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distance education

در نشریات گروه پزشکی
  • Seda Serhatioglu, Reyhan Aydin Dogan*
    Background

    The COVID-19 pandemic significantly impacted educational systems, leading to the rapid adoption of distance education. This shift affected midwifery departments in Turkey, raising items about its appropriateness for such a practical discipline.

    Objectives

    This study aimed to evaluate the attitudes of educators in Turkish university midwifery departments toward distance education during the pandemic.

    Methods

    This cross-sectional study was conducted on 87 academic midwives in midwifery departments of universities in Turkey from June to December 2020. Data was collected online using a structured survey by a researcher. A survey was developed by trainers based on literature to understand the attitudes and opinions of the trainers towards distance education during the COVID-19 pandemic.

    Results

    The mean (SD) age of participants was 36.13 (12.92) years and 12.64 (8.83) years of university teaching experience. A majority strongly disagreed that distance education suits midwifery curricula (36.8%), and 77% strongly disagreed with using distance education for practical courses. However, 27.6% were undecided on its suitability for theoretical classes.

    Conclusion

    Most midwifery educators believe that distance education is not entirely suitable for teaching the midwifery curriculum. To increase the effectiveness of distance education, a hybrid education model should be adopted; theoretical courses should be conducted remotely, and practical courses should be conducted face-to-face. Digital simulations and virtual laboratories should be expanded to support practical training. Academicians should be trained on interactive methods to increase student participation, the infrastructure of universities' distance education systems should be strengthened, and access problems should be resolved.

    Keywords: Midwifery, Teaching, COVID-19, Distance Education, Pandemic
  • Marjan Kevenjan, Fatemeh Vizeshfar *, Ladan Zarshenas
    Background
    Support for breastfeeding by female nursing students has a beneficial impact during the exclusive breastfeeding. This study was conducted to compare the effect of distance and face-to-face breastfeeding education on female nursing students’ knowledge.
    Methods
    This is a quasi-experimental study conducted on 138 female nursing students in their third to eighth semesters at nursing and midwifery school in Shiraz. One hundred and thirty eight students were selected using convenient sampling and divided equally into two experimental groups (face-to-face education with 46 participants and distance education with 46 participants) and one control group (46 participants). Sampling started at the beginning of May 2023 and ended at the end of October 2023. The experimental groups (Groups A and B received face-to-face training and distance education, respectively) received the educational program in three 45-minute sessions over three weeks. Data were collected using a demographic questionnaire and a knowledge questionnaire regarding breastfeeding nutrition at three stages: before, immediately after, and one month after the intervention. The data were entered into SPSS 22 software and analyzed using descriptive and inferential statistics.
    Results
    There was a statistically significant difference in the two interventional groups compared to the control group regarding the mean score of breastfeeding knowledge immediately (P=0.049) and one month (P<0.001) after the intervention.
    Conclusion
    Distance breastfeeding education led to more increase in nursing students’ knowledge one month after the intervention, compared to the face-to-face training. It could provide a suitable method for improving the knowledge of health professionals regarding breastfeeding.
    Keywords: Breastfeeding, Distance Education, Education, Knowledge, Nursing Student
  • Roya Geravandian, Marziyeh Asadizaker, Shahram Molavynejad, Mohammadhosein Haghighizadeh
    Background

    Updating the knowledge and having the best performance of nurses in the ICUs, due to their heavy work shifts, requires choosing the appropriate educational method.

    Objectives

    This study was conducted with the aim of determining the effect of e-learning through social media on the knowledge and performance of ICU nurses regarding tube feeding.

    Methods

    This quasi-experimental study was conducted on 76 ICU nurses who were eligible to enter the study and were divided into two intervention and control groups using the random allocation method. The data collection tools included demographic, knowledge level questionnaires, and nurses' performance checklist regarding tube feeding. The intervention group was given 8 sessions of group training using PowerPoint and Online questions and answers through WhatsApp social media. Before and two weeks after the training, the questionnaire and checklist of nurses' knowledge and performance were completed. Finally, the data was analyzed with SPSS 22 software.

    Results

    The two groups were homogeneous in terms of demographic variables (P > 0.05), except for gender. To compare the knowledge score after the intervention, by controlling the confounding effects and the possible effects of the knowledge score before the intervention, analysis of covariance was used. There was a significant difference between the knowledge score of the intervention and control groups after training on WhatsApp (P = 0.001). There was no significant difference between the two groups in the mean performance scores before the intervention (P = 0.833). This difference was significant after the intervention (P < 0.001), so that the performance scores of the intervention group were higher than the control group.

    Conclusions

    Due to nurses' heavy work shifts, the possibility of face-to-face education program is less; learning using social media can lead to an increase in the knowledge and performance of nurses in ICU in the field of tube feeding.

    Keywords: Tube Feeding, Distance Education, Social Media, Nurses Performance
  • Nasrin Sayfouri, Ehsan Shokri, Shadi Asadzandi

    Interdisciplinary collaboration (IDC) faces several long-standing challenges including poor teamwork, resistance to socialization, inadequate attention given to learners' abilities, incomplete reporting, lack of quality methodology, and vague understanding of reflexivity. In an attempt to tackle these challenges, the purpose of this case study was to report an interdisciplinary educational-research collaboration (IDERC) involving two faculty members (NS and SA) from different departments who were simultaneously instructing a master’s student (St) in two separate courses. The methodology involved addressed the learning needs of St in two concurrent courses as well as fulfilling particular research activities. A few different reflection-gathering tools were adopted to elicit the two participants’ (SA and St) views on the impacts of the IDERC. Thematic analysis of SA’s interview concerning her experiences with the IDERC indicated that she was motivated by a range of personal, educational, and research factors. It also showed her positive outlook on how a similar IDERC could benefit faculty members and students as well as knowledge development. SA also went through the reasons why educators may be hesitant or resistant to deal with IDC. When probing St’s experiences with the IDERC incorporated inside his class tasks and an open-ended questionnaire, he not only highlighted the educational and research outcomes he gained, but also mentioned how he was influenced by the instructors' socialization behavior. Regarding the requirements of an IDC, St's main focus was on successful implementation and prioritizing efficiency. Suggestions are provided as to how this collaboration can be extended to larger contexts.

    Keywords: Interdisciplinary Teaching, Collaborative Teaching, Reflection, Reflexivity, Medical Sciences, Medical Education, Distance Education, Medical Journalism
  • زهره بادیه پیما، زینب صحرائیان، شهرزاد ذکاوت بخش، مریم نیکنام، علی اصغر رحمانیان کوشککی*
    مقدمه

    آموزش از راه دور می تواند بر برخی از موانع آموزش سنتی غلبه کرده و دسترسی آسان و قابل انعطافی را جهت یادگیری فراهم نماید. هدف این مطالعه تعیین تاثیر آموزش خودمراقبتی به شیوه ی از راه دور بر وضعیت عملکرد و کیفیت زندگی بیماران مبتلا به آرتریت روماتوئید می باشد.

