جستجوی مقالات مرتبط با کلیدواژه « Multimedia » در نشریات گروه « پزشکی »
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سابقه و هدف
با افزایش نگرانی ها درباره ی اثرات احتمالی اشعه ایکس در رادیوگرافی های دندانی، آموزش بهینه دانشجویان دندانپزشکی در این زمینه پراهمیت است. طبق گزارش ها، به کارگیری نرم افزارهای آموزشی در ارتقا یادگیری موفق بوده اند. بنابراین هدف این تحقیق، طراحی نرم افزار آموزشی اصول و روش های حفاظت در برابر شعه رادیوگرافی دندانی و بررسی تاثیر آن بر میزان یادگیری دانشجویان دندانپزشکی دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران بود.
مواد و روش هامرحله ی اول تحقیق بصورت اکتشافی و مرحله ی دوم کارآزمایی بالینی بود. نرم افزار طبق راهنمای حفاظت در برابر اشعه انجمن دندانپزشکی آمریکا (ADA) و به کمک نرم افزارهای ScreenRecorder و MultimediaBuilder و در دو نسخه تحت ویندوز و اندروید طراحی شد. در مرحله دوم 46 نفر از دانشجویان دندانپزشکی که تاکنون آموزشی درباره ی حفاظت در برابر اشعه رادیوگرافی دریافت نکرده بودند، در دو گروه مورد (آموزش با نرم افزار- 24نفر) و شاهد (آموزش کلاسیک- 22نفر) قرار گرفتند. دو گروه بر اساس معدل کل و نتایج آزمون وارک همانندسازی شدند. یادگیری توسط آزمون 10سوالی در دو نوبت (بلافاصله بعد از آموزش و دو هفته بعد) ارزیابی شد. میانگین نمرات توسط آزمون MANN-U-WITHNEY مقایسه شد.
یافته هاساخت نرم افزار با موفقیت انجام شد. میانگین نمرات دانشجویان در گروه آموزش با نرم افزار در هر دو آزمون به طور معناداری بیشتر از گروه آموزش کلاسیک بود. میانگین نمرات گروه مورد و شاهد به ترتیب در آزمون اول (1/31±8/91) و (1/67±6/13) در آزمون دوم (1/69±6/79) و (2/09±4/90) گزارش شد.(0/001>P)
نتیجه گیریاستفاده از نرم افزار آموزشی چندرسانه ای میتواند میزان یادگیری دانشجویان درباره ی حفاظت در برابر اشعه رادیوگرافی دندانی را به طور معنی داری ارتقا دهد.
کلید واژگان: آموزش دندانپزشکی, حفاطت در برابر اشعه, آموزش از راه دور, مولتی مدیا, طراحی نرم افزار, برنامه تلفن همراه}Background and AimWith increasing concerns over the stochastic effects of x-ray radiation in dental radiography, effective education of dental students in this field is important. According to studies, educational softwares enhance learning, therefore the aim of this study was to develop an educational software for dental radiation protection and to compare its effectiveness against classic lectures in Islamic Azad University, Tehran Dental branch.
Material and MethodsThe study was exploratory in the first stage and a clinical trial in the second. Software was developed based on ADA guideline, using ScreenRecorder and MultimediaBuilder. 46 dental students who have never received any education on dental radiation protection were divided into control (N=22) and test (N=24) groups which have been matched based on the GPA and VARK test results. The test group used the software, while the control group attended a lecture. Students’ learning rates were evaluated by using 2 identical 10-question multichoice tests taken immediately and after two weeks. The results were analyzed in SPSS25 using the Mann-U-Whitney test, independent samples t-test, and Pearson's chi-squared test.
ResultsEducational software was developed successfully. In both exams, the mean score in the test group was higher than that in the control group by a statistically significant difference (p<0.001). The mean scores of test group and control group were 8.91±1.31 and 6.13±1.67 in the first exam and 6.79±1.69 and 4.90±2.09 in the second one respectively.
ConclusionMultimedia educational software can improve learning of principles and methods of dental radiation protection in dental students.
Keywords: Dental Education, Radiation Protection, Distance Education, Multimedia, Software Design, Mobile Application} -
BackgroundAchieving procedural skills is one of the pillars of health higher education which is in line with the social responsibility of medical education. Since it is not possible to encounter important cases in bronchoscopy during the training course, the common cases that the students encounter in their future work environment were prepared as an educational video. Therefore, the purpose of this study was to find out the impact of using bronchoscopy educational video intervention on medical assistants’ knowledge, skill, and medical error comparing it with the traditional method at Dr. Masih Daneshvari Hospital.Materials and MethodsIn this experimental study, two groups were randomly assigned: the experimental and the control. Each one consists of 15 participants. The first group used mannequins (traditional method) and the second used multimedia as the experimental group. Both groups were evaluated by pre and post-tests. Multiple choices (MCQs) were given to evaluate the knowledge and a checklist for skills. A comparison of the impact of intervention before and after education in both groups was statistically analyzed using the independent t-test.ResultsThere were statistically significant differences between the experimental group and the control group at a significance level of 0.042 for the skill. An average increase of 3 points was observed in the experiment group, while the control group increased by 1.4 points. No significant difference was seen for knowledge. The number of patients with pneumothorax was also decreased.ConclusionResults showed that the multimedia training method effectively promotes the assistants’ skills and reduces medical errors following bronchoscopy Administration. It is recommended to use educational videos (multimedia) to improve assistants' skills. It is suggested to apply the new model of education rather than sticking to the traditional one.Keywords: Bronchoscopy, education, Multimedia, skill, Knowledge}
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Any health strategy aims to improve people’s health level and quality of life with special emphasis on the development of health education. Health system workers must have sufficient knowledge and skills in designing, implementing, and assessing health education programs. One of the critical points in educational planning is the selection of the most suitable educational methods and media to convey the content of the education to the audience to lead to the desired learning of the learners.
