Effects of designed feeding patterns on fatigue in multiple sclerosis patients

زمینه و هدف: بیماری مولتیپل اسکلروزیس (MS) شایع ترین بیماری نورولوژیک در بالغین جوان است که آنها را ناتوان می سازد. خستگی یکی از شایع ترین علائم این بیماری است که نه تنها فعالیت و توانایی بیماران بلکه کیفیت زندگی آنها را نیز کاهش می‌دهد. تغذیه صحیح یکی از روش هایی است که می‌تواند برای کاهش خستگی مورد استفاده قرار گیرد. این مطالعه با هدف بررسی تأثیر الگوی تغذیه‌ای طراحی شده بر خستگی بیماران مولتیپل اسکلروزیس مراجعه کننده به انجمن MS ایران انجام شد. روش بررسی: در این مطالعه نیمه تجربی، 40 بیمار مبتلا به مولتیپل اسکلروزیس به روش نمونه گیری هدفمند و در دسترس انتخاب شدند. ابزار گردآوری داده ها، پرسشنامه محقق ساخته بود. آموزش رعایت الگوی غذایی به مدت 12 هفته بر روی بیماران انجام شد. پرسشنامه ها توسط بیماران قبل و بعد از مداخله تکمیل گردیدند. آنالیز داده ها با استفاده از شاخص های توصیفی (میانگین، انحراف معیار) و آمار استنباطی نظیرt زوجی، انجام شد. یافته ها: میانگین سنی نمونه های مورد مطالعه 5/1 ± 8/35 سال بود. میانگین شدت خستگی نمونه های مورد پژوهش قبل از مطالعه 77/0 ± 9/14 و بعد از رعایت الگوی غذایی 44/0 ± 6/25 بود که نشان می دهد شدت خستگی کاهش معنی داری داشته است (001/0>P). نتیجه گیری: الگوی غذایی ارائه شده در این مطالعه به عنوان یک روش ساده، ارزان، بدون عارضه و غیر تهاجمی برای کاهش خستگی بیماران مبتلا به مولتیپل اسکلروزیس موثر و قابل استفاده است

Effect of cardiac rehabilitation on quality of life in myocardial infarction patients in Zanjan

Effect of cardiac rehabilitation on quality of life in myocardial infarction patients in Zanjan Sadegh Zadeh V (MSN) 1, Moshtagh Eshgh Z (MSN) 2 1. Lecturer, Dept. Surgical, midwifery Dept, Islamic Azad University, Zanjan Branch, Zanjan, Iran2. Lecturer, Dept. of Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran Abstract Background and aimAcute heart diseases cause limitation in physical activity and problems in quality of life. The aim of this study was to determine the effect of cardiac rehabilitation on quality of life in myocardial infarction patients in Zanjan. Materials and methodsThe current study is a two group and a pre & post test experimental study. 60 patients were selected and randomly assigned in two groups, control group and experimental group. For data collection, demographic questionnaire and Nottingham Health Profile (NHP) were used. Content validity of questionnaire was measured by content validity and reliability by Test-re-Test (r=0.82). Intervention program included, individual training, nutrition and mental counseling and exercise program. From each of the two groups control and experimental pre-test and post-test examinations were taken. Data were analyzed by SPSS v16 and descriptive and analytical statistics (T test, repeated measurement ANOVA) were used.  Findings The results show a significant difference in the quality of life scores of the control and experimental groups (P=0.001 Mean=1.55 S.E=0.41, P=0.000 Mean=2/71 S.E=0.59, respectively). Thus, cardiac rehabilitation program is effective on quality of life of MI patients in the experimental group. According to results, the average score of the eight week (experimental: P=0.000 Mean=0/64 S.D=1.42 control: P=0.001 Mean=2.27 S.D=2.20) was better than that of the third week (experimental: P=0.000 Mean=3.35 S.D=2.73 control: P=0.001 Mean= 3.82 S.D=2.13) for both groups. This is more drastic in the experimental group. Furthermore, results showed no significant difference between the quality of life scores of men and women.     ConclusionThe cardiac rehabilitation program can affect and improve the quality of life. Providing rehabilitation centers, gives the patients the chance to use these programs and gives them a better chance of independence life.                                                                                      Keywords: Cardiac rehabilitation, Myocardial infarction, Quality of life, Exercise.         *Corresponding Author: Vida Sadeghzadeh. Department of Nursing, Zanjan Branch, Islamic Azad University, Zanjan, Iran. E-mail: [email protected]

