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Interfering Effect of Alcohol Swabbing on Capillary Blood Glucose Concentration Using a Glucometer 酒精擦拭对使用血糖仪的毛细血管血糖浓度的干扰效应
Pub Date : 2024-06-09 DOI: 10.5812/mcj-145591
Mostafa Abdollahi, A. Ayar, Hamideh Kouhpeikar, Najmeh Tavakol, Seyede Fatemeh Hosseini
: In this study, we investigated the interfering effect of alcohol swabs on blood glucose measurements. We conducted a randomized quasi-experimental quantitative study with 160 diabetic patients. Blood glucose was measured with a glucometer in three ways: Immediately after cleaning with an alcohol swab, 30 seconds after the alcohol dried, and venous blood glucose. The results of the ANOVA test showed no statistically significant difference between glucose measured by the glucometer immediately after disinfection, blood glucose 30 seconds after disinfection, and venous glucose in the age range of 1-20 years (P = .376), in the age range of 11 - 20 years (P = 0.248), and in the age range of 21 - 30 years (P = 0.436); the measurements were almost the same. It can be concluded that alcohol-containing swabs used for hand disinfection do not have a significant effect on the measured blood glucose. However, it is advisable to wait 30 seconds for the alcohol to dry, especially when thin lancets are used.
:在这项研究中,我们调查了酒精棉签对血糖测量的干扰作用。我们对 160 名糖尿病患者进行了随机准实验定量研究。使用血糖仪以三种方式测量血糖:用酒精棉签清洁后立即测量、酒精干燥后 30 秒测量和静脉血糖测量。方差分析检验结果显示,在 1-20 岁年龄段(P = .376)、11-20 岁年龄段(P = 0.248)和 21-30 岁年龄段(P = 0.436),消毒后立即用血糖仪测量的血糖、消毒 30 秒后的血糖和静脉血糖之间没有统计学差异;测量结果几乎相同。由此可以得出结论,用于手部消毒的含酒精棉签对测量的血糖没有明显影响。不过,最好等待 30 秒让酒精干透,尤其是在使用较薄的柳叶刀时。
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引用次数: 0
Consumption of Apitherapy Products by Late Adolescents Before and During the COVID-19 Pandemic: A Cross-Sectional and Comparative Descriptive Study COVID-19大流行之前和期间晚期青少年的蜂疗产品消费情况:横断面比较描述性研究
Pub Date : 2024-06-08 DOI: 10.5812/mcj-145809
B. Aksoy, Vildan Apaydın Cırık
Background: Apitherapy has emerged as both a conventional and alternative treatment effective against COVID-19-related symptoms. Objectives: This study aimed to determine the types, frequency, and amount of apitherapy products that late adolescents use before and during the pandemic. Methods: The study employed a cross‐sectional, descriptive, and comparative design. Using stratified random sampling, 3307 late adolescents aged 17 - 21 were included. Data were collected through a questionnaire on demographic characteristics and apitherapy products. Descriptive statistics and paired sample t-tests were used for data analysis, with effect size calculated using Cohen’s d method. Results: Half of the participants (n = 1595, 48.2%) had never heard of “apitherapy” before, while those who had heard mentioned honey (35.6%), pollen (25.5%), propolis (14.9%), royal jelly (11.3%), bee venom (8.4%), and bee bread (4.3%). They reported using these products to “boost their immune systems”, “prevent respiratory infections/reduce cough”, and “reduce nausea and vomiting”. Late adolescents consumed significantly more honey (t = -15.683, P < 0.001, effect size = 0.35), pollen (t = -11.111, P < 0.001; effect size = 0.44), and propolis (t = -15.302, P < 0.001, effect size = 0.45) during the pandemic than before. They primarily examined labels before purchasing (36.4%) and believed that products approved by the Ministry of Agriculture and Forestry should be purchased (63.3%). Conclusions: This study underscores the popularity of apitherapy among late adolescents. Further surveys are recommended to better understand young people's apitherapy habits and provide valuable data for healthcare practitioners combating the pandemic.