Keywords: Assessment tool, Multimedia, Health interventions} -
Background
In times of pandemic and quarantine, it is necessary to use new educational methods. The aim of this study was to compare the effectiveness of multimedia and booklet educational methods on knowledge, attitude, and job performance of healthcare providers in community health centers regarding COVID-19 in women during pregnancy, childbirth, and breastfeeding.
ObjectivesThe aim of this study was to compare the effectiveness of multimedia and booklet educational methods on knowledge, attitude, and job performance of healthcare providers in community health centers regarding COVID-19 in women during pregnancy, childbirth, and breastfeeding.
MethodsThe population of this quasi -experimental study consisted of 90 Iranian health care providers in the community health centers of Gonabad city in eastern Iran) 2021, who were selected using the non-probability, purposive sampling method and randomly divided into three groups using a permuted block randomization design: Control group, Multimedia group and Textbook group. Knowledge, attitude and work performance were measured and compared before, after and four weeks after the intervention. The educational content was based on the Iranian Ministry of Health guidelines for the management of Covid-19 in pregnancy, childbirth and breastfeeding.
ResultsThe results showed a significant difference between the mean score of knowledge, attitude, and work performance of the multimedia group and booklet group before and after the intervention (P<0.001), while there was no statistically significant difference between the mean score of knowledge, attitude, and work performance of the control group before and after the intervention (P<0.05).
ConclusionMultimedia teaching increases the knowledge, attitude and work performance of healthcare providers in community health centers regarding COVID.
Keywords: Attitude, COVID-19, Health personnel, Knowledge, Multimedia, Work performance} -
مجله پزشکی دانشگاه علوم پزشکی تبریز، سال چهل و پنجم شماره 4 (پیاپی 166، مهر و آبان 1402)، صص 337 -352زمینه
با شیوع بیماری مسری کووید-19، نیاز به قرنطینه جهت پیشگیری از انتقال بیماری به وجود آمد. به همین دلیل مبتلایان به این بیماری از انزوای اجتماعی زیادی رنج می برند. از طرفی، جهت کنترل و درمان بیماری، ارایه آموزش های خودمراقبتی لازم است. مطالعه حاضر با هدف مقایسه تاثیر برنامه آموزش خودمراقبتی به دو روش چند رسانه ای و تله نرسینگ بر انزوای اجتماعی مبتلایان به بیماری کووید-19 شهرستان بندرعباس طراحی شد.
روش کاراین پژوهش، به صورت یک مطالعه نیمه تجربی روی 88 بیمار مبتلا به کووید-19 مراجعه کننده به مراکز خدمات جامع سلامت شهرستان بندرعباس در سال 1400 انجام شد. نمونه های پژوهش به صورت در دسترس انتخاب شده و با استفاده از تخصیص بلوک های تصادفی به دو گروه آموزش چندرسانه ای و تله نرسینگ تقسیم شدند. ابتدا انزوای اجتماعی بیماران مبتلا به کووید-19 با استفاده از پرسش نامه در دو گروه بررسی شد و سپس آموزش خودمراقبتی با استفاده از روش های چند رسانه ای و تله نرسینگ ارایه شد. پس از اتمام بیست و یک روز، انزوای اجتماعی مجدد اندازه گیری و داده ها در نرم افزار SPSS نسخه 26 وارد شده و تجزیه و تحلیل شد.
یافته هادر ارزیابی پیش از مداخله، تفاوت معناداری از نظر نمره انزوای اجتماعی بین دو گروه وجود نداشت. نتایج آزمون آنالیز کوواریانس چندگانه نشان داد با کنترل اثر پیش آزمون هر یک از ابعاد انزوای اجتماعی، میانگین نمره بعد تنهایی، عجز اجتماعی، یاس اجتماعی و کاهش تحمل اجتماعی پس از مداخله در گروه تله نرسینگ به طور معناداری کمتر از گروه چند رسانه ای است (0/001>P).
نتیجه گیریروش های آموزشی مانند استفاده از آموزش چندرسانه ای و تله نرسینگ برای آگاهی بخشی و آموزش خودمراقبتی در کنار مراقبت های درمانی دیگر، می تواند سبب کاهش انزوای اجتماعی شود. بنابراین لازم است برنامه آموزش خودمراقبتی و ارایه آگاهی در خصوص مراقبت های لازم حین بیماری کووید-19 برای بیماران در مراکز جامع خدمات سلامت درنظر گرفته شود و از تله نرسینگ جهت آموزش موثرتر خودمراقبتی استفاده شود.
پیامدهای عملی:
یافته های پژوهش حاضر در آموزش خودمراقبتی به بیماران مبتلا به بیماری های واگیردار مانند کووید 19 کاربرد دارد.
کلید واژگان: خودمراقبتی, چندرسانه ای, تله نرسینگ, انزوای اجتماعی, ویروس کووید 19}BackgroundWith the spread of the contagious disease of COVID-19, the necessity of quarantine came to prevent the transmission of the disease. For this reason, patients suffered from social isolation. On the other hand, in order to control and treat the disease, it was necessary to provide self-care training. The present study was designed with the aim of comparison of the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas city.
MethodsThis study was performed as a quasi-experimental study on 88 patients with COVID-19 referred to comprehensive health service centers in Bandar Abbas in 2021. The research samples were selected through convenience method and were divided into two groups of multimedia training and tele-nursing using block random allocation. First, social isolation in patients with COVID-19 was assessed using the questionnaire in two groups and then self-care training was provided using multimedia and tele-nursing methods. At the end of day twenty-one, social isolation was measured again and the data was entered into SPSS software version 26 and analyzed.
