The Effect of Religious Care by the Clergyman next to the Patients’ Bedside on their Depression and Anxiety

For downloading the full-text of this article please click here.Background and Objective: The fear of surgery, death, and the debilitating symptoms of the illness make hospitalized patients develop anxiety and depression that may disrupt their performance. Religious care aimed at addressing the religious needs of hospitalized patients can have a significant role in increasing the hospitalized patients’ ability to cope with their illness. Therefore, the researchers aimed to set up a religious-based plan and perform it by the presence of a clergy next to the patients’ bedside and determine its effectiveness on decreasing anxiety and depression of hospitalized patients.Method: In this randomized controlled clinical trial with control group, 142 hospitalized patients were chosen in the form of random sampling in Nekoui hospital of Qom. They were divided into a test and a control group. Then, the demographic questionnaire and the Hospital Anxiety Depression Scale were completed by them. The religious-based plan by the presence of a clergy next to the patients’ bedside was performed in the test group. The two groups were followed after the intervention. All ethical issues were observed in this study and the researchers declared no conflict of interests.Results: In terms of overall score of hospital anxiety and depression, the results of ANCOVA showed a statistically meaningful difference between the two groups after the intervention (F=35.75, P<0.001). Also, the results of paired-samples t-test showed a significant decline in the anxiety and depression of hospitalized patients in the intervention group (P= 0.001). In contrast, no measurable difference was observed in the anxiety and depression scores of patients in the control group (P= 0.10, P= 0.48).Conclusion: The presence of special medical teams like responsible clergies who are familiar with health issues and the provision of religious care can decrease patients’ anxiety and depression. Such a religious intervention also has a significant role in boosting patients’ morale and reducing their woes.For downloading the full-text of this article please click here.Please cite this article as: ShojaeiS, AbbasiM, RahimiT, Vahedian M, FarhadlooR, Movahed E, Parvaresh-MasoudM. The Effect of Religious Care by the Clergyman next to the Patients’ Bedside on their Depression and Anxiety. J Res Relig Health. 2018; 4(3):45-5

Effects of the Health Belief Model (HBM)-Based Educational Program on the Nutritional Knowledge and Behaviors of CABG Patients

Background: Reducing blood pressure through diet decreases the possibility of heart attacks, and lowering blood cholesterol can reduce the risk of coronary artery disease. The aim of the present study was to examine the effects of education based on the Health Belief Model on the dietary behavior of patients following coronary artery bypass graft surgery (CABG) at the Heart Surgery Department of Shahid Beheshti Hospital of Qom. Methods: In this semi-experimental clinical trial, data were collected on 64 patients, at an average age of 59.9 ± 7.26 years in the intervention group and 58.5 ± 7.6 years in the control group. Seventy percent of the study subjects were male and 30% were female. Intervention and control groups were given a questionnaire, comprising 56 questions in 5 parts. The educational intervention was aimed at creating perceived susceptibility and perceived severity in the intervention group. After 1 month. Both groups were tested, and the resulting data were analyzed to investigate the effects of the educational intervention on the nutritional knowledge and behavior of the patients.  Results: According to the results, educational intervention caused a significant increase in the mean scores of knowledge (p value = 0.001), perceived severity (p value = 0.007), and perceived benefits and barriers (p value = 0.003) in the intervention group but did not cause a significant increase in the mean score of nutritional behavior (p value = 0.390). Conclusion: Education based on the Health Belief Model seems to be effective in improving nutritional knowledge, but more consistent and comprehensive educational programs are necessary in order to change behavior and improve nutritional behavior

A Comparison between the Effects of Scenario and Lecture-based Education Methods on Knowledge and Attitude of Emergency Medical Technicians towards Patients with Chest Trauma

Background and Objectives: Education is one of the fundamental pillars of development of capabilities, skills, and competencies in different sectors of society. Application of modern education methods seems to be necessary due to rapid changes of social requirements. The aim of this study was to compare the effects of scenario and lecture-based education methods on knowledge and attitude of emergency medical technicians towards patients with chest trauma. Methods: A total of 160 emergency medical technicians were participated in this quasi-experimental research. The participants were divided into two groups of scenario- and lecture-based education. Required information were collected by knowledge and attitude questionnaire before and after the intervention. Data were then analyzed by paired t- and chi-square tests. Results: The mean of knowledge (p<0/001) and attitude (p<0.001) scores significantly increased in the scenario-based education group. Conclusion: Considering the effect of scenario-based education and its role in utilization of learner&rsquo;s intellectual capability and creativity, it seems that scenario-based education is an appropriate alternative for traditional education methods

Investigating the Effect of Training With the Method of Simulation on the Knowledge and Performance of Nursing Students in the Pre-Hospital Triage

