Performance
در نشریات گروه پزشکی-
Background
Back pain is one of the most common disorders, caused by various factors and leading to diverse consequences. This study aimed to compare specific postural and functional indicators in adolescent boys with and without non-specific chronic low back pain.
MethodsThe present study employed a causal-comparative design. A total of 30 adolescent male students with non-specific chronic low back pain and 30 healthy adolescent male students were purposefully selected. Individuals with non-specific chronic low back pain were identified using a visual pain scale and confirmed by a physical medicine specialist. Kyphosis and lordosis were assessed using a flexible ruler, proprioception was evaluated through the lumbar angle active reconstruction test at a 30-degree angle using a goniometer, core stability was measured using McGill functional tests, upper limb function was assessed with the Upper Limb Y Test, and static and dynamic balance were evaluated using the Stork Test and the Lower Limb Y Test, respectively. An independent t-test was used to compare the average variables between the two groups.
ResultsThe findings revealed significant differences in proprioception, core stability, and static and dynamic balance between the groups with and without non-specific chronic low back pain. However, the two groups observed no significant differences between other variables.
ConclusionsThese results highlight the importance of proprioception, core stability, and static and dynamic balance in adolescent boys with non-specific chronic low back pain. Rehabilitation protocols for this population should prioritize developing and strengthening these components.
Keywords: Adolescent Boys, Chronic Non-Specific Low Back Pain, Core Stability, Performance, Posture -
BackgroundAnterior cruciate ligament (ACL) rupture is one of the most severe and complex knee injuries commonly occurring in soccer. The Sportsmetrics Soccer Training (SMST) protocol is a well-established program for preventing knee injuries and enhancing soccer players' performance. This study aimed to compare the effect of the SMST injury prevention protocol on the performance of soccer players with and without anterior cruciate ligament reconstruction (ACLR).MethodsThis research employed a semi-experimental design, including 42 soccer players aged 18–30, each with at least three years of regular soccer experience. Participants were divided into two groups of 21 subjects: players with ACLR and those without ACLR. Physical performance was evaluated using the Illinois Agility Test, 40-Yard Sprint Test, and Sargent Vertical Jump Test in both groups before and after six weeks of intervention. The SMST protocol was conducted in three 90-minute weekly sessions for six weeks. Statistical analyses were performed to assess intra-group differences using the dependent t-test and inter-group differences using the covariance analysis test (P ≤ 0.05).ResultsThe dependent t-test results demonstrated significant improvements in speed (P = 0.01), agility (P = 0.01), and explosive power (P = 0.01) in both groups following six weeks of SMST training. However, the results of the covariance analysis revealed no significant differences between the two groups in terms of speed (P = 0.57), agility (P = 0.07), and explosive power (P = 0.71) after six weeks of training.ConclusionThe improvements in performance indicators among the participants were primarily attributed to the alignment between the components of the SMST protocol and the performance evaluation tests. SMST training is highly recommended for healthy and ACLR soccer players, as it effectively enhances physical and athletic performance while reducing the risk of ACL injury and re-injury.Keywords: ACL Injury, Injury Prevention, Performance, Soccer, Sportsmetrics
-
BACKGROUND
Primary healthcare (PHC) in Iran, like in other countries, has a fundamental role in managing COVID‑19 despite facing various challenges. Therefore, the aim of this study was to qualitatively analyze the performance of PHC in the management of COVID‑19 and identify the existing challenges, as well as strategies.
MATERIALS AND METHODThe data for this qualitative study with a conventional content analysis were collected through interviews. The participants of the study were PHC employees, managers, and experts who had high experience and knowledge in the field of the study. The participants of the study were selected using purposeful sampling. The data were analyzed manually using the Granhiem and Landman method.
RESULTSPHC performance was divided into five main themes and 13 subthemes, including epidemic diagnosis, training, making changes to respond, care and vaccination, cooperation, and coordination. Six main themes and 19 subthemes were categorized as the challenges of dealing with COVID‑19, which are inputs and structure, infectious disease control and management, management and policymaking, community support, education and evidence management, and providing care services. Strategies were categorized into four main and 16 subthemes. The main strategies were making preparations before the epidemic, reviewing at all levels of PHC, cooperation and coordination, and integrated information.
CONCLUSIONThe results of this study can be used by authorities and policymakers to prepare well for possible future pandemics.
Keywords: COVID‑19, Performance, Primary Healthcare -
INTRODUCTION
This study evaluates the effectiveness of the public education of Red Crescent Society (RCS) on attitude, knowledge, and performance of conscripted personnel of the Iranian armed forces towards first aid and facing of hazards and disasters.
