Comparison of the effectiveness of medicinal and non-medicinal therapy on the control of primary nocturnal enuresis of school-age children

Background and aims: Enuresis is one of the most common disorders and problematic. Diagnosis of enuresis occurs when the urine is given 2 times in a week, for at least 3 consecutive months. This study was performed to compare the effectiveness of medicinal and non-medicinal therapy to control primary nocturnal enuresis of school-age children. Methods: This study is the one blind clinical trial which has been done on 64 children suffering from enuresis in the 6-12-year-old children in school-age reffered to the Urology Specialized Clinic in Golestan hospital, Ahvaz Jundishapur University of Medical Sciences. Children were divided parochial randomized in two groups of medicinal therapy (n=32) and non-medicinal therapy (n=32). Data collection tools include demographic questionnaire, diary note and check list. The data analysis was used from descriptive and inferential statistical tests(T-test and K2) and SPSS software. Results: The results of the present study showed that the level of improvement during intervention (one and two months) had a statistically significant difference between two groups, pharmacological and non-medicinal treatment groups (P=0.001, P=0.005), respectively. Recovery level in the group of medicinal therapy was higher than the non-medicinal treatment one. After three months from the start intervention stage, statistically significant difference was not observed between two groups (P=0.112); But in the stage of one month after the end of intervention, statistically significant difference was observed between the two groups of medicinal and non-medicinal treatment and the rate of improvement was higher in the non-medicinal al therapy (P=0.009). Conclusion: Due to the effect of duration on the results of the present study, effectiveness of non-medicinal therapy has been more than medicinal therapy. So, it is recommended, non-medicinal therapy in order to effect on the enuresis control of children to be performed in the longer term and continuous follow-up

The effect of continuous care model on parents’ knowledge and controlling symptoms and recurrence in children with nephrotic syndrome

Background and aims: Nephrotic syndrome is the most common manifestation of glomerular damage in children. Due to being a chronic disease as well as the need to continuing the provision cares to reduce the recurrence of disease, this research was aimed to determine the effect of continuous care model on parents’ knowledge and controlling symptoms and recurrence in children with nephrotic syndrome. Methods: This research is an experimental study which 66 children with nephrotic syndrome qualified for inclusion in the study, were randomly classified into 2 groups: Case and control. Data were collected by a researcher-designed questionnaire, and checklist for recording blood pressure, weight, blood lipids and the presence or absence of recurrence in children in the 2 groups before and after intervention. Continuous care model was carried out on test group for 6 months. Data were analyzed by SPSS software using descriptive statistics, Chi-square, and Independent t-test and McNamara tests. Results: The proportion of disease recurrence after the intervention in both case and control groups showed no significant difference (P=0.787), but mean of systolic blood pressure in both groups after the intervention showed significant differences (P=0.011). Also, the level of parents' knowledge ratio in both groups after the intervention showed significant differences (P=0.0001). Conclusion: According to the study results, it is suggested that children care needs with nephrotic syndrome will be met by using the implementation of continuous care mode

Evaluation the efficiency of school-based assertiveness program on self-advocacy and self-determination skills in high school students

زمینه و هدف: توجه به خودتصمیم‌گیری و خود‌حمایتی دانش‌آموزان، برای موفقیت در زندگی و آماده‌شدن جهت تصمیم‌گیری، امری ضروری است. مطالعه حاضر با هدف ارزیابی اثربخشی برنامه جرات‌ورزی بر مهارت‌های خودتصمیم‌گیری و خود‌حمایتی دانش‌آموزان دبیرستانی انجام شده است. روش بررسی: در این مطالعه نیمه تجربی140دانش‌آموز دختر (70 نفر آزمون و70 نفر کنترل) از دبیرستان های روزانه اصفهان شرکت داشتند. 8 جلسه برنامه به همراه پرسشنامه‌های اطلاعات دموگرافیک، جرات‌ورزیRichey و Gambrillو مهارت‌های خودتصمیم‌گیری و خودحمایتی به کار گرفته شد. اطلاعات با استفاده از آزمون‌های آماری تی مستقل، آزمون آنالیز واریانس با تکرار مشاهدات و کای اسکوئر تحلیل شدند. یافته‌ها :آزمون کای‌اسکوئر، اختلاف معنی‌داری را در متغیرهای دموگرافیکی بین دو گروه نشان نداد (05/0P)، اما در گروه مورد این اختلاف معنی‌دار بود (002/0P=). همچنین آزمون آنالیز واریانس با تکرار مشاهدات، اختلاف میانگین نمره مهارت‌های خودتصمیم‌گیری و خود‌حمایتی دانش‌آموزان گروه شاهد را معنی دار نشان نداد (05/0P>)، ولی در گروه مورد این نتایج معنی‌دار مشاهده شد (05/0

Effect of Face-to-face Education, Problem-based Learning, and Goldstein Systematic Training Model on Quality of Life and Fatigue among Caregivers of Patients with Diabetes.

BACKGROUND Education is a fundamental component for patients with diabetes to achieve good glycemic control. In addition, selecting the appropriate method of education is one of the most effective factors in the quality of life. The present study aimed to evaluate the effect of face-to-face education, problem-based learning, and Goldstein systematic training model on the quality of life (QOL) and fatigue among caregivers of patients with diabetes. MATERIALS AND METHODS This randomized clinical trial was conducted in Hajar Hospital (Shahrekord, Iran) in 2012. The study subjects consisted of 105 family caregivers of patients with diabetes. The participants were randomly assigned to three intervention groups (35 caregivers in each group). For each group, 5-h training sessions were held separately. QOL and fatigue were evaluated immediately before and after the intervention, and after 1, 2, 3, and 4 months of intervention. RESULTS There was a significant increase in QOL for all the three groups. Both the problem-based learning and the Goldstein method showed desirable QOL improvement over time. The desired educational intervention for fatigue reduction during the 4-month post-intervention period was the Goldstein method. A significant reduction was observed in fatigue in all three groups after the intervention (P < 0.001). CONCLUSIONS The results of the present study illustrated that the problem-based learning and Goldstein systematic training model improve the QOL of caregivers of patients with diabetes. In addition, the Goldstein systematic training model had the greatest effect on the reduction of fatigue within 4 months of the intervention