Journal of Military Medicine最新文献

{"title":"The Effectiveness of Mindfulness Therapy on Executive Function and Positive Emotion Regulation Strategies in Imam Reza Defense Students","authors":"Mohammad Ebrahim Hokmabadi, F. Bahmani, N. Goodarzi, Mahmood Bahnaminia, Javad Ghafoorinasab, Mohammad Mahdi Sadeghi Khabbaz","doi":"10.30491/JMM.22.12.1251","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1251","url":null,"abstract":"Background and Aim: Military service is a period that can be a source of tension and psychological trauma for some soldiers. The purpose of this study was to investigate the effectiveness of mindfulness therapy on positive emotion regulation strategies and executive function. Methods: This study was a quasi-experimental study with preand post-test with control and post-test groups. The study population consisted of soldiers in Imam Reza (AS) Northeast Air Defense Center in Mashhad. Forty soldiers were selected by convenience sampling and were assigned randomly into two groups. The tools used in this study were the Emotional Adjustment Strategies Questionnaire and the Tower of London Questionnaire. Results: The mindfulness interventions had a significant effect on increasing the mean score of the experimental group in executive function (P<0.001) and improving the level of emotion regulation strategies","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1251-1259"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46793122","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}

{"title":"The Satisfaction of Patients with COVID-19 from the Services Provided in Baqiyatallah Hospital, Tehran, Iran in 2020: A Cross-Sectional Study","authors":"M. Farajzadeh, Hossein Hossein babatabar-darzi, A. Shahriary, H. Ghaleh, A. A. Esfahani, mohamad sadegh bagheri baghdasht, Milad asghardoust rezaei, Ail Rahmani, A. vahedian-azimi, L. Karimi","doi":"10.30491/JMM.22.12.1199","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1199","url":null,"abstract":"Background and Aim: Patients' perspectives as a reliable source can be considered for the evaluation of health services The purpose of this study was to evaluate the satisfaction of patients with COVID-19 from the services provided in Baqiyatallah Hospital, Tehran, Iran in 2020","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1199-1208"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42830427","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}

{"title":"The Mediating Role of Self-Compassion in the Relationship of Alexithymia and Borderline Personality Symptoms with Non-Suicidal Self-Injury Behaviors in Soldiers","authors":"Youkhabeh Mohammadian, Esmaeil Mousavi Asl, S. Khanjani, B. Mahaki, P. Dabaghi","doi":"10.30491/JMM.22.12.1242","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1242","url":null,"abstract":"Background and Aim: Non-suicidal self-injurious behaviors could strongly predict future suicide attempts. To better understand this behavior and related and mediating factors, this study was conducted to determine the mediating role of self-compassion in the relationship of Alexithymia and symptoms of Borderline Personality with non-suicidal self-injury behaviors in soldiers. Methods: The study design was descriptive-correlational through structural equation modeling. The sample of the study (n=254) was selected by convenience sampling method among all the army soldiers in Tehran, Iran in 2019. The soldiers completed the scales including the Deliberate Self-harm Inventory (DSHI), Borderline Personality Scale (STB), Self-Compassion Scale (SCS) Short-Form, Cognitive Flexibility Inventory (CFI), and The Perth Alexithymia Questionnaire. Data were analyzed via Pearson correlation coefficient and the path analysis of structural equation modeling using SPSS-20 and Lisrel-8.80. Results: The NNSI is significantly correlated with a general score of Alexithymia (p=0.01, r=0.39) and borderline symptoms (p=0.01, r=0.64). However, it has a negative correlation with self-compassion score (p=0.01, r=-0.60). The self-compassion score is also negatively correlated with the general score of Alexithymia (p=0.01, r=-0.41) and borderline symptoms (p=0.01, r=-0.60). Moreover, the results of the path analysis showed that selfcompassion acts as a mediator between the relation of NSSI with Alexithymia and borderline symptoms. Conclusion: Self-compassion could be a protective factor against the negative effects of Alexithymia and borderline symptoms. In other words, the critical Alexithymia and borderline symptoms leading to NNSI behaviors are mediated by self-compassion. Thus, including this protective factor in preventive and therapeutic programs for NNSI in soldiers is highly recommended.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1242-1250"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43442371","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}

{"title":"The Effect of Educational Intervention on Stress Management in Cardiac Surgery Nurses","authors":"T. Taft, F. Keshmiri, Seyed Jalil Mirhosseini Deh Abadi, F. Aghaie, S. Jambarsang, H. Sadeghian","doi":"10.30491/JMM.22.12.1280","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1280","url":null,"abstract":"Background and Aim: Nursing is one of the stressful professions in which the development of stress management skills is necessary to reduce stress. The aim of this study was to investigate the effect of educational intervention based on participatory methods on stress management in cardiac surgery nurses. Methods: The present study is a randomized controlled trial with a pre-test and one-month post-test followup. The statistical population included 42 nurses working in the departments of cardiac surgery, operating room, and heart ICU of Afshar Hospital in Yazd in 2019, who were randomly assigned to two tests and control groups. Data were collected using demographic and the Nursing Stress Scale (NSS) questionnaires. Consultation with the test problem-solving approach was conducted during 2 sessions in 8 hours as a workshop with the test group. Data were analyzed by SPSS software version 16. Results: The mean score of nursing job stress dimensions in the test group was 6.88 ± 2.36 and in the control group was 11.65 ± 5.13, which showed a statistically significant decrease compared to the control group in one month after the intervention (P ˂ 0.004). Indeed, nurses involved in stress management training programs reported","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1280-1287"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42060066","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}