METHODSIn this descriptive and quasi-experimental study, a total of 680 armed forces conscripts across the country were evaluated using a multi-stage cluster sampling method. Based on Cochran's formula, 340 individuals were assigned to the experimental group (trained by RCS trainers) and 340 to the control group (not trained). A researcher-made questionnaire contains two sections and main components (attitude, knowledge, and performance), was developed using the Kirkpatrick evaluation model. Its content validity (CVR=0.86) and reliability (Cronbach’s alpha=0.89) were confirmed. Data analyzed using SPSS-22 included Kolmogorov-Smirnov, independent t-test, Mann-Whitney U, and chi-square tests.
FINDINGSAccording to the results, the RCS public education courses had a statistically significant positive effect on participants’ attitude (mean score 4.1, p<0.05), knowledge (4.0, p<0.05), and performance (3.6, p<0.05); also, total score (3.8, p<0.05) in the experimental group are lower compared to the control group (attitude 2.8, knowledge 3.7, performance 3.3, total score 3.2).
CONCLUSIONThe RCS public education training courses significantly improved the attitude, knowledge, and performance of conscripted armed forces personnel which these results support the continuation and potential expansion of such training initiatives to enhance military preparedness and response capability.
Keywords: First Aid, Emergency Preparedness, Attitude, Knowledge, Performance, Armed Forces Conscripts, Training Effectiveness, RCS -
مقدمه
در هر بحران جسمی و روانی، امدادگران و جمعیت عمومی تحت تاثیر قرار می گیرد. این درحالی است که عموم توجهات به جسم بوده و اثرات روانشناختی مورد غفلت واقع می شود. اخیرا برای کمک به این موضوع آموزش کمک های اولیه روانشناختی مورد توجه محققان و مدیران قرار گرفته است که شناخت دقیق فواید آن ضروری است. مطالعه ی حاضر با هدف بررسی و جمع بندی مطالعات انجام گرفته در مورد تاثیرات آموزش کمک های اولیه روانشناختی بر ارتقای آمادگی، دانش و عملکرد فراگیران انجام شده است.
مواد و روش هادر این مطالعه مروری، مقالات منتشرشده بین سال های 1403-1390 (2010-2024) مورد بررسی قرار گرفت. به منظور دست یابی به مستندات علمی مرتبط، جستجوی الکترونیک به دو زبان فارسی و انگلیسی با استفاده از کلیدواژه های فارسی "کمک های اولیه روانشناختی"، "پرستار"، "کارکنان سلامت"، "امدادگران"، "بحران" ، "دانش" ، "نگرش" و "عملکرد" در پایگاه های اطلاعاتی جهاد دانشگاهی (SID)، بانک اطلاعات نشریات کشور (Magiran)، بانک اطلاعات مقالات علوم پزشکی ایران،PubMed و Scopusو موتور جستجوی Google Scholar انجام و مجموعا در جستجوی اولیه تعداد 55 مقاله یافت شد. پس از بررسی و براساس معیارهای ورود و خروج، 10 مقاله مورد بررسی قرار گرفت.
یافته هامداخلات به صورت تجربی، نیمه تجربی و کارآزمایی بالینی بودند. به صورت تک گروهه و دو گروهه انجام شده و نتایج در دو یا سه زمان با هم مقایسه شدند. آموزش کمک های اولیه روانشناختی در ارتقای خودکارآمدی، دانش، نگرش، عملکرد، مهارت، تاب آوری، اعتماد به نفس، آمادگی، ظرفیت، کیفیت زندگی حرفه ای، صلاحیت و رضایت کارکنان سیستم بهداشت و درمان، پرستاران، امدادگران و دواطلبان در بحران موثر است.
بحث و نتیجه گیریبا توجه به اهمیت و اثربخشی کمک های اولیه روانشناختی در کمک به کارکنان سلامت، امدادگران و جمعیت عمومی در اکثر مطالعات مورد بررسی، پیشنهاد می گردد که مدیران و متولیان سلامت و مخصوصا جمعیت هلال احمر در برنامه ریزی ها، آموزش های ضمن خدمت و دوره های آمادگی خود به این مقوله بیشتر توجه نمایند.
کلید واژگان: کمک های اولیه، روانشناختی، دانش، نگرش، عملکردIntroductionIn both physical and psychological crises, rescue workers and the general public are inevitably impacted. However, while much of the focus tends to center on physical well-being, the psychological effects often go overlooked. In recent years, psychological first aid training has garnered increasing attention from researchers and administrators as a potential solution, highlighting the need to understand its value. This study was undertaken to review and summarize existing research on the impact of psychological first aid training in enhancing participants' preparedness, knowledge, and performance.
Material and MethodsIn this review, articles published between 2010-2024 were examined. To obtain related scientific documents, electronic search in both Farsi and English languages using keywords Psychological first aid", "nurse", "health workers", "paramedics", "disaster", "knowledge", "attitude" and "performance were conducted in the Scientific Information Database (SID), the National Journals Information Bank (Magiran), the Iranian Medical Sciences Articles Information Bank, Google Scholar, PubMed, and Scopus, and a total of 55 articles were found in the initial search. After review and based on the entry and exit criteria, 10 articles were used in the results section of the study.
