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Pandemic Care Through Collaboration: Sharing Lessons from a COVID-19 Police Field Hospital 通过协作进行大流行护理:分享2019冠状病毒病警察野战医院的经验教训
Pub Date : 2023-09-26 DOI: 10.5812/jamm-137467
Zeinab Tabanejad, Mahdi Zareei, Morteza Mesri, Mohsen Babaei
: In the summer of two years ago in 2021, the prevalence of COVID-19 increased sharply in one of the less privileged provinces. As a result, the number of beds and treatment departments in hospitals, and more importantly, the number of medical specialists in that province, did not meet the existing needs. For this reason, the military healthcare workers decided to come to the aid of that province, considering the organizational mission of the police force. According to the memorandum, the Police Organization, the Governor, and the University of Medical Sciences from that province collaborated to establish a 64-bed field hospital for patients with COVID-19, with two separate wards for male and female patients. The COVID-19 Police Field Hospital provided care for more than a thousand patients over 8 weeks from July 12 to August 31, 2021. In this report, we describe our implementation strategy, including organizational structure, acceptance criteria, and clinical services. Additionally, dynamic workflows require clear lines of relationship, clinical operations expertise, and engaged, interested, and people-friendly healthcare workers.
两年前的2021年夏天,在一个贫困省份,COVID-19的流行率急剧上升。因此,该省医院的床位和治疗部门的数量,更重要的是,医疗专家的数量无法满足现有的需要。因此,考虑到警察部队的组织任务,军队保健人员决定向该省提供援助。根据备忘录,警察组织、省长和该省的医学科学大学合作为COVID-19患者建立了一个有64个床位的野战医院,为男性和女性患者提供两个单独的病房。2019冠状病毒病警察野战医院在2021年7月12日至8月31日的8周内为1000多名患者提供了护理。在本报告中,我们描述了我们的实施策略,包括组织结构、验收标准和临床服务。此外,动态工作流程需要明确的关系线、临床操作专业知识以及敬业、感兴趣和友好的医护人员。
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引用次数: 0
Empathy Vaccine Is Needed for Healthcare Professionals During Pandemics: A Letter to Editor 流行病期间医疗保健专业人员需要移情疫苗:致编辑的一封信
Pub Date : 2023-09-26 DOI: 10.5812/jamm-139053
Zahra Jafari, Sima Mohammad Khan Kermanshahi, Zohre Vanaki
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引用次数: 0
Effectiveness of Eye Movement Desensitization and Reprocessing Therapy in Response Inhibition and Cognitive Flexibility of Veterans with Posttraumatic Stress Disorder 眼动脱敏和再加工治疗对退伍军人创伤后应激障碍反应抑制和认知灵活性的影响
Pub Date : 2023-09-26 DOI: 10.5812/jamm-138324
Tahereh Bonyadi, Rezvan Homaei, Alireza Heidari
Background: People traumatized by wars develop posttraumatic stress disorder (PTSD) and have low distress tolerance or emotional perception. Objectives: The present study aimed to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) therapy in response inhibition and cognitive flexibility of veterans with PTSD. Methods: This quasi-experimental research adopted a pretest-posttest follow-up control group design. The statistical population included all the veterans supported by the Foundation of Martyrs and Veterans Affairs (FMVA) in Ahvaz, Khuzestan Province (Iran) in 2021. The purposive sampling method was employed to select 30 veterans who visited the psychological service centers affiliated with the FMVA of Ahvaz. They were then randomly assigned to the experimental (n = 15) and control (n = 15) groups. The participants in the experimental group received ten 60-minute EMDR therapy sessions held by the researcher, who underwent specialized training at the FMVA Counseling Center in Boustan Hospital. The participants in the control group received no intervention. The cognitive flexibility questionnaire and response inhibition scale were used to collect data. The analysis of covariance (ANCOVA) was used for data analysis in SPSS 24. Results: In the experimental group, the posttest and follow-up scores of response inhibition (response time) and cognitive flexibility showed significant improvements compared to pretest scores (P < 0.001). Conclusions: Hence, EMDR therapy improved cognitive flexibility and response inhibition in veterans with PTSD. As a result, EMDR therapy can be employed to enhance the psychological characteristics of veterans with stress.
