Comparison of depression in diabetic patients with and without foot wound

Introduction: Long-term complications of diabetes leads to physical and mental weakness and reduce their quality of life. One of the complications is the chronic wounds of extremities. Because of its outcome, patient’s adaptation can be reduced. The aim of this study was to compare depression between diabetic patients with and without foot wounds. Materials and methods: The comparative-descriptive study was performed on diabetic patients with and without foot wounds that admitted to the hospitals in Qom University of Medical Sciences in 2014. 100 patients with chronic wounds and 100 patients without the wounds was recruited by available sampling method for the study. We employed the “Demographic and clinical” and "Beck depression" questionnaires for gathering the data. The study data were analyzed by independent t and Chi-square tests using the SPSS (version 13) statistical software. Results: Mean and standard deviation of age in patient with and without chronic wound was 52.1±3.9 and 51.5±4.1 years, respectively. Depressive score of patient with and without chronic wound was also 25.6±9.5 and 8.7±2.1, respectively. Depression score of patient with underlying disease was higher than patients without underlying disease. The depression score rises with age. The depression scores were similar in both male and female gender. Conclusion: The depression in patient with chronic wounds was higher than patient without the wounds. Also, depression in patients with underlying disease and older age, rises

Evaluation of nurses exposuretoX-ray in closed intensive care units around the time with film badgedosimetry method

Introduction: Radiological examinations for patients who are hospitalized in intensive care units are usually performed by using portable radiography devices. Objective: The aim of the study was to investigate ICU nurses ‘exposure during portable radiological examinations with cumulative method. Method: This study was cross sectional. For this study,29 film badges were installed in multiple locations in 3 intensive care units of Shahid Beheshti hospital in Kashan. Hospital intensive care unit consists of surgery, trauma and domestic. The measurement locations were nurses’ break room, nursing station, patient rooms and behind a lead apron. All Films Were installed for two months. Appropriate statistical tests were used for describing the data. The level of significance was set at below 0.05. Study data were analyzed by SPSS v. 16.0. Results:The highest dose of radiation was 0.11milisievert in this method which was much lower than the highest permitted level of radiation exposure - i.e. 1 milisievert. Conclusion: Portable radiological examinations do not expose healthcare providers to high doses of ionizing radiation. Clinical settings which have been designed and organized according to proper safety standards can be considered as safe and free from ionizing radiation during portable radiological examinations

Factors affecting the quality of education theory and practice from the perspective of students and professors of shahrekird Medical Sciences in 2014

Background and aims: The present study was conducted to identify the effective factors on quality of theoretical and clinical education from students and teachers viewpoints in Shahrekord University of Medical Sciences (SKUMS.( Methods: The method to conduct this study was descriptive-survey and the study population consisted of all students and teachers in SKUMS, of whom 330 (214 female and 116 male) students and 125 (44 female and 81 male) teachers were enrolled by random, stratified sampling. Results: From the faculty members' perspectives, the most important effective factor on theoretical education quality was the students' attending classes on time and from the students' perspectives, tendency toward field of study. The mean scores of these two factors was significantly different between the faculty members and the students (P<0.001). From both the faculty members' and the students' perspectives, the most important effective factor on clinical education quality was the use of theoretical lessons lecturers to teach clinical lessons. The mean score of this factor was significantly different between the faculty members and the students (P=0.01). Conclusion: By using theoretical lessons lecturers to teach clinical lessons, clinical education quality can be enhanced. Moreover, we can affect their attending classes on time and enhance theoretical education quality through triggering motivation and increasing interest in students

Relationship of Anxiety, Stress, and Depression with Spiritual Health in Patients with Acute Coronary Artery Disease

