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عضویت

جستجوی مقالات مرتبط با کلیدواژه "traditional method" در نشریات گروه "پزشکی"

جستجوی traditional method در مقالات مجلات علمی
  • شیرین مجللی، شیوا حیدری*، منیره رضایی
    پیش زمینه و هدف

    اجرای دستورات دارویی یکی از شایع ترین فعالیت های پرستاری است و به عنوان پرمسیولیت ترین وظیفه پرستار محسوب می شود، وظیفه ای که توام با خطر بالا بوده و همواره مستلزم دقت و رعایت نکات ایمنی توسط پرستار می باشد. برای تجویز ایمن داروها در بالین، توانایی محاسبات دارویی یکی از مهارت های اساسی موردنیاز پرستاران است. هدف از این مطالعه تعیین تاثیر رویکرد تلفیقی استفاده از نرم افزار محاسبات دوز دارویی و روش محاسبات ذهنی بر میزان خطاهای دارویی در بخش مراقبت های ویژه نوزادان مرکز آموزشی درمانی شهید مطهری ارومیه در سال 1399 بود.

    مواد و روش ها

    در این مطالعه نیمه تجربی 55 نفر از پرستاران شاغل در بخش مراقبت های ویژه نوزادان ارومیه در یک گروه با طرح پیش آزمون و پس از آزمون وارد مطالعه شدند. روش نمونه گیری، آسان (در دسترس) بود که ابتدا پیش آزمون از 55 نفر نمونه موردپژوهش به عمل آمده سپس مداخله به شکل کارگاه آموزشی برگزار گردید و بلافاصله پس از مداخله، سه هفته بعد، و یک ماه پس آزمون با استفاده از پرسش نامه محقق ساخته جهت بررسی توانمندی، سطح آگاهی، نگرش و عملکرد در خصوص پیشگیری از خطاهای دارویی به عمل آمد. روایی و پایایی ابزار با محاسبه ضریب پایایی اسپیرمن -براون برابر 93/0 تعیین شد. تجزیه وتحلیل داده ها با نرم افزار آماری SPSS نسخه 26 و آزمون های آماری ویلکاکسون، فریدمن و کولموگروف- اسمیرنف انجام گردید.

    یافته ها

    نتایج مطالعه نشان داد اکثریت شرکت کننده در رده سنی 22 تا 30 سال، مونث، متاهل، دارای مدرک تحصیلی کارشناسی، تعداد بیماران تحت مراقبت در هر شیفت 5 بیمار، عمدتا شیفت در گردش، دارای سابقه کار 11 تا 15 سال، معدل تحصیلی 15 تا 17 و دیپلم تجربی بودند. نتایج نشان داد بعد از مداخله ازنظر آماری تفاوت معنی داری در میانگین نمره آگاهی، علاقه و نگرش در محاسبه دوز دارویی به روش الکترونیکی و ذهنی وجود داشت. میانگین نمره نگرش در روش الکترونیکی افزایش معنی داری نسبت به روش ذهنی داشت (p<0/001). بعد از مداخله، بین روش الکترونیکی و روش سنتی اختلاف معنی داری در میزان خطای کارکنان پرستاری در محاسبات دوز دارویی به روش روتین و نرم افزاری مشاهده گردید (000/0p=). همچنین اضطراب ریاضی به روش الکترونیکی اختلاف معنی داری نسبت به روش سنتی و ذهنی وجود داشت p= <0/001)) و استفاده از نرم افزار ضمن ایجاد یادگیری درازمدت و ثبات یادگیری، دقت، نگرش مثبت و عملکرد صحیح و توانمندسازی را در پرستاران افزایش می دهد.