{"title":"The Effect of Oral Nutritional Supplement on Nutritional Status of Hemodialysis Patients in a Military Hospital","authors":"A. Ebadi, A. Tayebi, E. Afaghi","doi":"10.30491/JMM.22.12.1222","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1222","url":null,"abstract":"Background and Aim: Malnutrition is a common problem for hemodialysis patients, leading to reduced quality of life, increased hospitalization, and increased mortality. Evaluation of nutritional status is one of the main determinants of the clinical status. The aim of this study was to investigate the effect of oral nutritional supplements (Iso Whey) on the nutritional status of hemodialysis patients. Methods: In this clinical trial, 44 hemodialysis patients during random allocation divided into two Iso-whey and control groups. In intervention groups, Iso Whey protein powder was consumed for two months. The control group continued their routine diet. In all groups, before and after the intervention, nutritional status was evaluated based on Dialysis Malnutrition Score (DMS) and Malnutrition-Inflammation Score (MIS) scale. Results: Both groups were matched in demographic variables and nutritional status before intervention (P>0.05). After the intervention, there was a significant difference between the groups in nutritional status based on DMS and MIS scale (P<0.05). Conclusion: The findings showed that the intake of oral nutritional supplements resulted in improving hemodialysis patients' nutritional status. Therefore, using oral nutritional supplements under the supervision of a nutritionist with an educational program and regular assessment of nutritional status can be recommended to improve the nutritional status.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1222-1230"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44541480","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}

{"title":"The Health Status of Rohingya Refugees, a Systematics Review","authors":"Arasb Dabbadgmoghadam, M. Moradi","doi":"10.30491/JMM.22.12.1231","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1231","url":null,"abstract":"Background and Aims: The crisis of Rohingya Muslim refugees has become one of the challenging issues of the last decade. The organized massacre of Rohingya people in Myanmar has forced them to relocate to Bangladesh, creating the world's largest refugee camp. The purpose of this study is to assess the health status of","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1231-1241"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45538455","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}

{"title":"A Survey of Waste Status based on the Fourth-generation Accreditation Model in Selected Hospitals of the Armed Forces","authors":"Mohamad Hassan Golrayhan, Deyed Ali Jozi, M. Zaeimdar, S. Rezayan","doi":"10.30491/JMM.22.12.1273","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1273","url":null,"abstract":"Background and Aim: Hospital wastes are considered hazardous wastes due to their potential impact on environmental pollution and health hazards. The aim of this study was to determine the quantitative status of hospital wastes in selected hospitals of the Armed Forces in Iran and examine the adaptability of the current waste management practice with the fourth-generation accreditation model. Methods: In this cross-sectional study, the amount of waste generated in eight hospitals of the Iranian Armed Forces were weighed daily for each hospital in 2019. The accreditation data were collected using the observation method following the standard fourth-generation accreditation checklist. Staff training time was determined by referring to hospital documents. The data were analyzed using the SPSS software (Version16.0). Results: The total daily waste production per active bed in the Iranian army hospitals was on average at 6.06 kg. There was a significant difference between various waste types (i.e., infectious, non-infectious, sharp, and chemical wastes) in the studied hospitals. The mean daily waste generated in hospitals with the open-heart operating rooms was also significantly different from the other hospitals (P<0.001). Evaluation of these results based on the fourth-generation accreditation standards revealed that the examined hospitals achieved 89% of the scores of waste generation indicators. In this study, there was no significant relationship between the training and the amount of waste. Conclusions: The fourfold difference between the minimum and maximum daily waste production per active bed in the Iranian army hospitals indicates that there has been non-compliance with waste production standards in some hospitals. With proper training and continuous monitoring, waste generation can be reduced to a","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1273-1279"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42192636","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}