ResultsThe interventions comprised experimental, quasi-experimental, and clinical trials. These were conducted with both single-group and two-group designs, and the outcomes were assessed at two or three different time points. Psychological first aid training has proven to be effective in enhancing self-efficacy, knowledge, attitudes, performance, skills, resilience, self-confidence, preparedness, capacity, professional quality of life, competence, and satisfaction among healthcare workers, nurses, aid workers, and volunteers during crises.
Discussion and ConclusionGiven the significant impact and effectiveness of psychological first aid in supporting healthcare workers, paramedics, and the general public, as highlighted in numerous studies, it is recommended that health administrators, policymakers, and particularly the Red Crescent community place greater emphasis on this area. This can be achieved through thoughtful planning, in-service training programs, and dedicated courses as part of their preparations.
Keywords: First Aid, Psychological, Knowledge, Attitude, Performance -
Probiotics, which contain beneficial bacteria, have been shown to enhance human health, reduce healthcare expenditures at the community level, and effectively prevent and treat various diseases. This descriptive-analytical study was conducted with 145 faculty members from the basic and clinical sciences departments at Lorestan University of Medical Sciences. Data were collected using a questionnaire comprising 35 items across three domains: perspectives, performance, and barriers to the use of probiotic products. The data were analyzed using independent t-tests and correlation coefficients with SPSS software version 25, with a significance level set at less than 0.05. The scores for attitudes, performance, and barriers to probiotic use were 19.93 ± 2.49, 17.86 ± 3.14, and 40.75 ± 6.27, respectively. No significant relationship was found between gender and educational group concerning the scores in the three domains of the questionnaire. However, a positive correlation was observed between attitude and performance, while an inverse relationship was noted between attitude and performance on one hand and consumption barriers on the other. The findings of this study underscore the urgent need to enhance educators' awareness and alter their perspectives regarding probiotics.Keywords: Perspective, Awareness, Performance, Probiotic, Professors
-
Knowledge, Attitude, and Performance of Intensive Care Unit Nurses Regarding Prevention and Care of Pressure Ulcer
Pressure ulcers represent a significant financial burden in healthcare, ranking as the third most costly condition following heart disease and cancer. The prevalence of pressure ulcers serves as a key indicator of the quality of healthcare and nursing services. Nurses are integral to the prevention and management of pressure ulcers; thus, this study aimed to assess the knowledge, attitudes, and practices of nurses in this area. Conducted in 2022, the study employed a descriptive methodology. A convenience sample of 200 nurses from an educational and medical center affiliated with Lorestan University of Medical Sciences was utilized. Data were collected via a four-part questionnaire and analyzed using SPSS version 16, employing both descriptive and analytical statistical methods. The mean scores for nurses' knowledge, attitudes, and practices in the prevention and management of pressure ulcers were 51.1 ± 7.5, 60.35 ± 16.53, and 50.1 ± 10.5 out of 100, respectively. The findings indicate that nurses' knowledge and practices in pressure ulcer prevention and management are at a relatively satisfactory level. Given the threat that pressure ulcers pose to patient safety, it is imperative for healthcare center managers to implement strategies to enhance the capabilities of the healthcare team, particularly nurses.
Keywords: Pressure Ulcers, Knowledge, Attitude, Performance, Nurse, Intensive Care Unit -
Background
Providing guidance and counseling services by advisors provides students with appropriate solutions to solve problems, which increases insight, growth of social relationships, and greater efficiency of the educational and training system.
ObjectivesThis study was conducted to investigate the duties and performance of advisors from the perspective of students at Shahroud University of Medical Sciences.
MethodsThis descriptive-analytical study was conducted using a stratified random sampling method on 336 students of Shahroud University of Medical Sciences in the academic year 2023 - 2024. To collect data, a demographic information checklist and a questionnaire on the duties and performance of consulting professors by Ebrahimi Pour et al. were used. After collection, the data were entered into SPSS18 and analyzed using descriptive and analytical statistics.
ResultsIn this study, a total of 336 people participated in the study, with the average age of the participants being 21.25 ± 1.70 years, most of the participants were female (59.8%), 201 were in the 18 - 21 age group (61%), 311 were single, 116 were in the medical field (34.5%), 122 were in the medical school (36.3%), 211 were in the undergraduate level (62.8%), 300 were in the full-time program (89.3%), 255 were non-native (75.9%), and the duration of counseling was between 0-12 months (87.5%). And except for age group and tasks (0.288), faculty and performance (0.027), section and performance (0.317), and the duration of counseling and tasks (0.071), there was no significant relationship, and there was a significant relationship between the other variables and the mean, standard deviation of the task score 73.27 ± 15.92 and the lowest score was 20 and the highest score was 100. In the case of performance, it was 27.38 ± 7.91 and the lowest score was 14 and the highest was 42.
