فهرست مطالب abdol ali shariati

Patients undergoing hemodialysis often experience a low quality of life, which can significantly impact their lifestyle. Despite various proposed solutions, these patients continue to face ongoing challenges.

This research aimed to investigate the effects of continuous nursing care, based on the Information, Knowledge, Attitude, and Practice (IKAP) theory, on the quality of life and lifestyle of patients undergoing hemodialysis.

Sixty-eight patients receiving hemodialysis treatment at 2 university hospitals in Ahvaz met the inclusion criteria for this experimental research. With the simple random method, the participants were divided into 2 equal groups: the experimental group and the control group. In addition to routine care, the experimental group received 20 to 30 minutes of continuous nursing care based on the IKAP theory every 2 weeks, while the control group received only routine care. Three questionnaires were administered: A Demographic Information Questionnaire, a Health Promoting Lifestyle Profile, and a Kidney Disease Quality of Life Questionnaire-Short Form (KDQOL-SF), which were completed before the intervention, 1 month after, and 3 months after by both groups. Data analysis employed independent samples t-tests, chi-square tests, and repeated measures analysis of variance (ANOVA).

The nursing intervention based on the IKAP model had a significant impact on the quality of life and lifestyle of patients undergoing hemodialysis. In the experimental group, the mean score for overall quality of life before and after the intervention showed a statistically significant difference (P < 0.001), while in the control group, this difference was not significant (P = 0.807). Similarly, the mean score for lifestyle in the experimental group before and after the intervention was statistically significant (P < 0.001), whereas there was no significant difference in the control group (P = 0.991).

Nursing intervention based on the IKAP model has a positive effect on improving the quality of life and lifestyle of patients undergoing hemodialysis. Therefore, it is important to inform health care providers and policymakers about this model, which can serve as a reference for health education in hospitals and other health care centers.

Weaning of the patient from mechanical ventilator is one of important stages of treatment in patients undergoing mechanical ventilation. Therefore, this study was done to determine the effect of family presence on weaning success in patients admitted to intensive care units (ICUs).

The present interventional quasi-experimental study was performed on 154 patients undergoing mechanical ventilation who were selected through available sampling method and based on inclusion criteria and were randomly divided into intervention and control groups. For the intervention group, the presence of one of the family members was used in process of weaning from the mechanical ventilator. A questionnaire of patients҆ demographic information, family satisfaction of patients admitted to ICU, and a checklist of recording the patient's vital signs were used to collect the required information.

Based on the results, After the intervention, the patients in the intervention group were in a better condition than the control group in terms of vital signs, time spent for intubation and number of re-intubation, as well as family satisfaction (P<0.05).

The results showed that the presence of family in the process of weaning of patients admitted to the intensive care unit is effective in improving vital signs and physiological indicators and reduces the time spent for intubation and the number of re-intubation in these patients while promoting family satisfaction. Therefore, the use of this method can be used in coordination with members of the treatment team to help patients admitted to the intensive care unit.

Spirituality is one of the four methods of holistic care and one of the dimensions of quality of life. Therefore, it is necessary for nurses to have a desirable quality of work life to respond the spiritual needs of patients. The purpose of this research is to determine the relationship between spiritual care competence and the quality of work life of nurses working in cancer departments of hospitals affiliated to Jundishapur University of Medical Sciences, Ahvaz. The present research is a descriptive-cross-sectional and correlational type study, which includes 100 nurses working in Shafa and Baqaei2 hospitals in Ahvaz (2017) selected by the availability method.. In order to collect data, the Spiritual Care Competency Scale and the Nurses' Quality of Work life Questionnaire were used, whose validity and reliability were confirmed. The data were analyzed using chi-square tests, Pearson's correlation coefficient, using SPSS version 20. The significance level in this study was considered 0.05. The quality of work life (67.10 13 13.03) and the spiritual care competence (65.23 14 14.16) were moderate. According to the Pearson correlation coefficient, a positive and significant correlation was observed between the quality of work life score and the spiritual care competence of nurses (P=0.01, r=0.41). Considering that competency in spiritual care is one of the related and influencing factors on the quality of work life of nurses in oncology departments; Therefore, the necessity of including this category in practical training programs - theory of spiritual care, in order to empower nurses, to improve the quality of their work life, especially for cancer patients, is essential.