Comparison of depression between kidney transplant recipients from live donors with cadavers in hospitals of Mashhad University of Medical Sciences

AbstractBackground & aim:  Kidney transplant surgery may impact various aspects of the life and results in individual and psychological problems. Receiving a kidney from a cadaver donor is associated with beliefs related to death of donor and with recipient’s survival. The aim of this study was to compare the rate of depression in patients receiving kidney from living donors with cadaveric donor kidney transplant ,patients that were referred to nephrology clinics in hospitals of Mashhad University of Medical Sciences in 2010.Materials & methods:  A descriptive – comparative design was used. The sample of the study consisted of 60 patients receiving kidney from living donors and 60 cadaveric kidney transplantation attended to nephrology clinics in hospitals of Mashhad University of Medical Sciences. Data were collected by a demographic questionnaire and Beck depression Inventory. The reliability of this test was evaluated with test-retest and Pearson correlation test was 0. 95. Data were analyzed with SPSS software (version 13).Finding:  Depression scores in living kidney transplantation group were 11. 6±5. 7 , and in the cadaveric group was 16. 4±9. 4. Independent t-test showed a significant difference between two groups scores of depression (P<0. 005).Conclusion:  The results showed a higher depression scores in kidney transplantation from cadaveric donors. Therefore it is recommended that efforts to detect and treat depression be included in the care of transplant patients before and after the surgery..Key words: Kidney transplant, Cadaver, Live donors, Depression REFERENCES Akman B et al (2004) Depression levels before and after renal transplantation. Transplantation Proceedings. 36(1) 111-113 Anvar-Abnavi M, Bazargani Z) 2010(Prevalence of anxiety and depression in Iranian kidney transplant recipients. Neurosciences (Riyadh). 15(4) 254-7. Arapaslan B, et al(2004) Cross-sectional assessment of psychiatric disorders in renal transplantation patients   in Turkey: A preliminary study. Transplantation Proceedings. 36(5) 1419_1421. Baines LS, et al (2002) Emotional issues after kidney transplantation: A prospective psychotherapeutic study.       Clinical Transplantation, 16(6)455-460   Bakhshaei N & et al (2003) [Relationship between perceived social support and life stressful events with depression]. Andeeshe va Raftar. 9(2)49-55(Persian). Corruble E et al (2010) Progressive increase of anxiety and depression in patients waiting for a kidney t   /  45 م ی ی   ransplantation, Behavioral Medicine. 36(1) 32-36 . Di Martini A et al (2008) Psychiatric aspect of organ transplantation in critical care. Critical Care Clinics. 24(4) 949-969 . Dublse F et al (2008) Depression disorder in renal transplantation: An analysis of Medicare cliams, American   Journal of kidney Disease. 51(5) 713-874 Fortinash K,Holoday Worret P(2008). Psychiatric Mental Health Nursing. 4th ed. Mosby,Elsevier.     Ghafari A (2008) “Tehran two-day seminar on kidney transplant “, Special Medical Engineering Magazine, No. 92, December 87, p. 36. [Persian]. Heisler J “Coping After A Life Saving Organ Transplant” February 14, 2009, [on line],www. About. com. [3 septamber 2010]. Karaminia R, et al (2007) Anxiety and depression:A comparison between renal transplant recipients and   hemodialysis patients. Transplantation proceeding, 39(6)1082-1084.   Masoudi Alavi N, Sharifi Kh, Ali Akbarzadeh Z (2008) [Depression and anxiety in patients undergoing renal replacement therapy in the years 1385 to 1386 in Kashan]. Faiz Journal. 12(4) 46-51. (Persian). Molahadi M,Tayebi A, Ebadi A, Daneshmandi M (2010)[ A Comparative study of anxiety, depression and stress in hemodialysis and kidney transplantation patients]. Iranian Journal of Critical Care Nursing   (IJCCN) 2(4) 9-10. (Persian). Nickel R, Wunsch A, Egleut , et al (2002) The relevance of anxiety , depression , and coping after liver transplantation. Liver Transplantation. 8(1)63-71.   Novak M (2010),»Depressive symptoms and mortality in patients after kidney transplantation ”, April 21,2010,       [on line], < http://www. psychosomaticmedicine. org/misc/terms. shtml>. [January 24, 2010] Pascazio L et al, (2010) Anxiety, depression and emotional profile in renal transplant recipients and healthy subjects: A comparative study. Transplantation Proceedings. 42(9) 3586-3590   Pawar A et al «Cognitive and emotional effects of renal transplantation»,1 January 2006, [on line] < http://www. highbeam. com/ /doc/1G1-162575248. html>. [3 Apr 2010].   Perez S-G et al (2008) Influence of the psychological state of relatives on the quality of life ofpatients at 1 year       after transplantation. Transplantation Proceeding. 40(9)3109-11.   Rezaei R et al (2009)[ Comparison of body image in hemodialysis patients with kidney transplant patients].   payesh Quarterly . 8(3) 279-287. (Persian). Sayin A et al (2007) Quality of life in hemodialysis, peritoneal dialysis, and transplantation patients. Transplantation Proceeding. 39(10) 3047-3053.   Shah VS, et at (2006) Qualify of life and psychosocial factors in renal transplant Recipients. Transplantation Proceedings. 38(5) 1283-1285.     Sugawara H et al (2008) Paradoxical depression in renal transplant recipient. Transplantation Proceeding.   40(10) 3448-3450.   Szeifert L et al(2010) Symptoms of depression in kidney transplantations: A cross-sectional study. American   Journal of Kidney Diseases (AJKD). 55(1)132-140.   Toimamueang U et al (2003) Stress and coping strategies among renal transplant candidates in a stress and   coping strategies among renal transplant candidates in a Thai medical center. Transplant Proceedings. 35(1) 292-3. Virzi A, et al (2007) Depression and quality of life in living related renal transplantation. Transplantation Proceedings. 39(6) 1791-1793.     Weng LC, et al (2006) Effects of self-efficacy, self-care behaviors on depressive symptom of Taiwanese kidney   transplant recipients. Journal of Clinical Nursing, 17(13) 1786-1794.  