ResultsThere was no significant difference in pre-intervention assessment in term of social isolation score between the two groups (P>0.05). The results of the multiple covariance analysis test showed that by controlling the effect of the pre-test of each dimension of social isolation, the mean score of the loneliness, social disability, social anxiety and social tolerance dimensions after the intervention in the telenursing group was significantly lower than that of the multimedia group (P<0.001).
ConclusionEducational methods such as multimedia education and tele-nursing for awareness and self-care education, along with other medical care, can reduce social isolation. Therefore, it is necessary to consider a self-care education program and provide information about the necessary care during COVID-19 disease for patients in comprehensive health service centers and to use tele-nursing for more effective self-care education.
Practical Implications:
Research findings can be applied in self-care training programs in infectious diseases such as COVID-19.
Keywords: Self-care, Multimedia, Tele-nursing, Social isolation, COVID-19 virus} -
Background
Exercise stress test (EST) is commonly performed to diagnose cardiovascular diseases. Patients undergoing EST usually experience anxiety and stress mainly because they lack knowledge about the test.
ObjectivesThe present double-blinded randomized controlled trial aimed to compare the effects of education via face-to-face, interactive multimedia, and short messaging service (SMS) methods on anxiety level (main outcome) and vital signs (secondary outcomes) in candidates for EST.
MethodsCandidates of EST with moderate to severe anxiety were allocated randomly (block size of 6) to receive education via the face-to-face routine method (control, n = 47), multimedia (n = 48), or SMS (n = 49). The educational content was similar in the groups and focused on EST methods, preparations, and potential adverse effects. Anxiety was assessed at baseline and one week after education. The patients’ blood pressure and pulse rate were measured at baseline, before, and after the EST.
ResultsOne-hundred-forty-four patients completed the study. The post-intervention anxiety reduced significantly in the SMS group compared to the control group (P < 0.001, Cohen’s d = -1.09) and in the SMS group compared to the multimedia group (P < 0.001, Cohen’s d = -0.83). The anxiety score was not significantly different between the multimedia and control groups (P = 0.454, Cohen’s d = -0.26), although within-group comparison showed a significant decrease in the multimedia and SMS groups. Patients who received education via SMS also experienced lower pulse rates than those in the control group.
ConclusionsBecause of the effectiveness of education via SMS in decreasing patients’ anxiety scores, we recommend using this method to prevent anxiety before EST, especially in developing and low-income countries.
Keywords: Anxiety, Exercise Test, Health Education, Multimedia, Text Messaging, Cell Phone} -
Background
Falling is a common aging-associated problem. Over one-third of older adults have experienced at least one episode of falling, and its prevalence increases with age.
ObjectivesThis study was conducted to determine the effect of fall-prevention multimedia training on the fear of falling, home safety, and the quality of life in older adults presenting to a designated healthcare center.
MethodsDesign: Parallel, double-blind, randomized, controlled trial. Setting: The orthopedic outpatient clinic of Dena Hospital in Shiraz, Fars province, Iran. Participants: 100 older adults, including 50 randomly allocated to the intervention group (multimedia training) and 50 to the control group (standard teaching) by permuted block randomization. Measurements: For data collection, a demographic information form, the fear of falling inventory, the home falls and accidents screening tool (HOME FAST), and LEIPAD (an instrument for assessing the quality of life in older adults) were completed before and three months after the intervention. The level of significance was set at 0.05.
ResultsThe comparison of the pre-and post-intervention scores of the three assessed outcomes between the study groups showed a significant difference between the mean scores of home safety before and after the intervention (P < 0.001) in the intervention group; however, there were no significant differences in the scores of fear of falling (P = 0.30) and quality of life (P = 0.32). In the control group, there were no statistically significant differences in the mean scores of the three outcomes before and after the intervention. Calculating the standardized mean difference revealed the significant effect of the intervention on home safety (Cohen’s d = 0.84, 95% CI: 0.43 - 1.3).
ConclusionsGiven the potential effectiveness of multimedia training in the improvement of older adults’ fear of falling and quality of life, especially concerning home safety, this type of training should be emphasized in future educational programs.
Keywords: Education, Falling, Home Health Care, Multimedia, Older Adults} -
زمینه و هدف
بین بیماری و کیفیت زندگی مبتلایان به بیماری های مزمن، ارتباط متقابل وجود دارد و اختلالات جسمانی اثری مستقیم بر روی تمام جنبه های کیفیت زندگی می گذارد. این مطالعه با هدف تعیین تاثیر الگوی توانمندسازی خانواده محور به روش آموزش چندرسانه ای (مالتی مدیا) بر کیفیت زندگی کودکان مبتلا به تالاسمی ماژور انجام شد.
روش بررسیاین مطالعه از نوع تجربی است. 120 بیمار به همراه والدین، که در مرکز تالاسمی بیمارستان خاتم الانبیا شوشتر پرونده پزشکی داشتند، باتوجه به معیارهای ورود، انتخاب و با روش تخصیص تصادفی بلوک چهارتایی به دو گروه 60 نفر مداخله و کنترل تقسیم شدند. از نظر سن و جنس نیز همسان سازی شدند. ابزار گردآوری اطلاعات پرسش نامه ی کیفیت زندگی کودکان (Ped-SQL) و پرسش نامه های محقق ساخته آگاهی و خودکارآمدی در زمینه ی بیماری تالاسمی بود. اطلاعات جمع آوری شده با نرم افزار SPSS و با آزمون های آماری من ویتنی و یلکاکسون و ضریب همبستگی پیرسون تجزیه و تحلیل شدند.