背景:蜂毒疗法已成为一种传统和替代疗法,可有效治疗 COVID-19 相关症状。研究目的本研究旨在确定晚期青少年在大流行前和大流行期间使用的杏仁疗法产品的类型、频率和数量。研究方法研究采用横断面、描述性和比较性设计。通过分层随机抽样,共纳入了 3307 名年龄在 17 - 21 岁之间的晚期青少年。研究人员通过调查问卷收集了有关人口特征和无菌治疗产品的数据。数据分析采用了描述性统计和配对样本 t 检验,效应大小采用 Cohen's d 方法计算。结果半数参与者(n = 1595,48.2%)以前从未听说过 "蜂疗",而听说过的人提到了蜂蜜(35.6%)、花粉(25.5%)、蜂胶(14.9%)、蜂王浆(11.3%)、蜂毒(8.4%)和蜂面包(4.3%)。他们称使用这些产品是为了 "增强免疫系统"、"预防呼吸道感染/减轻咳嗽 "以及 "减轻恶心和呕吐"。晚期青少年在大流行期间食用的蜂蜜(t = -15.683,P < 0.001,效应大小 = 0.35)、花粉(t = -11.111,P < 0.001;效应大小 = 0.44)和蜂胶(t = -15.302,P < 0.001,效应大小 = 0.45)明显多于大流行之前。他们在购买前主要检查标签(36.4%),并认为应购买农林部批准的产品(63.3%)。结论:本研究强调了无细胞疗法在晚期青少年中的流行程度。建议进一步开展调查,以更好地了解青少年的无菌疗法习惯,并为医护人员防治该流行病提供有价值的数据。
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引用次数: 0
The Experiences of Family Caregivers After Losing a Patient with Advanced Cancer: A Qualitative Study 失去晚期癌症患者后家庭照顾者的经历:定性研究
Pub Date : 2024-05-08 DOI: 10.5812/mcj-146988
Mahnaz Bahrami, Ahmad Reza Sebzari, A. Nasiri
Background: In patients with advanced cancer, family caregivers are crucial in providing care throughout the illness, particularly towards the end of life. These caregivers often face unique challenges and emotions that may differ significantly from those experienced by other family members following the patient’s death. Objectives: The purpose of this study was to explore the experiences of family caregivers following the loss of a patient with advanced cancer. Methods: A qualitative study was conducted in Iran from June 2023 to January 2024 to explore the experiences of family caregivers after the death of a patient with advanced cancer. Using purposive sampling, face-to-face, in-depth semi-structured interviews were carried out with 14 Iranian family caregivers of cancer patients. The interviews were subjected to conventional content analysis for thematic extraction. To ensure the trustworthiness and rigor of the study, Lincoln and Guba's criteria were applied. Results: Data analysis and abstraction resulted in the formation of three main categories with eight sub-categories. The categories extracted from the caregivers' experiences were: Caregiver's inconsolable mourning, Unforgettable experience of caring for loved ones, and Constant mind involvements. Conclusions: The different experiences of family caregivers after the death of a patient and the more intense emotions they experience indicate that caregivers require additional attention and support following the loss. Consequently, health systems should identify these individuals during the patient care process and provide targeted support after the patient's death.
背景:对于晚期癌症患者来说,家庭照顾者在整个病程中,尤其是在生命末期提供护理至关重要。这些照顾者往往面临着独特的挑战和情绪,这些挑战和情绪可能与患者去世后其他家庭成员所经历的挑战和情绪大相径庭。研究目的本研究旨在探讨晚期癌症患者去世后家庭照顾者的经历。方法:在伊朗进行了一项定性研究:于 2023 年 6 月至 2024 年 1 月在伊朗进行了一项定性研究,以探讨晚期癌症患者去世后家庭照护者的经历。通过有目的的抽样,对 14 位伊朗癌症患者的家庭照顾者进行了面对面的半结构化深度访谈。对访谈内容进行了常规内容分析,以提取主题。为确保研究的可信度和严谨性,采用了林肯和古巴的标准。研究结果对数据进行分析和抽象后,形成了三个主要类别和八个子类别。从照顾者的经历中提取的类别有照顾者无法平静的哀悼、照顾亲人的难忘经历和持续的心灵牵挂。结论病人去世后,家庭照顾者的不同经历和他们所经历的更强烈的情绪表明,照顾者在失去亲人后需要更多的关注和支持。因此,医疗系统应在患者护理过程中识别这些人,并在患者去世后提供有针对性的支持。
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引用次数: 0
Relationship Between Hyperuricemia and Hypertension in Diabetic Patients Undergoing Hemodialysis 接受血液透析的糖尿病患者高尿酸血症与高血压之间的关系
Pub Date : 2024-04-13 DOI: 10.5812/mcj-143829
Anahita Arian, Hamid Salehiniya, Tina Erfani, V. Raeesi
Background: Diabetes is a prevalent chronic disease and is considered a risk factor for other chronic diseases. Various studies have pointed out the relationship between uric acid and type 2 diabetes. Objectives: This study aimed to investigate the relationship between hyperuricemia and hypertension in diabetic patients undergoing hemodialysis. Methods: The descriptive-analytical cross-sectional study was conducted on dialysis patients referred to the Comprehensive Center for the Treatment of Special Diseases in Birjand in 2022. Data were collected through a checklist, which included information such as age, sex, duration of hemodialysis, duration of diabetes, history of underlying