traumatic stress disorder.

Effective training of nursing students against bioterrorist attacks is one of the essential issues with a significant impact on their preparedness as the largest and most important group of health care providers.

The present study aimed to determine the effect of gaming-based education-themed escape room on the readiness of Aja nursing students in the face of bioterrorism.

This interventional and quasi-experimental study was performed on 61 Aja undergraduate nursing students in 2020 and 2021. Participants were selected by the convenience sampling method and non-randomly divided into lecture and groups. The training was evaluated after the intervention. The instrument included a researcher-made questionnaire including knowledge measurement, attitude and skill evaluation checklist with validity and reliability. Data were analyzed with SPSS 22 using descriptive and inferential tests. P-value less than 0.05 was significant.

Results show no significant difference between the knowledge, attitude, and skill in the preparedness of the two groups before the intervention (P<0.05). However, after the intervention, these variables in educational escape room game group were significantly higher than that in the lecture group (P<0.05).
Discussion and

Undergraduate nursing students in the gaming-based education-themed escape room group were more prepared than the lecture group. As a result, this new educational method can better prepare nursing students and nurses against bioterrorism.

The preparedness of nurses, especially military nurses, is one of the main factors in reducing casualties during crisis, and standard methods to improve this readiness is is great importance

The present study aimed to determine the effect of triage maneuvering of patients referred to the emergency department during the crisis on knowledge and attitude of military nurses.

The present study is quasi-experimental. Consisting of two groups with pre-test and post-test design. The statistical population consisted of all nurses working in military medical centers of Lorestan province in the second half of 2020. Sixty nurses were included in the study and randomly divided into intervention and control groups based on the inclusion criteria. Both groups participated in a one-day workshop (through lectures) on crisis preparedness; and a one-day maneuver based on the scenario. Two questionnaires including nurses’ demographic information and researcher-made questionnaire were used to measure knowledge and attitude of triage. Data were analyzed using SPSS 21.

Results showed no difference between the two groups in terms of distribution of demographic variables. Before the intervention, the mean scores of knowledge and attitude in the two groups were not statistically significant (P>0.05). Still, after the intervention, it was significantly higher in the intervention group than in the control group (P<0.05). There was no significant difference between the knowledge and attitude scores in the control group before and after the intervention (P<0.05).

Performing triage maneuvers for the injured referring to the emergency room during the crisis affects knowledge and attitude of nurses.
Itis recommended to improve nurses’ preparednessduring the crisis using theoretical training and lectures.

The current idea of management and leadership considers using new skills and models as necessary to respond to the complexities of the quantum age.Today, quantum theory is used in leadership and management, too.

The present study aimed to investigate causal model of quantum leadership relationships and quality of work-life mediated by professional ethics in military health (a case study of AJA University of Medical Sciences).

The research method is descriptive-correlational (using structural equation technique). The statistical population included all the faculty members of AJA University of Medical Sciences (n= 200) Based on the Morgan Table, they included 123. Data collection tools were standardized questionnaires of quantum leadership, quality of life, and work ethic. Instrument validity was verified using content validity, face validity (qualitative method) and convergent validity (Fornell Larker test). Instrument reliability was measured through the internal consistency methodby calculating the Cronbach’s alpha coefficient and combined reliability coefficients. The structural equation model, SPSS 24 and LISREL 8 were used to analyze the data.

The results showed thesignificance of the direct effect of quantum leadership on quality of work-life (0.22), and professional ethics (0.87), direct effect of professional ethics on work-life (0.77) and the significance of theindirect effect of quantum leadership on quality of work-life mediated by professional ethics (0.73)

Results show that quantum leadership can increase prfessionalisim in faculty members and provide the basis for quality of work in AJA University of Medical Sciences.

The family resilience approach provides a practical and positive framework that strengthen the family to solve existing problems. It goes beyond problem solving and prevention, reforms families and prepares them to face future challenges.

The present study aimed to evaluate the effectiveness of family resilience training on social adjustment of military families in residential complex

This quasi-experimental consisted of control and experimental groups. Using the convenience sampling method, 60 people with the lowest resilience score were selected voluntarily and randomly assigned to the experimental and control groups. The experimental group was trained for ten sessions and the control group did not receive any treatment. In present study, researchers used Bell Social Adjustment Levels Questionnaire. The obtained data were analyzed by analysis of covariance.

The results showed the effectiveness of family resilience training on military families’ social adjustment (F= 66.6 and E = P =0.53).

The present study indicated the effect of social adjustment training on promoting social adjustment components, and raising the awareness.

Caring for patients with hemodialysis brings unhappiness by imposing the burden of care on family caregivers.

The present study aimed to determine the effect of Jacobson relaxation on happiness of hemodialysis patients’ cargivers.