背景:受战争创伤的人会出现创伤后应激障碍(PTSD),其痛苦耐受力或情绪感知能力较低。目的:探讨眼动脱敏和再加工(EMDR)治疗对PTSD退伍军人反应抑制和认知灵活性的影响。方法:本准实验研究采用前测后测随访对照组设计。统计人口包括2021年伊朗胡齐斯坦省阿瓦士烈士和退伍军人事务基金会(FMVA)支持的所有退伍军人。采用目的抽样的方法,选取30名到阿瓦士省退伍军人志愿军心理服务中心就诊的退伍军人。然后将他们随机分为实验组(n = 15)和对照组(n = 15)。实验组的参与者接受了由研究人员主持的10次60分钟的EMDR治疗,研究人员在Boustan医院的FMVA咨询中心接受了专门的培训。对照组的参与者没有接受任何干预。采用认知灵活性问卷和反应抑制量表收集数据。数据分析采用协方差分析(ANCOVA)。结果:实验组反应抑制(反应时间)和认知灵活性的后测和随访得分较前测有显著提高(P <0.001)。结论:EMDR治疗可改善退伍军人PTSD患者的认知灵活性和反应抑制。因此,EMDR疗法可用于改善应激退伍军人的心理特征。
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引用次数: 0
Gluteal Hidradenitis Suppurativa: A Case for Collaboration 臀部化脓性汗腺炎:一例合作
Pub Date : 2023-09-19 DOI: 10.5812/jamm-138233
Ranjan Kumar, Loknandini Sharma, Niyor Das
: Hidradenitis suppurativa is a chronic inflammatory disease of the apocrine gland, characterized by the formation of abscess, sinus tract, and scarring. The common sites affected by the disease are the axilla and groin, while gluteal region involvement is rare. There are multiple modalities of management available depending on the stage of the disease and associated complications.
化脓性汗腺炎是大汗腺的一种慢性炎症性疾病,其特征是形成脓肿、窦道和瘢痕。最常见的病变部位是腋窝和腹股沟,而臀部少见。根据疾病的分期和相关并发症,有多种治疗方法。
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引用次数: 0
Does the Misuse of Oral Hygiene Facilitate the Spread of COVID-19 Among Cohabiting Individuals? A Cross-Sectional Study 滥用口腔卫生是否会促进COVID-19在同居人群中的传播?横断面研究
Pub Date : 2023-09-17 DOI: 10.5812/jamm-138186
Mehrnoosh Khoshtarash, Nastaran Mirfarhadi, Nazanin Bashardoust, Masoumeh Mahmoudzadeh
Background: Despite all the available guidelines for coronavirus disease 2019 (COVID-19), less emphasis has been placed on oral care to reduce the viral load in the mouth and saliva. Objectives: This study aimed to investigate oral hygiene habits and infection control behaviors and their relationship with household transmission rates in patients with COVID-19. Methods: In this analytical cross-sectional study, 179 patients with COVID-19 were investigated through continuous sampling in 2021 - 2022. The data collection tool was a 3-section questionnaire, including (1) social and clinical information about the individual infected with COVID-19, preliminary information about family members and transfer to another person in the family, (2) oral hygiene habits during quarantine, and (3) infection control behaviors. The collected data were analyzed using independent t-test, ANOVA, Spearman's correlation, and chi-square test in SPSS version 24. Results: The rate of household disease transmission was 61.5%. There was no significant relationship between oral hygiene habits and the household transmission of COVID-19 (P = 0.108); however, the use of a shared toothbrush container and a toothpaste tube among family members was significantly related to the rate of household transmission (P = 0.042 and P > 0.001, respectively). Conclusions: No relationship was found between oral hygiene habits and the intra-familial transmission of COVID-19; however, oral hygiene habits were influential in contracting a more severe type of disease and hospitalization rate. Using shared toothbrush containers and toothpaste tubes by the family members increased the probability of household transmission of COVID-19.
