فهرست مطالب
Modern Care Journal
Volume:19 Issue: 2, Apr 2022
- تاریخ انتشار: 1401/03/04
- تعداد عناوین: 8
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Page 1Background
Excessive sun exposure in childhood and adolescence is an important factor in skin cancer.
ObjectivesThis study aimed to determine the knowledge, attitude, and practice of female high school students in Birjand, Iran, regarding sun protection behaviors and investigate the effect of various environmental and demographic factors.
MethodsThis descriptive cross-sectional study was performed on female high school students in Birjand within October to January 2018 using the stratified cluster random samplingmethod. The data collection tool was a researcher-made questionnaire containing various items related to knowledge, attitude, and practice, the validity of which was confirmed. Information was also obtained on the geographical location of the school, field of study, grade, grade point average, and parents’ educational level. The data were analyzed using SPSS software (version 22) based on descriptive-analytical analyses.
ResultsOut of a total of 576 students, 26.7%, 89.1%, and 53.6% had good knowledge, attitude, and practice of skin protection against ultraviolet rays. The practice scores of southern and western school students with better socioeconomic status were higher than in other geographic regions (P < 0.001). The students in experimental sciences had higher knowledge (P = 0.01), and students in humanities had a higher attitude (P = 0.03) and practice (P = 0.007) than the other two disciplines. The third-grade students scored higher on knowledge (P < 0.001). The students whose mothers had university education scored higher in knowledge, attitude, and practice. Moreover, those whose fathers had a university education scored higher in practice. Knowledge and attitude had a significant relationship with practice; attitude had a higher coefficient.
ConclusionsPractice can be improved by increasing the levels of knowledge and attitude. The educational level of the parents, especially mothers, is very important in this regard.
Keywords: Knowledge, Attitude, Practice, Student, Sun Protection -
Page 2Background
Implementation of discharge care planning is one of the essential issues in the health care system. A discharge planning is successful when a patient is prepared before the discharge process, the needs are identified, and adequate education is provided.
ObjectivesThe present study aimed to survey the nurses’ experiences regarding the challenges and implementation strategies of discharge planning.
MethodsWe used content analysis with the Lincoln and Guba approach. We purposefully selected nurses with maximum diversity in terms of age, sex, and work experience. The data collection process was performed through using semi-structured interviews.
ResultsThe results were divided into five main categories and 14 subcategories. The main categories included inadequate attention to the discharge planning, lack of standard and approved discharge planning, defects in organizational sub-structure, social barriers, and perceived defects of the current discharge situation.
ConclusionsAccording to the results, a practical step can be taken to better implement the discharge planning through approving a written discharge planning, educating the staff and patients, paying attention to patient follow-up after discharge, improving the sub-structure, and considering the patient needs.
Keywords: Nurses, Patient Discharge, Qualitative Research -
Page 3Background
Pain is an important clinical factor that limits movement and functions. Informal caregivers of stroke survivors are primarily involved in providing care and assistance and may face musculoskeletal problems.
ObjectivesThis study was conducted to determine the prevalence of musculoskeletal pain (MSP) and associated factors among informal caregivers of stroke survivors in northwestern Nigeria.
MethodsThis was a hospital-based cross-sectional study performed among 218 informal caregivers of stroke survivors. Data on sociodemographic characteristics, nature of caregiving, and duration of caregiving were collected using researcher-designed data forms. A 12-month prevalence of MSP in different body regions was obtained using the Nordic Musculoskeletal Questionnaire. Descriptive and inferential statistics were used to analyze the data at an alpha level of 0.05.
ResultsThe majority of the caregivers were females (60.6%) within the age range of 18 - 27 years old (50.9%) and engaged in full-time caregiving (63.8%). The overall prevalence of MSP among the caregivers was 16.5%. The most common MSP was low back pain (28%) and was found to be associated with age, gender, body mass index, marital status, educational level, occupational status, duration of caregiving, and nature of caregiving (all P <0.05).
ConclusionsLow back pain is the most common occurring MSP among informal caregivers of stroke survivors and is associated with duration of caregiving, nature of caregiving, and several sociodemographic characteristics. It is recommended that physiotherapists and nurses in northwestern Nigeria should educate informal caregivers of stroke survivors on proper ergonomics and other MSP preventive strategies.
Keywords: Stroke, Informal Caregivers, Caregiving, Musculoskeletal Pain, Low Back Pain, Prevalence -
Page 5Introduction
Absent right renal vein is very uncommon. This study aimed to describe a case of the absent right renal vein with drainage from the upper pole of the kidney into the right suprarenal vein and then into the ipsilateral gonadal vein.
Case PresentationA 25-year-old female patient with abdominal pain was referred to the radiology clinic for abdominopelvic computed tomography (CT) with oral and intravenous contrast. On CT images, the right renal vein was absent. The drainage of the right kidney was through the upper pole to the suprarenal vein and thereafter to the right gonadal vein and the inferior vena cava (IVC). Some suprarenal veins were drained to the superior mesenteric vein via collaterals. The IVC diameter, especially the intrahepatic portion, was decreased.
