Showing 9 results for مراقبت
Mr Hossein Rahmani, Dr Gholamreza Mahmodi, Mr Ghanbar Rouhi, Mr Hossein Nasiri, Mis Horolnesa Sheikh, Mr Behzad Taghvakish,
Volume 7, Issue 2 (11-2010)
Abstract
Background and Objective : Neurologic patients' care givers are faced with many challenges and stresses, affecting on their health if they cope with an inappropriate style. The awareness of the care givers about coping strategies is necessary to prevent from their psychological problems, therefore the present study was conducted to determine the coping strategies of men and women care givers of Neurologic patients at home.
Material and Methods : This descriptive-Analytical study was conducted on 200 subjects selected by convenience sampling method. The instrument was Jawiloice coping strategy scale having two dimensions of problem-focused part (15 questions) and
emotion-focused (24 questions). The data analysis was performed using estimates of central tendency, Chi-Square, Kruskal-Wallis, Mann-Whitney test and Anova (P<0.05) by spss 16.
Results: The participants were men (N=120) and women (N=80). The problem-focused subscale in men is 51.86 ± 6.3 and in women 52.86 ± 7.63, whereas in emotional-focused the result is 72.86 ± 13.89 in men and 69.68 ± 11.65 in women. In latter dimension, the difference is not statistically significant. In problem-focused between men and women, the difference is significant (p≤0.05). Considering coping levels to low, moderate, and high, there is no meaningful difference between males and females. Duration of involvement with patients is significantly correlated with emotional-focused (p≤ 0.05) and income status with problem-focused (p≤ 0.03).
Conclusion: According to the findings, the care givers must be educated about effective coping strategies skills to decrease stresses due to care of the patients and to improve mental health.
Mr Ali Abbasi, Mr Hamid Asayesh, Mr Hossein Rahmani, Mr Alireza Shariati, Mr Seyyed Abedin Hosseini, Mr Ghanbar Rouhi, Mr Einollah Molaie,
Volume 8, Issue 1 (10-2011)
Abstract
Background and Objective: Caregivers of chronic renal failure are faced with Hemodialysis related problems and coping with caring responsibilities.The Caregiver Burden is The negative effect of living with these patients. The aim of this study was to determine The Burden on Cargivers from Hemodialysis Patients and related factors.
Material and Methods: In this descriptive and analytical study, 120 Caregivers of chronic renal failure patients treated by Hemodialysis Gorgon's Panje Hospital were selected via census method . The construment was a demographics chek list and Caregiver Burden scale. We did Data analysis by spss software with, independent T-test, oneway, pearson and spearman test
(p< 0.05).
Results: The majority of Caregivers (74.2%) have severe Burden. There is a direct significant correlation between total Burden and the duration,of discase and revers significant correlation between total Burden and the ability to perform patients daily life activities (p< 0.05). The caregivers with a disease endure the heavier Burden (p< 0.05). The caregivers with poor economic condition and Caregivers of with high dependenc y patients bear more Burdens
(p< 0.05).
Conclusion: According to the findings, because of high Burden on Caregivers, we recommend that designing some plans to be designed to for improve the coping strategies and control of the factors affected on Caregiver Burden to promote their health .
Dr Gholamreza Mahmoodi, Leila Rafiee Vardanjani, Neda Parvin, Einollah Mollaie, Naser Behnampour, Alireza Shariati, Dr Saied Mardani,
Volume 10, Issue 0 (9-2013)
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.
Dr Gholam Reza Mahmoodi, Esmaeel Hosseinzadeh, Dr Mohammad Ali Vakili, Dr Kazem Kazemnejad, Dr Mohammad Reza Mohammadi, Dr Mohammad Hossein Taziki, Dr Rahim Kohansal, Zahra Hojbari,
Volume 10, Issue 1 (4-2013)
Abstract
Background and Objective: Coma due to brain injury is an important complication resulting in unconsciousness and reducing the capacity of responding to the environment. This study aimed at examining the effect of organized voice auditory stimulation, which was performed by a nurse, on the length of coma in the patients suffering from head injury.
Material and Methods: This clinical-trial study was applied on 40 patients in the critical care unit of Panje Azar Hospital. The patients were randomly recruited to one of the two groups (each group 20 patients). The intervention group was stimulated by the voice of a male nurse. Hearing stimulation was conducted in the morning and night shift about 15 minutes each time for 10 days. The patient consciousness was measured by GCS scale and analyzed by ANOVA and t-test (P<0.05), using SPSS Soft ware.
Results: The average age of intervention and control group was 28.20 ± 11.49 and 27.8 ± 13.22, respectively. Before stimulation in the first day, there is no significant difference between the GCS of intervention group (5.95 ±0.68) and that of control (5.95 ± 0.64). The results indicate that the intervention group has become consciousness from the 5th day (GCS of 8.25 ± 1.19) and control group (GCS of 7.80 ± 1.96) from the 10th day.
Conclusion: The study show that the auditory stimulation in the intervention group compared to control group gives rise to the improvement of the level of consciousness in comatose patients .
Dr Hassan Babamohamadi, Dr Mahdi Kahouie, Soheila Bayat, Sedigheh Fooladian, Maryam Shahsavane Toghan,
Volume 10, Issue 2 (10-2013)
Abstract
Background and Objective: This study aimed to assess nurses' attitude toward the effect of nursing electronic reports on patient care.
Material and Methods: This descriptive-analytical study was conducted on 316 nurses in the hospitals affiliated to Semnan University of Medical Sciences and social security organization, 2012. The instrument was a researcher-made questionnaire, valid and reliable. The data was analyzed by Chi Square, Fisher and Phi test.