ConclusionsAlthough most students were satisfied with the duties and performance of the advisors, it is still necessary to achieve the desired goals and maintain the conditions, and to provide various facilities to provide better advisory services.
Keywords: Duties, Performance, Professors, Advisor, Student -
Background
Numerous studies have aimed to compare the effects of glucose (Glu) consumption with those of glucose-fructose (Glu-Fru) consumption on oxidation rates during exercise. However, divergent outcomes have surfaced due to variations in exercise protocols and concurrent substance ingestion, leading to a lack of consensus. This systematic review and meta-analysis investigated the comparative effects of Glu and Glu-Fru on total carbohydrate oxidation, endogenous carbohydrate oxidation, exogenous carbohydrate oxidation, and total fat oxidation rates during exercise.
MethodsA systematic search of PubMed, Scopus, and Web of Science databases up to February 2023. The search yielded 14 randomized controlled trials involving 125 endurance athletes.
ResultsThe meta-analyses revealed that Glu supplementation significantly increased total carbohydrate oxidation (WMD: 0.21 g/min) compared to Glu-Fru. Endogenous carbohydrate oxidation significantly increased with Glu (WMD: -0.12), while Glu-Fru led to increased exogenous carbohydrate oxidation (WMD: 0.27 g/min). Total fat oxidation decr eased with Glu-Fru (WMD: -0.06 g/min).
ConclusionBy investigating athletic nutrition complexities, our findings shed light on metabolic responses to Glu-Fru versus Glu supplementation. Tailoring hydration strategies, athletes should select an optimal Glu-Fru to Glu ratio for maximal oxidation and enhanced performance. Future research could explore dose-response relationships for optimal metabolic benefits during exercise.
Keywords: Carbohydrate, Endurance Exercise, Oxidation Rate, Performance -
Journal of Advances in Medical Education & Professionalism, Volume:13 Issue: 2, Apr 2025, PP 105 -116IntroductionPhysiology encompasses examining the body’s everyday activities, which is crucial for understanding health before disease onset. The physiology course at Hasanuddin University isincluded in the biomedical science curriculum. Traditionally delivered via a teacher-centered methodology, this strategy frequently results in rote memorization. To resolve this, active learning methodologies utilizing many media enabled students to choose their preferred instructional tools and augment their knowledge and drive. This study seeks to evaluate the influence of different learning media on undergraduate students’ knowledge, presenting skills, and motivationin physiology courses.MethodsWe executed a mixed-method study, including quantitative and qualitative approaches, utilizing a sequential explanatory design, wherein quantitative data was initially gathered. We proceeded with qualitative data collecting to elucidate and reinforce the previous findings. We engaged 100 students to assess their knowledge and presenting skills. The evaluative instruments employed were multiplechoice questions and assessment rubrics. To ascertain the reasons and motivations for student engagement in learning physiology, we engaged nine student respondents, categorizing them into three groups: active participants, neutral participants, and non-participants. We assessed the motivations for student learning engagement with a qualitative questionnaire, which was then complemented by Focus Group Discussion (FGD) interviews.ResultsFindings indicated a greater involvement of female students (67%) and individuals from non-SBMPTN paths (62%). Most pupils favored PowerPoint (52%) and video (20%) as educational material. Substantial enhancements in posttest scores were observed following the utilizationof these media. Researchers observed significant enhancements in posttest scores following presentations that utilized PowerPoint and video media (Wilcoxon, p<0.01). Students who presented the genitourinary system via video medium achieved superior scores compared to those who utilized PowerPoint (Mann-Whitney p=0.001, p<0.01). Qualitative studies indicated that active learning strategies enhanced student involvement and motivation, making learning more engaging and pleasurable.ConclusionActive learning using specific media such as PowerPoint and video markedly improves knowledge, engagement, and motivation among students in physiology courses.Keywords: Active Learning, Learning Media, Knowledge, Performance, Motivation
-
Background
One of the major causes of morbidity and mortality among infectious diseases is acute respiratory infections. Masks are often recommended as proper personal protective equipment for preventing the spread of respiratory infections. This study aims to provide valuable insights into historical and current trends in research on mask performance, with a particular focus on hotspots and trend studies.
MethodsIn this Systematic Review, relevant studies on face mask efficacy were retrieved from the Web of Science (data extracted on July 15, 2023). The selected articles were analyzed using VOSviewer, R (Bibliometrix package), and Tableau tovisualize geographic distributions, conduct bibliometric analyses, and map research trends across countries, institutions, keywords, and journals.