diseases, blood pressure, and serum uric acid level. The data were analyzed using SPSS 26 software and chi-square, Fisher's exact, Mann-Whitney tests with a significance level of 0.05. Results: Hypertension was present in 61 (85.9%) of patients. The average uric acid level was 5.9 ± 1.12, and hyperuricemia was observed in 11 (15.5%) of patients. Although the rate of hyperuricemia was higher in patients with high blood pressure [10 (16.4%) vs. 1 (10%)], no significant relationship between hyperuricemia and high blood pressure was observed (P = 0.605). Additionally, no significant relationship was observed between the average uric acid level and demographic factors (age, sex, duration of dialysis, and average blood sugar) (P > 0.05). Conclusions: According to the present study's results, the rate of hyperuricemia in dialysis patients with high blood pressure is higher than in patients without high blood pressure. However, due to the non-significance of this relationship, there is a need to conduct studies with a larger sample size to truly understand its relationship with high blood pressure in diabetic patients undergoing hemodialysis.
背景:糖尿病是一种常见的慢性疾病,被认为是其他慢性疾病的风险因素。多项研究指出了尿酸与 2 型糖尿病之间的关系。研究目的本研究旨在调查接受血液透析的糖尿病患者高尿酸血症与高血压之间的关系。研究方法本研究对 2022 年转诊至比尔詹德特殊疾病综合治疗中心的透析患者进行了描述性分析横断面研究。数据通过核对表收集,其中包括年龄、性别、血液透析持续时间、糖尿病持续时间、基础疾病史、血压和血清尿酸水平等信息。数据使用 SPSS 26 软件进行分析,并进行卡方检验、费雪精确检验和曼-惠特尼检验,显著性水平为 0.05。结果61名患者(85.9%)患有高血压。尿酸平均水平为 5.9 ± 1.12,11 例(15.5%)患者出现高尿酸血症。虽然高血压患者的高尿酸血症发生率较高 [10 (16.4%) vs. 1 (10%)],但未观察到高尿酸血症与高血压之间存在显著关系 (P = 0.605)。此外,平均尿酸水平与人口统计学因素(年龄、性别、透析时间和平均血糖)之间也无明显关系(P > 0.05)。结论本研究结果显示,高血压透析患者的高尿酸血症发生率高于非高血压患者。然而,由于这种关系并不显著,因此有必要进行样本量更大的研究,以真正了解血液透析糖尿病患者高尿酸血症与高血压之间的关系。
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引用次数: 0
Quality of Life in Children with Cerebral Palsy: The Role of Having Access to Rehabilitation Services 脑瘫儿童的生活质量:获得康复服务的作用
Pub Date : 2024-04-13 DOI: 10.5812/mcj-144417
Nasrin Faramarzi, N. Hatamizadeh, S. Shahshahani, S. Hosseinzadeh
Background: Cerebral palsy (CP) is a neurological motor disability, and children with CP should undergo rehabilitation services to achieve their full potential. Objectives: The purpose of this study was to explore the quality of life (QOL) of children with CP across various domains and to assess the impact of access to rehabilitation services on their QOL. Methods: We conducted a cross-sectional study involving all 126 children aged 4 - 12 with CP and their parents in Saqqez county, Kurdistan province, Iran. The "Physical Rehabilitation Accessibility Assessment Questionnaire" and the "Parental Proxy CP QOL-Child QUESTIONNAIRE" were utilized to measure the main variables. The analysis was divided into two subpopulations: 27 children aged 4 - 6 years and 99 children older than six, using SPSS version 23. After verifying the data's normality with the Kolmogorov-Smirnov test, the Spearman correlation coefficient was employed to identify correlations. Results: The average age of the participants was 8 ± 2.36 years, with 51 (40.5%) being girls. Of the 126 children with CP, 45 (35.7%) had independent mobility function (GMFCS levels I and II). The mean scores for the CP QOL-Child dimension ranged from 35.3 ± 25.1 in the 'access to services' domain to 74.5 ± 16.1 in the 'Emotional well-being and self-esteem' domain. The average accessibility score was 53.8 ± 22.1. Among children older than 6 years, access to rehabilitation services showed a significant correlation with all CP QOL-Child domain scores (P < 0.05), except for 'social well-being and acceptance.' In children aged 4 - 6 years, only the Family Health domain score was significantly correlated with access to rehabilitation services (r = 0.44, P = 0.021). Conclusions: Access to rehabilitation services is a significant predictor of QOL in children older than 6 years. Further experimental research is needed to examine changes in various aspects of QOL in children with CP following improved access to rehabilitation services.