یافته هااز 120 کودکی که وارد مطالعه شدند، 87 نفر دختر(72/5 درصد) و میانگین سن این کودکان (2/25±9/74) و مدت زمان ابتلا به بیماری (4/47±5/35) سال بود. در این مطالعه سطح کیفیت زندگی کودکان و ابعاد آن، بعد از اجرای الگوی آموزشی تنها در گروه مداخله افزایش چشمگیری نسبت به قبل از آموزش دیده شد (0/001>P). بعد از اجرای این الگو نیز میزان آگاهی (0/001>P) و خودکارآمدی والدین (0/003=P) نیز افزایش معناداری همراه بود و این معناداری نیز نسبت به گروه کنترل مشاهده شد (0/001>P). متغیرهای سن، جنسیت و طول مدت ابتلا و سطح تحصیلات والدین بر آگاهی، خودکارآمدی والدین و کیفیت زندگی کودک اثری نداشتند (0/05<p).
نتیجه گیریبراساس نتایج مطالعه ی حاضر، اجرای برنامه های توانمندسازی مبتنی برخانواده برپایه آموزش چندرسانه ای به والدین کودکان مبتلا به تالاسمی با افزایش آگاهی و خودکارآمدی والدین آن ها باعث ارتقا و بهبود کیفیت زندگی این کودکان شده است. پیشنهاد می شود که این برنامه در سطح وسیع تری با امکانات بهتر برای والدین و اعضای خانواده آن ها اجرا شود.
کلید واژگان: چندرسانه ای, تالاسمی, والدین, کیفیت زندگی, خودکارآمدی}Background and AimThere is a correlation between disease and quality of life in patients with chronic disease and physical disorders have a direct effect on all aspects of quality of life. Therefore, this study was conducted to determine the effect of family-centered empowerment model based on multimedia education on the quality of life of children with thalassemia.
Materials and MethodsIn this experimental study, 120 patients along with their parents, who had medical records at the thalassemia center of Khatam al-Anbiya Hospital in Shoushtar, were selected according to the inclusion criteria and were divided into two groups of intervention and control (n=60) by random allocation. Subjects were matched in terms of age and gender. The data collection tools included Pediatric Quality of Life Inventory (Ped-SQL) and researcher-made questionnaires of awareness and self-efficacy in the area of thalassemia. The collected data were analyzed using SPSS and Mann-Whitney and Wilcoxon statistical tests and Pearson’s correlation coefficient.
ResultsOut of 120 children who were included in the study, 87 were girls (72.5%), the mean age of these children was 9.74±2.25 years and disease duration was 5.35±4.47 years. In this study, in terms of children’s quality of life and its dimensions, after the implementation of the educational model, a significant increase was observed compared to pre-test phase only in the intervention group (P<0.001). After implementing this model, the level of knowledge (P<0.001) and self-efficacy of parents (P=0.003) was faced with a significant increase, and this significance was also observed compared to the control group (P<0.001). The variables of age, gender, disease duration and parents’ education level had no effect on parents’ self-efficacy and knowledge as well as children’s quality of life (P>0.05).
ConclusionBased on the results of the present study, the implementation of family-centered empowerment programs based on multimedia education among parents of children with thalassemia improved the quality of life of these children by increasing the knowledge and self-efficacy of their parents. It is suggested that this program be implemented on a wider scale with better facilities for parents and the family members.
Keywords: Multimedia, Thalassemia, Parents, Quality of Life, Self-Efficacy} -
Background & Objective
For patients, COVID-19 disease is a reminder of non-existence and death. For this reason, these patients experience existential anxiety. One of the effective factors in the control and treatment of this disease is to educate patients on self-care to reduce the burden of these psychological problems on them. The present study was designed and conducted with the aim of evaluating the effect of self-care educational program using telemedicine and multimedia methods on the level of existential anxiety in COVID-19 patients.
Materials & MethodsThis study was a quasi-experimental research conducted on 88 COVID-19 patients referred to the comprehensive health service centers of Bandar Abbas, Iran from 2020 to 2021. Th0ey were selected using a convenience sampling method. The samples were randomly assigned to the multimedia (44 patients) and telenursing (44 patients) groups. Patients in both groups received education on self-care during COVID-19 disease for 21 days. The Existence Anxiety Scale was completed before and immediately after the intervention. Data were analyzed with SPSS software version 26. Descriptive statistics, normality test, independent t-test, homogeneity of variance and covariance, univariate and multivariate analysis of covariance were used.
ResultsThe mean score of existential anxiety at the beginning of the study was 90.50± 12.57 and 85.25 ±16.12, respectively, in the telenursing and multimedia groups, and after the intervention, it was 46.88 ± 6.38 and 65.40 ± 9.59, respectively, in the telenursing and multimedia groups. After the intervention, the existential anxiety score was significantly reduced in the telenursing group compared to the multimedia group (p <0.001).
ConclusionsBased on the findings of this study, self-care education programs and knowledge about necessary care during COVID-19 illness should be considered for patients in comprehensive health centers, and telenursing should be used for more effective self-care education.
Keywords: Self-care, Multimedia, Telenursing, Anxiety, COVID-19} -
Background
Many educators have developed an interest in an emerging new concept called entertainment education (edutainment). Edutainment is a kind of tool that, in this age of technology, can be easily incorporated into education.
ObjectivesThis study aimed to use edutainment for teaching orthodontic lateral cephalometric and dental cast analysis as well as to evaluate the dental students’ attitudes towards it.
