Journal of Education and Health Promotion

A comparative study into the effects of topical hot salt and hot sand on patients’ perception of low back pain

. Shahram Etemadifar; . Morteza Dehghan; . Tahereh Jazayeri; . Raheleh Javanbakhtian; . Leili Rabiei; . Reza Masoudi

Volume 12, Issue 1 , January 2022, , Pages 1-9

Abstract

BACGROUND: Low back pain (LBP) has been regarded as one of the musculoskeletal problemswhich is affecting more than three‑quarters of individuals in their lifetime. Nowadays, variouspharmacological ... Read More BACGROUND: Low back pain (LBP) has been regarded as one of the musculoskeletal problemswhich is affecting more than three‑quarters of individuals in their lifetime. Nowadays, variouspharmacological and nonpharmacological therapies are employed for relieving and treating LBP. Thisstudy was conducted to compare the effects of topical hot salt and hot sand on patients’ perceptionof LBP.MATERIALS AND METHODS: In this, quasi‑experimental study patients with LBP referring to theorthopedic clinic of Shahrekord educational hospital were divided randomly into two interventions andone control group in 2020. All three groups were received naproxen cream and daily physiotherapyin the same manner, the interventional groups in addition either topical hot salt or topical hot sand.Data gathering tool for measuring patients’ perception of LBP was the McGill Pain Short FormQuestionnaire to be completed at the beginning, immediately at the end, and 2 months after theintervention. The data were analyzed using SPSS statistical software (version 21.0).RESULTS: Totally, 90 patients were randomized based on the table of random numbers (mean age51.1 + 11.1), and finally, 87 patients completed the study. Patients’ perception of LBP before theintervention was homogenous in hot salt, hot sand, and the control group The mean score of totalpain experience before the intervention was 14.1 ± 11.3 for hot sand, 13.9 ± 10.7 for hot salt and13.7 ± 10.1 for control group The mean scores of these three groups were not significant before theintervention (P > 0.05). The mean score of total pain experience immediately after the interventionwas 6.7 ± 4.2 for hot sand, 5.2 ± 3.1 for hot salt and 13.9 ± 9.8 for control group. The mean scoresof the hot sand group and the hot salt group were significantly decreased compared with controlgroup (P > 0.05). The mean score of total pain experience two months after the intervention was5.6 ± 3.27 for hot sand, 4.21 ± 2.14 for hot salt and 13.8 ± 10.4 for control group. Mean score of totalpain experience in both intervention groups had significantly reduced two months after the interventioncompared to control group (P ≤ 0.001); so that the effect of hot salt treatment on reducing totalpain experience was larger than hot sand (P ≤ 0.001). The same trend was observed for VAS andPresent pain intensity variables.CONCLUSIONS: The findings have revealed that the topical treatments with hot salt and hot sandcould have a significant effect on the perception of LBP compared to those in the control group;whereas hot salt might be stronger effects than hot sand on reducing LBP.

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

. Shahram Etemadifar; . Zeynab Sedighi; . Morteza Sedehi; . Reza Masoudi

Volume 11, Issue 10 , November 2021, , Pages 1-9

Abstract

BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; ... Read More BACKGROUND: Patient safety culture is an integral part of patient care standards and a prerequisitefor safe care. SBAR is an acronym for Situation, Background, Assessment, Recommendation; thiscommunication model has gained popularity in health‑care settings, especially among professionssuch as nursing. However, there is little evidence that nursing professional education can enhancepatient safety culture. The aim of this study was to investigate the effect of a SBAR‑based trainingprogram on patient safety culture in intensive care unit (ICU) nurses.MATERIALS AND METHODS: The quasi‑experimental study was carried out in 2018–2019 at areascovered by Shahrekord University of Medical Sciences, Iran. This study was performed on 60 nursesworking in ICU. The participants were randomly assigned to two experimental and control groups of30 each. For the experimental group, five workshop sessions of SBAR‑based program were held.For the control group, the patient delivery process was performed according to the ward routine. Datawere collected using patient safety culture questionnaires before and 1 month after the intervention,and were analyzed using descriptive and analytical tests such as paired t‑test, independent t‑test,and Chi‑square test by SPSS 22.RESULTS: The mean score of safety culture was 31 ± 23.5 and 55.2 ± 28.6 in frequency of reportingevents, 32.8 ± 17.8 and 54.3 ± 19 in overall perception of patient safety, 23 ± 20.1 and 52.9 ± 26 incommunication channel openness, and 35.2 ± 19.8 and 52.4 ± 18.8 in information exchange andconveyance before and after training intervention, respectively, so that they improved from poorlevel to neutral‑moderate level. There was no strength in any dimensions of safety culture; however,the implementation of the SBAR‑based program was significantly associated with patient safetyculture (P < 0.001).CONCLUSIONS: Improving patient safety culture requires attention to patient safety models suchas SBAR approach that provides an appropriate and reliable structure for quality improvement.SBAR‑based program training is effective in promoting patient safety culture; therefore, it isrecommended that managers use this technique to promote patient safety culture.

Informational needs and related problems of family caregivers of heart failure patients: A qualitative study

. Masoud Bahrami; . Shahram Etemadifar; . Mohsen Shahriari; . Alireza Khosravi Farsani

Volume 4, Issue 5 , November 2014, , Pages 1-6

Abstract

Background: Heart failure is incurable disease and patients often have an ongoing decline oncediagnosed. The symptoms of heart failure may impair the ability of patient to perform activities ... Read More

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Author = . Shahram Etemadifar

A comparative study into the effects of topical hot salt and hot sand on patients’ perception of low back pain

Abstract

The effect of situation, background, assessment, recommendation‑based safety program on patient safety culture in intensive care unit nurses

Abstract

Informational needs and related problems of family caregivers of heart failure patients: A qualitative study

Abstract