جستجوی مقالات مرتبط با کلیدواژه "home care" در نشریات گروه "پزشکی"

Nowadays, the progress of surgical methods has shortened the time of hospitalization of the patients and increased the educational needs of the patients with ostomy when they return home. This study was conducted with the aim of adaptation of the clinical guideline for caring of ostomy bag at home for patients with intestinal ostomy.

This study was carried out through a multi-stage evolutionary study based on adjusted steps of the clinical adaptation standard provided by the international network of clinical guidelines at Islamic Azad University, Isfahan (Khorasgan) branch in December 2021, based on the opinions of experts using AGREE tool. Among 14 clinical guidelines, quality of 5 guidelines for the home care of ostomy bag was assessed optimal. The clinical guideline draft was evaluated by experts and target users using RAND method and finally presented as an adaptive clinical guideline.

The adaptive clinical guideline for taking care of ostomy bag at home was consisted of 95 recommendations and had two sections; “nursing care in the field of using ostomy products” and “nursing care in the field of changing the ostomy bag”.

The recommendations of this clinical guideline can be used in order to meet some of the needs of the patients with intestinal ostomy and improve their health and can be a guide for nurses working in the hospitals and centers providing home care services

As the elderly population and their needs increases, home nursing care has been proposed as an effective alternative to certain hospital services, which encounter various challenges. This study aimed to identify the challenges associated with home care nursing.

The current study is a narrative review. In the initial stage, we conducted a search for articles in both English and Farsi using Boolean operators and the keywords "Home Nursing," "Home Care," and "Nurse." And their Farsi equivalents. This search was performed across various international and national databases, including Science Direct, Web of Science, Scopus, PubMed, SID, and Google Scholar. We focused on articles published between 2003 and 2024. A total of 17 articles were examined based on the predefined inclusion and exclusion criteria, as well as their relevance to the study's objectives.

The results show that the challenges of home care are divided into eight categories, which include in order of importance, organizational, occupational, socio-cultural, economic, individual, familial, and moral challenges.

Nursing care at home faces various challenges that necessitate fundamental reforms. These reforms should address systemic shortcomings and improve interpersonal dynamics by enhancing policies, infrastructure, and nurses' training to elevate the quality and effectiveness of home care services.

One of the main components of community-based care services, which can help to involve families in patient care and self-care, is home care services. This study was conducted with the aim of reviewing the literature related to the barriers to home care in Iran.

In this systematic review, all articles related to the study objectives, published until March 2021, were examined. An extensive search using the keywords "home care", "Iran's health system" and their combination with the keywords "barriers", "implementation", "nursing" and "Iran", "Home care", "Palliative care", "Nursing home" "care", "Iranian health system" and combining with the keywords "barrier", "Iran", "practice", "nursing" in valid databases as SID, Iran Medex, Iran Doc,Magiran, Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, and Cochrane library was done. Inclusion criteria were articles in English or Farsi, quasi-experimental,questionnaire, qualitative and was relevant to the objectives of the study. Exclusion criteria were review articles, posters, speeches and letters to the editor.

Infrastructural problems such as non-availability of social platform, uncertainty of service coverage by universal insurance, non-availability of virtual communication platforms, educationalsystem problems, inter-professional and inter-departmental cooperation problems, accreditation,management factors and related to specialists and the lack of guidelines, lack of competence of some nurses in providing home care services, lack of information about the context and family culture of patients, lack of job security, unsafe home environment for nurses, unsuitable environment for performing some nursing services and Medicine was the main barriers of nursing care at home in Iran.

Nursing care plan at home is possible through policy making, reforms and providing infrastructure, defining it in Iran's health system, reassuring the people, benefiting from the capacity of mass media and medical staff, and introducing it on official websites.

Quality care in pregnancy and childbirth is associated with good results for mother and baby. The provision of some home prenatal care units reduces the stressors associated with these pregnancies and improves maternal health. The present study aimed to investigate maternal homecare for mothers and children in selected developed countries. In this review, all Persian and English articles and documents from 2006 to 2021 related to homecare services for mothers and children were reviewed using the keywords “Home care,” “Maternal child health services,” and “Home birth” in selected countries in reputable databases, namely PubMed, Web of Science, Scopus, Google scholar, World Health Organization (WHO), and Science Direct. Articles that met the inclusion criteria were extracted and analyzed. The findings indicated that in selected developed countries, there are home delivery services and periodic regular home care of mother and child after delivery, a maternity manual, and a birth package with insurance coverage or free of charge. Therefore, it appears that incorporating home delivery options, along with the provision of infrastructure and postnatal care programs for mothers and children, into the Ministry of Health's plans is imperative to enhance the quality and contentment of mothers. These services should be regularly offered, either free of charge or with insurance coverage.

