جستجوی مقالات مرتبط با کلیدواژه « care program » در نشریات گروه « پزشکی »

Diabetes mellitus is a spreading disease in the world. Despite the effective role of supportive resources in diabetes management, there is currently no documented plan for the use of these resources in diabetic patients. So the research team, while designing a support resource-based care program based on qualitative study and systematic review, conducted the present study with the aim of validating the program in people with type 2 diabetes mellitus using the Delphi method.

This is a methodological study conducted to validate the Delphi care program. Panel members included 15 experts in the field of diabetes, who were selected by the snowball method. The data collection tool was a structured questionnaire with 38 questions that were designed based on different parts of the care plan. The data was analyzed using SPSS software (version 18), and the percentage of agreement with the questionnaire dialects continued until a consensus was reached.

In the first round of Delphi, the preliminary draft of the care plan was drafted and amended based on the suggestions and corrective opinions of the participants. Then the contents of the questionnaire questions were prepared. In the second round of Delphi and the consensus on the dialects of the questionnaire, the percentage of agreement of the members of the expert panel based on the questionnaire questions was obtained at 93.5.

Given that the scientific and practical acceptability of the care program based on support resources, based on the questions raised in the present study, was "very high" and "high", it is recommended that this program be used to design and complete related programs at the national level.

The Comprehensive Child Development Center was established in 2012 in the center of Isfahan province to rapidly identify and intervene in the developmental problems of children. The aim of this study was to evaluate the implementation of this program.

This was a descriptive-analytical study conducted based on the framework for evaluating public health programs established by the Center for Disease Control and Prevention of United States of America with regard to evaluation of infrastructure, process and outcome. The infrastructure’s checklist included an area of land, equipment, workforce and equipment completed with presence of researcher at the center. Process and outcome evaluation was performed for 127 registered children during 2019. A satisfaction questionnaire was completed in person or remotely by parents of 144 children referred to the center in 2019 and 2020. Data were analyzed using descriptive statistics and independent t-test, and one-way ANOVA was carried out through SPSS 16 software.

The overall compliance of infrastructure with standards was 75.42%, with the highest compliance related to the equipment and the lowest related to the specialized workforce. The degree of compliance of the process compared with the standard one varied in different dimensions. 6.30 % of the children were cured and 76.38 % quit treatment. The most common reasons for treatment discontinuation were lack of appointment (29.53 %) and long distance (18.12 %). The overall satisfaction score was 83.90 ± 14.08. The satisfaction of the parents who completed the questionnaire in person was higher than those who completed the questionnaire remotely.

The results of this study revealed that the rate of complete cure is low and the rate of treatment discontinuation is high, whose main reasons were the lack of appointment to admit children with developmental disorders and long distance. It is suggested that, in order to solve the problem, the Ministry of Health establish more centers and provide the required workforce.

The birth of a premature baby can change all the emotions of parents and replace stress. It is necessary to identify the factors that aggravate and relieve maternal stress and adopt strategies to reduce it. The aim of this study was to analyze the effect of supportive care program based on Bandura’s self-efficacy on aggravating and stress relieving factors of mothers of neonates admitted to the neonatal intensive care unit

A quasi-experimental study was performed in 2020 on 90 mothers of premature infants admitted to the neonatal intensive care unit of a Hospital in Shahrekord by convenience sampling method. The experimental group has received an educational intervention based on the theory of self-efficacy in four two-hour sessions with the presentation of an educational booklet. Data were collected using a self-designed questionnaire before and after the intervention in both groups and were analyzed using SPSS software version 24 performing paired t-test, independent t-test, and Chi-square.

The results showed that the mean score of stressors in mothers of preterm infants in the control group decreased from 42.73 ± 6.26 to 42.62 ± 7.09, which was not statistically significant (P= 0.906) while in the experimental group it was decreased from 48.78 ± 4.36 to 25.33 ± 4.84, which was statistically significant (P <0.001). The mean score of soothing agents for mothers of preterm infants increased from 2.98 ± 2.61 to 3.07 ± 2.29 in the control group which was not statistically significant (P = 0.415) and in the experimental group it was increased from 4.51±1.72 to 7.29 ± 1.16, which was statistically significant (P <0.001).