    نتیجه گیری

    یافته های این مطالعه نشان دهنده ارتقاء توانمندی و عملکرد پرستاران در محاسبه دوز دارویی و پیشگیری از خطاهای دارویی بخش ویژه نوزادان با استفاده از روش الکترونیکی بود. به کارگیری روش الکترونیکی با بهبود نگرش مثبت کارکنان می تواند جایگزین یا روش ترکیبی موثری برای ارتقاء ایمنی و کیفیت خدمات پرستاری باشد. لذا پیشنهاد می شود مراکز درمانی با برنامه ریزی و استفاده از انواع مختلف فن آوری های اطلاعاتی برای پیشگیری از خطاها و اشتباهات پزشکی، ارزیابی خطاها و نظام مراقبت، باعث کاهش قابل توجه میزان خطاهای پزشکی و ارتقای کیفیت خدمات ارایه شده به بیماران گردند.

    کلید واژگان: محاسبات دوز دارویی, خطاهای دارویی, روش الکترونیکی, روش سنتی, رویکرد تلفیقی
    Shirin Mojalali, Shiva Heydari*, Monireh Rezaeei
    Background & Aims

    Execution of medication orders is one of the most common nursing activities and is considered as the most important duty of the nurse, a task that is associated with high risk and always requires care and observance of safety points by the nurse. To safely prescribe drugs in the clinic, the ability to calculate drugs is one of the basic skills needed by nurses. The aim of this study was to determine the effect of an integrated approach using drug dose calculation software and traditional methods on the rate of medication errors in the neonatal intensive care unit of Shahid Motahari Medical Center in Urmia in 2020

    Materials & Methods

    In this quasi-experimental study, 55 nurses working in the neonatal intensive care unit of Shahid Motahari Medical Center in Urmia in a group with pre-test and post-test design were included in the study. The sampling method was easy (available). First, a pre-test was performed on 55 subjects, then the intervention was held in the form of a workshop, and immediately after the intervention, three weeks later, and one month after the test a researcher-made questionnaire was utilized to evaluate the capability, level of knowledge, attitude, and practice regarding the prevention of drug errors. The validity and reliability of the instrument were determined by calculating the reliability coefficient of Spearman-Brown equal to 0.93. Data were analyzed using SPSS software version 26 and Wilcoxon, Friedman, and Kolmogorov-Smirnov tests.

    Results

    The results of the study showed that the majority of participants were within the age group of 22 to 30 years, female, married, with a bachelorchr('39')s degree, the number of patients under care in each shift was 5 patients, mostly rotating shifts, 11 to 15 years of work experience, GPA 15 Up to 17 and were experimental diplomas. The results showed that after the intervention, there was a statistically significant difference in the mean score of knowledge, interest, and attitude in calculating the drug dose electronically and mentally. The mean score of attitude in the electronic method increased significantly compared to mental method (p <0.001). After the intervention, there was a significant difference between the electronic method and the traditional method in the error rate of nursing staff in the calculation of drug dose by routine and software methods (p=0.000). Also, there was a significant difference between electronic mathematical anxiety compared to the traditional and mental methods (p <0.001). The use of software helps create long-term learning and increases learning stability, accuracy, positive attitude and correct performance and empowerment in nurses.

    Conclusion

    The electronic method helps improve the positive attitude of employees and also it can improve the safety and quality of nursing services. The use of different types of information technologies can significantly reduce the rate of medical errors and improve the quality of services provided to patients by preventing medical errors and mistakes, and by evaluating errors and the care system.

    Keywords: Drug Errors, Electronic Method, Traditional Method, Integrated Approach
  • محسن خوشرو، علی محمد رضایی*، سیاوش طالع پسند
    مقدمه

    مهارت خواندن یکی از مهم ترین مهارت ها در دوره ابتدایی است به طوری که اختلال در آن بر یادگیری سایر دروس تاثیر می گذارد.

    هدف

    هدف پژوهش حاضر، مقایسه تاثیر راهبرد آموزشی داویس با آموزش سنتی در بهبود خواندن دانش آموزان پسر نارسا خوان پایه دوم ابتدایی بود.