Background: Triage is the key for success in management of large numbers of injured and limited resources, and without preparedness of nurses to would seem an impossible task. This study has been conducted with the aim of determining the effect of training through the method of simulation on the knowledge and performance of nursing students in carrying out the pre-hospital triage. Materials and Methods: This semi-experimental study was conducted on 70 students of nursing who were selected based on the study inclusion criteria and through the randomized sampling method. The researcher tools included &ldquo;triage test having 10 questions of four options each and practical test including examining the correct performance of triage based on START criteria by using 10 designed simulated mockup models and based on the injury received by the victim and the level of injury&rdquo;. The validity of the test was verified through the formal and content validity method, and the reliability of the knowledge questionnaire based on the Cronbach-Alpha Coefficient was obtained to be equal to 0.87. After examining the level of knowledge on triage before training, the triage training workshop was held in two sessions of two hours each and through the simulation method, and again the scientific test and practical test were performed. For data analysis, the paired t-test and independent t-test were used, and the Kolmogorov Smirnov test was used to examine data normality. Data were analyzed using SPSS software-version 16. Results: The results of statistical analysis showed that the level of students knowledge significantly increased from 4.6&plusmn;1.94 before training to 7.40&plusmn;1.35 after training. Their performance significantly increased from 4.90&plusmn;1.6 to 8.30&plusmn;1.5. Conclusion: The results of the study showed that training with the simulation method on mockup model was effective on the preparedness of nurses for triage when accidents and emergencies occur. It was also found that training improves their preparedness in this regard. It is recommended that for better preparedness of nurses in triage in case of accidents and medical emergencies, this training method should be used

A Comparison of Insertion and Success Rate in the Use of Two Methods of Endotracheal Intubation and Laryngeal Mask Airway

Background and Objectives: Providing and making airway is the first known measure that comes to mind at an emergency situation. Laryngeal mask airway (LMA) is an alternative for airway management, which its insertion training in beginners and professionals is easier than endotracheal intubation. This study was conducted to compare the speed of insertion and success rate in using two LMA and ETT methods in nursing students. Methods: In this quasi-experimental study, 49 last year nursing students were selected by simple random sampling method. After airway management training course, the students were tested on endotracheal intubation and LMA insertion in a manikin. Data were analyzed using t-test at the p<0.05 significance level. Results: The time for endotracheal intubation was obtained 28.73 s and for LMA was 5.05 s. Also, gender of the students had no significant relationship with airway management (p=0.45). Ninety-eight percent of the student succeeded to insert LMA with no error, but this rate for ETT was just 28%. Conclusion: Given that shorter time, lower error, and ease of insertion of LMA in comparison with the ETT method, use of this method is recommended as an appropriate alternative for endotracheal intubation, especially in emergency situation