    روش کار

    این مطالعه از نوع مداخله ای با دو گروه مداخله و کنترل است. 60 بیمار به روش در دسترس انتخاب و سپس به صورت تصادفی ساده به دو گروه مداخله و کنترل تقسیم شدند. پرسشنامه های بررسی وضعیت عملکرد و کیفیت زندگی بیماران روماتیسم مفصلی ، قبل و یک ماه بعد از مداخله توسط بیماران تکمیل شدند.آموزش خودمراقبتی در گروه مداخله طی 5 جلسه به مدت پنج هفته از طریق تلفن همراه برگزار گردید. تجزیه و تحلیل داده ها با استفاده از آمار توصیفی و استنباطی با استفاده از نرم افزار SPSS ، در سطح معناداری 0/05 انجام شد.

    یافته ها

    نتایج مقایسه بین گروهی نشان داد که وضعیت عملکرد و کیفیت زندگی بیماران در گروه مداخله و کنترل، قبل و بعد از اجرای مداخله تفاوت آماری معناداری ندارد (P>0/05). اما مقایسه درون گروهی تفاوت معنی داری در میانگین نمرات کیفیت زندگی قبل و بعد از مداخله در گروه مداخله نشان داد (p<0/05).

    نتیجه گیری

    به نظر می رسد که آموزش از راه دور نمی تواند به تنهایی تاثیر قابل توجهی در این بیماران ایجاد کند، لذا پیشنهاد می شود که جهت اثرگذاری مطلوب در این بیماران، در کنار سایر روش های آموزشی استفاده گردد.

    کلید واژگان: آرتریت روماتوئید، خودمراقبتی، آموزش از راه دور، وضعیت عملکرد، کیفیت زندگی
    Zohreh Badiyepeyma, Zeynab Sahraian, Shahrzad Zekavatbakhsh, Maryam Niknam, Aliasghar Rahmanian Kushkaki*
    Introduction

    Distance education can overcome some of the barriers of traditional education and provide easy and flexible access to learning. This study aims to determine the effect of self-care training by distance education on the functional status and Quality of life of patients with rheumatoid arthritis.

    Methods

    This is an interventional study with two intervention and control groups. Sixty patients were selected by the available method and then divided into intervention and control groups in a simple random manner. Questionnaires for assessing the functional status and Quality of life of rheumatoid arthritis patients were completed by the patients one month before and one month after the intervention. Self-care training in the intervention group was conducted in 5 sessions for five weeks via mobile phone. Data analysis was done using descriptive and inferential statistics using SPSS software at a significance level of 0.05.

    Results

    The comparison between the groups showed no statistically significant difference between the functional status and the patient's Quality of life in the intervention and control groups before and after the intervention (P>0.05). However, the intra-group comparison showed a significant difference in the average Quality of life scores before and after the intervention in the intervention group (p<0.05).

    Conclusion

    Distance education alone has no significant effect on these patients, so it is suggested that it be used along with other educational methods to have a favorable impact.

    Keywords: Rheumatoid Arthritis, Self-Care, Distance Education, Functional Status, Quality Of Life
  • Saiedeh Abbasi, Sara Bagheri, Zohreh Sadat Mirmoghtadaie, Zohreh Khoshgoftar
    Background

    Professors in universities and educational institutions hold a crucial role in crafting educational approaches utilizing cutting-edge technologies. They need to possess significant expertise in e-learning and tackle the obstacles associated with delivering education and utilizing Information and communication technologies within higher education. To effectively navigate these challenges and adaptations, professors need to equip themselves with new educational techniques through training and readiness to adeptly incorporate emerging technologies into their teaching practices, thus enhancing the educational journey for students. By identifying, understanding, and ranking professors' requirements and preferences, effective and diverse educational initiatives can be tailored to meet their needs.

    Objectives

    This research aimed to recognize the educational needs of medical science professors in the field of e-learning from the experts' point of view and prioritize these needs utilizing the analytic hierarchy process (AHP).

    Methods

    This practical study was conducted in 2022 using a process-oriented approach and AHP. The main stages included the creation of a hierarchical structure, comparative judgment, and determining priorities. In the first step, 13 criteria were identified, which were derived from scientific articles and previous research. In the second step, the pairwise comparison matrix was used for comparative judgment, and the weight of each criterion was calculated. The third step involved determining priorities based on the weight of each criterion and the inconsistency ratio. The participants of this study included professors of basic and clinical sciences from different faculties.

    Results

    The results of this study demonstrated that from the point of view of experts and participants, among the 13 criteria, the skills of virtual teaching (with weights of 0.146 and 0.148), electronic content production (with weights of 0.093 and 0.092), and holding online training courses (with the weights of 0.092 and 0.100) formed the three main needs of medical science professors in the field of e-learning and had the highest degree of importance and necessity compared to other criteria.

    Conclusions

    Identifying the educational needs of medical science professors for organizing and designing necessary programs to enhance knowledge, skills, and empowerment will lead to improving the quality of e-learning, and eventually, reducing professors’ concerns in this area.

    Keywords: Medical Faculty, Empowerment, Distance Education, Analytic Hierarchy Process, Medical Education
  • DESAK KRISNAMURTI, ARIA KEKALIH, ADISTI DWIJAYANTI, DAVID CHRISTIANTA, NICHOLAS WIJAYA, JUAN SAMUDRA, PRATIWI RAHADIANI *
    Introduction
    The irrational use of medicines remains prevalent globally despite education efforts, leading to decreased treatment quality and increased healthcare costs. With the rise of onlinelearning during the COVID-19 pandemic, virtual simulation offers a promising solution to enhance the teaching of rational medicine use among medical students. This study aimed to investigate medical students’ perspectives and needs regarding the implementation of virtual simulation in learning the rational use of medicines.
    Methods
    This study, conducted at Universitas Indonesia from August 2022 to September 2023, used a mixed-method approach to assess the needs for developing virtual simulation in educationof rational medicine use. A validated questionnaire with 14 closed ended and 14 open-ended questions was completed by 281 medical students. The quantitative data were analysed descriptively, using SPSS v16, while thematic analysis was applied to open-ended responses.
    Results
    Students perceived virtual simulations to be the most effective tool for distance learning and suggested features like case scenarios, realistic representation, a good user interface, anduser-friendly navigation. The majority preferred a 10–20-minute duration for virtual simulations. Additionally, 52.3% had no prior knowledge of the rational use of medicines, but acknowledgedits importance. Virtual simulations could be used to explain the concept, management, and implementation of the rational use of medicines.
    Conclusion
    Virtual simulation should be implemented in distance learning on rational medicine use to increase students’ motivation, understanding, retention, interactivity, and focus. The findings might be utilized by medical educators to tailor virtual simulation design to meet medical students’ needs and expectations.
    Keywords: Medication Errors, Medical Education, Distance Education, Simulation Training
  • Amin Habibi, Taiebe Shokri, Babak Sabet, _ Hossein Rezaeizadeh, Hamed Khani*, Fatemeh Nasouri

