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Ghanbar Rouhi, Seyyed Abedin Hosseini, Hossein Rahmani Anaraki, Einollah Mollaie, Hossein Nasiri,
Volume 9, Issue 2 (1-2013)
Abstract

  Background and Objective: ­ With the development of human societies,­ the needs for different types of health services are increasing. Because of limitations and shortage of national resources, the awareness of health administrators about appropriate allocation of resources leads to efficient use of assets. The aim of this study was to measure the workload and efficacy of nursing staff in internal ward.

  Material and Methods: ­ This descriptive and cross sectional study was conducted on, via census sampling, all nursing activities performed by 10 nurses for 94 patients in Panje-Azar Hospital of Gorgan. ­To determine the efficacy, we asked the subjects to fill out a researcher made, validated questionnaire and measured the time of their presence in the ward. Data analysis was performed by analysis variance, using SPSS-16 software.

  Results: Of ­­total time of presence,­ ­20.3% is spent for documentary activities whereas only 0.49% for patient education. Overall, the spent time for direct and indirect nursing activities is 46.46% and 53.54%, respectively. The efficacy of nursing staff is 62%, ­the highest (66.6­ %) for morning shift and the lowest for night shift (58.34­ %). There is no significant difference, using analysis variance, in efficacy rates of work shifts­ (morning, evening and night).

  Conclusion : In spit of efficacy of over 50 percent in different shifts, the educational programs related to time management, human resource development and electronic nursing are necessary to increase the efficacy.


Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (Supplementary 2013)
Abstract

  Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.

  

  Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.

  

  Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).

  

  Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.

 


Einollah Mollaie, Saied Ghari, Dr Mohammad Mojerloo, Naser Behnampour, Alireza Shariati, Mohammad Jafar Aghakhani, Seyyed Yaghoob Jafari, Maryam Khari, Robabeh Salehi,
Volume 10, Issue 2 (10-2013)
Abstract

Background and objective: Hypotension and Muscle cramp are the common complications of Hemodialysis. One approach that has recently been proposed to prevent this complication is the change in the concentration of sodium and ultrafiltration. The purpose of this study was to investigate the influence of sodium dialysate variation and ultrafiltration in preventing hypotension and muscle cramp during hemodialysis process.
Material and Methods: In this clinical trial study, 44 Hemodialysis patients were divided randomly into four groups. For each group, four treatment protocols (six-session Hemodialysis) were conducted. Protocol A: Sodium dialysate and ultrafiltration were constant. Protocol II: sodium was linear and ultrafiltration was constant. Protocol III: Sodium and ultrafiltration were linear. Protocol IV (routine): Sodium and ultrafiltration were constant. Using Chi-Square and relative risk, the data was analyzed (P<0.05).
Results: The incidence of hypotension, at the end of the fourth hour of dialysis in Protocol 3, was significantly decreased compared to that of routine method (P<0.05), while at the end of first, second and third hour, this difference was not significant. Muscle cramp in the routine method was more than other protocols (P=0.034). The relative risk of muscle cramp in the routine method was 2.08 times of protocol I, 1.09 of Protocol II, 2.08 of protocol III.
Conclusion: Sodium and ultrafiltration profile is simple and cost-free, and it reduces the incidence of hypotension and muscle cramp during dialysis. Thus, we recommend using sodium and UF profile instead of routine protocol to reduce these effects.


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