背景:尽管2019冠状病毒病(COVID-19)有所有可用的指南,但对口腔护理的重视程度较低,以减少口腔和唾液中的病毒载量。目的:了解新冠肺炎患者口腔卫生习惯、感染控制行为及其与家庭传播率的关系。方法:采用横断面分析方法,对2021 - 2022年179例新冠肺炎患者进行连续抽样调查。数据收集工具为3部分问卷,包括:(1)感染个体的社会和临床信息、家庭成员及其转移情况的初步信息、(2)隔离期间的口腔卫生习惯、(3)感染控制行为。收集的数据在SPSS version 24中使用独立t检验、方差分析、Spearman相关和卡方检验进行分析。结果:家庭疾病传播率为61.5%。口腔卫生习惯与家庭COVID-19传播无显著相关性(P = 0.108);然而,家庭成员共用牙刷盒和牙膏管与家庭传播率显著相关(P = 0.042, P >分别为0.001)。结论:口腔卫生习惯与COVID-19家族内传播无相关性;然而,口腔卫生习惯对感染更严重类型的疾病和住院率有影响。家庭成员共用牙刷盒和牙膏管增加了COVID-19家庭传播的可能性。
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引用次数: 0
Using Mini-Stories as Teaching Techniques: A Qualitative Study 用小故事作为教学技巧:一项定性研究
Pub Date : 2023-09-12 DOI: 10.5812/jamm-137261
Esmaeil Fattahi, Hadis Barati, Eshagh Moradi, Mohammad Barati, Fardin Mehrabian, Parisa Kasmaei, Hadi Darvishigilan
Background: Mini stories are short, fictional narratives illustrating a particular concept or idea. This study aims to explore the effectiveness of mini-stories as a teaching technique based on teachers' experiences who have used this approach in their classrooms. Methods: A qualitative research approach was used to gather data from teachers using mini-stories as a teaching technique. A total of 8 professors from different scientific fields were selected for this study. Each participant was interviewed individually, and the interviews were recorded and transcribed for analysis. The data were analyzed using a thematic analysis approach. Results: Student-centered and teacher-centered are two categories extracted with ten Sub-categories extracted, including relevance to the lesson, attractiveness, brevity, informality, creativity, reflection, problem-solving, age appropriateness, effectiveness, and reflection. Conclusions: The study's findings reveal a two-fold teaching approach, encompassing teacher-centered and student-centered modes. Mini-stories represent a valuable teaching technique, captivate students, elucidate complex concepts, and stimulate critical thinking.