    Persian medicine is an ancient medical school that prioritizes preserving health over treatment. It is a holistic approach that considers genetics, lifestyle, and other factors to find the root cause of a disease. This study investigated the virtual course of Persian and complementary medicine from the perspective of students. We conducted a cross-sectional study. A standard questionnaire was used to collect data from 750 participants. The tool's validity was confirmed based on its content validity, and Cronbach's alpha coefficient was used to estimate the internal consistency of this questionnaire. The questionnaire measured the effectiveness of the virtual education system in various dimensions, and the participants completed it electronically at the end of the course. SPSS 26.0 was used to analyze the collected data. The study used frequency, percentage, and mean to describe data and a desirability score was calculated for each question to evaluate course quality from participants' perspective. The results of the one-sample t-test indicate that the sample mean (57.111) is higher than the population mean (90) (p < 0.01). Based on the independent samples t-test, the mean attitude score of female students towards course is higher than that of male students (p > 0.05). The ANOVA analysis results regarding the mean attitude scores of students towards the course based on their field of study show that the mean attitude scores vary across different fields of study (p < 0.05). The result of present study emphasizes the importance of developing education in Persian medicine in universities to meet the clinical needs of the community and improve health and well-being. This can also promote the status of Persian medicine globally.

    Keywords: Undergraduate Medical Education, Persian Medicine, Distance Education, Cross-Sectional Study, Survey Method
  • زهره بادیه پیما، علی اصغر رحمانیان کوشککی*
    مقدمه

    نارسایی قلبی، یکی از علل شایع بستری در بزرگسالان بالای 65 سال است. پایین بودن سواد سلامت نه تنها برای بیماران، بلکه برای تامین کنندگان مراقبت های بهداشتی، درمانی و نظام های سلامت، به عنوان یک مشکل اساسی مطرح است.  آموزش به اعضای خانواده، در موضوع کنترل بیماری و حتی پیشگیری می تواند، بسیار مفید باشد؛ زیرا یک ارتباط محکم، میان خانواده و وضعیت سلامتی اعضای آن وجود دارد. دنیای مجازی با ارائه منابع متعدد و  بازخورد فوری می تواند به مردم کمک کند تا دانشی را که به آن نیاز دارند، سریع به آن دسترسی پیدا کنند. پژوهش حاضر، با هدف برررسی تاثیر آموزش خودمراقبتی به شیوه خانواده محور، از طریق گوشی هوشمند، بر سواد سلامت و وضعیت خودمراقبتی بیماران مبتلا به نارسایی قلبی در شهرستان جهرم انجام گرفت.

    روش کار

    پژوهش حاضر، از نوع کارآزمایی بالینی دوسویه کور بود. ابتدا نمونه ها، به شیوه در دسترس انتخاب شد و پس از آن  به صورت تصادفی ساده از طریق نرم افزار رایانه ای،  به دو گروه مداخله و کنترل که در هر گروه، 30 نفر بودند تقسیم شد. ابزارهای مورد استفاده حاوی  پرسشنامه هایی از جمله: دموگرافیک، سواد سلامت نارسایی قلبی نیوتبیم و سنجش وضعیت خودمراقبتی بیماران مبتلا به نارسایی قلبی ریگل بود که پس از تکمیل پرسشنامه ها توسط تمام بیماران، آموزش خانواده محور، برای گروه مداخله، در پیام رسان سروش آغاز شد. یک ماه پس از پایان مداخله، پرسشنامه های مرتبط، توسط هر دو گروه مداخله و کنترل تکمیل گردید. تجزیه و تحلیل داده ها، با استفاده از نرم افزار SPSS نسخه 22 و در سطح معناداری 05/ 0 درصد تعیین شد.

    بحث: 

    در زمینه مشکلات متعددی که بیماران مبتلا به نارسایی قلبی با آن روبه رو هستند، ارائه آموزش در زمینه خودمراقبتی می تواند، گام مهمی در جهت ارتقای سلامتی جسمانی و بالا بردن سواد سلامت آن ها باشد. با توجه به فواید آموزش از طریق گوشی هوشمند و اینکه تحقیقات انجام شده، در زمینه آموزش خودمراقبتی به شیوه خانواده محور و حضوری انجام گرفته است؛ اما تاکنون، پژوهشی مبتنی بر آموزش خود مراقبتی به شیوه خانواده محور، از طریق گوشی هوشمند، برای بیماران نارسایی قلبی به دست نیامد؛ بنابراین پژوهش حاضر، با هدف تاثیر آموزش خودمراقبتی به شیوه خانواده محور، از طریق گوشی هوشمند انجام گرفت. 

    کلید واژگان: خودمراقبتی، سواد سلامت، نارسایی قلبی، آموزش از راه دور
    Zohreh Badiyepeyma, Aliasghar Rahmanian Kushkaki *
    Introduction

    Heart failure is one of the common causes of hospitalization in adults over 65 years old. Low health literacy is a major problem not only for patients, but also for healthcare providers and health systems.  Educating family members on disease control and even prevention can be very helpful, because there is a strong connection between the family and the health status of its members. By providing multiple resources and instant feedback, the virtual world is able to help people quickly acquire the knowledge they need. The purpose of the present study is to investigate the effect of family-oriented self-care education through smartphones on health literacy and self-care status of heart failure patients in Jahrom city.

    Methods & Materials: 

    This study is a double-blind clinical trial. At first, the samples were selected in the accessible way, and then they were divided into two intervention and control groups in a simple random way through computer software; each group had 30 people. The tools used include: Demographic Questionnaire, Newtbeam Heart Failure Health Literacy Questionnaire, and Rigel Heart Failure Self-Care Status Assessment Questionnaire. After all the patients completed the questionnaire, family-oriented training for the intervention group started in Soroush Messenger. One month after the end of the intervention, the relevant questionnaires completed by both intervention and control groups. Data analysis was determined using SPSS version 22 software at a significance level of 0.5%.

    Discussion

    In line with the many problems that heart failure patients face, providing education in the field of self-care can be an important step towards improving their physical health and increasing their health literacy. Considering the benefits of education through smartphones and the fact that the research has been done, it has been done in the field of self-care education in a family-oriented and face to face manner; But so far, no research based on family-oriented self-care training through smartphones for heart failure patients has been found; Therefore, the current research was conducted with the aim of the effect of self-care education in a family-oriented way, through a smartphone.Clinical trial code: IRCT20210114050037N2

    Keywords: Selfe Care, Health Literacy, Heart Failure, Distance Education
  • سمیه اسکینی، ساندرا مهرعلی زاده*، آرین حدادی
    سابقه و هدف

    با افزایش نگرانی ها درباره ی اثرات احتمالی اشعه ایکس در رادیوگرافی های دندانی، آموزش بهینه دانشجویان دندانپزشکی در این زمینه پراهمیت است. طبق گزارش ها، به کارگیری نرم افزارهای آموزشی در ارتقا یادگیری موفق بوده اند. بنابراین هدف این تحقیق، طراحی نرم افزار آموزشی اصول و روش های حفاظت در برابر شعه رادیوگرافی دندانی و بررسی تاثیر آن بر میزان یادگیری دانشجویان دندانپزشکی دانشکده دندانپزشکی دانشگاه علوم پزشکی آزاد اسلامی تهران بود.