MethodsIn this cross-sectional study, the multimedia-enhanced with edutainment was designed using Articulate Storyline version 3.5. To evaluate the students’ attitudes, 52 ninth-semester dental students doing their second semester in 2019 - 2020 were included in the study. Then they were asked to complete a standard questionnaire with a 7-point Likert scale from strongly disagree to strongly agree and including 26 items in eight domains of perceived self-efficacy, perceived satisfaction, understanding usefulness, behavioral concept, e-learning system quality, interactive learning activities, e-learning effectiveness, and multimedia instructions. Data were analyzed and expressed using independent sample t-test, one-way ANOVA, and descriptive statistics.
ResultsThe majority of the students had positive attitudes towards the areas of perceived self-efficacy (83.3%), perceived satisfaction (90.4%), perceived usefulness (96.8%), behavioral intention (91.7%), e-learning system quality (75%), interactive learning activities (73.1%), e-learning effectiveness (88.5%), and multimedia education (85.3%).
ConclusionsIn sum, the students’ attitudes towards learning were positively and significantly influenced by the designed educational multimedia enhanced with edutainments to teach lateral cephalometric analysis in orthodontics. It was found that the application of edutainment as an educational tool together with traditional training may have been an effective method for teaching and, therefore, it was recommended that edutainment should be used as an alternative to traditional methods during crises such as the COVID-19 pandemic.
Keywords: Orthodontics, Education, Multimedia, Gamification} -
Background
Healthy lifestyle affects the health of the mother and fetus during pregnancy. This study aimed to compare the effects of group discussion and multimedia package education interventions on healthy lifestyles among pregnant women.
MethodsThis quasi-experimental study was conducted on 151 pregnant women during their 16-28 weeks of pregnancy who were referred to comprehensive health centers in Bajestan City, Iran. They were randomly allocated to three groups: Group discussion (n=50), multimedia package education (n=52), and control group (n=49). The demographic questionnaire and Walker’s health-promoting lifestyle profile II were used for data collection before and one month after the intervention. The educational intervention in the group discussion was held in 4 sessions. The multimedia package group received software consisting of text, video, animation, and audio materials. Finally, the control group received routine educational support in health centers. The study data were analyzed using descriptive and inferential statistics and at a significance level of 0.05.
ResultsThe result showed no significant difference between the three groups before intervention (P=0.073) regarding their mean lifestyle scores. However, the mean lifestyle score was significantly lower in the control group compared to the other two groups one month after the intervention (P<0.001). However, the mean lifestyle score was significantly higher in group discussion and multimedia groups (P<0.001).
ConclusionThe findings showed that multimedia package and group discussion methods improved lifestyle in pregnant women. Therefore, we suggest that health providers use these methods for pregnant women regarding their rationales and facilitations.
Keywords: Pregnancy, Teaching materials, Multimedia, Focus group, Lifestyle} -
زمینه و هدف
رفتارهای مرتبط با سلامتی افراد مبتلا به آنفارکتوس میوکارد به شدت تحت تاثیر درک از بیماری آن ها قرار دارد و آموزش یکی از روش های افزایش درک از بیماری به شمار می رود. بنابراین مطالعه حاضر با هدف مقایسه آموزش چند رسانه ای با آموزش تلفنی بر درک از بیماری در مبتلایان به آنفارکتوس میوکارد انجام گرفته است.
روش بررسیاین مطالعه کارآزمایی بالینی تصادفی شده در مورد 32 بیمار مبتلا به آنفارکتوس میوکارد مرخص شده در سال 1399-1398 در شهر گناباد و مشهد انجام گرفت. نمونه ها به روش در دسترس انتخاب و به روش تصادفی در دو گروه چند رسانه ای و تلفنی قرار گرفتند. محتوای مداخله شامل روند بیماری، علایم، پیشگیری و درمان و مراقبت های بعد از ترخیص بود. محتوای آموزشی یکسان بود و در گروه تلفنی به صورت مکالمه و در گروه چند رسانه ای به صورت فیلم، صدا و تصویر ارایه شد. پرسشنامه کوتاه درک از بیماری (Brief IPQ) در روز اول و هفته ششم بعد از ترخیص تکمیل شد. تحلیل داده ها در نرم افزار SPSS نسخه 20 و با آزمون های Kolmogorov-Smirnov، مجذور کای، دقیق فیشر، تی مستقل، تی زوجی و آزمون Levene در سطح معناداری کم تر از 050/0 انجام یافت.
یافته هانتایج نشان داد که میانگین نمره مولفه های درک از بیماری بعد از مداخله نسبت به قبل در بیماران هر دو گروه آموزش چند رسانه ای و تلفنی افزایش معناداری داشته است (050/0>p)، ولی در مقایسه بین دو گروه تفاوت معناداری مشاهده نشد (050/0<p).
نتیجه گیریهر دو روش آموزشی چند رسانه ای و آموزش تلفنی باعث ارتقای درک از بیماری در بیماران مبتلا به آنفارکتوس میوکارد می شود. لذا پیشنهاد می شود آموزش دهنده متناسب با تفاوت های فردی و امکانات آموزش گیرنده، نوع آموزش را انتخاب و مدیران سلامت، سیاست های مناسب را برای بهره مندی بیماران از مراقبت های پرستاری از راه دور پس از ترخیص اعمال کنند.
کلید واژگان: آنفارکتوس میوکارد, درک, پرستاری از راه دور, چند رسانه ای, تلفن, آموزش به بیمار}Hayat, Volume:29 Issue: 1, 2023, PP 8 -21Background & AimHealth-related behaviors of patients with myocardial infarction (MI) are highly affected by their illness perceptions, and education is one of the ways to enhance illness perception. Accordingly, the aim of this study was to compare the effect of multimedia and telephone education on illness perception in patients with MI after discharge.