ResultsThe number of articles published in 2020 and 2021 has increased significantly. Overall, 1193 papers were identified, published by authors from 88 countries. According to literature citations, the journal “PloS ONE” published the most research on the topic. Fabric mask filtration performance was evaluated in the two documents with the highest total link strength. With the outbreak of COVID-19 around the world, studies were more focused on fit tests and filtration of surgical, medical, and N95 masks, indicating that researchers are exploring the effectiveness of masks to ensure the effectiveness of face masks.
ConclusionThis study suggests potential knowledge gaps regarding the effectiveness of face masks, so future research should focus on challenges such as uncertain efficacy and fitness.
Keywords: Bibliometrics, Face Mask, Infections, Performance, COVID-19 Pandemic -
This review article explored the significance of 95% oxygen supplementation, particularly in recreational and therapeutic contexts. It explores the physiological advantages of oxygen, particularly in conjunction with natural essential oils like Lavandula angustifolia, Boswellia carterii, Mentha piperita, Eucalyptus globulus, Citrus paradisi, Salvia rosmarinus, and Citrus sinensis. The article highlights the possible benefits of oxygen supplementation for physical performance, recuperation, and general well-being by synthesizing evidence from several research and publications. The implications for athletes, wellness enthusiasts, and individuals seeking enhanced recovery are discussed, along with the recommendations for future research. Furthermore, the review addresses the practical applications of portable oxygen in urban environments, where air quality may be compromised. By considering the holistic benefits of oxygen and essential oils, this article aimed to provide a comprehensive understanding of their role to promote health and wellness.
Keywords: Aromatherapy, Essential Oils, Herbal Medicine, Oxygen, Performance -
Background
White light imaging (WLI) is the current standard colonoscopy technique for diagnosing colorectal polyps in Indonesia. Various endoscopic imaging techniques have been developed to improve the accuracy of diagnosing colorectal polyps, one of which is narrow band imaging (NBI). We conducted a diagnostic study comparing the performance of NBI against WLI in distinguishing neoplastic from non-neoplastic colorectal polyps.
MethodsThis was a diagnostic study that analyzes endoscopic pictures of colorectal polyps in patients who underwent colonoscopy using the WLI and NBI techniques. Previously collected biopsy tissue specimens were re-examined by a single pathologist.
ResultsThere were 117 subjects analyzed, and the proportion of subjects with neoplastic polyps was 65.8%. Common indications for colonoscopy were hematochezia (24.8%) and abdominal pain (23.9%). WLI showed moderate inter-observer reliability (kappa value = 0.591), while NBI showed significant reliability (kappa value = 0.674). NBI demonstrated better sensitivity (84.4%; 95% CI 74.4%–91.7%) and accuracy (78.6%; 95% CI 70.1%–85.7%) compared with WLI (sensitivity 74%; 95% CI 62.8%–83.4% and accuracy 71.8%; 95% CI 62.7%–79.7%). However, the specificity was the same (67.5%; 95% CI 50.9%–81.4%).
ConclusionNBI has better performance than WLI in distinguishing neoplastic and non-neoplastic colorectal polyps.
Keywords: White Light Imaging, Narrow Band Imaging, Performance, Colorectal Polyps -
Background
This study aimed to assess the impact of a volleyball-specific fatigue protocol on balance, proprioception, and performance in volleyball players with differing ACL injury risk levels.
Methodshis semi-experimental research utilized a pre-test-post-test design. Forty volleyball players from Urmia were selected and divided into low- and high-risk groups based on ACL injury potential, assessed using the Landing Error Scoring System (LESS). A LESS score below 6 indicated low risk, while above 6 indicated high risk. Balance was measured using the stork test (static balance) and Y balance test (dynamic balance), knee proprioception was assessed with a goniometer, and performance was evaluated with the Sargent jump test. After baseline assessments, players were subjected to a volleyball-specific fatigue protocol, after which all tests were repeated. Analysis of covariance and dependent t-tests were used to evaluate inter-group and intra-group differences.
ResultsThe dependent t-tests and analysis of covariance indicated that fatigue significantly decreased static balance (P=0.001, P=0.001), dynamic balance (P=0.001, P=0.001), and performance (P=0.001, P=0.001). Wilcoxon and Mann-Whitney U tests also significantly reduced proprioception post-fatigue (P=0.001, P=0.001). Additionally, significant differences were found between the groups for all variables (P<0.05) except for proprioception (P>0.05).
ConclusionOverall, the findings suggest that fatigue is a significant factor in reducing balance, proprioception, and explosive power. This decline was greater in the high-risk injury group, likely due to baseline neuromuscular weaknesses in this group.
Keywords: Balance, Fatigue, Injury, Performance, Proprioception, Volleyball -
Background
Blood transfusion is a critical procedure where any error in the transmission chain can jeopardize patient safety. To ensure safe blood transfusions, it is essential to evaluate the performance of all personnel involved in the transfusion process, including anesthesia technologists, whose role has often been overlooked. This study was conducted with the aim of investigating the performance of in com anesthesia technologist plying with safe blood transfusion procedures during anesthesia.