One of the effective nursing measures for enhancing the quality of life (QOL) and adaptation of patients undergoing coronary artery bypass graft (CABG) is the use of Roy’s adaptation model (RAM).

This study aimed to determine the effect of a training program based on Roy’s adaptation model on the adaptation of patients undergoing CABG.

This quasi-experimental study was performed on 60 patients admitted to the intensive care units (ICUs) of Imam Khomeini Hospital and Golestan Hospital in Ahvaz, southwest of Iran, in 2020. Patients were selected based on inclusion criteria and randomly assigned into intervention and control groups. A four-session training program based on RAM was held for the intervention group. Data were analyzed using SPSS ver. 22.

The mean scores of physiological, self-concept, role function, and independence and interdependence dimensions in the experimental group before the intervention were 48.76 (6.36), 23.76 (4.10), 19.60 (2.93), and 25.60 (3.54), respectively. After the intervention, the mean scores in the mentioned dimensions were 101.26 (5.23), 50.80 (3.82), 39.10 (4.15), and 25.47 (3.99), respectively, indicating an upward trend (P < 0.05). Also, the mean score of total adaptation before the intervention was 117.73 (12.00), which rose to 216.63 (7.88) after the intervention (P < 0.05).

The results showed that RAM plays an important role in the adaptation of patients undergoing CABG surgery. Thus, this model can provide a suitable framework for examining and providing care for patients undergoing CABG in ICUs.

Poor performance of the resuscitation team can have negative consequences for the hospital and the community. Identifying and correcting problems related to the emergency department is one of the priorities to improve the quality of service delivery and increase satisfaction. The aim of this study was to determine the effect of the FOCUS PDCA method on improving the cardiopulmonary resuscitation (CPR) index in the emergency department.

The present study was a quasi-experimental study performed in the emergency department of Imam Ali Hospital in Andimeshk. The control group included 75 CPR events before the intervention, and the experimental group included 76 CPR events after the FOCUS-PDCA. A team of nurses working in the emergency department and resuscitation group were selected based on the inclusion criteria. Basic and advanced CPR training and FOCUS PDCA method workshops were held for them. Then, the nine steps of the FOCUS-PDCA were performed. The data collection tool was a researcher-made checklist. Data were analyzed using the SPSS-22 software: Chi-square, Fisher, and Mann-Whitney U tests were performed.

The result of successful resuscitation for patients after FOCUS PDCA increased by 3.64%.The  CPR results were successful in 6.7% before the intervention and 26.3% after the intervention. The rate of unsuccessful CPR in traumatic, internal, and non-traumatic patients decreased after the intervention. There was a statistically significant difference between the two groups in terms of the occurrence of cardiac arrest in presence of witnesses.

It is expected that the implementation of the FOCUS PDCA method can lead to the improvement of indices and successful resuscitation of patients in the emergency department.

Due to the nature of tasks, nursing is a job with a high prevalence of skeletal and muscular disorders, which increased skeletal muscle pain and fatigue. The aim of this study was to determine the effect of foot reflexology on the severity of skeletal and muscular pain and fatigue of nursing staff.

In this clinical trial study, all nurses in NEZAJA in the southwest of Iran (60 nurses) were selected between August and January 2017 according to the entry criteria and then randomly assigned to two groups of intervention and control. For the intervention group, according to the location of the pain, the foot reflexology protocol was administered during 9 sessions for 3 weeks and 3 sessions of 30 minutes per week. Data collection tools included a demographic information questionnaire, Nordic Musculoskeletal Questionnaire, numerical scale of pain intensity and fatigue.