مراقبت مذهبی روحانی بر بالین بیماران و تأثیر آن بر افسردگی و اضطراب بیمارستانی

DOI: https://doi.org/10.22037/jrrh.v4i3.15911Background and Objective: The fear of surgery, death, and the debilitating symptoms of the illness make hospitalized patients develop anxiety and depression that may disrupt their performance. Religious care aimed at addressing the religious needs of hospitalized patients can have a significant role in increasing the hospitalized patients’ ability to cope with their illness. Therefore, the researchers aimed to set up a religious-based plan and perform it by the presence of a clergy next to the patients’ bedside and determine its effectiveness on decreasing anxiety and depression of hospitalized patients. Method: In this randomized controlled clinical trial with control group, 142 hospitalized patients were chosen in the form of random&nbsp;sampling in Nekoui hospital of Qom. They were divided into a test and a control group. Then, the demographic questionnaire and the Hospital Anxiety Depression Scale were completed by them. The religious-based plan by the presence of a clergy next to the patients’ bedside was performed in the test group. The two groups were followed after the intervention. All ethical issues were observed in this study and the researchers declared no conflict of interests. Results: In terms of overall score of hospital anxiety and depression, the results of ANCOVA showed a statistically meaningful difference between the two groups after the intervention (F=35.75, P&lt;0.001). Also, the results of paired-samples t-test showed a significant decline in the anxiety and depression of hospitalized patients in the intervention group (P= 0.001). In contrast, no measurable difference was observed in the anxiety and depression scores of patients in the control group (P= 0.10, P= 0.48). Conclusion: The presence of special medical teams like responsible clergies who are familiar with health issues and the provision of religious care can decrease patients’ anxiety and depression. Such a religious intervention also has a significant role in boosting patients’ morale and reducing their woes. &nbsp; Please cite this article as: ShojaeiS, AbbasiM, RahimiT, Vahedian M, FarhadlooR, Movahed E, Parvaresh-MasoudM. The Effect of Religious Care by the Clergyman next to the Patients’ Bedside on their Depression and Anxiety. J Res Relig Health. 2018; 4(3):45-55. DOI: https://doi.org/10.22037/jrrh.v4i3.15911سابقه و هدف: بیماران بستری به علت ترس از عمل جراحی یا علائم ناتوان‌کننده‌ی بیماری و مرگ دچار اضطراب و افسردگی می‌شوند که می‌تواند عملکرد آنها را مختل کند. مراقبت مذهبی روحانيون با هدف برآوردن نیازهای مذهبی بیماران مي‌تواند موجب افزایش توانایی آنان برای مقابله با بیماری شود. ازاین‌رو، پژوهشگران بر آن شدند برنامه‌ی مراقبت مذهبیی تدوین کنند که فرد روحانی آن را بر بالین بیمار اجرا کند، تا اثربخشی برنامه را در افسردگی و اضطراب بیماران بستری ارزیابی کنند. روش کار: در این مطالعه‌ی کارآزمایی بالینی با گروه کنترل، 142 بیمار بستری در بیمارستان نکویی شهر قم به‌صورت نمونه‌گيري تصادفي انتخاب شدند و در دو گروه آزمون و كنترل قرار گرفتند و پرسش‌نامه‌هاي مربوط به اطلاعات جمعیت‌شناختی و سطح افسردگی و اضطراب بیمارستانی را تكميل کردند. پس از آن روحانی همکار برنامه‌ی مراقبت مذهبی را بر بالین بیماران گروه آزمون اجرا کرد و دو گروه پس از مداخله پيگيري شدند. در این پژوهش همه‌ی موارد اخلاقی رعایت شده است. علاوه‌ بر این، نویسندگان مقاله هیچ‌گونه تضاد منافعی گزارش نکرده‌اند. یافته‌ها: آزمون آنکووا نشان داد که مداخله‌ی صورت گرفته مؤثر بود و دو گروه بعد از مداخله از نظر نمره‌ی کلی اضطراب و افسردگی بیمارستانی و حیطه‌های آن (اضطراب - افسردگی) (001/0p&lt; و 75/35F=)، با هم تفاوت آماری معنی‌داری داشتند. آزمون تی زوجی نیز نشان داد که در گروه مداخله اضطراب و افسردگی بیمارستانی بعد از مداخله به‌‌طور معنی‌داری کاهش پیدا کرده بود (001/0p=)؛ درحالی‌که در گروه کنترل، تفاوت معنی‌داری مشاهده نشد (10/0P= و 48/0P=). نتیجه‌گیری: حضور افرادی نظیر روحانی متعهد و آشنا به مسائل درمانی در کنار افراد دیگر؛ و دادن مراقبت مذهبی می‌تواند موجب کاهش اضطراب و افسردگی بیماران شود و نقش بسزایی در کاهش آلام و تقویت روحیه‌ی بیماران و بهبودی‌ آنان داشته باشد. &nbsp; استناد مقاله به این صورت است: ShojaeiS, AbbasiM, RahimiT, Vahedian M, FarhadlooR, Movahed E, Parvaresh-MasoudM. The Effect of Religious Care by the Clergyman next to the Patients’ Bedside on their Depression and Anxiety. J Res Relig Health. 2018; 4(3):45-55. DOI: https://doi.org/10.22037/jrrh.v4i3.15911 &nbsp

Evaluation of Bacterial Contamination on Pre Hospital Ambulances in Qom University of Medical Sciences of Iran in 2015

Abstract Background & Aims of the Study: When the issue of the quality of the patient's care is addressed, determination of infection degrees in reference to the quality of such cares has gained a high priority. Therefore, infections in ambulance equipment might play a significant role in reduction of the quality of the hospital cares. This study was conducted wishing to determine bacterial infection degrees in ambulances servicing in pre-hospital emergency medical services of Qom University of Medical Sciences, Iran. Materials and Methods: In this analytical cross-sectional study, 132 sampling of the equipments of 12 ambulances were done. Samples were stored on BHI broth as an amplifier for 24 hours. Then, they were introduced to blood agar and Eosin Methylene Blue (EMB) agar culture environments. After 24 hours, negative staphylococcus coagulase and bacillus were specified by different environments, solutions, diagnostic discs, gram staining, catalase test, oxidase test and coagulase test. Then data were analyzed by SPSS16. Results: The results showed that the highest infection prevalence rate was observed in stretchers (12 samples, 100%) and the lowest in oxygenation moisturizers (1 sample, 8.4%). From infected equipments, in addition, four instruments (37%) were mobile and eight of them (63%) were immobile. Conclusion: Results indicated that an infection degree of the utensils and instruments which were used in ambulances employed servicing in the Qom Province Medical Emergency Response Center of Iran is high, that might have their roots in non-application of disinfectants for disinfecting ambulance surfaces and equipment. This is a mandatory for healthcare agents to utilize the protective covers, especially medical gloves