فهرست مطالب میترا خوبی

The Covid 19 pandemic has placed a heavy responsibility on the health care system and has caused psychological problems among all medical personnel, especially nurses who have the most contact with these patients. The present study was conducted with the aim of determining the relationship between stress, anxiety, depression and resilience of nurses during the outbreak of the covid-19 disease in teaching hospitals in Halle, Iraq.

The present research is cross-sectional and of descriptive and analytical type and was conducted in nineteen departments of three teaching hospitals in Halle in Iraq. In this research, the samples were 350 nurses and they were selected randomly. Data from April to September 1401 and with the tool of demographic questionnaire; 42 DASS scale and 25 CD-RISK scale were collected. Data were analyzed using SPSS version 26.

The findings of the research indicate a high level of anxiety, a moderate level of stress and depression, and high resilience. There was a significant negative correlation between resilience and depression (P-value 0.007). Also, there was no significant relationship between resilience and stress and anxiety.

The level of stress, anxiety and especially depression among working nurses during the covid era was moderately high. Also, the level of resilience during this epidemic was high among nurses who worked in the wards of Covid-19. Mental health problems such as high stress and anxiety and depression have a significant impact on nursing care. Nurses who have high resilience have inner strengths that make them resistant in dealing with difficult situations and crises such as Covid.

Selecting education methods can help Instructors to use methods that are more effective for future nursing Programs. The aim of this study was to compare the effect of CD-based and traditional education on Nursing Students’ learning in Tehran University of medical sciences.
In this quasi-experimental study two case and control groups were selected. 38 nursing students (19 students in each group) who were passing community health nursing course 3 in 2012-2013 were divided equally into two groups of CD-based education and traditional education by using random allocation method. In the case group, the intervention consisted of delivering educational material using compact disc for 8 weeks. The other group received educational material by lecturing in the classroom at the same time. In both groups, final exam scores measured students’ learning 3 weeks after finishing the course. Two groups’ scores were compared by descriptive statistic as mean, standard deviation, independent T test, k square and Analysis of Covariance (Ancova) using spss version 16.
Based on the findings, mean and standard deviation of final exam scores in the case and control groups were M=13.70± 1.80 and 13.41 ± 1.85. Analysis of Covariance (ANCOVA) test showed that Compact Disc -based education and traditional education had the same effect on the Nursing Students’ Learning (p value: 0.55).
According to the finding, Compact Disc -based education seems to be as effective as traditional education on the Nursing Students’ Learning. Therefore, with regard to the advantages of modern educational methods, it is recommended to be used in the blended method of educational programs.

Given the variety of educational methods and the conditions and facilities، selecting appropriate methods is one of the instructors’ practices to achieve educational goals. The aim of this study was to compare Nursing Students’ Satisfaction with CD-based and traditional education at Tehran University of Medical Sciences. This research was a quasi-experimental study. The study population consisted of all nursing students who had to pass community health course (3) in 2012-2013 academic years (n=38). The participants were divided equally into two groups of CD-based education and traditional education through randomized block allocation method. Data collection tool was a researcher-made questionnaire which measured students’ satisfaction with the methods and was completed at the end of the course. Data were analyzed using descriptive statistics (mean، standard deviation)، Analysis of Covariance (ANCOVA)، Chi-square test and independent t-test. The means and standard deviations of satisfaction were 74. 37±16. 31 and 58. 74±15. 17 (out of 100) for the experimental and control groups respectively. The comparison of satisfaction mean scores showed a significant difference between groups (P=0. 006). According to the findings، students seem to be more satisfied with CD-based education than traditional education. Instructors and policymakers then may employ CD-based education in teaching theoretical courses of nursing or use it in combination with other methods.

Weaning a patient from mechanical ventilator is a critical step in the process of treatment at CCU which takes a long time of mechanical ventilation. The aim of this study was to determine the relationship between effective respiratory indexes in weaning process and the importance of each index in scuccessful prediction of weaning from the mechanical ventilator. This is a descriptive cross-sectional study in which 251 patients undergoing CABG, aged above 20, with ejection fraction of more than 30% were selected through convenience sampling in Shahid Rajaei Hospital. Respiratory indexes before weaning from mechanical ventilator were recorded. For all the patients undergoing the surgery, under pump and the duration of anesthesia were identical. Data were analyzed using Chi-square, logistic regression, and independent samples T tests. In this study among the effective respiratory indexes in weaning from mechanical ventilator before CABG, peak inspiratory pressure (β=0.9) was the most effective one on predicting weaning consequence. According to the results of this study, respiratory indexes had the highest effect on predicting weaning consequence (β=0.9). Therefore, it is recommended to use this index in determining patient's preparedness for being weaned from mechanical ventilator and predicting weaning consequence as a valuable clinical index.