The results of our study also showed that out of 9 parts of the body, the intensity of pain in the neck (P=<0.001), back (P=0.003), knees (P=0.010), feet (P=0.002), thigh (P=<0.001) and hand (P=<0.001) after reflexology was significantly reduced in the intervention group compared to the control group. Reflexology also reduced fatigue in the intervention group, but this reduction was not statistically significant compared to the control group (P=0.129).

The results showed that reflexology reduced the severity of musculoskeletal pain in some parts of the body and reduced fatigue. Therefore, it is recommended that foot reflexology be used as a simple and cost-effective method to reduce the severity of skeletal and muscular pain in nurses.

Colon cancer is the third leading cause of death globally, and mucositis is one of the complications of cancer treatment following drug therapy. This study investigated the effect of licorice root extract mouthwash with combined mouthwash on the incidence and severity of chemotherapy-induced mucositis symptoms in colon cancer patients admitted to intensive care units (ICUs). In this clinical trial, 72 colon cancer patients were treated with chemotherapy. Apurposiverandomsample of patients was divided into two groups of intervention (n = 36) and control (n = 36). Patients in the control group received routinely used combined mouthwash. However, the intervention group received licorice root extract 5% from the beginning of the treatment according to the researcher’s plan. Then, the degree of mucositis and ulcer area were recorded on the first, third, and seventh days of treatment based on the WHO standard tool for measuring mucositis severity. The intervention and control groups had no significant difference on the first, third, and seventh days of treatment in the incidence of mucositis (P = 0.554, P = 0.308, and P = 0.601, respectively) and the severity of mucositis (P = 0.357, P = 0.857, P = 0.607, respectively). There was no difference in the efficacy of combined mouthwash and licorice root extract mouthwash in the incidence and severity of mucositis. Due to the interest of many patients in the use of herbal compounds, licorice root extract mouthwash can be used as an alternative to combined mouthwash.

Controlling bleeding after angiography is very important and vital. Hemorrhage occurs due to ineffective local hemostasis and hemostatic factors play an important role in controlling it. This study was performed to compare the ChitoHem powder and sand bag in controlling bleeding after femoral angiography.
This clinical trial study was performed randomly on 136 patients undergoing angiography in 2 groups of sand bag and ChitoHem. Data were collected using a demographic questionnaire collected by interview, patient records, and checklist, which is documented in clinical information. Data analysis was performed using descriptive and inferential statistical methods using SPSS software.
The mean time of homeostasis, bed rest time, and amount of bleeding in the sand bag group compared to ChitoHem group was significantly different in terms of statistics (p = 0.00), in the way that the post - angiography complications in ChitoHem are less than sand bags.
The results showed that ChitoHem powder had a significant positive effect on controlling bleeding and reduces the time of anesthesia homeostasis; therefore, its use is suggested after coronary angiography.

Psoriasis is a chronic inflammatory disease with frequent recurrence. The associated complications cause disturbance in patients’ quality of life. In addition to treatment procedures, use of self-care behaviors can be considered a cost-effective and applicable method in improving the patients’ symptoms. Therefore, the present study aimed to investigate the effectiveness of a self-care program in promoting self-care behaviors of patients with psoriasis.
The present study aimed to investigate the effectiveness of a self-care program in promoting self-care behaviors among patients with psoriasis.
This quasi experimental, before-after study was carried out on 32 patients. The educational program was implemented face-to-face and in groups (in areas such as medicine, bathing, and clothing). The samples were examined once every 2 weeks for 3 months. Two questionnaires and 1 self-report checklist with a correlation coefficient of 92.5% were used in this study. The validity of the questionnaires was determined using content validity. Data were analyzed using repeated measures ANOVA in SPSS.
The patients’ demographics were as follows: mean age, 42.37%; males, 16 (55.2%) and females, 13 (44.8%); married, 21 (72.4%), single, 6 (20.7%), and widowed, 2 (6.9%); secondary school education, 13 (44.8%); average disease period, 9.03%; most self-employed and housewives (9, 31%); history of disease, 7 (24.1%); and physician-diagnosed disease, 29 (100%). The results showed that the mean medication adherence rate increased from 7% to 9.72% after the intervention, and comparison of self-care behaviors before and after the intervention showed that the frequency of most behaviors significantly increased.
The results showed that training could improve self-care behaviors. Use of simple, low-cost, and available programs for self-care behaviors is effective in reducing the patients’ symptoms and improving their conditions.

