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Designing a disaster training program and examining its impact on the level of competence of nursing students 设计一个灾难训练计划,并检查其对护理学生能力水平的影响
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0023
F. Aliakbari, Mohammad Heidari, M. Moezzi
InTrodUcTIon: Core competencies required for a nurse to be ready for disaster response. The gaps in education make it difficult to recruit nurses prepared to respond to a disaster. The aim of this study was to design a disaster preparedness training program and examine its impact on the level of competence of nursing students. MATerIAL And MeTHods: A quasi-experimental design was used for 50 nursing students in semester 8 ran domly assigned to the experimental and the control groups. A disaster educational program for nursing students was developed based on Harden’s model. First need assessment was done and then the goals of the program were determined in the next stage, the educational content was organized based on the priorities of the students and teacher recommendations. In the next stage, the program was implemented and finally, the evaluation was carried out. resULTs: The mean age of the participant was 21.4 ± 2.14 and 57.1% of them were women. Compared with the control group, the experimental group showed a significant increase in disaster nursing competency after intervention (t = 12.37, p < 0.001). concLUsIons: This study provides evidence of the need and potential positive impact of disaster education opportunities for nurses.
InTrodUcTIon:护士应对灾害所需的核心能力。教育方面的差距使得招聘准备应对灾难的护士变得困难。本研究的目的是设计一个防灾培训计划,并考察其对护理专业学生能力水平的影响。材料和方法:采用准实验设计,对50名第8学期的护理专业学生进行了随机分组,分为实验组和对照组。基于哈登的模式,为护理专业学生制定了灾难教育计划。首先进行需求评估,然后在下一阶段确定项目目标,根据学生的优先事项和教师的建议组织教育内容。在下一阶段,该计划得到了实施,并最终进行了评估。结果:受试者的平均年龄为21.4±2.14岁,其中女性占57.1%。与对照组相比,实验组在干预后灾难护理能力显著提高(t=12.37,p<0.001)。结论:本研究为护士提供灾难教育机会的必要性和潜在的积极影响提供了证据。
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引用次数: 1
Occupational hazards in the consciousness of the paramedic in emergency medical service 急救医护人员意识中的职业危害
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0031
Agnieszka Gonczaryk, J. Chmielewski, A. Strzelecka, Jarosław Fiks, Grzegorz Witkowski, M. Florek-Luszczki
InTrodUcTIon: Due to their occupational responsibilities and volatile work environment, paramedics are in constant contact with harmful, dangerous factors, making them vulnerable to a number of occupational health risks. These include harmful biological, chemical, physical, as well as psychophysical factors (musculo-skeletal system strain, stress, patient aggression, occupational burnout). The present study aims to evaluate occupational hazard prevalence among emergency medical service (EMS) paramedics, the possibility of occupational illness incidence, and related prophylaxis. MATerIAL And MeTHods: The participant sample consisted of paramedics employed in five mobile EMS oper ational areas in the Masovian voivodship. The study involved 238 people, including 223 men and 15 women. The mean age was 39.03 ± 9.27 years for males, and 31.93 ± 7.76 years for females. The study took place between May and September 2019 using diagnostic survey methodology. resULTs: Participants ordered the following factors based on a scale of threat: biological factors (47%), psychophysical factors (41%), chemical factors (7%), and physical factors (5%). Health issues included musculoskeletal system discomfort (39%) and mental overload (33%). Participants indicated harmful biological factors to cause illnesses such as influenza (85%), tuberculosis (79%), and hepatitis B or C (70%). The study showed that 73% of the participants are occupationally exposed to patient aggression, while 15% experienced occupational burnout. concLUsIons: Paramedics are exposed to a number of occupational hazards daily. The ones most significant in terms of serious disease development are harmful biological factors, musculoskeletal risk factors, fatigue, mental overload related to occupational responsibilities.