背景:脑性瘫痪(CP)是一种神经性运动障碍,CP 患儿应接受康复服务,以充分发挥其潜能。研究目的本研究旨在探讨脑瘫儿童在各个领域的生活质量(QOL),并评估获得康复服务对其生活质量的影响。研究方法我们进行了一项横断面研究,涉及伊朗库尔德斯坦省 Saqqez 县所有 126 名 4 - 12 岁的 CP 儿童及其家长。主要变量采用 "物理康复无障碍评估问卷 "和 "父母代理 CP QOL-儿童问卷 "进行测量。分析分为两个子人群:使用 SPSS 23 版对 27 名 4-6 岁儿童和 99 名 6 岁以上儿童进行了分析。用 Kolmogorov-Smirnov 检验法验证数据的正态性后,采用斯皮尔曼相关系数来确定相关性。研究结果参与者的平均年龄为(8 ± 2.36)岁,其中 51 名(40.5%)为女孩。在126名患有CP的儿童中,45名(35.7%)具有独立的活动功能(GMFCS I级和II级)。CP QOL-儿童维度的平均得分从 "获得服务 "领域的 35.3 ± 25.1 到 "情感幸福和自尊 "领域的 74.5 ± 16.1 不等。可及性的平均得分为 53.8 ± 22.1。在 6 岁以上的儿童中,除 "社会幸福感和接受度 "外,获得康复服务的机会与所有 CP QOL-Child 领域的得分均有显著相关性(P < 0.05)。在 4 - 6 岁的儿童中,只有 "家庭健康 "领域的得分与获得康复服务的机会有明显相关性(r = 0.44,P = 0.021)。结论获得康复服务是预测 6 岁以上儿童 QOL 的一个重要指标。我们需要进一步开展实验研究,以了解获得康复服务后,CP 儿童各方面 QOL 的变化情况。
{"title":"Quality of Life in Children with Cerebral Palsy: The Role of Having Access to Rehabilitation Services","authors":"Nasrin Faramarzi, N. Hatamizadeh, S. Shahshahani, S. Hosseinzadeh","doi":"10.5812/mcj-144417","DOIUrl":"https://doi.org/10.5812/mcj-144417","url":null,"abstract":"Background: Cerebral palsy (CP) is a neurological motor disability, and children with CP should undergo rehabilitation services to achieve their full potential. Objectives: The purpose of this study was to explore the quality of life (QOL) of children with CP across various domains and to assess the impact of access to rehabilitation services on their QOL. Methods: We conducted a cross-sectional study involving all 126 children aged 4 - 12 with CP and their parents in Saqqez county, Kurdistan province, Iran. The \"Physical Rehabilitation Accessibility Assessment Questionnaire\" and the \"Parental Proxy CP QOL-Child QUESTIONNAIRE\" were utilized to measure the main variables. The analysis was divided into two subpopulations: 27 children aged 4 - 6 years and 99 children older than six, using SPSS version 23. After verifying the data's normality with the Kolmogorov-Smirnov test, the Spearman correlation coefficient was employed to identify correlations. Results: The average age of the participants was 8 ± 2.36 years, with 51 (40.5%) being girls. Of the 126 children with CP, 45 (35.7%) had independent mobility function (GMFCS levels I and II). The mean scores for the CP QOL-Child dimension ranged from 35.3 ± 25.1 in the 'access to services' domain to 74.5 ± 16.1 in the 'Emotional well-being and self-esteem' domain. The average accessibility score was 53.8 ± 22.1. Among children older than 6 years, access to rehabilitation services showed a significant correlation with all CP QOL-Child domain scores (P < 0.05), except for 'social well-being and acceptance.' In children aged 4 - 6 years, only the Family Health domain score was significantly correlated with access to rehabilitation services (r = 0.44, P = 0.021). Conclusions: Access to rehabilitation services is a significant predictor of QOL in children older than 6 years. Further experimental research is needed to examine changes in various aspects of QOL in children with CP following improved access to rehabilitation services.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140707774","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
Social-Demographic Predictors of Sexual Self-Concept in Women on the Verge of Marriage: A Cross-Sectional Study 濒临结婚女性性自我概念的社会人口学预测因素:横断面研究
Pub Date : 2024-03-06 DOI: 10.5812/mcj-144371
S. Bani, Maryam Nematzadeh, M. Mirghafourvand, Shirin Hasanpour
