فهرست مطالب

Chronic Diseases Journal
Volume:1 Issue: 2, Summer-Autumn 2013

  • تاریخ انتشار: 1392/08/13
  • تعداد عناوین: 9
|
  • Mehdi Beiramijam, Monireh Anoosheh, Eesa Mohammadi Pages 55-62
    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 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.
    Keywords: Self, Care, Stress, Anxiety, Depression, Benign Prostatic Hyperplasia
  • Gholrokh Moridi, Roonak Shahoei, Shahnaz Khaldi, Fariba Sayedolshohadaei Pages 63-66
    Background
    Quality of life (QOL) in postmenopausal period has taken much attention especially in recent years, since almost one third of woman are living in postmenopausal age. The aim of this study was to determine the effect of health educational program among Iranian postmenopausal women.
    Methods
    This quasi-experimental study was conducted in Sanandaj (Kurdistan, Iran). Forty menopausal women were recruited for the study. Data were collected using the Persian version of Menopause-Specific Quality of Life Questionnaire (MENQOL) proposed by Hilditch et al. at the University of Toronto, Canada. After an initial evaluation and estimation of educational needs, educational intervention was performed weekly, for three consecutive weeks; each section lasted 45-60 minutes. The inclusive criteria were age of 45 years or older, married, residing in Sanandaj, having normal pressure and not using any types of alternative hormone therapy 6 months prior to the study.
    Results
    Mean age was 45.5 ± 2.5 years. Results showed that the mean score of QOL scale positively was affected by the health educational program.
    Conclusion
    This study showed that an appropriate training to menopausal women can improve their QOL and promote their health.
    Keywords: Education, Menopause Women, Quality of life
  • Masumeh Ghazanfarpour, Ebrahim Ghaderi, Masumeh Kaviani, Kazhal Haddadian Pages 67-73
    Background
    Treating hot flushes in middle-aged women is an important health issue. Recently, Hypericum perforatum and vitex agnus-castus were investigated to decrease hot flushes. This study was conducted to compare the efficacy of Hypericum perforatum and vitex agnus-castus in hot flushes among menopausal women.
    Methods
    This was a randomized, double-blinded, controlled trial. The Hypericum perforatum group received 330 µg Hypericum perforatum and second group received vitex agnus-castus in the same tablet forms. Data were analyzed using repeated measurement for comparing Greene Climacteric Scale.
    Results
    Trend of Greene Climacteric Scale and hot flushness attack were decreased in both groups and it presented a decreasing trend within two months; however, no statistically significant difference was observed between the two groups.
    Conclusion
    It seems that Hypericum perforatum and vitex agnus-castus could be similarly effective in decreasing hot flushes. These two medicines did not have any special severe side effects.
    Keywords: Hypericum, Menopause, Plants, Randomized Controlled Trial, Vitex Agnus, Castus, Herbal Drug
  • Mohsen Zahmatkesh, Mohammad Khodashenas Roudsari Pages 74-82
    Background
    Cinnamon, fenugreek and coriander are among those herbs that are probably effective in lowering glucose; however, different results have been found in observed studies, and the effectiveness of these herbs is still controversial. This study was designed to compare the effects of three herbs of cinnamon, fenugreek and coriander on hemoglobin A1C (HbA1C) and blood lipids in type II diabetic patients.
    Methods
    This was a double-blind randomized controlled trial study and 150 non-insulin dependent diabetic patients were recruited in the study. Five similar concolor 500mg capsules containing cinnamon, fenugreek, coriander, -a mixture of three herbs-, and placebo were prescribed two capsules every 12 hours. Variables of HbA1C, fasting blood glucose, cholesterol and triglyceride were tested after 6 weeks. Data were analyzed by chi-square, Fisher’s exact test, Mann-Whitney test and one way analysis of variance (one-way ANOVA).
    Results
    There was no statistical significant difference between the intervention and placebo groups regarding basic characteristics. Man age of patients was 53.76 ± 8.74 years and the disease duration was 8.00 ± 5.66 years. Mean fasting blood sugar (FBS) and HbA1C was 189.4 ± 51.05 mg/dl and 9.2 ± 1.42 percent, respectively.
    Conclusion
    In type II diabetic patients, herbal medicines of cinnamon, fenugreek, and coriander and their mixture with a daily dosage of 2 g did not have any stronger effect than the placebo on lowering blood glucose, HbA1C, and blood lipids; it might be the result of several factors including prescribing little amounts of medicine, short period of intervention, and ineffectiveness of the mentioned herbs.
