The effect of orem’s self-care model on quality of life of patients with hypothyroid goiter‏

Abstract Background & aim: Hypothyroid goiter, like other chronic diseases, can affect the patients’ quality of life (QOL). This study aimed to examine the effect of Orem’s Self-care Model Application on QOL of patients with hypothyroid goiter. Methods: In this interventional study, 70 patients with hypothyroid goiter referred to healthcare clinics of Yasuj were randomly divided into experimental and control groups (n=35). Data were collected by a questionnaire, evaluating self-care, according to Orem’s Model, and the SF-36 questionnaire, measuring the QOL at baseline and 3 months following intervention. For intervention, patients received Orem’s Self-care instructions adjusted to their self-care needs during eight 45-minute sessions. Data were analyzed by using paired and independent t-tests. Results: In the experimental group, mean of QOL was 43.28±17.26 before and 79.64±11.86 after intervention. Paired t-test showed that the difference between pre and post intervention scores is significant (P=0.001). In the control group, however, there was no significant difference in QOL before and after intervention. After intervention, eight domains of QOL in experimental group were significantly higher than those in the control group. Conclusion: This study revealed that applying Orem’s Self-care Model could improve the quality of life in patients with hypothyroid goiter

Iranian Elderly Experiences With Myocardial Infarction

Objectives: Awareness of elderly patients' experiences of myocardial infarction can assist to identify their need, problems, as well as promote their quality of lives. However, there is a little information about how elderly people experience myocardial infarction. This study aimed to explore elderly patients experience with myocardial infarction and their coping strategies. Methods & Materials: This paper is a part of a larger grounded theory. Eight old age patients (65+ years) with first time myocardial were interviewed as purposeful and theoretical sampling. Semi-structure interviews were used for data collection. Data collection and analysis were simultaneously conducted using Strauss and Corbin's grounded theory approach. The trustworthiness of data is confirmed through Lincoln and Guba' s criteria. Results: Elderly patient's experiences of myocardial infarction were categorized as two main themes include: living in the shadow of fear, live with limitation, and their coping strategies namely as return to active life. Living in the shadow of fear is consisted of sub themes named fear of death/reinforcing, fear of physical inability, and fear of dependency on others. Live with limitation composed of feeling of physical incapacity, bodily symptoms, and adherence of medical regimen/family. Return to active life includes positive thinking and self-reliance. Conclusions: Elderly people with first time myocardial infarction experience severe stresses and more limitations due to suddenly threatening their lives and health. Adopting positive coping strategies could facilitate return to normal life and promote their quality of life