El efecto de la educación en el cuidado paliativo por parejas en el manejo del dolor en pacientes con cáncer

The number of cancer patients is on the rise. Palliative care has an important role in improving the quality of life of these patients. Regarding the role of peers, this study aimed to evaluate the effect of peer care education by peers on pain management in cancer patients. In this clinical trial, 64 patients with cancer were selected as available, divided into control and intervention groups. The control group received usual educations and the intervention group received education package with pain management content by interested, educated and qualified peers in terms of education. The research instrument was pain management questionnaires that were filled before and 3 and 6 weeks after the intervention. Data were analyzed by SPSS software at the significant level of 0.05. The findings showed that the two groups were not significantly different in terms of age, sex, type of cancer, type of treatment, family history, occupation and education and were homogenous. The findings showed that pain management (from 11.78 to 22.59) was significantly different in the intervention group before and three and six weeks after the intervention (P <0.001). The effect of intervention of palliative care education by peers has increased the level of pain management among cancer patients. The findings of this study showed that palliative care education by peers affects the level of pain management in cancer patients. Getting help from interested and educated peers in pain management education for cancer patients is recommended.El número de pacientes con cáncer está en aumento. Los cuidados paliativos tienen un papel importante en la mejora de la calidad de vida de estos pacientes. Con respecto al papel de los pares, este estudio tuvo como objetivo evaluar el efecto de la educación de cuidado de pares por parte de los pares en el manejo del dolor en pacientes con cáncer. En este ensayo clínico, 64 pacientes con cáncer fueron seleccionados como disponibles, divididos en grupos de control e intervención. El grupo de control recibió educación habitual y el grupo de intervención recibió un paquete educativo con contenido de manejo del dolor por parte de pares interesados, educados y calificados en términos de educación. El instrumento de investigación consistió en cuestionarios de manejo del dolor que se completaron antes y 3 y 6 semanas después de la intervención. Los datos fueron analizados por el software SPSS en el nivel significativo de 0.05. Los resultados mostraron que los dos grupos no eran significativamente diferentes en términos de edad, sexo, tipo de cáncer, tipo de tratamiento, antecedentes familiares, ocupación y educación, y eran homogéneos. Los resultados mostraron que el manejo del dolor (de 11.78 a 22.59) fue significativamente diferente en el grupo de intervención antes y tres y seis semanas después de la intervención (P <0.001). El efecto de la intervención de educación en cuidados paliativos por parte de los compañeros ha aumentado el nivel de manejo del dolor entre los pacientes con cáncer. Los hallazgos de este estudio mostraron que la educación en cuidados paliativos por parte de los compañeros afecta el nivel de manejo del dolor en pacientes con cáncer. Se recomienda obtener ayuda de colegas interesados ​​y educados en educación sobre el manejo del dolor para pacientes con cáncer

Effect of acupressure on constipation in patients undergoing hemodialysis: A randomized double-blind controlled clinical trial

Objective: Constipation is one of the most common digestive problems in patients undergoing hemodialysis. It has a negative effect on quality of life in these patients. As routine treatments are not effective in this regard, complementary therapies may help to overcome this condition. This study aimed to investigate the effect of acupressure on constipation in patients undergoing hemodialysis. Materials and Methods: This was a randomized double- blind placebo- controlled clinical trial conducted in 2014.A convenience sample of 70 patients undergoing hemodialysis was selected from hemodialysis units of three hospitals affiliated to Mazandaran University of Medical Sciences, Mazandaran, Iran. Patients were randomly assigned to intervention or control group. Intervention group received acupressure in acupressure points three times a week for four weeks during hemodialysis. In control group, acupressure was delivered in false points. We assessed the frequency of defecation in the two groups before and after the study. The study instruments consisted of a demographic questionnaire, and a data sheet for documenting constipation frequency. Results: The results indicated a significant difference between intervention group (13.73±3.63) and control group (10.06±3.77) in frequency of defecation during the fourth week of intervention (

The effect of palliative care education by peers on pain management in cancer patients

