Effects of SP6 and ST36 Acupressure on Pain and Physiological Indexes in Addicted Men: A Single-Blind Randomized Clinical Trial

Background: Pain is the most crucial reason to seek treatment, and acupressure is one of the most common ways to relieve pain; therefore, this study was conducted with the aim to investigate the effectiveness of acupressure on the reduction of pain and stability of physiological indexes in addicted men. Methods: The present single-blind, randomized, clinical trial was performed on 90 participants who were hospitalized in an addiction treatment camp in Masjed-e-Soleyman, Iran. The participants were divided into acupressure group (n = 45) and control group (n = 45) through allocating permutation blocks method. The acupressure group received acupressure on SP6 and ST36 points for 3 consecutive sessions and each session for 10 minutes. The data collection tools used included a demographic information questionnaire, the Short-Form McGill Pain Questionnaire (SF-MPQ), and a physiological index registration form, tympanic thermometer, sphygmomanometer, pulse oximetry device, and digital watch. Repeated measures ANOVA was used to analyze the data. P ≤ 0.05 was considered statically significant. Findings: There was a statistically significant decrease in the sensory dimension of pain in the acupressure group compared to the control group in all 3 sessions (P ≤ 0.001; P ≤ 0.001; P = 0.001, respectively). There was no statistically significant difference in the overall pain score (P ≥ 0.005), emotional pain dimension (P ≥ 0.005), and physiological indexes of pain (P ≥ 0.005) between the two groups after the intervention. Conclusion: Acupressure is a non-invasive and cost-effective method that reduces the sensory dimension of pain, and its application does not require special tools; thus, the use of such a safe and secure method for relieving pain is recommended

The Relationship between Spiritual Well-being and Family Cohesion in Patients with Thalassemia Major

Introduction: This study was conducted to investigate the relationship between spiritual well-being and family cohesion among people with thalassemia Major. Methods: This cross-sectional study was conducted on 101 patients with thalassemia major of Dezful Large Hospital in 2015. Data were collected by three questionnaires: demographic data, Standard Spiritual Well-being Scale by Daaleman and Frey and Moos Family Cohesion Scale. The data was analyzed using SPSS version 18 statistical test, Pearson correlation and linear regression with a significance level of p< 0.05. Results: The average score of spiritual well-being and self-efficacy subscales were 9.66 +/- 34.58 and 9.66 +/- 14.68, respectively; which indicates the average level of these variables. Linear regression test results also showed that there was a statistically significant (p< 0.05) relationship between spiritual well-being and family cohesion (B=0.25) and between selfefficacy and family cohesion (B=0.24); but there was no significant relationship between life scheme and family cohesion (B=0.16) (p=0.10). Conclusion: In this study it was observed that a significant direct correlation exists between spiritual well-being and family cohesion. The role of the family as the main supportive institution against the challenges of life is undeniable. Hence, by increasing the level of spiritual well-being of the patients some steps can be taken to promote the cohesion of patients' families in order to decrease their spiritual and physical problems

Some influential factors on severity of diabetic foot ulcers and Predisposing of limb amputation: A 7-year study on diabetic patients

Introduction: Diabetes is the most common metabolic disease and a major global challenge that is the leading cause of death in the industrialized and developing world. Therefore, this study was performed on some influential factors on severity of diabetic foot ulcers and predisposing of limb amputation. Materials and Methods: In this cross-sectional descriptive-analytic study, 4436 cases of diabetic patients admitted to Khatam-ol-Anbia hospital of Shoushtar from 2010 to 2016 were studied. The data in this study included three sections: demographic information, ulcer severity based on Wagner’s criterion, and clinical and laboratory data. Then data were analyzed using descriptive and analytical statistical tests. Results: This study included 4436 patients with diabetes with a mean age of 54.36 ± 42.68 years. 421 patients (9.4 percent) had a history of diabetic foot ulcers. Also, 385 patients (8.6%) had a history of limb amputation. In this study, 596 patients (13.4%) had a history of smoking and the relationship between smoking and drug use with the severity of ulcer was significant (p = 0.006). In this study, in the majority of patients with diabetic foot ulcers (60.3%) had severity of ulcer based on Wagner’s criterion was second grade. In terms of bacteriology, 57.7% of the patients during the admission period had cultures of the ulcer site discharge, that the most commonly of mass in 26.7% of cases was Staphylococcus aureus. In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant (P &lt;0.05), This means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations.&nbsp; Conclusion: In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant, this means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations. &nbsp

Knowledge, attitude and practice of nursing students Dezful university of medical sciences towards evidence-based nursing in the second semester of the academic year 2017-2018

