Family-oriented empowerment model influencing quality of life CABG patients

Abstract Background and Purpose: Heart disease death rates have increased worldwide.Family-oriented empowerment model improves the quality of life in the patients with chronic diseases. This study aims to determine the effect of family-oriented empowerment model on the life quality of the patients undergoing coronary artery bypass graft. Methods: A quasi-experimental study was performed on the patients undergoing CABG in both experimental and control groups before and after the surgery. Samples were put in the groups with a random arrangement and family-oriented empowerment model was applied for the experimental group. Firstly, Mac New Quality of Life Questionnaire was completed for both of them. The four-stage model of threat perception, problem solving, collaboration and training was carried out for the experimental group. One month later, the tools for both groups were completed and the data were analyzed by Mann-Whitney nonparametric test, sign test and SPSS17 software. Results: The mean score of the control group before and after implementing the model was 137.5 ±11.6 and 143.7 ± 9.6 (p = 0.001), respectively. They were 133.4 ±13.3 and 148.2 ±10.5 (p = 0.00), respectively in the test group. Conclusions: These empowering models will lead to improved life quality by developing the inherent capacity of the individuals to take responsibility in life and help to make rational decisions and evaluate them. KeyWords: Family-oriented empowerment model, Coronary artery bypass surgery, Quality of life, Semi-experimental, Nursin

A Qualitative Study on Challenges in Marriage of the Children of Parent With Mental Illness: Gloomy Horizon

Background: In the families of patients with mental disorder, children are in a critical situation since they are faced with several problems that may not be efficiently noticed. Objectives: The purpose of this study was to explore the challenges concerning the marriage of children of parent with mental illness in Iran. Patients and Methods: This study was a part of more comprehensive study conducted using qualitative method. It was conducted in a mental hospital Qazvin City, Iran. In the present research, semi-structured interviews were performed with 17 participants, selected based on purposeful sampling. The obtained data were analyzed using constant comparison analysis. Results: According to the findings, main theme of “Gloomy Horizon” with subthemes of premarriage and postmarriage issues was emerged. People were unwilling to marry these children. In addition, these children considered marriage as a challenging issue, due to their fear of genetic transferability of their parents’ illnesses and incidence of having problems with their spouses’ families. Conclusions: Regarding the challenges opposed to the marriage of these children, allocation of necessary actions within their care services as well as offering educational programs seems to be of prime importance for the society. Keywords: Child; Qualitative Research; Marriage; Mental Disorders; Parent

The effect of topical olive oil on prevention of bedsore in intensive care units patients

ABSTRACT Background: Bedsores are injuries to skin and underlying tissues caused by prolonged pressure. Although, some methods like frequently changing position and using particular tools are used for preventing and caring of pressure ulcers, their prevention would still be as a vital urgency. Olive oil is an herbal product with potential preventive effects to prevent bedsores because of its numerous medical properties. The major aim of this study was to determine whether topical olive oil can prevent the risk of developing bedsores in I.C.U. patients. Methods: This clinical trial was accomplished in 2014 with 60 patients who were selected by simple random sampling method into intervention and control groups. During three weeks, the control group had received routine skin care, while the intervention group had received topical Olive oil in addition to the routine care. Statistical analysis, including Chi-square, T-test and Fisher’s tests, were performed with SPSS version 20 software. Results: The intervention group had contained 19 male and 11 female, with an average age of 60.46 ± 18.06 and the control group had contained 20 male, 10 female, with an average age of 50.96 ± 21.38. Five patients (16%) who received routine care plus topical olive oil had developed bedsore after an average of 18.73 ± 5.36 days and twelve patients (40%) who received routine care only had developed bedsore after an average of 15.46 ± 7.40 days. The risks of developing bedsores between two groups were statistically significant (P=0.03). Conclusions: Our study has revealed potential effects of topical olive oil to prevent bedsores in I.C.U. patients. Keywords: Bedsore, Olive oil, Preventio