Background and Objective: Anxiety, stress, and depression can cause chest pain. On the other hand, spiritual health plays an important role in acceptance of disease. In this study, we attempted to investigate the relationship of stress, anxiety, and depression with spiritual health in patients with acute coronary syndrome. Materials and Methods: This descriptive-analytical study was performed on 294 patients with acute coronary syndrome during 10 months in teaching hospitals affiliated to Qom University of Medical Sciences. Data collection was performed by using demographic and clinical data, depression, anxiety, stress, and spiritual health questionnaires. To analyze the data, indices of the central tendency, independent t-test, Pearson correlation coefficient were used in SPSS, version 13. Results: There were significant correlations between anxiety and stress and existential health (r=-0.196, P=0.001 and r=-0.171, P=0.003, respectively) and between depression and both existential and religious health dimensions (r=-0.294, P=0.001 and r=-0.244, P=0.001, respectively). In addition, the depression and stress levels were higher in more advanced ages, while existential health was lower. Depression, stress, and existential and religious health were higher in patients with a history of chronic diseases. In those with a history of taking cardiac medications, the levels of stress, anxiety, and existential and religious health were higher. Conclusion: Based on the findings of this study, in patients with acute coronary syndrome, those who obtained higher spiritual health scores experienced less anxiety and depression. Thus, nurses are recommended to implement self-care training programs with the presence of religious counselors in hospitals and even after discharge to increase patients’ spiritual health and diminish their anxiety, stress, and depression. In this case, special attention must be paid to patients aged more than 50 years, with a history of chronic diseases and taking cardiac medications

Happiness Program in Improving Sleep Quality in Multiple Sclerosis Patients

Background: Since happiness affects the various aspects of human life and is considered as one of the most important psychological needs, achieving it and it effects on the health of the body and soul has always occupied the mind of human beings. The aim of this study was to determine the effect of Forde's happiness program on sleep quality in patients with multiple sclerosis (MS). Methods: This randomized clinical trial study was performed in the MS Society of Shahrekord in 2018. 70 eligible patients with MS were recruited through convenience sampling method and randomly allocated into intervention and control groups equally. The Fordyce Happiness Training Program was conducted in eight sessions in the intervention group. The sleep quality was measured by Pittsburgh Sleep Quality Index (PSQI), before intervention, immediately and three months after the implementation of Fordyce Happiness Program. The data analysis was analyzed using Chi-square, and independent t-test and Fishers exact test for demographic data distribution in intervention and control group, and repeated measures ANOVA for sleep quality in SPSS-16. Results: The findings indicated that total scores of sleep quality of the two intervention (4.61±.052) and control (6.62±.054) groups were not significantly different before the intervention (P=0.05). However, the mean sleep quality scores of intervention and control groups showed a significant difference before, immediately after the intervention with a significant decrease in sleep quality scores over time (F=23.291, P˂0.001). Conclusion: The results of this study demonstrated that the implementation of Fordyce Happiness Training Program in MS patients is a suitable method for improving sleep quality, and if this program continues, they will get better results

Harmful Stressors in the Post-anesthesia Care Ward in 2017: Comparison of the Views of Patients and Nurses

Background and Objectives The Post-Anesthesia Care Unit (PACU) is potentially a stressful hospital unit. Due to experiencing stressors in this unit, patients show psychological and emotional responses that may adversely affect their health, recovery, and rehabilitation. This study aims to compare the perceptions of nurses and patients about the stressors in PACUs. Methods This descriptive study was performed on 60 nurses and 384 patients in PACUs of two hospitals in Shahrekord, Iran. Nurses were selected by a census method. For patients, the sample size was determined using the formula. Data collection tool was a researcher-made PACU stressor scale. Collected data were analyzed in SPSS software, version 18 by using descriptive and inferential statistics such as t-test and Pearson correlation test. Results The Mean±SD scores of the stressor scale were 67.5±5.5 and 68.02±12.5 for nurses and patients, respectively (P>0.05). Both patients and nurses perceived thirst and pain as the most important PACU stressors. For nurses, “not respecting for patient privacy” was highly important, while it was the least important stressor for patients. Conclusion Nurses and patients have almost similar perceptions about top ten stressors in PACUs. However, nurses seems to need more training on how to assess and eliminate the PACU patients’ stressors