InTrodUcTIon:由于他们的职业责任和多变的工作环境,护理人员经常接触有害、危险因素,使他们容易受到一些职业健康风险的影响。这些因素包括有害的生物、化学、物理以及心理物理因素(肌肉骨骼系统紧张、压力、患者攻击性、职业倦怠)。本研究旨在评估紧急医疗服务(EMS)护理人员的职业危害发生率、职业病发生的可能性以及相关预防措施。MATerIAL和MeTHods:参与者样本由马索维安省五个移动EMS操作区的护理人员组成。这项研究涉及238人,其中包括223名男性和15名女性。平均年龄男性为39.03±9.27岁,女性为31.93±7.76岁。该研究于2019年5月至9月进行,采用诊断调查方法。结果:参与者根据威胁程度排列以下因素:生物因素(47%)、心理物理因素(41%)、化学因素(7%)和物理因素(5%)。健康问题包括肌肉骨骼系统不适(39%)和精神超负荷(33%)。参与者指出,有害的生物因素会导致流感(85%)、结核病(79%)和乙型或丙型肝炎(70%)等疾病。研究表明,73%的参与者在职业上暴露于患者的攻击性,而15%的参与者经历了职业倦怠。结论:医护人员每天都会接触到一些职业危害。就严重疾病发展而言,最重要的是有害的生物因素、肌肉骨骼风险因素、疲劳、与职业责任相关的精神超负荷。
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引用次数: 1
Prognostic nutritional index to predicting mortality in surgical intensive care patients 预后营养指数对外科重症监护患者死亡率的预测
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0034
H. Cankar Dal, F. Bozkurt
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引用次数: 0
Evaluation of anxiety and professional competence of prehospital emergency medical personnel in COVID-19 pandemics 2019冠状病毒病疫情院前急救医务人员焦虑与专业能力评价
Q3 Health Professions Pub Date : 2022-09-30 DOI: 10.5603/demj.a2022.0012
M. Heidari, Sadegh Heydarpoor, Salman Yadollahi, R. Sheikhi, F. Aliakbari
INTRODUCTION: Emergency medical services (EMS) are an important part of the health care system. Decision-making is the most important part of their profession because they often have to make quick decisions and act on them despite critical situations. They are often the first to deal with a Coronavirus disease 2019 (COVID-19) patient and experience severe physical, mental, or moral stress. The aim of this study was to investigate the level of anxiety and professional competence of prehospital emergency medical personnel in the COVID-19 epidemics. MATERIAL AND METHODS: This descriptive-analytical study was performed in 2021. A total of 200 prehospital emergency medical personnel were included in the study. Sampling method was census using a valid questionnaire of Corona Anxiety Scale and professional competence. Data analysis was performed using SPSS statistical software version 21 via descriptive statistics and analytical tests. RESULTS: Mean and standard deviation of professional competence and anxiety of emergency medical staff were reported as 82.37 ± 65.13 and 98.17 ± 11.11, respectively. The results of the study on the relationship between the scores of the studied variables showed a significant relationship so that the level of anxiety with competence was remarkably related (p < 0.05). CONCLUSIONS: The stress and anxiety of the COVID-19 epidemic might have adverse effects on the professional competence of prehospital emergency medical personnel as well as their mental health. Applying strategies to reduce anxiety and attending disaster-related courses could help the quality of EMS by improving professional competence. Copyright © 2022 Via Medica.
简介:紧急医疗服务(EMS)是卫生保健系统的重要组成部分。决策是他们职业中最重要的部分,因为他们经常必须迅速做出决定,并在危急情况下采取行动。他们往往是第一个与2019冠状病毒病(COVID-19)患者打交道的人,并经历严重的身体、精神或道德压力。本研究旨在了解2019冠状病毒病疫情中院前急救医务人员的焦虑水平和专业能力。材料和方法:本描述性分析研究于2021年进行。本研究共纳入200名院前急救医务人员。抽样方法采用有效的日冕焦虑量表和专业能力问卷进行普查。数据分析采用SPSS统计软件第21版,采用描述性统计和分析性检验。结果:急诊医务人员专业能力和焦虑的均值和标准差分别为82.37±65.13和98.17±11.11。研究结果显示,各研究变量得分之间存在显著相关关系,焦虑水平与胜任能力显著相关(p < 0.05)。结论:新型冠状病毒肺炎疫情的压力和焦虑可能对院前急救医务人员的专业能力和心理健康产生不利影响。运用减轻焦虑的策略及参加与灾害有关的课程,可透过提高专业能力,提升急救服务的质素。版权所有©2022 Via Medica
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引用次数: 1
The experiences of victims in the mass gatherings: a phenomenological study 大规模集会中受害者的经历:一项现象学研究
Q3 Health Professions Pub Date : 2022-09-29 DOI: 10.5603/demj.a2022.0030
H. Jafari, Mohammad Heidari, Majid Heidarijamebozorgi, M. Mohammadi
INTRODUCTION: The mass gathering events are becoming a big source of concern among public health practitioners. These events can affect a population’s health in different ways. The study aimed to identify mechanisms associated with morbidity and mortality in mass gathering (MGs) events. MATERIAL AND METHODS: This is a qualitative study that was conducted under a phenomenological ap­ proach. The study population included 21 people who were hospitalized due to injuries in the mass gathe­ rings. Data collection was conducted through semi­structured and in­depth interviews. RESULTS: A total number of 21 interviews were conducted in this study. Participants included 17 males and four females. Thematic analysis was used to identify 21 different themes and the themes were classified into five main areas. These five areas include Individuals’ unpreparedness, unprepared relief organizations, lack of proper response plans, and risky behavior and psychological reactions. CONCLUSIONS: The lived experiences of MGs victims showed that they need to be better educated at the community level about the potential MGs’ health risks. One of the most effective measures to reduce mor ­ tality in the MGs is risk governance. Risk governance must be a national policy and priority at the time of holding large gatherings.
