Effect of designed self-care educational program on anxiety, stress, and depression in patients with benign prostatic hyperplasia undergoing prostate surgery

BACKGROUND: Stress, anxiety, and depression are common psychological problems in prostatic conditions. The aim of this study was to investigate the effects of designed self-care educational program on anxiety, stress, and depression in patients with benign prostatic hyperplasia undergoing prostate surgery. METHODS: This was a quasi-experimental study including 33 participants in the intervention group and 34 participants in the control group. During the study demographic data and the rate of stress, anxiety, and depression were measured. In the intervention group, self-care educational program was presented in two sessions and was followed up one month after surgery. Stress, anxiety, and depression were measured before surgery, and during and one month after discharge using depression anxiety stress scales (DASS-21), which is a standard questionnaire. Later data were analyzed using SPSS software. RESULTS: Participants in the study were between 45-80 years of age. Student’s independent t-test before the intervention revealed no significant difference in mean score of stress (P = 0.684), anxiety (P = 0.937), and depression (P = 0.727) between the two groups. Mean score of stress and anxiety significantly reduced in the intervention group on discharge (stress: P = 0.031, anxiety: P = 0.043), and a month after the operation (stress: P ≤ 0.001, anxiety: P = 0.016). However, mean score of depression revealed no significant difference on discharge (P = 0.514), and a month after operation (P = 0.221). CONCLUSION: The results showed that designed self-care educational program was effective in stress and anxiety reduction in patients under prostate surgery

Parental participation and mismanagement: a qualitative study of child care in Iran.

The purpose of this study was to explore parents' and nurses' experiences of parental participation in child care in hospitals in Iran. Using thematic analysis, the data were collected through interviewing 14 parents and 11 nurses from two pediatric hospitals. The results showed that four major themes emerged, including the necessity of a parent's presence, the unplanned and informal delegation of care to the parents (which itself had five subthemes: the parents as nurses, the delegation of care without sufficient and planned parental training, informal parent-to-parent support, the continuum of parents' willingness to participate, and the neglect of parents' needs), the inconsistency of care, and the parents as informal evaluators of care. Based on the study's findings, effective communication by nurses with parents is required. Nurses need to make an ongoing assessment of parents' wishes for involvement and negotiate care accordingly, with enough support and supervision to warrant quality of care

Evaluation of the effect of self-care program based on the Orem framework on the physical quality of life in multiple sclerosis patients