Leukemia is a common cancer among adults with growing prevalence in Iran. This disease affects different aspects of the patient, especially their quality of life. One of the methods to promote hygiene and health and, consequently, quality of life is to empower the family of the patient.
The effect of family-based empowerment on quality of life in patients with leukemia was studied in this research.
This study was a clinical trial conducted on 46 adult patients with leukemia together with 46 of their family members in 2015. Eligible patients were selected by the available method and randomly placed in two groups of test and control. Tools for gathering data included a demographic questionnaire about the patient and their family member and a specified questionnaire about the quality of life of patients with cancer. Family-based empowerment intervention was held for research samples in the test group based on its quadruple steps (perceived threat, self-efficiency promotion, increase of self-esteem through educational participation, and assessment) in six 90-minute sessions and a second test was conducted a month and half after the intervention. Data were analyzed using the SPSS 20 statistical software.
Results of chi-square test reflected that both groups of test and control were similar in terms of demographic information (P > 0.5). Moreover, statistical independent T-test did not show a significant difference in aspects of quality of life in test and control groups before the intervention (P = 0.98) while this test showed a significant difference in both groups after the intervention (P = 0.00), except for the spiritual aspect (p=0.2). Paired T-test indicated a significant increase in aspects of quality of life in the test group after the intervention (p=0.00) while this test reflected a reverse significant difference in general aspect of quality of life in the control group (P = 0.006).
In general, results of this research showed that implementing family-based empowerment pattern has been effective for increasing quality of life in patients with leukemia.

Hemodialysis patients suffer from fatigue due to various problems, which negatively affects their quality of life and health status. The present study was performed with the aim of determining the effect of collaborative care model on the fatigue in patients undergoing maintenance hemodialysis.
In this controlled clinical trial study, 52 patients undergoing maintenance hemodialysis were purposively selected and randomly divided into two groups of test and control. Demographic characteristics and Fatigue Severity Scale (FSS) Questionnaires were completed in both groups before intervention and collaborative care model implemented for 3 months in the test group based on motivation, readying, involvement, and evaluation stages in the intervention group. One month after the intervention, frequency and mean of fatigue severity were compared with pre-intervention data using Chi-square, independent t, and repeated measures statistical tests.
After the intervention, mild fatigue increased and intense fatigue significantly deceased (p=0.02). Moreover, the results showed that after the intervention, the mean score of fatigue severity decreased in the intervention group (p=0.036).
Implementation of collaborative care model has positive effect on decreasing fatigue severity in hemodialysis patients, therefore, use of this model by nurses, improves the patients’ fatigue.

Most patients undergoing knee replacement surgery have pain and limited range of motion during recovery and rehabilitation and due to pain and lack of experience and knowledge are not able to run an effective rehabilitation program. So, this study was aimed to determine the effect of blended instruction on the intensity and the admission palliative of patients undergoing knee surgery.
64 patients scheduled for knee replacement surgery randomized block Foursome assigned to two experimental and control groups. The training program including film screenings and providing face to face training, manual and training video in the individual manner was implemented days before the surgery for the experimental group. The control group received routine care. Data by demographic and clinical form and pain assessment checklist were collected using a visual analogue scale. Numerical data about the pain from the second to fifth days and one month after surgery were collected and analyzed useing the SPSS software and Independent t-test, Chi-square and Repeated measure tests.
The results of this study showed that the experimental group reported significantly less pain than the control group at most times (P=0.012). According to independent t-test statistically significant difference between the 2 groups in terms of the amount of admission palliative at the time was found (P>0.054). However, based on analysis of variance with repeated measures between the admission palliative on study, there was a significant difference in both groups (P According to our results, the combined intervention before surgery can reduce the level of pain experienced after surgery and as a training method used to teach these patients after surgery.