The numerous problems of children with congenital heart disease (CHD) and their care burden can reduce the quality of life of parents, especially mothers. Compliance with treatment after discharge from the hospital is crucial. It is necessary to provide home care educational programs for them. Given the advance of technology and the popularity of mobile phone use, this study aims to design an educational mobile application for home care after surgery to improve the quality of life and adherence to treatment in mothers of children with CHD in Iran.

This is a study protocol on 72 mothers of children with CHD referred to the Children’s Medical Center of a hospital (affiliated to Tehran University of Medical Sciences) for surgery. The data collection tools will be a demographic form, the 36-Item Short Form Health Survey (SF-36), and Fatemi et al.’s Adherence to Treatment Questionnaire. Data collection will be done before and one month after the intervention. The collected data will be analyzed using mean and standard deviation, independent t-test, paired t-test, chi-square test, Fisher’s exact test, and Mann-Whitney U test.
Results The results will be analyzed to assess the effectiveness of the mobile-based educational intervention in improving the quality of life and adherence to treatment of mothers of children with CHD.

This is the protocol of a study that examines the effect of a mobile-based post-surgery home care training application on the quality of life and adherence to treatment of mothers. The results of such studies can help identify the faster, easier and more effective methods of patient education.

Home care is an alternative method of hospitalization, especially for chronic patients and is an innovative approach to improve care and reduce the costs of hospital readmissions. The present study was conducted with the aim of investigating the benefits and challenges of implementing the home care plan after being discharged from the hospital considering the perspective of health service recipients and providers at Tehran University of Medical Sciences in 2021.

The present study is an applied research that was conducted qualitatively using structured and semi-structured interviews. The research sample was those responsible for the implementation of this project at the ministry and university level, the implementers of this project in 4 hospitals, 5 institutions providing home care services, and family of patients. Twenty-eight people from the research community were included in the study using the purposeful and snowball sampling method. Content analysis method was used to analyze the interview data. MAXQDA2020 software was used for data classification.

The results were classified into two categories: benefits and challenges of the home care plan after discharge. A total of 61 open codes were extracted from the analysis of research interviews, so that 27 codes led to the identification of 5 themes (Including improving service delivery, reducing costs, achieving health goals, cultural and social benefits, providing the necessary infrastructure) in the benefits and 34 codes led to the identification of 7 themes (including policy-making, legal and ethical, economic, manpower, cultural-social-communication, service provision limitations and time and place limitations) in the challenges.

The result of this research showed that home care services after being discharged from the hospital play an important role in completing the provision of healthcare services. Home care services after being discharged from the hospital improves service delivery, reduces costs, and helps in achieving health goals. It also benefits patients, society and the government in various cultural and social fields. On the other hand, it seems that there are challenges in the political, legal, economic and cultural fields in the way of the optimal implementation of this plan. Therefore, planning to evaluate and solve the problems facing these services is essential.

Home-Visit is a recently growing approach for patients with chronic mental health problems. This study aimed to investigate the effectiveness of this approach in some therapeutic factors in the patients with BID.

In this randomized control trial study, among bipolar I patients discharged from Ghods Psychiatric Hospital in Sanandaj, those who met our inclusion criteria, after informed consent, randomly assigned into intervention and control groups. The evaluators were unaware of the patients' groups. The intervention group received 1-year intervention of home-care services, whereas the control group doesn't receive any intervention, except for their pharmacological treatment. Hamilton-Depression-Rating Scale and Young-Mania-Rating-Scale were used to record possible changes during the steps of our study (before, 6-months and 12-months after intervention). Data were analyzed using SPSS.

Our study included 26 patients (19 men, 7 women). 13 assigned to intervention group (Mean age= 36.15, SD=15.04), and 13 assigned to control group (Mean age=34.92, SD=5.15), which did not show any significant difference at the baseline (T=.279, p= .783). The results implied that the intervention group had significant decrease in all of the three variables, including frequency of hospitalization (p=0/001), mania (p=0/002), and depression (p=0/006), compared to the control group. These changes remained the same during the one year follow-up period.