The number of cancer patients is on the rise. Palliative care has an important role in improving the quality of life of these patients. Regarding the role of peers, this study aimed to evaluate the effect of peer care education by peers on pain management in cancer patients. In this clinical trial, 64 patients with cancer were selected as available, divided into control and intervention groups. The control group received usual educations and the intervention group received education package with pain management content by interested, educated and qualified peers in terms of education. The research instrument was pain management questionnaires that were filled before and 3 and 6 weeks after the intervention. Data were analyzed by SPSS software at the significant level of 0.05. The findings showed that the two groups were not significantly different in terms of age, sex, type of cancer, type of treatment, family history, occupation and education and were homogenous. The findings showed that pain management (from 11.78 to 22.59) was significantly different in the intervention group before and three and six weeks after the intervention (P <0.001). The effect of intervention of palliative care education by peers has increased the level of pain management among cancer patients. The findings of this study showed that palliative care education by peers affects the level of pain management in cancer patients. Getting help from interested and educated peers in pain management education for cancer patients is recommended.El número de pacientes con cáncer está en aumento. Los cuidados paliativos tienen un papel importante en la mejora de la calidad de vida de estos pacientes. Con respecto al papel de los pares, este estudio tuvo como objetivo evaluar el efecto de la educación de cuidado de pares por parte de los pares en el manejo del dolor en pacientes con cáncer. En este ensayo clínico, 64 pacientes con cáncer fueron seleccionados como disponibles, divididos en grupos de control e intervención. El grupo de control recibió educación habitual y el grupo de intervención recibió un paquete educativo con contenido de manejo del dolor por parte de pares interesados, educados y calificados en términos de educación. El instrumento de investigación consistió en cuestionarios de manejo del dolor que se completaron antes y 3 y 6 semanas después de la intervención. Los datos fueron analizados por el software SPSS en el nivel significativo de 0.05. Los resultados mostraron que los dos grupos no eran significativamente diferentes en términos de edad, sexo, tipo de cáncer, tipo de tratamiento, antecedentes familiares, ocupación y educación, y eran homogéneos. Los resultados mostraron que el manejo del dolor (de 11.78 a 22.59) fue significativamente diferente en el grupo de intervención antes y tres y seis semanas después de la intervención (P <0.001). El efecto de la intervención de educación en cuidados paliativos por parte de los compañeros ha aumentado el nivel de manejo del dolor entre los pacientes con cáncer. Los hallazgos de este estudio mostraron que la educación en cuidados paliativos por parte de los compañeros afecta el nivel de manejo del dolor en pacientes con cáncer. Se recomienda obtener ayuda de colegas interesados ​​y educados en educación sobre el manejo del dolor para pacientes con cáncer

Educational challenges ahead of nursing from the perspective of faculty members of Mashhad University of Medical Sciences

Introduction: Development of nursing profession is faced with new challenges. Role of education is important for advancement of nursing. Faculty members are experienced in education, and they are authentic sources for determining of the educational challenges in nursing. The aim of this study was to determine the educational challenges in nursing from the viewpoint of faculty members of nursing and midwifery in University of Mashhad. Methods: This study is a cross- sectional study conducted on 31 cases from faculty members of nursing in Mashhad University of Medical Sciences by using census method in 2010-2011. A combination of data collection methods was used for collection of data in two phases: preparation of assessment tool (questionnaire) and survey of the desired construct among the samples. After determining the validity and reliability, a questionnaire was given to the samples to answer. Data were analyzed in SPSS software version 11.5 using statistical tests. Results: The most important threats in nursing include “Separation of fields such as anesthesia and operating room from nursing” (%93.6), “Increasing gap between clinical practice and education of nursing due to the increase in education of students and instructors” (%90.3), “Being Theoretical courses in master’s and PhD program” (%77.5), “Decreasing the students’ motivation” (%77.5) and “Establishing new schools of nursing” (%64.5). The most important opportunities in nursing include: “Need to informatics education in education of nursing” (%93.5), “localizing resources based on new issue and problems” (%84), and “Paying attention to evidence- based education in nursing education” (%83.9) and “adjusting the educational content according to ideals and standards of nursing” (%80.6). Conclusion: Based on the results, Returning of anesthesia and operating room branches to nursing after bachelors’, “Revising of educational content based on needs and localizing resources”, “Using new methods in nursing instruction”, “continuing the training based on clinical experiences” and “Using applied research in clinical environment” are suggested