    مواد و روش ها

    مرحله ی اول تحقیق بصورت اکتشافی و مرحله ی دوم کارآزمایی بالینی بود. نرم افزار طبق راهنمای حفاظت در برابر اشعه انجمن دندانپزشکی آمریکا (ADA) و به کمک نرم افزارهای ScreenRecorder و MultimediaBuilder و در دو نسخه تحت ویندوز و اندروید طراحی شد. در مرحله دوم 46 نفر از دانشجویان دندانپزشکی که تاکنون آموزشی درباره ی حفاظت در برابر اشعه رادیوگرافی دریافت نکرده بودند، در دو گروه مورد (آموزش با نرم افزار- 24نفر) و شاهد (آموزش کلاسیک- 22نفر) قرار گرفتند. دو گروه بر اساس معدل کل و نتایج آزمون وارک همانندسازی شدند. یادگیری توسط آزمون 10سوالی در دو نوبت (بلافاصله بعد از آموزش و دو هفته بعد) ارزیابی شد. میانگین نمرات توسط آزمون MANN-U-WITHNEY مقایسه شد.

    یافته ها

    ساخت نرم افزار با موفقیت انجام شد. میانگین نمرات دانشجویان در گروه آموزش با نرم افزار در هر دو آزمون به طور معناداری بیشتر از گروه آموزش کلاسیک بود. میانگین نمرات گروه مورد و شاهد به ترتیب در آزمون اول (1/31±8/91) و (1/67±6/13)  در آزمون دوم (1/69±6/79) و (2/09±4/90) گزارش شد.(0/001>P)

    نتیجه گیری

    استفاده از نرم افزار آموزشی چندرسانه ای میتواند میزان یادگیری دانشجویان درباره ی حفاظت در برابر اشعه رادیوگرافی دندانی را به طور معنی داری ارتقا دهد.

    کلید واژگان: آموزش دندانپزشکی، حفاطت در برابر اشعه، آموزش از راه دور، مولتی مدیا، طراحی نرم افزار، برنامه تلفن همراه
    Somayeh Eskini, Sandra Mehralizadeh*, Arian Haddadi
    Background and Aim

    With increasing concerns over the stochastic effects of x-ray radiation in dental radiography, effective education of dental students in this field is important. According to studies, educational softwares enhance learning, therefore the aim of this study was to develop an educational software for dental radiation protection and to compare its effectiveness against classic lectures in Islamic Azad University, Tehran Dental branch.

    Material and Methods

    The study was exploratory in the first stage and a clinical trial in the second. Software was developed based on ADA guideline, using ScreenRecorder and MultimediaBuilder. 46 dental students who have never received any education on dental radiation protection were divided into control (N=22) and test (N=24) groups which have been matched based on the GPA and VARK test results. The test group used the software, while the control group attended a lecture. Students’ learning rates were evaluated by using 2 identical 10-question multichoice tests taken immediately and after two weeks. The results were analyzed in SPSS25 using the Mann-U-Whitney test, independent samples t-test, and Pearson's chi-squared test.

    Results

    Educational software was developed successfully. In both exams, the mean score in the test group was higher than that in the control group by a statistically significant difference (p<0.001). The mean scores of test group and control group were 8.91±1.31 and 6.13±1.67 in the first exam and 6.79±1.69 and 4.90±2.09  in the second one respectively.

    Conclusion

    Multimedia educational software can improve learning of principles and methods of dental radiation protection in dental students.

    Keywords: Dental Education, Radiation Protection, Distance Education, Multimedia, Software Design, Mobile Application
  • شراره کوثری مقدم*، مهران فرج الهی، محمدرضا سرمد، حسین زارع
    زمینه و هدف

    افراد دارای سطوح بالای یادگیری خودراهبر، یادگیرندگان فعالی هستند که میل قوی برای یادگیری دارند، از مهارت های حل مساله استفاده می کنند و خود یادگیری شان را مدیریت می کنند. هدف این پژوهش طراحی و اعتبار یابی الگوی یادگیری آموزش از دور بر مبنای انگیزش تحصیلی و یادگیری خودراهبر با تاکید بر نقش میانجی تفکر انتقادی در دانشگاه های مجری آموزش از دور بود.

    روش ها

    روش پژوهش توصیفی و از نوع همبستگی به روش معادلات ساختاری بود. جامعه پژوهش شامل کلیه دانشجویان دکتری در رشته های آموزش از دور، مدیریت آموزشی، فلسفه تعلیم و تربیت، برنامه ریزی درسی و آموزشی دانشگاه های مجری آموزش از دور استان تهران به تعداد 2800 نفر در سال 1400-1399بود. نمونه آماری شامل 200 نفر به صورت تصادفی ساده انتخاب شدند. ابزار پژوهش شامل پرسشنامه انگیزش تحصیلی دانشجویان والرند، مقیاس خودراهبری یادگیری فیشر و پرسشنامه تفکر انتقادی ریکتس بود. جهت تجزیه و تحلیل داده ها از نسخه 21 نرم افزار SPSS و نسخه 3 نرم افزار AMOS استفاده شد.

    نتایج

    یافته ها نشان دادکه تفکر انتقادی در رابطه با انگیزش تحصیلی و یادگیری خودراهبر در دانشگاه های مجری آموزش از دور نقش میانجی دارد و مدل پژوهش از برازش مناسبی برخوردار است. انگیزش تحصیلی به طور غیر مستقیم و با میانجیگری تفکر انتقادی بر یادگیری خود راهبر اثر دارد (05/0>P) همچنین انگیزش تحصیلی به طور مستقیم بر یادگیری خود راهبر اثر دارد (05/0>P).

    نتیجه گیری

    نظام آموزش از دور برای ارتقای سطح یادگیری خود راهبر باید به انگیزش تحصیلی و تفکر انتقادی در دانشجویان توجه نماید.

    کلید واژگان: انگیزش تحصیلی، یادگیری خودراهبر، تفکر انتقادی، آموزش از دور
    Sharareh Kosari Moghadam*, Mehran Farajollahi, Mohammad Reza Sarmad, Hossein Zare
    Introduction

    People with a high level of self-directed learning are active learners who have a strong desire to learn, use problem-solving skills, and manage their own learning. The aim of this research was to design and validate the learning model of distance education based on academic motivation and self-directed learning with the mediating role of critical thinking in distance education universities.

    Method

    The research method was descriptive and of the correlation type using the structural equation method. The research population included all doctoral students in the fields of distance education, educational management, education philosophy, curriculum and educational planning of distance education universities in Tehran province, 2019-2020. Out of which, 200 people was selected by random sampling. The research tools included Vallerand students' academic motivation questionnaire, Fisher's self-directed learning scale and Ricketts critical thinking questionnaire. Data analysis were using SPSS software version 21 and AMOS software version 3.

    Results

    The findings showed that critical thinking has a mediating role in relation to academic motivation and self-directed learning in distance education universities and the research model has a suitable fit. Academic motivation has an indirect effect on the leader's self-learning through the mediation of critical thinking (P<0.05) and academic motivation has a direct effect on the leader's self-learning (P<0.05).

