Knowledge and attitudes toward brain death and organ donation in Bojnurd

دانش و نگرش مردم شهر بجنورد (خراسان شمالی) در باره مرگ مغزی و اهدای عض

Resilience and therapeutic regimen compliance in patients undergoing hemodialysis in hospitals of Hamedan, Iran

Background: The relationship between resilience, one of the important issues in mental health, and therapeutic regimen compliance, the key in the successful management of chronic disease such as chronic kidney disease, is unclear. Objective: The aim of this study was to determine the relationship between resilience and therapeutic regimen compliance in ESRD patients, undergoing hemodialysis. Methods: In this cross-sectional study, 107 hemodialysis patients referred to Besat and Shahid Beheshti Hospitals of Hamedan, Iran were selected through systematic sampling method from January to April 2013. The tool was Connor-Davidson Resilience Scale (CD-RISC). The criteria for compliance were: mean of interdialytic weight gain less than 5.7% to the dry weight, serum potassium 5.5 mEq/L or less, serum phosphorus of 6 mg/dL or less and no more than 3 absences in dialysis sessions. For data analysis, statistical tests such as independent ttest and Logistic regression were performed. Results: Fifty-seven (53.3%) patients were males and the mean age of subjects was 49.96±17.39 years. The difference in the mean scores of resilience between compliance or non-compliance patients was statistically significant (p=0.032). Only resilience and age were significant factors related to regimen compliance. In those subjects with greater resilience for 1 score, the chance of compliance with the therapeutic regimen would be 5.4% higher (OR=1.054, CI 95%: 1.01-1.103). In addition, the elderly patients were more likely to comply with the regimen (OR=1.072, CI 95 %: 1.033, 1.113). Conclusion: According to the results, the patients with greater scores of resilience were more likely to comply with the therapeutic regimen

Marital satisfaction and therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University of Medical Sciences and Health Services in 1388- 89.

AbstractBackgrounds and aimTherapeutic regimen non compliance is a common problem in hemodialysis patients. It is associated withmany side effects. Marital satisfaction and conflictions in dyadic relationships have an important effect oncompliance of a complex regimen. This study aims to determine the correlation between marital satisfactionand therapeutic regimen compliance in hemodialysis patients in hospitals of Shahid Beheshti University ofMedical Sciences and Health Services in 1388-89.Materials and MethodsIn this descriptive correlatiional study 100 hemodialysis patients were selected through the judgmentalsampling method. Data gathering tool was a questionnaire consisting three parts: demographic data, diseaseand ENRICH Marital Satisfaction Inventory. The latter part is validated by content validity method. Thereliability of ENRICH Marital Satisfaction Inventory was determined by Chronbach’s = method. Thequestionnaires were completed by patients during hemodialysis. In order to determine the compliance oftherapeutic regimen, the researcher recorded the mean of the last three months’ values of P, K, interdialyticweight gain, and the numbers of missed dialysis sessions using patient’s documents. Data were analyzed bySPSS statistical softwareFindingsWhile 56% of patients had compliance in therapeutic regimen. 59% had low and very low and 41 % ofpatients had moderate and high marital satisfaction. There was a significant correlation between maritalsatisfaction and therapeutic regimen compliance and marital satisfaction in patients with therapeutic regimencompliance was high.ConclusionPlanning for counseling and supportive programs concerning marital satisfaction can be beneficial for patientsand their families in order to increase their therapeutic regimen compliance.Keywords: Marital satisfaction, Compliance, Hemodialysis, Chronic renal failur

Knowledge and attitudes toward brain death and organ donation in Bojnurd

Background: Organ donation in Iran is common. Bojnurd (North Khorasan, Iran) is a multi-ethnic city, and people with different religions and cultures live together and that could be associated with their behavior and attitude towards health-related issues. So far, no study has taken place on brain death and organ donation in the province of North Khorasan. Objective: The aim of this study was to determine the knowledge and attitudes of citizens of Bojnurd toward brain death and organ donation. Methods: This cross-sectional study was conducted from March to September 2014, on 380 Bojnurd citizens who were selected through multi-stage sampling. The tool was a researcher-made questionnaire in three parts (demographic information, awareness and attitude surveys), containing 10 questions on awareness and 18 questions on attitude. The questionnaire validity and reliability were confirmed by content validity and Cronbach's alpha (0.76). The data were analyzed by using SPSS version 16, using Chi-square, independent- samples t-test, and Spearman correlation coefficient. Significance level was set at p<0.05. Results: Three hundred and eighty participants with the average age of 29.91±9.32 were studied, of which 55% were female. The average score of awareness and attitude was 11.42 (±2.40) and 39.8 (±6.01) respectively. The awareness of the majority of the people (63%) regarding organ donation was moderate and the attitude toward organ donation in the majority (74.1%) was poor. In people with poor attitudes, awareness was also lower, and this was statistically significant (p=0.047). Conclusion: the attitude towards organ donation was negative in the majority of the citizens. In order to correct the beliefs, develop positive attitude and increase citizens’ knowledge, public education is essential