Introduction: Nowadays The health care systems around the world face many challenges and in many cases, health care is accompanied by many question Therefore, evidence-based practice, as an essential factor for improving health care is more emphasis.&nbsp; This study aimed to investigate the knowledge and attitude of nursing students of Dezful university of medical sciences toward evidence-based nursing. Method: This descriptive-analytical study was conducted in the second semester of the academic year of 2017-2018 at the Faculty of Nursing and Midwifery of Dezful university of medical sciences. The data collection tool was a standard questionnaire "Knowledge, attitude and practice of undergraduate nursing students about evidence-based practice". Data were analyzed using descriptive and analytical statistics in SPSS software. Results: The results showed that knowledge and attitude toward evidence-based practice with access to medical evidence from the Internet (p = 0/001, r = 0/273) and journal clubs (p = 0/000, r = 0 / 306) and the use of reference books and referring to them (p = 0/000, r = 0/401), there is a statistically significant relationship (p=0/01, r=0/277). This means that the mean scores of knowledge and attitudes among students most in search of scientific evidence in various ways (internet and journal clubs and reference books), as well as easier access to evidence, were significantly higher than other students. Conclusion: Evidence-based nursing is a process that is Emphasis on the latest findings will take the best decisions in order to raise the quality of care. Therefore, it is better for students to become fully acquainted with this concept and learn it. although The students' attitudes toward evidence-based practice was moderate; But with proper planning educational reforms in the education of nursing students, can be an important step in the development and promotion of evidence-based practice picked up. &nbsp

Drugs abuse and increase in referral to hospital to prevent recurrence of diabetic foot ulcer infection

Introduction: Diabetic foot ulcer is one of the complications of diabetes. This study was aimed to determine drugs abuse and increase in referral to hospital to prevent recurrence of diabetic foot ulcer infection. Materials and Methods: In this retrospective cross-sectional analytical descriptive study, 1693 patients with diabetes between 2015-17 were enrolled. Files of this number of diabetic patients admitted to khatam-ol-Anbia hospital in shoushtar city were studied. Data were entered into SPSS software version 18 and analyzed using descriptive statistics, analytical tests. Results: In this study 1693 patients with diabetes mellitus with a mean age of 52.13 ± 53.22 years. In the case of diabetic foot ulcers, 9.5% of the patients had diabetic foot ulcers and 4.8% had a history of amputation and 2.4% of the patients had a history of surgery on their diabetic ulcer. In this study, a significant relationship was found between education level and diabetic foot ulcer (p &lt;0.003). Also, there was a significant relationship between limb amputation and drug abuse or smoking (P = 0.009). In this study, patients who had drug and smoking or smoking 4.3% more than those who did not consume, they were referred to the hospital to prevent recurrence of foot ulcer infection. In this study, there was a significant relationship between drug abuse or smoking and the rate of surgery in diabetes mellitus (P = 0.007). Conclusion: Given that in this study, patients who had drug and smoking or smoking 4.3% more than those who did not consume, they were referred to the hospital to prevent recurrence of foot ulcer infection. In this study, there was a significant relationship between drug abuse or smoking and the rate of surgery in diabetes mellitus. Therefore, there is a suggestion to reduce the consumption or abandonment of drugs and smoking. &nbsp

The Effect of Orem Self-Care on Mental Health of Patients With Thalassemia Major

Background and Aims Mental health and quality of life of the patients with thalassemia due to multiple physical, psychological, economic and social problems of this chronic disease is low. This study aimed to investigate the effect of Orem self-care on the mental health of patients with thalassemia major. Methods This study was quasi-experimental with pretest posttest design. The study population included all patients with beta thalassemia living in Dezful City, Iran in 2015. Of them, 80 people after obtaining informed consent, were selected by convenience sampling method and randomly divided into two groups of 40 people in the intervention and control group. The relevant data were collected through the SF-36 questionnaire and the training package based on Orem self-care framework. The obtained data were analyzed using SPSS-22 and GEE (Generalized Estimating Equation) models. Results The results showed a significant difference in the level of mental health in the pretest and posttest among patients with thalassemia (P<0.005). The mean (SD) mental health score in the intervention group before the start of the self-care model was 74.32(3.23) and three months after the intervention was 79.08(2.34). This proves the positive effect of education on self-care pattern of Oram on the mental health of patients with thalassemia. Conclusion With the proper training of Orem self-care to patients with beta-thalassemia major, their mental health can be elevated and reduce the psychological burden of the disease. Therefore, this method can be more effective if it is used as a simple and low-cost supplemental non-pharmacologic supplement for patients with thalassemia