MethodsThis cross-sectional study was conducted on 80 Anesthesia technologist s working in Rasoul Akram and Firouzgar hospitals in Tehran. The purpose of this study was to investigate the level of adherence to safe blood transfusion standards by Anesthesia technologist s. The data was collected using a comprehensive and standard questionnaire including two parts: the first part demographic information and the second part focusing on the standards of safe blood transfusion. All completed questionnaires were entered into SPSS software version 27. Descriptive and inferential statistics were used for statistical analysis.
ResultsThe average age of the participants was 34 ± 10 years. Of the participants, 70% were women and 30% were men. The average score on the 36-question questionnaire was 27.32, corresponding to 73% of the maximum possible score. Performance levels were categorized as follows: good (75–100%), representing 41.25% of participants; moderate (50–75%), representing 58.75% of participants; and poor (<50%), with no participants falling into this category. Overall, the performance of anesthesia technologist in adhering to safe blood transfusion standards was considered average.
ConclusionAnesthesia technologist performance in safe blood transfusion procedures during anesthesia was evaluated at a moderate level. Addressing these gaps and considering educational programs in health care systems can improve patient safety and improve clinical outcomes during anesthesia and surgical procedures.
Keywords: Blood Transfusion, Performance, Anesthesia Technologist, Guideline -
مقدمه
با توجه به اهمیت ایست قلبی در بارداری و تجربه ناکافی کارکنان فوریت پزشکی در این زمینه استفاده از روش آموزشی مناسب برای ارتقای دانش و عملکرد آن ها احساس می شود.
هدفمطالعه حاضر با هدف تاثیر آموزش همتا به روش جیگساو پازل بر دانش و عملکرد احیا پایه مادران باردار در کارکنان فوریت پزشکی اورژانس بیمارستان های منتخب آجا انجام شد.
مواد و روش هامطالعه نیمه تجربی بر روی 48 کاردان فوریت پزشکی اورژانس بیمارستان منتخب آجا در سال 1401 انجام شد. واحدهای پژوهش به روش تصادفی ساده به دو گروه 24 نفری مداخله و کنترل تقسیم شدند. گروه مداخله با روش جیگساو پازل و گروه کنترل با روش رایج (سنتی) آموزش داده شد. دانش و عملکرد واحدهای پژوهش قبل، بلافاصله و سه ماه پس از مداخله با استفاده از پرسشنامه و چک لیست سنجش دانش و عملکرد بررسی شد. جهت تحلیل داده ها از آمار توصیفی و استنباطی و SPSS نسخه 26 استفاده شد. سطح معنی داری 0/05 در نظر گرفته شد.
یافته هانمرات دانش گروه مداخله (1/07±25/ 18) در مقایسه با گروه کنترل (1/79±75/ 16) بلافاصله (P=0/001) و سه ماه بعد از آزمون، در گروه مداخله (1/13±41/ 16) و گروه کنترل (2/11±75/33) تفاوت معنی داری داشت (P<0/001). تغییرات نمرات دانش بین دو گروه در هر سه زمان تفاوت معنی داری داشتند (P<0/003). نمرات عملکرد گروه مداخله (4/64±98/95) در مقایسه با گروه کنترل (5/48±88/12) بلافاصله (P<0/001) و سه ماه بعد از آزمون در گروه مداخله (91/70±86/5) و کنترل (7/64±78/62) تفاوت معنی دار آماری را نشان داد (P<0/001) تغییرات نمرات عملکرد دو گروه در هر سه زمان تفاوت آماری معنی داری داشتند (P<0/001). نمرات پیش آزمون در دو گروه تفاوت معنی داری نداشتند.
نتیجه گیریآموزش همتا به روش جیگساو پازل باعث ارتقاء و ماندگاری دانش و عملکرد احیای قلبی ریوی پایه مادران باردار می شود و پیشنهاد می شود به عنوان روش آموزشی موثر استفاده شود.
کلید واژگان: آموزش همتا، احیای قلبی ریوی پایه مادر باردار، جیگساو پازل، دانش، عملکرد، فوریت پزشکیIntroductionGiven the critical nature of cardiac arrest during pregnancy and the limited experience of emergency medical staff in managing such cases, a suitable educational approach is needed to improve their knowledge and skills.
ObjectiveThe present study aimed to evaluate the impact of peer education through the jigsaw method on the knowledge and performance of emergency medical personnel in delivering basic resuscitation for pregnant women at selected Aja hospitals.
Material and MethodsThis semi-experimental study was conducted in 2022 on 48 emergency medicine assistants at a selected Aja hospital. Participants were divided into intervention and control groups (24 each) using a simple random method. The intervention group was trained using the jigsaw puzzle method, while the control group received traditional training. Knowledge and performance assessments were conducted at three points: before, immediately after, and three months post-intervention, using a questionnaire and checklist. Data were analyzed with descriptive and inferential statistics via SPSS version 26, with a significance level of 0.05.