背景:迷你故事是描述一个特定概念或想法的简短的虚构叙述。本研究旨在探讨小故事作为一种教学方法的有效性,基于教师在课堂上使用这种方法的经验。方法:采用质性研究方法,收集教师使用小故事作为教学技巧的资料。本次研究共选取了8位来自不同科学领域的教授。每个参与者都被单独访谈,访谈被记录下来并转录以供分析。使用专题分析方法对数据进行分析。结果:提炼出以学生为中心和以教师为中心的两个类别,并提炼出十个子类别,包括课堂相关性、吸引力、简洁性、非正式性、创造性、反思性、解决问题性、适龄性、有效性和反思性。结论:研究结果揭示了双重教学模式,包括以教师为中心和以学生为中心的模式。小故事是一种有价值的教学技巧,能吸引学生,阐明复杂的概念,激发批判性思维。
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引用次数: 0
Cultural Capability in the Professional Care of Nurses for Medical Tourists in Iran: A Qualitative Study 伊朗医疗游客护士专业护理的文化能力:一项定性研究
Pub Date : 2023-08-28 DOI: 10.5812/jamm-138922
H. Hamzehpour, T. Ashktorab, M. Esmaeili
Background: Medical tourists create an issue that needs to be investigated in different parts of the world. Increasing expectations of health tourists for health services improves the quality of nursing care services for foreign clients. Due to globalization, nurses are required to handle the increasing number of overseas visitors and immigrants. Objectives: This study was conducted to assess cultural capability in the professional care of nurses for medical tourists in Iran. Methods: We conducted 23 semi-structured interviews in 2021 - 2022 in this qualitative study. The interviewees included nurses from international wards and wards with international patients, patients, patient companions, and doctors. The interviews were conducted using a goal-oriented method. After recording, the data were analyzed using the conventional qualitative content analysis of Lundman and Graneheim. Results: In this study, a general theme (main theme) called “Cultural capability in professional care” was categorized into 8 categories: “Culture-oriented language communication,” “Culture-oriented communication interactions,” "Cultural humility," "valuing cultural diversity," "context-based client training," and "respectful communication.". Conclusions: Cultural capability in the professional care of nurses is important for providing comprehensive and quality care because patients come with different cultural beliefs and from different geographical areas.
背景:医疗游客创造了一个需要在世界不同地区进行调查的问题。保健游客对保健服务的期望不断提高,提高了为外国客户提供的护理服务的质量。由于全球化,护士需要处理越来越多的海外访客和移民。目的:本研究旨在评估伊朗医疗游客护士专业护理的文化能力。方法:在本定性研究中,我们在2021 - 2022年进行了23次半结构化访谈。受访者包括来自国际病房和有国际患者的病房的护士、患者、患者陪伴者和医生。访谈采用目标导向的方法进行。记录后,使用Lundman和Graneheim的常规定性内容分析对数据进行分析。结果:本研究以“专业护理中的文化能力”为主题,将其分为“文化导向的语言沟通”、“文化导向的沟通互动”、“文化谦卑”、“重视文化多样性”、“基于情境的客户培训”和“尊重沟通”8个类别。结论:由于患者来自不同的文化信仰和地理区域,护士专业护理中的文化能力对提供全面优质的护理至关重要。
{"title":"Cultural Capability in the Professional Care of Nurses for Medical Tourists in Iran: A Qualitative Study","authors":"H. Hamzehpour, T. Ashktorab, M. Esmaeili","doi":"10.5812/jamm-138922","DOIUrl":"https://doi.org/10.5812/jamm-138922","url":null,"abstract":"Background: Medical tourists create an issue that needs to be investigated in different parts of the world. Increasing expectations of health tourists for health services improves the quality of nursing care services for foreign clients. Due to globalization, nurses are required to handle the increasing number of overseas visitors and immigrants. Objectives: This study was conducted to assess cultural capability in the professional care of nurses for medical tourists in Iran. Methods: We conducted 23 semi-structured interviews in 2021 - 2022 in this qualitative study. The interviewees included nurses from international wards and wards with international patients, patients, patient companions, and doctors. The interviews were conducted using a goal-oriented method. After recording, the data were analyzed using the conventional qualitative content analysis of Lundman and Graneheim. Results: In this study, a general theme (main theme) called “Cultural capability in professional care” was categorized into 8 categories: “Culture-oriented language communication,” “Culture-oriented communication interactions,” \"Cultural humility,\" \"valuing cultural diversity,\" \"context-based client training,\" and \"respectful communication.\". Conclusions: Cultural capability in the professional care of nurses is important for providing comprehensive and quality care because patients come with different cultural beliefs and from different geographical areas.","PeriodicalId":15058,"journal":{"name":"Journal of Archives in Military Medicine","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87772079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Communication Barriers to Implementation of Family-Centered Care from Perspective of Mothers and Personnel of Neonatal Intensive Care Unit: A Qualitative Study 基于母亲与新生儿重症监护室人员视角的家庭中心护理实施的沟通障碍:一项质性研究