The Effect of Orem Self-Care on Mental Health of Patients With Thalassemia Major

Background and Aims Mental health and quality of life of the patients with thalassemia due to multiple physical, psychological, economic and social problems of this chronic disease is low. This study aimed to investigate the effect of Orem self-care on the mental health of patients with thalassemia major. Methods This study was quasi-experimental with pretest posttest design. The study population included all patients with beta thalassemia living in Dezful City, Iran in 2015. Of them, 80 people after obtaining informed consent, were selected by convenience sampling method and randomly divided into two groups of 40 people in the intervention and control group. The relevant data were collected through the SF-36 questionnaire and the training package based on Orem self-care framework. The obtained data were analyzed using SPSS-22 and GEE (Generalized Estimating Equation) models. Results The results showed a significant difference in the level of mental health in the pretest and posttest among patients with thalassemia (P<0.005). The mean (SD) mental health score in the intervention group before the start of the self-care model was 74.32(3.23) and three months after the intervention was 79.08(2.34). This proves the positive effect of education on self-care pattern of Oram on the mental health of patients with thalassemia. Conclusion With the proper training of Orem self-care to patients with beta-thalassemia major, their mental health can be elevated and reduce the psychological burden of the disease. Therefore, this method can be more effective if it is used as a simple and low-cost supplemental non-pharmacologic supplement for patients with thalassemia

The Effect of Orem Self-Care on Mental Health of Patients With Thalassemia Major

Background and Aims Mental health and quality of life of the patients with thalassemia due to multiple physical, psychological, economic and social problems of this chronic disease is low. This study aimed to investigate the effect of Orem self-care on the mental health of patients with thalassemia major. Methods This study was quasi-experimental with pretest posttest design. The study population included all patients with beta thalassemia living in Dezful City, Iran in 2015. Of them, 80 people after obtaining informed consent, were selected by convenience sampling method and randomly divided into two groups of 40 people in the intervention and control group. The relevant data were collected through the SF-36 questionnaire and the training package based on Orem self-care framework. The obtained data were analyzed using SPSS-22 and GEE (Generalized Estimating Equation) models. Results The results showed a significant difference in the level of mental health in the pretest and posttest among patients with thalassemia (P<0.005). The mean (SD) mental health score in the intervention group before the start of the self-care model was 74.32(3.23) and three months after the intervention was 79.08(2.34). This proves the positive effect of education on self-care pattern of Oram on the mental health of patients with thalassemia. Conclusion With the proper training of Orem self-care to patients with beta-thalassemia major, their mental health can be elevated and reduce the psychological burden of the disease. Therefore, this method can be more effective if it is used as a simple and low-cost supplemental non-pharmacologic supplement for patients with thalassemia

When dreams die: parental experience after child death

Introduction: Death of a child is considered as one of the greatest devastating failures that makes the continuation of life difficult for the parents. With child’s death, parents lose a part of themselves and a part of their future dreams, and their loss is extremely vast and extensive. Hence, the present study has been conducted for the purpose of describing the experiences of parents who have lost a child. Materials and Methods: This study used a qualitative approach through a phenomenological method. Sampling was based on the objective of the research and the method of interview was unstructured and conducted until the full data saturation. Information was gathered through&nbsp;&nbsp; interview with 23 fathers or mothers who had lost their child. Colaizzi’s method was used for data analysis. Results: Conducted interviews were analyzed. From the total 371 concept codes, 22 sub concepts along with 7 main concepts were identified. Main concepts include moving forward, mourn, desperation, need for support, consolation, abandoned, and mental impasse. Conclusion: Results of the current study show that the death of a child makes the continuation of life difficult and causes the creation of deep crises for parents; the results of these crises will be the creation of destructive influential reactions in their lives. Real understanding of mental condition of parents at the time of the loss child and then, a necessary step in improving the health of the parents. &nbsp

The Effect of Hypericum Perforatum L. on Severity of Early Menopause Symptoms

Objective: Menopause might lead to physical, mental problems for women and also disruption theirlife quality. Despite the existance of a single treatment to remove the disorders, herbal medicine is referable to chemical one in that they alleviate the related symptoms. The present research study aims to investigate the effect of Hypericum Perforatum L. on severity of early symptoms of menopause. Materials and Method: This double blind clinical trial study was conducted on 70 menopause women (two 35-person groups) picked out by a purposive sampling procedure. The first group received 160 mg Hypericum Perforatum L. (Perforin pill) while the second one received a placebo (ineffective pill). Menopause symptoms of 2, 4, 6, and 8 weeks after taking the pill or placebo were recorded in the 'Kupperman index' for menopause symptoms. The gathered data were then analyzed via independent t-test, one-way ANOVA, and repeated measure variance. Significance level was P≤0.05. Results: The age average in the medicine group was 50.49±2.74 and in the placebo group was 50.63±2.87. Body Mass Index (BMI) showed an overweight in both groups (27.29±0.75, 27.23±0.64). Furthermore, comparing the 'Kupperman index'for symptoms between the two groups in 6, 4, and 8 weeks after intervention revealed that the Hypericum Perforatum L. significantly had positive effects on alleviation of eraly menopause symptoms compared to placebo (P≤0.001). Conclusion: The results indicated that Hypericum Perforatum L. might alleviate the severity of early menopause symptoms. Thus, given its being economical and also its slight side effects, it is recommended as a suitable and desirable replacement for counterpart chemical medicine. &nbsp