قدمه: بيماري مولتيپل اسكلروزيس يك بيماري مزمن، پي شرونده سلولهاي عصبي مركزي است . غالباًدرافراد جـوان كـهدرمرحلـهفعـال زندگي خودقراردارند ودرباره نقش ومسئوليتهاي خانوادگي خودنگران هستند بروز كردهو كيفيت زندگي آنهارا تحت تأثيرقرارمي دهد. يكي از شاخصهاي موفقيت مداخلات درماني ومراقبتي دربيماري هاي مزمن بهبود كيفيت زندگي است. ايـن مطالعـهبـاهـدف تعيـين تـأثير برنامه خودمراقبتي مبتني برالگوي اورمبرابعاد جسمي كيفيت زندگي بيماران مبتلا بهمولتيپل اسكلروزيس انجام گرفت. روشبررسي: اين مطالعه با طراحي كارآزمايي باليني(Trial Clinical (و با حضور 70 بيمار مبتلا به مولتيپل اسكلروزيس انجام شد. 6 جلسه برنامه آموزشي بر اساس نيازهاي آموزشي بيماران و مبتني بر الگوي اورم در طول چهار ماه توسط بيماران به كار گرفتـه شـد و بـا استفاده از چكليستهاي خودگزارشدهي ميزان به كارگيري برنامهها پيگيري و اندازهگيري گرديد. ابعاد جسمي كيفيت زندگي بيماران گروه آزمون و شاهد قبل و چهار ماه بعد از اجراي برنامه مورد ارزيابي قرار گرفت . دادهها بـا اسـتفاده از آزمـونهـاي آمـاري اسـتنباطي مورد تجزيه و تحليل قرار گرفتند. نتايج: آزمون آماري تي مستقل اختلاف معناداري در ابعاد جسمي كيفيت زندگي بيماران گروه آزمون و شاهد قبل از مدا خلـه نـشان نداد(33/0=P .(در حالي كه همين آزمون اختلاف معناداري در دو گروه بعد از اجراي مداخله نشان داد (001/0=P .(آزمون آماري تـي زوجي نيزتفاوت معناداري در جهت افزايش در ابعاد جـسمي كيفيـت زنـدگي بيمـاران گـروه آزمـون چهـار مـاه بعـد از مداخلـه نـشان داد(001/0=P ،(در حاليكه همين آزمون تفاوت معناداري در ابعاد جسمي كيفيت ز ندگي بيماران گـروه شـاهد بعـد از چهـار مـاه نـشان .(P=0/95)نداد نتيجهگيري: طراحي و به كـارگيري برنامـه خـودمراقبتي مبتنـي بـر الگـوي اورم بـر ابعـاد جـسمي كيفيـت زنـدگي بيمـاران مولتيپـل اسكلروزيس ميتواند مؤثر باشد. لذا اگربرنامهاي بر اساس نيازهاي آموزشي و با توجه به اصول آموزش به بيمار و با رويكرد مدل علمي خودمراقبتي اورم طراحي گردد، مي تواند به عنـوان يـك مداخلـه پرسـتاري در ارتقـا ي ابعـاد جـسمي كيفيـت زنـدگي بيمـاران مولتيپـل اسكلروزيس مؤثرباشد

The effect of self-care program base on the Orem frame work on fatigue and activity of daily living in multiple sclerosis patients

Objective: Fatigue is one of the tormentest symptom of the Multiple Sclerosis that decrease self care ability and role performance of patients and potential of activity of daily living. The purpose of this study was to assess the effect of Orem self-care program on fatigue and activity of daily living (ADL) in Multiple Sclerosis clients. Materials & Methods: This quasi experimental study was a clinical trial research that was done on seventy multiple sclerosis patients whom were selected randomly from MS association and assigned to

Struggling to create new boundaries: a grounded theory study of collaboration between nurses and parents in the care process in Iran.

AIM: To develop a substantive grounded theory of nurse-mother interaction in the care of chronically ill children in hospital setting. BACKGROUND: Interaction between nurses and parents is critical in paediatric hospital settings. This area of practice in developing countries has been under-researched. METHOD: The qualitative research design of grounded theory methodology was used to develop a theory of nurse-parent interaction within the child care. Registered Nurses (n=17) and mothers of chronically ill children (n=14) from two central paediatric hospital in Iran participated in this study. In-depth interviews with nurses and mothers were conducted using theoretical sampling between July 2007 and August 2008. The data were analysed using constant comparative analysis. FINDINGS: 'Struggling to create new boundaries' as a core variable was a dominant socio-psychological process that was manifesting itself within three stages: facing up to and perceiving the environmental pressures, balancing nurse's duties, and controlling the nurse-parent boundary in the care. CONCLUSION: It is concluded that nurses and parents need a care model, which addresses their collaboration and improved interpersonal relationship and clearly defines the boundary of their roles based on the needs of both sides while allowing parents to choose their role in these defined boundaries and providing parent education with aim to empower them for care at home

Factors associated with needlestick injuries in health care occupations: A systematic review

