Background: Nurses are subjected to musculoskeletal disorders for the reason of working situations and pressures, which any neglect of them causes a poor quality of hospital services provided to the patients. So, the present study was conducted to develop and evaluate the intervention based on the educational and reduction of musculoskeletal disorders among nurses of Khansar Fatemieh Hospital. Methods: This descriptive-analytical study was carried out on 74 nursing staffs of Fatemieh Hospital, Khansar, Iran, who were studied completely as the whole census. Inclusion criteria were nurses who were responsible for patient transmission, with more than one year of work experience and without a case history of musculoskeletal disorders. Exclusion criteria were surgery or accident while studying as well as disinclination to continue taking part in the study. Initially, the prevalence of musculoskeletal disorders was investigated by Nordic Questionnaire and Occupational Risk Factors by Rapid Body Assessment Technique (REBA). Evaluation criteria for the impact of training consisted of training such as film, pamphlets, handouts, informing in telegram channels, etc. Ultimately, after three months of training courses, the workstation was re-assessed through the above methods, and the data were analyzed through SPSS software version 16, Chi-square statistical tests, McNemar and Wilcoxon tests; then the effectiveness of the educational intervention was identified. Results: The mean age and work experience of the participants were 5.27 (32.83)and 4/55 (7.83) year respectively. The results illustrated that the highest rate of prevalence of musculoskeletal disorders was pertinent to the waist (64.90%) and knee (62.20%), wrist (50/00%) in order. The results obtained from the REBA technique indicated that 89.20% of participants were above the range of risk average. After the intervention, statistical tests exhibited a significant reduction in scores and level of risk achieved by the REBA technique (p-value<0/05). Also, the results stated that there was a significant reduction in musculoskeletal pains in the areas of the neck, shoulder, and knee after the intervention (P-value<0.05). But no perceptible change could be observed in the other kinesthetic organs of the body (P-value>0.05). No significant relationship could be seen between gender, work experience, BMI (Body Mass Index) and prevalence of musculoskeletal disorders (P-value>0.05) in this study, but the statistical tests indicated that there was a significant relationship between age and pain in wrist area (P-value<0.05). Conclusion: The results offer that if preventative ergonomic training is part of multidisciplinary interventions and is presented through training such as film, pamphlets, pamphlets, handouts, informing in telegram channels and etc., it may have more influence on the reduction of musculoskeletal disorders.
BACKGROUND: Administrative staff may be exposed to a great deal of the mental workload (MWL) due to the long working hours and the responsibility of responding to large numbers of clients. Occupational burnout (OB) is one of the issues that can be affected by MWL. The aim of the present study was to investigate the relationship between mental MWL and OB, as well as the internal interactions between OB dimensions. MATERIALS AND METHODS: This cross-sectional and descriptive (correlation) study was conducted among faculty members and administrative staff of public health school of Yazd province. Samples were collected through the simple random sampling. NASA task load index and Maslach questionnaire were used for the assessment of MWL and OB, respectively. Frequency and percentage were used for the descriptive analysis. Spearman, Mann–Whitney U, and Kruskal–Wallis H tests were used for inferential statistics. RESULTS: Ultimately, 29 individuals from faculty members and 82 individuals from administrative staff participated in this study. Most of the participants (73.9%) had experienced many MWL instances in performing their jobs duties. No significant relationship between MWL with OB and MWL with any of the demographic characteristics was found, as well ( P > 0.05). In case of OB, a significant relationship was discovered between depersonalization with gender and personal accomplishment with work section ( P < 0.05). CONCLUSIONS: MWL cannot be considered as a contributing factor of OB of the administrative staff because no significant relationship has been noted between them. Reducing working hours, selection of suitable staff, and allowing a few minutes to rest on a daily basis represent the suggested solutions for reducing the MWL of staff.
