ABSTRACT
According to information of WHO, stroke is one of the leadership reasons for death and loss of ability to work. For stroke patients on evidence based models are important and necessary to know early treatment within short time to reducing care with the help of public supports and their care also very important. Following principle especially after stroke period and restoration is very important forprofessional units, treatment and nursing continuously can serve for common result. Cardiff School of Nursing is able to serve for patients with nursing care and it will be more resultative. From world neurology association is very important to prepare specialists who had spiritual level and to form training curriculum. From world neurology association is very important to prepare specialists whohad spiritual level and to form training curriculum.We provided the quality of study according to documents of Hennessy-Hicks methods. In this study participated 51 students of Darkhan branch medical school, and 210 graduates from Arkhangai, Uwurkhangai, Selenge, Darkhan-Uul aimags ,Bulgan province and 59 strokes, 39 careers have been chosen by random sampling and involved in this research. For processing training curriculum usedSPICEST Model Medical Education, Healthy Learner Model, Model Neurology Progress – Oriented Triage by Likert and vivo quality discussion models are used in this research. To process statistics used IMB SPSS statistics and other 20 programs. The average students’ age who involved in this study was 20-22, nurses and special workers of thehospital was 23-2.3, and average age of stroked patients was 5Б2±3, 2, and average age careers 35±2. And occasion who had stroke after 62 (p<0,01) is increasing statistical important. Basic ordering had paralysis 84, 1%, and 84, 3%, patience had neurological originated , hypertension in 91%,,,trouble because of fear is 73,2%, polakuira had in 23%, person who had tongue problem in 36%. For patients who had strokes family members take cares for 30(50, 84%), nurses 21(35, 59%), and volunteers 6(10,16%) and most important things for them were wheelchair and walking cane. 41(69,4%) considered that it is very important nursing care for stroked patients. 72(34%) of graduatesconsidered that it is very important nursing care for stroked patients and 38(18,09%) considered important, also 58,3% estimated medium enough . For training curriculum of basic professions strokes contents to prepare professional nurses required 3-4 years or 108-146 credit hours and neurological nursing needs 0.8 credit hours and it takes 8-0.6 percent of total hours. For neurological nursing program involved nursing of common diseases, In the content of present training considered generally reflected about pulse diseases dis considered generally about the training content we cannot consider special difference between them.In branch school of medical sciences implemented core program since 2010. In the frame of common neurological deceases provided same 0.8 credit hours. In the content of host graduate training is not focused about neurological nursing care. It means that we take care less attention about content on issue of brain stroke, in other hand we have these specialists who are prepared by this directions.The main form of teaching is lecture and seminar. These forms are disresultative to own the forms of skills. But for the practice of cases and analyze on cases and provide discussions and writing essay about the analyze , and using training contents such as methods of training participation and independent works of available to use for in this case.
ABSTRACT
To determine effects of shift work on nurses’ health by arterial hypertension and diabetics type 2. The design of this study is cross sectional design. Subjects were 634 nurses who were chosen from 5500 nurses undertaking rotating shift work by random sampling method in accordance with criteria of research recruiting. The 64.5% of research participants were from Ulaanbaatar city and 35.5% from rural areas. Average aging is between 40.2±19.8 (p<0.0001). Three hundred three of the participants (50.8%) were night shift nurses and 293 (49.2%) day shift nurses. Obesity distribution was through trunk area at 93%. The participants’ 33.6% has high blood pressure; and 12.3% are at medium risk of diabetics and 4.2 % at high risk for near 10 years. According to test of fasting blood glucose in capillaries, 28.3 % of the nurses who are involved in the research has changes on their fasting glucose level and 14.5% has diabetics. As seeing from lab test and body index, shift nurses are at high risk of arterial hypertension and diabetics and these diseases are more common among the nurses.
ABSTRACT
Background: Mongolia is one of the most influenced countries by non-communicable diseases among developing countries. Non-communicable diseases, including cardiovascular diseases, cancers, respiratory diseases, diabetes, and injuries have become the major causes of morbidity and mortality in Mongolia.Goal: To assess impact of preventive intervention activities of non-communicable diseases in framework of the Millennium challenge account (MCA) health projectMethods: We conducted 17 focus group discussions (FGD) from March to April 2013 in primary and secondary health care settings, of which six in urban and eleven in rural areas.We identified themes concerning the current situation of NCD related health services from the perspective of health professionals, and insights into institutional and professional experiences related to management, implementation and coordination of the newly implemented MCA-Mongolia NCD prevention and control project.Results: As a result of the health project, NCD related knowledge and skills of health professionals have improved through progressive training, and development of guidelines and manuals. During the project, availability of equipment supplies has improved. Accordingly, medical equipment and laboratory reagents needed for early detection of NCDs were provided to primary and secondary health care settings, despite some challenges in the implementation of the project. As result of theproject implementation, increased public awareness on NCDs, and attitude change were considered as the biggest changes.Conclusion: The health project was considered as successful to provide knowledge on the best practice in NCD prevention.
ABSTRACT
IntroductionTraffic accident is the accident that of transport unit`s accident. Every year about 1.2 million people die because of automobile accident and 20-50 million people gets injured or gets disabled. 2.1 percent of total mortality is caused by accident and 22.8 percent of them because of the road accident. In Mongolia accident injury is in 5-th place of causes of mortality since 1991 and growth to 3-th place causes of mortality since 2000 year. Last 5 years increased external caused disease in Darkhan-Uul aimag. Mortality, which is caused by road accident is takes the third place. Causes of traffic accident: drinking when driving, driving with nervousness, use of cellphone while driving, no use of seat belt, over speeding, no use of car seats for children, driving with child at the front seat, drive in technically unsafe vehicle in the traffic.GoalThis study is aimed to evaluate drivers’ knowledge and attitude to prevent from automobile accident. Objectives:1. Evaluate a knowledge and attitude of driver`s in evaluation from traffic accident 2. Relate causes of injury and accident of public transportation driver`s in Darkhan-Uul aimag.Materials and MethodsCross-sectional study was conducted to evaluate drivers’ knowledge and attitude to prevent from automobile accident involving 172 drivers who work at the Public transportation service of Darkhan-Uul aimag. In terms of evaluating drivers’ knowledge, 10 questions were prepared and 3 or less correct answers was considered as unsatisfactory; 4-7 correct answers accepted as average; 8-10 correct answers were accepted as satisfactory.ResultsOut of total 172 participant drivers, 113 (65.7%) serves within the city range and 59 (34.3) serves for inter-city range. 75.6% of them drives a car, 17.4% drives micro-bus and 7% drives bus. According to this, only 5.8% of the drivers achieved satisfactory level, 18.6% was evaluated unsatisfactory and remaining 75.6% got an average mark. About seat belt, 95.3% of the drivers had positive attitude and 66.3% of them are already used to fasten the seat belt and 27.3% reported as does so seldom. Speaking on phone or writing message (50.6%) while driving, being drunk at any extent (66.3%), driving vehicles incomplete (50.6%) are considered as extremely dangerous. Also exceeding speed and breaking traffic rules (84.9%) are reported as dangerous. Relate the driver`s causes of last 30 day: 44 (25.6%) violated a traffic rules once or more, 23 (13.4%) drive when used an alcohol. 54 (31.4%) used a cellphone or send a message while driving.Conclusions:1. Darkhan-Uul aimag public transportation service drivers’ knowledge about preventing from accident is truly unsatisfactory.2. There are risky behaviors such as speaking on the phone, writing text message (31.4%), breaking traffic regulation rule (25.3%), driving when after using alcohol (13.4) are revealed among the participant drivers.