Background: A satisfying and proper sexual relationship that meets the needs of both spouses plays a crucial role in the stability and longevity of the family. Sexual self-concept is one of the factors affecting women's sexual behavior and performance and can be changed throughout life. Objectives: This study aimed to determine the status of sexual self-concept and its socio-demographic predictors of women on the verge of marriage. Methods: This cross-sectional study was conducted on 130 women referring to premarital counseling centers in Tabriz, Iran. The data collection tool was the questionnaire of personal and social characteristics and Snell's Multidimensional Sexual Self-Concept Questionnaire. Pearson's correlation test, one-way analysis of variance, and multivariate linear regression test were used in data analysis with SPSS software version 24. Results: The mean (standard deviation) of the positive sexual self-concept score was 117 (0.20) from the obtainable score of 0 - 176, and the mean (standard deviation) of the negative sexual self-concept score was 16 (0.7) from the obtainable score of 4 - 38. Additionally, the mean (standard deviation) of the sexual self-concept score was 44 (0.9) from the range of the obtainable score of 0 - 72. The results of multivariate analysis with multivariate linear regression test and control of confounding variables showed that the husband’s age, education, and mother's education were the predictors of positive sexual self-concept. Moreover, age, father's education, and duration of previous acquaintance were reported as predictors of negative sexual self-concept, and age was observed as a predictor of situational sexual self-concept. Conclusions: The study's findings indicated that age, education, parents' education, and the duration of acquaintance with the future spouse could predict sexual self-concept in women approaching marriage without sexual abuse. Given that sexual self-concept evolves well before any sexual activity, policymakers can enhance women's sexual self-concept through interventions, such as psychological counseling with a focus on sexual health. This, in turn, can improve their overall well-being, ultimately supporting stable family foundations and successful childbearing in the future.
背景介绍满足夫妻双方需要的满意和适当的性关系对家庭的稳定和长寿起着至关重要的作用。性自我概念是影响女性性行为和性表现的因素之一,并且可以在一生中改变。研究目的本研究旨在确定即将步入婚姻殿堂的女性的性自我概念状况及其社会人口学预测因素。研究方法这项横断面研究以伊朗大不里士市婚前咨询中心的 130 名女性为对象。数据收集工具是个人和社会特征问卷以及斯内尔多维性自我概念问卷。在使用 SPSS 软件 24 版进行数据分析时,使用了皮尔逊相关检验、单因素方差分析和多元线性回归检验。结果积极的性自我概念得分的平均值(标准差)为 117(0.20),可得分为 0 - 176;消极的性自我概念得分的平均值(标准差)为 16(0.7),可得分为 4 - 38。此外,性自我概念得分的平均值(标准差)为 44(0.9)分,可得分数范围为 0 - 72 分。通过多变量线性回归测试和混杂变量控制进行的多变量分析结果显示,丈夫的年龄、教育程度和母亲的教育程度是预测性自我概念积极性的因素。此外,年龄、父亲的教育程度和以前相识的时间长短被认为是消极性自我概念的预测因素,而年龄被认为是情景性自我概念的预测因素。结论研究结果表明,年龄、教育程度、父母的教育程度以及与未来配偶相识的时间长短可以预测即将步入婚姻殿堂但未遭受性虐待的女性的性自我概念。鉴于性自我概念早在发生性行为之前就已经形成,决策者可以通过干预措施来增强妇女的性自我概念,例如以性健康为重点的心理咨询。这反过来又能改善她们的整体福祉,最终支持稳定的家庭基础和未来的成功生育。
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引用次数: 0
Strengthening Africa’s Healthcare System: A Multifaceted Approach to Addressing the Nurses and Midwives Shortage 加强非洲的医疗保健系统:多管齐下解决护士和助产士短缺问题
Pub Date : 2024-03-06 DOI: 10.5812/mcj-144821
Usman Auwal Isah, Faisal Muhammad, Majeed Adisa, Rashidat Oluwabukola Owolabi, Maryam Dahiru Umar, Abuhuraira Ado Musa
{"title":"Strengthening Africa’s Healthcare System: A Multifaceted Approach to Addressing the Nurses and Midwives Shortage","authors":"Usman Auwal Isah, Faisal Muhammad, Majeed Adisa, Rashidat Oluwabukola Owolabi, Maryam Dahiru Umar, Abuhuraira Ado Musa","doi":"10.5812/mcj-144821","DOIUrl":"https://doi.org/10.5812/mcj-144821","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140262258","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
Role of Medical and Nursing Practitioners in Times of Pandemic: Lessons Learned from the COVID-19 Crisis and Future Prospects 医疗和护理从业人员在大流行病时期的作用:从 COVID-19 危机中汲取的教训与未来展望