Methods & Materials:
A randomized clinical trial was conducted on 32 patients with MI who were discharged in 2019-2020 in Gonabad and Mashhad. The samples were selected by the convenience sampling method and randomly assigned to the multimedia or telephone groups. The educational content was similar for both groups, and was provided as a conversation for the telephone group, and as video, audio, and image for the multimedia group. The Brief Illness Perception Questionnaire (Brief. IPQ) was completed by the patients on the first day and the sixth week after discharge. Data were analyzed through the SPSS software version 20 using Kolmogorov-Smirnov test, chi-square test, Fisher's exact test, independent t-test, Paired t-test and Levene's test, at a significance level of P<0.05.
ResultsThe results showed that the average score for the components of illness perception after the intervention compared to before the intervention in the both groups had a significant increase (P<0.05), but no significant difference was observed in the comparison between the two groups (P>0.05).
ConclusionBoth multimedia and telephone training methods improve illness perception in the patients. Therefore, the trainer is suggested to choose the type of training according to individual differences and facilities of the recipient, and health managers should apply appropriate policies for patients with MI to benefit from telenursing care after discharge.
Keywords: myocardial infarction, perception, telenursing, multimedia, telephone, patient education} -
Aims
The Covid-19 pandemic has adversely affected various dimensions of life and lifestyles, and sexual life is no exception. The present study aimed to determine the effect of multimedia sexual index promotion packages on the sexual function, desire, and satisfaction of couples during the outbreak of Covid-19.
Materials &MethodsThis randomized clinical trial study was performed on 60 married people in Qazvin City, Iran, in 2022. Participants were randomly assigned into control (n=30) and intervention (n=30) groups. Demographic questionnaire, Larson Sexual Satisfaction Questionnaire, Hurlbert Index of Sexual Desire, International Index of Erectile Function, and Female Sexual Function Index were used to collect data. The Chi-square, independent t-test, Mann-Whitney, paired t-test, and Wilcoxon test were used for data analysis.
FindingsIn the intervention group, the mean of sexual function, desire, and satisfaction significantly increased in the post-test compared to the pre-test (p<0.05). This difference was observed only in sexual desire in the control group (p<0.05).
ConclusionMultimedia sexual indexes promotion packages improve sexual function, desire, and satisfaction of couples during the outbreak of Covid-19.
Keywords: Multimedia, Sexual Activity, Sexual Arousal, Sexual Satisfaction, Covid-19} -
Aims
Multimedia in learning plays a significant role in supporting the success of learning. This study aimed to develop digital-based learning multimedia to improve student skills in childbirth.
Materials & Methods:
This study consisted of six stages, including potential problems, data collection, product design, design validation, revision, and product testing. Based on the results of development and testing, the learning media in the form of an animated delivery aid video was declared successful after being reviewed by material experts with highly good results and good learning. The media experts stated that this multimedia learning has a good appearance and features. Further, testing on students was conducted in three groups, including one-on-one groups, small groups, and field trials.
FindingsThe trial results found that six students, with a proportion of 87.79%, had high validity scores. Student assessment in small groups involving 10 students obtained a value of 92.67% in the valid category. The results of field trials on 35 students was valid, with the proportion of 92.86%.
ConclusionStudents can achieve better learning outcomes after using animated video media. The animated videos are highly effective as a learning media in improving student skills in childbirth.
Keywords: Childbirth, Digital, Multimedia, Learning, Skills} -
مقدمه
جراحی قلب یک تجربه ناخوشایند و ناآشنا برای بیماران می باشد که می تواند با تاثیر بر عوامل روانشناختی باعث تغییر شاخص های همودینامیک شود. آموزش به روش سخنرانی و چند رسانه ای می تواند از تاثیر این عوامل بر روی شاخص ها بکاهد.
هدفپژوهش حاضر با هدف مقایسه تاثیر آموزش به روش چندرسانه ای و روش سخنرانی بر شاخص های همودینامیکی بیماران کاندید جراحی قلب باز انجام گردید.
مواد و روش ها:
این مطالعه مداخله ای از نوع کارآزمایی کنترل دار تصادفی می باشد که با مشارکت 72 بیمار کاندید عمل جراحی قلب در بیمارستان منتخب نظامی شهر اصفهان در سال 1399 انجام گردید. مداخله در گروه آموزش به روش چندرسانه ای با پخش یک فیلم آموزشی و در گروه دیگر به روش سخنرانی، در یک جلسه نیم ساعته در روز بستری، در ارتباط با کلیه مراحل جراحی قلب توسط پژوهشگر انجام شد. در گروه کنترل فقط آموزش های روتین به بیماران داده شد. بعد از ورود به بخش و یک ساعت قبل از ورود به اتاق عمل علایم همودینامیک مجدد بررسی گردید. داده ها پس از جمع آوری وارد نرم افزار SPSS نسخه 24 شده و آزمون های کای اسکویر یا دقیق فیشر، آنوای یک طرفه، تی زوجی، تعقیبی شفه برای تحلیل آن ها استفاده شد و سطح معنی دار کمتر از 0/05 در نظر گرفته شد.
یافته ها:
تعداد تنفس، ضربان قلب و میزان فشار خون دیاستولی و سیستولی قبل از مداخله تفاوت معنی داری نداشت، پس از مداخله در گروه های چند رسانه ای و سخنرانی به جز فاکتور تنفس (0/2 P=) در بقیه متغیرها، کاهش معنی دار دیده شد (0/05>P) و بالعکس در گروه کنترل افزایش معنی دار مشاهده گردید (0/01>P).
نتیجه گیری:
آموزش های پیش از جراحی قلب می تواند از اختلال همودینامیک بیماران کرونری کاندید جراحی قلب بکاهد. مطالعه با حجم نمونه بالاتر پیشنهاد می شود.