    Keywords: Diabetes, Cinnamon, Fenugreek, Coriander, Hemoglobin A1C, Blood Lipids
  • Ali Dehghani, Sima Mohammadkhan Kermanshahi, Morteza Gholami Pages 83-87
    Background
    Compliance with nursing ethics leads to improvement in nursing care. Therefore, this study carried out to determine the barriers of failure to meet the codes of nursing ethics from the viewpoint of nursing staff.
    Methods
    This was a descriptive cross-sectional study conducted on 138 nursing staff in Tehran University of Medical Sciences (Tehran, Iran) by random sampling method using a demographic questionnaire.
    Results
    50% of the barriers of failure in meeting with codes of professional ethics were contributed to management, 25.4% to environmental aspect, and 24.6% to individual care. Results indicated that there was no statistically significant difference between the demographic variables and the barriers of failure to meet the codes of professional ethics.
    Conclusion
    Given the management, as the most important barrier, it is suggested to enhance the awareness and knowledge of nursing ethics in nurses.
    Keywords: Barriers, Nursing Staffs, Codes of Professional Ethics
  • Shahla Afrasiabian, Alireza Gharib, Katayoun Hajibagheri Pages 88-91
    Leprosy is an infectious disease causing irreversible disability if unnoticed. A 69-year-old man with undetected leprosy from 30 years ago referred to us with claw hand and Madrosis (Milphosis). The patient complained of non-healing and painless ulcers on the extremities as well as numbness in the right leg. He told the medical team that he could not feel his feet in his shoes. The patient had blurred vision and lacrimation two weeks before admission. He had a history of recurrent foot ulcers from 25 years ago although he referred to medical staff about 5 years ago with infected wound on the hands and multiple scars of pervious ulcers. The disabilities were mainly in consequence of late visit to healthcare centers, misdiagnosis, difficult access to medical centers and patient''s unawareness. The case showed the significance of medical education and public awareness for signs and symptoms of leprosy to be recognized and treated on time. In conclusion detecting leprosy should not be delayed just because of a decrease in the number of cases especially in an endemic area like Kurdistan, Iran.
    Keywords: Leprosy, Chronic Disease, Disability, Mycobacterium Leprae
  • Borhan Moradveisi, Soran Ghafouri, Abdollah Sedaghat Pages 92-95
    Hereditary spherocytosis (HS) is a familial hemolytic disorder with marked heterogeneity of clinical features, ranging from an asymptomatic condition to a fulminant hemolytic anemia. Although a positive family history of spherocytosis increases the risk for this disorder, it may be sporadic in some cases. In severe cases the disorder may be detected in early childhood, but in mild cases it may go unnoticed until later in adulthood. The case was an 18-month-old boy from Sanandaj, Iran with 3 days decreased activity movement, poor feeding, pallor and urine discoloration since 3 days ego following an episode of fever. He was a case of anemia who was managed conservatively on nutritional supplements. Blood film showed 80% spherocytes, reticulocyte was 0.5%, increased osmotic fragility test and a negative direct Coombs.
    Keywords: Hereditary Spherocytosis, Familial Hemolytic Disorder, Hemolytic Disorder, Anemia, Spherocytes, Reticulocyte, Osmotic Fragility Test
  • Somayeh Koiek, Alireza Gharib Pages 96-97
  • Ghobad Moradi, Ebrahim Ghaderi Pages 98-106
    Background
    β-thalassemias (beta-thalassemia) is the most common genetic disorder; it is an inherited globinopathy which is transmitted to people due to a mutation in genes that create globin chain. In Iran, the disease gene is more common in the northern and southern regions. It is estimated that more than 60 mutations of the disease exist in different geographical areas of Iran. Iran has begun to adopt strategies to control the β-thalassemia for two decades; the most important of which is the screening of couples when they want to get marry. The present study aimed to review the thalassemia control program in Iran, the history of the disease, and the disease control strategies.
    Methods
    This review was conducted according to hand and electronic resources. Books, guidelines and document that exist in thalassemia control program were reviewed in the Iranian Ministry of Health, World Health Organization resources, PubMed, Google Scholar, SID (scientific information database), Magiran and, Iranmedex.
    Results
    Thalassemia program was appropriately structured and has been achieved successes. Reduction the numbers of new cases of β-thalassemia were notably. In some areas, thalassemia program has some defects and the program faced some cultural barriers.
    Conclusion
    Due to the improvements in the social and economic situation of the people, it seems necessary to focus on prenatal diagnosis (PND) and pre-implantation genetic diagnosis (PNG) technique strategies and provide their necessary facilities.
    Keywords: Thalassemia, Surveillance, Epidemiology, Program, Iran