The effects of basic conditioning factors on self-care behaviors of patients with type 2 diabetes referred to Yazd Research Center, 2014

Introduction: Basic conditioning factors can influence the self-care behaviors, and it is necessary to perform self-care behaviors in order to prevent diabetes complications and improve the quality of life. This study aimed to investigate the effects of basic conditioning factors on self-care behaviors of the patients with type 2 diabetes who referred to Yazd Research Center. Methods: In this descriptive-analytical study, 95 patients with type 2 diabetes, systematically selected, were investigated. A questionnaire developed by the researcher, including 25 tests of which the reliability and validity were ascertained, was used in this study. The data were analyzed using SPSS (16), through conducting independent t-test, one way ANOVA and Pearson Correlation Coefficient. Results: The mean for self-care behaviors of the patients with diabetes was 6/53+7/11. The results indicated that the lowest scores of the patients' self-care were gotten in blood sugar testing and physical activity, as well as the highest scores were gotten in foot care and nutrition parts. There was a statistically significant difference in the mean scores of self-care of the patients with different gender, age, adequacy of income and employment, educational status, complication arising and other chronic diseases, as well as the duration of the disease (p < 0/05). Conclusion: In order to promote self-care behaviors, the effectiveness of the demographic factors such as age, gender, educational status, adequacy of income and employment should be considered. The health care centers also should give the patients some essential information about basic conditioning factors

Effects of humor therapy on fatigue and depression of multiple sclerosis (MS) patients