    Conclusion

    In order to improve the level of self-directed learning, the distance education system should pay attention to academic motivation and critical thinking in students.

    Keywords: Academic Motivation, Self-Directed Learning, Critical Thinking, Distance Education
  • مریم رجبیان ده زیره، حسین ستوده آرانی*، محمد مهتری آرانی، ابوالفضل باغبانی
    چکیده</strong>
    اهداف</strong>:</strong> دوره های آزاد برخط انبوه (موک) در حال حاضر یکی از پیشرفته ترین و جدیدترین نسخه های  فناوری آموزشی می باشد. هدف پژوهش حاضر بررسی تاثیر آموزش از راه دور مبتنی بر فناوری موک بر عملکرد یادگیری، خودآگاهی هیجانی و تفکر سطح بالا دانشجویان می باشد.
    روش کار
    </strong> روش پژوهش شبه آزمایشی و از نوع طرح پیش آزمون-پس آزمون با گروه کنترل است. جامعه آماری پژوهش حاضر شامل کلیه دانشجویان دانشگاه پیام نور آران و بیدگل در سال تحصیلی 98-97 می باشند که 60 نفر از آن ها (30 نفر گروه آزمایش و 30 نفر گروه کنترل) با روش نمونه گیری خوشه ای یک مرحله ای به عنوان نمونه انتخاب شدند. گروه آزمایش در محیط آموزش از راه دور با استفاده از فناوری موک و گروه کنترل به روش سنتی در هشت جلسه سه ساعته آموزش دیدند. ابزارهای پژوهش شامل پرسشنامه عملکرد یادگیری یانگ، کلمز و مورفی (2003)، خودآگاهی هیجانی کائر و همکاران (2012)، تفکر سطح بالا  سرمد و همکاران (1390) می باشد.
    نتایج
    </strong>یافته های پژوهش نشان داد آموزش از راه دور مبتنی بر فناوری موک بر عملکرد یادگیری، خودآگاهی هیجانی و تفکر سطح بالا در دانشجویان تاثیر دارد (0/001>P</span>). آموزش از راه دور مبتنی بر فناوری موک بر مولفه های خودآگاهی هیجانی (بازشناسی، شناسایی، تبدیل سازی، حل مسئله) در دانشجویان تاثیر دارد <span background-color:="" font-size:="" sans="" source="" style="color: rgb(51, 51, 51); font-family: Tahoma, Arial, Verdana, ">(0/001></span><span dir="LTR" font-size:="" sans="" source="" style="color: rgb(51, 51, 51); font-family: Tahoma, Arial, Verdana, ">P</span><span background-color:="" font-size:="" sans="" source="" style="color: rgb(51, 51, 51); font-family: Tahoma, Arial, Verdana, ">).</span>
    نتیجه گیری
    </strong> نتایج پژوهش نشان داد آموزش از راه دور مبتنی بر فناوری موک باعث افزایش و بهبود عملکرد یادگیری، خودآگاهی هیجانی و تفکر سطح بالا می شود. با توجه به هزینه های کمتر، عدم محدودیت زمانی و مکانی آموزش از راه دور و فواید کاربرد فناوری موک بهتر است آموزش به این روش انجام گیرد، از این رو می توان از  فناوری موک در جهت آموزش به یادگیرندگان در دروس مختلف استفاده کرد.</div>
    کلید واژگان: آموزش از راه دور، فناوری موک، عملکرد یادگیری، خودآگاهی هیجانی، تفکر سطح بالا، دانشجویان
    Maryam Rajabiyan Dehzireh, Hossein Sotudeh Arani*, Mohammad Mehtari Arani, Abolfazl Baghbani
    Abstract</span></strong>
     
    Introduction
    </strong> Massive Open Online Course (MOOC) are now one of the most advanced and latest versions of educational technology.</span> The purpose of this study was to investigate the effect of mooc-based distance education on learning performance, emotional self-awareness and High level thinking students.</span></span>
     
    Methods
    </strong> The research method is quasi-experimental and pre-test-post-test design with control group. The statistical population of the study consisted of all all students of payam noor aran and bidgol university in the academic year 2018-2019. 60 of them (30 in the experimental group and 30 in the control group) were selected by One-step cluster sampling method as sample. The research tools included Yang, Colmes and Murphy (2003) learning performance, Kauer&et al (2012) emotional self-awareness and High Level Thinking Sarmad&et al (2011) questionnaires.</span>
     
    Results
    </strong> The findings of this study showed that mooc-based distance education affects on learning performance, emotional self-awareness and high level thinking (P<0.001). Mooc-based distance education affects on emotional self-awareness components (recognition, identification, transformation, environmentalism, problem solving) in students (P<0.001).</span>
     
    Conclusions
    </strong> The results showed that mooc-based distance education enhances and improves learning performance, emotional self-awareness and high level thinking.</span>
     
    Keywords:</strong> Distance education, Mooc technology, Learning performance, Emotional self-awareness, High level thinking, Students.</span>
    Keywords: Distance Education, Mooc Technology, Learning Performance, Emotional Self-Awareness, High Level Thinking, Students
  • Fatemah T AlShamlan, Luluah K Bubshait, Ebtesamah A AlAhmad, Batool S AlOtaibi, Abdullah A AlShakhs, Fatimah A AlHammad
    Background

    Myopia, the most common refractive error, is a global public health problem with substantial visual impairment if left untreated. Several studies have investigated the association between increased near-work and restricted outdoor activities in children with myopia; however, such studies in children without myopia are scarce. We aimed to monitor the effect of the coronavirus disease-2019 (COVID-19) home confinement and mandatory virtual learning on myopic progression among myopic and non-myopic school-aged children.

    Methods

    We conducted a retrospective chart review of children aged 6 – 12 years attending regular visits to the pediatric ophthalmology clinic in a tertiary eye hospital in Eastern Province, Saudi Arabia. Cycloplegic refraction was determined from three visits at least six months apart: two visits before the start of the COVID-19 pandemic and one during the COVID-19 home confinement. Parents were asked about the time spent in near-work and outdoor activities, the devices used during virtual learning, and the demographic characteristics of the children. Statistical analyses were conducted to compare myopia progression before and during the COVID-19 home confinement.

    Results

    A total of 160 eyes of 80 children were analyzed. The boy (n = 46) to girl (n = 34) ratio was 1.4:1. The hyperopia (n = 131 eyes) to myopia (n = 29 eyes) ratio was 4.5:1. Most eyes exhibited a hyperopic shift before the confinement; however, all eyes displayed a myopic shift during the confinement. When comparing both eyes of the same individual, the more myopic or less hyperopic eye in the same child had a significantly greater myopic shift than the fellow eye (both P < 0.05). Children who used tablets showed a significant myopic shift (P< 0.05). Likewise, children in both age categories ( ≤ 8 and > 8 years), boys, those living in an apartment, and those having parents with bachelor’s degrees experienced a significant myopic shift during COVID-19 home confinement compared to before (all P < 0.05). The mean myopic shift was greater in children aged > 8 years than in those aged ≤ 8 years. Children with and without a family history of myopia had a myopic shift in the mean spherical equivalent during COVID-19 home confinement; however, that of children with no family history was statistically significant (P < 0.05).