ResultsKnowledge scores in the intervention group (18.25±1.07) were significantly higher than those in the control group (16.75±1.79) immediately after training (P=0.001) and sustained this difference at three months post-intervention (16.41 ± 1.13 in the intervention group vs. 14.33±2.11 in the control group, P= 0.000). The improvement in knowledge scores was statistically significant across all time points (P= 0.003). Similarly, the performance scores of the intervention group (98.95 ± 4.64) surpassed those of the control group (88.12±5.48) immediately postintervention (P<0.0001) and remained higher after three months (86.91±5.70 vs. 78.62± 7.64, P<0.0001). Pre-test scores showed no significant differences between the groups.
ConclusionThe jigsaw puzzle-based peer education approach significantly enhances and maintains the knowledge and practical skills necessary for performing basic cardiopulmonary resuscitation on pregnant women. This method is recommended as an effective training tool to bolster emergency medical response.
Keywords: Basic CPR For Pregnant Women, Emergency Medicine, Jigsaw Puzzle Method, Knowledge, Peer Education, Performance -
Background
Diet and nutritional supplement consumption play a pivotal role in disease treatment.
ObjectivesThis study aimed to improve the hospital internship course for nutrition students by implementing a comprehensive checklist for nutritional assessment and patient treatment within the nutrition department of Semnan University of Medical Sciences.
MethodsThe study assessed the impact of enhancing the nutrition internship course on students’ educational performance and satisfaction. Two tools were utilized: A comprehensive checklist for patient treatment assessment and a questionnaire evaluating students' satisfaction with internship quality. The checklist and questionnaire were validated with content validity ratio (CVR) scores of 0.98 and 0.92 and content validity index (CVI) scores of 0.89 and 0.86, respectively. The study employed a census method, involving 28 students from two different classes. A t -test was used to evaluate the intervention's effectiveness.
ResultsAn analysis of the primary domains of students' educational performance before and after the internship course modifications revealed significant improvements. The "patient assessment" domain increased from 29% to 95%, "patients' treatment" from 59% to 100%, and "overall performance" from 40% to 97%. Additionally, the level of satisfaction among students significantly increased (P < 0.001). Satisfaction improved in "educational planning" from 42% to 85%, "learning-teaching method" from 38% to 88%, "educational evaluation" from 38% to 92%, and "overall satisfaction" from 39% to 89% (P < 0.001).
ConclusionsThe findings highlight that targeted performance initiatives can significantly enhance both educational outcomes and student satisfaction during hospital internships.
Keywords: Medical Education, Internship, Nutrition, Performance, Satisfaction -
زمینه و هدف
با توجه به افزایش سهم اختلالات ژنتیکی در بیماری های انسان و اهمیت مشاوره ژنتیک در پیشگیری و نقش پزشکان در ارائه مشاوره، این مطالعه با هدف ارزیابی دانش، نگرش و عملکرد متخصصان حوزه سلامت درمورد ارجاع موارد لازم به مشاوره و تست های ژنتیک در بوشهر در سال 1399 انجام شد.
روش بررسیپژوهش حاضر یک مطالعه توصیفی تحلیلی و مقطعی بود که با استفاده از یک پرسش نامه حاوی اطلاعات دموگرافیک و سوالاتی در سه بخش دانش، نگرش و عملکرد پزشکان درمورد ارجاع موارد لازم به مشاوره و تست های ژنتیک با مشارکت 95 نفر از پزشکان انجام شد. از آزمون هم بستگی اسپیرمن، یومن ویتنی و کروسکال والیس و تست Post Hoc توکی برای تجزیه وتحلیل داده ها استفاده شد.
یافته هامیانگین نمره دانش، نگرش و عملکرد پزشکان به ترتیب 45/7 ± 30/70، 77/10 ± 21/89 و 60/20 ± 25/38 بود که نشان دهنده دانش و نگرش خوب و عملکرد ضعیف پزشکان در این زمینه است. نمره عملکرد در بین پزشکان رشته های مختلف دارای تفاوت معنی دار بود. بین دانش و عملکرد و بین نگرش و عملکرد و بین شرکت در دوره آموزش ژنتیک و عملکرد رابطه آماری معنادار به دست آمد.
نتیجه گیریبا توجه به یافته های مطالعه، برگزاری دوره های آموزشی موثر و کاربردی، تهیه راهنمای ارجاع برای پزشکان و تاسیس مرکز ارائه خدمات ژنتیک استاندارد جهت بهبود وضعیت مشاوره ژنتیک در بوشهر در راستای کنترل و پیشگیری از این بیماری ها ضروری به نظر می رسد.
