The effect of factors satisfaction of disease control and self-care behavior on quality of life of patients with Diabetes Mellitus type 2

Background and aims: Diabetes Mellitus is the most common diseases of endocrine glands. Chronic duration and complications imposes financial burden on patients and diminishes quality of life among diabetics. So, this study with the aim of the effect of satisfaction of disease control and self-care behavior on quality of life of patients with type 2 diabetes was conducted. Method: This is a descriptive- analytic study which was conducted on 110 patients with type 2 diabetes based on convenience sampling in Bijar town. Data were gathered with the diabetics’ quality of life (DQOL). All data were analyzed using SPSS with descriptive statistics and Chi-square test, Fisher exact, ANOVA and t-test. Results: In this study, 54 patients (49.9%) were men and 56 (50.9%) were women. The mean of quality of life was moderate (47.2±5.6). There were significant correlations between quality of life with age, education level (P=0.001) and job (P=0.007). Between sex and quality of life no correlation was observed (P=0.078). The results showed a significant correlation between self-care behavior with job (P=0.03) and education level (P=0.008). There were significant correlations between consent of disease control with quality of life, education level, occupation and age (P=0.001). Conclussion: Due to the quality of life of the diabetic patients was in moderate level and diminished with increasing of age, and also because of the increasing number of elderly community, it can be considered careful planning in health promotion in the Ministry of Health, to deal with diabetic patients

Investigating the Effect of Self-Care Training on Life Expectancy and Quality of Life in Patients with Gastrointestinal Cancer under Radiotherapy

Objective: A huge amount of the efforts made by health teams is dedicated to caring for cancer patients. This study has aimed to investigate the effect of self-care training on life expectancy and quality of life (QOL) in patients with gastrointestinal cancer who were under radiotherapy. Methods: In this clinical trial, 50 patients were selected using the block randomization method. The intervention was performed at Ayatollah Khansari Hospital in Arak, Iran. The patients in the intervention group received three sessions of face-to-face training. The data collection tools included Schneider's Life Expectancy Questionnaire and EORTC QOLQ-C30. Data were analyzed by SPSS version 23. Results: In the control group, 16 were male (64%) and 9 female (36%), and in the intervention group, 14 were male (56%) and 11 were female (44%). Before the intervention, the two groups were homogenous regarding all variables. After the intervention, the mean of QOL was 67 ± 22.62 in the intervention group and 56 ± 18.55 in the control group (P < 0.05). In examining the different dimensions of QOL, improvement in all functional dimensions was observed in the intervention group. After the intervention, the mean score of life expectancy showed a significant difference (P < 0.05) between the intervention group (39.52 ± 5.26) and the control group (31.6 ± 7.13). Conclusions: It was found that self-care training improved the QOL and life expectancy of patients with gastrointestinal cancer who were under radiotherapy. Therefore, self-care training is recommended to improve the QOL and the life expectancy of cancer patients

A comparison of the effects of multimedia and peer teaching methods on medication adherence in heart failure patients

Objective: The present study investigated and compared the effects of peer and multimedia teaching methods on medication adherence of heart failure patients. Methods: This quasi-experimental study was done in Arak University of Medical Sciences hospitals, Arak, Iran. Samples were 44 patients with heart failure, studied in two groups. Twenty-two patients received medication adherence education through multimedia content developed by the researchers and a trained peer educated the other 22 patients. The patients’ medication adherence was assessed with a medication adherence questionnaire designed by Girerd et al. (2001) before, immediately after, and 1 month after the intervention. Data was entered the SPSS 23 and analyzed through descriptive and inferential statistics (ANOVA). Results: The study of medication adherence indicated that medication adherence was different in each group before, immediately after, and one month after the intervention; however, there was no statistically significant difference between the two groups. Conclusion: Both peer and multimedia education methods improved medication adherence in patients with heart failure. However, the improvement rate in medication adherence was higher in the multimedia group. Practice Implication: It is suggested to use an appropriate method for teaching patients in different situations based on the available facilities and conditions

The effect of Aloe Vera gel on prevention of pressure ulcers in patients hospitalized in the orthopedic wards: a randomized triple-blind clinical trial

Abstract Background One of the most common orthopedic problems is the incidence of pressure ulcer followed by immobility. This study aimed to investigate the effect of Aloe Vera gel on the prevention of pressure ulcer in patients hospitalized in the orthopedic ward. Method This study is a randomized, triple-blind clinical trial which was done on 80 purposefully selected patients in orthopedic ward in Arak town, Iran, 2016. Patients were randomly assigned into two intervention and control groups based on blocking sampling method. In each group the routine daily cares to prevent bed sores were performed by nurses. In the intervention group in addition to routine nursing care to prevent bed sores, twice a day (hours of 9 and 21) pure Aloe Vera gel on the areas of hip, sacrum and heel were rubbed, but in the control group placebo (gel of water and starch) were used. Then sacral, hip and heel of both groups on days 3, 7 and 10 for of signs of pressure ulcers was evaluated. Results The mean age of patients in the control group was (42.34 ± 12.19) and in the intervention group Was (41.71 ± 11.50) years, respectively. In the intervention group 1 patient afflicted with sore of hip and two people with sacral pressure ulcer. In the control group 3 patients affiliated with sore of hip, 8 people with sacral pressure ulcer, and 1 person had pressure sore of heel. Analysis of the data showed that both groups had statistically significant differences in the incidence of pressure ulcers (P = 0.047). This means that Aloe Vera gel could prevent the occurrence of pressure ulcers in the intervention group. Conclusion Due to the effect of Aloe Vera gel to prevent a rise in temperature, non-blanchable redness, swelling and pain of the skin of regions under study in hospitalized patients in the orthopedic ward, applying of it toward the prevention of pressure ulcers in patients at risk of pressure ulcer development is recommended. Trial registration This study was registered in Iranian Registry of Clinical. Trials in 07/09/2016 with the IRCT ID: IRCT2016051027825N1

THE EFFECT OF AROMATHERAPY WITH ORANGE ESSENTIAL OIL ON ANXIETY AND PAIN IN PATIENTS WITH FRACTURED LIMBS ADMITTED TO AN EMERGENCY WARD: A RANDOMIZED CLINICAL TRIAL

Aim: Pain and anxiety are unpleasant feelings associated with actual or potential tissue damage. The goal of this study is to determine the effect of aromatherapy with orange oil on the pain and anxiety of patients with limb fractures hospitalized in an emergency ward. Design: Randomized Clinical Trial. Methods: 60 patients in an emergency ward were allocated to one of two groups: an experimental and a control group, using a randomized blocking sampling method. Four drops of orange oil were poured onto a pad, which was attached to his/her collar by a plastic safety pin (posing no risk to patients), so that the distance from the patient’s head was not more than 20 cm. To prevent loss of aroma from the impregnated pad, the fragrance was replaced every hour. Pain was measured every hour for six hours, and the patients’ anxiety rate was measured before and after the intervention. All data were analysed using SPSS 21. Results: Mean age of participants was 37.93 ± 18.19 years. Most fractures were in the scapula area (11 patients – 18.3%). The results indicated a significant difference between the mean of anxiety in the intervention group (p < 0.001) compared to the control group (p = 0.339). Regarding pain, a Friedman test showed significant differences between the mean of pain in the intervention group (p < 0.001) compared to the control group (p = 0.339). Conclusion: Aromatherapy with orange essential oil reduced pain and anxiety in patients with limb fractures. Therefore, the application of aromatherapy with orange essential oil as a complementary therapy is recommended for these patients. Keywords: aromatherapy, anxiety, limb fracture, orange oil, pain, relief