Khuzestan province has faced a sharp increase of leukemia incidence and mortality during the recent years. Many studies have investigated the risk factors associated with leukemia, but inconsistent findings have been reported. To the best to our knowledge, no other study has assessed the association between lifestyle and incidence of leukemia in Ahvaz province, Iran..
This study was conducted to investigate the association between lifestyle and incidence of leukemia in adults in Ahvaz, located in southwest Iran..
Patients and This case-control study was conducted on 80 adult patients with leukemia (referred to Shefa and Golestan hospitals in Ahvaz, Iran in 2014 - 2015) and 80 healthy individuals matched by gender and age. The data was collected by a researcher-created questionnaire assessing individual demographics and some lifestyle-related factors, and was analyzed by descriptive statistics and a chi-square test, using SPSS16..
Exposure to radiation (P = 0.0001), chemicals (P = 0.02), pesticides (P = 0.01), and contact with pets or livestock (P = 0.0001) were associated with the risk of leukemia, but a history of smoking (P = 0.19) and drinking alcohol (P = 0.59), as well as living close to power transmission and distribution lines (P = 0.25), showed no association with leukemia..
This study showed that some lifestyle factors, particularly exposure to radiation, chemicals, pesticides, and contact with pets or livestock, can play an important role in etiology of leukemia..

Patients with sickle cell disease, who must manage serious and unpredictable complications related to their disease, particularly chronic pain, suffer from numerous psychosocial problems such as depression, anxiety, stress, and disruption of interpersonal relationships; these problems often lead to fatigue and poor quality of life.. This study aimed to determine the effectiveness of self-management programs targeting pain, fatigue, depression, anxiety, and stress in sickle cell patients..Patients and This was a quasi-experimental study; participants were 53 patients with sickle cell disease who were referred to the Thalassemia Clinic of Ahvaz Shafa Hospital. Participants were recruited by census in 2013. Participants received a self-management program that was implemented in five sessions over 12 weeks. Levels of fatigue, depression, anxiety, and stress were assessed before and 24 weeks after the intervention; pain was assessed during the intervention and at a 24 week post-intervention follow-up using the fatigue severity scale (FSS), DASS21, and a pain record. Descriptive statistics, Fisher’s exact test, Chi-square, independent t-tests, paired t-tests, repeated measures tests and correlations were used to analyze the data.. Scores for fatigue, anxiety, depression, and stress after the intervention were significantly decreased compared to before the intervention (P < 0.001). Repeated measures testing showed that mean scores for frequency and duration of pain decreased significantly during the 12 weeks of intervention, as well as during the 24 weeks of follow-up (P < 0.001).. The results suggest the effectiveness of self-management programs on the reduction of pain, fatigue, anxiety, depression, and stress in sickle cell patients. Therefore, self-management programs are advisable in order to empower patients and assist their management of health-related problems..

Chronic obstructive pulmonary disease (COPD) is currently the fourth cause of mortality worldwide. Patients with COPD experience periods of dyspnea, fatigue, and disability, which impact on their life. The objective of this study was to investigate the effect of short‑term inspiratory muscle training on exercise capacity, exertional dyspnea, and pulmonary lung function. A randomized, controlled trial was performed. Thirty patients (27 males, 3 females) with mild to very severe COPD were randomly assigned to a training group (group T) or to a control group (group C). Patients in group T received training for 8 weeks (15 min/day for 6 days/week) with flow‑volumetric inspiratory exerciser named (Respivol). Each patient was assessed before and after 8 weeks of training for the following clinical parameters: exercise capacity by 6‑min walking test (6MWT), exertional dyspnea by Borg scale, and pulmonary lung function by spirometry. Patients used training together with medical treatment. The data were analyzed using paired t‑test and independent t‑test. Results showed statistically significant increase in 6MWT at the end of the training from 445.6 ± 22.99 to 491.06 ± 17.67 meters? (P < 0.001) and statistically significant decrease in dyspnea from 3.76 ± 0.64 to 1.13 ± 0.36 (P = 0.0001) in the training group but not in the control group. The values for exercise capacity and dyspnea improved after 8 weeks in group T in comparison with group C (P = 0.001 and P = 0.0001, respectively). No changes were observed in any measure of pulmonary function in both groups. Short‑term inspiratory muscle training has beneficial effects on exercise capacity and exertional dyspnea in COPD patients.

