جستجوی مقالات مرتبط با کلیدواژه « mental patients » در نشریات گروه « پزشکی »

Electroconvulsive therapy (ECT) is a safe and practical treatment method for patients with severe, refractory or emergency psychiatric disorders. However, it is often associated with hemodynamic fluctuations. 

The purpose of this study was to investigate the pattern of hemodynamic changes in patients undergoing ECT.

This longitudinal study was conducted at Shafa hospital, a referral and academic center in Rasht, Iran, during 2020. Hemodynamic parameters including heart rate (HR) systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) were recorded before induction of anesthesia (T0), one minute after induction of anesthesia (T1), one minute after seizure (T2), and 15 minutes after wakefulness (T3). The trend of changes of these parameters was determined during the mentioned time intervals.

Finally, the data from total 126 patients were analyzed. Most of the cases were diagnosed with psychotic disorder of Schizophrenia (59.5%) and the least of them had Major depression (14.3%) and 15.9% of them suffered from comorbidities. In terms of SBP, DBP and MAP, the trend of changes was significant (P=0.0001) at four measurement point times, but not about HR (P= 0.74). However, all the changes in hemodynamic parameters were kept in the normal range.

Our study showed that despite the fluctuations in hemodynamic parameters during ECT, patient management was acceptable as a result of teamwork and apropriate interaction of psychiatric and anesthesia teams.

Looking at it from a different angle, talking about the civil responsibility of minors and mentally ill people is actually a philosophical exploration regarding the quality of the influence of young age and the weakness or lack of the psychological element of perception in civil liability rights.

This research is of a theoretical type and the research method is descriptive-analytical and the method of collecting information is library-based and by referring to documents, books and articles.

Ethical Considerations:

In this research, the principles of trustworthiness, honesty, neutrality and originality of the work have been respected.

In this kind of research, we are basically faced with two attitudes and intellectual bases: on the one hand, there are objectivist systems that do not involve young age or the lack of a clean psychological element in the rights of civil liability, but the analysis approach They have based themselves on purely objective relationships. On the other hand, there are subjective systems (individualistic in a special sense) that look for the influence of complex psychological and mental elements on the rights of civil responsibility and the relations of the litigants.

This tendency tries to take a step by involving the age and psychological elements in the minimum or maximum adjustment of the civil responsibility of minors and minors. Despite this, it seems that a more logical solution is to adopt middle and mixed approach, a criterion that puts objectivity next to personalism and draws a favorable balance point between the rights of the parties to the dispute. But without a doubt, it is difficult to adopt a final and decisive solution in this kind of philosophical-legal studies, because the face of moral considerations and fairness in such studies has been prominent, the decisive boundaries of law and ethics have become fainter and in the same way The amount of achieving real justice becomes more difficult.

Paying attention to the rights of psychiatric patients, protecting and observing their rights is one of the challenging issues of the health system. One of the most important components of providing humanistic and ethical care is awareness of the ethical concepts and rights of the patient.

This descriptive-analytical study was performed in 2013 on 100 patients and 43 nurses in Ahvaz. Data collection tools were a researcher-made three-part questionnaire including demographic information, measuring patientchr('39')s awareness and patientschr('39') rights, which were used after validity and reliability. SPSS16 software and descriptive statistics of mean, standard deviation, variance and correlation coefficient were used to analyze the data.

A total of 143 people participated in the study that the level of knowledge of nurses and patients about the rights of the mentally ill were 79.1% and 36%, respectively, and the level of observance of these rights in nurses and patients were 51.2% and 30%, respectively. The level was good. There was no significant difference between the level of knowledge and the level of observance of psychiatric patientschr('39') rights in the two groups, respectively (P = Value: 0.996 and P = Value: 0.411).

The level of knowledge and the level of observance of mental patients chr('39')rights in nurses was at a good and average level, but this level was very low in patients and the level of patientschr('39') rights was at a good level. Given that it is the right of every patient to be aware of their rights, health care providers should inform patients of their rights from the beginning of their admission and provide the necessary training in this regard to the best of their understanding.

One of the main goals of treatment in patients with mental disorders is compliance with drug therapy because non-compliance of the drug causes relapse of the disease and disrupts the treatment process. The purpose of this study was to investigate the effect of pharmacotherapy training on drug availability in patients with mental disorders. In this clinical trial study, 80 patients with Mental Disorders diagnosed in Farshchian Hospital in Hamadan, Iran, from October to February 2017 participated. Participants in the study were randomly divided into two experimental (40) and control (40) groups. In the intervention group, medication education was administered in four sessions of an hour in group (each group of 10). The control group received routine nursing care. Patients' adherence with drug therapies was checked by using the checklist for observing drug compliance before and after the intervention. Data analysis was performed using descriptive and inferential statistics in SPSS software version 24. The two groups did not differ significantly in terms of personal characteristics (P > 0.05). Mean and standard deviation of drug compliance score before and after intervention in experimental group was 0.55 ± 4.03 and control group was1.50 ± 4.34, which did not show significant difference (P = 0.306). After the intervention, the difference in mean and standard deviation of drug adherence score was statistically significant in the experimental group (5.02 ± 3.27) and control (1.17 ± 3.53) (P < 0.001). Medication education interventions have had a positive effect on drug dependence in patients with psychiatric disorders. Therefore, it is suggested that more attention be paid to educating patients about nursing care in nursing care programs.