    روش

    نوع پژوهش، نیمه آزمایشی بود. جامعه این پژوهش کل دانش آموزان پسر پایه دوم ابتدایی شهر رشتخوار در سال تحصیلی 95-1394 بودند که با نمونه گیری تصادفی 10 نفر از آن ها که بر اساس چک لیست 27 گویه بررسی نشانگان نارساخوانی، کارنامه و کارت سنجش سلامت سال اول ابتدایی، دارای اختلال خواندن تشخیص داده شده بودند، انتخاب شدند و سپس این دانش آموزان به صورت تصادفی به دو گروه، آزمایشی با مداخله روش داویس و گروه با آموزش سنتی تقسیم شدند. پس از اجرای مداخله آموزشی داویس پس آزمون روی هر دو گروه اجرا شد و داده های حاصل از پیش آزمون و پس آزمون با استفاده از spss نسخه 19 و با آزمون کلموگروف- اسمیرنوف و آزمون t وابسته مورد تجزیه و تحلیل قرار گرفتند.

    یافته ها: 

    نتایج آزمون t وابسته و  نمرات اختلافی دو گروه نشان داد، که میانگین بهبود در گروه داویس (8/15) در مقایسه با گروه سنتی (2/67) تفاوت قابل توجهی دارد که این حاکی از تاثیر مداخله درمانی داویس بر بهبود خواندن دانش آموزان است (0/01>p).

    نتیجه گیری:

     می توان نتیجه گرفت که روش داویس با افزایش دامنه دقت و توجه، بهبود حافظه دیداری و درک مطلب، باعث پیشرفت در مهارت خواندن دانش آموزان شده است.

    کلید واژگان: خواندن, نارساخوانی, روش داویس, روش سنتی
    Mohsen Khoshroo, Ali Mohammad Rezaei*, Siavash Talepasand
    Introduction

    Reading is one of the most important skills in elementary school so that its disorder affects learning of other subjects.

    Aim

    This study aimed to compare the effect of Davis educational strategy with traditional education in improving the reading of dyslexic male students in the second grade of elementary school.

    Method

    The research type was quasi-experimental. The population of this study included all boys in grade 2 of elementary school from Rashtkhar city in the academic year 2015-2016 that 10 of them who were dignosed with dyslexia, were randomly selected based on a checklist of 27 items for dyslexia symptoms, report card and health assessment card of the first year of elementary school. Then these students were randomly divided in experimental group with davis method intervention and the other group with traditional instruction. After Davis instructional intervention, post-test was performed on both groups and obtained data from pre-test and post-test were analyzed using SPSS version 19 with Kolmogorov-Smirnov test and dependent t-test.

    Results

    The results of dependent t-test and difference between scores of the two groups showed that improvement mean in Davis group (8.15) compared to the traditional group (2.67) was significantly different, which indicates the effect of Davis treatment intervention on improving studentschr('39') reading (P<0.01).

    Conclusion

    It can be concluded that Davis method has improved students reading skills by increasing the range of precision and attention, improving visual memory and comprehension.

    Keywords: Reading, Dyslexia, Davis method, Traditional method
  • The Comparison of the Effects of Multimedia Tools and Traditional Methods on Neurosurgery Learning
    Amir Mohammad Merajikhah, Behzad Imani *, Nahid Nowruzi
    Background

    Educational multimedia software as a student-oriented educational tool provides an optimal educational condition, which allows students to view surgical videos and photographs and fill the gap between theoretical and practical training.

    Objectives

    The present study aimed to compare the effects of multimedia tools and traditionalmethods on the neuroscience learning of the undergraduate students of surgical technology in Hamedan, Iran.

    Methods

    This quasi-experimental, interventional study was conducted on 32 undergraduate students of four surgical technology courses, who were selected via convenience sampling. Neurosurgery sessions were divided into two parts, including traditional and multimedia-based education, which were used to teach the multimedia software in the field of neurosurgical topics (movies, photographs, and atlases). The learning of the students was measured by a written test. Data analysis was performed in SPSS version 23 using t-test, and paired t-test was also used to compare the differences between the traditional and multimedia education.

    Results

    The multimedia education was more effective compared to the traditional method of learning in neurosurgery education (P < 0.001).

    Conclusions

    According to the results, multimedia education could be used as a new and effective educationalmethod in operating surgical technology and training.