Respiratory disorders are common problems in farmers which have a high mortality rate in Yazd city. The aim of this study was to evaluate and compare respiratory parameters as well as the prevalence of respiratory symptoms in three age groups in farmers and non-farmers. Methods: This case-control study was conducted on 300 farmers and 300 non-farmers in Yazd. Questionnaires including cognitive knowledge and symptoms of respiratory diseases were completed for all participants and lung function tests were also performed. Data were analyzed using independent T-t test, Chi square test or Fisher's exact test with spss24. Results: Spirometry results showed a significant reduction in respiratory capacity in the farmer group compared to non-farmer. In all three age groups, the prevalence of respiratory symptoms in farmers were higher than non-farmer groups and as the age increased, the prevalence of symptoms also increased. In the age group over 55, the risk of cough, phlegm, dyspnea and wheezing were 17,10.78,3.58 and 6.61 times more than non-farmers respectively. Among the symptoms of respiratory, cough had the highest and shortness of breath had the lowest prevalence. Discussion and conclusion: Regarding the prevention of high prevalence of respiratory disorders in farmers, the mechanization of agricultural practices, the promotion of health awareness of farmers by health professionals, appropriate implementation of training programs by the health department and assistance of Jihad-e-Agriculture are necessary
Introduction: Health-promoting behaviors and healthy behaviors are the healing factors for the promotion of health in pregnant women. The purpose of this study was to determine the health promotion behaviors in pregnant women referring to the comprehensive health centers in Bushehr (the capital city of Bushehr Province, Iran) in 2016. Methods: In this descriptive study, 385 pregnant women referring to the comprehensive health centers were selected by convenience sampling. The data collection tool was a questionnaire consisting of two parts: the first part was related to demographic questions and the second part of the questionnaire was related to health promotion behaviors (Health Promotion Lifestyle Profile II) HPLP II which includes 52 questions. After confirming the validity and reliability of the tool, the data were analyzed through descriptive statistics, independent t-test, Pearson correlation, and one-way ANOVA. Results: The mean score of health promotion behaviors was desirable. Also, among dimensions of health promotion behaviors, the area of health accountability with the mean and standard deviation of (38.25 ± 5.78) had the highest score, and the range of physical activity with the mean and standard deviation of (16.24 ± 5.47) had the lowest score. The age (being under 25 years old) and collegiate education level, among the demographic variables, had a significant relationship with health-promoting behaviors (P < 0.05). Conclusion: The result of the study indicated a moderate level of health promotion behaviors in women participating in the present study. Therefore, it is necessary to pay more attention to the areas of physical activity, stress management, and social relationships.
Introduction: The tools for assessing the appropriateness of educational materials are measuring device. Suitability offers a systematic approach to objectively assessing the appropriateness of health information material for a specific audience. The present study is designed to evaluate the readability and suitability of educational media about regarding men's secondhand smoke (SHS) in the smoker men on their the exposure of pregnant wives. Methods: This cross sectional study was done from October to December 2018 in Isfahan, Iran. Participants were in two groups. The first group of educational media audience consisted of 20 smokers with a pregnant wife. The second group was 15 people from the panel of experts. Written educational media (pamphlets) were evaluated. The readability of the material was measured by “readability assessment of materials” (RAM) and suitability was retrieved through “suitability assessment materials” (SAM). The Gunning-Fog Index was used to assess the readability of the media and the cloze test was used to assess the educational level of the media. Descriptive indices were stated for all variables. The collected data were analyzed by SPSS18. Results: The readability mean score of the educational material was 16.60±1.34 for pamphlet, which was acceptable (score>10, P=0.000). Results showed the percentage points SAM score for the pamphlet was 85%. The educational material for media was “excellent” on the SAM rating. The score of the Gunning-Fog index for pamphlets was 9.6 and equivalent to the third grade of guidance was obtained. According to the evaluation by cloze test, pamphlet learning was assessed as an independent training without the need for a teacher. Conclusions: The printed materials were well-matched after evaluation by the RAM and the SAM checklist, the Gunning-Fog Index and the cloze test. They were consistent with the characteristics of smoker men.
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