    Conclusions

    Progression of myopia accelerated in children during the COVID-19 pandemic. Excessive time spent on digital screen devices at near distances is considered a substantial environmental contributor to myopic shift in children. Further multicenter studies with extended follow-up periods are needed to assess the factors contributing to myopic progression in our population.

    Keywords: coronavirus disease 19, COVID-19 pandemic, online learning, distance education, refractive error, myopia, hypermetropia, children, clinical progression, health lockdown, visual acuity, ocular refraction
  • فاطمه صادقی، سمیه فضایلی، خلیل کیمیافر، فاطمه عامری، مرضیه معراجی*
    مقدمه

    با توجه به استفاده گسترده از آموزش الکترونیک در دانشگاه های جهان و ایران، نیاز به ارزیابی کیفیت آن با استفاده از شاخص ها و رویکردها وجود دارد. لذا مطالعه حاضر با هدف بررسی شاخص های ارزیابی کیفیت آموزش الکترونیکی انجام گرفت.

    روش بررسی

    مطالعه حاضر طبق دستورالعمل PRISMA انجام گردید. برای این منظور پایگاه های اطلاعاتی Web of Science،PubMed ، Scopus، مگیران، ایرانداک و SID در بازه زمانی 2018 تا 2022، مورد جستجو قرارگرفتند. استراتژی جستجو شامل مفاهیم "آموزش الکترونیکی"، "شاخص" و "دانشجویان علوم پزشکی"بود. معیار ورود به این مطالعه، مقالات اصیل، فارسی و انگلیسی زبان بودند. پس از انتخاب مطالعات، گردآوری داده ‏ها بر اساس فرم استخراج داده ‏ها انجام گردید.

    نتایج

    77 مقاله به مرور حاضر وارد شدند. از بررسی مطالعات، 37 شاخص در 6 دسته عوامل مربوط به دانشجو (5 شاخص)، عوامل مربوط به استاد (11 شاخص)، عوامل مربوط به محتوای آموزشی (5 شاخص)، عوامل مربوط به امکانات مورد نیاز (7 شاخص)، عوامل مربوط به مدیریت (5 شاخص) و عوامل مربوط به قوانین و مقررات (4 شاخص) به دست آمدند.

    نتیجه گیری

    نتایج نشان داد که 6 عامل در ارزیابی کیفیت آموزش الکترونیکی دخیل هستند. لذا به مدیران نظام های آموزشی توصیه می شود با شناسایی نقاط ضعف سامانه نرم افزاری یادگیری الکترونیکی و زمینه سازی رفع آن ها، از ارائه آموزش های باکیفیت بالا اطمینان حاصل کنند.

    کلید واژگان: آموزش از راه دور، آموزش آنلاین، ارزیابی، شاخص
    Fatemeh Sadeghi, Somayeh Fazaeli, Khalil Kimiafar, Fatemeh Ameri, Marziyhe Meraji*
    Introduction

    Due to the widespread use of this educational method in the universities of the world and Iran, there is a need to evaluate its quality using indicators and approaches. Therefore, the present study was conducted to evaluate the quality evaluation indicators of electronic education.

    Method

    The present study was conducted according to the guidelines of PRISMA. For this purpose, Web of Science, PubMed, Scopus, Mogiran, Irandak and SID databases were searched in the period from 2018 to 2022. The search strategy included the concepts of "e-learning", "index" and "medical science students". The criteria for entering this study were original articles in Persian and English. After selecting the studies, data collection was done based on the data extraction form.

    Results

    A total of 77 articles were included in this review. From the review of studies, 37 indicators in 6 categories of factors related to students (5 indicators), factors related to professors (11 indicators), factors related to educational content (5 indicators), factors related to required facilities (7 indicators), factors related to Management (5 indicators) and factors related to laws and regulations (4 indicators) were obtained.

    Conclusion

    The results showed that six factors are involved in evaluating the quality of e-learning. Therefore, it is recommended that the managers of the educational systems to ensure the provision of high-quality training by identifying the weaknesses of the electronic learning software system and laying the foundation for their elimination.

    Keywords: Distance education, Online education, Evaluation, Indicator
  • الهه سرلک، جمشید انصاری، رحمت الله مرادزاده، نازی نجات*
    مقدمه

    خواب آلودگی مرتبط با سرطان یک علامت رایج در بیماران است و می تواند کیفیت زندگی آن ها را تحت تاثیر قرار دهد. آموزش و حمایت از راه دور با کمک فناوری می تواند نقش بسزایی در بهبود خواب این بیماران داشته باشد. این مطالعه با هدف بررسی تاثیر آموزش و حمایت از راه دور مبتنی بر شبکه اجتماعی مجازی بر خواب آلودگی بیماران مبتلا به سرطان تحت شیمی درمانی انجام شد.

    روش کار

    این مطالعه بر روی 66 بیمار مبتلا به سرطان انجام شد: گروه مداخله (33 نفر) و کنترل (33 نفر). آموزش و حمایت در زمینه خواب از طریق شبکه اجتماعی مجازی برای گروه مداخله به مدت دو ماه ارائه شد. گروه کنترل مراقبت های روتین را دریافت کردند. ابزار جمع آوری اطلاعات شامل پرسشنامه های دموگرافیک، بالینی و مقیاس خواب آلودگی اپوورث بود که قبل، یک و دو ماه بعد از شروع مداخله تکمیل شدند. داده ها با نرم افزار16  SPSS  تجزیه و تحلیل شدند.

    یافته ها

    میانگین نمره خواب آلودگی قبل از مداخله در گروه مداخله به طور معناداری بالاتر از گروه کنترل بود (048/0=p). میانگین نمره خواب آلودگی بین گروه مداخله و کنترل یک ماه بعد، پس از تعدیل متغیر پیش آزمون تفاوت معناداری نداشت (092/0=p). پس از دو ماه، میانگین نمره خواب آلودگی گروه مداخله به طور معناداری کمتر از گروه کنترل بود (004/0=p).

    نتیجه گیری

    آموزش و حمایت از راه دور و مبتنی بر شبکه اجتماعی مجازی می تواند روشی موثر برای کاهش خواب آلودگی روزانه بیماران مبتلا به سرطان تحت شیمی درمانی باشد.

    کلید واژگان: خواب آلودگی، سرطان، آموزش از راه دور، حمایت، شبکه اجتماعی، شیمی درمانی
    Elahe Sarlak, Jamshid Ansari, Rahmatollah Moradzadeh, Nazi Nejat*
    Introduction

    Cancer-related sleepiness is a common symptom in patients and can impact their quality of life. Distance education and support, with the help of technology, can play a significant role in improving sleep in these patients. This study aimed to investigate the effect of education and support based on virtual social network on the sleepiness of cancer patients undergoing chemotherapy.