ConclusionsThe absence of the right renal vein is very rare, and to the best of our knowledge, drainage from the upper pole into the ipsilateral gonadal vein has not been previously reported in the literature.
Keywords: Right Renal Vein, Aplasia, Variation, Computed Tomography -
Page 6Background
Visual thinking strategy (VTS) is an interdisciplinary education that focuses on art. In this method, all students think about complex artistic elements. VTS uses visual literacy to teach communication skills and thinking.
ObjectivesThis study aims to compare the educational effectiveness of Persian pictures with classical painting, which leads to teaching the concepts of medical humanities using medical students’ perspective.
MethodsIn this cross-sectional descriptive-analytical study, medical students of clinical course (trainees and interns, 4th - 7th year of medicine) in the second semester of the 2021 academic year attended a VTS discussion session, which contained thinking about three paintings, including a classical western painting, a Safavid era miniature, and a contemporary painting. At the end of the session, an opinion poll on the effectiveness criteria was completed by the students separately for each painting, and the results were analyzed.
ResultsAccording to the findings, our intervention improved visual and auditory sensitivity, accuracy and attention, interaction and cooperation with others, teamwork, and an understanding of their share in the group. In addition, from the perspective of contemporary miniature students, this field played a prominent role in reducing job exhaustion, anxiety, and stress, and created a sense of calm and aesthetics in students by applying topics and issues of the day and paying attention to socio-cultural issues. Classical western painting conveyed a sense of calm and discomfort to the students. Based on the results of interpretive content analysis, this kind of painting had a profound effect on themeaning transmission so that it exposed the comprehensive views on the subject to the viewer’s sight. Given that the Safavid miniature contains various symbols that express the details of the social context and cultural traditions related to human beings, it conveys a variety of senses. On the other hand, the use of classical painting and contemporary Persian painting in VTS discussions in medical education was more prominent than the Safavid era miniature.
ConclusionsMiniature can have helpful effects on improving medical professional skills similar to classical painting in VTS topics.
Keywords: Medical Humanities, Visual thinking Strategy, Miniature, Medical Education, Medical Students -
Page 7Background
Gestational diabetes is one of the most common medical complications during pregnancy. Disease control is essential because of the increasing prevalence of this disorder, and the most important control factor is self-care behaviors.
ObjectivesThe aim of this study was to compare the effect of face-to-face and social media-based education on self-care of women with gestational diabetes.
MethodsThis quasi-experimental randomized controlled study was performed on 73 pregnant women with gestational diabetes in Birjand, Iran. Participants completed a self-care and demographic questionnaire and then were divided into three groups(face-to-face, virtual and control training group). In the face-to-face training group, 4 training sessions (one hour) were held for one month. The virtualgroup received 2 messages per day for 30 days via Telegram and the control group received only routine training. One month after the intervention, the questionnaire was completed by all individuals.
ResultsThere was no statistically significant difference between the three groups in terms of mean self-care score before the intervention, but after the intervention, the mean self-care score was increased in the face-to-face training group (P <0.001) and social media training group (P = 0.01) compared to the group Control (P = 0.22).
ConclusionsIn this study, the effect of face-to-face and virtual education is the same therefore, today, because of the prevalence of coronavirus, transportation problems of pregnant women, education based on social networks can be used.
Keywords: self-care, Gestational diabetes, training, social media, face-to-face -
Page 8Background
Health and lifestyle are very important considering the current coronavirus disease 2019 (COVID-19) pandemic. In the meantime, the lifestyle of nurses is of two-fold importance regarding their role in providing a wide range of services.
ObjectivesThe present study aimed to determine and compare the lifestyle of nurses with and without COVID-19 working in hospitals affiliated with Tehran University of Medical Sciences, Tehran, Iran.
MethodsThis comparative study was performed on 500 nurses working in hospitals affiliated with Tehran University of Medical Sciences in 2021. The study population included 500 nurses with (n = 250) and without (n = 250) COVID-19 nurses. The used research methods complied with the STROBE checklist. The data were collected using a demographic information questionnaire and a crossculturally adapted nurses’ lifestyle questionnaire. Data analysis was performed using SPSS software (version 25) and descriptive and inferential statistical tests. A P-value less than 0.05 was considered the significance level.
ResultsThe mean age values of participants with and without COVID-19 were 33.98.35 and 35.77.02 years, respectively. The statistical t-testshowedthat the overall lifestyle scorewassignificantly higher in nurses with COVID-19 (4.060.39) than in nurses without COVID-19 (3.900.43) (P = 0.010). The overall score of lifestyle subscales in the COVID-19 group was higher than the nonCOVID- 19 group. In this regard, the highest subscale score was related to the competence dimension in both COVID-19 (4.690.300) and nonCOVID-19 (4.570.418) groups (P = 0.001).
ConclusionsThe lifestyle of COVID-19 nurses is better than nonCOVID-19 nurses. Accordingly, planning is necessary to improve the lifestyle of nurses during the COVID-19 pandemic, especially nurses without COVID-19.
Keywords: Lifestyle, Nurse, COVID-19, Pandemic, Coronavirus