مجله علوم مراقبتی نظامی
سال نهم شماره 1 (بهار 1401)

Burns are among the most common problems that require a skin graft. The skin donor site has always been a difficult situation for both the patient and the treatment team. A proper dressing helps heal the wound and relieve numerous problems and complaints, such as pain or infection.

This study aimed to determine the effect of disposable sterile drapes on healing time and infection in partial-thickness donor sites in burn patients.

This one-group pretest-posttest clinical trial was conducted on burn patients (n=38) in 2020-2021. The samples were enrolled using a purposive sampling method and with informed consent. One or two skin removal areas on one limb area were placed on Vaseline gas and antibiotic ointment in the sterile drape intervention section and on Vaseline gas and antibiotic ointment in the control section. On the third, seventh, ninth, eleventh, thirteenth, fifteenth, seventeenth, nineteenth, and twenty-first days, the dressing condition was checked for variables.

The results of the independent t-test showed that the burn wound healed earlier in the intervention section (14.84±3.30 days) than in the control section (17±3.09 days) (P=0.005). The earliest times for complete healing in the intervention and control sections were found on the ninth and thirteenth days, respectively. Moreover, no infection or other side effects were seen in either the intervention or control sections.

Disposable sterile drapes used on Vaseline gas reduced the healing time of partial-thickness donor wounds compared to Vaseline gas applied to the skin site alone. The use of these cheap and probably complication-free dressings is recommended for burn patients. Additionally, further studies are recommended to compare these types of drapes with other dressings.

Considering the important role of nurses in dealing with chemical disasters, it is necessary to improve the level of knowledge of nurses in confronting these incidents. Today, Hospital Incidence Command System (HICS) is a common program for the management of facilities and human resources in disasters.

This study aimed to compare the effect of the HICS chart at chemical disasters through two methods of lecture and simulation on the knowledge of nurses in Tehran Military Hospital, Tehran, Iran.

This quasi-experimental study was conducted on nurses at Aja Hospital (n=60). The nurses were divided into two groups of simulation and lecture by a simple random sampling method. The training of the HICS chart was performed on the two groups in one day. Before and two weeks after the intervention, the nurses’ knowledge was assessed by a researcher-made questionnaire. The collected data were analyzed in SPSS 20 software using descriptive and inferential statistics, an independent t-test, and a paired t-test (P<0.05).

There was no significant difference between the mean knowledge score of the two groups before the intervention (P<0.05). The mean knowledge scores after the intervention were significantly higher in the simulation group than in the lecture group (P<0.001). The mean scores of knowledge had a statistically significant difference before and after the intervention in both groups (P<0.001).

Considering the seriousness of the risk of chemical disasters and nurses’ little information in this field, the training and application of the HICS chart in improving the knowledge of nurses were more effective through using the simulation training method than employing the lecture training method in dealing with chemical accidents.

Today, one of the most important dangers threatening the process of promoting public health and its development is traffic accidents.

The aim of this study was to determine the demographic characteristics of traffic accident victims in the patients referred to Imam Khomeini Hospital in Urmia from October 2018 and September 2019.

This descriptive cross-sectional study was performed on 4717 people traumatized in traffic accidents who referred to Imam Khomeini Hospital in Urmia between October 1, 2018 and September 21, 2019. Data were collected using a checklist in which demographics and random information of the injured were collected. After that, the data were entered into SPSS18 software and analyzed using descriptive statistics (frequency, percentage, mean and standard deviation). (P <0.05)

The results of the study showed that from 4717 randomized patients referred to the hospital, 3275 (69.5%) were male and 1442 (30.5%) were female. The mean age of the patients was 31.2±18 years with the oldest group being between 21-30 years and 1182 (25%). Most people 1272 (27.2%) held a high school diploma and 1993 (67.2%) worked in the private sector. Most of the injured cases, 3715 (78.7%), were treated on an outpatient basis and the most common injuries included multiple injuries, right shoulder, right hand, and left leg trauma, respectively.

Given the high importance of road accidents as a social problem and the predictability and controllability of these accidents, planning should be done to elevate the road safety and vehicle transport standards. It is also necessary to develop educational programs for the youth population as the most important group at risk.

In recent decades, natural disasters and their consequences on human societies have been increasing. Disasters can have negative impacts on the general health of individuals, especially health care workers involved in disaster relief.

This study aimed to investigate the general health status of health care workers involved in the Kermanshah earthquake in the west of Iran.

This cross-sectional (descriptive-analytical) study was conducted in 2019-2020 on health care workers (n=242) who were selected based on the convenience sampling method. The study instruments included the demographic characteristics form and the General Health Standard Questionnaire (GHQ-28). The data (descriptive and inferential statistics) were analyzed using SPSS software (version 22).

The mean±SD score obtained by the participants (using the questionnaire) was 26.43±12.18. Based on the results, the participants had a moderate condition in terms of the mean score of physical complaints, anxiety, sleep disorders, and depression, and a desirable condition in terms of the mean score of social dysfunction. There was a significant relationship between gender, work experience, and job category with the general health status of the participants (P<0.05).

Disasters can have negative consequences on the general health status of workers in the affected regions. The results of this study can be used to develop preventive and therapeutic interventional strategies to promote general health, especially the mental health of people working in the health care sector, to improve their quality of life and performance (in providing disaster relief services), especially during the crises such as earthquakes.

Haemovigilance improves nursing care and increases patients’ satisfaction by eliminating the adverse effects of blood transfusion. Proper performance and knowledge of haemovigilance are essential since they can save a human life. Therefore, much emphasis has been placed on education in this field.

This study aimed to compare the effects of haemovigilance training through virtual education and concept map methods on the knowledge of nurses working in a given Aja hospital.