    Methods

    The study was conducted on 66 patients with cancer: intervention (n = 33) and control (n = 33) groups. Training and support in the field of sleep was provided through a virtual social network for the intervention group for two months. The control group received usual care. The data collection tool included demographic, clinical, and Epworth sleepiness scale questionnaires, which were completed before, one, and two months after the start of the intervention. Data were analyzed with SPSS 16 software.

    Results

    The intervention group scored significantly higher on the average sleepiness score before intervention than the control group (p=0.048). The average sleepiness score was not significantly different between the intervention and control groups a month later after adjusting the pre-test variable (p=0.092). After two months, the intervention group had a significantly lower average sleepiness score compared to the control group (p=0.004).

    Conclusions

    Distance education and support based on virtual social network can be an effective way to reduce the daily sleepiness of cancer patients undergoing chemotherapy.

    Keywords: Sleepiness, Cancer, Distance Education, Support, Social Network, Chemotherapy
  • Babak Sabet, Ali Namaki, Hamed Khani *, Noushin Kohan, Hanieh Zehtab Hashemi, Arash Khojasteh
    Background

     In medical education, determining the strengths, weaknesses, desirability, and success of training courses from the perspective of its stakeholders is of particular importance because it can be the basis for subsequent decisions.

    Objectives

     This cross-sectional research investigated the virtual summer semester from the perspectives of its many stakeholders.

    Methods

     We conducted a multi-methods cross-sectional study. First, remote qualitative interviews were conducted with teachers and heads of departments to explain the features of the virtual summer semester course from their perspective. Twelve teachers and heads of departments participated in qualitative interviews using the intensity sampling method. A matrix was created in Microsoft Word according to the qualitative interview questions (web and telephone), and the answers were categorized based on thematic review. In the second phase, a mini literature review was conducted to develop the desirability and success indicators of online learning courses using questionnaires and checklists. In the third phase, a questionnaire-based survey was conducted among students (82 people). In the last phase, a checklist-based survey was performed among various stakeholders (100 people). Quantitative and qualitative data about the virtual summer semester course have been collected from 194 individuals.

    Results

     Based on the thematic review of remote qualitative interviews and created matrix, strengths, weaknesses, and suggestions for improving this course were categorized. Based on descriptive statistics, the mean and SD of the age of teachers and heads of departments participating in the interview was (52.5 ± 8.68), and the mean and SD of the age of students participating in the questionnaire-based survey was (22.10 ± 2.78). In addition, the mean and SD of the age of students, teachers, heads of departments, and course executive team participating in the checklist-based survey were respectively (22.5 ± 3.5), (49.1 ± 7.5), (54.0 ± 2.8) and (34.3 ± 4.9). The findings of the questionnaire-based survey revealed that about 91% of the students have a positive attitude towards the course. In this regard, the average score of the students on all items about the desirability of the course was higher than the hypothetical average (P = 0.048). In addition, the quantitative findings indicated that all the stakeholders had evaluated the course as successful in terms of the organizational capacity of Smart University of Medical Sciences, pedagogy and educational effectiveness, and sufficient and capable human resources. In this regard, the average score of the course success factors differs from stakeholder to stakeholder for the organizational capacity (P = 0.004) and for the two components of pedagogy and educational effectiveness (P = 0.035) and sufficient and competent human resources (P = 0.043).

    Conclusions

     According to the results and the conditions of the COVID-19 pandemic and its effect on medical education, these short-term and intensive structured virtual courses can be expanded and developed into regular semesters. The course's sustainability can be maintained by continual improvement.

    Keywords: Medical Education, Online Course, Summer Semester, Distance Education, Course Evaluation, Multi-methods
  • Fatemeh Khademi, Fereshteh Aein*, Mohammad Mehdi Salehi, Fatemeh Drees, Hayedeh Heidari
    Background and aims

    This study investigates the effect of virtual training on the stress of mothers of children with febrile seizures.

    Methods

    This quasi-experimental research was conducted on 64 mothers of children with febrile seizures in Shahrekord in 2022. The samples were randomly distributed into intervention and control groups. The intervention group received WhatsApp training during three individual and 3 group sessions, and the control group received routine training. Mothers' stress was measured using the Pediatric Inventory for Parents (PIP) questionnaire, completed by two groups before, immediately, and two months after the intervention. Data analysis was done using the SPSS 18 version, descriptive statistics, repeated measure analysis of variance, independent t-test, chisquare, and Fisher tests.

    Results

    Before the intervention, the average total score of stress in frequency level in intervention and control groups was 117.29 ± 20/70 and 122.50 ± 24.69 and in difficulty level in intervention and control groups were 122.21 ± 25.32 and 129.83 ± 3.24. There was no statistically significant difference on the two levels between the groups (P = 0.363) and (P = 0.285). Immediately after the intervention, the average total score on the two levels in the intervention group was significantly lower than the control group (P = 0.001) and (P = 0.003). Two months after the intervention, the average score on two levels in the intervention group was lower than the control group (P < 0.001).

    Conclusion

    Using virtual training is suggested as an effective method to reduce the stress of mothers of children with febrile seizures.

    Keywords: Distance education, Stress disorders, Febrile seizure
  • شیرین خدادادی، مهرداد آذربرزین*
    زمینه

    استفاده از تکنولوژی سلامت از راه دور بخصوص در درمان بیماری های شریانی به عنوان یک ابزار جدید واکنشگرا و اثربخش در ارتقای ارتباط پزشک-بیمار و بهبود بیماران مورد توجه است. این مقاله با هدف بررسی نقش مشاوره حضوری و آموزش از راه دور در زمینه بیماری های شریانی، نگاهی دقیق به مزایا و محدودیت های سلامت از راه دور در این حوزه ارایه می دهد.

    روش کار

    به منظور انجام یک مقاله مروری تشریحی، جستجو در پایگاه های اطلاعاتی از جمله PubMed، Irandoc،   MEDLINE،  Sid در محدوده زمانی 2013 تا   2023 انجام شد. مطالعاتی که درباره استفاده از تکنولوژی سلامت از راه دور در بیماری های شریانی تمرکز داشتند و مقایسه ارتباط حضوری با آموزش از راه دور را ارایه می کردند، انتخاب شدند و مقالات کمتر مرتبط و مقالات به صورت نامه به سردبیر از مطالعه حذف شدند. از 35  مقاله موجود  نهایتا 17 مقاله مورد بررسی قرار گرفت.

    یافته ها

    مقالات بررسی شده بر تاثیر فناوری سلامت و مداخلات از راه دور در زمینه بیماری های قلبی-عروقی تمرکز داشتند. این مطالعات بر فواید این مداخلات و چالش های مرتبط با آنها تاکید می کنند و اهمیت ارتباط هماهنگ، همکاری و آموزش مداوم برای پرسنل بهداشتی را برجسته می کنند. مقالات نشان می دهند که مداخلات سلامت از راه دور می تواند یک ابزار موثر به خصوص در مدیریت بیماری های نادر مانند فشار خون شریان ریوی باشد .