导言:大规模聚集事件正在成为公共卫生从业人员关注的一个大问题。这些事件可以以不同的方式影响人口的健康。该研究旨在确定与群体聚集(mg)事件中发病率和死亡率相关的机制。材料和方法:这是一项采用现象学方法进行的定性研究。研究对象包括21名因在群众集会中受伤而住院的人。数据收集通过半结构化和深度访谈进行。结果:本研究共进行了21次访谈。参与者包括17名男性和4名女性。通过主题分析,确定了21个不同的主题,并将主题分为五个主要领域。这五个方面包括个人准备不足、救援组织准备不足、缺乏适当的应对计划、冒险行为和心理反应。结论:MGs受害者的生活经历表明,他们需要在社区一级更好地了解MGs潜在的健康风险。降低风险的最有效措施之一是风险治理。在举办大型聚会时,风险治理必须成为一项国家政策和优先事项。
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引用次数: 0
COVID-19: therapeutic disinformation and intoxications 新冠肺炎:治疗性虚假信息和麻醉
Q3 Health Professions Pub Date : 2022-07-01 DOI: 10.5603/demj.a2022.0026
Mohammad Amrollahi-Sharifabadi, M. Koohi, P. M. Duarte, Sina Salajegheh Tazerji
The new coronavirus pandemic alarmed the world. Misinformation regarding prevention and treatment for safeguarding against this pandemic seemed to be life-threatening along with the spreading pandemic. Public health authorities in the world tried to battle this virtual virus by offering true information and correcting misinformation. However, the public misinformation through social media caused toxicological consequences in some parts of the world which provoked awareness, response, and concern of the public health authorities including the Food and Drug Administration (FDA) and the toxicology community. This study analysed the published literature on therapeutic disinformation during the COVID-19 pandemic and its toxicological effects. The electronic databases searched were Scopus, MEDLINE, Scielo. The used keywords were: “COVID-19”, “misinformation”, “social media”, “public health”, “drug toxicity”, and “education”. Finding new strategies for the prevention and treatment of the coronavirus again stresses the role of public education about true drug information. Hundreds of chemicals were/are being tested to be prophylactic medications or healing drugs for the coronavirus. Therefore, spreading accurate information and editing misinformation can be crucial. In summary, this commentary is going to bring attention to misinformation regarding prevention and treatment for safeguarding against the COVID-19 pandemic and its toxicological consequences and the need for public education on the appropriate use of therapies. Copyright © 2022 Via Medica.
新型冠状病毒大流行震惊了世界。随着流行病的蔓延,关于预防和治疗的错误信息似乎危及生命。世界各国公共卫生当局试图通过提供真实信息和纠正错误信息来对抗这种虚拟病毒。然而,通过社交媒体传播的公众错误信息在世界某些地区造成了毒理学后果,引起了包括美国食品和药物管理局(FDA)和毒理学界在内的公共卫生当局的认识、反应和关注。本研究分析了COVID-19大流行期间关于治疗性虚假信息及其毒理学效应的已发表文献。检索的电子数据库为Scopus、MEDLINE、Scielo。使用的关键词是:“COVID-19”、“错误信息”、“社交媒体”、“公共卫生”、“药物毒性”和“教育”。寻找预防和治疗冠状病毒的新策略再次强调了关于真实药物信息的公众教育的作用。数百种化学物质正在接受测试,以作为冠状病毒的预防性药物或治疗药物。因此,传播准确的信息和编辑错误的信息至关重要。总而言之,本评论将提请注意关于预防和治疗COVID-19大流行及其毒理学后果的错误信息,以及对公众进行适当使用治疗方法教育的必要性。版权所有©2022 Via Medica
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引用次数: 0
Monkey pox — a serious threat or not, and what about EMS? 猴痘——是否是严重威胁,EMS呢?
