فهرست مطالب kamran mirzaee

Pain causes mental-psychological injuries in babies by affecting neuronal development. This study was conducted to evaluate effect of music therapy and Swaddling on physiological indicators and pain intensity caused by blood sampling in preterm neonates.

Method and Materials:

 This randomized controlled clinical trial was performed on 51 preterm neonates admitted to NICU of Persian Gulf Hospital in Bushehr. The newborns were divided into music, swaddling and control groups by random block allocation method. For neonates in music therapy group, music was played from 5 minutes before to two minutes after blood sampling, while neonates in swaddling group were swaddled with a thin sheet from 10 minutes before blood sampling to two minutes after. In all groups, HR and o2sat were measured 30 seconds before, during, 30, 60, 90, 120 seconds after blood sampling. Also, from 30 second before blood sampling to 2 minutes after, neonates' faces were filmed and pain assessment checklist was completed each 30 seconds. Data analyzed using Kruskall Wallis H and ordinal regression tests.

There was a significant difference between pain score in intervention groups, so that pain score in Swaddling group was lower than music group at 90 and 120 seconds. In intervention groups, HR changes were lower than control group. No significant difference was observed between three groups regarding o2 saturation.

Results showed that swaddling and music therapy can reduce pain caused by blood sampling and keep vital signs more stable, but swaddling has a greater effect on reducing pain in newborns.

In daily clinical practice two useful tools for calculation of hemodialysis adequacy are Urea Kinetic Modeling and Urea Reduction Ratio (URR). The amount of dialysis that a patient receives can impact morbidity and mortality. The main goal of this research is investigating of dialysis adequacy in patients undergoing dialysis in hemodialysis ward. This descriptive study was performed on 93 patients admitted in hemodialysis ward.Pre- and post-dialysis blood samples for measurement of BUN levels were obtained according to 2006 National Kidney Foundation guidelines.kt/v Daugirdas formula and URR were used to assess the adequacy of hemodialysis. Data was analyzed by parametric and non parametric tests using the spss version 19 software. The results of the study show that 59.1 % patients were kt/v &rsaquo1.2 and 53.8% of them were URR&rsaquo 65%. The mean of kt/v and URR were 1.35±0.53 and 66.15%±12.48 respectively. The minimum and maximum kt/v indices were 0.20 and 4.02 and The minimum and maximum URR were 11.50% and 95.10% respectively. according to the dialysis adequacy indices (kt/v and URR) more than 40% of patients admitted to this Hemodialysis ward received inadequate hemodialysis services that need more supervision and follow up.

Depression and death anxiety are common problems in patients with cancer that can affect mental health of these patients. On the other hand, spiritual wellbeing recently has been considered by researchers as a factor that has influence on other aspects of health.
The aim of this study was to investigate the relationship between spiritual wellbeing and depression or death anxiety in cancer patients (2015).
In this cross-sectional study, a total of 200 cancer patients who referred to medical centers of Bushehr, were selected by convenience sampling. Data were collected using valid and reliable questionnaires, Paloutzian Ellison spiritual Wellbeing, Beck depression and Templer death anxiety. Data were analyzed using SPSSv.18, descriptive statistical methods (frequency, mean, standard deviation) and analytic methods (Pearson correlation coefficient and Manwhitney).
The results showed no significant relationship between total score of spiritual wellbeing or its religious dimension and depression, while there was a significant relationship between mean score of existential dimension of spiritual wellbeing with depression (r=0.160, p=0.024). Results showed that there was a significant negative relationship between spiritual wellbeing and the death anxiety (r=-0.229, p Findings indicated that by increasing spiritual wellbeing, death anxiety reduced in patient with cancer. It seems that a comprehensive care program encompasses spiritual wellbeing, is more effective in reducing psychological problems in these patients. Keywords: spiritual wellbeing, depression, death anxiety, cancer