کلید واژگان: آموزش, اضطراب, سخنرانی, جراحی قلب, چندرسانه ای, همودینامیک}IntroductionCardiac surgery is an unpleasant and unfamiliar experience for patients that can affect hemodynamic parameters by psychological factors. Lecture and multimedia training can reduce the impact of these factors on the indicators.
ObjectiveThis study aimed to determine and compare the effect of multimedia education and lecture on hemodynamic indices of patients candidates for open heart surgery.
Materials and MethodsThis interventional randomized controlled trial study was conducted on 72 patients who were candidates for heart surgery in the selected military hospital in Isfahan, Iran, in 2020. The intervention, which was about all stages of heart surgery, was performed by the researcher in the multimedia training group by playing an educational video and in the other group by a lecture in a half-hour session on the day of hospitalization. In the control group, only routine training was given to patients. Hemodynamic symptoms were completed after entering the ward and one hour before entering the operating room. The collected data were entered into Spss24 software and analyzed using Chi-square or Fisher's exact tests, one-way ANOVA, paired t-test, and Scheffe's follow-up. The significant level was considered less than 0.05.
ResultsThere was no significant difference in respiration rate, heart rate, and diastolic and systolic blood pressure before the intervention. After the intervention in multimedia and lecture groups, except for the respiratory factor (P=0.02), a significant decrease was observed in the other variables (P<0.05), and vice versa, a significant increase was observed in the control group (P<0.01).
ConclusionPre-surgery training can reduce the hemodynamic disturbance of coronary heart patients who are candidates for cardiac surgery. Research with larger sample size is recommended.
Keywords: Anxiety, Education, Heart surgery, Hemodynamic, Multimedia, Lectures} -
Background
The prerequisite of effective nutrition intervention is an appropriate education. This study aimed to evaluate the effectiveness of nutrition education based on discussion and multimedia in the learning of pregnant women.
MethodsThis randomized educational trial was conducted on 174 pregnant women in Gonabad City, northeast Iran. The study participants were randomly assigned into three groups (58, 57, and 59 women in the multimedia group, discussion group, and control group, respectively). The demographic information form and assessment of learning questionnaire were completed before the study for all three groups. In the intervention group, training was based on the discussion and multimedia packages. Multimedia packages were given to mothers in the intervention group for 2 weeks. In the discussion group, mothers were divided into subgroups of 8 to 12 members, and educational subjects were presented over three 90 min sessions. One month after the intervention, a post-test was administered to all groups.
ResultsThe mean gestational ages in the multimedia group, discussion group, and control group were 9.66, 9.54, and 9.40 weeks, respectively. The results showed that the difference between the multimedia and discussion groups (P<0.001) regarding the cognitive scores was significant before and after the intervention. There were significant differences between groups regarding affective domain scores before and after the intervention (P=0.03).
ConclusionThe effectiveness of multimedia learning in the cognitive domain and discussion in the affective domain was confirmed. Therefore, it is recommended to use innovative and effective methods such as multimedia packages for educating pregnant women.
Keywords: Pregnancy nutrition, Educational program, Learning, Group discussion, Multimedia} -
Background
World Health Organization pointed out in 2019 that insufficient physical activity has become the fourth major risk factor affecting global mortality.
ObjectivesThis research explores the influence of multi-media teaching intervention in the physical education curriculum on college students’ sports attitudes and behavior.
MethodsThe subjects of weight training and Yogalates courses (94 people in weight training class 2 and 94 people in Yogalates class 2) were divided into experimental and control groups. Both groups were taught in person for 18 weeks. The experimental group participated in multi-media audio-visual teaching for 6 weeks, once a week, for 30 minutes. The control group did not implement multi-media audio-visual teaching. Before and after the teaching experiment, 188 questionnaires were issued with the sports attitude and sports behavior scales, and 184 (97.8%) were effectively returned in the pre-test; 180 (95.7%) were effectively returned in the post-test. After the questionnaire was collected, it was analyzed by descriptive statistics, cross-analysis, and an independent sample t-test.
ResultsThe study found that after multi-media teaching is involved in physical education courses, students’ sports attitudes and behaviors are significantly higher than in traditional teaching, and the number of students participating in sports after class has increased significantly.
ConclusionMulti-media teaching intervention in physical education courses can effectively improve students’ attitudes towards sports, change their actual participation in sports, and enable students to develop the habit of continuing to participate in sports after class.
Keywords: Cross Analysis, Multimedia, Yogalates, Weight Training} -
Background
The limited ability of educational institutions to prepare learning materials due to being expensive makes it essential to use other methods such as digital methods or minimize the use of excessive learning materials. Accordingly, the present systematic review aims to find out to the effects of multimedia e-books and Augmented Reality (AR) on the knowledge and skills of health sciences students.
MethodsThis systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Relevant articles were searched in ScienceDirect, ERIC, ProQuest, Pubmed, and Wiley Online Library, with the publication year of 2010-2021. Eligibility criteria were determined based on the PICOS guidelines. Joanna Briggs Institute (JBI) checklists were used for the quality assessment of the included articles. The risk of bias was assessed using the Cochrane Collaboration’s risk-of-bias assessment tool. The articles were analyzed thematically after collecting their main findings, design, and applied methods.
ResultsThe initial search yielded 493 articles. After removing duplicates, articles met exclusion criteria, and those with low quality, 11 eligible articles were selected for the review. Studies showed that multimedia e-books increased the students’ knowledge of evidence-based medicine, anatomy, community health nursing, pediatric care, electrocardiogram, and sexual harassment prevention. The use of AR increased the skills of students in performing local anesthesia, dental care, and anatomy.