Pub Date : 2024-03-03 DOI: 10.5812/mcj-144360
C. Milionis
Context: The coronavirus disease 2019 (COVID-19) pandemic adversely affected the operation of health systems and services and dramatically increased the responsibilities of health professionals. Medical and nursing practitioners are an integral part of health care. They shouldered an important role in the fight against the novel coronavirus despite the potential risks. Evidence Acquisition: The present article applied a narrative approach to examine the nature and scope of the medical and nursing professions, especially during a pandemic or epidemic, and to describe the societal impact of the recent public health emergency. This study also analyzed the experience gained from the pandemic and how this could be used to ethically guide health services and clinicians through similar crises in the future. Results: The COVID-19 crisis revealed ethical dilemmas related to the retention of balance between the commitment to duty and the discretion to opt out. Health workers' obligation to treat derives from their professional role and is based on scientific, moral, and legal grounds. A pandemic mandates health staff to work at the limits of their competencies and entails the risk of infection with the pathogen, physical exhaustion, and emotional stress. The tremendous toll on society and health care due to the spread of a pathogen needs to be managed. The responsibility of clinicians to care for the sick is at the core of any successful response to a pandemic. Protective measures, safety training, sustainable working hours, and moral and fiscal compensation are essential prerequisites for the fulfillment of their tasks. Conclusions: Despite the reduced clinical severity associated with new variants, individual and collective fatigue among doctors and nurses continues to exist. The most recent epidemiological indicators show that the COVID-19 pandemic is still progressing but with a decelerating rhythm. In addition, preparation for a potentially catastrophic future pandemic is appropriate. Therefore, there is no time for complacency. All the involved parties need to ensure that health professionals uphold the mission of their profession.
背景:2019 年冠状病毒病(COVID-19)大流行对卫生系统和服务的运作产生了不利影响,并大大增加了卫生专业人员的责任。医疗和护理从业人员是医疗保健不可或缺的一部分。尽管存在潜在风险,但他们在抗击新型冠状病毒的斗争中承担着重要角色。证据获取:本文采用叙事方法研究了医疗和护理专业的性质和范围,尤其是在大流行病或流行病期间,并描述了近期公共卫生紧急事件的社会影响。本研究还分析了从大流行病中获得的经验,以及如何利用这些经验从伦理角度指导医疗服务和临床医生应对未来的类似危机。研究结果:COVID-19 危机揭示了如何在义务承诺与酌情选择退出之间保持平衡的伦理困境。医务工作者的治疗义务源于他们的职业角色,并以科学、道德和法律为依据。大流行病要求医务人员在其能力极限范围内开展工作,并带来感染病原体、身体疲惫和精神压力的风险。病原体的传播对社会和医疗保健造成的巨大损失需要加以控制。临床医生照顾病人的责任是成功应对大流行病的核心。保护措施、安全培训、可持续的工作时间以及精神和经济补偿是他们完成任务的必要前提。结论:尽管新变种的临床严重性有所降低,但医生和护士的个人和集体疲劳仍然存在。最新的流行病学指标显示,COVID-19 的流行仍在继续,但节奏有所减慢。此外,应为未来可能发生的灾难性大流行做好准备。因此,我们不能沾沾自喜。所有相关方都需要确保卫生专业人员坚守其职业使命。
{"title":"Role of Medical and Nursing Practitioners in Times of Pandemic: Lessons Learned from the COVID-19 Crisis and Future Prospects","authors":"C. Milionis","doi":"10.5812/mcj-144360","DOIUrl":"https://doi.org/10.5812/mcj-144360","url":null,"abstract":"Context: The coronavirus disease 2019 (COVID-19) pandemic adversely affected the operation of health systems and services and dramatically increased the responsibilities of health professionals. Medical and nursing practitioners are an integral part of health care. They shouldered an important role in the fight against the novel coronavirus despite the potential risks. Evidence Acquisition: The present article applied a narrative approach to examine the nature and scope of the medical and