Q3 Health Professions Pub Date : 2022-06-28 DOI: 10.5603/demj.a2022.0022
M. Pruc, Francesco Chirico, Ihor Navolokin, L. Szarpak
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引用次数: 3
Systematic review and meta-analysis of serum amyloid A prognostic value in patients with COVID-19 COVID-19患者血清淀粉样蛋白A预后价值的系统评价和meta分析
Q3 Health Professions Pub Date : 2022-06-24 DOI: 10.5603/demj.a2022.0021
Bartosz Fialek, Olha Yanvarova, M. Pruc, A. Gąsecka, Alicja Skrobucha, Maria Boszko, C. Ducki, Maciej Cyran, L. Szarpak
INTRODUCTION: This study was designed to assess the levels of human serum amyloid A (SAA) among COVID-19 patients. MATERIAL AND METHODS: A systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. A comprehensive literature search was performed (PubMed, Web of Science, Scopus, and Cochrane network), and studies comparing SSA levels in: (A) with non-severe vs severe COVID-19;(B) severe vs critical COVID-19 condition;(C) survived vs died due to COVID-19 in-hospital treatment period - were included. Random-effects meta-analyses were performed to obtain pooled estimates. RESULTS: Thirty studies met the criteria and were included in the meta-analysis. Pooled analysis showed that SAA levels were statistically significantly lover in non-severe group 58.7 ± 53.9 mg/L compared to 154.5 ± 169.6 mg/L for patients with severe condition (MD = -120.29;95% CI: -135.35 to -105.22;p < 0.001). SAA levels among patients with critical condition were 89.5 ± 90.4 mg/L compared to 195.3 ± 206.2 mg/L (MD = -56.66;95% CI: -101.81 to -11.51;p = 0.01). SAA levels in patient who survived were 108.7 ± 157.3 mg/L, and 206.8 ± 58.8 mg/L for patients who not survived (MD = -85.04;95% CI: -145.78 to -24.29;p = 0.006). CONCLUSIONS: In conclusion, this updated meta-analysis suggests that SAA concentrations are positively correlated with the severity of the COVID-19. Therefore, SAA can be considered a biomarker for predicting the severity and prognosis of COVID-19. Measurement of this parameter might assist clinicians in monitoring and evaluating the severity and prognosis of COVID-19. Copyright © 2022 Via Medica.
本研究旨在评估COVID-19患者血清淀粉样蛋白A (SAA)水平。材料和方法:根据系统评价和荟萃分析首选报告项目进行系统评价和荟萃分析。我们进行了全面的文献检索(PubMed、Web of Science、Scopus和Cochrane网络),并纳入了比较以下情况下SSA水平的研究:(A)非严重与严重COVID-19;(B)严重与危重COVID-19状况;(C)因COVID-19住院治疗期间存活与死亡。进行随机效应荟萃分析以获得汇总估计。结果:30项研究符合标准并被纳入meta分析。合并分析显示,非重症组SAA水平为58.7±53.9 mg/L,重症组为154.5±169.6 mg/L (MD = -120.29;95% CI: -135.35 ~ -105.22;p < 0.001)。危重患者的SAA水平分别为89.5±90.4 mg/L和195.3±206.2 mg/L (MD = -56.66;95% CI: -101.81 ~ -11.51;p = 0.01)。存活患者SAA水平为108.7±157.3 mg/L,未存活患者SAA水平为206.8±58.8 mg/L (MD = -85.04;95% CI: -145.78 ~ -24.29;p = 0.006)。结论:总之,这项最新的荟萃分析表明,SAA浓度与COVID-19的严重程度呈正相关。因此,SAA可作为预测COVID-19严重程度和预后的生物标志物。测量该参数可能有助于临床医生监测和评估COVID-19的严重程度和预后。版权所有©2022 Via Medica
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引用次数: 4
Missed nursing care in the COVID-19 pandemic: A serious challenge in Iran’s healthcare system 新冠肺炎大流行中的护理缺失:伊朗医疗系统面临的严重挑战
Q3 Health Professions Pub Date : 2022-06-24 DOI: 10.5603/demj.a2022.0017
Razieh Mokhtari, A. Safdari, Mohamad Golitaleb
{"title":"Missed nursing care in the COVID-19 pandemic: A serious challenge in Iran’s healthcare system","authors":"Razieh Mokhtari, A. Safdari, Mohamad Golitaleb","doi":"10.5603/demj.a2022.0017","DOIUrl":"https://doi.org/10.5603/demj.a2022.0017","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44823338","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: 1
A comparative study on effectiveness of Workshop education versus education via Mobile learning (m-learning) in developing Medical students’ knowledge and skill about Cardiopulmonary resuscitation 车间教育与移动学习教育在培养医学生心肺复苏知识和技能方面的效果比较研究
Q3 Health Professions Pub Date : 2022-06-24 DOI: 10.5603/demj.a2022.0014
Maliheh Abdollahi, G. Valizadeh, L. Bazrafkan, M. Dehghani, M. Bijani
{"title":"A comparative study on effectiveness of Workshop education versus education via Mobile learning (m-learning) in developing Medical students’ knowledge and skill about Cardiopulmonary resuscitation","authors":"Maliheh Abdollahi, G. Valizadeh, L. Bazrafkan, M. Dehghani, M. Bijani","doi":"10.5603/demj.a2022.0014","DOIUrl":"https://doi.org/10.5603/demj.a2022.0014","url":null,"abstract":"","PeriodicalId":52339,"journal":{"name":"Disaster and Emergency Medicine Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42751274","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
期刊
Disaster and Emergency Medicine Journal
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