Journal of Multidisciplinary Care
Volume:3 Issue: 1, 2014

Approximately 75% of children diagnosed with cancer achieve disease-free survival using current treatments. These sophisticated and aggressive treatments are capable of affecting children’s quality of life. The recent developments in standardised measures of qulality of life enables us to look more directly at the impact of diagnosis on parents and children's quality of life. The aim of this study is to describe quality of life for children reported by children and their parents. In this descreptive comparative study,a total of 150 eligible families, participated in this study. Samples were taken using convinience sampling method from patients who admitted at Tabriz children medical and training center and their families. Children and parents completed Kid-KINDL questionnaires about child’s quality of life and then different aspect of life quality in these children were compared. the quality of life reported by child and parents was greater than average in psichological,social and familial aspect.(p<0.05). parents generally reported a lower quality of life for their children with cancer (p<0.05). Because of deliniating the current situation in the field of life quality of children suffering from cancer, this stydy is able to help the nurses and educational programmer and also nursing managers to reach a suitable sample for presenting the caregiving services match with familie's needs and condition.

Educational software is a learner-centered approach. By creating a collaborative environment, it provides a rich resource of learning opportunity for learners and allows learners and teachers to search and study about variety of issues. The aim of this study is to evaluate the impact of educational software designed about fundamental of nursing skills on nursing student's learning of practical skills. In this semi-experimental study, 164 nursing students of the first semester were recruited through simple random sampling, they were allocated into intervention and control groups (82 people in each group).First, both groups were trained in the traditional way and their practical skills were examined by means of appropriate check lists. Next, the educational software was given to student's assigned to intervention groups. In this period, students of control group had time to review and practice their skills as routine. After 1 month; practical skills of both groups were re- evaluated. Results showed that educational software designed about fundamental of nursing skills was effective on nursing student's learning of practical skills. Student's scores of practical skills were significantly different in the intervention group compared with the control group (P<0.05). Educational software can be used as an effective teaching strategy to improve nursing students’ practical skills.

Nurses, together with other members of the care team, not only act for the quality and efficiency of the physical care, but also play an important role in the patient's psychological issues. Since nurse's experiences are shaped due to their continuous exposure to real-world situations in burn wards, the aim of this study was to explore the caring experiences of burn nurses faced with patient's needs and providing them holistic care. This study was a qualitative content analysis conducted at the Taleghani Burn Hospital in Ahvaz, 2013. Data were collected by conducting sixteen semi-structured and in-depth interviews with 10 participating nurses selected through purposeful sampling method. Then, they were analyzed by the conventional, qualitative content analysis approach. Following data analysis, three themes emerged including: providing physical care, providing psychological care, and social support of burn patients. The participants described holistic view towards the patients, overall checking and monitoring, providing care in accordance with assessment results, and their demands as the responsibilities of nurses. So, the persons in charge for burn hospitals and nursing managers could take the appropriate measurement for grounding a holistic point of view in care giving of burned patients.

Diabetes is one of the most important risk factors for cardiovascular disease. Besides the emphasis on drug treatments, modifying lifestyle including physical activity and exercise are important for controlling and treatment of these risk factors. Resistance exercise has attracted the interest of the cardiologists. However, there are no much preferences to resistance exercise, but it is recommended for life style modifying and as a no pharmacological treatment in these patients. Thus, the present study investigated the effect of resistance exercise on blood glucose in coronary artery disease patients. In a randomized clinical trial from April 2013 to February 2014, through patients referred to cardiac rehabilitation unit of Isfahan Cardiovascular Research Center, forty three eligible patients selected through selective sampling and assigned randomly to either intervention or control groups using table of random digit. First demographic characteristics and medical history were collected. Blood samples in fasting and no fasting conditions, were taken for measurement of fasting blood glucose, blood glucose 2 hours after at before, after and 4 weeks after the end of the intervention. The intervention period last 8 weeks included two exercise sessions per week with warm-up, exercise and cool- down sections. In the intervention group, in addition to aerobic exercise, resistance exercise was performed. Study subjects in the control group participated only in aerobic exercise. In the both groups, the mean blood sugar 2 hours after fasting, before, after and 4 weeks after the end of the intervention were significantly different (P<0.05). Mean Changes of fasting blood sugar and blood sugar 2 hours after fasting were not significantly different (P>0.05). Resistance exercise lead to a significant decrease in mean blood glucose 2 hours after fasting. Thus, we can recommend it in coronary artery disease patients for lowering blood glucose along pharmacological treatments.