کلید واژگان: دانش، نگرش، عملکرد، ارجاع، مشاوره، تست ژنتیک، پزشکBackground and ObjectivesConsidering the increase in the number of genetic disorders among human diseases and the importance of genetic counseling in prevention and the role of physicions in providing counseling, this study aims to determine the evaluation of the knowledge, attitude and performance of health specialists regarding the referral of necessary cases to genetic counseling and genetic tests were done in Bushehr in 2020.
Subjects and MethodsThis research was a cross-sectional descriptive analytical study that was conducted using a questionnaire containing demographic information and questions in three areas of knowledge, attitude and performance of doctors regarding the referral of necessary cases to genetic counseling and testingin Bushehr with the participation of 95 doctors. Spearman, U-Man-Whitney and Kruskal-Wallis correlation tests and Tukey's Post Hoc test were used for data analysis.
ResultsThe average scores of doctors' knowledge, attitude and performance were 70.30 ± 7.45, 89.21 ± 10.77 and 38.25 ± 20.60, respectively, which indicates good knowledge and attitude and poor performance of doctors in this field. There was a significant difference in the performance score among doctors of different disciplines. A statistically significant relationship was obtained between knowledge and performance, attitude and performance and between participation in the genetics training course and performance.
ConclusionAccording to the findings of the study, holding effective and practical training courses, preparing a referral guide for doctors and establishing a standard genetic services center to improve the status of genetic counseling in Bushehr in order to control and prevent these diseases seems necessary.
Keywords: Knowledge, Attitude, Performance, Referral, Counseling, Genetic Testing, Doctor -
زمینه و هدف
بیماری قلبی- عروقی علت افزایش مرگ ومیر، ناتوانی، پایین آمدن کیفیت زندگی، تحمیل هزینه های سنگین و مشکلات اجتماعی فراوانی است. با وقوع حمله قلبی، انجام اقدامات پایه حفظ حیات به عنوان تنها اقدامات موثر تا رسیدن تیم فوریت های پزشکی شناخته شده است. مطالعه حاضر با هدف تاثیر آموزش اقدامات پایه حفظ حیات بالغین بر آگاهی و عملکرد فراگیران آموزش همگانی در شهرستان سبزوار در سال 1402 انجام گرفته است.
مواد و روش هااین پژوهش شبه تجربی با نمونه گیری 125 تن از شهروندان سبزواری به روش تصادفی طبقه ای انجام شد. آگاهی و عملکرد مشارکت کنندگان قبل، بلافاصله بعد و دو ماه بعد از آموزش با استفاده از پرسش نامه و چک لیست محقق ساخته بر اساس آخرین دستورالعمل های انجمن قلب آمریکا سنجیده شد.
یافته هانتایج مطالعه نشان داد که بین میزان آگاهی و عملکرد مشارکت کنندگان آموزش همگانی، قبل و بعد از مداخله ارتباط معناداری وجود دارد. میانگین نمرات آگاهی و عملکرد نمونه های پژوهشی دو ماه بعد از مداخله اندکی کاهش داشت که این کاهش از نظر آماری معنی داری بود (p<.05).
نتیجه گیریعلی رغم کاهش معنی دار نمرات آگاهی دو ماه پس از مداخله نسبت به نمرات آگاهی بعد از مداخله، آموزش اقدامات حمایت حیات پایه بالغین، بر آگاهی و عملکرد فراگیران آموزش همگانی تاثیرگذار می باشد. همچنین تکرار دوره ای آموزش ها توصیه می گردد.
کلید واژگان: آموزش، آگاهی، عملکرد، اقدامات پایه حفظ حیاتIntroductionCardiovascular diseases increase mortality and disability, decrease quality of life, and impose heavy costs along with many social problems. When a heart attack occurs, performing life-saving first aid is considered the only effective action until the emergency medical team arrives. The present study aimed to evaluate the effect of teaching basic life-saving measures for adults on the knowledge and performance of general education learners in Sabzevar city in 2023.
Materials and MethodsThis semi-experimental research was conducted by sampling 125 citizens of Sabzevar using a stratified random method. The awareness and performance of the participants were measured before, immediately after, and two months after the training using a questionnaire and a researcher's checklist based on the latest guidelines from the American Heart Association.
ResultsThe results of the research showed a significant relationship between the level of awareness and the performance of the participants in public education, before and after the intervention. The average knowledge and performance scores of the research samples decreased slightly two months after the intervention, which was statistically significant (p < 0.05).
ConclusionDespite a significant decrease in awareness scores two months post-intervention compared to post-intervention awareness scores, teaching basic life support measures for adults can positively affect the awareness and performance of general education learners. Periodic repetition of the training is recommended.
Keywords: Education, Knowledge, Performance, Basic Cardiac Life Support
- نتایج بر اساس تاریخ انتشار مرتب شدهاند.
- کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شدهاست. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
- در صورتی که میخواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.