leila shojaee

Coping strategies can predict breast cancer patients’ emotional well-being.

The aim of this systematic scoping review was to investigate the effect of coping strategies-oriented interventions on coping skills in breast cancer women.

A systematic scoping review was conducted using a broad search across PubMed, Scopus, Springer, Elsevier, Cochrane Library, Science Direct, Web of Science, Magiran, Scientific Information Database, and Google scholar from 2009 - 2018.

Clinical or quasi-experimental trials using interventions and control groups on the coping strategies-oriented interventions in breast cancer women in English or Persian were included.

Two independent researchers selected the final papers. In the case of a disagreement, the third researcher made the final decision. The quality of the included studies was assessed using the Jadad scale.

The coping strategies-oriented interventions were classified into four main categories: psychological interventions, such as cognitive-behavioral therapy, mindfulness, coping therapy, self-management, and psychoeducation; spiritual-religious interventions; social interventions, such as family therapy; and complementary interventions, such as acupuncture. Most interventions improved the coping skills of the studied women. Based on the Jadad scale, only two studies had good quality.

Considering that most interventions improved the coping skills of breast cancer women, it is suggested that healthcare providers be proficient in examination techniques that maximize the patient’s coping skills. However, there remains a need for further culture-based research to adopt the best interventions and make changes in policy.

Stress management of patients with breast cancer, especially patients receiving chemotherapy is one the goals of service providers all over the world. This review aimed at investigating the effect of non-pharmacological interventions on stress of women with breast cancer undergoing chemotherapy.

In this systematic review, electronic databases including Google Scholar, PubMed, Scopus, Springer, Web of Science, Science Direct, Cochrane Library, Magiran, Scientific Information Database, and Iranian Registry of Clinical Trials were searched. The search keywords were Distress, Stress, Chemotherapy, Breast Cancer, and Non- Pharmacological Intervention in both Persian and English. A total of 74,590 articles were found from which nine were selected after removing the duplicate and irrelevant articles and using Jadad scale to screen the methodological quality of the articles.

Findings were classified into two main categories: psychological interventions, including Problem solving and Cognitive Behavioral Therapy and Complementary medicine interventions including: music therapy, Reiki therapy, yoga, and physical exercise. Most of the modalities reduced the stress in patients studied.

Non-pharmacological interventions could reduce stress in breast cancer women undergoing chemotherapy, therefore, they should be informed with the benefits of this approach and have the right to select an appropriate method. To achieve this goal care providers empowerment is highly necessary.

Background and Despite of many improvements which have been happened in abdominal wall hernia repair but there are differential Ideas about the best method of hernia repair. Umbilicus is the most weaken of abdominal wall and Umbilical hernia is a common complication of adult population. It is multifactorial disease but the most important factors are chronic abdominal pressure and weakness of facia. There are two methods in repair. Mayo and tension free repair with mesh. The latter is associated with less recurrent and more effective and it is choice of abdominal wall hernia repair in large defects (≥3-4 cm) but small defects repair with Mayo technical.after primary repair (Mayo) rate of recurrent is range from %10-%30. because there is high recurrent rate in Mayo repair we did this study about using of mesh in the patients with umbilical hernia and small defect (<=1). Between oct 2006-apr 2008 we performed a randomized clinical trial in 80 patients referred to department of surgery of the Imam Khomeini hospital in Sari-Iran which were candidate for umbilical hernia repair. patients divided to case and control groups randomly and were followed up by physical examination abouth infection and recurrent and other potential risk factors then analized byspss soft ware and kai-squer study. Among 40 patiants with Mayo repair there were infection in 3 patiants and recurrence in 7 patiants but infection and recurrence is not seen in mesh repair group. There were meaningfull statistical difference between the groups in recurrence (% 17.5 in Mayo repair and zero mesh repair). Between 2 groups of patients with umbilical hernia and small defect mesh repair is bether than Mayo repair and recommend to use of mesh in repair of patients with umbilical hernia at any size if there is risk factors obesity, multiparity and other causes of high abdominal pressure.