nursing professions, especially during a pandemic or epidemic, and to describe the societal impact of the recent public health emergency. This study also analyzed the experience gained from the pandemic and how this could be used to ethically guide health services and clinicians through similar crises in the future. Results: The COVID-19 crisis revealed ethical dilemmas related to the retention of balance between the commitment to duty and the discretion to opt out. Health workers' obligation to treat derives from their professional role and is based on scientific, moral, and legal grounds. A pandemic mandates health staff to work at the limits of their competencies and entails the risk of infection with the pathogen, physical exhaustion, and emotional stress. The tremendous toll on society and health care due to the spread of a pathogen needs to be managed. The responsibility of clinicians to care for the sick is at the core of any successful response to a pandemic. Protective measures, safety training, sustainable working hours, and moral and fiscal compensation are essential prerequisites for the fulfillment of their tasks. Conclusions: Despite the reduced clinical severity associated with new variants, individual and collective fatigue among doctors and nurses continues to exist. The most recent epidemiological indicators show that the COVID-19 pandemic is still progressing but with a decelerating rhythm. In addition, preparation for a potentially catastrophic future pandemic is appropriate. Therefore, there is no time for complacency. All the involved parties need to ensure that health professionals uphold the mission of their profession.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140081073","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
The Effects of Resilience Training on Mental Health Among Students 抗逆力训练对学生心理健康的影响
Pub Date : 2024-02-29 DOI: 10.5812/mcj-143805
M. Raeisoon, Yahya Mohammadi, Mohadese Talaie
Background: Research indicates that certain demographic groups, including girls, often experience lower-than-average levels of mental well-being. Therefore, it appears that one approach to enhancing mental health is by teaching resilience skills. Objectives: This study aimed to investigate the effects of resilience training on the mental health dimensions of sixth-grade female students in Qaynat city during the academic year 2021 - 2022. Methods: The study employed an experimental design with a control group, conducting pre- and post-tests. The statistical population comprised female sixth-grade students from an elementary school in Qaynat City. Thirty female students exhibiting high scores on measures of depression, anxiety, and stress were selected and randomly divided into two experimental groups, with 15 participants in each group. The experimental group underwent resilience training consisting of 8 sessions. The desired variables were measured using Lovibond and Lovibond's Depression, Anxiety, and Stress Scale (DASS). The data were analyzed using SPSS 25 software through independent samples t-tests and paired t-tests. Results: The findings revealed that the resilience training intervention significantly reduced symptoms of depression (F = 11.542), anxiety (F = 13.67), and stress (F = 6.01) in the experimental group (P = 0.001). Conclusions: The results suggest that participation in a resilience training program can improve students' mental health. Therefore, implementing such intervention programs in the form of workshops and establishing counseling and support groups may be beneficial for enhancing students' mental well-being.