Effects of humor therapy on fatigue and depression of multiple sclerosis (MS) patients Moshtagh Eshgh, Z.1* (MSN); Naghavi, B.2 (MS); Rashvand, F.3 (MSN); Alavi Majd, H.4 (PhD), Bana Derakhshan, H. (MSN)5 1. Lecturer, Dept. of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti    University of Medical Sciences, Tehran, Iran. *(Corresponding Author) e-mail:[email protected]. Lecturer, Dept. of Basic Sciences, Faculty of Nursing and Midwifery, Shahid Beheshti University of     Medical Sciences, Tehran, Iran.3. Lecturer, Azad University of Abhar, Abhar, Iran.4. Associate Professor, Dept. of Biostatistics, Faculty of Paramedical, Shahid Beheshti University of    Medical Sciences, Tehran, Iran.5.Lecturer, Dept. of operating room & Anesthesia, Faculty of Nursing and Midwifery, Shahid Beheshti    University of Medical Sciences, Tehran, Iran. Abstract Background and aimMultiple sclerosis (MS) is the most common disabling condition in young adults, which is caused by an inflammatory demyelination process in central nervous system. Fatigue and depression are the primary symptoms leading to dysfunction as well as disability in activities of daily living and decreased quality of life. Because of many drug-associated complications, applying other methods to lessen the symptoms seems reasonable. The aim of this study was to determine the effects of humor on fatigue and depression of clients referring to Iranian MS Society. Materials and methodsIn this one-group before-after clinical trial, 30 MS clients were selected by convenience sampling method. A 4-part questionnaire including demographics, items related to the condition, Fatigue Severity Scale (FSS) and Beck's Depression Inventory was used for data collection, validated and made reliable by content and test-retest methods respectively. The clients took part in humor therapy sessions 3 times a week, each lasting 30 minutes for 12 weeks. The sessions were hold during the day with entertaining and funny programs recorded on compact discs (CDs). The clients completed the questionnaire before and after the intervention. Data were then analyzed by different statistical methods. Findings A significant decrease was found in mean severities of fatigue and depression after the intervention (

Development and validation of self-care requisites assessment

AbstractBackground:Assessment of patient’s needs is the first step for recognizing problems andprevention of complications. Assessment tools are needed in order assess needs, and plannursing care to prevent complications such as diabetic foot ulcer .The purpose of the presentstudy was to develop self-care requisites assessment tool for prevention of diabetic footulcer and examine its validity and reliability.Material and Methods: This methodological study consisted of two phases, phrase I wasdevelopment of the comprehensive assessment form, for which a qualitative study and aliterature review was conducted. Phase 2consisted of testing the instrument for validity andreliability. In qualitative study unstructured interviews were conducted with 8 patients withtype 2 diabetes. Validity of the instrument was measured by content validity, concurrentvalidity (criterion related validity) and construct validity. A sample of153 type two diabeticpatients were selected to conduct factor analysis of the tool. Reliability was confirmed byinternal consistency. Data were analyzed by SPSS statistical software.Findings:The initial form consisted of 103 items. Final version of self –care requisitesassessment form for preventing diabetic foot ulcer consisted of 43 items with 5 sub scales.Validity was established for content, construct and concurrent validity. Content validity wasassured by a panel of experts .Concurrent validity was measured by comparing the scoresfrom assessment tool with self-care agency and diabetic clients' quality of life scales, whichdemonstrated an acceptable correlation among the scores. Internal consistency reliability ofthe tool was demonstrated with Cronbach'sP coefficient ranged from 0.70 to 0.89 forsubscales, the overall test re test reliability was 0.97..ConclusionThe self-care requisite assessment tool for prevention of diabetic foot ulcer is areliable and valid instrument to measure self-care needs for prevention of diabetic footamong individuals with type two diabetes mellitus.Key words : Orem model, Tool development, Diabetes, self-care requistisEFERENCES-Azizi F (2008). [Started learning course "foot care nurse" promise for prevention and care of diabetic foot]. IranianJournal of Endocrinology and Metabolism. 4 (10) 297-298. (Persian).-Burns N, Grove SK (2006). Understanding Nursing Research Building an Evidence Based Practice. 4th edition. StLouis, Mosby.-Darvishpoor Kakhaki A et al (1384). [Instrument development to measure diabetic client quality of life.] IranianJournal of Endocrinology &amp; Metabolism.7 (2) 149-155. (Persian)-Dehghan Nayyeri N, JalaliNia F (2005). [Theory Development and Nursing Theory]. Tehran, Boshra Pub. (Persian).-Evans s et al (2000). Selecting a mental health need assessment scale: Critical appraisal of standardized measure.Journal of Evaluation in Clinical Practice. 6(4)379-393.-HejaziSh (2007). [Introduction to the Principle and Methods in Medical Research]. Tehran: Islamic Azad University.Tehran, Medical Unit Pub. (Persian).-Holloway F (1994) Need in community psychiatry: A consensus is required. Psychiatric Bulletin.18 (6)321-323.-Moore JB (1995). Measuring the self-care Practice of children and adolescents: Instrument development. Maternal-Child Nursing Journal. 23(3) 101-108.-Moore JB et al (2005). Development and examination of self-care Instrument to measure nutrition practices forEnglish Spanish speaking adolescent. Self- Care and Dependent Care Nursing. The Official Journal of InternationalOrem Society 13(1) 9-16.-Munro BH (2005). Statistic Methods in Health Care Research. 5th edition. Philadelphia, Mosby Co.-Myles J (2007). Management of diabetic foot ulcer. Practice Nurse. 33 (2) 38- 42.-Orem DE (2001) Nursing Conceptsof Practice. 6th edition. St Louis, A Harcourt HealthSciences Co.-Pashasharifi H (1384). [Psychometric Principles and Mental Trial]. 10th edition. Tehran, Roshd. (Persian).-Phipps WJ et al (2003). Medical Surgical Nursing: Health &amp; Illness. 6th edition. USA, Mosby Inc.-Polit DF, Beck TC (2006). Essentials of Nursing Research, Method, Appraisal and Utilization. 6th edition.Philadelphia, Lippincott Williams and Wilkins.-Reynolds T et al (2000) Assessment of need for elderly. British Journal of Psychiatry. 176(5) 444-452.-Shuldham C et al (2007). Evaluation of European heart failure self-care behavior scale in a united kingdompopulation . Journal of Advanced Nursing. 60 (1) 87-95.-Slade M et al (2004). Does meeting needs improve quality of life ? Psychotherapy and Psychosomatics. 73(3) 183-189.-Slade M et al (2006). Patient-rated unmet needs and quality of life improvement. The British Journal of Psychiatry.188(3) 290-295.-Sousa VD et al (2008). Factor analysis of the appraisal of self-care agency scale in American adults with diabetesmellitus. The Diabetes Educator. 34(1) 98-108.-Stuck AE et al (1995) A trial of annual in-home comprehensive geriatric assessment for elderly people living in thecommunity. New England Journal of Medicine. 333(18) 184-189.-Waller Amy et al .Validity, reliability and clinical feasibility of a need assessment tool for people with progressivecancer'. Psycho-Oncology, September 23 2009. [Online]. http://onlinelibrary.wiley.com/doi/10.1002/pon.1624-Walters K et al (2000). Assessing need from patient, carer and professional perspectives: The Camberwell assessmentof need for elderly people in primary care. Age and Ageing. 29(6)05-510.-Weinger K et al (2005). Measuring diabetes self-care. A psychometric analysis of the Self-Care Inventory-revised withadults. Diabetes Care. 28(6)1346-1352.-Yaghmaei F (2007). [Measuring Behavior in Research by Valid &amp; Reliable Instruments.] Tehran: ShahidBeheshtiMedical Sciences University Press. (Persian).-Yaghmaei F, Yaghmaei P (1380). [Development an Iranian Instrument to measure attitude to computer]. 1(2) 31-3.(Persian)