Diversion, one of committed crimes as changing the path of addressing committed crime is an approach considered by the criminal justice system especially in relation to the committed crimes by certain groups of society. Performing these measures is of great importance especially in case of criminals with some type of mental disorder. Considering the fact that the justice's executives, as the first deploy of criminal justice system, play a role in against crimes and criminals, performing the measures related to diversion in the criminals in primary researches by the executives is important both regarding the reduction of economic costs of the criminal justice system and in terms of reaching to the goals of diversion. Attention to the interference patterns of the executives in the process of addressing the criminal's crimes indicate that today "crisis intervention team", as a group of educated police officers, play a pivotal role in performing diversion measures in the primary researches stage. To this end, the officers plying a role in the team are capable of making decisions for not introducing the criminals to the judicial centers depending on the type and nature of the crimes. In this paper, with investigation of duties and authorities of the justice's executives in the legal system of Iran and the U.S against the criminals having mental disorders, we conclude that unlike the legal system of the U.S, in the Iran' legal system lawmaker lacks a particular approach regarding the diversion from the committed crimes in the process of primary researches.

Background and At the present time, for treatment of patients with mental disorders, authentic medical world’s resources emphasize on association of non-drug complementary medical treatments with herbal treatments. Regarding the fact that patients’ families are considered as both recipient and provider care units, they are the most important audience of health system and they play amajor role in patient’s recovery. Therefore, investigation about their knowledge and attitudes towards the existed treatments could be extremely effective for continuation and quality improvement of the treatment.
Methods and Materials: The current research is a descriptive analytical cross-sectional, one-staged study. It was performed on 181 of caregivers who took care of patients affected by mental disorders who visited one of the health, educational centers of Isfahan University of Medical Sciences. For data collection, the researcher questionnaire was used; reliability and validity of the questionnaires were approved by content approval method and Cronbach’s Alpha 0.78, respectively. Data were analyzed by SPSS software, version 21.
According to the results, caregivers had an average level of knowledge and attitudes towards complementary treatment. Since knowledge and attitudes of caregivers are considered to be as one of the most important factors in improvement of patient’s recovery and prevention of illness relapse, therefore, planning seems necessary to increase knowledge and change attitudes of caregivers who receive health and treatment services.
Out of the total 181 participants, there were 100 female (55.2%) and the rest were male. Fifty seven patients aged 40-49 and 65 (35.9%) had intermediate education. The results revealed that knowledge and attitudes of most of the caregivers towards complementary treatment were average. Results of the statistical findings showed that there is a meaningful relationship between demographic characteristics of occupation and educational level and the level of knowledge and attitudes of the caregivers (p=0.02).

In recent years, policy-makers and researchers of health sector have paid more attention to considering rights of mental patients. Despite of increasing importance of the issue, there are few studies which explore rights of mental patients and the challenges for providing respective solutions. The aim of this study was to explore various studies conducted in Iran and other countries and extract respective solutions to meet the challenges.
Material and To conduct this review study, we collected relevant papers, theses and dissertations as well as related reports to mental patients’ rights. Local and global databases were searched to collect relevant data. In the next step, we followed articles of some special related journals. After collecting and categorizing the data, we extracted and categorized options for challenges of mental patients’ rights.
Solutions to meet challenges of mental patients’ rights (weaknesses in contemporary rights of mental patients, low or lack of awareness of mental patients and health workers about mental patients’ rights,) include options in rules and regulations level, macro policy-making level, conducting research, health services delivery level and strategic options according to analysis of weaknesses and failures related to mental patients’ rights and their needs
In order to respect mental patients’ rights and find solutions and correct deficiencies, we should improve the existing plans and policies related to mental patients’ rights, plan to identify weaknesses and failures and improve services to this group of patients.

Mental patient’s family usually experience emotional stress، depression، anxiety and social relationship problems by accepting the caring responsibility for their patient that could effect on their quality of life. So present study was conducted with the aim of determining the quality of life and its associated factors in families of mental patients` in Rasht. This cross-sectional and descriptive study was conducted on 242 families (first degree relatives) of mental patients referring to Shafa psychiatric center of Rasht by convenience sampling method during 2013. Data were gathered by interview and using 2-part tool consisting European Quality of Life Scale (EQLS) including quality of life questionnaire and combined questionnaire for social isolation. Higher score in these questionnaires were indicated poor quality of life. Collected data were analyzed using descriptive and analytic statistics (Pearson correlation coefficient، ANOVA، t test and logistic regression model، back ward) in SPSS (v. 19). The sample contained 152 female (62. 8%) and 90 male (37. 2%) and 92 persons (38%) were in the age group of 40-55 years. Mean and standard deviation of total quality of life score was 52. 4 ± 4. 4 (with the range of 0-63). There was a significant relationship between poor quality of life and female sex (p=0. 001)، also between housekeeper job (p=0. 003) and higher social isolation (p=0. 02). Finally، regression test showed that female gender with 34. 5 percent variance can predict the sample’s quality of life. Poor quality of life in females indicates the need for more attention on therapeutic-caring interventions and social supports to improve the well-being of this care giving group.

The effects of teaching communication skills using a specific model on nursing student's skill in communicating with mental patients has less been a subject of investigation. The aim of this study was to determine the effect of a communication skill's teaching model on nursing student's communicating with mental patients. This quasi-experimental study was conducted as pretest-posttest design, on 49 senior nursing students in two groups of control (24 students) and experiment (25 students). After performing the pretest of communication skills, both groups spent 12 days of clinical education for communication skills. The experiment group was taught using the mentioned model and the students of control group had the traditional training. After finishing the educational course, student's progress in communication skills in the two groups was compared. An integrated checklist was used for gathering data. Student's skills in interviewing mental patients were observed and the results were analyzed by SPSS software using Wilcoxon and MannWittney tests. Both methods of training improved student's communication skills with mental patients. Comparing the two methods, the mentioned training model showed a significantly higher level of improvement in nursing student's communication skills. In spite of the significant effect of the mentioned model on improving nursing student's communi-cation skills, due to the lack of enough evidence in this regard, conducting further studies in this area is recommended.