This quasi-experimental study with three groups (virtual education, concept map, and control) was performed in 2019 on 69 nurses working in a military hospital in Tehran. The effect of education (before and after education) was investigated in the domain of knowledge. The measurement tools included a researcher-made haemovigilance knowledge questionnaire and a demographic characteristics form. Data were analyzed using SPSS software (version 21) at a significance level of P<0.05.

One-way ANOVA test showed that the mean scores of knowledge before intervention were not statistically significant in all study groups (P=0.445); however, a significant difference was observed between the study groups two weeks after the educational intervention (P<0.001). In addition, the results of paired t-test showed a significant difference in the score of nurses’ knowledge in two groups of virtual education and the concept map before and after intervention (P<0.001). However, no significant difference was observed in the scores obtained by the control group before and after intervention (P=0.386). Moreover, the level of knowledge in the e-learning group was higher than that in the concept map group (P<0.001).

Based on the obtained results, the virtual training method was more effective than the concept map method in achieving the goals in the domain of knowledge. Therefore, it is suggested to use the virtual training method in hospitals to train the medical staff in the COVID-19 pandemic condition.

Metabolic syndrome is one of the most prevalent health issues in the world and a risk factor for non-communicable diseases, especially cardiovascular disease and diabetes. It is believed that optimal lifestyle improvement can be effective in reducing risk factors.

This study, therefore, aimed to determine the effect of lifestyle modification training on the control of risk factors for metabolic syndrome in nurses.

The present study is a clinical trial study whose research population included nurses working in selected military hospitals during the spring and summer of 2020. The sample was selected through purpose-based sampling and randomly divided into two groups, each consisting of 40 people. For the intervention group, training lifestyle modification was conducted in a combined way, four one-hour face-to-face sessions and text messages, as well as three text messages daily. Data were collected through a demographic information questionnaire, health-promoting lifestyle questionnaire, and laboratory indicators. The control group did not receive any intervention. Data were collected in two stages before and after the intervention and analyzed by the SPSS software (version 19).

There was no statistically significant difference between the two groups in terms of demographic characteristics before the intervention. Additionally, health-promoting lifestyle scores, body mass index, fasting blood sugar, waist circumference, triglyceride, and HDL were not significantly different between the two groups before the intervention; however, the difference was significant after the intervention in the intervention group (P<0.05).

Findings showed that lifestyle modification training was effective in controlling the risk factors for metabolic syndrome among nurses working in selected military hospitals; therefore, it is recommended to periodically assess the lifestyle prevalence of metabolic syndrome among the nursing staff to use lifestyle improvement training programs in continuing hospital education.

Marital stress has a direct impact on couple relationships and, in the long run, can lead to divorce.

The present study aimed to compare the effectiveness of schema-based couple therapy, emotional focused couple therapy, and acceptance commitment couple therapy on the reduction of marital stress among couples on the brink of divorce in military families

This quasi-experimental study was conducted based on a pretest-posttest design with a follow-up period. The statistical population of the study included all couples who were referred to one of the counseling centers under the contract with the Armed Forces, and the sample included 60 couples schema-based couple therapy (n=15), emotional focused couple therapy (n=15), acceptance and commitment couple therapy (n=15) and control group (n=15). They were randomly selected via convenience sampling with replacement. The subjects in schema-based couple therapy participated in the study for 10 sessions, emotional focused couple therapy for 10 sessions, and the acceptance commitment couple therapy group participated in the study for 10 sessions. There was not any treatment for the control group. The research questionnaire included Stockholm Marital Stress Questionnaire. The participants completed the questionnaire in three stages, including pre-test, post-test, and follow-up. Finally, the analysis of variance was performed by covariance analysis and repeated measures.

As evidenced by the obtained results, all three methods of couple therapy had significant effects on the reduction of marital stress. Moreover, the highest effectiveness pertained to emotional focused couple therapy with an effect size of 0.859, followed by schema-based couple therapy (0.781) and acceptance therapy (0.758).

The results of the current study can be used in clinical and therapeutic interventions to decrease marital stress, especially for couples on the brink of divorce.

The World Health Organization (WHO) has identified nurses as the key to health success and has thus called for improving the nursing workforce to promote overall health around the world.

This study was conducted to investigate the empowering factors in the nursing profession.

The present study was based on a qualitative-quantitative mixed-methods approach that started in 2019 and ended in 2022. The statistical sample included the Nursing faculty professors of Aja University of Medical Sciences (Tehran, Iran, n=12 experts) and Khanevadeh hospital (Tehran, Iran) nurses (n=143). Data collected from experts were studied through purposeful sampling and in-depth interviews. They were collected, recorded, and coded according to the systematic analysis of qualitative data proposed by Corbin and Strauss using the MAXQDA 2018 software, and categorized in the form of central codes. Additionally, the quality of the text of the interviews, as well as the codes, was reviewed and approved by a team of nursing experts who were well-known researchers in the field of qualitative research. The hypotheses in the quantitative phase reflected the model obtained from the results of the qualitative part. After confirming the validity and reliability of the internal and external model in the community, they were quantitatively tested, and path analysis was performed in the Smart pls software.

The findings of open, axial, and survey coding showed that the axial code had underlying factors of 7 categories, structural factors of 5 categories, and behavioral factors of 7 categories. The findings of path analysis revealed that the underlying factors with a path coefficient of 0.743 and the structural factor with a path coefficient of 0.850 affected the individual factor.

The findings of the present study are in line with previous research findings considering the nursing profession empowerment and were confirmed as empowering factors in the nursing profession. In this regard, suggestions were proposed to policymakers, as well as the managers of the health system, and nurses.