    نتیجه گیری

    مداخلات سلامت از راه دور در زمینه بیماری های قلبی عروقی یک روش مطمین و موثر است و چون از مشاوره های حضوری کم هزینه تر بوده و برای افراد بیشتری قابل استفاده است، لذا  استفاده از این نوع مداخلات برای موارد بیماری های شریانی و قلبی عروقی توصیه می گردد.

    کلید واژگان: سلامت، بیماری های شریانی، مشاوره حضوری، آموزش از راه دور
    Shirin Khodadadi, Mehrdad Azarbarzin*
    Background

    The use of telehealth technology, especially in the treatment of arterial diseases, is considered as a new reactive and effective tool in improving doctor-patient communication and improving patients. Aiming to assess the effectiveness and results of in-person consultation with distance learning consultation in the field of arterial diseases, this article provides a detailed look at the advantages and limitations of telehealth in this field.

    Methods

    In order to do a descriptive review article,a search was made in databases including PubMed, Irandoc,Medline, Sid in the time range of 2013 to 2023. Studies that focused on the use of telehealth technology in arterial diseases and compared in-person communication with distance learning consultation were selected, and articles not aligned with the purpose of the study and letter to the editor were excluded from the study. 17 out of 35 articles were finally reviewed.

    Results

    The presented articles focus on the impact of health technology and telemedicine interventions in the field of cardiovascular diseases. These studies emphasize the benefits of these interventions and the challenges associated with them, and highlight the importance of coordinated communication, collaboration, and ongoing training for health personnel. Articles show that telehealth interventions can be an effective tool, especially in the management of rare diseases such as pulmonary arterial hypertension.

    Conclusion

    Telehealth interventions in the field of cardiovascular diseases is a safe and effective method, and because it is cheaper than in person consultations and can be used by more people, it is recommended to use this type of interventions for arterial and cardiovascular diseases.

    Keywords: telehealth, arterial diseases, face-to-face consultation, distance education
  • Raziyeh Ghafouri *
    Introduction
    Patient education is a dynamic and continuous process that starts from the moment of admitting the patient and continues after the discharge. The objective of such education is to empower patients to do self-care and improve their quality of lives. Different methods are available for education. This study was aimed to explore the Facilitators and barriers of remote education using mobile massaging applications. 
    Materials and Methods
    The study was conduct as a participatory action research. Participants were 70 nurses, 14 physicians, and 96 patients. Data was collect with interviews. Data analysis method was content analysis and the research process consisted of four phases of planning, implementing, observing, and reflecting. 
    Results
    The categories of the Facilitators of mobile learning from physicians, nurses, and patients’ viewpoints were “more accessibility, complete and comprehensive, and ease of virtual education.” Among the barriers were “large volume of content, out of date content that puzzles the users, invalidity of some references, and the risk of infection transmission through mobile phone.” The participants emphasized on the necessity of codifying content, updating educational resources, teaching the methods of using reliable references, and codifying guidelines of disinfecting mobile phones. 
    Conclusion
    Patient education through remote education in virtual space using massaging applications is an efficient, comprehensive, accessible, and economic method that also brings patients’ satisfaction. It is essential to use experts’ viewpoints to update the references. The patients need to be educated about the right way of disinfecting mobile devices and find reliable references.
    Keywords: Distance education, Mobile. Self-Care, Patient Education, Virtual Space
  • راهله صادق، رضا خدیوی*، شیما صفازداه، جلال کریمی
    مقدمه

    پاندمی کووید-19، چالش بزرگی برای نظام های آموزشی بود. هدف از اجرای این مطالعه، ارزیابی سطح آمادگی جامعه ی دانشگاهی دانشگاه علوم پزشکی اصفهان برای بازگشایی مجدد حین همه گیری کووید-19 به عنوان یک مداخله ی مبتنی بر جامعه بود.

    روش ها

    در مطالعه ی توصیفی- تحلیلی از نوع مقطعی در سال 1401-1400، مقدار آمادگی مدیران، اساتید، دانشجویان و کارمندان دانشگاه علوم پزشکی اصفهان با استفاده از مدل آمادگی جامعه (Community readiness model) CRM ارزیابی شد. برای جمع آوری داده ها از ابزار آمادگی جامعه ی نیمه ساختاریافته (Community readiness tool) CRT استفاده شد. نمره ی آمادگی کل، میانگین امتیاز 5 حیطه ی پرسش نامه است. برای تعیین تفاوت میانگین نمرات مقاطع و ارزیابی اثرات عوامل مداخله گر از آزمون t استاندارد، ANOVA و ANCOVA استفاده شد.

    یافته ها

    مصاحبه از 28 نفر از مطلعین آگاه در 4 بخش جامعه ی دانشگاهی انجام شد. نمره ی نهایی آمادگی جامعه 2/9 ±  6/03، معادل مرحله ی آغازین در مدلCRM  بود. از بین 5 حیطه ی بررسی شده در پرسش نامه، آگاهی دانشجویان از جو دانشگاه، بالاترین نمره 2/69 ± 7/14 و حیطه ی منابع مالی با نمره ی 2/94 ± 4/82 کمترین نمره را اخذ کردند. اختلافی معنی دار در نمرات بخش دانشجویی با سایر بخش ها (0/05 > P) مشاهده شد.

    نتیجه گیری

    برای دستیابی به نتایج مورد انتظار در اجرای هر مداخله ی مبتنی بر جامعه، تحلیل نظرات ذینفعان و اتخاذ راهبردهای مربوطه ضروری می باشد.

    کلید واژگان: آمادگی، آموزش، آموزش از راه دور، دانشگاه، کووید-19
    Raheleh Sadegh, Reza Khadivi *, Shima Safazadeh, Jalal Karimi
    Background

    The covid-19 epidemic has led to a severe challenge in the educational system. This study evaluated the readiness of the Isfahan University of Medical Sciences regarding the reopening for face-to-face training during the covid-19 pandemic as a community-based intervention.

    Methods

    In a cross-sectional descriptive study in 2020, the Community Readiness Model (CRM) was used to evaluate the level of readiness of members in the Medical Universities of Isfahan. A standard semi-structured community readiness tool (CRT) was used to collect data. The total readiness score is the average score of the five of the questionnaire. The standard t-test, the one-way ANOVA were conducted to determine differences in mean scores of community sections, and the ANCOVA to evaluate the effects of intervening.

    Findings

    The interviewees were 28 informed individuals in four departments of the academic community. The final readiness score was 6.03 ± 2.9 equivalent to the initial stage of the CRM. students’ awareness of university condition and relevant consequences, gained the highest score (7.14 ± 2.69), whereas financial resources Received the lowest score (4.82 ± 2.94). Significant differences existed between the student section and other sections (P < 0.05).

    Conclusion

    It is essential to evaluate the readiness for implementing any community-based intervention. analyze the views of stakeholders, and adopt relevant strategies for the readiness that must be done to achieve the expected results. In order to achieve the expected results in the implementation of any community–based intervention, it is necessary to analyze the opinions of stockholders and adopt relevant strategies.

    Keywords: COVID-19, Distance Education, Readiness, Training, University
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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