Marital satisfaction is one of the related factors to nurses’ mental health and job stress. This study was done to determine the effectiveness of life training skills on marital satisfaction of female nurses in Hajar Hospital. In this semi-experimental study, the population of study consisted of all female nurses in Hajar Hospital (2011). The sample included of 43 nurses who were selected through purposeful sampling. The questionnaires used in this study were demographic questionnaire and marital satisfaction questionnaire of Enrich. At the beginning and one month after the life skills training sessions, nurses fulfilled the marital satisfaction questionnaire and data were analyzed in two stages. This study showed that the mean score of the total marital satisfaction before and after the training was 135.09±23.6 and 179.93 ±22.75 respectively. Which was a significant difference (P<0.001); therefore training life skills improved marital satisfaction. In demographic parameters, age had the only significant relationship with marital satisfaction(r=-0.498, P=0.018). Life skills training were effective to enhance the marital satisfaction of female nurses. It is suggested that life skill training program should be performed on a regular basis for married nurse.

Electrophysiology study is a new method for diagnosing and treating of arrhythmia that can lead to patient’s anxiety so it reduces the procedure efficacy. Therefore purpose of this study was to assess the level of anxiety and related factors such as individual, clinical and psychological factors in these patients in patients. This is a descriptive - analytical cross sectional study conducted on 72 patients waiting for diagnostic and therapeutic electrophysiology interventions admitted to Heshmat Educationl-therapeutic center in Rasht city. Samples were gradually selected from April to July 2013. Data was collected 3-5 hours before EPS by using two parts questionnaire including personal-clinical information and anxiety and depression scale (only anxiety part) through interview and records observation. A significant correlation was observed between gender and anxiety in samples (P≤0.001) and the mean and standard deviation of anxiety of females were significantly more than in males (P<0.03, r=-0.255). Therefore, Anxiety decreases with aging. Based on these results, the nurses should control the patient's anxiety, especially in women in younger ages in order to obtain the better results in electrophysiology.

restless legs syndrome is a movement disorder that characterized by an intensive desire to shake legs at rest. Restless legs syndrome is highly prevalent among pregnant women; and may reduce quality of life. This study was conducted to compare quality of life in women with restless legs syndrome with pregnant women without restless legs syndrome. in this cross-sectional-comparative study, 150 pregnant women (75 with restless legs syndrome and 75 healthy women) was selected with conceived sampling in Saqqez. Data were collected using Restless Legs Syndrome screening questionnaire and quality of life SF-36 questionnaire. The data was analyzed by PASW software and descriptive statistics, independent t test and Chi square. P value less than 0.05 was considered statistically significant the results showed that the women with restless legs syndrome in the field of role physical (p=0.001), body pain (p=0.0001), general health (p=0.0001), social function (p=0.04), mental health (p=0.006), vitality (p=0.03), and emotional role (p=0.01) were significantly lower than women without restless legs syndrome. Quality of life in women with restless legs syndrome was lower than in healthy pregnant women.

Under 5-years mortality year is one of the most important indicators of development and health in the countries. Therefore, generating accurate picture of child mortality in order to evaluate the death causes and identifying the avoidable factors for designing the interventions and preventing similar death is necessary. The present study aimed to investigate the causes of deaths in 1 to 59 months children in the area covered by Shahid Beheshti University of Medical Sciences in 2012. In this descriptive cross-sectional study that conducted from March 2012 to March 2013, all of 1 to 59 months children deaths in the area covered by Shahid Beheshti University of Medical Sciences were investigated. Required data was extracted from registration forms of the child health office of ministry of health and medical education. The total number of deaths in 1 to 59 months children was 383. The highest frequency of death was observed in the children who aged between 1 to 12 months (57.8%). More than half of the children who died were boy (52.5%). Totally, the most common causes of death were congenital and chromosomal abnormalities (17.5%), injuries (15.4%) and cancers (11.2%). Based on the results, designing interventions such as genetic counseling in high risk couples, training of the parent and children for prevention of injuries and public awareness about the warning symptom of the cancers and respiratory system disease in order to reduce the children deaths is essential.