ABSTRACT
Nurses, as the pioneers of healthcare in societies, play an important role before, during, and after disasters. Enhancement of their professional skills for the purpose of helping the injured is one of the basic principles in health management in accidents and disasters. The aim of this study is to investigate the effects of a disaster nursing education program on the improvement of nurses' preparedness. It was a quasi-experimental, single group study. The sample including 113 nurses working in Razi psychiatric hospital were selected by census and asked to fill out the "preparedness for confronting disasters" questionnaire, which was developed by the authors. The preparedness program, which consisted of a one-day workshop on disaster management, top-table maneuver, and an operational maneuver, were performed for the participants. The preparedness of all participating nurses was measured one week and also one month after the program. Data were analyzed ANOVA for repeated measures by SPSS-PC [v.17]. Our results showed that the mean scores of knowledge, attitude, and performance improved from 5.55 to 19.88, from 66.18 to 72.41, and from 3.36 to 12.48, respectively in pretest and follow up measurements, which indicated a statistically significant difference [p<0.001]. In addition, the mean score for total preparedness was increased from 75.14 in pretest to 104.77 in follow up, which is statistically significant [p<0.001]. According to the findings in order to promote and maintain the preparedness of nursing staff, inclusion of disaster programs in their academic educational curriculum and as a continued educational program is recommended
ABSTRACT
Elderly people often suffer from disturbed sleep and Traditional Chinese acupressure is a noninvasive technique that employs pressure and massage to acupoints in order to stimulate the balance of life energy that promotes health and comfort. The purpose of present study was to determine the effectiveness of acupoints massage in elders experiencing sleep disturbances. In this quasi experimental study which was applied as single blind clinical trial, Pittsburgh Sleep Quality index [PSQI] questionnaire was used as a screening tool to select individuals with sleep disturbance by purpo'seful sampling. Then the individuals were assigned to three groups by balanced a randomized method [an acupressure group, a sham acupressure group and control group]. Each group had 30 subjects and gender ratio was equal in three groups. The same massage was used in the acupressure group and the sham acupressure group, whereas only conversation was employed in the control group. Time of interventions was limited to 15 min. One course of intervention lasted for 3 days per week. These interventions were carried out for 4 consecutive weeks. After intervention 77 persons completed the questionnaire. Repeated measure ANOVA, ANCOVA and Kruskal-Wallis tests were used for data analysis. The analysis of data post intervention showed significant differences in PSQI subscale scores of the subjective sleep quality [P=0.025], sleep duration [P=0.012], sleep efficiency [P=0.022], sleep disturbance [P=0.025], daily performance [P=0.033], sleep latency [P<0.001] and global PSQI scores [P<0.001] among three groups. POST HOC comparison showed significant differences in PSQI subscales scores and global PSQI scores in the acupressure group compared to control group [P<0.05]. Whereas, there was significant difference only in PSQI subscales scores of the sleep latency [P=0.006] and global PSQI scores [P=0.021] in the acupressure group compared to the sham acupressure group. Sleep log data showed significant decrease of awake time and improving the quality of sleep in acupressure group [P<0.001]. This study confirmed the effectiveness of acupressure in improving the quality of sleep of elderly people and offered a nonpharmacological therapy method for sleep-disturbed elderly people