Background: Extensive application of radioactive materials to medical and military purposes justifies the necessity of training military nurse students regarding the management of radiation injury. The current study aimed at comparing the effect of two methods (lecture and webbased) of training on the management of radiation-injured patients among military nurse students from 2013 to 2014. Materials and Methods: The current semi-experimental study was conducted on 60 military nursing students in two military nursing schools in Tehran, Iran selected purposively. Subjects of the study were divided into two groups of 30 as lecture and web-based teaching. The effect of education was measured on three levels of knowledge, comprehension, and application; before, immediately after, and four weeks after completion of teaching. The data were analyzed with SPSS software version 21, using Repeated Measures (RM)-ANOVA and t-test. Results: Mean and standard deviation of scores in all learning levels (knowledge, comprehension, and application) in both groups had a significant difference between before and after the intervention (P<0.001). No significant difference was observed in the total mean scores of the two groups before intervention. In the post-test, immediately after training, mean scores of the web-based group had a greater increase, but no significant difference was observed (P=0.12). In the retention stage (four weeks after training), it was observed that the lecture-based method was more effective (P=0.01). Conclusion: According to the obtained results, learning increased in both methods. Therefore, it is recommended to use the combined teaching method to educate nursing students.
Background: Fatigue is one of the common complications of hemodialysis. The purpose of this study was to compare the effect of Tai-chi (TC) and stretching exercises (SE)on fatigue in patients receiving hemodialysis. Methods: A double-blind randomized clinical trial was undertaken with42 eligible patients receiving unit hemodialysis in Iran. Patients were randomly assigned to the first intervention (I1) (n=14), second intervention (I2) (n=14) and control (C) (n=14) group. The standard Multidimensional Fatigue Inventory (MFI) was completed at baseline and after 6 weeks else. In the I1group, SE was performed for 6 weeks and included 18 sessions for 40 to 60 minutes. In the I2group, TC was offered over 6 weeks and 18 sessions (40 to 60 minutes) were performed. During this period, the control group did not receive any training. Finally, the data were analyzed with SPSS Ver. 16 using descriptive and inferential statistics. Results: At baseline, there was no significant difference in fatigue score between the three groups (P>0.05). Post-intervention the fatigue score in the intervention groups was significantly lower than the control group. (P<0.05). Although the fatigue score decreased in both intervention groups, this decrease was more significant in I1 than I2 (p=0.01). Conclusions: SE and TC reduced fatigue in patients receiving hemodialysis in this study. Therefore, considering the simplicity, safety, and cost-effectiveness of these methods, it is suggested they are implemented for use in hemodialysis units. Trial registration: The present study was registered on 06/04/2019 in the Iranian registry of clinical trials (IRCT20161223031522N10).
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