جستجوی مقالات مرتبط با کلیدواژه "مراقب بیمار" در نشریات گروه "پزشکی"

Stroke is the second cause of death and the third cause of disability in the world. This study was conducted with the aim of investigating the effect of providing a spiritual care program in the form of WhatsApp and telephone follow-up on the quality of life of stroke patients and their caregivers after discharge from the hospital.

This research was conducted on 64 stroke patients and their caregivers being discharged from Hospital in the year 1400. They were randomly divided into two groups of 32 people. The spiritual care-educational program was presented to the patients and their caregivers in the intervention group, and follow-up was done by phone. The information of the patients and their caregivers was collected using the demographic information questionnaire, the Williams stroke-specific quality of life questionnaire (SS-QOL) and the SF-36 quality of life scale in the three stages before, immediately and six weeks after the implementation. The data were analyzed by using independent t-test and variance of repeated observations with SPSS version 20 software.

The results showed that the total quality of life score of the intervention group patients after the intervention with a mean and a standard deviation of 191.09±39.23 and their caregivers with 72.87±18.19 compared to before the intervention increased significantly (P < 0.05). Also, the average scores of patients and their caregivers' quality of life in the almost of areas increased significantly after the implementation (P < 0.05).

According to the findings, this spiritual care program has a positive effect on the quality of life of stroke patients and their caregivers. Therefore, spiritual intervention through WhatsApp and telephone follow-up can be considered as a suitable tool to improve their quality of life.

Expressing bad news in medicine is one of the most important measures taken by medical staff that should be given to patients in special circumstances that it is necessary to examine the views of companions and patients in this regard. Therefore, the aim of this study was to investigate the necessity and manner of expressing bad news (incurable cancer) from the perspective of cancer patients in the radiocanology clinic.

This study was performed on 200 patients. The information of the registered people and the necessity and how to express the bad news were also recorded. Data were then compared based on Chi-square and Fisher tests.

The findings of our study showed that 86.5% agreed to be informed of bad news, 66.5% believed that the patient should be aware of the bad news, 74% believed that if the patient does not want information to anyone To give another, 62.5% agreed to be present when telling bad news to relatives and 41% agreed to lie to the patient. It was also found that 54% believed that relatives should be informed about the news first, 53% believed that the doctor should tell the bad news, 73.5% believed that it should be told in a secluded place, 38% believed that the news should be reported immediately afterwards. 65% believed that information should be given depending on the patient's desire and 84.5% said that it should be reported in person.

Most people believe that the patient should be informed about the bad news, but the method of presentation is also important and according to the findings of the present study and determine the specific conditions that people are considering And by educating physicians, it improved bad news for individuals and patients.

 Caring for elderly with Alzheimer can lead to the development or exacerbation of many physical and psychological problems for caregivers. The purpose of this study was to assess the anxiety and depression in caregivers of elderly with Alzheimer.

This was a cross-sectional study of 315 caregivers of elderly people with Alzheimer in Tehran, Iran. Data were collected by demographic questionnaire, the Beck Anxiety Inventory and the Beck Depression Inventory. Descriptive statistics were used for data analysis.

The mean and standard deviation of caregivers’ anxiety was 12.61± 10.48 which was significantly higher in women than men (p = 0.004). The mean and standard deviation of caregivers’ depression was 13.23 ± 9.52 which was significantly higher in women than men (p = 0.001). The results of t-test and one-way analysis of variance showed that there was a significant difference between total anxiety score by gender, caregiver-to-elderly ratio, health status and caregivers’ income status (p = 0.001). There was also a significant difference between the overall score of depression and marital status, gender, income and caregivers health status (p = 0.001).

The study showed that Alzheimer's caregivers experience mild to moderate levels of anxiety and depression. The findings suggest strategic planning to increase social support among Alzheimer's caregivers is essential.

One of the main issues in mental health system is the assessment of patients and their carers’ needs. The objective of this study was to determine the validity and the cultural adaptation of the Carers’ Needs Assessment for Schizophrenia (CNA-S) and assessing the needs of families of bipolar and schizophrenia spectrum patients. CAN-S is included 18 items of carers’ needs. After translation, all items of test were discussed between two different focus groups (psychiatrists and families of patients). Then a semi-structured interview according to the final questionnaire was performed in 50 family members of patients (diagnosed bipolar disorder and schizophrenia spectrum) selected by available sampling. Data was analyzed using SPSS-17 and descriptive statistical methods, alpha Cronbach's Alpha and Kruskal Wallis tests. No item was omitted or added by each focus group. Based on CAN-S-Farsi version, 79.88% of families of patients considered all of the 18 items as “serious and severe” and 92.84% of them considered at least one of the suggested interventions as helpful for each problem.There was no significant difference among needs of three groups of the family members of patients with diagnosis of bipolar disorder, schizophrenia or schizoaffective except in one item.Cultural adaptation of this instrument could assess the needs and possible interventions for families of patients with severe mental disorder. The questionnaire may be useful for the researcher in future studies as well as professionals working in mental health field.