Needlestick and sharps injuries (NSIs), are among the main job-related injuries that health care workers experience. In fact, contraction of hepatitis B or hepatitis C from work-related NSIs is one of the most common occupational hazards among health care workers. Aim: The aim of this study was to determine the factors associated with NSIs in health care occupation. Materials and Methods: In this study, a systematic and purposive review with emphasis on the research question was run to retrieve, evaluate and consolidate the required information. The following four key words were used to search for the relevant articles published from January 1998 to May 2015: NSI health care workers, risk factor and factors associated, in Science direct, EBSCO Host, PubMed, ProQuest, SID and Cochrane Library. Several steps of evaluation were taken to select and analyse the full texts of relevant articles. According to the inclusion criteria, we finally selected 11 articles from the 18642 retrieved articles. Results: The data of the analysed articles indicated that the highest incidence of NSIs was seen in nurses and that the associated factors were age, level of education, number of shifts per month and history of related training. The highest rate of NSIs was related to instrument preparation followed by injection and recapping of used needles. Findings show that health care workers suffer a high rate of needlestick injuries. C onclusion: It was seen that device, location, or action cannot be separately considered as responsible for all types of the NSIs. Rather, each of them has a contribution to the NSIs. Nevertheless, factors with higher frequency should be given a higher priority

The effect of self-care program education based on Orem’s theory on mental aspect of quality of life in multiple sclerosis patients

Abstract Background and Aim: Multiple sclerosis is a chronic and degenerative disease of the central nervous system, frequently occurs in young people, affecting their quality of life. The aim of the study was to examine the effect of self- care program education based on Orem’s theory on mental aspect of quality of life in multiple sclerosis patients. Material and Method: This quasi-experimental study was done on 70 multiple sclerosis patients. The experimental group was treated with 8 educational sessions about self-care based on Orem’s theory and was compared with the control group. Results: The findings showed that before intervention, the quality of life score in mental aspect was not statistically different between the two groups (P= 0.33), while after intervention a statistically significant difference was seen between the two groups (P= 0.001). Pair t test showed a statistically significant difference in experimental group between before and after self care performance (P= 0.001), whereas, the same test showed no statistically significant difference in control groups (P= 0.86). Conclusion: Designing and utilizing a self care program based on Orem’s theory could be effective on mental aspect of quality of life in multiple sclerosis patients. Therefore, if a program is designed on the basis of educational needs and with respect to training the patient and the “Orem self- care model” approach, it might be effective for enhancing the quality of life in mental aspect among multiple sclerosis patients

The effect of Orem based self-care program on physical quality of life in multiple sclerosis patients

چکیده: زمینه و هدف: بیماری مولتیپل اسکلروزیس یک بیماری مزمن و پیشرونده است که در حد زیادی کیفیت زندگی را تحت تاثیر قرار می‌دهد. این مطالعه با هدف تعیین تاثیر برنامه خودمراقبتی مبتنی بر الگوی اورم بر ابعاد جسمی کیفیت زندگی بیماران مبتلا به مولتیپل اسکلروزیس انجام گرفت. روش بررسی: در این مطالعه کارآزمایی بالینی، 70 بیمار مبتلا به مولتیپل اسکلروزیس عضو انجمن مولتیپل اسکلروزیس ایران (20 تا 40 ساله) به روش در دسترس انتخاب و بصورت تصادفی در دو گروه آزمون و شاهد (35 نفر آزمون و 35 نفر شاهد) قرار گرفتند. 8 جلسه برنامه آموزشی بر اساس نیازهای آموزشی بیماران و مبتنی بر الگوی اورم در طول سه ماه توسط بیماران گروه آزمون بکار گرفته شد. ابعاد جسمی کیفیت زندگی بیماران قبل و سه ماه بعد از اجرای برنامه با استفاده از مقیاس سنجش ابعاد جسمی کیفیت زندگی بیماران مولتیپل اسکلروزیس مورد ارزیابی قرار گرفت. داده‌ها با استفاده از آزمون‌های آماری کای دو، t و t زوجی مورد تجزیه و تحلیل قرار گرفت. یافته‌ها: مشخصات دموگرافیک ابعاد جسمی کیفیت زندگی در بیماران گروه آزمون و شاهد قبل از مداخله اختلاف معنی داری نداشت. میانگین کیفیت زندگی در ابعاد جسمی بعد از مداخله در گروه آزمون (8/41±5/66) و در گروه شاهد (79/12±24/43) بود (001/0

