حجت الله یوسفی

Stroke is the second cause of death and the third cause of disability in the world. This study was conducted with the aim of investigating the effect of providing a spiritual care program in the form of WhatsApp and telephone follow-up on the quality of life of stroke patients and their caregivers after discharge from the hospital.

This research was conducted on 64 stroke patients and their caregivers being discharged from Hospital in the year 1400. They were randomly divided into two groups of 32 people. The spiritual care-educational program was presented to the patients and their caregivers in the intervention group, and follow-up was done by phone. The information of the patients and their caregivers was collected using the demographic information questionnaire, the Williams stroke-specific quality of life questionnaire (SS-QOL) and the SF-36 quality of life scale in the three stages before, immediately and six weeks after the implementation. The data were analyzed by using independent t-test and variance of repeated observations with SPSS version 20 software.

The results showed that the total quality of life score of the intervention group patients after the intervention with a mean and a standard deviation of 191.09±39.23 and their caregivers with 72.87±18.19 compared to before the intervention increased significantly (P < 0.05). Also, the average scores of patients and their caregivers' quality of life in the almost of areas increased significantly after the implementation (P < 0.05).

According to the findings, this spiritual care program has a positive effect on the quality of life of stroke patients and their caregivers. Therefore, spiritual intervention through WhatsApp and telephone follow-up can be considered as a suitable tool to improve their quality of life.

Doctors and nurses are in frequent contact with burn patients, therefore, the best sources for receiving care information are to design a comprehensive program to improve the quality of care. For this purpose, this study was conducted to explain the experiences of physicians and nurses of burn wound care priorities.

This study was qualitative research based on content analysis that was conducted in 2020 in 1 teaching hospital and 1 military hospital in Isfahan. Participants included 7 nurses and physicians with at least 5 years of experience in burn wound care who were selected by purposive sampling. Data were collected using in-depth semi-structured individual interviews and sampling was continued until data saturation. Data were analyzed by conventional content analysis.

After data analysis, 3 main classes and 10 subclasses were extracted. Class of burn wound assessment with two subclasses of patient evaluation and first aid and assessment of burn surface and depth, burn wound management class with four subclasses of cleaning and exfoliation, burn wound dressing, pain management, and patient education, follow-up care class were divided into four subcategories: general health care, skincare, multidisciplinary support, and malformation prevention.

According to the experiences of nurses and physicians, patients with burn wounds have various care needs in physical and psychological fields, which make care priorities different from each other, and it is necessary to pay attention to this issue in patient-centered care.

Studies show that students lack sufficient clinical skills during the nursing apprenticeship course despite their strong theoretical knowledge. Feedback-based education is one of the teaching methods used for this group of students. The present study aimed to determine the effect of feedback-based education on first-semester nursing students’ skill of IV insertion.

In this clinical trial, the subjects were selected by convenience sampling and randomly divided into two 20-member intervention and control groups. While feedback-based education was provided to the subjects in the intervention group, the participants in the control group received conventional education. A researcher-made checklist was filled by all participants immediately after the education process and at the end of the semester and the two groups were compared in this regard. Data analysis was performed in SPSS version 19 using paired t-test and independent t-test. In addition, a P-value of 0.05 was considered statistically significant.

In this study, the results revealed a significant difference between the intervention and control groups immediately after the education process (t=2.71, P=0.04). However, this difference was not significant at the end of the semester (four months later) (t=1.79, P=0.12).

According to the results of the study, while feedback-based education significantly improved the nursing students’ skill of IV insertion in short term, this improvement was not permanent. It is recommended that more studies be conducted in this area.

Oral care is one of the main aspects of nursing care in intensive care units which not only helps the patient to feel comfortable but also prevents serious complications such as ventilator-dependent pneumonia. The aim of this study was to determine the effect of a systematic oral care program on oral health in patients of intensive care unit.

This study was a randomized clinical trial performed on 76 patients in intensive care units in 2017. They were randomly assigned to the control and intervention group. In addition to routine oral care, a 5-day systematic oral care program including brushing, chlorhexidine solution, mouth moisturizing gel, and Vaseline was performed for the intervention group. Oral health evaluated in both groups during five days of study. Data were collected using a demographic and Beck Oral Assessment Scale and then analyzed using SPSS ver16.

There was no significant difference between the intervention and control groups in Beck Oral Assessment Scale in the first to third days, but after the third day, the oral health status of the intervention group was significantly better than the control group (p<0.05).

According to the findings, oral care program is effective in improving oral health. The application of the proposed program in the current study is simple and guarantees minimal oral care for ICU patients

Asthma is one of the most common chronic diseases causing respiratory problems. Self-care programs can effectively reduce symptoms and complications of asthma. The aim of this study was to determine the effect of self-care program training on spirometry indicators and clinical manifestations in asthma patients.

A quasi-experimental study with the control group was performed on 50 patients referred to the respiratory clinic of Al-Zahra hospital in Isfahan. Samples were selected by simple sampling method, and then randomly assigned to subject and control groups. Data were collected using a questionnaire of asthma control and spirometry tests before and one month after the training program. The results were analyzed using SPSS software version 20 by independent-T, pair-T, chi-square (chi-2), repeated measures and Pearson tests.

The results of this study showed that the mean values of spirometric indices (PEF, FEV1/FVC, FVC, FEV1, FEF25%-75%, FEF75%) and scores of the asthma control test questionnaire were increased after the intervention in the experimental group. The clinical manifestations and spirometric indices scores were significantly different before and after the intervention (p<0.05). All the spirometry indices, except for PEF 25%-75%, were increased in the intervention group comparing to the control group (p<0.05).

The results showed the effectiveness of Self-Care program training in patients with asthma. Therefore self-care training can be used as an effective method to control asthma along with other methods such as exercise, and medication