shahriar salehi tali

The emergence of some medium—and long-term outcomes following the acute phase of the disease, known as "long COVID-19," poses a challenge to medical science. This study aimed to determine the health status of COVID-19 patients after discharge.

This is a descriptive-analytical cross-sectional study. The research population included all COVID-19 patients hospitalized at Hajar Educational and Medical Center in Shahrekord over three months. The data collection tool was a questionnaire assessing the health status of patients six weeks after discharge. Data analysis was performed using SPSS23 software and descriptive and analytical statistical tests, including Fisher’s exact test and independent t-test.

The total number of hospitalized patients was 160. Among them, 21 patients had died, and 72 patients either did not respond to the phone call or provided unreliable information. Ultimately, data were collected from 67 patients. In examining the complications of COVID-19, 34.4% of the study samples reported weakness and fatigue, 13.4% cough, 8.9% dyspnea, and 1.4% skin complications. A significant correlation was observed between the gender variable with dyspnea and cough variable (P=0.001) and between the gender variable with weakness and lethargy variable (P=0.05). In the correlation analysis between the variables of hypertension, diabetes, lung diseases, overweight, brain diseases, and remdesivir drug injection, a significant relationship was observed with COVID complications.

The COVID-19 pandemic is not over, and many sufferers suffer from prolonged covid. Gender and underlying diseases are some of the most important underlying factors in the long-term COVID-19. Creating post-COVID care systems for these patients is highly needed and recommended.

Admitting a child to a pediatric intensive care unit (PICU) brings various physical, psychological and social consequences for parents. Supporting parental self-efficacy is a step to ensure successful implementation of pediatric care. Therefore, it is necessary to provide appropriate interventions to reduce anxiety and stress and improve self-efficacy of parents. Although mobile-based education has been used for patients in many studies, its use for family caregivers of children admitted to PICU is limited. This study aims to assess the effect of a mobile-based educational program on the anxiety and self-efficacy of mothers with children admitted to PICUs in Iran.

In this quasi-experimental study, participants were 60 mothers of children admitted to the PICUs of hospitals in Shahrekord, Iran from April to August 2022. They were selected using a convenience sampling method and were divided into two intervention and control groups. The intervention group received a mobile-based educational program for four days, one session per day, each for  60 minutes. For the control group, routine education was given by the ward nurses. Data were collected by Spielberger’s state-trait anxiety inventory and Schwarzer & Jerusalem’s general self-efficacy scale. Data were analyzed using descriptive and inferential statistics.

The mean self-efficacy score in the intervention group increased significantly compared to the pre-intervention score (from 19.60±4.01 to 21.87±5.13; P<0.001), but no significant difference was observed in the control group (from 18.53±4.23 to 19.30±5.40; P=0.393). In the intervention group, the mean anxiety score decreased significantly compared to the pre-intervention score (from 47.33±5.52 to 43.63±5.27; P=0.001) but no significant difference was observed in the control group (from 48.30±6.88 to 46.43±9.02; P=0.131). There was no significant difference between the two groups in anxiety and self-efficacy scores before and after the intervention (P>0.05).

Nurses can reduce anxiety and increase the self-efficacy of mothers of children admitted to PICUs by using other measures along with virtual education, which requires more research in this field.

 Cancer has significant effects on the lives of cancer patients and their families, so effective communication skills are an integral part of the process of caring. This study aims to investigate the effect of Peplau’s Therapeutic communication model on body image and pain among cancer patients.

The present research is a quasi-experimental study conducted with the attendance of 64 cancer patients undergoing radiotherapy in Shahrekord Parsian Hospital in 2020-2021. First, the research units were selected purposefully and then randomly assigned to intervention and control groups. In the intervention group, Peplau’s nursing model was done in four stages individually. Data collection tools were a demographic survey questionnaire, McGill Pain Questionnaire, and Body Image Questionnaire (MBSRQ). The mean scores before, immediately after, and three months after were compared using SPPS version 24 software.

Before interfering, the results of the study indicated the standard deviation±mean of body image scores in control and intervention groups were respectively 204.81±2.79, 206 (217-75.187)+that were not significantly different from each other (P≥0.568). Whereas these scores immediately and three months after had statistically significant differences from each other (P<0.01). The results also indicated that the Standard deviation±mean of pain scores in control and intervention groups were 59.56±0.793 and 58.25±0.627 were not significantly different (P≥0.248). However, these scores immediately and three months after had statistically significant differences from each other (P<0.01).

The findings of this research showed that implementing Peplau’s theory can improve body image and decrease pain in patients. Due to this program’s effectiveness, low cost, and safety, it is recommended for consideration in the nursing care program

Although stenting for the treatment of large and multiple common bile duct stones has been acceptable to everyone, its efficacy and outcome have not been studied in comparison with other endoscopic procedures. The purpose of this study was to compare the consequences of stenting and endoscopic papilla balloon dilatation for the treatment of large and multiple common bile duct stones.

In a double-blind clinical trial, of 431 patients with bile duct stones referred to the treatment center, 64 patients with multiple common bile duct stones ( ≥ 3) and more than 15 cm were selected for the study, then by random allocation rule the participants were allocated in two groups. They were entered into two different endoscopic papillary balloon dilatation (EPBD) and common bile ducts stenting treatments so that both procedures were performed by a person. Both groups were assessed from the point of views therapeutic outcomes such as duct cleaning, pancreatitis, isolated pain, and duct rupture. Data were collected by a self-made questionnaire that was used before and after the procedure to obtain the needed information. Then data were analyzed using SPSS software version 22 and descriptive and analytical tests were used as appropriated.