The relationship between occupational stresses with job burnout in pre-hospital emergency staff

Background & Objective: Job burnout is one of the inevitable consequences of occupational stress. Professional staff of social services are the first candidates of burnout, therefore this study was aimed to determine the relationship between occupational stresses with job burnout in pre-hospital emergency staff. Method: In this cross-sectional study, 206 employees, working in 44 pre-hospital emergency bases in Golestan province were enrolled in years 2011-12. Information was obtained by occupational stress questionnaire and Maslach Burnout and then using descriptive statistics, Pearson correlation coefficient test, ANOVA, T-Test and Tukey tests the data were analyzed in SPSS software. Results: 117 individuals (75.5 percent) had moderate to high stress. Organizational factors (21.62 ± 6.05) with a mean score from 100 (65.51) had the highest score in causing stress and physical factors (10.44 ± 3.43), occupational (37.12 ± 1.12) and group factors (10.54 ± 1.12) were second and third respectively. Among all the subjects, 76.6% had experienced moderate to high burnout. There was a significant statistical difference between job stress and age (P=0.02) , type of employment (P=0.048) and between burnout and education (P=0.028) in the overall level of job stress and burnout significant correlation was observed (r=0.335, P<0.001). Conclusion: Emergency staffs work in a stressful environment, which leads to burnout, thus identifying stressors and ways to overcome these factors, especially in the corporate (management) dimension can help reduce burnout