    Keywords: Traditional Method, Multimedia Method, Learning
  • Hajiieh Bibi Razeghi Nasrabad, Malihe Alimondegari *, Zeinab Mohseni Nejhad
    Objectives
    Despite the increasing knowledge about family planning and modern contraceptive methods, as well as high failure rates of the traditional method, a significant percentage of couples use withdrawal for contraception. Accordingly, the present study mainly aimed to investigate the determinants of using withdrawal to avoid pregnancy in Tabriz.
    Materials and Methods
    The sample of the study included 383 married women aged 15-49 years. Multivariate logistic regression analyses were employed to determine factors associated with using withdrawal as a contraceptive method.
    Results
    Based on the results, about 19.5% of the women were relying on withdrawal. In addition, 55% reported that they were currently using a modern method to avoid pregnancy while the remaining 25.5% used no method in order to prevent contraception. The results of multivariate logistic regression demonstrated that university-educated couples with no child who were within the age range of 15-24 and born in urban areas were more likely to use withdrawal rather than modern contraceptive methods (P<0.05).
    Conclusions
    In general, the rate of employing the traditional method in Iran and, especially in Tabriz is increasing. Regarding higher proportion of withdrawal use among higher educated women due to the fear of side effects resulted from other methods, family planning providers and reproductive health services should be sensitive to the women’s concern and provide programs to decrease the unmet need of family planning.
    Keywords: Traditional method, Fertility, Withdrawal, Contraceptive method
  • H. Mythri
    Introduction
    Oil pulling is an ancient, traditional folk remedy that has been practiced for centuries in India and southern Asia as a holistic Ayurvedic technique. The practice of oil pulling involves placing a tablespoon of an edible oil (e.g. sesame, olive, sunflower, coconut) inside the mouth, and swishing or “pulling” the oil through the teeth and oral cavity for anywhere from 1–5 minutes to up to 20 minutes or longer.
    Materials And Methods
    Articles related to oil pulling were collected by using oil pulling as Keyword in Google and Medline. Out of the 21 related articles published till 2016, 6 articles with the proper study designs were used for analysis.
    Results
    The studies were unreliable for many reasons, including the misinterpretation of results due to small sample size and improper study design.
    Conclusion
    Though the promoters claim it as one of the best method to be as adjuvant to mechanical control methods, scientific evidences are lacking.
    Keywords: Ayurveda, oil pulling, oral hygiene, traditional method
  • Shahram Khademvatan, Jasem Saki, Sharif Maraghi
    Background
    The usual method for laboratory diagnosis of cutaneous leishmaniasis was the direct observation of parasites under a light microscope. Although this method has high specificity, it has low sensitivity. The purpose of this study is to compare three methods of direct observation, culture and Mini-exon-PCR to diagnose cutaneous leishmaniasis in Khuzestan province. This study intends to compare sensitivity of PCR approach with sensitivity of the existing traditional methods to diagnose cutaneous leishmaniasis using Mini-exon gene.
    Materials And Methods
    A total 216 skin biopsies prepared from patients with cutaneous leishmaniasis were studied though direct method, culture in NNN, culture in RPMI 1640 and Mini-exon-PCR and the sensitivity of these methods were compared with each other. In this study Mini-exon-PCR was considered as the gold standard method.
    Results
    Results showed that 46.7% with direct method, 35.1% with culture method in RPMI 1640, 57.8% with culture method in NNN and 70.3% with PCR were positive. Sensitivity was obtained 66.4% for microscopic observation, 50% for culture in RPMI1640, and 82.2% for culture in NNN and 100% for PCR.
    Conclusion
    This study showed that PCR on samples stored in normal saline has higher sensitivity and specificity than other traditional methods (p>0.05). Thus, Mini-exon-PCR on samples in normal saline is a reliable method to diagnose cutaneous leishmaniasis, especially in cases where the diagnosis is negative with the other methods.
    Keywords: Traditional method, PCR, Cutaneous leishmaniasis, south, West of Iran
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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