Effect of designed exercise program on stress, anxiety and depression i-n women with breast cancer receiving chemotherapy

Background and aim: Fear of death, lack of knowledge and fear of treatment and its complications, lack of assurance of recovery, possibility of occurrence of problems in their family are predisposing factors in occurrence and intensity of psychological reactions such as stress, anxiety and depression in the women with breast cancer. Therefore, this study was carried out to determine the effect of designed exercise program on stress, anxiety and depression in women with breast cancer receiving chemotherapy. Methods: This quasi–experimental study was conducted on a total of 56 women with breast cancer receiving chemotherapy, refereed to Imam Khomeini hospital of Tehran in 2006. Using DASS-21 and demographic questionnaires, data were collected. The patients in experimental group used the designed exercise program at home for 20 to 30 minutes every day, for 3 to 5 days per week for 9 weeks (3 cycles of chemotherapy). In control group, the routine helps were conducted. All patients were followed up. Data were analyzed using X2 and t test. Results: There was no significant difference between the two groups in the cases of demographic characteristics, cancer stage, and method of surgery. Also, there was no significant difference between the two groups in the cases of stress, anxiety, and depression, before intervention. However, following intervention, the mean of stress, in the case and control groups were 7.25±4.42 and 10.82±5.46 for anxiety were 4.07±2.72 and 7.07±4.8, was and for depression were 3.82±8.83 and 7.32±5.12, respectively (P<0.01). Conclusion: Based on the results, the designed exercise program was effective to reduce stress, anxiety and depression in women with breast cancer receiving chemotherapy in this research

The effect of Trans-cutaneous Electrical Nerve Stimulation (TENS) on range of motion and morning stiffness of knee joint on patient with knee osteoarthritis

چکیده: زمینه و هدف: استئوآرتریت شایع ترین بیماری مفصلی است و شایع ترین مفصلی که در این بیماران درگیر می شود مفصل زانو است. شایع ترین علایم این بیماری کاهش دامنه حرکتی و خشکی صبحگاهی مفصل زانو است. هدف ما از این مطالعه تعیین تأثیر تحریک الکتریکی عصب از طریق پوست (TENS)، به عنوان یک روش غیر دارویی، بر دامنه حرکتی و خشکی صبحگاهی مفصل زانو در بیماران مبتلا به استئوآرتریت زانو می باشد. روش بررسی: بررسی حاضر یک مطالعه نیمه تجربی از نوع یک سوکور می باشد که تعداد 57 بیمار مبتلا به استئوآرتریت زانو (29 نفر گروه آزمون و 28 نفرگروه شاهد) به روش تخصیص تصادفی در سال 1384 در درمانگاه روماتولوژی بیمارستان امام خمینی تهران مورد مطالعه قرار گرفتند. طی چهار هفته، هر هفته سه جلسه، به گروه آزمون جریان الکتریکی 100 هرتز، به مدت 20 دقیقه با استفاده از دستگاه TENS داده شد، شدت جریان با توجه به آستانه حسی خود بیماران تنظیم می شد. گروه شاهد هم دارای همین شرایط بود ولی از دستگاه خاموش به عنوان پلاسبو برای آنها استفاده می‌شد. میزان خشکی صبحگاهی و دامنه حرکتی مفصل زانو در جلسه اول، ششم و دوازدهم در هر دو گروه اندازه گیری شد و داده ها با استفاده از آزمون آماری آنالیز واریانس با اندازه گیری مکرر، کروسکال والیس و t مستقل مورد تجزیه و تحلیل قرار گرفتند. یافته ها: میانگین دامنه حرکتی مفصل زانو در گروه آزمون از 26/2±2/82 قبل از مداخله، به 07/3±1/89 پس از شش جلسه مداخله، تغییر نموده و پس از اتمام مداخله این میزان به 52/4±117 افزایش یافت (001/0