Chronic pain is one of the most prevalent symptoms in patients with acute leukemia and can affect patients'' Quality of Life (QOL) that is a significant factor in assessment of cancer treatments. Also, the goal of curing hematological malignancies is to reach to increased survival and improvement of patients; and this goal will be fulfilled when QOL in patients is promoted.. The present study aimed to investigate the correlation between chronic pain and Health-Related QOL (HR-QOL) in patients with acute leukemia under chemotherapy in Ahvaz City, Iran..Patients and This descriptive-analytical study was performed on 90 patients (age range, 18 - 50 years) with acute leukemia under chemotherapy referred to Shafa Hospital in Ahvaz, Iran. The participants were selected through convenient sampling. The outcome measures included the Iranian version of the Short-Form 36 (SF-36) health survey, Numeric Rating Scale (NRS) for assessing the pain, and demographic questionnaire. Data analysis was performed using ANOVA, t-test, chi-square, with the significance level of 95%.. The average of pain severity was 6.03 ± 2.06, and the total average of HR-QOL was 46.83 ± 3.62, and the lowest average belonged to physical function (42.17 ± 25.75). No significant difference was found in the average pain between the two genders (P = 0.487); however, there was a statistically significant difference between HR-QOL and gender (P = 0.005). Moreover, no significant difference was detected between the average pain severity and acute leukemia type (P = 0.152). The findings also revealed a significant relationship between pain severity and aspects of HR-QOL, So that, all aspects of QOL were decreased with increased pain severity.. The results of the study indicate that chronic pain and HR-QOL in patients with acute leukemia in Ahvaz are in a very adverse condition and require serious reform. The findings of the study can be helpful in the clinical decisions and health care programs to the therapeutic team..

Patients with sickle cell disease suffer from various complications during their lifetime and have to adapt themselves to this chronic disease through promoting their self-management and preventing complications of the disease. Chronic disease self-management programs are a combination of strategies that increase self-efficacy and promote self-management behaviors. The present study aimed to determine the effectiveness of self-management programs on self-efficacy in patients with sickle cell disease. In the present quasi-experimental study، 53 patients with sickle cell disease admitted to the Thalassemia Clinic of Shafa Hospital of Ahwaz entered the study through the census method. The self-management program was implemented in two individual training sessions، a large group training session and two small group training sessions over 12 weeks. The patients'' self-efficacy was assessed before the intervention، at the twelfth week and then the thirty-sixth week using the sickle cell self-efficacy scale (SCSES). Data were analyzed in SPSS/19 using descriptive statistics، including the chi-squared test، the t-test and the repeated measures test. The repeated measures test and the analysis of variance showed a significant difference between the overall scores and the scores obtained for the self-efficacy sub-groups in the twelfth week and the thirty-sixth week following the intervention compared to before (P<0. 001). The results of this study showed that self-management interventions are effective in promoting self-efficacy in patients with sickle cell disease. The use of self-management programs is therefore recommended for changing behaviors and promoting self-efficacy in these patients.