Pub Date : 2023-07-16 DOI: 10.5812/jamm-138443
Z. Jafari, Sima Mohammad Khan kermanshahi, Z. Vanaki
Background: Positive communication between staff and parents is considered a basic principle for the successful implementation of family-centered care (FCC) and the formation of a good relationship between parents and neonates. Moreover, involvement in care depends on the communication and interaction of parents with healthcare providers, and cooperation between them leads to high-quality care for neonates. However, interaction and communication are still considered major challenges in the neonatal intensive care unit (NICU) environment. Since these challenges and communication barriers are different in various cultures and environments, they should be identified in the field. A literature review shows that no study has assessed the views of different members of the treatment team and parents on communication barriers in Iran. Objectives: The present study aimed to investigate the communication barriers related to personnel and parents for implementing FCC from the perspective of parents, physicians, nurses, and nursing managers. Methods: A qualitative study was conducted in 2021 - 2022 using the conventional content analysis approach in a NICU in Tehran, Iran. In this study, 26 semi-structured interviews and 10 field notes were used to collect data to reach data saturation. Results: Data analysis led to the emergence of two themes. The first theme was the unprofessional relationships of personnel, including two main categories of inappropriate professional behavior and lack of attention to personnel and working conditions of the ward. The second theme was mutually ineffective relationships between personnel and parents, including two main categories of the inappropriate attitude of personnel and parents toward each other and unsympathetic communication between personnel and parents. The themes showed the participants’ experiences of communication barriers to the implementation of FCC in NICUs in Iran. Conclusions: Removing communication barriers between healthcare providers and parents requires developing a coherent, comprehensive, and unified training program to prepare and create integrated coordination among the treatment team and the family, creating a positive attitude toward FCC and the presence of parents, improving relationships, and giving further attention and support by managers to personnel and the conditions of the ward.
背景:工作人员与父母之间的积极沟通被认为是成功实施以家庭为中心的护理(FCC)和形成良好的父母与新生儿关系的基本原则。此外,参与护理取决于父母与医疗保健提供者的沟通和互动,他们之间的合作可以为新生儿提供高质量的护理。然而,在新生儿重症监护病房(NICU)环境中,互动和沟通仍然被认为是主要的挑战。由于这些挑战和沟通障碍在不同的文化和环境中是不同的,因此应该在现场识别它们。一项文献综述显示,没有研究评估了伊朗不同治疗团队成员和家长对沟通障碍的看法。目的:本研究旨在从家长、医生、护士和护理管理者的角度探讨实施FCC的人员和家长相关的沟通障碍。方法:采用常规内容分析方法,于2021 - 2022年在伊朗德黑兰的一所新生儿重症监护室进行定性研究。本研究采用26次半结构化访谈和10次实地记录收集数据,达到数据饱和。结果:通过数据分析得出两个主题。第一个主题是人员的不专业关系,包括不适当的专业行为和对人员和病房工作条件缺乏关注两大类。第二个主题是工作人员与家长之间的相互无效关系,包括工作人员与家长之间的不适当态度和工作人员与家长之间的不同情沟通两大类。这些主题展示了参与者在伊朗新生儿重症监护室实施FCC的沟通障碍方面的经验。结论:要消除医护人员和家长之间的沟通障碍,需要制定一个连贯、全面、统一的培训计划,以准备和建立治疗团队和家庭之间的综合协调,建立对FCC和家长在场的积极态度,改善关系,并得到管理者对人员和病房条件的进一步关注和支持。
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引用次数: 0
Comparison of Diltiazem Ointment and Safflower Oil in Reducing the Necrosis of Accidental Flap of Rat 地尔硫卓软膏与红花油减轻大鼠意外皮瓣坏死的比较
Pub Date : 2023-04-21 DOI: 10.5812/jamm-123067
Amir Hossein Golmohammadi Khameneh, Siamak Rakei Isfahani, M. Salehi, Abolfazl Mohtarami, A. Kamali
Background: This study aimed to compare diltiazem-ointment and safflower oil in reducing the necrosis of accidental rat flaps. Method: We divide 40 mice into four groups. We created a 10 × 3 random flap on the back of rats after washing with ketamine intraperitoneal. The flap was used for these four groups of ointments from two days before surgery to five days after surgery. We used diltiazem ointment in the first group, safflower essential oil in the second group and vaseline in the third group. The fourth group was for control Results: The mean necrosis of the flap was observed in 49% of the vaseline group, 52% of the diltiazem group, 53% safflower essential oil group, and 47% of the control group. The P-value with the independent groups' test was more than 0.05 and confirmed no significant difference between Wistar rat groups. Vaseline, diltiazem, and safflower essential oil did not increase blood flow to the random flap in mice. Conclusions: Diltiazem and safflower did not improve blood flow to the flap. Since this drug has not been used for flaps, it is suggested that further studies be conducted in this field.