The present study is quasi-experimental with pre-test, post-test design and a control group. The statistical population included family caregivers referred to one selected military Hospital in Tehran during 2020 and 2021, of which 70 people were selected by convenience sampling method and randomly divided into intervention and control groups. The instrument was a demographic information questionnaire and the Oxford Happiness scale. Intervention group undergone a 30-45 minute relaxation techniques three times a week for 30 days. Caregivers’ happiness was measured before the intervention, two weeks later and one month after the intervention. Data were analyzed by SPSS 16. The significance level was considered less than 0.05.

The mean of happiness before the intervention was 35.31 ± 6.26 and 36.35±5.41 in the intervention and control groups, respectively, which was not statistically significant (P=0.47). However, after the intervention, it was 40.41±6.96 and 36.59±5.54. It reached 46.19±6.90 and 36.47±5.31 one month later, which showed a significant difference between the two groups (P <0.001). There was a significant difference in the intervention group. The happiness rate increased within-group comparison (P<0.001). Those three periods were not significantly differentin the control group (P= 0.30).

Jacobson relaxation technique is one of the effective methods in promoting the happiness of family caregivers of patients undergoing hemodialysis. It isrecommened to use in the families of these patients.

Pain management and promotion of pulmonary function are the most important goals in caring for patients undergone heart surgery and should be a priority in the care program.

The present study aimedto compare the effect of massage and hot towels on pain and pulmonary function in patients undergoing open-heart surgery.

The study population of this clinical trial study consists of all patients undergoing open-heart surgery in the intensive care unit of selected Aja hospitals of Shiraz in the second half of 2020. Ninety patients were selected by purposive sampling method and randomly assigned to three groups of heat therapy, massage therapy and control. For heat therapy group a 42 degree- heated towel was used, and for the massage therapy group, stroke massage was applied on the patient’s back in the second to fourth days after the operation. Visual pain scale and motivational spirometry results were used to collect data from the demographic information questionnaire. Data were analyzed using SPSS 21. The significance level was considered less than 0.05.

In this study, the means of pain intensity and pulmonary function before the intervention were not significantly different in the three groups (P>0.05). But on the third and fourth days, it changed in the massage (P<0.001) and heat (P<0.001) groups. Massage therapy was more effective in reducing pain intensity.

The use of back massage by hands and hot-towels affect muscular pain and pulmonary function of patients undergoing CABG. Besides, itreduces pain and improves pulmonary function in patients. However, the present study found the effectiveness of hand massage Therefore, it is recommended that nurses caring for open-heart surgery patients use these two methods specifically hand massage.

Addiction, as one of the present century’s health problems, has several underlying factors. Nurses in the clinical environment face many contradictory and ethical decisions that require ethical sensitivity.

The aim of the present study was to determine the effect of behavior simulation with the addicted person on the moral sensitivity of Iranians working in Bustan Psychiatric Hospital, Ahvaz, in 1399.

The present study is a randomized clinical trial. In this study, 50% of nurses were included by the convenience sampling method; Nurses were divided into two groups: experimental and control. According to the curriculumn, the experimental group was trained in two 2-hour sessions on two successive days. The previous questionnaire was completed immediately after the intervention and one month later. Demographic information form and MMSQ ethical sensitivity questionnaire were used to collect data. Cronbach’s alpha coefficient was 0.81 for evaluating the reliability. Data were analyzed through descriptive methods, t-test, analysis of variance with repeated measures, Fisher’s exact test and Chi-square (SPSS 21).

There was no significant difference between the two groups regarding moral sensitivity before the intervention (P=0.78). However, it was significantly different after the intervention (P<0.001). Also, one month after the intervention, the moral sensitivity scores in the experimental group were significantly higher than those in the control group (P<0.001).

The present study results show the positive impact of simulation training on nurses’ moral sensitivity in dealing with an addicted client. Therefore, executive and educational managers can improve the skills of nurses to maintain and promote the patients’ health by developing educational programs in a simulated manner in the coming years.

Patients’ participation in care programs is a key component of their empowerment used to upgrade patients’ lives. The participatory care model creates an effective, balanced and ongoing relationship between the treatment team and patients.

The aim of this study was to determine the effect of the participatory care model on the mental health of patients with multiple sclerosis.

In this randomized controlled trial, 100 patients with multiple sclerosis were selected by convenience sampling and randomly assigned to the intervention and control groups. Data were collected using a demographic information questionnaire and a mental health questionnaire (GHQ-28) before and after the test in both groups. The test was performed based on the stages of the participatory care model (motivation, preparation, involvement and evaluation) for six months in the intervention group. Thetraining sessions were scheduled based on the participatory care model. The validity of the educational content was reviewed and confirmed by five relevant professors and the research team. Then, the data were analyzed using descriptive and inferential statistical tests.A value of P<0.05 was considered as a significant level.

Independent t-test showed a significant difference general health scores and all its subscales between the intervention and control groups after implementing the participatory care model (P<0.001, T=5.10). Mental health in the experimental group improved significantly after the test (17.1±3.86) than-before test (30.1±4.18) (P<0.001).

Mental health of patients trained according to the participatory care model had significantly improved in all dimensions than before the intervention. It is recommended to implement this model to improve the mental health of these patients.