{"title":"Combat Readiness Test: Design and Validation in the Iranian Military","authors":"A. Shakibaee, V. Sobhani, H. Rajabi, M. Saberi","doi":"10.30491/JMM.22.12.1260","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1260","url":null,"abstract":"Background and Aim: Physical fitness is a major contributor to combat readiness, and current military tests do not measure it appropriately. The purpose of this study was to design a combat readiness test that could reliably and consistently determine the level of physical fitness distinctly required prior to deployment into the battlefield. Methods: The subjects of this study were military personnel with an average age of 30.5±4.14 years. After the initial design of the test, content, criterion and discriminant validity were assessed. The reliability was evaluated through the test-retest method. Physiological parameters such as heart rate and blood lactate as well as Borg Rating of Perceived Exertion (RPE) were used to determine the severity of the designed test. Data analysis was done by SPSS-18. Results: The test was designed in a circuit and consisted of 11 items. After validity assessment, questions with CVI (content validity index) and CVR (content validity ratio) of less than the limit were modified and corrected. The validation process was repeated until the desired amount of CVR of 0.56 and the CVI greater than 0.79 were obtained. There was a positive correlation between the time of the designed test and the time of the American army combat readiness Test (ACRT). The time taken to complete the test was significantly different between elite and non-elite volunteers was significantly different. A significant correlation was found between test and retest","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1260-1272"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43399879","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}

{"title":"Design and Validation of Professional Spiritual Health Questionnaire for Professors (Soft War Officers)","authors":"M. Asadzandi, Leila Lotfian, Seyed Majid Hosseini, Hasan Abolghasemi","doi":"10.30491/JMM.22.12.1209","DOIUrl":"https://doi.org/10.30491/JMM.22.12.1209","url":null,"abstract":"Background and Aim: Assessing the spiritual health of professors (soft war officers) is essential to deepen the spirituality of the university environment and counteract cultural invasion. The professional spiritual health assessment should be done without measuring religiosity and inquisition. The purpose of this study was to design and validate a self-assessment questionnaire for the professional spiritual health of professors (soft war officers). Methods: This was a sequential exploratory study of instrument making. Data were collected in sequential chronological order. In the results interpretation part, data correlation was performed. In qualitative phase using the concept analysis method of Schwartz and Kim hybrid model with deductive/inductive analysis approach was done in three stages: a theoretical review of religious and scientific evidence, fieldwork with in-depth individual interviews and discussion in focus groups, final data analysis based on \"Contractual Content Analysis Method\", the initial version of the questionnaire was developed in the form of 73 initial measurable items. To determine the validity of the questionnaire, face validity, qualitative and quantitative content (CVR and CVI), structural validity, to determine reliability of internal consistency (Cronbach's alpha) and stability were performed. Results: The CVR score in 67 items was higher than the Lewsheh table number (0.33). Five items without the required score were removed from the questionnaire. The results of CVI calculation showed that all items received a CVI score higher than 0.79. The final questionnaire had 67 items. The results of exploratory factor analysis showed the existence of a 7-factor model (model of spirituality, courage, kindness, wisdom, modesty, self-respect, justice) in the structure of items. Internal consistency of the questionnaire (with Cronbach's alpha of 0.9) showed that all items had a high correlation and were significant at the level of p <0.05. Conclusion: Using this questionnaire allows professors (soft war officers) to examine professional spiritual distress and diagnose spiritual problems. The use of spiritual care guidelines, daily self-calculation, enables cultivation so that they, in the position of spiritual mentors, can achieve the Islamization of the university and the fight against soft war.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"22 1","pages":"1209-1221"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47238136","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}

{"title":"Attitude and barriers of teamwork in intensive care unit from the perspective of nurses in COVID-19 pandemic","authors":"Aliakbar Keykha, M. Ramezani, A. Heydari","doi":"10.30491/JMM.23.4.329","DOIUrl":"https://doi.org/10.30491/JMM.23.4.329","url":null,"abstract":"Background and Aim: Front-line medical teams are experiencing unprecedented stressors as a result of the COVID-19 pandemic. In the face of these pressures, teamwork has become both more important and more challenging. During the crisis, people trying to work together who may not have done so under 'normal' conditions. Therefore, this study will be conducted to investigate the attitudes and barriers to teamwork from the perspective of intensive care unit nurses in the COVID-19 pandemic. Methods: In this descriptive-analytical study from October 2020 to January 2021, 97 nurses working in intensive care units were selected according to the inclusion criteria. The data collection tool was a standard questionnaire to assess the attitude towards teamwork and assessment of barriers to teamwork, which was completed by the participants after validity and reliability. Data were analyzed using descriptive statistics and independent t-test in SPSS software version 25. Results: The mean score of nurses' attitude to teamwork was 127.82 ± 10.4. The amount of barriers in the workplace for optimal teamwork was reported by 54 (55.67%) high, 32 (32.3%) low and 11 (11.34%) unimpeded. Most barriers to teamwork were reported with nursing managers, organization managers, consulting physicians and therapists and the least barriers were reported with radiology staff and nurses. Conclusion: The performance of nursing managers and the weakness of intra-group relationships are the most important barriers to teamwork in the pandemic situation. In order to provide quality teamwork in the pandemic situation, job descriptions and plans should be provided by the managers of the organization and nurses should receive adequate training in this field. © 2021 Baqiyatallah University of Medical Sciences. All rights reserved.","PeriodicalId":16394,"journal":{"name":"Journal of Military Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70076854","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}