One of the problems of the patients with chronic obstructive pulmonary disease (COPD) is the weakness of the respiratory muscles that causes oxygen desaturation at rest and activity and decreases exercise tolerance.. This study aimed to investigate the effect of inspiratory muscle training on arterial oxygen saturation (SPO2)..Patients and Forty patients with mild to very severe COPD were recruited for this study, which is a randomized control trail. The patients were randomized to IMT (inspiratory muscle training) and control group. Training was performed with Respivol (a kind of inspiratory muscle trainer) for 8 weeks (15 min/d for 6 d/week). SPSS software version 16 was used to analyze the data by performing independent t test, paired t test, and Fisher exact test.. Results showed that, after 8 weeks of inspiratory muscle training, there was a little increase (but not statistically significant improvement) in SPO2 (from 92.6 ± 8.71 % to 95.13 ± 7.08 %, with P = 0.06), whereas it remained unchanged in the control group (from 96.0 ± 3.46 % to 96.4 ± 3.35 % with P = 0.51). No statistically significant difference was seen between the two groups (P > 0.05).. Although inspiratory muscles training can prevent desaturation, which is caused by activity, it fails to improve it..

Patients with sickle cell disease suffer from various complications during their lifetime. In order to cope with the disease, they must adapt themselves to a complex set of behaviors that promote self-management and prevent complications associated with the disease. Chronic disease self-management programs are a combination of strategies that increase self-efficacy and promote self-management behaviors.. This study aimed to determine the effectiveness of self-management programs on self-efficacy in patients with sickle cell disease..Patients and In this quasi-experimental study, 69 patients with sickle cell disease who were referred to the Thalassemia Clinic of Ahvaz Shafa Hospital were entered into the study through the census method. Then, the self-management program was implemented using the 5A method for 12 weeks. The Levels of pre and post intervention self-efficacy were assessed using the sickle cell self-efficacy scale (SCSES), while descriptive statistics, paired t-test and Wilcoxon test were used to analyze the data.. Before the intervention, the majority of subjects (50.7%) had moderate self-efficacy, whereas after the intervention, the majority of patients (81.2%) showed high self-efficacy. The overall scores and scores of the post-intervention self-efficacy sub-groups were significantly increased (P < 0.001).. The results of this study showed that self-management interventions are effective in promoting self-efficacy in patients with sickle cell disease. Thus, the use of self-management programs is advisable to change behaviors and promote self-efficacy in such patients..

Unrelieved pain after surgery can lead to increased postoperative complications, prolonged hospital stay and delayed recovery. Patient-controlled analgesia (PCA) has emerged as a standard technique to manage acute postoperative pains.. The current study aimed to compare the effect of PCA and routine method on Intensity of post-operation pain in abdominal surgeries..Patients and It was an interventional study conducted on thirty patients admitted to Amir-al-momenin Hospitalin Ahvaz, Iran, in 2009. About 60 patients participated in the current study. The patients were randomly divided into two groups. The intervention group used PCA devices and the control group received the routine pain relief protocol. Measurement tools were demographic characteristic questionnaire, check list of vital signs and adverse effects and visual analog scale (VAS). Vital signs, pain severity, drug consumption and adverse effects were assessed every six hours during 24 hours after surgery. Then data were analyzed by SPSS version 16,χ2, and t-test. There was a significant difference between the mean of pain severity and the amount of medications used by patients after surgery (P≤0.001). But there was no significant difference between vital signs and side effects between the two groups.. These findings indicate the usefulness of PCA compared to the routine methods on pain relief after operation.Therefore this method can be recommended to alleviate postoperative pain..