Although the duct cleaning and the complete removal of the stones in the stenting treatment procedure was 93.8%, and in EPBD was 78.3%, no significant difference was observed between the two groups (p = 0.14). Pancreatitis significantly increased after the first and second endoscopic retrograde cholangiopancreatography (ERCP) in the stent group compared with EPBD (p = 0.02). Also, the most frequent cases of isolated pain were in the endoscopic group EPBD (p = 0.0). However, the occurrence of perforation after first ERCP and EPBD was zero, but in the second stage of ERCP, 3.3% of the patients had perforations (p = 0.99). The results indicated that the shape of the stone (circular and angled) was not effective in the result of treatment in the two groups.

The results of this study indicated that in case of experience and skill in conducting the ERCP, common bile duct stenting is still the first line of treatment for large and multiple stones of the common bile ducts.

While the family caregivers of patients undergoing hemodialysis tolerate the burden of care, a fewer studies are available on the experiences of family caregivers of this phenomenon, therefore, the aim of this study was to explore the burden of care for patients undergoing hemodialysis from the experiences of family caregivers.
Methods. In this qualitative study, A content analysis approach was used for data collection and analysis. Participants were 17 family caregivers selected through purposive sampling from four medical education centers affiliated with Ahvaz Jundishapur University of Medical Sciences, Iran. Semi-structured interviews were held to collect data.

The high dependence of hemodialysis patients on home caregivers is a great source of care burden for them; therefore, accountability with appropriate communication as well as appropriate behavior and attention to needs of caregiver by health care team is a serious impact on care burden.
A content analysis approach was used for data collection and analysis. The participants included16 family caregivers selected through purposive sampling from 4 medical education centers affiliated with Ahvaz Jundishapur University of Medical Sciences, Iran. Semi-structured interviews were held to collect data.
Data analysis led to the emergence of 3 themes including “responsive treatment team” “negative influences of the treatment team,” and “collaborative care,” which were all incorporated into the main theme of “an effective treatment team”.
The treatment team can play an effective role in improving the caregivers’ well-being by appropriate treatment, accountability, and responsiveness to the needs of patients and their caregivers; meanwhile, it provides a better position for better care, however, it will reduce the care burden.

Background and Oxygen therapy is one of the common treatments for neonates with cardiopulmonary disease. The aim of this study was to evaluate adherence to oxygen therapy standards by nurses before, during and after using oxygen hood. In this cross-sectional study, 250 cases of nursing care were evaluated before, during and after administration of oxygen hood therapy in preterm infants. The observations were conducted according to the standards of the neonatal intensive care units (NICU) of hospitals affiliated to the Ahvaz University of Medical Sciences. The data collection tools included a self-designed checklist for nursing audit evaluating the performance of NICU nurses working by neonatal oxygen hood, and a demographic profile checklist. The data were analyzed by Chi-square and Spearman tests, using SPSS version 18. The results demonstrated insufficient adherence to the standards of oxygen therapy by 90% of the nurses before neonatal oxygen hood. Moreover, regarding the mentioned standards, 84% and 99.2% of the nurses had moderate and poor performance during and after oxygen therapy, respectively. Considering the poor performance of the NICU nurses before, during and after oxygen therapy, appropriate supervision and training programs for nurses is recommended to promote their capabilities in this regard.

Mastectomy is the most common treatment for breast cancer in Iran. Therefore, with increasing numbers of patients, evaluating their compatibility becomes apparent. The purpose of this study was to explain process of the compatibility with mastectomy in young women undergoing chemotherapy. This study is a grounded theory approach that participants were chosen purposefully based on theoretical sampling. The data were collected through semi-structured interviews and the process were continued until data saturation. The data simultaneously were collected and analyzed by using Strauss and Corbin approach. Validity of the data were confirmed based on Lincoln and Goba criteria. The findings showed that the process of compatiblity in 23 young women participating mastectomy undergoing chemotherapy can be catogorized in 5 themes including crisis (context) ups and downs (condition), and loss of identity (phenomenon), vast support (confounders), trying to rebuild lives (strategy) and the Transplantation alongside living with mastectomy, which inturn had subcategories. The study revealed that process of compliance of young women with mastectomy obeys a complex process. By paying attention to t hese patients who have the fear of sudden health loss, and change in the perception of the body image, one can understand that they experienced severe stress and limitations. Therefore, the medical team can inform this process to the patients by counseling and educating them to facilitate its acceptance and adoption.

Quality of life in congestive heart failure (CHF) patient’s comrade with declines mortality, psychosocial, physical and social restriction due to inability effect of the disease. So, the aim of this study was the assessment effected continuous caring and educational intervention (home visit) on quality of life in the CHF patients. In a clinical trial study, a total of 110 patients were selected and accidentally were put in two groups (experimental and control). Each group was equalized based on sex, age, education, living place, heart failure and ejection fraction. Then, experimental group was educated about heart failure disease, drugs being used, self care plan and life style that this educational plan followed by three home visits. In all of the patients, quality of life questionnaire (SF-36) was filled in two steps, in first study and six months after discharge. Data were analyzed using independent and pair t-tests. Before intervention, the results indicated that there was no difference in two groups base on six, age, education, living place, cardiac failure degree, ejection fraction and quality of life main score (P<0.05). But after the intervention, quality of life main score in domains physical function, limitations in usual role activities because of physical health problems, vitality, social function, body pain and general health in intervention group were greater than control group (P<0.05). Pair t-test was detected quality of life main score after six months was increased in the intervention group and decreased in the control group (P<0.05). Our results show that, nursing intervention and education in congestive heart failure patients base on need and life style improve physical status and quality of life of these patients.