Results showed that home-visit was effective in, decreasing the severity of the symptoms, frequency and length of hospital stay in BID patients. It seems possible that increased length of interventions can lead to better outcomes.

Cancer is a disease that affects the quality of life of the patient, and palliative care is a solution that can improve it. However, home palliative care program has not developed in most countries of the world. The aim of this study is to improve a home palliative care program for cancer patients.

Methods & Materials: 

This research is an action research study that was conducted through quantitative and qualitative approaches in Tabriz over 2018-2020. Eighteen home care nurses were selected for interviews using purposive sampling in order to identify the care needs of cancer patients and the barriers to palliative care at home. In addition, a questionnaire to determine the attitude and knowledge was distributed among 60 home care nurses before and after the action stage. The qualitative data were analyzed using conventional content analysis method, and the SPSS software version 14 was used to analyze the quantitative data.

The care needs of cancer patients were determined in five categories and barriers to palliative care in three categories. Cancer patients have physical, psychological, educational, financial and spiritual needs, and barriers to palliative care include poor instruction, families' desperation, and unprofessional caregivers. In the quantitative phase, nurses had average knowledge and negative attitude towards palliative care. Training through virtual space improved the knowledge and attitude of nurses, and the paired t-test showed that the mean score of nurses' knowledge after the action stage was significant.

according to the findings, to improve palliative care at home, the physical, psychological, educational, financial and spiritual needs of cancer patients should be considered. Removing barriers to palliative care including developing guidelines, supporting the families of cancer patients and training special nurses for palliative care at home can improve care in these patients.

In December 2019, a new disease was reported in China that spread rapidly worldwide. This disease is called COVID-19, a viral infection of the coronavirus family. COVID-19 has caused health, social and economic problems around the world. In Iran, the first disease cases were reported in February 2020. This article aimed to describe the results of the fourth step of the National Mobilization Plan against the COVID-19 pandemic.

The information used in this cross-sectional-descriptive study is based on the data recorded in the computer program (Portal) of the Network Management Center of the Ministry of Health and Medical Education.The fourth step was devised to manage and control the COVID-19 pandemic with public participation and coordination between departments. It comprised four teams, including contact tracing, home care, supervisory, and support teams. Excel 2016 software was used to analyze the present study's data, and ArcMap software version 10.8 was applied to draw thermal maps.

In this study, every contact-tracing team consisted of 3.2 members. This number was equal to 3.2, 2.9, and 3.8 people per team for supportive, home care, and supervisory teams, respectively. Also, on average, the contact-tracing teams tracked 135.9 cases per team. This number was 518.6 visits per team for supervisory teams, 75.3 for home care teams, and 52.2 households for support teams. During the program's implementation, 3065.3 PCR tests and 3596.7 rapid tests were taken per 100,000 population, of which 15.5% were positive. The average contact tracing in people with close contact with the infected people was 4.87 per patient with a positive test.

The COVID-19 pandemic challenged all political, economic, social, and health policies and revealed the governments’ inadequencies. Statistical evidence suggests that the measures taken to manage and control COVID-19 in Iran have been valuable and effective. Still, this process depends on the persistence of policies and protocols by the government and society.

Schizophrenia is a disabling disorder with a complex and chronic nature. Home-visit is a recent approach used for the treatment of the patients with schizophrenia. This study aimed to investigate and compare the effect of this approach on the severity of symptoms, length and duration of hospitalization between the patients with schizophrenia and patients in the control group.

This was a randomized control trial. Among the discharged patients, 26 met our inclusion criteria. After informed consent, they were placed into intervention and control groups. The intervention group received after-care services for one year. The control group did not receive any intervention except for their pharmacological treatment. The number of hospitalizations and mean duration of hospitalizations of the patients along with the Positive and Negative Symptoms of Schizophrenia Scale (PANSS) were evaluated three times (before the intervention, 6 months and also 12 months after receiving the intervention). Using SPSS 20, data were analyzed, by descriptive methods and repeated measures analysis of variance.

This study included 26 persons (19 male, 7 Female) with mean age of 37.6 years and SD =12.2, which showed no significant differences in the variables in the baseline data. Results of statistical analysis showed significant decrease in all of the three variables in the intervention group compared with those in the control group. These changes maintained during the one-year follow-up.

Results showed that home-visit is an effective program to covers some needs of the patients with schizophrenia. It also decreased the severity of the symptoms and length of hospitalization. Increasing regular intervention program during the follow up periods can probably lead to better results.