In recent years, the need to revise current methods and using new methods of education and evaluation has been seriously considered. Aim of this study was comparing nursing student's satisfaction towards using portfolio and routine education and evaluation methods in clinical training. In this clinical trial study, all of 6th semester nursing students of Jundishapour University of Medical Sciences of Ahvaz have been classified into 4 groups according to the department planning. They have been selected by the portfolio and routine method to course of apprenticeship. They have been trained with a routine method in a setting and with portfolio method in another setting and then they have been evaluated. Then, the level of satisfaction of two above-mentioned educational methods has been tested by satisfaction questionnaire made by researcher which had verified reliability and validity. In cases which were similarity of existing subjects in education method and evaluation sheets with encountered clinical experiences, making interest and motivating for students partnership in learning, making motivation for using the books and other scientific resources, helping to find deficiencies and their compensating during apprenticeship, being the alignment of subjects in portfolio method with educational objectives, and learning degree, the rate of satisfaction in portfolio method was higher and significant (P<0.01). The score average of satisfaction in portfolio method (29.83±2.25) was higher than common method (27.89±3.06), and was significant (P<0.01). More satisfaction of students in some aspects of portfolio method shows the advantages of this new method and can use it as a combined training-evaluation student-centered method.

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.

Multiple sclerosis is one of the lifestyle-altering diseases that cause frequently progressive disabilities. The objective of this study was to evaluate Collaborative care model effect on Multiple Sclerosis (MS) patients'' lifestyle. In this clinical-trial study, 80 patients with multiple sclerosis which having the inclusion criteria were randomly assigned to case and control groups by block randomization method. The questionnaire of lifestyle of patients with MS Was used as a data collection tool. Following gathering data in the pre-test stage, the steps of collaborative caring model (Motivation, Readying, Involvement and Evaluation) were implemented for case group for three months. The post-test was carried out one month after the intervention. The obtained data were analyzed by SPSS version-19 and inferential statistical tests (T-test, Repeated measures, and Mc Nemar''s test). Subsequent to the intervention, case group had a better lifestyle; and data analysis between two groups showed a significant difference between the means of lifestyle score in all dimensions except the sleep dimension (p≤0. 016). The results showed effectiveness of collaborative care model to improve lifestyle of patients with MS; therefore this model can apply by health staff to improve the lifestyle of patients with MS.

Aging is a critical period of life and elderly population is growing rapidly. Diabetes is one of the most common chronic diseases in older people and involving people in treatment process who has central role in disease control. This study performed to assess self-care behaviors and related factors in elderly patients with diabetes. A cross-sectional study was performed on 200 diabetic patients referred to Golestan Diabetes Clinic in Ahvaz, 2012, who were selected by convenience sampling. Information was collected and evaluated based on questionnaire Summary of diabetes self-care activities, with scores of 0-91 in both section, personal data and self-care behaviors. The study population included of 117 female (58.5%) and 83 men (41.5%), with a mean age of 63.67±6.5, respectively. 46% were illiterate, 69% married, 54.5% housewife and 20.5% were retired. Average of self-care score was 44.04. The blood sugar of 23% was not monitored. Exercise was perform two days a week in14.5%. Foot care was not taken in 9.5% of people. There was positive association between total scores of self-care and duration of disease, education and having previous training (p=0.001), but sex was not associated with total self-care scores (p=0.27). The results of this study showed that self-care behaviors in the elderly diabetic patients in Ahvaz was poor and special attention to the educational needs of this patients and planning is necessary.

Multiple sclerosis is one of the lifestyle-altering diseases that cause frequently progressive disabilities. The objective of this study was to evaluate Collaborative care model effect on Multiple Sclerosis (MS) patients'' lifestyle. In this clinical-trial study, 80 patients with multiple sclerosis which having the inclusion criteria were randomly assigned to case and control groups by block randomization method. The questionnaire of lifestyle of patients with MS Was used as a data collection tool. Following gathering data in the pre-test stage, the steps of collaborative caring model (Motivation, Readying, Involvement and Evaluation) were implemented for case group for three months. The post-test was carried out one month after the intervention. The obtained data were analyzed by SPSS version-19 and inferential statistical tests (T-test, Repeated measures, and Mc Nemar''s test). Subsequent to the intervention, case group had a better lifestyle; and data analysis between two groups showed a significant difference between the means of lifestyle score in all dimensions except the sleep dimension (p≤0. 016). The results showed effectiveness of collaborative care model to improve lifestyle of patients with MS; therefore this model can apply by health staff to improve the lifestyle of patients with MS.