[Effect of simulated training course on preparedness of nurses to do pre-hospital triage]

Introduction: The key to successful management of large number of victims with limited resources is triage, which without preparedness of nurses seem to be impossible

The aim of this study was to determine the effect of simulated training course on preparedness of nurses to do pre-hospital triage at Razi psychiatric hospital

Materials and Methods: This is a quasi-experimental study on 60 nurses in Razi psychiatric hospital who according to the inclusion criteria and randomly divided into two experimental and control groups equally by 30. The study tools developed by the researcher included [Knowledge of Disaster Triage Test] that contains 30 questions of four-choice

The [Accuracy of Disaster Triage Test] also contains 30 questions with four-choice. Face validity and content validity has been evaluated

Reliability were evaluated using Cronbach's alpha for the [Knowledge of Disaster Triage Test] 0.75 and for the [Accuracy of Disaster Triage Test] 0.78. A day workshop [Disaster Triage Simulation Method] was arranged for intervention group and two groups were assessed by study tools before and after intervention. Data were analyzed using SPSS/16

Findings: The mean score of nurses preparedness regarding triage training [Knowledge and accuracy] in the intervention group were significantly different before and after the intervention [p<0.001]

The mean difference of nurses preparedness triage training [Knowledge and accuracy] there were significantly different between the two groups respectfully [p<0.001]

Conclusion: The results of the study showed, using the simulation method on triage training improved the nurses preparedness to do disaster triage. Therefore it is recommended to do this training program for nurses' to improve their preparedness for disaster triage

[ evaluation of application of coordination based disaster response model in Rajaye hospital disaster preparedness]

Introduction: Disaster management role in the acquisition of hospital preparedness for responding to disasters plays. Coordination is the most problem of disaster management in Iran. Therefore in this study, Coordination Based Disaster Response Model as a practical solution, was investigated. The aim of the present study was The Evaluation of application of Coordination Based Disaster Response Model in Rajaye Hospital Disaster Preparedness in 1388

Methods: This study was a quasi-experimental study in Shiraz Shahid Rajaye, the study population consisted of all members of the Committee Against Crisis [15]. The data were collected using Khankeh checklist that the validity and reliability was investigated [P=0.86]. Bigining perform earthquakes Table top maneuver in simulated condition and "disaster preparedness" questionnaire complete [baseline] than one-day disaster management workshop and the establishment of disaster management model based on coordination were preformed. A month after workshop, hospital preparedness measured by first questionnaire. Information obtained by using descriptive statistics were compared

Results: Research findings show that scores in all sections of the questionnaire [coordination, planning, organization, training, and ...] have increased. The total score of 29.56 in pre test was increased to 86.84 in post test [P<0.05]

Conclusion: Results of this study showed that the use of Coordination Based Disaster Response Model increase hospital preparedness, with regard to the important role of nurses in disaster management this model can be used by nursing managers

effect of rehabilitation program on lymphedema- related arm pain, and volume after mastectomy

Upper extremity Lymph edema is the most common complication after mastectomy. The aim of this study is determining the effect of home based rehabilitation program on lymph edema related arm pain and arm volume after mastectomy among breast cancer survivors. In this quasi-experimental [before- after design], 16 post - mastectomy women with mild lymphedema [

Study of zanjan rehabilitation preparedness in unexpected disasters in 2009

According to the studies, most health services centers were damaged during or after disasters in Zanjan. In order to mobilize and resist in disasters, these centers should have an adequate preparation. The aim of this research is to study preparation level of Zanjan province rehabilitation centers in unexpected disasters in 2009. The methodology of this research wants to study preparation level of 16 rehabilitation centers of Zanjan province in disasters. By using of a checklist and SPSS, all items were surveyed and analyzed. This checklist including demographic information, crisis management structure, Training and cooperation in the health centers. None of Zanjan rehabilitation centers do anything about crisis management structure. Based on results, rehabilitation centers in Zanjan are not in a strong position in planning and preparedness in unexpected disasters. In coordination within and outside the organization, two rehabilitation centers are in a good position and three are normal, while 11 other centers are in a weak status. The results show that the mentioned centers require being prepared at the time of crisis and unexpected disasters. Therefore, it is necessary to establish some strict rules about crisis management and also preparation programs in the guidelines

[ effects of slow stroke back massage on hypertension in elderly]

The effect of slow stroke back massages on anxiety, primigravid women experiencing pregnancy can cause several problems. Different forms of Anxiety in pregnant women are the basis in producing most of these problems, particular for primigravid women. While most these women are not prepared for these problems, author studied the effect of slow stroke back massages on anxiety, primigravid women in Shiraz hospitals, in 2007. Results of this study can be used for decision making and planning for these groups. this study is a experimental research was carried out in ZEINABIEH and HAFEZ hospitals foundation for labor women. Population of this study was 80 primigravid women [15 - 35 years old age] referred with these centers in 3rd trimester of current pregnancy. The intervention consisted of ten minutes of slow stroke back massage [SSBM] for three consecutive mornings [between 9 - 11 o'clock]. Anxiety level measured before and immediately after of intervention for two groups. Instruments for data collection were client demographic characteristic and Spielberger questionnaire. Data were analyzed by use of chi - esquare, mann Whitney test, paired t - test, independent statistic test [T test], kolmogorov - smornov test. Mean and std. deviation of anxiety level before of intervention in experimental and control groups regularly were 51, 6/65 and 49/9, 6/60. After massage planning mean and std. deviation in experimental and control groups regularly were 48/18, 6/52 and 51/5, 7/39. Different between two group was significant in 95% level [p= 0/036]. according the results, author suggest that SSBM is an effective nursing intervention for decrease anxiety level, primigravid women. Therefore this nursing practice provides an opportunity for nurses and family caregivers to provide more individualized and holistic patient care

[ effect of psychodrama on depression among inpatient women with chronic mental disorder]

Background and Aim: At recent three decades, management of chronic mental disorders has been a focus of attention in mental health systems. This study aimed to assess the efficacy of group psychodrama in reducing depression in inpatient women with chronic mental disorder

Method and Materials: In this semi-experimental study, thirty women with chronic mental disorders bedridden at Razi comprehensive psychiatric center[Tehran, Iran] were randomly assigned to two groups, namely intervention and control groups. Beck Depression Inventory[BDI] was administered to all participants and then a 12 session group psychodrama intervention program was carried out for the intervention group. Meanwhile routine treatments were continued for the control group. BDI was then re-administered for both groups. Data were analyzed by SPSS software using independent and Paired T tests, Kolmogroph-Smernoph, Chi-square, Leven and Covariance analysis[ANCOVA] tests

Findings: After the intervention, the BDI mean score significantly reduced in the intervention group[p=0.000] but not in the control one. The two groups showed no difference regarding the mean BDI scores before the intervention but afterward the control group had a significantly higher score in this respect[p=0.000]. The significant differences remained true after applying ANCOVA to control the effects of age and rate of depression[p=0.000]

Conclusion: Psychodrama may be an effective intervention for reducing depression in patients with chronic mental disorders