ConclusionThe use of multimedia e-books and AR has significant effects on the learning process of health sciences students compared to conventional teaching methods.
Keywords: E-books, Augmented reality, Medical students, Knowledge, Multimedia, Clinical skill} -
Background
Acute Coronary Syndrome (ACS) is the first leading cause of death in the industrial world. It is associated with low self‑esteem and self‑efficacy. Given that patient education is a key role of nurses, this study sought to evaluate the effects of multimedia education on self‑efficacy and self‑esteem among patients with ACS.
Materials and MethodsThis randomized clinical trial was conducted in 2017 on 60 patients recruited from the two coronary care units of Hajar and Kashani hospitals, Shahrekord, Iran. Participants were randomly allocated to an intervention and a control group. The study intervention was a multimedia educational program. Data were collected before and 1 and 2 months after the intervention onset using a demographic questionnaire, the Cardiac Self‑Efficacy Scale, and Coopersmith Self‑Esteem Inventory. Data analyses were performed using repeated measures analysis of variance, t‑test, Chi‑square test, and Fisher’s exact test.
ResultsThe mean score of self‑efficacy in the intervention group (F2 = 119.26, p < 0.001) and in the control group (F2 = 74.21, p < 0.001) significantly increased across the three measurement time points. The mean score of self‑esteem in the intervention group significantly increased across the three measurement time points (F2 = 101.19, p < 0.001), while it remained significantly unchanged in the control group (F2 = 2.56, p = 0.086).
ConclusionsMultimedia education is effective in significantly improving self‑efficacy and self‑esteem among patients with ACS. Therefore, nurses can use this strategy to improve these patients’ self‑efficacy and self‑esteem.
Keywords: Acute coronary syndrome, education, multimedia, nursing, self concept, self efficacy} -
مقدمه
پرستاری یکی از مشاغل پر استرس در دنیاست. احساس شایستگی والدی می تواند تحت تاثیر این استرس قرار گیرد.
هدفاین پژوهش، با هدف تعیین تاثیر آموزش به روش چند رسانه ای و شبکه های اجتماعی بر احساس شایستگی والدی پرستاران انجام شد.
مواد و روش هااین پژوهش نیمه تجربی با طرح پیش آزمون- پس آزمون چند گروهی در سال 1399 انجام شد. جامعه آماری کلیه پرستاران خانم شاغل در بیمارستان های منتخب آجا در شهر تهران بود. 60 پرستار خانم به روش نمونه گیری در دسترس انتخاب و وارد مطالعه شدند. بیمارستان ها به صورت تصادفی ساده به دو گروه آزمون و یک گروه کنترل (هر گروه 20 پرستار) تخصیص یافتند. گروه های آزمون تحت یک نوع شیوه آموزش (چند رسانه ای و شبکه های اجتماعی) به مدت یک ماه قرار گرفتند. داده ها با استفاده از پرسش نامه روا و پایای احساس شایستگی والدی (PSOC) قبل و دو هفته بعد از مداخله جمع آوری شد. سپس با استفاده از نرم افزار SPSS نسخه 21 تحلیل شدند.
یافته هاقبل از مطالعه میانگین و انحراف معیار نمره کل احساس شایستگی والدی پرستاران در گروه های چند رسانه ای، شبکه اجتماعی و کنترل به ترتیب 5/29±63/55، 5/20±63/10 و 4/88±63/35 بود که تفاوت معناداری در سه گروه دیده نشد (0/946=P). دو هفته بعد از مداخله میانگین و انحراف معیار سه گروه به ترتیب به 82/5±84/64، 24/6±39/69 و 44/5±15/62 بود که دارای تفاوت معنی دار بود (0/001=P).
بحث و نتیجه گیریآموزش به روش چند رسانه ای و شبکه اجتماعی منجر به افزایش احساس شایستگی والدی در پرستاران گردید. تاثیر روش شبکه اجتماعی بیشتر از روش چند رسانه ای بود. لذا، مدیران پرستاری جهت ارتقا احساس شایستگی والدی در پرستاران خود می توانند، از برنامه های آموزشی غیر حضوری نظیر شبکه های اجتماعی استفاده نمایند.
کلید واژگان: آموزش, پرستاران, چند رسانه ای, شایستگی, شبکه های اجتماعی}IntroductionNursing is one of the most stressful jobs in the world. Parental competence can be affected by this stress.
ObjectiveThis study investigates the effect of multimedia education and social networks on nurses’ sense of parental competence.
Material and MethodsThis quasi-experimental with a multi-group pretest-posttest design was conducted in 2022. The statistical population consists of all female nurses working in selected Aja hospitals in Tehran, Iran. Sixty female nurses were by convenience sampling method. Hospitals were randomly allocated to the experimental and control groups (n=20, each group). The experi mental groups underwent multimedia and social media training for one month. Data were collected using a valid and reliable parental competency questionnaire (PSOC) before and two weeks after the intervention. Then they were analyzed using SPSS 21.
ResultsMean and standard deviation of the total score of parental sense of competence of the subjects before the study in multimedia, social network, and control groups were 63.55±5.29, 63.10±5.20, and 63.35±4.88, that there was no significant difference (P<0.05). The mean and standard deviation of the three groups changing to 64.84±5.82, 69.39±6.24 and 62.15±5.44, respectively two weeks after the intervention that was significantly different (P=0.001). The effect of the social networking method was more significant than the multimedia method.
Discussion and ConclusionMultimedia and social networking education significantly improved the sense of competence score in nurses with infants. Nursing managers can use distance learning programs such as social networks to promote a sense of parental competence in nurses.
Keywords: Competence, Nurses, Mothers, Multimedia, Social Networking}
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