علی پورحبیب

Considering the importance of disease prognosis for evaluating the disease and determining the treatment protocol, as well as for defining an accurate and appropriate nursing diagnosis to establish a care plan and identify patients at risk, counting the number of blood cells may be of help due to its convenience and cost-effectiveness.

The population of this descriptive correlational study was all patients with gastric cancer referred to Imam Sajjad Ramsar Hospital during 2012-2017. Patient demographics were used to calculate the duration of disease-free survival and overall survival.

In the present study, 134 patients were examined. Regarding the age group, 16 patients were <50 years old and 118 patients were >50 years old. The number of lymphocytes <2000 and the number of monocytes >2000 and the absolute number of lymphocyte to monocyte ratio (LMR≥ 4.8) were associated with non-metastatic gastric cancer.

The frequency of absolute low lymphocyte count, high monocyte count and lymphocyte to low monocyte ratio was significantly higher in patients with higher stage disease and lymph node involvement than in other patients. These results can be used to review and define nursing diagnoses to inform decisions for care and treatment interventions for patients with gastric cancer.

Thirst distress (TD) is a psychometric consequence of diet therapy and dietary sodium restriction (DSR) in elderly patients with heart failure (HF) and is one of the main reasons for admission of the elderly to hospitals and clinical centers. The aim of the present study was to determine the level of DSR and TD in the elderly with HF.

In this descriptive study, 70 elderly patients admitted to hospitals affiliated with Babol University of Medical Sciences (Iran) were randomly selected. The Thirst Distress Scale in HF patients (TDS-HF) and Dietary Sodium Restriction Questionnaire (DSRQ) were used for data collection. The data were analyzed in SPSS 26 using descriptive statistics.

The mean and standard deviation age of the participants was 69.38±8.32 years. The mean score of TDS and DSR in the elderly with HF was 30.47 ± 5.57, and 60.61 ± 8.7, respectively, indicating TD. There was a significant negative relationship between the duration of the disease and the score of DSR, and the place of residence with the score of TD.

Based on the results, representing TD in the elderly with HF, it is recommended that educational interventions appropriate to age should be used to reduce the psychometric consequences of diet therapy such as TD and to change attitudes towards adherence to DSR in the elderly with HF.

Occupational violence can have a negative effect and mental burden on the way emergency medical service personnel provide services. The aim of this study was to determine verbal violence against emergency medical service personnel and related factors at the Mazandaran University of Medical Sciences.

This descriptive-analytical cross-sectional study was conducted among emergency medical service personnel of Mazandaran University of Medical Sciences in 2019. Totally, 264 individuals were selected using the systematic random sampling method. The data were collected using the Occupational Violence Questionnaire and Goldenberg GHQ-28 General Health Questionnaire. The data were analyzed using SPSS.

During the past year, 240 emergency medical service personnel experienced occupational violence in the following forms: verbal (65%), cultural (6.9%), and sexual (3.1%). There was a statistically significant relationship between verbal violence and marital status (p=0.049) as well as age (p=0.04), and crisis in the past 6 months of the personnel (p=0.02). Patient companions were the main perpetrators of violence, and the most common response to violence was to ask the assailant to calm down. The most common violence against staff in the last mission was verbal and cultural violence. There was a statistically significant relationship between violence during the last mission and the type of employment, age and professional experience of the personnel.

Considering the predictability and controllability of violence, in addition to improving training, prevention methods, reforms related to the factors that cause violence, and the implementation of courses and workshops can be considered as effective steps to reduce violence against emergency medical personnel.

The availability of information regarding people's experiences of returning to work after heart surgery, taking into account the socio-cultural context of Iranian society, is limited. The aim of this study is to discover the process of returning to work after heart surgery.

Methods & Materials:

A qualitative study using the grounded theory approach was conducted between 2021 and 2022. Through purposive and theoretical sampling, 21 participants who had undergone heart surgery and were in the process of returning to work were selected. They were chosen from the cardiac surgery ward of Amiralmomenin Hospital in Kordkuy, as well as among patients seeking treatment from cardiac surgeons in Golestan province. Data were collected through conducting semi-structured interviews and taking field notes. Data analysis was conducted using the method proposed by Corbin and Strauss in 2015.

"Feeling of doubt about return-to-work", "perceived psycho-social support", "personal and occupational factors", "unfavorable consequences of heart surgery" and "limited support from governmental/non-governmental institutions" were determined as contextual factors influencing the process of return-to-work. Moreover, "effort to adjust the job", "situation evaluation" and "self-management" were introduced as strategies, while "adaptability to the job" were identified as the consequence of returning to work. Finally, the core variable of the study was determined to be "the thoughtful effort to match the job".

Based on the results, it was determined that several individual and environmental factors influence the process of return-to-work for people who have undergone heart surgery. To facilitate a successful return to work, it is crucial to provide psycho-social support from both the family and work environment. It is recommended that policy makers in the health and social affairs sectors take active steps to empower people during the post-recovery period. Additionally, fostering collaboration between the Ministries of Labor and Health, as well as insurance organizations, can greatly facilitate the return to work of individuals after heart surgery.

Diminished physiological tolerance induced heart failure among the elderly patients limit doing their daily activities. Exercising as a non-medical intervention is not usually mentioned for daily activities promotion. The current study was conducted aiming to explore the effects of aerobic and resistance exercise program on physical adaptation in the elderly men patients with heart failure.

This study was a randomized clinical trial design. The study population was all the male elderlies suffering from heart failure type 2 and 3. All the 60 elderlies were randomly assigned using block-randomized allocation into the intervention and the control groups. The study field was Echocardiography ward at Imam Sajjad Hospital in Ramsar. The exercise program was performed for three months in the intervention group. The physical adaptation was assessed in four different time intervals (before 1, 2, and 3 months and also after intervention) and the results were compared between the groups. The data were analyzed using SPSS version 16. Adaptation scores were calculated using the indices, including descriptive statistics and then the following tests were performed: independent and paired t-test, repeated ANOVA, and Bonferoni tests.

The results showed a significant statistical difference between the mean scores of distances walked in 6 minutes in four points between the two groups (P≤0.001). The aerobic and resistance exercise programs had promoted the physical adaptation among the elderlies with heart failure as our results approved (P<0.05).

Aerobic and resistance exercises can help in promoting the physical adaptation in doing the daily activities in the elderly with heart failure.

BACHGROUND AND

Sleep disturbances, a common compliance of the elders with heart failure(HF) reduce quality of life. But it isn’t noticed to simple, and low-cost interventions as exercise for sleep quality. The objective of this study is “Effects of Aerobic and Resistance Exercise on sleep quality in the elderlies with HF”.

This study is a randomized, clinical trial design.60 male elderlies suffering from HF type 2 and 3were selected using convenience sampling and randomly assigned into intervention and control groups. Pitzberg’s sleep quality questionnaire as a tool for examining the sleep quality was used for data gathering. The aerobic and resistance exercise program were performed for 3 months. The sleep quality questionnaire was filled both in pre- and post-intervention, and the results were compared between the groups.
FINDINGS: The aerobic and resistance exercise had promoted scores of sleep duration(0/23±0/77), sleep efficiency (0/73±1.01), subjective sleep quality (0/6±0/93), and daytime function (0/06±1/14)(p<0/05). But the exercise Program doesn’t affect on sleep latency, sleep disturbances, and use of sleep medications.

Improving the sleep quality,and components of sleep outcomes with the aerobic and resistance exercise promote daytime function in the elderlies with HF.