Results: Forty-seven five point percent of the nurses completely disagreed with the impact of electronic reporting on patient assessment (1.8± 1.06) and 54.4% completely disagreed with its impact on the selection of clinical intervention (1.8 ± 1.06). On the other hand , 50% of nurses agreed with the effect of the computer program on patient care (2.2±0.99), 42.4% were satisfied with its effect on patient's diet planning (2.1±1.5) and 40.7% with the computer program on nursing diagnosis (2.01±1.09).There was significant relationship between some of the nurses’ demographic characteristics and their attitude (P<0.05).
Conclusion: Based on the results, nurses’ attitudes can be attributed to some defects in the computer programs and to the nurses’ compliance with information technology. To improve the effectiveness of electronic reporting, first, the quality of computer programs of clinical settings should be enhanced, and then changes should be occurred in organizational policies and in electronic documentation. Further, we should consider the impact of Levine's theory of change, indicating the staff’s resistance to technology adoption in workplace.
Neda Mirbagher Ajorpaz, Mahboube Kafaei Atrian,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Unstable angina (UA) patients account for more than half of hospitalized patients in CCU. Very often, re-hospitalization of these patients is due to lack of enough information and compliance with medical advice, having negative effect on quality of life. Thus, we aimed to determine the effect of self-care education on quality of life in unstable angina patients in Kashan Shahid Behashti hospital in 2010.
Material and Methods: This quasi-experimental study was conducted on 80 unstable angina patients divided randomly into control and intervention group. The instruments were demographic and quality of life questionnaire (SF36), used before and after intervention. For intervention group, we carried out two face-to-face 2-hour sessions. The first session was performed at admission and the second at the time of discharge with the presence of patient’s family. Finally, the two groups were compared and analyzed by SPSS 14 version, using paired t test and independent t test.
Results: The results in two groups showed that there were significant differences in dimensions including General health, physical health, mental health, social function, limitation in activities, and vitality (p≤0.05). But the difference was not significant for health changes and body pain.
Conclusion: Nurse follow-up and patient-centered self-care education can be useful for improving quality of life in unstable angina patients.
Leila Davari, Dr Ahmad Ali Eslami, Akbar Hassan Zadeh ,
Volume 11, Issue 2 (11-2014)
Abstract
Background and Objective: Diabetes is the most common metabolic disorder associated with long-term complications. social and psychological factors have a crucial role in its management . the treatment of Diabetes mainly depends on the patient and self-care is one of the most important factors in controlling this disease. This study aimed at evaluating the self-care related factors in type 2 diabetic patients.
Material and Methods: This descriptive-analytical study was conducted on 95 patients with type 2 diabetes in Khorramabad city in 2013. The data collected by a demographic questionnaire and Glasgow and tobert Self-care scale was analyzed by spss 20 software using independent t-test, Pearson correlation and One Way ANOVA.
Results: Considering all areas, the average self-care score was 53.6±11.7. The lowest score was in the areas of glycemic control, physical activity, and the highest one in diet and foot care. Based on marital status, education, income and type of treatment, The average self-care was significantly different (P< 0.05).
Conclusion: In accordance with the real need unique characteristics of the patients, comprehensive and practical training related self- care behavior should be considered.
Alireza Shariati , Hosein Rahmani Anaraki , Mohammad Parvareshmasoud, Moslem Hesam, Hamid Asayesh, Dr Seyed Mojtaba Mousavi, Dr Gholamreza Mahmoodi,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Burnout has negative effects on nurses' health, and also onpatients’ satisfaction and safety. This study was conducted to determine the relationship between Burnout and nurses' job characteristics in teaching and therapeutic hospitals affiliated to Golestan university of medical sciences.
Material and Methods: In this descriptive-analytical study, 206 nurses who engaged in the teaching and therapeutic centers of Golestan university of medical sciences were selected via random sampling. The data was collected by demographic data sheet and Copenhagen burnout questionnaire and analyzed by descriptive statistical, logistic Regression.
Results: The mean age was 34.66±7.38 and 68% of the participants were female. Overall, 34% of the nurses had burnout. The prevalence of personal, work-related and client-related burnout was 33.5%, 41.3% and 22.3%, respectively. Age, job experience and type of employment were the risk factors of personal, work and client-related burnout. Being supervisor, working in the psychiatric ward and having private job, were the causes of increased personal burnout.
Conclusion: In line with the increase of age and job experience increasing, the officials should pay more attention to burnout, and in some ward of the hospitals and job positions, they need considering a unique career planning.
Dr Masoud Fallahi Khoshknab , Mahdi Farzadmehr, Dr Mohammd Ali Hosseini, Dr Hamid Reza Khankeh, Zahra Noorabadi,
Volume 12, Issue 3 (2-2016)
Abstract
Background and Objective: Anxiety is the most common psychological reaction of the families of the patients in cardiac surgery intensive care unit (CSICU). Since nursing consultation is an approach to controlling anxiety, we aimed to determine its effect on anxiety of the patients' families in CSICU.
Material and Methods: This clinical trial was conducted on fifty-four family members, of the patients in CSICU of a hospital in Kurdkoy, Iran, allocated into intervention and control groups. For intervention group, nursing consultation program was carried out from admission to discharge while for control group just routine was performed. The data was collected via a demographic checklist and state- anxiety Spielberger inventory, and analyzed by chi-square, independent and paired t-tests.
Results: The results showed that the two groups had similar demographic characteristics. Using independent t-test, their anxiety levels were not significantly different before intervention while they were after intervention. This means that nursing counseling was effective in reducing family's anxiety level (P<0.001). Based on paired t test, there was a significant difference between before and after anxiety in case group (P<0.01) but in control group the difference was not significant (p>0.01).
Conclusion: Nursing consultation can be helpful in mitigating in family's anxiety in cardiac Surgery intensive care unit.