背景:本研究旨在比较地尔硫卓软膏和红花油对大鼠意外皮瓣坏死的影响。方法:将40只小鼠分为4组。经氯胺酮腹腔清洗后,在大鼠背部建立10 × 3随机皮瓣。皮瓣用于这四组软膏从术前2天至术后5天。第一组使用地尔硫卓软膏,第二组使用红花精油,第三组使用凡士林。结果:凡士林组皮瓣平均坏死率为49%,地尔硫卓组为52%,红花精油组为53%,对照组为47%。经独立组检验p值大于0.05,证实Wistar大鼠组间无显著性差异。凡士林、地尔硫卓和红花精油并没有增加小鼠随机皮瓣的血流量。结论:地尔硫卓和红花对皮瓣血流无明显改善作用。由于该药物尚未用于皮瓣,因此建议在该领域进行进一步的研究。
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引用次数: 0
Telemedicine in Selected Military Medical Centers: What and How It Is Being Done 远程医疗在选定的军事医疗中心:做什么和如何做
Pub Date : 2023-04-04 DOI: 10.5812/jamm-134541
Z. Tabanejad, H. Mohajeri, A. Hosseinpour
Background: Telemedicine is considered a remote diagnosis and treatment of patients using telecommunication. Objectives: This study aimed to share the experience of using telemedicine in selected military medical centers. Methods: Telemedicine includes medical practice and information and communication technology. It has proven to be very effective for telehealth care, especially in areas with poor health facilities. However, the implementation of these technologies is often hampered by various issues. However, due to the spread of military personnel in the vastness of Iran's geography and the need to handle and receive medical care and treatment, telemedicine has been considered for more than a hundred centers since 2019. Results: Telemedicine provides various types of health care services, such as psychological consultations, educational services, health care delivery and management, disease screening, and disaster management services across selected military medical centers. Conclusions: Although telemedicine cannot be a solution to all problems, it can certainly go a long way in reducing the burden on the health care system through safe and effective communication.
背景:远程医疗被认为是一种利用电信对患者进行远程诊断和治疗的方法。目的:本研究旨在分享在选定的军事医疗中心使用远程医疗的经验。方法:远程医疗包括医疗实践和信息通信技术。事实证明,它对远程保健非常有效,特别是在卫生设施差的地区。然而,这些技术的实现常常受到各种问题的阻碍。然而,由于军事人员分布在伊朗广阔的地理位置上,以及处理和接受医疗护理和治疗的需要,自2019年以来,已经考虑了100多个中心的远程医疗。结果:远程医疗在选定的军事医疗中心提供各种类型的卫生保健服务,如心理咨询、教育服务、卫生保健提供和管理、疾病筛查和灾害管理服务。结论:虽然远程医疗不能解决所有问题,但通过安全有效的沟通,它肯定可以在很大程度上减轻卫生保健系统的负担。
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引用次数: 0
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Journal of Archives in Military Medicine
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