Based on the findings of the study, it is recommended to implement interventions to make parents of premature infants, especially mothers ready to face the baby in the intensive care unit.

Congenital heart disease is one of the most common congenital disorders in children. It has many adverse effects on all family members. In particular, caregiving of these children can be a great burden on the parents, especially mothers. This study aimed to determine the effect of a care program on the burden of caregiving mothers of these children.
This study is a quasi-experimental research, conducted for three months on 60 caregiving mothers (30 mothers in the control group and 30 in the experimental group) of children undergoing congenital heart disease surgery, selected via convenient sampling in Chamran hospital of Medical Sciences university in isfahan from Jan 2017 for three months. the beginning of the study, the burden of care was measured through ZARIT questionnaire. Four weeks after the intervention, the burden of care was measured again in both groups.
Findings:Mean scores of caregivers’ burden were 56.3 and 55.5 in the control and experimental groups before the intervention (P Care programis recommended as an effective solution to reduce burden of care of mothers of children undergoing congenital heart disease surgery.

Chronic renal failure and hemodialysis can lead to numerous self-care deficits in patients. Promotion of psychological self-care behaviors can help patients maintain their mental health and well-being. The present study was performed to determine the impact of a self-care program, based on Orem’s Self Care Model, on psychological self-care deficits in hemodialysis patients.

In this quasi-experimental study, carried out in 2013, thirty-six hemodialysis patients were selected via convenience sampling from the hemodialysis ward of Vali-e-Asr Hospital in Birjand, Iran. Data were collected, using a self-care deficit questionnaire, which was designed based on Orem’s Self-Care Model. After confirming its validity and reliability, the questionnaire was completed during interviews. By considering the subjects’ self-care deficits, the program was carried out via face-to-face interviews. One month after the intervention, the questionnaire was filled out again. Descriptive and inferential statistics were calculated by SPSS version 17. P-value ≤ 0.05 was considered statistically significant.

As the findings showed, psychological self-care deficits included knowledge deficit related to effective relaxation techniques and anger management via problem-solving, inability to use relaxation techniques and anger management via problem-solving, deficit in using positive sentences, deficit in expressing emotions toward family and friends, social isolation, grief, and despair. Before the intervention, the majority of patients (n=33, 91.7%) had knowledge deficit related to effective relaxation techniques, deficits in anger management via problem-solving, and inabilities to use relaxation techniques. However, after the intervention, the number of patients with knowledge deficit reduced to 13 (36.1%) (P< 0.001), and the number of subjects with deficits in using relaxation techniques decreased to 18 individuals (50%) (P=0.001), according to McNemar’s test.

The present study showed that a self-care program, based on Orem’s Self-Care Model, can significantly reduce psychological self-care deficits in hemodialysis patients. Therefore, nurses can apply self-care programs based on Orem’s Self-Care Model to improve patients’ mental health.

Healthy diet is one of the most important matters in Diabetes and the patients themselves have the main role in this area. In interventional trainings in Iran، the patients with diabetes are less entered into training programs. Therefore، the aim of this study is to investigate the effect of teaching based collaborative care model on diet of patients with Diabetes type II. This study is a single-blinded randomized clinical trial which was done in Educational Center of Diabetes of Tabriz. The sample consisted of 40 patients with diabetes who were randomly divided into two groups of experimental (20 patients) and control (20 patients). At first، the patients took the pre-test and then collaborative testing was held for seven one-hour sessions for the experimental group including the stages of motivation، preparation، engagement and evaluation. Also، three months after the collaborative program، patients of both groups took a post-test. Life Style Questionnaire (LSQ) was used for collecting data. The data were entered into SPSS13 and analyzed by descriptive and inferential statistics. The results of the study showed that after performing the intervention، the patients of the experimental group reported better performance in compare with control group in items related to using snacks between main meals (p= 0. 05)، liquid fats (0. 01)، animal fat and butter (p=0. 04)، fruit (p=0. 001)، vegetables (p=0. 03)، fish (0. 02). According to the results، it is recommended to use collaborative care model for training Diabetes type II.