背景:研究表明,包括女孩在内的某些人口群体的心理健康水平往往低于平均水平。因此,提高心理健康水平的一种方法似乎是传授抗压技能。研究目的本研究旨在调查在 2021 - 2022 学年期间,抗逆力培训对盖纳特市六年级女生心理健康方面的影响。研究方法研究采用实验设计,设对照组,进行前后测试。统计对象为盖纳特市一所小学的六年级女生。研究人员选取了在抑郁、焦虑和压力测量中得分较高的 30 名女学生,将她们随机分为两个实验组,每组 15 人。实验组接受抗压训练,共 8 节课。预期变量采用洛维邦和洛维邦的抑郁、焦虑和压力量表(DASS)进行测量。数据使用 SPSS 25 软件通过独立样本 t 检验和配对 t 检验进行分析。结果研究结果表明,复原力培训干预大大减少了实验组的抑郁症状(F = 11.542)、焦虑症状(F = 13.67)和压力症状(F = 6.01)(P = 0.001)。结论研究结果表明,参加抗逆力培训项目可以改善学生的心理健康。因此,以工作坊的形式实施此类干预计划,并建立辅导和支持小组,可能有利于提高学生的心理健康水平。
{"title":"The Effects of Resilience Training on Mental Health Among Students","authors":"M. Raeisoon, Yahya Mohammadi, Mohadese Talaie","doi":"10.5812/mcj-143805","DOIUrl":"https://doi.org/10.5812/mcj-143805","url":null,"abstract":"Background: Research indicates that certain demographic groups, including girls, often experience lower-than-average levels of mental well-being. Therefore, it appears that one approach to enhancing mental health is by teaching resilience skills. Objectives: This study aimed to investigate the effects of resilience training on the mental health dimensions of sixth-grade female students in Qaynat city during the academic year 2021 - 2022. Methods: The study employed an experimental design with a control group, conducting pre- and post-tests. The statistical population comprised female sixth-grade students from an elementary school in Qaynat City. Thirty female students exhibiting high scores on measures of depression, anxiety, and stress were selected and randomly divided into two experimental groups, with 15 participants in each group. The experimental group underwent resilience training consisting of 8 sessions. The desired variables were measured using Lovibond and Lovibond's Depression, Anxiety, and Stress Scale (DASS). The data were analyzed using SPSS 25 software through independent samples t-tests and paired t-tests. Results: The findings revealed that the resilience training intervention significantly reduced symptoms of depression (F = 11.542), anxiety (F = 13.67), and stress (F = 6.01) in the experimental group (P = 0.001). Conclusions: The results suggest that participation in a resilience training program can improve students' mental health. Therefore, implementing such intervention programs in the form of workshops and establishing counseling and support groups may be beneficial for enhancing students' mental well-being.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140409360","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
Explaining the Characteristics of Nursing Managers in Transformational Management: A Qualitative Study 解释转型管理中护理管理者的特点:定性研究
Pub Date : 2024-02-09 DOI: 10.5812/mcj-143211
A. Akbari, Gholamhossein Mahmoudirad
Background: Transformational management (TM) focuses on the characteristics and behaviors required for a manager to empower and motivate team members. Nursing managers and leaders who practice TM mostly demonstrate varying degrees of transformational characteristics. Objectives: This study aimed to explain the characteristics of nursing managers in TM. Methods: In this study, we used the qualitative content analysis method. Twenty-two nursing managers were selected through purposive sampling within April 2022 to September 2023. Semi-structured interviews were used to collect the data. Data analysis followed the technique recommended by Graneheim and Lundman (2020). All interview sessions were recorded, transcribed in a Word file, and subsequently entered and analyzed in MAXQDA (2020). Results: After analyzing the data and extracting 423 open codes, seven subcategories and three final categories emerged regarding the characteristics required for nursing managers in TM. The identified characteristics in this study include the creation of a transformational culture, an ethics-oriented approach, and institutionalization of changes. Conclusions: By identifying and applying the characteristics essential to TM, nursing managers can initiate valuable changes. This, in turn, leads to transformation within their management style, the nursing profession, and the improvement of health services.
背景:变革型管理(TM)侧重于管理者授权和激励团队成员所需的特征和行为。实行变革管理的护理管理者和领导者大多表现出不同程度的变革特征。研究目的本研究旨在解释护理管理者在 TM 中的特征。研究方法本研究采用定性内容分析法。在 2022 年 4 月至 2023 年 9 月期间,通过目的性抽样选取了 22 名护理管理者。采用半结构式访谈收集数据。数据分析采用了 Graneheim 和 Lundman(2020 年)推荐的技术。所有访谈都进行了记录,并转录到 Word 文件中,随后在 MAXQDA(2020)中进行输入和分析。结果:在对数据进行分析并提取了 423 个开放代码后,得出了有关技术管理中护理管理者所需特征的七个子类别和三个最终类别。本研究确定的特征包括创建转型文化、以道德为导向的方法以及变革的制度化。结论:通过识别和应用技术管理的基本特征,护理管理者可以发起有价值的变革。这反过来又会导致他们的管理风格、护理专业和医疗服务的改善。
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Modern Care Journal
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